Targeting PSMB5-induced PANoptosis in bladder cancer: multi-omics insights and TCM candidate discovery

Zhe Chang1,2, Jirong Wang1,2, Jiajia Cao3

  • 1Department of Urology, Second Hospital of Lanzhou University, Lanzhou, China.

Frontiers in Immunology
|December 18, 2025
PubMed
Abstract

Insights

This study identifies PANoptosis-related genes and PSMB5 as key factors in bladder cancer (BLCA) progression. PSMB5 shows potential as a therapeutic target, with links to traditional Chinese medicines.

Area of Science:

  • Oncology
  • Immunology
  • Genetics

Background:

  • Bladder cancer (BLCA) is a prevalent malignancy with high mortality.
  • The role of PANoptosis, a programmed cell death pathway, in BLCA is not well understood.
  • This research investigates PANoptosis-related genes in BLCA for their molecular mechanisms, prognostic value, and therapeutic potential.

Purpose of the Study:

  • To elucidate the role of PANoptosis-related genes in bladder cancer.
  • To identify molecular subtypes, prognostic markers, and therapeutic targets within BLCA.
  • To explore the association of PSMB5 with BLCA and its potential interaction with traditional Chinese medicines.

Main Methods:

  • Differential gene expression analysis of BLCA from TCGA and PANoptosis genes.
  • LASSO regression for prognostic model development and machine learning (ML) for gene identification.
  • Single-cell sequencing, Mendelian randomization (MR), and in vitro experiments to validate PSMB5 function.

Main Results:

  • Identified 98 PANoptosis-associated genes, revealing molecular subgroups A and B in BLCA.
  • Developed a prognostic model distinguishing high-risk and low-risk BLCA cohorts with distinct immune profiles.
  • PSMB5 identified as a critical risk factor, promoting BLCA cell proliferation and metastasis, with demonstrated binding to five traditional Chinese medicines.

Conclusions:

  • A prognostic model using PANoptosis genes aids in BLCA risk stratification and immune microenvironment assessment.
  • PSMB5 is a significant therapeutic target for BLCA, with implications for traditional Chinese medicine interventions.