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Gene & Protein in Disease                                               Drugs and immune infiltration in IPF



            1. Introduction                                    (CIBERSORT) were used to analyze immune infiltrations
                                                               in IPF samples. In addition, potential therapeutic drugs
            Idiopathic pulmonary fibrosis (IPF) is a chronic   targeting hub genes in IPF were predicted through the
            progressive lung disease of unknown origin, which leads   DrugBank  database,  Comparative  Toxicogenomics
            to fibrotic changes in the lung interstitium. It primarily   Database (CTD), and Drug-Gene Interaction Database
            affects older individuals and is confined to the lungs.   (DGIdb). This comprehensive analysis aimed to identify
            IPF  is the most  common  type  of  idiopathic  interstitial   potential biomarkers or therapeutic targets for IPF.
            pneumonia, substantially impacting patients’ quality of life
                                                          1
            and ultimately leading to respiratory failure and death.    2. Methods
            Research indicates that the incidence of IPF ranges from 14.0
            to 42.7 cases/100,000 individuals.  However, the influence   2.1. Gene expression dataset
                                       2
            of geographic, cultural, or racial factors on the occurrence   Gene expression data for IPF were obtained from the gene
            and prevalence of IPF remains unclear.  IPF generally has   expression omnibus (GEO) database, a publicly accessible
                                           3
            an unfavorable prognosis, with considerable variation in   repository for gene expression datasets. A  search was
            its natural course and outcomes. If left untreated, patients   performed using the keywords “idiopathic pulmonary
            with IPF typically have a median survival of 2 – 3 years   fibrosis” or “IPF,” organism “Homo sapiens,” entry type
            post-diagnosis,  with a 5-year survival rate of only 20%. 4  “Series,” and study type “Expression profiling by array,”
                        2
              The etiological mechanisms of IPF are complex and   yielding 69 microarray expression profile datasets related
            not fully understood. Extensive research has revealed that   to IPF. After careful examination, gene expression profiles
            IPF pathogenesis involves changes in genetics, epigenetics,   from three IPF tissue microarray datasets (GSE2052,
            microRNA (miRNA) regulation, cell signaling pathways,   GSE53845, and GSE110147) were collected. These datasets
            apoptosis, and autophagy.  miRNAs are small RNA    were based on specific platforms: GPL1739 (Amersham
                                  4
            molecules that regulate gene expression and participate in   Biosciences CodeLink Uniset Human I Bioarray), GPL6244
            physiological processes such as tissue development, tissue   ([HuGene-1_0-st] Affymetrix Human Gene 1.0 ST Array
            repair, and cell proliferation.  The miRNA regulatory   [transcript (gene) version]), and GPL6480 (Agilent-014850
                                    5,6
            network in IPF has been extensively studied,  highlighting   Whole Human Genome Microarray 4×44K G4112F [Probe
                                               7
            its significant role in IPF pathogenesis. In addition, various   Name version]). The data can be freely accessed online
            immune cells, including macrophages, monocytes, T cells,   through the GEO database. This study adhered to the
            innate lymphoid cells, and neutrophils, play crucial roles in   principles of the Declaration of Helsinki (revised in 2013),
            IPF development.  Therefore, examining specific changes   with no involvement of human or animal experiments.
                          8,9
            in immune cells in patients with IPF is highly valuable for
            further research.                                  2.2. Analysis of RNA sequencing (RNA-seq) data and
                                                               identification of DEGs associated with IPF
              Bioinformatics analysis of microarray data is widely
            used to identify novel biomarkers and investigate their   R software (version  4.2.2) was used to process RNA-
            roles in various diseases. Weighted gene coexpression   seq data and identify DEGs associated with IPF. The
            network  analysis  (WGCNA)  is  a  computational  biology   preprocessing steps included gene name and probe ID
            tool that is used to construct gene coexpression networks,   matching, handling of missing data, normalization, and
            detect modules, and identify genes and modules of specific   log2  transformation, which  were performed  using  the
            interest. WGCNA helps uncover potential biomarkers for   LIMMA package (version  3.54.2) and impute package
            different diseases. 10                             (version 1.72.3). The LIMMA package was used to merge

              This study determined the causes and mechanisms of   three microarray expression profile datasets, and batch
            IPF, focusing on miRNAs, target genes, and immune cells in   effects and other variations were removed using the
            the tissues of patients with IPF. Three IPF tissue microarray   surrogate variable analysis package (version  3.46.0). IPF
            datasets (GSE31821, GSE41177, and GSE79768) were   DEGs were identified using LIMMA based on the criteria
            integrated after removing batch differences. Differentially   of a cutoff P < 0.05 and |log2 fold change (FC)| of >1. DEGs
            expressed genes (DEGs) were selected based on the   were visualized using the ggplot2 package (version 3.13)
            intersection of module genes from WGCNA to identify   and pheatmap package (version 1.0.12).
            common genes (CGs) strongly associated with IPF.   2.3. Identification of IPF-associated gene modules
            Functional annotation and protein–protein interaction   using WGCNA
            (PPI)  analyses  of  CGs  were  conducted  to  identify  hub
            genes, and a miRNA–transcription factor (TF)–mRNA   WGCNA is a systems biology approach used to identify
            network  was constructed. Bioinformatics  methods   key genes or hub genes within modules to investigate large-


            Volume 3 Issue 4 (2024)                         2                               doi: 10.36922/gpd.4101
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