Basic research

Identification and mechanistic analysis of core genes associated with morphine tolerance in dorsal root ganglion: an integrative transcriptomics approach using WGCNA and machine learning algorithms

  • YU Zhiyuan ,
  • DONG Haiping ,
  • GAO Nan ,
  • MA Ke
Expand
  • 1.Pain Management Center, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 210092, China
    2.Department of Anesthesiology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201112, China
MA Ke, E-mail: marke72@163.com.

Received date: 2025-05-28

  Accepted date: 2025-07-17

  Online published: 2025-10-28

Supported by

National Natural Science Foundation of China(82371224)

Abstract

Objective ·To develop a multi-algorithm collaborative computational biology strategy for constructing a predictive model of the peripheral morphine tolerance network and for screening high-confidence candidate targets. Methods ·A murine model of morphine tolerance was established across multiple treatment time points. Bulk RNA sequencing was performed on harvested dorsal root ganglion (DRG) tissues. Using the expression matrix as a basis, a weighted gene co-expression network was constructed to identify co-expressed gene modules. Candidate genes were subsequently screened through the integration of differentially expressed genes (DEGs) with key weighted gene co-expression network modules. These candidates underwent functional annotation via Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analyses. A protein-protein interaction (PPI) network was established, and hub genes were systematically identified using the cytoHubba algorithm. Three distinct machine learning approaches, least absolute shrinkage and selection operator (LASSO) regression, support vector machine recursive feature elimination (SVM-RFE) model, and random forest (RF) model, were strategically integrated to screen characteristic signature genes. Finally, gene set enrichment analysis (GSEA) was implemented to functionally validate both the hub and signature genes. Results ·Weighted gene co-expression network analysis (WGCNA) identified 8 297 key module genes, of which 177 candidate genes overlapped with DEGs. These genes were significantly enriched in biological processes including ion channel regulation and vascular smooth muscle contraction. A combination of PPI network analysis and machine learning revealed four signature genes [actin γ2, smooth muscle (Actg2), centriolar coiled-coil protein 110 (Ccp110), neural cell adhesion molecule 2 (Ncam2), and selenium binding protein 1 (Selenbp1)] and six hub genes [actin α2, smooth muscle (Acta2), von Willebrand factor (Vwf) , cellular communication network factor 2 (Ccn2), integrin β4 (Itgb4), integrin α11 (Itga11), and TEK receptor tyrosine kinase (Tek)] closely associated with morphine tolerance. Conclusion ·In this study, we successfully constructed a multi-algorithm collaborative peripheral nerve regulation network prediction model for morphine tolerance, and screened out 10 core genes with high confidence.

Cite this article

YU Zhiyuan , DONG Haiping , GAO Nan , MA Ke . Identification and mechanistic analysis of core genes associated with morphine tolerance in dorsal root ganglion: an integrative transcriptomics approach using WGCNA and machine learning algorithms[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2025 , 45(10) : 1308 -1319 . DOI: 10.3969/j.issn.1674-8115.2025.10.006

