Identification of SCAMP2 as a regulator of NOTCH signaling in cisplatin resistance through a novel prognostic model for bladder cancer

IntroductionBladder cancer remains a major challenge in clinical oncology, particularly due to the development of platinum resistance, which severely impacts patient prognosis. Despite numerous attempts to create effective prognostic models, their clinical applicability has often been limited.Method...

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Main Authors: Longjun Cai, Shaoqi Zhang, Fangfang Zheng, Furong Ji, Jin Wang, Long Shi, Liu Chao, Xiangyu Wang, Jianjun Zhang, Zhiyong Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1573412/full
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author Longjun Cai
Shaoqi Zhang
Fangfang Zheng
Furong Ji
Jin Wang
Long Shi
Liu Chao
Xiangyu Wang
Jianjun Zhang
Zhiyong Chen
author_facet Longjun Cai
Shaoqi Zhang
Fangfang Zheng
Furong Ji
Jin Wang
Long Shi
Liu Chao
Xiangyu Wang
Jianjun Zhang
Zhiyong Chen
author_sort Longjun Cai
collection DOAJ
description IntroductionBladder cancer remains a major challenge in clinical oncology, particularly due to the development of platinum resistance, which severely impacts patient prognosis. Despite numerous attempts to create effective prognostic models, their clinical applicability has often been limited.MethodsIn this study, we utilized a robust statistical approach, LASSO-COX regression analysis, to develop a novel prognostic model for bladder cancer based on cisplatin sensitivity-related genes (CSRGs). The model was validated using both the TCGA-BLCA dataset and an independent validation set, GSE32894. Additionally, we employed various in vitro assays, including CCK-8 and EdU assays for cell proliferation, transwell assays for migration, and flow cytometry for apoptosis analysis, to investigate the biological function of the identified genes.ResultsOur prognostic model demonstrated superior predictive performance, with high AUC values. SCAMP2 was identified as a critical gene with elevated expression in bladder cancer, showing strong correlation with sensitivity to multiple anti-cancer drugs, including cisplatin. Further functional assays revealed that SCAMP2 mediates drug resistance in bladder cancer cells via the NOTCH signaling pathway. Additionally, in vivo experiments showed that SCAMP2 overexpression significantly enhanced cisplatin sensitivity in bladder cancer tissues.DiscussionThese findings underscore the potential of CSRGs, particularly SCAMP2, as critical biomarkers for bladder cancer prognosis. The identification of SCAMP2 as a regulator of NOTCH signaling in cisplatin resistance offers new insights into the molecular mechanisms of chemotherapy resistance and suggests potential therapeutic targets for overcoming drug resistance. Our model could guide personalized treatment strategies and improve bladder cancer patient outcomes.
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spelling doaj-art-d69e1d23c0264d4f83e8e62d1f64cb112025-08-20T03:52:43ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-05-011610.3389/fimmu.2025.15734121573412Identification of SCAMP2 as a regulator of NOTCH signaling in cisplatin resistance through a novel prognostic model for bladder cancerLongjun Cai0Shaoqi Zhang1Fangfang Zheng2Furong Ji3Jin Wang4Long Shi5Liu Chao6Xiangyu Wang7Jianjun Zhang8Zhiyong Chen9Department of Urology, The Affiliated Suqian Hospital of Xuzhou Medical University, Nanjing Drum-Tower Hospital Group Suqian Hospital, Suqian, Jiangsu, ChinaDepartment of Urology, The Affiliated Suqian Hospital of Xuzhou Medical University, Nanjing Drum-Tower Hospital Group Suqian Hospital, Suqian, Jiangsu, ChinaDepartment of Urology, The Affiliated Suqian Hospital of Xuzhou Medical University, Nanjing Drum-Tower Hospital Group Suqian Hospital, Suqian, Jiangsu, ChinaDepartment of Urology, The Affiliated Suqian Hospital of Xuzhou Medical University, Nanjing Drum-Tower Hospital Group Suqian Hospital, Suqian, Jiangsu, ChinaSchool of Public Health, Suzhou Medicine College of Soochow University, Suzhou, Jiangsu, ChinaDepartment of Urology, The Affiliated