<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">JBM</journal-id><journal-title-group><journal-title>Journal of Biosciences and Medicines</journal-title></journal-title-group><issn pub-type="epub">2327-5081</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/jbm.2024.124009</article-id><article-id pub-id-type="publisher-id">JBM-132414</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject></subj-group></article-categories><title-group><article-title>
 
 
  Analysis and Review of Downregulated Actin Cytoskeletal Proteins in Non-Small Cell Lung Cancer
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Hala</surname><given-names>M. Abdel Mageed</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Praveen</surname><given-names>Sahu</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Raji</surname><given-names>Sundararajan</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>School of Engineering Technology, Purdue University, West Lafayette, USA</addr-line></aff><pub-date pub-type="epub"><day>02</day><month>04</month><year>2024</year></pub-date><volume>12</volume><issue>04</issue><fpage>89</fpage><lpage>115</lpage><history><date date-type="received"><day>19,</day>	<month>February</month>	<year>2024</year></date><date date-type="rev-recd"><day>9,</day>	<month>April</month>	<year>2024</year>	</date><date date-type="accepted"><day>12,</day>	<month>April</month>	<year>2024</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  Actin, a highly conserved protein, plays a dominant role in Non-small cell lung cancer (NSCLC). Late diagnosis and the aggressive nature of NSCLC pose a significant threat. Studying the clinic pathological properties of NSCLC proteins is a potential alternative for developing treatment strategies. Towards this, 35 downregulated actin cytoskeletal proteins on NSCLC prognosis and treatment were studied by examining their protein-protein interactions, gene ontology enrichment terms, and signaling pathways. Using PubMed, various proteins in NSCLC were identified. The protein-protein interactions and functional associations of these proteins were examined using the STRING database. The focal adhesion signaling pathway was selected from all available KEGG and Wiki pathways because of its role in regulating gene expression, facilitating cell movement and reproduction, and significantly impacting NSCLC. The protein-protein interaction network of the 35 downregulated actin cytoskeleton proteins revealed that ACTG1, ACTR2, ACTR3, ANXA2, ARPC4, FLNA, TLN1, CALD1, MYL6, MYH9, MYH10, TPM1, TPM3, TPM4, PFN1, IQGAP1, MSN, and ZXY exhibited the highest number of interactions. Whereas HSPB1, CTNNA1, KRT17, KRT7, FLNB, SEPT2, and TUBA1B displayed medium interactions, while UTRN, TUBA1B, and DUSP23 had relatively fewer interactions. It was discovered that focal adhesions are critical in connecting membrane receptors with the actin cytoskeleton. In addition, protein kinases, phosphatases, and adapter proteins were identified as key signaling molecules in this process, greatly influencing cell shape, motility, and gene expression. Our analysis shows that the focal adhesion pathway plays a crucial role in NSCLC and is essential for developing effective treatment strategies and improving patient outcomes.
 
</p></abstract><kwd-group><kwd>Non-Small Cell Lung Cancer</kwd><kwd> NSCLC</kwd><kwd> Actin</kwd><kwd> Actin Cytoskeletal Proteins</kwd><kwd> Focal Adhesion</kwd><kwd> KEEG Pathway</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Lung cancer, a highly aggressive solid tumor, is the leading cause of cancer-related deaths worldwide, with as high as 1.8 million deaths in 2020 out of the approximately 2.2 million new cases [<xref ref-type="bibr" rid="scirp.132414-ref1">1</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref2">2</xref>] . The five-year survival rate for lung cancer cases ranges from 15% to 22%, depending on the histological subtypes and diagnosis stages [<xref ref-type="bibr" rid="scirp.132414-ref3">3</xref>] . Early prediction of lung cancer could aid in classifying patients according to their risk level to determine the most effective treatment regimens [<xref ref-type="bibr" rid="scirp.132414-ref4">4</xref>] . Several lifestyle and environmental factors are linked to lung cancer, with smoking being the most significant factor (around 85% to 90% of cases) [<xref ref-type="bibr" rid="scirp.132414-ref5">5</xref>] . Exposure to second-hand smoke, radon, metals, and certain toxins also increases the risk [<xref ref-type="bibr" rid="scirp.132414-ref6">6</xref>] . Other risk factors include a history of Hodgkin lymphoma or breast cancer, pulmonary fibrosis, human immunodeficiency virus infection, alcohol consumption, and specific genetic mutations [<xref ref-type="bibr" rid="scirp.132414-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref9">9</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref10">10</xref>] .</p><p>Although most cases are associated with known risk factors, a small percentage occur in individuals with no identifiable risk factors [<xref ref-type="bibr" rid="scirp.132414-ref11">11</xref>] . Lung cancer is classified into two main types: small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC), based on the type of cells involved in the cancer. <xref ref-type="table" rid="table1">Table 1</xref> lists the salient differences between these two types of lung cancer [<xref ref-type="bibr" rid="scirp.132414-ref12">12</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref13">13</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref14">14</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref15">15</xref>] .</p><p>SCLC represents only 15% of lung cancer cases, while NSCLC accounts for about 85% of all lung cancer cases [<xref ref-type="bibr" rid="scirp.132414-ref16">16</xref>] . The primary cause of cellular changes leading to NSCLC is tobacco smoke, which is responsible for around 80% of lung cancer cases in men and 90% in women [<xref ref-type="bibr" rid="scirp.132414-ref17">17</xref>] . Adenocarcinoma and squamous cell carcinoma are the most common subtypes, accounting for 50% and 30% of NSCLC cases, respectively [<xref ref-type="bibr" rid="scirp.132414-ref18">18</xref>] . Squamous cell carcinoma cells display features, such as the presence of intercellular bridges and keratinization, and have a high degree of mutation frequency [<xref ref-type="bibr" rid="scirp.132414-ref19">19</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref20">20</xref>] . NSCLC is also believed to be caused by genetic mutations or changes in lung cells due to exposure to harmful substances such as tobacco smoke, second-hand smoke, radon, asbestos, and air pollution.</p><p>Risk factors for NSCLC include age, family history, exposure to second-hand smoke, and exposure to mineral and metal particles or asbestos [<xref ref-type="bibr" rid="scirp.132414-ref21">21</xref>] . Other risk factors include a family history of lung cancer, previous radiation therapy to the chest, and certain lung diseases such as chronic obstructive pulmonary disease (COPD) or pulmonary fibrosis [<xref ref-type="bibr" rid="scirp.132414-ref22">22</xref>] .</p><p>The diagnosis and selection of effective therapeutic interventions for NSCLC are challenging due to their heterogeneous histological subtypes [<xref ref-type="bibr" rid="scirp.132414-ref23">23</xref>] . NSCLC has a</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Main differences between SCLC and NSCLC</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Feature</th><th align="center" valign="middle" >Small Cell Lung Cancer (SCLC)</th><th align="center" valign="middle" >Non-Small Cell Lung Cancer (NSCLC)</th></tr></thead><tr><td align="center" valign="middle" >Cell Shape and Size</td><td align="center" valign="middle" >Small, round cells tightly packed together</td><td align="center" valign="middle" >Several different types of cells, including squamous cells, adenocarcinoma cells, and large cell carcinoma cells.</td></tr><tr><td align="center" valign="middle" >Cell Characteristics</td><td align="center" valign="middle" >Highly aggressive, grows and spreads quickly, early metastasis</td><td align="center" valign="middle" >Grows and spreads more slowly</td></tr><tr><td align="center" valign="middle" >Incidence</td><td align="center" valign="middle" >Accounts for 10% - 15% of all lung cancer cases</td><td align="center" valign="middle" >Accounts for 85% - 90% of all lung cancer cases</td></tr><tr><td align="center" valign="middle" >Risk Factors</td><td align="center" valign="middle" >Strongly associated with smoking, exposure to second-hand smoke, exposure to radon, exposure to asbestos, and a family history of lung cancer</td><td align="center" valign="middle" >Similar to SCLC, including smoking, exposure to second-hand smoke, exposure to radon, exposure to asbestos, and a family history of lung cancer</td></tr><tr><td align="center" valign="middle" >Symptoms</td><td align="center" valign="middle" >Similar to NSCLC, including cough, shortness of breath, chest pain, fatigue, and weight loss. It may also cause neurologic problems, including difficulty with coordination and memory loss</td><td align="center" valign="middle" >Similar to SCLC, including cough, shortness of breath, chest pain, fatigue, and weight loss</td></tr><tr><td align="center" valign="middle" >Treatment</td><td align="center" valign="middle" >Usually treated with chemotherapy and radiation therapy</td><td align="center" valign="middle" >Treated with surgery, radiation therapy, chemotherapy, targeted therapy, or a combination of these treatments. In some cases, immunotherapy may also be used</td></tr><tr><td align="center" valign="middle" >location</td><td align="center" valign="middle" >Tumors are located in the center of the lungs, often near the bronchi</td><td align="center" valign="middle" >Tumors are in the outer regions of the lungs. They may also be found in the center of the lungs.</td></tr><tr><td align="center" valign="middle" >Growth rate</td><td align="center" valign="middle" >Highly aggressive, grows and spreads quickly, early metastasis</td><td align="center" valign="middle" >Tend to grow and spread more slowly than small cell lung cancer (SCLC) tumors</td></tr></tbody></table></table-wrap><p>poor prognosis due to its high proliferative and metastatic potentials [<xref ref-type="bibr" rid="scirp.132414-ref24">24</xref>] . Unfortunately, many cases of NSCLC are diagnosed at advanced stages due to the lack of noticeable symptoms in the early stages [<xref ref-type="bibr" rid="scirp.132414-ref25">25</xref>] . Therefore, new approaches are needed to develop effective therapeutic interventions [<xref ref-type="bibr" rid="scirp.132414-ref26">26</xref>] . Understanding the protein interactions and pathways that drive the progression of lung cancer tumors can lead to the identification of enhanced therapeutic approaches [<xref ref-type="bibr" rid="scirp.132414-ref27">27</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref28">28</xref>] .</p><p>A better understanding of the molecular pathways and efficient protein networks that drive NSCLC progression has been highlighted [<xref ref-type="bibr" rid="scirp.132414-ref29">29</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref30">30</xref>] . It is beneficial to study the various protein interactions, their functions and structures, as well as metabolism changes at dissimilar stress conditions [<xref ref-type="bibr" rid="scirp.132414-ref31">31</xref>] . Protein expression varies and is mainly regulated at the transcriptional, translational, and post-translational levels [<xref ref-type="bibr" rid="scirp.132414-ref32">32</xref>] . Cytoskeletal proteins are present in the interstitial cells of the lungs and play a critical role in controlling lung cancer, as they are involved in various stages of immune cell activation and effector function, as well as cellular transformation [<xref ref-type="bibr" rid="scirp.132414-ref33">33</xref>] . Actin is a highly conserved protein involved in various types of cell motility and maintenance of the cytoskeleton [<xref ref-type="bibr" rid="scirp.132414-ref34">34</xref>] . The most notable alteration in lung cancer cells is the downregulation of the majority of proteins involved in the regulation and function of the Actin Cytoskeleton. Additionally, the downregulated proteins play an effective role in killing cancer cells [<xref ref-type="bibr" rid="scirp.132414-ref35">35</xref>] . Preclinical studies have also shown that cell lines of NSCLC are sensitive to focal adhesion kinase inhibition [<xref ref-type="bibr" rid="scirp.132414-ref36">36</xref>] .</p><p>This study provides a comprehensive analysis of the role of the downregulated actin cytoskeletal proteins in NSCLC, offering insights into their interactions, signaling pathways, and clinical features. The findings of this study have the potential to identify novel biomarkers and drug targets of new therapies and treatment strategies for NSCLC based on targeting these proteins. By examining the interactions among the 35 downregulated actin cytoskeletal proteins [<xref ref-type="bibr" rid="scirp.132414-ref37">37</xref>] , the study seeks to identify which proteins are most closely associated with NSCLC.</p><p>Furthermore, this research investigates the signaling pathways involved in NSCLC development and progression, specifically focusing on the focal adhesion pathway, which plays a crucial role in regulating cell motility, survival, gene expression, proliferation, and differentiation in NSCLC. The paper also analyses the clinical features of NSCLC and how they relate to these actin cytoskeletal proteins, providing insight into the potential for targeting these proteins as a means of treating NSCLC.