Exploring potential biomarkers and therapeutic targets of long COVID-associated inflammatory cardiomyopathy

BackgroundThe negative impact of long COVID on social life and human health is increasingly prominent, and the elevated risk of cardiovascular disease in patients recovering from COVID-19 has also been fully confirmed. However, the pathogenesis of long COVID-related inflammatory cardiomyopathy is st...

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Main Authors: Peng Qi, Mengjie Huang, Haiyan Zhu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1191354/full
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author Peng Qi
Mengjie Huang
Haiyan Zhu
author_facet Peng Qi
Mengjie Huang
Haiyan Zhu
author_sort Peng Qi
collection DOAJ
description BackgroundThe negative impact of long COVID on social life and human health is increasingly prominent, and the elevated risk of cardiovascular disease in patients recovering from COVID-19 has also been fully confirmed. However, the pathogenesis of long COVID-related inflammatory cardiomyopathy is still unclear. Here, we explore potential biomarkers and therapeutic targets of long COVID-associated inflammatory cardiomyopathy.MethodsDatasets that met the study requirements were identified in Gene Expression Omnibus (GEO), and differentially expressed genes (DEGs) were obtained by the algorithm. Then, functional enrichment analysis was performed to explore the basic molecular mechanisms and biological processes associated with DEGs. A protein–protein interaction (PPI) network was constructed and analyzed to identify hub genes among the common DEGs. Finally, a third dataset was introduced for validation.ResultsUltimately, 3,098 upregulated DEGs and 1965 downregulated DEGs were extracted from the inflammatory cardiomyopathy dataset. A total of 89 upregulated DEGs and 217 downregulated DEGs were extracted from the dataset of convalescent COVID patients. Enrichment analysis and construction of the PPI network confirmed VEGFA, FOXO1, CXCR4, and SMAD4 as upregulated hub genes and KRAS and TXN as downregulated hub genes. The separate dataset of patients with COVID-19 infection used for verification led to speculation that long COVID-associated inflammatory cardiomyopathy is mainly attributable to the immune-mediated response and inflammation rather than to direct infection of cells by the virus.ConclusionScreening of potential biomarkers and therapeutic targets sheds new light on the pathogenesis of long COVID-associated inflammatory cardiomyopathy as well as potential therapeutic approaches. Further clinical studies are needed to explore these possibilities in light of the increasingly severe negative impacts of long COVID.
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spelling doaj.art-a345bbc2e4f94174a26628e0f6125f4d2023-06-29T14:05:34ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-06-011010.3389/fmed.2023.11913541191354Exploring potential biomarkers and therapeutic targets of long COVID-associated inflammatory cardiomyopathyPeng Qi0Mengjie Huang1Haiyan Zhu2Department of Emergency, First Medical Center of Chinese PLA General Hospital, Beijing, ChinaDepartment of Nephrology, First Medical Center of Chinese PLA General Hospital, Beijing, ChinaDepartment of Emergency, First Medical Center of Chinese PLA General Hospital, Beijing, ChinaBackgroundThe negative impact of long COVID on social life and human health is increasingly prominent, and the elevated risk of cardiovascular disease in patients recovering from COVID-19 has also been fully confirmed. However, the pathogenesis of long COVID-related inflammatory cardiomyopathy is still unclear. Here, we explore potential biomarkers and therapeutic targets of long COVID-associated inflammatory cardiomyopathy.MethodsDatasets that met the study requirements were identified in Gene Expression Omnibus (GEO), and differentially expressed genes (DEGs) were obtained by the algorithm. Then, functional enrichment analysis was performed to explore the basic molecular mechanisms and biological processes associated with DEGs. A protein–protein interaction (PPI) network was constructed and analyzed to identify hub genes among the common DEGs. Finally, a third dataset was introduced for validation.ResultsUltimately, 3,098 upregulated DEGs and 1965 downregulated DEGs were extracted from the inflammatory cardiomyopathy dataset. A total of 89 upregulated DEGs and 217 downregulated DEGs were extracted from the dataset of convalescent COVID patients. Enrichment analysis and construction of the PPI network confirmed VEGFA, FOXO1, CXCR4, and SMAD4 as upregulated hub genes and KRAS and TXN as downregulated hub genes. The separate dataset of patients with COVID-19 infection used for verification led to speculation that long COVID-associated inflammatory cardiomyopathy is mainly attributable to the immune-mediated response and inflammation rather than to direct infection of cells by the virus.ConclusionScreening of potential biomarkers and therapeutic targets sheds new light on the pathogenesis of long COVID-associated inflammatory cardiomyopathy as well as potential therapeutic approaches. Further clinical studies are needed to explore these possibilities in light of the increasingly severe negative impacts of long COVID.https://www.frontiersin.org/articles/10.3389/fmed.2023.1191354/fullCOVID-19long COVIDinflammatory cardiomyopathybioinformatic analysisdifferentially expressed genes
spellingShingle Peng Qi
Mengjie Huang
Haiyan Zhu
Exploring potential biomarkers and therapeutic targets of long COVID-associated inflammatory cardiomyopathy
Frontiers in Medicine
COVID-19
long COVID
inflammatory cardiomyopathy
bioinformatic analysis
differentially expressed genes
title Exploring potential biomarkers and therapeutic targets of long COVID-associated inflammatory cardiomyopathy
title_full Exploring potential biomarkers and therapeutic targets of long COVID-associated inflammatory cardiomyopathy
title_fullStr Exploring potential biomarkers and therapeutic targets of long COVID-associated inflammatory cardiomyopathy
title_full_unstemmed Exploring potential biomarkers and therapeutic targets of long COVID-associated inflammatory cardiomyopathy
title_short Exploring potential biomarkers and therapeutic targets of long COVID-associated inflammatory cardiomyopathy
title_sort exploring potential biomarkers and therapeutic targets of long covid associated inflammatory cardiomyopathy
topic COVID-19
long COVID
inflammatory cardiomyopathy
bioinformatic analysis
differentially expressed genes
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1191354/full
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