PURPOSE: Polycystic ovary syndrome (PCOS) is the most common metabolic/endocrine disorder among women of reproductive age. The pathogenesis of PCOS is related to race, genetics, environment, hyperandrogenemia, hyperinsulinemia, and obesity. However, studies on the molecular mechanisms underlying the relationship between RNA modification and PCOS are lacking. Thus, herein, we investigated the potential common genetic and molecular pathways between RNA modification and PCOS using bioinformatics analyses.
METHODS: The GSE34526, GSE5850, and GSE98421 datasets were downloaded from the National Center for Biotechnology Information Gene Expression Omnibus (GEO) database. Intersecting differentially expressed genes (DEGs) and RNA modification-related genes (RMRGs) in the GSE34526 dataset were analyzed, and a Venn diagram was drawn. Thereafter, Gene Ontology, pathway enrichment (KEGG) analysis, gene set enrichment analysis (GSEA), gene set variation analysis (GSVA), and immune infiltration analysis were performed. Finally, a protein-protein interaction network and mRNA-miRNA, mRNA-RBP, and mRNA-Transcription factor (TF) regulatory networks were constructed. The ROC curves and expression of hub genes were identified.
RESULTS: The expression of several RNA modification-related DEGs (RMRDEGs) (ALYREF, AGO2, TET2, YTHDF2, and TRMT61B) differed in PCOS patients. GSEA and GSVA revealed that RMRDEGs were enriched in the hedgehog, MAPK, JAK STAT, and Notch pathways. TFs, including SP7, KLF8, HCFC1, IRF1, and MLLT1, played key roles in TF regulatory networks. CONCLUSIONS: These findings suggest gene and miRNA profile alterations in PCOS patients, and confirm the existence of immune-related differences, which should unveil new directions for subsequent research into diagnosis and treatment.