</p></sec><sec id="s2"><title>2. Methods</title><p>Using a literature search on the most common websites, such as Google Scholar and library databases called PubMed [<xref ref-type="bibr" rid="scirp.132414-ref38">38</xref>] , downregulated actin cytoskeletal proteins in NSCLC were identified. By using the search functions provided by these databases, we find relevant articles and research on specific topics of our interest i.e. NSCLC. In this review, we focus on the combination of keywords i.e. “NSCLC” AND “Actin” AND “Proteins” for searching relevant articles. Further, to study the mechanism of action of protein/gene, the keyword combination for searching used was “NSCLC” AND “Actin” AND “Downregulated”. The two searching strategies are shown in <xref ref-type="fig" rid="fig1">Figure 1</xref> as Venn diagrams. The details of the search results are shown in <xref ref-type="table" rid="table2">Table 2</xref>.</p><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> The search result of the keyword combinations strategy used in the PubMed database</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Set No</th><th align="center" valign="middle" >Searching For</th><th align="center" valign="middle" >Database</th><th align="center" valign="middle" >Useful Hits</th></tr></thead><tr><td align="center" valign="middle" >S1</td><td align="center" valign="middle" >“NSCLC” AND “Actin” AND “Proteins”</td><td align="center" valign="middle" >Engineering Village</td><td align="center" valign="middle" >120</td></tr><tr><td align="center" valign="middle" >S2</td><td align="center" valign="middle" >“NSCLC” AND “Actin” AND “Downregulated”</td><td align="center" valign="middle" >Engineering Village</td><td align="center" valign="middle" >21</td></tr></tbody></table></table-wrap><p>A similar search was done on Google Scholar with the same keyword combination. Google Scholar, in general, covers a broader selection of articles compared to PubMed, and the top 10 results were selected.</p><p>Subsequently, after selecting the 35 downregulated actin cytoskeletal proteins in NSCLC [<xref ref-type="bibr" rid="scirp.132414-ref37">37</xref>] , the protein-protein interactions and functional associations of these proteins were analyzed using the STRING database, and key players and pathways involved in the disease could be identified. Moreover, the molecular weight, chromosomes, subcellular locations, and functions of these proteins were studied to understand their roles in the cellular processes of NSCLC. The integration of these characteristics into the analysis involves combining data from various sources, including protein databases (e.g., UniProt, NCBI), bioinformatics tools (e.g., STRING for protein-protein interactions [<xref ref-type="bibr" rid="scirp.132414-ref39">39</xref>] , DAVID [<xref ref-type="bibr" rid="scirp.132414-ref40">40</xref>] , GO enrichment [<xref ref-type="bibr" rid="scirp.132414-ref41">41</xref>] ), and pathway databases (e.g., KEGG [<xref ref-type="bibr" rid="scirp.132414-ref42">42</xref>] , Wiki Pathways [<xref ref-type="bibr" rid="scirp.132414-ref43">43</xref>] ).</p><p>For instance, investigating the biological and functional significance of these proteins involved examining the top ten gene ontology (GO) enrichment terms of biological processes, molecular function, and cellular components. This allowed for a more in-depth understanding of the cellular processes that are affected by the downregulation of these proteins and how they contribute to the development of NSCLC.</p><p>Similarly, the Kyoto Encyclopedia of Genes and Genomes (KEGG) and Wiki pathways were considered to explore the underlying mechanism behind the effects of NSCLC. The study focused on the focal adhesion signaling pathway as it plays a crucial role in NSCLC. This pathway has been shown to control gene expression, cell movement, and reproduction, making it a key player in the development and progression of NSCLC [<xref ref-type="bibr" rid="scirp.132414-ref44">44</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref45">45</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref46">46</xref>] . By understanding how downregulated actin cytoskeletal proteins affect this pathway, researchers can pinpoint the molecular mechanisms driving NSCLC and explore new therapeutic avenues.</p></sec><sec id="s3"><title>3. Results</title><p><xref ref-type="table" rid="table3">Table 3</xref> lists the 35 downregulated actin cytoskeletal proteins in NSCLC [<xref ref-type="bibr" rid="scirp.132414-ref37">37</xref>] , and <xref ref-type="fig" rid="fig2">Figure 2</xref> shows the string interaction diagram of the proteins that formed a</p><table-wrap id="table3" ><label><xref ref-type="table" rid="table3">Table 3</xref></label><caption><title> List of 35 downregulated Actin Cytoskeletal proteins</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Protein</th><th align="center" valign="middle" >Description</th><th align="center" valign="middle" >Protein</th><th align="center" valign="middle" >Description</th><th align="center" valign="middle" >Protein</th><th align="center" valign="middle" >Description</th></tr></thead><tr><td align="center" valign="middle" >ACTG1</td><td align="center" valign="middle" >Actin, cytoplasmic 2</td><td align="center" valign="middle" >IQGAP1</td><td align="center" valign="middle" >Ras GTPase-activating-like protein</td><td align="center" valign="middle" >Sept2</td><td align="center" valign="middle" >Septin 2</td></tr><tr><td align="center" valign="middle" >ACTR2</td><td align="center" valign="middle" >Actin-related protein 2</td><td align="center" valign="middle" >KRT17</td><td align="center" valign="middle" >Keratin, type I cytoskeletal 17</td><td align="center" valign="middle" >TAGLN</td><td align="center" valign="middle" >Transgelin</td></tr><tr><td align="center" valign="middle" >ACTR3</td><td align="center" valign="middle" >Actin-related protein 3</td><td align="center" valign="middle" >KRT7</td><td align="center" valign="middle" >Keratin, type II cytoskeletal 7</td><td align="center" valign="middle" >TAGLN2</td><td align="center" valign="middle" >Transgelin-2</td></tr><tr><td align="center" valign="middle" >ANXA2</td><td align="center" valign="middle" >Annexin A2</td><td align="center" valign="middle" >MSN</td><td align="center" valign="middle" >Moesin</td><td align="center" valign="middle" >TLN1</td><td align="center" valign="middle" >Talin-1</td></tr><tr><td align="center" valign="middle" >ARPC4</td><td align="center" valign="middle" >Actin-related protein 2/3 complex subunit 4</td><td align="center" valign="middle" >MYH10</td><td align="center" valign="middle" >Myosin-10 isoform 3</td><td align="center" valign="middle" >TMSB4X</td><td align="center" valign="middle" >Thymosin beta-4</td></tr><tr><td align="center" valign="middle" >CALD1</td><td align="center" valign="middle" >Caldesmon isoform 2</td><td align="center" valign="middle" >MYH9</td><td align="center" valign="middle" >Myosin-9</td><td align="center" valign="middle" >TPM1</td><td align="center" valign="middle" >Tropomyosin alpha-1 chain</td></tr><tr><td align="center" valign="middle" >CTNNA1</td><td align="center" valign="middle" >Catenin alpha-1</td><td align="center" valign="middle" >MYL6</td><td align="center" valign="middle" >Myosin light polypeptide 6</td><td align="center" valign="middle" >TPM3</td><td align="center" valign="middle" >Tropomyosin alpha-3 chain</td></tr><tr><td align="center" valign="middle" >DUSP23</td><td align="center" valign="middle" >Dual specificity protein phosphatase 23</td><td align="center" valign="middle" >MYL9</td><td align="center" valign="middle" >Myosin regulatory light polypeptide 9</td><td align="center" valign="middle" >TPM4</td><td align="center" valign="middle" >Tropomyosin alpha-4 chain</td></tr><tr><td align="center" valign="middle" >FLNA</td><td align="center" valign="middle" >Filamin-A isoform 2</td><td align="center" valign="middle" >MYO1C</td><td align="center" valign="middle" >Myosin-Ic</td><td align="center" valign="middle" >TUBA1B</td><td align="center" valign="middle" >Tubulin alpha-1B chain</td></tr><tr><td align="center" valign="middle" >FLNB4</td><td align="center" valign="middle" >Filamin-B isoform 4</td><td align="center" valign="middle" >NDRG1</td><td align="center" valign="middle" >Protein NDRG1</td><td align="center" valign="middle" >UTRN</td><td align="center" valign="middle" >Utrophin</td></tr><tr><td align="center" valign="middle" >FLNB1</td><td align="center" valign="middle" >Filamin-B isoform 1</td><td align="center" valign="middle" >PDLIM7</td><td align="center" valign="middle" >PDZ and LIM domain protein 7</td><td align="center" valign="middle" >ZYX</td><td align="center" valign="middle" >Zyxin</td></tr><tr><td align="center" valign="middle" >HSPB1</td><td align="center" valign="middle" >Heat shock protein beta-1</td><td align="center" valign="middle" >PFN1</td><td align="center" valign="middle" >Profilin-1</td><td align="center" valign="middle" >-</td><td align="center" valign="middle" >-</td></tr></tbody></table></table-wrap><p>much-interconnected network [<xref ref-type="bibr" rid="scirp.132414-ref39">39</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref47">47</xref>] . The greater the number of interactions (lines) between proteins, the stronger the interaction between them. Most of the proteins, such as ACTG1, ACTR2, ACTR3, ANXA2, ARPC4, FLNA, TLN1, CALD1, MYL6, MYL6, MYH9, MYH10, TPM1, TPM3, TPM4, PFN1, IQGAP1, MSN, and ZXY show strong interactions, while HSPB1, CTNNA1, KRT17, KRT7, FLNB, SEPT2, and TUBA1B show medium interactions, and Proteins, UTRN, TUBA1B, and DUSP23 have the fewer interactions.</p><p><xref ref-type="table" rid="table4">Table 4</xref> shows the top 10 gene ontology (GO) enrichment terms of biological processes, molecular function, and cellular components for this string diagram, and <xref ref-type="fig" rid="fig2">Figure 2</xref> shows their details.</p><table-wrap id="table4" ><label><xref ref-type="table" rid="table4">Table 4</xref></label><caption><title> Top 10 GO enrichment terms of biological processes, cellular components, and molecular function for the above string diagram</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >GO Enrichment Term</th><th align="center" valign="middle" >Description</th><th align="center" valign="middle" >Number of gene</th><th align="center" valign="middle" >Genes found</th></tr></thead><tr><td align="center" valign="middle"  rowspan="10"  >Biological Process</td><td align="center" valign="middle" >regulation of cell shape</td><td align="center" valign="middle" >4</td><td align="center" valign="middle" >MSN, MYH10, TPM1, MYH9</td></tr><tr><td align="center" valign="middle" >cell-cell adhesion</td><td align="center" valign="middle" >4</td><td align="center" valign="middle" >CTNNA1, TLN1, ANXA2, MYH9</td></tr><tr><td align="center" valign="middle" >signal transduction</td><td align="center" valign="middle" >4</td><td align="center" valign="middle" >ZYX, FLNB, IQGAP1, NDRG1</td></tr><tr><td align="center" valign="middle" >angiogenesis</td><td align="center" valign="middle" >5</td><td align="center" valign="middle" >CALD1, FLNA, ACTG1, ANXA2, MYH9</td></tr><tr><td align="center" valign="middle" >cell adhesion</td><td align="center" valign="middle" >5</td><td align="center" valign="middle" >MYH10, ZYX, CTNNA1, TLN1, MYH9</td></tr><tr><td align="center" valign="middle" >platelet aggregation</td><td align="center" valign="middle" >6</td><td align="center" valign="middle" >HSPB1, FLNA, MYL9, ACTG1, TLN1, MYH9</td></tr><tr><td align="center" valign="middle" >muscle contraction</td><td align="center" valign="middle" >6</td><td align="center" valign="middle" >CALD1, TPM3, TPM1, TPM4, UTRN, MYL6</td></tr><tr><td align="center" valign="middle" >cellular response to interferon-gamma</td><td align="center" valign="middle" >6</td><td align="center" valign="middle" >ACTR3, ZYX, ACTG1, FLNB, MYO1C, ACTR2</td></tr><tr><td align="center" valign="middle" >actin cytoskeleton organization</td><td align="center" valign="middle" >6</td><td align="center" valign="middle" >FLNA, PDLIM7, PFN1, FLNB, UTRN, ACTR2</td></tr><tr><td align="center" valign="middle" >actin filament organization</td><td align="center" valign="middle" >7</td><td align="center" valign="middle" >TPM3, TMSB4X, TPM1, ACTR3, TPM4, CTNNA1, MYO1C</td></tr><tr><td align="center" valign="middle"  rowspan="10"  >Cellular components</td><td align="center" valign="middle" >myosin II complex</td><td align="center" valign="middle" >4</td><td align="center" valign="middle" >MYH10, MYL9, MYH9, MYL6</td></tr><tr><td align="center" valign="middle" >brush border</td><td align="center" valign="middle" >6</td><td align="center" valign="middle" >FLNA, ACTR3, FLNB, MYO1C, MYH9, MYL6</td></tr><tr><td align="center" valign="middle" >adherens junction</td><td align="center" valign="middle" >8</td><td align="center" valign="middle" >PDLIM7, MSN, ZYX, CTNNA1, TLN1, ANXA2, MYH9, NDRG1</td></tr><tr><td align="center" valign="middle" >stress fiber</td><td align="center" valign="middle" >10</td><td align="center" valign="middle" >TPM3, PDLIM7, MYH10, TPM1, ZYX, TPM4, MYL9, FLNB, MYO1C, MYH9</td></tr><tr><td align="center" valign="middle" >actin cytoskeleton</td><td align="center" valign="middle" >15</td><td align="center" valign="middle" >CALD1, TPM3, FLNA, PDLIM7, TPM1, ARPC4, ACTR3, ZYX, CTNNA1, ACTG1, FLNB, MYO1C, IQGAP1, ACTR2, MYH9</td></tr><tr><td