Screening of TNF signaling pathway-related genes in knee osteoarthritis (KOA) using WGCNA and machine learning

Shaoyang Zhai1, Rui Wu1, Shengzhen Fan1

  • 1Orthopedic Injury College, Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou, China.

Medicine
|August 19, 2025
PubMed

Insights

This study reveals key genes in the tumor necrosis factor pathway driving knee osteoarthritis (KOA) inflammation. Findings offer insights for precision medicine approaches to treat this common degenerative joint disease.

Area of Science:

  • Biomedical Science
  • Genomics
  • Bioinformatics

Background:

  • Knee osteoarthritis (KOA) is a widespread degenerative joint disease.
  • Its pathogenesis involves intricate inflammatory responses and signal pathway dysregulation.
  • The tumor necrosis factor (TNF) signaling pathway's role in KOA requires further elucidation.

Purpose of the Study:

  • To investigate the mechanistic role of the TNF signaling pathway in KOA pathogenesis.
  • To identify key genes and molecular mechanisms underlying KOA development.
  • To provide insights for developing targeted therapies and precision medicine for KOA.

Main Methods:

  • Differential gene expression analysis.
  • Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analyses.
  • Weighted gene co-expression network analysis (WGCNA).
  • LASSO regression and Boruta algorithm for gene selection.
  • Immune infiltration analysis.

Main Results:

  • Identified 222 significantly differentially expressed genes in KOA.
  • Enrichment analyses highlighted involvement in inflammatory responses and cytokine signaling.
  • WGCNA identified a key module (MEbrown) associated with KOA.
  • Selected 20 key TNF signaling pathway-related genes, including MCL1, JUN, and GADD45B, validated for classification.
  • Observed significant differences in immune cell distribution in KOA samples.

Conclusions:

  • The TNF signaling pathway plays a critical role in KOA pathogenesis.
  • Specific genes like MCL1, JUN, and GADD45B are important regulators in KOA.
  • Inflammation and immune cell infiltration are central to KOA progression.
  • This research provides a foundation for personalized treatment strategies in KOA.

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