Multiple Hub Genes as Diagnostic and Therapeutic Targets Inducing Inflammation and Angiogenesis in Retinopathy of Prematurity

Cheng Du,1,* Yuan Tian,2,* Yu Liu,2 Yuanyuan Shi,2 Xingying Chen,1 Hui Chai,2 Yuyan Zhang,2 Hui Shen,1 Lin Zhang2 1Jiaxing Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Jiaxing, Zhejiang Province, 314001, People’s Republic of China; 2College o...

Full description

Saved in:
Bibliographic Details
Main Authors: Du C, Tian Y, Liu Y, Shi Y, Chen X, Chai H, Zhang Y, Shen H, Zhang L
Format: Article
Language:English
Published: Dove Medical Press 2025-08-01
Series:International Journal of General Medicine
Subjects:
Online Access:https://www.dovepress.com/multiple-hub-genes-as-diagnostic-and-therapeutic-targets-inducing-infl-peer-reviewed-fulltext-article-IJGM
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849395810863677440
author Du C
Tian Y
Liu Y
Shi Y
Chen X
Chai H
Zhang Y
Shen H
Zhang L
author_facet Du C
Tian Y
Liu Y
Shi Y
Chen X
Chai H
Zhang Y
Shen H
Zhang L
author_sort Du C
collection DOAJ
description Cheng Du,1,* Yuan Tian,2,* Yu Liu,2 Yuanyuan Shi,2 Xingying Chen,1 Hui Chai,2 Yuyan Zhang,2 Hui Shen,1 Lin Zhang2 1Jiaxing Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Jiaxing, Zhejiang Province, 314001, People’s Republic of China; 2College of Life Science/Institute of Molecular Medicine, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, 310053, People’s Republic of China*These authors contributed equally to this workCorrespondence: Lin Zhang, College of Life Science/Institute of Molecular Medicine, Zhejiang Chinese Medical University, Hangzhou, 310053, People’s Republic of China, Email 20021047@zcmu.edu.cn Hui Shen, Jiaxing Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Jiaxing, 314001, People’s Republic of China, Email shenhui19830227@163.comIntroduction: The pathogenesis of retinopathy of prematurity (ROP) is intricate and multifactorial. The current treatments for ROP include laser photocoagulation, cryotherapy, scleral buckling or vitrectomy and anti-VEGF drugs, yet which have numerous adverse effects. Consequently, the objective of this investigation was to mine new biomarkers of ROP and identify potential therapeutics that target these biomarkers.Methods: GSE130400, the expression profile of ROP, was downloaded from the GEO database and annotated by dplyr package in R. The limma package was employed to identify differentially expressed genes (DEGs) between cases and controls. WGCNA was utilized to obtain oxygen-induced retinopathy (OIR)-related modules, and then key genes were obtained in the intersection of DEGs and the above modules. Biological functions and pathways of key genes were enriched through DAVID, Metascape and Gene set enrichment analysis. Hub genes were screened by three machine learning methods and validated by nomograms, ROC curves and qRT-PCR. CIBERSORT was used to estimate the abundances of immune cells and Pearson analysis revealed immune cells, checkpoints and chemokines associated with hub genes. Finally, we constructed a ceRNA network and a drug–gene interaction network.Results: Utilizing GSE130400 as a basis, a total of 798 DEGs and 3711 genes from three OIR-related modules in WGCNA were identified, resulting in the identification of 681 key genes. Hub genes Plxnd1, Esm1 and Cd248 were explored using various machine learning methods and proved to be closely related with the occurrence of ROP through nomograms, ROC curves and qRT-PCR. Enrichment analysis revealed a significant enrichment of hub genes in processes related to endothelial cell proliferation, migration, and angiogenesis, among others. Immune analysis displayed that the development of ROP was associated with alterations in M0 macrophages and M2 macrophages, with hub genes participating in the regulation of immune cells M0 macrophages, Th2 cells, and NK resting cells, as well as chemokines lncRNA H19 (H19), CXCR5 (F5), CCL27 (F7) and CCL2 (C2). Furthermore, the drug–gene interaction network displayed 14 possible candidate drugs targeting 3 hub genes.Conclusion: Plxnd1, Esm1 and Cd248 might play significant roles in the progression of ROP and could become possible diagnostic and therapeutic targets in ROP. Keywords: retinopathy of prematurity, bioinformatic analysis, Plxnd1, Esm1, Cd248, immunology
