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Integrated multi-omics analysis identifies candidate eRNA-associated signatures shared between osteoarthritis and
Danni Huang1, Junying Wu2, Jinhua Chen3
1Division of Orthopaedics and Traumatology, Department of Orthopaedics, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China.
Frontiers in Genetics
|July 31, 2026
Summary
Osteoarthritis and type 2 diabetes share inflammatory pathways, with enhancer RNAs (eRNAs) potentially linking these conditions. TOB1, JUN, and CCNL1 were identified as key overlapping molecular features.
Area of Science:
- Molecular Biology
- Immunology
- Genomics
Background:
- Osteoarthritis (OA) and type 2 diabetes mellitus (T2DM) frequently coexist, sharing inflammatory and metabolic disturbances.
- Immune-epigenetic features linking OA and T2DM are not well understood.
- Enhancer RNAs (eRNAs) regulate gene expression, but their shared roles in OA and T2DM are unexplored.
Purpose of the Study:
- To investigate overlapping molecular features, particularly eRNA-associated signatures, between OA and T2DM.
- To identify candidate genes and transcriptional patterns involved in the immune-metabolic overlap of these conditions.
Main Methods:
- Analysis of transcriptomic datasets from OA joint tissues and T2DM monocytes.
- Utilized differential expression analysis, Weighted Gene Co-expression Network Analysis (WGCNA), and CIBERSORT.
- Integrated public epigenomic (ATAC-seq, ChIP-seq) and single-cell RNA-seq data, alongside a high-glucose stress model in chondrocytes.
Main Results:
- Identified 473 dysregulated eRNA-associated features in OA, enriched in skeletal development and inflammatory pathways.
- Overlapping alterations in TNF-α/NF-κB and MAPK pathways were observed between OA and T2DM datasets.
- Prioritized TOB1 as a key eRNA-associated feature linked to JUN, CCNL1, and inflammatory signaling, with CCNL1 downregulated in both conditions.
Conclusions:
- TOB1 emerges as a critical eRNA-associated signal implicated in inflammatory signaling shared by OA and T2DM.
- Findings provide a framework for understanding immune-metabolic overlap, supported by epigenomic and in vitro data.
- Identified potential therapeutic targets for conditions with shared inflammatory and metabolic dysregulation.