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pmid:41021591
Machine learning-based transcriptomic analysis identifies NAMPT and SAT1 as potential biomarkers and therapeutic targets in ferroptosis-associated rheumatoid arthritis.
Devi Soorya Narayana Sasikumar · Vino Sundararajan
PloS one · 2025 doi:10.1371/journal.pone.0333556
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Experiment
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Complete file
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Ferroptosis is iron-dependent programmed cell death through lipid peroxide accumulation, implicated in inflammatory diseases, including RA. However, its underlying mechanisms and gene-level contributions to RA pathogenesis remain largely unexplored. Therefore, this study emphasizes identifying ferroptosis-related genes associated with RA, evaluating their diagnostic, prognostic, and therapeutic potential, and exploring their role in immune modulation.\nMETHODS: The transcriptomic dataset (GSE89408) from the peripheral blood gene expression was downloaded from the Gene Expression Omnibus (GEO) database. We extracted the differentially expressed genes (DEGs) using R software and the most relevant modules relevant to RA were identified through weighted gene coexpression network analysis (WGCNA). We also identified the differentially expressed ferroptosis genes. The gene ontology and pathways involving the common genes were identified and the protein-protein interaction network was constructed. The hub genes were identified using three machine learning algorithms, least absolute shrinkage and selection operator (LASSO), random forest (RF), and support vector machine (SVM), after which the diagnostic efficiency of the hub genes and the correlation with immune infiltrating cells were predicted.\nRESULTS: A total of 9176 DEGs and a module of 314 genes were obtained which has a significant correlation with RA and 17 genes were selected after the intersection. Using the three machine-learning algorithms, we retrieved 8 hub genes (CISD2, LACTB, PRNP, SAT1, NAMPT, MITD1, SOD2, and FASN) between RA and ferroptosis which showed good diagnostic performance using the ROC curve and nomogram plots. Functional annotation analysis was utilized to inspect the biological functions of the hub genes and the genes showed a substantial association with the immune infiltrating cells.\nCONCLUSION: NAMPT, CISD2, LACTB, PRNP, SAT1, SOD2, MITD1, and FASN may modulate ferroptosis and RA by influencing immunity, and NAMPT and SAT1 contribute significantly to the diagnosis and treatment of the disease. Future studies focusing on validating these genes in larger cohorts and exploring their therapeutic potential will provide deeper insights.", "claims": [{"id": "claim-method", "statement": "We applied machine learning algorithms, including LASSO, random forest (RF), and support vector machine-recursive feature elimination (SVM-RFE), to identify the key genes, discern the hub genes, assess their diagnostic potential, and correlate them with immune cell infiltration patterns.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:41021591", "locator": "sections[1] \"1. 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This dataset comprised 218 samples, including 152 RA (46 males and 106 females) samples and 28 healthy control tissue samples (14 males and 14 females) from the synovium, which were utilized further for this study [21]."}], "state": "complete"}, {"id": "claim-target-result", "statement": "Using the three machine-learning algorithms, we retrieved 8 hub genes (CISD2, LACTB, PRNP, SAT1, NAMPT, MITD1, SOD2, and FASN) between RA and ferroptosis which showed good diagnostic performance using the ROC curve and nomogram plots.", "kind": "qualitative", "target": null, "evidence": [{"asset": "source:pmid:41021591", "locator": "sections[0] \"Abstract\" paragraph 3", "quote": "Using the three machine-learning algorithms, we retrieved 8 hub genes (CISD2, LACTB, PRNP, SAT1, NAMPT, MITD1, SOD2, and FASN) between RA and ferroptosis which showed good diagnostic performance using the ROC curve and nomogram plots."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "partial", "objective": "Using the three machine-learning algorithms, we retrieved 8 hub genes (CISD2, LACTB, PRNP, SAT1, NAMPT, MITD1, SOD2, and FASN) between RA and ferroptosis which showed good diagnostic performance using the ROC curve and nomogram plots.", "steps": [{"id": "read_published_estimate", "order": 1, "name": "Read the published estimate from the source", "kind": "other", "state": "complete", "blocked_on": null, "description": "The claim, method and evidence span published with the source article.", "duration_hours": null, "parameters": {}, "inputs": ["source:pmid:41021591"], "outputs": ["the published estimate and its evidence"], "instruments": [], "reagents": []}, {"id": "obtain_source_data", "order": 2, "name": "Obtain the source data from the named repository", "kind": "data-preparation", "state": "complete", "blocked_on": null, "description": "The GEO series accession resolves and its sample accessions are listed. 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