Preprint Identification of Novel Reproducible Combinatorial Genetic Risk Factors for [ME] in [DecodeME Cohort] and Commonalities with [LC], 2025, Sardell+

I suppose their combinatorial analysis can be useful to get new or clearer findings, but in this case, it seems to have made things more complicated and muddled.

Their disease signatures map to 2,311 genes, while humans only have approximately 20.000-25.000 protein-coding genes.
 
I am still working in trying to connect the list of genes from this paper with previous research efforts. Some new findings :


NLGN1 : Appears on the Snyder study (HEAL2)

CYP7B1 : The node of this gene appears on the network analysis (2017) - towards the center bottom :

network_clean.jpeg


CH25H : Also identified by previous work (read also what I mention related to Ubiquitination (Snyder et.al) , see below :

Screenshot 2025-12-05 at 15.25.01.png

Source : https://www.healthrising.org/blog/2023/10/21/ai-driven-chronic-fatigue-syndrome-clues/

UGGT1 : A gene directly linked to N-Linked glycosylation. I believe we will be seeing N-Linked glycosylation in the -hopefully near- future more.

I also believe that Glutamate excitotoxicity is something that needs to be looked at for sure.
 
So I used the DAVID tool to enter the core genes identified by the study and I am providing the results of a Pathway analysis :
First KEGG Pathway Analysis. of particular interest the Glutamatergic synapse entry, GABAergic synapse cc @ME/CFS Science Blog


KEGG Pathway.png
Next Reactome :

Of interest : NR1H3 (=LXRa) tagging @MelbME. Transmission across chemical synapses , NR1H2 is LXRb Receptor , Netrin mediated repulsion signals and O-Linked glycosylation.


reactome pathway.png


Finally here is a functional annotation set from DAVID :


(Cell?) membrane appears to the top, note the Polar residues (=I believe directly related to Aminoacids) and my personal "favorite" which was also identified in the paper by Xiao et.al related to L-Asparagine (a key part of N-Linked glycosylation) and the potential role of glycoproteins in general.

functional_annotations_DAVID.png

EDIT : Removed entries related to FXR which are not part of the shown results
 
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