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Roles of TULA-family proteins in T cells and autoimmune diseases. TULA 家族蛋白在 T 细胞和自身免疫性疾病中的作用。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-11-18 DOI: 10.1038/s41435-024-00300-8
Hua Wang, Patrick Concannon, Yan Ge

The T cell Ubiquitin Ligand (TULA) protein family contains two members, UBASH3A and UBASH3B, that display similarities in protein sequence and domain structure. Both TULA proteins act to repress T cell activation via a combination of overlapping and nonredundant functions. UBASH3B acts mainly as a phosphatase that suppresses proximal T cell receptor (TCR) signaling. In contrast, UBASH3A acts primarily as an adaptor protein, interacting with other proteins (including UBASH3B) in T cells upon TCR stimulation and resulting in downregulation of TCR signaling and NF-κB signaling. Human genetic and functional studies have revealed another notable distinction between UBASH3A and UBASH3B: numerous genome-wide association studies have identified statistically significant associations between genetic variants in and around the UBASH3A gene and at least seven different autoimmune diseases, suggesting a key role of UBASH3A in autoimmunity. However, the evidence for an independent role of UBASH3B in autoimmune disease is limited. This review summarizes key findings regarding the roles of TULA proteins in T cell biology and autoimmunity, highlights the commonalities and differences between UBASH3A and UBASH3B, and speculates on the individual and joint effects of TULA proteins on T cell signaling.

T 细胞泛素配体(TULA)蛋白家族包含两个成员,即 UBASH3A 和 UBASH3B,它们在蛋白序列和结构域结构上具有相似性。这两种 TULA 蛋白都通过重叠和非冗余的功能抑制 T 细胞的活化。UBASH3B 主要作为磷酸酶抑制近端 T 细胞受体(TCR)信号传导。相反,UBASH3A 主要作为一种适配蛋白,在 TCR 刺激下与 T 细胞中的其他蛋白(包括 UBASH3B)相互作用,导致 TCR 信号和 NF-κB 信号下调。人类基因和功能研究揭示了 UBASH3A 和 UBASH3B 之间的另一个显著区别:大量全基因组关联研究发现,UBASH3A 基因及其周围的基因变异与至少七种不同的自身免疫疾病之间存在统计学意义上的显著关联,这表明 UBASH3A 在自身免疫中发挥着关键作用。然而,关于 UBASH3B 在自身免疫疾病中的独立作用的证据却很有限。本综述总结了有关 TULA 蛋白在 T 细胞生物学和自身免疫中作用的主要发现,强调了 UBASH3A 和 UBASH3B 之间的共性和差异,并推测了 TULA 蛋白对 T 细胞信号传导的单独和联合作用。
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引用次数: 0
Epigenetics behind CD8+ T cell activation and exhaustion. CD8+ T 细胞活化和衰竭背后的表观遗传学。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-11-14 DOI: 10.1038/s41435-024-00307-1
Hao Zu, Xiaoqin Chen

CD8+ T cells play a critical role in specific immunity. In recent years, cell therapy has been emerging rapidly. The specific cytotoxic capabilities of these cells enable them to precisely identify and kill cells presenting specific antigens. This has demonstrated promise in the treatment of autoimmune diseases and cancers, with wide-ranging applications and value. However, in some diseases, such as tumors and chronic infections, T cells may adopt an exhausted phenotype, resulting in a loss of cytotoxicity and limiting their further application. Epigenetics plays a significant role in the differentiation and regulation of gene expression in cells. There is extensive evidence indicating that epigenetic remodeling plays an important role in T cell exhaustion. Therefore, further understanding its role in CD8+ T cell function can provide insights into the programmatic regulation of CD8+ T cells from a genetic perspective and overcome these diseases. We attempted to describe the relationship between the activation, function, and exhaustion mechanisms of CD8+ T cells, as well as epigenetics. This understanding makes it possible for us to address the aforementioned issues.

