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Gene & Protein in Disease                                           Pre-metastatic niche oral cancer: Insights



            in ways that promote tumor growth. Natural killer cells,   Acknowledgments
            for example, can be influenced by circadian rhythm, as the
            downregulation of circadian genes has been shown to affect   None.
            the secretion of key cytotoxic proteins such as granzymes   Funding
            and perforins.  In addition, sleep disturbances can elevate
                       35
            plasma levels of inflammatory cytokines, which are crucial   This study  was  financed in  part by  the Coordenação  de
            in immune cell communication. 34,36,37  Both innate and   Aperfeiçoamento de Pessoal de Nível Superior – Brasil
            adaptive immune cells, such as macrophages, dendritic   (CAPES) – Finance Code 001.
            cells, and B cells, exhibit circadian clock gene expression   Conflict of interest
            patterns, indicating that immune function may be closely
            tied to circadian rhythm.38 Leukocyte subsets also appear   The authors declare they have no competing interests.
            to adhere to a circadian pattern, demonstrating time-of-
            day-dependent migration to different organs. 38,39  Author contributions
              Axon guidance signaling is also associated with   Conceptualization: All authors
            circadian  rhythm,  although  this  relationship  has  yet  to   Formal analysis: All authors
            be thoroughly explored in cancer contexts. The axon‐  Investigation: All authors
            guidance roundabout gene has been shown to alter the pace   Methodology: All authors
            of the  Drosophila  circadian clock. 29,30  In  primary tumor   Writing – original draft: All authors
                                                               Writing – review & editing: All authors
            samples, genes such as SERPENE1, L1CAM, CXCR4, and
            SPP1 facilitate cell-matrix interactions that promote tumor   Ethics approval and consent to participate
            progression. These genes – SERPENE1, CXCR4, L1CAM,
            and SPP1 – are multifunctional cytokines that regulate cell   Not applicable.
            proliferation, survival, drug resistance, invasion, and stem-  Consent for publication
            like behavior. 23,40  Our findings indicate that these genes are
            downregulated in metastatic lymph node samples and are   Not applicable.
            associated with poor prognosis. On the other hand, CXCR4
            overexpression was associated with improved OSCC   Availability of data
            prognosis. The CXCL12/CXCR4 pathway was implicated in   The data supporting this meta-analysis were derived
            the metastatic niche, as CXCL12 can attract CXC4+ tumor   from GEO DataSets (https://www.ncbi.nlm.nih.gov/gds).
            cells. This signaling axis is also involved in the mobilization   The processed data are available upon request from the
            of hematopoietic stem cells and the establishment of a pre-  corresponding author.
            metastatic niche for cancer cells.36 Furthermore, CXCL12/
            CXCR4 signaling has been shown to contribute to tumor   Further disclosure
            cell proliferation and angiogenesis.               The version of this article is deposited in the repository of
                                                               the Federal University of Alagoas (https://ud10.arapiraca.
            5. Conclusion                                      ufal.br/repositorio/publicacoes/3541).

            In summary, our findings suggest that during lymph node
            invasion, axonal guidance genes, such as  SERPENE1,   References
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            Volume 3 Issue 4 (2024)                         20                              doi: 10.36922/gpd.2971
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