Diabetes complications

Integrated approach of machine learning, Mendelian randomization and experimental validation for biomarker discovery in diabetic nephropathy

Diabetes Obes MetabPublished Biomarker discovery study

Authors' conclusion

By integrating machine learning, MR and experimental validation, we successfully identified and validated CA2 as a promising biomarker for DN with excellent predictive performance. The biomarker may play a role in the pathogenesis and progression of DN via immune-related pathways. These findings provide important insights into the molecular mechanisms underlying DN and may inform the development of personalized treatment strategies for this disease.

Study context

Population
Microarray and RNA-seq datasets from Gene Expression Omnibus (GSE47184, GSE96804, GSE104948, GSE104954, GSE142025, GSE175,759); clinical samples from patients with diabetic nephropathy (DN) and controls
Comparison
DN vs controls
Outcome
Biomarker identification for DN
Methodological detailsbioinformatic analysis with Mendelian randomization and experimental validation, machine learning (LASSO, SVM-RFE, random forest), ROC validation, qRT-PCR validation in clinical samples
  • Bioinformatic analysis with Mendelian randomization and experimental validation
  • Machine learning (LASSO, SVM-RFE, random forest)
  • ROC validation
  • qRT-PCR validation in clinical samples

Performance

As reported in the abstract

Differentially expressed genes (DEGs) between DN and controls
314
Characteristic genes from 3 machine learning algorithms
seven
Genes with significant causal effects on DN (Mendelian randomization (MR))
219
Key biomarker (co-expressed gene)
carbonic anhydrase II (CA2)
AUC of CA2 across all datasets
above 0.878

Further findings

Immune cell infiltration

Significant association between CA2 and infiltrating immune cells in DN

Clinical validation (qRT-PCR)

CA2 validated using clinical samples

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Integrated approach of machine learning, Mendelian randomization and experimental validation for biomarker discovery in diabetic nephropathy. Diabetes Obes Metab. Published 6 October 2024. doi:10.1111/dom.15933

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