Schematic overview of the cellular and molecular mechanisms involved in the cancer progression, including the proposed cellular and molecular mechanisms in cancer cells trajectory. AT1: alveolar type 1 cells; AT2: alveolar type 2 cells; AAH: atypical adenomatous hyperplasia; AIS: adenocarcinoma in situ; MIA: minimally invasive adenocarcinoma; IA: invasive adenocarcinoma; EMT: epithelial-mesenchymal transition

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Center for Computational Systems Medicine
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Gene summary

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Malignant transformation analysis

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Malignant transformation related pathway analysis

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Cell-cell communication analysis

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Single-cell gene regulatory network inference analysis

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Somatic mutation of malignant transformation related genes

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Related drugs of malignant transformation related genes

Gene: MDM4

Gene summary for MDM4

check button Gene summary.

Gene informationSpeciesHuman
Gene symbol

MDM4

Gene ID

4194

Gene nameMDM4 regulator of p53
Gene AliasBMFS6
Cytomap1q32.1
Gene Typeprotein-coding
GO ID

GO:0000122

UniProtAcc

O15151


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Malignant transformation analysis

check button Identification of the aberrant gene expression in precancerous and cancerous lesions by comparing the gene expression of stem-like cells in diseased tissues with normal stem cells
check button Malignant transformation involving gene list.
Entrez IDSymbolReplicatesSpeciesOrganTissueAdj P-valueLog2FCMalignancy
4194MDM4HTA11_3410_2000001011HumanColorectumAD2.40e-09-3.86e-010.0155
4194MDM4HTA11_696_2000001011HumanColorectumAD3.76e-03-2.83e-01-0.1464
4194MDM4HTA11_866_2000001011HumanColorectumAD6.84e-03-2.63e-01-0.1001
4194MDM4HTA11_9408_2000001011HumanColorectumAD2.92e-03-7.15e-010.0451
4194MDM4HTA11_10711_2000001011HumanColorectumAD3.47e-03-3.19e-010.0338
4194MDM4HTA11_7696_3000711011HumanColorectumAD1.45e-07-3.73e-010.0674
4194MDM4HTA11_99999973899_84307HumanColorectumMSS4.32e-02-4.88e-010.2585
4194MDM4HTA11_99999974143_84620HumanColorectumMSS2.00e-10-3.61e-010.3005
4194MDM4A001-C-207HumanColorectumFAP1.06e-03-1.67e-010.1278
4194MDM4A015-C-203HumanColorectumFAP3.83e-24-1.35e-02-0.1294
4194MDM4A015-C-204HumanColorectumFAP1.78e-04-2.87e-02-0.0228
4194MDM4A014-C-040HumanColorectumFAP1.62e-02-3.89e-02-0.1184
4194MDM4A002-C-201HumanColorectumFAP5.09e-11-6.20e-020.0324
4194MDM4A001-C-119HumanColorectumFAP4.92e-174.75e-01-0.1557
4194MDM4A001-C-108HumanColorectumFAP2.40e-112.53e-02-0.0272
4194MDM4A002-C-205HumanColorectumFAP8.47e-241.57e-01-0.1236
4194MDM4A001-C-104HumanColorectumFAP3.98e-025.90e-020.0184
4194MDM4A015-C-006HumanColorectumFAP6.21e-141.02e-01-0.0994
4194MDM4A015-C-106HumanColorectumFAP2.48e-09-9.06e-02-0.0511
4194MDM4A002-C-114HumanColorectumFAP1.68e-17-9.09e-02-0.1561
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check button Transcriptomic changes along malignancy continuum.
TissueExpression DynamicsAbbreviation
Colorectum (GSE201348)The image shows the transcriptomic changes along malignancy continuum.log2FC in expression of this searched gene in stem-like cells from each diseased tissue sample relative to stem-like cells in normal samples in each tissue plotted against the malignancy continuum. Samples are colored based on if they are from different disease stage.FAP: Familial adenomatous polyposis
CRC: Colorectal cancer
