The Expression of Defensin-Associated Genes May Be Correlated With Lymph Node Metastasis of Early-Stage Tongue Cancer

Objectives. We aimed to assess the genetic differences between cases of early-stage tongue cancer that were positive or negative for lymph node metastasis. Methods. In total, 35 cases of tongue cancer with RNA sequencing data were enrolled in this study. The gene expression profile of the following...

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Main Authors: Doh Young Lee, J. Hun Hah, Woo-Jin Jeong, Eun-Jae Chung, Tack-Kyun Kwon, Soon-Hyun Ahn, Myung-Whun Sung, Seong Keun Kwon
Format: Article
Language:English
Published: Korean Society of Otorhinolaryngology-Head and Neck Surgery 2022-11-01
Series:Clinical and Experimental Otorhinolaryngology
Subjects:
Online Access:http://e-ceo.org/upload/pdf/ceo-2022-00150.pdf
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author Doh Young Lee
J. Hun Hah
Woo-Jin Jeong
Eun-Jae Chung
Tack-Kyun Kwon
Soon-Hyun Ahn
Myung-Whun Sung
Seong Keun Kwon
author_facet Doh Young Lee
J. Hun Hah
Woo-Jin Jeong
Eun-Jae Chung
Tack-Kyun Kwon
Soon-Hyun Ahn
Myung-Whun Sung
Seong Keun Kwon
author_sort Doh Young Lee
collection DOAJ
description Objectives. We aimed to assess the genetic differences between cases of early-stage tongue cancer that were positive or negative for lymph node metastasis. Methods. In total, 35 cases of tongue cancer with RNA sequencing data were enrolled in this study. The gene expression profile of the following two groups was compared: N0 group (T stage 1 or 2 with N0 stage) and N+ group (T stage 1 or 2 with N+ stage). Using the R and limma packages in the Bioconductor program, we extracted the differentially expressed genes (DEGs). Gene ontology and pathway enrichment analysis were performed using the Database for Annotation, Visualization and Integration Discovery (DAVID) online tool. Immune cell infiltration was analyzed using the CIBERSORT online program. Immunochemical staining of the cancer tissue was evaluated and The Cancer Genome Atlas (TCGA) data were analyzed to validate the identified DEGs. Results. No significant differences were found in the infiltration of 22 types of immune cells. Among a total of 51 identified DEGs, 14 genes were significantly upregulated, while 37 genes were significantly downregulated (P<0.01; fold change >2). Pathway analysis revealed significant associations with the arachidonic acid metabolism-related pathway, calcium signaling, and the muscle contraction pathway. The following DEGs were the most significantly different between the two groups: DEFB4A, SPRR2B, DEFB103B, SPRR2G, DEFB4B, and FAM25A. TCGA data showed that DEFB4A and DEFB103B were more highly expressed in the N0 group than in the N+ group, although the difference did not achieve statistical significance. Immunochemical staining of cancer tissue revealed significantly higher expression of defensin in the N0 group. Conclusions. Defensin (DEFB4A, DEFB103B, DEFB4B) may be a novel biomarker for early regional metastasis in T1/2 tongue cancer.
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spelling doaj.art-6994b2cc6cd4451a8793b77b11f231332022-12-22T03:47:42ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202022-11-0115437237910.21053/ceo.2022.00150835The Expression of Defensin-Associated Genes May Be Correlated With Lymph Node Metastasis of Early-Stage Tongue CancerDoh Young Lee0J. Hun Hah1Woo-Jin Jeong2Eun-Jae Chung3Tack-Kyun Kwon4Soon-Hyun Ahn5Myung-Whun Sung6Seong Keun Kwon7 Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Boramae Medical Center, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, THANQ Seoul Thyroid-Head and Neck Surgery Center, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seongnam, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Boramae Medical Center, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, KoreaObjectives. We aimed to assess the genetic differences between cases of early-stage tongue cancer that were positive or negative for lymph node metastasis. Methods. In total, 35 cases of tongue cancer with RNA sequencing data were enrolled in this study. The gene expression profile of the following two groups was compared: N0 group (T stage 1 or 2 with N0 stage) and N+ group (T stage 1 or 2 with N+ stage). Using the R and limma packages in the Bioconductor program, we extracted the differentially expressed genes (DEGs). Gene ontology and pathway enrichment analysis were performed using the Database for Annotation, Visualization and Integration Discovery (DAVID) online tool. Immune cell infiltration was analyzed using the CIBERSORT online program. Immunochemical staining of the cancer tissue was evaluated and The Cancer Genome Atlas (TCGA) data were analyzed to validate the identified DEGs. Results. No significant differences were found in the infiltration of 22 types of immune cells. Among a total of 51 identified DEGs, 14 genes were significantly upregulated, while 37 genes were significantly downregulated (P<0.01; fold change >2). Pathway analysis revealed significant associations with the arachidonic acid metabolism-related pathway, calcium signaling, and the muscle contraction pathway. The following DEGs were the most significantly different between the two groups: DEFB4A, SPRR2B, DEFB103B, SPRR2G, DEFB4B, and FAM25A. TCGA data showed that DEFB4A and DEFB103B were more highly expressed in the N0 group than in the N+ group, although the difference did not achieve statistical significance. Immunochemical staining of cancer tissue revealed significantly higher expression of defensin in the N0 group. Conclusions. Defensin (DEFB4A, DEFB103B, DEFB4B) may be a novel biomarker for early regional metastasis in T1/2 tongue cancer.http://e-ceo.org/upload/pdf/ceo-2022-00150.pdftongue cancerssquamous cell carcinomametastasisdefensins
spellingShingle Doh Young Lee
J. Hun Hah
Woo-Jin Jeong
Eun-Jae Chung
Tack-Kyun Kwon
Soon-Hyun Ahn
Myung-Whun Sung
Seong Keun Kwon
The Expression of Defensin-Associated Genes May Be Correlated With Lymph Node Metastasis of Early-Stage Tongue Cancer
Clinical and Experimental Otorhinolaryngology
tongue cancers
squamous cell carcinoma
metastasis
defensins
title The Expression of Defensin-Associated Genes May Be Correlated With Lymph Node Metastasis of Early-Stage Tongue Cancer
title_full The Expression of Defensin-Associated Genes May Be Correlated With Lymph Node Metastasis of Early-Stage Tongue Cancer
title_fullStr The Expression of Defensin-Associated Genes May Be Correlated With Lymph Node Metastasis of Early-Stage Tongue Cancer
title_full_unstemmed The Expression of Defensin-Associated Genes May Be Correlated With Lymph Node Metastasis of Early-Stage Tongue Cancer
title_short The Expression of Defensin-Associated Genes May Be Correlated With Lymph Node Metastasis of Early-Stage Tongue Cancer
title_sort expression of defensin associated genes may be correlated with lymph node metastasis of early stage tongue cancer
topic tongue cancers
squamous cell carcinoma
metastasis
defensins
url http://e-ceo.org/upload/pdf/ceo-2022-00150.pdf
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