Melanoma is the most malignant skin cancer type and its metastasis remains essentially incurable because the mutated genes and underlying molecular mechanisms are unknown[18]. In the present study, the gene expression profile of GSE8401 was analyzed, and a total of 424 DEGs, including 60 upregulated genes and 364 downregulated genes, were identified between the 32 primary melanoma samples and the 51 metastatic melanoma samples obtained from patients.
The GO analysis revealed that these upregulated DEGs were mainly participating in small molecule binding, nucleotide binding, and cell cycle processes, while the downregulated DEGs were involved in the extracellular region, extracellular region part, extracellular organelle, exosome, and vesicles. These results illustrated that cell mitosis and malignant proliferation are activated, whereas the interaction with the extracellular environment was suppressed during the metastatic process.
The KEGG analysis demonstrated that the upregulated DEGs were mainly enriched in metabolic pathways and regulation of the actin cytoskeleton, and the downregulated DEGs were enriched in pathways in cancer and chemokine signaling. In addition, some of the upregulated DEGs were enriched in ECM-receptor interactions, as were some of the downregulated DEGs. Cross-talk between the ECM and melanoma cells plays a critical role in melanoma metastasis. Cancer metastasis involves multiple complex processes, which are critically influenced by ECM components[19]. Various ECM-related proteins are significantly deregulated during the progression of cancer, causing both biochemical and biomechanical changes that together promote cancer metastasis[20]. In this study, ITGA4, SPP1, and ITGB3 were increased, while COL6A2, LAMC2, LAMB3, SDC1, ITGB4, LAMC3, COMP, and LAMA3 were decreased. They regulate the interactions between melanoma cells and the ECM. These pathways are promising targets for new drug intervention. Thus, the GO term and KEGG pathway analyses are highlighting possible directions of experimental validation.
Among these DEGs, 10 hub genes with a high degree of connectivity were selected by evaluating the PPI network. According to qRT-PCR analysis, DSG1, FLG and KRT14 showed no significant differences between premetastatic and postmetastatic melanoma cells. The expression levels of EGFR and COL17A1 were inconsistent, with a tendency towards upregulated expression in the GSE8401 profile. In accordance with the literature, the expression of CDH1 was decreased, whereas EGFR and CDK1 were increased in metastatic melanoma compared to the primary site[21, 22, 23]. CDH1, EGFR and CDK1 were well-known to be commonly dysregulated in malignancies and have been implicated in metastasis, especially in melanoma metastasis[24, 25, 26].
CDH1 encodes the E-cadherin protein, a key biomarker of epithelial-mesenchymal transition (EMT) in cancer cells and a mediator of cell-cell adhesion in epithelial tissues[27]. Loss of E-cadherin promotes the aggressive behaviors of melanoma cells via constitutively active Snail expression during the metastasis process[28, 29]. Mutations that lead to EGFR overexpression and amplification have been found to be associated with the transformation of cancer cells[30, 31]. CDK1 is a master regulator of the cell cycle, and overexpression of CDK1 in melanoma cells is associated with increased malignant proliferation and metastatic potential[32, 33].
Additionally, KRT5, IVL and COL17A1 have not been explored regarding their functional characteristics in melanoma, especially in melanoma metastasis. KRT5 encodes the protein keratin 5 that belongs to the keratin family, which are intermediate filament proteins. It is responsible for the structural integrity of epithelial cells and contributes to cell polarization, cytoskeleton regulation and protein translation[34]. Previous research has confirmed keratin 5 as a stem cell marker in breast cancer and it is associated with cancer recurrence and chemotherapy resistance in ovarian cancer[34, 35, 36]. In the present study, KRT5 was downregulated in postmetastatic melanoma relative to primary melanoma. No similar observations have been made before.
IVL, encoding the protein involucrin, is a marker of keratinocyte terminal differentiation, and it maintains the morphological characteristics of the epidermis[37]. Some findings have suggested that involucrin is a biomarker of EMT and is regulated by AP-1 in squamous cell carcinoma[38]. Another group also demonstrated that involucrin might be involved in breast cancer, cervical cancer and oral cancer[39, 40]. COL17A1 encodes the protein collagen alpha-1(XVII) chain that is responsible for adhesion of cell and matrix. Matsuda K. et al. showed COL17A1 was modulated by p53, and it inhibited breast cancer cell migration and invasion[41]. Furthermore, Pascal H. G. Duijf and his colleagues reported that COL17A1 was overexpressed in cervical and other epithelial cancers and predicted an increased metastatic signature[42]. Based on the research conducted so far, no report has attempted to discover abnormalities or functional features about KRT5, IVL and COL17A1 in melanoma. Through a metastatic mouse model of melanoma cells, we further verified the correlation between these hub genes and melanoma metastasis. Our results implicate CDK1, COL17A1, EGFR, CDH1, DSP, IVL and KRT5 in melanoma metastasis.