Immunogenic cell death genes in single-cell and transcriptome analyses perspectives from a prognostic model of cervical cancer

BackgroundThe role of immunogenic cell death (ICD) in cervical cancer (CESC) is not well understood. This study sought to investigate the significance of ICD in CESC and to establish an ICDRs prognostic model to improve immunotherapy efficacy for patients with cervical cancer.MethodsICD-associated g...

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Main Authors: Li Ning, Xiu Li, Yating Xu, Yu Si, Hongting Zhao, Qinling Ren
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Genetics
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Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2025.1532523/full
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author Li Ning
Li Ning
Xiu Li
Xiu Li
Yating Xu
Yating Xu
Yu Si
Yu Si
Hongting Zhao
Qinling Ren
Qinling Ren
author_facet Li Ning
Li Ning
Xiu Li
Xiu Li
Yating Xu
Yating Xu
Yu Si
Yu Si
Hongting Zhao
Qinling Ren
Qinling Ren
author_sort Li Ning
collection DOAJ
description BackgroundThe role of immunogenic cell death (ICD) in cervical cancer (CESC) is not well understood. This study sought to investigate the significance of ICD in CESC and to establish an ICDRs prognostic model to improve immunotherapy efficacy for patients with cervical cancer.MethodsICD-associated genes were screened at the single-cell and transcriptome levels based on AddModuleScore, single-sample gene set enrichment analysis (ssGSEA) and weighted gene co-expression network (WGCNA) analysis. Immunogenic cell death-related features (ICDRs) were constructed using multiple machine algorithms, and ICDRs were evaluated in training and validation sets to provide quantitative tools for predicting prognosis in clinical practice. Predictive models were used to risk subgroups for response to immunotherapy, as well as drug sensitivity. Finally, the expression of ICD-related genes was verified by RT-qPCR.ResultsThrough an integrated analysis of single-cell data, transcriptomic profiling, and computational modeling, seven ICD-related genes were identified as highly prognostic for CESC patients. Multivariate analysis demonstrated that low-risk patients had significantly better overall survival compared to high-risk patients, confirming the model as an independent prognostic tool. Assessments of the tumor microenvironment (TME), mutation characteristics, and drug sensitivity within ICDRs risk subgroups indicated a stronger immunotherapy response in the low-risk group.
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spelling doaj-art-d644134d869d4b53afb4ab1ae3bc94022025-08-20T03:09:27ZengFrontiers Media S.A.Frontiers in Genetics1664-80212025-04-011610.3389/fgene.2025.15325231532523Immunogenic cell death genes in single-cell and transcriptome analyses perspectives from a prognostic model of cervical cancerLi Ning0Li Ning1Xiu Li2Xiu Li3Yating Xu4Yating Xu5Yu Si6Yu Si7Hongting Zhao8Qinling Ren9Qinling Ren10Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, ChinaThe Chinese Clinical Medicine Innovation Center of Obstetrics, Gynecology, and Reproduction in Jiangsu Province, Nanjing, Jiangsu, ChinaAffiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, ChinaThe Chinese Clinical Medicine Innovation Center of Obstetrics, Gynecology, and Reproduction in Jiangsu Province, Nanjing, Jiangsu, ChinaAffiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, ChinaThe Chinese Clinical Medicine Innovation Center of Obstetrics, Gynecology, and Reproduction in Jiangsu Province, Nanjing, Jiangsu, ChinaAffiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, ChinaThe Chinese Clinical Medicine Innovation Center of Obstetrics, Gynecology, and Reproduction in Jiangsu Province, Nanjing, Jiangsu, ChinaThe Chinese Clinical Medicine Innovation Center of Obstetrics, Gynecology, and Reproduction in Jiangsu Province, Nanjing, Jiangsu, ChinaAffiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, ChinaThe Chinese Clinical Medicine Innovation Center of Obstetrics, Gynecology, and Reproduction in Jiangsu Province, Nanjing, Jiangsu, ChinaBackgroundThe role of immunogenic cell death (ICD) in cervical cancer (CESC) is not well understood. This study sought to investigate the significance of ICD in CESC and to establish an ICDRs prognostic model to improve immunotherapy efficacy for patients with cervical cancer.MethodsICD-associated genes were screened at the single-cell and transcriptome levels based on AddModuleScore, single-sample gene set enrichment analysis (ssGSEA) and weighted gene co-expression network (WGCNA) analysis. Immunogenic cell death-related features (ICDRs) were constructed using multiple machine algorithms, and ICDRs were evaluated in training and validation sets to provide quantitative tools for predicting prognosis in clinical practice. Predictive models were used to risk subgroups for response to immunotherapy, as well as drug sensitivity. Finally, the expression of ICD-related genes was verified by RT-qPCR.ResultsThrough an integrated analysis of single-cell data, transcriptomic profiling, and computational modeling, seven ICD-related genes were identified as highly prognostic for CESC patients. Multivariate analysis demonstrated that low-risk patients had significantly better overall survival compared to high-risk patients, confirming the model as an independent prognostic tool. Assessments of the tumor microenvironment (TME), mutation characteristics, and drug sensitivity within ICDRs risk subgroups indicated a stronger immunotherapy response in the low-risk group.https://www.frontiersin.org/articles/10.3389/fgene.2025.1532523/fullmulti-omicssingle-cell RNAICDsimmune prognosistherapy efficacyalgorithms
spellingShingle Li Ning
Li Ning
Xiu Li
Xiu Li
Yating Xu
Yating Xu
Yu Si
Yu Si
Hongting Zhao
Qinling Ren
Qinling Ren
Immunogenic cell death genes in single-cell and transcriptome analyses perspectives from a prognostic model of cervical cancer
Frontiers in Genetics
multi-omics
single-cell RNA
ICDs
immune prognosis
therapy efficacy
algorithms
title Immunogenic cell death genes in single-cell and transcriptome analyses perspectives from a prognostic model of cervical cancer
title_full Immunogenic cell death genes in single-cell and transcriptome analyses perspectives from a prognostic model of cervical cancer
title_fullStr Immunogenic cell death genes in single-cell and transcriptome analyses perspectives from a prognostic model of cervical cancer
title_full_unstemmed Immunogenic cell death genes in single-cell and transcriptome analyses perspectives from a prognostic model of cervical cancer
title_short Immunogenic cell death genes in single-cell and transcriptome analyses perspectives from a prognostic model of cervical cancer
title_sort immunogenic cell death genes in single cell and transcriptome analyses perspectives from a prognostic model of cervical cancer
topic multi-omics
single-cell RNA
ICDs
immune prognosis
therapy efficacy
algorithms
url https://www.frontiersin.org/articles/10.3389/fgene.2025.1532523/full
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