Colorectum (HTA11)The image shows the transcriptomic changes along malignancy continuum.log2FC in expression of this searched gene in stem-like cells from each diseased tissue sample relative to stem-like cells in normal samples in each tissue plotted against the malignancy continuum. Samples are colored based on if they are from different disease stage.AD: Adenomas
SER: Sessile serrated lesions
MSI-H: Microsatellite-high colorectal cancer
MSS: Microsatellite stable colorectal cancer
EsophagusThe image shows the transcriptomic changes along malignancy continuum.log2FC in expression of this searched gene in stem-like cells from each diseased tissue sample relative to stem-like cells in normal samples in each tissue plotted against the malignancy continuum. Samples are colored based on if they are from different disease stage.ESCC: Esophageal squamous cell carcinoma
HGIN: High-grade intraepithelial neoplasias
LGIN: Low-grade intraepithelial neoplasias
LiverThe image shows the transcriptomic changes along malignancy continuum.log2FC in expression of this searched gene in stem-like cells from each diseased tissue sample relative to stem-like cells in normal samples in each tissue plotted against the malignancy continuum. Samples are colored based on if they are from different disease stage.HCC: Hepatocellular carcinoma
NAFLD: Non-alcoholic fatty liver disease
LungThe image shows the transcriptomic changes along malignancy continuum.log2FC in expression of this searched gene in stem-like cells from each diseased tissue sample relative to stem-like cells in normal samples in each tissue plotted against the malignancy continuum. Samples are colored based on if they are from different disease stage.AAH: Atypical adenomatous hyperplasia
AIS: Adenocarcinoma in situ
IAC: Invasive lung adenocarcinoma
MIA: Minimally invasive adenocarcinoma
Oral CavityThe image shows the transcriptomic changes along malignancy continuum.log2FC in expression of this searched gene in stem-like cells from each diseased tissue sample relative to stem-like cells in normal samples in each tissue plotted against the malignancy continuum. Samples are colored based on if they are from different disease stage.EOLP: Erosive Oral lichen planus
LP: leukoplakia
NEOLP: Non-erosive oral lichen planus
OSCC: Oral squamous cell carcinoma
ProstateThe image shows the transcriptomic changes along malignancy continuum.log2FC in expression of this searched gene in stem-like cells from each diseased tissue sample relative to stem-like cells in normal samples in each tissue plotted against the malignancy continuum. Samples are colored based on if they are from different disease stage.BPH: Benign Prostatic Hyperplasia
SkinThe image shows the transcriptomic changes along malignancy continuum.log2FC in expression of this searched gene in stem-like cells from each diseased tissue sample relative to stem-like cells in normal samples in each tissue plotted against the malignancy continuum. Samples are colored based on if they are from different disease stage.AK: Actinic keratosis
cSCC: Cutaneous squamous cell carcinoma
SCCIS:squamous cell carcinoma in situ
ThyroidThe image shows the transcriptomic changes along malignancy continuum.log2FC in expression of this searched gene in stem-like cells from each diseased tissue sample relative to stem-like cells in normal samples in each tissue plotted against the malignancy continuum. Samples are colored based on if they are from different disease stage.ATC: Anaplastic thyroid cancer
HT: Hashimoto's thyroiditis
PTC: Papillary thyroid cancer
∗log2FC in expression of this searched gene in stem-like cells from each diseased tissue sample relative to stem-like cells in normal samples in each tissue plotted against the malignancy continuum. Samples are colored based on if they are from different disease stage.

