Key result
An 8-gene immune nomogram distinguishes ischemic cardiomyopathy from healthy controls with ~99% diagnostic accuracy.
Why the study?
The immune molecular mechanisms involved in ischaemic cardiomyopathy had not been fully elucidated.
Observational
Requires prospective validation before clinical use; leaves open the role of immune-gene nomograms in ischaemic cardiomyopathy diagnosis.
The immune molecular mechanisms involved in ischaemic cardiomyopathy (ICM) have not been fully elucidated. The current study aimed to elucidate the immune cell infiltration pattern of the ICM and identify key immune-related genes that participate in the pathologic process of the ICM. The differentially expressed genes (DEGs) were identified from two datasets (GSE42955 combined with GSE57338) and the top 8 key DEGs related to ICM were screened using random forest and used to construct the nomogram model. Moreover, the âCIBERSORTâ software package was used to determine the proportion of infiltrating immune cells in the ICM. A total of 39 DEGs (18 upregulated and 21 downregulated) were identified in the current study. Four upregulated DEGs, including MNS1, FRZB, OGN, and LUM, and four downregulated DEGs, SERP1NA3, RNASE2, FCN3 and SLCO4A1, were identified by the random forest model. The nomogram constructed based on the above 8 key genes suggested a diagnostic value of up to 99% to distinguish the ICM from healthy participants. Meanwhile, most of the key DEGs presented prominent interactions with immune cell infiltrates. The RT-qPCR results suggested that the expression levels of MNS1, FRZB, OGN, LUM, SERP1NA3 and FCN3 between the ICM and control groups were consistent with the bioinformatic analysis results. These results suggested that immune cell infiltration plays a critical role in the occurrence and progression of ICM. Several key immune-related genes, including the MNS1, FRZB, OGN, LUM, SERP1NA3 and FCN3 genes, are expected to be reliable serum markers for the diagnosis of ICM and potential molecular targets for ICM immunotherapy.
No takes yet. Share an insight, caveat, or question.
Zheng et al. (2023) conducted an observational in Ischaemic cardiomyopathy. Nomogram based on 8 key immune-related genes vs. Healthy participants was evaluated on Diagnostic value to distinguish ischaemic cardiomyopathy from healthy participants. A nomogram constructed based on 8 key immune-related genes demonstrated a diagnostic value of up to 99% to distinguish ischaemic cardiomyopathy from healthy participants.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: