From Food Contaminant to Therapeutic Target: Identification of KCNE2 and 5-Azacytidine for Gastric Cancer via

Meimei Chen1,2, Shaohua Zheng3, Tingjian Wu1,2

  • 1College of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China.

Insights

This study identifies novel therapeutic targets and a repurposed drug for gastric cancer (GC) by investigating the food contaminant benzo[a]pyrene (BaP). We found 5-azacytidine effectively inhibits GC cells by modulating the DNMT3A-KCNE2 axis.

Area of Science:

  • Oncology
  • Toxicology
  • Bioinformatics

Background:

  • Benzo[a]pyrene (BaP), a prevalent food contaminant, is a known gastric carcinogen.
  • Gastric cancer (GC) remains a significant global health challenge, necessitating novel therapeutic strategies.

Purpose of the Study:

  • To identify potential therapeutic targets for gastric cancer (GC) using network toxicology.
  • To discover repurposed drugs for GC treatment by leveraging BaP as a molecular probe.
  • To elucidate the molecular mechanisms underlying BaP-induced gastric carcinogenesis.

Main Methods:

  • Integrated network toxicology, multi-omics data, and machine learning (Random Forest, LASSO, SVM-RFE).
  • Applied logistic regression, survival analysis, and single-cell transcriptomics for gene significance.
  • Utilized molecular docking, dynamics simulations, and cellular experiments for drug validation.

Main Results:

  • Identified three hub genes: KCNE2 (protective), SULF1, and TIMP1 (risk factors) with prognostic significance in GC.
  • Discovered BaP interaction with DNMT1 and DNMT3A, implicating epigenetic dysregulation.
  • 5-azacytidine, a DNMT inhibitor, selectively inhibited GC cells via the DNMT3A-KCNE2 axis.

Conclusions:

  • Novel therapeutic targets (KCNE2, SULF1, TIMP1) and a repurposed drug (5-azacytidine) for GC were identified.
  • The study provides a unique perspective on GC treatment strategies informed by food contaminant toxicology.
  • Findings highlight the potential of targeting epigenetic regulators in GC therapy.