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Jia, J.

Publications and source records attributed to Jia, J..

At least 19 recordsLinked to original sources

DUET: sequence-only prediction of RNA-small molecule binding sites

Sequence-only predictors can score RNAs without experimental structures, but continuously updated training pools can reabsorb benchmark chains. Test overlap and within-training redundancy are often handled together, although they affect evaluation differently. DUET combines a relational graph tower with two convolutional sequence towers built on frozen RNA language models. We removed 98 of 388 training and validation records reaching 80% identity to canonical test chains, retained 110 sequence-identical records, and isolated 115 homology components across folds. Across 10 paired seeds, DUET reached 0.240 +/- 0.013 MCC versus 0.192 +/- 0.031 for CoBRA-M3 on the same data (Delta = +0.047; Holm p = 0.0073), with parallel gains in AUC and AUPRC. DUET and GRASSP were statistically indistinguishable on external sets (0.246 versus 0.243 MCC). Real three-dimensional topology improved MCC by +0.037 over shuffled edges and by +0.042 over predicted secondary structure. Increasing the training pool from 80 to 290 records raised DUET by +0.135 MCC. Benchmark evaluation therefore requires separate controls for test overlap and within-training redundancy.

bioinformatics↗

BioMod: Biological Module Tokenization for Single-Cell Foundation Modeling

Single-cell foundation models typically represent cells as flat sequences of individual genes, requiring higher-order biological organization to be inferred implicitly from sparse expression profiles. Similar to the evolution from character-level to semantic tokenization in natural language processing,we hypothesize that cellular states can be more efficiently represented using biologically meaningful intermediate units. Here we present BioMod, a 50-million-parameter single-cell foundation model that introduces biological modules as representation units between genes and cells. BioMod constructs an overlapping vocabulary of 660 biological modules derived from curated pathways and data-driven gene programs, replacing thousands of gene-level inputs with compact module representations. Pretrained on approximately 73 million human cells using high-ratio module masking with an asymmetric decoder, BioMod achieves state-of-the-art performance across cell-type annotation, zero-shot batch integration, perturbation-response prediction and drug-response forecasting while maintaining a compact architecture that enables efficient inference on a single GPU. Module-level analyses further demonstrate that BioMod captures biologically meaningful cellular programs and preserves pathway-level organization.

bioinformatics↗

Temozolomide-associated inflammatory-repair remodeling in recurrent glioblastoma exposes a ROCK-linked therapeutic vulnerability

Background: Glioblastoma (GBM) adapts to therapy through coordinated malignant-cell and microenvironmental responses, but the mechanisms linking treatment-associated inflammation to tumor-cell phenotypic plasticity remain poorly defined. Here, we investigated whether preoperative temozolomide exposure is associated with inflammatory-repair remodeling and a ROCK-linked therapeutic vulnerability in recurrent GBM using a window-of-opportunity clinical trial cohort. Methods: We integrated patient-resolved single-cell transcriptomics, spatial RNA profiling and multiplex protein imaging with experimental perturbations and orthotopic glioblastoma models. In the presurgical window-of-opportunity subgroup of NCT05236036, four patients with recurrent glioblastoma received additional preoperative temozolomide (TMZ; 150 mg/m2/day for 5 days) before resection and were compared with three recurrent comparators who did not receive additional preoperative TMZ. Results: Across seven tumors, malignant-cell inflammatory activity covaried with integrin-binding and wound-healing programs (median partial {rho} = 0.45 and 0.42, respectively). Tumors exposed to preoperative TMZ showed enrichment of inflammatory, chemokine, adhesion and wound-healing programs (GSEA q < 0.05), with the direction of enrichment preserved in all leave-one-patient-out analyses. In two tumors exposed to preoperative TMZ, CXCL12 localized to vascular territories, whereas chemokine and wound-repair programs increased near injury-reference regions. Across seven specimens analyzed by multiplex protein imaging, MYL9 abundance correlated with local CXCL12 ({rho} = 0.61), phosphorylated MYPT1 ({rho} = 0.48) and nuclear phosphorylated STAT3 ({rho} = 0.45), with positive associations in every specimen. Experimentally, TMZ increased CXCL8 and reactive-state markers and enhanced subsequent scratch closure, while CXCL8 and CXCL12 increased MLC2 phosphorylation. Fasudil attenuated TNF-NF-{kappa}B, inflammatory-response and IFN-{gamma}-response programs in TMZ-treated cells and reduced scratch closure and p-MLC2 in complementary assays. Across three orthotopic models, fasudil plus TMZ prolonged survival versus TMZ alone (model-stratified HR, 0.21; 95% CI, 0.07-0.61; P = 0.001). Conclusions: These findings link treatment-associated inflammatory-repair programs with cytoskeletal remodeling and support further translational evaluation of fasudil plus TMZ in glioblastoma.

