As ethanol effects on human fibroblast cells survival and can imposes vast expression alteration on human fibroblast proteome profile (
1), it is important to investigate the proteins with significant altered expression and their properties. Based on our previous study, a total number of 65 of proteins belong to fibroblast profile showed significant expression alteration induced by 270 mM dosage of ethanol (
1). Among the proteins with significantly expression alteration , six of them were identified by the use of gel comparison from literature (
25). They include Annexin A5 (or annexin V), Heterogeneous nuclear ribonucleoprotein A1 (HnRNPA1), Cathepsin L, Rho GDP-dissociation inhibitor (Rho-GDI), Cu,Zn-superoxide dismutase (Cu/Zn-SOD), and Plasminogen activator inhibitor-1 (PAI-1) as it is shown in
Figure 1. All of the identified proteins with at least a 2-fold change in their expression are down-regulated. Amazingly, all these six proteins were also evince the same pattern in cancer protein profile changes. It is proved in proteomic analysis of nasopharyngeal carcinoma-associated stromal fibroblasts (
25). In addition, previous studies suggest that ethanol consumption can increase the risk of other types of malignancies such as digestive tract cancer, and especially breast cancer (
7,
9,
26). Annexin A5 (belongs to annexin family) has a role in cellular signal transduction, inflammation, growth and differentiation. Many diseases are related to the activity of this protein including different types of malignancies, complication of pregnancy, cardiovascular disease, systemic lupus erythematosus, and Ischemia (
27-
29). Many kinds of cancers such as pancreatic adenocarcinoma, sarcoma, tumorigenesis and progression of breast cancer and prostate cancer stem cells are linked to Annexin A5 (Anxa5) activity, but its contribution is different in variety of malignancies. In fact, while it has a high expression in cervical cancer, it has a significant low expression in cervical carcinoma cells. It also has a low expression in thyroid cancer. (
30). (HnRNPA1) is a DNA binding protein (
31) and its reduction is linked to many kinds of neurodegenerative diseases such as Alzheimer s’ disease (AD), spinal muscular atrophy (SMA), fronto-temporal lobar degeneration (FTLD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), hereditary spastic paraparesis (HSP) and HTLV-I associated myelopathy/tropical spastic paraparesis (HAM/TSP) (
32). It is also reported as lung cancer and colon cancer biomarker (
33,
34). Cathepsin L involves in progression of the cell cycle regulation via proteolytic processing of the CDP/Cux transcription factor (
35). Abnormal expression of this protein is reported for many diseases such as proteinuric kidney disease, atherosclerosis, Parkinson's disease, and breast cancer (
36,
37). Many cellular functions regulate by Rho-GDP dissociation inhibitor (Rho-GDIs). It interacts with Rho family GTPases (
38). RhoGDI and GDI/D4 are two mainly known GDIs (
39). Cu, Zn-superoxide dismutase (Cu/Zn-SOD) is an antioxidant enzyme in the body. Its copper and zinc ions act as free superoxide radicals destroyer (
40,
41). It is related to some diseases such as anxiety, Alzheimer and Parkinson diseases, colon cancer, small cell and non-small cell lung cancer, and gastric cancer (
42-
46). Serpin peptidase inhibitor clade E (SERPINE1) also known as (PAI-1) as a member of the serpin super-family has a prominent function in regulating the physiological and pathological proteolysis (
47). Different diseases are related to dysfunction of PAI-1. One of the main ones is Plasminogen Activator Inhibitor Type 1 deficiency (
48). It is known as one of the main regulator of tumor invasion and metastasis regulator, and angiogenesis in Leukemia (
49) and other malignancies including cancers of gastric, breast, colon, and ovarian (
50-
53). As tabulated in
table 1, dissimilarity of expression level alteration of proteins, is different from each other. Annexin A5 and SERPINE1 are affected differently as their expression level dissimilarity is higher than the others. On the other hand, Rho-GDP dissociation inhibitor and Cu/Zn-SOD show higher correlation in terms of changes in expression. Hierarchical clustering is a useful method to show the protein spots correlation (
22). In addition, box-plot is a standard none-parametric way to depict graphically illustration of sample data variation (
54,
55). Here, the visualization and better resolution of expression changes of six proteins based on constructed matrix are shown by dendrogram and boxplot (
Figures 2 and
3). However clustering is one of the best methods for analysis of large group proteins and genes but here the significant correlation of two proteins including Cu/Zn-SOD and Rho-GDP dissociation inhibitor can be interpreted by the use of clustering and box-plot methods. Protein-protein interaction is important to analysis and comprehend the relationships between network structure and function (
20). It introduces the key hub proteins. Fetching information regarded to interaction profile of evaluated six proteins was from public databases through Cytoscape (
Figure 4). Interaction graph indicates that some of the investigated proteins are highly involved in biological associations that are known as hub proteins. The most important ones are HNRNPA1 and SERPINE1. On the other hand, it can also be inferred from protein interaction network that proteins, Cu/Zn-SOD and Rho-GDP dissociation inhibitor and also HnRNPA1 and Cathepsin L with a similar pattern in expression changes are also in close interaction. The first pair is characterized by high degree, but not significant in betweenness centrality. According to BioMart analysis of identified proteins, it is confirmed that extracellular part and enzymatic regulatory activity are the most affected region and biological process respectively in ethanol consumption (
Figure 5). SERPINE1 is fundamentally located in extracellular region of cell and plays important roles such as protease binding in which is mainly involved in chronological cell aging and angiogenesis, complement and coagulation cascades and loss of function of SMAD2 and SMAD3 in cancer. Based on annotation, the neighbor proteins of SERPINE1 including TGFB1, TP53, SMAD3, SMAD4 are also involved in cancer (
56). It seems that SERPINE1 as a hub protein is involved deeply in cancer so its expression changes may impose a great effect in progress of disease. HNRNPA1 as another hub protein is mainly active in nucleus and acts as nucleotide binding in alternative mRNA splicing process. It is also involved in spliceosome mRNA Splicing. This protein as like SERPINE1 plays a key role in cancer. Therefore, HNRNPA1 and SERPINE1 as hub proteins are involved in cancer and also ethanol consumption; they can be candidate for more investigations.