• GALNT7 is overexpressed in HCC tissues and correlates with enhanced tumor cell invasion, migration, proliferation, and reduced apoptosis.
• GALNT7 specifically O-glycosylates MUC13, leading to activation of the PI3K/AKT signaling pathway, a key oncogenic driver in HCC.
• Elevated GALNT7 levels confer resistance to lenvatinib-based chemotherapy, suggesting a role in therapeutic response.
• The GALNT7-MUC13-PI3K/AKT axis represents a novel therapeutic target for HCC treatment.
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