Furthermore, we discovered that the pathways involving PTPRM: Ptprm − Ptprm, NRXN: Nrxn1 − Nlgn1, and COLLAGEN: Col1a2 − Sdc4/Cd44 exhibited similar downregulation trends in IC, with signals primarily originating from autocrine and paracrine secretion of BC across all three types of SNHL (Fig. 6). This evidence concerns the gene NRXN1 and breast cancer.