Molecular mechanisms, immune cell infiltration, and potential drugs for prostate cancer

Yunkun Yan1,2,3,4, Xingning Mao3,5,6, Qingyun Zhang1,2,3

  • 1Institute of Urology and Nephrology, the First Affiliated Hospital of Guangxi Medical University, Guangxi Medical University, Guangxi, China.

Abstract

Insights

This study identifies key genes (AMACR, FOLH1, NPY) and pathways involved in prostate cancer progression and immune infiltration. It also highlights potential therapeutic targets like SCD and FASN for castration-resistant prostate cancer (CRPC).

Area of Science:

  • Oncology
  • Genomics
  • Immunology

Background:

  • Prostate cancer molecular mechanisms and immune cell infiltration remain poorly understood.
  • Castration-resistant prostate cancer (CRPC) develops from standard androgen deprivation therapy, lacking effective treatments.
  • Key genes driving CRPC progression are yet to be identified.

Purpose of the Study:

  • To comprehensively investigate prostate cancer molecular mechanisms.
  • To identify key genes and pathways in prostate cancer development and progression to CRPC.
  • To explore potential therapeutic targets and drugs for prostate cancer.

Main Methods:

  • Screened differentially expressed genes (DEGs) in prostate cancer using The Cancer Genome Atlas (TCGA) database.
  • Performed Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses.
  • Utilized Connectivity Map (Cmap) software for drug discovery and protein-protein interaction (PPI) analysis for hub genes.
  • Analyzed RNAseq data from hormone-sensitive and CRPC samples to identify DEGs and hub genes.

Main Results:

  • Identified 319 DEGs in prostate cancer; KEGG analysis linked to drug metabolism and chemical carcinogenesis.
  • Upregulated hub genes AMACR, FOLH1, and NPY showed correlations with CD8+ and CD4+ T cell infiltration.
  • Identified 426 DEGs in CRPC progression; KEGG analysis linked to metabolic pathways (e.g., arachidonic acid, PPAR, AMPK).
  • Top 10 hub genes in CRPC include PPARG, SREBF1, SCD, FASN; SCD and FASN are potential therapeutic targets.

Conclusions:

  • AMACR, FOLH1, and NPY are potential diagnostic markers and therapeutic targets for prostate cancer, linked to immune infiltration.
  • Aminoglutethimide and resveratrol show promise as treatments for prostate cancer.
  • Prostate cancer progression to CRPC involves metabolic pathways, with SCD and FASN as potential therapeutic targets.

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