A Potential Autophagy-Related-Gene Based Signature in Patients with Preeclampsia

Jiayu Shen1, Xinyuan Teng1, Jiayao Zhao1

  • 1Department of Obstetrics, The Second Affiliated Hospital of Zhejiang University School of Medicine, 310009 Hangzhou, Zhejiang, China.

Insights

This study identified key autophagy-related genes (ATGs) as potential biomarkers for preeclampsia (PE). A signature of four ATGs demonstrated high diagnostic accuracy in both placental and blood samples, aiding in PE prediction.

Area of Science:

  • Genomics and Molecular Biology
  • Reproductive Medicine
  • Biomarker Discovery

Background:

  • Preeclampsia (PE) poses significant risks to maternal and offspring health.
  • Identifying reliable diagnostic markers for PE is crucial for timely intervention.
  • Autophagy-related genes (ATGs) play roles in various cellular processes relevant to pregnancy complications.

Purpose of the Study:

  • To identify potential diagnostic signatures of autophagy-related genes (ATGs) in pregnancies complicated by preeclampsia (PE).
  • To explore the role of ATGs in the molecular mechanisms underlying PE development.

Main Methods:

  • Analyzed mRNA expression profiles from placental (GSE75010) and blood (GSE48424) samples to identify differentially expressed ATGs in PE.
  • Utilized bioinformatics tools including gene ontology, KEGG pathway analysis, and protein-protein interaction networks.
  • Employed LASSO logistic regression and SVM-RFE for diagnostic marker screening, with ROC analysis for predictive value assessment.
  • Predicted and validated target miRNAs for identified ATGs, constructing a miRNA-mRNA regulatory network.

Main Results:

  • Identified 20 differentially expressed ATGs between PE and healthy pregnancies.
  • Functional enrichment analysis revealed involvement of ATGs in autophagy, apoptosis, angiogenesis, and inflammatory pathways.
  • A signature of four ATGs (LEP, ERO1L, PIK3CB, MAPK8) exhibited excellent diagnostic efficacy in both placenta (AUC=0.869) and blood (AUC=0.914) samples.
  • A regulatory network involving 11 miRNAs and the identified ATGs was constructed.

Conclusions:

  • An autophagy-related gene signature was established, showing potential for predicting preeclampsia.
  • A novel miRNA-mRNA regulatory network was constructed, offering insights into the molecular mechanisms of PE.
  • These findings contribute to a deeper understanding of PE pathogenesis and biomarker development.
Abstract