Yang Zhenwei, Chen Zhiqin, Wang Jingchao, Li Yizhang, Zhang Hailin, Xiang Yu, Zhang Yuwei, Shao Zhaozhao, Wu Pei, Lu Ding, Lin Huajiang, Tong Zhaowei, Liu Jiang, Dong Quan
Department of Gastroenterology, The Fifth School of Clinical Medicine of Zhejiang, Huzhou Central Hospital, Chinese Medical University, No.1558, Sanhuan North Road, Wuxing District, Huzhou, Zhejiang Province, 313000, People's Republic of China.
Huzhou Central Hospital, Affiliated Central Hospital Huzhou University, Huzhou, China.
Inflammation. 2024 Nov 4. doi: 10.1007/s10753-024-02164-6.
Non-alcoholic fatty liver disease (NAFLD) poses a serious global health threat, with its progression mechanisms not yet fully understood. While several molecular markers for NAFLD have been developed in recent years, a lack of robust evidence hampers their clinical application. Therefore, identifying novel and potent biomarkers would directly aid in the prediction, prevention, and personalized treatment of NAFLD. We downloaded NAFLD-related datasets from the Gene Expression Omnibus (GEO). Differential expression analysis and functional analysis were initially conducted. Subsequently, Weighted Gene Co-expression Network Analysis (WGCNA) and multiple machine learning strategies were employed to screen and identify key genes, and the diagnostic value was assessed using Receiver Operating Characteristic (ROC) analysis. We then explored the relationship between genes and immune cells using transcriptome data and single-cell RNA sequencing (scRNA-seq) data. Finally, we validated our findings in cell and mouse NAFLD models. We obtained 23 overlapping differentially expressed genes (DEGs) across three NAFLD datasets. Enrichment analysis revealed that DEGs were associated with Apoptosis, Parathyroid hormone synthesis, secretion and action, Colorectal cancer, p53 signaling pathway, and Biosynthesis of unsaturated fatty acids. After employing machine learning strategies, we identified one gene, pleckstrin homology like domain family A member 1 (PHLDA1), downregulated in NAFLD and showing high diagnostic accuracy. CIBERSORT analysis revealed significant associations of PHLDA1 with various immune cells. Single-cell data analysis demonstrated downregulation of PHLDA1 in NAFLD, with PHLDA1 exhibiting a significant negative correlation with macrophages. Furthermore, we found PHLDA1 to be downregulated in an in vitro hepatic steatosis cell model, and overexpression of PHLDA1 significantly reduced lipid accumulation, as well as the expression of key molecules involved in hepatic lipogenesis and fatty acid uptake, such as FASN, SCD-1, and CD36. Additionally, gene set enrichment analysis (GSEA) pathway enrichment analysis suggested that PHLDA1 may influence NAFLD progression through pathways such as Cytokine Cytokine Receptor Interaction, Ecm Receptor Interaction, Parkinson's Disease, and Ribosome pathways. Our conclusions were further validated in a mouse model of NAFLD. Our study reveals that PHLDA1 inhibits the progression of NAFLD, as overexpression of PHLDA1 significantly reduces lipid accumulation in cells and markedly decreases the expression of key molecules involved in liver lipogenesis and fatty acid uptake. Therefore, PHLDA1 may emerge as a novel potential target for future prediction, diagnosis, and targeted prevention of NAFLD.
非酒精性脂肪性肝病(NAFLD)对全球健康构成严重威胁,其进展机制尚未完全明确。尽管近年来已开发出多种NAFLD分子标志物,但缺乏有力证据阻碍了它们的临床应用。因此,鉴定新的有效生物标志物将直接有助于NAFLD的预测、预防和个性化治疗。我们从基因表达综合数据库(GEO)下载了与NAFLD相关的数据集。首先进行差异表达分析和功能分析。随后,采用加权基因共表达网络分析(WGCNA)和多种机器学习策略筛选并鉴定关键基因,并使用受试者工作特征(ROC)分析评估其诊断价值。然后,我们利用转录组数据和单细胞RNA测序(scRNA-seq)数据探索基因与免疫细胞之间的关系。最后,我们在细胞和小鼠NAFLD模型中验证了我们的发现。我们在三个NAFLD数据集中获得了23个重叠的差异表达基因(DEG)。富集分析表明,DEG与细胞凋亡、甲状旁腺激素合成、分泌和作用、结直肠癌、p53信号通路以及不饱和脂肪酸生物合成相关。采用机器学习策略后,我们鉴定出一个基因,即普列克底物蛋白同源结构域家族A成员1(PHLDA1),其在NAFLD中表达下调且具有较高的诊断准确性。CIBERSORT分析显示PHLDA1与多种免疫细胞存在显著关联。单细胞数据分析表明,NAFLD中PHLDA1表达下调,且PHLDA1与巨噬细胞呈显著负相关。此外,我们发现PHLDA1在体外肝脂肪变性细胞模型中表达下调,过表达PHLDA1可显著减少脂质积累,以及参与肝脏脂肪生成和脂肪酸摄取的关键分子如脂肪酸合酶(FASN)、硬脂酰辅酶A去饱和酶-1(SCD-1)和分化簇36(CD36)的表达。此外,基因集富集分析(GSEA)通路富集分析表明,PHLDA1可能通过细胞因子-细胞因子受体相互作用、细胞外基质受体相互作用、帕金森病和核糖体通路等途径影响NAFLD进展。我们的结论在NAFLD小鼠模型中得到进一步验证。我们的研究表明,PHLDA1抑制NAFLD进展,因为过表达PHLDA1可显著减少细胞内脂质积累,并显著降低参与肝脏脂肪生成和脂肪酸摄取的关键分子的表达。因此,PHLDA1可能成为未来NAFLD预测、诊断和靶向预防的新潜在靶点。
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