EXPERIMENTAL AND THERAPEUTIC MEDICINE 18: 451-458, 2019
Abstract. Although pancreatic cancer has the highest mortality
rate among all neoplasms worldwide, its exact mechanism
remains poorly understood. In the present study, three Gene
Expression Omnibus (GEO) datasets were integrated to
elucidate the potential genes and pathways that contribute
to the development of pancreatic cancer. Initially, a total of
226 differentially expressed genes (DEGs) were identified
in the three GEO datasets, containing 179 upregulated and
47 downregulated DEGs. Furthermore, function and pathway
enrichment analyses were performed to explore the function
and pathway of these genes, and the results indicated that the
DEGs participated in extracellular matrix (ECM) processes. In
addition, a protein-protein interaction network was constructed
and 163 genes of the 229 DEGs were ltered into the network,
resulting in a network complex of 163 nodes and 438 edges.
Finally, 24 hub genes were identied in the network, and the
top 2 most signicant modules were selected for function and
pathway analysis. The hub genes were involved in several
processes, including activation of matrix, degradation of ECM
and ECM organization. Taken collectively, the data demon-
strated potential key genes and pathways in pancreatic cancer,
which may provide novel insights to the mechanism of pancre-
atic cancer. In addition, these hub genes and pathways may be
considered as targets for the treatment of pancreatic cancer.
Introduction
Pancreatic cancer is one of the most prevalent and lethal malig-
nancies worldwide (1). Although substantial progress has been
made in adjuvant and neo-adjuvant chemotherapies during
previous decades, pancreatectomy remains the most effective
treatment, notably for early stage pancreatic cancer cases.
Despite this, a previous study demonstrated that only 20% of
patients present with localized and non-metastatic disease, and
are therefore suitable for initial resection (2). Due to its specic
tumor biology, pancreatic cancer is characterized with early
recurrence and metastasis and resistance to chemotherapy
and radiotherapy. The 5-year overall survival rate is <5% (3).
Therefore, an improved understanding of the underlying mech-
anism of pancreatic cancer is required for the development of
effective therapy and the improvement of patient survival.
Previously, the development of high throughout sequencing
has resulted in the production of numerous gene expression
proles of neoplasms that are freely available via the Gene
Expression Omnibus (GEO) database (4). Based on these data,
the different aspects of the mechanism of pancreatic neoplasm
development and the resistance to chemotherapy may be inves-
tigated. However, only a small part of these data has been used,
and the majority of them have only been deposited. Using a
bioinformatic analysis, these data may be re-analysed and
used to provide valuable information for subsequent investiga-
tion. During the re-analysis process, differentially expressed
genes (DEGs) are initially identified, and subsequently the
functions and pathways of the genes involved are investigated.
Several studies performed in pancreatic cancer have been
performed previously (5,6). Although the majority of these
studies only focused on the identication of the most signicant
genes, the tumor and normal tissues were not paired in those
analyses. Therefore, in the present study, three GEO datasets
were selected, which contained paired tumor tissues and
corresponding normal tissues, and the microarray data was
analysed. The analysis led to the identication of the DEGs, and
Gene Ontology (GO) and pathway enrichment analysis were
subsequently performed to explore the biological functions and
pathways of these genes. Furthermore, a protein-protein inter-
action (PPI) network was constructed and a module analysis
was performed to explore the hub genes in pancreatic cancer.
The present study may provide novel insights into the under-
standing of the mechanism of pancreatic cancer formation and
its corresponding hub genes, and the pathways involved may
serve as potential targets for the treatment of this cancer type.
Materials and methods
Data source. The microarray data for the investigation
of pancreatic cancer were downloaded from the GEO
Identication of key candidate genes for pancreatic
cancer by bioinformatics analysis
KUI LV, JIANYING YANG, JUNFENG SUN and JIANGUO GUAN
Department of Emergency Medicine, Anhui No. 2 Provincial People's Hospital,
Hefei, Anhui 230041, P.R. China
Received November 2, 2018; Accepted March 15, 2019
DOI: 10.3892/etm.2019.7619
Correspondence to: Dr Jianguo Guan, Department of Emergency
Medicine, Anhui No. 2 Provincial People's Hospital, 1868 Danshan
Road, Hefei, Anhui 230041, P.R. China
E-mail: guanjgah@163.com
Key words: pancreatic cancer, bioinformatics analysis, differentially
expressed gene, extracellular matrix