Identification of novel molecular subtypes and construction of a prognostic signature via multi-omics analysis and machine learning in lung adenocarcinoma

IntroductionThe development of high-throughput sequencing technologies and targeted therapeutic strategies has significantly improved the prognosis of lung adenocarcinoma (LUAD) patients with sensitive gene mutations. However, patients harboring rare or no actionable mutations were rarely benefit fr...

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Main Authors: Ke Ma, Jie Xu, Congyue Wang, Xu Cao, Wenjie Yu, Jingjing Xi, Xuan Zhang, Jiamin Zhan, Yang Liu, Aoyang Yu, Shuhan Liu, Yanhua Liu, Chong Chen, Xiaoli Mai
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2025.1590216/full
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author Ke Ma
Jie Xu
Jie Xu
Congyue Wang
Congyue Wang
Xu Cao
Xu Cao
Wenjie Yu
Jingjing Xi
Xuan Zhang
Jiamin Zhan
Yang Liu
Aoyang Yu
Aoyang Yu
Shuhan Liu
Yanhua Liu
Yanhua Liu
Chong Chen
Chong Chen
Xiaoli Mai
Xiaoli Mai
author_facet Ke Ma
Jie Xu
Jie Xu
Congyue Wang
Congyue Wang
Xu Cao
Xu Cao
Wenjie Yu
Jingjing Xi
Xuan Zhang
Jiamin Zhan
Yang Liu
Aoyang Yu
Aoyang Yu
Shuhan Liu
Yanhua Liu
Yanhua Liu
Chong Chen
Chong Chen
Xiaoli Mai
Xiaoli Mai
author_sort Ke Ma
collection DOAJ
description IntroductionThe development of high-throughput sequencing technologies and targeted therapeutic strategies has significantly improved the prognosis of lung adenocarcinoma (LUAD) patients with sensitive gene mutations. However, patients harboring rare or no actionable mutations were rarely benefit from these targeted therapies. This study aimed to identify novel molecular subtypes and construct a prognostic signature to enhance the stratification of LUAD prognosis.Materials and methodsNovel molecular subtypes of LUAD patients were identified by applying 10 distinct clustering algorithms on multi-omics data. Single-cell RNA-sequencing (scRNA-seq) data were integrated to characterize subtype-specific immune microenvironments. A multi-omics and machine learning-driven prognostic signature (MO-MLPS) was constructed in The Cancer Genome Atlas (TCGA) LUAD dataset using ten machine learning algorithms and subsequently validated across six independent datasets from the Gene Expression Omnibus (GEO) database. The robustness of the model was assessed using the concordance index (C-index), Kaplan-Meier survival analyses, receiver operating characteristic (ROC) curves, and both univariate and multivariate Cox regression analyses. We further confirmed the effects of ANLN knockdown and the expression of a domain-negative anillin protein (dnANLN) via western blotting, cell proliferation assays, flow cytometry, and transwell migration assays in vitro.ResultsOur analysis revealed that the novel molecular subtypes exhibited differences in prognoses, biological functions, and immune infiltration profiles in LUAD. The MO-MLPS was successfully established and validated across TCGA-LUAD cohorts, six independent GEO datasets, and their composite meta-cohort. Higher risk scores from the MO-MLPS correlated with poorer prognosis in LUAD, with AUC values exceeding 0.5 at 1, 3, and 5 years across various cohorts. The signature outperformed 49 previously published prognostic signatures. Furthermore, patients classified as high risk exhibited significantly worse overall and progression-free survival than those classified as low risk. Notably, ANLN knockdown and dnANLN expression significantly inhibited cell proliferation and migration in vitro and enhanced the efficacy of docetaxel.ConclusionA comprehensive analysis of multi-omics data redefines the molecular subtype of LUAD patients. The MO-MLPS derived from subtype characteristics has the potential to serve as a clinically valuable prognostic tool. Furthermore, ANLN emerges as a promising novel therapeutic target in the treatment of LUAD.
