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Gene & Protein in Disease                                                 A pan-cancer analysis of HMGB1



            genes. The  P-values and correlation coefficient (R) were   However, compared  with the control  group,  HMGB1
            calculated and displayed in figures. In addition, TIMER2   expression in kidney chromophobe (KICH), lung
            was  applied  to obtain  heatmap  data  of  selected genes,   adenocarcinoma (LUAD) (P  < 0.001), and prostate
            including  P-values and partial correlation (cor) in the   adenocarcinoma (PRAD) (P  < 0.05) were relatively low
            purity-adjusted Spearman’s rank correlation test.  (Figure 1A).

              Jvenn  was used for cross-analysis to compare the   We used the GTEx dataset to obtain normal tissue data
                   [16]
            HMGB1-binding  and  interacted  genes.  We  integrated   as a control, and further evaluated the HMGB1 expression
            these two sets of data for Kyoto Encyclopedia of Genes   differences  between  the  tumor  and  normal  tissues.  The
            and  Genomes  (KEGG)  pathway  analysis.  The  “tidyr”   results showed that HMGB1 was highly expressed in CHOL,
            and “ggplot2” R packages were applied to show the   COAD, lymphoid neoplasm diffuse large B-cell lymphoma
            enrichment pathway. Besides, the “clusterProfiler” R   (DLBC), GBM, brain lower grade glioma (LGG), READ,
            packages were applied to conduct Gene Ontology (GO)   pancreatic adenocarcinoma (PAAD), STAD, and thymoma
            enrichment analysis. The R language software (R-4.1.0,   (THYM) (Figure 1B, P < 0.05).
            64-bit; https://www.r-project.org/) was applied to this   In addition to transcription, CPTAC was used to
            analysis. Two-tailed P < 0.05 was considered statistically   evaluate HMGB1 at the protein level. As displayed in
            significant . A simple list of methods and corresponding   Figure 1C, we found that the total protein expression of
                    [17]
            tools is shown in Table 1.
                                                               HMGB1 in COAD, GBM, LIHC, ovarian cancer (OV)
            3. Results                                         was significantly higher than that in normal tissues
                                                               (all P < 0.001). However, the HMGB1 protein expression
            3.1. Gene expression analysis                      in the breast cancer (BRCA) (P  < 0.01), uterine corpus
            TIMER2 was used to study  HMGB1 expression among   endometrial carcinoma (UCEC), LUAD, and PAAD
            different TCGA tumor types. The results demonstrated   (P < 0.001) was decreased.
            that  HMGB1 expression was significantly higher in   By using GEPIA2 tool, we probed the relationship
            cholangiocarcinoma (CHOL), colon adenocarcinoma    between HMGB1 expression and tumor pathological stage,
            (COAD), esophageal carcinoma (ESCA), head and      including  adrenocortical  carcinoma  (ACC),  LIHC,  skin
            neck squamous cell carcinoma (HNSC), lung squamous   cutaneous melanoma (SKCM), and THCA (Figure 1D, all
            cell carcinoma (LUSC), stomach adenocarcinoma      P < 0.05).
            (STAD), liver hepatocellular carcinoma (LIHC), rectum
            adenocarcinoma (READ) (P < 0.001), bladder urothelial   3.2. Survival analysis
            carcinoma (BLCA), and glioblastoma multiforme (GBM)   On the basis of the expression level of  HMGB1, cancer
            (P  <  0.01)  than  in  the  control  group.  Obviously,  there   cases were divided into low expression group and high
            were also some tumor types showing undifferentiated   expression group. Then, we used TCGA and GEO datasets
            expression (e.g., kidney renal clear cell carcinoma [KIRC],   to explore the correlation between  HMGB1 expression
            cervical squamous cell carcinoma and endocervical   and prognosis of patients with different tumor types. As
            adenocarcinoma  [CESC], thyroid carcinoma [THCA],   displayed in Figure 2A, the high expression of HMGB1 was
            and pheochromocytoma and paraganglioma [PCPG]).    related to poor OS in ACC (P < 0.01) and LUAD (P < 0.05)
                                                               cancers. On the contrary, the low expression of HMGB1
            Table 1. Methods and corresponding tools           was related to poor OS in KIRC (P < 0.05) and THYM
            Methods              Tools                         (P < 0.05). DFS analysis displayed that the high expression
            Gene expression analysis  TIMER2, GEPIA2, UALCAN, TCGA,   of HMGB1 was associated with the poor prognosis in ACC
                                 GTEx, CPTAC                   (P < 0.001), CESC (P < 0.01), HNSC (P < 0.05), LUAD
            Survival analysis    GEPIA2, TCGA, GEO             (P < 0.05), and SARC (P < 0.05) (Figure 2B).
            Genetic variation analysis  cBioPortal, TCGA       3.3. Genetic variation analysis
            Immune infiltration analysis  TIMER2, TCGA         Cancer in humans occurs as a result of an accumulation
            Gene enrichment analysis  STRING, TCGA, GEPIA2, TIMER2,   of genetic changes. We researched the  HMGB1 genetic
                                 Jvenn, R language             variations among different tumor samples in the TCGA
            TCGA: The Cancer Genome Atlas; TIMER2: Tumor immune   list. From our analysis, we found that the frequency
            estimation resource, version 2; GTEx: Genotype-tissue expression;   of  HMGB1 variation (>4%) was the highest in DLBC
            CPTAC: Clinical Proteomic Tumor Analysis Consortium;
            GEPIA2: Gene Expression Profiling Interactive Analysis, version 2;   tumors, mainly including “mutation” and “deep deletion”
            GEO: Gene Expression Omnibus; Jvenn: An interactive Venn diagram viewer.  types. Colorectal cases have the highest frequency in the


            Volume 2 Issue 1 (2023)                         3                         https://doi.org/10.36922/gpd.301
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