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Proprotein Convertase Subtilisin/Kexin Type 9 Induces Platelet-Derived Transforming Growth Factor-β to Promote Myocardial Fibrosis After Myocardial Infarction 蛋白转化酶Subtilisin/Kexin 9诱导血小板源性转化生长因子-β促进心肌梗死后心肌纤维化
IF 3.7 2区 医学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-21 DOI: 10.1155/humu/4574795
Qianyun Wang, Wenxiang Huang, Dianmin Xia, Feifei Wang

Aims

The recovery of cardiac function after acute myocardial infarction is crucial for the prognosis of patients with myocardial infarction. Proprotein convertase subtilisin/Kexin Type 9 (PCSK9) inhibitors are widely used in patients with acute myocardial infarction due to their potent low-density lipoprotein-lowering effects. Recent studies have shown that elevated levels of circulating PCSK9 are associated with increased platelet reactivity and thrombosis; however, the effect and mechanism of PCSK9 on cardiac repair after myocardial infarction through the induction of platelet activation remain unclear. Therefore, the objective of this study was to investigate and clarify the specific effect of PCSK9 on cardiac repair processes following myocardial infarction. The detailed molecular and cellular mechanisms through which PCSK9 regulates cardiac repair after myocardial infarction by inducing platelet activation were observed.

Methods and Results

Hearts from wild-type (WT) C57BL/6J mice and PCSK9 knockout (PCSK9/) mice were subjected to left coronary artery (LAD) ligation to establish a myocardial infarction model. Six weeks postoperation, echocardiographic analysis and Masson staining revealed that inhibiting the increase in PCSK9 expression after myocardial infarction significantly reduced myocardial fibrosis. Transcriptome sequencing of mouse myocardial tissue suggested that PCSK9 suppresses immune regulation and adhesion pathways and that the platelet marker integrin subunit alpha 2b (Itga2b) is a potential key molecule. Subsequent in vivo and in vitro experiments demonstrated that PCSK9 promotes platelet activation and induces the fibrogenic phenotypic transformation of fibroblasts by transforming growth factor-β (TGF-β). In further studies, coculture experiments of fibroblasts and platelets revealed that PCSK9 promotes the conversion of fibroblasts to myofibroblasts by inducing platelet-derived TGF-β secretion.

Conclusion

PCSK9 promotes platelet activation, induces the secretion of platelet-derived TGF-β, and thereby accelerates myocardial fibrosis after myocardial infarction.

目的:急性心肌梗死后心功能的恢复对心肌梗死患者的预后至关重要。蛋白转化酶枯草杆菌素/可欣9型(PCSK9)抑制剂由于其有效的低密度脂蛋白降低作用而广泛应用于急性心肌梗死患者。最近的研究表明,循环PCSK9水平升高与血小板反应性增加和血栓形成有关;然而,PCSK9通过诱导血小板活化对心肌梗死后心脏修复的作用及其机制尚不清楚。因此,本研究的目的是研究和阐明PCSK9在心肌梗死后心脏修复过程中的具体作用。观察PCSK9通过诱导血小板活化调控心肌梗死后心脏修复的分子和细胞机制。方法和结果:将野生型(WT) C57BL/6J小鼠和PCSK9基因敲除(PCSK9-/-)小鼠的心脏进行左冠状动脉结扎,建立心肌梗死模型。术后6周超声心动图分析和Masson染色显示,抑制心肌梗死后PCSK9表达的增加可显著减少心肌纤维化。小鼠心肌组织转录组测序表明PCSK9抑制免疫调节和粘附途径,血小板标志物整合素亚单位α 2b (Itga2b)是一个潜在的关键分子。随后的体内和体外实验表明,PCSK9通过转化生长因子-β (TGF-β)促进血小板活化,诱导成纤维细胞的成纤维表型转化。在进一步的研究中,成纤维细胞和血小板共培养实验表明,PCSK9通过诱导血小板来源的TGF-β分泌,促进成纤维细胞向肌成纤维细胞的转化。结论:PCSK9促进血小板活化,诱导血小板源性TGF-β分泌,从而加速心肌梗死后心肌纤维化。
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引用次数: 0
IPO9 Promotes Ovarian Cancer Progression by Suppressing HMOX1-Dependent Ferroptosis IPO9通过抑制hmox1依赖性铁下垂促进卵巢癌进展
IF 3.7 2区 医学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-21 DOI: 10.1155/humu/8545131
Yimei Meng, Peiling Li

Ovarian cancer (OC) poses a significant threat to women’s health, with current treatment strategies remaining suboptimal, necessitating the exploration of novel therapeutic targets and immune microenvironment dynamics. This study integrates multiomics data from TCGA, GEO, and IEU-Open-GWAS, employing scRNA-seq, scPagwas, BayesPrism, and WGCNA to identify key cell subpopulations and genes, followed by functional validation through EdU, colony formation, Transwell assays, and ferroptosis markers (MDA, ROS, and ferrous ions). Results reveal MALAT1+ epithelial cells as a core cell subpopulation in OC, with higher abundance correlating with shorter overall survival, suppressed immune microenvironments, and potential immunotherapy resistance, while their infiltration levels are closely associated with OC immune dynamics and somatic mutations. Further analysis identifies IPO9 as a core gene upregulated in OC, promoting tumor progression by inhibiting HMOX1-dependent ferroptosis. These findings highlight MALAT1+ epithelial cells as drivers of immune suppression in OC and propose IPO9 as a promising therapeutic target, offering new avenues for immunotherapy development.

