Integrative bioinformatics approach identifies novel drug targets for hyperaldosteronism, with a focus on SHMT1 as a promising therapeutic candidate

Abstract Primary aldosteronism (PA), characterized by autonomous aldosterone overproduction, is a major cause of secondary hypertension with significant cardiovascular complications. Current treatments mainly focus on symptom management rather than addressing underlying mechanisms. This study aims t...

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Main Authors: Minyue Jia, Liya Lin, Hanxiao Yu, Zhichao Dong, Xin Pan, Xiaoxiao Song
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-85900-8
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author Minyue Jia
Liya Lin
Hanxiao Yu
Zhichao Dong
Xin Pan
Xiaoxiao Song
author_facet Minyue Jia
Liya Lin
Hanxiao Yu
Zhichao Dong
Xin Pan
Xiaoxiao Song
author_sort Minyue Jia
collection DOAJ
description Abstract Primary aldosteronism (PA), characterized by autonomous aldosterone overproduction, is a major cause of secondary hypertension with significant cardiovascular complications. Current treatments mainly focus on symptom management rather than addressing underlying mechanisms. This study aims to discover novel therapeutic targets for PA using integrated bioinformatics and experimental validation approaches. We employed a systematic approach combining: gene identification through transcriptome-wide association studies (TWAS); causal inference using summary data-based Mendelian randomization (SMR) and two-sample Mendelian randomization (MR) analyses; additional analyses included phenome-wide association analysis, enrichment analysis, protein-protein interaction (PPI) networks, drug repurposing, molecular docking and clinical validation through aldosterone-producing adenomas (APAs) tissue. Through systematic screening and prioritization, we identified 163 PA-associated genes, of which seven emerged as potential drug targets: CEP104, HIP1, TONSL, ZNF100, SHMT1, and two long non-coding RNAs (AC006369.2 and MRPL23-AS1). SHMT1 was identified as the most promising target, showing significantly elevated expression in APAs compared to adjacent non-tumorous tissues. Drug repurposing analysis identified four potential SHMT1-targeting compounds (Mimosine, Pemetrexed, Leucovorin, and Irinotecan), supported by molecular docking studies. The integration of multiple bioinformatics methods and experimental validation successfully identified novel drug targets for hyperaldosteronism. SHMT1, in particular, represents a promising candidate for future therapeutic development. These findings provide new opportunities for developing causative treatments for PA, though further clinical validation is warranted.
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spelling doaj-art-42f51087205e48448f5b906ffc7103d42025-01-12T12:15:25ZengNature PortfolioScientific Reports2045-23222025-01-0115112110.1038/s41598-025-85900-8Integrative bioinformatics approach identifies novel drug targets for hyperaldosteronism, with a focus on SHMT1 as a promising therapeutic candidateMinyue Jia0Liya Lin1Hanxiao Yu2Zhichao Dong3Xin Pan4Xiaoxiao Song5Department of Ultrasonography, The Second Affiliated Hospital, Zhejiang University School of MedicineClinical Research Center, The Second Affiliated Hospital, Zhejiang University School of MedicineClinical Research Center, The Second Affiliated Hospital, Zhejiang University School of MedicineDepartment of Urology, The Second Affiliated Hospital, Zhejiang University School of MedicineDepartment of Endocrinology, The First People’s Hospital of Xiaoshan DistrictDepartment of Endocrinology, The Second Affiliated Hospital, Zhejiang University School of MedicineAbstract Primary aldosteronism (PA), characterized by autonomous aldosterone overproduction, is a major cause of secondary hypertension with significant cardiovascular complications. Current treatments mainly focus on symptom management rather than addressing underlying mechanisms. This study aims to discover novel therapeutic targets for PA using integrated bioinformatics and experimental validation approaches. We employed a systematic approach combining: gene identification through transcriptome-wide association studies (TWAS); causal inference using summary data-based Mendelian randomization (SMR) and two-sample Mendelian randomization (MR) analyses; additional analyses included phenome-wide association analysis, enrichment analysis, protein-protein interaction (PPI) networks, drug repurposing, molecular docking and clinical validation through aldosterone-producing adenomas (APAs) tissue. Through systematic screening and prioritization, we identified 163 PA-associated genes, of which seven emerged as potential drug targets: CEP104, HIP1, TONSL, ZNF100, SHMT1, and two long non-coding RNAs (AC006369.2 and MRPL23-AS1). SHMT1 was identified as the most promising target, showing significantly elevated expression in APAs compared to adjacent non-tumorous tissues. Drug repurposing analysis identified four potential SHMT1-targeting compounds (Mimosine, Pemetrexed, Leucovorin, and Irinotecan), supported by molecular docking studies. The integration of multiple bioinformatics methods and experimental validation successfully identified novel drug targets for hyperaldosteronism. SHMT1, in particular, represents a promising candidate for future therapeutic development. These findings provide new opportunities for developing causative treatments for PA, though further clinical validation is warranted.https://doi.org/10.1038/s41598-025-85900-8HyperaldosteronismTWASGWASQTLMendelian randomizationSHMT1
spellingShingle Minyue Jia
Liya Lin
Hanxiao Yu
Zhichao Dong
Xin Pan
Xiaoxiao Song
Integrative bioinformatics approach identifies novel drug targets for hyperaldosteronism, with a focus on SHMT1 as a promising therapeutic candidate
Scientific Reports
Hyperaldosteronism
TWAS
GWAS
QTL
Mendelian randomization
SHMT1
title Integrative bioinformatics approach identifies novel drug targets for hyperaldosteronism, with a focus on SHMT1 as a promising therapeutic candidate
title_full Integrative bioinformatics approach identifies novel drug targets for hyperaldosteronism, with a focus on SHMT1 as a promising therapeutic candidate
title_fullStr Integrative bioinformatics approach identifies novel drug targets for hyperaldosteronism, with a focus on SHMT1 as a promising therapeutic candidate
title_full_unstemmed Integrative bioinformatics approach identifies novel drug targets for hyperaldosteronism, with a focus on SHMT1 as a promising therapeutic candidate
title_short Integrative bioinformatics approach identifies novel drug targets for hyperaldosteronism, with a focus on SHMT1 as a promising therapeutic candidate
title_sort integrative bioinformatics approach identifies novel drug targets for hyperaldosteronism with a focus on shmt1 as a promising therapeutic candidate
topic Hyperaldosteronism
TWAS
GWAS
QTL
Mendelian randomization
SHMT1
url https://doi.org/10.1038/s41598-025-85900-8
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