Suqian Hospital of Xuzhou Medical University, Nanjing Drum-Tower Hospital Group Suqian Hospital, Suqian, Jiangsu, ChinaDepartment of Urology, The Affiliated Suqian Hospital of Xuzhou Medical University, Nanjing Drum-Tower Hospital Group Suqian Hospital, Suqian, Jiangsu, ChinaDepartment of Urology, The Affiliated Suqian Hospital of Xuzhou Medical University, Nanjing Drum-Tower Hospital Group Suqian Hospital, Suqian, Jiangsu, ChinaDepartment of Urology, The Affiliated Suqian Hospital of Xuzhou Medical University, Nanjing Drum-Tower Hospital Group Suqian Hospital, Suqian, Jiangsu, ChinaDepartment of Urology, The Affiliated Shuyang Hospital of Xuzhou Medical University, Suqian, ChinaIntroductionBladder cancer remains a major challenge in clinical oncology, particularly due to the development of platinum resistance, which severely impacts patient prognosis. Despite numerous attempts to create effective prognostic models, their clinical applicability has often been limited.MethodsIn this study, we utilized a robust statistical approach, LASSO-COX regression analysis, to develop a novel prognostic model for bladder cancer based on cisplatin sensitivity-related genes (CSRGs). The model was validated using both the TCGA-BLCA dataset and an independent validation set, GSE32894. Additionally, we employed various in vitro assays, including CCK-8 and EdU assays for cell proliferation, transwell assays for migration, and flow cytometry for apoptosis analysis, to investigate the biological function of the identified genes.ResultsOur prognostic model demonstrated superior predictive performance, with high AUC values. SCAMP2 was identified as a critical gene with elevated expression in bladder cancer, showing strong correlation with sensitivity to multiple anti-cancer drugs, including cisplatin. Further functional assays revealed that SCAMP2 mediates drug resistance in bladder cancer cells via the NOTCH signaling pathway. Additionally, in vivo experiments showed that SCAMP2 overexpression significantly enhanced cisplatin sensitivity in bladder cancer tissues.DiscussionThese findings underscore the potential of CSRGs, particularly SCAMP2, as critical biomarkers for bladder cancer prognosis. The identification of SCAMP2 as a regulator of NOTCH signaling in cisplatin resistance offers new insights into the molecular mechanisms of chemotherapy resistance and suggests potential therapeutic targets for overcoming drug resistance. Our model could guide personalized treatment strategies and improve bladder cancer patient outcomes.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1573412/fullcisplatin sensitivityprognostic modelbladder cancerSCAMP2notch pathway
spellingShingle Longjun Cai
Shaoqi Zhang
Fangfang Zheng
Furong Ji
Jin Wang
Long Shi
Liu Chao
Xiangyu Wang
Jianjun Zhang
Zhiyong Chen
Identification of SCAMP2 as a regulator of NOTCH signaling in cisplatin resistance through a novel prognostic model for bladder cancer
Frontiers in Immunology
cisplatin sensitivity
prognostic model
bladder cancer
SCAMP2
notch pathway
title Identification of SCAMP2 as a regulator of NOTCH signaling in cisplatin resistance through a novel prognostic model for bladder cancer
title_full Identification of SCAMP2 as a regulator of NOTCH signaling in cisplatin resistance through a novel prognostic model for bladder cancer
title_fullStr Identification of SCAMP2 as a regulator of NOTCH signaling in cisplatin resistance through a novel prognostic model for bladder cancer
title_full_unstemmed Identification of SCAMP2 as a regulator of NOTCH signaling in cisplatin resistance through a novel prognostic model for bladder cancer
title_short Identification of SCAMP2 as a regulator of NOTCH signaling in cisplatin resistance through a novel prognostic model for bladder cancer
title_sort identification of scamp2 as a regulator of notch signaling in cisplatin resistance through a novel prognostic model for bladder cancer
topic cisplatin sensitivity
prognostic model
bladder cancer
SCAMP2
notch pathway
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1573412/full
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