Department of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Front Endocrinol (Lausanne). 2022 Aug 15;13:933635. doi: 10.3389/fendo.2022.933635. eCollection 2022.
Diabetic cardiomyopathy (DCM) is a pathophysiological condition induced by diabetes mellitus that often causes heart failure (HF). However, their mechanistic relationships remain unclear. This study aimed to identify immune gene signatures and molecular mechanisms of DCM. Microarray data from the Gene Expression Omnibus (GEO) database from patients with DCM were subjected to weighted gene co-expression network analysis (WGCNA) identify co-expression modules. Core expression modules were intersected with the immune gene database. We analyzed and mapped protein-protein interaction (PPI) networks using the STRING database and MCODE and filtering out 17 hub genes using cytoHubba software. Finally, potential transcriptional regulatory factors and therapeutic drugs were identified and molecular docking between gene targets and small molecules was performed. We identified five potential immune biomarkers: proteosome subunit beta type-8 (), nuclear factor kappa B1 (), albumin (), endothelin 1 (), and estrogen receptor 1 (). Their expression levels in animal models were consistent with the changes observed in the datasets. showed significant differences in expression in both the dataset and the validation model by real-time quantitative PCR (qPCR) and Western blotting(WB). Subsequently, we confirmed that the potential transcription factors upstream of were PRDM5 and KLF4, as its expression was positively correlated with the expression of the two transcription factors. To repurpose known therapeutic drugs, a connectivity map (CMap) database was retrieved, and nine candidate compounds were identified. Finally, molecular docking simulations of the proteins encoded by the five genes with small-molecule drugs were performed. Our data suggest that may play a key role in the development of DCM and is a potential DCM biomarker.
糖尿病心肌病 (DCM) 是一种由糖尿病引起的病理生理状态,常导致心力衰竭 (HF)。然而,它们的机制关系尚不清楚。本研究旨在鉴定 DCM 的免疫基因特征和分子机制。对来自 DCM 患者的基因表达综合数据库 (GEO) 数据库中的微阵列数据进行加权基因共表达网络分析 (WGCNA) 以识别共表达模块。核心表达模块与免疫基因数据库相交。我们使用 STRING 数据库和 MCODE 分析和映射蛋白质-蛋白质相互作用 (PPI) 网络,并使用 cytoHubba 软件过滤出 17 个枢纽基因。最后,鉴定潜在的转录调节因子和治疗药物,并对基因靶标和小分子之间进行分子对接。我们鉴定了五个潜在的免疫生物标志物:蛋白酶体亚基 β 型-8 ()、核因子 kappa B1 ()、白蛋白 ()、内皮素 1 () 和雌激素受体 1 ()。它们在动物模型中的表达水平与数据集观察到的变化一致。通过实时定量 PCR (qPCR) 和 Western blot (WB),显示在数据集和验证模型中均有显著差异。随后,我们证实 上游的潜在转录因子是 PRDM5 和 KLF4,因为其表达与两个转录因子的表达呈正相关。为了重新利用已知的治疗药物,我们检索了连接图谱 (CMap) 数据库,并鉴定出 9 种候选化合物。最后,对这五个基因编码的蛋白质与小分子药物进行了分子对接模拟。我们的数据表明 可能在 DCM 的发生发展中起关键作用,是潜在的 DCM 生物标志物。