Abstract

Ulcerative colitis (UC) and rheumatoid arthritis (RA) are immune-mediated inflammatory diseases (IMIDs) with similar symptoms and common genomics. However, the relationship between UC and RA has not been investigated thoroughly. Therefore, this study aimed to establish the differentially expressed genes (DEGs) and potential therapeutic targets in UC and RA. Three microarray datasets (GSE38713, GSE1919, and GSE12251) were selected from the Gene Expression Omnibus (GEO) database for analysis. We used R software to identify the DEGs and performed enrichment analyses. Search Tool for the Retrieval of Interacting Genes/Proteins (STRING) and Cytoscape software were used to construct the protein-protein interaction (PPI) network and identify the hub genes. A regulatory network based on the constructed PPI was generated using StarBase and PROMO databases. We identified a total of 1542 and 261 DEGs in UC and RA. There were 169 common DEGs identified in both UC and RA, including 63 upregulated genes (DEGs1) and nine downregulated genes (DEGs2). The Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses of DEGs1 and DEGs2 in the PPI network revealed that the genes enriched were involved in immunity. A total of 45 hub genes were selected based on high scores of correlation; three hub genes (SRGN, PLEK, and FCGR3B) were found to be upregulated in UC and RA, and downregulated in UC patients with response to infliximab treatment. The identification of novel DEGs and hub genes in the current study contributes to a novel perception for latent functional mechanisms and presents potential prognostic indicators and therapeutic targets in UC and RA.

Highlights

  • Ulcerative colitis (UC) is a chronic inflammatory disease that mainly involves the colon

  • The GSE38713 and GSE12251 datasets were available on the GPL570 platform (HG-U133_Plus_2; Affymetrix Human Genome U133 Plus 2.0 Array), while GSE1919 was accessible on the GPL91 platform (HG_U95A; Affymetrix Human Genome U95A Array)

  • GSE12251 dataset was derived from 22 patients with UC, of which 12 responded to and 10 did not respond to infliximab treatment

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Summary

Introduction

Ulcerative colitis (UC) is a chronic inflammatory disease that mainly involves the colon. The intestinal symptoms that accompany UC include bloody diarrhea, and a third of patients with UC present with extraintestinal manifestations. Among these manifestations, arthritis has been the most commonly identified (Ungaro et al, 2017). UC and RA are immune-mediated inflammatory diseases (IMIDs); they likely share similar pathogenesis, genes, and antigens. Previous studies have revealed several common genes associated with both UC and RA, including the human leukocyte antigen (HLA-B27), interleukin 15, peptidyl arginine deiminase type 4 (PADI4), and prostaglandin receptor EP4 (PTGER4) (Klausen et al, 1992; Mosquera-Martinez, 2001; Chen et al, 2008; Perdigones et al, 2010). TNF-α antagonists such as infliximab, have been approved as first- or second-line treatment of patients with UC and RA (Rubin et al, 2019; Smolen et al, 2020)

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