Background: Gastric cancer is one of the major public health problems worldwide. Circadian rhythm disturbances driven by circadian clock genes play a role in the development of cancer. However, whether circadian clock genes can serve as potential therapeutic targets and prognostic biomarkers for gastric cancer remains elusive.Methods: In this study, we comprehensively analyzed the potential relationship between circadian clock genes and gastric cancer using online bioinformatics databases such as GEPIA, cBioPortal, STRING, GeneMANIA, Metascape, TIMER, TRRUST, and GEDS.Results: Biological clock genes are expressed differently in human tumors. Compared with normal tissues, only PER1, CLOCK and TIMELESS expression differences were statistically signi cant in gastric cancer (p<0.05). PER1(P=0.0169) and CLOCK (P=0.0414) were associated with gastric cancer pathological stage (p<0.05). Gastric cancer patients with high expression of PER1 (p=0.0028) and NR1D1 (p=0.016) had longer overall survival, while those with high expression of PER1 (p=0.042) and NR1D1 (p=0.016) had longer disease-free survival. The main function of the biological clock gene is related to the circadian rhythm and Melatonin metabolism and effects. CLOCK, NPAS2 are KAT2B were a key transcription factor for circadian clock genes. In addition, we also found important correlations between circadian clock genes and various immune cells in the gastric cancer microenvironment.Conclusions This study may establish a new gastric cancer prognostic indicator based on the biological clock gene and develop new drugs for the treatment of gastric cancer using biological clock gene targets.
| IntroductionGastric cancer is the fth most common cancer and the third most common cause of cancer death worldwide 1 . The pathogenesis of gastric cancer is a multi-step complex process caused by environmental and genetic factors. To date, although arti cial intelligence 2, 3 , big data 4 , and various omics 5 have been applied to the precise prevention and treatment of gastric cancer, the molecular mechanism behind the initiation, progression, and pathogenesis of gastric cancer is still unclear, which means that precise, effective and personalized treatment of gastric cancer is a promising strategy. Of note, even now, there is still a long way to go for precise prevention and treatment of gastric cancer. thus, it is very important to actively search for new molecular factors and clarify their biological functions and prognostic signi cance in gastric cancer.The biological clock is an invisible "clock" in the body, besides its main role as a circadian rhythm generator, the biological clock also plays a key role in controlling the physiological functions of almost all tissues and organs. It regulates multiple intracellular signaling pathways, ranging from cell proliferation 6 , DNA damage repair and response, angiogenesis 7 , metabolism 8 and redox homeostasis 9 , to in ammation 10 and immune responses 11 . Therefore, once the biological clock is disturbed, it will lead to