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Abstract: Quantum key distribution (QKD) is approaching industrial maturity, but its integration with high-power classical signals in shared optical fiber is hindered by noise from nonlinear effects like spontaneous Raman scattering and four-wave mixing. Hollow-core fiber (HCF) offers a promising solution by inherently suppressing these nonlinearities. However, a comprehensive noise analysis for pure HCF or standard single-mode-fiber–HCF hybrid links, validated experimentally under realistic high-power conditions, remains unavailable. This work bridges that gap through a thorough theoretical and experimental investigation of an HCF-featured coexistence system. We demonstrate a silicon-photonics-based QKD system operating with an optical transport network (OTN). The system achieves multiplexed launch powers of 20 dBm for counter-propagation and 14 dBm for co-propagation, meeting the highest requirements of modern OTNs. Over a 10 km HCF link, it simultaneously supports 12×583 Gbps classical channels across the C-band and achieves secure key rates of 5.7 kbps (counter-propagation) and 2.5 kbps (co-propagation) over a 1550 nm quantum channel. Our results provide critical benchmarks and a practical framework for deploying HCF-based quantum-classical networks, paving the way for future inherently secure telecommunications.