Wen-Hsin Hsu1,2,#, Kai-Fu Chang3,4,#, Chih-Hsuan Chang3,4, Hui-Ru Lin5,6, Chi-Jen Wu5,7, Ching-Chung Ko8,9,10, Cheng-Chun Wu11, Yu-Cheng Ho11, Chih-Chun Lin12, Chien-Han Yuan3,5,13,14, Sachin Kumar15,16, Dahlak Daniel Solomon15, Fitria Sari Wulandari15, Juan Lorell Ngadio17, Do Thi Minh Xuan18, Chung-Bao Hsieh19, Chung-Chieh Chiao20, Ngoc Uyen Nhi Nguyen21,22, Chih-Yang Wang15,20, Yung-Kuo Lee3,4,5,*
Oncology Research, Vol.34, No.6, 2026, DOI:10.32604/or.2026.070445
- 21 May 2026
Abstract Background: Glycosylation and inflammation are pivotal in tumor progression, yet the specific glycosyltransferases bridging these processes remain poorly defined. This study investigated Exostosin-1 (EXT1), a key enzyme in heparan sulfate (HS) biosynthesis, as a mechanistic bridge connecting inflammation, stromal remodeling, and immune evasion-driven cancers. Methods: We used a multi-omics approach including Least Absolute Shrinkage and Selection Operator (LASSO) Cox regression on The Cancer Genome Atlas (TCGA) pan-cancer cohorts, transcriptomics, survival, single-cell RNA sequencing (scRNA-seq), DNA methylation profiling, pathway enrichment analysis (MetaCore), molecular docking, and immunohistochemistry (IHC) on pancreatic adenocarcinoma (PAAD) and lung adenocarcinoma (LUAD) tissue microarrays. Results:… More >