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pmid:39296052

Development and validation of a novel immune‒metabolic-Based classifier for hepatocellular carcinoma.

Wenda Zhang · Xinyi Zhou · Lili Lin · Anqi Lin · Quan Cheng · Zaoqu Liu · Peng Luo · Jian Zhang

Heliyon · 2024 doi:10.1016/j.heliyon.2024.e37327

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title
Development and validation of a novel immune‒metabolic-Based classifier for hepatocellular carcinoma.
doi
10.1016/j.heliyon.2024.e37327
pmid
39296052
authors array · 8 items
[0]
Wenda Zhang
[1]
Xinyi Zhou
[2]
Lili Lin
[3]
Anqi Lin
[4]
Quan Cheng
[5]
Zaoqu Liu
[6]
Peng Luo
[7]
Jian Zhang
journal
Heliyon
year
2024
abstract
The heterogeneity of immune cells and metabolic pathways in hepatocellular carcinoma (HCC) patients has not been fully elucidated, leading to diverse clinical outcomes. Accurately distinguishing different HCC subtypes and recommending appropriate treatments is are highly important. In this study, we conducted a comprehensive analysis of 28 immune cells and 85 metabolic pathways in the TCGA-LIHC and GSE14520 datasets. Metabolism-related first principal component (MRPC1) and cytotoxic T lymphocyte (CTL) infiltration were used to assess the metabolic and immune infiltration levels of HCC patients, respectively. These two quantifiable indicators were then used to construct an immune‒metabolic classifier, which categorized HCC patients into three distinct groups. The potential biological mechanisms were explored through multiomics analysis, revealing that group S1 exhibited high metabolic activity and a high level of immune infiltration, that group S2 presented a low level of immune infiltration, and that group S3 presented low metabolic activity. This new immune‒metabolic classifier was well validated in a pancancer cohort of 9296 patients. The efficacy of multiple treatment approaches was assessed in relation to different immune‒metabolic groups, indicating that group S1 patients may benefit from immunotherapy, that group S2 patients are suitable for transcatheter arterial chemoembolization (TACE), and that group S3 patients are appropriate candidates for tyrosine kinase inhibitors. In conclusion, this immune‒metabolic classifier is anticipated to address the differences in treatment efficacy among HCC patients due to the heterogeneity of the tumor microenvironment, and to help refine the individualized treatment choices for clinical patients.
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The ConsensusClusterPlus R package (v1.58.0) [33] was used to identify molecular subtypes of HCC on the basis of the activity of immune cells and metabolic pathways. At each iteration 80 % of the samples were divided into subsamples and each subsample was divided into up to k (maximum K = 6) groups basis of the on the Euclidean distance via the k-means algorithm.
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sections[5] "Clustering for immune cells and metabolic pathways" paragraph 2
quote
The ConsensusClusterPlus R package (v1.58.0) [33] was used to identify molecular subtypes of HCC on the basis of the activity of immune cells and metabolic pathways. At each iteration 80 % of the samples were divided into subsamples and each subsample was divided into up to k (maximum K = 6) groups basis of the on the Euclidean distance via the k-means algorithm.
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sections[21] "Data availability" paragraph 2
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Data to support the findings of this study is available on reasonable request from the corresponding author.
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A classifier was generated on the basis of the cutoff values for MRPC1 and CTL infiltration, and the classification efficacy of the classifier was evaluated (TCGA-LIHC: accuracy: 0.90, weighted F1: 0.90, weighted sensitivity: 0.93, weighted recall: 0.90; GSE14520: accuracy: 0.75, weighted F1: 0.75, weighted sensitivity: 0.83, weighted recall: 0.75) (Fig. 6B–E).
