Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai 201318, China.
Graduate School, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.
Exp Biol Med (Maywood). 2023 May;248(10):843-857. doi: 10.1177/15353702231162081. Epub 2023 Apr 18.
Deaths of non-cardiac causes in patients with heart failure (HF) are on the rise, including lung cancer (LC). However, the common mechanisms behind the two diseases need to be further explored. This study aimed to improve understanding on the co-occurrence of LC and HF. In this study, gene expression profiles of HF (GSE57338) and LC (GSE151101) were comprehensively analyzed using the Gene Expression Omnibus database. Functional annotation, protein-protein interaction network, hub gene identification, and co-expression analysis were proceeded when the co-differentially expressed genes in HF and LC were identified. Among 44 common differentially expressed genes, 17 hub genes were identified to be associated with the co-occurrence of LC and HF; the hub genes were verified in 2 other data sets. Nine genes, including , , , , , , , , and were selected after screening. Functional analysis was performed with particular emphasis on extracellular matrix organization and regulation of leukocyte activation. Our findings suggest that disorders of the immune system could cause the co-occurrence of HF and LC. They also suggest that abnormal activation of extracellular matrix organization, inflammatory response, and other immune signaling pathways are essential in disorders of the immune system. The validated genes provide new perspectives on the common underlying pathophysiology of HF and LC, and may aid further investigation in this field.
心力衰竭(HF)患者的非心脏原因死亡正在上升,包括肺癌(LC)。然而,这两种疾病背后的共同机制仍需进一步探讨。本研究旨在提高对 LC 和 HF 共同发生的认识。本研究通过基因表达综合分析数据库(Gene Expression Omnibus database)对 HF(GSE57338)和 LC(GSE151101)的基因表达谱进行了综合分析。当确定 HF 和 LC 中共同差异表达的基因时,进行了功能注释、蛋白质-蛋白质相互作用网络、枢纽基因识别和共表达分析。在 44 个共同差异表达基因中,有 17 个枢纽基因与 LC 和 HF 的共同发生有关;这些枢纽基因在另外 2 个数据集中得到了验证。经过筛选,选择了 9 个基因,包括、、、、、、、和。功能分析特别强调了细胞外基质组织和白细胞激活的调节。我们的研究结果表明,免疫系统紊乱可能导致 HF 和 LC 的共同发生。它们还表明,细胞外基质组织异常激活、炎症反应和其他免疫信号通路在免疫系统紊乱中至关重要。验证的基因为 HF 和 LC 的共同潜在病理生理学提供了新的视角,并可能有助于该领域的进一步研究。