Analysis of immune cell infiltration in the tumor microenvironment of cervical cancer and its impact on immunotherapy

BackgroundCervical cancer remains a leading cause of cancer-related mortality among women worldwide. Despite advances in vaccination and early screening, late-stage diagnoses are common and associated with poor outcomes. This study aimed to identify novel prognostic biomarkers and therapeutic target...

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Main Authors: Fei Qin, Lu Huan, Xia Shi, Yuanyuan Hua, Yi Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2025.1608597/full
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author Fei Qin
Lu Huan
Xia Shi
Yuanyuan Hua
Yi Wu
author_facet Fei Qin
Lu Huan
Xia Shi
Yuanyuan Hua
Yi Wu
author_sort Fei Qin
collection DOAJ
description BackgroundCervical cancer remains a leading cause of cancer-related mortality among women worldwide. Despite advances in vaccination and early screening, late-stage diagnoses are common and associated with poor outcomes. This study aimed to identify novel prognostic biomarkers and therapeutic targets through a multi-omics approach, providing insights into the tumor immune microenvironment.MethodsWe integrated transcriptomic, mutational, and clinical data from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) to construct a prognostic model. Differential gene expression, enrichment analysis, immune infiltration profiling, and drug response prediction were performed to explore molecular features and therapeutic relevance.ResultsKey high-risk biomarkers (EZH2, PCNA, BIRC5) and protective factors (CD34, ROBO4, CXCL12) were identified. The model effectively stratified patient survival in both cohorts and showed strong predictive performance. High-risk patients displayed distinct immune cell infiltration patterns and upregulated immune checkpoint expression, suggesting potential benefit from immunotherapy. Additionally, higher tumor mutational burden (TMB) was associated with improved survival. Drug sensitivity analysis indicated increased responsiveness of high-risk patients to agents such as Afuresertib and Venetoclax.ConclusionThis study establishes a reliable prognostic model and identifies critical biomarkers associated with cervical cancer progression, offering valuable insights into personalized therapeutic strategies. The findings contribute to a more comprehensive understanding of the disease and provide a foundation for future clinical applications. Nevertheless, further large-scale validation is required to confirm these findings and enhance their clinical utility.
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spelling doaj-art-b9d5a2e2b91845399ef9b34cd71509ec2025-08-20T03:15:27ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-07-011510.3389/fonc.2025.16085971608597Analysis of immune cell infiltration in the tumor microenvironment of cervical cancer and its impact on immunotherapyFei Qin0Lu Huan1Xia Shi2Yuanyuan Hua3Yi Wu4Department of Gynecology and Obstetrics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaRenji Hospital, School of Medicine, Chongqing University, Chongqing, ChinaDepartment of Gynecology and Obstetrics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Gynecology and Obstetrics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Gynecology and Obstetrics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaBackgroundCervical cancer remains a leading cause of cancer-related mortality among women worldwide. Despite advances in vaccination and early screening, late-stage diagnoses are common and associated with poor outcomes. This study aimed to identify novel prognostic biomarkers and therapeutic targets through a multi-omics approach, providing insights into the tumor immune microenvironment.MethodsWe integrated transcriptomic, mutational, and clinical data from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus (GEO) to construct a prognostic model. Differential gene expression, enrichment analysis, immune infiltration profiling, and drug response prediction were performed to explore molecular features and therapeutic relevance.ResultsKey high-risk biomarkers (EZH2, PCNA, BIRC5) and protective factors (CD34, ROBO4, CXCL12) were identified. The model effectively stratified patient survival in both cohorts and showed strong predictive performance. High-risk patients displayed distinct immune cell infiltration patterns and upregulated immune checkpoint expression, suggesting potential benefit from immunotherapy. Additionally, higher tumor mutational burden (TMB) was associated with improved survival. Drug sensitivity analysis indicated increased responsiveness of high-risk patients to agents such as Afuresertib and Venetoclax.ConclusionThis study establishes a reliable prognostic model and identifies critical biomarkers associated with cervical cancer progression, offering valuable insights into personalized therapeutic strategies. The findings contribute to a more comprehensive understanding of the disease and provide a foundation for future clinical applications. Nevertheless, further large-scale validation is required to confirm these findings and enhance their clinical utility.https://www.frontiersin.org/articles/10.3389/fonc.2025.1608597/fullcervical cancermulti-omics analysisimmune infiltrationtumor mutation burdentumor microenvironment
spellingShingle Fei Qin
Lu Huan
Xia Shi
Yuanyuan Hua
Yi Wu
Analysis of immune cell infiltration in the tumor microenvironment of cervical cancer and its impact on immunotherapy
Frontiers in Oncology
cervical cancer
multi-omics analysis
immune infiltration
tumor mutation burden
tumor microenvironment
title Analysis of immune cell infiltration in the tumor microenvironment of cervical cancer and its impact on immunotherapy
title_full Analysis of immune cell infiltration in the tumor microenvironment of cervical cancer and its impact on immunotherapy
title_fullStr Analysis of immune cell infiltration in the tumor microenvironment of cervical cancer and its impact on immunotherapy
title_full_unstemmed Analysis of immune cell infiltration in the tumor microenvironment of cervical cancer and its impact on immunotherapy
title_short Analysis of immune cell infiltration in the tumor microenvironment of cervical cancer and its impact on immunotherapy
title_sort analysis of immune cell infiltration in the tumor microenvironment of cervical cancer and its impact on immunotherapy
topic cervical cancer
multi-omics analysis
immune infiltration
tumor mutation burden
tumor microenvironment
url https://www.frontiersin.org/articles/10.3389/fonc.2025.1608597/full
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