CD8+ T 细胞在特异性免疫中发挥着至关重要的作用。近年来,细胞疗法迅速兴起。这些细胞的特异性细胞毒性能力使其能够精确识别并杀死呈现特异性抗原的细胞。这在治疗自身免疫性疾病和癌症方面已显示出前景,具有广泛的应用和价值。然而,在某些疾病(如肿瘤和慢性感染)中,T 细胞可能会出现衰竭表型,从而丧失细胞毒性,限制其进一步应用。表观遗传学在细胞分化和基因表达调控方面发挥着重要作用。大量证据表明,表观遗传重塑在 T 细胞衰竭中发挥着重要作用。因此,进一步了解其在 CD8+ T 细胞功能中的作用,可以从遗传学角度深入了解 CD8+ T 细胞的程序调控,从而攻克这些疾病。我们试图描述 CD8+ T 细胞的激活、功能和衰竭机制以及表观遗传学之间的关系。这种理解使我们有可能解决上述问题。
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引用次数: 0
Predictable regulation of gut microbiome in immunotherapeutic efficacy of gastric cancer. 肠道微生物组对胃癌免疫治疗疗效的可预测调节。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-11-12 DOI: 10.1038/s41435-024-00306-2
Wei Gao, Xinli Wang, Yi Shi, Guangfeng Wu, Min Zhou, Xiaoyan Lin

Immunotherapy has showcased remarkable progress in the management of gastric cancer (GC), prompting the need to proactively identify and classify patients suitable for immunotherapy. Here, 30 patients were enrolled and stratified into three groups (PR, partial response; SD, stable disease; PD, progressive disease) based on efficacy assessment. 16S rRNA sequencing were performed to analyze the gut microbiome signature of patients at three timepoints. We found that immunotherapy interventions perturbed the gut microbiota of patients. Additionally, although differences at the enterotype level did not distinguish patients' immunotherapy response, we identified 6, 7, and 19 species that were significantly enriched in PR, SD, and PD, respectively. Functional analysis showed that betalain biosynthesis and indole alkaloid biosynthesis were significantly different between the responders and non-responders. Furthermore, machine learning model utilizing only bacterial biomarkers accurately predicted immunotherapy efficacy with an Area Under the Curve (AUC) of 0.941. Notably, Akkermansia muciniphila and Dorea formicigenerans played a significant role in the classification of immunotherapy efficacy. In conclusion, our study reveals that gut microbiome signatures can be utilized as effective biomarkers for predicting the immunotherapy efficacy for GC.

免疫疗法在治疗胃癌(GC)方面取得了令人瞩目的进展,这促使人们需要主动识别适合接受免疫疗法的患者并对其进行分类。本文纳入了30名患者,并根据疗效评估将其分为三组(PR,部分应答;SD,病情稳定;PD,病情进展)。我们进行了 16S rRNA 测序,分析了患者在三个时间点的肠道微生物组特征。我们发现,免疫疗法干预会扰乱患者的肠道微生物群。此外,虽然肠型水平的差异并不能区分患者的免疫治疗反应,但我们发现在 PR、SD 和 PD 中分别有 6、7 和 19 个物种显著富集。功能分析显示,应答者和非应答者的甜菜碱生物合成和吲哚生物碱生物合成存在明显差异。此外,仅利用细菌生物标记物的机器学习模型能准确预测免疫疗法的疗效,其曲线下面积(AUC)为0.941。值得注意的是,Akkermansia muciniphila 和 Dorea formicigenerans 在免疫疗法疗效分类中发挥了重要作用。总之,我们的研究揭示了肠道微生物组特征可作为预测 GC 免疫疗法疗效的有效生物标志物。
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引用次数: 0
Inorganic pyrophosphatase 1: a key player in immune and metabolic reprogramming in ankylosing spondylitis. 无机焦磷酸酶 1:强直性脊柱炎免疫和代谢重编程的关键角色。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-11-07 DOI: 10.1038/s41435-024-00308-0
Tianyou Chen, Chengqian Huang, Jiarui Chen, Jiang Xue, Zhenwei Yang, Yihan Wang, Songze Wu, Wendi Wei, Liyi Chen, Shian Liao, Xiaopeng Qin, Rongqing He, Boli Qin, Chong Liu

