Identification of Key Genes and Pathways in Oxaliplatin-Induced Neuropathic Pain Through Bioinformatic Analysis

Yaling Lou1, Xuting Xu2, Ronghua Wang1

  • 1Department of Clinical Pharmacy, Huzhou Central Hospital (The Fifth School of Clinical Medicine of Zhejiang Chinese Medical University), Huzhou, People's Republic of China.

PubMed
Abstract

Insights

This study identifies key genes and pathways involved in Oxaliplatin-induced neuropathic pain (NP), revealing potential targets for managing chemotherapy side effects and improving patient treatment outcomes.

Area of Science:

  • Neuroscience
  • Genomics
  • Pharmacology

Background:

  • Chemotherapy-induced neuropathic pain (NP) mechanisms are not fully understood.
  • Oxaliplatin commonly causes NP with hypersensitivity to cold and mechanical stimuli.
  • This hypersensitivity can lead to treatment discontinuation.

Purpose of the Study:

  • To identify key genes and protein networks contributing to Oxaliplatin-induced NP.
  • To investigate shared pathological outcomes and genetic targets between different NP etiologies.
  • To elucidate the underlying mechanisms of Oxaliplatin-induced NP.

Main Methods:

  • Utilized Gene Expression Omnibus (GEO) datasets (GSE38038, GSE126773) for differential gene expression analysis via GEO2R.
  • Performed protein-protein interaction (PPI) analysis to identify co-differentially expressed genes (co-DEGs).
  • Conducted Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis and analyzed a chronic compression of DRGs (CCD) dataset (GSE145222).

Main Results:

  • Identified 260 co-DEGs and three shared pathways (KSHV infection, EBV infection, AGE-RAGE signaling).
  • Eight significantly up-regulated genes in NP models include Mapk14, Icam1, Cd44, IL6, Cxcr4, Stat1, Casp3, and Fgf2.
  • Hub genes were up-regulated in both Oxaliplatin-induced NP and CCD models, suggesting shared NP mechanisms.

Conclusions:

  • This research elucidates key genes and signaling pathways in Oxaliplatin-induced NP.
  • Findings contribute to understanding the occurrence and progression of chemotherapy-induced NP.
  • Identified crucial molecular targets for potential therapeutic interventions.