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The effect of dapagliflozin on anemia in elderly patients with heart failure by bioinformatics analysis
Insights
Dapagliflozin may impact anemia in elderly heart failure patients by targeting key genes like AKT1. This bioinformatics study identified 134 target genes and potential pathways, offering new insights into treatment strategies.
Area of Science:
- Cardiovascular Medicine
- Pharmacogenomics
- Bioinformatics
Background:
- Anemia is common in heart failure patients, worsening symptoms.
- Dapagliflozin, an SGLT-2 inhibitor, shows cardiovascular benefits.
- The effect of dapagliflozin on anemia in elderly heart failure patients remains unclear.
Purpose of the Study:
- To investigate the effect of dapagliflozin on anemia in elderly patients with heart failure using bioinformatics.
- To identify potential molecular targets and pathways involved in this interaction.
Main Methods:
- Bioinformatics analysis to determine dapagliflozin target genes.
- Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis.
- Construction of protein-protein interaction (PPI) networks and molecular docking simulations.
Main Results:
- Identified 134 target genes for dapagliflozin in heart failure-associated anemia.
- Key pathways implicated include lipid metabolism, AGE-RAGE signaling, and insulin signaling.
- Hub genes identified: AKT1, TP53, GAPDH, TNF, CASP3, EGFR, and MAPK3.
- Molecular docking confirmed interaction between dapagliflozin and AKT1.
Conclusions:
- Dapagliflozin's effect on anemia in elderly heart failure patients involves multiple molecular pathways.
- Hub genes like AKT1 are critical targets for dapagliflozin's action.
- Further research is warranted to validate these findings and explore therapeutic potential.
Background:
Anemia associated with heart failure is frequent and can exacerbate the symptoms of heart failure. Dapagliflozin is the first SGLT-2 inhibitor with significant cardiovascular protection. However, the effect of dapagliflozin on anemia in elderly patients with heart failure is unknown.
Objective:
We aimed to study the effect of dapagliflozin on anemia in elderly patients with heart failure by bioinformatics analysis.
Methods:
The target genes were determined, followed by Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis. The protein-protein interaction (PPI) network and modules were constructed. The dapagliflozin-targets network in anemia and heart failure was constructed. Molecular docking experiments between dapagliflozin and its key target AKT1 were performed.
Results:
We found 1 dapagliflozin related target gene and 2 disease related genes. Totally, 134 target genes of dapagliflozin on anemia in elderly patients with heart failure were determined. The pathways may involve lipid and atherosclerosis, AGE-RAGE signaling pathway in diabetic complications, hepatitis B, insulin signaling pathway, fluid shear stress and atherosclerosis, neurotrophin signaling pathway, insulin resistance, toxoplasmosis, colorectal cancer, and EGFR tyrosine kinase inhibitor resistance. The hub genes in network were AKT1, TP53, GAPDH, TNF, CASP3, EGFR, and MAPK3. The structure of dapagliflozin and AKT1 molecular docking was exhibited.
Conclusions:
The hub genes in network were AKT1, TP53, GAPDH, TNF, CASP3, EGFR, and MAPK3. The structure of dapagliflozin and AKT1 molecular docking was exhibited.
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