卵巢癌(OC)对妇女健康构成重大威胁,目前的治疗策略仍然不理想,需要探索新的治疗靶点和免疫微环境动力学。本研究整合了来自TCGA、GEO和IEU-Open-GWAS的多组学数据,采用scRNA-seq、scPagwas、BayesPrism和WGCNA鉴定关键细胞亚群和基因,随后通过EdU、菌落形成、Transwell试验和铁死亡标志物(MDA、ROS和亚铁离子)进行功能验证。结果表明,MALAT1+上皮细胞是OC的核心细胞亚群,其丰度越高,总生存期越短,免疫微环境受到抑制,免疫治疗可能产生耐药性,其浸润水平与OC的免疫动力学和体细胞突变密切相关。进一步分析发现,IPO9是OC中上调的核心基因,通过抑制hmox1依赖性铁凋亡促进肿瘤进展。这些发现强调MALAT1+上皮细胞是OC免疫抑制的驱动因素,并提出IPO9是一个有希望的治疗靶点,为免疫治疗的发展提供了新的途径。
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引用次数: 0
Acetylated Pyrimidine Metabolism Genes as Prognostic Markers and Their Influence on Immune Profiles in Lung Adenocarcinoma 乙酰化嘧啶代谢基因作为肺腺癌预后标志物及其对免疫谱的影响
IF 3.7 2区 医学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-21 DOI: 10.1155/humu/1500755
Kegang Jia, Shuwei Zhang, Yangke He, Liang Liang

Lung adenocarcinoma is a very aggressive cancer with poor clinical results. New molecular indicators are desperately needed to improve treatment decision-making. This study looks at the relationship between the immunological microenvironment and genes linked to pyrimidine metabolism, particularly those that undergo acetylation, and the prognostic significance of these genes. Using publicly accessible genomic and clinical data, we used Gene Set Variation Analysis (GSVA) to identify acetylated pyrimidine pathway components that are highly correlated with survival outcomes. Three potential genes—TK1, RRM2B, and NME4—were identified for their prognostic relevance by using sophisticated predictive modeling approaches including CoxBoost and a random forest survival analysis. Using CIBERSORT deconvolution and single-sample gene set enrichment, immunological landscape disparities were identified, and it was discovered that varied gene expression-acetylation patterns were linked to varying immune cell infiltration. Gene activity and acetylation status-based low-risk patients showed positive survival patterns and higher levels of antitumor immune populations, indicating possible receptivity to immune-based treatments. Functional validation experiments targeting TK1, including RNA interference followed by proliferation (CCK-8, EdU), migration (Transwell), and wound healing assays, substantiated its role in promoting tumor aggressiveness. Collectively, our findings suggest that integrating metabolic gene signatures with immunological context offers a promising framework for precision oncology in lung adenocarcinoma.

肺腺癌是一种侵袭性很强的癌症,临床疗效较差。迫切需要新的分子指标来改善治疗决策。本研究着眼于免疫微环境与嘧啶代谢相关基因之间的关系,特别是那些经历乙酰化的基因,以及这些基因的预后意义。利用可公开获取的基因组和临床数据,我们使用基因集变异分析(GSVA)来识别与生存结果高度相关的乙酰化嘧啶途径成分。通过使用复杂的预测建模方法,包括CoxBoost和随机森林生存分析,确定了三个潜在基因- tk1, RRM2B和nme4与预后相关。利用CIBERSORT反卷积和单样本基因集富集,确定了免疫景观差异,并发现不同的基因表达-乙酰化模式与不同的免疫细胞浸润有关。基因活性和乙酰化状态为基础的低风险患者显示出阳性的生存模式和更高水平的抗肿瘤免疫群体,表明可能对免疫治疗具有接受性。针对TK1的功能验证实验,包括RNA干扰后的增殖(CCK-8, EdU),迁移(Transwell)和伤口愈合试验,证实了其在促进肿瘤侵袭性中的作用。总的来说,我们的研究结果表明,将代谢基因特征与免疫学背景相结合,为肺腺癌的精确肿瘤学提供了一个有希望的框架。
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引用次数: 0
Albiflorin-Mediated MAP2K1 Targeting and HIF-1 Signaling Inhibition Contribute to the Therapeutic Efficacy in Hyperuricemia-Associated Cognitive Impairment albiflorin介导的MAP2K1靶向和HIF-1信号抑制有助于高尿酸血症相关认知障碍的治疗效果
IF 3.7 2区 医学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-19 DOI: 10.1155/humu/5859468
Huimin Xiao, Xinwen Huang, Rui Yao, Jincai Liu, Linrui Duan, Siwang Wang, Jinming Gao

