주요 논문
5
*2026년 기준 최근 6년 이내 논문에 한해 Impact Factor가 표기됩니다.
1
review
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인용수 5
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2025Immunometabolic reprogramming in lung cancer: interplay between immune and stem-like cells in immune checkpoint inhibitor resistance
Ji‐Yong Sung, Eui Tae Kim
IF 7.5 (2025)
Journal of Translational Medicine
Lung cancer remains the leading cause of cancer-related death worldwide. Despite the success of immune checkpoint inhibitors (ICIs), particularly those targeting PD-1/PD-L1 pathways, a significant number of patients exhibit either primary resistance or acquire resistance over time. While genomic and epigenetic mechanisms contribute to this resistance, increasing evidence points to the pivotal role of immunometabolism—the interface of cellular metabolism and immune regulation. This review focuses on how altered metabolic states in both immune cells and cancer stem-like cells (CSCs) within the lung tumor microenvironment contribute to ICI resistance. We discuss key metabolic pathways involved in immune suppression, the metabolic plasticity of CSCs, and how these factors interact to shape a metabolically hostile tumor niche for immune effector cells. Finally, we explore emerging therapeutic strategies targeting immunometabolism to enhance immunotherapy efficacy in lung cancer.
https://doi.org/10.1186/s12967-025-07244-1
Immune system
Reprogramming
Immunotherapy
Tumor microenvironment
Immune checkpoint
Epigenetics
Lung cancer
Effector
Mediator
2
article
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인용수 2
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2025Spatially resolved endothelial signaling via nampt-itga5 drives immune evasion in stem-like gastric cancer
Ji‐Yong Sung, Jae‐Ho Cheong, Eui Tae Kim
IF 5.1 (2025)
Cancer Immunology Immunotherapy
BACKGROUND: Stem-like gastric cancer (GC) is an aggressive molecular subtype marked by poor prognosis and limited response to immune checkpoint blockade (ICB). The spatial mechanisms driving this resistance remain unclear. METHODS: We conducted spatially resolved single-cell transcriptomic profiling of diffuse-type GC tissues to uncover the spatial architecture and functional diversity of tumor and stromal populations. Cellular heterogeneity and region-specific signaling pathways were characterized using integrative bioinformatics analyses. RESULTS: We identified transcriptionally diverse, high-entropy cell populations predominantly localized in the deep tumor regions. These included unique endothelial and fibroblast subsets enriched for pro-tumorigenic and immune-regulatory signaling. A notable finding was the engagement of deep-region endothelial cells in VISFATIN (extracellular NAMPT) signaling through the ITGA5-ITGB1 integrin axis, associated with immune evasion and poor prognosis. This endothelial signaling program is distinct from and functionally independent of cancer-associated fibroblast (CAF)-mediated pathways. Elevated expression of the NAMPT-ITGA5-ITGB1 axis was observed in ICB non-responders and correlated with reduced overall survival. CONCLUSIONS: Our study delineates spatially defined cellular programs that contribute to immune escape in stem-like GC, highlighting a novel VISFATIN-integrin signaling axis as a potential biomarker and therapeutic target in immunotherapy-resistant tumors.
https://doi.org/10.1007/s00262-025-04182-1
Evasion (ethics)
Immune system
Cancer
Biomarker
Signal transduction
Immune escape
Immunotherapy
3
article
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인용수 0
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2025Soyeon Yoo, Dong‐Kyu Kim, Mi‐Yeon Kim, Ju Young Bae, Sang Ah Lee, Eui Tae Kim, Gwanpyo Koh
IF 4.2 (2025)
The FASEB Journal
, resulting in intracellular glutathione (GSH) depletion, accumulation of lipid peroxidation products such as malondialdehyde and 4-hydroxynonenal, and increased lipid reactive oxygen species (ROS). Although SLC7A11 mRNA levels were upregulated, its protein levels were reduced due to increased ubiquitination and proteasomal degradation. Further analysis revealed that dRib suppressed the expression of OTUB1, a deubiquitinating enzyme that directly interacts with SLC7A11 and inhibits its ubiquitination. Overexpression of either OTUB1 or SLC7A11 restored cystine transport, replenished GSH levels, reduced lipid ROS and cell death, supporting their protective roles against ferroptosis. Transmission electron microscopy confirmed that dRib induced mitochondrial morphological changes consistent with ferroptosis, such as shrinkage and cristae loss. These findings demonstrate that the loss of OTUB1 promotes ferroptosis in pancreatic β-cells through destabilization of SLC7A11. Targeting the OTUB1-SLC7A11 pathway may offer a novel therapeutic approach for preserving β-cell survival and preventing the progression of diabetes.
