DPCDI:一种人工智能衍生指标,解释药物可用性编程细胞死亡在心力衰竭中的诊断,分层和治疗含义
Lili Zhang1, Yihao Zhu2, Yuan Fang1
1Department of Cardiology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Frontiers in genetics
|January 30, 2026
概括
编程细胞死亡途径是心力衰竭 (HF) 的关键. 我们使用机器学习开发了一种可使用药物编程的细胞死亡指数 (DPCDI),以识别HF亚型和潜在的治疗点,以改善诊断和治疗.
科学领域:
- 心血管研究研究心血管研究
- 分子生物学分子生物学
- 计算生物学 计算生物学
背景情况:
- 编程细胞死亡 (PCD) 途径为心力衰竭 (HF) 提供了潜在的治疗点.
- 目前对这些通路的理解和对高频的治疗利用仍然有限.
- 药物可用PCD途径对于推进HF诊断,预后和治疗策略至关重要.
研究的目的:
- 开发一种新型指数,即Druggable编程细胞死亡指数 (DPCDI),用于评估HF中的PCD途径.
- 根据PCD活动使用机器学习识别关键基因和HF亚型.
- 探索特定基因在HF病变发生过程中的作用,并确定潜在的治疗配体.
主要方法:
- 采用了结合拉索和随机森林算法的集成机器学习框架.
- 非负矩阵因子化 (NMF) 用于将HF患者分为亚型.
- 使用单细胞RNA测序,门德尔随机化,小鼠模型中的实验验证和分子对接.
主要成果:
- 确定了15个关键基因用于DPCDI构造,包括JAK2,STAT3和CXCL12.
- 肝炎患者被分为两种亚型,其中亚型2显示出亡和线粒的增加.
- 对较高的JAK2和STAT3的遗传倾向与较低的HF风险有关,而CXCL12增加了敏感性;分子对接确定了潜在的药物配体.
结论:
- DPCDI为了解和准高频PCD提供了一个强大的框架.
- DPCDI促进了HF诊断,风险分层和向治疗的开发.
- 这项研究强调了针对心力衰竭管理中的特定PCD途径和基因的治疗潜力.
相关概念视频
Heart Failure IV: Classification and Diagnostic Evaluation
383
Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
383
Heart Failure II: Pathophysiology
907
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
907
Pathophysiology of Heart Failure
3.6K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
3.6K
Heart Failure I: Introduction
877
Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
877
Heart Failure VI: Adjunct Therapies
332
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
332
Cardiovascular Drugs: Classification based on Therapeutic Indications
4.2K
Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However,...
4.2K


