Identification of key genes and regulatory mechanisms in adult degenerative scoliosis

Background: Adult degenerative scoliosis (ADS) is a spinal disorder, but its pathogenesis remain unclear. Therefore, in this study, we utilized data from the GEO database and explored the key genes and regulatory mechanisms involved in ADS. Methods: We performed bioinformatics analysis on the GSE209825 dataset of GEO database. Weighted gene coexpression network analysis (WGCNA) was used to identify ADS-related gene modules, and we performed gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses. We constructed a protein-protein interaction (PPI) network using the STRING database. We validated the specificity of hub genes in ADS using the GSE34095 dataset and plotted ROC curves for the identification of different degenerative spinal diseases based on the hub genes expression Results: We identified 113 differentially expressed lncRNAs. WGCNA identified the MEblack module had the strongest correlation to ADS. GO and KEGG analyses of target genes in lncRNAs revealed their involvement in immune responses, inflammation, cellular processes, and metabolic pathways. Through PPI and ROC analysis, 10 hub genes linked to ADS diseases with certain specificity were found: ELANE, LTF, DEFA1B, SLC2A4, DEFA1, FAXDC2, LCN2, CTSB, FDFT1, and AURKA. Conclusions: We identified 10 potential hub genes associated with ADS and constructed a transcription factors (TFs)-lncRNAs-hub genes regulatory network. These findings provide a new direction and research basis for the targeted treatment and mechanism research of ADS.