Aug 2026· npj Mental Health Research· Vol 5· 0 citations· 73 references
Medicine
TL;DR
This study reveals that SRA1 is a novel therapeutic target for PPD, which enhances the understanding of its molecular aetiology and the development of therapeutic strategies.
Abstract
Postpartum depression (PPD) is among the most common complications of childbirth, and identifying novel treatments is vital. We aimed to identify potential drug targets for PPD by integrating the plasma proteome, transcriptome and epigenome. We designed a comprehensive analysis pipeline involving two-sample Mendelian randomisation (MR) (for proteins), colocalisation (for coding genes), and summary-based MR (SMR) (for mRNA and DNA methylation) to identify potential therapeutic targets for PPD. Genetic data on the plasma proteome were obtained from 4907 aptamers in 35,559 Icelanders and 7596 proteins in 828 FinnGen participants. The PPD genome-wide association study data were sourced from the Psychiatric Genomics Consortium (PGC) (Ncase = 17,339, Ncontrol = 53,426). A two-step MR approach was used to assess whether brain imaging-derived phenotypes (IDPs) and metabolites from blood, brain and cerebrospinal fluid mediated the observed effects. Across the two proteome datasets, the genetically predicted levels of 18 plasma proteins were nominally significantly associated with PPD, and the expression of steroid receptor RNA activator 1 (SRA1), a regulator of steroid hormone signalling, was significantly associated with PPD. SRA1, angiotensinogen (AGT, a key mediator of the renin-angiotensin and stress-response system), and glycerol-3-phosphate phosphatase (PGP, involved in lipid metabolism and cellular stress) showed increased colocalisation. The methylation of SRA1 at cg02434007 in the brain was associated with increased expression of SRA1 and a high risk of PPD, which aligns with the positive effect of SRA1 gene expression on PPD risk. Isoleucine (mediation proportion: 5.8%, p = 0.042) from blood metabolites and the IDP ICA100 edge 442 (mediation proportion: 7.6%, p = 0.044) may play mediating roles. This study reveals that SRA1 is a novel therapeutic target for PPD, which enhances the understanding of its molecular aetiology and the development of therapeutic strategies.
Background Early-onset severe preeclampsia (EOSPE) is a serious pregnancy complication associated with adverse maternal and neonatal outcomes. This study aimed to identify potential diagnostic biomarkers for EOSPE and to investigate their clinical significance. Methods MicroRNAs (miRNAs) expression datasets from the Gene Expression Omnibus (GEO) database, specifically from placental tissue (GSE103542) and plasma (GSE234611), were screened to identify miRNAs consistently dysregulated in early-onset preeclampsia (EOPE) and to discover robust biomarker candidates. Weighted gene co-expression network analysis (WGCNA) was employed to identify key modules associated with preeclampsia (PE). The differentially expressed miRNAs (DEmiRNAs) were intersected with miRNAs from WGCNA-identified modules to prioritize candidates. Functional enrichment analysis predicted target genes and involved pathways. Clinical samples (serum and placental tissues from EOSPE patients and normal pregnant women) and a lipopolysaccharide (LPS)-induced preeclampsia rat model were utilized to validate the expression of DEmiRNAs via reverse transcription quantitative polymerase chain reaction (RT-qPCR). The diagnostic value of these miRNAs was evaluated using receiver operating characteristic (ROC) curve analysis, and their correlations with clinical parameters were assessed. Results Bioinformatics analysis identified miR-431-5p as a key molecule, with its expression was significantly upregulated in both serum and placental tissues of patients with EOSPE. Circulating miR-431-5p demonstrated promising diagnostic potential for EOSPE (AUC = 0.803). Its expression level positively correlated with systolic blood pressure (r = 0.395, P = 0.017) and diastolic blood pressure (r = 0.41, P = 0.013), uric acid (r = 0.389, P = 0.02), lactate dehydrogenase (r = 0.399, P = 0.018), and the umbilical artery S/D ratio (r = 0.457, P = 0.01). Conversely, it negatively correlated with gestational age at delivery (r = −0.562, P < 0.001) and neonatal birth weight (r = −0.503, P = 0.02). Multivariable regression analysis showed that after adjusting for confounding factors, miR-431-5p remained significantly positively associated with the occurrence of EOSPE. Animal experiments confirmed similar upregulation of miR-431-5p in the LPS-induced preeclampsia rat model. Conclusions In this study, miR-431-5p was significantly upregulated in EOSPE and demonstrated preliminary diagnostic potential. Its expression level was potentially associated with disease severity and adverse perinatal outcomes. These findings suggest that miR-431-5p may serve as a promising candidate biomarker for EOSPE.
Jian-Xin Zhang, Hong-Wei Li, Yu-Ping Yan et al.· PeerJ· 0 citations
This study integrated mRNA expression profiles from five post-mortem brain tissue GEO datasets to identify ASD-associated genes and found that EIF4A1 mRNA expression was significantly elevated in ASD subjects and rescued by treatment with the antipsychotics olanzapine or risperidone.
