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pmid:40518504

Hypoxia-related signatures predicts survival, immunosuppression and PARP inhibitor resistance in HCC.

Min Su · Haibo Duan · Yu Gu · Jianfu Zhao

Discover oncology · 2025 doi:10.1007/s12672-025-02923-3

Paper

complete

Experiment

complete

Data

partial

Analysis

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title
Hypoxia-related signatures predicts survival, immunosuppression and PARP inhibitor resistance in HCC.
doi
10.1007/s12672-025-02923-3
pmid
40518504
authors array · 4 items
[0]
Min Su
[1]
Haibo Duan
[2]
Yu Gu
[3]
Jianfu Zhao
journal
Discover oncology
year
2025
abstract
BACKGROUND: Despite extensive research on hypoxia in hepatocellular carcinoma (HCC), previous studies have relied on pre-existing hypoxia gene sets, limiting their specificity. We developed a novel approach using direct comparison of hypoxic versus normoxic HCC cell lines to establish a more precise hypoxia signature. METHODS: Through differential gene expression analysis of HCC cells under controlled oxygen conditions (GSE185969) and integration with TCGA-LIHC data, we identified and validated a highly specific 29-gene hypoxia signature. We performed comprehensive immune profiling and genomic instability analyses using multi-omics approaches. RESULTS: Our HCC-specific hypoxia signature demonstrated superior prognostic value (AUC: 0.805, 0.805, 0.748 at 1/3/5 years) compared to conventional hypoxia markers. High-risk tumors showed distinct immunosuppressive features including reduced CD8 + T cells and elevated Th2 cells, along with significantly increased expression of immune checkpoints CD274 (PD-1, p < 0.05) and CD276 (B7-H3, r = 0.62, p < 0.001). Notably, we uncovered an unexpected inverse relationship between hypoxia-induced genomic instability and PARP inhibitor sensitivity, challenging current therapeutic paradigms. CONCLUSION: Our methodology establishes a more precise hypoxia signature specific to HCC, advancing beyond traditional approaches. The paradoxical finding of reduced PARP inhibitor sensitivity in genomically unstable tumors reveals new complexities in hypoxia-driven treatment resistance, suggesting the need for alternative therapeutic strategies in hypoxic HCC.
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Based on the univariate Cox regression results, this study constructed a LASSO-Cox proportional hazards model by R glmnet package for variable selection and model optimization [21].
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sections[9] "LASSO-cox model construction" paragraph 2
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Based on the univariate Cox regression results, this study constructed a LASSO-Cox proportional hazards model by R glmnet package for variable selection and model optimization [21].
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The datasets analyzed in this study are publicly accessible through three platforms: (1) Gene Expression Omnibus (GEO) for transcriptomic profiles, under accession numbers GSE185969 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi? acc=GSE185969) and GSE20140 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi? acc=GSE20140); (2) UCSC Xena (https://xenabrowser.net/datapages/?cohort=GDC TCGA Liver Cancer (LIHC)&removeHub=https%3 A%2 F%2Fxena.treehouse.gi.ucsc.edu%3A443) for TCGA-LIHC multi-omics data, including survival analysis and somatic mutation annotations; and (3) Biosino (https://www.biosino.org/node/project/detail/OEP000321) for CHCC liver cancer multi-omics integration. All data are openly available under the terms of their respective repositories.
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sections[26] "notes" paragraph 1
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The datasets analyzed in this study are publicly accessible through three platforms: (1) Gene Expression Omnibus (GEO) for transcriptomic profiles, under accession numbers GSE185969 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi? acc=GSE185969) and GSE20140 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi? acc=GSE20140); (2) UCSC Xena (https://xenabrowser.net/datapages/?cohort=GDC TCGA Liver Cancer (LIHC)&removeHub=https%3 A%2 F%2Fxena.treehouse.gi.ucsc.edu%3A443) for TCGA-LIHC multi-omics data, including survival analysis and somatic mutation annotations; and (3) Biosino (https://www.biosino.org/node/project/detail/OEP000321) for CHCC liver cancer multi-omics integration. All data are openly available under the terms of their respective repositories.
