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Data-Driven Discovery of a Key Regulator Cyclin A2 as a Promising Therapeutic Target in Hormone-Sensitive Cancers
Suvitha Anbarasu1, Anand Anbarasu2
1Medical and Biological Computing Laboratory, Department of Biotechnology, School of Biosciences and Technology (SBST), Vellore Institute of Technology (VIT), Vellore, 632014, Tamil Nadu, India.
Abstract:
Hormone-sensitive cancers (HSCs) are one of the predominant types of cancer leading to death globally. The current study has attempted to discover a potential therapeutic target that could be used against HSCs in women, namely, breast, ovarian, and endometrial cancer. The differentially expressed genes in each cancer type were compared with previously reported tamoxifen resistance-causing genes. The hub genes CCNA2, CDCA8, ISG15, and E2F1 were found in breast cancer, CCNA2, CDCA8, CXCR4, and LYN were found in ovarian cancer, and CCNA2 and POLE2 were found in endometrial cancer. The clusters with the hub genes were screened for functional importance and were found to be significant in cell cycle regulation pathways. The expression significance, correlation, mutational profile, survival potency, treatment response status, and clinical profile revealed that CCNA2 was significantly associated with all three cancers. This study revealed that CCNA2 was positively correlated with other resistance-causing genes such as CENPE, MK167, CDCA8, NEK2, PRC1, ZWINT, CDKN3, MYBL2, and E2F1, in various cancers, validating its potential to cause resistance. Compared with other hub genes, CCNA2 had a Lower mutation percentage and critical hazard ratios of 2.16, 1.75, and 1.68 in breast, ovarian, and endometrial cancers, respectively, indicating its pivotal role in survival. The median CCNA2 expression level was 21.301 in stage IV BC patients, 38.481 in stage II ovarian cancer patients, and 23.206 in stage IV endometrial cancer patients. Thus, CCNA2 could be a potential therapeutic target for treating HSCs with endocrine therapy resistance.
Insights
This study identifies CCNA2 as a key gene driving resistance in hormone-sensitive cancers (HSCs) like breast, ovarian, and endometrial cancers. CCNA2 shows potential as a therapeutic target to overcome endocrine therapy resistance.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Hormone-sensitive cancers (HSCs) are a leading cause of cancer-related death globally.
- Therapeutic resistance, particularly to endocrine therapy, remains a significant clinical challenge in managing HSCs.
Purpose of the Study:
- To identify novel therapeutic targets for hormone-sensitive cancers (HSCs) in women, specifically breast, ovarian, and endometrial cancers.
- To investigate the role of differentially expressed genes in tamoxifen resistance within these HSCs.
Main Methods:
- Comparative analysis of differentially expressed genes in breast, ovarian, and endometrial cancers against known tamoxifen resistance genes.
- Identification and functional screening of hub genes.
- Evaluation of CCNA2's expression significance, mutational profile, survival impact, and clinical relevance across the studied HSCs.
Main Results:
- CCNA2 was identified as a significant hub gene across breast, ovarian, and endometrial cancers, strongly associated with cell cycle regulation.
- CCNA2 positively correlated with multiple resistance-causing genes, validating its role in therapeutic resistance.
- CCNA2 demonstrated critical hazard ratios and significant expression levels in advanced stages of these cancers, indicating its pivotal role in patient survival.
Conclusions:
- CCNA2 is a potential therapeutic target for overcoming endocrine therapy resistance in hormone-sensitive cancers.
- Targeting CCNA2 may offer a novel strategy to improve treatment outcomes for patients with breast, ovarian, and endometrial cancers.
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