Consensus co-expression analysis identifies a common set of co-expressed genes associated with diabetic peripheral

Kord Kober1,2,3, Esther Chavez-Iglesias1, Nam Woo Cho2,4

  • 1Department of Physiological Nursing, University of California, San Francisco, CA, USA.

Molecular Pain
|March 13, 2026
PubMed
Abstract

Insights

Diabetic peripheral neuropathy (DPN) and chemotherapy-induced peripheral neuropathy (CIPN) share molecular pathways. Targeting these common mechanisms, including metabolism and cell death, may offer new therapeutic strategies for both conditions.

Area of Science:

  • Neuroscience
  • Genomics
  • Systems Biology

Background:

  • Diabetic peripheral neuropathy (DPN) and chemotherapy-induced peripheral neuropathy (CIPN) present significant clinical challenges with limited treatment options.
  • Despite different etiologies, DPN and CIPN may involve shared molecular pathways amenable to therapeutic intervention.

Purpose of the Study:

  • To identify conserved molecular mechanisms underlying both DPN and CIPN.
  • To establish a systems-level framework for developing novel therapies targeting shared pathological pathways.

Main Methods:

  • Consensus weighted gene co-expression network analysis (WGCNA) was applied to two independent datasets: GSE185011 (DPN) and GSE173610 (CIPN).
  • Analysis focused on identifying conserved gene co-expression modules associated with both DPN and CIPN.

Main Results:

  • A significant 193-gene module (ME3/brown) was identified, strongly correlated with both DPN and CIPN.
  • Functional enrichment analysis of this module highlighted key pathways including Glycolysis, FoxO signaling, Apoptosis, and Autophagy.

Conclusions:

  • A convergent molecular signature involving metabolic reprogramming, transcriptional stress, and programmed cell death underlies both DPN and CIPN.
  • These findings provide a foundation for developing targeted therapies addressing the common pathological mechanisms of DPN and CIPN.