DNA methylation-driven gene-based drug response prediction model for liver cancer: The critical role of GLS

Shuang Zheng1, Xi Yu1, Xiaozhou Wang1

  • 1Department of Oncology, The People's Hospital of Liaoning Province, People's Hospital of China Medical University, Shenyang, Liaoning, China.

Plos One
|December 5, 2025
PubMed
Abstract

Insights

A three-gene methylation driver gene model predicts liver cancer survival. Glutaminase (GLS) methylation status indicates prognosis, immune microenvironment, and treatment response, offering a potential therapeutic target.

Area of Science:

  • Oncology
  • Epigenetics
  • Genomics

Background:

  • Aberrant DNA methylation drives cancer by altering oncogene and tumor suppressor gene expression.
  • Methylation driver genes (MDGs) show an inverse correlation between DNA methylation and mRNA expression, crucial for cancer research.

Purpose of the Study:

  • To identify methylation driver genes (MDGs) in liver hepatocellular carcinoma (LIHC).
  • To develop a prognostic model for LIHC using MDGs.
  • To investigate the association of MDGs with the tumor immune microenvironment and treatment sensitivity.

Main Methods:

  • Analysis of TCGA LIHC dataset using MethylMix R package.
  • Prognostic model development via univariate, LASSO, and multivariate Cox regression.
  • Validation of drug sensitivity predictions using organoid culture and DNA methylation sequencing.

Main Results:

  • Identified 21 MDGs, with GNA14, glutaminase (GLS), and GNG4 selected for a prognostic model.
  • The three-gene model showed strong predictive performance for 1-, 3-, and 5-year survival (ROC values 0.723, 0.764, 0.716).
  • GLS exhibited low methylation and high mRNA expression, correlating with poor prognosis, altered immune microenvironment, and differential treatment sensitivity.

Conclusions:

  • A three-gene MDG model accurately predicts LIHC patient survival.
  • GLS methylation status is a biomarker for immune microenvironment, immunotherapy response, and chemotherapy sensitivity.
  • GLS presents a potential therapeutic target for liver cancer treatment.