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Gene & Protein in Disease                                               Drugs and immune infiltration in IPF




            Table 2. Molecular docking of potential therapeutic drugs/compounds with COL15A1 and COL6A3
            Gene name    Compound name    Vina score (kcal/mol)  Cavity volume (Å )  Center (x, y, z)  Docking size (x, y, z)
                                                                          3
            COL15A1      (+)-JQ1 compound       −6.5               320            −1, 12, −9       22, 22, 22
                         Aristolochic acid I    −6.0               320            −1, 12, −9       20, 20, 20
                         Dexamethasone          −6.2               320            −1, 12, −9       21, 21, 21
                         Doxorubicin            −6.5               320            −1, 12, −9       24, 24, 24
                         Cyclosporine           −7.2                99           −12, 13, 10       26, 26, 26
            COL6A3       Cyclosporine           −7.2               685            5, 28, 51        26, 26, 26
                         Dexamethasone          −7.2               2075           27, 29, 40       21, 27, 21
                         (+)-JQ1 compound       −9.9               2075           27, 29, 40       22, 22, 22
                         Triclosan              −5.5               2075           27, 29, 40       20, 27, 20
                         Valproic acid          −3.9               2075           27, 29, 40       25, 27, 18
            Abbreviations: COL15A1: Collagen type XV alpha 1 chain; COL6A3: Collagen type VI alpha 3 chain.

            of type  VI collagen, a flexible protein found in the   demonstrated the binding capacity between key proteins
            extracellular space.  It is involved in cell adhesion and has   and drugs, providing insights for future drug development.
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            been implicated in promoting inflammation and fibrosis in   However, our study had certain limitations. First,
                               32
            diabetic kidney disease.  However, its role in IPF has not   we focused only on genes and pathways with significant
            yet been extensively explored.                     differences in expression between IPF and normal control
              Compared with normal control samples, the proportions   samples. In addition, the associations between immune cell
            of B cells, plasma cells, and resting CD4 memory T cells   infiltration and miRNA were inferred using bioinformatics
            were higher and those of CD8 T cells, resting NK cells, and   analysis, requiring further validation through  in  vivo
            monocytes were lower in IPF samples. This indicates that   and  in vitro experiments. In future studies, we plan to
            immune cells substantially influence IPF development.   functionally investigate key DEGs, such as  COL15A1,
            Research has revealed the presence of a large number   COL6A3, SPP1, and TMEM100, with the aim to uncover
            of macrophages in the pulmonary microenvironment,   crucial  factors  in  IPF  development  and  address  clinical
            specifically  alveolar  macrophages  and  interstitial  treatment challenges.
            macrophages.  Alveolar macrophages can secrete fibrogenic
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            cytokines and chemokines, promoting the progression   5. Conclusion
            of pulmonary fibrosis.  They can also release matrix   In this study, we conducted an integrated analysis of gene
                               34
            metalloproteinases to degrade the ECM, thereby reducing   expression data to identify DEGs and key pathways in
            its deposition.  Evidence indicates that the M2 macrophage   IPF. We discovered 215 DEGs, such as TMEM100, CPB2,
                       35
            phenotype dominates during IPF progression,  highlighting   VIPR1, SPP1, and MMP7, with significant expression
                                               36
            the crucial role of macrophages in IPF development.   changes in IPF. Functional analyses implicated these genes
            According to a previous study, the number of CD8 T cells   in ECM organization, ossification, and cell adhesion.
            in bronchoalveolar lavage fluid of patients with IPF was   COL15A1 and COL6A3 were identified as hub genes with
            correlated with the extent of lung fibrosis.  Another study   upregulated expression in IPF, suggesting their potential as
                                             37
            revealed that activated CD8 T cells are associated with   therapeutic targets. Immune cell infiltration patterns in IPF
            BLM-induced lung fibrosis.  B cells  and plasma cells  are   were also explored, revealing altered immune responses.
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            closely associated with the development and progression of   Drug prediction and molecular docking identified (+)-
            lung fibrosis. In addition, Treg cells, Th22 cells, Th17 cells,   JQ1, aristolochic acid I, and dexamethasone as candidates
            eosinophils, and other cell types have been implicated   for IPF treatment. This study significantly advances our
            in IPF,  providing a theoretical basis for elucidating the   understanding of IPF pathogenesis and provides valuable
                 36
            mechanisms of IPF and the role of immune cell infiltration.  insights for future therapeutic development.
              This study predicted drugs targeting hub genes using
            multiple databases, identifying compounds that affect   Acknowledgments
            the expression of hub genes, such as (+)-JQ1, aristolochic   The authors extend their  acknowledgments to all the
            acid I, and dexamethasone. Molecular docking between   participants of the study for their valuable contributions
            COL15A1 and COL6A3 with their corresponding drugs   to this project.


            Volume 3 Issue 4 (2024)                         11                              doi: 10.36922/gpd.4101
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