To our knowledge, AML as an important hematopoietic malignancy and burdensome bone marrow disease is properly overlooked by the viewpoint of clinicians, oncologists, as well as genetic specialists due to its rapidly increased prevalence, worldwide (18). Current evidence has suggested the role of infections, radioactive radiation, ionizing rays, and carcinogens in exerting variations in the sequence of DNA, DNA- breakage, and DNA fragment displacement, namely termed as "environmental factors" [9 − 8]. On top of the aforementioned factors "genetic predisposition" refers to the suppression in mutations of tumor suppressors, and stimulations in oncogenes which finally emerges as inherited and acquired disorders and thereby sharpens the risk of AML [9 − 8]. This catastrophic cycle is followed by uncontrolled proliferation of blood stem cells [10]. In fact, AML is ceased through blood stem cell differentiation, and bone marrow cell clonal proliferation could be linked to the progression of malignancies. Furthermore, these changes result in interruptions in the body's normal process of producing blood. The clonal expansion of myeloid blasts then manifests in bone marrow, peripheral blood, and other tissues [11–19].
As mentioned, according to WHO classification, different mutations that contribute to the pathogenesis of AML are classified into different subgroups. This definition also helps clinicains in order to make a better decision on the dose, duration of prescribed medications as well as the reaction of patients to the therapy in various subgroups [11–19]. Hence, AML treatment is facilitated by an overall awareness on the disease's extent and alterations in bone marrow cells in addition to underlying genetic mediators. A classified perspective could be obtained through exploring and identifying genetic modifications and pathways that cause AML [12–13]. It may be possible to determine the stages of AML severity by analyzing the variations and interferences that accumulate in myeloblasts and blood cells [14]. Utilizing gene expression profiles to closely investigate genetic expression modifications and identify differences and general genetic similarities between healthy individuals and different AML groups is a helpful and efficient approach to exploring genetic mutations in these cells. By considering the role of complex genetic mediators in the development and progression of AML to severe stages, investigating the exact pathological mechanisms is urgent and necessary [18].
In the present study, three GPLs of different GSE objects were applied to assess gene differences among the groups of patients with AML and healthy individuals. Nevertheless, the AML group in these datasets consisted of various subgroups, suggesting that DEGs showed manifestations of common genes in the creation and progression of the disease, which subsequently may expand the current perspective on the disease. Moreover, the interference between proteins and pathways serves as an excellent illustration of how genes utilized by statistical methods are essential to the cellular and biological foundation for processes that affects the formation of malignancies in myeloid stem cells in both direct and indirect ways. Eight DEGs were considered in the present investigation and there were no overlapping genes as well as no same GPLs. Facing the findings a previous study has reported the facilitation of the genes TRIB2L, GALS1, FLT3, HOMER3, LMNA, and STAB1genes in AML through bioinformatics assessments.
With this regard, bioinformatics analysis could be more effective because statistical calculations can be used to determine the risk and predict the involved protein, gene, and molecular-cellular pathways, however, the observed genes participate across all types of the cancers. Identified genes activate oncogenic pathways, which exert modifications in the cellular biogenesis system to exert epigenetic modifications, which are essential to understand the nation of disease and proper interventions [20–21].
It was observed that CFD and ABLIM1 genes may be associated with AML. Despite the uncertainty in the function of CFD in AML in adults, by considering its significant role in other cancers it should perform similar roles in leukemia as well. Evidence has demonstrated that CFDs produce esthetic activity that destroys the skin matrix, aging the skin and activating the protein kinase-B (AKT) signaling pathway. AKT activation in turn, elevates the expression of matrix metalloproteinase 1 (MMP1), which decreases collagen type- I alpha-1 [33]. Subsequent to the reductions in collagen-I and SPARC in bone marrow, inflammation as the focal core of cancer pathogenesis becomes evident. In addition, extracellular matrix (ECM) decay, which gets resulted from the disruptions in AML hematopoietics [23]. It should be noted that MMPs accelerate the capability of ECM macromolecules including type I, II, III, laminins-1 and laminins-5 as well as collagens to be destroyed, in line with activating aggression and metastasis. M4 and M5, are classified by FAB [24].
The CFD gene revealed an average increase in expression log FC = 1.89 in AML using bioinformatic analysis. Given its specific functions, this protein is expected to be involved in AML. Furthermore, due to the increased expression of CFD across all subgroups, it creates this perception that may play a role in the early stages of malignancy. Moreover, using SERPIN2F, CFD was demonstrated in PPIs. A particular aspect of the investigation that was left to escape the text was GSE35008, a three-fold reduction in the expression of SERPIN2, and a member of the SERPIN cluster. It should be mentioned that the intrinsic function of CFDs is serine peptidase, whereas the intrinsic role of SERPIN2s is serine protease inhibitor [25–26].
Likewise, considering the functions of Actin binding LIM protein 1 (ABLIM1), gene in other cancers and the lack of studies on this gene in AML, it is possible that ABLIM1 which reduces cell proliferation, cell migration, and multiplication by decreasing polymerization through actin phosphorylation, could also reduce glioblastoma aggression [27–28]. The pathogenic process and aggression are termed as epithelial-to-mesenchymal transition (EMT), which is the cause of F- actin dynamics. In this context, Danping Liu et al. documented that AML cells in the cell class display EMT-like characteristics. However, extracellular signals and oral signaling pathways related to this phenotype are not available [29]
It is noteworthy that blood and bone brain samples were examined together and different subgroups were presented in GSE48558, which relates to primary AML samples. This gene decreases expression by reducing expression compared to previous data that suggests its role in the progression of the disease. Moreover, the mean expression of log FC = 1.55 was eliminated in the current study. Furthermore, the gene mania network analysis reveals that ABLIM1 has interactions with FLT3, TRIB2, and LGALS1 genes and LGALS1 modulates matrix-cell and cell-cell communication in bioinformatics analysis [30–31]. In addition, the LGALS1 gene has been demonstrated to rise to two-fold in AML. Compared with the other two GSEs with a more severe level of disease (2.44 and 1.83), the expression of LGALS1 in GSE48558 (consisting of primary AML samples) is the lowest, with a 1.42-fold increase [32]. This finding suggests that LGALS1 may induce EMT at AML by imposing on ABLIM1, however research in needed to confirm these preliminary findings.[42–43]
In summary, among the addressed genes, ABLIM1 and CFD were linked to AML and this association was firstly mentioned by this study. This finding suggests the presence of novel pathways and interactions related to AML that have yet to be fully understood. The identification of these genes opens up new avenues for research, potentially offering deeper insights into the molecular mechanisms underlying AML. However, the mentioned results are preliminary and additional experimental and clinical studies are required to validate these findings. Further research will be crucial in determining the precise roles of these genes in AML and how they might contribute to the development, progression, or treatment of the disease.