Skip to main content
Advertisement
Browse Subject Areas
?

Click through the PLOS taxonomy to find articles in your field.

For more information about PLOS Subject Areas, click here.

  • Loading metrics

Diagnostic and prognostic values of differentially expressed genes in canine mammary carcinoma: An integrated bioinformatics analysis

  • Oscar Hernán Rodríguez-Bejarano,

    Roles Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Visualization, Writing – original draft, Writing – review & editing

    Affiliations Health Sciences Faculty, Universidad de Ciencias Aplicadas y Ambientales (U.D.C.A), Bogotá, Colombia, Molecular Biology and Immunology Department, Fundación Instituto de Inmunología de Colombia (FIDIC), Bogotá, Colombia, PhD Programme in Biotechnology, Faculty of Sciences, Universidad Nacional de Colombia, Bogotá, Colombia, Immunology and Translational Medicine Group, Faculty of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia

  • David Santiago Padilla,

    Roles Formal analysis, Methodology

    Affiliation Immunology and Translational Medicine Group, Faculty of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia

  • Daniel Alzate,

    Roles Formal analysis, Methodology

    Affiliation Immunology and Translational Medicine Group, Faculty of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia

  • Lucía Botero,

    Roles Methodology

    Affiliations Faculty of Veterinary Medicine and Zootechnics, Universidad Nacional de Colombia, Carrera, Bogotá, Colombia, Clínica de Pequeños Animales Universidad Nacional de Colombia (CPA-UN), Bogotá, Colombia

  • Giovanni Vargas Hernández,

    Roles Methodology

    Affiliations Faculty of Veterinary Medicine and Zootechnics, Universidad Nacional de Colombia, Carrera, Bogotá, Colombia, Clínica de Pequeños Animales Universidad Nacional de Colombia (CPA-UN), Bogotá, Colombia

  • Liliana López-Kleine,

    Roles Formal analysis

    Affiliation Statistics Department, Faculty of Sciences, Universidad Nacional de Colombia, Bogotá, Colombia

  • Manuel Alfonso Patarroyo ,

    Roles Formal analysis

    mapatarr.fidic@gmail.com (MAP); caparral@unal.edu.co (CAP-L)

    Affiliations Molecular Biology and Immunology Department, Fundación Instituto de Inmunología de Colombia (FIDIC), Bogotá, Colombia, Microbiology Department, Faculty of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia

  • Carlos A. Parra-Lopez

    Roles Conceptualization, Funding acquisition, Project administration, Resources, Supervision, Writing – review & editing

    mapatarr.fidic@gmail.com (MAP); caparral@unal.edu.co (CAP-L)

    Affiliations Immunology and Translational Medicine Group, Faculty of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia, Microbiology Department, Faculty of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia

Abstract

Background

Canine mammary carcinoma (CMC) is a common tumor in unspayed dogs and poses a significant health concern for animals. This study aimed to identify differentially expressed genes (DEGs) between CMC and adjacent healthy mammary tissue through an integrated RNASeq bioinformatics analysis that combined an independently generated dataset from the present study, CPA-UN (CPA-UN), composed of RNA-seq data obtained from CMC and matched normal mammary tissue samples, with publicly available GEO datasets generated using next-generation sequencing (NGS). Candidate genes associated with diagnostic and prognostic potential were subsequently explored through integrative downstream analyses.

Methods and findings

DEGs were identified using DESeq2 and further analyzed for functional enrichment (ClusterProfiler, Pathview, and GSEA), co-expression gene networks, and tumor immune infiltrate deconvolution (CIBERSORTx). The GSE119810 dataset was used for exploratory overall survival (OS) analysis. Transcriptomic data from 88 CMC cases and adjacent healthy mammary tissue samples identified eight DEGs common across all four datasets. Among these, ACAN, COL11A1, EDIL3, NDUFA4L2, and IGFBP5 showed higher transcript levels in CMC tissues than in healthy mammary tissue, whereas TNNC1, PCK1, and METTL24 showed lower transcript levels in CMC tissues than in healthy mammary tissue. Functional enrichment analyses indicated that DEGs with higher transcript levels in CMC were predominantly associated with extracellular matrix remodeling, cell adhesion, tumor microenvironment interactions, immune and inflammatory responses, and signaling pathways involved in tumor progression and metastasis. In contrast, DEGs with lower transcript levels were mainly enriched for cytoskeletal organization and tissue structural integrity, suggesting a loss of normal mammary gland architecture and myoepithelial-associated functions during tumor progression. GSEA further demonstrated coordinated enrichment of hallmark gene sets related to cell-cycle dysregulation, proliferation, epithelial–mesenchymal transition, metabolic adaptation, inflammatory signaling, and stromal remodeling, supporting the presence of integrated transcriptional programs that drive tumor progression and TME remodeling in CMC. Co-expression gene network analysis revealed a highly modular organization, with densely interconnected clusters of co-expressed genes that may reflect coordinated biological processes and regulatory programs. Exploratory CIBERSORTx analysis found no significant differences in the relative proportions of the 22 infiltrating immune cell types between CMCs and paired healthy controls after multiple-comparison corrections. Nevertheless, dataset-specific trends were observed in regulatory T cells, M1 macrophages, activated CD4 memory T cells, plasma cells, dendritic cells, and mast cells, though these findings should be interpreted cautiously. An exploratory survival analysis of 1,759 DEGs from the GSE119810 dataset identified 53 genes nominally associated with overall survival in CMC. However, none remained statistically significant after multiple-testing correction, underscoring the exploratory nature of these findings and the need for validation in larger cohorts.

Conclusion

This study provides a preliminary transcriptomic framework for CMC, identifying candidate genes and pathways associated with tumor-related processes and supporting future functional validation to clarify their roles in tumorigenesis, progression, and tumor aggressiveness. However, these findings remain exploratory and require validation in larger cohorts to confirm their diagnostic and prognostic relevance, given the limitations of secondary data analyses and potential variability in tissue collection and processing across studies.

Introduction

Mammary tumors are a common type of neoplasia in unspayed adult dogs and pose a major health concern. About 50% of all tumors in dogs are mammary tumors, and their prevalence is nearly three times higher in females. Approximately 45% of mammary tumors are canine mammary carcinomas (CMC) [1]. Recent studies have shown an increase in CMC cases relative to benign tumors, following a trend similar to that observed in human medicine [24]. The prognosis for CMC mainly depends on the histological grade (grade I, II, or III) and the clinical stage (T (tumor size), N (nodal involvement), M (distant metastasis); TNM system approved by the WHO), with higher grades of malignancy and more advanced stages associated with poorer outcomes [58]. CMC-related mortality remains relatively high, with more than 40% of dogs dying within one year of diagnosis [9]. Domestic dogs and humans are exposed to similar environmental conditions and may share lifestyle-related risk factors, underscoring the relevance of comparative oncology approaches within the One Health framework [9,10].

CMC has been proposed as a comparative model for human breast cancer (HBC) because both diseases share several epidemiological, clinical, histopathological, hormonal, and molecular characteristics, including spontaneous tumor development, age-associated incidence, hormone-related influences, and similar gene expression alterations and biological behavior [11,12]. In addition, domestic dogs and humans are exposed to comparable environmental conditions and may share lifestyle-associated risk factors, supporting the relevance of comparative oncology approaches within the One Health framework [9,10]. Using the canine biomodel as a translational animal model for HBC research could improve understanding of tumor biology and aid in the discovery of biomarkers useful for both species [13].

Although some transcriptomic studies on CMC have been reported, many remain limited by relatively small cohorts, single-dataset designs, and analyses focused primarily on differential gene expression [1417]. Consequently, consistent transcriptional alterations associated with CMC across independent studies remain poorly characterized, and integrative transcriptomic analyses in this tumor type are still limited. To address these gaps, the present study integrated multiple independent RNASeq datasets and analyzed them using a comprehensive bioinformatic approach.

Accordingly, this study aimed to identify differentially expressed genes (DEGs) between CMC and adjacent healthy mammary tissue through an integrated RNASeq analysis that combined an independently generated dataset from the present study (CPA-UN), comprising RNASeq data from CMC and matched normal mammary tissue samples, with publicly available Gene Expression Omnibus (GEO) datasets generated using next-generation sequencing (NGS). Candidate genes with potential diagnostic and prognostic relevance were subsequently explored through integrative downstream analyses. Nevertheless, given the exploratory nature of this study, further validation in larger and independent cohorts, as well as functional and mechanistic studies, will be necessary to confirm the biological and clinical relevance of the identified candidates.

Materials and methods

Ethical approval and consent to participate

The Institutional Committee for the Care and Use of Animals in Research and Teaching (CICUA) at the Faculty of Animal Sciences, Universidad de Ciencias Aplicadas y Ambientales (U.D.C.A), Bogotá, Colombia, requested approval of the study design and protocol, in accordance with the policy and guidelines for ethical conduct in animal care and use (Minutes 29-01-2024). Informed consent was obtained from the owners of the dogs involved in this study, and strict confidentiality of both the owners and the animals was maintained.

Cases and specimens

Twelve canine specimens with suspected CMC were included in this study. They underwent radical mastectomy as part of the standard treatment protocol at the “Clínica de Pequeños Animales Universidad Nacional (CPA-UN)”. During surgery, the veterinary surgeon collected an incisional sample exclusively from the tumor region careful dissection to avoid including surrounding skin or muscle tissue. In addition, a sample of the adjacent normal mammary gland was obtained from the mastectomy specimen for comparative analyses. Tissue fragments were trimmed to approximately 0.5 cm in each dimension and immediately immersed in RNAlater solution (Invitrogen, Waltham, MA, USA) at a ratio of about five volumes of solution per unit of tissue mass, following the manufacturer’s recommendations. Samples were kept at 4°C overnight and then stored at −70°C until processing. The remaining tissue was fixed in 10% buffered formalin and processed for routine histopathological diagnosis (H&E staining) at the CPA-UN Pathology Laboratory. Histopathological classification and tumor grade were determined by two independent veterinary pathologists using the classification of Goldschmidt et al. and the Nottingham histological grading parameters for CMC (ca-NHG) [7]. A histological examination of the regional lymph node was also conducted to assess for metastatic involvement. Medical history was reviewed to collect clinical data including breed, age, tumor size, and imaging assessments for distant metastases (chest X-ray and abdominal ultrasound). Clinical staging was performed according to the TNM system [8]. Two of the recruited cases were excluded because the histopathological diagnosis was mammary adenoma. The clinical characteristics of the 10 canine specimens analyzed are listed in Table 1.

thumbnail
Table 1. Clinical data of canines with mammary carcinoma used for analysis.

https://doi.org/10.1371/journal.pone.0354033.t001

RNA isolation and sequencing

Total RNA was extracted from CMCs and adjacent healthy mammary tissue using the RNeasy Mini Plus kit (Qiagen, Valencia, CA, USA). Samples were homogenized by liquid nitrogen pulverization before RNA isolation, following the manufacturer’s instructions. RNA quality was assessed by analyzing the integrity of 18S and 28S ribosomal RNA (rRNA) bands with the Agilent RNA 6000 Nano kit (part # 5067-1511) on an Agilent 2100 Bioanalyzer (Agilent Technologies, Santa Clara, CA, USA). Messenger RNA was purified from total RNA using oligonucleotide-linked poly-T magnetic beads. After fragmentation, first-strand cDNA was synthesized using random hexamer primers. Then, the second strand of cDNA was synthesized using dUTP instead of dTTP with the TruSeq Stranded Total RNA Sample Preparation Kit (RS-122-9007) (Illumina, San Diego, CA, USA). The directional library was prepared after end repair, A-tailing, adapter ligation, size selection, USER digestion, amplification, and purification. The library was analyzed for size distribution using an Agilent DNA 1000 Kit (part # 5067-1504) and an Agilent 2100 Bioanalyzer (Agilent Technologies, Santa Clara, CA, USA), and quantified using a Qubit 2100 fluorometer (Thermo Scientific, Waltham, MA, USA) and real-time PCR. Libraries were pooled based on effective library concentration and data volume and sequenced on Illumina platforms, including the Illumina NovaSeq X Plus (PE 150). Raw data quality was assessed using FastQC (version 0.74) [18]. A summary of the RNA sequencing statistics is included in S1 Table. Our dataset was named “CPA-UN” and the corresponding raw RNASeq data are available on the Sequence Read Archive (SRA) section of the National Center for Biotechnology Information (NCBI) platform BioProject PRJNA557680.

Public data set

An online search for gene expression data obtained by RNASeq using next-generation sequencing (NGS) technology for CMC was conducted in the public GEO database (https://www.ncbi.nlm.nih.gov/geo/) [19]. The datasets GSE119810 (BioProject PRJNA489087, SRA SRP219096), GSE136197 (BioProject PRJNA561580, SRA SRP159466), and GSE135183 (BioProject PRJNA557680, SRA SRP216930) were acquired. Unlike the other RNA-Seq datasets included in this study, which used fresh frozen (FF) tissues, the GSE135183 dataset was derived from laser-capture microdissected stromal formalin-fixed and paraffin-embedded (FFPE) tissues. Raw RNASeq data were downloaded for CMC cases and their corresponding paired adjacent healthy mammary resulting in 47 cases for dataset GSE119810, 16 cases for dataset GSE136197, and 15 cases for dataset GSE135183. The quality of the raw data was evaluated using FastQC (version 0.74). The clinical characteristics available for the canines analyzed in each public dataset are listed in S2 Table.

Primary analysis of RNASeq data

For the primary analysis of RNA-Seq data (trimming, mapping, and quantification), Trimmomatic (version 0.39) [20] was used to remove adapters and low-quality sequences. The clean reads were then aligned to the canFam4 reference genome (UU_Cfam_GSD_1.0). (https://www.ncbi.nlm.nih.gov/datasets/taxonomy/9615/) using HISAT2 (version 2.2.1) [21]. Because the libraries were prepared with the TruSeq Stranded Total RNA Sample Preparation Kit, strand-specific parameters were used during transcript quantification. Subsequently, raw gene expression counts were obtained using HTSeq-count (version 2.0.5) [22].

