| 57 | 0 | 36 |
| 下载次数 | 被引频次 | 阅读次数 |
目的:通过生物信息学与多种机器学习方法筛选非酒精性脂肪肝中与胰岛素抵抗相关的关键特征基因,并探索其潜在治疗药物。方法:本研究整合了GEO数据库中的102例非酒精性脂肪肝高通量数据和286个胰岛素抵抗相关基因,通过差异表达分析获得差异表达基因,利用加权基因共表达网络分析筛选关键模块,随后将差异表达基因,关键模块的基因与胰岛素抵抗相关基因取交集,获得候选基因,采用四种机器学习算法(LASSO,XGBoost,SVM-RFE,RF-RFE)对候选基因进行筛选,获得稳定的特征基因,并基于这些特征基因利用DSigDB数据库进行药物预测。结果:本研究筛选出4个关键特征基因(IRS2、SLC27A4、FOS和KLF11),并基于此构建了集成预测模型,该模型在测试集与独立验证集中均表现出良好的诊断能力(AUC>0.9)。基于这些特征基因预测了79个潜在治疗药物。结论:IRS2、SLC27A4、FOS和KLF11是与胰岛素抵抗相关的非酒精性脂肪肝的关键特征基因,为非酒精性脂肪肝的早期干预与机制研究提供了新的线索。
Abstract:Objective : To identify key signature genes associated with non-alcoholic fatty liver(NAFL) and insulin resistance through bioinformatics and multiple machine learning methods, and to explore their potential therapeutic drugs. Methods : In this study, high-throughput data of 102 NAFL samples from the GEO database and 286 insulin resistancerelated genes were obtained. Differential expression analysis was performed to obtain differentially expressed genes, and weighted gene co-expression network analysis was used to identify key modules. The differentially expressed genes, key module genes, and insulin resistance-related genes were then intersected to obtain candidate genes. Four machine learning algorithms(LASSO, XGBoost, SVM-RFE, and RF-RFE) were applied to identify stable feature genes. Based on these signature genes, drug prediction was performed via the DSigDB database. Results : Four key signature genes(IRS2, SLC27A4, FOS and KLF11) were identified. An integrated prediction model was constructed, which exhibited excellent diagnostic efficiency in both the test set and independent validation set(AUC>0. 9). Based on these signature genes, 79 candidate therapeutic agents were predicted. Conclusion : IRS2, SLC27A4, FOS and KLF11 are core signature genes of NAFL correlated with insulin resistance, providing new insights for early intervention and mechanistic studies of non-alcoholic fatty liver.
[1]Chalasani N, Younossi Z, Lavine J E, et al. The diagnosis and management of non-alcoholic fatty liver disease:practice guideline by the American Gastroenterological Association, American Association for the Study of Liver Diseases, and American College of Gastroenterology[J].Gastroenterology, 2012, 142(7):1592-1609.
[2]Nassir F. NAFLD:mechanisms, treatments, and biomarkers[J]. Biomolecules, 2022, 12(6):824.
[3]Wong V W, Ekstedt M, Wong G L, et al. Changing epidemiology, global trends and implications for outcomes of NAFLD[J]. J Hepatol, 2023, 79(3):842-852.
[4]Younossi Z M, Golabi P, Paik J M, et al. The global epidemiology of nonalcoholic fatty liver disease(NAFLD)and nonalcoholic steatohepatitis(NASH):a systematic review[J]. Hepatology, 2023, 77(4):1335-1347.
[5]范建高,南月敏.代谢相关(非酒精性)脂肪性肝病防治指南(2024年版)[J]. 2024, 32(5):418-434.
[6]Guo X, Yin X, Liu Z, et al. Non-alcoholic fatty liver disease(NAFLD)pathogenesis and natural products for prevention and treatment[J]. Int J Mol Sci, 2022, 23(24):15489.
[7]Man S, Deng Y, Ma Y, et al. Prevalence of liver steatosis and fibrosis in the general population and various high-risk populations:a nationwide study with 5. 7 million adults in China[J]. Gastroenterology, 2023, 165(4):1025-1040.
[8]Estes C, Anstee Q M, Arias-Loste M T, et al. Modeling NAFLD disease burden in China, France, Germany, Italy, Japan, Spain, United Kingdom, and United States for the period 2016–2030[J]. J Hepatol, 2018, 69(4):896-904.
[9]Han S K, Baik S K, Kim M Y. Non-alcoholic fatty liver disease:Definition and subtypes[J]. Clin Mol Hepatol,2023, 29:S5-S16.
[10]Mazzolini G, Sowa J P, Atorrasagasti C, et al. Significance of simple steatosis:an update on the clinical and molecular evidence[J]. Cells, 2020, 9(11):2458.
[11]Ajmera V, Loomba R. Advances in the genetics of nonalcoholic fatty liver disease[J]. Curr Opin Gastroenterol, 2023, 39(3):150-155.
[12]BernáG, Romero-Gomez M. The role of nutrition in non-alcoholic fatty liver disease:Pathophysiology and management[J]. Liver Int, 2020, 40(S1):102-108.
