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pmid:40636547
Identifying Diagnostic Biomarkers for Electroacupuncture Treatment of Rheumatoid Arthritis Using Bioinformatic Analysis and Machine Learning Algorithms.
Yijun Sun · Guoqi Dong · Hui Gao · Yong Yao · Huayuan Yang
Journal of pain research · 2025 doi:10.2147/JPR.S517733
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Experiment
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Complete file
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However, the molecular mechanisms underlying the effects of EA in RA remained poorly understood. This study aimed to identify potential diagnostic biomarkers for RA and elucidated the molecular targets of EA by using bioinformatics analysis and machine learning algorithms in peripheral blood samples.\nMethods: We obtained datasets from the Gene Expression Omnibus(GEO) database containing samples from RA patients (GSE15573) and from RA patients after EA treatment (GSE59526) for bioinformatics analysis. Diagnostic biomarkers were identified using three distinct machine learning algorithms (LASSO, Random Forest and SVM-REF). A rat model of RA was established using Complete Freund's Adjuvant (CFA), and quantitative real-time PCR was performed to confirm the differential expression of identified diagnostic biomarkers and assess the modulatory impact of EA on these genes.\nResults: Twenty-six genes were identified as differentially expressed following EA treatment. Three machine learning algorithms converged on ARHGAP17 and VEGFB as potential diagnostic biomarkers for RA, exhibiting robust diagnostic performance (AUC > 0.75) and consistent expression patterns across multiple RA cohorts (GSE17755, GSE205962 and GSE93272). Besides, EA treatment significantly increased the paw withdrawal threshold (PWT) and the peripheral blood expression of both ARHGAP17 and VEGFB in CFA rats.\nConclusion: This study employed three machine learning algorithms to identify potential diagnostic biomarkers for the alleviation of RA by EA. The biomarkers demonstrated robust diagnostic performance across multiple validation datasets. Furthermore, animal experiments confirmed that EA exerted a favorable regulatory effect on these diagnostic biomarkers. 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The rats were provided with free access to food and water", "pathogen free (SPF) male Sprague-Dawley (SD) rats aged 8 weeks weighing 160–200 g were procure"], "order_basis": "paper_text_order:919", "id": "assay:1"}, {"role": "data_generation", "definition_id": "qpcr", "definition_version": "99e1195c7d6f", "definition_digest": null, "required_operations": [], "support_state": "partial", "source_hashes": {"assay_lexicon": "99e1195c7d6f"}, "confidence": 0.99, "evidence": ["te Freund's Adjuvant (CFA), and quantitative real-time PCR was performed to confirm the differential ex", "wed by Bonferroni post hoc tests applied for qPCR analysis, while behavioral analysis was cond"], "order_basis": "paper_text_order:1008", "id": "assay:2"}, {"role": "analysis", "definition_id": "group_comparison", "definition_version": "f2132e96ae6c7a4e", "definition_digest": null, "required_operations": ["group_summary", "welch_t", "bootstrap_mean_difference", "group_comparison_anova"], "support_state": "supported", "source_hashes": {"dsl_catalogue": "f2132e96ae6c7a4e"}, "confidence": 1.0, "evidence": ["Diagnostic biomarkers were identified using three distinct machine learning algorithms (LASSO, Random Forest and SVM-REF)."], "order_basis": "consumes_earlier_output", "id": "assay:3"}]}