Evidence map›Paper›PMID 41062531›Full record

ArticleScientific reports2025

Identification of early warning biomarkers for type 4 cardio-renal syndrome based on bioinformatics analysis and secreted proteins.

Zhuonan Wu, Zhuoyi Wu, Haiyan Sun, Xiaozuo Dong, Jian Wu, Yiqi Huang, Yinhong Cheng, Oushan Tang

Abstract read
In one paragraph

Article in Scientific reports, 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

8 authors.

Zhuonan Wu *Department of Cardiology, The Second Affiliated Hospital of Shaoxing University (Shaoxing Second Hospital), No.123, Yan'an Road, ShaoXing, 312000, Zhejiang, China.
Zhuoyi Wu *School of Nursing, Wenzhou Medical University, Wenzhou, Zhejiang, China.
Haiyan SunDepartment of Cardiology, The Second Affiliated Hospital of Shaoxing University (Shaoxing Second Hospital), No.123, Yan'an Road, ShaoXing, 312000, Zhejiang, China.
Xiaozuo DongDepartment of Cardiology, The Second Affiliated Hospital of Shaoxing University (Shaoxing Second Hospital), No.123, Yan'an Road, ShaoXing, 312000, Zhejiang, China.
Jian WuDepartment of Cardiology, The Second Affiliated Hospital of Shaoxing University (Shaoxing Second Hospital), No.123, Yan'an Road, ShaoXing, 312000, Zhejiang, China.
Yiqi HuangDepartment of Cardiology, The Second Affiliated Hospital of Shaoxing University (Shaoxing Second Hospital), No.123, Yan'an Road, ShaoXing, 312000, Zhejiang, China.
Yinhong ChengDepartment of Cardiology, The Second Affiliated Hospital of Shaoxing University (Shaoxing Second Hospital), No.123, Yan'an Road, ShaoXing, 312000, Zhejiang, China. 13385850605@126.com.
Oushan TangDepartment of Cardiology, The Second Affiliated Hospital of Shaoxing University (Shaoxing Second Hospital), No.123, Yan'an Road, ShaoXing, 312000, Zhejiang, China. tangoush@usx.edu.cn.

Funding

Keqiao District Science and Technology Project 2024KZ29Zhejiang Province Medicine and Health Science and Technology Project 2023KY377
6 · The paper itself

Abstract

Chronic kidney disease (CKD) can induce chronic heart failure (CHF), a condition referred to as type 4 cardiorenal syndrome (CRS4). The pathophysiological mechanisms remain unclear, and suitable early warning biomarkers for CHF in CKD patients are lacking. A total of 258 CHF key genes and 383 CKD-related secreted proteins were identified through differential expression analysis and WGCNA. PPI analysis revealed 81 genes as potential pathogenic genes related to CRS4. Enrichment analysis of these pathogenic genes highlighted pathways involved in cytokine activity, extracellular matrix remodeling, and immune response. Three machine learning algorithms identified two hub genes (MME and SERPINF1) as potential biomarkers for CHF, and a nomogram model was constructed. ROC analysis demonstrated that the model achieved an AUC greater than 0.80 in both the CHF merged dataset and two external cohorts. Furthermore, immune cell infiltration analysis indicated a correlation between these biomarkers and the infiltration scores of fibroblasts, CD8 T cells, and mast cells in CHF. Finally, our clinical cohort validated the expression patterns of these two biomarkers in serum, with the diagnostic model achieving an AUC of 0.880. CKD may promote the progression of CHF through proteins secreted by the kidneys and blood cells. MME and SERPINF1 may serve as potential biomarkers for CHF in CKD patients.

Indexed as

BiomarkersCardio-Renal SyndromeComputational BiologyRenal Insufficiency, ChronicFemaleGene Expression ProfilingHumansMaleMiddle AgedProtein Interaction MapsROC CurveBiomarkersDiagnostic biomarkerMachine learningSecreted proteinsType 4 cardio-renal syndrome

Identifiers

PMID41062531
PMCPMC12508430

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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.