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Tumor Discovery                                            Pyroptosis-related genes in breast cancer progression



            women over the previous 5 years, making it the world’s most   pro-Interleukin-18 are segmented by activated caspase-1,
            common malignancy. Although BC can affect women of   releasing  these  cytokines  outside  the  cell  to  further
            any age after puberty, its incidence is higher in older age.    mediate pyroptosis. The non-classic caspase-4/5/11
                                                          3
            Unfortunately, the incidence of BC has been increasing   directly binds with lipopolysaccharide; then, through
            annually in many countries and regions.  In response to this,   dimerization-induced autoproteolysis, these caspases are
                                           4
            the World Health Organization’s Global BC Initiative aims   activated, which, in turn, leads to pyroptosis. In addition
            to reduce global BC mortality by 2.5% annually between   to the above-mentioned pyroptosis pathways, there are
            2020 and 2040, with the goal of preventing 2,500,000 BC   caspase-3/8-mediated pathways and serine protease-
            deaths worldwide. If successful, this effort could prevent   mediated pathways  (Figure 1). At present, pyroptosis has
                                                                              9
            25% of BC deaths by 2030 and 40% by 2040 among women   been widely studied as a new means of treating cancer,
            under 70. Achieving these objectives will require three key   which suggests a new foundation for the prevention and
            components: rapid diagnosis, thorough BC care, and health   treatment of this disease.
            promotion for early detection. However, there is an urgent
            need for new tools for early diagnosis and prognosis to   However, although pyroptosis is involved in the
                                                                                                      10
            achieve these goals. 3                             physiological and pathological processes of BC,  its role
                                                               in BC has not been extensively studied. In this study, we
              Studies on pyroptosis  have revealed its significant   aimed to investigate the roles of pyroptosis in patients
                                 5
            role in tumor mechanisms. This understanding helps   with BC, which may provide a new tool for early diagnosis
            provide new ideas for a wide range of malignant cancers,   and prognosis in BC. A  method of BC prognosis was
            including  stomach,  lung,  and  BCs.  Pyroptosis, also   established based on the degree of pyroptosis. First,
            referred to as inflammatory pyroptosis, is considered   the BC clinical data and the RNA sequencing were
            to be a new kind of programmed cell death related   acquired  from  The  Cancer  Genome  Atlas  (TCGA)
            to gasdermin pores in the plasma membrane.  The
                                                     6,7
            main characteristics of pyroptosis include unique DNA   database. Thirty-nine differential genes were obtained
            damage, preservation of nuclear integrity, and the rapid   by analyzing the differences in cell-death-related genes.
            formation of membrane pores with diameters of 10 –   After identifying these different genes by means of
            15 nm. These pores lead to the gradual loss of cell ions,   protein-protein interaction (PPI) and correlation network
            causing cell edema, membrane rupture, and the release   analyses, a pyroptosis-related gene prognostic model was
            of  cellular  contents  and  pro-inflammatory  mediators.   developed and validated. Finally, Gene ontology (GO),
            The process is faster and more intense than apoptosis.    Kyoto Encyclopedia of Genes and Genomes (KEGG),
                                                          8
            The main executor of pyroptosis is the gasdermin family,   and ssGESA were utilized for functional and immunity
            including pejvakin (PJVK or DFNB59) and gasdermin-A   analysis (Figure 2).
            to gasdermin-E. Inflammasomes, which are composed
            of oligomerized pattern recognition receptors (PRRs),   2. Methods
            procaspase-1, and the  adaptor  apoptosis-associated   2.1. Data acquisition
            speck-like protein  (ASC), play  a crucial role in this   In this study, the RNA sequencing and clinical documents of
            process. In addition, ASC contains an N-terminal pyrin
            domain and C-terminal caspase recruitment domain   BC were obtained from the TCGA website on August 19, 2021.
            (CARD) to recruit NOD-like proteins (NLRs), or, if it   There were 112 cases in the normal group and 1106 cases in
            lacks the absent in melanoma 2-like receptor family   the tumor group (https://portal.gdc.cancer.gov/).
            and pro-caspase-1 for assembling the inflammasome, it   2.2. Identification of differentially expressed
            activates caspase-1. According to the detection of damage   pyroptosis-related genes
            signals by the cytoplasmic protein sensor, the mechanism
            of pyroptosis can be classified into two main pathways,   Fifty-two pyroptosis-related genes were extracted to
            the classic caspase-1-dependent pathway and the non-  determine the differential genes between the normal group
            classic non-caspase-1-dependent pathway. In the classic   and the tumor group. The “limma” package within the R
            caspase-1-dependent  pathway,  inflammasomes  cleave   package was used to distinguish the differential genes with
            the executive protein GSDMD by activating caspase-1,   P < 0.05, which was marked as *P < 0.05, **P < 0.01, and
            and the resulting GSDMD-N punches holes in the cell   ***P < 0.001, respectively (Figure 3A). Utilizing the search
            membrane to form non-selective membrane channels,   tool  for the  retrieval of  interacting  genes,  the protein
            disrupting the ion balance across the cell membrane.   interaction network was obtained (Figure 3B). In addition,
            This disruption leads to cell swelling and lysis, and   a correlation network was obtained using the “igraph” and
            eventually, cell death. Moreover, pro-interleukin-1β and   “reshape2” packets (Figure 3C).


            Volume 3 Issue 3 (2024)                         2                                 doi: 10.36922/td.3469
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