Across TCGA pan-cancer cohorts, PAPPA mass-spec protein is linked to patient survival in 5 of 34 cancer types, making it a survival-associated PAPPA data layer compared with 26 for mass-spec protein and 8 for mutation status.
The strongest signal is observed in clear cell renal cell carcinoma (CCRCC), where higher PAPPA mass-spec protein is associated with worse disease-free survival. In most high-consensus cancer types, elevated PAPPA expression acts as an unfavorable survival marker, although some lineages such as PDAC and HNSC show a favorable association.
CCRCC, LSCC, and LUAD are the cancer types where PAPPA mass-spec protein most reproducibly stratifies survival.