胰腺炎中免疫细胞特征与诊断基因标志物的整合:治疗靶点与预测诊断的综合研究

Integration of Immune Cell Signatures and Diagnostic Gene Markers in Pancreatitis: A Comprehensive Study on Therapeutic Targets and Predictive Diagnosis.

作者信息

Xie Qianyu, Liu Birong, Yu Xiao, Wei Xiang, Xiao Qiangsheng

机构信息

Department of Interventional Vascular Surgery, Changsha Fourth Hospital, Changsha, China.

Department of Hematology, The Third Xiangya Hospital of Central South University, Changsha, China.

出版信息

Hum Mutat. 2025 Aug 1;2025:7694723. doi: 10.1155/humu/7694723. eCollection 2025.

Abstract

Pancreatitis is a severe and increasingly prevalent disease that affects the digestive system. Early detection and accurate diagnosis of this condition are crucial for reducing mortality rates and improving patient outcomes. Therefore, the development of novel diagnostic markers is essential for enhancing clinical management and advancing the understanding of pancreatitis. The initial phase involved applying the ssGSEA method to extract hypoxia scores from these samples. Subsequently, a thorough differential expression analysis was performed, complemented by functional assessments and various machine learning techniques designed to pinpoint critical diagnostic genes relevant to pancreatitis. From this, a robust diagnostic model was constructed and validated using a series of machine learning strategies. To further validate our results, molecular docking studies were conducted to determine the binding affinities between the identified markers and standard medications such as omeprazole and lansoprazole. Additionally, the ssGSEA methodology was leveraged to compute immune cell scores within the pancreatitis samples, thus enriching the analysis of the relationships between significant diagnostic genes and various immune cell types. Finally, the experiments of ELISA and qRT-PCR were used to verify the expression of key target genes. Through WGCNA, we identified a total of 50 genes associated with hypoxic conditions within the pancreatitis samples. Further investigations, including differential expression analysis and machine learning techniques, revealed six significant diagnostic markers for pancreatitis: RAP1GDS1, TOP2A, ADK, POLL, CD44, and CD4. The diagnostic model we developed exhibited a high accuracy level in predicting pancreatitis onset, while molecular docking analyses indicated that these six key diagnostic genes hold promise as drug targets. Moreover, the ssGSEA algorithm confirmed the relationships between these diagnostic markers and a range of immune cell populations. Ultimately, the expression levels of the identified key genes were rigorously validated through experimental techniques, reinforcing the credibility of our findings.

摘要

胰腺炎是一种严重且日益普遍的影响消化系统的疾病。早期发现和准确诊断这种病症对于降低死亡率和改善患者预后至关重要。因此,开发新型诊断标志物对于加强临床管理和深化对胰腺炎的认识至关重要。初始阶段涉及应用单样本基因集富集分析(ssGSEA)方法从这些样本中提取缺氧评分。随后,进行了全面的差异表达分析,并辅以功能评估和各种机器学习技术,旨在确定与胰腺炎相关的关键诊断基因。据此,构建了一个强大的诊断模型,并使用一系列机器学习策略进行了验证。为了进一步验证我们的结果,进行了分子对接研究,以确定所鉴定的标志物与奥美拉唑和兰索拉唑等标准药物之间的结合亲和力。此外,利用ssGSEA方法计算胰腺炎样本中的免疫细胞评分,从而丰富了对重要诊断基因与各种免疫细胞类型之间关系的分析。最后,使用酶联免疫吸附测定(ELISA)和定量逆转录聚合酶链反应(qRT-PCR)实验来验证关键靶基因的表达。通过加权基因共表达网络分析(WGCNA),我们在胰腺炎样本中总共鉴定出50个与缺氧条件相关的基因。进一步的研究,包括差异表达分析和机器学习技术,揭示了胰腺炎的六个重要诊断标志物:RAP1GDS1、TOP2A、ADK、POLL、CD44和CD4。我们开发的诊断模型在预测胰腺炎发作方面表现出很高的准确性,而分子对接分析表明这六个关键诊断基因有望成为药物靶点。此外,ssGSEA算法证实了这些诊断标志物与一系列免疫细胞群体之间的关系。最终,通过实验技术严格验证了所鉴定关键基因的表达水平,增强了我们研究结果的可信度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f939/12334279/c2a63510767e/HUMU2025-7694723.001.jpg

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