A novel metabolic gene signature induced by Di-(2-ethylhexyl) phthalate and Mono-(2-ethylhexyl) phthalate exposure predicts prognosis in breast cancer: An integrative bioinformatics and experimental study.

Di-(2-ethylhexyl) phthalate (DEHP) and its metabolite mono-(2-ethylhexyl) phthalate (MEHP) are endocrine-disrupting chemicals linked to breast cancer progression, yet the underlying prognostic mechanisms are poorly elucidated. This study employed a bioinformatics approach, integrating computational target prediction, protein-protein interaction (PPI) network analysis, and transcriptomic data from The Cancer Genome Atlas (TCGA), to identify prognostic genes modulated by DEHP/MEHP. Through Cox and LASSO regression, we identified a novel gene signature primarily involved in lipid metabolism (PPARD, CPT1A, LPCAT1, AGPAT1,PLIN5) and mitochondrial complex I (NDUFAB1, NDUFV1, NDUFAF4, MT-ND1), which was associated with patient survival. Molecular docking and dynamics simulations were performed to assess the binding affinity between DEHP/MEHP and core targets, confirming stable, high-affinity interactions. In vitro experiments further showed that DEHP and MEHP promote the proliferation and migration of breast cancer cells (MCF-7 and MDA-MB-231), enhance lipid accumulation and mitochondrial function, and validate the altered expression of these prognostic genes at the transcriptional level, with MEHP exerting more pronounced effects. In conclusion, this study suggests that DEHP and MEHP may activate metabolic reprogramming in breast cancer, thereby contributing to disease progression and poorer prognosis, highlighting these genes as potential prognostic biomarkers and therapeutic targets.