Background: Targeting GTPase 2A(RAB2A) is overexpressed in a variety of malignancies and plays an essential role in tumor formation. However, the predictive significance of RAB2A in breast cancer remains undetermined.
Methods:In this study, breast cancer patients' expression profiles and clinical data were extracted from The Cancer Genome Atlas (TCGA) database. Using the Wilcoxon rank sum test, RAB2A expression levels were compared between breast cancer and normal breast tissue. An enrichment analysis was performed to investigate potential signaling pathways and associated biological activities. Using single-sample gene set enrichment analysis, the invasion of immune cells was evaluated. Utilizing Ualcan and the MethSurv database, the methylation status of RAB2A was determined. Using the Kaplan-Meier technique and Cox regression analysis, the prognostic value of RAB2A was determined. A nomogram was developed to predict overall survival (OS) one, three, and five years following cancer diagnosis.
Results: RAB2A was substantially linked with higher PR, ER status, N grade, histological type, PAM50, and age and was overexpressed in breast cancer.Overexpression of RAB2A significantly decreased overall survival and disease-specific survival. RAB2A was found as an independent negative predictive factor for OS by multivariate Cox analysis. The concordance index of the OS nomogram generated was 0.72. Similarly, RAB2A hypomethylation was related with a bad outcome. Analysis of functional enrichment revealed that keratinocyte development, humoral immune response pathway, IL-16 signaling pathway, cytokine-receptor interactions, immune response regulatory signaling pathway, and taste transduction were among the enriched pathways. In addition, RAB2A overexpression was negatively linked with the number of necrotizing cells, CD8+ T cells, dendritic cells, and plasmacytoid dendritic cells that infiltrated the tissue.
Conclucion:RAB2A may serve as a possible breast cancer prognostic biomarker and therapeutic target. Our findings establish the groundwork for future research into the molecular mechanisms of RAB2A in breast cancer and are essential for clarifying RAB2A's therapeutic relevance in breast cancer.