align="center" valign="middle" >focal adhesion</td><td align="center" valign="middle" >15</td><td align="center" valign="middle" >HSPB1, FLNA, PDLIM7, MSN, ACTR3, ZYX, TPM4, PFN1, CTNNA1, ACTG1, FLNB, TLN1, IQGAP1, ACTR2, MYH9</td></tr><tr><td align="center" valign="middle" >extracellular exosome</td><td align="center" valign="middle" >22</td><td align="center" valign="middle" >HSPB1, TPM3, FLNA, MSN, MYH10, ARPC4, ACTR3, TPM4, PFN1, TAGLN2, ACTG1, FLNB, TLN1, ANXA2, KRT7, MYO1C, IQGAP1, UTRN, ACTR2, MYH9, MYL6, NDRG1</td></tr><tr><td align="center" valign="middle" >cytoskeleton</td><td align="center" valign="middle" >26</td><td align="center" valign="middle" >CALD1, HSPB1, TPM3, FLNA, TMSB4X, PDLIM7, MSN, TPM1, ARPC4, ACTR3, TAGLN, TUBA1B, KRT17, ZYX, TPM4, PFN1, TAGLN2, CTNNA1, MYL9, ACTG1, FLNB, TLN1, UTRN, ACTR2, MYH9, NDRG1</td></tr><tr><td align="center" valign="middle" >cytosol</td><td align="center" valign="middle" >29</td><td align="center" valign="middle" >CALD1, HSPB1, TPM3, FLNA, TMSB4X, PDLIM7, MSN, MYH10, DUSP23, TPM1, ARPC4, ACTR3, KRT17, ZYX, TPM4, PFN1, TAGLN2, CTNNA1, MYL9, ACTG1, FLNB, TLN1, KRT7, MYO1C, IQGAP1, ACTR2, MYH9, MYL6, NDRG1</td></tr><tr><td align="center" valign="middle" >cytoplasm</td><td align="center" valign="middle" >31</td><td align="center" valign="middle" >CALD1, HSPB1, TPM3, FLNA, TMSB4X, PDLIM7, MSN, MYH10, DUSP23, TPM1, ARPC4, ACTR3, TAGLN, TUBA1B, KRT17, ZYX, TPM4, PFN1, CTNNA1, MYL9, ACTG1, FLNB, TLN1, ANXA2, KRT7, MYO1C, IQGAP1, UTRN, ACTR2, MYH9, NDRG1</td></tr><tr><td align="center" valign="middle"  rowspan="10"  >Molecular Function</td><td align="center" valign="middle" >cytoskeletal protein binding</td><td align="center" valign="middle" >5</td><td align="center" valign="middle" >CALD1, MSN, TPM1, ANXA2, ACTR2</td></tr><tr><td align="center" valign="middle" >ATP binding</td><td align="center" valign="middle" >6</td><td align="center" valign="middle" >MYH10, ACTR3, ACTG1, MYO1C, ACTR2, MYH9</td></tr><tr><td align="center" valign="middle" >nucleotide binding</td><td align="center" valign="middle" >7</td><td align="center" valign="middle" >MYH10, ACTR3, TUBA1B, ACTG1, MYO1C, ACTR2, MYH9</td></tr><tr><td align="center" valign="middle" >structural constituent of cytoskeleton</td><td align="center" valign="middle" >8</td><td align="center" valign="middle" >MSN, TPM1, ARPC4, ACTR3, TUBA1B, ACTG1, TLN1, ACTR2</td></tr><tr><td align="center" valign="middle" >identical protein binding</td><td align="center" valign="middle" >8</td><td align="center" valign="middle" >HSPB1, TPM1, TPM4, CTNNA1, ACTG1, FLNB, ANXA2, MYH9</td></tr><tr><td align="center" valign="middle" >RNA binding</td><td align="center" valign="middle" >9</td><td align="center" valign="middle" >HSPB1, FLNA, TMSB4X, ZYX, PFN1, CTNNA1, FLNB, ANXA2, MYH9</td></tr><tr><td align="center" valign="middle" >cadherin binding</td><td align="center" valign="middle" >10</td><td align="center" valign="middle" >CALD1, FLNA, PFN1, TAGLN2, CTNNA1, FLNB, TLN1, IQGAP1, MYH9, NDRG1</td></tr><tr><td align="center" valign="middle" >actin filament binding</td><td align="center" valign="middle" >16</td><td align="center" valign="middle" >TPM3, FLNA, MYH10, TPM1, ARPC4, ACTR3, TAGLN, TPM4, CTNNA1, FLNB, TLN1, MYO1C, IQGAP1, UTRN, ACTR2, MYH9</td></tr><tr><td align="center" valign="middle" >actin binding</td><td align="center" valign="middle" >19</td><td align="center" valign="middle" >CALD1, TPM3, FLNA, TMSB4X, PDLIM7, MSN, MYH10, TPM1, ARPC4, ACTR3, TAGLN, TPM4, PFN1, FLNB, TLN1, MYO1C, UTRN, ACTR2, MYH9</td></tr><tr><td align="center" valign="middle" >protein binding</td><td align="center" valign="middle" >33</td><td align="center" valign="middle" >CALD1, HSPB1, TPM3, FLNA, TMSB4X, PDLIM7, MSN, MYH10, DUSP23, TPM1, ARPC4, ACTR3, TAGLN, TUBA1B, KRT17, ZYX, TPM4, PFN1, TAGLN2, CTNNA1, MYL9, ACTG1, FLNB, TLN1, ANXA2, KRT7, MYO1C, IQGAP1, UTRN, ACTR2, MYH9, MYL6, NDRG1</td></tr></tbody></table></table-wrap><p>The GO enrichment analysis of biological processes has identified several noteworthy, downregulated pathways that may shed light on the lung cancer mechanisms as shown in <xref ref-type="fig" rid="fig3">Figure 3</xref>(a). Among these pathways, “actin filament organization” with seven genes (TPM3, TMSB4X, TPM1, ACTR3, TPM4, CTNNA1, MYO1C) stands out. This downregulation could disrupt the intricate organization and regulation of actin filaments within cells, potentially influencing cellular morphology and motility, which are pivotal for cancer metastasis [<xref ref-type="bibr" rid="scirp.132414-ref48">48</xref>] . Additionally, “platelet aggregation” (involving HSPB1, FLNA, MYL9, ACTG1, TLN1, MYH9) and “muscle contraction” (involving CALD1, TPM3, TPM1, TPM4, UTRN, MYL6) pathways are downregulated, which could impact tumor growth and cell contractility [<xref ref-type="bibr" rid="scirp.132414-ref49">49</xref>] . The downregulated “cellular response to interferon-gamma” pathway (involving ACTR3, ZYX, ACTG1, FLNB, MYO1C, ACTR2) suggests a potential immune evasion mechanism [<xref ref-type="bibr" rid="scirp.132414-ref50">50</xref>] . Moreover, disruptions in “actin cytoskeleton organization,” “angiogenesis,” “cell adhesion,” and “cell-cell adhesion” pathways, along with altered “regulation of cell shape,” may collectively contribute to changes in cell behavior and interactions within the tumor microenvironment. Although “signal transduction” is not significantly enriched, it is worth noting the involvement of genes like ZYX and FLNB [<xref ref-type="bibr" rid="scirp.132414-ref51">51</xref>] . These findings collectively suggest that the downregulation of these biological processes in lung cancer may contribute to disease progression and metastasis.</p><p>The GO enrichment analysis of cellular components in lung cancer has unveiled several significant downregulated cellular structures, and potential alterations in subcellular organization associated with the disease, as shown in <xref ref-type="fig" rid="fig3">Figure 3</xref>(b). The significance of subcellular localization is assessed based on the known functions of compartments in cell biology and disease pathology [<xref ref-type="bibr" rid="scirp.132414-ref52">52</xref>] . The proteins localized to specific cellular compartments (e.g., mitochondria, nucleus) might be involved in relevant pathways or processes affected in NSCLC [<xref ref-type="bibr" rid="scirp.132414-ref53">53</xref>] .</p><p>Notably, “cytoskeleton” and “actin cytoskeleton” are among the most significantly downregulated components, with 26 and 15 genes found, respectively. These structures, comprising genes, such as CALD1, TPM3, FLNA, and others are integral to maintaining cell shape and motility [<xref ref-type="bibr" rid="scirp.132414-ref54">54</xref>] . Furthermore, “stress fiber” and “focal adhesion” structures, with 10 and 15 genes found, respectively, exhibit considerable downregulation [<xref ref-type="bibr" rid="scirp.132414-ref55">55</xref>] . Other components containing genes, such as TPM3, PDLIM7, ZYX, and more are crucial for cell adhesion, migration, and contractility. Interestingly, “extracellular exosome” components with 22 genes are downregulated, suggesting changes in the secretion of cellular components [<xref ref-type="bibr" rid="scirp.132414-ref56">56</xref>] . Additionally, the “cytosol” and “cytoplasm” show downregulation, with 29 and 31 genes, respectively, impacting the intracellular environment and potentially affecting cellular processes. “Adherens junctions” and “brush border” components of cell “membrane” are also affected, altering the cell-cell adhesion and the organization of specialized cell surface structures [<xref ref-type="bibr" rid="scirp.132414-ref57">57</xref>] . These findings collectively suggest a complex reorganization of cellular components in lung cancer, potentially contributing to altered cell behavior and motility within the tumor microenvironment.</p><p>The GO enrichment analysis of molecular functions has revealed the molecular alterations as shown in <xref ref-type="fig" rid="fig3">Figure 3</xref>(c). The “protein binding” with 33 genes emerged as a central function. While not significantly enriched, its involvement suggests potential disruptions in protein-protein interactions within the cell [<xref ref-type="bibr" rid="scirp.132414-ref58">58</xref>] . Moreover, “actin binding”, including CALD1, FLNA, and others (19 genes) is significantly downregulated. This finding indicates potential alterations in the binding of actin filaments, which play crucial roles in cellular motility and structure [<xref ref-type="bibr" rid="scirp.132414-ref59">59</xref>] . “Actin filament binding” is also significantly downregulated, with 16 genes, potentially impacting actin filament dynamics [<xref ref-type="bibr" rid="scirp.132414-ref60">60</xref>] . “Cadherin binding,” with 10 genes, suggests changes in cell adhesion, while “RNA binding” (9 genes) and “structural constituent of cytoskeleton” (8 genes) point to potential disruptions in RNA-protein interactions and cytoskeletal integrity, respectively [<xref ref-type="bibr" rid="scirp.132414-ref61">61</xref>] . Additionally, “identical protein binding” and “nucleotide binding” (both with 8 genes) suggest potential changes in protein-protein and nucleotide-protein interactions. Lastly, “ATP binding” (6 genes) and “cytoskeletal protein binding” (5 genes) indicate potential alterations in energy utilization and cytoskeletal protein interactions [<xref ref-type="bibr" rid="scirp.132414-ref62">62</xref>] .</p><p><xref ref-type="table" rid="table5">Table 5</xref> shows a partial list of various molecular weights and chromosomes of downregulated actin cytoskeletal proteins [<xref ref-type="bibr" rid="scirp.132414-ref63">63</xref>] . The molecular weight of a protein is an important characteristic that influences its physical and chemical properties, such as solubility, stability, and folding [<xref ref-type="bibr" rid="scirp.132414-ref64">64</xref>] . It is also helpful for protein identification, quantification, and purity determination. While there is no specific threshold for significance, proteins with unusually high or low molecular weights compared to the expected range for their family or function might be flagged for further investigation [<xref ref-type="bibr" rid="scirp.132414-ref65">65</xref>] .</p><p>The chromosome location of a protein-encoding gene is equally essential, as it can provide insights into gene clusters and potential regulatory mechanisms</p><table-wrap id="table5" ><label><xref ref-type="table" rid="table5">Table 5</xref></label><caption><title> Partial list of various molecular weights and chromosomes of downregulated actin cytoskeletal proteins</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Protein</th><th align="center" valign="middle" >Molecular weight, Da</th><th align="center" valign="middle" >Chromosome</th></tr></thead><tr><td align="center" valign="middle" >ACTG1</td><td align="center" valign="middle" >41,793</td><td align="center" valign="middle" >Chr 17-17q25.3</td></tr><tr><td align="center" valign="middle" >ACTR2</td><td align="center" valign="middle" >44,761</td><td align="center" valign="middle" >Chr 2-2p14</td></tr><tr><td align="center" valign="middle" >ACTR3</td><td align="center" valign="middle" >47,371</td><td align="center" valign="middle" >Chr 2-2q14.1</td></tr><tr><td align="center" valign="middle" >ANXA2</td><td align="center" valign="middle" >38,604</td><td align="center" valign="middle" >Chr 15-15q22.2</td></tr><tr><td align="center" valign="middle" >ARPC4</td><td align="center" valign="middle" >19,667</td><td align="center" valign="middle" >Chr 3-3p25.3</td></tr><tr><td align="center" valign="middle" >CALD1</td><td align="center" valign="middle" >93,231</td><td align="center" valign="middle" >Chr7-7q33</td></tr><tr><td align="center" valign="middle" >MYH9</td><td align="center" valign="middle" >226,532</td><td align="center" valign="middle" >Chr22-22q12.3</td></tr><tr><td align="center" valign="middle" >FLNA</td><td align="center" valign="middle" >280,739</td><td align="center" valign="middle" >ChrX-Xq28</td></tr><tr><td align="center" valign="middle" >MYH10</td><td align="center" valign="middle" >228,999</td><td align="center" valign="middle" >Chr17-17p13.1</td></tr><tr><td align="center" valign="middle" >MYH9</td><td align="center" valign="middle" >226,532</td><td align="center" valign="middle" >Chr22-22q12.3</td></tr><tr><td align="center" valign="middle" >PFN1</td><td align="center" valign="middle" >15,054</td><td align="center" valign="middle" >Chr17-17p13.2</td></tr></tbody></table></table-wrap><p>[<xref ref-type="bibr" rid="scirp.132414-ref66">66</xref>] . The significance is often determined by looking for patterns, such as the enrichment of downregulated proteins in specific chromosomal regions, which could suggest a common regulatory mechanism or shared genetic vulnerability in NSCLC [<xref ref-type="bibr" rid="scirp.132414-ref67">67</xref>] . For instance, the genes located on sex chromosomes may exhibit different expression patterns in males and females, while genes on autosomes may be regulated differently depending on their location and proximity to other genes. Furthermore, knowledge of the chromosome location can aid in identifying genetic disorders and diseases associated with specific genes [<xref ref-type="bibr" rid="scirp.132414-ref68">68</xref>] .</p><p><xref ref-type="table" rid="table6">Table 6</xref> illustrates the intracellular locations and functions of the top five Actin Cytoskeletal proteins. These five proteins were selected due to their dominant contribution to the activities.