Identification of integrated stress response-related prognostic genes in high-grade serous ovarian cancer using Mendelian randomization, single-cell RNA sequencing, and bulk RNA sequencing - Report - MDSpire

Identification of integrated stress response-related prognostic genes in high-grade serous ovarian cancer using Mendelian randomization, single-cell RNA sequencing, and bulk RNA sequencing

  • By

  • Qian Li

  • Fanqiang Kong

  • Penghua Cui

  • Xiujuan Gao

  • Xinrong Zhuang

  • Zhongkai Zhang

  • Tian Tian

  • Guixiang Zhang

  • May 5, 2026

  • 0 min

Share

Clinical Report: Prognostic Genes in High-Grade Serous Ovarian Cancer

Overview

This study identifies four prognostic genes associated with the integrated stress response in high-grade serous ovarian cancer (HGSOC) and develops a risk model that accurately predicts patient outcomes. The findings highlight the potential for personalized treatment strategies based on these prognostic markers.

Background

High-grade serous ovarian cancer (HGSOC) is the most common and aggressive subtype of epithelial ovarian cancer, with a low 5-year survival rate due to drug resistance. Understanding the molecular mechanisms underlying HGSOC is crucial for improving prognostic predictions and developing targeted therapies. The integrated stress response (ISR) plays a significant role in cancer biology, influencing tumor survival and treatment response.

Data Highlights

GeneExpression Change
NUP35Upregulated in HGSOC
CASP3Upregulated in HGSOC
BAG5Upregulated in HGSOC
DNAJB1Dynamic expression during differentiation

Key Findings

  • Four prognostic genes (NUP35, CASP3, BAG5, DNAJB1) were identified in HGSOC.
  • The risk model effectively classified patients into high- and low-risk groups based on prognostic scores.
  • The PPAR signaling pathway was significantly enriched in both risk groups.
  • DNAJB1 expression correlated positively with the half-maximum inhibition concentration of NPK76-II-72–1.
  • Expression of BAG5 and DNAJB1 varied during epithelial cell differentiation.

Clinical Implications

The identification of prognostic genes associated with the ISR in HGSOC may facilitate the development of personalized treatment strategies. Clinicians should consider these genes when evaluating patient prognosis and treatment options.

Conclusion

The study presents a novel ISR-associated prognostic model for HGSOC, which has the potential to enhance patient prognostication and inform targeted therapeutic approaches.

References

  1. Author(s)/Org, Source, Year -- Title
  2. Blood Cancer Journal, 2023 -- Analysis of Gene Interaction Networks in Multiple Myeloma Reveals Complex Immune Dysregulation Linked to Reduced Survival Rates
  3. Frontiers in Oncology, 2026 -- Multi-omics integration and Mendelian randomization elucidate the PARP16–UPR axis driving chemoresistance in gastric cancer
  4. The ASCO Post — Scoring System Based on DNA Repair Pathways Predicts Outcomes and Response to Platinum Therapy
  5. NCCN Guidelines Insights
  6. Mirvetuximab soravtansine in FRα-high platinum-resistant ovarian cancer
  7. https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2024.1446552/pdf

Original Source(s)

Related Content