Gene signatures and immune correlations in Parkinson’s disease Braak stages

Abstract Background Parkinson's disease (PD), a progressive neurodegenerative disease, still lacks disease-modifying treatment strategies. The formation of Lewy body is the typical pathological feature of PD. Pathological progression can be defined by Braak stages. However, the molecular mechan...

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Main Authors: Rui-xue Sun, Yan Guo
Format: Article
Language:English
Published: BMC 2025-04-01
Series:European Journal of Medical Research
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Online Access:https://doi.org/10.1186/s40001-025-02554-y
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author Rui-xue Sun
Yan Guo
author_facet Rui-xue Sun
Yan Guo
author_sort Rui-xue Sun
collection DOAJ
description Abstract Background Parkinson's disease (PD), a progressive neurodegenerative disease, still lacks disease-modifying treatment strategies. The formation of Lewy body is the typical pathological feature of PD. Pathological progression can be defined by Braak stages. However, the molecular mechanism for this ascending course of α-synuclein pathology remains unclear. Methods In this study, weighted gene co-expression network analysis (WGCNA) was used to screen Braak stage-related gene signatures, followed by the functional enrichment analysis, including gene ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG) and Gene Set Enrichment Analysis (GSEA). The hub genes were screened through CytoHubba and Least Absolute Shrinkage and Selection Operator (LASSO) analysis. The immune cell proportion was predicted by the ImmuCellAI. Furthermore, transcription factors (TFs) and miRNAs targeting the hub genes network were constructed. After verifying hub gene expression level through independent data sets. The validated hub gene was further analyzed to elucidate the potential molecular mechanism. Results Total of 388 genes associated with Braak stages were screened out through WGCNA analysis. The KEGG analysis showed that these genes were involved in endocytosis, HIF-1 signaling pathway, synaptic vesicle cycle, dopaminergic synapse, oxytocin signaling pathway, etc. Immune infiltration analysis showed that CD4 + T cells, including nTreg, Th2, and Th17, were obviously different between different Braak stages in PD. Furthermore, eights Braak stages-related hub genes were identified, including CAMK2B, CPLX2, GAPDH, GRIN1, KCNA1, MAPK3, MAPT, and STXBP1 through the cytoHubba plugin and LASSO analysis. After verifying the expression level in three independent data sets, CPLX2 was finally identified as the most reliable Braak stages-associated hub genes in PD. Conclusions This study revealed the Braak stage-related gene signatures in PD and identified CPLX2 as a novel Braak stages-related hub gene in PD, which provided a novel target for future therapeutic interventions and disease markers. The specific molecular mechanism of CPLX2 in PD remained to be further clarified.
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spelling doaj-art-c0d40fa78bdf434a93e2017f624917052025-08-20T02:17:46ZengBMCEuropean Journal of Medical Research2047-783X2025-04-0130111210.1186/s40001-025-02554-yGene signatures and immune correlations in Parkinson’s disease Braak stagesRui-xue Sun0Yan Guo1Department of Internal Medicine, Nanjing Luhe District Zhu Town Community Health Service CenterDepartment of Internal Medicine, Nanjing Luhe District Zhu Town Community Health Service CenterAbstract Background Parkinson's disease (PD), a progressive neurodegenerative disease, still lacks disease-modifying treatment strategies. The formation of Lewy body is the typical pathological feature of PD. Pathological progression can be defined by Braak stages. However, the molecular mechanism for this ascending course of α-synuclein pathology remains unclear. Methods In this study, weighted gene co-expression network analysis (WGCNA) was used to screen Braak stage-related gene signatures, followed by the functional enrichment analysis, including gene ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG) and Gene Set Enrichment Analysis (GSEA). The hub genes were screened through CytoHubba and Least Absolute Shrinkage and Selection Operator (LASSO) analysis. The immune cell proportion was predicted by the ImmuCellAI. Furthermore, transcription factors (TFs) and miRNAs targeting the hub genes network were constructed. After verifying hub gene expression level through independent data sets. The validated hub gene was further analyzed to elucidate the potential molecular mechanism. Results Total of 388 genes associated with Braak stages were screened out through WGCNA analysis. The KEGG analysis showed that these genes were involved in endocytosis, HIF-1 signaling pathway, synaptic vesicle cycle, dopaminergic synapse, oxytocin signaling pathway, etc. Immune infiltration analysis showed that CD4 + T cells, including nTreg, Th2, and Th17, were obviously different between different Braak stages in PD. Furthermore, eights Braak stages-related hub genes were identified, including CAMK2B, CPLX2, GAPDH, GRIN1, KCNA1, MAPK3, MAPT, and STXBP1 through the cytoHubba plugin and LASSO analysis. After verifying the expression level in three independent data sets, CPLX2 was finally identified as the most reliable Braak stages-associated hub genes in PD. Conclusions This study revealed the Braak stage-related gene signatures in PD and identified CPLX2 as a novel Braak stages-related hub gene in PD, which provided a novel target for future therapeutic interventions and disease markers. The specific molecular mechanism of CPLX2 in PD remained to be further clarified.https://doi.org/10.1186/s40001-025-02554-yParkinson's diseaseBraak stageGene signaturesImmune infiltrationCPLX2
spellingShingle Rui-xue Sun
Yan Guo
Gene signatures and immune correlations in Parkinson’s disease Braak stages
European Journal of Medical Research
Parkinson's disease
Braak stage
Gene signatures
Immune infiltration
CPLX2
title Gene signatures and immune correlations in Parkinson’s disease Braak stages
title_full Gene signatures and immune correlations in Parkinson’s disease Braak stages
title_fullStr Gene signatures and immune correlations in Parkinson’s disease Braak stages
title_full_unstemmed Gene signatures and immune correlations in Parkinson’s disease Braak stages
title_short Gene signatures and immune correlations in Parkinson’s disease Braak stages
title_sort gene signatures and immune correlations in parkinson s disease braak stages
topic Parkinson's disease
Braak stage
Gene signatures
Immune infiltration
CPLX2
url https://doi.org/10.1186/s40001-025-02554-y
work_keys_str_mv AT ruixuesun genesignaturesandimmunecorrelationsinparkinsonsdiseasebraakstages
AT yanguo genesignaturesandimmunecorrelationsinparkinsonsdiseasebraakstages