NK cell-associated long non-coding RNAs reveal heterogeneity of colorectal cancer immune microenvironment

Yuxuan Li1, Chuqi Xia1, Jinze Li1

  • 1Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming, China.

Frontiers in Immunology
|December 1, 2025
PubMed
Abstract

Insights

This study developed a 16-long non-coding RNA (lncRNA) signature to predict colorectal cancer (CRC) outcomes. This prognostic model enhances NK cell-based immunotherapy strategies for CRC patients.

Area of Science:

  • Oncology
  • Immunology
  • Genomics

Background:

  • Colorectal cancer (CRC) poses significant challenges due to poor prognosis and limited response to conventional treatments.
  • Natural killer (NK) cell-based immunotherapy is a promising avenue for CRC management.
  • Identifying predictive biomarkers is crucial for optimizing CRC treatment strategies.

Purpose of the Study:

  • To develop and validate a prognostic model for colorectal cancer (CRC) using NK-associated long non-coding RNAs (lncRNAs).
  • To identify novel molecular targets for enhancing NK cell-based immunotherapy in CRC.

Main Methods:

  • Integrated single-cell RNA sequencing and TCGA transcriptomic data to identify NK-specific lncRNAs.
  • Employed univariate Cox, LASSO, and multivariate Cox regression analyses to build a 16-lncRNA prognostic signature.
  • Validated the model's predictive accuracy using training, validation sets, and independent clinical samples.

Main Results:

  • A robust 16-lncRNA prognostic signature demonstrated high predictive accuracy in CRC.
  • The lncRNA AC010319.3 was identified to suppress NK cell cytotoxicity by downregulating IFN-γ and granzyme B.
  • This suppression promotes CRC cell proliferation and invasion, highlighting a key mechanism in the tumor microenvironment.

Conclusions:

  • NK-associated lncRNAs play a significant regulatory role in the CRC immune microenvironment.
  • The developed prognostic signature offers a valuable tool for stratifying CRC patients for immunotherapy.
  • These findings provide novel molecular targets for advancing CRC immunotherapy.