Analysis of differentially expressed genes (DEGs)

Gene annotation was performed for each raw count table from the four gene expression datasets (CPA-UN, GSE119810, GSE136197, and GSE135183) obtained from the primary analysis using the corresponding GenID according to the Official Gene Symbol. Each dataset was analyzed independently to preserve its biological and technical characteristics. Subsequently, an integrative analysis was conducted to identify recurrent differentially expressed genes (DEGs) consistently observed across independent datasets. For each gene expression set, genes with no variance were filtered out, yielding a final expression matrix that was normalized and used for differential gene expression analysis between CMCs and adjacent paired healthy mammary tissues using the DESeq2 package (version 2.11.40.8) in R (version 4.2.3) [23]. Significantly DEGs were defined as those with a log2FoldChange ≥1 or ≤−1 and padj < 0.05. A Venn diagram was created to visualize the shared upregulated and downregulated DEGs among the four gene expression datasets using the Venny 2.1 tool (https://bioinfogp.cnb.csic.es/tools/venny/index2.0.2.html).

Functional enrichment analysis

Using the Venn diagrams from the differential expression analysis, a combined list of upregulated and downregulated DEGs present in the various intersection areas across the four gene expression datasets was compiled. To preserve transparency regarding the independently generated RNASeq data produced in the present study, functional enrichment analysis was initially performed separately for the CPA-UN dataset. Subsequently, the same analysis was performed by combining CPA-UN with the publicly available GEO datasets (GSE119810, GSE136197, and GSE135183) to identify biological pathways consistently observed across independent CMC cohorts. This combined strategy enabled both dataset-specific characterization and cross-study evaluation of recurrent molecular alterations associated with CMC.

A functional enrichment analysis of this gene set was conducted in R (version 4.2.3) using the Bioconductor packages ClusterProfiler [24] to compare biological themes between gene groups and Pathview [25] to integrate and visualizing pathway-based data. The list of DEGs was used as an input set in both tools, and enrichment of Gene Ontology (GO) terms in the categories Biological Process (BP), Molecular Function (MF) and Cellular Component (CC) was evaluated, as was enrichment of metabolic pathways in the Kyoto Encyclopedia of Genes and Genomes (KEGG). The analysis was performed using the enrichGO and enrichKEGG functions from the ClusterProfiler and Pathview packages. p-values were calculated using hypergeometric tests and adjusted for multiple comparisons using the Benjamini–Hochberg method to control the false discovery rates (FDR). Terms with FDR-adjusted p-values (padj < 0.05) were considered significantly enriched. This analysis was complemented by the online platform SRplot (https://www.bioinformatics.com.cn/en) [26] and the results were graphed. The same procedure was followed for the shared downregulated DEGs, and biological terms and pathways with a padj value < 0.05 were considered statistically significant enrichments for the tumor phenotype.

Additionally, a Gene Set Enrichment Analysis (GSEA) was conducted using the raw count matrix from the CPA-UN gene expression dataset, which was normalized with the DESeq2 package (version 2.11.40.8) in R (version 4.2.3) using the median of ratios method to normalize count data and produce a ranked list of DEGs generated by DESeq2 analysis as input for GSEA (version 4.4.0) [27]. The molecular signatures affected by the DEGs were identified using the main collection H (hallmark gene sets), comprising many gene sets that represent well-defined biological states or processes from the MSigDB database (version 2026.1). The analysis compared the tumor phenotype to the control phenotype using 1000 permutations and gene set permutation mode [2729]. Upregulated gene sets with FDR < 25% and p < 0.05 were considered statistically significant molecular signatures of the tumor phenotype. A GSEA was also performed, combining the four gene expression data sets (CPA-UN, GSE119810, GSE136197, and GSE135183) into a single matrix. Prior to integration, batch effects across datasets were corrected using the ComBat-seq method implemented in the SVA package (version 3.60.0) [30] in R (version 4.2.3) considering treating dataset origin as a batch variable to minimize technical variability and improve cross-cohort comparability. Only genes present across all datasets were retained to ensure comparability. The resulting matrix of raw counts was used as input for downstream normalization and analysis. Normalization and variance stabilization were performed using the regularized logarithm transformation (rlog) implemented in the DESeq2 package (version 2.11.40.8) in R (version 4.2.3). Size factors were estimated to account for differences in sequencing depth and library composition among samples, enabling accurate comparison of gene expression levels across the integrated datasets. The DESeq2 normalization framework models count data using a negative binomial distribution and applies internal scaling factors to correct for technical variability. Normalized expression values and differential expression statistics obtained from DESeq2 were subsequently used to construct a ranked list of DEGs as input for GSEA (version 4.4.0). The molecular signatures affected by the DEGs were identified using the same methodological approach described for the GSEA of the CPA-UN gene expression data set.

Co-expression network analysis

As with the functional enrichment analyses, the co-expression network analysis was initially performed independently using the CPA-UN dataset to preserve transparency regarding the primary RNASeq cohort generated in the present study. Subsequently, the same analysis was performed using the merged dataset (CPA-UN, GSE 119810, GSE 136197, and GSE 135183). This approach enabled characterization of the independently generated cohort in this study and evaluation of the reproducibility of co-expression patterns across multiple datasets. Gene expression data were then normalized using the regularized logarithmic transformation (rlog) implemented in DESeq2. To construct the co-expression network, genes were ranked by expression variance across samples, and the number of genes included in the analysis was determined using the elbow method applied to the variance distribution. The Pearson correlation coefficient was calculated for all pairs of genes to assess the similarity of their expression patterns. To determine significance, a statistical test based on the p-value of the Pearson correlation coefficient was employed, with the threshold set to the minimum correlation value for padj < 0.05. Significant correlations were used to define a threshold of 0.7 and to build the co-expression network, where nodes represented genes and edges indicated significant correlations. This was done using the igraph (version 2.2.2), ggraph (version 2.2.2), tidygraph (version 1.3.1), and visNetwork (version 2.1.4) packages [31] in Bioconductor for R (version 4.2.3). Various global properties and topological metrics of the co-expression network were then calculated, and hub genes were identified within each Louvain module based on degree centrality. Differential expression results were used only for node annotation and were not involved in network construction or hub gene identification. For the merged dataset, batch effects were corrected using ComBat-seq method implemented in the SVA package (version 3.60.0) in R (version 4.2.3) before normalization and downstream analyses. Co-expression network construction and topological analyses were subsequently performed using the same methodology applied to the CPA-UN dataset.

Deconvolution of the tumor immune infiltrate

Given that prior studies on canine tumors have used CIBERSORTx-based immune deconvolution approaches in an exploratory manner [3234], each of the four gene expression datasets (CPA-UN, GSE119810, GSE136197, and GSE135183) was analyzed independently. This strategy was adopted to account for differences in sample composition, tissue preservation, sequencing protocols, and cohort characteristics, thereby minimizing technical heterogeneity and avoiding potential biases associated with dataset integration. This approach also enabled comparison of immune infiltration patterns across independent datasets. For each dataset, raw mRNA counts were normalized to transcripts per million mapped reads (TPM), and the relative proportions of 22 infiltrating immune cell populations were inferred using the CIBERSORTx algorithm [35]. Normalized matrices were prepared using standard gene annotation (GenID) and uploaded to the CIBERSORTx web portal (https://cibersortx.stanford.edu). The algorithm was run with the default LM22 gene signature matrix and 1000 permutations. Because LM22 was originally developed from human leukocyte transcriptional profiles, the inferred immune cell proportions in canine samples were treated as exploratory estimates rather than absolute quantifications. For each gene expression dataset, differences in the relative abundance of the 22 infiltrating immune cell types between CMC and paired adjacent healthy mammary tissue were assessed using the nonparametric Wilcoxon rank-sum test. To reduce the likelihood of false-positive findings resulting from multiple comparisons, p-values were adjusted using the Benjamini–Hochberg FDR correction. Only statistically significant differences after FDR adjustment were emphasized in the interpretation of the results. Results were visualized with box plots, which helped identify significant differences in the 22 infiltrating immune cell types between the two conditions.

Global survival analysis and DEGs

The GSE119810 gene expression dataset was used, which included surgery date and survival status at the end of the follow-up period for the 47 CMC cases (01/08/2018). DEGs with log2FoldChange ≥1 or ≤−1 and padj < 0.05 were identified from the DESeq2 differential expression analysis. Normalization was performed using the variance-stabilizing transformation (VST) method. The normalized data were combined into a matrix along with the survival time in days and the survival status of the canines. Overall survival (OS) was defined as the time in days from diagnosis to death or last follow-up. Exploratory OS analysis was conducted for each DEG based on its median expression using the survival (version 0.5.2) and survminer (version 0.5.2) packages [31] in Bioconductor for R (version 4.2.3). Kaplan-Meier survival plots were generated, and a LogRank p < 0.05 was considered to identify DEGs with nominal associations with OS. In addition, a univariate Cox proportional hazards regression model was fitted for each gene to estimate the hazard ratio (HR) and its 95% confidence interval (CI). p-values derived from the Cox models were adjusted for multiple testing using the Benjamini–Hochberg method. Genes with significant FDR-adjusted p-values were considered associated with OS.

Results

Differentially expressed genes (DEGs) in canine mammary carcinoma

DESeq2 analysis identified 241 DEGs (129 upregulated and 112 downregulated) in the CPA-UN set (10 CMCs with their respective paired adjacent healthy mammary tissue); 1759 DEGs (623 upregulated and 1136 downregulated) in the GSE119810 set (47 CMCs with their respective paired adjacent healthy mammary tissue); 748 DEGs (359 upregulated and 389 downregulated) in the GSE136197 set (16 CMCs with their respective paired adjacent healthy mammary tissue); and 1077 DEGs (571 upregulated and 506 downregulated) in the GSE135183 set (15 CMCs with their respective paired adjacent healthy mammary tissue) (Fig 1A1D). The list of DEGs for each gene expression dataset is shown in Supplementary S3 Table. In addition to annotated DEGs, several predicted/uncharacterized DEGs annotated with LOC identifiers were detected across the analyzed datasets. Although functional annotations were not available for these genes in the GTF file of the canFam4 reference genome, their corresponding gene biotypes were retained and included in S4 Table. A Venn diagram revealed that five upregulated genes (ACAN, COL11A1, EDIL3, NDUFA4L2 and IGFBP5) and three downregulated genes (TNNC1, PCK1, METTL24) were common to all four expression datasets (Fig 1E and 1F), indicating that these eight DEGs may have stable differential expression between CMC and adjacent healthy mammary tissue.

thumbnail
Fig 1. Differentially expressed genes (DEGs) in canine mammary carcinoma.

The volcano plot shows upregulated and downregulated DEGs in canine CMC across the gene expression datasets CPA-UN (A), GSE119810 (B), GSE136197 (C), and GSE135183 (D). Red dots indicate upregulated DEGs, while blue dots show downregulated DEGs, selected using log2Fold Change ≥1 or ≤−1 and padj < 0.05 (the top 20 DEGs are marked). (E) The Venn diagram displays the shared upregulated DEGs among the datasets CPA-UN, GSE119810, GSE136197, and GSE135183 (ACAN, COL11A1, EDIL3, NDUFA4L2 and IGFBP5 are common to all four). (F) The Venn diagram illustrates the common downregulated DEGs across the same datasets (TNNC1, PCK1, and METTL24 are shared in all four).

https://doi.org/10.1371/journal.pone.0354033.g001

Additionally, the Venn diagram revealed that three upregulated genes (CSPG5MIA, COL11A2 and MIA) and four downregulated genes (DES, MYH7, TNNT1 and LMOD2) were common to the CPA-UN, GSE119810, and GSE136197 datasets. Seven upregulated genes (HAPLN1, NEFH, SFRP2, ADAMTS17, CCN4, VASH2 and ENO1) and seven downregulated genes (ALDH1L1, IP6K3, ZBTB16, TTN, EEF1A2, SERPINB13 and CA15) were shared among the CPA-UN, GSE136197 and GSE135183 datasets. In addition, one upregulated gene (SAMHD1) and four downregulated genes (MAN1A1, FGL2, LOC119877199 and KRT1) were common to the CPA-UN, GSE119810 and GSE135183 datasets. Finally, six upregulated genes (FMOD, PHLDA1, BGN, INHBA, TNN and CPXM2) and 32 downregulated genes (DUSP1, NOVA1, PLXDC1, KANK3, KLF2, SELENOP, CCN5, PLIN1, ITIH4, CD34, CRIP1, PLAC9, CLDN5, EMX2, FABP4, NOX5, DCN, MGLL, GALNT15, CADM3, PALM, CFD, LYPD3, KLF4, CAVIN2, ITIH5, SCARA5, CD36, CLEC3B, MFAP5, PRDM8 and GSC) were common to the GSE119810, GSE136197 and GSE135183 datasets (Fig 1E and 1F).

Functional enrichment in canine mammary carcinoma

To highlight functional processes potentially related to CMC, 154 upregulated DEGs and 272 downregulated DEGs were identified within from the Venn diagrams obtained in the differential expression analysis (Fig 1E and 1F), across the intersection areas of the four gene expression data sets (S5 Table). These DEGs were used to perform a functional enrichment analysis of gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways.

GO analysis revealed that among the upregulated DEGs in CMC included, the top 10 enriched and significant biological process (BP) terms were “extracellular matrix organization”, “extracellular structure organization”, “external encapsulating structure organization”, “collagen fibril organization”, “cell aggregation”, “negative regulation of viral process”, “positive regulation of pattern recognition receptor signaling pathway”, “defense response to virus”, “defense response to symbiont” and “skeletal system morphogenesis”. The top 10 enriched and significant cellular component (CC) terms were “external encapsulating structure”, “extracellular matrix”, “collagen-containing extracellular matrix”, “collagen trimer”, “cell surface”, “perinuclear region of cytoplasm”, “mitochondrial membrane”, “basement membrane”, “organelle envelope and envelope”. The top 10 enriched and significant molecular function (MF) terms included “growth factor binding”, “insulin-like growth factor binding”, “integrin binding”, “glycosaminoglycan binding”, “extracellular matrix structural constituent”, “cell adhesion”, “molecule binding”, “double-stranded RNA binding”, “adenylyltransferase activity”, “heparin binding” and “growth factor activity”. The top 10 enriched and significant KEGG pathways in CMC were “Protein digestion and absorption”, “ECM-receptor interaction”, “Focal adhesion”, “Human papillomavirus infection”, “Cytoskeleton in muscle cells”, “PI3K-Akt signaling pathway”, “HIF-1 signaling pathway”, “AGE-RAGE signaling pathway in diabetic complications”, “Glycosaminoglycan biosynthesis - chondroitin sulfate/ dermatan sulfate” and “Complement and coagulation cascades” (Fig 2A2D) (S6 Table).

thumbnail
Fig 2. Enrichment analysis of upregulated DEGs associated with canine mammary carcinoma.