This study investigated the therapeutic effects and mechanisms of Paeonia suffruticosa fruit pod extract (EMP) and its main component albiflorin (AF) on hyperuricemia-associated cognitive impairment (HUA-CI). A HUA-CI mouse model was established, with cognitive function evaluated via Morris water maze. Hippocampal pathology, inflammation, oxidative stress, and apoptosis were assessed using HE staining, ELISA, TUNEL, and Western blotting. Network pharmacology predicted EMP’s targets, and molecular docking analyzed AF-MAP2K1 binding. In vitro experiments used UA-stimulated BV2 and HT22 cells to explore AF’s effect on HIF-1 signaling. EMP significantly improved cognitive function and reduced pathological damage in the hippocampus of HUA-CI mice. It exerted protective effects by inhibiting inflammatory responses, alleviating oxidative stress, and preventing cell apoptosis. Network pharmacology analysis revealed that EMP acts through multiple targets and pathways, particularly via the strong binding affinity between AF and MAP2K1. Both in vivo and in vitro studies demonstrated that AF inhibited the HIF-1 signaling pathway, thereby reducing microglial activation and associated inflammation, mitigating uric acid-induced neuronal apoptosis, enhancing antioxidant defenses, and protecting neuronal function. Our research indicates that EMP exerts multi-target therapeutic effects on HUA-CI; AF plays a key role by targeting MAP2K1 and inhibiting HIF-1 signaling.

本研究探讨芍药果荚提取物(EMP)及其主要成分芍药苷(AF)对高尿酸血症相关性认知障碍(HUA-CI)的治疗作用及其机制。建立HUA-CI小鼠模型,Morris水迷宫法评价小鼠认知功能。采用HE染色、ELISA、TUNEL和Western blotting检测海马病理、炎症、氧化应激和细胞凋亡。网络药理学预测EMP的靶点,分子对接分析AF-MAP2K1结合。体外实验采用ua刺激BV2和HT22细胞,探讨AF对HIF-1信号传导的影响。EMP显著改善HUA-CI小鼠的认知功能,减轻海马病理损伤。它通过抑制炎症反应、减轻氧化应激、防止细胞凋亡等发挥保护作用。网络药理学分析显示,EMP通过多个靶点和途径起作用,特别是通过AF和MAP2K1之间的强结合亲和力起作用。体内和体外研究均表明,AF抑制HIF-1信号通路,从而降低小胶质细胞活化及相关炎症,减轻尿酸诱导的神经元凋亡,增强抗氧化防御,保护神经元功能。我们的研究表明,EMP对HUA-CI具有多靶点的治疗作用;AF通过靶向MAP2K1和抑制HIF-1信号传导发挥关键作用。
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引用次数: 0
Systematic Pathway Screening via Integrated Machine Learning Identifies FOXO-Mediated Transcription Signature for Robust Immunotherapy Response Prediction in Non–Small Cell Lung Cancer 通过集成机器学习的系统途径筛选鉴定foxo介导的转录特征,用于非小细胞肺癌免疫治疗反应预测。
IF 3.7 2区 医学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-19 DOI: 10.1155/humu/8690530
Shuqi Wu, Chenxi Deng, Chaofan Fan, Qiheng Liang, Lingxuan Zhu, Weiming Mou, Hongsen Huang, Keren Wu, Yizhang Li, Gengwen Deng, Liling Xu, Jiarui Xie, Chenglin Hong, Yuhang Deng, Xingjian Li, Changda Wu, Tao Yang, Peng Luo, Hank Z. H. Wong, Aimin Jiang, Anqi Lin, Xin Chen

Background

Non–small cell lung cancer (NSCLC), accounting for 80% of lung cancer cases, remains a leading cause of cancer-related mortality globally. While immune checkpoint inhibitors (ICIs) have improved outcomes, their efficacy is limited to a subset of patients, necessitating robust biomarkers for personalized immunotherapy response prediction.