References

[1] RUEDA-RUZAFA L, CRUZ F, CARDONA D, et al. Opioid system influences gut-brain axis: dysbiosis and related alterations[J]. Pharmacol Res, 2020, 159: 104928.
[2] TAYLOR J L, SAMET J H. Opioid use disorder[J]. Ann Intern Med, 2022, 175(1): ITC1-ITC16.
[3] CHOE K, ZINN E, LU K, et al. Impact of COVID-19 pandemic on chronic pain and opioid use in marginalized populations: a scoping review[J]. Front Public Health, 2023, 11: 1046683.
[4] LEMOS DUARTE M, DEVI L A. Post-translational modifications of opioid receptors[J]. Trends Neurosci, 2020, 43(6): 417-432.
[5] LI L, CHEN J, LI Y Q. The downregulation of opioid receptors and neuropathic pain[J]. Int J Mol Sci, 2023, 24(6): 5981.
[6] OCHANDARENA N E, NIEHAUS J K, TASSOU A, et al. Cell-type specific molecular architecture for mu opioid receptor function in pain and addiction circuits[J]. Neuropharmacology, 2023, 238: 109597.
[7] DUNN A D, ROBINSON S A, NWOKAFOR C, et al. Molecular and long-term behavioral consequences of neonatal opioid exposure and withdrawal in mice[J]. Front Behav Neurosci, 2023, 17: 1202099.
[8] RUIVO J, TAVARES I, POZZA D H. Molecular targets in bone cancer pain: a systematic review of inflammatory cytokines[J]. J Mol Med (Berl), 2024, 102(9): 1063-1088.
[9] BI K, LEI Y, KONG D, et al. Progress in the study of intestinal microbiota involved in morphine tolerance[J]. Heliyon, 2024, 10(6): e27187.
[10] BERTA T, STRONG J A, ZHANG J M, et al. Targeting dorsal root ganglia and primary sensory neurons for the treatment of chronic pain: an update[J]. Expert Opin Ther Targets, 2023, 27(8): 665-678.
[11] QUIRION B, BEAULIEU C, C?Té L, et al. Distribution of delta and mu opioid receptor mRNA in rodent dorsal root ganglia neurons[J]. Eur J Neurosci, 2022, 56(3): 4031-4044.
[12] RUIZ-CANTERO M C, CORTéS-MONTERO E, JAIN A, et al. The sigma-1 receptor curtails endogenous opioid analgesia during sensitization of TRPV1 nociceptors[J]. Br J Pharmacol, 2023, 180(8): 1148-1167.
[13] FüRST S, ZáDORI Z S, ZáDOR F, et al. On the role of peripheral sensory and gut mu opioid receptors: peripheral analgesia and tolerance[J]. Molecules, 2020, 25(11): 2473.
[14] WANG B, JIANG B W, LI G W, et al. Somatosensory neurons express specific sets of lincRNAs, and lincRNA CLAP promotes itch sensation in mice[J]. EMBO Rep, 2023, 24(2): e54313.
[15] WANG K K, WANG S S, CHEN Y, et al. Single-cell transcriptomic analysis of somatosensory neurons uncovers temporal development of neuropathic pain[J]. Cell Res, 2021, 31(8): 904-918.
[16] KUPARI J, USOSKIN D, PARISIEN M, et al. Single cell transcriptomics of primate sensory neurons identifies cell types associated with chronic pain[J]. Nat Commun, 2021, 12(1): 1510.
[17] KONG X J, SUN H R, WEI K M, et al. WGCNA combined with machine learning algorithms for analyzing key genes and immune cell infiltration in heart failure due to ischemic cardiomyopathy[J]. Front Cardiovasc Med, 2023, 10: 1058834.
[18] CHEN Y M, LIU F, SHI S N, et al. The integrated transcriptome bioinformatics analysis of energy metabolism-related profiles for dorsal root ganglion of neuropathic pain[J]. Mol Neurobiol, 2025, 62(4): 4149-4171.
[19] RIVAT C, SEBAIHI S, VAN STEENWINCKEL J, et al. Src family kinases involved in CXCL12-induced loss of acute morphine analgesia[J]. Brain Behav Immun, 2014, 38: 38-52.
[20] STRANG J, VOLKOW N D, DEGENHARDT L, et al. Opioid use disorder[J]. Nat Rev Dis Primers, 2020, 6(1): 3.
[21] SAKLOTH F, POLIZU C, BERTHERAT F, et al. Regulators of G protein signaling in analgesia and addiction[J]. Mol Pharmacol, 2020, 98(6): 739-750.
[22] MASUHO I, BALAJI S, MUNTEAN B S, et al. A global map of G protein signaling regulation by RGS proteins[J]. Cell, 2020, 183(2): 503-521.e19.
[23] HOU X R, WENG Y Q, GUO Q L, et al. Transcriptomic analysis of long noncoding RNAs and mRNAs expression profiles in the spinal cord of bone cancer pain rats[J]. Mol Brain, 2020, 13(1): 47.
[24] FALCONNIER C, CAPARROS-ROISSARD A, DECRAENE C, et al. Functional genomic mechanisms of opioid action and opioid use disorder: a systematic review of animal models and human studies[J]. Mol Psychiatry, 2023, 28(11): 4568-4584.
[25] COLVIN L A, BULL F, HALES T G. Perioperative opioid analgesia-when is enough too much? A review of opioid-induced tolerance and hyperalgesia[J]. Lancet, 2019, 393(10180): 1558-1568.
[26] GAMBLE M C, WILLIAMS B R, SINGH N, et al. Mu-opioid receptor and receptor tyrosine kinase crosstalk: implications in mechanisms of opioid tolerance, reduced analgesia to neuropathic pain, dependence, and reward[J]. Front Syst Neurosci, 2022, 16: 1059089.