From the Venn diagrams obtained in the differential expression analysis, 154 upregulated DEGs identified across the intersection areas of the four gene expression datasets were used to perform gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses. Gene ontology analysis of biological processes (A), gene ontology analysis of cellular components (B), gene ontology analysis of molecular functions (C), and KEGG pathway enrichment analysis (D) are shown. The enrichment score dot plots display the top 10 statistically significant terms for each functional biological category.

https://doi.org/10.1371/journal.pone.0354033.g002

For downregulated DEGs, GO analysis revealed that the top 10 enriched and significant BP terms in CMC included “muscle organ development”, “striated muscle tissue development”, “muscle tissue development”, “skeletal muscle contraction”, “multicellular organismal movement”, “musculoskeletal movement”, “cardiac muscle tissue morphogenesis”, “muscle tissue morphogenesis”, “muscle structure development”, and “cardiac muscle tissue development”. The top 10 enriched and significant CC terms in CMC were “myofibril”, “contractile fiber”, “sarcomere”, “striated muscle thin filament”, “supramolecular fiber”, “supramolecular polymer”, “myofilament”, “external encapsulating structure”, “extracellular matrix” and “collagen-containing extracellular matrix”. The top 10 enriched and significant MF terms in CMC included “actin binding”, “cytoskeletal protein binding”, “collagen binding”, “calcium-dependent protein binding”, “cytokine activity”, “extracellular matrix structural constituent”, “chemokine activity”, “actin filament binding”, “monocarboxylic acid transmembrane transporter activity” and “calcium ion binding”. The top 10 enriched and significant KEGG pathways in CMC were “Cytoskeleton in muscle cells”, “Cornified envelope formation”, “Regulation of lipolysis in adipocytes”, “Fluid shear stress and atherosclerosis”, “Dilated cardiomyopathy”, “Staphylococcus aureus infection”, “Apelin signaling pathway”, “Motor proteins”, “Circadian entrainment”, and “Amphetamine addiction” (S1 Fig and S7 Table).

GSEA on the CPA-UN gene expression dataset indicated that several statistically significant hallmark gene sets associated with cancer, tumorigenesis, and tumor progression were enriched in the tumor phenotype. Among these, “E2F targets”, “G2M checkpoint”, “Epithelial-mesenchymal transition”, “Angiogenesis”, “Glycolysis”, “mTORC1 signaling”, “Protein secretion”, and “TGF-β signaling” were also identified in the GSEA performed after merging the four gene expression datasets (CPA-UN, GSE119810, GSE136197, and GSE135183) into a single normalized matrix (Figs 3 and S2; S8 and S9 Tables). In contrast, the CPA-UN dataset specifically showed enrichment of statistically significant hallmark gene sets related to inflammation, immune signaling, and oncogenic signaling, including “Inflammatory response”, “IL-6–JAK–STAT3 signaling”, “TNF-α signaling via NF-κB”, “IL2–STAT5 signaling”, “Apoptosis”, “KRAS signaling up”, and “PI3K–AKT–mTOR signaling” (Fig 3 and S8 Table). Conversely, the integrated analysis uniquely identified enrichment of statistically significant hallmark gene sets “MYC targets”, “NOTCH signaling”, “Oxidative phosphorylation”, and “DNA repair”, highlighting additional biological processes consistently represented across the combined datasets (S2 Fig and S9 Table).

thumbnail
Fig 3. Gene Set Enrichment Analysis (GSEA) of the CPA-UN gene expression dataset.

Enrichment plots are shown for upregulated gene sets from the main collection H (hallmark gene sets) with FDR < 25% and p-value < 0.05, associated with the tumor phenotype. These gene sets relate to cancer, tumorigenesis, and tumor progression.

https://doi.org/10.1371/journal.pone.0354033.g003

Co-expression network in canine mammary carcinoma

To reduce dimensionality while preserving the most informative transcriptional signals, the top 1000 most variable genes identified from the rlog-normalized expression matrix using the elbow method were selected for co-expression network construction. Pairwise Pearson correlation coefficients were computed for all selected genes, and gene pairs with correlation coefficients greater than 0.7 were retained as network edges to emphasize strong co-expression relationships and reduce weak or potentially spurious associations (Fig 4).

thumbnail
Fig 4. Co-expression network for the CPA-UN gene expression dataset.

The network includes upregulated DEGs (red nodes), downregulated DEGs (blue nodes), and non-DEGs (gray nodes). The network was constructed using the 1000 most variable genes with an adjusted p-value (padj) < 0.05 and a Pearson correlation threshold of 0.7. Each node represents a gene, and each edge indicates the co-expression relationships established between genes based on the correlation threshold. DEGs were identified using DESeq2 and defined as genes with a log2Fold Change ≥ 1 or ≤ −1 and padj < 0.05. The size of each node reflects the gene’s log2Fold Change.

https://doi.org/10.1371/journal.pone.0354033.g004

Following this analysis, the resulting co-expression network comprised 988 nodes and 62935 edges, indicating that most highly variable genes were incorporated into the network. Global topological analysis revealed a network density of 0.129, an average shortest path length of 2.40, and a diameter of 7.25. The network was organized into two connected components and seven modules identified through community detection analysis. Furthermore, the network exhibited a high global clustering coefficient (0.732), indicating a strongly modular organization characterized by densely interconnected groups of co-expressed genes that may represent coordinated biological processes and regulatory programs (strongly correlated genes forming clusters or functional modules). S10 Table lists the topological metrics of this co-expression network. Hub gene analysis was performed for each of the seven co-expression modules, and the top 10 genes ranked by degree were identified as module-specific hub genes (S11 Table). Module 1 was characterized by hub genes including CALML5, LOC100685649, CASP14, DSG1, ELMOD1, KRT1, KRT77, KRTDAP, LOC119877199, and HAL. Module 2 contained highly connected genes such as MAT1A, EPCAM, FAM83F, CLDN8, ESRP1, BNIPL, RASEF, ABCC11, SHANK2, and PROM2. Module 3 was represented by hub genes including TCAP, MYLPF, CMYA5, HABP2, LMOD2, MYL1, MYOM3, TNNT3, and CSRP3. Modules 4 and 5 contained the most highly connected hub genes in the network, with degree values ranging from 301 to 355, and these modules were dominated by uncharacterized LOC transcripts. Nevertheless, module 4 also included the annotated genes KLB, CYP2A13, and CHRNA1, whereas module 5 was composed almost exclusively of LOC genes among its highest-ranked hubs. Module 6 contained annotated hub genes including ADGRE1, ESM1, MSR1, CCL8, DCSTAMP, GBP5, PILRA, and COL11A1 (upregulated common DEG across the CPA-UN, GSE119810, GSE136197, and GSE135183 datasets). Finally, Module 7 was composed of two hub genes, APLN and VAT1L. Additionally, co-expression modules comprising the upregulated and downregulated DEGs common to the CPA-UN, GSE119810, GSE136197, and GSE135183 datasets were identified in the co-expression network (S3 and S4 Figs). Notably, the co-expression network revealed that the upregulated DEGs ACAN, COL11A1, and EDIL3 clustered within Module 6 (S3 Fig), whereas the downregulated DEGs PCK1 and METTL24 clustered within Module 4 (S4 Fig).

For the merged gene expression dataset (CPA-UN, GSE119810, GSE136197, and GSE135183), a co-expression network was constructed from the 2000 most variable genes identified by the elbow method, using a Pearson correlation threshold of 0.7 (S5 Fig). The resulting network comprised 1907 nodes and 1501012 edges, indicating that most highly variable genes were incorporated. Global topological analysis revealed a high network density (0.826), an average shortest path length of 1.09, and a diameter of 4.55, reflecting a highly interconnected network structure. Community detection analysis identified eight modules distributed across five connected components. The network also exhibited a very high global clustering coefficient (0.951), indicating extensive local connectivity and strong co-expression among genes. The topological metrics of this co-expression network are detailed in S12 Table. Hub gene analysis was performed for each of the eight network modules, and the top 10 genes ranked by degree were selected as module-specific hub genes (S13 Table). Most of the identified hub genes corresponded to uncharacterized LOC transcripts. Among the annotated genes, module 1 contained TMEM262 as a hub gene, module 7 included the lncRNA gene RPPH1, and module 8 contained the annotated genes CSN2 and CSN3. In contrast, the top hub genes in modules 2, 3, 4, 5, and 6 were exclusively uncharacterized LOC transcripts (S13 Table).

Deconvolution of the tumor immune infiltrate in canine mammary carcinoma

After normalization by converting raw mRNA counts to TPM for each gene expression dataset (CPA-UN, GSE119810, GSE136197, and GSE135183), the relative proportions of 22 infiltrating immune cell types were inferred using CIBERSORTx in an exploratory manner. For the CPA-UN gene expression dataset, no significant differences were observed in the relative abundance of the 22 infiltrating immune cell types between CMCs and paired adjacent healthy mammary tissues using the Wilcoxon signed-rank test (Fig 5A). In the GSE119810 gene expression dataset T regulatory cells (Tregs) tended to have higher median proportions in CMCs, whereas plasma cells and resting mast cells tended to show lower median proportions in CMCs compared to paired adjacent healthy tissues; however, these differences did not remain statistically significant after FDR correction for multiple comparisons (Fig 5B). Similarly, in the GSE136197 gene expression dataset, M1 macrophages tended to have higher median proportions in CMCs compared to paired adjacent healthy tissues, although this difference was not statistically significant after FDR correction (S6A Fig). In the GSE135183 gene expression dataset, activated CD4 memory T cells tended to show higher median proportions in CMCs, whereas activated dendritic cells and resting mast cells tended to have lower median proportions in CMCs compared to paired adjacent healthy tissues; however, these differences also did not remain statistically significant after FDR correction for multiple comparisons (S6B Fig). Overall, these exploratory findings should be interpreted cautiously because most observed differences did not remain statistically significant after multiple-testing correction.

thumbnail
Fig 5. Deconvolution of tumor immune infiltrate from RNASeq.

Summary of the relative proportions of 22 infiltrating immune cell types predicted from raw RNASeq counts normalized to transcripts per million (TPM) using the CIBERSORTx algorithm for the CPA-UN (A) and GSE119810 (B) gene expression datasets. Statistical comparisons were performed using the Wilcoxon signed-rank test, and the p-values displayed in the figure correspond to the Wilcoxon test results * indicates p < 0.05; ** indicates p < 0.01). p-values were additionally adjusted using the Benjamini–Hochberg false discovery rate (FDR) correction for multiple comparisons. Results that did not remain significant after FDR correction were interpreted as exploratory trends.

https://doi.org/10.1371/journal.pone.0354033.g005

DEGs associated with overall survival in canine mammary carcinoma

The median expression of the 1759 DEGs (623 upregulated and 1136 downregulated) identified in the GSE119810 dataset (47 CMC cases with data on the surgery date and survival status at the end of the follow-up cutoff on 08/01/2018) was used for overall survival (OS) analysis of each DEG.

The Cox proportional hazards regression model and the Log-rank test identified 30 upregulated DEGs with nominal associations with survival (LogRank p < 0.05) (LOC111096851, LOC111095420, STOML1, LOC480552, LOC119874434, LOC119871545, LOC111090939, SLC6A13, LOC119871897, LOC111092134, STAP1, LOC119869257, TM4SF5, LOC119873395, LOC119867511, TM4SF4, PPBP, SIDT1, NELFE, RANBP3, FAM131A, LOC111095623, DUSP26, LOC111097691, VTI1B, PPM1N, RANBP17, LOC119867810, FADS3 and LOC102155326) whose higher expression levels were associated with an increased risk of mortality (HR > 1). Conversely, 23 downregulated DEGs with nominal associations with survival (LogRank p < 0.05) (GADD45A, LOC111097805, LOC111092820, FAM20A, MIR29B-2, ITGB2, DHDDS, PIGQ, MFHAS1, MBOAT1, ZCCHC17, SFN, LOC111092518, LOC119871949, LOC111095434, UBXN2A, ATP6V1FNB, LOC111092804, KRT73, LOC106558660, FYN, WASF3 and LOC111097134) were associated with a reduced risk of mortality (HR < 1), suggesting a potential protective effect. A substantial proportion of the DEGs showing nominal associations with OS corresponded to poorly characterized loci, particularly long non-coding RNAs (lncRNAs). Among the upregulated DEGs were LOC111095623, LOC119867810, LOC111095420, LOC119871545, LOC119871897, and LOC111096851, whereas several downregulated DEGs, including LOC106558660, LOC111095434, LOC119871949, LOC111097134, LOC111097805, LOC111092518, LOC111092820, and LOC111092804, were also annotated as lncRNAs. However, the 95% IC and multiple testing correction using the Benjamini–Hochberg method, showed that none of the genes remained statistically significant (FDR > 0.05) (S14 Table), indicating that these findings should be interpreted as exploratory and require validation in larger cohorts. Kaplan–Meier survival curves for the three upregulated and three downregulated DEGs exhibiting the strongest nominal associations with overall survival (OS) and the highest hazard ratios (HRs) are shown in Fig 6.

thumbnail
Fig 6. Exploratory overall survival (OS) analysis of DEGs in the GSE119810 gene expression set.

