PMID- 36915817 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240325 IS - 2227-684X (Print) IS - 2227-8575 (Electronic) IS - 2227-684X (Linking) VI - 12 IP - 2 DP - 2023 Feb 28 TI - Development of a basement membrane gene signature and identification of the potential candidate therapeutic targets for pancreatic cancer. PG - 263-281 LID - 10.21037/gs-23-24 [doi] AB - BACKGROUND: Pancreatic cancer is a deadly cancer with a poor prognosis. In light of mounting evidence that basement membrane genes (BMGs) play a role in the development of cancer, we sought to examine the prognostic importance and role of BMGs in pancreatic ductal adenocarcinoma (PDAC) patients. METHODS: BMGs were obtained from previous top research studies. The clinical and messenger ribonucleic acid expression data were retrieved from the Gene Expression Omnibus (GEO) and The Cancer Genome Atlas (TCGA) data sets, respectively. Cox regression and least absolute shrinkage and selection operator (LASSO) regression analyses were used for the PDAC risk modeling and gene identification. The Kaplan-Meier method was used to compare outcomes between the low- and high-risk groups. Finally, we analyzed small-molecule drugs that could be used to target BMGs for treatment using the Enrichr data set and validated the function of the tubulointerstitial nephritis antigen (TINAG) in pancreatic cancer. RESULTS: We successfully constructed and validated a 7 BMG-based model to predict PDAC patient outcomes. Additionally, we discovered that 7 BMG-based model was an independent predictive factor for PDAC. According to our functional analysis, the majority of the signaling pathways enriched in BMGs were those connected to malignancy. Immune cell infiltration and immunological checkpoints were also linked to the BMG-based model. Further, we identified 5 small-molecule drugs that may be useful in treating PDAC patients. We also found that TINAG promoted cell proliferation in pancreatic cancer. CONCLUSIONS: Our study extended understandings of how BMGs work in PDAC. We identified a credible predictive biomarker for PDAC patients' survival. CI - 2023 Gland Surgery. All rights reserved. FAU - Lin, Kai AU - Lin K AD - Pancreas Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. AD - Department of Gastrointestinal Surgery, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. FAU - Xu, Dong AU - Xu D AD - Department of General Surgery, Gaochun People's Hospital, Nanjing, China. FAU - Wang, Xiaoxiao AU - Wang X AD - Department of GCP Research Center, The Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China. FAU - Shi, Jun AU - Shi J AD - School of Traditional Chinese Medicine and School of Integrated Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, China. FAU - Gao, Wentao AU - Gao W AD - Pancreas Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. LA - eng PT - Journal Article DEP - 20230227 PL - China (Republic : 1949- ) TA - Gland Surg JT - Gland surgery JID - 101606638 PMC - PMC10005979 OTO - NOTNLM OT - Basement membrane (BM) OT - gene signature OT - pancreatic cancer OT - prediction OT - prognosis COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://gs.amegroups.com/article/view/10.21037/gs-23-24/coif). The authors have no conflicts of interest to declare. EDAT- 2023/03/15 06:00 MHDA- 2023/03/15 06:01 PMCR- 2023/02/28 CRDT- 2023/03/14 02:12 PHST- 2022/12/21 00:00 [received] PHST- 2023/02/10 00:00 [accepted] PHST- 2023/03/14 02:12 [entrez] PHST- 2023/03/15 06:00 [pubmed] PHST- 2023/03/15 06:01 [medline] PHST- 2023/02/28 00:00 [pmc-release] AID - gs-12-02-263 [pii] AID - 10.21037/gs-23-24 [doi] PST - ppublish SO - Gland Surg. 2023 Feb 28;12(2):263-281. doi: 10.21037/gs-23-24. Epub 2023 Feb 27.