Chinese Journal of Tissue Engineering Research ›› 2025, Vol. 29 ›› Issue (26): 5632-5641.doi: 10.12307/2025.628

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Bioinformatics screening of key genes for endoplasmic reticulum stress in osteoarthritis and experimental validation

Hao Maochen1, Ma Chao2, Liu Kai1, Liu Kexin1, Meng Lingting1, Wang Xingru1, Wang Jianzhong2    

  1. 1Inner Mongolia Medical University, Hohhot 010000, Inner Mongolia Autonomous Region, China; 2The Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010000, Inner Mongolia Autonomous Region, China
  • Received:2024-06-04 Accepted:2024-07-05 Online:2025-09-18 Published:2025-02-27
  • Contact: Ma Chao, The Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010000, Inner Mongolia Autonomous Region, China Hao Maochen and Ma Chao contributed equally to this work. Corresponding author: Wang Jianzhong, PhD, Chief physician, Professor, The Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010000, Inner Mongolia Autonomous Region, China
  • About author:Hao Maochen, Master’s candidate, Inner Mongolia Medical University, Hohhot 010000, Inner Mongolia Autonomous Region, China
  • Supported by:
    the Third-Batch Science and Technology Project of High-level Clinical Specialty Construction of Capital Region Public Hospitals in Inner Mongolia Autonomous Region, No. 2023SGGZ143 (to WJZ); Key Project of Inner Mongolia Medical University, No. YKD2024ZD005 (to WJZ); Basic Scientific Research Operational Fees Project of Colleges and Universities under the Direct Subsidiaries of the Inner Mongolia Autonomous Region, No. YKD2023ZY001 (to LK); Graduate Student Scientific Research Innovation Project in the Inner Mongolia Autonomous Region, No. S20231189Z (to LK)

Abstract: BACKGROUND: Endoplasmic reticulum stress is closely associated with the occurrence and progression of osteoarthritis, but the key genes and regulatory mechanisms remain unclear. 
OBJECTIVE: Utilizing bioinformatics to identify crucial endoplasmic reticulum stress-related genes in osteoarthritis, followed by experimental validation in cell models, aiming to offer new strategies for the prevention and treatment of osteoarthritis from the perspective of endoplasmic reticulum stress.
METHODS: Osteoarthritis-related dataset GSE55235 was downloaded from the GEO database. Differential genes in synovial tissue of osteoarthritis were obtained through WGCNA machine learning algorithm and intersected with endoplasmic reticulum stress-related genes from the GeneCard database to acquire differential endoplasmic reticulum stress-related genes in osteoarthritis (ERSDEGs). These genes underwent GO and KEGG enrichment analysis, construction of a protein-protein interaction network, and validation of diagnostic efficiency in external datasets. Human primary synovioblast model of osteoarthritis was constructed. The control group was not treated, and the experimental group received 20 ng/mL lipopolysaccharide to simulate osteoarthritic synoviocyte modeling. Real-time fluorescence quantitative PCR was then performed to validate the expression level of each differential gene followed by immune infiltration analysis.
RESULTS AND CONCLUSION: A total of 27 key endoplasmic reticulum stress-related genes in osteoarthritis were identified. GO enrichment analysis revealed that these genes were mainly enriched in collagen metabolism, chemokine, antigen binding, and immunoglobulin receptor binding processes. KEGG analysis indicated that they were mainly enriched in pathways such as rheumatoid arthritis and relaxin signaling pathways. The protein-protein interaction network was constructed, and the top five genes with the highest scores were identified using the Degree algorithm in Cytoscape software, including matrix metallopeptidase 1, tumor necrosis factor ligand superfamily member 11, matrix metallopeptidase 9, collagen type I alpha 1, and chemokine C-X-C motif ligand 12. Immune infiltration analysis showed that immune cells were mainly distributed in M2 macrophages, chemokine C-X-C motif ligand 12 showed a significant positive correlation with resting mast cells (r=0.70, P < 0.001) and a significant negative correlation with resting memory CD4+ T cells (r=-0.72, P < 0.001). Matrix metallopeptidase 9 showed a significant positive correlation with M0 macrophages (r=0.94, P < 0.001). Collagen type I alpha 1 was significantly positively correlated with resting NK cells (r=0.77, P < 0.001) and M0 macrophages (r=0.76, P < 0.001). Receiver operator characteristic curve analysis in external datasets GSE77298 and GSE1919 showed that the five key genes had good disease prediction value. In vitro cell experiments demonstrated significant differences in the expression levels of matrix metallopeptidase 1, tumor necrosis factor ligand superfamily member 11, matrix metallopeptidase 9, and chemokine C-X-C motif ligand 12 in the osteoarthritic cell model compared to the control group. These results showed that the key genes related to endoplasmic reticulum stress in osteoarthritis, including matrix metallopeptidase 1, tumor necrosis factor ligand superfamily member 11, matrix metallopeptidase 9, and chemokine C-X-C motif ligand 12, influence the occurrence and development of osteoarthritis through the links of collagen degradation and immune regulation, which are expected to provide new insights into the targeted treatment of osteoarthritis.

Key words: osteoarthritis, endoplasmic reticulum, WGCNA, machine learning, human synoviocytes, immune infiltration analysis, biomarkers, experimental validation, cell experiment, differential genes

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