Abstract

Peroxisome proliferator-activated receptor γ (PPARG) might play a protective role in the development of myocardial infarction (MI) with limited mechanisms identified. Genes associated with both PPARG and MI were extracted from Elsevier Pathway Studio to construct the initial network. The gene expression activity within the network was estimated through a mega-analysis with eight independent expression datasets derived from Gene Expression Omnibus (GEO) to build PPARG and MI connecting pathways. After that, gene set enrichment analysis (GSEA) was conducted to explore the functional profile of the genes involved in the PPARG-driven network. PPARG demonstrated a significantly low expression in MI patients (LFC = −0.52; p < 1.84e − 9). Consequently, PPARG could indicatively be promoting three MI inhibitors (e.g., SOD1, CAV1, and POU5F1) and three MI-downregulated markers (e.g., ALB, ACADM, and ADIPOR2), which were deactivated in MI cases (p < 0.05), and inhibit two MI-upregulated markers (RELA and MYD88), which showed increased expression levels in MI cases (p = 0.0077 and 0.047, respectively). These eight genes were mainly enriched in nutrient- and cell metabolic-related pathways and functionally linked by GSEA and PPCN. Our results suggest that PPARG could protect the heart against both the development and progress of MI through the regulation of nutrient- and metabolic-related pathways.

Highlights

  • Myocardial infarction (MI) and afterward heart failure are the significant causes of death and disability in the developed countries, which is characterized by acute myocardial ischemia derived from coronary artery occlusion, myocardial injury, and even necrosis [1,2,3]

  • PPARG can control the balance between glucose utilization and fatty acid oxidation, which is essential in the energy homeostasis in human myocardia physiology demand and postischemic remodeling [7,8,9]

  • To investigate the biological functions of the nine genes within the PPARG-MI functional network (Figure 1), a gene set enrichment analysis (GSEA) was executed by using Pathway Studio

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Summary

Introduction

Myocardial infarction (MI) and afterward heart failure are the significant causes of death and disability in the developed countries, which is characterized by acute myocardial ischemia derived from coronary artery occlusion, myocardial injury, and even necrosis [1,2,3]. The members of the peroxisome proliferator-activated receptor (PPAR) family involve PPARα, PPARβ/δ, and PPARγ (PPARG), which might play vital roles in glucose and lipid metabolism. Among these members, PPARG is enriched in the adipose tissue and widely expressed in extra-adipose tissues, such as the heart, the vascular wall, and the skeletal muscle. PPARG can control the balance between glucose utilization and fatty acid oxidation, which is essential in the energy homeostasis in human myocardia physiology demand and postischemic remodeling [7,8,9]

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