PMID- 35241929 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220502 IS - 1178-7074 (Print) IS - 1178-7074 (Electronic) IS - 1178-7074 (Linking) VI - 15 DP - 2022 TI - Downregulation of ALDH6A1 is a New Marker of Muscle Insulin Resistance in Type 2 Diabetes Mellitus. PG - 2137-2147 LID - 10.2147/IJGM.S343727 [doi] AB - PURPOSE: Skeletal muscle insulin resistance (IR) is an important etiology of type 2 diabetes mellitus (T2DM); however, its molecular mechanism is yet to be fully defined. This study attempted to identify the gene expression patterns and molecular disorders in T2DM patients' skeletal muscle samples. METHODS: First, the difference in genetic expression among GSE25462 data was analyzed. Next, PPI network analysis of differential genes was carried out, after which the maladjustment module was identified. Then, an enrichment analysis and gene set enrichment analysis (GSEA) were carried out. Finally, the transcription factors that regulate the modular genes by raid were predicted. RESULTS: Most differentially expressed genes were found to be able to form an interaction network and cluster into 9 modules. These modular genes were shown to possess a significant correlation with immune inflammation and metabolic response. Importantly, the top 15 genes of area under receiver operating characteristic curve (AUC) were identified, and the expression of 10 genes by GSE12643, GSE18732 and GSE29221 was confirmed. The expression and AUC value of ALDH6A1 were then verified according to three sets of data, where ALDH6A1 was found to be negatively correlated with follicular helper T cells. However, among the predicted transcription regulators, HDAC was shown to have a better regulatory effect. CONCLUSION: The findings highlight that the dysregulation of ALDH6A1 expression in IR of T2DM may serve as a potential therapeutic target. ALDH6A1 is involved in the immune inflammation and metabolic pathways. CI - (c) 2022 Liu et al. FAU - Liu, Song AU - Liu S AD - Endocrinology Department, Traditional Chinese Medicine Academy of Heilongjiang, Harbin, Heilongjiang Province, People's Republic of China. FAU - Cai, Xiaojun AU - Cai X AD - Endocrinology Department, Traditional Chinese Medicine Academy of Heilongjiang, Harbin, Heilongjiang Province, People's Republic of China. FAU - Wang, Tao AU - Wang T AD - Endocrinology Department, Traditional Chinese Medicine Academy of Heilongjiang, Harbin, Heilongjiang Province, People's Republic of China. FAU - Xu, Jiwen AU - Xu J AD - Anatomy, Histology and Embryology Teaching and Research Section, School of Basic Medicine, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang Province, People's Republic of China. FAU - Cheng, Weilun AU - Cheng W AD - Department of General Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, People's Republic of China. FAU - Wang, Xuling AU - Wang X AD - Endocrinology Department, Traditional Chinese Medicine Academy of Heilongjiang, Harbin, Heilongjiang Province, People's Republic of China. FAU - Wei, Gangjie AU - Wei G AD - Medical Department, Traditional Chinese Medicine Academy of Heilongjiang, Harbin, Heilongjiang Province, People's Republic of China. FAU - Yan, Shuang AU - Yan S AD - Department of Endocrinology and Metabolism, The Fourth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, People's Republic of China. LA - eng PT - Journal Article DEP - 20220225 PL - New Zealand TA - Int J Gen Med JT - International journal of general medicine JID - 101515487 PMC - PMC8887615 OTO - NOTNLM OT - ALDH6A1 OT - HDAC OT - immune inflammatory response OT - metabolic pathway OT - type 2 diabetes mellitus COIS- The authors declare that there are no conflicts of interest among the authors regarding the publication of this paper. EDAT- 2022/03/05 06:00 MHDA- 2022/03/05 06:01 PMCR- 2022/02/25 CRDT- 2022/03/04 05:39 PHST- 2021/10/27 00:00 [received] PHST- 2022/01/21 00:00 [accepted] PHST- 2022/03/04 05:39 [entrez] PHST- 2022/03/05 06:00 [pubmed] PHST- 2022/03/05 06:01 [medline] PHST- 2022/02/25 00:00 [pmc-release] AID - 343727 [pii] AID - 10.2147/IJGM.S343727 [doi] PST - epublish SO - Int J Gen Med. 2022 Feb 25;15:2137-2147. doi: 10.2147/IJGM.S343727. eCollection 2022.