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Updated: Dec 30, 2025

Using Human Differentially Expressed Gene Lists to Perform Downstream Pathway Enrichment Analysis and Target Prioritization
Published on: October 3, 2025
Mutation Enrichment and Transcriptomic Activation Signatures of 419 Molecular Pathways in Cancer
Marianna A Zolotovskaia1,2,3, Victor S Tkachev4, Alexander P Seryakov5
1Oncobox Ltd., Skolkovo Innovation Center, 121205 Moscow, Russia.
Abstract:
Carcinogenesis is linked with massive changes in regulation of gene networks. We used high throughput mutation and gene expression data to interrogate involvement of 278 signaling, 72 metabolic, 48 DNA repair and 47 cytoskeleton molecular pathways in cancer. Totally, we analyzed 4910 primary tumor samples with individual cancer RNA sequencing and whole exome sequencing profiles including ~1.3 million DNA mutations and representing thirteen cancer types. Gene expression in cancers was compared with the corresponding 655 normal tissue profiles. For the first time, we calculated mutation enrichment values and activation levels for these pathways. We found that pathway activation profiles were largely congruent among the different cancer types. However, we observed no correlation between mutation enrichment and expression changes both at the gene and at the pathway levels. Overall, positive median cancer-specific activation levels were seen in the DNA repair, versus similar slightly negative values in the other types of pathways. The DNA repair pathways also demonstrated the highest values of mutation enrichment. However, the signaling and cytoskeleton pathways had the biggest proportions of representatives among the outstandingly frequently mutated genes thus suggesting their initiator roles in carcinogenesis and the auxiliary/supporting roles for the other groups of molecular pathways.
Insights
This study analyzed molecular pathways in 4910 cancer samples, finding DNA repair pathways are frequently mutated and activated in cancer. Signaling and cytoskeleton pathways may initiate carcinogenesis.
Area of Science:
- Genomics
- Molecular Biology
- Cancer Research
Background:
- Carcinogenesis involves significant alterations in gene regulatory networks.
- Understanding the role of molecular pathways in cancer is crucial for developing targeted therapies.
Purpose of the Study:
- To investigate the involvement of signaling, metabolic, DNA repair, and cytoskeleton pathways in cancer.
- To analyze mutation and gene expression data across multiple cancer types to determine pathway activation and mutation enrichment.
Main Methods:
- Utilized high-throughput mutation and gene expression data from 4910 primary tumor samples.
- Performed RNA sequencing and whole exome sequencing on tumor samples and compared gene expression with 655 normal tissue profiles.
- Calculated mutation enrichment values and activation levels for 444 molecular pathways across thirteen cancer types.
Main Results:
- Pathway activation profiles were consistent across different cancer types.
- No correlation was observed between mutation enrichment and gene/pathway expression changes.
- DNA repair pathways showed positive median cancer-specific activation and the highest mutation enrichment.
- Signaling and cytoskeleton pathways contained the most frequently mutated genes, suggesting initiator roles in carcinogenesis.
Conclusions:
- DNA repair pathways are significantly altered and frequently mutated in cancer.
- Signaling and cytoskeleton pathways may play initiating roles in cancer development, while metabolic and DNA repair pathways may have supporting roles.
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