Study on the potential role of KIF23 in doxorubicin-induced cardiomyopathy through multi-omics integration and

Dabao Xiao1, Zhuo Zhang1, Xin Xiao2

  • 1The Second Affiliated Hospital of Hainan Medical University, China.

Abstract

Insights

Researchers identified KIF23 as a key gene in doxorubicin-induced cardiomyopathy (DIC). KIF23 may influence immune cells, particularly macrophages, offering new therapeutic targets for chemotherapy-induced heart damage.

Area of Science:

  • Cardiovascular Research
  • Molecular Oncology
  • Immunology

Background:

  • Doxorubicin (DOX) chemotherapy can cause severe cardiotoxicity, known as doxorubicin-induced cardiomyopathy (DIC).
  • Understanding the molecular mechanisms underlying DIC is crucial for developing effective cardioprotective strategies.
  • Identifying core genes and their immunoregulatory roles is essential for targeted therapies.

Purpose of the Study:

  • To identify core genes implicated in doxorubicin-induced cardiomyopathy (DIC).
  • To investigate the immunoregulatory mechanisms associated with these core genes in DIC.
  • To explore potential therapeutic targets for mitigating DOX cardiotoxicity.

Main Methods:

  • Integrated analysis of GEO datasets using differential expression, WGCNA, and machine learning.
  • Performed functional enrichment, immune infiltration, and single-cell RNA sequencing analyses.
  • Utilized AI drug screening, molecular docking, molecular dynamics, and Western blot for validation.

Main Results:

  • KIF23 was identified as the central gene in DIC, linked to chromatin remodeling, cell cycle, and energy metabolism.
  • DIC was associated with increased macrophages, dendritic cells, and regulatory T cells; KIF23 expression correlated negatively with immune cell infiltration.
  • KIF23 is enriched in macrophages, and DOX treatment downregulated KIF23 in cardiomyocytes, with potential DOX-KIF23 binding identified.

Conclusions:

  • KIF23 is a core gene in DIC, potentially mediating immune microenvironment alterations and macrophage-related pathology.
  • This finding provides novel insights into DIC's molecular basis and suggests KIF23 as a potential therapeutic target.
  • Further research into KIF23's role could lead to improved treatments for chemotherapy-induced cardiotoxicity.

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