Of the 1077 DEGs identified, 53 genes showed nominal associations with OS by the LogRank test (p < 0.05). Shown are the Kaplan–Meier curves for the three upregulated DEGs (A) and three downregulated DEGs (B) with the strongest nominal associations (lowest nominal LogRank p-values and highest hazard ratios). Red indicates the group of CMC dogs with higher gene expression and blue indicates the group with lower gene expression. None of the evaluated genes remained statistically significant after FDR correction in the Cox proportional hazards models; therefore, these results should be considered exploratory.

https://doi.org/10.1371/journal.pone.0354033.g006

Discussion

The alternative canine biomodel for HBC research offers a valuable research opportunity because CMC occurs spontaneously in dogs of all ages and shares features with HBC, including epidemiology, age at onset, hormonal causes, clinical progression, histopathological similarities, mutation profiles, gene expression changes, and factors influencing clinical outcomes [11,12,3638]. The present integrative transcriptomic analysis identified recurrent transcriptional alterations associated with CMC across four independent RNA-seq datasets (CPA-UN, GSE119810, GSE136197, and GSE135183), providing insights into biological processes potentially involved in tumor development and progression. Although each dataset exhibited substantial variability in the number of DEGs, reflecting differences in cohort size, biological heterogeneity, and residual technical variation across studies, the integrative approach identified a consistent core of transcriptional changes. Across all data sets, the integrative analysis identified eight genes (ACAN, COL11A1, EDIL3, NDUFA4L2, IGFBP5, TNNC1, PCK1, and METTL24) that showed consistent differential expression. Although only a limited number of DEGs were shared across all datasets, the recurrent identification of these genes across independent cohorts suggests that they may represent robust, common transcriptional programs potentially associated with CMC development and progression. This also highlights differences in transcriptional profiles between CMC and adjacent healthy mammary tissue. At the same time, the marked variability across datasets underscores the biological and technical challenges inherent in transcriptomic studies of CMC. Although batch correction was performed before downstream analyses, residual technical variability arising from differences in sample collection, tissue processing, preservation methods, sequencing protocols, and cohort composition may still have contributed to the observed heterogeneity. Differences in tissue sampling procedures and tissue composition may influence gene expression profiles. Variations in the proportions of epithelial, stromal, inflammatory, or adjacent non-neoplastic tissues across the analyzed samples, together with differences in tissue preservation methods, may partially explain discrepancies among datasets. Therefore, these findings should be interpreted cautiously and underscore the need for further validation in larger and more standardized cohorts. The limited overlap across datasets further underscores the challenges of identifying reproducible transcriptomic signatures in CMC. Differences in tissue sampling, preservation methods, sequencing protocols, cohort composition, and analytical workflows may all contribute to the observed variability. These findings emphasize the need for standardized methodologies and larger multicenter studies to improve the reproducibility and robustness of transcriptomic research in CMC. Previous research has shown similar expression patterns for these eight DEGs in HBC and other human cancers, supporting their potential biological relevance to CMC progression and aggressiveness. Notably, these genes have been implicated in ECM remodeling, tumor progression, metabolic adaptation, and TME interactions in human cancers, reinforcing their potential biological relevance in CMC.

Among the recurrently upregulated genes identified across datasets, EDIL3 (EGF-Like Repeats and Discoidin Domains 3), COL11A1 (Collagen Type XI Alpha 1 Chain), ACAN (Aggrecan/Versican Proteoglycan Family), and IGFBP5 (Insulin-like Growth Factor-Binding Protein 5) are functionally linked to extracellular matrix (ECM) organization and remodeling, cell adhesion, and interactions with the tumor microenvironment (TME). Previous studies in human cancers have linked these genes to processes including angiogenesis, epithelial–mesenchymal transition (EMT), invasion, tumor progression, and, in some cases, unfavorable clinical outcomes [3953]. NDUFA4L2 (NADH Dehydrogenase [Ubiquinone] 1 Alpha Subcomplex, 4-Like 2) and PCK1 (Phosphoenolpyruvate Carboxykinase 1) are involved in metabolic regulation and cellular adaptation to TME stress. NDUFA4L2 participates in mitochondrial respiration and oxidative stress responses and is often linked to tumor stem cell development, microsatellite instability, tumor mutational burden, immune cell infiltration, reactive oxygen species (ROS) production, disease progression, and poor OS across many types of human cancer [5459]. PCK1 (Phosphoenolpyruvate Carboxykinase 1) plays a central role in metabolic reprogramming and has been associated with tumor progression, epigenetic changes, TME remodeling and worse prognosis in several human cancer types [6081]. In contrast, the recurrent downregulation of TNNC1 (Troponin C1) and METTL24 (Methyltransferase Like 24) may reflect the loss of normal mammary tissue structural and regulatory functions during tumor development. TNNC1 is associated with contractile and cytoskeletal processes, and its role in cancer appears to be tumor type-dependent. In human cancers, TNNC1 has been linked to EMT, invasion, and metastatic potential [8286]. Likewise, METTL24 belongs to a family of proteins involved in cellular regulatory processes and has been associated with poor prognosis in several human cancers [8789]. In addition, some of these genes have been investigated as potential diagnostic, prognostic, or therapeutic biomarkers in specific human tumor types, although their clinical utility remains context-dependent and requires further validation [44,45,8999]. Although their specific roles in CMC remain to be experimentally validated, their recurrent differential expression aligns with enrichment analyses and suggests that these genes may serve as candidate molecular markers for CMC development and progression, warranting further investigation in independent cohorts and functional studies. In addition to the eight DEGs shared across all four datasets, several genes were consistently identified in three-dataset comparisons, including MIA, COL11A2, HAPLN1, SFRP2, CCN4, FMOD, BGN, and INHBA among the upregulated genes, and DES, TNNT1, LMOD2, KRT1, KLF4, CD36, and DCN among the downregulated genes. Many of these genes have been associated with human cancers, including HBC, as well as with ECM remodeling, cell differentiation, and tumor progression, supporting their potential relevance to CMC biology [100113].

From an integrative perspective, GO and KEGG enrichment analyses of upregulated DEGs revealed that genes with higher transcript levels in CMC were predominantly associated with ECM remodeling, cell adhesion, and TME interactions. Enrichment of BP terms, together with CC terms related to the ECM and basement membrane, suggests extensive stromal remodeling and structural reorganization within the TME. Consistent with this, enriched MF categories further support the involvement of ECM-mediated signaling and cell–ECM interactions in CMC progression. In addition, several significantly enriched pathways, including ECM–receptor interaction, focal adhesion, and the PI3K–Akt signaling pathway, are associated with cell survival, proliferation, migration, and invasive behavior, highlighting molecular mechanisms commonly linked to tumor progression and metastasis. The enrichment of immune- and stress-related processes further suggests the presence of inflammatory and immune responses within the TME. Collectively, these findings indicate that the transcriptomic alterations observed in CMC are characterized not only by dysregulation of structural ECM components but also by the activation of signaling pathways involved in tumor progression, immune modulation, and cellular adaptation. For downregulated DEGs, GO enrichment analysis revealed a predominance of BP terms associated with muscle development, contractile function, and tissue organization. Similarly, enriched CC terms indicate reduced expression of genes involved in cytoskeletal integrity and contractile machinery. MF categories further support the suppression of structural and contractile programs in CMC. These findings may reflect the progressive loss of normal mammary gland architecture and differentiation during CMC development and progression. In particular, the downregulation of muscle- and contractility-related genes could be associated with disruption of myoepithelial cell function and cytoskeletal remodeling, processes frequently linked to tumor invasion and loss of tissue integrity. Consistent with this, enriched KEGG pathways, such as “cytoskeleton in muscle cells” and “apelin signaling pathway”, suggest alterations in cellular mechanics, adhesion, and tissue homeostasis within the CMC TME. Collectively, these results suggest that CMC progression is characterized not only by the activation of tumor-promoting signaling pathways, ECM remodeling, and proliferative processes, but also by the loss of structural and differentiation programs characteristic of adjacent healthy canine mammary tissue. All of these pathways are involved in signaling processes related to proliferation, survival, and metastasis within the HBC TME [114,115].

GSEA consistently identified enrichment of hallmark gene sets associated with tumor progression, proliferation, extracellular matrix remodeling, immune signaling, and metabolic adaptation in the tumor phenotype. Across analyses, recurrent enrichment of pathways such as “E2F targets”, “G2M checkpoint”, “MYC targets”, and “DNA repair” suggested increased proliferative activity and cell-cycle dysregulation in CMC. Similarly, enrichment of “mTORC1 signaling”, “PI3K-AKT-mTOR signaling”, “KRAS signaling up”, and “TGF-β signaling” indicated activation of molecular pathways commonly involved in tumor growth, survival, and invasive behavior. Gene sets related to TME interactions and inflammatory responses, including “Inflammatory response”, “TNF-α signaling via NF-κB”, “IL6-JAK-STAT3 signaling”, “IL2-STAT5 signaling”, “Angiogenesis”, and “Epithelial–mesenchymal transition”, further supported the presence of immune modulation, stromal remodeling, and pro-metastatic transcriptional programs in CMC. In addition, enrichment of “Glycolysis”, “Oxidative phosphorylation”, and “Protein secretion” suggested metabolic and secretory adaptations that may contribute to tumor progression. Overall, the consistent enrichment of these biological themes across independent and integrated analyses suggests coordinated transcriptional patterns that may be related to proliferation, immune regulation, metabolic reprogramming, and TME remodeling in CMC. However, these findings should be interpreted as enrichment-based transcriptomic signatures rather than direct evidence of pathway activation. Given the variability among datasets and the potential influence of residual technical heterogeneity, the identified pathways should be considered putative biological processes requiring further functional validation.

Co-expression network analysis revealed a highly organized transcriptional architecture in the CPA-UN dataset, marked by strong modularity and extensive local connectivity. The high clustering coefficient and the presence of seven co-expression modules suggest that genes do not act independently but rather as coordinated functional units, reflecting underlying biological programs associated with CMC. The biological relevance of the identified modules is supported by the functional characteristics of their hub genes. Module 1 was characterized by genes involved in epithelial differentiation (KRT1, KRT77, DSG1, and CASP14), whereas module 2 contained epithelial-associated genes such as EPCAM, CLDN8, and ESRP1, supporting the relevance of epithelial regulatory networks in tumor biology. Module 3 was enriched for muscle-related genes (MYLPF, MYL1, TNNT3, and MYOM3), potentially reflecting stromal or myoepithelial components within the TME. In contrast, modules 4 and 5 were dominated by highly connected uncharacterized LOC transcripts. Interestingly, module 4 also included annotated genes such as KLB, CYP2A13, and CHRNA1, suggesting that these modules may represent poorly characterized biological processes that warrant further investigation. The predominance of LOC transcripts among highly connected nodes highlights the limited functional annotation currently available for the canine genome and suggests that additional studies may uncover novel regulators of CMC biology. Notably, module 6 contained hub genes- related to immune- and stromal functions, including ADGRE1, MSR1, CCL8, and COL11A1, supporting the role of inflammatory and ECM remodeling processes in tumor progression. Similarly, the merged-dataset network showed strong connectivity and was dominated by LOC transcripts, indicating that poorly characterized genes may represent an important yet largely unexplored component of the molecular architecture of CMC. Among the annotated genes were TMEM262, RPPH1, CSN2, and CSN3. This finding underscores the need for improved annotation of the canine transcriptome and suggests that currently uncharacterized genes may contribute substantially to the molecular architecture of CMC. Many of these genes have previously been implicated in different human cancer types, including HBC, suggesting potential relevance in CMC [116132]

Immune deconvolution analysis using CIBERSORTx did not identify statistically significant differences in immune cell populations between CMCs and paired adjacent healthy mammary tissues after FDR correction for multiple comparisons. Although several immune cell populations, including regulatory T cells (Tregs), M1 macrophages, activated CD4 memory T cells, plasma cells, and resting mast cells, showed trends toward differential abundance in some datasets, these findings should be considered exploratory and require validation in larger cohorts. Nevertheless, some recurrent trends were observed across the independent datasets. In particular, increased proportions of Tregs, M1 macrophages, activated CD4 memory T cells, and resting NK cells, together with reduced proportions of plasma cells, resting mast cells, and CD8 + T cells, were detected in CMCs compared with paired adjacent healthy mammary tissues across one or more datasets. It is important to note that CMCs showed a tendency toward infiltration by protumoral and immunosuppressive cells compared with matched adjacent healthy tissues, which could contribute to tumor progression and a poorer prognosis [133]. Although these findings should be interpreted cautiously because they are not statistically significant after multiple-testing correction, they may suggest the presence of immune-regulatory and inflammatory processes within the CMC TME. An important observation was the variability in immune-cell composition across datasets. This variability may reflect biological differences among tumors but could also be influenced by technical factors, including sample collection, tissue preservation, sequencing protocols, and cohort composition. Given these limitations and the indirect nature of transcriptome-based immune deconvolution, the inferred immune infiltration patterns should be treated as exploratory. CIBERSORTx relies on the LM22 reference signature matrix, originally derived from human immune cell populations, and has not been validated for canine tissues. Consequently, species-specific differences in immune cell transcriptional profiles may affect the accuracy of cell proportion estimates and should be considered when interpreting these results. Nevertheless, the partially recurrent trends observed across independent cohorts support further investigation of the immune TME in CMC using larger datasets and complementary experimental approaches.

