ORIGINAL RESEARCH article

Front. Immunol.

Sec. Cancer Immunity and Immunotherapy

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1600527

This article is part of the Research TopicRoles of Hormones in Inflammation and Cancer Progression: New Discoveries and Therapeutic StrategiesView all articles

Integrated Multi-Omics Profiling to Establish an IGFBP-Based Prognostic Score for Pancreatic Ductal Adenocarcinoma: Unraveling Prognostic Biomarkers, Immune Microenvironment Crosstalk, and Therapeutic Implications

Provisionally accepted
  • Chinese Academy of Medical Sciences and Peking Union Medical College, Dongcheng, Beijing Municipality, China

The final, formatted version of the article will be published soon.

Pancreatic ductal adenocarcinoma (PDAC) patients frequently exhibit endocrine dysregulation, particularly aberrations within the insulin and insulin-like growth factor (IGF) signaling systems. Notably, hyperglycemia and insulin resistance are common clinical manifestations in these patients, often paralleled by altered expression levels of the IGF-binding protein (IGFBP) family genes. However, the mechanistic role of IGFBP members in modulating carcinogenesis of PDAC remains elusive. To determine the biological influence of the IGFBP family on PDAC development, we performed a multi-dimensional analysis stratifying established pancreatic cancer cohorts based on IGFBP family expression profiles, subsequently developing a robust prognostic model for PDAC that effectively stratified patients into distinct risk categories. Leveraging singlecell transcriptomic sequencing and spatial transcriptomic profiling, we systematically dissected the functional interplay between IGFBP signaling and the tumor immune microenvironment. In this work, the therapeutic potential of IGFBP family members as molecular targets or prognostic indicators in PDAC is evaluated.

Keywords: Pancreatic Ductal Adenocarcinoma, IGFBP, prognosis, Multi-omics analysis, Tumor Microenvironment

Received: 26 Mar 2025; Accepted: 24 Apr 2025.

Copyright: © 2025 Mu, Guan, Jin and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Chengfeng Wang, Chinese Academy of Medical Sciences and Peking Union Medical College, Dongcheng, 100006, Beijing Municipality, China

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