Identification of S100A9 as a Potential Inflammation-Related Biomarker for Radiation-Induced Lung Injury

Radiation-induced lung injury (RILI), a potentially fatal and dose-limiting complication of radiotherapy for thoracic tumors, is divided into early reversible pneumonitis and irreversible advanced-stage fibrosis. Early detection and intervention contribute to improving clinical outcomes of patients....

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Main Authors: Youyi Liu, Mengdi Wu, Jingrou Guo, Yifei Tang, Hongliang Jiang, Bo Yang, Minchen Wu, Jianfeng Huang
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/3/733
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author Youyi Liu
Mengdi Wu
Jingrou Guo
Yifei Tang
Hongliang Jiang
Bo Yang
Minchen Wu
Jianfeng Huang
author_facet Youyi Liu
Mengdi Wu
Jingrou Guo
Yifei Tang
Hongliang Jiang
Bo Yang
Minchen Wu
Jianfeng Huang
author_sort Youyi Liu
collection DOAJ
description Radiation-induced lung injury (RILI), a potentially fatal and dose-limiting complication of radiotherapy for thoracic tumors, is divided into early reversible pneumonitis and irreversible advanced-stage fibrosis. Early detection and intervention contribute to improving clinical outcomes of patients. However, there is still a lack of reliable biomarkers for early prediction and clinical diagnosis of RILI. Given the central role of inflammation in the initiation and progression of RILI, we explored specific inflammation-related biomarkers during the development of RILI in this study. Two expression profiles from the Gene Expression Omnibus (GEO) database were downloaded, in which 75 differentially expressed genes (DEGs) were screened out. Combining Gene Oncology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis and protein–protein interaction (PPI) network analysis, we identified four inflammation-related hub genes in the progression of RILI—MMP9, IL-1β, CCR1 and S100A9. The expression levels of the hub genes were verified in RILI mouse models, with S100A9 showing the highest level of overexpression. The level of S100A9 in bronchoalveolar lavage fluid (BALF) and the expression of S100A9 in lung tissues were positively correlated with the degree of inflammation in RILI. The results above indicate that S100A9 is a potential biomarker for the early prediction and diagnosis of the development of RILI.
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spelling doaj.art-4cfb1c8baf1347ce8a9c558b7e4fb40e2023-11-16T17:06:25ZengMDPI AGJournal of Clinical Medicine2077-03832023-01-0112373310.3390/jcm12030733Identification of S100A9 as a Potential Inflammation-Related Biomarker for Radiation-Induced Lung InjuryYouyi Liu0Mengdi Wu1Jingrou Guo2Yifei Tang3Hongliang Jiang4Bo Yang5Minchen Wu6Jianfeng Huang7Wuxi School of Medicine, Jiangnan University, Wuxi 214122, ChinaWuxi School of Medicine, Jiangnan University, Wuxi 214122, ChinaWuxi School of Medicine, Jiangnan University, Wuxi 214122, ChinaWuxi School of Medicine, Jiangnan University, Wuxi 214122, ChinaWuxi School of Medicine, Jiangnan University, Wuxi 214122, ChinaDepartment of Radiation Oncology, Affiliated Hospital of Jiangnan University, Wuxi 214122, ChinaWuxi School of Medicine, Jiangnan University, Wuxi 214122, ChinaDepartment of Radiation Oncology, Affiliated Hospital of Jiangnan University, Wuxi 214122, ChinaRadiation-induced lung injury (RILI), a potentially fatal and dose-limiting complication of radiotherapy for thoracic tumors, is divided into early reversible pneumonitis and irreversible advanced-stage fibrosis. Early detection and intervention contribute to improving clinical outcomes of patients. However, there is still a lack of reliable biomarkers for early prediction and clinical diagnosis of RILI. Given the central role of inflammation in the initiation and progression of RILI, we explored specific inflammation-related biomarkers during the development of RILI in this study. Two expression profiles from the Gene Expression Omnibus (GEO) database were downloaded, in which 75 differentially expressed genes (DEGs) were screened out. Combining Gene Oncology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis and protein–protein interaction (PPI) network analysis, we identified four inflammation-related hub genes in the progression of RILI—MMP9, IL-1β, CCR1 and S100A9. The expression levels of the hub genes were verified in RILI mouse models, with S100A9 showing the highest level of overexpression. The level of S100A9 in bronchoalveolar lavage fluid (BALF) and the expression of S100A9 in lung tissues were positively correlated with the degree of inflammation in RILI. The results above indicate that S100A9 is a potential biomarker for the early prediction and diagnosis of the development of RILI.https://www.mdpi.com/2077-0383/12/3/733radiation-induced lung injuryS100A9radiotherapyinflammationbiomarkers
spellingShingle Youyi Liu
Mengdi Wu
Jingrou Guo
Yifei Tang
Hongliang Jiang
Bo Yang
Minchen Wu
Jianfeng Huang
Identification of S100A9 as a Potential Inflammation-Related Biomarker for Radiation-Induced Lung Injury
Journal of Clinical Medicine
radiation-induced lung injury
S100A9
radiotherapy
inflammation
biomarkers
title Identification of S100A9 as a Potential Inflammation-Related Biomarker for Radiation-Induced Lung Injury
title_full Identification of S100A9 as a Potential Inflammation-Related Biomarker for Radiation-Induced Lung Injury
title_fullStr Identification of S100A9 as a Potential Inflammation-Related Biomarker for Radiation-Induced Lung Injury
title_full_unstemmed Identification of S100A9 as a Potential Inflammation-Related Biomarker for Radiation-Induced Lung Injury
title_short Identification of S100A9 as a Potential Inflammation-Related Biomarker for Radiation-Induced Lung Injury
title_sort identification of s100a9 as a potential inflammation related biomarker for radiation induced lung injury
topic radiation-induced lung injury
S100A9
radiotherapy
inflammation
biomarkers
url https://www.mdpi.com/2077-0383/12/3/733
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