Evidence map›Paper›PMID 41136974›Full record

ArticleBMC neurology2025

Exploring the pathophysiological relationship between bisphenol A exposure and ischemic stroke risk using network toxicology and machine learning.

Yongfeng Li, Xiuyang Chen, Peng Zhong, Yiming Xing, Peng Miao

Abstract read
In one paragraph

Article in BMC neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

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4 · The record

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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

5 authors.

Yongfeng LiDepartment of Neurosurgical Intensive Care Unit, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, China.
Xiuyang ChenDepartment of Neurosurgical Intensive Care Unit, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, China.
Peng ZhongDepartment of Neurosurgical Intensive Care Unit, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, China.
Yiming XingDepartment of Neurosurgical Intensive Care Unit, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, China.
Peng MiaoDepartment of Neurosurgical Intensive Care Unit, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, China. yhdmiaopeng@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the molecular mechanisms by which bisphenol A (BPA) exposure contributes to ischemic stroke (IS) risk via the induction of cellular senescence, using an integrative approach combining network toxicology, transcriptomics, and machine learning.

methodsBPA’s chemical properties and target genes were retrieved from PubChem, ChEMBL, STITCH, and SwissTargetPrediction databases, with toxicity validated via ProTox-3. Ischemic stroke (IS)-related differentially expressed genes (DEGs) were identified from merged GEO datasets (GSE16561, GSE37857) and validated in GSE58294. Cellular senescence-related genes (CSRGs) were obtained from CellAge. The intersection of BPA target genes, IS-DEGs, and CSRGs (BPA-CSRG-IS intergenes) was analyzed using protein-protein interaction (PPI) networks and machine learning algorithms (random forest, LASSO) to screen hub genes, with SHAP analysis applied to evaluate the optimal model. A risk prediction model was constructed via logistic regression and validated externally. Additionally, immune cell infiltration analysis, single-sample gene set enrichment analysis (ssGSEA), miRNA-TF-mRNA regulatory network construction, and molecular docking were performed to explore underlying mechanisms.

resultsBPA was confirmed to cross the blood-brain barrier and interact with 2,985 target genes. Merged IS datasets identified 708 DEGs, enriched in immune-related pathways. Intersection analysis yielded 17 BPA-CSRG-IS intergenes, with 2 hub genes (MMP9, HDAC1) identified via machine learning (KNN model, AUC = 0.940) and SHAP analysis (MMP9 as the top contributor). The risk model based on MMP9 and HDAC1 showed robust performance (training set AUC = 0.830; validation set AUC = 0.946). IS patients exhibited elevated immune cell infiltration (e.g., CD8 + T cells, M0 macrophages), with MMP9 and HDAC1 strongly correlated with immune cell subsets. ssGSEA revealed hub genes regulate pathways related to neuroinflammation, BBB disruption, and cellular senescence. Molecular docking confirmed strong binding affinity between BPA and MMP9 (–7.2 kcal/mol) or HDAC1 (–7.7 kcal/mol).

conclusionThis study identifies MMP9 and HDAC1 as key hub genes mediating BPA-induced IS via cellular senescence, highlighting their roles in regulating the “senescence-inflammation” cascade and immune cell infiltration. These findings provide mechanistic insights into BPA’s neurotoxicity and potential biomarkers/targets for IS prevention and treatment.

Indexed as

Benzhydryl CompoundsIschemic StrokeMachine LearningPhenolsBisphenol A CompoundsCellular SenescenceGene Regulatory NetworksHistone Deacetylase 1HumansMatrix Metalloproteinase 9Molecular Docking SimulationProtein Interaction MapsBenzhydryl Compoundsbisphenol ABisphenol A CompoundsHDAC1 protein, humanHistone Deacetylase 1Matrix Metalloproteinase 9PhenolsBisphenol ACellular senescenceIschemic strokeMachine learningMolecular docking

Identifiers

PMID41136974
PMCPMC12551239

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LicenceCC BY-NC-ND
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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.