基于可解释机器学习鉴定糖尿病肾病的关键基因与通路关联
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(1.中国医科大学附属盛京医院沈阳 110004;2.中国医科大学健康管理学院沈阳 110122)

作者简介:

孙楚涵,硕士研究生;通信作者:赵玉虹,教授,博士生导师。 基金项目:国家重点研发计划项目(项目编号: 2023YFC3604605)。

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基金项目:

国家重点研发计划项目(项目编号: 2023YFC3604605)。


Identification of Key Genes and Pathway Associations in Diabetic Nephropathy Based on Interpretable Machine Learning
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(1.Shengjing Hospital of China Medical University,Shenyang110004,China;2.School of Health Management,China Medical University, Shenyang110122,China)

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    摘要:

    目的 /意义识别糖尿病肾病多基因标志物并构建可解释预测模型,为疾病早期诊断提供参考。方法 /过程基于 GEO数据库,以 GSE111154、GSE96804为训练集, GSE30122为验证集,采用随机森林与最小绝对收缩算子筛选关键基因,运用 3种机器学习算法构建预测模型并评估性能,结合基因本体论、京都基因与基因组百科全书进行功能富集及 SHAP可解释性分析。结果 /结论差异表达基因富集于氨基酸代谢重编程、补体与凝血级联激活、细胞外基质重塑及 RAGE信号通路,可能通过“免疫 -代谢 -纤维化”轴参与疾病进展。确定 FN1、 NT5E、TPM1为关键基因, SHAP分析揭示 TPM1与 FN1基因为核心预测因子。

    Abstract:

    Purpose/Significance To identify multi-gene biomarkers of diabetic nephropathy(DN),and to construct an interpretable prediction model,so as to provide references for early diagnosis of the disease. Method/Process Based on the GEO database, GSE111154 and GSE96804 are used as the training sets,and GSE30122 as the validation set. Key genes are screened using random for-est(RF)and least absolute shrinkage and selection operator(LASSO). Three machine learning algorithms are employed to constructpredictive models and evaluate their performance. Functional enrichment and SHAP interpretability analysis are conducted by combininggene ontology(GO)with Kyoto encyclopedia of genes and genomes(KEGG). Result/Conclusion Differentially expressed genes are en-riched in amino acid metabolic reprogramming,complement and coagulation cascade activation,extracellular matrix remodeling and RAGE signaling pathway,and may be involved in disease progression through the“immune-metabolic-fibrosis”axis. FN1,NT5E and TPM1 are identified as key genes. SHAP analysis reveal that TPM1 and FN1 genes are the core predictors.

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孙楚涵,喻慧心,常青,等.基于可解释机器学习鉴定糖尿病肾病的关键基因与通路关联[J].医学信息学杂志,2026,47(6):49-55

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  • 最后修改日期:2026-04-11
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  • 在线发布日期: 2026-07-11
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