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Immune cells play a crucial role in the development of Hepatocellular Carcinoma (HCC), with mast cells displaying unique bidirectional biological characteristics. This study aims to investigate the heterogeneity of hypertrophic cells in HCC and their impact on prognosis and potential dual roles. We performed single-cell RNA sequencing (scRNA-seq) analysis on tumor tissues from 32 HCC patients and adjacent non-tumor tissues from 5 of these patients, with validation through multiplex immunohistochemistry (mIHC) on 90 tumor and 90 adjacent tissues. Additional validation was done using public datasets (TCGA-LIHC, GSE14520) and cellular functional assays. Our findings reveal a mast cell-specific enrichment in tumor tissues, identifying four functionally distinct subpopulations of tumor-associated mast cells (TAMCs): Mast_1 (antigen-presenting), Mast_2 (cholesterol metabolism-associated), Mast_3 (transcription factor-enriched), and Mast_4 (oncogenic and prognostically adverse). Deconvolution analysis showed significant upregulation of TAMCs signature genes (PSMB8, APOE, SOX4, VEGFA), and transcriptional network analysis highlighted JUND, NF-κB, REL, and CREM as potential co-regulators of Mast_2/Mast_4 differentiation. mIHC and survival analysis indicated that high apolipoprotein E (APOE) expression correlated with favorable prognosis (p © 2025 Elsevier B.V.
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International Journal of Biological Macromolecules
ISSN: 0141-8130
Year: 2025
Volume: 321
7 . 7 0 0
JCR@2023
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ESI Highly Cited Papers on the List: 0 Unfold All
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30 Days PV: 1
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