Identification of FZD7 as a potential ferroptosis-related diagnostic gene in endometriosis by bioinformatics analysis
Bioinformatics analysis identified FZD7 as a ferroptosis-related gene upregulated in endometriosis, correlating with M2 macrophage infiltration and showing diagnostic potential.
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This study used bioinformatics and validation experiments to identify ferroptosis-related diagnostic genes in endometriosis (EMS). Differentially expressed ferroptosis-related genes were screened across multiple GEO microarray datasets comparing 12 women with EMS to 10 control patients without endometriosis, and only FZD7 consistently emerged as differentially expressed across five transcriptome datasets, with high diagnostic performance by ROC analysis (AUC up to 100% in one dataset). The authors also reported that CIBERSORT-inferred immune infiltration showed significantly increased macrophages, especially M2 macrophages, in EMS, and that FZD7 correlated positively with M2 macrophage infiltration and was upregulated in endometrial stromal cells co-cultured with macrophages; RT-qPCR and Western blot validated FZD7 upregulation in ectopic lesions. The study’s main caveat is that it relies on cross-dataset bioinformatics associations from relatively small patient cohorts (12 EMS cases, 10 controls) before drawing mechanistic conclusions. This paper is centrally about endometriosis — it identifies FZD7 as a potential ferroptosis-related diagnostic gene and examines its association with macrophage infiltration in EMS.
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