Key result
A five-gene disulfidptosis-related signature (MYH9, NUBPL, MYL6, MYH10, and NCKAP1) accurately identified ischaemic cardiomyopathy with an AUC of 0.911 in the training cohort and up to 0.967 in validation cohorts.
Why the study?
Ischaemic cardiomyopathy predominantly arises from prolonged coronary oxygen deprivation, but the role of disulfidptosis-associated genes in its development remains to be investigated.
Observational (n=355)
Effect estimate: AUC 0.911
Disulfidptosis-associated genes, specifically MYH9, NUBPL, MYL6, MYH10 and NCKAP1, show altered expression in ischaemic cardiomyopathy and may serve as diagnostic biomarkers.
The signature may guide preclinical ischaemic cardiomyopathy models; leaves open human translation and clinical utility.
Ischaemic cardiomyopathy (IC) predominantly arises from prolonged deprivation of oxygen in the coronary arteries, resulting in compromised cardiac contractility or relaxation. This study investigates the role of disulfidptosis-associated genes (DiGs) in IC. Through the analysis of datasets GSE5406 and GSE57338, we explored the association between DiGs and immune characteristics to identify crucial genes contributing to IC development. The support vector machine model emerged as the most effective, identifying key genes such as MYH9, NUBPL, MYL6, MYH10 and NCKAP1. Validation with independent datasets GSE57345, GSE48166 and single-cell GSE145154 further supported these findings, demonstrating high predictive accuracy. Experimental validation in an IC mouse model, using Western blot, immunohistochemistry and RT-qPCR, confirmed the altered expression of these core genes in myocardial ischaemic regions. This research not only elucidates the significance of DiGs in IC but also underscores the diagnostic potential of identified core genes.
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Tan et al. (2025) conducted an observational in Ischaemic cardiomyopathy (n=355). Disulfidptosis-related gene signature (MYH9, NUBPL, MYL6, MYH10, NCKAP1) vs. Healthy controls was evaluated on Diagnostic accuracy (Area Under the Curve) for ischaemic cardiomyopathy (AUC 0.911). A five-gene disulfidptosis-related signature (MYH9, NUBPL, MYL6, MYH10, and NCKAP1) accurately identified ischaemic cardiomyopathy with an AUC of 0.911 in the training cohort and up to 0.967 in validation cohorts.
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