Abstract

Aim: Currently, the obesity epidemic is one of the biggest problems for human health. Obesity is impacted on survival in patients with breast cancer. However, key biomarkers of obesity-related breast cancer risk are still not well known. Thus, using machine learning to identify the most appropriate features in obesity-associated breast cancer patients may improve the predictive accuracy and interpretability of regression models. Methods: In the present study, we identified 23 differentially expressed genes (DEGs) from the GSE24185 transcriptome dataset. Seed genes were identified from DEGs, the co-expression network genes and hub genes of the protein-protein interaction network. Pathway enrichment analysis was performed for DEGs. The Ridge penalty regression model was executed by using P-values of enriched pathways and seed gene pathway association score to obtain the most relevant molecular signatures. The model was performed using 10-fold cross-validation to fit the penalized models. Results: Angiotensin II receptor type 1 (AGTR1), cyclin D1 (CCND1), glutamate ionotropic receptor AMPA type subunit 2 (GRIA2), interleukin-6 cytokine family signal transducer (IL6ST), matrix metallopeptidase 9 (MMP9), and protein kinase CAMP-dependent type II regulatory subunit beta (PRKAR2B) were considered as candidate molecular signatures of obese patients with breast cancer. In addition, RAF-independent MAPK1/3 activation, collagen degradation, bladder cancer, drug metabolism-cytochrome P450, and signaling by Hedgehog pathways in cancer were primarily associated with obesity-associated breast cancer. Conclusion: These genes may be used for risk analysis of the disease progression of obese patients with breast cancer. Corresponding genes and pathways should be validated via experimental studies.

Highlights

  • Breast cancer is the second largest cause of mortality from cancer among women; detection at an early stage and treatment could significantly improve outcomes[1]

  • RAF-independent MAPK1/3 activation, collagen degradation, bladder cancer, drug metabolism-cytochrome P450, and signaling by Hedgehog pathways in cancer were primarily associated with obesity-associated breast cancer

  • Co-expressed genes were identified as Aminobutyrate aminotransferase (ABAT), alcohol dehydrogenase 1B (Class I), ADH1B, Angiotensin II receptor type 1 (AGTR1), CCND1, flavin containing dimethylaniline monoxygenase 2 (FMO2), glutamate ionotropic receptor AMPA type subunit 2 (GRIA2), glycogenin 2 (GYG2), interleukin-6 cytokine family signal transducer (IL6ST), matrix metallopeptidase 12 (MMP12), matrix metallopeptidase 9 (MMP9), PRKAR2B, S100 calcium binding protein A2 (S100A2), SCUBE2, tissue factor pathway inhibitor (TFPI), and transforming growth factor beta receptor 3 (TGFBR3)

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Summary

Introduction

Breast cancer is the second largest cause of mortality from cancer among women; detection at an early stage and treatment could significantly improve outcomes[1]. The World Health Organization (WHO) stated that last year breast cancer was diagnosed in 2.3 million women worldwide and resulted in 685,000 deaths[2]. Several studies have demonstrated the association between obesity status and breast cancer, highlighting the potential of an increase in personal health behaviors to reduce the burden of disease[4]. In the WHO report, overweight and obesity are determined as a surplus fat aggregation that may harm to health. Body mass index (BMI) is a basic heightweight index mostly used to categorize overweight and obesity in adults (BMI > 30 kg/m2). According to the most recent WHO case report, currently, more than 1.9 billion adults and 650 million people worldwide can be categorized as overweight or obese, respectively, and these rates are predicted to increase more rapidly in the coming decades[2]

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