Endocrine, Metabolic & Immune Disorders - Drug Targets

Endocrine, Metabolic & Immune Disorders - Drug Targets

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ISSN (Print): 1871-5303
ISSN (Online): 2212-3873

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Research Article

Screening Co-Diagnostic Genes for Lung Adenocarcinoma and Myocardial Infarction and Analysis of the Molecular Functions and Drug Value of the Genes

Author(s): Nannan Du, Mengting Liang and Zongjun Liu*

Volume 26, 2026

Published on: 11 February, 2025

Article ID: e18715303374928

Pages: 15

DOI: 10.2174/0118715303374928250130113050

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Abstract

Background: Lung adenocarcinoma (LUAD) is the most common subtype of non-small cell lung cancer, and myocardial infarction (MI) is an acute cardiovascular disease resulting from the disruption of coronary blood supply. Recent studies have suggested that these two diseases may share common molecular mechanisms.

Aims: The aim of this study was to discover common diagnostic genes for LUAD and MI and analyze their molecular functions and potential drug values by applying bioinformatics analysis.

Objective: The objective was to provide a theoretical basis for further research on the pathological mechanisms of LUAD and MI, contributing to the development of novel diagnostic and therapeutic strategies for the two diseases.

Methods: In this study, the datasets of LUAD and MI were obtained from TCGA and GEO databases, and differential expression analysis was performed to screen significantly differentially expressed genes (DEGs). Subsequently, disease-related genes were identified using WGCNA analysis, and the biological functions of these genes were explored by functional enrichment analysis. After screening key genes using the protein-protein interaction (PPI) network and the cytoHubba algorithm, biomarkers were determined by LASSO and SVM-RFE machine-learning methods. Finally, immune infiltration analysis and drug prediction were performed, and biomarker expression was verified by single-cell sequencing analysis.

Results: A total of 158 differentially upregulated genes were identified between LUAD and MI. WGCNA analysis screened 86 genes that were significantly associated with both diseases and were enriched in an inflammatory response and immune regulation-related pathways, such as the IL-17 signaling pathway. Ten significant genes were identified by the PPI network and cytoHubba and then reduced to 4 using LASSO and SVM-RFE. Noticeably, MMP9 was significantly overexpressed in both diseases. Immune infiltration analysis showed that MMP9 was significantly related to multiple immune cell infiltration. Drug prediction and molecular docking analysis predicted Ilomastat and Osthole as the potential target drugs. Single-cell sequencing analysis revealed that MMP9 was high-expressed in the macrophages in LUAD tissues.

Conclusion: This study identified MMP9 as a common diagnostic gene and potential therapeutic target for both LUAD and MI and revealed its role in inflammation and immune regulation through comprehensive bioinformatics analysis. These findings provided a theoretical basis for further research on the pathological mechanisms of LUAD and MI, contributing to the development of novel diagnostic and therapeutic strategies.

Keywords: Lung adenocarcinoma, myocardial infarction, PPI network, molecular docking, MMP9, drug.

