Stemness-related gene signatures as a predictive tool for breast cancer radiosensitivity

BackgroundUnderstanding the role of cancer stemness in predicting breast cancer (BRCA) response to radiotherapy is crucial for optimizing treatment outcomes. This study developed a stemness-based signature to identify BRCA patients who are likely to benefit from radiotherapy.MethodsGene expression d...

Full description

Saved in:
Bibliographic Details
Main Authors: Jinzhi Lai, Rongfu Huang, Jingshan Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1536284/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832576351841812480
author Jinzhi Lai
Rongfu Huang
Jingshan Huang
author_facet Jinzhi Lai
Rongfu Huang
Jingshan Huang
author_sort Jinzhi Lai
collection DOAJ
description BackgroundUnderstanding the role of cancer stemness in predicting breast cancer (BRCA) response to radiotherapy is crucial for optimizing treatment outcomes. This study developed a stemness-based signature to identify BRCA patients who are likely to benefit from radiotherapy.MethodsGene expression data for BRCA patients were obtained from the TCGA and METABRIC databases, including 920 TCGA-BRCA and 1980 METABRIC-BRCA patients. Univariate and multivariate Cox regression analyses were used to construct a radiosensitivity signature. Immune cell infiltration and pathway enrichment analyses were conducted using ESTIMATE and GSVA methods. The TIDE algorithm and the pRRophetic platform were employed to predict responses to radiotherapy. Radioresistant BRCA cells were examined using a colony formation assay. Key genes identified in the radiosensitivity signature were validated in vitro by qRT-PCR.ResultsBy analyzing gene expression data from 920 BRCA samples, we identified a set of 267 stemness-related genes between high and low mRNAsi groups. Based on these genes, a radiosensitivity signature comprising two stemness-related genes (EMILIN1 and CYP4Z1) was constructed, stratifying patients into radiosensitive (RS) and radioresistant (RR) groups. Radiotherapy within the RS group significantly improved prognosis compared to non-radiotherapy patients. This signature was further validated in the METABRIC dataset. Notably, patients in the RS group also exhibited a significantly better response to immunotherapy compared to the RR group. We established a radioresistant BRCA cell line using the MCF-7 breast cancer cell line. A radioresistant breast cancer cell line (MCF-7/IR) was established by progressive exposure to increasing radiation doses. Comparative clonogenic and CCK8 assays demonstrated a radioresistant phenotype in the MCF-7/IR compared to MCF-7. In vitro studies utilizing both the MCF-7/IR and MCF-7 cell lines validated the expression of two radiosensitivity genes.ConclusionThis study identified a stemness-related gene signature predictive of radiosensitivity in breast cancer. This signature may guide personalized treatment strategies and inform the development of novel radiosensitizing agents.
format Article
id doaj-art-8f51c2ee970d41c8bf04eceeda3c95ce
institution Kabale University
issn 1664-3224
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-8f51c2ee970d41c8bf04eceeda3c95ce2025-01-31T06:40:19ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011610.3389/fimmu.2025.15362841536284Stemness-related gene signatures as a predictive tool for breast cancer radiosensitivityJinzhi Lai0Rongfu Huang1Jingshan Huang2Department of Oncology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, ChinaDepartment of Clinical Laboratory, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, ChinaDepartment of General Surgery, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, ChinaBackgroundUnderstanding the role of cancer stemness in predicting breast cancer (BRCA) response to radiotherapy is crucial for optimizing treatment outcomes. This study developed a stemness-based signature to identify BRCA patients who are likely to benefit from radiotherapy.MethodsGene expression data for BRCA patients were obtained from the TCGA and METABRIC databases, including 920 TCGA-BRCA and 1980 METABRIC-BRCA patients. Univariate and multivariate Cox regression analyses were used to construct a radiosensitivity signature. Immune cell infiltration and pathway enrichment analyses were conducted using ESTIMATE and GSVA methods. The TIDE algorithm and the pRRophetic platform were employed to predict responses to radiotherapy. Radioresistant BRCA cells were examined using a colony formation assay. Key genes identified in the radiosensitivity signature were validated in vitro by qRT-PCR.ResultsBy analyzing gene expression data from 920 BRCA samples, we identified a set of 267 stemness-related genes between high and low mRNAsi groups. Based on these genes, a radiosensitivity signature comprising two stemness-related genes (EMILIN1 and CYP4Z1) was constructed, stratifying patients into radiosensitive (RS) and radioresistant (RR) groups. Radiotherapy within the RS group significantly improved prognosis compared to non-radiotherapy patients. This signature was further validated in the METABRIC dataset. Notably, patients in the RS group also exhibited a significantly better response to immunotherapy compared to the RR group. We established a radioresistant BRCA cell line using the MCF-7 breast cancer cell line. A radioresistant breast cancer cell line (MCF-7/IR) was established by progressive exposure to increasing radiation doses. Comparative clonogenic and CCK8 assays demonstrated a radioresistant phenotype in the MCF-7/IR compared to MCF-7. In vitro studies utilizing both the MCF-7/IR and MCF-7 cell lines validated the expression of two radiosensitivity genes.ConclusionThis study identified a stemness-related gene signature predictive of radiosensitivity in breast cancer. This signature may guide personalized treatment strategies and inform the development of novel radiosensitizing agents.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1536284/fullbreast cancercancer stemnessradiosensitivityPD-L1tumor immune microenvironment
spellingShingle Jinzhi Lai
Rongfu Huang
Jingshan Huang
Stemness-related gene signatures as a predictive tool for breast cancer radiosensitivity
Frontiers in Immunology
breast cancer
cancer stemness
radiosensitivity
PD-L1
tumor immune microenvironment
title Stemness-related gene signatures as a predictive tool for breast cancer radiosensitivity
title_full Stemness-related gene signatures as a predictive tool for breast cancer radiosensitivity
title_fullStr Stemness-related gene signatures as a predictive tool for breast cancer radiosensitivity
title_full_unstemmed Stemness-related gene signatures as a predictive tool for breast cancer radiosensitivity
title_short Stemness-related gene signatures as a predictive tool for breast cancer radiosensitivity
title_sort stemness related gene signatures as a predictive tool for breast cancer radiosensitivity
topic breast cancer
cancer stemness
radiosensitivity
PD-L1
tumor immune microenvironment
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1536284/full
work_keys_str_mv AT jinzhilai stemnessrelatedgenesignaturesasapredictivetoolforbreastcancerradiosensitivity
AT rongfuhuang stemnessrelatedgenesignaturesasapredictivetoolforbreastcancerradiosensitivity
AT jingshanhuang stemnessrelatedgenesignaturesasapredictivetoolforbreastcancerradiosensitivity