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Malignant transformation related pathway analysis

check buttonFind out the enriched GO biological processes and KEGG pathways involved in transition from healthy to precancer to cancer
check button Figure of enriched GO biological processes.
TissueDisease StageEnriched GO biological Processes
ColorectumADGO analysis - Figure of enriched GO biological processes: Top 15 enriched GO BP terms are showed in the bar plot of each disease state in each tissue. Each row represents a significant GO biological process which is colored according to the -log10(p.adjust).
ColorectumSERGO analysis - Figure of enriched GO biological processes: Top 15 enriched GO BP terms are showed in the bar plot of each disease state in each tissue. Each row represents a significant GO biological process which is colored according to the -log10(p.adjust).
ColorectumMSSGO analysis - Figure of enriched GO biological processes: Top 15 enriched GO BP terms are showed in the bar plot of each disease state in each tissue. Each row represents a significant GO biological process which is colored according to the -log10(p.adjust).
ColorectumMSI-HGO analysis - Figure of enriched GO biological processes: Top 15 enriched GO BP terms are showed in the bar plot of each disease state in each tissue. Each row represents a significant GO biological process which is colored according to the -log10(p.adjust).
ColorectumFAPGO analysis - Figure of enriched GO biological processes: Top 15 enriched GO BP terms are showed in the bar plot of each disease state in each tissue. Each row represents a significant GO biological process which is colored according to the -log10(p.adjust).
∗Top 15 enriched GO BP terms are showed in the bar plot of each disease state in each tissue. Each row represents a significant GO biological process which is colored according to the -log10(p.adjust).
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check button Enriched GO biological processes.
GO IDTissueDisease StageDescriptionGene RatioBg Ratiopvaluep.adjustCount
GO:005082122LiverHCCprotein stabilization139/7958191/187231.61e-171.71e-15139
GO:000989522LiverHCCnegative regulation of catabolic process196/7958320/187237.98e-123.35e-10196
GO:007233122LiverHCCsignal transduction by p53 class mediator108/7958163/187237.14e-102.23e-08108
GO:000166612LiverHCCresponse to hypoxia172/7958307/187231.06e-061.59e-05172
GO:003629312LiverHCCresponse to decreased oxygen levels179/7958322/187231.29e-061.87e-05179
GO:007048212LiverHCCresponse to oxygen levels191/7958347/187231.42e-062.03e-05191
GO:00427702LiverHCCsignal transduction in response to DNA damage103/7958172/187233.05e-064.04e-05103
GO:004217721LiverHCCnegative regulation of protein catabolic process76/7958121/187235.11e-066.41e-0576
GO:003033021LiverHCCDNA damage response, signal transduction by p53 class mediator46/795872/187232.02e-041.56e-0346
GO:007145311LiverHCCcellular response to oxygen levels98/7958177/187233.63e-042.52e-0398
GO:003629411LiverHCCcellular response to decreased oxygen levels90/7958161/187234.03e-042.72e-0390
GO:007145611LiverHCCcellular response to hypoxia84/7958151/187237.57e-044.56e-0384
GO:00421768LungIACregulation of protein catabolic process97/2061391/187236.32e-151.25e-1197
GO:00723318LungIACsignal transduction by p53 class mediator47/2061163/187233.13e-107.15e-0847
GO:00427704LungIACsignal transduction in response to DNA damage45/2061172/187232.06e-082.55e-0645
GO:00303308LungIACDNA damage response, signal transduction by p53 class mediator25/206172/187238.32e-088.23e-0625
GO:00362947LungIACcellular response to decreased oxygen levels41/2061161/187231.92e-071.59e-0541
GO:00098958LungIACnegative regulation of catabolic process66/2061320/187233.26e-072.48e-0566
GO:00714537LungIACcellular response to oxygen levels43/2061177/187234.03e-072.82e-0543
GO:00316478LungIACregulation of protein stability62/2061298/187235.37e-073.32e-0562
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check button Enriched KEGG pathways.
Pathway IDTissueDisease StageDescriptionGene RatioBg Ratiopvaluep.adjustqvalueCount
hsa0411510EsophagusHGINp53 signaling pathway21/138374/84656.25e-034.25e-023.37e-0221
hsa0411515EsophagusHGINp53 signaling pathway21/138374/84656.25e-034.25e-023.37e-0221
hsa0411524EsophagusESCCp53 signaling pathway65/420574/84653.88e-126.50e-113.33e-1165
hsa0411534EsophagusESCCp53 signaling pathway65/420574/84653.88e-126.50e-113.33e-1165
hsa041156LiverHCCp53 signaling pathway46/402074/84657.64e-032.08e-021.16e-0246
hsa0411511LiverHCCp53 signaling pathway46/402074/84657.64e-032.08e-021.16e-0246
hsa041159Oral cavityOSCCp53 signaling pathway57/370474/84654.99e-095.07e-082.58e-0857
hsa0411514Oral cavityOSCCp53 signaling pathway57/370474/84654.99e-095.07e-082.58e-0857
hsa041158ProstateBPHp53 signaling pathway30/171874/84655.15e-053.40e-042.10e-0430
hsa0411513ProstateBPHp53 signaling pathway30/171874/84655.15e-053.40e-042.10e-0430
hsa0411522ProstateTumorp53 signaling pathway29/179174/84652.99e-041.65e-031.02e-0329
hsa0411532ProstateTumorp53 signaling pathway29/179174/84652.99e-041.65e-031.02e-0329
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Cell-cell communication analysis

check buttonIdentification of potential cell-cell interactions between two cell types and their ligand-receptor pairs for different disease states
LigandReceptorLRpairPathwayTissueDisease Stage
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Single-cell gene regulatory network inference analysis

check buttonFind out the significant the regulons (TFs) and the target genes of each regulon across cell types for different disease states
TFCell TypeTissueDisease StageTarget GeneRSSRegulon Activity
∗The dot plots of a searched regulon are shown for all cell subpopulations in each disease state of each tissue based on the regulon specific score inferred using pySCENIC and by calculating the average expression.
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Somatic mutation of malignant transformation related genes

