m7G regulator-mediated methylation modification patterns define immune cell infiltration and patient survival

Numerous studies have demonstrated the important roles of epigenetic modifications in tumorigenesis, progression and prognosis. However, in hepatocellular carcinoma, the potential link between N 7 -methylguanosine (m 7 G) modification and molecular heterogeneity and tumor microenvironment (TME) remains unclear. Method We performed a comprehensive evaluation of m 7 G modification patterns in 816 hepatocellular carcinoma samples based on 24 m 7 G regulatory factors, identified different m 7 G modification patterns, and made a systematic correlation of these modification patterns with the infiltration characteristics of immunocytes. Then, we built and validated a scoring tool called m 7 G score. Results In this study, we revealed the presence of three distinct m 7 G modification patterns in liver cancer, with remarkable differences in the immunocyte infiltration characteristics of these three subtypes. The m 7 G scoring system of this study could assess m 7 G modification patterns in individual hepatocellular carcinoma patients, could predict TME infiltration characteristics, genetic variants and patient prognosis. We also found that the m 7 G scoring system may be useful in guiding patients’ clinical use of medications. Conclusions This study revealed that m 7 G methylation modifications exerted a significant role in formation of TME in hepatocellular carcinoma. Assessing the m 7 G modification patterns of single patients would help enhance our perception of TME infiltration characteristics and give significant insights into immunotherapy efficacy.