In this study, public databases were used to identify common hub genes and pathways in Crohn's disease and psoriasis using bioinformatics.Validation was performed using external datasets. Significantly, CXCR2 and NAMPT were upregulated in Crohn's disease and psoriasis patients, indicating their role as hub genes. They showed notable associations with CD4 memory T cells and neutrophils. Furthermore, NAMPT exhibited a notable correlation with monocytes. GSEA revealed a strong link between the high expression of these hub genes and the P53 and NOD-like signaling pathways. Consequently, CXCR2 and NAMPT are likely to have a substantial impact on Crohn's disease and psoriasis through their modulation of CD4 memory T cell and neutrophil activities.
CXCR2, a gene belonging to the chemokine receptor subfamily of the G protein-coupled receptor (GPCR) family26, This family comprises transmembrane proteins27 that transmit external cellular signals internally. CXCR2 shows a high affinity for C-X-C chemokines like IL-828, crucial for regulating immune cells29, especially neutrophils. CXCR2 primarily functions as a chemokine receptor30, directing immune cells, notably neutrophils, to inflammation or infection sites. This migration occurs through the recognition and binding of specific chemokines, predominantly IL-8 (CXCL8). Neutrophils are the first line of defence against getting infected and inflamed31;CXCR2 is crucial in regulating their migration. In addition to attracting immune cells to inflammation sites, CXCR2 also affects their activity29. For example, activation of CXCR2 increases neutrophil production of reactive oxygen species32 (ROS) and release of inflammatory factors, crucial for pathogen elimination33 and immune response modulation. Increased CXCR2 expression and activity have been observed in several inflammation-related diseases, including COPD34, asthma35, psoriasis36, and some cancers. The uncontrolled inflammatory response characteristic of these diseases suggests CXCR2 as a potential therapeutic target. Recent studies show that CXCR2 plays a critical role in neutrophil aggregation37 during the development of ImQ-induced psoriasis lesions38. Research shows that drugs targeting CXCR2 can help decrease the influx of neutrophils39, which in turn can lessen the severity of bowel disease40 (IBD). This indicates that inhibiting CXCR2 could be an approach, for managing and treating psoriasis and Crohns disease.
NAMPT plays a role, in biological functions such as cellular energy production41, DNA repair42, aging processes43, immune system activities44 and inflammation regulation43. This enzyme is crucial for the synthesis of nicotinamide adenine dinucleotide43,45 (NAD+) which's a coenzyme in cells. NAD + is central to metabolism as it acts as a cofactor for enzymes involved in energy generation DNA repair mechanisms, genetic regulation and cell signaling pathways46. NAMPTs impact on the system is significant because NAD + plays a role in both cellular metabolism and regulating immune cell functions. Notably NAD + influences the differentiation and activation of T cells47 thereby affecting responses. Moreover when released cells NAMPT acts as a cytokine48 during reactions. In this capacity NAMPT triggers the activation of cells by binding to receptors49 leading to the release of inflammatory factors and contributing to inflammation processes. Studies indicate that the modulation of NAD + metabolism by NAMPT enhances skin immunity responses50,51 in conditions, like psoriasis. Another study suggest NAMPT's role in Crohn's disease52. NAMPT is a key gene in both psoriasis and Crohn's disease. The recruitment of neutrophils, CD4 memory T cells, and monocytes might be a common mechanism in psoriasis and Crohn's disease pathogenesis.
The study has some limitations. First, the two key genes identified were only validated in the data set, lacking validation in cellular and animal models. However, the roles of NAMPT and CXCR2 in CD and PSO have been elucidated in multiple preclinical and clinical studies, reflecting the reliability of this study. Follow-up studies should include the above two levels of experimental validation. Second, validation of central genes and key pathways was performed in datasets of patients with Crohn's disease and psoriasis, respectively, and not in datasets of patients with both diseases. This aspect of validation is incomplete due to the lack of data sets for patients with both conditions. Follow-up studies should focus on collecting skin lesions and intestinal mucosa samples from patients with both diseases.