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TRIM29 promotes epithelial–mesenchymal transition, angiogenesis, and stromal remodeling in lung adenocarcinoma: integrated validation at histologic, transcriptomic, and protein levels
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  • Published: 22 March 2026

TRIM29 promotes epithelial–mesenchymal transition, angiogenesis, and stromal remodeling in lung adenocarcinoma: integrated validation at histologic, transcriptomic, and protein levels

  • Yoonjung Hwang1,
  • Jae-Ho Han1,
  • Seokjin Haam2,
  • Hyun Woo Lee3 &
  • …
  • Young Wha Koh1,4,5 

Scientific Reports , Article number:  (2026) Cite this article

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We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Subjects

  • Biomarkers
  • Cancer
  • Cell biology
  • Computational biology and bioinformatics
  • Oncology

Abstract

TRIM29 is implicated in cancer progression; however, its function in lung adenocarcinoma (LUAD) remains unknown. We assessed the contribution of TRIM29 to LUAD biology, its influence on the tumor microenvironment (TME), and its prognostic relevance in LUAD. We analyzed two independent LUAD transcriptomic cohorts. Gene set enrichment analysis (GSEA) was performed using deconvolution-based TME profiling with xCell, ESTIMATE, and EPIC. Associations between TRIM29 and epithelial–mesenchymal transition (EMT), angiogenesis, stromal remodeling, and survival were corroborated using immunohistochemistry, histopathology, and cell line assays. Drug sensitivity analyses were performed to identify therapeutic agents for TRIM29-high tumors. GSEA consistently showed enrichment of EMT in TRIM29-high tumors across both mRNA datasets. Deconvolution revealed that TRIM29-high tumors harbored an increased number of fibroblasts and endothelial cells, along with elevated stromal scores. The GSEA and deconvolution results using the TRIM29-associated transcriptional module were consistent with those obtained from the single-gene analysis. In an independent cohort, immunohistochemistry and histopathology confirmed positive correlations between TRIM29 expression and SNAIL, TWIST, microvessel density, and stromal proportion. High TRIM29 expression at the transcript and protein levels is associated with poor overall survival. Functionally, TRIM29 inhibition in cell lines decreased N-cadherin, SNAIL, and TWIST expression while increasing E-cadherin expression. Drug response profiling revealed that mTOR inhibitors exhibited the highest activity in TRIM29-high cells. To our knowledge, this study provides evidence suggesting that TRIM29 may be associated with EMT-related transcriptional programs, angiogenesis, and stromal remodeling in LUAD, as well as with adverse clinical outcomes. An integrated pathology-transcriptome-outcome framework supports biomarker-guided strategies for TRIM29-high tumors, with mTOR inhibition emerging as a promising therapeutic strategy.

Data availability

The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

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Funding

This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT (RS-2024-00336500 for Young Wha Koh).

Author information

Authors and Affiliations

  1. Department of Pathology, Ajou University School of Medicine, Suwon-Si, South Korea

    Yoonjung Hwang, Jae-Ho Han & Young Wha Koh

  2. Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Suwon-Si, South Korea

    Seokjin Haam

  3. Department of Hematology-Oncology, Ajou University School of Medicine, Suwon-Si, South Korea

    Hyun Woo Lee

  4. Department of Biomedical Science, Graduate School of Ajou University, Suwon, Republic of Korea

    Young Wha Koh

  5. Department of Pathology, Ajou University School of Medicine, 206 Worldcup-Ro, Yeongtong-Gu, Suwon-Si, Gyeonggi-Do, 16499, Republic of Korea

    Young Wha Koh

Authors
  1. Yoonjung Hwang
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  2. Jae-Ho Han
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  3. Seokjin Haam
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  4. Hyun Woo Lee
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Contributions

Conception and design: Young Wha Koh, Financial support: Young Wha Koh, Collection and assembly of data: Yoonjung Hwang, Jae-Ho Han, Seokjin Haam and Hyun Woo Lee, Data analysis and interpretation: Young Wha Koh and Yoonjung Hwang, Manuscript writing: All authors, Final approval of manuscript: All authors, Accountable for all aspects of the work: All authors.

Corresponding author

Correspondence to Young Wha Koh.

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Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.

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Cite this article

Hwang, Y., Han, JH., Haam, S. et al. TRIM29 promotes epithelial–mesenchymal transition, angiogenesis, and stromal remodeling in lung adenocarcinoma: integrated validation at histologic, transcriptomic, and protein levels. Sci Rep (2026). https://doi.org/10.1038/s41598-026-45469-2

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  • Received: 07 November 2025

  • Accepted: 19 March 2026

  • Published: 22 March 2026

  • DOI: https://doi.org/10.1038/s41598-026-45469-2

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Keywords

  • lung adenocarcinoma
  • TRIM29
  • Epithelial-mesenchymal transition
  • Angiogenesis
  • Stromal remodeling
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