Methods

We integrated transcriptomic data from 584 NSCLC patients across four cohorts treated with ICIs. Using 12,025 pathways from MSigDB, we applied 101 machine learning algorithm combinations (e.g., random survival forest [RSF], least absolute shrinkage and selection operator [Lasso], and Cox proportional hazards model with component-wise likelihood-based boosting [CoxBoost]) to identify prognostic signatures. OAK was used as the training set and Ravi, Jung, and Poplar as the validation set. The optimal pathway and algorithm combination was determined based on the average concordance index (C-index) ranking in the validation sets, and a predictive model was generated. Performance was assessed by C-index, receiver operating characteristic (ROC) analysis, and survival analysis. Biological relevance was evaluated through gene set enrichment analysis (GSEA), immune infiltration profiling, and immunohistochemistry (IHC).

Results

The FOXO-mediated transcription pathway combined with Lasso-RSF algorithms emerged as the top predictor. The derived FOXO-related signature (FRS) stratified patients into high-risk and low-risk groups, with high-risk patients showing significantly worse progression-free survival (PFS) and overall survival (OS) across all cohorts (p < 0.05). FRS outperformed clinical variables and 43 published models in predictive accuracy. IHC confirmed elevated expression of FRS-associated genes (PCK1, IGFBP1) in nonresponders. Immune profiling revealed enriched antitumor immunity in low-FRS patients.

Conclusion

FRS, a machine learning–derived pathway signature, robustly predicts immunotherapy response and survival in NSCLC. Its integration of FOXO-mediated immune regulation offers a clinically translatable tool for precision oncology.

