Integrative bioinformatics analysis and experimental validation identify CHEK1 as an unfavorable prognostic biomarker

Chao Rong1, Yun Liu2,3, Fang Xiang4

  • 1Department of Pathology, School of Basic Medical Sciences, Suzhou Medical College, Soochow University, Suzhou, Jiangsu, China. chaorong@suda.edu.cn.

NPJ Precision Oncology
|August 2, 2025
PubMed

Insights

This study reveals distinct immune phenotypes in soft tissue sarcomas (STS), including rhabdomyosarcoma (RMS). CHEK1 is identified as a potential therapeutic target to improve immune checkpoint blockade (ICB) therapy response.

Area of Science:

  • Oncology
  • Immunology
  • Genomics

Background:

  • Soft tissue sarcomas (STS), including rhabdomyosarcoma (RMS), are heterogeneous and poorly responsive to immune checkpoint blockade (ICB).
  • Understanding the tumor immune microenvironment of STS through multi-omics profiling is crucial for identifying new therapeutic strategies.

Purpose of the Study:

  • To investigate the tumor immune phenotype of STS using multi-omics expression profiling.
  • To develop a molecular classifier for distinct immune phenotypes and identify potential therapeutic targets.

Main Methods:

  • Multi-omics expression profiling of various STS subtypes.
  • Development of a molecular classifier based on immune cell subsets related to TGFβ1 and IFNγ.
  • In situ analysis of independent validation cohorts.

Main Results:

  • Identified distinct immune-high and immune-low clusters with differing immune cell infiltration and clinical outcomes.
  • Immune-high clusters showed enriched immune cell infiltration and favorable prognosis.
  • Immune-low clusters were associated with immunosuppressive cells, poor survival, and overexpression of CHEK1.

Conclusions:

  • Established a novel risk assessment strategy for STS and RMS patients.
  • Highlighted CHEK1 as a potential therapeutic target, particularly in combination with ICB therapy.
  • Demonstrated the correlation between CHEK1 and tumor-infiltrating immune cells in independent cohorts.