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Integrative multi-omics and machine learning reveal glycolysis-related biomarkers driving vascular remodeling in pulmonary arterial hypertension - PubMed

3 hours ago
  • #pulmonary arterial hypertension
  • #vascular remodeling
  • #glycolysis
  • Study investigates aerobic glycolysis in pulmonary arterial hypertension (PAH) and its role in vascular remodeling and endothelial-mesenchymal transition (EndMT).
  • Integration of bulk and single-cell transcriptomic data from hypoxia-induced PAH rat models via a multi-algorithm machine-learning pipeline (LASSO, BORUTA, SVM-RFE).
  • Identified five glycolysis-related biomarkers: Cxcr4, Pfkfb3, Rgcc, MGC105649, and Mt2A, with PFKFB3 and MT2A as core regulators linking glycolysis to EndMT.
  • Single-cell and pseudotime analyses showed endothelial cells transition to mesenchymal-like phenotypes under hypoxia, with increased glycolytic signaling.
  • Validation in vivo and in vitro confirmed elevated PFKFB3 and MT2A expression, with hypoxia and lactate promoting endothelial proliferation.
  • Findings provide a glycolysis-driven EndMT axis as a mechanism for pulmonary vascular remodeling, highlighting PFKFB3 and MT2A as potential therapeutic targets.