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Updated: Sep 12, 2025

An Adoptive Transfer Model of Rheumatoid Arthritis in Mice
Published on: June 6, 2025
Molecular subtype and RNA transcriptomics validation for rheumatoid arthritis characterized by fatty acid
Peng Zhang1, Yu Wen1, Xin Li1
1The Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China.
Background:
Rheumatoid arthritis (RA) is a rheumatic disease charactered by severe bone destruction. Evidence suggests that fatty acid metabolism (FAM)-related proteins can regulate inflammation of synoviocytes in RA. However, the fundamental roles of FAM regulators in RA remain to be elucidated.
Methods:
We selected the GSE93272 dataset sourced from the Gene Expression Omnibus (GEO) for the classification of FAM-associated molecular subtypes and immune microenvironments in RA. Subsequently, bone marrow-derived macrophages (BMMs) with or without receptor activator of nuclear factor kappa-B ligand (RANKL) intervention were harvested for RNA sequencing (RNA-seq) to verify FAM hub gene expressions.
Results:
Difference analysis between RA samples and controls screened 53 significant FAM regulators. Random forest algorithm for RA risk prediction was utilized to identify ten diagnostic FAM regulators (hub genes). A nomogram incorporating hub genes was developed, and decision curve analysis suggested its potential utility in clinical practice. Additionally, consensus clustering analysis of these hub genes categorized RA patients to different FAM clusters (cluster A and cluster B). To quantify FAM clusters, principal component analysis (PCA) was adopted to count FAM score of every sample. ClusterB may be more linked with osteoclastogenesis in RA characterized by RXRA, IL17RA, and TBXA2R. Additionally, cases in cluster A were associated with the immunity of activated CD4 T cell, activated CD8 T cell, eosinophil, Gamma delta T cell, immature dendritic cell, MDSC, macrophage, regulatory T cell, and Type 2 T helper cell, while cluster B was linked to CD56dim natural killer cell, Natural killer T cell, T follicular helper cell, Type 1 T helper cell immunity, which has a higher FAM score. Remarkably, RNA-seq analysis confirmed the expression trend of SREBF1, FASN, CD36, SCD1 and SCD2, consistent with bioinformatics predictions.
Conclusions:
This scoring system of FAM subtypes provided promising markers and immunotherapeutic strategies for future RA treatment.
Insights
Fatty acid metabolism (FAM) regulators are key in rheumatoid arthritis (RA) bone destruction. This study identifies FAM subtypes and immune microenvironments in RA, offering potential therapeutic targets.
Area of Science:
- Immunology
- Molecular Biology
- Genetics
Background:
- Rheumatoid arthritis (RA) is a debilitating autoimmune disease characterized by significant bone destruction.
- Emerging evidence implicates fatty acid metabolism (FAM) proteins in regulating synovial inflammation in RA.
- The precise roles of FAM regulators in the pathogenesis of RA require further investigation.
Purpose of the Study:
- To classify FAM-associated molecular subtypes and immune microenvironments in rheumatoid arthritis.
- To identify diagnostic FAM regulators (hub genes) for RA risk prediction.
- To explore potential immunotherapeutic strategies based on FAM subtypes.
Main Methods:
- Utilized the GSE93272 dataset from the Gene Expression Omnibus (GEO) for bioinformatics analysis.
- Employed random forest and consensus clustering algorithms to identify FAM hub genes and patient subtypes.
- Performed RNA sequencing on bone marrow-derived macrophages to validate gene expression trends.
Main Results:
- Identified 53 significant FAM regulators, with ten selected as diagnostic hub genes for RA risk.
- Developed a nomogram for potential clinical utility in RA risk assessment.
- Categorized RA patients into two FAM clusters (A and B) with distinct immune microenvironment profiles and FAM scores, linking cluster B to osteoclastogenesis.
Conclusions:
- The identified FAM scoring system and subtypes offer novel biomarkers for RA.
- These findings suggest promising avenues for developing targeted immunotherapeutic strategies for rheumatoid arthritis treatment.