cancer biology↗

TriTower-m6Am: a triple-tower heterogeneous deep learning architecture integrating semantic, sequential, and structural information for N6,2-O-dimethyladenosine site prediction

BackgroundN6,2-O-dimethyladenosine (m6Am) is a cap-proximal mRNA modification deposited by PCIF1 at the first transcribed nucleotide of eukaryotic mRNAs. Knowing where m6Am sites sit across the transcriptome would help explain how cells tune mRNA stability and translation, but current computational predictors typically depend on a single sequence representation and do not jointly model the semantic, sequential, and structural signals carried by an RNA sequence. ResultsWe present TriTower-m6Am, a triple-tower architecture that combines three representations: semantic (RNA-FM with BellPooling), sequential (One-Hot BiLSTM), and structural (RGCN with three typed edges). On an independent test set of 640 sequences, TriTower-m6Am reaches AUC = 0.776, MCC = 0.440, and SN = 0.888, against DTC-m6Ams AUC = 0.765, MCC = 0.411, and SN = 0.800. The 8.8 percentage-point gain in sensitivity means that, for every 100 real m6Am sites, the model recovers roughly 9 additional sites missed by the previous best method. Among the three towers, RGCN alone gives the strongest single signal, and the AUC-weighted ensemble raises sensitivity from the 0.55-0.76 band of the standalone towers to 0.89. Ablating the RGCN edge types shows that backbone connectivity accounts for most of the structural signal. ConclusionsCombining semantic, sequential, and structural views of the same RNA sequence improves m6Am prediction beyond what any single representation achieves. Because each towers contribution to the final prediction is a readable voting weight rather than a hidden parameter, the model is not a black box: a user can read off which tower drove a given prediction and trace it back to the corresponding representation, without running a separate post-hoc explainer. The same design pattern can be transferred to other RNA modification site prediction tasks. Author summaryPredicting where m6Am modifications occur on messenger RNA is important for understanding how cells regulate transcript stability and translation. Existing computational methods typically encode the RNA sequence in a single way, such as k-mer counts or a one-hot code, and treat the model as a black box that emits a prediction without explaining which features drove it. We built TriTower-m6Am to address both limitations. Our model combines three independent encoders--a pretrained RNA language model for semantic patterns, a bidirectional LSTM for local nucleotide order, and a relational graph convolutional network for the structural fold--and fuses their outputs by AUC-weighted voting, so the contribution of each tower to a given prediction is a readable number rather than a hidden parameter. On an independent benchmark the ensemble improves sensitivity by 8.8 percentage points over the prior best method, and ablating the graphs edge types reveals that linear backbone connectivity, rather than long-range base-pairing, carries most of the structural signal. The same triple-tower pattern can be transferred to other RNA modification site prediction tasks.

bioinformatics↗

Diaphragmatic EMG Uncovers Left-Right Diaphragmatic Imbalance After Ischemic Stroke with Implications for Motor Recovery

BackgroundStroke-associated respiratory dysfunction has been increasingly recognized, yet whether diaphragmatic impairment after stroke involves lateralized neuromuscular imbalance remains unclear. MethodsIn this controlled experimental study, transient left middle cerebral artery occlusion and reperfusion (tMCAO) was performed in mice, followed by multimodal assessment of treadmill-based peak oxygen uptake testing, diaphragm ultrasonography, bilateral diaphragmatic electromyography (dEMG) with simultaneous respiratory flow monitoring, behavioral assessment, and whole-mount immunofluorescence imaging of the diaphragm. ResultsIschemic stroke reduced exercise capacity and diaphragmatic excursion without detectable diaphragm thinning, indicating functional impairment rather than overt atrophy. Bilateral dEMG revealed a subacute left-right asymmetry in inspiratory activation, with the ipsilesional hemidiaphragm exhibiting reduced amplitude, decreased area under the curve, and altered burst duration, consistent with a relative contralateral-dominant pattern rather than frank hyperactivation. Whole-mount imaging demonstrated asymmetric nerve remodeling, characterized by a nadir in ipsilesional nerve fiber density at 1 week and partial recovery by 2 weeks after stroke. These structural changes closely paralleled the dEMG alterations, suggesting a neural substrate for lateralized dysfunction. Exploratory analyses further linked dEMG parameters with motor recovery. ConclusionsThese findings provide novel evidence that ischemic stroke induces a left-right diaphragmatic neuromuscular imbalance, with structural and functional correlates in diaphragmatic innervation. The study further supports the utility of bilateral dEMG as a functional marker for assessing diaphragmatic dysfunction and monitoring recovery after stroke. O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=190 SRC="FIGDIR/small/737872v1_ufig1.gif" ALT="Figure 1"> View larger version (41K): org.highwire.dtl.DTLVardef@10001a4org.highwire.dtl.DTLVardef@16bc3d5org.highwire.dtl.DTLVardef@5e40aorg.highwire.dtl.DTLVardef@be53b7_HPS_FORMAT_FIGEXP M_FIG C_FIG

