Phthalates unleashed: decoding ovarian carcinogenesis through multi-omics networks, single-cell insights, and

Junchan Yang1, Min Luo1, Hongjun Wang1

  • 1Department of Gynecology, The Eighth Affiliated Hospital, Southern Medical University (The First People's Hospital of Shunde, Foshan), Foshan, 528308, Guangdong, China.

PubMed
Abstract

Insights

Phthalate exposure may drive ovarian cancer by altering cell metabolism and interacting with key regulators like SIRT1 and PPARα. This research identifies potential biomarkers and pathways for targeted interventions against environmental carcinogens.

Area of Science:

  • Environmental toxicology
  • Molecular oncology
  • Computational biology

Background:

  • Epidemiological studies suggest a link between phthalate exposure and ovarian cancer.
  • The precise molecular mechanisms driving this association remain unclear, impeding biomarker discovery and prevention.
  • This study aims to elucidate phthalate-driven oncogenic pathways using integrated computational approaches.

Purpose of the Study:

  • To systematically identify molecular targets and pathways involved in phthalate-induced ovarian carcinogenesis.
  • To bridge the mechanistic gap between environmental exposure and cancer development.
  • To inform the development of targeted interventions and identify potential exposure biomarkers.

Main Methods:

  • Network toxicology
  • Multi-omics analyses (including gene expression and single-cell data)
  • Molecular docking simulations

Main Results:

  • Identified 234 potential phthalate targets, enriched in HIF-1 signaling and cancer-promoting metabolic pathways.
  • Seven core genes were identified, with six (GAPDH, CASP3, PPARG, ESR1, CYCS, SIRT1, CCND1) differentially expressed in ovarian cancer (TCGA cohort).
  • Molecular docking confirmed specific binding interactions between phthalates and six core proteins, suggesting direct molecular interference.

Conclusions:

  • Phthalates may promote ovarian cancer via metabolic reprogramming (HIF-1α/glycolysis), binding to SIRT1/PPARα, and remodeling the tumor microenvironment.
  • Findings establish a framework for prioritizing environmental carcinogens and identifying exposure biomarkers.
  • Highlights the importance of the SIRT1-HIF1-PPARα axis in phthalate-related ovarian cancer pathogenesis and suggests reevaluation of phthalate safety.

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