Dexmedetomidine promotes necroptosis by upregulating PARP1 in non-small cell lung cancer

The score and prognostic value of necroptosis were analyzed in the TCGA and GSE120622 datasets. Necroptosis has the highest correlation with the immune microenvironment, and the high score in NSCLC correlates with poor prognosis. Differentially expressed genes between non-small cell lung cancer (NSCLC) and controls in both datasets were identified and subjected to construct co-expression networks, respectively. Black and blue modules were selected because of high correction with necroptosis. The intersected two module genes were mainly involved in immune and inflammatory response, cell cycle process and DNA replication. Nine marker genes of necroptosis were identified in these modules and considered as candidate genes. Based on candidate genes, we identified two clusters utilizing concordance clustering, additionally dividing NSCLC samples into high- and low-risk groups. There were significant differences in overall survival between two clusters and between high- and low-risk groups. Furthermore, PARP1 was found among the candidate genes to be the target gene of dexmedetomidine acting on necroptosis. Molecular experimental results found that PARP1 was highly expressed in the dexmedetomidine treated NSCLC compared with the NSCLC. Candidate genes associated with necroptosis may provide a powerful prognostic tool for precision oncology. Dexmedetomidine may target PARP1 to promote necroptosis and then affect NSCLC.</p

Outcome of hypothermia and normothermia.

<p>Outcome of hypothermia and normothermia.</p

Risk factors associated with intraoperative hypothermia.

<p>Risk factors associated with intraoperative hypothermia.</p

Incidence of intraoperative hypothermia, patient warming and clinical outcome (N = 3132).

<p>Incidence of intraoperative hypothermia, patient warming and clinical outcome (N = 3132).</p

Change of intraoperative core temperature during operations.

<p>Patients’ core temperature was measured at the tympanic membrane beginning every 15 minutes after the induction of anesthesia until the end of the operation. A total of 3132 subjects were enrolled in the study; each curve represents a connection of 5 percentiles, 25 percentile, 50 percentile, 75 percentile and 95 percentile of core temperature at a specific time point. The time interval is 15 minutes.</p