Key result
Machine learning identifies COVID-19-infected cardiac cells with ~0.98 F1 score using key gene signatures.
Why the study?
COVID-19 strains the cardiovascular system, but the influence of SARS-CoV-2 infection on gene expression levels in vascular endothelial cells and cardiomyocytes needed explanation.
Machine learning analysis of single-cell gene expression data identified key genes (MALAT1, MT-CO1, CD36) potentially mediating cardiovascular damage in COVID-19.
May flag MALAT1/MT-CO1/CD36 for COVID-19 cardiac studies; leaves open human translation from animal data.
Corona Virus Disease 2019 (COVID-19) not only causes respiratory system damage, but also imposes strain on the cardiovascular system. Vascular endothelial cells and cardiomyocytes play an important role in cardiac function. The aberrant expression of genes in vascular endothelial cells and cardiomyocytes can lead to cardiovascular diseases. In this study, we sought to explain the influence of respiratory syndrome coronavirus 2 (SARS-CoV-2) infection on the gene expression levels of vascular endothelial cells and cardiomyocytes. We designed an advanced machine learning-based workflow to analyze the gene expression profile data of vascular endothelial cells and cardiomyocytes from patients with COVID-19 and healthy controls. An incremental feature selection method with a decision tree was used in building efficient classifiers and summarizing quantitative classification genes and rules. Some key genes, such as MALAT1, MT-CO1, and CD36, were extracted, which exert important effects on cardiac function, from the gene expression matrix of 104,182 cardiomyocytes, including 12,007 cells from patients with COVID-19 and 92,175 cells from healthy controls, and 22,438 vascular endothelial cells, including 10,812 cells from patients with COVID-19 and 11,626 cells from healthy controls. The findings reported in this study may provide insights into the effect of COVID-19 on cardiac cells and further explain the pathogenesis of COVID-19, and they may facilitate the identification of potential therapeutic targets.
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Xu et al. (2023) studied COVID-19 (n=126,620). SARS-CoV-2 infection vs. Healthy controls was evaluated on Classification performance (F1 measure) for identifying COVID-19 versus healthy cells based on gene expression profiles. A machine learning workflow identified key differentially expressed genes (e.g., MALAT1, MT-CO1, CD36), achieving F1 measures up to 0.983 in classifying COVID-19 versus healthy cardiac cells.
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