Immune cell profiles and predictive modeling in osteoporotic vertebral fractures using XGBoost machine learning algorithms

Abstract Background Osteoporosis significantly increases the risk of vertebral fractures, particularly among postmenopausal women, decreasing their quality of life. These fractures, often undiagnosed, can lead to severe health consequences and are influenced by bone mineral density and abnormal load...

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Main Authors: Yi-Chou Chen, Hui-Chen Su, Shih-Ming Huang, Ching-Hsiao Yu, Jen-Huei Chang, Yi-Lin Chiu
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BioData Mining
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Online Access:https://doi.org/10.1186/s13040-025-00427-y
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author Yi-Chou Chen
Hui-Chen Su
Shih-Ming Huang
Ching-Hsiao Yu
Jen-Huei Chang
Yi-Lin Chiu
author_facet Yi-Chou Chen
Hui-Chen Su
Shih-Ming Huang
Ching-Hsiao Yu
Jen-Huei Chang
Yi-Lin Chiu
author_sort Yi-Chou Chen
collection DOAJ
description Abstract Background Osteoporosis significantly increases the risk of vertebral fractures, particularly among postmenopausal women, decreasing their quality of life. These fractures, often undiagnosed, can lead to severe health consequences and are influenced by bone mineral density and abnormal loads. Management strategies range from non-surgical interventions to surgical treatments. Moreover, the interaction between immune cells and bone cells plays a crucial role in bone repair processes, highlighting the importance of osteoimmunology in understanding and treating bone pathologies. Methods This study aims to investigate the xCell signature-based immune cell profiles in osteoporotic patients with and without vertebral fractures, utilizing advanced predictive modeling through the XGBoost algorithm. Results Our findings reveal an increased presence of CD4 + naïve T cells and central memory T cells in VF patients, indicating distinct adaptive immune responses. The XGBoost model identified Th1 cells, CD4 memory T cells, and hematopoietic stem cells as key predictors of VF. Notably, VF patients exhibited a reduction in Th1 cells and an enrichment of Th17 cells, which promote osteoclastogenesis and bone resorption. Gene expression analysis further highlighted an upregulation of osteoclast-related genes and a downregulation of osteoblast-related genes in VF patients, emphasizing the disrupted balance between bone formation and resorption. These findings underscore the critical role of immune cells in the pathogenesis of osteoporotic fractures and highlight the potential of XGBoost in identifying key biomarkers and therapeutic targets for mitigating fracture risk in osteoporotic patients.
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spelling doaj-art-48e06f517e854f31bb53df0c4f2af8022025-02-09T12:15:55ZengBMCBioData Mining1756-03812025-02-0118112010.1186/s13040-025-00427-yImmune cell profiles and predictive modeling in osteoporotic vertebral fractures using XGBoost machine learning algorithmsYi-Chou Chen0Hui-Chen Su1Shih-Ming Huang2Ching-Hsiao Yu3Jen-Huei Chang4Yi-Lin Chiu5Department of Orthopedics, Taoyuan General Hospital, Ministry of Health and WelfareDepartment of Pharmacy, Chi-Mei Medical CenterDepartment of Biochemistry, National Defense Medical CenterDepartment of Orthopedics, Taoyuan General Hospital, Ministry of Health and WelfareOrthopedic Department, Cardinal Tien HospitalDepartment of Biochemistry, National Defense Medical CenterAbstract Background Osteoporosis significantly increases the risk of vertebral fractures, particularly among postmenopausal women, decreasing their quality of life. These fractures, often undiagnosed, can lead to severe health consequences and are influenced by bone mineral density and abnormal loads. Management strategies range from non-surgical interventions to surgical treatments. Moreover, the interaction between immune cells and bone cells plays a crucial role in bone repair processes, highlighting the importance of osteoimmunology in understanding and treating bone pathologies. Methods This study aims to investigate the xCell signature-based immune cell profiles in osteoporotic patients with and without vertebral fractures, utilizing advanced predictive modeling through the XGBoost algorithm. Results Our findings reveal an increased presence of CD4 + naïve T cells and central memory T cells in VF patients, indicating distinct adaptive immune responses. The XGBoost model identified Th1 cells, CD4 memory T cells, and hematopoietic stem cells as key predictors of VF. Notably, VF patients exhibited a reduction in Th1 cells and an enrichment of Th17 cells, which promote osteoclastogenesis and bone resorption. Gene expression analysis further highlighted an upregulation of osteoclast-related genes and a downregulation of osteoblast-related genes in VF patients, emphasizing the disrupted balance between bone formation and resorption. These findings underscore the critical role of immune cells in the pathogenesis of osteoporotic fractures and highlight the potential of XGBoost in identifying key biomarkers and therapeutic targets for mitigating fracture risk in osteoporotic patients.https://doi.org/10.1186/s13040-025-00427-yOsteoporosisVertebral fracturesXGBoostTh17 cell differentiation
spellingShingle Yi-Chou Chen
Hui-Chen Su
Shih-Ming Huang
Ching-Hsiao Yu
Jen-Huei Chang
Yi-Lin Chiu
Immune cell profiles and predictive modeling in osteoporotic vertebral fractures using XGBoost machine learning algorithms
BioData Mining
Osteoporosis
Vertebral fractures
XGBoost
Th17 cell differentiation
title Immune cell profiles and predictive modeling in osteoporotic vertebral fractures using XGBoost machine learning algorithms
title_full Immune cell profiles and predictive modeling in osteoporotic vertebral fractures using XGBoost machine learning algorithms
title_fullStr Immune cell profiles and predictive modeling in osteoporotic vertebral fractures using XGBoost machine learning algorithms
title_full_unstemmed Immune cell profiles and predictive modeling in osteoporotic vertebral fractures using XGBoost machine learning algorithms
title_short Immune cell profiles and predictive modeling in osteoporotic vertebral fractures using XGBoost machine learning algorithms
title_sort immune cell profiles and predictive modeling in osteoporotic vertebral fractures using xgboost machine learning algorithms
topic Osteoporosis
Vertebral fractures
XGBoost
Th17 cell differentiation
url https://doi.org/10.1186/s13040-025-00427-y
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