[1]
Hussain, S.; Bokhari, H.; Fan, X.; Malik, S.I.; Ijaz, S.; Shereen, M.A.; Fatima, A. MicroRNAs modulation in lung cancer: Exploring dual mechanisms and clinical prospects. Biocell, 2024, 48(3), 403-413.
[http://dx.doi.org/10.32604/biocell.2024.044801]
[2]
Ding, Y.; Lv, J.; Hua, Y. Comprehensive metabolomic analysis of lung cancer patients treated with fu zheng fang. Curr. Pharm. Anal., 2022, 18(9), 881-891.
[http://dx.doi.org/10.2174/1573412918666220822143119]
[3]
Qian, X.J.; Wang, J.W.; Liu, J.B.; Yu, X. The mediating role of miR-451/ETV4/MMP13 signaling axis on epithelialmesenchymal transition in promoting non-small cell lung cancer progression. Curr. Mol. Pharmacol., 2023, 17, e210723218988.
[http://dx.doi.org/10.2174/1874467217666230721123554] [PMID: 37489792]
[4]
Qiu, H.; Cao, S.; Xu, R. Cancer incidence, mortality, and burden in China: A time-trend analysis and comparison with the United States and United Kingdom based on the global epidemiological data released in 2020. Cancer Commun. (Lond.), 2021, 41(10), 1037-1048.
[http://dx.doi.org/10.1002/cac2.12197] [PMID: 34288593]
[5]
Lantuejoul, S.; Mescam-Mancini, L.; Burroni, B.; McLeer-Florin, A. News on molecular pathology in non-small cell lung cancer. Oncologie, 2012, 14(9), 530-537.
[http://dx.doi.org/10.1007/s10269-012-2206-1]
[6]
Wang, J.; Cai, Y.; Sheng, Z.; Dong, Z. EGFR inhibitor CL-387785 suppresses the progression of lung adenocarcinoma. Curr. Mol. Pharmacol., 2023, 16(2), 211-216.
[http://dx.doi.org/10.2174/1874467215666220329212300] [PMID: 35352671]
[7]
Denisenko, T.V.; Budkevich, I.N.; Zhivotovsky, B. Cell death-based treatment of lung adenocarcinoma. Cell Death Dis., 2018, 9(2), 117.
[http://dx.doi.org/10.1038/s41419-017-0063-y] [PMID: 29371589]
[8]
Zhang, L.; Meng, Q.; Zhuang, L.; Gong, Q.; Huang, X.; Li, X.; Li, S.; Wang, G.; Wang, X. miR-30a-5p/PHTF2 axis regulates the tumorigenesis and metastasis of lung adenocarcinoma. Biocell, 2024, 48(4), 581-590.
[http://dx.doi.org/10.32604/biocell.2024.047260]
[9]
Ghosh, S. Cisplatin: The first metal based anticancer drug. Bioorg. Chem., 2019, 88, 102925.
[http://dx.doi.org/10.1016/j.bioorg.2019.102925] [PMID: 31003078]
[10]
Zarrabi, A.; Bishayee, A.; Mirzaei, S.; Gholami, M.H.; Zabolian, A.; Saleki, H.; Bagherian, M.; Torabi, S.M.; Sharifzadeh, S.O.; Hushmandi, K.; Fives, K.R.; Khan, H.; Ashrafizadeh, M. Resveratrol augments doxorubicin and cisplatin chemotherapy: A novel therapeutic strategy. Curr. Mol. Pharmacol., 2023, 16(3), 280-306.
[http://dx.doi.org/10.2174/1874467215666220415131344] [PMID: 35430977]
[11]
Sase, K.; Fujisaka, Y.; Shoji, M.; Mukai, M. Cardiovascular complications associated with contemporary lung cancer treatments. Curr. Treat. Options Oncol., 2021, 22(8), 71.
[http://dx.doi.org/10.1007/s11864-021-00869-6] [PMID: 34110522]
[12]
Darby, S.C.; Ewertz, M.; McGale, P.; Bennet, A.M.; Blom-Goldman, U.; Brønnum, D.; Correa, C.; Cutter, D.; Gagliardi, G.; Gigante, B.; Jensen, M.B.; Nisbet, A.; Peto, R.; Rahimi, K.; Taylor, C.; Hall, P. Risk of ischemic heart disease in women after radiotherapy for breast cancer. N. Engl. J. Med., 2013, 368(11), 987-998.
[http://dx.doi.org/10.1056/NEJMoa1209825] [PMID: 23484825]
[13]
