机构:[1]Yunnan Arrhythmia Research Center, The First People’s Hospital of Yunnan Province & The Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan, China,云南省第一人民医院[2]Department of Cardiology, The Affiliated Dongguan Songshan Lake Central Hospital, Dongguan Key Laboratory of Cardiovascular Aging and Myocardial Regeneration, Dongguan Cardiovascular Research Institute, Dongguan, China,[3]Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China,[4]Cardiovascular Research Institute, Wuhan University, Wuhan, China,[5]Hubei Key Laboratory of Cardiology, Wuhan, China,[6]Department of Pathology, The First People’s Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan, China医技片病理科云南省第一人民医院
Background Atrial fibrillation (AF) is a common arrhythmia associated with an increased risk of stroke, heart failure, and mortality. Immune infiltration plays a crucial role in AF pathogenesis, yet its mechanisms remain unclear. Lactylation, a novel post-translational modification, has been implicated in immune regulation, but its association with AF remains unexplored. This study aims to elucidate the relationship between lactylation and immune infiltration in AF and identify potential diagnostic biomarkers.Methods Gene expression data from left atrial tissue samples of AF and sinus rhythm (SR) patients were obtained from the Gene Expression Omnibus (GEO) database (GSE41177, GSE79768, GSE115574, GSE2240, GSE14975, and GSE128188). Differentially expressed genes (DEGs) between AF and SR samples were identified, followed by pathway enrichment and immune infiltration analysis. Correlation analysis and WGCNA were performed to assess interactions between lactylation-related genes and immune-associated DEGs. Machine learning models, including Random Forest and Support Vector Machine (SVM), were applied to select potential AF-related diagnostic biomarkers, and validated in the animal model (beagles; n = 6).Results A total of 5,648 DEGs were identified, including six lactylation-related genes (DDX39A, ARID3A, TKT, NUP50, G6PD, and VCAN). Co-expression and WGCNA analyses identified lactylation- and immune-associated gene modules in AF. Functional enrichment analysis highlighted immune-related pathways such as T cell activation and neutrophil degranulation. A five-gene diagnostic model (FOXK1, JAM3, LOC100288798, MCM4, and RCAN1) achieved high predictive accuracy (AUC = 0.969 in training, 0.907 in self-test, and 0.950, 0.760, 0.890 in independent datasets). Experimental validation confirmed the upregulated expression of these biomarkers in AF.Conclusion This study reveals a strong association between lactylation-related genes and immune infiltration in AF, suggesting their involvement in immune remodeling. The identified five-gene signature serves as a potential diagnostic biomarker set, offering novel insights into AF pathogenesis and contributing to improved diagnosis and targeted therapeutic strategies. Future studies integrating proteomic and single-cell analyses will further clarify the role of lactylation in AF.
基金:
the Health Commission Foundation of Yunnan
Province (2023-KHRCBZ-B18 to Yazhe Ma) and Yunnan
Fundamental Research Projects (grant NO. 202401CF070012 to
Yazhe Ma), and supported in part of the Health Commission
Foundation of Yunnan Province (2023-KHRCBZ-B15 to Yang Chen) and Yunnan Province Applied Basic Research Program
Kunming Medical University Joint Project (202401AY070001-120
to Yang Chen), and supported by Natural Science Foundation of
Hubei Province, China (2023AFB409 to Youcheng Wang).
第一作者机构:[1]Yunnan Arrhythmia Research Center, The First People’s Hospital of Yunnan Province & The Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan, China,
共同第一作者:
通讯作者:
通讯机构:[3]Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China,[4]Cardiovascular Research Institute, Wuhan University, Wuhan, China,[5]Hubei Key Laboratory of Cardiology, Wuhan, China,
推荐引用方式(GB/T 7714):
Ma Yazhe,Wang Youcheng,Ke Yuanjia,et al.Comprehensive analysis of lactylation-related gene and immune microenvironment in atrial fibrillation[J].FRONTIERS IN CARDIOVASCULAR MEDICINE.2025,12:doi:10.3389/fcvm.2025.1567310.
APA:
Ma, Yazhe,Wang, Youcheng,Ke, Yuanjia,Zhao, Qingyan,Fan, Jie&Chen, Yang.(2025).Comprehensive analysis of lactylation-related gene and immune microenvironment in atrial fibrillation.FRONTIERS IN CARDIOVASCULAR MEDICINE,12,
MLA:
Ma, Yazhe,et al."Comprehensive analysis of lactylation-related gene and immune microenvironment in atrial fibrillation".FRONTIERS IN CARDIOVASCULAR MEDICINE 12.(2025)