PMID- 36267705 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221022 IS - 2305-5839 (Print) IS - 2305-5847 (Electronic) IS - 2305-5839 (Linking) VI - 10 IP - 18 DP - 2022 Sep TI - Identification of key genes and pathway related to chemoresistance of small cell lung cancer through an integrative bioinformatics analysis. PG - 968 LID - 10.21037/atm-22-3642 [doi] LID - 968 AB - BACKGROUND: Small cell lung cancer (SCLC), the most malignant of all the lung cancer subtypes, is characterized by drug resistance. This study sought to explore the key genes and pathways associated with the chemoresistance of SCLC. METHODS: The drug sensitivity of chemosensitive and chemoresistance SCLC cell lines was measured by Cell Counting Kit-8 assays. The total RNA from chemosensitive cell line H69 and chemoresistance cell line H69AR cells was extracted and subjected to messenger RNA (mRNA) and long non-coding RNA (lncRNA) microarray analyses. The differentially expressed genes (DEGs) and the differentially expressed lncRNAs (DELs) were screened out with a threshold of a |log fold change | >/=1 and an adjusted P value <0.05. A protein-protein interaction network was constructed, and hub genes were screened out. A lncRNA-mRNA co-expression network was also constructed. Gene Ontology and Kyoto Encyclopedia of Genes, Genomes enrichment analyses and Cis-regulatory element analyses were conducted on the DEGs and the top 10 upregulated DEL-co-expressed DEGs. The expression of the key genes was further analyzed in the GSE149507 data set and validated in H69/H69AR and H446/H446DDP cells by quantitative polymerase chain reaction assays. RESULTS: The microarray results showed that a total of 609 mRNAs and 394 lncRNAs were differentially expressed in the chemoresistant SCLC cells. The mammalian target of rapamycin (mTOR) signaling pathway was enriched among the DEGs, the top 10 upregulated DEL-co-expressed DEGs, and the NCRNA00173-co-expressed DEGs, which included IGF1, INS, WNT6, WNT11, WNT2B, and SESN2. IGF1, WNT2B, and SESN2 were downregulated, and WNT11 was upregulated in the SCLC tumor tissues in the GSE149507 data set. Further, IGF1, WNT6, WNT11, and WNT2B were lowlier expressed and SESN2 and NCRNA00173 were more highly expressed in the chemoresistant cells than sensitive cells. CONCLUSIONS: The top 10 upregulated DELs containing NCRNA00173 may be involved in the regulation of drug resistance in SCLC. These DELs may regulate the genes related to the mTOR signaling pathway. These genes may also be biomarkers and potential targets for the treatment of SCLC. CI - 2022 Annals of Translational Medicine. All rights reserved. FAU - Zeng, Fan-Rui AU - Zeng FR AD - Department of Radiation Oncology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. FAU - Zhou, Xu-Yang AU - Zhou XY AD - Department of Pathology, Zhujiang Hospital, Southern Medical University, Guangzhou, China. FAU - Zeng, Ling-Ge AU - Zeng LG AD - Department of Pathology, Zhujiang Hospital, Southern Medical University, Guangzhou, China. FAU - Sun, Jian-Cong AU - Sun JC AD - Department of Radiation Oncology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. FAU - He, Fen AU - He F AD - Department of Radiation Oncology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. FAU - Mo, Wei AU - Mo W AD - Department of Radiation Oncology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. FAU - Wen, Yang AU - Wen Y AD - Department of Pathology, Zhujiang Hospital, Southern Medical University, Guangzhou, China. FAU - Wang, Shu-Yu AU - Wang SY AD - Department of Pathology, Zhujiang Hospital, Southern Medical University, Guangzhou, China. FAU - Liu, Qin AU - Liu Q AD - Department of Radiology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. FAU - Guo, Lin-Lang AU - Guo LL AD - Department of Pathology, Zhujiang Hospital, Southern Medical University, Guangzhou, China. LA - eng PT - Journal Article PL - China TA - Ann Transl Med JT - Annals of translational medicine JID - 101617978 PMC - PMC9577795 OTO - NOTNLM OT - Small cell lung cancer (SCLC) OT - chemoresistance OT - long non-coding RNA (lncRNA) OT - mTOR pathway OT - microarray analysis COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://atm.amegroups.com/article/view/10.21037/atm-22-3642/coif). All authors report that this work was supported by the National Natural Science Foundation of China (No. 81902311), the Natural Science Foundation of Guangdong Province (No. 2020A1515011454), the Project of the Featured Clinical Technique of Guangzhou (No. 2019TS28), and the Characteristic Innovation Project of Guangdong Universities (Natural Science) (No. 2021KTSCX093). The authors have no other conflicts of interest to declare. EDAT- 2022/10/22 06:00 MHDA- 2022/10/22 06:01 PMCR- 2022/09/01 CRDT- 2022/10/21 03:00 PHST- 2022/07/04 00:00 [received] PHST- 2022/08/18 00:00 [accepted] PHST- 2022/10/21 03:00 [entrez] PHST- 2022/10/22 06:00 [pubmed] PHST- 2022/10/22 06:01 [medline] PHST- 2022/09/01 00:00 [pmc-release] AID - atm-10-18-968 [pii] AID - 10.21037/atm-22-3642 [doi] PST - ppublish SO - Ann Transl Med. 2022 Sep;10(18):968. doi: 10.21037/atm-22-3642.