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Updated: Aug 20, 2025

In Silico Identification and Characterization of circRNAs During Host-Pathogen Interactions
Published on: October 21, 2022
Bioinformatic analysis and clinical diagnostic value of hsa_circ_0004099 in acute ischemic stroke
Jiqing Zheng1, Shuiming Luo1, Yaobin Long1
1Deparment of Rehabilitation, The Second Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Insights
Circular RNA hsa_circ_0004099 shows diagnostic potential for acute ischemic stroke (AIS). Lower expression correlates with stroke severity and infarct time, suggesting it as a novel biomarker and therapeutic target.
Area of Science:
- Biochemistry
- Genetics
- Neuroscience
Background:
- Acute ischemic stroke (AIS) is a leading cause of death and disability worldwide.
- Identifying reliable biomarkers for AIS diagnosis and prognosis is crucial for effective treatment.
- Circular RNAs (circRNAs) are emerging as important regulators in various diseases, including neurological disorders.
Purpose of the Study:
- To investigate the expression and diagnostic value of hsa_circ_0004099 in patients with AIS.
- To explore the correlation between hsa_circ_0004099 levels and clinical parameters of AIS.
- To analyze the potential role of hsa_circ_0004099 in AIS pathogenesis using bioinformatics.
Main Methods:
- Case-controlled study involving 40 AIS patients and 40 healthy controls.
- Differential expression analysis using GEO2R and validation by RT-PCR.
- Correlation analysis with NIHSS scores and infarct time.
- Receiver operating characteristic (ROC) curve analysis for diagnostic accuracy.
- Bioinformatic analyses including KEGG and protein-protein interaction (PPI) network construction.
Main Results:
- hsa_circ_0004099 expression was significantly altered in AIS patients.
- NIHSS scores and infarct time showed negative correlations with hsa_circ_0004099 levels (r = -0.7053 and r = -0.5130, respectively).
- hsa_circ_0004099 demonstrated high diagnostic accuracy for AIS (AUC = 0.923).
- Bioinformatic analysis identified enrichment in cancer pathways and key proteins involved in AIS pathogenesis.
Conclusions:
- hsa_circ_0004099 serves as a potential clinical diagnostic marker for AIS.
- Its expression levels correlate with disease severity and infarct duration.
- hsa_circ_0004099 may play a role in AIS pathogenesis, offering a novel molecular target for therapeutic intervention.
Abstract:
This study investigates the expression and effect of hsa_circ_0004099 in acute ischemic stroke (AIS). We conducted a case-controlled study that included 40 patients with AIS within 24 hours and 40 healthy subjects during the same period as a control group. Differentially expressed circular RNAs (circRNAs) were obtained using GEO2R, and the expression of hsa_circ_0004099 was verified using RT-PCR. Correlation analysis of the National Institutes of Health Stroke Scale (NIHSS) disease severity score and ischemic time with hsa_circ_0004099 expression levels was also performed. The receiver operating characteristic (ROC) curve of hsa_circ_0004099 was constructed, and bioinformatic analysis of hsa_circ_0004099 was performed. NIHSS scores negatively correlated with hsa_circ_0004099 levels (P<0.001, r = -0.7053), whereas infarct time was negatively correlated with hsa_circ_0004099 levels (P<0.001, r = -0.5130); hsa_circ_0004099 could benefit clinical diagnosis (area under the curve [AUC]: 0.923 [95% confidence interval [CI]: 0.8680-0.9904]). Kyoto encyclopedia of genes and genomes (KEGG) analysis showed that hsa_circ_0004099 was enriched in several cancer pathways, which were collectively enriched in four genes namely TCF7L2, NRAS, CTNNB1, and KRAS. Eight core proteins were screened using a protein-protein interaction (PPI) network namely SMAD4, HIF1A, CTNNB1, CDKN1B, CDK6, FOXO3, KRAS, and NRAS. hsa_circ_0004099 is a potential clinical diagnostic marker. In addition, the possible role of hsa_circ_0004099 in the pathogenesis of AIS was analyzed using bioinformatics, which provided a new potential molecular target for AIS treatment.
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