Antiphospholipid syndrome (APS) is a systemic autoimmune thrombotic disorder characterised by persistent antiphospholipid antibodies (aPL) and recurrent thrombosis or pregnancy morbidity. Seronegative APS (SNAPS)—clinically indistinguishable from seropositive APS but persistently antibody-negative—represents a major unresolved diagnostic challenge. Non-coding RNAs (ncRNAs), particularly long non-coding RNAs (lncRNAs) acting through competing endogenous RNA (ceRNA) mechanisms, may constitute a missing mechanistic layer in APS pathogenesis. A cross-dataset comparative bioinformatic analysis was performed using three publicly available GEO datasets: GSE102215 (9 APS vs 9 HC, neutrophils, RNA-seq, discovery), GSE50395 (3 APS vs 3 HC, monocytes, microarray, exploratory replication), and GSE312344 (3 obstetric APS vs 3 HC, plasma exosomal RNA, lncRNA replication). DESeq2 and limma were used for differential expression; clusterProfiler for pathway enrichment; STRINGdb for PPI network; miRNet 2.0 for predicted lncRNA–miRNA interaction network. A pilot machine learning analysis is reported in supplementary material. DESeq2 identified 2,425 significant DEGs including a prominent IFN signature (IFIT1 log2FC=+3.13, MX1 log2FC=+2.32, STAT1 log2FC = + 1.12). GSEA revealed transcriptomic enrichment of NET formation (NES=1.87) and Proteasome (NES=2.15) pathways. PPI analysis identified STAT1 as the top hub gene (degree=160). Twenty-four candidate dysregulated lncRNAs were identified in APS neutrophils, including MIR155HG (log2FC = − 2.25), LINC00515 (log2FC = − 3.38), and SNHG7 (log2FC = − 1.22). Predicted lncRNA–miRNA interaction network analysis identified SNHG7 as the top hub lncRNA (degree=70, betweenness=19,264). Exploratory cross-dataset comparison showed 67% directional concordance in GSE50395; SNHG7 showed nominal dysregulation in GSE312344. This purely computational study identifies candidate dysregulated lncRNAs and predicted lncRNA–miRNA interactions in APS neutrophils, providing a hypothesis-generating framework for future experimental validation. No seronegative APS patients were studied; seronegative APS implications are speculative.
Yash Bisht, S. Joshi, Kajal Yadav et al.· Discover Informatics· 0 citations
Thoracic aortic aneurysm (TAA) is a life‑threatening disease with limited blood‑based biomarkers for early detection and risk stratification. Integrating transcriptomic and genetic data may help identify potentially relevant genes and develop suggestive diagnostic tools. Peripheral blood expression data from GSE9106 (comprising 59 TAA patients and 34 controls) were analyzed to identify differentially expressed genes (DEGs) between TAA patients and controls. Whole‑blood cis‑expression quantitative trait loci (cis‑eQTLs) from the eQTLGen consortium (31,684 individuals) were integrated with genome‑wide association study (GWAS) summary statistics (1,351 cases and 18,295 controls) using summary data–based Mendelian randomization (SMR) with Heterogeneity in Dependent Instruments (HEIDI) test to prioritize genes with suggestive causal effects. Overlapping DEGs and SMR genes were subjected to feature selection using least absolute shrinkage and selection operator (LASSO) logistic regression and random forest (RF). A multivariable logistic model based on core genes was visualized as a nomogram and evaluated by receiver operating characteristic analysis, calibration, and decision curve analysis. Single‑gene gene set enrichment analysis (GSEA) was performed to explore pathways associated with core‑gene expression. Transcriptomic analysis identified 1,108 DEGs, which, when integrated with SMR results, yielded 14 genes supported by both differential expression and genetic evidence at the nominal significance level. Forest plots demonstrated that all 14 genes had nominally significant SMR associations with TAA and passed the HEIDI test, providing limited evidence against heterogeneity, although this does not definitively rule out linkage or pleiotropy. Machine‑learning feature selection converged on two core genes, SLC51A and TPMT, which individually showed moderate diagnostic performance. A two‑gene nomogram constructed from these markers achieved good discrimination and calibration and provided net clinical benefit across a wide range of decision thresholds. Single‑gene GSEA indicated that variation in SLC51A and TPMT expression is associated with coordinated changes in RNA metabolism, macromolecular catabolism, energy utilization, and cell‑cycle–related processes. By integrating blood transcriptomics, eQTL data, and GWAS summary statistics, this study identifies SLC51A and TPMT as candidate diagnostic genes for TAA and proposes a simple two‑gene nomogram. Given the modest sample size, the lack of external validation, and the nominal nature of the genetic evidence, these findings should be considered exploratory and hypothesis‑generating rather than clinically actionable. Independent replication in larger cohorts and functional validation are required before any translational application.
Jun-Chao Huang, Jin-Shan Zhou, Ya-Kun Liu et al.· Artery Research· 0 citations
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