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spelling doaj-art-cd53d1c68f9f4c8fba8f8cf8545a66e92025-07-21T14:32:00ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-07-011510.3389/fonc.2025.15902161590216Identification of novel molecular subtypes and construction of a prognostic signature via multi-omics analysis and machine learning in lung adenocarcinomaKe Ma0Jie Xu1Jie Xu2Congyue Wang3Congyue Wang4Xu Cao5Xu Cao6Wenjie Yu7Jingjing Xi8Xuan Zhang9Jiamin Zhan10Yang Liu11Aoyang Yu12Aoyang Yu13Shuhan Liu14Yanhua Liu15Yanhua Liu16Chong Chen17Chong Chen18Xiaoli Mai19Xiaoli Mai20Department of Radiology, Nanjing Drum Tower Hospital Clinical College of Xuzhou Medical University, Nanjing, Jiangsu, ChinaInstitute of Hematology, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Oncology, The Second Affiliated Hospital of Shandong First Medical University, Taian, Shandong, ChinaInstitute of Hematology, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Hematology, General Hospital of Xuzhou Mining Group, The Second Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, ChinaInstitute of Hematology, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Oncology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, ChinaInstitute of Hematology, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaInstitute of Hematology, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaInstitute of Hematology, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaInstitute of Hematology, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaInstitute of Hematology, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaInstitute of Hematology, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Oncology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, ChinaInstitute of Hematology, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Oncology, Xuzhou Central Hospital Affiliated to Xuzhou Medical University, Xuzhou, Jiangsu, ChinaInstitute of Hematology, Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Hematology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, ChinaDepartment of Radiology, Nanjing Drum Tower Hospital Clinical College of Xuzhou Medical University, Nanjing, Jiangsu, ChinaDepartment of Radiology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, ChinaIntroductionThe development of high-throughput sequencing technologies and targeted therapeutic strategies has significantly improved the prognosis of lung adenocarcinoma (LUAD) patients with sensitive gene mutations. However, patients harboring rare or no actionable mutations were rarely benefit from these targeted therapies. This study aimed to identify novel molecular subtypes and construct a prognostic signature to enhance the stratification of LUAD prognosis.Materials and methodsNovel molecular subtypes of LUAD patients were identified by applying 10 distinct clustering algorithms on multi-omics data. Single-cell RNA-sequencing (scRNA-seq) data were integrated to characterize subtype-specific immune microenvironments. A multi-omics and machine learning-driven prognostic signature (MO-MLPS) was constructed in The Cancer Genome Atlas (TCGA) LUAD dataset using ten machine learning algorithms and subsequently validated across six independent datasets from the Gene Expression Omnibus (GEO) database. The robustness of the model was assessed using the concordance index (C-index), Kaplan-Meier survival analyses, receiver operating characteristic (ROC) curves, and both univariate and multivariate Cox regression analyses. We further confirmed the effects of ANLN knockdown and the expression of a domain-negative anillin protein (dnANLN) via western blotting, cell proliferation assays, flow cytometry, and transwell migration assays in vitro.ResultsOur analysis revealed that the novel molecular subtypes exhibited differences in prognoses, biological functions, and immune infiltration profiles in LUAD. The MO-MLPS was successfully established and validated across TCGA-LUAD cohorts, six independent GEO datasets, and their composite meta-cohort. Higher risk scores from the MO-MLPS correlated with poorer prognosis in LUAD, with AUC values exceeding 0.5 at 1, 3, and 5 years across various cohorts. The signature outperformed 49 previously published prognostic signatures. Furthermore, patients classified as high risk exhibited significantly worse overall and progression-free survival than those classified as low risk. Notably, ANLN knockdown and dnANLN expression significantly inhibited cell proliferation and migration in vitro and enhanced the efficacy of docetaxel.ConclusionA comprehensive analysis of multi-omics data redefines the molecular subtype of LUAD patients. The MO-MLPS derived from subtype characteristics has the potential to serve as a clinically valuable prognostic tool. Furthermore, ANLN emerges as a promising novel therapeutic target in the treatment of LUAD.https://www.frontiersin.org/articles/10.3389/fonc.2025.1590216/fullsingle-cell RNA sequencinglung adenocarcinomamulti-omicsprognostic signaturemachine learning
spellingShingle Ke Ma
Jie Xu
Jie Xu
Congyue Wang
Congyue Wang
Xu Cao
Xu Cao
Wenjie Yu
Jingjing Xi
Xuan Zhang
Jiamin Zhan
Yang Liu
Aoyang Yu
Aoyang Yu
Shuhan Liu
Yanhua Liu
Yanhua Liu
Chong Chen
Chong Chen
Xiaoli Mai
Xiaoli Mai
Identification of novel molecular subtypes and construction of a prognostic signature via multi-omics analysis and machine learning in lung adenocarcinoma
Frontiers in Oncology
single-cell RNA sequencing
lung adenocarcinoma
multi-omics
prognostic signature
machine learning
title Identification of novel molecular subtypes and construction of a prognostic signature via multi-omics analysis and machine learning in lung adenocarcinoma
title_full Identification of novel molecular subtypes and construction of a prognostic signature via multi-omics analysis and machine learning in lung adenocarcinoma
title_fullStr Identification of novel molecular subtypes and construction of a prognostic signature via multi-omics analysis and machine learning in lung adenocarcinoma
title_full_unstemmed Identification of novel molecular subtypes and construction of a prognostic signature via multi-omics analysis and machine learning in lung adenocarcinoma
title_short Identification of novel molecular subtypes and construction of a prognostic signature via multi-omics analysis and machine learning in lung adenocarcinoma
title_sort identification of novel molecular subtypes and construction of a prognostic signature via multi omics analysis and machine learning in lung adenocarcinoma
topic single-cell RNA sequencing
lung adenocarcinoma
multi-omics
prognostic signature
machine learning
url https://www.frontiersin.org/articles/10.3389/fonc.2025.1590216/full
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