Integrative analyses of mendelian randomization and bioinformatics reveal casual relationship and genetic links between COVID-19 and knee osteoarthritis

Abstract Background Clinical and epidemiological analyses have found an association between coronavirus disease 2019 (COVID-19) and knee osteoarthritis (KOA). Infection with COVID-19 may increase the risk of developing KOA. Objectives This study aimed to investigate the potential causal relationship...

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Main Authors: Xiao Zheng, Jinhao Li, Qinfeng Ma, Jianping Gong, Jianbo Pan
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Medical Genomics
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Online Access:https://doi.org/10.1186/s12920-024-02074-4
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author Xiao Zheng
Jinhao Li
Qinfeng Ma
Jianping Gong
Jianbo Pan
author_facet Xiao Zheng
Jinhao Li
Qinfeng Ma
Jianping Gong
Jianbo Pan
author_sort Xiao Zheng
collection DOAJ
description Abstract Background Clinical and epidemiological analyses have found an association between coronavirus disease 2019 (COVID-19) and knee osteoarthritis (KOA). Infection with COVID-19 may increase the risk of developing KOA. Objectives This study aimed to investigate the potential causal relationship between COVID-19 and KOA using Mendelian randomization (MR) and to explore the underlying mechanisms through a systematic bioinformatics approach. Methods Our investigation focused on exploring the potential causal relationship between COVID-19, acute upper respiratory tract infection (URTI) and KOA utilizing a bidirectional MR approach. Additionally, we conducted differential gene expression analysis using public datasets related to these three conditions. Subsequent analyses, including transcriptional regulation analysis, immune cell infiltration analysis, single-cell analysis, and druggability evaluation, were performed to explore potential mechanisms and prioritize therapeutic targets. Results The results indicate that COVID-19 has a one-way impact on KOA, while URTI does not play a causal role in this association. Ribosomal dysfunction may serve as an intermediate factor connecting COVID-19 with KOA. Specifically, COVID-19 has the potential to influence the metabolic processes of the extracellular matrix, potentially impacting the joint homeostasis. A specific group of genes (COL10A1, BGN, COL3A1, COMP, ACAN, THBS2, COL5A1, COL16A1, COL5A2) has been identified as a shared transcriptomic signature in response to KOA with COVID-19. Imatinib, Adiponectin, Myricetin, Tranexamic acid, and Chenodeoxycholic acid are potential drugs for the treatment of KOA patients with COVID-19. Conclusions This study uniquely combines Mendelian randomization and bioinformatics tools to explore the possibility of a causal relationship and genetic association between COVID-19 and KOA. These findings are expected to provide novel perspectives on the underlying biological mechanisms that link COVID-19 and KOA.
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spelling doaj-art-35275cb550db4577afbc0435257ee2062025-01-05T12:49:25ZengBMCBMC Medical Genomics1755-87942025-01-0118111710.1186/s12920-024-02074-4Integrative analyses of mendelian randomization and bioinformatics reveal casual relationship and genetic links between COVID-19 and knee osteoarthritisXiao Zheng0Jinhao Li1Qinfeng Ma2Jianping Gong3Jianbo Pan4Basic Medicine Research and Innovation Center for Novel Target and Therapeutic Intervention, Ministry of Education, College of Pharmacy, Chongqing Medical UniversityHepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical UniversityBasic Medicine Research and Innovation Center for Novel Target and Therapeutic Intervention, Ministry of Education, College of Pharmacy, Chongqing Medical UniversityHepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical UniversityBasic Medicine Research and Innovation Center for Novel Target and Therapeutic Intervention, Ministry of Education, College of Pharmacy, Chongqing Medical UniversityAbstract Background Clinical and epidemiological analyses have found an association between coronavirus disease 2019 (COVID-19) and knee osteoarthritis (KOA). Infection with COVID-19 may increase the risk of developing KOA. Objectives This study aimed to investigate the potential causal relationship between COVID-19 and KOA using Mendelian randomization (MR) and to explore the underlying mechanisms through a systematic bioinformatics approach. Methods Our investigation focused on exploring the potential causal relationship between COVID-19, acute upper respiratory tract infection (URTI) and KOA utilizing a bidirectional MR approach. Additionally, we conducted differential gene expression analysis using public datasets related to these three conditions. Subsequent analyses, including transcriptional regulation analysis, immune cell infiltration analysis, single-cell analysis, and druggability evaluation, were performed to explore potential mechanisms and prioritize therapeutic targets. Results The results indicate that COVID-19 has a one-way impact on KOA, while URTI does not play a causal role in this association. Ribosomal dysfunction may serve as an intermediate factor connecting COVID-19 with KOA. Specifically, COVID-19 has the potential to influence the metabolic processes of the extracellular matrix, potentially impacting the joint homeostasis. A specific group of genes (COL10A1, BGN, COL3A1, COMP, ACAN, THBS2, COL5A1, COL16A1, COL5A2) has been identified as a shared transcriptomic signature in response to KOA with COVID-19. Imatinib, Adiponectin, Myricetin, Tranexamic acid, and Chenodeoxycholic acid are potential drugs for the treatment of KOA patients with COVID-19. Conclusions This study uniquely combines Mendelian randomization and bioinformatics tools to explore the possibility of a causal relationship and genetic association between COVID-19 and KOA. These findings are expected to provide novel perspectives on the underlying biological mechanisms that link COVID-19 and KOA.https://doi.org/10.1186/s12920-024-02074-4COVID-19Knee osteoarthritis (KOA)Mendelian randomization (MR)Bioinformatics analysisAcute upper respiratory tract infection (URTI)
spellingShingle Xiao Zheng
Jinhao Li
Qinfeng Ma
Jianping Gong
Jianbo Pan
Integrative analyses of mendelian randomization and bioinformatics reveal casual relationship and genetic links between COVID-19 and knee osteoarthritis
BMC Medical Genomics
COVID-19
Knee osteoarthritis (KOA)
Mendelian randomization (MR)
Bioinformatics analysis
Acute upper respiratory tract infection (URTI)
title Integrative analyses of mendelian randomization and bioinformatics reveal casual relationship and genetic links between COVID-19 and knee osteoarthritis
title_full Integrative analyses of mendelian randomization and bioinformatics reveal casual relationship and genetic links between COVID-19 and knee osteoarthritis
title_fullStr Integrative analyses of mendelian randomization and bioinformatics reveal casual relationship and genetic links between COVID-19 and knee osteoarthritis
title_full_unstemmed Integrative analyses of mendelian randomization and bioinformatics reveal casual relationship and genetic links between COVID-19 and knee osteoarthritis
title_short Integrative analyses of mendelian randomization and bioinformatics reveal casual relationship and genetic links between COVID-19 and knee osteoarthritis
title_sort integrative analyses of mendelian randomization and bioinformatics reveal casual relationship and genetic links between covid 19 and knee osteoarthritis
topic COVID-19
Knee osteoarthritis (KOA)
Mendelian randomization (MR)
Bioinformatics analysis
Acute upper respiratory tract infection (URTI)
url https://doi.org/10.1186/s12920-024-02074-4
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