School of Preclinical Medicine, Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou, China.
Second Affiliated Hospital, Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou, China.
Medicine (Baltimore). 2022 Oct 14;101(41):e31097. doi: 10.1097/MD.0000000000031097.
Heart failure is a global health problem and the number of sufferers is increasing as the population grows and ages. Existing diagnostic techniques for heart failure have various limitations in the clinical setting and there is a need to develop a new diagnostic model to complement the existing diagnostic methods. In recent years, with the development and improvement of gene sequencing technology, more genes associated with heart failure have been identified. We screened for differentially expressed genes in heart failure using available gene expression data from the Gene Expression Omnibus database and identified 6 important genes by a random forest classifier (ASPN, MXRA5, LUM, GLUL, CNN1, and SERPINA3). And we have successfully constructed a new heart failure diagnostic model using an artificial neural network and validated its diagnostic efficacy in a public dataset. We calculated heart failure-related differentially expressed genes and obtained 24 candidate genes by random forest classification, and selected the top 6 genes as important genes for subsequent analysis. The prediction weights of the genes of interest were determined by the neural network model and the model scores were evaluated in 2 independent sample datasets (GSE16499 and GSE57338 datasets). Since the weights of RNA-seq predictions for constructing neural network models were theoretically more suitable for disease classification of RNA-seq data, the GSE57338 dataset had the best performance in the validation results. The diagnostic model derived from our study can be of clinical value in determining the likelihood of HF occurring through cardiac biopsy. In the meantime, we need to further investigate the accuracy of the diagnostic model based on the results of our study.
心力衰竭是一个全球性的健康问题,随着人口的增长和老龄化,患者人数正在增加。现有的心力衰竭诊断技术在临床环境中有各种局限性,因此需要开发一种新的诊断模型来补充现有的诊断方法。近年来,随着基因测序技术的发展和完善,已经发现了更多与心力衰竭相关的基因。我们使用基因表达综合数据库中现有的基因表达数据筛选心力衰竭中的差异表达基因,并通过随机森林分类器鉴定出 6 个重要基因(ASPN、MXRA5、LUM、GLUL、CNN1 和 SERPINA3)。然后,我们使用人工神经网络成功构建了一个新的心力衰竭诊断模型,并在公共数据集上验证了其诊断效果。我们计算了心力衰竭相关的差异表达基因,并通过随机森林分类获得了 24 个候选基因,选择了前 6 个基因作为后续分析的重要基因。通过神经网络模型确定了感兴趣基因的预测权重,并在 2 个独立的样本数据集(GSE16499 和 GSE57338 数据集)中评估了模型得分。由于构建神经网络模型的 RNA-seq 预测的权重在理论上更适合 RNA-seq 数据的疾病分类,因此在验证结果中,GSE57338 数据集的性能最佳。我们的研究得出的诊断模型可以通过心脏活检来确定心力衰竭发生的可能性,具有临床价值。同时,我们需要根据我们的研究结果进一步研究诊断模型的准确性。