The exploratory survival analysis identified 53 DEGs with nominal associations with overall survival (OS) in the GSE119810 cohort, comprising 30 upregulated and 23 downregulated genes. Among the upregulated DEGs, the genes with the strongest nominal associations were TM4SF5, TM4SF4, PPBP, STAP1, and DUSP26. Among the downregulated DEGs, the genes with the strongest nominal associations were GADD45A, ITGB2, FYN, WASF3, and SFN. However, these findings should be interpreted with caution. Importantly, although several genes showed nominal significance in Kaplan–Meier analyses, none remained statistically significant after multiple-testing correction. Therefore, these results should be considered exploratory and hypothesis-generating rather than evidence for validated prognostic biomarkers. The discrepancy between nominal and FDR-adjusted significance underscores the challenges of identifying robust prognostic markers from transcriptomic datasets with limited sample sizes. Notably, several candidate genes identified in the survival analysis are involved in pathways related to cell proliferation, immune regulation, and TME interactions. These biological themes were also recurrently observed in the enrichment analyses, indicating convergence across the analytical approaches used in this study. Many of these genes have been implicated in OS across multiple human cancer types, suggesting potential prognostic relevance in CMC [134167]. Another observation was that a substantial proportion of genes showing nominal associations with OS mapped to poorly characterized loci, particularly long non-coding RNAs (lncRNAs). Although the biological functions of most of these transcripts remain unknown, growing evidence indicates that lncRNAs can regulate tumor proliferation, invasion, metastasis, and immune responses [168]. Therefore, these findings may highlight previously underexplored non-coding transcriptional components of CMC biology that warrant further investigation. Nevertheless, given the limited sample size (n = 47) and the absence of statistically significant associations after multiple-testing correction, these findings should be considered exploratory and hypothesis-generating. Therefore, the identified genes represent candidate prognostic markers that require validation in larger independent cohorts and further functional characterization before any conclusions regarding their prognostic or clinical relevance can be drawn.

Although this study provides novel insights into the transcriptomic landscape of CMC, several limitations should be acknowledged. The gene expression datasets were derived from relatively small and heterogeneous cohorts, and the associated clinical information was limited and not fully standardized, potentially introducing bias and reducing the robustness of some associations. Differences in tissue sampling, preservation and sequencing protocols, and cohort composition across studies likely contributed to the substantial variability observed between datasets. The marked inter-dataset heterogeneity and limited overlap of DEGs further underscore the challenges of identifying reproducible transcriptomic signatures in CMC and highlight the need for standardized experimental and analytical approaches in future studies. In addition, the lack of experimental validation precludes definitive conclusions regarding the functional and clinical relevance of the identified genes. Therefore, the findings should be interpreted as exploratory and hypothesis-generating. Further studies in larger, well-characterized cohorts, together with functional validation, are required to confirm the relevance of the proposed candidate molecular markers and to establish a clearer link between molecular alterations and diagnostic or prognostic outcomes in CMC.

Conclusions and future perspectives

In conclusion, through integrated bioinformatics analysis of gene expression datasets, including an independently generated dataset from the present study and publicly available RNASeq datasets. Using NGS technology, we identified a set of candidate genes with consistent differential expression patterns in CMC. Five genes (ACAN, COL11A1, EDIL3, NDUFA4L2, and IGFBP5) were consistently upregulated, while three genes (TNNC1, PCK1, and METTL24) were consistently downregulated in CMC samples compared with healthy mammary gland controls. Notably, similar expression patterns for several of these candidate biomarkers have been reported in HBC studies, suggesting potential cross-species relevance; however, these observations remain indirect and require further validation. Functional enrichment analysis indicated that these candidate genes are associated with biological processes related to tumor-associated pathways; however, these results should be interpreted as transcriptomic associations rather than evidence of functional activity. Deconvolution of tumor immune infiltrates from RNASeq data revealed heterogeneity in CMC immune composition across datasets, but these findings were exploratory and limited by the absence of statistical significance after correction for multiple testing. Survival analysis identified 53 additional candidate biomarkers (30 DEGs upregulated and 23 DEGs downregulated) associated with OS in a single dataset; however, these associations did not remain significant after multiple-testing correction and should therefore be considered hypothesis-generating.

Overall, the present study provides a preliminary transcriptomic framework for CMC that requires further validation and functional investigation. The findings provide a basis for experimental validation of the proposed candidate genes, which should be tested in larger, better-characterized cohorts with standardized clinical annotation to clarify their roles in tumorigenesis, progression, and tumor aggressiveness. Future research should prioritize longitudinal study designs and the integration of multi-omics data, including transcriptomic, genomic, epigenomic, and proteomic approaches, to refine and strengthen molecular signatures for diagnosis, risk assessment, and prognosis. In addition, computational strategies, including machine learning-based models, may help identify of clinically relevant patterns; however, these approaches require robust external validation to ensure generalizability and clinical applicability. Finally, systematic comparative studies among CMC, HBC, and other oncological models will be essential to better define cross-species similarities and differences, thereby supporting the translational relevance of canine models within comparative oncology.

Supporting information

S1 Fig. Enrichment analysis of downregulated DEGs related to canine mammary carcinoma.

From the Venn diagrams obtained in the differential expression analysis, 272 downregulated DEGs identified across the intersection areas of the four gene expression datasets were used to perform gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses. Gene ontology analysis of biological processes (A), gene ontology analysis of cellular components (B), gene ontology analysis of molecular functions (C), and KEGG pathway enrichment analysis (D). The top 10 terms for each statistically significant functional biological category are displayed in the enrichment score dot plot.

https://doi.org/10.1371/journal.pone.0354033.s001

(TIFF)

S2 Fig. Gene Set Enrichment Analysis (GSEA) of the combined gene expression datasets CPA-UN, GSE119810, GSE136197, and GSE135183.

Enrichment plots are shown for upregulated gene sets from the main collection H (hallmark gene sets) with FDR < 25% and p-value < 0.05 associated with the tumor phenotype. These gene sets relate to cancer, tumorigenesis, and tumor progression.

https://doi.org/10.1371/journal.pone.0354033.s002

(TIFF)

S3 Fig. Module in the co-expression network of the CPA-UN gene expression dataset for the upregulated DEGs common across the CPA-UN, GSE119810, GSE136197, and GSE135183 datasets.

The co-expression module obtained with an adjusted p-value (padj) < 0.05 and a Pearson correlation threshold of 0.7 is shown for ACAN, COL11A1, and EDIL3. Each node represents a gene, and each edge indicates the co-expression relationships between genes based on the correlation threshold. DEGs were identified using DESeq2 and defined as genes with a log2Fold Change ≥ 1 or ≤ −1 and padj < 0.05. The size of each node reflects the log2Fold Change of the corresponding gene.

https://doi.org/10.1371/journal.pone.0354033.s003

(TIFF)

S4 Fig. Modules in the co-expression network of the CPA-UN gene expression dataset for the downregulated DEGs common across the CPA-UN, GSE119810, GSE136197, and GSE135183 datasets.

The co-expression module obtained with an adjusted p-value (padj) < 0.05 and a Pearson correlation threshold of 0.7 is shown for TNNC1 (A), and for PCK1 and METTL24 (B). Each node represents a gene, and each edge indicates the co-expression relationships established between genes based on the correlation threshold. DEGs were identified using DESeq2 and defined as genes with a log2Fold Change ≥ 1 or ≤ −1 and padj < 0.05. The size of each node reflects the log2Fold Change of the corresponding gene.

https://doi.org/10.1371/journal.pone.0354033.s004

(TIFF)

S5 Fig. Co-expression network for the combined gene expression datasets CPA-UN, GSE119810, GSE136197, and GSE135183.

The network includes upregulated DEGs (red nodes), downregulated DEGs (blue nodes), and non-DEGs (gray nodes). The network was constructed using the 2000 most variable genes with an adjusted p-value (padj) < 0.05 and a Pearson correlation threshold of 0.7. Each node represents a gene, and each edge indicates the co-expression relationships between genes based on the correlation threshold. DEGs were identified using DESeq2 and defined as genes with a log2Fold Change ≥ 1 or ≤ −1 and padj < 0.05. The size of each node reflects the gene’s log2FoldChange.

https://doi.org/10.1371/journal.pone.0354033.s005

(TIFF)

S6 Fig. Deconvolution of tumor immune infiltrates from RNASeq.

Summary of the relative proportions of 22 infiltrating immune cell types predicted from raw RNASeq counts normalized to transcripts per million (TPM) using the CIBERSORTx algorithm for the gene expression datasets GSE136197 (A) and GSE135183 (B). Statistical comparisons were performed using the Wilcoxon signed-rank test, and the p-values displayed in the figure correspond to the Wilcoxon test results (* indicates p < 0.05; ** indicates p < 0.01). p-values were additionally adjusted using the Benjamini–Hochberg false discovery rate (FDR) correction for multiple comparisons. Results that were not significant after FDR correction were interpreted as exploratory trends.

https://doi.org/10.1371/journal.pone.0354033.s006

(TIFF)

S1 Table. Summary of the RNA sequencing data statistics for CPA-UN.

https://doi.org/10.1371/journal.pone.0354033.s007

(XLSX)

S2 Table. Clinical characteristics of canines with mammary carcinoma from the public datasets GSE119810, GSE136197 and GSE135183 included in the study.

https://doi.org/10.1371/journal.pone.0354033.s008

(XLSX)

S3 Table. Differentially expressed genes (DEGs) in the CPA-UN, GSE119810, GSE136197, and GSE135183 datasets.

https://doi.org/10.1371/journal.pone.0354033.s009

(XLSX)

S4 Table. Predicted or uncharacterized DEGs annotated with LOC identifiers detected across the CPA-UN, GSE119810, GSE136197, and GSE135183 datasets.

https://doi.org/10.1371/journal.pone.0354033.s010

(XLSX)

S5 Table. Differentially expressed genes (DEGs) shared across CPA-UN, GSE119810, GSE136197, and GSE135183 datasets.

https://doi.org/10.1371/journal.pone.0354033.s011

(XLSX)

S6 Table. Functional enrichment analysis of gene ontology and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways for upregulated differentially expressed genes (DEGs) shared across the CPA-UN, GSE119810, GSE136197, and GSE135183 datasets.

https://doi.org/10.1371/journal.pone.0354033.s012

(XLSX)

S7 Table. Functional enrichment analysis of gene ontology and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways for downregulated differentially expressed genes (DEGs) shared across the CPA-UN, GSE119810, GSE136197, and GSE135183 datasets.

https://doi.org/10.1371/journal.pone.0354033.s013

(XLSX)

S8 Table. Gene Set Enrichment Analysis (GSEA) for canine mammary carcinoma cases in the CPA-UN dataset.

https://doi.org/10.1371/journal.pone.0354033.s014

(XLSX)

S9 Table. Gene Set Enrichment Analysis (GSEA) for canine mammary carcinoma cases in the merged dataset (CPA-UN, GSE119810, GSE136197, and GSE135183).

https://doi.org/10.1371/journal.pone.0354033.s015

(XLSX)

S10 Table. Topological metrics of the co-expression network for the 1000 most variable genes with an adjusted p-value (padj) < 0.05 and a Pearson correlation threshold of 0.7 in the CPA-UN dataset.

https://doi.org/10.1371/journal.pone.0354033.s016

(XLSX)

S11 Table. Topological metrics of the co-expression network for the 2000 most variable genes with an adjusted p-value (padj) < 0.05 and a Pearson correlation threshold of 0.7 in the merged dataset (CPA-UN, GSE119810, GSE136197, and GSE135183).

https://doi.org/10.1371/journal.pone.0354033.s017

(XLSX)

S12 Table. Hub genes of the co-expression network for the 1000 most variable genes with an adjusted p-value (padj) < 0.05 and a Pearson correlation threshold of 0.7 in the CPA-UN dataset.

https://doi.org/10.1371/journal.pone.0354033.s018

(XLSX)

S13 Table. Hub genes of the co-expression network for the 1000 most variable genes with an adjusted p-value (padj) < 0.05 and a Pearson correlation threshold of 0.7 in the merged dataset (CPA-UN, GSE119810, GSE136197, and GSE135183).

https://doi.org/10.1371/journal.pone.0354033.s019

(XLSX)

S14 Table. Overall survival analysis of the GSE119810 dataset.

https://doi.org/10.1371/journal.pone.0354033.s020

(XLSX)

