已发表论文

溃疡性结肠炎关键生物标志物及免疫微环境特征的识别:基于 WGCNA 和多种机器学习算法的综合分析

 

Authors Qi Y , Wang Y , Zhang S, Pan X, Li W, Cheng M, Ma W, Li J, Pei Y, Liu Y , Yu Y 

Received 10 June 2025

Accepted for publication 1 October 2025

Published 7 October 2025 Volume 2025:18 Pages 13879—13896

DOI https://doi.org/10.2147/JIR.S545790

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Fatih Türker

Yingchao Qi,1,* Yichen Wang,2,* Siyao Zhang,1,3,* Xinxin Pan,4 Wenkai Li,2 Meijia Cheng,2 Wenjing Ma,2 Jiajia Li,2 Yue Pei,2 Yunen Liu,1,2 Yongduo Yu5 

1First Clinical School, Liaoning University of Traditional Chinese Medicine, Shenyang, People’s Republic of China; 2School of Shuren International, Shenyang Medical College, Shenyang, People’s Republic of China; 3Department of Anorectal Surgery, The Third Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang, People’s Republic of China; 4Department of Anorectal Surgery, Wuxi Huishan District Hospital of Traditional Chinese Medicine, Wuxi, People’s Republic of China; 5Department of Anorectal Surgery, The Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Yongduo Yu, Department of Anorectal Surgery, The Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Shenyang, People’s Republic of China, Email yuyongduo@163.com

Background: Ulcerative colitis (UC) is an inflammatory bowel disease (IBD) characterized by a dysregulated mucosal immune response in the intestine. The disease poses significant challenges for both diagnosis and treatment. This study aims to identify reliable biomarkers for UC and investigate its immunological characteristics, with the goal of improving diagnostic accuracy and informing treatment strategies.
Methods: This study integrated multiple GEO datasets and identified UC-associated hub genes through differential expression and Weighted Gene Co-expression Network Analysis (WGCNA), with subsequent refinement using least absolute shrinkage and selection operator (LASSO), randomForest (RF), and support vector machine-recursive feature elimination (SVM-RFE) algorithms. These genes were used to construct a feedforward neural network (FNN) diagnostic model, whose performance was assessed using receiver operating characteristic (ROC) curve analysis. Immune profiling based on CIBERSORT, ssGSEA, Gene set variation analysis (GSVA), and ESTIMATE revealed associations between hub gene expression, immune cell infiltration, and inflammatory activity. Immunohistochemistry was performed to validate the protein expression of hub genes.
Results: Ten hub genes (ACOX2, MMP3, CPT2, CTSK, CHP2, VCAM1, SLC25A34, BASP1, NCF2, and GLB1L2) were identified, and the FNN model showed strong diagnostic accuracy. Notably, NCF2 expression correlated with immune cell infiltration and immune/inflammation scores, and was confirmed to be elevated in UC tissues, suggesting a key role in disease pathogenesis.
Conclusion: This study identified ten hub genes with potential as biomarkers for the diagnosis and treatment of UC. NCF2 may contribute to UC pathogenesis by modulating inflammatory and immune responses, serving as a potential immune-related biomarker for improved UC diagnosis and treatment.

Keywords: ulcerative colitis, biomarkers, immune microenvironment, machine learning