Background:The role of HEPACAM family member 2 (HEPACAM2) is unclear in
colorectal cancer (CRC).Objective:The objective of this study was to perform an extensive examination of HEPACAM2
and validate it experimentally in CRC.Methods:This study investigated the significance of HEPACAM2 in CRC and its potential diagnostic
utility utilizing data from the Cancer Genome Atlas (TCGA) database. Additionally, the
study examined potential regulatory networks involving HEPACAM2, including its associations
with immune infiltration, immune checkpoint genes, tumor mutational burden (TMB), microsatellite
instability (MSI), mRNA expression-based stemness index (mRNAsi), and drug sensitivity in
CRC. The expression of HEPACAM2 was further validated using the GSE89076 dataset, and
quantitative reverse transcription PCR (qRT-PCR) was employed to confirm HEPACAM2 expression
levels in six pairs of CRC tissue samples.Results:HEPACAM2 exhibited abnormal expression patterns in various types of cancer, including
CRC. A decrease in HEPACAM2 expression levels in CRC was found to be significantly correlated
with the T stage (p < 0.001). Reduced HEPACAM2 expression in CRC patients was also
linked to poorer overall survival (OS) (p = 0.007). The expression levels of HEPACAM2 in CRC
patients were identified as an independent prognostic factor (p = 0.016). Furthermore, HEPACAM2
was associated with TCF-dependent signaling in response to WNT, G2/M checkpoints,
and other pathways. The expression of HEPACAM2 in CRC was found to be associated with immune
infiltration, immune checkpoint genes, TMB / MSI, and mRNAsi. Additionally, the expression
of HEPACAM2 in CRC was significantly and inversely correlated with the drug sensitivities
to gw772405x and 6-phenyl-6h-indeno[1,2-c]isoquinoline-5,11-dione. qRT-PCR confirmed that
the expression level of HEPACAM2 was found to be lowly expressed in CRC tissues.Conclusion:These findings suggest that HEPACAM2 may serve as a potential prognostic biomarker
and immunotherapeutic target for CRC patients.