Department of Thoracic Surgery, Changhai Hospital, Second Military Medical University , Shanghai, China.
Department of Psychiatry, Psychiatry Center of Chinese People's Liberation Army , Changzhou, China.
Bioengineered. 2020 Dec;11(1):1189-1196. doi: 10.1080/21655979.2020.1831349.
Although some progress has been made in the molecular biological detection of major depression disorder (MDD), its specificity and accuracy are still insufficient. This study is aimed to find hub genes, which could contribute to MDD related suicide and provide potential therapeutic targets for diagnosis and treatment. We downloaded RNA expression and clinical information from Gene Expression Omnibus (GEO) Dataset. Then, weighted gene co-expression network analysis (WGCNA) was applied to find core modules. Logistic regression was performed to identify the independent risk factors, and a scoring system was constructed based on these independent risk factors. As a result, a total of 16487 genes were selected to further conducted WGCNA analysis. We found that tan and green functional modules were exhibited high correlation with suicide behavior. 309 genes were identified in tan modules that were the strongest positively correlated with suicide behavior. Functional analysis in tan module indicated that activation of enzymes including nitric-oxide synthase and endoribonuclease, estrogen signaling pathway, glucagon signaling pathway, and legionellosis pathway were most enriched in MDD. Furthermore, we applied protein-protein interaction (PPI) analysis to select the hub genes and 10 genes were found in the core area of network. Then, we identified three-gene base independent risk signature by logistic regression model, including HSPA1A, RASEF, TBC1D8B. In conclusion, our study suggests that the tan module genes are closely related to suicide behaviors, which is mainly caused by multiple signaling pathway activation. The three-genes-based signature could provide a better efficacy to predict suicidal behavior in MDD patients.
尽管在重度抑郁症(MDD)的分子生物学检测方面已经取得了一些进展,但它的特异性和准确性仍然不足。本研究旨在寻找与 MDD 相关自杀相关的枢纽基因,为诊断和治疗提供潜在的治疗靶点。我们从基因表达综合数据库(GEO)数据集下载了 RNA 表达和临床信息。然后,应用加权基因共表达网络分析(WGCNA)来寻找核心模块。进行逻辑回归以识别独立的危险因素,并基于这些独立的危险因素构建评分系统。结果,共选择了 16487 个基因进一步进行 WGCNA 分析。我们发现 tan 和绿色功能模块与自杀行为高度相关。在 tan 模块中鉴定出 309 个基因与自杀行为呈最强正相关。tan 模块中的功能分析表明,包括一氧化氮合酶和内切核糖核酸酶在内的酶的激活、雌激素信号通路、胰高血糖素信号通路和军团菌病通路在 MDD 中最丰富。此外,我们应用蛋白质-蛋白质相互作用(PPI)分析来选择枢纽基因,发现网络核心区域有 10 个基因。然后,我们通过逻辑回归模型确定了一个三基因的独立风险特征,包括 HSPA1A、RASEF 和 TBC1D8B。总之,我们的研究表明,tan 模块基因与自杀行为密切相关,主要是由多种信号通路的激活引起的。基于三基因的特征签名可以更好地预测 MDD 患者的自杀行为。
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