Abstract
Background: Minimal change disease (MCD) and focal segmental glomerulosclerosis (FSGS) are common causes of nephrotic syndrome which have similar clinical as well as histologic magnification and hard to differentiate. This study aimed to identify novel biomarkers to distinguish FSGS and MCD through bioinformatics analysis and elucidate the possible molecular mechanism. Material and Methods: Based on the microarray datasets GSE104948 and GSE108113 downloaded from the Gene Expression Omnibus database, the differentially expressed genes (DEGs) between FSGS vs healthy control, MCD vs healthy control were identified, and further defined by Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis. Hub genes were checked by protein-protein interaction networks. Results: A total of and 358 and 368 genes were identified in FSGS and MCD compared with healthy controls, among them, there were156 overlapping DEGs. GO analysis showed the DEGs in these two diseases were simultaneously enriched in mRNA splicing, RNA polymerase II transcription, mRNA export, insulin stimulus, integrin-mediated signaling pathway, viral process and phagocytosis. Module analysis showed that genes in the top 1 significant module of the PPI network were mainly associated with Spliceosome among FSGS and MCD. The top 10 hub genes analysis discovered that most of hub genes were same between two disease, while among these genes, CD2 cytoplasmic tail binding protein 2 (CD2BP2), U6 snRNA-associated Sm-like protein (LSM8) and Small nuclear ribonucleoprotein polypeptides B (SNRPB) only differential expression in FSGS and Splicing factor 3A, subunit 3 (SF3A3) only differential expression in MCD, which may be used for differential diagnosis of these two diseases in the future. Conclusions: We identified key genes and mainly pathway associated with FSGS and MCD. Our results provide a set of potential genes used for differential diagnosis of these two diseases.