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sections[16] "An immune‒metabolic-based classifier was established and validated in multiple cancer patients" paragraph 2
quote
A classifier was generated on the basis of the cutoff values for MRPC1 and CTL infiltration, and the classification efficacy of the classifier was evaluated (TCGA-LIHC: accuracy: 0.90, weighted F1: 0.90, weighted sensitivity: 0.93, weighted recall: 0.90; GSE14520: accuracy: 0.75, weighted F1: 0.75, weighted sensitivity: 0.83, weighted recall: 0.75) (Fig. 6B–E).
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A classifier was generated on the basis of the cutoff values for MRPC1 and CTL infiltration, and the classification efficacy of the classifier was evaluated (TCGA-LIHC: accuracy: 0.90, weighted F1: 0.90, weighted sensitivity: 0.93, weighted recall: 0.90; GSE14520: accuracy: 0.75, weighted F1: 0.75, weighted sensitivity: 0.83, weighted recall: 0.75) (Fig. 6B–E).
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[331]
GSM363278
[332]
GSM363279
[333]
GSM363280
[334]
GSM363281
[335]
GSM363282
[336]
GSM363283
[337]
GSM363284
[338]
GSM363285
[339]
GSM363286
[340]
GSM363287
[341]
GSM363288
[342]
GSM363289
[343]
GSM363290
[344]
GSM363291
[345]
GSM363292
[346]
GSM363293
[347]
GSM363294
[348]
GSM363295
[349]
GSM363296
[350]
GSM363297
[351]
GSM363298
[352]
GSM363299
[353]
GSM363300
[354]
GSM363301
[355]
GSM363302
[356]
GSM363303
[357]
GSM363304
[358]
GSM363305
[359]
GSM363306
[360]
GSM363307
[361]
GSM363308
[362]
GSM363309
[363]
GSM363310
[364]
GSM363311
[365]
GSM363312
[366]
GSM363313
[367]
GSM363314
[368]
GSM363315
[369]
GSM363316
[370]
GSM363317
[371]
GSM363318
[372]
GSM363319
[373]
GSM363320
[374]
GSM363321
[375]
GSM363322
[376]
GSM363323
[377]
GSM363324
[378]
GSM363325
[379]
GSM363326
[380]
GSM363327
[381]
GSM363328
[382]
GSM363329
[383]
GSM363330
[384]
GSM363331
[385]
GSM363332
[386]
GSM363333
[387]
GSM363334
[388]
GSM363335
[389]
GSM363336
[390]
GSM363337
[391]
GSM363338
[392]
GSM363339
[393]
GSM363340
[394]
GSM363341
[395]
GSM363342
[396]
GSM363343
[397]
GSM363344
[398]
GSM363345
[399]
GSM363346
[400]
GSM363347
[401]
GSM363348
[402]
GSM363349
[403]
GSM363350
[404]
GSM363351
[405]
GSM363352
[406]
GSM363353
[407]
GSM363354
[408]
GSM363355
[409]
GSM363356
[410]
GSM363357
[411]
GSM363358
[412]
GSM363359
[413]
GSM363360
[414]
GSM363361
[415]
GSM363362
[416]
GSM363363
[417]
GSM363364
[418]
GSM363365
[419]
GSM363366
[420]
GSM363367
[421]
GSM363368
[422]
GSM363369
[423]
GSM363370
[424]
GSM363371
[425]
GSM363372
[426]
GSM363373
[427]
GSM363374
[428]
GSM363375
[429]
GSM363376
[430]
GSM363378
[431]
GSM363380
[432]
GSM363381
[433]
GSM363382
[434]
GSM363384
[435]
GSM363386
[436]
GSM363388
[437]
GSM363391
[438]
GSM363393
[439]
GSM363397
[440]
GSM363400
[441]
GSM363402
[442]
GSM363404
[443]
GSM363407
[444]
GSM363417
[445]
GSM363420
[446]
GSM363421
[447]
GSM363422
[448]
GSM363423
[449]
GSM363424
[450]
GSM363425