Lee Chuy, K.; Nahhas, O.; Dominic, P.; Lopez, C.; Tonorezos, E.; Sidlow, R.; Straus, D.; Gupta, D. Cardiovascular complications associated with mediastinal radiation. Curr. Treat. Options Cardiovasc. Med., 2019, 21(7), 31.
[http://dx.doi.org/10.1007/s11936-019-0737-0] [PMID: 31161453]
[14]
Zhang, S.; Liu, X.; Bawa-Khalfe, T.; Lu, L.S.; Lyu, Y.L.; Liu, L.F.; Yeh, E.T.H. Identification of the molecular basis of doxorubicin-induced cardiotoxicity. Nat. Med., 2012, 18(11), 1639-1642.
[http://dx.doi.org/10.1038/nm.2919] [PMID: 23104132]
[15]
Cardinale, D.; Colombo, A.; Lamantia, G.; Colombo, N.; Civelli, M.; De Giacomi, G.; Rubino, M.; Veglia, F.; Fiorentini, C.; Cipolla, C.M. Anthracycline-induced cardiomyopathy. J. Am. Coll. Cardiol., 2010, 55(3), 213-220.
[http://dx.doi.org/10.1016/j.jacc.2009.03.095] [PMID: 20117401]
[16]
Psaty, B.M.; Vasan, R.S. The association of myocardial infarction with cancer incidence. Eur. J. Epidemiol., 2023, 38(8), 851-852.
[http://dx.doi.org/10.1007/s10654-023-01019-y] [PMID: 37268804]
[17]
van Herk-Sukel, M.P.P.; Shantakumar, S.; Penning-van Beest, F.J.A.; Kamphuisen, P.W.; Majoor, C.J.; Overbeek, L.I.H.; Herings, R.M.C. Pulmonary embolism, myocardial infarction, and ischemic stroke in lung cancer patients: Results from a longitudinal study. Lung, 2013, 191(5), 501-509.
[http://dx.doi.org/10.1007/s00408-013-9485-1] [PMID: 23807721]
[18]
Love, M.; Anders, S.; Huber, W. Differential analysis of count data–the DESeq2 package. Genome Biol., 2014, 15(550), 10-1186.
[19]
Ritchie, M.E.; Phipson, B.; Wu, D.; Hu, Y.; Law, C.W.; Shi, W.; Smyth, G.K. limma powers differential expression analyses for RNA-sequencing and microarray studies. Nucleic Acids Res., 2015, 43(7), e47.
[http://dx.doi.org/10.1093/nar/gkv007] [PMID: 25605792]
[20]
Song, Z.; Yu, J.; Wang, M.; Shen, W.; Wang, C.; Lu, T.; Shan, G.; Dong, G.; Wang, Y.; Zhao, J. CHDTEPDB: Transcriptome expression profile database and interactive analysis platform for congenital heart disease. Congenit. Heart Dis., 2023, 18(6), 693-701.
[http://dx.doi.org/10.32604/chd.2024.048081]
[21]
Langfelder, P.; Horvath, S. WGCNA: An R package for weighted correlation network analysis. BMC Bioinformatics, 2008, 9(1), 559.
[http://dx.doi.org/10.1186/1471-2105-9-559] [PMID: 19114008]
[22]
Dennis, G., Jr; Sherman, B.T.; Hosack, D.A.; Yang, J.; Gao, W.; Lane, H.C.; Lempicki, R.A. DAVID: Database for annotation, visualization, and integrated discovery. Genome Biol., 2003, 4(5), P3.
[http://dx.doi.org/10.1186/gb-2003-4-5-p3] [PMID: 12734009]
[23]
Xu, X.; Huang, Y.; Han, X. Single-nucleus RNA sequencing reveals cardiac macrophage landscape in hypoplastic left heart syndrome. Congenit. Heart Dis., 2024, 19(2), 233-246.
[http://dx.doi.org/10.32604/chd.2024.050231]
[24]
Szklarczyk, D.; Gable, A.L.; Nastou, K.C.; Lyon, D.; Kirsch, R.; Pyysalo, S.; Doncheva, N.T.; Legeay, M.; Fang, T.; Bork, P.; Jensen, L.J.; von Mering, C. The STRING database in 2021: Customizable protein–protein networks, and functional characterization of user-uploaded gene/measurement sets. Nucleic Acids Res., 2021, 49(D1), D605-D612.
[http://dx.doi.org/10.1093/nar/gkaa1074] [PMID: 33237311]
[25]
