Comprehensive analysis reveals key genes and environmental toxin exposures underlying treatment response in

Yizhou Huang1, Jie Liu2, Dingbao Liang1

  • 1Department of Gastroenterology, The PLA Navy Anqing Hospital, Anqing 246000, Anhui Province, China.

Aging
|December 7, 2023
PubMed
Abstract

Insights

This study identifies DAPP1 and ELL2 as key genes influencing ulcerative colitis (UC) treatment response. Clofibrate shows promise as a novel therapeutic for UC, with environmental factors also impacting disease progression.

Area of Science:

  • Genomics
  • Immunology
  • Pharmacology

Background:

  • Ulcerative colitis (UC) presents a growing global health challenge with suboptimal treatment outcomes.
  • Existing therapies for UC often result in treatment non-responsiveness and complications.

Approach:

  • Gene microarray data and clinical information were analyzed using bioinformatics tools (Metascape, Limma, glmnet).
  • Molecular docking and Mendelian randomization analyses investigated drug-gene interactions and environmental toxicant impacts.
  • Diagnostic capability was assessed using ROC curves, and small-molecule drugs were screened for UC exacerbation.

Key Points:

  • Six genes, including ELL2 and DAPP1, were significantly overexpressed in therapy-resistant UC.
  • ELL2 and DAPP1 were identified as critical predictors of UC treatment response and inflammation.
  • Clofibrate demonstrated therapeutic potential by binding to ELL2 and DAPP1.

Conclusions:

  • DAPP1 and ELL2 are key genetic markers for UC treatment response and inflammatory progression.
  • Clofibrate emerges as a potential novel therapeutic agent for ulcerative colitis.
  • Environmental toxins and drug exposures significantly influence UC progression and treatment efficacy.