{
  "abstract": "Background: 5-Hydroxymethylfurfural (5-HMF), a ubiquitous furan derivative formed during the thermal processing of carbohydrate-rich foods, represents a widespread dietary exposure. However, its potential contribution to idiopathic pulmonary fibrosis (IPF) remains unclear. This study investigated the molecular links between 5-HMF and IPF using an integrated computational and experimental approach. Methods: IPF-related genes were identified through transcriptomic analysis combining differential expression analysis and weighted gene co-expression network analysis. Candidate targets were obtained by intersecting IPF-associated genes with predicted 5-HMF targets. Functional enrichment analysis, ensemble machine learning, and SHAP interpretation were performed to prioritize candidate targets, while molecular docking was used to explore potential 5-HMF–target interactions. A bleomycin-induced mouse model of pulmonary fibrosis was further used to evaluate the effects of 5-HMF on fibrotic lung injury and the transcriptional expression of prioritized candidate genes. Results: A total of 1,776 IPF-associated genes and 143 predicted 5-HMF targets were identified, yielding 12 overlapping candidate targets. Enrichment analysis implicated these genes in fibrosis-related pathways, including chemical carcinogenesis–receptor activation and estrogen signaling. Machine learning analysis prioritized seven core targets (CA2, CA4, ESR2, F10, HSP90AA1, PLA2G1B, and PTPRB), all of which accommodated 5-HMF in their orthosteric pockets in blind docking, albeit with weak, non-selective Vina scores (−4.5 to −5.4 kcal/mol). In vivo, 5-HMF significantly exacerbated bleomycin-induced pulmonary fibrosis, as demonstrated by aggravated lung injury, increased collagen deposition, and elevated expression of Hsp90aa1, Pla2g1b, Ca4, F10, Acta2, and Col1a1. Conclusion: Our findings suggest that 5-HMF may exacerbate fibrotic lung injury through multiple fibrosis-related molecular targets and pathways. These findings provide preliminary evidence for a potential association between 5-HMF exposure and the aggravation of pulmonary fibrosis, while further studies are required to determine whether 5-HMF can independently initiate fibrotic pathology.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Neurology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.",
    "Department of Respiratory Disease, Chongqing Jiulongpo Science City People's Hospital, Chongqing, China."
  ],
  "article_type": "Research Article",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
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        0
      ],
      "name": "Qinghuan Yang"
    },
    {
      "affs": [
        1
      ],
      "name": "Fuli Li"
    },
    {
      "affs": [
        0
      ],
      "name": "Jiani Li"
    },
    {
      "affs": [
        1
      ],
      "name": "Ting Qin",
      "orcid": "0009-0000-3006-3676"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/b08p8fmf8qwbg.bib",
  "cited_by": 0,
  "doi": "10.1371/journal.pone.0361700",
  "fulltext_url": "https://europepmc.org/articles/PMC13727047",
  "id": "b08p8fmf8qwbg",
  "issns": [
    "1932-6203"
  ],
  "landing_url": "https://doi.org/10.1371/journal.pone.0361700",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Algorithms"
    ],
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      "heading",
      "Animal Models"
    ],
    [
      "heading",
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      "heading",
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    [
      "heading",
      "Computational Chemistry"
    ],
    [
      "heading",
      "Computer and Information Sciences"
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    [
      "heading",
      "Developmental Biology"
    ],
    [
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      "heading",
      "Experimental Organism Systems"
    ],
    [
      "heading",
      "Fibrosis"
    ],
    [
      "heading",
      "Gene Expression"
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      "Genetics"
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      "heading",
      "Machine Learning"
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      "Machine Learning Algorithms"
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      "Pulmonary Fibrosis"
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      "openalex",
      "2740|Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis"
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  "pdf_url": "https://europepmc.org/articles/PMC13727047?pdf=render",
  "pmcid": "PMC13727047",
  "pmid": "42970606",
  "published": "2026-11-02",
  "publisher": "Public Library of Science",
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  "subjects": [
    {
      "field": "biochemistry",
      "origin": "heading:Gene Expression",
      "subfield": "molecular-biology"
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    {
      "field": "biology",
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  "title": "Integrative network toxicology and machine learning reveal the potential role of 5-hydroxymethylfurfural in exacerbating pulmonary fibrosis",
  "title_text": "Integrative network toxicology and machine learning reveal the potential role of 5-hydroxymethylfurfural in exacerbating pulmonary fibrosis",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:22:51Z",
  "url": "https://research.draconitic.com/paper/b08p8fmf8qwbg",
  "venue": "PLOS One",
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