Identification of Hypoxia-Related Genes in Human Myocardial Infarction and Cancers.

IF 1.7 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiology Pub Date : 2025-08-12 DOI:10.1159/000547896
Si Yan, Zhichao Fang, Xin Xue, Can Hou, Xiaoyu Yang
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引用次数: 0

Abstract

Introduction: Myocardial infarction (MI) and cancer collectively account for over 50% of global mortality. Recent studies have revealed multiple associations between these two diseases, including chronic inflammation and oxidative stress, with particular focus on hypoxia-mediated signaling pathways. In ischemic myocardium, oxygen deprivation triggers apoptosis, fibrosis, and pathological tissue reorganization; in the tumor microenvironment (TME), hypoxia drives angiogenesis, metabolic reprogramming, and immune evasion. Thus, identifying differentially expressed genes related to hypoxia in MI may provide new targets for the treatment of MI and cancer.

Methods: The specimens from MI patients in this study were retrieved from the Gene Expression Omnibus (GEO) database. Using the "limma" package in R and weighted gene co-expression network analysis (WGCNA), a set of hypoxia-related differentially expressed genes was screened out. Subsequently, these hub genes were subjected to functional enrichment analysis, and their expression levels were verified in an independent dataset. Finally, transcriptional regulatory analysis and immune infiltration analysis were conducted for the hub genes, and their expression levels and prognostic values in various cancers were evaluated.

Results: In MI samples, nine genes, namely Immediate Early Response 3 (IER3), Heme Oxygenase 1 (HMOX1), Cyclin-Dependent Kinase Inhibitor 1A (CDKN1A), Plasminogen Activator Urokinase Receptor (PLAUR), MAF BZIP Transcription Factor F (MAFF), Solute Carrier Family 2 Member 3 (SLC2A3), Jun Proto-Oncogene (JUN), Transforming Growth Factor Beta Induced (TGFBI), and 6-Phosphofructo-2-Kinase/Fructose-2,6-Biphosphatase 3 (PFKFB3), were found to demonstrate significant dysregulation and to be closely associated with the occurrence of various cancers. Pan-cancer analysis further revealed the association of hub genes with cancer prognosis. Immune analysis also revealed their associations with resting CD4+ memory T cells and gamma delta T cells in TME.

Conclusion: IER3, HMOX1, CDKN1A, PLAUR, MAFF, SLC2A3, JUN, TGFBI, and PFKFB3 are potential biomarkers for MI and cancer. Research on hypoxia-related genes may provide new therapeutic targets for these two diseases.

人类心肌梗死和癌症中缺氧相关基因的鉴定。
背景:心肌梗死(MI)和癌症合计占全球死亡率的50%以上。最近的研究揭示了这两种疾病之间的多种关联,包括慢性炎症和氧化应激,特别关注缺氧介导的信号通路。在缺血心肌中,缺氧触发细胞凋亡、纤维化和病理组织重组,在肿瘤微环境(TME)中,缺氧驱动血管生成、代谢重编程和免疫逃避。因此,鉴定心肌梗死中与缺氧相关的差异表达基因可能为这两种疾病提供潜在的治疗靶点。方法:心肌梗死患者的测序数据来自基因表达Omnibus (GEO)数据库。差异表达基因(deg)的鉴定采用加权基因共表达网络分析(加权基因共表达网络分析,WGCNA),然后筛选一组潜在的枢纽基因与缺氧相关。对这些中心基因进行功能富集分析。随后在新的数据集中验证了枢纽基因的表达水平和稳定性。最后对枢纽基因进行转录调控分析和免疫浸润分析,评估其在各种癌症中的表达水平和预后价值。结果:在MI样本中,9个基因分别是即时早期反应3 (IER3)、血红素加氧酶1 (HMOX1)、细胞周期蛋白依赖性激酶抑制剂1A (CDKN1A)、纤溶酶原激活物尿激酶受体(PLAUR)、MAF BZIP转录因子F (MAFF)、溶质载体家族2成员3 (SLC2A3)、Jun原癌基因(Jun)、转化生长因子β诱导(TGFBI)和6-磷酸果糖-2激酶/果糖-2,6-双磷酸酶3 (PFKFB3)。被发现有明显的失调并且与各种癌症的发生密切相关。泛癌分析进一步揭示了这些基因与癌症预后相关。免疫分析还观察到它们与TME中静息CD4+记忆T细胞和γ δ T细胞的关联。结论:IER3、HMOX1、CDKN1A、PLAUR、MAFF、SLC2A3、JUN、TGFBI和PFKFB3是心肌梗死和癌症的潜在生物标志物。研究缺氧相关基因(HRGs)可能为这两种疾病的治疗提供新的靶点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Cardiology
Cardiology 医学-心血管系统
CiteScore
3.40
自引率
5.30%
发文量
56
审稿时长
1.5 months
期刊介绍: ''Cardiology'' features first reports on original clinical, preclinical and fundamental research as well as ''Novel Insights from Clinical Experience'' and topical comprehensive reviews in selected areas of cardiovascular disease. ''Editorial Comments'' provide a critical but positive evaluation of a recent article. Papers not only describe but offer critical appraisals of new developments in non-invasive and invasive diagnostic methods and in pharmacologic, nutritional and mechanical/surgical therapies. Readers are thus kept informed of current strategies in the prevention, recognition and treatment of heart disease. Special sections in a variety of subspecialty areas reinforce the journal''s value as a complete record of recent progress for all cardiologists, internists, cardiac surgeons, clinical physiologists, pharmacologists and professionals in other areas of medicine interested in current activity in cardiovascular diseases.
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