Integration of single-cell transcriptomics and genomic mutation analysis identifies an immunotherapy-resistant tumor subcluster and validates ARNTL2 as a malignant driver in lung adenocarcinoma
Immunotherapy resistance in lung adenocarcinoma (LUAD) remains a critical clinical challenge, and the mechanisms underlying resistance-associated intratumoral heterogeneity are poorly characterized. We performed single-cell RNA sequencing of LUAD patients receiving neoadjuvant immunotherapy (responders vs. non-responders), integrating inferCNV, GSVA, and differential expression analyses. Cluster-specific genes were validated across seven independent cohorts (TCGA-LUAD, GSE13213, GSE26939, GSE29016, GSE30219, GSE…
A CoxBoost + survivalSVM prognostic model built from resistance-associated cluster genes achieved C-index 0.686 and stratified LUAD patients with HR 2.54-10.51, with low-risk patients showing greater immune infiltration and ARNTL2 knockdown suppressing proliferation and invasion in A549 and H1299 cells.
Evidence
- Peer-reviewedTranslational Oncology2026-08-15
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Truvace Impact Record TRV-2026-0806, v1: “Integration of single-cell transcriptomics and genomic mutation analysis identifies an immunotherapy-resistant tumor subcluster and validates ARNTL2 as a malignant driver in lung adenocarcinoma.” Truvace, 2026-08-17. /record/TRV-2026-0806 (accessed at citation time). sha256 0fa749e756374331…
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