Characterization of ligamentum flavum hypertrophy based on m6A RNA methylation modification and the immune

Zhongyuan He1,2, Zhengya Zhu1, Tao Tang1,2

  • 1Innovation Platform of Regeneration and Repair of Spinal Cord and Nerve Injury, Department of Orthopaedic Surgery, The Seventh Affiliated Hospital, Sun Yat-sen University Shenzhen, Guangdong, China.

Abstract

Insights

N6-methyladenosine (m6A) modification influences the immune microenvironment in ligamentum flavum hyperplasia (LFH). This study identified key m6A regulators and developed a diagnostic model for LFH, aiding in predicting disease progression.

Area of Science:

  • Epigenetics
  • Immunology
  • Molecular Biology

Background:

  • N6-methyladenosine (m6A) modification is increasingly recognized for its role in disease pathogenesis.
  • The interplay between epigenetic regulation, specifically RNA m6A modification, and immune responses is an emerging area of research.
  • The specific impact of m6A-related genes on the immune microenvironment in ligamentum flavum hyperplasia (LFH) remains largely unexplored.

Purpose of the Study:

  • To investigate the effect of m6A modification on the immune microenvironment in ligamentum flavum hyperplasia (LFH).
  • To identify m6A regulators associated with LFH and their correlation with immune cell infiltration.
  • To develop a prognostic signature based on m6A-related genes for LFH diagnosis and prognosis.

Main Methods:

  • Analysis of the GSE113212 dataset from the Gene Expression Omnibus (GEO) database.
  • Utilized Gene Ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG), Gene Set Enrichment Analysis (GSEA), and protein-protein interaction (PPI) networks.
  • Employed Least Absolute Shrinkage and Selection Operator (Lasso) regression for prognostic signature development and validated findings with Real-Time quantitative PCR (RT-qPCR) and western blotting (WB).

Main Results:

  • Identified 1259 differentially expressed genes, with METTL16, PCIF1, and FTO showing significant differences.
  • Enrichment analyses suggested a key role for immune factors in LFH.
  • Developed a 6-gene LFH immune-related prediction model, with METTL16, PCIF1, FTO, and ALKBH5 demonstrating superior diagnostic efficiency.

Conclusions:

  • m6A modification significantly influences the diversity and complexity of the LFH immune microenvironment.
  • The identified m6A-related genes and the developed diagnostic model offer strong evidence for predicting LFH diagnosis and prognosis.
  • This research provides valuable insights into the epigenetic regulation of immunity in LFH.

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