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Transcriptomic Signatures in TP53 Positive and Negative Tumor Samples in NSCLC
Miao Xie1, Baoguang Liu2, Ziyi Chen1
1College of Traditional Chinese Medicine, Henan University of Chinese Medicine, Zhengzhou, Henan, China.
Current Gene Therapy
|August 13, 2025
Summary
A 12-gene signature predicts survival and immune response in non-small cell lung cancer (NSCLC) patients with TP53 mutations. This discovery offers insights into the tumor immune microenvironment and may guide immunotherapy decisions.
Area of Science:
- Oncology
- Genomics
- Immunology
Background:
- Non-small cell lung cancer (NSCLC) is a major cause of cancer mortality globally.
- TP53 gene mutations are common in NSCLC and influence cancer development.
- Understanding transcriptomic differences based on TP53 status is crucial for targeted therapies.
Purpose of the Study:
- To identify differentially expressed genes (DEGs) associated with TP53 mutation status in NSCLC.
- To develop a prognostic gene signature for predicting overall survival.
- To assess the signature's ability to predict immune response, particularly for immunotherapy.
Main Methods:
- Analysis of gene expression profiles from NSCLC tumor samples (GEO and TCGA databases).
- Differential gene expression analysis to identify DEGs between TP53-mutated and TP53-wildtype groups.
- LASSO regression to develop a 12-gene prognostic signature and validation using qPCR.
Main Results:
- Identified 535 DEGs, narrowing down to a 12-gene signature with prognostic value.
- The 12-gene signature effectively stratified NSCLC patients into low- and high-risk groups for overall survival.
- Significant differences in immune cell infiltration and pathway activity were observed between risk groups, correlating with the gene signature.
Conclusions:
- The 12-gene signature shows strong predictive capability for survival and immune response in NSCLC.
- Findings suggest potential clinical utility in precision oncology and guiding immunotherapy strategies.
- The study provides insights into TP53 mutation-driven alterations in the tumor immune microenvironment.

