Systematic Analysis of the Therapy Resistance Genes and their Prognostic Relevance in Cervical Cancer
Sangavi Eswaran1, Mythili Padavu1, Dileep Kumar2,3
1Department of Cell and Molecular Biology, Manipal School of Life Sciences, Manipal Academy of Higher Education, Manipal, 576104, Karnataka, India.
Introduction:
Critical issues in the therapeutic management of cervical cancer (CC) include therapy resistance and treatment failure. The development of therapy resistance is a multifaceted, progressive process, including genetic and epigenetic abnormalities. The present study aimed to identify genes that may contribute to therapy resistance in CC.
Materials And Methods:
We have created an extensive list of the genes in cancer that are therapy-resistant using a text-mining approach. The list was compared with the TCGA-CESC dataset to identify the differentially expressed therapy resistance genes (DETRGs) in CC. We used online resources (UALCAN, DNMIVD, cBio- Portal, HCMDB, OncoDB, ShinyGO, HPA, KM Plotter, TIMER, and DGIdb) to determine the potential association between methylation and expression of therapy resistance genes with the prognosis and clinical outcomes in CC.
Results:
The systematic analysis identified 71 out of 91 DETRGs showed aberrant DNA methylation. The overlapping analysis identified 25 genes to show an inverse correlation between methylation and expression. Further, differential expression or methylation could be helpful in CC staging, HPV association, prediction of metastasis and prognosis. The study identified seven driver genes in CC. The PPIN identifies ten hub genes (HGs) associated with CC staging, cancer hallmarks, and prognosis to affect long-term survival.
Conclusion:
Our thorough investigation uncovered several novel genes and pathways that might contribute to therapy resistance in CC. The genes identified in our study may serve as a biomarker, prognostic indicator, and therapeutic target in CC.
Insights
This study identified novel genes and pathways contributing to cervical cancer (CC) therapy resistance. These findings offer potential biomarkers and therapeutic targets for improving CC treatment outcomes.
Area of Science:
- Genomics
- Oncology
- Molecular Biology
Background:
- Therapy resistance and treatment failure are critical challenges in cervical cancer (CC) management.
- Therapy resistance develops through complex genetic and epigenetic alterations.
Purpose of the Study:
- To identify genes implicated in therapy resistance in cervical cancer (CC).
- To explore the role of gene methylation and expression in CC prognosis and clinical outcomes.
Main Methods:
- Text-mining approach to compile a list of therapy-resistant cancer genes.
- Analysis of TCGA-CESC dataset to identify differentially expressed therapy resistance genes (DETRGs).
- Utilized multiple online databases to assess gene methylation, expression, and clinical associations.
Main Results:
- Identified 71 DETRGs with aberrant DNA methylation, with 25 showing an inverse methylation-expression correlation.
- Differential expression or methylation patterns correlate with CC staging, HPV status, metastasis, and prognosis.
- Discovered seven driver genes and ten hub genes associated with CC hallmarks and survival.
Conclusions:
- Uncovered novel genes and pathways potentially driving CC therapy resistance.
- Identified candidate genes that may function as biomarkers, prognostic indicators, and therapeutic targets for CC.
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