[451]
GSM363426
[452]
GSM363427
[453]
GSM363428
[454]
GSM363429
[455]
GSM363430
[456]
GSM363431
[457]
GSM363432
[458]
GSM363433
[459]
GSM363434
[460]
GSM363435
[461]
GSM363436
[462]
GSM363437
[463]
GSM363438
[464]
GSM363439
[465]
GSM363440
[466]
GSM363441
[467]
GSM363442
[468]
GSM363443
[469]
GSM363444
[470]
GSM363445
[471]
GSM363446
[472]
GSM363447
[473]
GSM363448
[474]
GSM363449
[475]
GSM363450
[476]
GSM363451
[477]
GSM712532
[478]
GSM712533
[479]
GSM712534
[480]
GSM712535
[481]
GSM712536
[482]
GSM712537
[483]
GSM712538
[484]
GSM712539
[485]
GSM712540
[486]
GSM712541
[487]
GSM712542
sample_count
488
group_sizes
null
group_sizes_basis
null
platform
3921;571
taxon
Homo sapiens
title
Gene expression data of human hepatocellular carcinoma (HCC)
resolution_checked_at
2026-11-01T15:39:54Z
resolution_check
identifier_resolution_only_no_download_no_licence_read
downloaded
false
licence_read
false
[4] object · 15 fields
id
data:geo:GSE149614
role
raw
format
geo-series
media_type
application/vnd.ncbi.geo-series+json
uri
https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE149614
sha256
null
bytes
null
access
open
state
resolved
reader
null
reader_status
reader_required
identifier
GSE149614
version
null
note
Data to support the findings of this study is available on reasonable request from the corresponding author.
structure object · 15 fields
repository
GEO
access_route
GEO accession URL
access_statement_verbatim
Data to support the findings of this study is available on reasonable request from the corresponding author.
access_statement_kind
data_availability_statement
sample_accessions array · 21 items
[0]
GSM4505944
[1]
GSM4505945
[2]
GSM4505946
[3]
GSM4505947
[4]
GSM4505948
[5]
GSM4505949
[6]
GSM4505950
[7]
GSM4505951
[8]
GSM4505952
[9]
GSM4505953
[10]
GSM4505954
[11]
GSM4505955
[12]
GSM4505956
[13]
GSM4505957
[14]
GSM4505958
[15]
GSM4505959
[16]
GSM4505960
[17]
GSM4505961
[18]
GSM4505962
[19]
GSM4505963
[20]
GSM4505964
sample_count
21
group_sizes
null
group_sizes_basis
null
platform
24676
taxon
Homo sapiens
title
A Single-Cell Atlas of the Multicellular Ecosystem of Primary and Metastatic Hepatocellular Carcinoma
resolution_checked_at
2026-11-01T15:39:54Z
resolution_check
identifier_resolution_only_no_download_no_licence_read
downloaded
false
licence_read
false
[5] object · 15 fields
id
data:geo:GSE35640
role
raw
format
geo-series
media_type
application/vnd.ncbi.geo-series+json
uri
https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE35640
sha256
null
bytes
null
access
open
state
resolved
reader
null
reader_status
reader_required
identifier
GSE35640
version
null
note
Data to support the findings of this study is available on reasonable request from the corresponding author.
structure object · 15 fields
repository
GEO
access_route
GEO accession URL
access_statement_verbatim
Data to support the findings of this study is available on reasonable request from the corresponding author.
