Evidence map›Paper›PMID 40597893›Full record

ArticleBMC neurology2025

A novel gene signature for forecasting time to next relapse in multiple sclerosis using peripheral blood mononuclear cells.

Huimin Zhang, Jiahui Yang, Xiaobo Zhang, Chaoyi Wu, Zhen Zhao, Ming Yang, Zhaoping Wu

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Article in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Huimin ZhangDepartment of Neurology, The First People's Hospital of Lin'an District, Hangzhou, Zhejiang, 311300, China.
Jiahui YangDepartment of Neurology, The Affiliated Zhuzhou Hospital Xiangya Medical College CSU, Zhuzhou, Hunan, 412007, China.
Xiaobo ZhangDepartment of Neurology, First People's Hospital of Changde City, Changde, Hunan, 415003, China.
Chaoyi WuDepartment of Neurology, The First People's Hospital of Lin'an District, Hangzhou, Zhejiang, 311300, China.
Zhen ZhaoDepartment of Neurology, The Affiliated Zhuzhou Hospital Xiangya Medical College CSU, Zhuzhou, Hunan, 412007, China.
Ming YangDepartment of Neurology, The Quzhou Affiliated Hospital of Wenzhou Medical University, No. 100 Minjiang Avenue, Kecheng District, Quzhou, Zhejiang, 324002, China.
Zhaoping WuDepartment of Neurology, The Quzhou Affiliated Hospital of Wenzhou Medical University, No. 100 Minjiang Avenue, Kecheng District, Quzhou, Zhejiang, 324002, China. wuzhaopinghde@outlook.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe purpose of this research study was to develop and validate a gene signature based on peripheral blood mononuclear cells (PBMCs) for predicting the time to the next relapse in multiple sclerosis (MS).

methodsThe GSE15245 dataset (N = 94) was divided into a training set (N = 65) and a testing set (N = 29). First, the training set was analyzed using weighted gene co-expression network analysis (WGCNA) to identify key modules that were highly correlated with the timing of the next acute relapse. Subsequently, the hub genes within these key modules were subjected to univariate Cox regression analysis, and genes related to the recurrence time of MS were identified. The least absolute shrinkage and selection operator (LASSO) Cox regression was used to refine the extraction further. Then, the gene signatures were constructed using multivariate Cox regression. The efficacy of the model that was based on the training set database was evaluated using receiver operating characteristic (ROC) curves and validated using an independent testing set. Additionally, gene signatures were also validated for differential expression using an external independent dataset, GSE21942 (N = 29), along with experimental verification.

resultTwo key modules were identified with WGCNA. Univariate Cox regression analysis yielded 30 genes related to the relapse time of MS from these two modules, and then LASSO regression analysis further refined the selection to four genes, namely, BLK, P2RX5, GP1BA, and PF4. These four genes were used within the training dataset to build a Cox regression model, and this showed high prediction performance in the training as well as the testing datasets. Both external dataset analysis and experimental validation corroborated the differential expression of BLK and P2RX5 in patients with MS.

conclusionBLK, P2RX5, GP1BA, and PF4 emerge as potential predictors of future disease activity in individuals with MS.

Indexed as

Leukocytes, MononuclearMultiple SclerosisTranscriptomeAdultFemaleGene Expression ProfilingGene Regulatory NetworksHumansMaleMiddle AgedRecurrenceCox regressionGene signatureMultiple sclerosisPeripheral blood mononuclear cellsRelapse prediction

Identifiers

PMID40597893
PMCPMC12210466

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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.