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Literature record

Exploring hypoxia-related genes as prognostic indicators in lung adenocarcinoma.

PMID 42234659 | PMCID PMC13232857 | DOI 10.1371/journal.pone.0349820 · PloS one · 2026

BACKGROUND: Lung adenocarcinoma (LUAD) is a leading cause of cancer-related mortality, with hypoxia contributing to tumor progression and treatment resistance. Identifying hypoxia-related biomarkers could enhance prognosis and therapeutic strategies for LUAD. METHODS: This study aimed to identify hypoxia-related differentially expressed genes (HRDEGs) in lung adenocarcinoma (LUAD) through differential expression analysis. Functional analysis and protein-protein interaction (PPI) network construction were performed to explore the biological roles and interactions of these genes. Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression were used to identify key genes associated with survival. Multivariate Cox regression was then conducted to assess independent prognostic factors. RESULTS: This analysis revealed 283 upregulated HRDEGs and 322 downregulated HRDEGs in LUAD. Functional enrichment analysis indicated that the upregulated genes were primarily involved in cancer-related and cellular signaling pathways, while downregulated genes were associated with immunity-related pathways. We further identified 201 common upregulated hub genes (including MMP9, CDH1, HSP90AB1, SOX2, CDKN2A, SPP1, EZH2) and 224 common downregulated hub genes (such as IL6, TNF, IL1B, JUN, CCL2, TLR4, FOS, PTGS2). Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival. Finally, multivariate Cox regression analysis identified DSG2, EIF6, and EXO1 as independent prognostic factors for LUAD, highlighting their potential as biomarkers for prognosis and therapeutic targets in lung cancer. CONCLUSION: In conclusion, DSG2, EIF6, and EXO1 were identified as key hypoxia-related genes in lung adenocarcinoma. These genes were found to be independent prognostic factors, highlighting their potential as biomarkers for predicting patient survival and guiding future therapeutic approaches.

