Evidence map›Paper›PMID 40585420›Full record

ArticleToxicology research2025

Network toxicology and immune-metabolic dysregulation: linking per- and polyfluoroalkyl substances exposure to osteoarthritis pathogenesis.

Qian Zhang, Wenqi Zhang, Zhuchen Liu, Chunyu Luo, Ning Han, Weixin Cai, Jiaxing Liu

Abstract read
In one paragraph

Article in Toxicology research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Qian ZhangDepartment of Orthopaedics and Traumatology III, The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, No. 411, Gogol Street, Nangang District, Harbin 150040, China.
Wenqi ZhangDepartment of Orthopaedics and Traumatology III, The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, No. 411, Gogol Street, Nangang District, Harbin 150040, China.
Zhuchen LiuDepartment of Orthopaedics and Traumatology III, The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, No. 411, Gogol Street, Nangang District, Harbin 150040, China.
Chunyu LuoCenter for Preventive Medicine, The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, No. 411, Gogol Street, Nangang District, Harbin 150040, China.
Ning HanGraduate Studies Office, The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, No. 411, Gogol Street, Nangang District, Harbin 150040, China.
Weixin CaiDepartment of Orthopaedics and Traumatology III, The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, No. 411, Gogol Street, Nangang District, Harbin 150040, China.
Jiaxing LiuDepartment of Orthopaedics and Traumatology III, The First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine, No. 411, Gogol Street, Nangang District, Harbin 150040, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Per- and polyfluoroalkyl substances (PFAS) are emerging environmental contaminants linked to various health conditions. However, the molecular mechanisms by which PFAS contribute to OA remain unclear. This study integrates network toxicology and bioinformatics to explore PFAS-related toxicity targets and their roles in OA pathogenesis. Transcriptomic data from the GSE48556 dataset were analyzed to identify differentially expressed genes (DEGs). PFAS-related genes (PSRGs) were retrieved from the CTD. Cross-analysis revealed overlapping genes, which were further evaluated via protein-protein interaction (PPI) networks, pathway enrichment, immune infiltration analysis, and nomogram construction. A total of 1,703 DEGs (910 upregulated, 793 downregulated) were identified in OA. Cross-analysis with 346 PSRGs yielded 26 overlapping genes, highlighting PFAS-OA molecular links. Enrichment analysis implicated IL-17 signaling, Th1/Th2 differentiation, and fatty acid metabolism as key pathways disrupted by PFAS. Immune-inflammatory pathways were robustly enriched, with CD3E, CARD11, and IFNG driving synovial inflammation. A nomogram incorporating five core targets (CARD11, IFNG, PAX8, PLD1, ZNF609) predicted OA risk and demonstrated clinical utility via decision curve analysis. Immune profiling revealed elevated infiltration of T cells, Th1 cells, and NK CD56dim cells in OA, alongside upregulated antigen presentation and TCR/BCR signaling. Core PFAS-related targets correlated significantly with immune dysregulation. PFAS exposure exacerbates OA by dysregulating immune-inflammatory axes and metabolic pathways, promoting synovitis and cartilage degradation. The identified genetic targets and nomogram provide mechanistic insights and translational tools for OA risk prediction in PFAS-exposed populations. This study establishes a systems-level framework linking PFAS toxicity to OA progression, offering actionable targets for therapeutic intervention.

Indexed as

biomarker discoveryimmune cell infiltrationimmune-inflammatory pathwaysnomogram predictionosteoarthritisper- and polyfluoroalkyl substances

Identifiers

PMID40585420
PMCPMC12204612

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.