■骨关节炎(OA)是人类残疾的主要原因。尽管接受了治疗,OA中晚期患者的生存结局较差。因此,在预测的框架内,预防性,和个性化医疗(PPPM/3PM),OA的早期个性化诊断尤为突出。PPPM旨在通过整合多种组学技术来准确识别疾病;然而,目前可用的方法和生物标志物在预测和诊断OA方面的效率应该得到提高.二硫化物下垂,一种新的程序性细胞死亡机制,并出现在特定的代谢状态,在OA的发生和发展中扮演着神秘的角色,这需要进一步调查。
■在这项研究中,我们整合了来自基因表达综合(GEO)数据库的三个公共数据集,包括26个OA样品和20个正常样品。通过一系列生物信息学分析和机器学习,我们确定了OA的诊断生物标志物和几种亚型.此外,这些生物标志物的表达在我们的内部队列和单细胞数据集中得到验证.
■二硫化物降的三个重要调节剂(NCKAP1,OXSM,和SLC3A2)通过差异表达分析和机器学习进行鉴定。基于这三个调节器构建的列线图在预测早期和晚期OA方面表现出理想的效率。此外,基于三个调节器的表达式,我们确定了OA的两种与二硫键下垂相关的亚型,它们具有不同的免疫细胞浸润和个性化的免疫检查点表达水平.值得注意的是,在我们的内部队列中,包括6例OA患者和6例正常人,这3种调节因子的表达在单细胞RNA谱中得到证实,并在滑膜组织中得到证实.最后,建立了一个有效的二硫沉积介导的OA诊断模型,训练集中的AUC值为97.6923%,两个验证集中的AUC值为93.3333%和100%。
■总的来说,关于PPPM,这项研究提供了新的见解二硫下垂调节因子在OA的个性化诊断和治疗中的作用。
UNASSIGNED: Osteoarthritis (OA) is a major cause of human disability. Despite receiving treatment, patients with the middle and late stage of OA have poor survival outcomes. Therefore, within the framework of predictive, preventive, and personalized medicine (PPPM/3PM), early personalized diagnosis of OA is particularly prominent. PPPM aims to accurately identify disease by integrating multiple omic techniques; however, the efficiency of currently available methods and biomarkers in predicting and diagnosing OA should be improved.
Disulfidptosis, a novel programmed cell death mechanism and appeared in particular metabolic status, plays a mysterious characteristic in the occurrence and development of OA, which warrants further investigation.
UNASSIGNED: In this study, we integrated three public datasets from the Gene Expression Omnibus (GEO) database, including 26 OA samples and 20 normal samples. Via a series of bioinformatic analysis and machine learning, we identified the diagnostic biomarkers and several subtypes of OA. Moreover, the expression of these biomarkers were verified in our in-house cohort and the single cell dataset.
UNASSIGNED: Three significant regulators of
disulfidptosis (NCKAP1, OXSM, and SLC3A2) were identified through differential expression analysis and machine learning. And a nomogram constructed based on these three regulators exhibited ideal efficiency in predicting early- and late-stage OA. Furthermore, based on the expression of three regulators, we identified two
disulfidptosis-related subtypes of OA with different infiltration of immune cells and personalized expression level of immune checkpoints. Notably, the expression of the three regulators was demonstrated in a single-cell RNA profile and verified in the synovial tissue in our in-house cohort including 6 OA patients and 6 normal people. Finally, an efficient
disulfidptosis-mediated diagnostic model was constructed for OA, with the AUC value of 97.6923% in the training set and 93.3333% and 100% in two validation sets.
UNASSIGNED: Overall, with regard to PPPM, this study provided novel insights into the role of
disulfidptosis regulators in the personalized diagnosis and treatment of OA.