Expression and Gene Regulation Network of SOX9 in Skin Metastasis of Gastric Carcinoma Derived From One Special Patient
Abstract BackgroundAn exceptional case of a patient with advanced gastric cancer is presented in this study, treated with multiple chemotherapy, radiotherapy and immune regimens, who exhibited regression of one metastatic lesion with concomitant progression of the other lesion during a treatment of PD-1 antibody period. MethodsUsing whole-exome sequencing, TBM, MSI/MSS, PD-1 positive or negative respond measurement, gene function, tumor expression, clinical stage, survival curve, pathopoiesia gene prediction, neoantigen score and immunogenomic approaches. ResultsWe found that SOX9 might mainly participate into the response process of PD-1 antibody in the right skin metastasis. Then, we used sequencing data from the Cancer Genome Atlas database and Gene Expression Omnibus, analyzing SOX9 expression and gene regulation networks in gastric carcinoma (GC). Expression and CNVs were analyzed using Oncomine and Gene Expression Profiling Interactive Analysis tools, at the same time, SOX9 alterations and related pathway were identified using cBioPortal. LinkedOmics and GeneMANIA were used to identify differential mRNA expression with SOX9 and to analyze Gene Ontology and Kyoto Encyclopedia of Genes and Genomes pathways. Gene enrichment analysis examined target networks of kinases, miRNAs, transcription factors and PPIs. The results show that SOX9 is overexpressed and the alteration type of SXO9 is mutation in GC. Expression of this gene coding protein is associated with biological interaction networks involving the cell dedifferentiation and WNT signaling process. Functional network analysis indicates that SOX9 mRNA level regulates the RNA process, DNA replication and cell cycle via pathways involving several cancer-related kinases, miRNAs and transcription factors, like casein kinase 2 alpha 1, cyclin dependent kinase 2, Mir296 and Mir214. ConclusionsOur results finally demonstrate that bioinformation analysis efficiently reveals online information of SOX9 expression and potential regulatory networks in GC, laying a foresight for further study of the role of SOX9 and a new PD-1 treatment predictor in gastric carcinogenesis.