PMID- 35433866 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2297-055X (Print) IS - 2297-055X (Electronic) IS - 2297-055X (Linking) VI - 9 DP - 2022 TI - Subunits of C1Q Are Associated With the Progression of Intermittent Claudication to Chronic Limb-Threatening Ischemia. PG - 864461 LID - 10.3389/fcvm.2022.864461 [doi] LID - 864461 AB - BACKGROUND: The pathophysiological mechanisms of intermittent claudication (IC) progression to chronic limb-threatening ischemia (CLTI) are still vague and which of patients with IC will become CLTI are unknown. This study aimed to investigate the key molecules and pathways mediating IC progression to CLTI by a quantitative bioinformatic analysis of a public RNA-sequencing database of patients with peripheral artery disease (PAD) to screen biomarkers discriminating IC and CLTI. METHODS: The GSE120642 dataset was downloaded from the Gene Expression Omnibus (GEO) database. Differentially expressed genes (DEGs) between IC and CLTI tissues were analyzed using the "edgeR" packages of R. The Gene Ontology and the Kyoto Encyclopedia of Genes and Genomes enrichment analyses were performed to explore the functions of DEGs. Protein-protein interaction (PPI) networks were established by the Search Tool for the Retrieval of Interacting Genes (STRING) database and visualized by Cytoscape software. Hub genes were selected by plugin cytoHubba. Gene set enrichment analysis was performed and the receiver operating characteristic curves were used to evaluate the predictive values of hub genes. RESULTS: A total of 137 upregulated and 21 downregulated DEGs were identified. Functional enrichment clustering analysis revealed a significant association between DEGs and the complement and coagulation cascade pathways. The PPI network was constructed with 155 nodes and 105 interactions. The most significantly enriched pathway was complement activation. C1QB, C1QA, C1QC, C4A, and C1R were identified and validated as hub genes due to the high degree of connectivity. The area under the curve values for the five hub genes were greater than 0.95, indicating high accuracy for discriminating IC and CLTI. CONCLUSION: The complement activation pathway is associated with IC progression to CLTI. C1QB, C1QA, C1QC, C4A, and C1R might serve as potential early biomarkers of CLTI. CI - Copyright (c) 2022 Yao, Zhang, Niu, Yan, Tong, Zou and Yang. FAU - Yao, Ziping AU - Yao Z AD - Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, China. FAU - Zhang, Bihui AU - Zhang B AD - Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, China. FAU - Niu, Guochen AU - Niu G AD - Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, China. FAU - Yan, Ziguang AU - Yan Z AD - Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, China. FAU - Tong, Xiaoqiang AU - Tong X AD - Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, China. FAU - Zou, Yinghua AU - Zou Y AD - Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, China. FAU - Yang, Min AU - Yang M AD - Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, China. LA - eng PT - Journal Article DEP - 20220401 PL - Switzerland TA - Front Cardiovasc Med JT - Frontiers in cardiovascular medicine JID - 101653388 PMC - PMC9010542 OTO - NOTNLM OT - Bioinformatics OT - chronic limb-threatening ischemia OT - complement OT - intermittent claudication OT - mechanism OT - peripheral artery disease COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/04/19 06:00 MHDA- 2022/04/19 06:01 PMCR- 2022/01/01 CRDT- 2022/04/18 06:39 PHST- 2022/01/28 00:00 [received] PHST- 2022/03/07 00:00 [accepted] PHST- 2022/04/18 06:39 [entrez] PHST- 2022/04/19 06:00 [pubmed] PHST- 2022/04/19 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fcvm.2022.864461 [doi] PST - epublish SO - Front Cardiovasc Med. 2022 Apr 1;9:864461. doi: 10.3389/fcvm.2022.864461. eCollection 2022.