Abstract

Myocardial ischemia/reperfusion (MI/R) injury is a complex phenomenon that causes severe damage to the myocardium. However, the potential molecular mechanisms of MI/R injury have not been fully clarified. We identified potential molecular mechanisms and therapeutic targets in MI/R injury through analysis of Gene Expression Omnibus (GEO) database. Differentially expressed genes (DEGs) were found between MI/R injury and normal samples, and overlapping DEGs were found between GSE61592 and GSE67308. Gene Ontology (GO) and pathway analysis were performed for overlapping DEGs by Database for Annotation, Visualization and Integration Discovery (DAVID). Then, a network of protein-protein interaction (PPI) was constructed through the Search Tool for the Retrieval of Interacting Genes (STRING) database. Potential microRNAs (miRNAs) and therapeutic small molecules were screened out using microRNA.org database and the Comparative Toxicogenomics database (CTD), respectively. Finally, we identified 21 overlapping DEGs related to MI/R injury. These DEGs were significantly enriched in IL-17 signaling pathway, cytosolic DNA-sensing pathway, chemokine signaling, and cytokine-cytokine receptor interaction pathway. According to the degree in the PPI network, CCL2, LCN2, HP, CCL7, HMOX1, CCL4, and S100A8 were found to be hub genes. Furthermore, we identified potential miRNAs (miR-24-3p, miR-26b-5p, miR-2861, miR-217, miR-4251, and miR-124-3p) and therapeutic small molecules like ozone, troglitazone, rosiglitazone, and n-3 polyunsaturated fatty acids for MI/R injury. These results identified hub genes and potential small molecule drugs, which could contribute to the understanding of molecular mechanisms and treatment for MI/R injury.

Highlights

  • Coronary heart disease is one of the leading causes of disability and death worldwide

  • Functional annotation, pathway, protein-protein interaction (PPI) network, and potential miRNAs, as well as small molecules associated with myocardial ischemia/reperfusion (MI/R) injury, were analyzed by bioinformatics methods

  • Identification of overlapping Differentially expressed genes (DEGs) Based on the cutoff of |log fold change (FC)| X2 and false discovery rate (FDR) o0.05, a total of 406 DEGs were identified between the myocardial infarction (MI)/R injury and normal samples, including 219 upregulated genes and 187 downregulated genes in GSE61592 dataset

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Summary

Introduction

Coronary heart disease is one of the leading causes of disability and death worldwide. For patients with acute ST-segment elevation myocardial infarction (MI), timely myocardial reperfusion is the most effective way to reduce acute myocardial ischemic injury and limit the size of MI. Myocardial reperfusion can further induce cardiomyocyte death, a phenomenon called myocardial ischemia/reperfusion (MI/R) injury. A number of studies have identified key factors mediating MI/R injury, such as oxidative stress, intracellular calcium overload, inflammation, and mitochondrial dysfunction. Various risk factors have been proven to contribute to MI/R injury, the mechanism still remains unclear. The discovery of abnormal signaling pathways and crucial genes will promote the development of targeted therapies in MI/R injury

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