</p><p>Actins are highly conserved proteins that play a crucial role in maintaining the cytoskeleton and various types of cell motility. There are three main groups of actin isoforms in vertebrate animals: Alpha, Beta, and Gamma. Alpha actins are present in muscle tissues and constitute a significant part of the contractile apparatus. Beta and Gamma actins are present in most cell types, where they form the cytoskeleton and mediate internal cell motility. Actin Gamma 1 (ACTG1), which is encoded by this gene, is a cytoplasmic actin found in all cell types. It is involved in various types of cell motility and is expressed in all eukaryotic cells [<xref ref-type="bibr" rid="scirp.132414-ref79">79</xref>] .</p><p>ACTR2 and ACTR3 are actin-related proteins that are integral components of the actin-related protein 2/3 (ARP2/3) complex subunit 4, a vital player in cell motility and maintaining cellular shape. The ARP2/3 complex plays a critical role in regulating the dynamics of actin filaments. It binds to the sides of actin filaments and is particularly concentrated at the leading edges of mobile cells. ACTR2 and ACTR3 have key functions in actin nucleation and branching, facilitating the formation of intricate actin networks. These networks are essential for driving crucial cellular processes, including cell migration and intracellular transport [<xref ref-type="bibr" rid="scirp.132414-ref80">80</xref>] .</p><table-wrap id="table6" ><label><xref ref-type="table" rid="table6">Table 6</xref></label><caption><title> Partial list of various intracellular locations of top 5 Actin Cytoskeletal proteins</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Protein</th><th align="center" valign="middle" >Intracellular location</th><th align="center" valign="middle" >Intracellular function</th></tr></thead><tr><td align="center" valign="middle" >ACTG1</td><td align="center" valign="middle" >Cytoplasm/ cytoskeleton</td><td align="center" valign="middle" >Involved in various types of cell motility and is expressed in all eukaryotic cells [<xref ref-type="bibr" rid="scirp.132414-ref69">69</xref>] .</td></tr><tr><td align="center" valign="middle" >ACTR2</td><td align="center" valign="middle" >Cytoplasm (but it can also shuttle to the nucleus)</td><td align="center" valign="middle" >Providing the force for cell motility, mediates actin polymerization upon stimulation by nucleation-promoting factor (NPF), promotes homologous recombination (HR) repair in response to deoxyribonucleic acid (DNA) damage by promoting nuclear actin polymerization, leading to drive motility of double-strand breaks (DSBs) [<xref ref-type="bibr" rid="scirp.132414-ref70">70</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref71">71</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref72">72</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref73">73</xref>]</td></tr><tr><td align="center" valign="middle" >ACTR3</td><td align="center" valign="middle" >Both in the Cytoplasm and Nucleus</td><td align="center" valign="middle" >Regulating actin dynamics at sites of cell-cell adhesion and cell-matrix junctions. It is also involved in the formation of filopodia, which are thin, finger-like protrusions that cells use to sense their surroundings. Filopodia are important for cell migration, guidance, and communication [<xref ref-type="bibr" rid="scirp.132414-ref74">74</xref>] .</td></tr><tr><td align="center" valign="middle" >ANXA2</td><td align="center" valign="middle" >Extracellular space/ Melanosome</td><td align="center" valign="middle" >Calcium-regulated membrane-binding protein binds two calcium ions with high affinity, less toxin binds to human cells, and less vacuolization [<xref ref-type="bibr" rid="scirp.132414-ref75">75</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref76">76</xref>] .</td></tr><tr><td align="center" valign="middle" >ARPC4</td><td align="center" valign="middle" >Cytoplasm/ Nucleus/ Cell projection</td><td align="center" valign="middle" >providing the force for cell motility, promotes actin polymerization in the nucleus, thereby regulating gene transcription, promotes homologous recombination (HR), and repair in response to DNA damage by promoting nuclear actin polymerization, leading to driving motility of double-strand breaks (DSBs) [<xref ref-type="bibr" rid="scirp.132414-ref77">77</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref78">78</xref>] .</td></tr></tbody></table></table-wrap><p>A protein-protein string interaction network analysis was conducted to comprehensively investigate the relationship among ACTG1, ACTR2, and ACTR3. This analysis aimed to gain a deeper understanding of the interactions and associations between these proteins within the network. <xref ref-type="fig" rid="fig4">Figure 4</xref> shows the string interaction diagram of ACTG1, ACTR2, and ACTR3.</p><p>By examining the protein-protein string interactions, valuable insights were obtained, shedding light on the intricate relationship. The coordinated actions of these proteins imply that they could be involved in modifying actin dynamics and cytoskeletal rearrangements. These proteins have a number of recognised functional linkages. Moreover, they contribute to essential cellular activities via functioning in intracellular trafficking and vesicle transport [<xref ref-type="bibr" rid="scirp.132414-ref81">81</xref>] . Also, the collaboration and interactions among ACTG1, ACTR2, and ACTR3 are essential for controlling cellular migration and motility [<xref ref-type="bibr" rid="scirp.132414-ref82">82</xref>] . ACTG1, ACTR2, and ACTR3 are involved in actomyosin contractility, which is essential for processes like cytokinesis, cell shape changes, and tissue morphogenesis. They participate in the regulation of actin-myosin interactions and the generation of contractile forces. Meanwhile, they participate in signal transduction events, influencing cellular processes such as proliferation, differentiation, and survival. Together, they control the development of lamellipodia, cytoskeletal remodelling, and cellular protrusion, all of which are necessary for cell mobility [<xref ref-type="bibr" rid="scirp.132414-ref83">83</xref>] .</p><p>In addition, they are involved in the force for cell motility and the stimulation of DNA repair by promoting nuclear actin polymerization. Mutations in these genes have been linked to developmental disorders and diseases [<xref ref-type="bibr" rid="scirp.132414-ref84">84</xref>] . Besides, ACTG1, ACTR2, and ACTR3 contribute to cell adhesion and focal adhesion dynamics. They are involved in the formation and turnover of focal adhesions, which are sites of cell-substrate adhesion, and play a crucial role in cell migration, mechano-transduction, and signalling [<xref ref-type="bibr" rid="scirp.132414-ref85">85</xref>] . These functional roles demonstrate how broad and multifaceted ACTG1, ACTR2, and ACTR3 are in cellular processes, including structural support and cell adhesion, as well as contractility, signaling, and interactions with hosts and pathogens.</p><p>On the other hand, ANXA2 is a calcium-regulated membrane-binding protein that is responsible for binding two calcium ions with high affinity [<xref ref-type="bibr" rid="scirp.132414-ref86">86</xref>] . This protein has been shown to play a role in diverse cellular processes, including membrane trafficking, exocytosis, and endocytosis. Additionally, it has been discovered that ANXA2 has a major impact on the control of vital cellular processes such as cell adhesion, migration, and invasion in the setting of NSCLC. Studies have shown that ANXA2 is involved in modifying cellular responses and may have an impact on the progression and aggressiveness of NSCLC by decreasing toxin binding to human cells and decreasing vacuolization [<xref ref-type="bibr" rid="scirp.132414-ref87">87</xref>] .</p><p>The present study utilized KEGG and Wiki pathways to explore the underlying mechanism behind the effects of NSCLC. <xref ref-type="table" rid="table7">Table 7</xref> displays the KEGG and Wiki pathways that were investigated in the study.</p><p>The main objective of this study is to analyze the pathways involved in NSCLC and gain insights into the underlying biological processes, with the goal of identifying potential therapeutic targets. To achieve this, the study focused on the focal adhesion pathway, which is known to play a crucial role in the movement and proliferation of NSCLC cells, as well as its impact on gene expression. <xref ref-type="fig" rid="fig5">Figure 5</xref> depicts the KEGG focal adhesion pathway that was studied in this research.</p><p><xref ref-type="fig" rid="fig5">Figure 5</xref> illustrates that actin string bundles are connected to the integrin family transmembrane receptors via a multi-molecular complex of junctional plaque proteins [<xref ref-type="bibr" rid="scirp.132414-ref88">88</xref>] . Some of the focal adhesion components participate in the structural linkage between membrane receptors and the actin cytoskeleton. Meanwhile, other components such as protein kinases, phosphatases, and adapter proteins act as signaling molecules, which can greatly impact the reorganization of the actin cytoskeleton, cell shape, and motility, as well as gene expression. It should be emphasized that there is a strong correlation between adhesion and signaling through growth factors. When growth factors bind to their corresponding receptors, it triggers comparable alterations in gene expression and physical structure.</p><table-wrap id="table7" ><label><xref ref-type="table" rid="table7">Table 7</xref></label><caption><title> List of KEGG and Wiki pathways</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Pathway</th><th align="center" valign="middle" >Description</th></tr></thead><tr><td align="center" valign="middle"  colspan="2"  >KEGG</td></tr><tr><td align="center" valign="middle" >hsa04530</td><td align="center" valign="middle" >Tight junction</td></tr><tr><td align="center" valign="middle" >hsa05100</td><td align="center" valign="middle" >Bacterial invasion of epithelial cells</td></tr><tr><td align="center" valign="middle" >hsa05410</td><td align="center" valign="middle" >Hypertrophic cardiomyopathy</td></tr><tr><td align="center" valign="middle" >hsa04520</td><td align="center" valign="middle" >Adherens junction</td></tr><tr><td align="center" valign="middle" >hsa04810</td><td align="center" valign="middle" >Regulation of actin cytoskeleton</td></tr><tr><td align="center" valign="middle" >hsa05414</td><td align="center" valign="middle" >Dilated cardiomyopathy</td></tr><tr><td align="center" valign="middle" >hsa04270</td><td align="center" valign="middle" >Vascular smooth muscle contraction</td></tr><tr><td align="center" valign="middle" >hsa04670</td><td align="center" valign="middle" >Leukocyte transendothelial migration</td></tr><tr><td align="center" valign="middle" >hsa04260</td><td align="center" valign="middle" >Cardiac muscle contraction</td></tr><tr><td align="center" valign="middle" >hsa05132</td><td align="center" valign="middle" >Salmonella infection</td></tr><tr><td align="center" valign="middle" >hsa05130</td><td align="center" valign="middle" >Pathogenic Escherichia coli infection</td></tr><tr><td align="center" valign="middle" >hsa04510</td><td align="center" valign="middle" >Focal adhesion</td></tr><tr><td align="center" valign="middle" >hsa05131</td><td align="center" valign="middle" >Shigellosis</td></tr><tr><td align="center" valign="middle" >hsa05205</td><td align="center" valign="middle" >Proteoglycans in cancer</td></tr><tr><td align="center" valign="middle" >hsa05135</td><td align="center" valign="middle" >Yersinia infection</td></tr><tr><td align="center" valign="middle" >hsa04261</td><td align="center" valign="middle" >Adrenergic signaling in cardiomyocytes</td></tr><tr><td align="center" valign="middle" >hsa04921</td><td align="center" valign="middle" >Oxytocin signaling pathway</td></tr><tr><td align="center" valign="middle"  colspan="2"  >Wiki</td></tr><tr><td align="center" valign="middle" >WP383</td><td align="center" valign="middle" >Striated muscle contraction pathway</td></tr><tr><td align="center" valign="middle" >WP3680</td><td align="center" valign="middle" >Physico-chemical features and toxicity-associated pathways</td></tr><tr><td align="center" valign="middle" >WP2272</td><td align="center" valign="middle" >Pathogenic Escherichia coli infection</td></tr><tr><td align="center" valign="middle" >WP2572</td><td align="center" valign="middle" >Primary focal segmental glomerulosclerosis (FSGS)</td></tr><tr><td align="center" valign="middle" >WP51</td><td align="center" valign="middle" >Regulation of actin cytoskeleton</td></tr><tr><td align="center" valign="middle" >WP306</td><td align="center" valign="middle" >Focal adhesion</td></tr><tr><td align="center" valign="middle" >WP4217</td><td align="center" valign="middle" >Ebola virus pathway in host</td></tr><tr><td align="center" valign="middle" >WP3888</td><td align="center" valign="middle" >VEGFA-VEGFR2 signaling pathway</td></tr></tbody></table></table-wrap><p>The apoptotic pathways are highlighted in green in <xref ref-type="fig" rid="fig5">Figure 5</xref>. In summary, focal adhesions are crucial in linking membrane receptors with the actin cytoskeleton, while signaling molecules such as protein kinases, phosphatases, and adapter proteins significantly influence cell shape, motility, and gene expression. The correlation between adhesion and growth factor-mediated signaling enables similar morphological changes in gene expression to be initiated by the binding of growth factors to their respective receptors [<xref ref-type="bibr" rid="scirp.132414-ref89">89</xref>] . These insights into the focal adhesion pathway could be useful in identifying potential therapeutic targets for NSCLC treatment.