背景:非小细胞肺癌(NSCLC)占肺癌病例的80%,仍然是全球癌症相关死亡的主要原因。虽然免疫检查点抑制剂(ICIs)改善了结果,但其疗效仅限于一小部分患者,因此需要强大的生物标志物来预测个性化的免疫治疗反应。方法:我们整合了584名接受ICIs治疗的非小细胞肺癌患者的转录组学数据。使用来自MSigDB的12,025条路径,我们应用101种机器学习算法组合(例如,随机生存森林[RSF],最小绝对收缩和选择算子[Lasso],以及基于成分似然增强的Cox比例风险模型[Cox boost])来识别预后特征。OAK作为训练集,Ravi, Jung, and Poplar作为验证集。根据验证集的平均一致性指数(C-index)排序,确定最优路径和算法组合,并生成预测模型。采用c -指数、受试者工作特征(ROC)分析和生存期分析评价疗效。通过基因集富集分析(GSEA)、免疫浸润谱和免疫组织化学(IHC)评估生物学相关性。结果:foxo介导的转录途径结合Lasso-RSF算法成为最佳预测因子。衍生的foxo相关特征(FRS)将患者分为高风险组和低风险组,所有队列中高风险患者的无进展生存期(PFS)和总生存期(OS)均明显较差(p < 0.05)。在预测准确性方面,FRS优于临床变量和43个已发表的模型。IHC证实无应答者frs相关基因(PCK1, IGFBP1)表达升高。免疫分析显示低frs患者抗肿瘤免疫增强。结论:FRS是一种机器学习衍生的信号通路,可以可靠地预测非小细胞肺癌的免疫治疗反应和生存。它整合了foxo介导的免疫调节,为精确肿瘤学提供了临床可翻译的工具。
{"title":"Systematic Pathway Screening via Integrated Machine Learning Identifies FOXO-Mediated Transcription Signature for Robust Immunotherapy Response Prediction in Non–Small Cell Lung Cancer","authors":"Shuqi Wu,&nbsp;Chenxi Deng,&nbsp;Chaofan Fan,&nbsp;Qiheng Liang,&nbsp;Lingxuan Zhu,&nbsp;Weiming Mou,&nbsp;Hongsen Huang,&nbsp;Keren Wu,&nbsp;Yizhang Li,&nbsp;Gengwen Deng,&nbsp;Liling Xu,&nbsp;Jiarui Xie,&nbsp;Chenglin Hong,&nbsp;Yuhang Deng,&nbsp;Xingjian Li,&nbsp;Changda Wu,&nbsp;Tao Yang,&nbsp;Peng Luo,&nbsp;Hank Z. H. Wong,&nbsp;Aimin Jiang,&nbsp;Anqi Lin,&nbsp;Xin Chen","doi":"10.1155/humu/8690530","DOIUrl":"10.1155/humu/8690530","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Non–small cell lung cancer (NSCLC), accounting for 80% of lung cancer cases, remains a leading cause of cancer-related mortality globally. While immune checkpoint inhibitors (ICIs) have improved outcomes, their efficacy is limited to a subset of patients, necessitating robust biomarkers for personalized immunotherapy response prediction.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We integrated transcriptomic data from 584 NSCLC patients across four cohorts treated with ICIs. Using 12,025 pathways from MSigDB, we applied 101 machine learning algorithm combinations (e.g., random survival forest [RSF], least absolute shrinkage and selection operator [Lasso], and Cox proportional hazards model with component-wise likelihood-based boosting [CoxBoost]) to identify prognostic signatures. OAK was used as the training set and Ravi, Jung, and Poplar as the validation set. The optimal pathway and algorithm combination was determined based on the average concordance index (<i>C</i>-index) ranking in the validation sets, and a predictive model was generated. Performance was assessed by <i>C</i>-index, receiver operating characteristic (ROC) analysis, and survival analysis. Biological relevance was evaluated through gene set enrichment analysis (GSEA), immune infiltration profiling, and immunohistochemistry (IHC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The FOXO-mediated transcription pathway combined with Lasso-RSF algorithms emerged as the top predictor. The derived FOXO-related signature (FRS) stratified patients into high-risk and low-risk groups, with high-risk patients showing significantly worse progression-free survival (PFS) and overall survival (OS) across all cohorts (<i>p</i> &lt; 0.05). FRS outperformed clinical variables and 43 published models in predictive accuracy. IHC confirmed elevated expression of FRS-associated genes (PCK1, IGFBP1) in nonresponders. Immune profiling revealed enriched antitumor immunity in low-FRS patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>FRS, a machine learning–derived pathway signature, robustly predicts immunotherapy response and survival in NSCLC. Its integration of FOXO-mediated immune regulation offers a clinically translatable tool for precision oncology.</p>\u0000 </section>\u0000 </div>","PeriodicalId":13061,"journal":{"name":"Human Mutation","volume":"2026 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12813880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146010197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integrative Multiscale Analysis Reveals EFNA1-Driven Immune Remodeling Promotes Colorectal Cancer Lymph Node Metastasis 综合多尺度分析揭示efna1驱动的免疫重塑促进结直肠癌淋巴结转移
IF 3.7 2区 医学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-14 DOI: 10.1155/humu/8553028
Wu Ning, Nan Qiao, Lei Zhou, Zongze Li, Lin Zhang, Xin Song
<div> <section> <h3> Background</h3> <p>Nodal involvement constitutes a pivotal prognostic indicator in colorectal carcinoma, yet the transcriptional machinery governing lymphatic dissemination and tumor-microenvironment crosstalk remains poorly elucidated. Conventional bulk sequencing methodologies lack sufficient resolution to deconvolve functionally distinct malignant subclones that drive the metastatic cascade.</p> </section> <section> <h3> Methods</h3> <p>We employed an integrative analytical framework combining tissue-level gene expression profiling from TCGA and GEO repositories with eight single-cell transcriptomic datasets comprising 266,995 individual cells. A phenotype-guided computational algorithm was implemented to delineate metastasis-driving malignant populations through correlating clinical parameters with cellular transcriptional profiles. Gene regulatory networks and transcription factor activity inference systematically decoded the molecular programs underlying metastatic phenotypes. Ligand-receptor pairing analysis mapped intercellular communication architectures between neoplastic cells and microenvironmental constituents. Experimental validation encompassed genetic perturbation studies, functional characterization assays, and pharmacological response evaluation in preclinical systems.</p> </section> <section> <h3> Results</h3> <p>We discovered a phenotypically distinct malignant population exhibiting robust associations with lymph node involvement and adverse clinical outcomes across nine independent validation cohorts. Regulatory network dissection identified IRF9 as the master transcriptional orchestrator of this metastatic program through coordination of a discrete gene module. Relative to their nonmetastatic counterparts, these aggressive cells establish markedly expanded intercellular communication networks, characterized by prominent VEGF-driven angiogenic signaling to endothelial compartments and integrin-laminin–mediated adhesion with stromal elements. EFNA1 emerged as a key signaling mediator demonstrating preferential enrichment in this metastatic subset. Elevated EFNA1 levels correlated with progressive disease stages and microsatellite-stable subtypes while showing inverse relationships with PD-L1 expression and T cell infiltration density—suggesting a unique immunoevasion mechanism. Genetic ablation of Efna1 substantially impaired cellular proliferation, motility, and invasion capabilities, while simultaneously augmenting Linifanib sensitivity, indicating synergistic therapeutic potential.</p> </section> <section> <h3> Conclusions</h3>
背景:结淋巴结受累是结直肠癌的一个关键预后指标,然而控制淋巴传播和肿瘤微环境串扰的转录机制仍不清楚。传统的批量测序方法缺乏足够的分辨率来反卷积驱动转移级联的功能不同的恶性亚克隆。方法:我们采用了一个综合分析框架,将TCGA和GEO数据库中的组织水平基因表达谱与包含266,995个单个细胞的8个单细胞转录组数据集结合起来。通过将临床参数与细胞转录谱相关联,实现了一种表型导向的计算算法来描绘转移驱动的恶性群体。基因调控网络和转录因子活性推断系统地解码了转移表型背后的分子程序。配体-受体配对分析绘制了肿瘤细胞与微环境成分之间的细胞间通讯架构。实验验证包括遗传扰动研究、功能表征分析和临床前系统的药理学反应评估。结果:我们在9个独立的验证队列中发现了一个表型不同的恶性群体,显示出与淋巴结受累和不良临床结果的强烈关联。调控网络解剖鉴定IRF9是通过协调一个离散基因模块的转移程序的主要转录协调者。相对于非转移性细胞,这些侵袭性细胞建立了明显扩大的细胞间通讯网络,其特点是vegf驱动的血管生成信号传导到内皮室,以及整合素-层粘连蛋白介导的与基质元件的粘附。EFNA1是一个关键的信号介质,在这个转移亚群中表现出优先富集。升高的EFNA1水平与疾病进展阶段和微卫星稳定亚型相关,同时与PD-L1表达和T细胞浸润密度呈负相关,提示一种独特的免疫逃避机制。基因消融Efna1严重损害了细胞增殖、运动和侵袭能力,同时增强了利尼法尼的敏感性,表明协同治疗潜力。结论:我们的研究揭示了IRF9控制下的转录定义的恶性群体,通过efna1介导的信号网络协调免疫抑制微环境重编程。EFNA1-Linifanib联合治疗可能是一种潜在的治疗方法,可以减轻结直肠癌的抗血管生成耐药性和抑制转移进展。
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引用次数: 0
Molecular Landscape and Predictive Significance of Programmed Cell Death-Related Genes in Sepsis 脓毒症中程序性细胞死亡相关基因的分子景观及其预测意义。
IF 3.7 2区 医学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-13 DOI: 10.1155/humu/5280021
Shiqiang Min, Tao Zhang, Song Chen