Shannon, P.; Markiel, A.; Ozier, O.; Baliga, N.S.; Wang, J.T.; Ramage, D.; Amin, N.; Schwikowski, B.; Ideker, T. Cytoscape: A software environment for integrated models of biomolecular interaction networks. Genome Res., 2003, 13(11), 2498-2504.
[http://dx.doi.org/10.1101/gr.1239303] [PMID: 14597658]
[26]
Simon, N.; Friedman, J.; Hastie, T.; Tibshirani, R. Regularization paths for cox’s proportional hazards model via coordinate descent. J. Stat. Softw., 2011, 39(5), 1-13.
[http://dx.doi.org/10.18637/jss.v039.i05] [PMID: 27065756]
[27]
Chen, B.; Khodadoust, M.S.; Liu, C.L.; Newman, A.M.; Alizadeh, A.A. Profiling tumor infiltrating immune cells with cibersort. Methods Mol. Biol., 2018, 1711, 243-259.
[http://dx.doi.org/10.1007/978-1-4939-7493-1_12] [PMID: 29344893]
[28]
Seeliger, D.; de Groot, B.L. Ligand docking and binding site analysis with PyMOL and Autodock/Vina. J. Comput. Aided Mol. Des., 2010, 24(5), 417-422.
[http://dx.doi.org/10.1007/s10822-010-9352-6] [PMID: 20401516]
[29]
Stuart, T.; Butler, A.; Hoffman, P.; Hafemeister, C.; Papalexi, E.; Mauck, W.M., 3rd; Hao, Y.; Stoeckius, M.; Smibert, P.; Satija, R. Comprehensive integration of single-cell data. Cell., 2019, 177(7), 1888-1902.
[http://dx.doi.org/10.1016/j.cell.2019.05.031] [PMID: 31178118]
[30]
Zulibiya, A.; Wen, J.; Yu, H.; Chen, X.; Xu, L.; Ma, X.; Zhang, B. Single-cell RNA sequencing reveals potential for endothelial- to-mesenchymal transition in tetralogy of fallot. Congenit. Heart Dis., 2023, 18(6), 611-625.
[http://dx.doi.org/10.32604/chd.2023.047689]
[31]
Korsunsky, I.; Millard, N.; Fan, J.; Slowikowski, K.; Zhang, F.; Wei, K.; Baglaenko, Y.; Brenner, M.; Loh, P.; Raychaudhuri, S. Fast, sensitive and accurate integration of single-cell data with Harmony. Nat. Methods, 2019, 16(12), 1289-1296.
[http://dx.doi.org/10.1038/s41592-019-0619-0] [PMID: 31740819]
[32]
Han, X.; Liu, X.; Wang, X.; Guo, W.; Wen, Y.; Meng, W.; Peng, D.; Lv, P.; Zhang, X.; Shen, H. TNF-α-dependent lung inflammation upregulates superoxide dismutase-2 to promote tumor cell proliferation in lung adenocarcinoma. Mol. Carcinog., 2020, 59(9), 1088-1099.
[http://dx.doi.org/10.1002/mc.23239] [PMID: 32673443]
[33]
Cao, L.; Wang, X.; Liu, X.; Meng, W.; Guo, W.; Duan, C.; Liang, X.; Kang, L.; Lv, P.; Lin, Q.; Zhang, R.; Zhang, X.; Shen, H. Tumor necrosis factor α–dependent lung inflammation promotes the progression of lung adenocarcinoma originating from alveolar type II cells by upregulating MIF-CD74. Lab. Invest., 2023, 103(3), 100034.
[http://dx.doi.org/10.1016/j.labinv.2022.100034] [PMID: 36925198]
[34]
Prabhu, S.D.; Frangogiannis, N.G. The biological basis for cardiac repair after myocardial infarction. Circ. Res., 2016, 119(1), 91-112.
[http://dx.doi.org/10.1161/CIRCRESAHA.116.303577] [PMID: 27340270]
[35]
Zheng, W.; Zhou, T.; Zhang, Y.; Ding, J.; Xie, J.; Wang, S.; Wang, Z.; Wang, K.; Shen, L.; Zhu, Y.; Gao, C. Simplified α2-macroglobulin as a TNF-α inhibitor for inflammation alleviation in osteoarthritis and myocardial infarction therapy. Biomaterials, 2023, 301, 122247.
[http://dx.doi.org/10.1016/j.biomaterials.2023.122247] [PMID: 37487780]
[36]
Li, Q.; Liu, Y.; Xia, X.; Sun, H.; Gao, J.; Ren, Q.; Zhou, T.; Ma, C.; Xia, J.; Yin, C. Activation of macrophage TBK1-HIF-1α-mediated IL-17/IL-10 signaling by hyperglycemia aggravates the complexity of coronary atherosclerosis: An in vivo and in vitro study. FASEB J., 2021, 35(5), e21609.
