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Updated: Sep 11, 2025

Creation of a Knee Joint-on-a-Chip for Modeling Joint Diseases and Testing Drugs
Published on: January 27, 2023
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.
Abstract:
Knee osteoarthritis (KOA), a prevalent degenerative joint disease, involves complex inflammatory responses and signal pathway regulation in its pathogenesis. This study investigates the tumor necrosis factor signaling pathway's mechanistic role in KOA using diverse bioinformatics approaches. Initially, differential expression analysis identified 222 significant differentially expressed genes. Subsequent Gene Ontology and Kyoto Encyclopedia of Genes and Genomes enrichment analyses indicated that these differentially expressed genes are mainly involved in inflammatory responses and cytokine signaling pathways. Weighted gene co-expression network analysis was then employed to identify the MEbrown module, which is closely associated with knee arthritis, and 20 key tumor necrosis factor signaling pathway-related genes were selected. Further analysis using LASSO regression and the Boruta algorithm screened out important genes, including MCL1, JUN, and GADD45B, whose superior performance in classification tasks was validated. Additionally, immune infiltration analysis revealed significant differences in immune cell distribution across knee arthritis samples, underscoring the critical role of inflammation regulation in disease progression. Overall, this study enhances the understanding of KOA pathogenesis and offers valuable insights for personalized treatment and, precision medicine.
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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