The relationships among immune cells, metabolites, and AS events were analyzed via Mendelian randomization (MR), and potential immune cells and metabolites were identified as risk factors for AS. Their relationships were subjected to intermediary MR analysis to identify the final immune cells and metabolites. The vertebral bone marrow blood samples from three patients with and without AS were subjected to 10× single-cell sequencing to further elucidate the role of immune cells in AS. The key genes were screened via expression quantitative trait loci (eQTLs) and MR analyses. The metabolic differences between the two groups were compared through single-cell metabolism analysis. Two subgroups of differentiated (CD)8+ memory T cells and naive B cells were obtained from the combined results of intermediary MR analysis and AS single-cell analysis. After the verification of key genes, inorganic pyrophosphatase 1 (PPA1) was identified as the hub gene, as it is differentially expressed in CD8+ memory T cells and can affect the metabolism of T cells in AS by affecting the expression of ferulic acid (FA)4 sulfate, which participates in the cellular immunity in AS.

通过孟德尔随机化(MR)分析了免疫细胞、代谢物和强直性脊柱炎事件之间的关系,并将潜在的免疫细胞和代谢物确定为强直性脊柱炎的风险因素。对它们之间的关系进行中间MR分析,以确定最终的免疫细胞和代谢物。为了进一步阐明免疫细胞在强直性脊柱炎中的作用,对三名强直性脊柱炎患者和非强直性脊柱炎患者的脊椎骨骨髓血样进行了10×单细胞测序。通过表达量性状位点(eQTLs)和磁共振分析筛选了关键基因。通过单细胞代谢分析比较了两组之间的代谢差异。根据中间MR分析和AS单细胞分析的综合结果,得出了分化(CD)8+记忆T细胞和幼稚B细胞两个亚组。经过对关键基因的验证,无机焦磷酸酶1(PPA1)被确定为中枢基因,因为它在CD8+记忆T细胞中差异表达,并能通过影响硫酸阿魏酸(FA)4的表达来影响强直性脊柱炎中T细胞的代谢,而硫酸阿魏酸参与强直性脊柱炎的细胞免疫。
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引用次数: 0
Regulatory T cells-related gene in primary sclerosing cholangitis: evidence from Mendelian randomization and transcriptome data. 原发性硬化性胆管炎中的调节性 T 细胞相关基因:来自孟德尔随机化和转录组数据的证据。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-11-05 DOI: 10.1038/s41435-024-00304-4
Jianlan Hu, Youxing Wu, Danxia Zhang, Xiaoyang Wang, Yaohui Sheng, Hui Liao, Yangpeng Ou, Zhen Chen, Baolian Shu, Ruohu Gui

The present study utilized large-scale genome-wide association studies (GWAS) summary data (731 immune cell subtypes and three primary sclerosing cholangitis (PSC) GWAS datasets), meta-analysis, and two PSC transcriptome data to elucidate the pivotal role of Tregs proportion imbalance in the occurrence of PSC. Then, we employed weighted gene co-expression network analysis (WGCNA), differential analysis, and 107 combinations of 12 machine-learning algorithms to construct and validate an artificial intelligence-derived diagnostic model (Tregs classifier) according to the average area under curve (AUC) (0.959) in two cohorts. Quantitative real-time polymerase chain reaction (qRT-PCR) verified that compared to control, Akap10, Basp1, Dennd3, Plxnc1, and Tmco3 were significantly up-regulated in the PSC mice model yet the expression level of Klf13, and Scap was significantly lower. Furthermore, immune cell infiltration and functional enrichment analysis revealed significant associations of the hub Tregs-related gene with M2 macrophage, neutrophils, megakaryocyte-erythroid progenitor (MEP), natural killer T cell (NKT), and enrichment scores of the autophagic cell death, complement and coagulation cascades, metabolic disturbance, Fc gamma R-mediated phagocytosis, mitochondrial dysfunction, potentially mediating PSC onset. XGBoost algorithm and SHapley Additive exPlanations (SHAP) identified AKAP10 and KLF13 as optimal genes, which may be an important target for PSC.

