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Integrated Multi-Omics and Spatial Transcriptomics Reveal GUK1 as a Prognostic Biomarker Regulated by the TP53-HSF1
Wei Lee1, Hung-Yu Lin1,2, Pei-Yi Chu1,3
1Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan.
Oncology Research
|July 25, 2026
Summary
Guanylate kinase 1 (GUK1) is a key metabolic driver in breast cancer, acting as a prognostic biomarker. Its expression, regulated by the TP53-HSF1 axis, influences treatment sensitivity, particularly to PI3K/mTOR inhibitors.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Guanylate kinase 1 (GUK1) is vital for nucleotide metabolism but its role in breast cancer (BC) progression is unclear.
- Investigating GUK1 offers potential for novel prognostic markers and therapeutic targets in BC.
Purpose of the Study:
- To evaluate Guanylate kinase 1 (GUK1) as a prognostic biomarker in breast cancer.
- To explore GUK1 as a potential therapeutic target for invasive breast cancer.
Main Methods:
- Multi-omics data integration (TCGA, spatial transcriptomics, single-cell profiling).
- Machine learning (LASSO regression) for biomarker identification.
- Experimental validation: knockdown models, molecular docking, Surface Plasmon Resonance (SPR).
Main Results:
- GUK1 identified as a key metabolic driver, with high expression linked to poor survival, especially in HER2-positive and triple-negative BC.
- GUK1 spatial distribution correlates with tumor expansion and disease stage, associated with an immunosuppressive T-cell microenvironment.
- TP53 mutations drive GUK1 upregulation via HSF1, impacting cell migration and PI3K/mTOR signaling; high GUK1 predicts resistance to CDK4/6 inhibitors but sensitivity to Apitolisib.
Conclusions:
- GUK1 is a robust prognostic biomarker in invasive breast cancer, regulated by the TP53-HSF1 axis.
- GUK1's spatial characteristics and immune-modulating role highlight its potential in precision oncology.
- GUK1 targeting shows promise for enhancing sensitivity to PI3K/mTOR inhibitors in specific breast cancer subtypes.