Department of Cardiology, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China.
National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology, Shanghai 200011, China.
Int J Med Sci. 2024 Jan 1;21(2):219-233. doi: 10.7150/ijms.86210. eCollection 2024.
Increasing studies have shown that N6-methyladenosine (m6A) modification plays an important role in cardiovascular diseases. In this study, we systematically investigated the regulatory mode of m6A genes in myocardial infarction (MI) by combining bioinformatics analysis of clinical samples with animal experiments. We utilized gene expression data of clinical samples from public databases to examine the expression of m6A genes in heart tissues and found a large difference between the healthy control group and MI group. Subsequently, we established an MI diagnosis model based on the differentially expressed m6A genes using the random forest method. Next, unsupervised clustering method was used to classify all MI samples into two clusters, and the differences in immune infiltration and gene expression between different clusters were compared. We found LRPPRC to be the predominant gene in m6A clustering, and it was negatively correlated with immunoreaction. Through GO enrichment analysis, we found that most differentially expressed genes between the two clusters were profibrotic. By means of WGCNA, we inferred that GJA4 might be a core molecule in the m6A regulatory network of MI. This study demonstrates that m6A regulators probably affects the immune-inflammatory response and fibrosis to regulate the process of MI, which provides a potential therapeutic target.
越来越多的研究表明,N6-甲基腺苷(m6A)修饰在心血管疾病中发挥着重要作用。在这项研究中,我们通过结合临床样本的生物信息学分析和动物实验,系统地研究了 m6A 基因在心肌梗死(MI)中的调控模式。我们利用公共数据库中的临床样本基因表达数据,检测了 m6A 基因在心组织中的表达情况,发现健康对照组和 MI 组之间存在很大差异。随后,我们使用随机森林方法,基于差异表达的 m6A 基因建立了 MI 诊断模型。接下来,我们使用无监督聚类方法将所有 MI 样本分为两个聚类,并比较了不同聚类之间免疫浸润和基因表达的差异。我们发现 LRPPRC 是 m6A 聚类中的主要基因,它与免疫反应呈负相关。通过 GO 富集分析,我们发现两个聚类之间大多数差异表达的基因都是成纤维的。通过 WGCNA,我们推断 GJA4 可能是 MI 的 m6A 调控网络中的核心分子。这项研究表明,m6A 调节剂可能通过调节免疫炎症反应和纤维化来影响 MI 的发生发展,为 MI 的治疗提供了一个潜在的靶点。