Zhang et al. evaluated the transcriptomes of PNI in HNSCC using weighted gene coexpression network analysis and found 12 genes (TIMP2, MIR198, LAMA4, FAM198B, MIR4649, COL5A1, COL1A2, OLFML2B, MMP2, FBN1, ADAM12, and PDGFRB) were highly expressed in fibroblasts7. Here, COL5A1 is linked to head and neck squamous cell carcinoma.