Targeting LHPP in neoadjuvant chemotherapy resistance of gastric cancer: insights from single-cell and multi-omics data on tumor immune microenvironment and stemness characteristics

Abstract Gastric cancer (GC) is a highly heterogeneous and complex malignancy, often characterized by tumor stemness and immune evasion mechanisms, which contribute to a poor response to neoadjuvant chemotherapy (NAC) and treatment resistance. In this study, we performed a comprehensive analysis usi...

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Main Authors: You-Xin Gao, Xiao-Jing Guo, Bin Lin, Xiao-Bo Huang, Ru-Hong Tu, Mi Lin, Long-Long Cao, Qi-Yue Chen, Jia-Bin Wang, Jian-Wei Xie, Ping Li, Chao-Hui Zheng, Ying-Hong Yang, Chang-Ming Huang, Jian-Xian Lin
Format: Article
Language:English
Published: Nature Publishing Group 2025-04-01
Series:Cell Death and Disease
Online Access:https://doi.org/10.1038/s41419-025-07614-z
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author You-Xin Gao
Xiao-Jing Guo
Bin Lin
Xiao-Bo Huang
Ru-Hong Tu
Mi Lin
Long-Long Cao
Qi-Yue Chen
Jia-Bin Wang
Jian-Wei Xie
Ping Li
Chao-Hui Zheng
Ying-Hong Yang
Chang-Ming Huang
Jian-Xian Lin
author_facet You-Xin Gao
Xiao-Jing Guo
Bin Lin
Xiao-Bo Huang
Ru-Hong Tu
Mi Lin
Long-Long Cao
Qi-Yue Chen
Jia-Bin Wang
Jian-Wei Xie
Ping Li
Chao-Hui Zheng
Ying-Hong Yang
Chang-Ming Huang
Jian-Xian Lin
author_sort You-Xin Gao
collection DOAJ
description Abstract Gastric cancer (GC) is a highly heterogeneous and complex malignancy, often characterized by tumor stemness and immune evasion mechanisms, which contribute to a poor response to neoadjuvant chemotherapy (NAC) and treatment resistance. In this study, we performed a comprehensive analysis using single-cell and multi-omics approaches on 375 GC samples from The Cancer Genome Atlas database, along with 141 clinical samples from patients who underwent NAC. We identified key gene modules associated with stemness and immune traits, and developed a novel stem cell-immune risk score. This score effectively distinguished responders from non-responders to chemotherapy, and was significantly associated with overall survival. Through multi-omics analysis, we further elucidated the role of phospholysine phosphohistidine inorganic pyrophosphatase (LHPP) in the tumor immune microenvironment. Our findings showed that high LHPP expression was closely linked to the increased infiltration of antitumor immune cells, such as CD8+ T cells, and significantly suppressed the development of stemness characteristics in GC. Additionally, single-cell sequencing data revealed that tumor epithelial cells with low LHPP expression exhibited heightened stemness and demonstrated the strongest communication with CD8+-exhausted T cells. We also observed that LHPP inhibited stemness and chemotherapy resistance in GC cells by regulating the phosphorylation of GSK-3β. In conclusion, LHPP plays a critical regulatory role in the stemness features and tumor immune microenvironment of GC, presenting a promising biomarker and potential therapeutic target for personalized treatment of GC.
