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ORIGINAL RESEARCH article

Front. Pharmacol.

Sec. Integrative and Regenerative Pharmacology

Volume 16 - 2025 | doi: 10.3389/fphar.2025.1665228

Combined multi-omics approach to identify the key metabolites, key microorganisms and biomarkers correlated with the neutrophil extracellular traps-associated gene TIMP1 in osteoarthritis

Provisionally accepted
Yaoyu  XiangYaoyu Xiang1Jizheng  LiJizheng Li2Xidan  HuXidan Hu1Xianguang  YangXianguang Yang1Fei  SunFei Sun3Jing  YangJing Yang1Weiqing  GeWeiqing Ge1Tao  ZhouTao Zhou1En  SongEn Song1*
  • 1First Affiliated Hospital of Kunming Medical University, Kunming, China
  • 2Yunnan Provincial Hospital of Chinese Medicine, Kunming, China
  • 3Traditional Chinese Medicine Hospital of Luliang County, CHINA, China

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

Background: Neutrophil extracellular traps (NETs) contribute significantly to osteoarthritis (OA) pathogenesis; however, the precise molecular interactions remain unclear. This study aimed to identify key NET-associated genes and their correlated metabolites and microbiota in OA through an integrated multi-omics approach. Methods: Initially, transcriptomic datasets were screened to identify NET-related genes implicated in OA. A rat OA model was established, and the expression of key genes was validated using RT-qPCR, histological analysis, and immunohistochemistry. TIMP1 was selected for further exploration via in vivo gene silencing. Subsequently, transcriptomics, metabolomics, and 16S rRNA sequencing were performed on serum, cartilage, and fecal samples from experimental animals. Differentially expressed genes (DEGs), microbiota, and metabolites associated with TIMP1 were identified through integrated bioinformatics analyses. Correlation analyses across omics data layers were conducted to pinpoint biomarkers, key metabolites, and microbial taxa. Results: ITGB1, ITGB2, MMP9, and TIMP1 emerged as key NET-associated genes, with TIMP1 being selected as the primary target. TIMP1 silencing significantly alleviated inflammatory responses and cartilage degradation in OA rats. Multi-omics analyses identified 6 biomarkers, 9 key metabolites (e.g., FAHFAs, 12-HETE, MTA, xanthosine), and key microbial genus (Muribaculaceae) strongly correlated with TIMP1 expression. These molecular entities were enriched in pathways related to lipid metabolism, nucleotide turnover, immune regulation, and gut-joint crosstalk. Conclusion: TIMP1 acts as a pivotal regulator in OA, influencing inflammation, cartilage remodeling, metabolic pathways, and gut microbiota composition. This study provides novel mechanistic insights and potential therapeutic targets for OA.

Keywords: Osteoarthritis, neutrophil extracellular traps, TIMP1, animal model, multi-omics

Received: 13 Jul 2025; Accepted: 25 Sep 2025.

Copyright: © 2025 Xiang, Li, Hu, Yang, Sun, Yang, Ge, Zhou and Song. 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: En Song, songen198504@163.com

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