References

  1. 1. Fesseha H. Mammary tumours in dogs and its treatment option- a review. Biomed J Sci Tech Res. 2020;30.
  2. 2. Goldschmidt MH, Peña L, Zappulli V. Tumors of the mammary gland. Tumors domest. anim. Hoboken, NJ, USA: John Wiley & Sons. 2016. p. 723–65.
  3. 3. Salas Y, Márquez A, Diaz D, Romero L. Epidemiological study of mammary tumors in female dogs diagnosed during the period 2002-2012: a growing animal health problem. PLoS One. 2015;10(5):e0127381. pmid:25992997
  4. 4. Giaquinto AN, Sung H, Newman LA, Freedman RA, Smith RA, Star J, et al. Breast cancer statistics 2024. CA Cancer J Clin. 2024;74:477–95.
  5. 5. Nosalova 5 N, Huniadi M, Horňáková Ľ, Valenčáková A, Horňák S, Nagoos K, et al. Canine mammary tumors: classification, biomarkers, traditional and personalized therapies. Int J Mol Sci. 2024;25(5):2891.
  6. 6. Peña L, Andrés PJD, Clemente M, Cuesta P, Pérez-Alenza MD. Prognostic value of histological grading in noninflammatory canine mammary carcinomas in a prospective study with two-year follow-up. Vet Pathol. 2012;50(1):94–105.
  7. 7. Goldschmidt M, Peña L, Rasotto R, Zappulli V. Classification and grading of canine mammary tumors. Vet Pathol. 2011;48(1):117–31. pmid:21266722
  8. 8. Cassali GD, Nakagaki KYR, Jark PC, Horta R dos S, Arias AC, Tellado MN, et al. Consensus on the diagnosis, prognosis, and treatment of canine and feline mammary tumors: solid arrangement – 2023. Brazilian Journal of Veterinary Pathology. 2024;17(3):152–63.
  9. 9. Nguyen F, Peña L, Ibisch C, Loussouarn D, Gama A, Rieder N, et al. Canine invasive mammary carcinomas as models of human breast cancer. Part 1: natural history and prognostic factors. Breast Cancer Res Treat. 2018;167(3):635–48. pmid:29086231
  10. 10. Abadie J, Nguyen F, Loussouarn D, Peña L, Gama A, Rieder N, et al. Canine invasive mammary carcinomas as models of human breast cancer. Part 2: immunophenotypes and prognostic significance. Breast Cancer Res Treat. 2018;167(2):459–68. pmid:29063312
  11. 11. Abdelmegeed S, Mohammed S. Canine mammary tumors as a model for human disease. Oncol Lett. 2018.
  12. 12. Gherman L-M, Chiroi P, Nuţu A, Bica C, Berindan - Neagoe I. Profiling canine mammary tumors: a potential model for studying human breast cancer. Vet J. 2024;303:106055.
  13. 13. Rodríguez-Bejarano OH, Botero L, Hernández GV, Parra-Lopez C, Patarroyo MA. Canine mammary carcinoma: an update. Vet J. 2026;317:106668. pmid:41990944
  14. 14. Kim T-M, Yang IS, Seung B-J, Lee S, Kim D, Ha Y-J, et al. Cross-species oncogenic signatures of breast cancer in canine mammary tumors. Nat Commun. 2020;11(1):3616. pmid:32680987
  15. 15. Graim K, Gorenshteyn D, Robinson DG, Carriero NJ, Cahill JA, Chakrabarti R, et al. Modeling molecular development of breast cancer in canine mammary tumors. Genome Res. 2020;31(2):337–47.
  16. 16. Pöschel A, Beebe E, Kunz L, Amini P, Guscetti F, Malbon A, et al. Identification of disease-promoting stromal components by comparative proteomic and transcriptomic profiling of canine mammary tumors using laser-capture microdissected FFPE tissue. Neoplasia. 2021;23(4):400–12. pmid:33794398
  17. 17. Lee K-H, Park H-M, Son K-H, Shin T-J, Cho J-Y. Transcriptome signatures of canine mammary gland tumors and its comparison to human breast cancers. Cancers (Basel). 2018;10(9):317. pmid:30205506
  18. 18. Andrews S. FastQC: a quality control tool for high throughput sequence data. 2010. Available from: http://www.bioinformatics.babraham.ac.uk/projects/fastqc
  19. 19. Edgar R. Gene expression omnibus: NCBI gene expression and hybridization array data repository. Nucleic Acids Res. 2002;30(1):207–10.
  20. 20. Bolger AM, Lohse M, Usadel B. Trimmomatic: a flexible trimmer for Illumina sequence data. Bioinformatics. 2014;30(15):2114–20. pmid:24695404
  21. 21. Kim D, Paggi JM, Park C, Bennett C, Salzberg SL. Graph-based genome alignment and genotyping with HISAT2 and HISAT-genotype. Nat Biotechnol. 2019;37(8):907–15. pmid:31375807
  22. 22. Anders S, Pyl PT, Huber W. HTSeq – a Python framework to work with high-throughput sequencing data. 2014.
  23. 23. Khan AM. R-software: a newer tool in epidemiological data analysis. Indian J Community Med. 2013;38(1):56–8. pmid:23559706
  24. 24. Yu G, Wang LG, Han Y, He QY. clusterProfiler: an R package for comparing biological themes among gene clusters. Omi A J Integr Biol. 2012;16:284–7.
  25. 25. Luo W, Brouwer C. Pathview: an R/Bioconductor package for pathway-based data integration and visualization. Bioinformatics. 2013;29(14):1830–1. pmid:23740750
  26. 26. Tang D, Chen M, Huang X, Zhang G, Zeng L, Zhang G, et al. SRplot: a free online platform for data visualization and graphing. PLoS One. 2023;18(11):e0294236. pmid:37943830
  27. 27. Subramanian A, Tamayo P, Mootha VK, Mukherjee S, Ebert BL, Gillette MA, et al. Gene set enrichment analysis: a knowledge-based approach for interpreting genome-wide expression profiles. Proc Natl Acad Sci U S A. 2005;102(43):15545–50. pmid:16199517
  28. 28. Liberzon A, Subramanian A, Pinchback R, Thorvaldsdóttir H, Tamayo P, Mesirov JP. Molecular signatures database (MSigDB) 3.0. Bioinformatics. 2011;27(12):1739–40.
  29. 29. Liberzon A, Birger C, Thorvaldsdóttir H, Ghandi M, Mesirov JP, Tamayo P. The Molecular Signatures Database (MSigDB) hallmark gene set collection. Cell Syst. 2015;1(6):417–25. pmid:26771021
  30. 30. Zhang Y, Parmigiani G, Johnson WE. ComBat-seq: batch effect adjustment for RNA-seq count data. NAR Genom Bioinform. 2020;2(3):lqaa078. pmid:33015620
  31. 31. Wickham H. ggplot2. Cham: Springer International Publishing; 2016.
  32. 32. Lin Z, Zhang J, Chen Q, Zhang X, Zhang D, Lin J, et al. Transcriptome analysis of the adenoma–carcinoma sequences identifies novel biomarkers associated with development of canine colorectal cancer. Front Vet Sci. 2023;10.
  33. 33. Mannheimer JD, Tawa G, Gerhold D, Braisted J, Sayers CM, McEachron TA, et al. Transcriptional profiling of canine osteosarcoma identifies prognostic gene expression signatures with translational value for humans. Commun Biol. 2023;6(1):856. pmid:37591946
  34. 34. Amin SB, Anderson KJ, Boudreau CE, Martinez-Ledesma E, Kocakavuk E, Johnson KC, et al. Comparative molecular life history of spontaneous canine and human gliomas. Cancer Cell. 2020;37(2):243-257.e7. pmid:32049048
  35. 35. Newman AM, Liu CL, Green MR, Gentles AJ, Feng W, Xu Y, et al. Robust enumeration of cell subsets from tissue expression profiles. Nat Methods. 2015;12(5):453–7. pmid:25822800
  36. 36. Al-Mansour MA, Kubba MAG, Al-Azreg SA, Dribika SA. Comparative histopathology and immunohistochemistry of human and canine mammary tumors. Open Vet J. 2018;8(3):243.
  37. 37. Pinho SS, Carvalho S, Cabral J, Reis CA, Gärtner F. Canine tumors: a spontaneous animal model of human carcinogenesis. Transl Res. 2012;159(3):165–72. pmid:22340765
  38. 38. Nance RL, Sajib AM, Smith BF. Canine models of human cancer: bridging the gap to improve precision medicine. Prog Mol Biol Transl Sci. 2022;189(1):67–99. pmid:35595353
  39. 39. Jeong D, Ban S, Oh S, Jin Lee S, Yong Park S, Koh YW. Prognostic significance of EDIL3 Expression And Correlation With Mesenchymal Phenotype And Microvessel Density In Lung Adenocarcinoma. Sci Rep. 2017;7(1):8649. pmid:28819306
  40. 40. Feng M-X, Ma M-Z, Fu Y, Li J, Wang T, Xue F, et al. Elevated autocrine EDIL3 protects hepatocellular carcinoma from anoikis through RGD-mediated integrin activation. Mol Cancer. 2014;13:226. pmid:25273699
  41. 41. Wang H, Ren Y, Qian C, Liu J, Li G, Li Z. Over-expression of CDX2 alleviates breast cancer by up-regulating microRNA let-7b and inhibiting COL11A1 expression. Cancer Cell Int. 2020;20:13. pmid:31938021
  42. 42. Zhang Y, Fu Y. Comprehensive analysis and identification of an immune-related gene signature with prognostic value for prostate cancer. Int J Gen Med. 2021;14:2931–42. pmid:34234523
  43. 43. Yang Y-S, Ren Y-X, Liu C-L, Hao S, Xu X-E, Jin X, et al. The early-stage triple-negative breast cancer landscape derives a novel prognostic signature and therapeutic target. Breast Cancer Res Treat. 2022;193(2):319–30. pmid:35334008
  44. 44. Dittmer J. Biological effects and regulation of IGFBP5 in breast cancer. Front Endocrinol (Lausanne). 2022;13:983793. pmid:36093095
  45. 45. Rodríguez-Rojas K, Cortes-Reynosa P, Torres-Alamilla P, Rodríguez-Ochoa N, Salazar EP. A novel role of IGFBP5 in the migration, invasion and spheroids formation induced by IGF-I and insulin in MCF-7 breast cancer cells. Breast Cancer Res Treat. 2024;208(1):79–88. pmid:38896333
  46. 46. Sun J-C, Liang X-T, Pan K, Wang H, Zhao J-J, Li J-J, et al. High expression level of EDIL3 in HCC predicts poor prognosis of HCC patients. World J Gastroenterol. 2010;16(36):4611–5. pmid:20857535
  47. 47. Zhang L, Peng K-W, Wang B, Yang X-F, Zhang Z-M. EDIL3 regulates gastric cancer cell migration, invasion and epithelial-mesenchymal transition via TGF-β1/XIST/miR-137 feedback loop. Transl Cancer Res. 2020;9(10):6313–30. pmid:35117240
  48. 48. Ke B, Liang Z-K, Li B, Wang X-J, Liu N, Liang H, et al. EDIL3 is a potential prognostic biomarker that correlates with immune infiltrates in gastric cancer. PeerJ. 2023;11:e15559. pmid:37576496
  49. 49. Tabasum S, Thapa D, Giobbie-Hurder A, Weirather JL, Campisi M, Schol PJ, et al. EDIL3 as an angiogenic target of immune exclusion following checkpoint blockade. Cancer Immunol Res. 2023;11(11):1493–507. pmid:37728484
  50. 50. Kang Z, Zhu J, Sun N, Zhang X, Liang G, Kou Y, et al. COL11A1 promotes esophageal squamous cell carcinoma proliferation and metastasis and is inversely regulated by miR-335-5p. Ann Transl Med. 2021;9(20):1577. pmid:34790783
  51. 51. Wu Y-H, Huang Y-F, Chang T-H, Chen C-C, Wu P-Y, Huang S-C, et al. COL11A1 activates cancer-associated fibroblasts by modulating TGF-β3 through the NF-κB/IGFBP2 axis in ovarian cancer cells. Oncogene. 2021;40(26):4503–19. pmid:34117361
  52. 52. Sun Y, Liu Z, Huang L, Shang Y. MiR-144-3p inhibits the proliferation, migration and invasion of lung adenocargen cancer cells by targeting COL11A1. J Chemother. 2021;33(6):409–19. pmid:33845716
  53. 53. Galván JA, García-Martínez J, Vázquez-Villa F, García-Ocaña M, García-Pravia C, Menéndez-Rodríguez P, et al. Validation of COL11A1/procollagen 11A1 expression in TGF-β1-activated immortalised human mesenchymal cells and in stromal cells of human colon adenocarcinoma. BMC Cancer. 2014;14:867. pmid:25417197
  54. 54. Chen Z, Wei X, Wang X, Zheng X, Chang B, Shen L, et al. NDUFA4L2 promotes glioblastoma progression, is associated with poor survival, and can be effectively targeted by apatinib. Cell Death Dis. 2021;12(4):377. pmid:33828084
  55. 55. Lin Y, Xie H, Zhao W, Li Y, Zhang Z. NDUFA4L2 is a novel biomarker for colorectal cancer through bioinformatics analysis. Medicine (Baltimore). 2023;102(44):e35893. pmid:37933010
  56. 56. Laursen KB, Chen Q, Khani F, Attarwala N, Gross SS, Dow L, et al. Mitochondrial Ndufa4l2 enhances deposition of lipids and expression of Ca9 in the TRACK model of early clear cell renal cell carcinoma. Front Oncol. 2021;11.
  57. 57. Lai RK-H, Xu IM-J, Chiu DK-C, Tse AP-W, Wei LL, Law C-T, et al. NDUFA4L2 fine-tunes oxidative stress in hepatocellular carcinoma. Clin Cancer Res. 2016;22(12):3105–17. pmid:26819450
  58. 58. Meng L, Yang X, Xie X, Wang M. Mitochondrial NDUFA4L2 protein promotes the vitality of lung cancer cells by repressing oxidative stress. Thorac Cancer. 2019;10(4):676–85. pmid:30710412
  59. 59. Yi J, Gao W, Wu C, Yang R, Yu C. A multidimensional pan-cancer analysis of NDUFA4L2 and verification of the oncogenic value in colon cancer. FASEB J. 2025;39(1):e70300. pmid:39792315
  60. 60. Liu N, Zhu X-R, Wu C-Y, Liu Y-Y, Chen M-B, Gu J-H. PCK1 as a target for cancer therapy: from metabolic reprogramming to immune microenvironment remodeling. Cell Death Discov. 2024;10(1):478. pmid:39578429
  61. 61. Xiang J, Wang K, Tang N. PCK1 dysregulation in cancer: Metabolic reprogramming, oncogenic activation, and therapeutic opportunities. Genes Dis. 2022;10(1):101–12. pmid:37013052