[27] MARTUCCI K T. Neuroimaging of opioid effects in humans across conditions of acute administration, chronic pain therapy, and opioid use disorder[J]. Trends Neurosci, 2024, 47(6): 418-431.
[28] GARCíA-DOMíNGUEZ M. Enkephalins and pain modulation: mechanisms of action and therapeutic perspectives[J]. Biomolecules, 2024, 14(8): 926.
[29] NGUYEN D, NGUYEN H, ONG H, et al. Ensemble learning using traditional machine learning and deep neural network for diagnosis of Alzheimer's disease[J]. IBRO Neurosci Rep, 2022, 13: 255-263.
[30] DE ANGELI K, GAO S, BLANCHARD A, et al. Using ensembles and distillation to optimize the deployment of deep learning models for the classification of electronic cancer pathology reports[J]. JAMIA Open, 2022, 5(3): ooac075.
[31] TAKEFUJI Y. Beyond XGBoost and SHAP: unveiling true feature importance[J]. J Hazard Mater, 2025, 488: 137382.
[32] ZHANG W Y, CHEN Z H, AN X X, et al. Analysis and validation of diagnostic biomarkers and immune cell infiltration characteristics in pediatric sepsis by integrating bioinformatics and machine learning[J]. World J Pediatr, 2023, 19(11): 1094-1103.
[33] COBOS E J, NICKERSON C A, GAO F Y, et al. Mechanistic differences in neuropathic pain modalities revealed by correlating behavior with global expression profiling[J]. Cell Rep, 2018, 22(5): 1301-1312.
[34] XIE S W, NASLAVSKY N, CAPLAN S. Emerging insights into CP110 removal during early steps of ciliogenesis[J]. J Cell Sci, 2024, 137(4): jcs261579.
[35] SONG T, YANG Y F, ZHOU P, et al. ENKD1 promotes CP110 removal through competing with CEP97 to initiate ciliogenesis[J]. EMBO Rep, 2022, 23(5): e54090.
[36] NISHIMURA Y, KASAHARA K, SHIROMIZU T, et al. Primary cilia as signaling hubs in health and disease[J]. Adv Sci (Weinh), 2018, 6(1): 1801138.
[37] WACHTEN D, MICK D U. Signal transduction in primary cilia: analyzing and manipulating GPCR and second messenger signaling[J]. Pharmacol Ther, 2021, 224: 107836.
[38] HILL S A, FU M, GARCIA A D R. Sonic hedgehog signaling in astrocytes[J]. Cell Mol Life Sci, 2021, 78(4): 1393-1403.
[39] MA R, KUTCHY N A, WANG Z B, et al. Extracellular vesicle-mediated delivery of anti-miR-106b inhibits morphine-induced primary ciliogenesis in the brain[J]. Mol Ther, 2023, 31(5): 1332-1345.
[40] MA R, KUTCHY N A, HU G K. Astrocyte-derived extracellular vesicle-mediated activation of primary ciliary signaling contributes to the development of morphine tolerance[J]. Biol Psychiatry, 2021, 90(8): 575-585.
[41] MELROSE J, HAYES A J, BIX G. The CNS/PNS extracellular matrix provides instructive guidance cues to neural cells and neuroregulatory proteins in neural development and repair[J]. Int J Mol Sci, 2021, 22(11): 5583.
[42] IBá?EZ C F, PARATCHA G, LEDDA F. RET-independent signaling by GDNF ligands and GFRα receptors[J]. Cell Tissue Res, 2020, 382(1): 71-82.
[43] PARCERISAS A, ORTEGA-GASCó A, PUJADAS L, et al. The hidden side of NCAM family: NCAM2, a key cytoskeleton organization molecule regulating multiple neural functions[J]. Int J Mol Sci, 2021, 22(18): 10021.
[44] RAWAL P, ZHAO L Q. Sialometabolism in brain health and Alzheimer's disease[J]. Front Neurosci, 2021, 15: 648617.
[45] SUZUKI M, NARITA M, NARITA M, et al. Chronic morphine treatment increases the expression of the neural cell adhesion molecule in the dorsal horn of the mouse spinal cord[J]. Neurosci Lett, 2006, 399(3): 202-205.
[46] EL MAAROUF A, KOLESNIKOV Y, PASTERNAK G, et al. Removal of polysialylated neural cell adhesion molecule increases morphine analgesia and interferes with tolerance in mice[J]. Brain Res, 2011, 1404: 55-62.
[47] RYMUT H E, RUND L A, SOUTHEY B R, et al. Prefrontal cortex response to prenatal insult and postnatal opioid exposure[J]. Genes (Basel), 2022, 13(8): 1371.
[48] SLACK R J, MACDONALD S J F, ROPER J A, et al. Emerging therapeutic opportunities for integrin inhibitors[J]. Nat Rev Drug Discov, 2022, 21(1): 60-78.
[49] CIECHANOWSKA A, ROJEWSKA E, PIOTROWSKA A, et al. New insights into the analgesic properties of the XCL1/XCR1 and XCL1/ITGA9 axes modulation under neuropathic pain conditions-evidence from animal studies[J]. Front Immunol, 2022, 13: 1058204.
[50] PARK J, LEE C, KIM Y T. Effects of natural product-derived compounds on inflammatory pain via regulation of microglial activation[J]. Pharmaceuticals (Basel), 2023, 16(7): 941.
[51] LI H Y, WATKINS L R, WANG X H. Microglia in neuroimmunopharmacology and drug addiction[J]. Mol Psychiatry, 2024, 29(6): 1912-1924.
[52] PAHAN P, XIE J Y. Microglial inflammation modulates opioid analgesic tolerance[J]. J Neurosci Res, 2023, 101(9): 1383-1392.
[53] JALODIA R, ABU Y F, OPPENHEIMER M R, et al. Opioid use, gut dysbiosis, inflammation, and the nervous system[J]. J Neuroimmune Pharmacol, 2022, 17(1/2): 76-93.
Outlines

/