access_statement_kind
data_availability_statement
sample_accessions array · 65 items
[0]
GSM872328
[1]
GSM872329
[2]
GSM872330
[3]
GSM872331
[4]
GSM872332
[5]
GSM872333
[6]
GSM872334
[7]
GSM872335
[8]
GSM872336
[9]
GSM872337
[10]
GSM872338
[11]
GSM872339
[12]
GSM872340
[13]
GSM872341
[14]
GSM872342
[15]
GSM872343
[16]
GSM872344
[17]
GSM872345
[18]
GSM872346
[19]
GSM872347
[20]
GSM872348
[21]
GSM872349
[22]
GSM872350
[23]
GSM872351
[24]
GSM872352
[25]
GSM872353
[26]
GSM872354
[27]
GSM872355
[28]
GSM872356
[29]
GSM872357
[30]
GSM872358
[31]
GSM872359
[32]
GSM872360
[33]
GSM872361
[34]
GSM872362
[35]
GSM872363
[36]
GSM872364
[37]
GSM872365
[38]
GSM872366
[39]
GSM872367
[40]
GSM872368
[41]
GSM872369
[42]
GSM872370
[43]
GSM872371
[44]
GSM872372
[45]
GSM872373
[46]
GSM872374
[47]
GSM872375
[48]
GSM872376
[49]
GSM872377
[50]
GSM872378
[51]
GSM872379
[52]
GSM872380
[53]
GSM872381
[54]
GSM872382
[55]
GSM872383
[56]
GSM872384
[57]
GSM872385
[58]
GSM872386
[59]
GSM872387
[60]
GSM872388
[61]
GSM872389
[62]
GSM872390
[63]
GSM872391
[64]
GSM872392
sample_count
65
group_sizes
null
group_sizes_basis
null
platform
570
taxon
Homo sapiens
title
Identification of a predictive gene signature to recMAGE A3 antigen-specific cancer immunotherapy in metastatic melanoma and non-small-cell lung cancer
resolution_checked_at
2026-11-01T15:39:54Z
resolution_check
identifier_resolution_only_no_download_no_licence_read
downloaded
false
licence_read
false
[6] object · 15 fields
id
data:geo:PRJEB23709
role
raw
format
geo-series
media_type
application/vnd.ncbi.geo-series+json
uri
https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=PRJEB23709
sha256
null
bytes
null
access
open
state
resolved
reader
null
reader_status
reader_required
identifier
PRJEB23709
version
null
note
Data to support the findings of this study is available on reasonable request from the corresponding author.
structure object · 15 fields
repository
GEO
access_route
GEO accession URL
access_statement_verbatim
Data to support the findings of this study is available on reasonable request from the corresponding author.
access_statement_kind
data_availability_statement
sample_accessions array · 0 items
sample_count
null
group_sizes
null
group_sizes_basis
null
platform
null
taxon
null
title
null
resolution_checked_at
2026-11-01T18:46:43Z
resolution_check
identifier_resolution_only_no_download_no_licence_read
downloaded
false
licence_read
false
gaps array · 12 items
[0]
asset:data:geo:GSE106128 not downloaded
[1]
asset:data:geo:GSE106128 licence not read
[2]
asset:data:geo:GSE140901 not downloaded
[3]
asset:data:geo:GSE140901 licence not read
[4]
asset:data:geo:GSE14520 not downloaded
[5]
asset:data:geo:GSE14520 licence not read
[6]
asset:data:geo:GSE149614 not downloaded
[7]
asset:data:geo:GSE149614 licence not read
[8]
asset:data:geo:GSE35640 not downloaded
[9]
asset:data:geo:GSE35640 licence not read
[10]
asset:data:geo:PRJEB23709 not downloaded
[11]
asset:data:geo:PRJEB23709 licence not read
analysis object · 4 fields
state
partial
methods array · 6 items
[0] object · 10 fields
id
method-1
family
clustering
specific
kmeans
label
Clustering
dsl_operations array · 1 item
[0]
kmeans_fit
missing_operations array · 0 items
parameters object · 0 fields
data_shapes array · 1 item
[0]
feature_matrix
evidence object · 3 fields
score
1
band
verbatim
quote
The ConsensusClusterPlus R package (v1.58.0) [33] was used to identify molecular subtypes of HCC on the basis of the activity of immune cells and metabolic pathways. At each iteration 80 % of the samples were divided into subsamples and each subsample was divided into up to k (maximum K = 6) groups basis of the on the Euclidean distance via the k-means algorithm.