check buttonAnnotation of somatic variants for genes involved in malignant transformation
Hugo SymbolVariant ClassVariant ClassificationdbSNP RSHGVScHGVSpHGVSp ShortSWISSPROTBIOTYPESIFTPolyPhenTumor Sample BarcodeTissueHistologySexAgeStageTherapy TypesDrugsOutcome
MDM4SNVMissense_Mutationc.421N>Ap.Glu141Lysp.E141KO15151protein_codingtolerated(0.41)benign(0.003)TCGA-E9-A1N4-01Breastbreast invasive carcinomaFemale<65III/IVChemotherapydoxorubicinSD
MDM4SNVMissense_Mutationc.394A>Tp.Ser132Cysp.S132CO15151protein_codingdeleterious(0.03)possibly_damaging(0.695)TCGA-GI-A2C8-01Breastbreast invasive carcinomaFemale<65III/IVUnspecificAdriamycinSD
MDM4deletionFrame_Shift_Delc.143_144delCTp.Thr48SerfsTer2p.T48Sfs*2O15151protein_codingTCGA-D8-A1JK-01Breastbreast invasive carcinomaFemale>=65I/IIUnknownUnknownSD
MDM4SNVMissense_Mutationc.607N>Ap.Leu203Ilep.L203IO15151protein_codingtolerated(0.16)benign(0.181)TCGA-A6-6782-01Colorectumcolon adenocarcinomaMale>=65I/IIUnknownUnknownSD
MDM4SNVMissense_Mutationc.851N>Cp.Leu284Prop.L284PO15151protein_codingtolerated(0.26)benign(0.02)TCGA-AA-3833-01Colorectumcolon adenocarcinomaFemale<65I/IIUnknownUnknownSD
MDM4SNVMissense_Mutationc.1111N>Ap.Val371Ilep.V371IO15151protein_codingtolerated(0.79)possibly_damaging(0.868)TCGA-AA-A010-01Colorectumcolon adenocarcinomaFemale<65I/IIChemotherapyfolinicCR
MDM4SNVMissense_Mutationc.671A>Tp.Gln224Leup.Q224LO15151protein_codingdeleterious(0)probably_damaging(0.972)TCGA-CK-4951-01Colorectumcolon adenocarcinomaFemale>=65I/IIUnknownUnknownPD
MDM4SNVMissense_Mutationc.467C>Ap.Pro156Hisp.P156HO15151protein_codingtolerated(0.1)benign(0.003)TCGA-WS-AB45-01Colorectumcolon adenocarcinomaFemale<65I/IIUnknownUnknownSD
MDM4SNVMissense_Mutationnovelc.923A>Cp.Glu308Alap.E308AO15151protein_codingdeleterious(0.01)possibly_damaging(0.519)TCGA-F5-6814-01Colorectumrectum adenocarcinomaMale<65I/IIUnknownUnknownSD
MDM4deletionFrame_Shift_Delc.842delAp.Asn281MetfsTer10p.N281Mfs*10O15151protein_codingTCGA-A6-6781-01Colorectumcolon adenocarcinomaMale<65III/IVChemotherapyoxaliplatinSD
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Related drugs of malignant transformation related genes

check buttonIdentification of chemicals and drugs interact with genes involved in malignant transfromation
(DGIdb 4.0)
Entrez IDSymbolCategoryInteraction TypesDrug Claim NameDrug NamePMIDs
4194MDM4CLINICALLY ACTIONABLE, TUMOR SUPPRESSOR, DRUGGABLE GENOMENIVOLUMABNIVOLUMAB28351930
4194MDM4CLINICALLY ACTIONABLE, TUMOR SUPPRESSOR, DRUGGABLE GENOMEALRN-6924
4194MDM4CLINICALLY ACTIONABLE, TUMOR SUPPRESSOR, DRUGGABLE GENOMEdocetaxelDOCETAXEL24958282
4194MDM4CLINICALLY ACTIONABLE, TUMOR SUPPRESSOR, DRUGGABLE GENOMEepirubicinEPIRUBICIN24958282
4194MDM4CLINICALLY ACTIONABLE, TUMOR SUPPRESSOR, DRUGGABLE GENOMEPEMBROLIZUMABPEMBROLIZUMAB28351930
4194MDM4CLINICALLY ACTIONABLE, TUMOR SUPPRESSOR, DRUGGABLE GENOMEATEZOLIZUMABATEZOLIZUMAB28351930
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