A cilia-associated epithelial alteration axis nominates ERICH3 as an entry point to PI3K engagement in lung adenocarcinoma
LUAD adopts heterogeneous oncogenic signalling states, and bias toward a PI3K–AKT–mTOR–engaged state is not fully explained by canonical pathway lesions. Because membrane-proximal spatial organization can tune receptor-proximal signalling yet is difficult to quantify in human tumours, we used cilia-associated epithelial programs as a hypothesis-generating entry point to identify convergently perturbed candidates and evaluate their relationship with PI3K engagement. We performed intersection-based multi-omic prioritization in TCGA-LUAD, evaluated dependency directionality using DepMap/CCLE expression with CRISPR dependency profiles, and tested the functional relationship between ERICH3 loss and PI3K engagement by siRNA perturbation with PI3K-inhibitor rescue. We anchored tumour context using bulk co-expression, spatial transcriptomics, and single-cell analyses with ERICH3 stratified by transcript “detection”, complemented by CellChat-based communication inference and structure/variant-informed hypothesis nomination. ERICH3 was prioritized through a cilia-informed screen as a convergently attenuated candidate, showed reduced protein in paired LUAD specimens (16/24, 66.7%; P = 0.014), promoter hypermethylation, and favourable survival association. An external DepMap dependency screen nominated PI3K–AKT–mTOR dependency directionality in ERICH3 -low contexts (Hallmark NES = − 1.79; P = 1.04 × 10⁻ 4 ), which was subsequently evaluated functionally in LUAD cell lines. In LUAD cell lines, ERICH3 knockdown increased PI3K–AKT–mTOR phosphorylation and malignant phenotypes, which were attenuated by PI3K inhibition, supporting a functional relationship between ERICH3 loss and PI3K pathway engagement. Multi-scale transcriptomic analyses showed that ERICH3 transcripts were detected predominantly in a mucous epithelial compartment and non-tumour epithelium; CellChat suggested hypothesis-generating immune-interaction signals associated with ERICH3 -detected mucous cells. Structural modelling and tumour-variant mapping nominated discrete membrane-proximal regions for mechanism-discriminating follow-up. Our findings support a testable model in which attenuation of ERICH3, identified through a cilia-informed epithelial framework, is associated with a PI3K-engaged malignant state in LUAD. The present study does not establish that ERICH3 directly regulates primary-cilium formation, ciliary protein localization, or ligand-induced ciliary signalling; the precise upstream membrane-proximal and/or cilia-related route remains to be defined.
Authors
- Dingzhi Huang (ORCID: https://orcid.org/0000-0002-2798-9459)
- Qiang Chen (ORCID: https://orcid.org/0000-0002-0803-3822)
- Huazhuo Feng (ORCID: https://orcid.org/0009-0006-5565-2876)
- Kai Hou (ORCID: https://orcid.org/0000-0001-7014-741X)
- Yixuan Wang (ORCID: https://orcid.org/0000-0002-4154-5934)
- Shuo Ying
- Xuebing Li
- Jianwen Qin
- Li Zhang
- Yang Zhang
- Xuexia Zhou
Institutions
- Tianjin University (CN)
- Tianjin Medical University General Hospital (CN)
- Tianjin Medical University Cancer Institute and Hospital (CN)
- First Affiliated Hospital of Guangzhou Medical University (CN)
- Puer University (CN)
- Tianjin Chest Hospital (CN)
- State Key Laboratory of Respiratory Disease (CN)
- Guangzhou Medical University (CN)
Publication Details
- Journal
- Respiratory Research
- Published
- 2026-08-03
- DOI
- https://doi.org/10.1186/s12931-026-03844-7
- Primary Topic
- Genetic and Kidney Cyst Diseases
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Natural Science Foundation of China
- Natural Science Foundation of Tianjin City