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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.
Background:
Colorectal cancer (CRC) is a leading cause of cancer mortality, with treatment resistance often driven by molecular heterogeneity and an immunosuppressive tumor microenvironment (TME). Post-translational modifications (PTMs) regulate key oncogenic processes, but their comprehensive role in CRC progression and immune evasion remains unexplored.
Methods:
We integrated multi-omics data from bulk RNA-seq (GEO/TCGA, n = 1,783), single-cell transcriptomics (41,143 cells), and Mendelian randomization. Differential expression, GSVA, and machine learning (LASSO/SVM/Random Forest) were used to identify PTM-associated signatures. Functional validation included spatial transcriptomics, and immune profiling.
Results:
Multi-omics analysis identified dysregulation in 80% of PTM pathways in CRC, with ubiquitination sustaining Wnt/β-catenin signaling and GALNT6-mediated glycosylation driving immune evasion through PD-L1 stabilization and CD8 + T cell exclusion. Single-cell analysis revealed GALNT6-specific enrichment in immune-excluded goblet cells (p < 0.05). Machine learning derived a 5-gene PTM Activity Signature (CCNB1IP1, GALNT6, NEDD4L, PSMD14, UBE2C) that distinguish between patients with diseases and those without (AUC = 1.00). GALNT6 was validated as a causal risk factor (OR = 1.10, 95%CI:1.01-1.18), with its inhibition synergizing with anti-PD-1 to enhance CD8 + T cell infiltration (p < 0.01).
Conclusion:
This study establishes PTM networks as central regulators of CRC progression and immune resistance. The PTM-AS framework enables precision subtyping, while GALNT6 emerges as a novel therapeutic target for overcoming immunotherapy resistance.
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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