{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T07:38:52Z","timestamp":1764056332530,"version":"3.45.0"},"reference-count":31,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T00:00:00Z","timestamp":1762387200000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82200163"],"award-info":[{"award-number":["82200163"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Reports"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The 7\u2010Dehydrocholesterol reductase (DHCR7), a critical enzyme catalyzing the final step of the cholesterol biosynthesis pathway, has gained attention for its potential role in tumorigenesis. This study systematically investigated the association between DHCR7 expression and oncogenic processes across multiple cancer types.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Multi\u2010omics data were obtained from The Cancer Genome Atlas (\n                      <jats:styled-content style=\"fixed-case\">TCGA<\/jats:styled-content>\n                      ) and Gene Expression Omnibus (\n                      <jats:styled-content style=\"fixed-case\">GEO<\/jats:styled-content>\n                      ) repositories.\n                      <jats:styled-content style=\"fixed-case\">DHCR7<\/jats:styled-content>\n                      expression patterns were analyzed using Oncomine,\n                      <jats:styled-content style=\"fixed-case\">TIMER<\/jats:styled-content>\n                      , and\n                      <jats:styled-content style=\"fixed-case\">GEPIA<\/jats:styled-content>\n                      platforms. Prognostic significance was assessed via Kaplan\u2013Meier plotter and\n                      <jats:styled-content style=\"fixed-case\">GEPIA<\/jats:styled-content>\n                      . Tumor stage correlations and immune\/molecular subtype associations were evaluated using\n                      <jats:styled-content style=\"fixed-case\">TISIDB<\/jats:styled-content>\n                      .\n                      <jats:styled-content style=\"fixed-case\">SangerBox<\/jats:styled-content>\n                      facilitated analysis of DHCR7's associations with immune checkpoint (\n                      <jats:styled-content style=\"fixed-case\">ICP<\/jats:styled-content>\n                      ) molecules, tumor mutational burden (\n                      <jats:styled-content style=\"fixed-case\">TMB<\/jats:styled-content>\n                      ), microsatellite instability (\n                      <jats:styled-content style=\"fixed-case\">MSI<\/jats:styled-content>\n                      ), mutant\u2010allele tumor heterogeneity (\n                      <jats:styled-content style=\"fixed-case\">MATH<\/jats:styled-content>\n                      ), neoantigen load, and immune cell infiltration.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      <jats:styled-content style=\"fixed-case\">DHCR7<\/jats:styled-content>\n                      exhibited significant overexpression in most malignancies, correlating with advanced tumor stage (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), metastatic progression, and reduced overall survival (\n                      <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>\n                      \u2009=\u20091.34, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      : 1.18\u20131.52). Strong associations emerged between\n                      <jats:styled-content style=\"fixed-case\">DHCR7<\/jats:styled-content>\n                      expression and critical immunomodulatory parameters: positive correlations with\n                      <jats:styled-content style=\"fixed-case\">ICPs<\/jats:styled-content>\n                      (\n                      <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">L1<\/jats:styled-content>\n                      :\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.62,\n                      <jats:styled-content style=\"fixed-case\">CTLA4<\/jats:styled-content>\n                      :\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.58). Significant links to TMB (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20092.1e\u22125), MSI (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20094.3e\u22124), and MATH (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20097.8e\u22123). Distinct immune infiltration patterns, particularly in bladder carcinoma (BLCA), renal clear cell carcinoma (KIRC), and prostate adenocarcinoma (PRAD). Co\u2010expression network analysis revealed DHCR7's involvement in immune response regulation (GO:0002764, FDR\u2009=\u20090.003), leukocyte differentiation (GO:0002521, FDR\u2009=\u20090.012), and angiogenesis (GO:0001525, FDR\u2009=\u20090.018).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      These pan\u2010cancer analyses identify\n                      <jats:styled-content style=\"fixed-case\">DHCR7<\/jats:styled-content>\n                      as a multifaceted biomarker with dual prognostic and immunotherapeutic relevance. Its involvement in tumor immune microenvironment modulation suggests potential as a therapeutic target.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cnr2.70376","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T01:29:23Z","timestamp":1762478963000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<scp>DHCR7<\/scp>\n                    as a Prognostic and Immunological Biomarker in Human Pan\u2010Cancer: A Comprehensive Evaluation"],"prefix":"10.1002","volume":"8","author":[{"given":"Xianghua","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Neurology, the First People's Hospital of Yuhang District  Hangzhou 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