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Mutation-Immune Crosstalk Contextualizes CAF-Associated ARPC1A Programs and Cisplatin Response in Gastric Cancer

Deyi Lu1, Fanlai Meng2, Weiying Zhou3

  • 1Department of Gastroenterology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang, China, zju.edu.cn.

Human Mutation
|August 21, 2026
PubMed

Insights

Cancer-associated fibroblasts (CAFs) influence cisplatin resistance in gastric cancer. This study identifies ARPC1A as an epithelial target linked to CAF programs, impacting platinum sensitivity and tumor progression.

Area of Science:

  • Oncology
  • Cancer Biology
  • Genomics

Background:

  • Cisplatin response in gastric cancer is complex, involving malignant cells, stromal interactions, and immune crosstalk.
  • Specific cancer-associated fibroblast (CAF) subtypes and their epithelial effectors influencing platinum resistance are not fully understood.

Purpose of the Study:

  • To identify CAF subtypes associated with platinum tolerance in gastric cancer.
  • To elucidate the role of epithelial effector genes, specifically ARPC1A, in CAF-mediated cisplatin resistance.

Main Methods:

  • Integrated single-cell RNA sequencing, copy number variation inference, and bioinformatics analyses (CellChat, hdWGCNA).
  • Evaluated TCGA-STAD data for ARPC1A mutations and copy-number alterations.
  • Performed experimental validation using CRISPR and cell line models (AGS, HGC-27).

Main Results:

  • IGF1+CXCL12+ CAFs exhibit resistance-supportive features, with ARPC1A identified as a key epithelial target.
  • ARPC1A mutations were rare and linked to the MSI subtype with immune activation; copy-number gain correlated with expression and genomic instability.
  • ARPC1A knockdown enhanced cisplatin sensitivity, induced apoptosis, and reduced tumor cell migration and invasion.

Conclusions:

  • ARPC1A is an epithelial gene linked to CAF programs that influences cisplatin response in gastric cancer.
  • ARPC1A's role is primarily understood through immune-contextual mutation patterns and expression dosage, rather than recurrent gain-of-function mutations.
  • Targeting ARPC1A may represent a therapeutic strategy to overcome cisplatin resistance in gastric cancer.

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