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Multi-Omics Profiling Reveals Glycerolipid Metabolism-Associated Molecular Subtypes and Identifies ALDH2 as a Prognostic Biomarker in Pancreatic Cancer

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机构: [1]Department of General Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian 116000, China. [2]Clinical Laboratory of Integrative Medicine, The First Affiliated Hospital of Dalian Medical University, Dalian 116000, China. [3]Department of Hepato-Biliary-Pancreas, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China. [4]Institute of Integrative Medicine, Dalian Medical University, Dalian 116000, China.
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关键词: pancreatic cancer glycerolipid metabolism molecular classification multi-omics technologies ALDH2

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Background: The reprogramming of lipid metabolism, especially glycerolipid metabolism (GLM), plays a key role in cancer progression and response to therapy. However, the role and molecular characterization of GLM in pancreatic cancer (PC) remain unclear. Methods: A pan-cancer analysis of glycerolipid metabolism-related genes (GMRGs) was first conducted to assess copy-number variants, single-nucleotide variations, methylation, and mRNA expression. Subsequently, GLM in PC was characterized using lipidomics, single-cell RNA sequencing (scRNA-seq), and spatial transcriptomic analysis. A cluster analysis based on bulk RNA sequencing data from 930 PC samples identified GLM-associated subtypes, which were then analyzed for differences in prognosis, biological function, immune microenvironment, and drug sensitivity. To prioritize prognostically relevant GMRGs in PC, we employed a random forest (RF) algorithm to rank their importance across 930 PC samples. Finally, the key biomarker of PC was validated using PCR and immunohistochemistry. Results: Pan-cancer analysis identified molecular features of GMRGs in cancers, while scRNA-seq, spatial transcriptomics, and lipidomics highlighted GLM heterogeneity in PC. Two GLM-associated subtypes with significant prognostic, biofunctional, immune microenvironmental, and drug sensitivity differences were identified in 930 PC samples. Finally, ALDH2 was identified as a novel prognostic biomarker in PC and validated in a large number of datasets and clinical samples. Conclusions: This study highlights the crucial role of GLM in PC and defines a new PC subtype and prognostic biomarker. These findings establish a novel avenue for studying prognostic prediction and precision medicine in PC patients.

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出版当年[2025]版:
大类 | 3 区 生物学
小类 | 3 区 生化与分子生物学
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大类 | 3 区 生物学
小类 | 3 区 生化与分子生物学
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出版当年[2024]版:
Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY
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Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY

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第一作者机构: [1]Department of General Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian 116000, China. [2]Clinical Laboratory of Integrative Medicine, The First Affiliated Hospital of Dalian Medical University, Dalian 116000, China.
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通讯机构: [1]Department of General Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian 116000, China. [2]Clinical Laboratory of Integrative Medicine, The First Affiliated Hospital of Dalian Medical University, Dalian 116000, China. [4]Institute of Integrative Medicine, Dalian Medical University, Dalian 116000, China.
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