[http://dx.doi.org/10.1096/fj.202100086RR] [PMID: 33908659]
[37]
Golforoush, P.; Yellon, D.M.; Davidson, S.M. Mouse models of atherosclerosis and their suitability for the study of myocardial infarction. Basic Res. Cardiol., 2020, 115(6), 73.
[http://dx.doi.org/10.1007/s00395-020-00829-5] [PMID: 33258000]
[38]
Tian, W.; Li, Y.; Zhang, J.; Li, J.; Gao, J. Comprehensive analysis of DNA methylation and gene expression datasets identified MMP9 and TWIST1 as important pathogenic genes of lung adenocarcinoma. DNA Cell Biol., 2018, 37(4), 336-346.
[http://dx.doi.org/10.1089/dna.2017.4085] [PMID: 29443542]
[39]
Gu, J.J.; Hoj, J.; Rouse, C.; Pendergast, A.M. Mesenchymal stem cells promote metastasis through activation of an ABL-MMP9 signaling axis in lung cancer cells. PLoS One, 2020, 15(10), e0241423.
[http://dx.doi.org/10.1371/journal.pone.0241423] [PMID: 33119681]
[40]
Aydin, S.; Ugur, K.; Aydin, S.; Sahin, İ.; Yardim, M. Biomarkers in acute myocardial infarction: Current perspectives. Vasc. Heal. Risk Manag., 2019, 15, 1-10.
[http://dx.doi.org/10.2147/VHRM.S166157] [PMID: 30697054]
[41]
Guo, C.; Ji, W.; Yang, W.; Deng, Q.; Zheng, T.; Wang, Z.; Sui, W.; Zhai, C.; Yu, F.; Xi, B.; Yu, X.; Xu, F.; Zhang, Q.; Zhang, W.; Kong, J.; Zhang, M.; Zhang, C. NKRF in cardiac fibroblasts protects against cardiac remodeling post-myocardial infarction via human antigen R. Adv. Sci. (Weinh.), 2023, 10(30), 2303283.
[http://dx.doi.org/10.1002/advs.202303283] [PMID: 37667861]
[42]
Augoff, K.; Hryniewicz-Jankowska, A.; Tabola, R.; Stach, K. MMP9: A tough target for targeted therapy for cancer. Cancers , 2022, 14(7), 1847.
[http://dx.doi.org/10.3390/cancers14071847] [PMID: 35406619]
[43]
Lee, H.S.; Kim, W.J. The role of matrix metalloproteinase in inflammation with a focus on infectious diseases. Int. J. Mol. Sci., 2022, 23(18), 10546.
[http://dx.doi.org/10.3390/ijms231810546] [PMID: 36142454]
[44]
Hu, T.; Cheng, B.; Matsunaga, A.; Zhang, T.; Lu, X.; Fang, H.; Mori, S.F.; Fang, X.; Wang, G.; Xu, H.; Shi, H.; Cowell, J.K. Single-cell analysis defines highly specific leukemia-induced neutrophils and links MMP8 expression to recruitment of tumor associated neutrophils during FGFR1 driven leukemogenesis. Exp. Hematol. Oncol., 2024, 13(1), 49.
[http://dx.doi.org/10.1186/s40164-024-00514-6] [PMID: 38730491]
[45]
Yin, S.; Liu, H.; Wang, J.; Feng, S.; Chen, Y.; Shang, Y.; Su, X.; Si, F. Osthole induces apoptosis and inhibits proliferation, invasion, and migration of human cervical carcinoma hela cells. Evid. Based Complement. Alternat. Med., 2021, 2021, 1-7.
[http://dx.doi.org/10.1155/2021/8885093] [PMID: 34539807]
[46]
Marshall, D.C.; Lyman, S.K.; McCauley, S.; Kovalenko, M.; Spangler, R.; Liu, C.; Lee, M.; O’Sullivan, C.; Barry-Hamilton, V.; Ghermazien, H.; Mikels-Vigdal, A.; Garcia, C.A.; Jorgensen, B.; Velayo, A.C.; Wang, R.; Adamkewicz, J.I.; Smith, V. Selective allosteric inhibition of MMP9 is efficacious in preclinical models of ulcerative colitis and colorectal cancer. PLoS One, 2015, 10(5), e0127063.
[http://dx.doi.org/10.1371/journal.pone.0127063] [PMID: 25961845]