Integrated multi-omics analysis reveals PTM networks as key regulators of colorectal cancer progression and immune

Guiting Yang1,2,3,4,5, Liu Ji1,2,3,4, Chengmei Lv1,2,3,4,5

  • 1Department of Anesthesiology, Guangxi Medical University Cancer Hospital, Nanning, China.

Discover Oncology
|September 26, 2025
PubMed
Abstract

Insights

Post-translational modifications (PTMs) significantly impact colorectal cancer (CRC) progression and immune evasion. Targeting GALNT6, a key PTM enzyme, offers a novel strategy to enhance immunotherapy effectiveness in CRC patients.

Area of Science:

  • Cancer Biology
  • Immunology
  • Molecular Biology

Background:

  • Colorectal cancer (CRC) poses a significant mortality risk, often exacerbated by treatment resistance linked to molecular diversity and an immunosuppressive tumor microenvironment (TME).
  • The role of post-translational modifications (PTMs) in CRC advancement and immune evasion remains incompletely understood.

Purpose of the Study:

  • To comprehensively investigate the role of PTMs in colorectal cancer progression and immune evasion.
  • To identify novel therapeutic targets for overcoming treatment resistance in CRC.

Main Methods:

  • Integrated multi-omics data (bulk RNA-seq, single-cell transcriptomics) from 1,783 CRC patients.
  • Applied differential expression analysis, Gene Set Variation Analysis (GSVA), and machine learning (LASSO, SVM, Random Forest) to identify PTM-associated signatures.
  • Validated findings using spatial transcriptomics and immune profiling.

Main Results:

  • Identified dysregulation in 80% of PTM pathways in CRC, with ubiquitination impacting Wnt/β-catenin signaling.
  • GALNT6-mediated glycosylation was found to drive immune evasion via PD-L1 stabilization and CD8+ T cell exclusion.
  • A 5-gene PTM Activity Signature (PTM-AS) accurately distinguished between disease and non-disease states (AUC=1.00).
  • GALNT6 inhibition synergized with anti-PD-1 therapy to increase CD8+ T cell infiltration.

Conclusions:

  • PTM networks are critical regulators of CRC progression and immune resistance.
  • The PTM-AS framework facilitates precision subtyping of CRC.
  • GALNT6 represents a promising therapeutic target for enhancing immunotherapy efficacy in colorectal cancer.

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