Sepsis, a systemic inflammatory response to infection, remains a significant health challenge with high morbidity and mortality rates. The molecular mechanisms underlying sepsis, particularly the role of programmed cell death (PCD), are not fully understood. This study is aimed at elucidating the transcriptomic changes associated with sepsis, emphasizing PCD, and identifying potential diagnostic biomarkers. Transcriptome data from sepsis and control samples were extracted from the GEO website. Differential expression analysis identified genes perturbed in sepsis. WGCNA revealed 14 highly connected modules, with the turquoise module showing the strongest association with sepsis. A set of 262 hub genes was identified, which were mainly associated with apoptotic signaling pathways. Seven prognostic-related overlapping feature genes (PRGs) were identified. More importantly, the diagnostic model, constructed using eight machine learning algorithms, exhibited high efficacy in distinguishing sepsis patients from controls. The validation of feature genes at the scRNA-seq level adds a layer of robustness to our conclusions. The strong association of genes like S100A9 and KLHL3 with neutrophils, pivotal players in sepsis, suggests potential avenues for therapeutic targeting. Our comprehensive analysis has unveiled the significant role of PCD in sepsis. The insights gained from this study provide a foundation for future therapeutic interventions.

败血症是一种对感染的全身性炎症反应,仍然是一个重大的健康挑战,具有高发病率和死亡率。脓毒症的分子机制,特别是程序性细胞死亡(PCD)的作用尚不完全清楚。本研究旨在阐明与脓毒症相关的转录组学变化,强调PCD,并确定潜在的诊断生物标志物。脓毒症和对照样本的转录组数据从GEO网站上提取。差异表达分析确定了败血症中受干扰的基因。WGCNA显示了14个高度连接的模块,其中绿松石模块与败血症的关联最强。共鉴定出262个枢纽基因,主要与凋亡信号通路相关。鉴定出7个与预后相关的重叠特征基因(PRGs)。更重要的是,使用八种机器学习算法构建的诊断模型在区分脓毒症患者和对照组方面表现出很高的功效。在scRNA-seq水平上对特征基因的验证为我们的结论增加了一层稳健性。S100A9和KLHL3等基因与中性粒细胞(败血症的关键角色)的强烈关联提示了治疗靶向的潜在途径。我们的综合分析揭示了PCD在脓毒症中的重要作用。从这项研究中获得的见解为未来的治疗干预提供了基础。
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引用次数: 0
Detection of Rare Thalassemia Variants Using Accurate Circular Consensus Long-Read Sequencing 使用精确的长读测序检测罕见的地中海贫血变异。
IF 3.7 2区 医学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-11 DOI: 10.1155/humu/8897128
Xiaoqiang Zhou, Yue Chen, Shufen Chen, Jingli Lian, Yue Liu, Tingting Yang, Shuijuan Wu, Juan Liu, Xiang Huang, Xingkun Yang

Objective

The aim of this study is to evaluate the efficacy of accurate circular consensus long-read sequencing in the detection of rare thalassemia.

Methods

Conventional molecular analysis on globin genes has limitations because of the broad spectrum of genetic variants, complex genetics, and genotype–phenotype correlation. Accurate circular consensus long-read sequencing is a novel tool that detects complex variants in the thalassemia gene based on third-generation sequencing. In this study, we screen out suspected rare thalassemia carriers by hemoglobin analysis and conventional molecular analysis, and evaluate the efficacy of accurate circular consensus long-read sequencing in the detection of rare thalassemia.