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spelling doaj-art-beff54afd0094d6898ff872e6f7a8d122025-08-20T02:17:49ZengNature Publishing GroupCell Death and Disease2041-48892025-04-0116111610.1038/s41419-025-07614-zTargeting LHPP in neoadjuvant chemotherapy resistance of gastric cancer: insights from single-cell and multi-omics data on tumor immune microenvironment and stemness characteristicsYou-Xin Gao0Xiao-Jing Guo1Bin Lin2Xiao-Bo Huang3Ru-Hong Tu4Mi Lin5Long-Long Cao6Qi-Yue Chen7Jia-Bin Wang8Jian-Wei Xie9Ping Li10Chao-Hui Zheng11Ying-Hong Yang12Chang-Ming Huang13Jian-Xian Lin14Department of Gastric Surgery, Fujian Medical University Union HospitalDepartment of Gastric Surgery, Fujian Medical University Union HospitalDepartment of Gastric Surgery, Fujian Medical University Union HospitalDepartment of Gastric Surgery, Fujian Medical University Union HospitalDepartment of Gastric Surgery, Fujian Medical University Union HospitalDepartment of Gastric Surgery, Fujian Medical University Union HospitalDepartment of Gastric Surgery, Fujian Medical University Union HospitalDepartment of Gastric Surgery, Fujian Medical University Union HospitalDepartment of Gastric Surgery, Fujian Medical University Union HospitalDepartment of Gastric Surgery, Fujian Medical University Union HospitalDepartment of Gastric Surgery, Fujian Medical University Union HospitalDepartment of Gastric Surgery, Fujian Medical University Union HospitalDepartment of Pathology, Fujian Medical University Union HospitalDepartment of Gastric Surgery, Fujian Medical University Union HospitalDepartment of Gastric Surgery, Fujian Medical University Union HospitalAbstract Gastric cancer (GC) is a highly heterogeneous and complex malignancy, often characterized by tumor stemness and immune evasion mechanisms, which contribute to a poor response to neoadjuvant chemotherapy (NAC) and treatment resistance. In this study, we performed a comprehensive analysis using single-cell and multi-omics approaches on 375 GC samples from The Cancer Genome Atlas database, along with 141 clinical samples from patients who underwent NAC. We identified key gene modules associated with stemness and immune traits, and developed a novel stem cell-immune risk score. This score effectively distinguished responders from non-responders to chemotherapy, and was significantly associated with overall survival. Through multi-omics analysis, we further elucidated the role of phospholysine phosphohistidine inorganic pyrophosphatase (LHPP) in the tumor immune microenvironment. Our findings showed that high LHPP expression was closely linked to the increased infiltration of antitumor immune cells, such as CD8+ T cells, and significantly suppressed the development of stemness characteristics in GC. Additionally, single-cell sequencing data revealed that tumor epithelial cells with low LHPP expression exhibited heightened stemness and demonstrated the strongest communication with CD8+-exhausted T cells. We also observed that LHPP inhibited stemness and chemotherapy resistance in GC cells by regulating the phosphorylation of GSK-3β. In conclusion, LHPP plays a critical regulatory role in the stemness features and tumor immune microenvironment of GC, presenting a promising biomarker and potential therapeutic target for personalized treatment of GC.https://doi.org/10.1038/s41419-025-07614-z
spellingShingle You-Xin Gao
Xiao-Jing Guo
Bin Lin
Xiao-Bo Huang
Ru-Hong Tu
Mi Lin
Long-Long Cao
Qi-Yue Chen
Jia-Bin Wang
Jian-Wei Xie
Ping Li
Chao-Hui Zheng
Ying-Hong Yang
Chang-Ming Huang
Jian-Xian Lin
Targeting LHPP in neoadjuvant chemotherapy resistance of gastric cancer: insights from single-cell and multi-omics data on tumor immune microenvironment and stemness characteristics
Cell Death and Disease
title Targeting LHPP in neoadjuvant chemotherapy resistance of gastric cancer: insights from single-cell and multi-omics data on tumor immune microenvironment and stemness characteristics
title_full Targeting LHPP in neoadjuvant chemotherapy resistance of gastric cancer: insights from single-cell and multi-omics data on tumor immune microenvironment and stemness characteristics
title_fullStr Targeting LHPP in neoadjuvant chemotherapy resistance of gastric cancer: insights from single-cell and multi-omics data on tumor immune microenvironment and stemness characteristics
title_full_unstemmed Targeting LHPP in neoadjuvant chemotherapy resistance of gastric cancer: insights from single-cell and multi-omics data on tumor immune microenvironment and stemness characteristics
title_short Targeting LHPP in neoadjuvant chemotherapy resistance of gastric cancer: insights from single-cell and multi-omics data on tumor immune microenvironment and stemness characteristics
title_sort targeting lhpp in neoadjuvant chemotherapy resistance of gastric cancer insights from single cell and multi omics data on tumor immune microenvironment and stemness characteristics
url https://doi.org/10.1038/s41419-025-07614-z
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