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Our HCC-specific hypoxia signature demonstrated superior prognostic value (AUC: 0.805, 0.805, 0.748 at 1/3/5 years) compared to conventional hypoxia markers.
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Our HCC-specific hypoxia signature demonstrated superior prognostic value (AUC: 0.805, 0.805, 0.748 at 1/3/5 years) compared to conventional hypoxia markers.
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Our HCC-specific hypoxia signature demonstrated superior prognostic value (AUC: 0.805, 0.805, 0.748 at 1/3/5 years) compared to conventional hypoxia markers.
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sample_count
620
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18461;5474;8432
taxon
Homo sapiens
title
Combining Clinical, Pathology, and Gene Expression Data to Predict Recurrence of Hepatocellular Carcinoma
resolution_checked_at
2026-11-01T15:39:54Z
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Based on the univariate Cox regression results, this study constructed a LASSO-Cox proportional hazards model by R glmnet package for variable selection and model optimization [21].
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The datasets analyzed in this study are publicly accessible through three platforms: (1) Gene Expression Omnibus (GEO) for transcriptomic profiles, under accession numbers GSE185969 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi? acc=GSE185969) and GSE20140 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi? acc=GSE20140); (2) UCSC Xena (https://xenabrowser.net/datapages/?cohort=GDC TCGA Liver Cancer (LIHC)&removeHub=https%3 A%2 F%2Fxena.treehouse.gi.ucsc.edu%3A443) for TCGA-LIHC multi-omics data, including survival analysis and somatic mutation annotations; and (3) Biosino (https://www.biosino.org/node/project/detail/OEP000321) for CHCC liver cancer multi-omics integration. All data are openly available under the terms of their respective repositories.
basis
The paper names GSE185969, GSE20140 in Gene Expression Omnibus (GEO) and the accession resolves in the repository. No dataset was downloaded and no licence was read.
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Based on the univariate Cox regression results, this study constructed a LASSO-Cox proportional hazards model by R glmnet package for variable selection and model optimization [21].
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{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:40518504", "kind": "science-record", "revision": 2, "content_hash": "sha256:6b4837a316562353a2b0f7de342efc760836c0c6eb0d4569c04dc8c056d8de88", "created_at": "2026-11-01T20:30:37Z", "updated_at": "2026-11-01T21:35:18Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "Hypoxia-related signatures predicts survival, immunosuppression and PARP inhibitor resistance in HCC.", "doi": "10.1007/s12672-025-02923-3", "pmid": "40518504", "authors": ["Min Su", "Haibo Duan", "Yu Gu", "Jianfu Zhao"], "journal": "Discover oncology", "year": 2025, "abstract": "BACKGROUND: Despite extensive research on hypoxia in hepatocellular carcinoma (HCC), previous studies have relied on pre-existing hypoxia gene sets, limiting their specificity. We developed a novel approach using direct comparison of hypoxic versus normoxic HCC cell lines to establish a more precise hypoxia signature.\nMETHODS: Through differential gene expression analysis of HCC cells under controlled oxygen conditions (GSE185969) and integration with TCGA-LIHC data, we identified and validated a highly specific 29-gene hypoxia signature. We performed comprehensive immune profiling and genomic instability analyses using multi-omics approaches.\nRESULTS: Our HCC-specific hypoxia signature demonstrated superior prognostic value (AUC: 0.805, 0.805, 0.748 at 1/3/5 years) compared to conventional hypoxia markers. High-risk tumors showed distinct immunosuppressive features including reduced CD8 + T cells and elevated Th2 cells, along with significantly increased expression of immune checkpoints CD274 (PD-1, p < 0.05) and CD276 (B7-H3, r = 0.62, p < 0.001). Notably, we uncovered an unexpected inverse relationship between hypoxia-induced genomic instability and PARP inhibitor sensitivity, challenging current therapeutic paradigms.