Potential Roles of Cornichon Family AMPA Receptor Auxiliary Protein 4 (CNIH4) in Head and Neck Squamous Cell Carcinoma
Abstract Background The diagnosis and prognosis of neck squamous cell carcinoma (HNSC) is a challenge for clinical HNSC management, thus, the investigation of molecular biomarkers of HNSC is urgent. We hypothesized that Cornichon Family AMPA Receptor Auxiliary Protein 4 (CNIH4) is a biomarker for HNSC.Methods We analyzed mRNA seq data, protein staining data, and single-cell expression data of HNSC from open databases and evaluated the diagnostic and prognostic value of CNIH4, and investigated the association of CNIH4 to HNSC cancer biology and immunity.Results CNIH4 was expressed higher and have higher copy number in HNSC compared to normal tissues. CNIH4 was associated with worse overall survival of HNSC patients. A survival nomogram was constructed. 2012 and 421genes were identified as positively and negatively associated with CNIH4 respectively, and they were enriched in “Cell cycle”, “DNA replicate”, “Cytokine−cytokine receptor interaction”, etc. CNIH4 was positively correlated with “stemness”, “cell cycle”, and “DNA repair” in single-cell data. CNIH4 was potentially associated with changes in multiple immune cell infiltration and cancer immune escape. Conclusion CNIH4 is a diagnostic and prognostic biomarker for HNSC patients and can potentially affect the cancer stemness and tumor immune microenvironment of HNSC cells.