Nicotine-induced immune escape mechanisms in lung adenocarcinoma: ceRNA network toxicology, and molecular dynamics simulations


Abstract

Lung adenocarcinoma (LUAD), the most common subtype of lung cancer and a leading cause of cancer-related deaths, is strongly associated with cigarette smoking and nicotine exposure. However, the molecular mechanisms underlying nicotine-induced LUAD remain unclear. This study employed an integrative approach combining network toxicology, ceRNA analysis, molecular docking, and dynamics simulations to investigate nicotine’s role in LUAD. Network toxicology identified 81 potential nicotine targets, with 12 core targets showing significant differential expression in LUAD. Functional enrichment suggested involvement of immune escape, inflammation, and cell death. A ceRNA network highlighted miR-101 and miR-155-5p as key regulators. Molecular docking and dynamics simulations demonstrated strong and stable binding between nicotine and core targets. These findings reveal environmental toxicological mechanisms driving LUAD and offer potential therapeutic targets.
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