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Updated: Aug 20, 2025

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Bioinformatics and systems biology approaches to identify molecular targeting mechanism influenced by COVID-19 on
Kezhen Yang1, Jipeng Liu1, Yu Gong1
1School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China.
Insights
This study reveals common immune pathways linking COVID-19 and heart failure (HF). Six hub genes were identified, offering potential therapeutic targets for both conditions.
Area of Science:
- Immunology
- Cardiology
- Bioinformatics
Background:
- Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, is linked to heart failure (HF) and increased mortality.
- The precise mechanisms connecting COVID-19 and HF remain largely unknown.
Purpose of the Study:
- To elucidate the shared molecular mechanisms between COVID-19 and HF.
- To identify key genes and pathways involved in the co-occurrence of these conditions.
Main Methods:
- Bioinformatic and systems biology approaches were employed.
- Transcriptome analysis identified differentially expressed genes (DEGs) common to both diseases.
- Enrichment analysis mapped DEGs to Gene Ontology terms and KEGG pathways.
- Protein-protein interaction networks and immune cell infiltration analyses were performed.
Main Results:
- Shared immune mechanisms include T helper cell differentiation (Th1, Th2, Th17), lymphocyte activation, and MHC class I/II complex binding.
- Six hub genes (FCGR3A, CD69, IFNG, CCR7, CCL5, CCL4) were identified as critical links between COVID-19 and HF.
- These hub genes are associated with various immune cells, including T cells, myeloid-derived suppressor cells, and macrophages.
Conclusions:
- The study highlights common immune dysregulation in COVID-19 and HF.
- Identified hub genes and associated immune cells represent potential therapeutic targets.
- Further research into these shared pathways could lead to novel treatment strategies for patients with both conditions.
Abstract:
Coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has emerged as a contemporary hazard to people. It has been known that COVID-19 can both induce heart failure (HF) and raise the risk of patient mortality. However, the mechanism underlying the association between COVID-19 and HF remains unclear. The common molecular pathways between COVID-19 and HF were identified using bioinformatic and systems biology techniques. Transcriptome analysis was performed to identify differentially expressed genes (DEGs). To identify gene ontology terms and Kyoto Encyclopedia of Genes and Genomes pathways, common DEGs were used for enrichment analysis. The results showed that COVID-19 and HF have several common immune mechanisms, including differentiation of T helper (Th) 1, Th 2, Th 17 cells; activation of lymphocytes; and binding of major histocompatibility complex class I and II protein complexes. Furthermore, a protein-protein interaction network was constructed to identify hub genes, and immune cell infiltration analysis was performed. Six hub genes (FCGR3A, CD69, IFNG, CCR7, CCL5, and CCL4) were closely associated with COVID-19 and HF. These targets were associated with immune cells (central memory CD8 T cells, T follicular helper cells, regulatory T cells, myeloid-derived suppressor cells, plasmacytoid dendritic cells, macrophages, eosinophils, and neutrophils). Additionally, transcription factors, microRNAs, drugs, and chemicals that are closely associated with COVID-19 and HF were identified through the interaction network.
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