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. 2022 May 14;22:130. doi: 10.1186/s12902-022-01017-3

Table 2.

The effect of TMB level on signaling pathways

Pathway Variation trend NOM p-value Functions in cancer
Homologous recombination Enriched in high TMB 0.008 Main steps in DNA double-strand break repair.
P53 Enriched in high TMB 0.000 Tumor suppressor protein.
Butanoate metabolism Enriched in low TMB 0.017

1. An anticancer ingredient.

2. Butanoate metabolism is disrupted in breast cancer.

Tyrosine metabolism Enriched in low TMB level 0.008 Tyrosine kinase family encompasses the greatest number of oncoproteins.
Histidine metabolism Enriched in low TMB level 0.028 Histidine metabolism can increase the effectiveness of methotrexate treatment.
Bile acid metabolism Enriched in low TMB level 0.035 Bile acids have been proposed to promote colon carcinogenesis.
Cytochrome P450 Enriched in low TMB level 0.002 Cytochrome P450 enzymes play key roles in bile acid synthesis.

TMB tumor mutational burden