format Article
id doaj-art-ecc2591e8f8f47cdb670bfc8a4f2e589
institution Kabale University
issn 1178-7074
language English
publishDate 2025-08-01
publisher Dove Medical Press
record_format Article
series International Journal of General Medicine
spelling doaj-art-ecc2591e8f8f47cdb670bfc8a4f2e5892025-08-20T03:39:29ZengDove Medical PressInternational Journal of General Medicine1178-70742025-08-01Volume 18Issue 142094228105463Multiple Hub Genes as Diagnostic and Therapeutic Targets Inducing Inflammation and Angiogenesis in Retinopathy of PrematurityDu C0Tian Y1Liu Y2Shi Y3Chen X4Chai H5Zhang Y6Shen H7Zhang L8Jiaxing Hospital of Traditional Chinese MedicineCollege of Life Science/Institute of Molecular MedicineCollege of Life Science/Institute of Molecular MedicineCollege of Life Science/Institute of Molecular MedicineJiaxing Hospital of Traditional Chinese MedicineCollege of Life Science/Institute of Molecular MedicineCollege of Life Science/Institute of Molecular MedicineJiaxing Hospital of Traditional Chinese MedicineCollege of Life Science/Institute of Molecular MedicineCheng Du,1,* Yuan Tian,2,* Yu Liu,2 Yuanyuan Shi,2 Xingying Chen,1 Hui Chai,2 Yuyan Zhang,2 Hui Shen,1 Lin Zhang2 1Jiaxing Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Jiaxing, Zhejiang Province, 314001, People’s Republic of China; 2College of Life Science/Institute of Molecular Medicine, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, 310053, People’s Republic of China*These authors contributed equally to this workCorrespondence: Lin Zhang, College of Life Science/Institute of Molecular Medicine, Zhejiang Chinese Medical University, Hangzhou, 310053, People’s Republic of China, Email 20021047@zcmu.edu.cn Hui Shen, Jiaxing Hospital of Traditional Chinese Medicine, Zhejiang Chinese Medical University, Jiaxing, 314001, People’s Republic of China, Email shenhui19830227@163.comIntroduction: The pathogenesis of retinopathy of prematurity (ROP) is intricate and multifactorial. The current treatments for ROP include laser photocoagulation, cryotherapy, scleral buckling or vitrectomy and anti-VEGF drugs, yet which have numerous adverse effects. Consequently, the objective of this investigation was to mine new biomarkers of ROP and identify potential therapeutics that target these biomarkers.Methods: GSE130400, the expression profile of ROP, was downloaded from the GEO database and annotated by dplyr package in R. The limma package was employed to identify differentially expressed genes (DEGs) between cases and controls. WGCNA was utilized to obtain oxygen-induced retinopathy (OIR)-related modules, and then key genes were obtained in the intersection of DEGs and the above modules. Biological functions and pathways of key genes were enriched through DAVID, Metascape and Gene set enrichment analysis. Hub genes were screened by three machine learning methods and validated by nomograms, ROC curves and qRT-PCR. CIBERSORT was used to estimate the abundances of immune cells and Pearson analysis revealed immune cells, checkpoints and chemokines associated with hub genes. Finally, we constructed a ceRNA network and a drug–gene interaction network.Results: Utilizing GSE130400 as a basis, a total of 798 DEGs and 3711 genes from three OIR-related