Targeting PDCD4 in cancer and atrial fibrillation: mechanistic insights from integrated multi-omics and single-cell

Juledezi Hailati1, Zhiqiang Liu1, Lei Zhang1

  • 1Cardiovascular Disease Center, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.

Frontiers in Oncology
|August 6, 2025
PubMed
Abstract

Insights

Programmed cell death factor 4 (PDCD4) is upregulated in atrial fibrillation (AF), modulating disease progression via key genes. Targeting PDCD4 may offer therapeutic benefits for both AF and cancer patients.

Area of Science:

  • Cardiovascular Biology
  • Molecular Oncology
  • Systems Biology

Background:

  • Atrial fibrillation (AF) is a complex cardiovascular disorder with poorly understood molecular mechanisms.
  • The role of Programmed cell death factor 4 (PDCD4) in AF pathogenesis is currently unknown.
  • This study investigates PDCD4-associated genes and regulatory pathways in AF.

Purpose of the Study:

  • To identify critical genes associated with PDCD4 in atrial fibrillation.
  • To elucidate the regulatory mechanisms involving PDCD4 in AF.
  • To explore potential therapeutic targets for AF based on PDCD4 pathways.

Main Methods:

  • Protein-protein interaction (PPI) network construction and transcriptome analysis to identify differentially expressed genes (DEGs).
  • MicroRNA (miRNA)-mRNA and transcription factor (TF) analyses to explore regulatory networks.
  • Single-cell RNA sequencing (scRNA-seq) to identify key cell types and intercellular communications.

Main Results:

  • PDCD4 was significantly upregulated in peripheral blood mononuclear cells (PBMCs) of AF patients.
  • Eleven key genes were identified through differential expression and PPI network analysis.
  • Regulatory relationships were uncovered, including mmu-miR-429-3p targeting Sirt1, and PDCD4 sharing regulatory roles with other genes. Sirt1 and Atad5 are regulated by Thap9.
  • Drug prediction identified sirtinol and trichostatin as potential therapeutics for Atad5 and Sirt1.
  • scRNA-seq identified arterial and venous endothelial cells as critical cell types.
  • PDCD4 dysregulation in cancers like adrenocortical carcinoma (ACC) may increase AF risk via immune modulation.

Conclusions:

  • PDCD4 plays a role in AF progression by regulating inflammation, fibrosis, and metabolic pathways.
  • Transcriptome and single-cell analyses provide comprehensive insights into AF molecular processes.
  • PDCD4 emerges as a potential therapeutic target for atrial fibrillation.

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