通过机器学习识别与进展相关的基因并构建慢性病的预后模型
Bingkun Zhou1, Hu Zhou2, Xiaodong Huang3
1Department of Kidney Transplantation, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.
Frontiers in cell and developmental biology
|September 2, 2025
概括
这项研究开发了一种新的机器学习模型,使用转录学来预测慢性病 (CKD) 的进展. 该模型识别了关键基因,为早期CKD干预提供了新的诊断目标.
科学领域:
- 基因组学和生物信息学
- 计算生物学
- 肝脏病学
背景情况:
- 早期诊断和干预对于改善慢性病 (CKD) 的结果至关重要.
- 现有的CKD风险预测模型通常依赖于传统的指标,而基于转录学方法的方法存在差距.
- 机器学习与转录学数据的整合为增强CKD预测提供了有前途的途径.
研究的目的:
- 通过机器学习开发和验证基于转录学的慢性病风险预测模型.
- 确定与CKD发生和进展相关的核心基因组.
- 在独立数据集和小鼠模型中评估这些基因组的预测性能.
主要方法:
- 使用权重基因相关网络分析 (WGCNA) 和随机森林算法从转录组数据 (GSE137570) 中识别核心基因组.
- 使用GSE66494,GSE180394和GSE45980数据集进行了外部验证.
- 使用Cox,LASSO和逻辑回归构建预测模型,并通过小鼠单侧尿管阻塞 (UUO) 模型进行验证.
主要成果:
- 鉴定了三个基因组 (最小,中,最大),最大组在外部验证中显示出最佳的CKD分类性能 (AUC: 0. 767).
- 包括CCL2,SUCLG1和ACADM在内的最小基因组被用于构建考克斯回归风险模型.
- 观察到人类和小鼠的CKD在KEGG丰富度上的高度相似性,证实了小鼠核心基因的诊断价值.
结论:
- 使用机器学习成功开发了一种基于转录学的慢性病风险预测模型.
- 已识别的核心基因作为未来的实验研究和治疗策略的潜在目标.
- 这种方法提高了对慢性病的理解,并为早期检测和干预提供了工具.
相关概念视频
Chronic Kidney Disease I: Introduction
65
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
65
Chronic Kidney Disease III: Interprofessional Care
77
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
77
Chronic Kidney Disease II: Clinical Manifestations
85
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
85
Chronic Kidney Disease IV: Nursing Management
54
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
54
Acute Kidney Injury IV: Diagnostic Studies and Prevention
57
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
57


