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Pan-cancer analysis offers insights into the shared and unique molecular mechanisms driving cancer. We conducted an integrated gene-expression analysis using 10,629 samples from 30 distinct cancer types characterized by The Cancer Genome Atlas (TCGA). A gene co-expression network was constructed and genes overlapping between the selected modules and Differentially Expressed Genes (DEGs) were designated as genes of interest. Following a comprehensive literature review, ATP binding cassette subfamily A member 10 (ABCA10) and ATP binding cassette subfamily B member 5 (ABCB5) were selected as key candidates for downstream analysis due to the absence of systematic pan-cancer analysis of these genes. This study presents a unique contribution as the first comprehensive pan-cancer analysis of ABCA10 and ABCB5, highlighting their roles in tumor biology and clinical outcomes. We employed a variety of bioinformatics tools to explore the role of these genes across different tumors. Our research demonstrated that ABCA10 shows reduced expression, while ABCB5 displays variable expression patterns across tumors, indicating their opposing roles and flexible functions in pan-cancer. In many cancer patients, these expression patterns are correlated with worse survival outcomes. Furthermore, immunotherapy responses and immune infiltration across a variety of tumor types are associated with the expression levels of both ABCA10 and ABCB5. These results imply that ABCA10 and ABCB5 could serve as valuable predictive markers and potential therapeutic targets across various cancers.<\/jats:p>","DOI":"10.1371\/journal.pone.0308585","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T17:29:23Z","timestamp":1748626163000},"page":"e0308585","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Integrated pan-cancer analysis revealed therapeutic targets in the ABC transporter protein family"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5091-6524","authenticated-orcid":true,"given":"Madahiah Bint E","family":"Masood","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iqra","family":"Shafique","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5825-1201","authenticated-orcid":true,"given":"Muhammad Inam","family":"Rafique","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayesha","family":"Iman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariba","family":"Abbasi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1084-6782","authenticated-orcid":true,"given":"Mehak","family":"Rafiq","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6592-6419","authenticated-orcid":true,"given":"Uzma","family":"Habib","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"issue":"3","key":"pone.0308585.ref001","doi-asserted-by":"crossref","first-page":"229","DOI":"10.3322\/caac.21834","article-title":"Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"74","author":"F Bray","year":"2024","journal-title":"CA Cancer J Clin"},{"key":"pone.0308585.ref002","volume-title":"Fact sheet: Cancer","author":"World Health Organization","year":"2022"},{"issue":"5","key":"pone.0308585.ref003","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1038\/nrc.2017.17","article-title":"Prospects for combining targeted and conventional cancer therapy with immunotherapy","volume":"17","author":"P Gotwals","year":"2017","journal-title":"Nat Rev Cancer"},{"issue":"2","key":"pone.0308585.ref004","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1158\/1078-0432.CCR-17-1117","article-title":"Tumor-treating fields: a fourth modality in cancer treatment","volume":"24","author":"EJ Mun","year":"2018","journal-title":"Clin Cancer Res"},{"key":"pone.0308585.ref005","volume-title":"Taking pan-cancer analysis global","author":"Nature Genetics","year":"2013"},{"issue":"11","key":"pone.0308585.ref006","article-title":"Common human cancer genes discovered by integrated gene-expression analysis","volume":"2","author":"Y Lu","year":"2007","journal-title":"PLoS One"},{"issue":"7","key":"pone.0308585.ref007","first-page":"997","article-title":"Next-generation sequencing technology: Current trends and advancements","volume":"12","author":"H Satam","year":"2023","journal-title":"Biology (Basel)"},{"issue":"51","key":"pone.0308585.ref008","doi-asserted-by":"crossref","first-page":"85235","DOI":"10.18632\/oncotarget.13252","article-title":"Prognostic and predictive values of CDK1 and MAD2L1 in lung adenocarcinoma","volume":"7","author":"Y-X Shi","year":"2016","journal-title":"Oncotarget"},{"issue":"10","key":"pone.0308585.ref009","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1007\/s12032-016-0829-6","article-title":"Identification of key pathways and genes in colorectal cancer using bioinformatics analysis","volume":"33","author":"B Liang","year":"2016","journal-title":"Med Oncol"},{"key":"pone.0308585.ref010","first-page":"559","article-title":"An R package for weighted correlation network analysis. 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