neuroscience↗

New genes play a prominent role in evolution of new sperm classes of Drosophila

The widespread and regulated production of infertile parasperm assisting fertilization of eusperm provides a compelling model for elucidating the mechanisms of cellular innovation and altruism. Here we identify two specific parasperm lineages in Drosophila pseudoobscura that are segregated in development from the eusperm lineage by their single-cell transcriptomes. Most X-linked genes, except for species-specific new genes, show testis-specific repressive epigenetic modifications and become downregulated upon meiotic entry, supporting meiotic X chromosome inactivation. Between sperm classes, nearly half of the known meiotic arrest genes and their downstream targets are differentially transcribed, with over 200 genes displaying a gradient of transcription levels correlated with that of tail lengths. New genes are overrepresented throughout the hierarchical regulatory network of sperm divergence and over 60% of them exhibit a new cell-level expression compared to their parental copies. These results together indicate that new genes play a prominent role in the emergence of low-cost parasperm that shield the eusperm until fertilization.

evolutionary biology↗

Compressive axial-integrated planar scanning (CAPS) microscopy for high-speed volumetric imaging of cardiac dynamics

Investigating cardiac dynamics, including contractile function and intracardiac flow, requires volumetric imaging capable of resolving whole-organ events at micrometer resolution and millisecond timescales. However, the limited readout bandwidth of detectors imposes fundamental trade-offs among spatial sampling, field of view, and achievable volume rates. Here we introduce compressive axial-integrated planar scanning (CAPS) microscopy, a computational imaging framework that combines rapid light-sheet scanning, detection-side axial multiplexing with model-based reconstruction to enhance detector bandwidth utilization for high-speed volumetric imaging. Using widely accessible optical sensors and components, CAPS achieves cellular-scale resolving power across heart chambers at 200 volumes per second with an effective detector pixel rate of 5.82 GHz, representing a [~]15-fold increase in spatiotemporal throughput relative to uncompressed volumetric acquisition. Coordinated high-speed encoding and computational reconstruction further mitigate rolling-shutter distortions in CMOS sensors while preserving frame rate and intrinsic optical sectioning. We demonstrate that CAPS enables beat-resolved imaging of single-cell cardiomyocyte kinematics, chamber-scale contractile dynamics, and intracardiac hemodynamics in zebrafish larvae under both healthy and pharmacologically perturbed conditions. Collectively, these advances establish CAPS as a powerful framework for quantitative, in vivo characterization of coordinated and disrupted cardiac dynamics at cellular resolution, supporting high-speed volumetric interrogation of organ-level function and disease progression.

bioengineering↗

Identification of scavenger receptor BI as a scavenger of free heme that is essential for protection against hemolysis

Severe hemolysis is a life-threatening condition with limited therapeutic options. Although haptoglobin and hemopexin sequester hemoglobin and heme, these protective systems are rapidly saturated during acute hemolysis, leading to the accumulation of cytotoxic free heme. In this study, we identify scavenger receptor BI (SR-BI) as a critical mediator of free heme clearance. SR-BI binds heme and facilitates its hepatic uptake under pathological conditions. Mice lacking hepatic SR-BI exhibit impaired heme clearance and increased susceptibility to heme- and hemolysis-induced lethality. Pharmacological upregulation of hepatic SR-BI via imatinib or adenoviral delivery confers protection against heme toxicity. Using a humanized model of sickle cell disease (SCD), we further demonstrate that sickle hepatopathy significantly reduces hepatic SR-BI expression compared to non-SCD littermates, potentially increasing vulnerability to heme-induced injury. Notably, adenoviral-mediated SR-BI upregulation rescues SCD mice from heme toxicity. These findings reveal a previously unrecognized mechanism of heme detoxification via hepatic SR-BI and identify a promising therapeutic target for hemolytic disorders. One-Sentence SummaryIdentification of scavenger receptor BI as a targetable scavenger of heme in hemolysis

