Utilizing bioinformatics and machine learning to identify CXCR4 gene-related therapeutic targets in diabetic foot

Hengyan Zhang1, Ye Zhou2, Heguo Yan2

  • 1Department of Dermatology, Zhaotong Hospital of Traditional Chinese Medicine, Zhaotong, Yunnan, China.

Frontiers in Endocrinology
|February 24, 2025
PubMed
Abstract

Insights

CXCR4 is a key gene in diabetic foot ulcers (DFUs), impacting wound healing. Targeting CXCR4 offers a new therapeutic approach for DFU treatment and improved patient outcomes.

Area of Science:

  • Molecular biology
  • Genomics
  • Diabetes research

Background:

  • Diabetic foot ulcers (DFUs) are chronic, non-healing wounds significantly impacting diabetes mellitus patients' quality of life.
  • Identifying molecular targets is crucial for developing effective DFU therapies.
  • The CXCR4 gene is implicated in cell migration, immune response, and tissue repair, suggesting its potential role in DFU pathogenesis.

Purpose of the Study:

  • To identify key molecular targets for DFU treatment.
  • To investigate the role of CXCR4 in the pathogenesis of diabetic foot ulcers.
  • To explore CXCR4 as a potential therapeutic target for promoting DFU wound healing.

Main Methods:

  • Utilized the Gene Expression Omnibus (GEO) database to obtain DFU gene expression data.
  • Identified differentially expressed genes (DEGs) and performed enrichment analysis.
  • Employed machine learning models (LASSO, SVM-RFE, Random Forest) and protein-protein interaction networks to identify core therapeutic target genes, including CXCR4.
  • Conducted Gene Set Enrichment Analysis (GSEA) to analyze CXCR4's molecular pathways in DFUs.

Main Results:

  • Identified 751 differentially expressed genes in DFU tissues, with 409 upregulated and 342 downregulated.
  • Functional enrichment analysis revealed involvement in pathways like oxidative phosphorylation and neurodegeneration.
  • CXCR4 was identified as a key gene with therapeutic potential through integrated machine learning models.
  • GSEA indicated CXCR4's association with immunology regulation and tissue repair pathways.

Conclusions:

  • CXCR4 and its associated pathways are integral to DFU pathogenesis.
  • Targeting CXCR4 presents a novel therapeutic strategy for DFU wound healing in diabetic patients.
  • Further validation of CXCR4's role is essential for its clinical application in DFU management.