</p></sec><sec id="s4"><title>4. Discussion</title><p>The study of the molecular pathology of NSCLC, as discovered by the Cancer Genome Atlas, has identified several significant signaling pathways [<xref ref-type="bibr" rid="scirp.132414-ref90">90</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref91">91</xref>] . Furthermore, Chan et al. have studied the molecular pathways in NSCLC and have identified several indicative pathways and specific oncogenic driver alterations that lead to malignant transformations. These researchers stated that kinase protein feeds into multiple downstream pathways [<xref ref-type="bibr" rid="scirp.132414-ref92">92</xref>] . The NSCLC KEGG pathway has also been described to show that molecular mechanisms that are altered in NSCLC include the stimulation of oncogenes in addition to the inactivation of tumor suppressor genes [<xref ref-type="bibr" rid="scirp.132414-ref93">93</xref>] . The focal adhesion pathway presents a new therapeutic target in NSCLC because focal adhesion kinase (FAK) is considered a highly preserved non-receptor tyrosine kinase that plays essential roles in the migration, cellular adhesion, and proliferation of stem cells [<xref ref-type="bibr" rid="scirp.132414-ref94">94</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref95">95</xref>] .</p><p>FAK is considered one of the main targets for the development of antitumor drugs [<xref ref-type="bibr" rid="scirp.132414-ref96">96</xref>] . Lin et al. have suggested that FAK targets are vital in reducing lung cancer mobility and metastasis [<xref ref-type="bibr" rid="scirp.132414-ref97">97</xref>] . Focal adhesion is the close-fitting linking between the cell and the extracellular matrix that allows their communication and signaling [<xref ref-type="bibr" rid="scirp.132414-ref98">98</xref>] . It includes a complex of junctional sign proteins that introduce the actin cytoskeleton to the integrins, and it controls several cellular processes like relocation, proliferation, distinction, apoptosis, and gene expression [<xref ref-type="bibr" rid="scirp.132414-ref99">99</xref>] . According to the focal adhesion sensitivity to mechanical forces, it regulates its construction and role [<xref ref-type="bibr" rid="scirp.132414-ref100">100</xref>] . He L et al. found that cell migration declined when focal adhesion genes and platelet-derived growth factor receptors were downregulated in NSCLC [<xref ref-type="bibr" rid="scirp.132414-ref101">101</xref>] . They concluded that focal adhesion could be used as an alternative mechanism in NSCLC.</p><p>Moreover, they recommended that combining several proliferation pathways could be effective in reducing tumor cells’ growth. According to the NSCLC proteomic profiling, Zhu et al. have stated that the NSCLC intrinsic radiosensitivity was principally modified by the signaling pathways of focal adhesion and regulation of the actin cytoskeleton [<xref ref-type="bibr" rid="scirp.132414-ref102">102</xref>] . Cadinu et al. have confirmed the kinase proteins’ functionality in the NSCLC cell lines’ radiation response, and they have defined the NSCLC radiosensitivity-related signaling pathways [<xref ref-type="bibr" rid="scirp.132414-ref37">37</xref>] . On the other hand, Grace K. et al. have stated that FAK expression was not associated with survival outcomes in their case study in North America, and it was expressed in the first stage of NSCLC only [<xref ref-type="bibr" rid="scirp.132414-ref103">103</xref>] .</p><p>Also, MYH9 has been found to improve the cancer cells’ stem cell-like biological performance through mTOR signaling pathway activation [<xref ref-type="bibr" rid="scirp.132414-ref104">104</xref>] . Meng Chen et al. has concluded that MYH9 expression can be used independently in assessing the prognosis of NSCLC patients [<xref ref-type="bibr" rid="scirp.132414-ref105">105</xref>] . Furthermore, MYH9 expression’s downregulation defeats the stem cell-like malignant phenotype of NSCLC. According to Rahul Suresha et.al, studying the ACTG1 changes that happen within NSCLC could advance the understanding of tumorigenesis [<xref ref-type="bibr" rid="scirp.132414-ref106">106</xref>] . Additionally, abnormal expression of ACTG1 can be used as a biomarker for the early onset of NSCLC, providing a prospective therapeutic objective and indicating the effectiveness of chemotherapeutic agents currently in use. Atsumi et al. have found that focal adhesion-related proteins such as FLNA were strongly co-localized with FAK [<xref ref-type="bibr" rid="scirp.132414-ref107">107</xref>] . This co-localization confirmed that these proteins are the main antigens of the tumorigenic immune cell.</p><p>Integrating these analyses provides a holistic view of the role of downregulated actin cytoskeletal proteins in NSCLC. The protein analysis reveals the complex network of interactions among these proteins, GO enrichment analysis categorizes their roles in essential biological processes, and pathway analysis identifies key signaling pathways affected by their downregulation [<xref ref-type="bibr" rid="scirp.132414-ref108">108</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref109">109</xref>] . Together, these analyses offer a comprehensive understanding of how these proteins contribute to NSCLC genesis.</p><p>This integrated approach not only explains the interconnectedness of different analyses but also highlights their collective contribution to understanding NSCLC, paving the way for identifying novel biomarkers and therapeutic targets to improve patient outcomes. Previously, similar studies have shown successful in-vitro treatment strategies for triple-negative breast cancer [<xref ref-type="bibr" rid="scirp.132414-ref110">110</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref111">111</xref>] [<xref ref-type="bibr" rid="scirp.132414-ref112">112</xref>] . Therefore, studying and analysing these interactions and pathways is crucial for developing effective treatment strategies for lung cancer.</p></sec><sec id="s5"><title>5. Conclusions</title><p>The protein-protein interactions of the 35 downregulated actin cytoskeleton were studied. Actin proteins, such as ACTG1, ACTR2, ACTR3, ANXA2, and others, had the highest number of interactions, while others showed moderate or lower interactions. Their involvement in various cellular processes, such as cell motility, DNA repair, protein kinase regulation, and calcium-mediated cell processes. ANXA2 has been found to reduce toxin binding and vacuolization in human cells.</p><p>The study analyzed the molecular weight, chromosome, subcellular locations, and functions of these proteins to comprehend their involvement in the cellular processes of NSCLC. Additionally, the top ten gene ontology enrichment terms of biological processes, molecular function, and cellular components were examined to understand the biological significance of these proteins. This provided a more detailed understanding of the cellular processes affected by the downregulation of these proteins and how they contribute to the development of NSCLC.</p><p>Furthermore, the study examined KEGG and Wiki pathways to investigate the underlying mechanism behind the effects of NSCLC. The results showed that the focal adhesion pathway played a significant role in regulating cell motility, survival, gene expression, proliferation, and differentiation in NSCLC. Focal adhesion was crucial in connecting membrane receptors with the actin cytoskeleton, and protein kinases, phosphatases, and adapter proteins significantly influenced cell shape, motility, and gene expression. Moreover, the correlation between adhesion and growth factor-mediated signaling facilitated the initiation of similar changes in gene expression by binding growth factors to their receptors.</p><p>The study suggests that these downregulated proteins play a crucial role in cell motility and maintenance of the cytoskeleton, and their decreased expression can effectively kill NSCLCs. In conclusion, a deeper understanding of gene/protein interactions and the focal adhesion pathway, as demonstrated in this study, can provide valuable insights for controlling and treating NSCLC by identifying novel biomarkers and drug targets.</p></sec><sec id="s6"><title>Conflicts of Interest</title><p>The authors declare no conflicts of interest regarding the publication of this paper.</p></sec><sec id="s7"><title>Cite this paper</title><p>Mageed, H.M.A., Sahu, P. and Sundararajan, R. (2024) Analysis and Review of Downregulated Actin Cytoskeletal Proteins in Non-Small Cell Lung Cancer. Journal of Biosciences and Medicines, 12, 89-115. https://doi.org/10.4236/jbm.2024.124009</p></sec><sec id="s8"><title>Abbreviations</title><p>ACTG1: actin gamma 1</p><p>ACTR2: actin-related protein 2</p><p>ACTR3: actin-related protein 2</p><p>ANXA2: annexin A2</p><p>ARP2/3: actin-related protein 2/3</p><p>ATP: adenosine triphosphate</p><p>CALD:1 caldesmon isoform 2</p><p>COPD: chronic obstructive pulmonary disease</p><p>CTNNA1: catenin alpha-1</p><p>DNA: deoxyribonucleic acid</p><p>DSBs: double-strand breaks</p><p>DUSP23: dual specificity protein phosphatase 23</p><p>FAK: focal adhesion kinase</p><p>FLNA: filamin-A isoform 2</p><p>FLNA: filamin A</p><p>FLNB4: filamin-B isoform 4</p><p>FLNB1: filamin-B isoform 1</p><p>FSGS: focal segmental glomerulosclerosis</p><p>GO: gene ontology</p><p>HR: homologous recombination</p><p>HSPB1: heat shock protein beta-1</p><p>IQGAP1: ras GTPase-activating-like protein</p><p>KEGG: kyoto encyclopedia of genes and genomes</p><p>KRT17: keratin, type I cytoskeletal 17</p><p>KRT7: keratin, type II cytoskeletal 7</p><p>MSN: moesin</p><p>mTOR: mammalian target of rapamycin complex 1</p><p>MYH10: myosin-10 isoform 3</p><p>MYH9: myosin-9</p><p>MYL6: myosin light polypeptide 6</p><p>MYL9: myosin regulatory light polypeptide 9</p><p>MYO1C: myosin-Ic</p><p>NDRG1: protein NDRG1</p><p>NPF: nucleation-promoting factor</p><p>NSCLC: non-small cell lung cancer</p><p>PDLIM7: PDZ and LIM domain protein 7</p><p>PFN1: profilin-1</p><p>RNA: ribonucleic acid</p><p>SCLC: small cell lung cancer</p><p>Sept2: septin 2</p><p>STRING: search tool for the retrieval of interacting genes/proteins</p><p>TAGLN: transgelin</p><p>TAGLN2: transgelin-2</p><p>TLN1: talin-1</p><p>TMSB4X: thymosin beta-4</p><p>TPM1: tropomyosin alpha-1 chain</p><p>TPM3: tropomyosin alpha-3 chain</p><p>TPM4: tropomyosin alpha-4 chain</p><p>TUBA1: Btubulin alpha-1B chain</p><p>UTRN: utrophin</p><p>ZYX: zyxin</p></sec><sec id="s9"><title>NOTES</title></sec></body><back><ref-list><title>References</title><ref id="scirp.132414-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Pasello, G., Scattolin, D., Bonanno, L., &lt;i&gt;et al.&lt;/i&gt; (2023) Secondary Prevention and Treatment Innovation of Early Stage Non-Small Cell Lung Cancer: Impact on Diagnostic-Therapeutic Pathway from a Multidisciplinary Perspective. &lt;i&gt;Cancer Trea&lt;/i&gt;&lt;i&gt;t&lt;/i&gt;&lt;i&gt;ment Reviews&lt;/i&gt;, 116, Article 102544. &lt;br&gt;https://doi.org/10.1016/j.ctrv.2023.102544 </mixed-citation></ref><ref id="scirp.132414-ref2"><label>2</label><mixed-citation publication-type="other" xlink:type="simple">Siegel, R.L., Miller, K.D., Fuchs, H.E., &lt;i&gt;et al.&lt;/i&gt; (2022) Cancer Statistics, 2022. &lt;i&gt;CA&lt;/i&gt;:&lt;i&gt; A Cancer Journal for Clinicians&lt;/i&gt;, 72, 7-33. &lt;br&gt;https://doi.org/10.3322/caac.21708 </mixed-citation></ref><ref id="scirp.132414-ref3"><label>3</label><mixed-citation publication-type="other" xlink:type="simple">Ifeacho, V., Prabhudesai, P., Zhu, V., &lt;i&gt;et al.&lt;/i&gt; (2016) Assessing Utility of Blood-Based Predictive and Prognostic Proteomic Test in Patient Non-Small Cell Lung Cancer. &lt;i&gt;CHEST&lt;/i&gt;, 150, 725A. &lt;br&gt;https://doi.org/10.1016/j.chest.2016.08.820 </mixed-citation></ref><ref id="scirp.132414-ref4"><label>4</label><mixed-citation publication-type="other" xlink:type="simple">Cai, X.-W., Shedden, K.A., Yuan, S.-H., &lt;i&gt;et al.&lt;/i&gt; (2011) Baseline Plasma Proteomic Analysis to Identify Biomarkers That Predict Radiation-Induced Lung Toxicity in Patients Receiving Radiation for Non-Small Cell Lung Cancer. &lt;i&gt;Journal of Thoracic Oncology&lt;/i&gt;, 6, 1073-1078. &lt;br&gt;https://doi.org/10.1097/JTO.0b013e3182152ba6 </mixed-citation></ref><ref id="scirp.132414-ref5"><label>5</label><mixed-citation publication-type="other" xlink:type="simple">Alberg, A.J., Brock, M.V., Ford, J.G., &lt;i&gt;et al.&lt;/i&gt; (2013) Epidemiology of Lung Cancer: Diagnosis and Management of Lung Cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. &lt;i&gt;CHEST&lt;/i&gt;, 143, e1S-e29S. &lt;br&gt;https://doi.org/10.1378/chest.12-2345 </mixed-citation></ref><ref id="scirp.132414-ref6"><label>6</label><mixed-citation publication-type="other" xlink:type="simple">Duma, N., Santana-Davila, R. and Molina, J.R. (2019) Non-Small Cell Lung Cancer: Epidemiology, Screening, Diagnosis, and Treatment. &lt;i&gt;Mayo Clinic Proceedings&lt;/i&gt;, 94, 1623-1640. &lt;br&gt;https://doi.org/10.1016/j.mayocp.2019.01.013 </mixed-citation></ref><ref id="scirp.132414-ref7"><label>7</label><mixed-citation publication-type="other" xlink:type="simple">Kirk, G.D., Merlo, C.O., Driscoll, P., &lt;i&gt;et al.