Molecular Subtype Identification and Potential Drug Prediction Based on Anoikis-Related Genes Expression in

Zhixin Jiang1, Boyang Zhang2, Shichong Jia1

  • 1Tianjin Eye Hospital, Nankai University Affiliated Eye Hospital, Clinical College of Ophthalmology, Tianjin Medical University, Tianjin Eye Institute, Tianjin Key Laboratory of Ophthalmology and Visual Science, Tianjin, China.

Abstract

Insights

This study reveals distinct molecular subtypes in keratoconus (KC) based on anoikis-related genes (ARGs), identifying key genes and potential drug targets like insulin and dexamethasone for therapeutic development.

Area of Science:

  • Ophthalmology
  • Molecular Biology
  • Immunology

Background:

  • Anoikis, a form of apoptosis triggered by extracellular matrix (ECM) detachment, and ECM decomposition are implicated in keratoconus (KC) pathogenesis.
  • Understanding the molecular mechanisms underlying KC, particularly the role of anoikis-related genes (ARGs), is crucial for developing effective treatments.

Purpose of the Study:

  • To investigate the expression profile of ARGs in KC samples.
  • To identify differentially expressed genes (DEGs) and characterize molecular subtypes of KC.
  • To predict potential therapeutic drugs by constructing a co-expression network.

Main Methods:

  • Identified molecular subtypes using K-means clustering based on ARG expression.
  • Performed Kyoto Encyclopedia of Genes and Genomes and Gene Ontology enrichment analyses for DEGs.
  • Constructed a weighted gene co-expression network and protein-protein interaction network to identify hub genes and predict drugs.

Main Results:

  • Found significant differences in ARGs (e.g., BCL2, CAV1, CEACAM5) between KC and normal samples.
  • Identified two distinct KC molecular subtypes with significant differences in biological functions (e.g., ECM receptor interaction, proteolysis, anoikis) and immune cell infiltration.
  • Identified seven hub genes and potential drugs, including insulin and dexamethasone.

Conclusions:

  • Revealed differential ARG expression and two distinct KC subtypes with varying biological functions and immune characteristics.
  • Highlighted the therapeutic potential of identified hub genes and predicted drugs for keratoconus treatment.

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