From algorithm to verification: based on network toxicology and machine learning, the immunomodulatory role of IGFBP1/MKI67/C9 in perfluorooctanoic acid-induced osteoarthritis was discovered, and a diagnostic model was constructed - Summary - MDSpire

From algorithm to verification: based on network toxicology and machine learning, the immunomodulatory role of IGFBP1/MKI67/C9 in perfluorooctanoic acid-induced osteoarthritis was discovered, and a diagnostic model was constructed

  • By

  • Xinzhou Huang

  • Yongkun Wei

  • Yani Rao

  • Yue Wei

  • Hui Chen

  • Yunping Bao

  • May 28, 2026

  • 0 min

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Objective:

To elucidate PFOA’s influence on osteoarthritis (OA) pathogenesis and evaluate its effects on disease progression.

Key Findings:
  • 15 PFOA-related OA differentially expressed genes were identified.
  • IGFBP1, MKI67, and C9 were determined as core genes, significantly upregulated in OA patients.
  • Enrichment analysis indicated involvement in inflammatory, immune, and metabolic processes.
  • Immune infiltration analysis showed increased immune cells in OA samples; core genes inhibited excessive Th17 and B cell responses while enhancing Treg and NKT regulatory activity.
  • Molecular docking revealed strong binding of PFOA to the three core proteins with binding energies of -6.0, -8.5, and -7.5 kcal/mol.
  • The nomogram achieved an AUC of 0.903 in the training set and 0.939 in the external validation set (GSE51588).
Interpretation:

Limitations:
Conclusion:

The study identifies IGFBP1, MKI67, and C9 as potential diagnostic biomarkers for OA.

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