Validated evidence

TypeEntitySource evidenceConfidenceExtractor
geneMMP9“We further identified 201 common upregulated hub genes (including MMP9, CDH1, HSP90AB1, SOX2, CDKN2A, SPP1, EZH2) and 224 common downregulated hub genes (such as IL6, TNF, IL1B, JUN, CCL2, TLR4, FOS, PTGS2).”0.98hgnc_dict_v1
geneCDH1“We further identified 201 common upregulated hub genes (including MMP9, CDH1, HSP90AB1, SOX2, CDKN2A, SPP1, EZH2) and 224 common downregulated hub genes (such as IL6, TNF, IL1B, JUN, CCL2, TLR4, FOS, PTGS2).”0.98hgnc_dict_v1
geneHSP90AB1“We further identified 201 common upregulated hub genes (including MMP9, CDH1, HSP90AB1, SOX2, CDKN2A, SPP1, EZH2) and 224 common downregulated hub genes (such as IL6, TNF, IL1B, JUN, CCL2, TLR4, FOS, PTGS2).”0.98hgnc_dict_v1
geneSOX2“We further identified 201 common upregulated hub genes (including MMP9, CDH1, HSP90AB1, SOX2, CDKN2A, SPP1, EZH2) and 224 common downregulated hub genes (such as IL6, TNF, IL1B, JUN, CCL2, TLR4, FOS, PTGS2).”0.98hgnc_dict_v1
geneCDKN2A“We further identified 201 common upregulated hub genes (including MMP9, CDH1, HSP90AB1, SOX2, CDKN2A, SPP1, EZH2) and 224 common downregulated hub genes (such as IL6, TNF, IL1B, JUN, CCL2, TLR4, FOS, PTGS2).”0.98hgnc_dict_v1
geneSPP1“We further identified 201 common upregulated hub genes (including MMP9, CDH1, HSP90AB1, SOX2, CDKN2A, SPP1, EZH2) and 224 common downregulated hub genes (such as IL6, TNF, IL1B, JUN, CCL2, TLR4, FOS, PTGS2).”0.98hgnc_dict_v1
geneEZH2“We further identified 201 common upregulated hub genes (including MMP9, CDH1, HSP90AB1, SOX2, CDKN2A, SPP1, EZH2) and 224 common downregulated hub genes (such as IL6, TNF, IL1B, JUN, CCL2, TLR4, FOS, PTGS2).”0.98hgnc_dict_v1
geneIL6“We further identified 201 common upregulated hub genes (including MMP9, CDH1, HSP90AB1, SOX2, CDKN2A, SPP1, EZH2) and 224 common downregulated hub genes (such as IL6, TNF, IL1B, JUN, CCL2, TLR4, FOS, PTGS2).”0.98hgnc_dict_v1
geneTNF“We further identified 201 common upregulated hub genes (including MMP9, CDH1, HSP90AB1, SOX2, CDKN2A, SPP1, EZH2) and 224 common downregulated hub genes (such as IL6, TNF, IL1B, JUN, CCL2, TLR4, FOS, PTGS2).”0.98hgnc_dict_v1
geneIL1B“We further identified 201 common upregulated hub genes (including MMP9, CDH1, HSP90AB1, SOX2, CDKN2A, SPP1, EZH2) and 224 common downregulated hub genes (such as IL6, TNF, IL1B, JUN, CCL2, TLR4, FOS, PTGS2).”0.98hgnc_dict_v1
geneJUN“We further identified 201 common upregulated hub genes (including MMP9, CDH1, HSP90AB1, SOX2, CDKN2A, SPP1, EZH2) and 224 common downregulated hub genes (such as IL6, TNF, IL1B, JUN, CCL2, TLR4, FOS, PTGS2).”0.98hgnc_dict_v1
geneCCL2“We further identified 201 common upregulated hub genes (including MMP9, CDH1, HSP90AB1, SOX2, CDKN2A, SPP1, EZH2) and 224 common downregulated hub genes (such as IL6, TNF, IL1B, JUN, CCL2, TLR4, FOS, PTGS2).”0.98hgnc_dict_v1
geneTLR4“We further identified 201 common upregulated hub genes (including MMP9, CDH1, HSP90AB1, SOX2, CDKN2A, SPP1, EZH2) and 224 common downregulated hub genes (such as IL6, TNF, IL1B, JUN, CCL2, TLR4, FOS, PTGS2).”0.98hgnc_dict_v1
geneFOS“We further identified 201 common upregulated hub genes (including MMP9, CDH1, HSP90AB1, SOX2, CDKN2A, SPP1, EZH2) and 224 common downregulated hub genes (such as IL6, TNF, IL1B, JUN, CCL2, TLR4, FOS, PTGS2).”0.98hgnc_dict_v1
genePTGS2“We further identified 201 common upregulated hub genes (including MMP9, CDH1, HSP90AB1, SOX2, CDKN2A, SPP1, EZH2) and 224 common downregulated hub genes (such as IL6, TNF, IL1B, JUN, CCL2, TLR4, FOS, PTGS2).”0.98hgnc_dict_v1
geneADRB2“Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival.”0.98hgnc_dict_v1
geneALDH2“Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival.”0.98hgnc_dict_v1
geneCCNE1“Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival.”0.98hgnc_dict_v1
geneMAP3K8“Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival.”0.98hgnc_dict_v1
geneDSG2“Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival.”0.98hgnc_dict_v1
geneEIF6“Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival.”0.98hgnc_dict_v1
geneABCB1“Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival.”0.98hgnc_dict_v1
genePIK3R1“Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival.”0.98hgnc_dict_v1
geneRAD51“Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival.”0.98hgnc_dict_v1
geneSFTPD“Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival.”0.98hgnc_dict_v1
geneSOD3“Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival.”0.98hgnc_dict_v1
geneCLEC3B“Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival.”0.98hgnc_dict_v1
geneADAM12“Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival.”0.98hgnc_dict_v1
geneEXO1“Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival.”0.98hgnc_dict_v1
geneFBLN5“Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival.”0.98hgnc_dict_v1
geneIGF2BP3“Kaplan-Meier survival analysis, univariate Cox regression, and Lasso regression led to the identification of 17 key genes (ADRB2, ALDH2, CAT, CCNE1, MAP3K8, DSG2, EIF6, ABCB1, PIK3R1, RAD51, SFTPD, SOD3, CLEC3B, ADAM12, EXO1, FBLN5, and IGF2BP3) associated with patient survival.”0.98hgnc_dict_v1
phenotypelung cancer“Finally, multivariate Cox regression analysis identified DSG2, EIF6, and EXO1 as independent prognostic factors for LUAD, highlighting their potential as biomarkers for prognosis and therapeutic targets in lung cancer.”0.98phenotype_alias_lexicon_v2