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Multiomics Identifies Potential Biomarkers in Ankylosing Spondylitis Bone Formation
Lu Yang1,2, Chunping Bo1,2, Meiqi Chen1,2
1Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province, China.
Human Mutation
|August 18, 2025
Summary
This study identifies FUCA2, USP16, and TTC16 as potential biomarkers for ankylosing spondylitis (AS). These genes were pinpointed using Mendelian randomization and machine learning, offering new avenues for AS therapeutic development.
Area of Science:
- Genetics and Genomics
- Immunology
- Computational Biology
Background:
- Ankylosing spondylitis (AS) is a chronic inflammatory disease with complex genetic factors, and current treatments are insufficient to halt its progression.
- Identifying novel therapeutic targets is crucial for improving AS management and patient outcomes.
Purpose of the Study:
- To discover potential therapeutic targets for AS by integrating Mendelian Randomization (MR), transcriptomics, and machine learning.
- To identify key genes and their causal relationships with AS for future therapeutic interventions.
Main Methods:
- Differential gene expression analysis (GEO database) and cis-eQTL data (eQTLGen Consortium) were used to identify AS-associated genes.
- Mendelian Randomization (MR) and Summary Data-Based Mendelian Randomization (SMR) analyses screened for causal relationships.
- Machine learning models identified key feature genes, followed by phenome-wide association studies (PheWAS) and molecular docking.
- A collagen-induced AS mouse model (CAIA) was used for in vivo validation via RT-qPCR and histological analysis.
Main Results:
- 1607 differentially expressed genes (DEGs) were identified, with 33 showing a causal relationship with AS after MR analysis.
- Four machine learning algorithms identified RIOK1, FUCA2, COL9A2, USP16, and TTC16 as top feature genes.
- In the CAIA mouse model, FUCA2 and USP16 expression was significantly elevated, while TTC16 was reduced in joint tissues.
- PheWAS indicated potential beneficial or harmful effects of these genes on various disease phenotypes.
Conclusions:
- FUCA2, USP16, and TTC16 show altered expression in an AS mouse model and may serve as valuable biomarkers for ankylosing spondylitis.
- These findings provide a foundation for developing novel therapeutic strategies targeting specific genes in AS treatment.

