PMID- 34055083 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240402 IS - 1792-0981 (Print) IS - 1792-1015 (Electronic) IS - 1792-0981 (Linking) VI - 22 IP - 1 DP - 2021 Jul TI - Bioinformatics identification of hub genes and signaling pathways regulated by intravenous immunoglobulin treatment in acute Kawasaki disease. PG - 784 LID - 10.3892/etm.2021.10216 [doi] LID - 784 AB - Kawasaki disease (KD) is an acute, self-limiting form of vasculitis commonly encountered in infants and young children. Intravenous immunoglobulin (IVIG) is the primary drug used for the treatment of KD, which may significantly reduce the occurrence of coronary artery lesions. However, the specific molecular profile changes of KD caused by IVIG treatment have remained elusive and require further research. The present study was designed to identify key genes, pathways and immune cells affected by IVIG treatment using multiple bioinformatics analysis methods. The results suggested that myeloid cells and neutrophils were affected by IVIG treatment. Kyoto Encyclopedia of Genes and Genomes pathway analysis identified that hematopoietic cell lineages and osteoclast differentiation may have an important role in the mechanism of action of IVIG treatment. Immune cell analysis indicated that the levels of monocytes, M1 macrophages, neutrophils and platelets were markedly changed in patients with KD after vs. prior to IVIG treatment. The key upregulated genes, including ZW10 interacting kinetochore protein, GINS complex subunit 1 and microRNA-30b-3p in whole blood cells of patients with KD following treatment with IVIG indicated that these IVIG-targeted molecules may have important roles in KD. In addition, these genes were further examined by literature review and indicated to be involved in cell proliferation, apoptosis and virus-related immune response in patients with KD. Therefore, the present results may provide novel insight into the mechanisms of action of IVIG treatment for KD. CI - Copyright: (c) Huang et al. FAU - Huang, Hongbiao AU - Huang H AD - Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, Jiangsu 215025, P.R. China. FAU - Xu, Lei AU - Xu L AD - Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, Jiangsu 215025, P.R. China. FAU - Ding, Yueyue AU - Ding Y AD - Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, Jiangsu 215025, P.R. China. FAU - Qin, Jie AU - Qin J AD - Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, Jiangsu 215025, P.R. China. FAU - Huang, Chengcheng AU - Huang C AD - Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, Jiangsu 215025, P.R. China. FAU - Li, Xuan AU - Li X AD - Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, Jiangsu 215025, P.R. China. FAU - Tang, Yunjia AU - Tang Y AD - Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, Jiangsu 215025, P.R. China. FAU - Qian, Guanghui AU - Qian G AD - Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, Jiangsu 215025, P.R. China. FAU - Lv, Haitao AU - Lv H AD - Institute of Pediatric Research, Children's Hospital of Soochow University, Suzhou, Jiangsu 215025, P.R. China. LA - eng PT - Journal Article DEP - 20210519 PL - Greece TA - Exp Ther Med JT - Experimental and therapeutic medicine JID - 101531947 PMC - PMC8145699 OTO - NOTNLM OT - Kawasaki disease OT - bioinformatics analysis OT - intravenous immunoglobulin OT - mechanism of action COIS- The authors declare that they have no competing interests. EDAT- 2021/06/01 06:00 MHDA- 2021/06/01 06:01 PMCR- 2021/05/19 CRDT- 2021/05/31 06:10 PHST- 2020/10/23 00:00 [received] PHST- 2021/03/11 00:00 [accepted] PHST- 2021/05/31 06:10 [entrez] PHST- 2021/06/01 06:00 [pubmed] PHST- 2021/06/01 06:01 [medline] PHST- 2021/05/19 00:00 [pmc-release] AID - ETM-0-0-10216 [pii] AID - 10.3892/etm.2021.10216 [doi] PST - ppublish SO - Exp Ther Med. 2021 Jul;22(1):784. doi: 10.3892/etm.2021.10216. Epub 2021 May 19.