Proteome profiles of esophageal squamous cell carcinoma tie mitochondrial complex I to immunotherapy.

Proteome profiles of esophageal squamous cell carcinoma tie mitochondrial complex I to immunotherapy.

Ma, Fahan; Li, Yan; Xiang, Chan; Wang, Bing; Lv, Jie; Shang, Zhanxian; Zhang, Weiguang; Qin, Zhaoyu; Pu, Yan; Li, Kai; Wei, Jinzhi; Tan, Su-Bei; Feng, Jinwen; Teng, Haohua; Zhang, Peipei; Deng, Jiaying; Wang, Yunzhi; Zhang, Chao; Tian, Sha; Li, Guichao; Kang, Mingqiang; Du, Changsheng; Han, Yuchen; Ding, Chen
EMBO Molecular Medicine 2026
21
ma2026proteome

Abstract

Immunotherapy has revolutionized cancer treatment, yet many patients show non-sensitivity. Here, we collected treatment-naïve samples from 190 esophageal squamous cell carcinoma (ESCC) patients undergoing anti-programmed death 1 (PD1) immunotherapy for proteome, phosphoproteome, and immunohistochemistry (IHC) analysis. Proteome-based stratification of ESCC identifies three proteomic subtypes (G-I-G-III) related to immunotherapy response and different molecular features, revealing that patients with high mitochondrial complex I protein expression show sensitivity to anti-PD1 immunotherapy. High mitochondrial complex I protein expression of ESCC cells or patient-derived organoids increases sensitivity to CD8 + T cell-mediated killing in the co-culture systems. Phosphoproteomic data analysis reveals YAP1 activation impairs immunotherapy efficacy. Inhibiting YAP1 or increasing mitochondrial complex I levels bolsters immunotherapy effectiveness in ESCC allograft tumors. Finally, we develop a highly accurate predictive model (AUC ≥ 0.90) by the signatures of mitochondrial complex I-mediated anti-tumor immune response and validate it in independent cohorts. This study provides a rich resource for investigating the mechanisms and indicators of immunotherapy in ESCC.

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5886
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10.1038/s44321-026-00413-9
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