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Gene Expression-Based Inference of Metabolic Signatures Reveals Distinct Molecular Profiles in Right- and Left-Sided
Ismail Ertuğrul1, Ayşe Büşranur Çelik2,3, Mervenur Al4
1Department of General Surgery, Kartal Dr. Lutfi Kırdar City Hospital, 34865 Istanbul, Turkey.
This study reveals distinct molecular profiles in right- and left-sided colon cancers, identifying key signaling pathways and metabolites. These differences in angiogenesis, apoptosis, and metabolism may guide future colon cancer therapeutic strategies.
Area of Science:
- Oncology
- Molecular Biology
- Metabolomics
Background:
- Colon cancer is a leading global cancer, anatomically classified into right- and left-sided tumors.
- Understanding molecular distinctions between these subtypes is crucial for targeted therapies.
Purpose of the Study:
- To investigate the molecular differences between right-sided and left-sided colon cancer patients.
- To identify distinct molecular profiles, including signaling pathways and gene-metabolite interactions.
Main Methods:
- Pilot study analyzing blood samples from 6 right-sided colon cancer patients, 6 left-sided colon cancer patients, and 6 healthy controls.
- RT-qPCR analysis of 92 cancer-related genes, followed by KEGG pathway analysis and gene-metabolite interaction assessment using bioinformatics tools.
Main Results:
- Right-sided colon cancer showed enrichment in p53, HIF-1, TNF, PI3K/Akt, MAPK, and Rap1 signaling pathways.
- Left-sided colon cancer implicated VEGF, HIF-1, MAPK, PI3K/Akt, Rap1, and Ras signaling pathways.
- Distinct gene-metabolite networks identified, with key metabolites like palmitic acid and glucose-6-phosphate linked to specific genes in each subtype.
Conclusions:
- Significant molecular differences exist between right- and left-sided colon cancers.
- These disparities involve pathways critical for angiogenesis, apoptosis, ferroptosis, and fatty acid metabolism.
- Findings may pave the way for novel, subtype-specific therapeutic interventions for colon cancer.
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