Background: Malignant tumor is a serious threat to human health and has become the disease with the highest mortality in the world. A large number of studies have shown that KCNQ4 is responsible for nonsyndromic hearing loss, but less has been done on KCNQ4 in cancer, so we analyzed the expression of KCNQ4 gene in different tumor tissues and their different pathological stages, the prognosis, mutation, immune infiltration, immune checkpoint related genes and related pathways were observed. The role and function of KCNQ4 in cancer were revealed through systematic and comprehensive pan-cancer analysis.
Method: The bioinformatics were analyzed by mining databases available to the public and by using R software. Moreover, immunohistochemistry and molecular biology experiments were carried out to prove the cancer-inhibiting effect of KCNQ4 in pan-cancer.
Results: The results showed that KCNQ4 expression was lower than normal tissues in most tumors,and higher in a few tumors. The expression of KCNQ4 gene was closely related to the prognosis of patients with different types of tumors. The expression of KCNQ4 was significantly correlated with different pathological stages in papillary renal cell carcinoma, mixed renal cell carcinoma, hepatocellular carcinoma, rectal adenocarcinoma, pancreatic carcinoma, ovarian serous cystadenocarcinoma and bladder urothelial carcinoma. The mutation rate of KCNQ4 was the highest in patients with cutaneous melanoma.KCNQ4 is significantly associated with immune infiltration and immune checkpoint related genes in most tumors.KCNQ4,stemness analysis shows a positive correlation in most cancer species. KCNQ4 and related genes were significantly enriched in multiple pathways. Moreover, immunohistochemical and molecular biological experiments verified that KCNQ4 has less expression in breast cancer tissues and has anti-tumor effect in breast cancer.
Discussion: Our comprehensive pan-cancer analysis of KCNQ4 proved its potential signature role in cancer,Moreover,KCNQ4 could be used as an auxiliary prognostic marker or as a marker for immunotherapy in some tumor types.