\nCONCLUSION: Our methodology establishes a more precise hypoxia signature specific to HCC, advancing beyond traditional approaches. The paradoxical finding of reduced PARP inhibitor sensitivity in genomically unstable tumors reveals new complexities in hypoxia-driven treatment resistance, suggesting the need for alternative therapeutic strategies in hypoxic HCC.", "claims": [{"id": "claim-method", "statement": "Based on the univariate Cox regression results, this study constructed a LASSO-Cox proportional hazards model by R glmnet package for variable selection and model optimization [21].", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:40518504", "locator": "sections[9] \"LASSO-cox model construction\" paragraph 2", "quote": "Based on the univariate Cox regression results, this study constructed a LASSO-Cox proportional hazards model by R glmnet package for variable selection and model optimization [21]."}], "state": "complete"}, {"id": "claim-data-access", "statement": "The datasets analyzed in this study are publicly accessible through three platforms: (1) Gene Expression Omnibus (GEO) for transcriptomic profiles, under accession numbers GSE185969 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi? acc=GSE185969) and GSE20140 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi? acc=GSE20140); (2) UCSC Xena (https://xenabrowser.net/datapages/?cohort=GDC TCGA Liver Cancer (LIHC)&removeHub=https%3 A%2 F%2Fxena.treehouse.gi.ucsc.edu%3A443) for TCGA-LIHC multi-omics data, including survival analysis and somatic mutation annotations; and (3) Biosino (https://www.biosino.org/node/project/detail/OEP000321) for CHCC liver cancer multi-omics integration. All data are openly available under the terms of their respective repositories.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:40518504", "locator": "sections[26] \"notes\" paragraph 1", "quote": "The datasets analyzed in this study are publicly accessible through three platforms: (1) Gene Expression Omnibus (GEO) for transcriptomic profiles, under accession numbers GSE185969 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi? acc=GSE185969) and GSE20140 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi? acc=GSE20140); (2) UCSC Xena (https://xenabrowser.net/datapages/?cohort=GDC TCGA Liver Cancer (LIHC)&removeHub=https%3 A%2 F%2Fxena.treehouse.gi.ucsc.edu%3A443) for TCGA-LIHC multi-omics data, including survival analysis and somatic mutation annotations; and (3) Biosino (https://www.biosino.org/node/project/detail/OEP000321) for CHCC liver cancer multi-omics integration. All data are openly available under the terms of their respective repositories."}], "state": "complete"}, {"id": "claim-target-result", "statement": "Our HCC-specific hypoxia signature demonstrated superior prognostic value (AUC: 0.805, 0.805, 0.748 at 1/3/5 years) compared to conventional hypoxia markers.", "kind": "qualitative", "target": null, "evidence": [{"asset": "source:pmid:40518504", "locator": "sections[0] \"Abstract\" paragraph 3", "quote": "Our HCC-specific hypoxia signature demonstrated superior prognostic value (AUC: 0.805, 0.805, 0.748 at 1/3/5 years) compared to conventional hypoxia markers."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "complete", "objective": "Our HCC-specific hypoxia signature demonstrated superior prognostic value (AUC: 0.805, 0.805, 0.748 at 1/3/5 years) compared to conventional hypoxia markers.", "steps": [{"id": "read_published_estimate", "order": 1, "name": "Read the published estimate from the source", "kind": "other", "state": "complete", "blocked_on": null, "description": "The claim, method and evidence span published with the source article.", "duration_hours": null, "parameters": {}, "inputs": ["source:pmid:40518504"], "outputs": ["the published estimate and its evidence"], "instruments": [], "reagents": []}, {"id": "obtain_source_data", "order": 2, "name": "Obtain the source data from the named repository", "kind": "data-preparation", "state": "complete", "blocked_on": null, "description": "The GEO series accession resolves and its sample accessions are listed. 