[1] object · 10 fields
id
method-2
family
group_comparison
specific
wilcoxon
label
Group comparison
dsl_operations array · 0 items
missing_operations array · 1 item
[0]
group_comparison_wilcoxon
expressible
false
parameters object · 0 fields
data_shapes array · 1 item
[0]
two_or_more_groups_continuous
evidence object · 3 fields
score
0.8
band
high
quote
Wilcoxon
[2] object · 10 fields
id
method-3
family
group_comparison
specific
anova
label
Group comparison
dsl_operations array · 4 items
[0]
group_summary
[1]
welch_t
[2]
bootstrap_mean_difference
[3]
group_comparison_anova
missing_operations array · 0 items
parameters object · 0 fields
data_shapes array · 1 item
[0]
two_or_more_groups_continuous
evidence object · 3 fields
score
0.8
band
high
quote
analysis of variance
[3] object · 10 fields
id
method-4
family
survival_analysis
specific
cox_proportional_hazards
label
Survival analysis
dsl_operations array · 1 item
[0]
cox_ph
missing_operations array · 0 items
parameters object · 1 field
hazard_ratio
Hazard ratios (HRs) and 95 % confidence i
data_shapes array · 1 item
[0]
time_to_event_with_censoring
evidence object · 3 fields
score
0.8
band
high
quote
Cox proportional hazards
[4] object · 10 fields
id
method-5
family
differential_expression
specific
deseq2
label
Differential expression analysis
dsl_operations array · 3 items
[0]
normalise_counts
[1]
differential_expression_fit
[2]
fdr_bh
missing_operations array · 0 items
parameters object · 0 fields
data_shapes array · 1 item
[0]
count_matrix_with_condition
evidence object · 3 fields
score
0.8
band
high
quote
DESeq2
[5] object · 10 fields
id
method-6
family
contingency_analysis
specific
chi_square
label
Categorical (contingency table) analysis
dsl_operations array · 1 item
[0]
chi_square_test
missing_operations array · 0 items
parameters object · 0 fields
data_shapes array · 1 item
[0]
categorical_cross_tabulation
evidence object · 3 fields
score
0.8
band
high
quote
chi-square
targets array · 0 items
gaps array · 1 item
[0]
method.reader_differs_from_extractor
capability object · 3 fields
state
complete
requirements array · 1 item
[0] object · 6 fields
capability_id
capability:computational_analysis
label
Computational analysis platform
assay_families array · 9 items
[0]
meta_analysis
[1]
machine_learning
[2]
survival_analysis
[3]
statistical_regression
[4]
pca
[5]
molecular_docking
[6]
network_analysis
[7]
differential_expression
[8]
gwas
candidate
Automated Assays Laravel application and simulated adapters
gaps array · 0 items
readiness object · 8 fields
state
complete
tier
R1
blocked_on
nothing:replicable_now
axes object · 3 fields
method object · 5 fields
tier
R1
expressible
true
required_operations array · 1 item
[0]
kmeans_fit
missing_operations array · 0 items
basis
The paper names the method it used and the corpus's method extractor maps it onto the DSL catalogue: kmeans.
capability object · 4 fields
tier
R1
capability_id
capability:computational_analysis
availability_state
owned
basis
The computational analysis is owned. The physical bench the paper used is not, so a physical validation cannot be run here.
data object · 6 fields
tier
R1
reachable
true
accessions array · 8 items
[0]
GSE14520
[1]
GSE149614
[2]
GSE91061-Pre
[3]
GSE91061-On
[4]
GSE140901
[5]
GSE106128
[6]
GSE35640
[7]
PRJEB23709
resolved_accessions array · 5 items
[0]
GSE14520
[1]
GSE149614
[2]
GSE140901
[3]
GSE106128
[4]
GSE35640
statements array · 1 item
[0]
Data to support the findings of this study is available on reasonable request from the corresponding author.