本研究利用大规模全基因组关联研究(GWAS)汇总数据(731个免疫细胞亚型和3个原发性硬化性胆管炎(PSC)GWAS数据集)、荟萃分析和两个PSC转录组数据,阐明了Tregs比例失调在PSC发生中的关键作用。然后,我们采用加权基因共表达网络分析(WGCNA)、差异分析和12种机器学习算法的107种组合,在两个队列中根据平均曲线下面积(AUC)(0.959)构建并验证了人工智能诊断模型(Tregs分类器)。实时定量聚合酶链反应(qRT-PCR)证实,与对照组相比,PSC小鼠模型中的Akap10、Basp1、Dennd3、Plxnc1和Tmco3明显上调,但Klf13和Scap的表达水平明显降低。此外,免疫细胞浸润和功能富集分析表明,中枢Tregs相关基因与M2巨噬细胞、中性粒细胞、巨核细胞-红细胞祖细胞(MEP)、自然杀伤T细胞(NKT)有明显关联,自噬细胞死亡、补体和凝血级联、代谢紊乱、Fcγ R介导的吞噬作用、线粒体功能障碍的富集得分可能介导PSC发病。XGBoost算法和SHapley Additive exPlanations(SHAP)确定了AKAP10和KLF13为最佳基因,它们可能是PSC的重要靶点。
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引用次数: 0
Myeloid derived suppressor cells mediate hepatocyte proliferation and immune suppression during liver regeneration following resection. 髓系衍生抑制细胞在肝脏切除后的再生过程中介导肝细胞增殖和免疫抑制。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-11-02 DOI: 10.1038/s41435-024-00303-5
Ido Nachmany, Shir Nevo, Sarit Edelheit, Avital Sarusi-Portuguez, Gilgi Friedlander, Tomer-Meir Salame, Vera Pavlov, Oran Yakubovsky, Niv Pencovich

Liver regeneration following resection is a complex process relying on coordinated pathways and cell types in the remnant organ. Myeloid-Derived Suppressor Cells (MDSCs) have a role in liver regeneration-related angiogenesis but other roles they may play in this process remain to be elucidated. In this study, we sought to examine the effect of G-MDSCs on hepatocytes proliferation and immune modulation during liver regeneration. Global gene expression profiling of regenerating hepatocytes in mice with CD11b+Ly6G+ MDSCs (G-MDSCs) depletion revealed disrupted transcriptional progression from day one to day two after major liver resection. Key genes and pathways related to hepatocyte proliferation and immune response were differentially expressed upon MDSC depletion. Hepatocytes cellularity increased when co-cultured with G-MDSCs, or treated with amphiregulin, which G-MDSCs upregulate during regeneration. Cytometry by time-of-flight (CyTOF) analysis of the intra-liver immune milieu upon MDSC depletion during regeneration demonstrated increased natural killer cell proportions, alongside changes in other immune cell populations. Taken together, these results provide evidence that MDSCs contribute to early liver regeneration by promoting hepatocyte proliferation and modulating the intra-liver immune response, and illuminate the multifaceted role of MDSCs in liver regeneration.

