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Gene & Protein in Disease                                              Perineural invasion in prostate cancer



            1. Introduction                                    benefit cancer cells. 16,17  During this process, Schwann
                                                               cells are dedifferentiated and facilitate the proliferation
            Carcinogenesis is a complex process involving multiple   of cancer cells⁠. 10,18,19  These cells then migrate to the region
            genetic  and  epigenetic  events  that  alter  the  normal   close to the tumor tissue and drive the development of
            functions of oncogenes and tumor suppressor genes⁠,    the  neoplastic  cell⁠.   Accordingly,  the  present  study  was
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            resulting in an increased production of growth factors or   designed to evaluate the perineural invasion in prostate
            transcription factors, or an elevated expression of cell-  cancers, in association with disrupted circadian rhythm-
            surface receptors and intracellular signals⁠.  The loss of
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            tumor  suppressor  activity  leads  to  a  cellular  phenotype   related gene expression in Schwann cells.
            capable of increasing cell proliferation and loss of cell   2. Methods
            adhesion, enabling mutated cells to infiltrate local tissues
            and spread to distant sites. Metastasis is the cause of 90%   2.1. Gene list collection
            of  cancer-related  deaths  and  results  in  a  diverse  set  of   Gene lists were acquired from NCBI (www.ncbi.nlm.nih.
            clinical manifestations⁠.  Metastases occur when malignant   gov/gene/) and GeneCards (https://www.genecards.org/)
                              3
            neoplastic cells leave the primary site and travel via   by searching using Entrez IDs for perineural invasion-
            blood and lymph vessels to new sites in the body where   related genes. The gene lists and differentially expressed
            they disseminate new colonies. Cancer cells then employ   genes  (DEGs)  were  combined  and  identified  with  Venn
            various strategies to aid adaptation and subsequent   Diagram 2.1.0 (http://bioinfogp.cnb.csic.es/tools/venny/
            expansion and progression at new sites. Formation and   index.html). 15,20
            progression of cancer is a multisystemic process, involving
                                                          4
            the immune system, vascularization, and dissemination⁠.    2.2. RNA-seq and clinical information data from The
            Metastasis is characterized by tumor growth, invasion of   Cancer Genome Atlas (TCGA)
            the basement membrane into submucosal tissues, vascular   Genomic and clinical data of both normal and solid
            and lymphatic formation, perineural and systemic tissue   tumor tissues for two different types of cancer were
            invasion, and subsequent progression⁠. 5,6         downloaded from TCGA using TCGAbiolinks (an
              The extracellular matrix (ECM) plays a critical role   R/Bioconductor  software;  http://bioconductor.org/
            in tumor microenvironment. During tumor formation,   packages/release/bioc/html/TCGAbiolinks.html) and the
            neoplastic cells bind to molecules present in the ECM,   interphase TCGAbiolinksGUI. For this analysis, “prostate
            which facilitates communication with other cells, such as   adenocarcinoma (PRAD)” was set as the selected cancer
            neutrophils, fibroblasts, macrophages, lymphocytes, and   type. We retrieved level data for raw count mRNA and
            peripheral nervous system cells⁠.  The ECM is especially   miRNA expression (Illumina HiSeq 2000). Coexpression
                                      7-9
            important in tumor formation and invasion as cells respond   of upregulated and downregulated DEGs was identified
            and adapt to the local microenvironment. This involves   from the gene expression profiles using Venn Diagram
            both the unregulated proliferation of tumor cells and   2.1.0  (http://bioinfogp.cnb.csic.es/tools/venny/index.
            the modification of the immediate environment in favor   html). An adjusted p < 0.05 and a logFC ≥ 1 were set as the
            of cell survival, angiogenesis, and tumor growth. Factors   cutoff criteria. 21,22
            that can degrade the ECM also facilitate tumor formation
            and invasion.  For example, matrix metalloproteinases   2.3. Inclusion criteria for studies
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            (MMPs) have been associated with the  degradation of   The GEO database (https://www.ncbi.nlm.nih.gov/geo/)
            basement membranes and ECM, facilitating the invasion   was searched to identify publicly available gene expression
            and metastasis of tumor cells, as well as promoting cell   profiling studies associating Schwann cells and cancer.
            proliferation, metastasis, and angiogenesis. 8,11,12  In addition   After reviewing the studies, only one gene expression
            to the degradation of the matrix, another important aspect   profile  (GSE4030)  was  downloaded from  the  GEO
            in the formation and invasion of the tumor is a process   database. GEO2R was applied to compare gene expression
            called epithelial–mesenchymal transition, which allows   profiles in passage 1 and passage 3 human Schwann cells
            the tumors’ epithelial cells to produce factors generally   exposed to growth factors, (heregulin and forskolin). Since
            found in the ECM. 13                               both cell groups had been exposed to mitogens, their
              Studies have shown that circadian entrainment    differences in gene expression profiles were interpreted as
            disruption is associated with dedifferentiation of Schwann   changes caused by prolonged versus short-term exposure
            cells. 14,15  We suppose that clock genes are involved in the   to  mitogens.  GEO2R  (http://www.ncbi.nlm.nih.gov/geo/
            deregulation of tumor microenvironment and Schwann   geo2r/) is an interactive web tool for comparing two groups
            cells, impacting the production of several factors that   of GEO series data. The adjusted p values using Benjamini


            Volume 3 Issue 3 (2024)                         2                               doi: 10.36922/gpd.3146
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