Subsequently, we perform univariate Cox, LASSO, and multivariate Cox regression analyses to extract potential breast cancer-related driver genes. Among the identified driver genes, most of them have been demonstrated to be related to breast cancer. ERRFI is generally regarded as a tumor suppressor in human cancers, and microarray analysis has revealed that ERRFI is positively correlated with the survival of breast cancer patients (Amatschek
et al. 2004; He
et al. 2021; Mojica
et al. 2020; Xu
et al. 2005). GREB1 significantly affects the proliferation of estrogen receptor-α, which is a driving transcription factor in breast cancers and influences drug response (Rae
et al. 2005). The down-regulation of RTN4 expression leads to a decrease in AKT activation, which is an important event related to breast cancer occurrence and metastasis (Pathak
et al. 2018). SPRY4 can act as a tumor suppressor or an oncogene depending on human cancer. In breast and prostate cancers, SPRY4 can inhibit cell proliferation and migration (Jing
et al. 2016; Vanas
et al. 2014; Wang
et al. 2006), while in ovarian cancer, SPRY4 promotes ovarian cancer invasion (So
et al. 2016). RPL19 has been identified as a tumor-specific antigen and a prognostic biomarker in breast cancer (Albanese
et al. 2018). TBX4 and CYP24A1 are overexpressed in breast cancer and are associated with breast cancer risk (Anderson
et al. 2011; Kelemen
et al. 2009). Although there are few reports on the functions of the PHF7 and CCND2 in breast cancer, they are associated with cardiac disease (Eroglu
et al. 2021), bladder squamous cell carcinoma (Shivakumar
et al. 2017), and neuroblastoma (Duan
et al. 2018). In summary, these results indicated that the nine genes maybe the driver genes in breast cancer. In order to promote the clinical application of these driver genes, a risk score model was constructed and the model displayed robust predictive abilities in the TCGA and GEO datasets. Finally, we switched back to the distribution levels of H3K36me3 and H3K79me2 in the nine driver genes. By comparing H3K36me3 and H3K79me2 signals in tumor cells with those in normal cells, we identified the regions where H3K36me3 and H3K79me2 signals were significantly altered.