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揭示衰老相关基因在子宫内膜异位症中的诊断价值及免疫浸润:单细胞与机器学习联合分析

Revealing the diagnostic value and immune infiltration of senescence-related genes in endometriosis: a combined single-cell and machine learning analysis.

作者信息

Zou Lian, Meng Lou, Xu Yan, Wang Kana, Zhang Jiawen

机构信息

Chongqing Emergency Medical Center, Department of Obstetrics and Gynecology in Chongging University Central Hospital, Chongqing, China.

Department of Gynecology, West China Second Hospital of Sichuan University, Chengdu, China.

出版信息

Front Pharmacol. 2023 Oct 3;14:1259467. doi: 10.3389/fphar.2023.1259467. eCollection 2023.

Abstract

Endometriosis is a prevalent and recurrent medical condition associated with symptoms such as pelvic discomfort, dysmenorrhea, and reproductive challenges. Furthermore, it has the potential to progress into a malignant state, significantly impacting the quality of life for affected individuals. Despite its significance, there is currently a lack of precise and non-invasive diagnostic techniques for this condition. In this study, we leveraged microarray datasets and employed a multifaceted approach. We conducted differential gene analysis, implemented weighted gene co-expression network analysis (WGCNA), and utilized machine learning algorithms, including random forest, support vector machine, and LASSO analysis, to comprehensively explore senescence-related genes (SRGs) associated with endometriosis. Our comprehensive analysis, which also encompassed profiling of immune cell infiltration and single-cell analysis, highlights the therapeutic potential of this gene assemblage as promising targets for alleviating endometriosis. Furthermore, the integration of these biomarkers into diagnostic protocols promises to enhance diagnostic precision, offering a more effective diagnostic journey for future endometriosis patients in clinical settings. Our meticulous investigation led to the identification of a cluster of genes, namely BAK1, LMNA, and FLT1, which emerged as potential discerning biomarkers for endometriosis. These biomarkers were subsequently utilized to construct an artificial neural network classifier model and were graphically represented in the form of a Nomogram.

摘要

子宫内膜异位症是一种常见且易复发的病症,伴有盆腔不适、痛经和生殖方面的问题等症状。此外,它有可能发展为恶性状态,严重影响患者的生活质量。尽管其重要性,但目前针对这种病症缺乏精确且非侵入性的诊断技术。在本研究中,我们利用微阵列数据集并采用了多方面的方法。我们进行了差异基因分析,实施了加权基因共表达网络分析(WGCNA),并利用机器学习算法,包括随机森林、支持向量机和套索分析,全面探索与子宫内膜异位症相关的衰老相关基因(SRGs)。我们的综合分析还包括免疫细胞浸润分析和单细胞分析,突出了这一基因组合作为缓解子宫内膜异位症的有前景靶点的治疗潜力。此外,将这些生物标志物整合到诊断方案中有望提高诊断精度,为未来临床环境中的子宫内膜异位症患者提供更有效的诊断途径。我们的细致研究导致鉴定出一组基因,即BAK1、LMNA和FLT1,它们成为子宫内膜异位症潜在的鉴别生物标志物。这些生物标志物随后被用于构建人工神经网络分类器模型,并以列线图的形式进行图形表示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7724/10583561/8b95e6e55dca/fphar-14-1259467-g001.jpg

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