basis
The paper names GSE14520, GSE149614, GSE140901, GSE106128, GSE35640 in GEO and the accession resolves in the repository. No dataset was downloaded and no licence was read.
can_run object · 3 fields
dsl_operations array · 1 item
[0]
kmeans_fit
assets array · 2 items
[0]
source:pmid:39296052
[1]
data:geo:GSE106128
steps array · 1 item
[0]
run_analysis
must_build object · 5 fields
dsl_operations array · 0 items
converters array · 0 items
readers array · 0 items
capabilities array · 0 items
data_gaps array · 1 item
[0]
data:geo:GSE106128
gaps array · 0 items
review object · 5 fields
state
partial
machine_critique object · 5 fields
kind
extraction_review
reader object · 5 fields
model
MiniMax-M3.1-Flash
provider
minimax
provider_family
minimax
read_at
2026-11-01T19:32:21Z
independence
single_reader
evidence_check object · 2 fields
method
verbatim
availability
verbatim
calls
5
usage object · 3 fields
prompt_tokens
11743
completion_tokens
2802
cached_tokens
264
stages array · 1 item
[0] object · 4 fields
id
extraction
state
complete
reader
MiniMax-M3.1-Flash
provider
minimax
gaps array · 3 items
[0]
review.independent_reader
[1]
review.machine_critique
[2]
review.human_critique
execution object · 5 fields
state
absent
status
not_run
mode
null
runs array · 0 items
gaps array · 1 item
[0]
execution.not_run
provenance object · 7 fields
entities array · 3 items
[0] object · 3 fields
id
pmid:39296052
type
paper
label
pmid:39296052
[1] object · 3 fields
id
source:pmid:39296052
type
manuscript
label
PMID 39296052 full text
[2] object · 3 fields
id
data:geo:GSE106128
type
dataset
label
GEO GSE106128
activities array · 3 items
[0] object · 4 fields
id
activity-reading-sci-2026-11-01
type
classification
used array · 3 items
[0] object · 3 fields
id
pmid:39296052
type
paper
label
pmid:39296052
[1] object · 3 fields
id
source:pmid:39296052
type
manuscript
label
PMID 39296052 full text
[2] object · 3 fields
id
data:geo:GSE106128
type
dataset
label
GEO GSE106128
agent
agent:corpus-assay-engine
[1] object · 4 fields
id
activity-read-39296052
type
extraction
used array · 1 item
[0]
source:pmid:39296052
agent
agent:minimax-reader
[2] object · 4 fields
id
activity-resolve-GSE106128
type
accession_resolution
used array · 1 item
[0]
data:geo:GSE106128
agent
agent:corpus-assay-engine
agents array · 2 items
[0] object · 3 fields
id
agent:corpus-assay-engine
type
software
label
Corpus assay engine
[1] object · 3 fields
id
agent:minimax-reader
type
software
label
MiniMax literature reader
source_run_id
reading-sci-2026-11-01
dsl_catalogue_fingerprint
343fb30756ba6ec3
capability_table_fingerprint
2cb3e42f047d2ecf
snapshot_id
ba34b49490d9bfaf
lineage object · 4 fields
parent_id
pmid:39296052
parent_hash
sha256:62ad0bb5a413efd73261c39c2fbdf30e76d2d7a563b29eb691c2c86dd6ad18a9
fork_of
null
gaps array · 17 items
[0]
asset:data:geo:GSE106128 licence not read
[1]
asset:data:geo:GSE106128 not downloaded
[2]
asset:data:geo:GSE140901 licence not read
[3]
asset:data:geo:GSE140901 not downloaded
[4]
asset:data:geo:GSE14520 licence not read
[5]
asset:data:geo:GSE14520 not downloaded
[6]
asset:data:geo:GSE149614 licence not read
[7]
asset:data:geo:GSE149614 not downloaded
[8]
asset:data:geo:GSE35640 licence not read
[9]
asset:data:geo:GSE35640 not downloaded
[10]
asset:data:geo:PRJEB23709 licence not read
[11]
asset:data:geo:PRJEB23709 not downloaded
[12]
execution.not_run
[13]
method.reader_differs_from_extractor
[14]
review.human_critique
[15]
review.independent_reader
[16]
review.machine_critique
assays array · 3 items
[0] object · 11 fields
role
data_generation
definition_id
rna_seq
definition_version
