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Peer-reviewedCC BYPLOS One

Integrative network toxicology and machine learning reveal the potential role of 5-hydroxymethylfurfural in exacerbating pulmonary fibrosis

  1. 1Department of Neurology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
  2. 2Department of Respiratory Disease, Chongqing Jiulongpo Science City People's Hospital, Chongqing, China.

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.

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BibTeX
@article{yang2026integrative,
  title = {{Integrative network toxicology and machine learning reveal the potential role of 5-hydroxymethylfurfural in exacerbating pulmonary fibrosis}},
  author = {Qinghuan Yang and Fuli Li and Jiani Li and Ting Qin},
  journal = {PLOS One},
  year = {2026},
  month = nov,
  doi = {10.1371/journal.pone.0361700},
  url = {https://doi.org/10.1371/journal.pone.0361700},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Integrative network toxicology and machine learning reveal the potential role of 5-hydroxymethylfurfural in exacerbating pulmonary fibrosis
AU  - Qinghuan Yang
AU  - Fuli Li
AU  - Jiani Li
AU  - Ting Qin
PY  - 2026
DA  - 2026/11/02
JO  - PLOS One
DO  - 10.1371/journal.pone.0361700
UR  - https://doi.org/10.1371/journal.pone.0361700
AB  - 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.
SN  - 1932-6203
ER  -