肝脏切除后的再生是一个复杂的过程,依赖于残余器官中协调的途径和细胞类型。髓系衍生抑制细胞(MDSCs)在肝脏再生相关的血管生成中发挥作用,但它们在这一过程中可能发挥的其他作用仍有待阐明。在这项研究中,我们试图研究 G-MDSCs 在肝脏再生过程中对肝细胞增殖和免疫调节的影响。对CD11b+Ly6G+ MDSCs(G-MDSCs)耗竭的小鼠再生肝细胞进行的全基因表达谱分析显示,从肝脏大部切除后的第一天到第二天,转录过程出现了紊乱。与肝细胞增殖和免疫反应有关的关键基因和通路在 MDSCs 耗竭后出现了不同程度的表达。当肝细胞与G-MDSCs共培养或用安非他酮处理时,肝细胞的细胞性增加,而G-MDSCs在再生过程中会上调安非他酮。通过飞行时间细胞计数法(CyTOF)分析再生过程中MDSC耗竭后肝脏内的免疫环境显示,自然杀伤细胞比例增加,其他免疫细胞群也发生了变化。综上所述,这些结果证明了 MDSCs 通过促进肝细胞增殖和调节肝内免疫反应促进了早期肝脏再生,并阐明了 MDSCs 在肝脏再生中的多方面作用。
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引用次数: 0
The HLA-B -21 M/T dimorphism associates with disease severity in COVID-19. 在 COVID-19 中,HLA-B -21 M/T 二态性与疾病严重程度有关。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-11-01 DOI: 10.1038/s41435-024-00302-6
Benedikt Strunz, Pouria Momayyezi, Eleni Bilev, Jagadeeswara Rao Muvva, Puran Chen, Jonna Bister, Marie Schaffer, Mira Akber, Martin Cornillet, Amir Horowitz, Karl-Johan Malmberg, Olav Rooyackers, Soo Aleman, Hans-Gustaf Ljunggren, Niklas K Björkström, Kristoffer Strålin, Quirin Hammer

Host genetics shape immune responses and influence severity of infectious diseases. The HLA-B -21 M/T dimorphism tunes the functionality of natural killer (NK) cells expressing the inhibitory receptor NKG2A. NKG2A+ NK cells have been reported to recognize SARS-CoV-2-infected cells, but it remains unclear whether the HLA-B -21 M/T dimorphism associates with COVID-19 severity. Here, we investigated the influence of the HLA-B -21 M/T dimorphism in a cohort of 230 unvaccinated patients hospitalized with COVID-19 and requiring respiratory support. We found that HLA-B -21 M/M genotypes were more prevalent in patients with moderate compared to severe COVID-19 (6.0% vs. 0.9%). Comparison of age- and sex-matched sub-groups revealed that patients with M/M genotypes required mechanical respiratory support less frequently (OR = 0.13, 95% CI = 0.01-0.76, P = 0.013). Furthermore, patients with M/M genotypes showed a coordinately shifted signature of clinical laboratory parameters, coinciding with elevated serum levels of the anti-viral cytokine IFN-γ. These findings demonstrate that HLA-B variants associate with COVID-19 severity and suggest that the robust functionality of NKG2A+ NK cells in patients carrying the M/M genotype may contribute to protection from severe disease.

宿主遗传决定了免疫反应并影响传染病的严重程度。HLA-B -21 M/T 二态性调整了表达抑制性受体 NKG2A 的自然杀伤(NK)细胞的功能。据报道,NKG2A+ NK细胞能识别SARS-CoV-2感染的细胞,但HLA-B -21 M/T二态性是否与COVID-19的严重程度有关仍不清楚。在此,我们对 230 名因感染 COVID-19 而住院并需要呼吸支持的未接种疫苗的患者进行了调查,以了解 HLA-B -21 M/T 二态性的影响。我们发现,与重度 COVID-19 患者相比,HLA-B -21 M/M 基因型在中度 COVID-19 患者中更为普遍(6.0% 对 0.9%)。年龄和性别匹配亚组的比较显示,M/M 基因型患者需要机械呼吸支持的频率较低(OR = 0.13,95% CI = 0.01-0.76,P = 0.013)。此外,M/M 基因型患者的临床实验室指标也发生了协调性变化,与抗病毒细胞因子 IFN-γ 的血清水平升高相吻合。这些研究结果表明,HLA-B变异与COVID-19的严重程度有关,并表明携带M/M基因型的患者体内NKG2A+ NK细胞的强大功能可能有助于保护患者免受严重疾病的侵袭。
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引用次数: 0
Correction: LncRNA sequencing reveals an essential role for the lncRNA-mediated ceRNA network in penile squamous cell carcinoma. 更正:LncRNA测序揭示了lncRNA介导的ceRNA网络在阴茎鳞状细胞癌中的重要作用。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-10-29 DOI: 10.1038/s41435-024-00301-7
Jian Cao, Lin Du, Xueheng Zhao, Zhizhong Liu, Junbin Yuan, Yanwei Luo, Shanshan Zhang, Zailong Qin, Jie Guo
{"title":"Correction: LncRNA sequencing reveals an essential role for the lncRNA-mediated ceRNA network in penile squamous cell carcinoma.","authors":"Jian Cao, Lin Du, Xueheng Zhao, Zhizhong Liu, Junbin Yuan, Yanwei Luo, Shanshan Zhang, Zailong Qin, Jie Guo","doi":"10.1038/s41435-024-00301-7","DOIUrl":"https://doi.org/10.1038/s41435-024-00301-7","url":null,"abstract":"","PeriodicalId":12691,"journal":{"name":"Genes and immunity","volume":" ","pages":""},"PeriodicalIF":5.0,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The conundrum of CD8+ T cell trajectories in low antigenic tumors: How to overcome a hypofunctional state distinct from antigen-driven exhaustion? 低抗原肿瘤中 CD8+ T 细胞轨迹的难题:如何克服不同于抗原驱动衰竭的低功能状态?
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-10-09 DOI: 10.1038/s41435-024-00299-y
Angeliki Datsi, Rüdiger V. Sorg, Abhishek D. Garg
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引用次数: 0
A potential coagulation-related diagnostic model associated with immune infiltration for acute myocardial infarction. 与急性心肌梗塞免疫浸润相关的潜在凝血相关诊断模型。
IF 5 3区 医学 Q1 GENETICS & HEREDITY Pub Date : 2024-10-08 DOI: 10.1038/s41435-024-00298-z
Guoqing Liu, Wang Liao, Xiangwen Lv, Lifeng Huang, Min He, Lang Li