&lt;/i&gt; (2007) HIV Infection Is Associated with an Increased Risk for Lung Cancer, Independent of Smoking. &lt;i&gt;Clinical Infectious Diseases&lt;/i&gt;, 5, 103-110. &lt;br&gt;https://doi.org/10.1086/518606 </mixed-citation></ref><ref id="scirp.132414-ref8"><label>8</label><mixed-citation publication-type="other" xlink:type="simple">Hubbard, R., Venn, A., Lewis, S., &lt;i&gt;et al.&lt;/i&gt; (2000) Lung Cancer and Cryptogenic Fibrosing Alveolitis. A Population-Based Cohort Study. &lt;i&gt;American Journal of Resp&lt;/i&gt;&lt;i&gt;i&lt;/i&gt;&lt;i&gt;ratory and Critical Care Medicine&lt;/i&gt;, 161, 5-8. &lt;br&gt;https://doi.org/10.1164/ajrccm.161.1.9906062 </mixed-citation></ref><ref id="scirp.132414-ref9"><label>9</label><mixed-citation publication-type="other" xlink:type="simple">Huang, Y.-J., Huang, T.-W., Lin, F.-H., &lt;i&gt;et al.&lt;/i&gt; (2017) Radiation Therapy for Invasive Breast Cancer Increases the Risk of Second Primary Lung Cancer: A Nationwide Population-Based Cohort Analysis. &lt;i&gt;Journal of Thoracic Oncology&lt;/i&gt;, 12, 782-790. &lt;br&gt;https://doi.org/10.1016/j.jtho.2017.01.021 </mixed-citation></ref><ref id="scirp.132414-ref10"><label>10</label><mixed-citation publication-type="other" xlink:type="simple">Lorigan, P., Radford, J., Howell, A., &lt;i&gt;et al.&lt;/i&gt; (2005) Lung Cancer after Treatment for Hodgkin&amp;#8217;s Lymphoma: A Systematic Review. &lt;i&gt;The Lancet Oncology&lt;/i&gt;, 6, 773-779. &lt;br&gt;https://doi.org/10.1016/S1470-2045(05)70387-9 </mixed-citation></ref><ref id="scirp.132414-ref11"><label>11</label><mixed-citation publication-type="other" xlink:type="simple">Lung Cancer Causes, Risk Factors, and Prevention (2024).&lt;br&gt;https://www.cancer.org/cancer/types/lung-cancer/causes-risks-prevention.html </mixed-citation></ref><ref id="scirp.132414-ref12"><label>12</label><mixed-citation publication-type="other" xlink:type="simple">Non-Small Cell Lung Cancer Treatment (PDQ&amp;#174;)&amp;#8211;Patient Version.&lt;br&gt;https://www.cancer.gov/types/lung/patient/non-small-cell-lung-treatment-pdq </mixed-citation></ref><ref id="scirp.132414-ref13"><label>13</label><mixed-citation publication-type="other" xlink:type="simple">NCI (2023) Small Cell Lung Cancer Treatment. &lt;br&gt;https://www.cancer.gov/types/lung/patient/small-cell-lung-treatment-pdq </mixed-citation></ref><ref id="scirp.132414-ref14"><label>14</label><mixed-citation publication-type="other" xlink:type="simple">If You Have Non-Small Cell Lung Cance.&lt;br&gt;https://www.cancer.org/cancer/types/lung-cancer/if-you-have-non-small-cell-lung-cancer-nsclc.html </mixed-citation></ref><ref id="scirp.132414-ref15"><label>15</label><mixed-citation publication-type="other" xlink:type="simple">If You Have Small Cell Lung Cancer.&lt;br&gt;https://www.cancer.org/cancer/types/lung-cancer/if-you-have-small-cell-lung-cancer-sclc.html </mixed-citation></ref><ref id="scirp.132414-ref16"><label>16</label><mixed-citation publication-type="other" xlink:type="simple">Key Statistics for Lung Cancer.&lt;br&gt;https://www.cancer.org/cancer/types/lung-cancer/about/key-statistics.html </mixed-citation></ref><ref id="scirp.132414-ref17"><label>17</label><mixed-citation publication-type="other" xlink:type="simple">Gridelli, C., Ardizzoni, A., Douillard, J.-Y., &lt;i&gt;et al.&lt;/i&gt; (2010) Recent Issues in First-Line Treatment of Advanced Non-Small-Cell Lung Cancer: Results of an International Expert Panel Meeting of the Italian Association of Thoracic Oncology. &lt;i&gt;Lung Ca&lt;/i&gt;&lt;i&gt;n&lt;/i&gt;&lt;i&gt;cer&lt;/i&gt;, 68, 319-331. &lt;br&gt;https://doi.org/10.1016/j.lungcan.2009.11.018. </mixed-citation></ref><ref id="scirp.132414-ref18"><label>18</label><mixed-citation publication-type="other" xlink:type="simple">Perez-Moreno, P., Brambilla, E., Thomas, R., &lt;i&gt;et al.&lt;/i&gt; (2012) Squamous Cell Carcinoma of the Lung: Molecular Subtypes and Therapeutic Opportunities. &lt;i&gt;Clinical Ca&lt;/i&gt;&lt;i&gt;n&lt;/i&gt;&lt;i&gt;cer Research&lt;/i&gt;, 18, 2443-2451. &lt;br&gt;https://doi.org/10.1158/1078-0432.CCR-11-2370</mixed-citation></ref><ref id="scirp.132414-ref19"><label>19</label><mixed-citation publication-type="other" xlink:type="simple">Morgensztern, D., Waqar, S., Subramanian, J., &lt;i&gt;et al.&lt;/i&gt; (2009) Improving Survival for Stage IV Non-Small Cell Lung Cancer: A Surveillance, Epidemiology, and End Results Survey from 1990 to 2005. &lt;i&gt;Journal of Thoracic Oncology&lt;/i&gt;, 4, 1524-1529. &lt;br&gt;https://doi.org/10.1097/JTO.0b013e3181ba3634</mixed-citation></ref><ref id="scirp.132414-ref20"><label>20</label><mixed-citation publication-type="other" xlink:type="simple">Sabbula, B.R., Gasalberti, D.P. and Anjum, F. (2023) Squamous Cell Lung Cancer. StatPearls Publishing, Petersburg.</mixed-citation></ref><ref id="scirp.132414-ref21"><label>21</label><mixed-citation publication-type="other" xlink:type="simple">Dela Cruz, C.S., Tanoue, L.T. and Matthay, R.A. (2011) Lung Cancer: Epidemiology, Etiology, and Prevention. &lt;i&gt;Clinics in Chest Medicine&lt;/i&gt;&lt;i&gt;, &lt;/i&gt;32, 605-644. &lt;br&gt;https://doi.org/10.1016/j.ccm.2011.09.001 </mixed-citation></ref><ref id="scirp.132414-ref22"><label>22</label><mixed-citation publication-type="other" xlink:type="simple">CancerNet (2012) Lung Cancer-Non-Small Cell-Risk Factors and Prevention. &lt;br&gt;https://www.cancer.net/cancer-types/lung-cancer-non-small-cell/risk-factors-and-prevention </mixed-citation></ref><ref id="scirp.132414-ref23"><label>23</label><mixed-citation publication-type="other" xlink:type="simple">Watanabe, Y., Murakami, S., Oda, M., &lt;i&gt;et al.&lt;/i&gt; (1999) Tumor Size and Extension of Lymph Node Metastases in N2 Lung Cancer. &lt;i&gt;Annali Italiani di Chirurgia&lt;/i&gt;, 70, 889-892.</mixed-citation></ref><ref id="scirp.132414-ref24"><label>24</label><mixed-citation publication-type="other" xlink:type="simple">Coles, G.L., Cristea, S., Webber, J.T., &lt;i&gt;et al.&lt;/i&gt; (2020) Unbiased Proteomic Profiling Uncovers a Targetable GNAS/PKA/PP2A Axis in Small Cell Lung Cancer Stem Cells. &lt;i&gt;Cancer Cell&lt;/i&gt;, 38, 129-143, e7. &lt;br&gt;https://doi.org/10.1016/j.ccell.2020.05.003 </mixed-citation></ref><ref id="scirp.132414-ref25"><label>25</label><mixed-citation publication-type="other" xlink:type="simple">Zhang, J., Zhuang, Z., Guo, M., &lt;i&gt;et al.&lt;/i&gt; (2023) Ze-Qi Decoction Inhibits Non-Small Cell lung Cancer Growth and Metastasis by Modulating the PI3K/Akt/p53 Signaling Pathway. &lt;i&gt;Journal of Traditional and Complementary Medicine&lt;/i&gt;, 13, 417-429. &lt;br&gt;https://doi.org/10.1016/j.jtcme.2023.03.008 </mixed-citation></ref><ref id="scirp.132414-ref26"><label>26</label><mixed-citation publication-type="other" xlink:type="simple">Zhang, Y., Liu, S., Zhou, S., &lt;i&gt;et al.&lt;/i&gt; (2021) Focal Adhesion Kinase: Insight into Its Roles and Therapeutic Potential in Oesophageal Cancer. &lt;i&gt;Cancer Letter&lt;/i&gt;, 496, 93-103. &lt;br&gt;https://doi.org/10.1016/j.canlet.2020.10.005 </mixed-citation></ref><ref id="scirp.132414-ref27"><label>27</label><mixed-citation publication-type="other" xlink:type="simple">Shtivelman, E., Hensing, T., Simon, G.R., &lt;i&gt;et al.&lt;/i&gt; (2014) Molecular Pathways and Therapeutic Targets in Lung Cancer. &lt;i&gt;Oncotarget&lt;/i&gt;, 5, 1392-1433. &lt;br&gt;https://doi.org/10.18632/oncotarget.1891</mixed-citation></ref><ref id="scirp.132414-ref28"><label>28</label><mixed-citation publication-type="other" xlink:type="simple">Clark, D.J., Fondrie, W.E., Yang, A., &lt;i&gt;et al.&lt;/i&gt; (2016) Triple SILAC Quantitative Proteomic Analysis Reveals Differential Abundance of Cell Signaling Proteins between Normal and Lung Cancer-Derived Exosomes. &lt;i&gt;Journal of Proteomics&lt;/i&gt;, 133, 161-169. &lt;br&gt;https://doi.org/10.1016/j.jprot.2015.12.023</mixed-citation></ref><ref id="scirp.132414-ref29"><label>29</label><mixed-citation publication-type="other" xlink:type="simple">Kumar, S., Abbas, F., Ali, I., &lt;i&gt;et al.&lt;/i&gt; (2023) Integrated Network Pharmacology and in-Silico Approaches to Decipher the Pharmacological Mechanism of &lt;i&gt;Selaginella &lt;/i&gt;&lt;i&gt;tamariscina&lt;/i&gt; in the Treatment of Non-Small Cell Lung Cancer. &lt;i&gt;Phytomedicine Plus&lt;/i&gt;, 3, Article 100419. &lt;br&gt;https://doi.org/10.1016/j.phyplu.2023.100419 </mixed-citation></ref><ref id="scirp.132414-ref30"><label>30</label><mixed-citation publication-type="other" xlink:type="simple">Noordin, R. and Othman, N. (2013) Proteomics Technology&amp;#8212;A Powerful Tool for the Biomedical Scientists. &lt;i&gt;Malaysian Journal of Medical Sciences&lt;/i&gt;&lt;i&gt;,&lt;/i&gt; 20, 1-2.</mixed-citation></ref><ref id="scirp.132414-ref31"><label>31</label><mixed-citation publication-type="other" xlink:type="simple">A Short Review on Proteomics and Its Applications. &lt;br&gt;https://www.academicoa.com/ILNS.17.77 </mixed-citation></ref><ref id="scirp.132414-ref32"><label>32</label><mixed-citation publication-type="other" xlink:type="simple">Van der Wekken, A.J., Hiltermann, T.J.N. and Groen, H.J.M. (2015) The Value of Proteomics in Lung Cancer. &lt;i&gt;Annals of Translational Medicine&lt;/i&gt;, 3, Article 29. &lt;br&gt;https://doi.org/10.3978/j.issn.2305-5839.2015.01.10 </mixed-citation></ref><ref id="scirp.132414-ref33"><label>33</label><mixed-citation publication-type="book" xlink:type="simple">Saeed, M.B., Record, J. and Westerberg, L.S. (2020) Two Sides of the coin: Cytoskeletal Regulation of Immune Synapses in Cancer and Primary Immune Deficiencies. In: Thomas, C. and Galluzzi, L., Eds., &lt;i&gt;International Review of Cell and Molecular Biology&lt;/i&gt;, Vol. 356, Academic Press, Cambridge, 1-97. &lt;br&gt;https://doi.org/10.1016/bs.ircmb.2020.06.001 </mixed-citation></ref><ref id="scirp.132414-ref34"><label>34</label><mixed-citation publication-type="other" xlink:type="simple">Sundararajan, R., Giri, P., Madhivanan, S., &lt;i&gt;et al.&lt;/i&gt; (2022) Cisplatin-Based Electrochemotherapy Significantly Downregulates Key Heat Shock Proteins in MDA-MB-231-Human Triple-Negative Breast Cancer Cells. &lt;i&gt;Applied Biochemistry and Bi&lt;/i&gt;&lt;i&gt;o&lt;/i&gt;&lt;i&gt;technology&lt;/i&gt;, 194, 517-528. &lt;br&gt;https://doi.org/10.1007/s12010-021-03703-9 </mixed-citation></ref><ref id="scirp.132414-ref35"><label>35</label><mixed-citation publication-type="other" xlink:type="simple">Mittal, L., Aryal, U.K., Camarillo, I.G., &lt;i&gt;et al.&lt;/i&gt; (2019) Quantitative Proteomic Analysis of Enhanced Cellular Effects of Electrochemotherapy with Cisplatin in Triple-Negative Breast Cancer Cells. &lt;i&gt;Scientific Reports&lt;/i&gt;, 9, Article No. 13916. &lt;br&gt;https://doi.org/10.1038/s41598-019-50048-9 </mixed-citation></ref><ref id="scirp.132414-ref36"><label>36</label><mixed-citation publication-type="other" xlink:type="simple">Gerber, D.E., Camidge, D.R., Morgensztern, D., &lt;i&gt;et al.&lt;/i&gt; (2020) Phase 2 Study of the Focal Adhesion Kinase Inhibitor Defactinib (VS-6063) in Previously Treated Advanced KRAS Mutant Non-Small Cell Lung Cancer. &lt;i&gt;Lung Cancer&lt;/i&gt;, 139, 60-67. &lt;br&gt;https://doi.org/10.1016/j.lungcan.2019.10.033 </mixed-citation></ref><ref id="scirp.132414-ref37"><label>37</label><mixed-citation publication-type="other" xlink:type="simple">Cadinu, D., Hooda, J., Alam, M.M., &lt;i&gt;et al.&lt;/i&gt; (2014) Comparative Proteomic Analysis Reveals Characteristic Molecular Changes Accompanying the Transformation of Nonmalignant to Cancer Lung Cells. &lt;i&gt;EuPA Open Proteomics&lt;/i&gt;, 3, 1-12. &lt;br&gt;https://doi.org/10.1016/j.euprot.2014.01.001 </mixed-citation></ref><ref id="scirp.132414-ref38"><label>38</label><mixed-citation publication-type="other" xlink:type="simple">PubMed Advanced Search Builder. &lt;br&gt;https://pubmed.ncbi.nlm.nih.gov/advanced/ </mixed-citation></ref><ref id="scirp.132414-ref39"><label>39</label><mixed-citation publication-type="other" xlink:type="simple">Protein-Protein Interaction Networks Functional Enrichment Analysis. &lt;br&gt;https://string-db.org/ </mixed-citation></ref><ref id="scirp.132414-ref40"><label>40</label><mixed-citation publication-type="other" xlink:type="simple">Functional Annotation Tool. &lt;br&gt;https://david.ncifcrf.gov/summary.jsp </mixed-citation></ref><ref id="scirp.132414-ref41"><label>41</label><mixed-citation publication-type="other" xlink:type="simple">The Gene Ontology Resource. &lt;br&gt;http://geneontology.org/ </mixed-citation></ref><ref id="scirp.132414-ref42"><label>42</label><mixed-citation publication-type="other" xlink:type="simple">KEGG Release Notes. &lt;br&gt;https://www.genome.jp/kegg/docs/relnote.html </mixed-citation></ref><ref id="scirp.132414-ref43"><label>43</label><mixed-citation publication-type="other" xlink:type="simple">Download and Access. &lt;br&gt;https://www.wikipathways.org/download.html </mixed-citation></ref><ref id="scirp.132414-ref44"><label>44</label><mixed-citation publication-type="other" xlink:type="simple">Szklarczyk, D., Kirsch, R., Koutrouli, M., &lt;i&gt;et al.&lt;/i&gt; (2023) The STRING Database in 2023: Protein-Protein Association Networks and Functional Enrichment Analyses for Any Sequenced Genome of Interest. &lt;i&gt;Nucleic Acids Research&lt;/i&gt;, 51, D638-D646. &lt;br&gt;https://doi.org/10.1093/nar/gkac1000 </mixed-citation></ref><ref id="scirp.132414-ref45"><label>45</label><mixed-citation publication-type="other" xlink:type="simple">Mierke, C.T., Fischer, T., Puder, S., &lt;i&gt;et al.