Results

Based on the traditional screening of thalassemia gene, an additional 16 (17.67%) cases of clinically significant variants of rare thalassemia were identified by accurate circular consensus long-read sequencing in this study, including 12-point variants and 4 deletion variants: HBB: (SEA)-HPFH, HBB: c.268_281delAGTGAGCTGCACTG, HBB: (Chinese) Gγ + (Aγδβ)0, and HBA2:c.91-93delGAG.

Conclusion

Accurate circular consensus long-read sequencing has a promising prospect in detecting rare thalassemia gene variants and may improve the detection rate of carriers.

目的:本研究的目的是评估准确循环共识长读测序在罕见地中海贫血检测中的效果。方法:常规的珠蛋白基因分子分析具有遗传变异谱广、遗传学复杂、基因型-表型相关等局限性。精确循环共识长读测序是一种基于第三代测序检测地中海贫血基因复杂变异的新工具。在本研究中,我们通过血红蛋白分析和常规分子分析筛选出可疑的罕见地中海贫血携带者,并评估准确循环共识长读测序在罕见地中海贫血检测中的功效。结果:本研究在传统地中海贫血基因筛查的基础上,通过精确循环一致长读测序技术,新增16例(17.67%)罕见地中海贫血临床显著变异,包括12点变异和4个缺失变异:HBB:(SEA)-HPFH、HBB: c.268_281delAGTGAGCTGCACTG、HBB:(中文)Gγ + (Aγδβ)0、HBA2:c.91-93delGAG。结论:精确的环状一致长读测序在检测罕见地中海贫血基因变异方面具有广阔的应用前景,可提高携带者的检出率。
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引用次数: 0
Itaconate-Related Gene Signatures as Prognostic Markers in Colon Cancer: Insights From Transcriptomic and Spatial Analysis itaconate相关基因标记作为结肠癌的预后标记:来自转录组学和空间分析的见解。
IF 3.7 2区 医学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-10 DOI: 10.1155/humu/7928082
Tingting Zhang, Jianchao Meng, Qingyun Wang, Peng Zhang, Hui Li, Hailang Wei, Denggang Chen, Chen Bai

Colon cancer is one of the most prevalent malignant tumors. Accurate evaluation of patient prognosis and optimization of treatment strategies continue to be major research focuses in colon cancer. Based on The Cancer Genome Atlas (TCGA) database, this study is the first to comprehensively analyze the expression, biological roles, and prognosis of itaconate and Hallmark pathway–related genes in colon cancer using bulk transcriptomics, single-cell transcriptomics, and spatial transcriptomics data. Through strict screening in 448 colon cancer patients from TCGA database (training set) and 7 colon cancer prognostic models from the Gene Expression Omnibus (GEO) database (including 1473 cases in the validation set), 10 prognosis-related genes (TIMP1, FJX1, CD36, CXCL1, ETS2, CDKN2A, INHBB, PLEC, TUBB2, and P4HA1) were selected. The optimal prognostic prediction model (Enet [alpha = 0.2]) was constructed and validated, which showed good prognostic predictive value in both the training and validation sets (average C-index > 0.7) and was superior to previous conventional clinical features and 22 prognostic models developed by researchers in the past 4 years. ScRNAseq (GSE225857) and spatial transcriptomics analyses clarified the cell-specific expression and spatial distribution characteristics of these genes in the tumor microenvironment (TME), with high functional scores mainly enriched in epithelial and stromal cells. Tissue microarray (TMA) showed that the high-risk group had higher tumor mutation burden (TMB) and higher expression of immune checkpoint genes, suggesting higher sensitivity to immunotherapy. Drug sensitivity analysis identified four potentially effective drugs, such as sepantronium bromide, which had better effects on high-risk patients. This study provides a theoretical basis and new targets for precise prognosis and stratified treatment of colon cancer.