  62. 62. Cheung AH-K, Wong K-Y, Liu X, Ji F, Hui CH-L, Zhang Y, et al. MLK4 promotes glucose metabolism in lung adenocarcinoma through CREB-mediated activation of phosphoenolpyruvate carboxykinase and is regulated by KLF5. Oncogenesis. 2023;12(1):35. pmid:37407566
  63. 63. Li Y, Luo S, Ma R, Liu J, Xu P, Zhang H, et al. Upregulation of cytosolic phosphoenolpyruvate carboxykinase is a critical metabolic event in melanoma cells that repopulate tumors. Cancer Res. 2015;75(7):1191–6. pmid:25712344
  64. 64. Ren M, Wang L, Gao Z-X, Deng X-Y, Shen K-J, Li Y-L, et al. Overcoming chemoresistance to b-raf inhibitor in melanoma via targeted inhibition of phosphoenolpyruvate carboxykinase1 using 3-mercaptopropionic acid. Bioengineered. 2022;13(5):13571–86. pmid:36700470
  65. 65. Shao F, Bian X, Jiang H, Zhao G, Zhu L, Xu D, et al. Association of phosphoenolpyruvate carboxykinase 1 protein kinase activity-dependent sterol regulatory element-binding protein 1 activation with prognosis of oesophageal carcinoma. Eur J Cancer. 2021;142:123–31. pmid:33278777
  66. 66. Zhu X-R, Peng S-Q, Wang L, Chen X-Y, Feng C-X, Liu Y-Y, et al. Identification of phosphoenolpyruvate carboxykinase 1 as a potential therapeutic target for pancreatic cancer. Cell Death Dis. 2021;12(10):918. pmid:34620839
  67. 67. Li Y, Zhang M, Dorfman RG, Pan Y, Tang D, Xu L, et al. SIRT2 promotes the migration and invasion of gastric cancer through RAS/ERK/JNK/MMP-9 pathway by increasing PEPCK1-related metabolism. Neoplasia. 2018;20(8):745–56.
  68. 68. Cheng Q, Butler W, Zhou Y, Zhang H, Tang L, Perkinson K, et al. Pre-existing castration-resistant prostate cancer-like cells in primary prostate cancer promote resistance to hormonal therapy. Eur Urol. 2022;81(5):446–55. pmid:35058087
  69. 69. Wen Y-C, Liu C-L, Yeh H-L, Chen W-H, Jiang K-C, Tram VTN, et al. PCK1 regulates neuroendocrine differentiation in a positive feedback loop of LIF/ZBTB46 signalling in castration-resistant prostate cancer. Br J Cancer. 2022;126(5):778–90. pmid:34815524
  70. 70. Tang K, Zhu L, Chen J, Wang D, Zeng L, Chen C, et al. Hypoxia promotes breast cancer cell growth by activating a glycogen metabolic program. Cancer Res. 2021;81(19):4949–63. pmid:34348966
  71. 71. Chao C-H, Wang C-Y, Wang C-H, Chen T-W, Hsu H-Y, Huang H-W, et al. Mutant p53 attenuates oxidative phosphorylation and facilitates cancer stemness through downregulating miR-200c-PCK2 axis in basal-like breast cancer. Mol Cancer Res. 2021;19(11):1900–16. pmid:34312289
  72. 72. Zhou X, Huang L, Xing R, Yang F, Nie H. MiR-93-5P represses the gluconeogenesis of hepatocellular carcinoma while boosting its glycolysis and malignant progression by suppressing PCK1. Crit Rev Eukaryot Gene Expr. 2022;32(1):35–47. pmid:35377979
  73. 73. Pavlides S, Whitaker-Menezes D, Castello-Cros R, Flomenberg N, Witkiewicz AK, Frank PG, et al. The reverse Warburg effect: aerobic glycolysis in cancer associated fibroblasts and the tumor stroma. Cell Cycle. 2009;8(23):3984–4001. pmid:19923890
  74. 74. Abate E, Mehdi M, Addisu S, Degef M, Tebeje S, Kelemu T. Emerging roles of cytosolic phosphoenolpyruvate kinase 1 (PCK1) in cancer. Biochem Biophys Rep. 2023;35:101528. pmid:37637941
  75. 75. Shi L, An S, Liu Y, Liu J, Wang F. PCK1 regulates glycolysis and tumor progression in clear cell renal cell carcinoma through LDHA. Onco Targets Ther. 2020;13:2613–27. pmid:32280238
  76. 76. Zheng Q, Li P, Zhou X, Qiang Y, Fan J, Lin Y, et al. Deficiency of the X-inactivation escaping gene KDM5C in clear cell renal cell carcinoma promotes tumorigenicity by reprogramming glycogen metabolism and inhibiting ferroptosis. Theranostics. 2021;11(18):8674–91. pmid:34522206
  77. 77. Liu Z, Liu Z, Zhou X, Lu Y, Yao Y, Wang W, et al. A glycolysis-related two-gene risk model that can effectively predict the prognosis of patients with rectal cancer. Hum Genomics. 2022;16(1):5. pmid:35109912
  78. 78. Doubleday PF, Fornelli L, Ntai I, Kelleher NL. Oncogenic KRAS creates an aspartate metabolism signature in colorectal cancer cells. FEBS J. 2021;288(23):6683–99. pmid:34227245
  79. 79. Yamaguchi N, Weinberg EM, Nguyen A, Liberti MV, Goodarzi H, Janjigian YY, et al. PCK1 and DHODH drive colorectal cancer liver metastatic colonization and hypoxic growth by promoting nucleotide synthesis. Elife. 2019;8:e52135. pmid:31841108
  80. 80. Zhang X, Tao G, Jiang J, Qu T, Zhao S, Xu P, et al. PCK1 activates oncogenic autophagy via down-regulation Serine phosphorylation of UBAP2L and antagonizes colorectal cancer growth. Cancer Cell Int. 2023;23(1):68. pmid:37062825
  81. 81. Shao F, Bian X, Wang J, Xu D, Guo W, Jiang H, et al. Prognostic impact of PCK1 protein kinase activity-dependent nuclear SREBP1 activation in non-small-cell lung carcinoma. Frontiers in Oncology. 2021;11.
  82. 82. Kim S, Kim J, Jung Y, Jun Y, Jung Y, Lee H-Y, et al. Characterization of TNNC1 as a novel tumor suppressor of lung adenocarcinoma. Mol Cells. 2020;43(7):619–31. pmid:32638704
  83. 83. Yin JH, Elumalai P, Kim SY, Zhang SZ, Shin S, Lee M, et al. TNNC1 knockout reverses metastatic potential of ovarian cancer cells by inactivating epithelial-mesenchymal transition and suppressing F-actin polymerization. Biochem Biophys Res Commun. 2021;547:44–51. pmid:33592378
  84. 84. Leung CS, Yeung T-L, Yip K-P, Pradeep S, Balasubramanian L, Liu J, et al. Calcium-dependent FAK/CREB/TNNC1 signalling mediates the effect of stromal MFAP5 on ovarian cancer metastatic potential. Nat Commun. 2014;5:5092. pmid:25277212
  85. 85. Ye X, Xie G, Liu Z, Tang J, Cui M, Wang C, et al. TNNC1 reduced gemcitabine sensitivity of nonsmall-cell lung cancer by increasing autophagy. Med Sci Monit. 2020;26:e922703. pmid:32946432
  86. 86. Feng J, Chen Z, Wang G, Yao Y, Min X, Luo J, et al. Prognostic significance of calcium-related genes in lung adenocarcinoma and the role of TNNC1 in macrophage polarization and erlotinib resistance. Front Immunol. 2025;16:1509222. pmid:40433361
  87. 87. Delaunay S, Frye M. RNA modifications regulating cell fate in cancer. Nat Cell Biol. 2019;21(5):552–9. pmid:31048770
  88. 88. Zhang H, Sun F, Jiang S, Yang F, Dong X, Liu G, et al. METTL protein family: focusing on the occurrence, progression and treatment of cancer. Biomark Res. 2024;12(1):105. pmid:39289775
  89. 89. Jiang Z, Zhang W, Zeng Z, Tang D, Li C, Cai W, et al. A comprehensive investigation discovered the novel methyltransferase METTL24 as one presumably prognostic gene for kidney renal clear cell carcinoma potentially modulating tumor immune microenvironment. Front Immunol. 2022;13:926461. pmid:36311770
  90. 90. Vafaeie F, Nomiri S, Ranjbaran J, Safarpour H. ACAN, MDFI, and CHST1 as candidate genes in gastric cancer: a comprehensive insilco analysis. Asian Pac J Cancer Prev. 2022;23(2):683–94. pmid:35225482
  91. 91. Vizeacoumar FS, Guo H, Dwernychuk L, Zaidi A, Freywald A, Wu F-X, et al. Mining the plasma-proteome associated genes in patients with gastro-esophageal cancers for biomarker discovery. Sci Rep. 2021;11(1):7590. pmid:33828156
  92. 92. Yuan Y, Gao H, Zhuang Y, Wei L, Yu J, Zhang Z, et al. NDUFA4L2 promotes trastuzumab resistance in HER2-positive breast cancer. Ther Adv Med Oncol. 2021;13:17588359211027836. pmid:34276814
  93. 93. Alalawy AI. Key genes and molecular mechanisms related to paclitaxel resistance. Cancer Cell Int. 2024;24(1):244. pmid:39003454
  94. 94. Gasca J, Flores ML, Jiménez-Guerrero R, Sáez ME, Barragán I, Ruíz-Borrego M, et al. EDIL3 promotes epithelial-mesenchymal transition and paclitaxel resistance through its interaction with integrin αVβ3 in cancer cells. Cell Death Discov. 2020;6:86. pmid:33014430
  95. 95. Zheng R, He Y, Yang L, Chen Y, Wang R, Xie S. Nischarin inhibits the epithelial-mesenchymal transition process and angiogenesis in breast cancer cells by inactivating FAK/ERK signaling pathway via EGF like repeats and discoidin domains 3. Mol Biol Rep. 2024;51(1):821. pmid:39023636
  96. 96. Wei Y-X, Han J-H, Shen H-M, Wang Y-Y, Qi M, Wang L, et al. Highly sensitive fluorescent detection of EDIL3 overexpressed exosomes for the diagnosis of triple-negative breast cancer. Nanotechnology. 2022;33(42):10.1088/1361-6528/ac805f. pmid:35820407
  97. 97. Lin Z, Jiang C, Lv D, Lin D. Identification of EDIL3 biomarkers as a biomarker and potential therapeutic target of canine mammary carcinomas based on integrated bioinformatics analysis. Vet Immunol Immunopathol. 2022;249:110432. pmid:35550248
  98. 98. Luo Q, Li J, Su X, Tan Q, Zhou F, Xie S. COL11A1 serves as a biomarker for poor prognosis and correlates with immune infiltration in breast cancer. Front Genet. 2022;13:935860. pmid:36160004
  99. 99. Shi W, Chen Z, Liu H, Miao C, Feng R, Wang G, et al. COL11A1 as an novel biomarker for breast cancer with machine learning and immunohistochemistry validation. Front Immunol. 2022;13:937125. pmid:36389832
  100. 100. Sasahira T, Kirita T, Nishiguchi Y, Kurihara M, Nakashima C, Bosserhoff AK, et al. A comprehensive expression analysis of the MIA gene family in malignancies: MIA gene family members are novel, useful markers of esophageal, lung, and cervical squamous cell carcinoma. Oncotarget. 2016;7(21):31137–52. pmid:27145272
  101. 101. Liu M, Fan D, Cheng W, Liu Y, Sun Y. COL11A2 methylation as a biomarker for radiosensitivity and microenvironment remodelling in oral squamous cell carcinoma. Int Dent J. 2026;76:109429.
  102. 102. Zhang T, Li X, He Y, Wang Y, Shen J, Wang S, et al. Cancer-associated fibroblasts-derived HAPLN1 promotes tumour invasion through extracellular matrix remodeling in gastric cancer. Gastric Cancer. 2022;25(2):346–59. pmid:34724589
  103. 103. Hsu L, Siegel J, Nasarre P, Oberholtzer N, Mukherjee R, Hilliard E, et al. Secreted frizzled-related protein 2 monoclonal antibody-mediated IFN-ϒ reprograms tumor-associated macrophages to suppress triple negative breast cancer. Breast Cancer Res. 2025;27(1):209. pmid:41345673
  104. 104. Pourhanifeh MH, Mohammadi R, Noruzi S, Hosseini SA, Fanoudi S, Mohamadi Y, et al. The role of fibromodulin in cancer pathogenesis: implications for diagnosis and therapy. Cancer Cell Int. 2019;19:157. pmid:31198406
  105. 105. Sunderland A, Williams J, Andreou T, Rippaus N, Fife C, James F, et al. Biglycan and reduced glycolysis are associated with breast cancer cell dormancy in the brain. Front Oncol. 2023;13:1191980. pmid:37456245
  106. 106. Xueqin T, Jinhong M, Yuping H. Inhibin subunit beta A promotes cell proliferation and metastasis of breast cancer through Wnt/β-catenin signaling pathway. Bioengineered. 2021;12(2):11567–75. pmid:34889158
  107. 107. Shalannandia WA, Chou Y, Bashari MH, Khairani AF. Intermediate filaments in breast cancer progression, and potential biomarker for cancer therapy: a narrative review. Breast Cancer (Dove Med Press). 2024;16:689–704. pmid:39430570
  108. 108. Shi Y, Zhao Y, Zhang Y, AiErken N, Shao N, Ye R, et al. TNNT1 facilitates proliferation of breast cancer cells by promoting G1/S phase transition. Life Sci. 2018;208:161–6. pmid:30031058
  109. 109. Liu Y, Wang Z, Huang D, Wu C, Li H, Zhang X, et al. LMO2 promotes tumor cell invasion and metastasis in basal-type breast cancer by altering actin cytoskeleton remodeling. Oncotarget. 2017;8(6):9513–24. pmid:27880729
  110. 110. Yao SJ, Amirrad F, Ziaei E, Saghaeidehkordi A, Roosan MR, Shamloo K, et al. Surface keratin 1, a tumor-selective peptide target in human triple-negative breast cancer. Scientific Reports. 2025;15:21644.
  111. 111. Yu F, Li J, Chen H, Fu J, Ray S, Huang S, et al. Kruppel-like factor 4 (KLF4) is required for maintenance of breast cancer stem cells and for cell migration and invasion. Oncogene. 2011;30(18):2161–72. pmid:21242971
  112. 112. Guerrero-Rodríguez SL, Mata-Cruz C, Pérez-Tapia SM, Velasco-Velázquez MA. Role of CD36 in cancer progression, stemness, and targeting. Front Cell Dev Biol. 2022;10:1079076. pmid:36568966
  113. 113. Aljagthmi WA, Alasmari MA, Daghestani MH, Al-Kharashi LA, Al-Mohanna FH, Aboussekhra A. Decorin (DCN) downregulation activates breast stromal fibroblasts and promotes their pro-carcinogenic effects through the IL-6/STAT3/AUF1 signaling. Cells. 2024;13(8):680. pmid:38667295
