Identification and validation of risk score model based on gene set activity as a diagnostic biomarker for endometriosis

Objective: The enigmatic nature of Endometriosis (EMS) pathogenesis necessitates investigating alterations in signaling pathway activity to enhance our comprehension of the disease's characteristics. Methods: Three published gene expression profiles (GSE11691, GSE25628, and GSE7305 datasets) we...

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Main Authors: Yi Zhang, Lulu Wu, Xiang Wen, Xiuwei Lv
Format: Article
Language:English
Published: Elsevier 2023-07-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023054853
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author Yi Zhang
Lulu Wu
Xiang Wen
Xiuwei Lv
author_facet Yi Zhang
Lulu Wu
Xiang Wen
Xiuwei Lv
author_sort Yi Zhang
collection DOAJ
description Objective: The enigmatic nature of Endometriosis (EMS) pathogenesis necessitates investigating alterations in signaling pathway activity to enhance our comprehension of the disease's characteristics. Methods: Three published gene expression profiles (GSE11691, GSE25628, and GSE7305 datasets) were downloaded, and the “combat” algorithm was employed for batch correction, gene expression difference analysis, and pathway enrichment difference analysis. The protein-protein interaction (PPI) network was constructed to identify core genes, and the relative enrichment degree of gene sets was evaluated. The Lasso regression model identified candidate gene sets with diagnostic value, and a risk scoring diagnostic model was constructed for further validation on the GSE86534 and GSE5108 datasets. CIBERSORT was used to assess the composition of immune cells in EMS, and the correlation between EMS diagnostic value gene sets and immune cells was evaluated. Results: A total of 568 differentially expressed genes were identified between eutopic and ectopic endometrium, with 10 core genes in the PPI network associated with cell cycle regulation. Inflammation-related pathways, including cytokine-receptor signaling and chemokine signaling pathways, were significantly more active in ectopic endometrium compared to eutopic endometrium. Diagnostic gene sets for EMS, such as homologous recombination, base excision repair, DNA replication, P53 signaling pathway, adherens junction, and SNARE interactions in vesicular transport, were identified. The risk score's area under the curve (AUC) was 0.854, as indicated by the receiver operating characteristic (ROC) curve, and the risk score's diagnostic value was validated by the validation cohort. Immune cell infiltration analysis revealed correlations between the risk score and Macrophages M2, Plasma cells, resting NK cells, activated NK cells, and regulatory T cells. Conclusion: The risk scoring diagnostic model, based on pathway activity, demonstrates high diagnostic value and offers novel insights and strategies for the clinical diagnosis and treatment of Endometriosis.
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spelling doaj.art-8827a4b76576409888a7e75c762a36f22023-07-27T05:59:08ZengElsevierHeliyon2405-84402023-07-0197e18277Identification and validation of risk score model based on gene set activity as a diagnostic biomarker for endometriosisYi Zhang0Lulu Wu1Xiang Wen2Xiuwei Lv3Department of Gynecology, Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine, Changsha 410005, China; Corresponding author.Department of Integrated Traditional Chinese and Western Medicine, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430014, ChinaDepartment of Pathology, The First People's Hospital of Huizhou City, Huizhou 516000, ChinaDepartment of Traditional Chinese Medicine, Rocket Force Medical Center of PLA, Beijing 100088, ChinaObjective: The enigmatic nature of Endometriosis (EMS) pathogenesis necessitates investigating alterations in signaling pathway activity to enhance our comprehension of the disease's characteristics. Methods: Three published gene expression profiles (GSE11691, GSE25628, and GSE7305 datasets) were downloaded, and the “combat” algorithm was employed for batch correction, gene expression difference analysis, and pathway enrichment difference analysis. The protein-protein interaction (PPI) network was constructed to identify core genes, and the relative enrichment degree of gene sets was evaluated. The Lasso regression model identified candidate gene sets with diagnostic value, and a risk scoring diagnostic model was constructed for further validation on the GSE86534 and GSE5108 datasets. CIBERSORT was used to assess the composition of immune cells in EMS, and the correlation between EMS diagnostic value gene sets and immune cells was evaluated. Results: A total of 568 differentially expressed genes were identified between eutopic and ectopic endometrium, with 10 core genes in the PPI network associated with cell cycle regulation. Inflammation-related pathways, including cytokine-receptor signaling and chemokine signaling pathways, were significantly more active in ectopic endometrium compared to eutopic endometrium. Diagnostic gene sets for EMS, such as homologous recombination, base excision repair, DNA replication, P53 signaling pathway, adherens junction, and SNARE interactions in vesicular transport, were identified. The risk score's area under the curve (AUC) was 0.854, as indicated by the receiver operating characteristic (ROC) curve, and the risk score's diagnostic value was validated by the validation cohort. Immune cell infiltration analysis revealed correlations between the risk score and Macrophages M2, Plasma cells, resting NK cells, activated NK cells, and regulatory T cells. Conclusion: The risk scoring diagnostic model, based on pathway activity, demonstrates high diagnostic value and offers novel insights and strategies for the clinical diagnosis and treatment of Endometriosis.http://www.sciencedirect.com/science/article/pii/S2405844023054853EndometriosisGene set variation analysisGene setDiagnostic biomarker
spellingShingle Yi Zhang
Lulu Wu
Xiang Wen
Xiuwei Lv
Identification and validation of risk score model based on gene set activity as a diagnostic biomarker for endometriosis
Heliyon
Endometriosis
Gene set variation analysis
Gene set
Diagnostic biomarker
title Identification and validation of risk score model based on gene set activity as a diagnostic biomarker for endometriosis
title_full Identification and validation of risk score model based on gene set activity as a diagnostic biomarker for endometriosis
title_fullStr Identification and validation of risk score model based on gene set activity as a diagnostic biomarker for endometriosis
title_full_unstemmed Identification and validation of risk score model based on gene set activity as a diagnostic biomarker for endometriosis
title_short Identification and validation of risk score model based on gene set activity as a diagnostic biomarker for endometriosis
title_sort identification and validation of risk score model based on gene set activity as a diagnostic biomarker for endometriosis
topic Endometriosis
Gene set variation analysis
Gene set
Diagnostic biomarker
url http://www.sciencedirect.com/science/article/pii/S2405844023054853
work_keys_str_mv AT yizhang identificationandvalidationofriskscoremodelbasedongenesetactivityasadiagnosticbiomarkerforendometriosis
AT luluwu identificationandvalidationofriskscoremodelbasedongenesetactivityasadiagnosticbiomarkerforendometriosis
AT xiangwen identificationandvalidationofriskscoremodelbasedongenesetactivityasadiagnosticbiomarkerforendometriosis
AT xiuweilv identificationandvalidationofriskscoremodelbasedongenesetactivityasadiagnosticbiomarkerforendometriosis