Key result
Six hub genes are upregulated in diabetic ulcers and linked to immune response.
Why the study?
Diabetic ulcers carry high incidence and disability rates, but their pathogenesis remains elusive.
May highlight immune targets in diabetic ulcers; leaves open human validation and therapeutic relevance.
Diabetic ulcers (DUs) are characterised by a high incidence and disability rate. However, its pathogenesis remains elusive. Thus, a deep understanding of the underlying mechanisms for the pathogenesis of DUs has vital implications. The weighted gene co-expression network analysis was performed on the main data from the Gene Expression Omnibus database. Gene Ontology (GO) terms, Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis were adopted to analyse the potential biological function of the most relevant module. Furthermore, we utilised CytoHubba and protein-protein interaction network to identify the hub genes. Finally, the hub genes were validated by animal experiments in diabetic ulcer mice models. The expression of genes from the turquoise module was found to be strongly related to DUs. GO terms, KEGG analysis showed that biological functions are closely related to immune response. The hub genes included IFI35, IFIT2, MX2, OASL, RSAD2, and XAF1, which were higher in wounds of DUs mice than that in normal lesions. Additionally, we also demonstrated that the expression of hub genes was correlated with the immune response using immune checkpoint, immune cell infiltration, and immune scores. These data suggests that IFI35, IFIT2, MX2, OASL, RSAD2, and XAF1 are crucial for DUs.
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Zhang et al. (2022) studied Diabetic ulcers. Diabetic ulcer model vs. Healthy control was evaluated on mRNA expression of hub genes (IFI35, IFIT2, MX2, OASL, RSAD2, and XAF1) (p=<0.05). Bioinformatics analysis and in vivo validation demonstrated that the hub genes IFI35, IFIT2, MX2, OASL, RSAD2, and XAF1 are significantly upregulated in diabetic ulcers and closely associated with immune response.
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