99e1195c7d6f
required_operations array · 0 items
support_state
partial
source_hashes object · 1 field
assay_lexicon
99e1195c7d6f
confidence
0.99
evidence array · 3 items
[0]
nsent was waived. Patients and datasets Bulk RNA-sequencing (RNA-seq) data from 10,779 patients includin
[1]
. Patients and datasets Bulk RNA-sequencing (RNA-seq) data from 10,779 patients including 834 HCC
[2]
atment information. In addition, single-cell RNA sequencing (scRNA-seq) data from ten HCC tissues were e
order_basis
paper_text_order:2275
id
assay:1
[1] object · 11 fields
role
data_generation
definition_id
scrna_seq
definition_version
99e1195c7d6f
required_operations array · 0 items
support_state
unsupported
source_hashes object · 1 field
assay_lexicon
99e1195c7d6f
confidence
0.99
evidence array · 2 items
[0]
ation or treatment information. In addition, single-cell RNA sequencing (scRNA-seq) data from ten HCC tissues were e
[1]
on. In addition, single-cell RNA sequencing (scRNA-seq) data from ten HCC tissues were extracted fr
order_basis
paper_text_order:2565
id
assay:2
[2] object · 11 fields
role
analysis
definition_id
clustering
definition_version
f2132e96ae6c7a4e
required_operations array · 1 item
[0]
kmeans_fit
support_state
supported
source_hashes object · 1 field
dsl_catalogue
f2132e96ae6c7a4e
evidence array · 1 item
[0]
The ConsensusClusterPlus R package (v1.58.0) [33] was used to identify molecular subtypes of HCC on the basis of the activity of immune cells and metabolic pathways. At each iteration 80 % of the samples were divided into subsamples and each subsample was divided into up to k (maximum K = 6) groups basis of the on the Euclidean distance via the k-means algorithm.
order_basis
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Accurately distinguishing different HCC subtypes and recommending appropriate treatments is are highly important. In this study, we conducted a comprehensive analysis of 28 immune cells and 85 metabolic pathways in the TCGA-LIHC and GSE14520 datasets. Metabolism-related first principal component (MRPC1) and cytotoxic T lymphocyte (CTL) infiltration were used to assess the metabolic and immune infiltration levels of HCC patients, respectively. These two quantifiable indicators were then used to construct an immune‒metabolic classifier, which categorized HCC patients into three distinct groups. The potential biological mechanisms were explored through multiomics analysis, revealing that group S1 exhibited high metabolic activity and a high level of immune infiltration, that group S2 presented a low level of immune infiltration, and that group S3 presented low metabolic activity. This new immune‒metabolic classifier was well validated in a pancancer cohort of 9296 patients. The efficacy of multiple treatment approaches was assessed in relation to different immune‒metabolic groups, indicating that group S1 patients may benefit from immunotherapy, that group S2 patients are suitable for transcatheter arterial chemoembolization (TACE), and that group S3 patients are appropriate candidates for tyrosine kinase inhibitors. In conclusion, this immune‒metabolic classifier is anticipated to address the differences in treatment efficacy among HCC patients due to the heterogeneity of the tumor microenvironment, and to help refine the individualized treatment choices for clinical patients.", "claims": [{"id": "claim-method", "statement": "The ConsensusClusterPlus R package (v1.58.0) [33] was used to identify molecular subtypes of HCC on the basis of the activity of immune cells and metabolic pathways. 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