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ORIGINAL RESEARCH article

Front. Immunol.

Sec. Inflammation

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1684937

This article is part of the Research TopicAdvancing Immune Research in Chronic Liver Diseases Through New Approach MethodologiesView all 3 articles

Identification of glycolysis-related clusters and immune cell infiltration in hepatic fibrosis progression using machine learning models and experimental validation

Provisionally accepted
Guanglin  XiaoGuanglin XiaoZhiling  DengZhiling DengKe  QiuKe QiuAoyi  LiAoyi LiXingyue  YiXingyue YiHong  RenHong Ren*
  • The Second Affiliated Hospital, Chongqing Medical University, Chongqing, China

The final, formatted version of the article will be published soon.

Objectives: Although glycolytic reprogramming constitutes a fundamental driver of hepatic fibrosis (HF), its precise mechanistic contributions remain incompletely characterized. This investigation systematically identified molecular signatures of glycolysis-related genes (GRGs) in HF. We further developed a glycolytic activity-based model for HF risk stratification. Methods: Integrated analysis of GEO datasets (GSE276114, GSE84044, GSE49541) identified differentially expressed genes (DEGs) associated with HF progression. Integrated weighted gene co-expression network analysis (WGCNA) with six machine learning algorithms to identify core GRGs genes associated with HF progression, and systematically characterized their biological functions and immunoregulatory roles through immune infiltration assessment, functional enrichment, consensus clustering, and single-cell differential state analysis. Glycolytic activity was evaluated in CCl₄-induced fibrotic mice and TGF-β-stimulated LX-2 cells. Additionally, the expression of core GRGs was validated using immunohistochemical staining and RT-qPCR. Results: Through the intersection of WGCNA, DEGs, and GRGs,, machine learning identified six core GRGs: B3GNT3, CHST4, DCN, GPC3, SOX9, and VCAN. Based on the core GRGs, three GRG-based molecular subtypes were defined. Cluster C, with higher expression of the core GRGs, exhibited significantly enhanced immune infiltration, particularly of adaptive immune cells compared to Cluster A and B. Cluster C comprised a mixed landscape of T cells, mast cells, and pro-fibrogenic cells, distinct from the innate immune-dominant profiles of Clusters A and B. Both in vivo and in vitro analyses demonstrated enhanced glycolysis in fibrotic progression, accompanied by consistent upregulation of core GRGs. Conclusions: Glycolytic reprogramming is a key pathogenic driver in HF progression and associated immune infiltration. Investigating this metabolic-immune dysregulation represents a promising therapeutic focus for progression of HF.

Keywords: Glycolytic reprogramming, hepatic fibrosis, WGCNA, machine learning, Immune Cell Infiltration

Received: 13 Aug 2025; Accepted: 23 Oct 2025.

Copyright: © 2025 Xiao, Deng, Qiu, Li, Yi and Ren. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Hong Ren, renhong0531@cqmu.edu.cn

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