Mitophagy related diagnostic biomarkers for coronary in-stent restenosis identified using machine learning and

Ming Shen1,2, Meixian Chen3, Yu Chen4

  • 1Department of Cardiology, the 926th Hospital of the Joint Logistic Support Force of PLA, Affiliated Hospital of Kunming University of Science and Technology, Kaiyuan, 661600, Yunnan, China. Dr_shenming@163.com.

Scientific Reports
|October 15, 2024
PubMed

Insights

Researchers identified LRRK2 and ANKRD13A as key mitophagy-related biomarkers for in-stent restenosis (ISR), a complication of coronary artery disease treatment. These findings offer new avenues for early diagnosis and precision medicine approaches to improve treatment efficacy.

Area of Science:

  • Cardiovascular Biology
  • Molecular Medicine
  • Genomics

Background:

  • Percutaneous coronary intervention (PCI) with stent implantation is a primary treatment for coronary artery disease (CAD).
  • In-stent restenosis (ISR) remains a significant limitation, reducing the long-term effectiveness of PCI.
  • The role of mitophagy, essential for vascular health, in ISR pathogenesis is not well understood.

Purpose of the Study:

  • To identify mitophagy-related biomarkers for ISR.
  • To elucidate the molecular mechanisms underlying mitophagy's involvement in ISR.
  • To explore potential therapeutic strategies for ISR.

Main Methods:

  • Differential gene expression analysis identified 169 differentially expressed genes (DEGs).
  • Intersection with mitophagy-related genes (MRGs) yielded 23 differentially expressed mitophagy-related genes (DEMRGs).
  • Weighted Gene Co-expression Network Analysis (WGCNA) and machine learning algorithms (Logistic-LASSO, RF, SVM-RFE) identified LRRK2 and ANKRD13A as key biomarkers.

Main Results:

  • LRRK2 and ANKRD13A were identified as robust mitophagy-related biomarkers for ISR.
  • A nomogram incorporating these genes demonstrated promising diagnostic accuracy for ISR.
  • Gene Set Enrichment Analysis (GSEA) and immune infiltration analyses revealed associations between these biomarkers and immune/inflammatory responses in ISR.

Conclusions:

  • LRRK2 and ANKRD13A are significant mitophagy-related biomarkers for ISR.
  • These biomarkers are linked to immune and inflammatory processes in ISR.
  • The study provides novel insights for early ISR diagnosis and personalized therapeutic interventions.