Development of immune-derived molecular markers for preeclampsia based on multiple machine learning algorithms

Abstract Preeclampsia (PE) is a major pregnancy-specific cardiovascular complication posing latent life-threatening risks to mothers and neonates. The contribution of immune dysregulation to PE is not fully understood, highlighting the need to explore molecular markers and their relationship with im...

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Main Authors: Zhichao Wang, Long Cheng, Guanghui Li, Huiyan Cheng
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-86442-9
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author Zhichao Wang
Long Cheng
Guanghui Li
Huiyan Cheng
author_facet Zhichao Wang
Long Cheng
Guanghui Li
Huiyan Cheng
author_sort Zhichao Wang
collection DOAJ
description Abstract Preeclampsia (PE) is a major pregnancy-specific cardiovascular complication posing latent life-threatening risks to mothers and neonates. The contribution of immune dysregulation to PE is not fully understood, highlighting the need to explore molecular markers and their relationship with immune infiltration to potentially inform therapeutic strategies. We used bioinformatics tools to analyze gene expression data from the Gene Expression Omnibus (GEO) database using the GEOquery package in R. Differential expression analysis was performed using the DESeq2 and limma packages, followed by analysis of variance to identify immune-related differentially expressed genes (DEGs). Several machine learning algorithms, including least absolute shrinkage and selection operator (LASSO), bagged trees, and random forest (RF), were used to select immune-related signaling genes closely associated with the occurrence of PE. Our analysis identified 34 immune source–related DEGs. Using the identified PE- and immune source–related genes, we constructed a diagnostic forecasting model employing several ML algorithms. We identified six types of statistically significant immune cells in patients with PE and discovered a strong relationship between biomarkers and immune cells. Moreover, the immune-derived hub genes for PE exhibited strong binding capabilities with drugs, such as alitretinoin, tretinoin, and acitretin. This study presents a robust prediction model for PE that integrates multiple machine learning–derived immune-related biomarkers. Our results indicate that these biomarkers may outperform previously reported molecular signatures in predicting PE and provide insights into the mechanisms underlying immune dysregulation in PE. Further validation in larger cohorts could lead to their clinical application in PE prediction and treatment.
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spelling doaj-art-cbdddca2d7e2461ea38131bd2d33d1f42025-01-19T12:19:40ZengNature PortfolioScientific Reports2045-23222025-01-0115111510.1038/s41598-025-86442-9Development of immune-derived molecular markers for preeclampsia based on multiple machine learning algorithmsZhichao Wang0Long Cheng1Guanghui Li2Huiyan Cheng3Department of Pediatric Surgery, First Hospital of Jilin UniversityDepartment of Intensive Care Unit, First Hospital of Jilin UniversityDepartment of Vascular Surgery, First Hospital of Jilin UniversityDepartment of Gynecology and Obstetrics, First Hospital of Jilin UniversityAbstract Preeclampsia (PE) is a major pregnancy-specific cardiovascular complication posing latent life-threatening risks to mothers and neonates. The contribution of immune dysregulation to PE is not fully understood, highlighting the need to explore molecular markers and their relationship with immune infiltration to potentially inform therapeutic strategies. We used bioinformatics tools to analyze gene expression data from the Gene Expression Omnibus (GEO) database using the GEOquery package in R. Differential expression analysis was performed using the DESeq2 and limma packages, followed by analysis of variance to identify immune-related differentially expressed genes (DEGs). Several machine learning algorithms, including least absolute shrinkage and selection operator (LASSO), bagged trees, and random forest (RF), were used to select immune-related signaling genes closely associated with the occurrence of PE. Our analysis identified 34 immune source–related DEGs. Using the identified PE- and immune source–related genes, we constructed a diagnostic forecasting model employing several ML algorithms. We identified six types of statistically significant immune cells in patients with PE and discovered a strong relationship between biomarkers and immune cells. Moreover, the immune-derived hub genes for PE exhibited strong binding capabilities with drugs, such as alitretinoin, tretinoin, and acitretin. This study presents a robust prediction model for PE that integrates multiple machine learning–derived immune-related biomarkers. Our results indicate that these biomarkers may outperform previously reported molecular signatures in predicting PE and provide insights into the mechanisms underlying immune dysregulation in PE. Further validation in larger cohorts could lead to their clinical application in PE prediction and treatment.https://doi.org/10.1038/s41598-025-86442-9Drug targetsImmune infiltrationMolecular markersMachine learning (ML)Preeclampsia (PE)Therapeutic references
spellingShingle Zhichao Wang
Long Cheng
Guanghui Li
Huiyan Cheng
Development of immune-derived molecular markers for preeclampsia based on multiple machine learning algorithms
Scientific Reports
Drug targets
Immune infiltration
Molecular markers
Machine learning (ML)
Preeclampsia (PE)
Therapeutic references
title Development of immune-derived molecular markers for preeclampsia based on multiple machine learning algorithms
title_full Development of immune-derived molecular markers for preeclampsia based on multiple machine learning algorithms
title_fullStr Development of immune-derived molecular markers for preeclampsia based on multiple machine learning algorithms
title_full_unstemmed Development of immune-derived molecular markers for preeclampsia based on multiple machine learning algorithms
title_short Development of immune-derived molecular markers for preeclampsia based on multiple machine learning algorithms
title_sort development of immune derived molecular markers for preeclampsia based on multiple machine learning algorithms
topic Drug targets
Immune infiltration
Molecular markers
Machine learning (ML)
Preeclampsia (PE)
Therapeutic references
url https://doi.org/10.1038/s41598-025-86442-9
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AT guanghuili developmentofimmunederivedmolecularmarkersforpreeclampsiabasedonmultiplemachinelearningalgorithms
AT huiyancheng developmentofimmunederivedmolecularmarkersforpreeclampsiabasedonmultiplemachinelearningalgorithms