Key result
DUSP1 is linked to ischemic stroke diagnosis with an AUC of ~74%.
Observational
Background . Oxidative stress (OS) and immune inflammation play complex intersections in the pathophysiology of ischemic stroke (IS). However, a competing endogenous RNA‐ (ceRNA‐) based mechanism linked to the intersections in IS has not been explored. We aimed to identify potential OS‐related signatures and analyze immune infiltration characteristics in IS. Methods . Three datasets (GSE22255, GSE110993, and GSE140275) from the GEO database were extracted. Differentially expressed long noncoding RNAs, microRNAs, and messenger RNAs (DElncRNAs, DEmiRNAs, and DEmRNAs) between IS patients and controls were identified. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis were explored. Moreover, a triple ceRNA network was constructed to reveal transcriptional regulation mechanisms. A comprehensive strategy among least absolute shrinkage and selection operator (LASSO) regression, DEmRNAs, uprelated DEmRNAs, and OS‐related genes was adopted to select the best signature. Then, we evaluated and verified the discriminant ability of the signature via receiver operating characteristic (ROC) analysis. Immune infiltration characteristics were explored via the CIBERSORT algorithm. Moreover, the best signature was verified via qPCR and western blot methods in rat brain tissues and PC12 cells. Results . 11 DEmRNAs were identified totally. Enrichment analysis showed that the DEmRNAs were primarily concentrated in MAPK‐associated biological processes and immune or inflammation‐involved pathways. DUSP1 was identified as the best signature with an area under the ROC curve of 73.5% (95 % CI = 57.02‐89.98, sensitivity = 95 % , and specificity = 60 % ) in GSE22255 and 100.0% (95 % CI = 100.00‐100.00, sensitivity = 100 % , and specificity = 100 % ) in GSE140275. Importantly, we also identified the AC079305/DUSP1 axis in the ceRNA network. Immune infiltration showed that resting mast cells infiltrate less in IS patients compared with controls. And DUSP1 was negatively correlated with resting mast cells ( r = −0.703, P < 0.01), whereas it was positively correlated with neutrophils ( r = 0.339, P < 0.05). Both in vivo and in vitro models confirmed the upregulated expression of DUSP1 and the downregulated expression of miR-429 . Conclusion . This study identified the ceRNA‐based AC079305/DUSP1 axis as a promising OS‐related signature for IS. Immune infiltrating cells, especially mast cells, may exert a pivotal role in IS progression. Pharmacological agents targeting signatures, their receptors, or mast cells may shed a novel light on therapeutic targets for IS.
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Fan et al. (2022) conducted an observational in Ischemic Stroke. AC079305/DUSP1 axis expression vs. Controls was evaluated on Discriminant ability (Area under the ROC curve) of DUSP1 (AUC 73.5%, 95% CI 57.02-89.98). The AC079305/DUSP1 axis was identified as a diagnostic signature for ischemic stroke, with DUSP1 demonstrating an AUC of 73.5% (95% CI 57.02-89.98) in the GSE22255 dataset.
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