  114. 114. Lugo-Cintrón KM, Gong MM, Ayuso JM, Tomko LA, Beebe DJ, Virumbrales-Muñoz M, et al. Breast fibroblasts and ECM components modulate breast cancer cell migration through the secretion of MMPs in a 3D microfluidic co-culture model. Cancers (Basel). 2020;12(5):1173. pmid:32384738
  115. 115. M Brandão-Costa R, Helal-Neto E, M Vieira A, Barcellos-de-Souza P, Morgado-Diaz J, Barja-Fidalgo C. Extracellular matrix derived from high metastatic human breast cancer triggers epithelial-mesenchymal transition in epithelial breast cancer cells through αvβ3 integrin. Int J Mol Sci. 2020;21(8):2995. pmid:32340328
  116. 116. Soudy R, Etayash H, Bahadorani K, Lavasanifar A, Kaur K. Breast Cancer Targeting Peptide Binds Keratin 1: A New Molecular Marker For Targeted Drug Delivery To Breast Cancer. Mol Pharm. 2017;14(3):593–604. pmid:28157321
  117. 117. Han B-A, Yang X-P, Hosseini DK, Zhang P, Zhang Y, Yu J-T, et al. Identification of candidate aberrantly methylated and differentially expressed genes in Esophageal squamous cell carcinoma. Sci Rep. 2020;10(1):9735. pmid:32546690
  118. 118. Li P, Zhao M, Qi X, Zhu X, Dai J. Downregulation of klotho β is associated with invasive ductal carcinoma progression. Oncol Lett. 2017;14(6):7443–8. pmid:29344186
  119. 119. Liang F, Qu H, Lin Q, Yang Y, Ruan X, Zhang B, et al. Molecular biomarkers screened by next-generation RNA sequencing for non-sentinel lymph node status prediction in breast cancer patients with metastatic sentinel lymph nodes. World J Surg Oncol. 2015;13:258. pmid:26311227
  120. 120. Rose AM, Krishan A, Chakarova CF, Moya L, Chambers SK, Hollands M, et al. MSR1 repeats modulate gene expression and affect risk of breast and prostate cancer. Ann Oncol. 2018;29(5):1292–303. pmid:29509840
  121. 121. Cassetta L, Fragkogianni S, Sims AH, Swierczak A, Forrester LM, Zhang H, et al. Human tumor-associated macrophage and monocyte transcriptional landscapes reveal cancer-specific reprogramming, biomarkers, and therapeutic targets. Cancer Cell. 2019;35(5):588-602.e10.
  122. 122. Jiang J, Shi S, Zhang W, Li C, Sun L, Ge Q, et al. Circ_RPPH1 facilitates progression of breast cancer via miR-1296-5p/TRIM14 axis. Cancer Biol Ther. 2024;25(1):2360768. pmid:38816350
  123. 123. Zhu B, Zhang P, Liu M, Jiang C, Liu H, Fu J. Prognostic significance of CSN2, CD8, and MMR status-associated nomograms in patients with colorectal cancer. Transl Oncol. 2018;11(5):1202–12. pmid:30075461
  124. 124. Li Y, Shao J, Hou P, Zhao FQ, Liu H. Nrf2‐ARE signaling partially attenuates lipopolysaccharide‐induced mammary lesions via regulation of oxidative and organelle stresses but not inflammatory response in mice. Oxid Med Cell Longev. 2021.
  125. 125. Handa T, Katayama A, Yokobori T, Yamane A, Horiguchi J, Kawabata-Iwakawa R, et al. Caspase14 expression is associated with triple negative phenotypes and cancer stem cell marker expression in breast cancer patients. J Surg Oncol. 2017;116(6):706–15. pmid:28570747
  126. 126. Yang L, Wang Q, Zhao Q, Yang F, Liu T, Huang X, et al. Deglycosylated EpCAM regulates proliferation by enhancing autophagy of breast cancer cells via PI3K/Akt/mTOR pathway. Aging (Albany NY). 2022;14(1):316–29. pmid:34983878
  127. 127. Ji W, Lou Y, Jiang WG, Ruge F, Martin TA. Knockdown of Claudin-8 (CLDN8) indicates a link between breast cancer cell sensitivity to chemotherapeutics and reveals a potential use of CLDN8 as a molecular diagnostic and target for therapy. Int J Mol Sci. 2025;26(1):5412.
  128. 128. Wang X, Song S, Lin W, Huang J, Zhong W, Li D, et al. ESRP1 drives subtype-specific breast cancer progression through ER-regulated transcriptional programs and EMT-related splicing switch. Am J Cancer Res. 2025;15(6):2807–25. pmid:40667548
  129. 129. Calvo F, Ege N, Grande-Garcia A, Hooper S, Jenkins RP, Chaudhry SI, et al. Mechanotransduction and YAP-dependent matrix remodelling is required for the generation and maintenance of cancer-associated fibroblasts. Nat Cell Biol. 2013;15(6):637–46. pmid:23708000
  130. 130. Das SC, Tasnim W, Rana HK, Acharjee UK, Islam MM, Khatun R. Comprehensive bioinformatics and machine learning analyses for breast cancer staging using TCGA dataset. Brief Bioinform. 2024;26.
  131. 131. Wei L, Qi L, Yu X, Shi A, Zhu Z. TNNT3 as a candidate node in breast cancer mechanobiology: current evidence, mechanistic models, and key knowledge gaps. Front Cell Dev Biol. 2026;14:1836170. pmid:42222333
  132. 132. Ohshima K, Morii E. Metabolic reprogramming of cancer cells during tumor progression and metastasis. Metabolites. 2021;11(1):28. pmid:33401771
  133. 133. Rodríguez-Bejarano OH, Parra-López C, Patarroyo MA. A review concerning the breast cancer-related tumour microenvironment. Crit Rev Oncol Hematol. 2024;199:104389. pmid:38734280
  134. 134. Sui Y, Ju C, Shao B. A lymph node metastasis-related protein-coding genes combining with long noncoding RNA signature for breast cancer survival prediction. J Cell Physiol. 2019;234(11):20036–45. pmid:30950057
  135. 135. Wang Q, Huang J, Wang F, He Z. Loss of Stoml1 promotes apoptosis in gemcitabine-resistant breast cancer cells by restricting Parl-induced Pink1 degradation. 2025.
  136. 136. Yang X, Ji C, Qi Y, Huang J, Hu L, Zhou Y, et al. Signal-transducing adaptor protein 1 (STAP1) in microglia promotes the malignant progression of glioma. J Neurooncol. 2023;164(1):127–39. pmid:37462801
  137. 137. Sun L, Zhao X, Zhang H, Li G, Li N. Relationship between STAP1 methylation in peripheral blood T cells and the clinicopathological characteristics and prognosis of patients within 5-cm diameter HCC. Minerva Gastroenterol. 2024;70.
  138. 138. Zhao R, Ding D, Yu W, Zhu C, Ding Y. The lung adenocarcinoma microenvironment mining and its prognostic merit. Technol Cancer Res Treat. 2020;19.
  139. 139. Chen D, Ye Z, Lew Z, Luo S, Yu Z, Lin Y. Expression of NMU, PPBP and GNG4 in colon cancer and their influences on prognosis. Transl Cancer Res. 2022;11(10):3572–83. pmid:36388046
  140. 140. Desurmont T, Skrypek N, Duhamel A, Jonckheere N, Millet G, Leteurtre E, et al. Overexpression of chemokine receptor CXCR2 and ligand CXCL7 in liver metastases from colon cancer is correlated to shorter disease-free and overall survival. Cancer Sci. 2015;106(3):262–9. pmid:25580640
  141. 141. Wang Y-H, Shen C-Y, Lin S-C, Kuo W-H, Kuo Y-T, Hsu Y-L, et al. Monocytes secrete CXCL7 to promote breast cancer progression. Cell Death Dis. 2021;12(12):1090. pmid:34789744
  142. 142. Tian Y, Zhou Y, Liu J, Yi L, Gao Z, Yuan K, et al. Correlation of SIDT1 with poor prognosis and immune infiltration in patients with non-small cell lung cancer. Int J Gen Med. 2022;15:803–16. pmid:35125883
  143. 143. Wang Y, Li H, Ma J, Fang T, Li X, Liu J, et al. Integrated bioinformatics data analysis reveals prognostic significance of SIDT1 in triple-negative breast cancer. Onco Targets Ther. 2019;12:8401–10. pmid:31632087
  144. 144. Rai S, Singh MP, Srivastava S. Integrated analysis identifies novel fusion transcripts in laterally spreading tumors suggestive of distinct etiology than colorectal cancers. J Gastrointest Cancer. 2023;54(3):913–26. pmid:36480069
  145. 145. Chen C, Zheng Q, Pan S, Chen W, Huang J, Cao Y, et al. The RNA-binding protein NELFE promotes gastric cancer growth and metastasis through E2F2. Front Oncol. 2021;11:677111. pmid:34295816
  146. 146. Ishiguro H, Kimura M, Takahashi H, Tanaka T, Mizoguchi K, Takeyama H. GADD45A expression is correlated with patient prognosis in esophageal cancer. Oncol Lett. 2016;11(1):277–82. pmid:26870203
  147. 147. Zheng C-C, Liao L, Liu Y-P, Yang Y-M, He Y, Zhang G-G, et al. Blockade of nuclear β-catenin signaling via direct targeting of RanBP3 with NU2058 induces cell senescence to suppress colorectal tumorigenesis. Adv Sci (Weinh). 2022;9(34):e2202528. pmid:36270974
  148. 148. Yu W, Imoto I, Inoue J, Onda M, Emi M, Inazawa J. A novel amplification target, DUSP26, promotes anaplastic thyroid cancer cell growth by inhibiting p38 MAPK activity. Oncogene. 2007;26(8):1178–87. pmid:16924234
  149. 149. Zhong Z, Wang Y, Yin J, Ni S, Liu W, Geng R, et al. Identification of specific cervical cancer subtypes and prognostic gene sets in tumor and nontumor tissues based on GSVA analysis. J Oncol. 2022;:1–17.
  150. 150. Mandic R, Marquardt A, Terhorst P, Ali U, Nowak-Rossmann A, Cai C, et al. The importin beta superfamily member RanBP17 exhibits a role in cell proliferation and is associated with improved survival of patients with HPV+ HNSCC. BMC Cancer. 2022;22(1):785. pmid:35850701
  151. 151. Chen S-T, Zhou D-R, Ge Y-J, Chang L, Guo S-H, Wu G-S, et al. Comprehensive analysis of fatty acid desaturase 3 in clear cell renal cell carcinoma: insights into tumor progression, immune microenvironment, and clinical outcomes. Front Immunol. 2026;17:1817492. pmid:42220493
  152. 152. Tang H, Geng Y, Wang K, Zhu Y, Fan Y, Wang Y. Integrative analysis of FADS3 as a marker for prognosis and immunity in head and neck squamous cell carcinoma. Cell Signal. 2024;124:111437. pmid:39343114
  153. 153. Li C, Deng T, Cao J, Zhou Y, Luo X, Feng Y, et al. Identifying ITGB2 as a Potential Prognostic Biomarker in Ovarian Cancer. Diagnostics (Basel). 2023;13(6):1169. pmid:36980477
  154. 154. Zu L, He J, Zhou N, Zeng J, Zhu Y, Tang Q, et al. The profile and clinical significance of ITGB2 expression in non-small-cell lung cancer. J Clin Med. 2022;11(21):6421. pmid:36362654
  155. 155. Liu F, Liang J, Long P, Zhu L, Hou W, Wu X, et al. ZCCHC17 served as a predictive biomarker for prognosis and immunotherapy in hepatocellular carcinoma. Frontiers in Oncology. 2022;11.
  156. 156. Hu Y, Zeng Q, Li C, Xie Y. Expression profile and prognostic value of SFN in human ovarian cancer. Biosci Rep. 2019;39(5):BSR20190100. pmid:30926680
  157. 157. Wang J, Wang Y, Long F, Yan F, Wang N, Wang Y. The expression and clinical significance of GADD45A in breast cancer patients. PeerJ. 2018;6(e5344).
  158. 158. Sane S, Srinivasan R, Potts RA, Eikanger M, Zagirova D, Freeling J, et al. UBXN2A suppresses the Rictor-mTORC2 signaling pathway, an established tumorigenic pathway in human colorectal cancer. Oncogene. 2023;42(21):1763–76. pmid:37037900
  159. 159. Nie Y, Hu S, Liu S, Fang N, Guo F, Yang L, et al. WASF3 expression correlates with poor prognosis in gastric cancer patients. Future Oncol. 2019;15(14):1605–15. pmid:31038356
  160. 160. Wu J, Wang G-C, Chen X-J, Xue Z-R. Expression of WASF3 in patients with non-small cell lung cancer: Correlation with clinicopathological features and prognosis. Oncol Lett. 2014;8(3):1169–74. pmid:25120680
  161. 161. Grassilli S, Bertagnolo V, Brugnoli F. Mir-29b in breast cancer: a promising target for therapeutic approaches. Diagnostics (Basel). 2022;12(9):2139. pmid:36140539
  162. 162. Zhang Y, Sun Q, Liang Y, Yang X, Wang H, Song S, et al. FAM20A: a potential diagnostic biomarker for lung squamous cell carcinoma. Front Immunol. 2024;15:1424197. pmid:38983866
  163. 163. Xu Y, Zhu J, Lei Z, Wan L, Zhu X, Ye F, et al. Expression and functional role of miR-29b in renal cell carcinoma. Int J Clin Exp Pathol. 2015;8:14161–70.
  164. 164. Liu Q, Chen X, Zhang W, Shang W, Cao J, Zhao H, et al. The predictive value of miR-29b-2-5p on the prognosis of cervical cancer and its inhibitory effect on cervical cancer progression. Int J Biol Markers. 2024;39(4):319–27. pmid:39636261
  165. 165. Wu Y, Huang Y, Xu Y, Sun Y, Yu D, Zhang X, et al. A high level of TM4SF5 is associated with human esophageal cancer progression and poor patient survival. Dig Dis Sci. 2013;58(9):2623–33. pmid:23633159
  166. 166. Yu Z, Feng J, Zhu Y, Xie X, Huang H, Li Y, et al. Clinicopathological and prognostic significance of TM4SF5 in colorectal cancer. 2021.
  167. 167. Zhang H-Y, Zong R-Q, Wu F-X, Li Y-R. Bioinformatics analysis identifies ASCL1 as the key transcription factor in hepatocellular carcinoma progression. Dis Markers. 2023;2023:3560340. pmid:36755802
  168. 168. Qian Y, Shi L, Luo Z. Long non-coding RNAs in cancer: implications for diagnosis, prognosis, and therapy. Front Med (Lausanne). 2020;7:612393. pmid:33330574