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Updated: Aug 2, 2025

Author Spotlight: Integrated Multi-Omics Analysis for Unveiling Multicellular Immune Signatures in Clinical Heart Attack Cohorts
Published on: September 20, 2024
Machine learning approach combined with causal relationship inferring unlocks the shared pathomechanism between
Ying Liu1, Shujing Zhou2,3, Longbin Wang4
1Department of Cardiology, Sixth Medical Center, PLA General Hospital, Beijing, China.
Insights
This study reveals shared biological mechanisms linking Coronavirus Disease 2019 (COVID-19) and Acute Myocardial Infarction (AMI). Findings offer insights into COVID-19
Area of Science:
- Cardiovascular Medicine
- Infectious Diseases
- Bioinformatics
Background:
- Growing evidence indicates a higher prevalence of Acute Myocardial Infarction (AMI) in patients with Coronavirus Disease 2019 (COVID-19).
- The precise biological mechanisms underlying the association between COVID-19 and AMI remain largely unelucidated.
Purpose of the Study:
- To investigate the shared molecular mechanisms and potential causal relationships between COVID-19 and AMI.
- To identify common differentially expressed genes (DEGs) and develop a predictive model for AMI risk in COVID-19 patients.
Main Methods:
- Acquisition of gene expression profiles for COVID-19 and AMI from the Gene Expression Omnibus (GEO) database.
- Identification of common DEGs between the two conditions.
- Application of machine learning algorithms for diagnostic predictor development and Bayesian networks for causal inference.
Main Results:
- Sixty-one common DEGs were identified between COVID-19 and AMI.
- A diagnostic predictor was developed using 20 machine learning algorithms to assess AMI risk in COVID-19 patients.
- Causal relationships and shared immunological implications were explored, revealing key biological processes in co-pathogenesis.
Conclusions:
- This study presents a novel application of causal inference to elucidate the shared pathomechanism between COVID-19 and AMI.
- The findings provide mechanistic insights into the co-occurrence of these diseases, potentially aiding future preventive and precision medicine strategies.
Background:
Increasing evidence suggests that people with Coronavirus Disease 2019 (COVID-19) have a much higher prevalence of Acute Myocardial Infarction (AMI) than the general population. However, the underlying mechanism is not yet comprehended. Therefore, our study aims to explore the potential secret behind this complication.
Materials And Methods:
The gene expression profiles of COVID-19 and AMI were acquired from the Gene Expression Omnibus (GEO) database. After identifying the differentially expressed genes (DEGs) shared by COVID-19 and AMI, we conducted a series of bioinformatics analytics to enhance our understanding of this issue.
Results:
Overall, 61 common DEGs were filtered out, based on which we established a powerful diagnostic predictor through 20 mainstream machine-learning algorithms, by utilizing which we could estimate if there is any risk in a specific COVID-19 patient to develop AMI. Moreover, we explored their shared implications of immunology. Most remarkably, through the Bayesian network, we inferred the causal relationships of the essential biological processes through which the underlying mechanism of co-pathogenesis between COVID-19 and AMI was identified.
Conclusion:
For the first time, the approach of causal relationship inferring was applied to analyzing shared pathomechanism between two relevant diseases, COVID-19 and AMI. Our findings showcase a novel mechanistic insight into COVID-19 and AMI, which may benefit future preventive, personalized, and precision medicine.Graphical abstract.
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