physiology↗

Hierarchy in neuronal representations of multiple tasks in prefrontal cortex

The ability to perform multiple tasks is one of the fundamental hallmarks of general intelligence in the brain. However, the underlying neural mechanisms remain largely unknown. We trained macaque monkeys to perform four tasks with identical spatial layouts but different cognitive demands, and recorded activities of thousands of prefrontal neurons using two-photon calcium imaging. Within the same neuronal population, we identified a multitask neural geometry composed of multiple low-dimensional subtask spaces, each encoding spatial information within a specific subtask. These subtask spaces shared a ring-like representational structure, forming a generalized spatial code across different subtasks. Task separation arose from separable bases and offsets of subtask spaces, modulated primarily by meta-task features. Thus, the neural geometry is organized by a three-level hierarchical structure: location codes are nested within subtask spaces, which are grouped as different meta-tasks. This hierarchy supported generalization across both locations and tasks, and explained monkeys error behaviors. Together, the hierarchically organized neural geometry underlies flexible multitask behavior.

neuroscience↗

Binary vector origin predictably determines Agrobacterium-mediated transformation outcome across eukaryotic kingdom

Agrobacterium-mediated transformation (AMT) is the primary means of genetic engineering in plants and many fungi, but the factors that control transformation outcomes--efficiency, transgene insertion number, and transgene integrity--remain poorly characterized. Although transformation outcomes dictate an events potential utility in both industrial and academic contexts, AMT remains largely unoptimized for these metrics. Here, we systematically analyze the impact of the transgene-harboring binary vector on transformation outcomes across plant and fungal species. Through a comparison of different plasmid origin of replication (ORI) families and engineered copy number variants, our results reveal that the ORI family--not plasmid copy number--dictates T-DNA insertion number, backbone inclusion, and transformation efficiency, while plasmid copy number tuning alters efficiency without changing ORI family-specific signatures. Independent of plasmid copy number across kingdoms, the most widely used pVS1 ORI-based vectors (e.g. pCambia) result in significantly more insertions per transformant and high levels of transgene silencing compared to the less-utilized pSa ORI family, which enriches for more uniform single insertion events. Furthermore, we demonstrate that ORI-dependent transformation outcomes in yeast predictably reflect those in Arabidopsis. Together, these results lay the foundation for future binary vector design aimed at achieving more predictable, controllable, and optimized transformation outcomes across diverse eukaryotic hosts.

plant biology↗

Yuanyang allele pairs enable engineered obligate co-inheritance for population replacement and suppression

Mendels law of segregation, which dictates independent assortment of alleles, is a cornerstone of genetics. Here, we present the Yuanyang allele pair (YYAP), an engineered underdominance gene drive system that enforces obligate co-dependency between homologous alleles via synthetic toxin-antitoxin circuits. This design produces a striking deviation from classical Mendelian segregation: YYAP alleles cannot segregate independently, reshaping inheritance outcomes without altering the physical mechanics of meiosis. In Drosophila melanogaster, optimized YYAP strain K711 exhibits >99% hemizygous lethality when crossed with wild type, while maintaining stable transmission and high fitness in transheterozygotes. Cage experiments demonstrate efficient population replacement, positioning YYAP as a confined, resistance-proof alternative to CRISPR homing gene drives. Release of only males represents a self-limiting suppression strategy that was also successful in cage experiments. By imposing a near-complete postzygotic incompatibility, YYAP establishes a programmable framework that not only supports pest management, but also enables modeling of reproductive isolation and allelic co-dependency, thereby creating opportunities to explore speciation and broader synthetic inheritance systems in ecology and evolution.

