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A Tumor Microenvironment-Derived CAF-VEGF Model and Its Application in Biomarker Screening for HCC
Hao Zheng1,2, Shengwei Tang2, Ruida Shi2
1Department of Urology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Cell Biochemistry and Function
|March 28, 2026
Summary
We developed a CAF-VEGF prognostic model to predict outcomes for hepatocellular carcinoma (HCC) patients. This model identifies ESCO2 and WDHD1 as key genes promoting HCC progression via angiogenesis.
Area of Science:
- Oncology
- Molecular Biology
- Bioinformatics
Background:
- Hepatocellular carcinoma (HCC) is a rapidly progressing cancer with a poor prognosis.
- Fibroblast infiltration and angiogenesis are critical factors in HCC tumor microenvironment and progression.
Purpose of the Study:
- To develop and validate a prognostic scoring model for HCC using cancer-associated fibroblasts (CAFs) and vascular endothelial growth factor (VEGF) related factors.
- To identify key molecular markers associated with HCC prognosis and angiogenesis.
Main Methods:
- Single-cell sequencing data analysis from GEO database.
- Utilized CellChat and Monocle3 for fibroblast trajectory and angiogenesis pathway analysis.
- Constructed and validated the CAF-VEGF prognostic model using COX and LASSO algorithms, differential gene expression, WGCNA, and PPI network analysis.
Main Results:
- Fibroblast infiltration is significantly higher in HCC tissues.
- The developed CAF-VEGF model effectively predicts HCC prognosis.
- Identified ESCO2 and WDHD1 as key genes upregulated in HCC, promoting angiogenesis, proliferation, and invasion.
Conclusions:
- The CAF-VEGF prognostic model is effective for HCC patient stratification.
- ESCO2 and WDHD1 promote HCC progression by regulating angiogenesis, offering potential therapeutic targets.

