Identification of critical biomarkers and immune infiltration in preeclampsia through bioinformatics and machine learning methods

Abstract Background Preeclampsia (PE) is a multisystem progressive disease that occurs during pregnancy. Previous studies have shown that the immune system is involved in the placental trophoblast function and the pathological process of uterine vascular remodeling in PE. However, its molecular mech...

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Main Authors: Weiwen Li, Lijun Zhong, Kewen Zhao, Jincheng Xie, Shaodong Deng, Yunyong Fang
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Pregnancy and Childbirth
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Online Access:https://doi.org/10.1186/s12884-025-07257-0
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author Weiwen Li
Lijun Zhong
Kewen Zhao
Jincheng Xie
Shaodong Deng
Yunyong Fang
author_facet Weiwen Li
Lijun Zhong
Kewen Zhao
Jincheng Xie
Shaodong Deng
Yunyong Fang
author_sort Weiwen Li
collection DOAJ
description Abstract Background Preeclampsia (PE) is a multisystem progressive disease that occurs during pregnancy. Previous studies have shown that the immune system is involved in the placental trophoblast function and the pathological process of uterine vascular remodeling in PE. However, its molecular mechanism is still unclear. This study aimed to identify critical genes and immune cells involved in the pathological process of PE. Methods The PE-related GSE74341 and GSE160888 datasets were downloaded from the Gene Expression Omnibus (GEO) database, and differential expression analysis, weighted gene co-expression network analysis (WGCNA), and least absolute shrinkage and selection operator (LASSO) analysis were combined to screen the PE-related DEGs. Receiver operating characteristic (ROC) analysis was used to evaluate the diagnostic specificity of obtained DEGs, and the GSE35574 dataset was used for preliminary validation. Furthermore, the single-sample Gene Set Enrichment Analysis (ssGSEA) was used to elucidate the correlation between the DEGs and the 28 types of infiltrating immune cells in PE. Real-time reverse transcription polymerase chain reaction (RT-PCR) was used to verify the differential expression of DEGs in the PE placental tissues. Results A total of 143 DEGs (DE-mRNAs) were screened using the PE datasets. The analysis of DEG modules and LASSO logistic regression were used to identify high-temperature requirement factor A4 (HtrA4), tumour suppressor candidate 3 (TUSC3), endothelial protein C receptor gene (PROCR), claudin 3 (CLDN3), and thioredoxin binding protein (TXNIP) as the hub DEGs in PE. Furthermore, validation with the GSE35574 dataset and ROC analysis was used to clarify that the HTRA4, PROCR, and TXNIP genes are potential markers of PE and are closely related to the infiltrating immune cells in PE, such as gamma delta T cells, mast cells, natural killer cells, and T follicular helper cells. Finally, differential HTRA4, PROCR, and TXNIP expression were confirmed in PE placental tissues (p < 0.001). Conclusion HTRA4, PROCR, and TXNIP can be used as potential PE biomarkers to provide a new strategy for early diagnosing and treating PE.
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spelling doaj-art-1c82c454f2e341f78a2aeda7840b99e72025-08-20T02:13:03ZengBMCBMC Pregnancy and Childbirth1471-23932025-02-0125111210.1186/s12884-025-07257-0Identification of critical biomarkers and immune infiltration in preeclampsia through bioinformatics and machine learning methodsWeiwen Li0Lijun Zhong1Kewen Zhao2Jincheng Xie3Shaodong Deng4Yunyong Fang5Dongguan Maternal and Child Health Care HospitalDongguan Maternal and Child Health Care HospitalDongguan Maternal and Child Health Care HospitalScientific Research Platform, The Second School of Clinical Medicine, Guangdong Medical UniversityScientific Research Platform, The Second School of Clinical Medicine, Guangdong Medical UniversityDongguan Maternal and Child Health Care HospitalAbstract Background Preeclampsia (PE) is a multisystem progressive disease that occurs during pregnancy. Previous studies have shown that the immune system is involved in the placental trophoblast function and the pathological process of uterine vascular remodeling in PE. However, its molecular mechanism is still unclear. This study aimed to identify critical genes and immune cells involved in the pathological process of PE. Methods The PE-related GSE74341 and GSE160888 datasets were downloaded from the Gene Expression Omnibus (GEO) database, and differential expression analysis, weighted gene co-expression network analysis (WGCNA), and least absolute shrinkage and selection operator (LASSO) analysis were combined to screen the PE-related DEGs. Receiver operating characteristic (ROC) analysis was used to evaluate the diagnostic specificity of obtained DEGs, and the GSE35574 dataset was used for preliminary validation. Furthermore, the single-sample Gene Set Enrichment Analysis (ssGSEA) was used to elucidate the correlation between the DEGs and the 28 types of infiltrating immune cells in PE. Real-time reverse transcription polymerase chain reaction (RT-PCR) was used to verify the differential expression of DEGs in the PE placental tissues. Results A total of 143 DEGs (DE-mRNAs) were screened using the PE datasets. The analysis of DEG modules and LASSO logistic regression were used to identify high-temperature requirement factor A4 (HtrA4), tumour suppressor candidate 3 (TUSC3), endothelial protein C receptor gene (PROCR), claudin 3 (CLDN3), and thioredoxin binding protein (TXNIP) as the hub DEGs in PE. Furthermore, validation with the GSE35574 dataset and ROC analysis was used to clarify that the HTRA4, PROCR, and TXNIP genes are potential markers of PE and are closely related to the infiltrating immune cells in PE, such as gamma delta T cells, mast cells, natural killer cells, and T follicular helper cells. Finally, differential HTRA4, PROCR, and TXNIP expression were confirmed in PE placental tissues (p < 0.001). Conclusion HTRA4, PROCR, and TXNIP can be used as potential PE biomarkers to provide a new strategy for early diagnosing and treating PE.https://doi.org/10.1186/s12884-025-07257-0PreeclampsiaBiomarkersImmune cells infiltrationBioinformatics
spellingShingle Weiwen Li
Lijun Zhong
Kewen Zhao
Jincheng Xie
Shaodong Deng
Yunyong Fang
Identification of critical biomarkers and immune infiltration in preeclampsia through bioinformatics and machine learning methods
BMC Pregnancy and Childbirth
Preeclampsia
Biomarkers
Immune cells infiltration
Bioinformatics
title Identification of critical biomarkers and immune infiltration in preeclampsia through bioinformatics and machine learning methods
title_full Identification of critical biomarkers and immune infiltration in preeclampsia through bioinformatics and machine learning methods
title_fullStr Identification of critical biomarkers and immune infiltration in preeclampsia through bioinformatics and machine learning methods
title_full_unstemmed Identification of critical biomarkers and immune infiltration in preeclampsia through bioinformatics and machine learning methods
title_short Identification of critical biomarkers and immune infiltration in preeclampsia through bioinformatics and machine learning methods
title_sort identification of critical biomarkers and immune infiltration in preeclampsia through bioinformatics and machine learning methods
topic Preeclampsia
Biomarkers
Immune cells infiltration
Bioinformatics
url https://doi.org/10.1186/s12884-025-07257-0
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