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Screening and Validation of Genes Associated With Lysosomal-Dependent Cell Death in Colorectal Cancer
Jianbin Zhuang1, Chengquan Ma2, Mingjian Yang1
1Department of Gastroentero-Anorectal Surgery, The Third Central Hospital of Tianjin, Tianjin, China.
Molecular Carcinogenesis
|September 18, 2025
Summary
This study identifies ATP6V0A4, CLU, and IL13RA2 as key genes linked to lysosome-dependent cell death in colorectal cancer (CRC). These genes offer potential for improved CRC diagnosis and targeted therapies.
Area of Science:
- Oncology
- Cell Biology
- Genetics
Background:
- Colorectal cancer (CRC) remains a significant health challenge.
- Lysosome-dependent cell death (LDCD) pathways are implicated in cancer progression.
- Identifying novel therapeutic targets and prognostic indicators in CRC is crucial.
Purpose of the Study:
- To investigate the correlation between CRC and LDCD.
- To identify potential therapeutic targets and prognostic biomarkers for CRC.
- To develop a risk model for CRC diagnosis and prognosis.
Main Methods:
- Analysis of CRC datasets (TCGA-CRC, GSE17538) to identify differentially expressed and LDCD-related genes.
- Construction of a prognostic risk model using Cox regression and LASSO analysis.
- Evaluation of prognostic factors, tumor immune microenvironment, drug sensitivity, and gene expression in clinical samples.
Main Results:
- A total of 37 candidate genes were identified, with ATP6V0A4, CLU, and IL13RA2 selected for the risk model.
- The risk model demonstrated favorable diagnostic performance for CRC, incorporating risk score, age, and pathological T stage.
- High-risk group exhibited increased tumor immune dysfunction and exclusion; significant drug sensitivity differences were observed between risk subgroups.
Conclusions:
- ATP6V0A4, CLU, and IL13RA2 are identified as potential biomarkers associated with LDCD in CRC.
- The developed risk model shows promise for CRC diagnosis and prognosis.
- Findings provide insights for developing novel therapeutic strategies targeting LDCD in CRC.

