Comprehensive Characterization of Stem Cell Landscape Identifies Novel Stemness-Relevant Genes for Nasopharyngeal

Dahua Xu1,2, Bocen Chen3, Yutong Shen1,2

  • 1School of Intelligent Medicine and Technology, Big Data Research Center, Hainan General Hospital and Hainan Affiliated Hospital, Hainan Medical University, Haikou 571199, China.

Cancers
|February 13, 2026
PubMed
Abstract

Insights

This study identifies two nasopharyngeal carcinoma (NPC) subtypes, revealing distinct stemness features and immune microenvironment characteristics. Novel stemness markers offer potential therapeutic targets for aggressive NPC.

Area of Science:

  • Oncology
  • Cancer Stem Cell Biology
  • Immunogenomics

Background:

  • Metastasis and recurrence are key challenges in nasopharyngeal carcinoma (NPC) treatment.
  • Cancer stem cells (CSCs) are implicated in NPC progression and therapy resistance.
  • NPC patient CSC heterogeneity and stemness markers remain poorly understood.

Purpose of the Study:

  • To identify distinct stemness subtypes in NPC patients.
  • To investigate the clinical outcomes, tumor immune microenvironment (TIME), and drug responses associated with these subtypes.
  • To discover novel stemness-related markers for NPC.

Main Methods:

  • Consensus clustering based on stem cell gene set activity.
  • Weighted gene correlation network analysis (WGCNA) and Cox regression for marker identification.
  • In vitro validation including sphere formation assays and Western blotting.

Main Results:

  • Two NPC subtypes (C1 and C2) were identified, with C2 exhibiting higher stemness, poorer prognosis, and aggressive tumor progression.
  • An inverse correlation between tumor stemness and TIME infiltration was observed.
  • PSMC3IP, NABP2, CDC45, and HJURP were identified as stemness-relevant genes promoting CSC properties and influencing therapeutic response.

Conclusions:

  • Two distinct NPC subtypes with differing stemness, clinical, and TIME features were characterized.
  • Identified stemness markers provide potential therapeutic targets for overcoming NPC metastasis and recurrence.

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