&lt;/i&gt; (2017) Focal Adhesion Kinase Activity Is Required for Actomyosin Contractility-Based Invasion of Cells into Dense 3D Matrices. &lt;i&gt;Scientific Reports&lt;/i&gt;, 7, Article No. 42780. &lt;br&gt;https://doi.org/10.1038/srep42780 </mixed-citation></ref><ref id="scirp.132414-ref46"><label>46</label><mixed-citation publication-type="other" xlink:type="simple">Murphy, K.N. and Brinkworth, A.J. (2021) Manipulation of Focal Adhesion Signaling by Pathogenic Microbes. &lt;i&gt;International Journal of Molecular Sciences&lt;/i&gt;, 22, Article 1358. &lt;br&gt;https://doi.org/10.3390/ijms22031358 </mixed-citation></ref><ref id="scirp.132414-ref47"><label>47</label><mixed-citation publication-type="other" xlink:type="simple">Jo, J., Abdi Nansa, S. and Kim, D.-H. (2020) Molecular Regulators of Cellular Mechanoadaptation at Cell-Material Interfaces. &lt;i&gt;Frontiers in Bioengineering and Bi&lt;/i&gt;&lt;i&gt;o&lt;/i&gt;&lt;i&gt;technology&lt;/i&gt;, 8, Article 608569. &lt;br&gt;https://doi.org/10.3389/fbioe.2020.608569 </mixed-citation></ref><ref id="scirp.132414-ref48"><label>48</label><mixed-citation publication-type="other" xlink:type="simple">Castaneda, N., Lee, M., Rivera-Jacquez, H.J., &lt;i&gt;et al.&lt;/i&gt; (2019) Actin Filament Mechanics and Structure in Crowded Environments. &lt;i&gt;The Journal of Physical Chemistry B&lt;/i&gt;, 123, 2770-2779. &lt;br&gt;https://doi.org/10.1021/acs.jpcb.8b12320 </mixed-citation></ref><ref id="scirp.132414-ref49"><label>49</label><mixed-citation publication-type="other" xlink:type="simple">Kuo, I.Y. and Ehrlich, B.E. (2015) Signaling in Muscle Contraction. &lt;i&gt;Cold Spring Harbor Perspectives in Biology&lt;/i&gt;, 7, a006023. &lt;br&gt;https://doi.org/10.1101/cshperspect.a006023 </mixed-citation></ref><ref id="scirp.132414-ref50"><label>50</label><mixed-citation publication-type="other" xlink:type="simple">Bhat, M.Y., Solanki, H.S., Advani, J., &lt;i&gt;et al.&lt;/i&gt; (2018) Comprehensive Network Map of Interferon Gamma Signaling. &lt;i&gt;Journal of Cell Communication and Signaling&lt;/i&gt;, 12, 745-751. &lt;br&gt;https://doi.org/10.1007/s12079-018-0486-y </mixed-citation></ref><ref id="scirp.132414-ref51"><label>51</label><mixed-citation publication-type="other" xlink:type="simple">Reactome (2024) Signal Transduction. &lt;br&gt;http://reactome.org/content/detail/R-HSA-162582 </mixed-citation></ref><ref id="scirp.132414-ref52"><label>52</label><mixed-citation publication-type="other" xlink:type="simple">Zhang, Y.-H., Ding, S., Chen, L., &lt;i&gt;et al.&lt;/i&gt; (2022) Subcellular Localization Prediction of Human Proteins Using Multifeature Selection Methods. &lt;i&gt;BioMed Research Intern&lt;/i&gt;&lt;i&gt;a&lt;/i&gt;&lt;i&gt;tional&lt;/i&gt;, 2022, Article ID: 3288527. &lt;br&gt;https://doi.org/10.1155/2022/3288527 </mixed-citation></ref><ref id="scirp.132414-ref53"><label>53</label><mixed-citation publication-type="other" xlink:type="simple">Liu, M., Li, X., Peng, K.-Z., &lt;i&gt;et al.&lt;/i&gt; (2018) Subcellular Localization of Klf4 in Non-Small Cell Lung Cancer and Its Clinical Significance. &lt;i&gt;Biomedicine &amp; Pharm&lt;/i&gt;&lt;i&gt;a&lt;/i&gt;&lt;i&gt;cotherapy&lt;/i&gt;, 99, 480-485. &lt;br&gt;https://doi.org/10.1016/j.biopha.2018.01.090 </mixed-citation></ref><ref id="scirp.132414-ref54"><label>54</label><mixed-citation publication-type="other" xlink:type="simple">Mayanagi, T. and Sobue, K. (2011) Diversification of Caldesmon-Linked Actin Cytoskeleton in Cell Motility. &lt;i&gt;Cell Adhesion &amp; Migration&lt;/i&gt;, 5, 150-159. &lt;br&gt;https://doi.org/10.4161/cam.5.2.14398 </mixed-citation></ref><ref id="scirp.132414-ref55"><label>55</label><mixed-citation publication-type="other" xlink:type="simple">Tang, D.D. and Gerlach, B.D. (2017) The Roles and Regulation of the Actin Cytoskeleton, Intermediate Filaments and Microtubules in Smooth Muscle Cell Migration. &lt;i&gt;Respiratory Research, &lt;/i&gt;18, Article No. 54. &lt;br&gt;https://doi.org/10.1186/s12931-017-0544-7 </mixed-citation></ref><ref id="scirp.132414-ref56"><label>56</label><mixed-citation publication-type="other" xlink:type="simple">Risha, Y., Minic, Z., Ghobadloo, S.M., &lt;i&gt;et al.&lt;/i&gt; (2020). The Proteomic Analysis of Breast Cell Line Exosomes Reveals Disease Patterns and Potential Biomarkers. &lt;i&gt;Scientific Reports&lt;/i&gt;, 10, Article No. 13572. &lt;br&gt;https://doi.org/10.1038/s41598-020-70393-4 </mixed-citation></ref><ref id="scirp.132414-ref57"><label>57</label><mixed-citation publication-type="other" xlink:type="simple">Niessen, C.M. and Gottardi, C.J. (2008) Molecular Components of the Adherens Junction. &lt;i&gt;Biochim Biophys Acta&lt;/i&gt;, 1778, 562-571. &lt;br&gt;https://doi.org/10.1016/j.bbamem.2007.12.015 </mixed-citation></ref><ref id="scirp.132414-ref58"><label>58</label><mixed-citation publication-type="other" xlink:type="simple">Zeitlinger, M.A., Derendorf, H., Mouton, J.W., &lt;i&gt;et al.&lt;/i&gt; (2011) Protein Binding: Do We Ever Learn? &lt;i&gt;Antimicrob Agents Chemother&lt;/i&gt;, 55, 3067-3074. &lt;br&gt;https://doi.org/10.1128/AAC.01433-10 </mixed-citation></ref><ref id="scirp.132414-ref59"><label>59</label><mixed-citation publication-type="other" xlink:type="simple">Pollard, T.D. (2016) Actin and Actin-Binding Proteins. &lt;i&gt;Cold Spring Harb Perspect Biol &lt;/i&gt;2016&lt;i&gt;, &lt;/i&gt;8, a018226. &lt;br&gt;https://doi.org/10.1101/cshperspect.a018226 </mixed-citation></ref><ref id="scirp.132414-ref60"><label>60</label><mixed-citation publication-type="other" xlink:type="simple">Science Direct Topics (2017) Actin and Actin-Binding Proteins.&lt;br&gt;https://www.sciencedirect.com/topics/neuroscience/actin-filament </mixed-citation></ref><ref id="scirp.132414-ref61"><label>61</label><mixed-citation publication-type="book" xlink:type="simple">Perez, T.D. and Nelson, W.J. (2004) Cadherin Adhesion: Mechanisms and Molecular Interactions. In: Behrens, J. and Nelson, W.J., Eds., &lt;i&gt;Cell Adhesion. Handbook of Experimental Pharmacology&lt;/i&gt;, Vol. 165, Springer, Berlin, 3-21. &lt;br&gt;https://doi.org/10.1007/978-3-540-68170-0_1 </mixed-citation></ref><ref id="scirp.132414-ref62"><label>62</label><mixed-citation publication-type="other" xlink:type="simple">Dos Remedios, C.G., Chhabra, D., Kekic, M., Dedova, I.V., &lt;i&gt;et al.&lt;/i&gt; (2003) Actin Binding Proteins: Regulation of Cytoskeletal Microfilaments. &lt;i&gt;Physiological Reviews&lt;/i&gt;, 83, 433-473. &lt;br&gt;https://doi.org/10.1152/physrev.00026.2002 </mixed-citation></ref><ref id="scirp.132414-ref63"><label>63</label><mixed-citation publication-type="other" xlink:type="simple">GeneCards (2024) The Human Gene Database. &lt;br&gt;https://www.genecards.org/ </mixed-citation></ref><ref id="scirp.132414-ref64"><label>64</label><mixed-citation publication-type="other" xlink:type="simple">Kramer, R.M., Shende, V.R., Motl, N., &lt;i&gt;et al.&lt;/i&gt; (2012) Toward a Molecular Understanding of Protein Solubility: Increased Negative Surface Charge Correlates with Increased Solubility. &lt;i&gt;Biophysical Journal&lt;/i&gt;, 102, 1907-1915. &lt;br&gt;https://doi.org/10.1016/j.bpj.2012.01.060 </mixed-citation></ref><ref id="scirp.132414-ref65"><label>65</label><mixed-citation publication-type="other" xlink:type="simple">Qing, R., Hao, S.L., Smorodina, E., Jin, D., Zalevsky, A. and Zhang, S.G. (2022) Protein Design: From the Aspect of Water Solubility and Stability. &lt;i&gt;Chemical R&lt;/i&gt;&lt;i&gt;e&lt;/i&gt;&lt;i&gt;views&lt;/i&gt;, 122, 14085-14179. &lt;br&gt;https://pubs.acs.org/doi/10.1021/acs.chemrev.1c00757 </mixed-citation></ref><ref id="scirp.132414-ref66"><label>66</label><mixed-citation publication-type="other" xlink:type="simple">Wang, T., Birsoy, K., Hughes, N.W., &lt;i&gt;et al.&lt;/i&gt; (2015) Identification and Characterization of Essential Genes in the Human Genome. &lt;i&gt;Science&lt;/i&gt;, 350, 1096-1101. &lt;br&gt;https://doi.org/10.1126/science.aac7041 </mixed-citation></ref><ref id="scirp.132414-ref67"><label>67</label><mixed-citation publication-type="other" xlink:type="simple">Ferrai, C., de Castro, I.J., Lavitas, L., &lt;i&gt;et al.&lt;/i&gt; (2010) Gene Positioning. &lt;i&gt;Cold Spring Harbor Perspectives in Biology&lt;/i&gt;, 2, a000588. &lt;br&gt;https://doi.org/10.1101/cshperspect.a000588 </mixed-citation></ref><ref id="scirp.132414-ref68"><label>68</label><mixed-citation publication-type="other" xlink:type="simple">Vavilov, N.E., Zgoda, V.G., Tikhonova, O.V., &lt;i&gt;et al.&lt;/i&gt; (2020) Proteomic Analysis of Chr 18 Proteins Using 2D Fractionation. &lt;i&gt;Journal of Proteome Research&lt;/i&gt;, 19, 4901-4906. &lt;br&gt;https://doi.org/10.1021/acs.jproteome.0c00856 </mixed-citation></ref><ref id="scirp.132414-ref69"><label>69</label><mixed-citation publication-type="other" xlink:type="simple">Drazic, A., Aksnes, H., Marie, M., &lt;i&gt;et al.&lt;/i&gt; (2018) NAA80 is Actin&amp;#8217;s N-terminal Acetyltransferase and Regulates Cytoskeleton Assembly and Cell Motility. &lt;i&gt;P&lt;/i&gt;&lt;i&gt;roceedings of the National Academy of Sciences&lt;/i&gt;&lt;i&gt;, &lt;/i&gt;115, 4399-4404. &lt;br&gt;https://doi.org/10.1073/pnas.1718336115</mixed-citation></ref><ref id="scirp.132414-ref70"><label>70</label><mixed-citation publication-type="other" xlink:type="simple">Welch, M.D., Iwamatsu, A. and Mitchison, T.J. (1997) Actin Polymerization Is Induced by Arp2/3 Protein Complex at the Surface of &lt;i&gt;Listeria &lt;/i&gt;&lt;i&gt;monocytogenes&lt;/i&gt;. &lt;i&gt;N&lt;/i&gt;&lt;i&gt;a&lt;/i&gt;&lt;i&gt;ture&lt;/i&gt;, 385, 265-269. &lt;br&gt;https://doi.org/10.1038/385265a0</mixed-citation></ref><ref id="scirp.132414-ref71"><label>71</label><mixed-citation publication-type="other" xlink:type="simple">Rao, J., Ashraf, S., Tan, W., &lt;i&gt;et al.&lt;/i&gt; (2017) Advillin Acts Upstream of Phospholipase C &amp;#1013;1 in Steroid-Resistant Nephrotic Syndrome. &lt;i&gt;Journal of Clinical Investigation&lt;/i&gt;, 127, 4257-4269. &lt;br&gt;https://doi.org/10.1172/JCI94138</mixed-citation></ref><ref id="scirp.132414-ref72"><label>72</label><mixed-citation publication-type="other" xlink:type="simple">Yoo, Y., Wu, X. and Guan, J.-L. (2007) A Novel Role of the Actin-Nucleating Arp2/3 Complex in the Regulation of RNA Polymerase II-Dependent Transcription*. &lt;i&gt;Journal of Biological Chemistry&lt;/i&gt;, 282, 7616-7623. &lt;br&gt;https://doi.org/10.1074/jbc.M607596200 </mixed-citation></ref><ref id="scirp.132414-ref73"><label>73</label><mixed-citation publication-type="other" xlink:type="simple">Schrank, B.R., Aparicio, T., Li, Y., &lt;i&gt;et al.&lt;/i&gt; (2018) Nuclear ARP2/3 Drives DNA Break Clustering for Homology-Directed Repair. &lt;i&gt;Nature&lt;/i&gt;, 559, 61-66. &lt;br&gt;https://doi.org/10.1038/s41586-018-0237-5 </mixed-citation></ref><ref id="scirp.132414-ref74"><label>74</label><mixed-citation publication-type="other" xlink:type="simple">Hu, H., Zhang, S., Xiong, S., &lt;i&gt;et al.&lt;/i&gt; (2021) ACTR3 Promotes Cell Migration and Invasion by Inducing Epithelial Mesenchymal Transition in Pancreatic Ductal Adenocarcinoma. &lt;i&gt;Journal of Gastrointestinal Oncology&lt;/i&gt;, 12.&lt;br&gt;https://doi.org/10.21037/jgo-21-609 </mixed-citation></ref><ref id="scirp.132414-ref75"><label>75</label><mixed-citation publication-type="other" xlink:type="simple">Mayer, G., Poirier, S and Seidah, N.G. (2008) Annexin A2 Is a C-Terminal PCSK9-Binding Protein That Regulates Endogenous Low Density Lipoprotein Receptor Levels. &lt;i&gt;Journal of Biological Chemistry&lt;/i&gt;, 283, 31791-31801. &lt;br&gt;https://doi.org/10.1074/jbc.M805971200 </mixed-citation></ref><ref id="scirp.132414-ref76"><label>76</label><mixed-citation publication-type="other" xlink:type="simple">Ly, K., Saavedra, Y.G.L., Canuel, M., &lt;i&gt;et al.&lt;/i&gt; (2014) Annexin A2 Reduces PCSK9 Protein Levels via a Translational Mechanism and Interacts with the M1 and M2 Domains of PCSK9. &lt;i&gt;Journal of Biological Chemistry&lt;/i&gt;, 289, 17732-17746. &lt;br&gt;https://doi.org/10.1074/jbc.M113.541094 </mixed-citation></ref><ref id="scirp.132414-ref77"><label>77</label><mixed-citation publication-type="other" xlink:type="simple">Somarajan, S.R., Al-Asadi, F., Ramasamy, K., &lt;i&gt;et al.&lt;/i&gt; (2014) Annexin A2 Mediates &lt;i&gt;Mycoplasma pneumoniae&lt;/i&gt; Community-Acquired Respiratory Distress Syndrome Toxin Binding to Eukaryotic Cells. &lt;i&gt;m&lt;/i&gt;&lt;i&gt;Bio&lt;/i&gt;, 5, e01497-14. &lt;br&gt;https://doi.org/10.1128/mBio.01497-14</mixed-citation></ref><ref id="scirp.132414-ref78"><label>78</label><mixed-citation publication-type="other" xlink:type="simple">Seidah, N.G., Poirier, S., Denis, M., &lt;i&gt;et al.&lt;/i&gt; (2012) Annexin A2 Is a Natural Extrahepatic Inhibitor of the PCSK9-Induced LDL Receptor Degradation. &lt;i&gt;PLOS ONE&lt;/i&gt;, 7, e41865. &lt;br&gt;https://doi.org/10.1371/journal.pone.0041865 </mixed-citation></ref><ref id="scirp.132414-ref79"><label>79</label><mixed-citation publication-type="other" xlink:type="simple">Van Wijk, E., Krieger, E., Kemperman, M.H., &lt;i&gt;et al.