https://doi.org/10.1096/fj.202502289r
GPX4
Lipid peroxidation
Reactive oxygen species
Glutathione
Intracellular
Ubiquitin
Malondialdehyde
Programmed cell death
4
letter
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인용수 5
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2024A subtype of cancer‐associated fibroblast expressing syndecan‐2 (SDC2) predicts survival and immune checkpoint inhibitor response in gastric cancer
Ji‐Yong Sung, Jae‐Ho Cheong, Kihye Shin, Eui Tae Kim
IF 6.8 (2024)
Clinical and Translational Medicine
Dear Editor, We explored the heterogeneity and clinical implications of cancer-associated fibroblasts (CAFs) within the gastric cancer microenvironment to understand their contributions to tumour progression and therapeutic resistance. CAFs, essential components of the tumour microenvironment, regulate tumour growth, immune responses, and therapeutic outcomes. We classified CAFs into three subtypes: myofibroblastic (myoCAF), immune-regulatory (irCAF), and inflammatory (infCAF), based on gene expression signatures and functional characteristics (Figure 1A–C). Each CAF subtype was characterized by unique marker genes from a literature review (Tables S1 and S2).1 Gene ontology (GO) analysis revealed that transcription factors NFKB1, RELA, SP1, JUN, and transcriptional regulator HDAC2 are key in CAF subtype regulation (Figure 1B). Using the MCODE algorithm2 for protein–protein interaction, we found myoCAFs were involved in blood vessel development and extracellular matrix modelling, while irCAFs were associated with peptide ligand-binding and chemokine receptors, indicating distinct roles in immune modulation (Figure 1D,E). To further investigate CAF stemness, we employed the StemID tool on single-cell cohorts. Clusters 17 and 8 showed notably high entropy and stemness, indicating that these fibroblasts are highly activated and possess stem-like properties, contributing to tumour progression and treatment resistance (Figure 1F,G). These fibroblasts were enriched in pathways related to extracellular matrix organization,3 including the NABA core matrisome and elastic fibre formation (Figure 1H).4 Our analysis further revealed a strong correlation between irCAF signatures and stem-like signatures in bulk gastric cancer samples, suggesting that irCAFs play a key role in sustaining an aggressive tumour microenvironment (Figure 1I-L).5 We evaluated the impact of these CAF subtypes on patient prognosis using data from the Cancer Genome Atlas (TCGA) stomach adenocarcinoma (STAD) dataset. High expression of infCAF, irCAF, and myoCAF signatures was linked to poor prognosis (Figure 2A). A combined analysis of all three CAF signatures also indicated poor outcomes for the high-expression group (Figure 2B). In the Yonsei Cancer Hospital cohort of 497 gastric cancer patients (Y497 dataset), these CAF subtypes were enriched in the stem-like type (Figure 2C). While the infCAF signature was not significantly linked to adverse outcomes, high expression of both irCAF and myoCAF signatures was consistently linked to worse clinical outcomes (irCAF: p = .0022, myoCAF: p = .0053) (Figure 2D). We classified patients into nine groups based on the CAF subtype signature via gene set enrichment test in the Y497 cohort. (Figure 2E). Furthermore, we confirmed that the CAF subtype signatures found in TCGA pan-cancer datasets act differently across various cancer types. All three CAF signatures in BLCA, LGG, and STAD cancer types were significant for patient prognosis (Figure 2F). Using Y497 transcriptome profiling, we performed a deconvolution analysis to understand how different CAF subtypes contribute to the immune tumour microenvironment. Both infCAF and irCAF showed similar trends in stem-like type samples, being positively correlated with macrophage M2 and regulatory T (Treg) cells, while CD8+ T cells were more prevalent in the gastric molecular subtype (Figure 2G). To understand the influence of CAFs on immune response and therapy resistance, we conducted single-cell analysis on non-responders to immune checkpoint blockade (ICB) therapy. High-entropy, stem-like activated cells were predominantly in clusters 1 and 7 (Figure 3A,B). Cluster 1 had mostly endothelial cells, while cluster 7 included fibroblasts, T cells, macrophages, and others (Figure 3C). Clusters 8 and 10, with the lowest stemness and entropy, were largely B cells linked to adaptive immunity. GO analysis of highly expressed genes within endothelial cells showed enrichment in pathways related to blood vessel development, cell migration, and VEGFA-VEGFA2 signalling (Figure 3D). The prognostic relevance of these genes was confirmed in the TCGA STAD dataset, where high expression correlated with poor outcomes (Figure 3E). Additionally, these genes were enriched in the stem-like type within the Yonsei Cancer Hospital cohort, demonstrating a consistent pattern (Figure 3F). We further assessed the expression of signature genes linked to drug resistance using bulk RNA-seq data from non-responder and responder groups to ICB treatment. The signature genes were mainly overexpressed in nonresponders (Figure 3G). The correlation