Abstract

Background/Objectives: Non-small-cell lung cancer (NSCLC) is one of the most common malignancies in Vietnam, yet its molecular mechanisms remain incompletely understood. This study aimed to identify prognostic genes in Vietnamese NSCLC patients using integrative transcriptomic and bioinformatics analyses. Methods: RNA-seq data from 30 Vietnamese NSCLC patients treated at Military Hospital 103 (January 2023–April 2024) were analyzed and cross-validated with the Gene Expression Omnibus (GEO) dataset GSE140343 to identify shared differentially expressed genes (DEGs). Subsequent analyses included functional enrichment (GO and KEGG), protein–protein interaction (PPI) network construction via STRING, and module/centrality analyses to pinpoint hub genes. Finally, prognostic significance was evaluated using overall survival data from The Cancer Genome Atlas (TCGA) via the GEPIA platform. Results: A total of 1900 shared DEGs were identified, most of which were enriched in cancer-related pathways. The resulting PPI network (comprising 1528 nodes and 8185 edges) yielded eight significant modules containing 64 high-centrality candidate genes. Survival analyses demonstrated that high expression of CCNA2 and S100A12, and low expression of ADRB2, ARRB1, PTGS2, and SMAD7 were significantly associated with poor overall survival in NSCLC patients. Conclusions: These findings highlight potential biomarkers for prognosis and may inform future therapeutic strategies in Vietnamese NSCLC patients.

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