[13]Zhou J, Zhou F, Wang W, et al. Epidemiological features of NAFLD from 1999 to 2018 in China[J]. Hepatology, 2020, 71(5):1851-1864.
[14]Khan R S, Bril F, Cusi K, et al. Modulation of insulin resistance in nonalcoholic fatty liver disease[J]. Hepatology, 2019, 70(2):711-724.
[15]Kubota N, Kubota T, Kadowaki T. Physiological and pathophysiological actions of insulin in the liver[J]. Endocr J, 2025, 72(2):149-159.
[16]张若男,何军华.肝脏胰岛素抵抗引起非酒精性脂肪性肝病相关机制研究进展[J].中国临床研究,2024, 37(7):998-1002.
[17]Ye J, Zhuang X, Li X, et al. Novel metabolic classification for extrahepatic complication of metabolic associated fatty liver disease:a data-driven cluster analysis with international validation[J]. Metabolism, 2022,136:155294.
[18]Leek J T, Johnson W E, Parker H S, et al. The sva package for removing batch effects and other unwanted variation in high-throughput experiments[J]. Bioinformatics, 2012, 28(6):882-883.
[19]Ritchie M E, Phipson B, Wu D, et al. Limma powers differential expression analyses for RNA-sequencing and microarray studies[J]. Nucleic Acids Res, 2015,43(7):e47.
[20]Langfelder P, Horvath S. WGCNA:an R package for weighted correlation network analysis[J]. BMC Bioinform, 2008, 9(1):559.
[21]Hu J, Szymczak S. A review on longitudinal data analysis with random forest[J]. Brief Bioinform, 2023, 24(2):bbad002.
[22]Yang X, Tan L, He L. A robust least squares support vector machine for regression and classification with noise[J]. Neurocomputing, 2014, 140:41-52.
[23]Chen T, Guestrin C. XGBoost:a scalable tree boosting system[C]//Proceedings of the 22nd ACM SIGKDD International Conference on Knowledge Discovery and Data Mining. San Francisco California USA. ACM, 2016:785-794.
[24]Tibshirani R. Regression shrinkage and selection via the lasso[J]. J R Stat Soc Ser B Stat Methodol, 1996,58(1):267-288.
[25]Newman A M, Liu C L, Green M R, et al. Robust enumeration of cell subsets from tissue expression profiles[J]. Nat Meth, 2015, 12(5):453-457.
[26]Subramanian A, Tamayo P, Mootha V K, et al. Gene set enrichment analysis:a knowledge-based approach for interpreting genome-wide expression profiles[J].Proc Natl Acad Sci U S A, 2005, 102(43):15545-15550.
[27]Moulson C L, Lin M H, White J M, et al. Keratinocyte-specific expression of fatty acid transport protein 4rescues the wrinkle-free phenotype in Slc27a4/Fatp4mutant mice[J]. J Biol Chem, 2007, 282(21):15912-15920.
[28]Shen C, Pan Z, Xie W, et al. Hepatocyte-specific SLC27A4 deletion ameliorates nonalcoholic fatty liver disease in mice via suppression of phosphatidylcholinemediated PXR activation[J]. Metabolism, 2025, 162:156054.
[29]Fernandez-Zapico M E, Van Velkinburgh J C, GutiéRrez-Aguilar R, et al. MODY7 gene, KLF11, is a novel p300-dependent regulator of Pdx-1(MODY4)transcription in pancreatic islet β cells[J]. J Biol Chem, 2009, 284(52):36482-36490.
[30]Zhang H, Chen Q, Yang M, et al. Mouse KLF11 regulates hepatic lipid metabolism[J]. J Hepatol, 2013, 58(4):763-770.
[31]Li A, Gilglioni E H, St-Pierre-Wijckmans W, et al.Nutritional c-fos induction rewires hepatic metabolism and can promote obesity-associated hepatocellular carcinoma[J]. Adv Sci, 2025, 12(47):e09755.
[32]Van Der Graaff D, Chotkoe S, De Winter B, et al. Vasoconstrictor antagonism improves functional and structural vascular alterations and liver damage in rats with early NAFLD[J]. JHEP Rep, 2022, 4(2):100412.
[33]高志宇.非酒精性脂肪性肝病发病机制及治疗方案研究进展[J]. Advances in Clinical Medicine, 2024,14(4):1192-1198.
[34]Zhang J, Li M N, Yang G M, et al. Effects of water-sodium balance and regulation of electrolytes associated with antidiabetic drugs[J]. 2023, 27(23):5784-5794.
[35]Funk M I, Conde M A, Piwien-Pilipuk G, et al. Novel antiadipogenic effect of menadione in 3T3-L1 cells[J].Chem Biol Interact, 2021, 343:109491.
基本信息:
中图分类号:R575.5;Q811.4
引用信息:
[1]李冰心,田恬.基于生物信息学与机器学习的胰岛素抵抗相关非酒精性脂肪肝关键特征基因的识别[J].赣南医科大学学报().
基金信息:
赣南医学院教育教学研究项目(Jgkt-2024-74)
2026-06-26
2026-06-26
2026-06-26