molecular biology↗

The Structural Basis of Pacs1-Wdr37 Complex Assembly and Stability

Phosphofurin acidic cluster sorting protein 1 (Pacs1) is a multidomain adaptor proposed to bind transmembrane cargo proteins to facilitate their intracellular trafficking. Pacs1 also forms a complex with WD-repeat protein 37 (Wdr37), which is essential for lymphocyte homeostasis. Despite numerous proposed binding partners, a validated structure for Pacs1-containing protein complexes is lacking. Here, we present the cryo-electron microscopy structure of the Pacs1-Wdr37 complex. Pacs1 binds Wdr37 through a conserved interface within its furin-binding region (FBR), the domain previously linked to cargo recognition. This interaction stabilizes Wdr37 and is critical for the expression of both proteins. A gain-of-function mutation in PACS1 (R203W) causes a highly penetrant neurodevelopmental syndrome. This pathogenic mutation lies on a solvent-exposed surface of the FBR and does not disrupt complex formation. Instead, Pacs1-R203W remains dependent on Wdr37 for stability and its levels can be reduced through targeted Wdr37 proteolytic degradation. Structural homology of the FBR to synaptotagmin C2 domains reveals a previously unrecognized ability of Pacs1 to bind negatively charged phospholipids through a unique positively charged cleft. Together these findings define the structural basis for Pacs1-Wdr37 complex assembly and stability, present potential strategies for Pacs1-mediated neurodevelopmental disease, and suggest novel Pacs1 functions in membrane association.

biochemistry↗

Processing bodies promote lysosomal quality control and cell survival during recovery from lysosomal damage

Lysosomes are essential for cell survival but are highly susceptible to diverse physical and pathological stressors. Thus, the ability to initiate an acute damage response and promote recovery after stressor resolution is critical for maintaining cellular homeostasis and viability. Although recent studies have advanced our understanding of acute responses to lysosomal injury, the molecular mechanisms governing the recovery stage and distinguishing it from the acute phase remain poorly defined. Here, we delineate a key difference between these two stages in translational regulation and uncover lysosomal recovery from acute damage as a novel trigger for processing body (PB) formation. PBs are membraneless biomolecular condensates involved in RNA metabolism and translational reprogramming. We provide the first evidence that PBs are critical for lysosomal quality control and cell survival during recovery. Mechanistically, PBs are induced selectively during the recovery phase, but not during the acute damage response, through interactions with stress granules (SGs), distinct membraneless biomolecular condensates formed upon acute injury to stabilize damaged lysosomal membranes for repair. Functional analyses reveal that PBs promote lysosomal quality control by collaborating with SG-mediated membrane stabilization, while independently recruiting released cathepsins, thereby collectively supporting cell survival. Together, these findings establish PBs as central effectors of the lysosomal recovery program and underscore the broader relevance of biomolecular condensates in cellular responses to lysosomal damage and related disease processes.

cell biology↗

scDIAGRAM: Detecting Chromatin Compartments from Individual Single-Cell Hi-C Matrix without Imputation or Reference Features

Single-cell Hi-C (scHi-C) provides unprecedented insight into 3D genome organization, but its sparse and noisy data pose challenges in accurately detecting A/B compartments, which are crucial for understanding chromatin structure and gene regulation. We presented scDIAGRAM, a data-driven method for annotating A/B compartments in single cells using direct statistical modeling and graph community detection. Unlike existing approaches, scDIAGRAM operates without relying on external information, such as the CpG density or imputation techniques, and preserves cell-to-cell heterogeneity. Accuracy and robustness of scDIAGRAM were illustrated through simulated scHi-C datasets and a human cell line. We applied scDIAGRAM to real scHi-C datasets from the mouse brain cortex, mouse embryonic development, and human acute myeloid leukemia (AML), demonstrating its ability to capture compartmental shifts associated with transcriptional variation. This robust framework offers new insights into the functional roles of chromatin compartments at single-cell resolution across various biological contexts.

bioinformatics↗

Dual-Mode Microfluidic Immunostaining (Dumi) Device for Diagnostic Biomarkers Detection and Tumor Microenvironment Evaluation

The limited availability of tissue samples from rare tumors poses a major barrier to advances in precise diagnosis, prognostic evaluation, and therapeutic research--challenges exemplified by primary central nervous system diffuse large B-cell lymphoma (PCNS-DLBCL). However, both immunohistochemical (IHC) subtyping and preliminary studies of the tumor microenvironment (TME) using multiplex immunolabeling rely on conventional staining workflows that consume numerous serial sections per case, leading to irreversible depletion of precious samples from rare tumors. Here, we developed a dual-mode microfluidic immunostaining (Dumi) device, which integrates diagnostic and research workflows into a single, automated platform. Clinical validation shows that > 90% reduction in section usage, complete detection of subtyping diagnostic biomarkers on just 1-2 slides, and displays the TME maps incorporating six immune markers for analysis research. This microfluidic innovative offers an efficient, cost-effective, and multifunctional alternative immunostaining methods, overcoming the limitations of scarce tissue resources and providing a clinically accessible solution to the diagnostic and therapeutic challenges with rare tumors. TeaserDumi device enables multiplex IHC & TME mapping on 1-2 slides, reducing tissue use by >90% for rare tumors like PCNS-DLBCL.

