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  2. Identification of inflammation-related biomarkers and therapeutic targets for neurogenic bladder fibrosis via multi-omics analysis

Identification of inflammation-related biomarkers and therapeutic targets for neurogenic bladder fibrosis via multi-omics analysis

  • Comput Biol Med. 2025 Sep;196(Pt A):110721. doi: 10.1016/j.compbiomed.2025.110721.
Qi Li 1 Lei Lv 2 Yanping Zhang 2 Junkui Wang 3 Xingchen Liu 4 Zhan Wang 2 Junjie Zhang 5 Shengli Zhang 5 Yibo Wen 2 Luping Li 6 Yingzhong Fan 7 Jianguo Wen 8
Affiliations

Affiliations

  • 1 Henan Joint International Paediatric Urodynamic Laboratory, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450052, China; Department of Pediatric Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450052, China.
  • 2 Henan Joint International Paediatric Urodynamic Laboratory, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450052, China; Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, China.
  • 3 Henan Joint International Paediatric Urodynamic Laboratory, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450052, China; Department of Ultrasound, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, China.
  • 4 Henan Joint International Paediatric Urodynamic Laboratory, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450052, China; Department of Obstetrics and Gynecology, Xinyang Central Hospital, Xinyang, 464000, Henan, China.
  • 5 Department of Pediatric Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450052, China.
  • 6 Department of Pediatric Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450052, China. Electronic address: Lee447@126.com.
  • 7 Department of Pediatric Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450052, China. Electronic address: fanyingzhong2@163.com.
  • 8 Henan Joint International Paediatric Urodynamic Laboratory, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 450052, China; Department of Urology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, Henan, China. Electronic address: jgwen@zzu.edu.cn.
Abstract

Inflammatory responses play a crucial role in the progression of pediatric neurogenic bladder (NB)-associated fibrosis; however, their specific contributions remain poorly understood. This study aimed to identify inflammation-related biomarkers for diagnosing NB fibrosis and to explore potential therapeutic drugs. The NB rat model was established by spinal nerve severing, followed by single-cell and bulk RNA Sequencing of bladder tissues. Through integrated analysis-including differentially expressed genes (DEGs), inflammation-related genes (IRGs), WGCNA, and machine learning-we identified four diagnostic biomarkers: HIF-1α, IL-1β, CD40, and IL10RA. Molecular Biology experiments validated the elevated expression of these biomarkers in NB patients. Single-cell RNA Sequencing further localized their overexpression to epithelial cells, interstitial cells, and T cells. Connectivity Map (cMAP) analysis identified the MEK Inhibitor PD-0325901 as a potential anti-fibrotic agent, which was subsequently confirmed through in vivo and in vitro experiments. Molecular docking simulations demonstrated that PD-0325901 exerts its therapeutic effects by targeting HIF-1α. Collectively, our findings not only provide novel diagnostic biomarkers for NB fibrosis but also propose PD-0325901 as a promising candidate for the treatment of fibrosis.

Keywords

Biomarker; Children; Fibrosis; Inflammation; Neurogenic bladder.

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