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pmid:41136446
The impact of PANoptosis-related genes on immune profiles and subtype classification in ischemic stroke.
Xinrui Cai · Yu Ren · Haiyun Wu · Yongjun Tan · Li Zhou · Yilin Wang · Qinghuan Yang · Jiani Wang · Hao Tang · Jun Wen · Yong Zhao · Ling Wang · Xinlei Xu · Jiagui Huang · Qin Yang
Scientific reports · 2025 doi:10.1038/s41598-025-20997-5
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Complete file
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PANoptosis is a synchronized sort of regulated cell demise that combines the characteristics of pyroptosis, apoptosis, and necroptosis. However, its role in ischemic stroke remains unclear. We downloaded the ischemic stroke-related microarray dataset GSE58294 from the Gene Expression Omnibus (GEO) database and identified Differentially expressed PANoptosis-related genes (DE-PRGs). We utilized three algorithms to identify diagnostic DE-PRGs, constructed a nomogram for diagnostic modeling, and evaluated their diagnostic performance with receiver operating characteristic (ROC) analysis. Additionally, we develop interaction networks linking genes with miRNAs, transcription factors, and drugs. We also analyzed gene expression in different cell subgroups using the GSE174574 single-cell dataset. We applied consensus clustering to classify stroke samples into subtypes and compared immune microenvironment differences. Ultimately, we verified the gene expression patterns of candidate markers through the MCAO model. We pinpointed seven diagnostic DE-PRGs, with CASP1, PIK3R5, AVEN, and PSMC3 showing significant protein expression differences. Single-cell transcriptome analysis revealed the link between stroke and immune cells. Furthermore, consensus clustering revealed two clusters with unique immune infiltration patterns and functional characteristics. 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