&lt;/i&gt; (2003) A Mutation in the Gamma Actin 1 (ACTG1) Gene Causes Autosomal Dominant Hearing Loss (DFNA20/26). &lt;i&gt;Journal of Medical Genetics&lt;/i&gt;, 40, 879-884. &lt;br&gt;https://doi.org/10.1136/jmg.40.12.879 </mixed-citation></ref><ref id="scirp.132414-ref80"><label>80</label><mixed-citation publication-type="other" xlink:type="simple">Mullins, R.D., Heuser, J.A. and Pollard, T.D. (1998) The Interaction of Arp2/3 Complex with Actin: Nucleation, High Affinity Pointed End Capping, and Formation of Branching Networks of Filaments. &lt;i&gt;Proceedings of the National Academy of Sciences of the United States of America&lt;/i&gt;, 95, 6181-6186. &lt;br&gt;https://doi.org/10.1073/pnas.95.11.6181</mixed-citation></ref><ref id="scirp.132414-ref81"><label>81</label><mixed-citation publication-type="other" xlink:type="simple">Tokarev, A.A., Alfonso, A. and Segev, N. (2013) Overview of Intracellular Compartments and Trafficking Pathways. Madame Curie Bioscience Database, Landes Bioscience. &lt;br&gt;https://www.ncbi.nlm.nih.gov/books/NBK7286/ </mixed-citation></ref><ref id="scirp.132414-ref82"><label>82</label><mixed-citation publication-type="other" xlink:type="simple">Szklarczyk, D., Gable, A.L., Nastou, K.C., &lt;i&gt;et al.&lt;/i&gt; (2021) The STRING Database in 2021: Customizable Protein-Protein Networks, and Functional Characterization of User-Uploaded Gene/Measurement Sets. &lt;i&gt;Nucleic Acids Research&lt;/i&gt;, 49, D605-D612. &lt;br&gt;https://doi.org/10.1093/nar/gkaa1074</mixed-citation></ref><ref id="scirp.132414-ref83"><label>83</label><mixed-citation publication-type="book" xlink:type="simple">Huang, Y., Zhang, S. and Park, J.-I. (2022) Nuclear Actin Dynamics in Gene Expression, DNA Repair, and Cancer. In: Kloc, M. and Kubiak, J.Z., Eds., &lt;i&gt;Nuclear&lt;/i&gt;, &lt;i&gt;Chromosomal&lt;/i&gt;, &lt;i&gt;and Genomic Architecture in Biology and Medicine. Results and Problems in Cell Differentiation&lt;/i&gt;, Vol. 70, Springer, Cham, 625-663. &lt;br&gt;https://doi.org/10.1007/978-3-031-06573-6_23</mixed-citation></ref><ref id="scirp.132414-ref84"><label>84</label><mixed-citation publication-type="other" xlink:type="simple">Welch, M.D., DePace, A.H., Verma, S., &lt;i&gt;et al.&lt;/i&gt; (1997) The Human Arp2/3 Complex Is Composed of Evolutionarily Conserved Subunits and Is Localized to Cellular Regions of Dynamic Actin Filament Assembly.&lt;i&gt; &lt;/i&gt;&lt;i&gt;Journal of Cell Biology&lt;/i&gt;, 138, 375-384.</mixed-citation></ref><ref id="scirp.132414-ref85"><label>85</label><mixed-citation publication-type="other" xlink:type="simple">Kuo, J.-C. (2013) Mechanotransduction at Focal Adhesions: Integrating Cytoskeletal Mechanics in Migrating Cells. &lt;i&gt;Journal of Cellular and Molecular Medicine&lt;/i&gt;, 17, 704-712. &lt;br&gt;https://doi.org/10.1111/jcmm.12054</mixed-citation></ref><ref id="scirp.132414-ref86"><label>86</label><mixed-citation publication-type="other" xlink:type="simple">Takahashi, S., Reddy, S.V., Chirgwin, J.M., &lt;i&gt;et al.&lt;/i&gt; (1994) Cloning and Identification of Annexin II as an Autocrine/Paracrine Factor That Increases Osteoclast Formation and Bone Resorption. &lt;i&gt;Journal of Biological Chemistry&lt;/i&gt;, 269, 28696-286701.</mixed-citation></ref><ref id="scirp.132414-ref87"><label>87</label><mixed-citation publication-type="other" xlink:type="simple">Wang, C.-Y., Chen, C.-L., Tseng, Y.-L., &lt;i&gt;et al.&lt;/i&gt; (2012) Annexin A2 Silencing Induces G2 Arrest of Non-small Cell Lung Cancer Cells through p53-Dependent and-Independent Mechanisms. &lt;i&gt;Journal of Biological Chemistry&lt;/i&gt;, 287, 32512-32524. &lt;br&gt;https://doi.org/10.1074/jbc.M112.351957</mixed-citation></ref><ref id="scirp.132414-ref88"><label>88</label><mixed-citation publication-type="other" xlink:type="simple">Non-Small Cell Lung Cancer&amp;#8212;Homo Sapiens (Human). &lt;br&gt;https://www.genome.jp/pathway/hsa05223</mixed-citation></ref><ref id="scirp.132414-ref89"><label>89</label><mixed-citation publication-type="other" xlink:type="simple">Mitra, S.K., Hanson, D.A. and Schlaepfer, D.D. (2005) Focal Adhesion Kinase: In Command and Control of Cell Motility. &lt;i&gt;Nature Reviews Molecular Cell Biology&lt;/i&gt;, 6, 56-68. &lt;br&gt;https://doi.org/10.1038/nrm1549</mixed-citation></ref><ref id="scirp.132414-ref90"><label>90</label><mixed-citation publication-type="other" xlink:type="simple">Rooney, M., Devarakonda, S. and Govindan, R. (2013) Genomics of Squamous Cell Lung Cancer. &lt;i&gt;The Oncologist&lt;/i&gt;, 18, 707-716. &lt;br&gt;https://doi.org/10.1634/theoncologist.2013-0063</mixed-citation></ref><ref id="scirp.132414-ref91"><label>91</label><mixed-citation publication-type="other" xlink:type="simple">Kang, S., Ou, C., Yan, A., &lt;i&gt;et al.&lt;/i&gt; (2023) Long Noncoding RNA SNHG5 Induces the NF-&amp;#954;B Pathway by Regulating miR-181c-5p/CBX4 Axis to Promote the Progression of Non-Small Cell Lung Cancer. &lt;i&gt;Archivos de Bronconeumolog&amp;#237;a&lt;/i&gt;, 59, 10-18. &lt;br&gt;https://doi.org/10.1016/j.arbres.2022.07.001</mixed-citation></ref><ref id="scirp.132414-ref92"><label>92</label><mixed-citation publication-type="other" xlink:type="simple">Chan, B.A. and Hughes, B.G.M. (2015) Targeted Therapy for Non-Small Cell Lung Cancer: Current Standards and the Promise of the Future. &lt;i&gt;Translational Lung Ca&lt;/i&gt;&lt;i&gt;n&lt;/i&gt;&lt;i&gt;cer Research&lt;/i&gt;, 4, 36-54. &lt;br&gt;https://doi.org/10.3978/j.issn.2218-6751.2014.05.01</mixed-citation></ref><ref id="scirp.132414-ref93"><label>93</label><mixed-citation publication-type="other" xlink:type="simple">Sun, X.D., Zhao, P.Y., Li, H., &lt;i&gt;et al.&lt;/i&gt; (2022) NRF2 Participates in the Suppressive Tumor Immune Microenvironment of KRAS/KEAP1 Co-Mutant Non-Small Cell Lung Cancer by Inhibiting the STING Pathway. &lt;i&gt;Genes &amp; Diseases&lt;/i&gt;, 10, 1727-1730. &lt;br&gt;https://doi.org/10.1016/j.gendis.2022.10.009</mixed-citation></ref><ref id="scirp.132414-ref94"><label>94</label><mixed-citation publication-type="other" xlink:type="simple">Yoon, H., Dehart, J.P., Murphy, J.M., &lt;i&gt;et al.&lt;/i&gt; (2015) Understanding the Roles of FAK in Cancer.&lt;i&gt; &lt;/i&gt;&lt;i&gt;Journal of Histochemistry and Cytochemistry&lt;/i&gt;&lt;i&gt;,&lt;/i&gt; 63, 114-128. &lt;br&gt;https://doi.org/10.1369/0022155414561498</mixed-citation></ref><ref id="scirp.132414-ref95"><label>95</label><mixed-citation publication-type="other" xlink:type="simple">Pang, X.-J., Liu, X.-J., Liu, Y., &lt;i&gt;et al.&lt;/i&gt; (2021) Drug Discovery Targeting Focal Adhesion Kinase (FAK) as a Promising Cancer Therapy. &lt;i&gt;Molecules&lt;/i&gt;, 26, Article 4250. &lt;br&gt;https://doi.org/10.3390/molecules26144250</mixed-citation></ref><ref id="scirp.132414-ref96"><label>96</label><mixed-citation publication-type="other" xlink:type="simple">Song, J., Liu, X., Zhang, Y.-F., &lt;i&gt;et al.&lt;/i&gt; (2023) The Dual FAK-HDAC Inhibitor MY-1259 Displays Potent Activities in Gastric Cancers &lt;i&gt;in &lt;/i&gt;&lt;i&gt;Vitro&lt;/i&gt; and &lt;i&gt;in &lt;/i&gt;&lt;i&gt;Vivo&lt;/i&gt;. &lt;i&gt;Bioo&lt;/i&gt;&lt;i&gt;r&lt;/i&gt;&lt;i&gt;ganic Chemistry&lt;/i&gt;, 131, Article 106328. &lt;br&gt;https://doi.org/10.1016/j.bioorg.2022.106328</mixed-citation></ref><ref id="scirp.132414-ref97"><label>97</label><mixed-citation publication-type="other" xlink:type="simple">Lin, T.-Y., Hsu, H.-Y. and Ling, Z. (2016) 8 Reduces Lung Cancer Mobility and Metastasis through Disruption of Focal Adhesion and Induction of MDM2-Mediated Slug Degradation. &lt;i&gt;Cancer Letter&lt;/i&gt;, 375, 340-348. &lt;br&gt;https://doi.org/10.1016/j.canlet.2016.03.018</mixed-citation></ref><ref id="scirp.132414-ref98"><label>98</label><mixed-citation publication-type="book" xlink:type="simple">Tang, D.D. (2018) The Dynamic Actin Cytoskeleton in Smooth Muscle. In: Khalil, R.A., Ed., &lt;i&gt;Advances in Pharmacology&lt;/i&gt;, Vol. 81, Academic Press, Cambridge, 1-38. &lt;br&gt;https://doi.org/10.1016/bs.apha.2017.06.001 </mixed-citation></ref><ref id="scirp.132414-ref99"><label>99</label><mixed-citation publication-type="other" xlink:type="simple">Yu, X., He, L., Chen, Y., &lt;i&gt;et al.&lt;/i&gt; (2022) Construction of a Focal Adhesion Signaling Pathway-Related ceRNA Network in Pelvic Organ Prolapse by Transcriptome Analysis. &lt;i&gt;Frontiers in Genetics&lt;/i&gt;, 13, Article 996310. &lt;br&gt;https://doi.org/10.3389/fgene.2022.996310</mixed-citation></ref><ref id="scirp.132414-ref100"><label>100</label><mixed-citation publication-type="other" xlink:type="simple">Hirata, H., Sokabe, M. and Lim, C.T. (2014) Molecular Mechanisms Underlying the Force-Dependent Regulation of Actin-to-ECM Linkage at the Focal Adhesions. &lt;i&gt;Progress in Molecular Biology and Translational Science&lt;/i&gt;&lt;i&gt;, &lt;/i&gt;126, 135-154. &lt;br&gt;https://doi.org/10.1016/B978-0-12-394624-9.00006-3 </mixed-citation></ref><ref id="scirp.132414-ref101"><label>101</label><mixed-citation publication-type="other" xlink:type="simple">He, L., Wang, X., Liu, K., &lt;i&gt;et al.&lt;/i&gt; (2019) Integrative PDGF/PDGFR and Focal Adhesion Pathways Are Downregulated in ERCC1-Defective Non-Small Cell Lung Cancer Undergoing Sodium Glycididazole-Sensitized Cisplatin Treatment. &lt;i&gt;Gene&lt;/i&gt;, 691, 70-76. &lt;br&gt;https://doi.org/10.1016/j.gene.2018.12.028 </mixed-citation></ref><ref id="scirp.132414-ref102"><label>102</label><mixed-citation publication-type="other" xlink:type="simple">Zhu, X., Wang, Y., Jiang, C., &lt;i&gt;et al.&lt;/i&gt; (2021) Radiosensitivity-Specific Proteomic and Signaling Pathway Network of Non-Small Cell Lung Cancer (NSCLC). &lt;i&gt;Internatio&lt;/i&gt;&lt;i&gt;n&lt;/i&gt;&lt;i&gt;al Journal of Radiation Oncology, Biology&lt;/i&gt;,&lt;i&gt; Physics&lt;/i&gt;, 112, 529-541. &lt;br&gt;https://doi.org/10.1016/j.ijrobp.2021.08.041 </mixed-citation></ref><ref id="scirp.132414-ref103"><label>103</label><mixed-citation publication-type="other" xlink:type="simple">Dy, G.K., Ylagan, L., Pokharel, S., &lt;i&gt;et al.&lt;/i&gt; (2014) The Prognostic Significance of Focal Adhesion Kinase Expression in Stage I Non-Small-Cell Lung Cancer. &lt;i&gt;Journal of Thoracic Oncology&lt;/i&gt;, 9, 1278-1284. &lt;br&gt;https://doi.org/10.1097/JTO.0000000000000248 </mixed-citation></ref><ref id="scirp.132414-ref104"><label>104</label><mixed-citation publication-type="other" xlink:type="simple">Chen, M., Sun, L.-X., Yu, L., &lt;i&gt;et al.&lt;/i&gt; (2021) MYH9 Is Crucial for Stem Cell-Like Properties in Non-Small Cell Lung Cancer by Activating mTOR Signaling.&lt;i&gt; Cell Death Discovery&lt;/i&gt;, 7, Article No. 282. &lt;br&gt;https://doi.org/10.1038/s41420-021-00681-z</mixed-citation></ref><ref id="scirp.132414-ref105"><label>105</label><mixed-citation publication-type="other" xlink:type="simple">Sanaei, M.J., Razii S, Sigaroodi, A.P., &lt;i&gt;et al&lt;/i&gt;. (2022) The PI3K/Akt/mTOR Pathway in Lung Cancer; Oncogenic Alterations, Therapeutic Opportunities, Challenges, and a Glance at the Application of Nanoparticles. &lt;i&gt;Translational Oncology&lt;/i&gt;, 18, Article 101364. &lt;br&gt;https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8850794/ </mixed-citation></ref><ref id="scirp.132414-ref106"><label>106</label><mixed-citation publication-type="other" xlink:type="simple">Suresh, R. and Diaz, R.J. (2021) The Remodelling of Actin Composition as a Hallmark of Cancer. &lt;i&gt;Translational Oncology&lt;/i&gt;, 14, Article 101051. &lt;br&gt;https://doi.org/10.1016/j.tranon.2021.101051</mixed-citation></ref><ref id="scirp.132414-ref107"><label>107</label><mixed-citation publication-type="other" xlink:type="simple">Atsumi, S., Katoh, H., Komura, D., &lt;i&gt;et al.&lt;/i&gt; (2020) Focal Adhesion Ribonucleoprotein Complex Proteins Are Major Humoral Cancer Antigens and Targets in Autoimmune Diseases. &lt;i&gt;Communications Biology&lt;/i&gt;, 3, 1-15. &lt;br&gt;https://doi.org/10.1038/s42003-020-01305-5</mixed-citation></ref><ref id="scirp.132414-ref108"><label>108</label><mixed-citation publication-type="other" xlink:type="simple">Mubeen, S., Tom Kodamullil, A., Hofmann-Apitius, M., &lt;i&gt;et al.&lt;/i&gt; (2022) On the Influence of Several Factors on Pathway Enrichment Analysis. &lt;i&gt;Briefings in Bioinforma&lt;/i&gt;&lt;i&gt;t&lt;/i&gt;&lt;i&gt;ics&lt;/i&gt;, 23, bbac143. &lt;br&gt;https://doi.org/10.1093/bib/bbac143 </mixed-citation></ref><ref id="scirp.132414-ref109"><label>109</label><mixed-citation publication-type="other" xlink:type="simple">Reimand, J., Isser, R., Voisin, V., &lt;i&gt;et al.&lt;/i&gt; (2019) Pathway Enrichment Analysis and Visualization of Omics Data Using g:Profiler, GSEA, Cytoscape and EnrichmentMap. &lt;i&gt;Nature Protocols&lt;/i&gt;, 14, 482-517. &lt;br&gt;https://doi.org/10.1038/s41596-018-0103-9</mixed-citation></ref><ref id="scirp.132414-ref110"><label>110</label><mixed-citation publication-type="other" xlink:type="simple">Sahu, P., Camarillo, I.G. and Sundararajan, R. (2022) Enhanced Antiproliferation Potency of Electrical Pulse-Mediated Metformin and Cisplatin Combination Therapy on MDA-MB-231 Cells. &lt;i&gt;Applied Biochemistry and Biotechnology&lt;/i&gt;, 194, 18-36. &lt;br&gt;https://doi.org/10.1007/s12010-021-03723-5 </mixed-citation></ref><ref id="scirp.132414-ref111"><label>111</label><mixed-citation publication-type="other" xlink:type="simple">Sahu, P., Camarillo, I.G. and Sundararajan, R. (2024) Efficacy of Metformin and Electrical Pulses in Breast Cancer MDA-MB-231 Cells. &lt;i&gt;Exploration of Targeted A&lt;/i&gt;&lt;i&gt;n&lt;/i&gt;&lt;i&gt;ti-Tumor Therapy&lt;/i&gt;, 5, 54-73. &lt;br&gt;https://doi.org/10.37349/etat.2024.00204 </mixed-citation></ref><ref id="scirp.132414-ref112"><label>112</label><mixed-citation publication-type="other" xlink:type="simple">Mittal, L., Aryal, U.K., Camarillo, I.G., &lt;i&gt;et al.&lt;/i&gt; (2020) Effective Electrochemotherapy with Curcumin in MDA-MB-231-Human, Triple Negative Breast Cancer Cells: A Global Proteomics Study. &lt;i&gt;Bioelectrochemistry&lt;/i&gt;, 131, Article 107350. &lt;br&gt;https://doi.org/10.1016/j.bioelechem.2019.107350</mixed-citation></ref></ref-list></back></article>