Introduction: Lung cancer is the leading cause of cancer-related deaths worldwide and represents a significant public health challenge. In Brazil, particularly in the northern region, lung cancer ranks as the second or third most common tumor among men. An increasing incidence of lung adenocarcinoma (LUAD) compared to lung squamous cell carcinoma (LUSC) has been observed, altering the epidemiological profile of the disease. These histological subtypes are classified as non-small cell lung cancer (NSCLC) and require distinct therapeutic strategies, highlighting the critical need for accurate differential diagnosis. Objectives: This study aimed to apply machine learning algorithms to identify potential gene expression biomarkers capable of distinguishing LUAD from LUSC, with a view toward future clinical applications. Methods: The UFPA-Cohort utilized a dataset comprising 18 NSCLC samples, including 6 LUSC and 12 LUAD samples, obtained from surgical procedures performed on patients at Hospital Universitário João de Barros Barreto (HUJBB). The Research Ethics Committee approved this study under protocol number CAAE: 41667021.4.3001.0017. The samples were sequenced on an Illumina NextSeq 500/550 platform using mRNA-seq for gene expression analysis. RNA-seq data processing was performed using the nf-core/rnaseq v3.1.4 pipeline, referencing human genome coding transcripts from GENCODE v43. Additionally, the TCGA-NSCLC dataset was used for transcriptome analysis to validate the results of the UFPA-Cohort. Differential gene expression analysis was performed on the TCGA-NSCLC and UFPA-Cohort datasets using the DESeq2 package in R. Genes were classified as upregulated or downregulated based on the threshold |log? fold-change (FC)| > 2.0 and FDR < 0.05. After data preprocessing and normalization of gene expression levels, feature selection was performed using Random Forest and LASSO logistic regression models, combined with cross-validation strategies to enhance result robustness. Results: RNA-seq data analysis of the UFPA-Cohort revealed 535 differentially expressed genes between LUAD and LUSC tumor samples. A total of 233 genes were upregulated and 302 genes were downregulated. TCGA-NSCLC data identified 1229 differentially expressed genes, with 453 upregulated and 776 downregulated genes. Principal component analysis (PCA) highlighted a distinct separation between histological subtypes in the UFPA-Cohort and TCGA-NSCLC dataset. The heatmap demonstrated differences in the gene expression patterns between the histological subtypes. Nineteen genes were selected by training the TCGA-NSCLC dataset using the Random Forest and LASSO algorithms and subsequently tested using Random Forest on the UFPA-Cohort data. When evaluated individually, CALML3 and IRF6 exhibited the highest importance scores according to the Random Forest analysis and were validated by ROC curve analysis (AUC > 0.85). Conclusion: Our findings suggest that CALML3 and IRF6 are promising diagnostic biomarkers for distinguishing LUSC from LUAD. Furthermore, the results highlight the potential of machine-learning-based biomarker discovery to improve the differential diagnosis of NSCLC.
It is with great enthusiasm that we present the Annals of the Oncology International Symposium 2025, an event that continues to solidify its significance in the oncology landscape of northern Brazil. Held in Belém, Pará, Oncology 2025 centered around the theme "The cancer control challenge: better knowing it to best facing it," dedicating itself to exploring the latest frontiers in cancer treatment and prevention.
This year, the symposium provided a deep dive into the essential role of knowledge in the fight against cancer, presenting new perspectives and scientific advancements across various areas of oncology. Renowned global experts gathered to share their most recent research and innovative approaches, offering participants a comprehensive view of the challenges faced by healthcare professionals and patients worldwide.
Presentations and discussions during the event focused on critical topics such as the use of new technologies, advancements in personalized therapies, and more effective prevention strategies. Additionally, particular attention was given to the unique challenges faced by the Amazon region, with efforts aimed at developing region-specific solutions to meet local needs.
Beyond being a high-caliber academic event, Oncology 2025 stood out as a moment for integration and professional networking, with the warm hospitality of the city of Belém offering participants a unique experience. This event became a platform for exchanging ideas, where science, culture, and humanity came together in pursuit of a common goal: to improve cancer control both in Brazil and globally.
This collection of abstracts and articles presented during the event reflects the ongoing dedication to research and the development of innovative solutions, highlighting the importance of collaboration and shared knowledge in the fight against cancer.
General Submission Guidelines:
The presenting author, who does not have to be the first author, must be registered for Oncology 2025.
Each abstract may have up to 10 authors, including the main author and co-authors.
Only original, unpublished work will be accepted.
Submissions must be related to oncology. However, project descriptions, work proposals, experience reports, and literature reviews will not be considered.
Clinical case reports are allowed, provided the abstract addresses scientific questions, details clinical observations, and includes primary scientific data.
The abstract must be written in English, but presentations may be given in Portuguese.
Abstracts must be between 300 and 500 words.
Comissão Organizadora
Comissão Científica
See Annals of Oncology 2023 at:
https://www.even3.com.br/anais/oncology-2023-international-symposium/