between stem-like signatures and CAF subtypes was validated using a gastric cancer patient-derived organoid (PDO) dataset from Yonsei Cancer Hospital, showing that the immune-regulatory signature had the strongest correlation with the stem-like phenotype (Figure 3H,I). At the single-cell level, irCAFs demonstrated the highest expression of stem-like PDO signature genes, indicating their potential role in drug resistance (Figure 3J). To decipher the communication patterns of CAFs within the tumour microenvironment, we employed Cellchat6 analysis to identify key signalling pathways (Figure 4A). We identified eight cell types that clustered into three main communication patterns, predicting the involvement of fibroblast-derived ligands such as VEGF, PTN, and ANGPT (Figure 4B,C). Fibroblasts, as crucial components of the PTN signalling network, acted as both senders and receivers, particularly influencing mesenchymal stem cells, proliferative cells, peritoneal mesothelial cells, and tumour cells (Figure 4D). Within the CAF subtypes, PTN signalling was mediated by both irCAF and infCAF (Figure 4E). Predicted analysis of ligand-receptor pairs identified the PTN ligand and syndecan-2 (SDC2) receptor as critical components of the signalling pathway (Figure 4F). SDC2, a transmembrane proteoglycan involved in glycosaminoglycan metabolism, was found to be highly expressed in myoCAFs and cancer stem cells, correlating with poor prognosis in both the TCGA STAD dataset and the Y497 cohort (Figure 4H–K). Elevated SDC2 expression was particularly noted in ICB non-responder groups within both the Samsung Medical Center (SMC) and Y497 cohorts7 (Figure 4L,M). A strong correlation (R = .8, p = 0) was observed between SDC2 and the ACTA2 gene, a marker associated with resistance to ICB therapy (Figure 4N).8 Furthermore, SDC2 expression was notably enriched in the stem-like type of gastric cancer, potentially promoting tumorigenesis via glycosaminoglycan biosynthesis pathways such as heparan sulfate and chondroitin sulfate (Figure 4O,P).9 The transition from anti-tumorigenic syndecans to tumorigenic SDC2 may influence the invasive capacity and metastatic potential of highly aggressive tumour cells.10 In conclusion, our study highlights the heterogeneity of CAF subtypes in gastric cancer and their roles in prognosis and therapy resistance. Targeting CAFs could provide new avenues for personalised treatment of gastric cancer. JYS was responsible for the conceptualisation, methodology development, data analysis, manuscript drafting, wrote, review, editing, interpretation of results and supervision of the study. JHC contributed to the generation of PDO data and manuscript review and contributed to the interpretation of results. KS performed contributed to manuscript review.ETK provided funding acquisition, manuscript review and editing, and contributed to the interpretation of results. The authors have nothing to report. This work was funded by the National Research Foundation of Korea (NRF) with grants from the Korean Ministry of Science and ICT (RS-2024-00352590), Ministry of Education (RS-2023-00270936), and the Korea Health Industry Development Institute (KHIDI) funded by the Ministry of Health & Welfare (RS-2022-KH129726, RS-2024-00438990). The authors declare no conflict of interest. This study was approved by the Institutional Review Board of Yonsei Cancer Hospital (IRB no. 4-2017-0106). Informed consent was obtained from all participants. The datasets generated and/or analyzed during this study are not publicly available. Researchers interested in the organoid RNA-seq data for gastric cancer may contact Dr. Ji-Yong Sung ([email protected]). Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
https://doi.org/10.1002/ctm2.70079
Cancer
Medicine
Immune checkpoint
Immune system
Cancer research
Oncology
Immunology
Immunotherapy
Internal medicine
5
review
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인용수 33
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2022Schlafens Can Put Viruses to Sleep
Eui Tae Kim, Matthew D. Weitzman
IF 4.7 (2022)
Viruses
The Schlafen gene family encodes for proteins involved in various biological tasks, including cell proliferation, differentiation, and T cell development. Schlafens were initially discovered in mice, and have been studied in the context of cancer biology, as well as their role in protecting cells during viral infection. This protein family provides antiviral barriers via direct and indirect effects on virus infection. Schlafens can inhibit the replication of viruses with both RNA and DNA genomes. In this review, we summarize the cellular functions and the emerging relationship between Schlafens and innate immunity. We also discuss the functions and distinctions of this emerging family of proteins as host restriction factors against viral infection. Further research into Schlafen protein function will provide insight into their mechanisms that contribute to intrinsic and innate host immunity.
https://doi.org/10.3390/v14020442
Biology
Innate immune system
Context (archaeology)
Immunity
Genome
Virus
Intrinsic immunity
Gene
RNA
Function (biology)