bioengineering↗

Active and predictive adjustment of pupil size for accommodating visual regularity

The visual system efficiently encodes information by summarizing visual regularities that could be quantified by summary statistics. While summary statistics are thought to be processed in several cortical and subcortical areas, we investigated whether the earliest stage of visual processing, the pupil, is involved in this process. In three experiments, participants either performed ensemble orientation estimation with or passively viewed bar arrays with different bar orientation distributions while their pupil size was recorded. We found that pupil size increased when the orientation distribution became more dispersed and was closely linked to participants estimation performance. Furthermore, pupillary responses occurred automatically during passive viewing and could even predict ensemble orientation estimation performance. Moreover, when anticipating a dispersed distribution, the pupil dilated in advance. Our findings reveal a new cognitive role of the pupil - it actively and predictively adjusts its size to facilitate the extraction of visual regularity.

neuroscience↗

Lemur: A Single-Cell Foundation Model with Fine-Tuning-Free Hierarchical Cell-Type Generation for Drosophila melanogaster

Single-cell genomics has revolutionized our understanding of cellular heterogeneity, but automating its analysis remains an open challenge. Cell-type annotation represents a critical bottleneck, particularly as datasets grow in size and complexity. While foundation models have shown promise in addressing this challenge, existing approaches require extensive fine-tuning for effective cell-type annotation. Here, we present Lemur (Large Expression Model for Understanding scRNA-seq), a single-cell foundation model specifically designed for Drosophila melanogaster. Lemur achieves fine-tuning-free cell-type annotation through comprehensive pre-training on an integrated whole-organism atlas with a unified cell-type annotation schema. To leverage this unified schema, we developed a dedicated hierarchical cell-type decoder architecture. This approach enables Lemur to generate consistent cell-type predictions across multiple levels of granularity without requiring additional training on new datasets. The model demonstrates strong performance across diverse tissue types, experimental conditions, and sequencing technologies. It also achieves batch-effect correction without explicitly training for this task. This automated analysis capability positions Lemur as an effective tool for the fly research community. Beyond its immediate applications, Lemur establishes a framework for accelerating biological discovery. It enables rapid iteration between computational predictions and experimental validation in the highly controlled Drosophila melanogaster system, with potential implications for translational research in human biology, particularly in aging and neurodegenerative disease studies.

bioinformatics↗

Stage-Specific Transcriptome Landscape of Hepatocellular Carcinoma: Insights from Super and Poor Survivors with Prognostic Signature Identification

BackgroundThe prognosis for hepatocellular carcinoma (HCC) patients can vary significantly even within the same clinical stage. This study aims to characterize the stage-specific transcriptomic landscape of super survivors with HCC and identify a prognostic gene signature. MethodsWe analyzed data from The Cancer Genome Atlas (TCGA) for 76 matched super survivors (alive at 5 years) and poor survivors (deceased within 1 year) with HCC. Gene set enrichment analysis stratified by stage was conducted and a key prognostic gene signature was developed. The signature was then applied to the full TCGA cohort and independently validated in International Cancer Genome Consortium (ICGC) data. FindingsStage-specific transcriptomic profiling revealed distinct patterns in super survivors. Stage I and II showed positive enrichment in immune response pathways, while stage III exhibited enhanced catabolic activities and reduced glycolysis. Across all stages, cell cycle processes were less active in super survivors. A 19-gene signature, incorporating immune, metabolic, and cell cycle genes, accurately distinguished super from poor survivors with 91% accuracy (69/76). The signature reliably predicted overall survival in both the verification cohort (1-year, 3-year, and 5-year AUROCs of 0.82, 0.80, and 0.78) and the independent validation cohort (1-year and 3-year AUROCs of 0.80 and 0.83). Consistent AUROCs were observed across all tumor stages. InterpretationOur findings reveal a dynamic shift in HCC progression, with immune dominance in early stages and metabolic dominance in later stages, alongside reduced cell cycle activity across all stages. Integrating stage-specific transcriptomic profiles offers a promising approach to enhancing individualized management for HCC patients.

bioinformatics↗