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pmid:41172875
A Glycerophospholipid Metabolism-Based Prognostic Model Guides Osteosarcoma Therapy.
Yong Wen · Donglian Wang · Hongshen Wang · Jian Zhao · Li Yao · Jin Zhang · Bolai Chen
Translational oncology · 2026 doi:10.1016/j.tranon.2025.102572
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Experiment
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Complete file
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Glycerophospholipid metabolism activity was quantified using five algorithms to generate a GAS score. Prognostic genes were identified via univariate Cox regression, followed by Lasso-Cox modeling. Downstream analyses included cell communication, immune infiltration, mutation profiling, drug sensitivity, and immunotherapy response.\nRESULTS: Twelve cell types were identified; malignant OS cells showed the lowest glycerophospholipid metabolism. Nine genes correlated with GAS (r=±0.2, p < 0.01), six were used to construct the model, which outperformed 42 published signatures (C-index>0.7). High GAS patients exhibited elevated immune gene expression and copy number alterations (p < 0.05). GAS remained an independent prognostic factor (HR=3.58, 95 %CI:2.23-5.74, p < 0.001). Drug prediction highlighted lovastatin, simvastatin, and tamatinib for high-risk patients, and higher GAS associated with poor immunotherapy response (p < 0.01).\nCONCLUSION: GAS-based stratification not only robustly predicts OS prognosis but also reveals interactions between glycerophospholipid metabolism and tumor immunity, guiding personalized therapeutic strategies and highlighting novel drug candidates for high-risk patients.", "claims": [{"id": "claim-method", "statement": "Survival analyses were conducted using Kaplan-Meier and Cox regression models.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:41172875", "locator": "sections[9] \"Statistical analysis\" paragraph 2", "quote": "Survival analyses were conducted using Kaplan-Meier and Cox regression models."}], "state": "complete"}, {"id": "claim-data-access", "statement": "All datasets utilized or generated during the study are fully available within this article.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:41172875", "locator": "sections[25] \"Data availability\" paragraph 2", "quote": "All datasets utilized or generated during the study are fully available within this article."}], "state": "complete"}, {"id": "claim-target-result", "statement": "GAS remained an independent prognostic factor (HR=3.58, 95 %CI:2.23–5.74, p < 0.001).", "kind": "quantitative", "target": {"value": 95.0, "unit": "per cent", "tolerance": null, "source": "GAS remained an independent prognostic factor (HR=3.58, 95 %CI:2.23–5.74, p < 0.001)."}, "evidence": [{"asset": "source:pmid:41172875", "locator": "sections[0] \"Abstract\" paragraph 10", "quote": "GAS remained an independent prognostic factor (HR=3.58, 95 %CI:2.23–5.74, p < 0.001)."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "complete", "objective": "GAS remained an independent prognostic factor (HR=3.58, 95 %CI:2.23–5.74, p < 0.001).", "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:41172875"], "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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Glyceropho", "remains unclear. METHODS: We integrated bulk transcriptome data from TARGET (n = 85) and GEO cohorts (n"], "order_basis": "paper_text_order:260", "id": "assay:1"}, {"role": "data_generation", "definition_id": "scrna_seq", "definition_version": "99e1195c7d6f", "definition_digest": null, "required_operations": [], "support_state": "unsupported", "source_hashes": {"assay_lexicon": "99e1195c7d6f"}, "confidence": 0.93, "evidence": ["RGET (n = 85) and GEO cohorts (n = 124) with single-cell RNA-seq data (GSE162454, six OS samples). 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