The production of pro-coagulation factors can affect the development and prognosis of acute myocardial infarction (AMI). The clinical value of coagulation-related genes (CRGs) was investigated to discover new targets for diagnosing and treating AMI. We screened 335 differentially expressed genes (DEGs) between AMI and healthy individuals based on the GSE66360 dataset. We took the intersection of the obtained DEGs with 139 CRGs. Finally, 10 differentially expressed CEGs were screened out. The random forest algorithm was constructed to identify 6 signature CRGs (THBS1, SERPINA1, THBD, MMP9, MAFF, and PLAU). Subsequently, the established predictive model was found to have good diagnostic accuracy (AUC = 0.9694 in the training cohort [GSE66360 dataset] and 0.9076 in the external validation cohort [GSE48060 dataset]). Consensus clustering identified the CRG clusters, and the accuracy of the grouping was verified. We found that AMI patients can be divided into two distinct subgroups based on the differentially expressed CRGs. Immune cell infiltration level was consistent with the expression levels of CRGs based on single sample gene set enrichment analysis. These findings reveal the potential role of CRGs in AMI. Characterizing the coagulation features of AMI patients can help in the risk stratification of patients and provide personalized treatment strategies.

促凝血因子的产生会影响急性心肌梗死(AMI)的发生和预后。为了发现诊断和治疗急性心肌梗死的新靶点,我们对凝血相关基因(CRGs)的临床价值进行了研究。我们基于 GSE66360 数据集筛选了 335 个 AMI 和健康人之间的差异表达基因(DEGs)。我们将获得的 DEGs 与 139 个 CRGs 相交。最后,我们筛选出了 10 个差异表达的 CEG。我们采用随机森林算法确定了 6 个特征 CRG(THBS1、SERPINA1、THBD、MMP9、MAFF 和 PLAU)。随后,发现所建立的预测模型具有良好的诊断准确性(训练队列 [GSE66360 数据集] 中的 AUC = 0.9694,外部验证队列 [GSE48060 数据集] 中的 AUC = 0.9076)。共识聚类确定了 CRG 聚类,并验证了分组的准确性。我们发现,根据差异表达的 CRGs,AMI 患者可分为两个不同的亚组。根据单样本基因组富集分析,免疫细胞浸润水平与 CRGs 的表达水平一致。这些发现揭示了 CRGs 在 AMI 中的潜在作用。鉴定急性心肌梗死患者的凝血特征有助于对患者进行风险分层,并提供个性化的治疗策略。
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引用次数: 0
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Genes and immunity
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