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The physical bench the paper used is not, so a physical validation cannot be run here."}, "data": {"tier": "R1", "reachable": true, "accessions": ["GSE185969", "GSE20140"], "resolved_accessions": ["GSE185969", "GSE20140"], "statements": ["The datasets analyzed in this study are publicly accessible through three platforms: (1) Gene Expression Omnibus (GEO) for transcriptomic profiles, under accession numbers GSE185969 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi? acc=GSE185969) and GSE20140 (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi? acc=GSE20140); (2) UCSC Xena (https://xenabrowser.net/datapages/?cohort=GDC TCGA Liver Cancer (LIHC)&removeHub=https%3 A%2 F%2Fxena.treehouse.gi.ucsc.edu%3A443) for TCGA-LIHC multi-omics data, including survival analysis and somatic mutation annotations; and (3) Biosino (https://www.biosino.org/node/project/detail/OEP000321) for CHCC liver cancer multi-omics integration. All data are openly available under the terms of their respective repositories."], "basis": "The paper names GSE185969, GSE20140 in Gene Expression Omnibus (GEO) and the accession resolves in the repository. No dataset was downloaded and no licence was read."}}, "can_run": {"dsl_operations": ["cox_ph"], "assets": ["source:pmid:40518504", "data:geo:GSE185969"], "steps": ["run_analysis"]}, "must_build": {"dsl_operations": [], "converters": [], "readers": [], "capabilities": [], "data_gaps": ["data:geo:GSE185969"]}, "gaps": []}, "review": {"state": "partial", "machine_critique": {"kind": "extraction_review", "reader": {"model": "MiniMax-M3.1-Flash", "provider": "minimax", "provider_family": "minimax", "read_at": "2026-11-01T19:54:22Z", "independence": "single_reader"}, "evidence_check": {"method": "verbatim", "availability": "verbatim"}, "calls": 5, "usage": {"prompt_tokens": 8980, "completion_tokens": 2331, "cached_tokens": 256}}, "human_critique": null, "stages": [{"id": "extraction", "state": "complete", "reader": "MiniMax-M3.1-Flash", "provider": "minimax"}], "gaps": ["review.independent_reader", "review.machine_critique", "review.human_critique"]}, "execution": {"state": "absent", "status": "not_run", "mode": null, "runs": [], "gaps": ["execution.not_run"]}, "provenance": {"entities": [{"id": "pmid:40518504", "type": "paper", "label": "pmid:40518504"}, {"id": "source:pmid:40518504", "type": "manuscript", "label": "PMID 40518504 full text"}, {"id": "data:geo:GSE185969", "type": "dataset", "label": "GEO GSE185969"}], "activities": [{"id": "activity-reading-sci-2026-11-01", "type": "classification", "used": [{"id": "pmid:40518504", "type": "paper", "label": "pmid:40518504"}, {"id": "source:pmid:40518504", "type": "manuscript", "label": "PMID 40518504 full text"}, {"id": "data:geo:GSE185969", "type": "dataset", "label": "GEO GSE185969"}], "agent": "agent:corpus-assay-engine"}, {"id": "activity-read-40518504", "type": "extraction", "used": ["source:pmid:40518504"], "agent": "agent:minimax-reader"}, {"id": "activity-resolve-GSE185969", "type": "accession_resolution", "used": ["data:geo:GSE185969"], "agent": "agent:corpus-assay-engine"}], "agents": [{"id": "agent:corpus-assay-engine", "type": "software", "label": "Corpus assay engine"}, {"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": {"parent_id": "pmid:40518504", "parent_hash": "sha256:3f6a0d5fa30d587bd4b1ca65ad239fb2f5b919ff45c3979e9cb19d44e2c36ee6", "fork_of": null, "generation": 1}, "gaps": ["asset:data:geo:GSE185969 licence not read", "asset:data:geo:GSE185969 not downloaded", "asset:data:geo:GSE20140 licence not read", "asset:data:geo:GSE20140 not downloaded", "execution.not_run", "review.human_critique", "review.independent_reader", "review.machine_critique"], "assays": [{"role": "analysis", "definition_id": "survival_analysis", "definition_version": "f2132e96ae6c7a4e", "definition_digest": null, "required_operations": ["cox_ph"], "support_state": "supported", "source_hashes": {"dsl_catalogue": "f2132e96ae6c7a4e"}, "confidence": 1.0, "evidence": ["Based on the univariate Cox regression results, this study constructed a LASSO-Cox proportional hazards model by R glmnet package for variable selection and model optimization [21]."], "order_basis": "analysis_only", "id": "assay:1"}]}