结肠癌是最常见的恶性肿瘤之一。准确评估患者预后和优化治疗策略仍然是结肠癌研究的主要焦点。本研究基于美国癌症基因组图谱(Cancer Genome Atlas, TCGA)数据库,首次利用大量转录组学、单细胞转录组学和空间转录组学数据,全面分析衣康酸盐和贺曼信号通路相关基因在结肠癌中的表达、生物学作用和预后。通过对来自TCGA数据库(训练集)的448例结肠癌患者和来自Gene Expression Omnibus (GEO)数据库的7个结肠癌预后模型(验证集1473例)进行严格筛选,筛选出10个预后相关基因(TIMP1、FJX1、CD36、CXCL1、ETS2、CDKN2A、INHBB、PLEC、TUBB2、P4HA1)。构建并验证了最优预后预测模型(Enet [alpha = 0.2]),该模型在训练集和验证集均具有较好的预后预测价值(平均c指数> 0.7),优于以往常规临床特征和近4年来研究人员开发的22种预后模型。ScRNAseq (GSE225857)和空间转录组学分析明确了这些基因在肿瘤微环境(TME)中的细胞特异性表达和空间分布特征,功能评分较高,主要富集于上皮细胞和基质细胞。组织微阵列(TMA)显示,高危组肿瘤突变负担(TMB)较高,免疫检查点基因表达较高,提示免疫治疗敏感性较高。药物敏感性分析确定了四种可能有效的药物,如对高危患者有更好的效果的分离曲溴铵。本研究为结肠癌的精准预后和分层治疗提供了理论依据和新的靶点。
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引用次数: 0
Integrated Multiomics Analysis Reveals a Migrasome-Related Signature for Prognosis and Immunotherapy Response in Lung Adenocarcinoma 综合多组学分析揭示了肺腺癌预后和免疫治疗反应的偏头痛相关特征。
IF 3.7 2区 医学 Q2 GENETICS & HEREDITY Pub Date : 2026-01-08 DOI: 10.1155/humu/8778797
Jiayu Zhou, Tianye Song, Nengzheng Wang, Ce Liang, Ming Jiang, Xu Zhang, Hong Gao, Qingqing Feng

Background

Migrasomes, a newly identified subtype of extracellular vesicles generated during cell migration, play crucial roles in tumor microenvironment modulation. However, their systematic characterization in lung adenocarcinoma (LUAD) remains unexplored. This study is aimed at deciphering migrasome-related molecular features and their clinical significance through multiomics integration.

Methods

We integrated bulk transcriptomes (541 LUAD samples from TCGA/GEO) with single-cell RNA-seq (GSE156632). Migrasome-related genes (MIGgenes) were identified through WGCNA and differential expression analysis. A machine learning framework incorporating 10 algorithms generated 101 combinatorial models, with the optimal prognostic signature (MIGsig) selected via 10-fold cross-validation. Biological mechanisms were investigated through ssGSEA, TME analysis, and in vitro validation.

Results

Our analysis revealed significant migrasome activity enrichment in endothelial cells and fibroblasts, with 115 cross-omics MIGgenes identified including 31 prognostic markers. The Lasso–Cox-derived 3-gene signature (GSTM5/DNASE1L3/PDGFB) demonstrated robust predictive performance (training set C index = 0.703; validation set GSE50081 AUC = 0.678). The low-MIGsig group exhibited characteristic “hot tumor” features, including elevated immune infiltration and higher tumor mutational burden, and significantly improved immunotherapy response rates in the IMvigor210 cohort. Finally, MIGsig-related genes were further validated by in vitro experiments and public database.

Conclusions

This study establishes the first migrasome-based prognostic model for LUAD, demonstrating both independent survival prediction capability and clinical utility for identifying immunotherapy beneficiaries. The MIGsig signature provides novel biological insights into migrasome-mediated tumor–immune interactions and represents a promising tool for precision oncology applications in LUAD management.

背景:迁移体是细胞迁移过程中产生的一种新发现的细胞外囊泡亚型,在肿瘤微环境调节中起着至关重要的作用。然而,它们在肺腺癌(LUAD)中的系统特征仍未被探索。本研究旨在通过多组学整合来解读偏头痛相关的分子特征及其临床意义。方法:我们将大量转录组(来自TCGA/GEO的541个LUAD样本)与单细胞RNA-seq (GSE156632)整合。通过WGCNA和差异表达分析鉴定偏头痛相关基因(MIGgenes)。一个包含10种算法的机器学习框架生成了101个组合模型,并通过10次交叉验证选择了最佳预后特征(MIGsig)。通过ssGSEA、TME分析和体外验证研究其生物学机制。结果:我们的分析显示内皮细胞和成纤维细胞中显著的迁移小体活性富集,鉴定出115个跨组学的迁移基因,包括31个预后标记。lasso - cox衍生的3基因标记(GSTM5/DNASE1L3/PDGFB)显示出稳健的预测性能(训练集C指数= 0.703;验证集GSE50081 AUC = 0.678)。低migsig组表现出典型的“热肿瘤”特征,包括免疫浸润升高和更高的肿瘤突变负担,并且在IMvigor210队列中显著提高了免疫治疗应答率。最后,通过体外实验和公共数据库进一步验证migsig相关基因。结论:本研究建立了首个基于偏头痛体的LUAD预后模型,证明了独立的生存预测能力和确定免疫治疗受益者的临床应用。MIGsig标记为迁移小体介导的肿瘤免疫相互作用提供了新的生物学见解,并代表了在LUAD管理中精确肿瘤学应用的有前途的工具。
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引用次数: 0
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Human Mutation
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