Exploring potential biomarkers for acute myocardial infarction by combining circadian rhythm gene expression and immune cell infiltration

Abstract Current diagnostic biomarkers for acute myocardial infarction (AMI), such as troponins, often lack specificity, leading to false positives under non-cardiac conditions. Recent studies have implicated circadian rhythm and immune infiltration in the pathogenesis of AMI. This study hypothesize...

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Main Authors: Xiao Yu, Xiaopeng Zhang, Hazrat Bilal, Chang Shi, Lei Sun
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-88568-2
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author Xiao Yu
Xiaopeng Zhang
Hazrat Bilal
Chang Shi
Lei Sun
author_facet Xiao Yu
Xiaopeng Zhang
Hazrat Bilal
Chang Shi
Lei Sun
author_sort Xiao Yu
collection DOAJ
description Abstract Current diagnostic biomarkers for acute myocardial infarction (AMI), such as troponins, often lack specificity, leading to false positives under non-cardiac conditions. Recent studies have implicated circadian rhythm and immune infiltration in the pathogenesis of AMI. This study hypothesizes that analyzing the interplay between circadian rhythm-related gene expression and immune infiltration identify highly specific diagnostic biomarkers for AMI. Our results demonstrated differential expression of 15 circadian rhythm-related genes (CRGs) between AMI patients and healthy individuals, with five key genes—JUN, NAMPT, S100A8, SERPINA1, and VCAN identified as key contributors to this process. Functional enrichment analyses suggest these genes significantly influence cytokine and chemokine production in immune responses. Immune infiltration assessments using ssGSEA indicated elevated levels of neutrophils, macrophages, and eosinophils in AMI patients. Additionally, we identified potential therapeutic implications with 13 pivotal miRNAs and 10 candidate drugs targeting these genes. The Benjamini–Hochberg method was employed to adjust for multiple testing, and the results retained statistical significance. RT-qPCR analysis further confirmed the upregulation of these five genes under hypoxic conditions, compared to controls. Collectively, our findings highlight the critical role of CRGs in AMI, providing a foundation for improved diagnostic approaches and novel therapeutic targets.
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spelling doaj-art-3e8b2319880544a89c34000850f95c432025-02-02T12:24:46ZengNature PortfolioScientific Reports2045-23222025-02-0115111310.1038/s41598-025-88568-2Exploring potential biomarkers for acute myocardial infarction by combining circadian rhythm gene expression and immune cell infiltrationXiao Yu0Xiaopeng Zhang1Hazrat Bilal2Chang Shi3Lei Sun4Department of Pathology and Forensic Medicine, College of Basic Medical Sciences, Dalian Medical UniversityDepartment of Pathology and Forensic Medicine, College of Basic Medical Sciences, Dalian Medical UniversityDepartment of Pathology and Forensic Medicine, College of Basic Medical Sciences, Dalian Medical UniversityDepartment of Pathology, First Affiliated HospitalDepartment of Pathology and Forensic Medicine, College of Basic Medical Sciences, Dalian Medical UniversityAbstract Current diagnostic biomarkers for acute myocardial infarction (AMI), such as troponins, often lack specificity, leading to false positives under non-cardiac conditions. Recent studies have implicated circadian rhythm and immune infiltration in the pathogenesis of AMI. This study hypothesizes that analyzing the interplay between circadian rhythm-related gene expression and immune infiltration identify highly specific diagnostic biomarkers for AMI. Our results demonstrated differential expression of 15 circadian rhythm-related genes (CRGs) between AMI patients and healthy individuals, with five key genes—JUN, NAMPT, S100A8, SERPINA1, and VCAN identified as key contributors to this process. Functional enrichment analyses suggest these genes significantly influence cytokine and chemokine production in immune responses. Immune infiltration assessments using ssGSEA indicated elevated levels of neutrophils, macrophages, and eosinophils in AMI patients. Additionally, we identified potential therapeutic implications with 13 pivotal miRNAs and 10 candidate drugs targeting these genes. The Benjamini–Hochberg method was employed to adjust for multiple testing, and the results retained statistical significance. RT-qPCR analysis further confirmed the upregulation of these five genes under hypoxic conditions, compared to controls. Collectively, our findings highlight the critical role of CRGs in AMI, providing a foundation for improved diagnostic approaches and novel therapeutic targets.https://doi.org/10.1038/s41598-025-88568-2Circadian rhythm-related genesAcute myocardial infarctionBiomarkerImmune infiltrationBioinformatics analysis
spellingShingle Xiao Yu
Xiaopeng Zhang
Hazrat Bilal
Chang Shi
Lei Sun
Exploring potential biomarkers for acute myocardial infarction by combining circadian rhythm gene expression and immune cell infiltration
Scientific Reports
Circadian rhythm-related genes
Acute myocardial infarction
Biomarker
Immune infiltration
Bioinformatics analysis
title Exploring potential biomarkers for acute myocardial infarction by combining circadian rhythm gene expression and immune cell infiltration
title_full Exploring potential biomarkers for acute myocardial infarction by combining circadian rhythm gene expression and immune cell infiltration
title_fullStr Exploring potential biomarkers for acute myocardial infarction by combining circadian rhythm gene expression and immune cell infiltration
title_full_unstemmed Exploring potential biomarkers for acute myocardial infarction by combining circadian rhythm gene expression and immune cell infiltration
title_short Exploring potential biomarkers for acute myocardial infarction by combining circadian rhythm gene expression and immune cell infiltration
title_sort exploring potential biomarkers for acute myocardial infarction by combining circadian rhythm gene expression and immune cell infiltration
topic Circadian rhythm-related genes
Acute myocardial infarction
Biomarker
Immune infiltration
Bioinformatics analysis
url https://doi.org/10.1038/s41598-025-88568-2
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