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. 2025 Aug 21;23:948. doi: 10.1186/s12967-025-06985-3

Table 2.

m5C-related modifications in the diagnosis of colorectal cancer

References Study type Population Biomarkers Grouped control Screening models (AUC, sensitivity, specificity)
[80] Retrospective cohort study

TCGA:

434 COAD

157 READ

IHC:

80 Normal

80 READ

NSUN4, NSUN7, DNMT1 Normal/COAD/READ

TCGA cohort:

AUC of one-year OS = 0.803

AUC of three-year OS = 0.855

AUC of five-year OS = 0.838

AUC of overall survival = 0.834

IHC independent cohort:

AUC = 0.954

[100] Retrospective cohort study and case‒control study

TCGA:

616 CRC

ZNa:

40 Normal

40 CRC

18 m5C regulatory factors High-/low-risk groups

TCGA cohort:

AUC of one-year OS = 0.638

AUC of three-year OS = 0.668

AUC of five-year OS = 0.719

Nomogram model:

AUC of one-year OS = 0.783

AUC of three-year OS = 0.801

AUC of five-year OS = 0.795

[101] Retrospective cohort study

TCGA:

568 CRC

44 Normal

11 m5C-related lncRNAs Normal/CRC

TCGA cohort:

AUC of one-year OS = 0.758

AUC of three-year OS = 0.761

AUC of five-year OS = 0.811

[16] Retrospective cohort study

TCGA & GEO:

1358 CRC

21 m6A/m5C-related lncRNAs High-/low-risk groups

TCGA cohort:

AUC = 0.712

GEO cohort:

AUC = 0.721

[75] Case‒control study and retrospective cohort study

Human samples:

196 CRC

83 Normal

Mouse modelb

m5C RNA methylation levels in peripheral blood immune cells Normal/CRC

m5C:

AUC = 0.888, sensitivity 92.4%, specificity 69.8%

m5C + CEA + CA19 − 9 + CA125:

AUC = 0.937

[102] Retrospective cohort study NSUN1 Normal/CRC
[103] Retrospective observational study

Total:

3318 tumor samples (140 CRC)

5173 Normal

14 m5C-related miRNAs Normal/CRC

Early diagnosis:

AUC = 0.910

Diagnostic performance:

AUC = 0.934, sensitivity 82.9%, specificity 91.6%

aRepresents Zhongnan Hospital of Wuhan University cohort; bincludes ① MC38 Syngeneic model: 5 C57BL/6 control mice, 4 tumor-bearing mice ② AOM/DSS model: 5 C57BL/6 control mice, 8 CRC-induced mice ③ Apc-L850X model: 5 wild-type mice, 5 mutant mice ④ DLD-1 Xenograft model: 4 BALB/c control mice, 5 Oxaliplatin-treated mice, 4 5-FU-treated mice