Transcription Factor Networks Drive Tumor Progression and Immune Microenvironment Remodeling in Hepatocellular Carcinoma
(1) Background: Hepatocellular carcinoma (HCC) remains a major cause of cancer mortality and is characterized by pronounced inter- and intra-tumoral heterogeneity and therapy resistance. We aimed to define core transcriptional circuits that drive HCC malignancy and to delineate how these programs shape the tumor microenvironment (TME). (2) Methods: We integrated single-cell, spatial, and bulk transcriptomic datasets from public cohorts. (3) Results: We identified nine tumor-restricted transcription factors (TFs)-HTATIP2, HES6, ILF2, E2F1, MYBL2, DDIT3, FOXM1, HMGA1, and ETV4-whose expression and regulon activity associated with malignant phenotypes and poor survival. These TFs organize a progression axis from an early proliferative state (cluster C4) toward an invasive, metabolically adapted state (cluster C1) enriched for hypoxia, epithelial-mesenchymal transition (EMT), and inflammatory signaling. The C1 state remodeled the TME by establishing an immunosuppressive niche marked by expansion of T regulatory cells (Treg) and by accumulation of SPP1<sup>+</sup> macrophages. These macrophages, recruited and polarized by C1 tumor cells, exhibited M2-like, pro-angiogenic, and immunosuppressive features and engaged epithelial, immune, and stromal partners via SPP1-CD44 and SPP1-integrin interactions. (4) Conclusions: In summary, a tumor-intrinsic TF network cooperates with SPP1<sup>+</sup> macrophage signaling to promote a permissive microenvironment and HCC progression. This integrated axis highlights tractable vulnerabilities for therapeutic intervention.
Authors
- Joon Yeon Hwang (ORCID: https://orcid.org/0009-0003-5557-7990)
- Woori Kwak (ORCID: https://orcid.org/0000-0003-0600-067X)
- Hyaekang Kim (ORCID: https://orcid.org/0000-0003-1436-5118)
- Ju Won Ahn (ORCID: https://orcid.org/0009-0005-9860-8528)
- Sang Hoon Lee (ORCID: https://orcid.org/0000-0003-0606-987X)
- Jae-Hwan Kim (ORCID: https://orcid.org/0000-0002-5728-4820)
- Wonbin Choi
- Jina Kim (ORCID: https://orcid.org/0009-0000-1253-4518)
Institutions
- Samsung (South Korea) (KR)
- National Institute of Biological Resources (KR)
- CHA University (KR)
- Sungkyunkwan University (KR)
- Catholic University of Korea (KR)
Publication Details
- Journal
- Cancers
- Published
- 2025-11-26
- DOI
- https://doi.org/10.3390/cancers17233787
- Primary Topic
- Immune cells in cancer
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Catholic University of Korea
- Ministry of Food and Drug Safety