Chinese Journal of Tissue Engineering Research ›› 2024, Vol. 28 ›› Issue (21): 3431-3437.doi: 10.12307/2024.078

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Experimental validation of machine learning identification of KDELR3 as a signature gene for osteoarthritis hypoxia

Xu Wenfei1, Ming Chunyu2, Mei Qijie1, Yuan Changshen1, Guo Jinrong1, Zeng Chao1, Duan Kan1   

  1. 1Orthopedic Department of the Limbs, First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, Guangxi Zhuang Autonomous Region, China; 2Department of Geriatrics, Ruikang Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530011, Guangxi Zhuang Autonomous Region, China
  • Received:2023-05-05 Accepted:2023-06-25 Online:2024-07-28 Published:2023-09-28
  • Contact: Duan Kan, MD, Chief physician, Orthopedic Department of the Limbs, First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, Guangxi Zhuang Autonomous Region, China
  • About author:Xu Wenfei, Master, Orthopedic Department of the Limbs, First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning 530023, Guangxi Zhuang Autonomous Region, China
  • Supported by:
    National Natural Science Foundation of China, No. 82160912 (to DK); National Natural Science Foundation of China, No. 82060875 (to YCS); Key Topic of 2018 Guangxi First Class Discipline Construction Project, No. 2018xk074 (to DK)

Abstract: BACKGROUND: Hypoxia is strongly associated with the development and progression of osteoarthritic chondrocyte injury, but the specific targets and regulatory mechanisms are unclear.
OBJECTIVE: A machine learning approach was used to identify KDEL(Lys-Asp-Glu-Leu) receptor 3 (KDELR3) as a characteristic gene for osteoarthritis hypoxia and immune infiltration analysis, to provide new ideas and methods for the treatment of osteoarthritis. 
METHODS: The osteoarthritis-related datasets were downloaded from the GEO database and the GSEA website to obtain hypoxia-related genes. The osteoarthritis datasets were batch-corrected and immune infiltration analyzed using R language, and osteoarthritis hypoxia genes were extracted for differential analysis. Differentially expressed genes were analyzed for GO function and KEGG signaling pathway. Weighted correlation network analysis (WGCNA) and machine learning were also used to screen osteoarthritis hypoxia signature genes, and in vitro cellular experiments were performed to validate expression and correlate immune infiltration analysis using the datasets and qPCR. 
RESULTS AND CONCLUSION: (1) 8 492 osteoarthritis genes were obtained by batch correction and principal component analysis, mainly strongly associated with immune cells such as Macrophages M2 and Mast cells resting; 200 hypoxia genes were also obtained, resulting in 41 osteoarthritis hypoxia differentially expressed genes. (2) GO analysis involved mainly biological processes such as response to nutrient levels and glucocorticoids; cellular components such as lysosomal lumen and Golgi lumen; and molecular functions such as 14-3-3 protein binding and DNA-binding transcriptional activator activity. (3) KEGG analysis of osteoarthritis hypoxia differentially expressed genes was associated with signaling pathways such as PI3K-Akt, FoxO, and microRNAs in cancer. (4) The characteristic gene KDELR3 was obtained after using WGCNA analysis and machine learning screening. (5) The gene expression of KDELR3 was found to be higher in the test group than in the control group in the synovium (P=0.014) but lower in the meniscus (P=0.024) after validation by gene microarray. (6) In vitro chondrocyte assay showed that the expression of KDELR3 was higher in cartilage than in the control group (P=0.005), while KDELR3 was closely associated with Macrophages M0 (P=0.014) and T cells follicular helper (P=0.014). Using a machine learning approach, we confirmed that KDELR3 can be used as a hypoxic signature gene for osteoarthritis and may intervene in osteoarthritis pathogenesis by improving hypoxia, expecting to provide a new direction for better treatment of osteoarthritis.

Key words: osteoarthritis, machine learning, hypoxia, signature gene, chondrocyte, biomarker, immune infiltration analysis

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