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A Distinguished Roadmap of Fibroblast Senescence in Predicting Immunotherapy Response and Prognosis Across Human Cancers.

作者信息

Chen Dongjie, Liu Pengyi, Lin Jiayu, Zang Longjun, Liu Yihao, Zhai Shuyu, Lu Xiongxiong, Weng Yuanchi, Li Hongzhe

机构信息

Department of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.

Research Institute of Pancreatic Diseases, Shanghai Key Laboratory of Translational Research for Pancreatic Neoplasms, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, China.

出版信息

Adv Sci (Weinh). 2025 Feb;12(7):e2406624. doi: 10.1002/advs.202406624. Epub 2024 Dec 30.


DOI:10.1002/advs.202406624
PMID:39739618
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11831569/
Abstract

The resistance of tumors to immune checkpoint inhibitors (ICI) may be intricately linked to cellular senescence, although definitive clinical validation remains elusive. In this study, comprehensive pan-cancer scRNA-seq analyses identify fibroblasts as exhibiting the most pronounced levels of cellular senescence among tumor-associated cell populations. To elucidate this phenomenon, a fibroblast senescence-associated transcriptomic signature (FSS), which correlated strongly with protumorigenic signaling pathways and immune dysregulation that fosters tumor progression, is developed. Leveraging the FSS, the machine learning (ML) framework demonstrates exceptional accuracy in predicting ICI response and survival outcomes, achieving superior area under curve (AUC) values across validation, testing, and in-house cohorts. Strikingly, FSS consistently outperforms established signatures in predictive robustness across diverse cancer subtypes. From an integrative analysis of 17 CRISPR/Cas9 libraries, CDC6 emerges as a pivotal biomarker for pan-cancer ICI response and prognostic stratification. Mechanistically, experimental evidence reveals that CDC6 in tumor cells orchestrates fibroblast senescence via TGF-β1 secretion and oxidative stress, subsequently reprogramming the tumor microenvironment and modulating ICI response. These findings underscore the translational potential of targeting fibroblast senescence as a novel therapeutic strategy to mitigate immune resistance and enhance antitumor efficacy.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/59625f0b1741/ADVS-12-2406624-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/fbe46d2e2ddb/ADVS-12-2406624-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/e5a3e756d222/ADVS-12-2406624-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/36a13bed69cf/ADVS-12-2406624-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/656fdb44c16b/ADVS-12-2406624-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/173c143c1254/ADVS-12-2406624-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/14fb357f8da3/ADVS-12-2406624-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/f0048d9b5e67/ADVS-12-2406624-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/59625f0b1741/ADVS-12-2406624-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/fbe46d2e2ddb/ADVS-12-2406624-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/e5a3e756d222/ADVS-12-2406624-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/36a13bed69cf/ADVS-12-2406624-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/656fdb44c16b/ADVS-12-2406624-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/173c143c1254/ADVS-12-2406624-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/14fb357f8da3/ADVS-12-2406624-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/f0048d9b5e67/ADVS-12-2406624-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1214/11831569/59625f0b1741/ADVS-12-2406624-g008.jpg

相似文献

[1]
A Distinguished Roadmap of Fibroblast Senescence in Predicting Immunotherapy Response and Prognosis Across Human Cancers.

Adv Sci (Weinh). 2025-2

[2]
A transcriptomic pan-cancer signature for survival prognostication and prediction of immunotherapy response based on endothelial senescence.

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[3]
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[4]
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[5]
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Front Immunol. 2024-12-5

[6]
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J Immunother Cancer. 2025-1-11

[7]
Pan-cancer analysis implicates novel insights of lactate metabolism into immunotherapy response prediction and survival prognostication.

J Exp Clin Cancer Res. 2024-4-25

[8]
Targeting LLT1 as a potential immunotherapy option for cancer patients non-responsive to existing checkpoint therapies in multiple solid tumors.

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[9]
Cell Senescence-Related Genes as Biomarkers for Prognosis and Immunotherapeutic Response in Colon Cancer.

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[10]
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引用本文的文献

[1]
The Role of Senescence, its Therapeutic Relevance and Clinical Implications in the Tumor Microenvironment.

Theranostics. 2025-7-28

[2]
Senescent fibroblasts secrete CTHRC1 to promote cancer stemness in hepatocellular carcinoma.

Cell Commun Signal. 2025-8-25

[3]
Cancer-associated fibroblasts: dual roles from senescence sentinels to death regulators and new dimensions in therapy.

Front Immunol. 2025-7-18

[4]
Bibliometric and visualized analysis of global distribution and research frontiers in tumor immune escape.

Front Immunol. 2025-6-5

本文引用的文献

[1]
Nucleotide metabolism in cancer cells fuels a UDP-driven macrophage cross-talk, promoting immunosuppression and immunotherapy resistance.

Nat Cancer. 2024-8

[2]
Prospective observational study on biomarkers of response in pancreatic ductal adenocarcinoma.

Nat Med. 2024-3

[3]
PDK4-dependent hypercatabolism and lactate production of senescent cells promotes cancer malignancy.

Nat Metab. 2023-11

[4]
p16 senescence restricts cellular plasticity during somatic cell reprogramming.

Nat Cell Biol. 2023-9

[5]
Cellular Senescence Is Immunogenic and Promotes Antitumor Immunity.

Cancer Discov. 2023-2-6

[6]
SurvBenchmark: comprehensive benchmarking study of survival analysis methods using both omics data and clinical data.

Gigascience. 2022-7-30

[7]
CDC6 is a prognostic biomarker and correlated with immune infiltrates in glioma.

Mol Cancer. 2022-7-25

[8]
Resistance Mechanisms to Anti-PD Cancer Immunotherapy.

Annu Rev Immunol. 2022-4-26

[9]
Dynamic regulation of myofibroblast phenotype in cellular senescence.

Aging Cell. 2022-4

[10]
Hallmarks of Cancer: New Dimensions.

Cancer Discov. 2022-1

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