Integrated Multi-Omics Analysis Identifies PDK4 and ACOT1 as Metabolic Hub Genes Associated With Myocardial Fibrosis

Huan Liu1, Guanming Qi2, Shengrong Ouyang1

  • 1Department of Biochemistry and Immunology, Capital Center for Children's Health, Capital Medical University, Capital Institute of Pediatrics, Beijing, China, shouer.com.cn.

Insights

Diabetic cardiomyopathy involves heart fibrosis. Researchers identified PDK4 and ACOT1 as key metabolic genes driving this fibrosis, suggesting new therapeutic targets for diabetic heart conditions.

Area of Science:

  • Biochemistry
  • Cardiology
  • Molecular Biology

Background:

  • Diabetic cardiomyopathy (DCM) is a major cause of heart failure in diabetes.
  • Myocardial fibrosis is a key characteristic of DCM, but the underlying molecular mechanisms are unclear.
  • Understanding the link between metabolic issues and cardiac fibrosis is crucial for DCM treatment.

Purpose of the Study:

  • To identify core molecular networks linking metabolic dysregulation to cardiac fibroblast activation in DCM.
  • To investigate the roles of PDK4 and ACOT1 in diabetic myocardial fibrosis.
  • To explore potential therapeutic targets for DCM.

Main Methods:

  • Established a high-fat diet-induced mouse model of diabetic myocardial fibrosis.
  • Utilized transcriptome sequencing and bioinformatics analysis to identify hub genes.
  • Performed single-cell RNA sequencing and in vitro experiments on human cardiac fibroblasts.
  • Conducted molecular docking to predict gene interactions.

Main Results:

  • PDK4 and ACOT1 were identified as upregulated in cardiac fibroblasts in pathological conditions.
  • High glucose conditions increased PDK4, ACOT1, and fibrotic marker expression in human cardiac fibroblasts.
  • Molecular docking suggested a potential interaction between PDK4 and ACOT1.
  • PDK4 and ACOT1 were validated as hub genes in independent DCM datasets.

Conclusions:

  • PDK4 and ACOT1 are evolutionarily conserved metabolic hub genes linked to myocardial fibrosis in DCM.
  • These findings suggest a novel "metabolism-fibrosis axis" in diabetic cardiomyopathy.
  • PDK4 and ACOT1 represent potential therapeutic targets for managing DCM and its associated fibrosis.

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