modules in WGCNA were identified, resulting in the identification of 681 key genes. Hub genes Plxnd1, Esm1 and Cd248 were explored using various machine learning methods and proved to be closely related with the occurrence of ROP through nomograms, ROC curves and qRT-PCR. Enrichment analysis revealed a significant enrichment of hub genes in processes related to endothelial cell proliferation, migration, and angiogenesis, among others. Immune analysis displayed that the development of ROP was associated with alterations in M0 macrophages and M2 macrophages, with hub genes participating in the regulation of immune cells M0 macrophages, Th2 cells, and NK resting cells, as well as chemokines lncRNA H19 (H19), CXCR5 (F5), CCL27 (F7) and CCL2 (C2). Furthermore, the drug–gene interaction network displayed 14 possible candidate drugs targeting 3 hub genes.Conclusion: Plxnd1, Esm1 and Cd248 might play significant roles in the progression of ROP and could become possible diagnostic and therapeutic targets in ROP. Keywords: retinopathy of prematurity, bioinformatic analysis, Plxnd1, Esm1, Cd248, immunologyhttps://www.dovepress.com/multiple-hub-genes-as-diagnostic-and-therapeutic-targets-inducing-infl-peer-reviewed-fulltext-article-IJGMretinopathy of prematuritybioinformatic analysisPlxnd1Esm1Cd248immunology
spellingShingle Du C
Tian Y
Liu Y
Shi Y
Chen X
Chai H
Zhang Y
Shen H
Zhang L
Multiple Hub Genes as Diagnostic and Therapeutic Targets Inducing Inflammation and Angiogenesis in Retinopathy of Prematurity
International Journal of General Medicine
retinopathy of prematurity
bioinformatic analysis
Plxnd1
Esm1
Cd248
immunology
title Multiple Hub Genes as Diagnostic and Therapeutic Targets Inducing Inflammation and Angiogenesis in Retinopathy of Prematurity
title_full Multiple Hub Genes as Diagnostic and Therapeutic Targets Inducing Inflammation and Angiogenesis in Retinopathy of Prematurity
title_fullStr Multiple Hub Genes as Diagnostic and Therapeutic Targets Inducing Inflammation and Angiogenesis in Retinopathy of Prematurity
title_full_unstemmed Multiple Hub Genes as Diagnostic and Therapeutic Targets Inducing Inflammation and Angiogenesis in Retinopathy of Prematurity
title_short Multiple Hub Genes as Diagnostic and Therapeutic Targets Inducing Inflammation and Angiogenesis in Retinopathy of Prematurity
title_sort multiple hub genes as diagnostic and therapeutic targets inducing inflammation and angiogenesis in retinopathy of prematurity
topic retinopathy of prematurity
bioinformatic analysis
Plxnd1
Esm1
Cd248
immunology
url https://www.dovepress.com/multiple-hub-genes-as-diagnostic-and-therapeutic-targets-inducing-infl-peer-reviewed-fulltext-article-IJGM
work_keys_str_mv AT duc multiplehubgenesasdiagnosticandtherapeutictargetsinducinginflammationandangiogenesisinretinopathyofprematurity
AT tiany multiplehubgenesasdiagnosticandtherapeutictargetsinducinginflammationandangiogenesisinretinopathyofprematurity
AT liuy multiplehubgenesasdiagnosticandtherapeutictargetsinducinginflammationandangiogenesisinretinopathyofprematurity
AT shiy multiplehubgenesasdiagnosticandtherapeutictargetsinducinginflammationandangiogenesisinretinopathyofprematurity
AT chenx multiplehubgenesasdiagnosticandtherapeutictargetsinducinginflammationandangiogenesisinretinopathyofprematurity
AT chaih multiplehubgenesasdiagnosticandtherapeutictargetsinducinginflammationandangiogenesisinretinopathyofprematurity
AT zhangy multiplehubgenesasdiagnosticandtherapeutictargetsinducinginflammationandangiogenesisinretinopathyofprematurity
AT shenh multiplehubgenesasdiagnosticandtherapeutictargetsinducinginflammationandangiogenesisinretinopathyofprematurity
AT zhangl multiplehubgenesasdiagnosticandtherapeutictargetsinducinginflammationandangiogenesisinretinopathyofprematurity