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Method Article

Bibliometrics and Bioinformatics Exploration of Research Hotspots and Key Targets in Comorbidity: Interstitial Lung Disease and Pulmonary Hypertension

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DOI:

10.3791/71631

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August 7th, 2026

In This Article

Summary

This protocol uses interstitial lung disease and pulmonary hypertension as examples and integrates bibliometrics with bioinformatics to systematically and preliminarily explore their research trends, hotspots, key targets, and related pathways. This protocol could be replicated to analyze any disease pairs by modifying the prompts.

Abstract

Interstitial lung disease (ILD) and pulmonary hypertension (PH) frequently coexist as comorbidities, leading to poor clinical outcomes and limited therapeutic options. Identifying important research hotspots and uncovering key comorbidity targets is essential for improving disease management and developing novel therapeutic strategies. This protocol retrieves relevant publications from the Web of Science Core Collection and Scopus databases, and uses CiteSpace and VOSviewer to map research hotspots and evolving trends. Subsequently, overlapping genetic targets associated with both diseases are identified from the GeneCards database. Protein-protein interaction networks are constructed using STRING to identify hub genes, and KEGG pathway enrichment analysis is performed using the R language to elucidate key signaling pathways. The results show that bibliometrics identifies the developmental trajectory of this interdisciplinary field from a macro perspective; bioinformatics analysis reveals FN1, IL6, and TNF as potential core comorbidity targets; and KEGG enrichment analysis indicates that immune-related pathways centered on PI3K-Akt and MAPK are deeply involved in the pathogenesis of the comorbidity. By integrating the two approaches, this protocol systematically delineates the development trajectory and research hotspots in ILD-PH comorbidity research, while preliminarily screening potential comorbidity targets and pathways. It provides direction and a computational basis for future experimental research and clinical validation. This integrated framework offers a reproducible methodology applicable to the study of other complex disease comorbidities.

Introduction

Interstitial lung disease (ILD) refers to a group of diffuse lung diseases characterized pathologically by inflammation and fibrosis of the pulmonary interstitium. During its disease progression, it is often complicated by multiple comorbidities, among which pulmonary hypertension (PH) is one of the common comorbidities that significantly affects the prognosis1,2. Epidemiological data indicate that the incidence of PH in patients with ILD varies depending on the subtype and disease stage, ranging from 13% to 86%3,4,5.....

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Protocol

The study used publicly available secondary databases, including GeneCards, STRING, and KEGG. According to Article 32 of the Regulations on Human Genetic Resources of China, these databases do not involve direct collection of human genetic resources within China; therefore, no ethical approval or informed consent was required for this study. Detailed version information of the software and platforms used in this section is provided in the Table of Materials.

1. Literature collection and organization

  1. Access the MeSH database (Table of Materials).
  2. <....

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Results

Data retrieval and screening

In total, 2,400 records were collected from the Scopus database, while 696 were identified in the WoSCC database. After merging the two datasets and removing 533 duplicate records, a total of 2,563 unique publications were finally included for subsequent bibliometric analysis (Figure 1).

Annual publication output trends

The annual publication outp.......

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Discussion

This study represents the first integrated application of bibliometrics and bioinformatics to explore the comorbidity of ILD and PH. It systematically reviews the developmental trajectory, knowledge structure, and cutting-edge trends in this field over the past decade, and identifies the hub genes and key signaling pathways underlying this comorbid state at the molecular level. From a macro-trend perspective, the annual number of publications in this field increased from 142 in 2016 to 402 in 2025, representing a nearly .......

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Disclosures

The authors report no conflicts of interest in this work.

Acknowledgements

The authors gratefully acknowledge the financial support from the Noncommunicable Chronic Diseases-National Science and Technology Major Project (2024ZD0522300, 2024ZD0522301) and the Non‑profit Central Research Institute Fund of Chinese Academy of Medical Sciences (2022‑ZHCH330‑01).

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Materials

List of materials used in this article
NameCompanyCatalog NumberComments
Bibliometric Online Analysis PlatformK-Synth Srl (Bibliometric)https://bibliometric.comOnline analysis platform; module: Country relations; generates country collaboration chord diagram; accessed March 10, 2026
CiteSpaceDrexel University6.4.R1Bibliometric analysis; time slicing: 2016–2025; node types: keywords, references; pruning: Pathfinder + Pruning sliced networks
clusterProfiler (R package)Guangchuang Yu et al.4.13.2KEGG enrichment analysis; thresholds: p < 0.05, q < 0.2
CytoscapeCytoscape Consortium3.10.3Network visualization and analysis; plugin: CytoHubba; algorithm: degree centrality; used for hub gene identification
GeneCardsWeizmann Institute of Sciencehttps://www.genecards.orgGene information database; database version 5.22; accessed March 12, 2026; filtering criterion: Relevance score ≥ 1
Journal Citation Reports (JCR)Clarivate Analyticshttps://jcr.clarivate.comJournal impact factor and quartile retrieval; accessed March 9, 2026
KEGGKyoto Encyclopedia of Genes and Genomeshttps://www.kegg.jpPathway database; accessed via clusterProfiler API on March 13, 2026; species: hsa
MeSH DatabaseNational Library of Medicine (NLM)https://meshb.nlm.nih.govMeSH term query database; accessed March 9, 2026; used to construct search strategy
Microsoft ExcelMicrosoft Corporation16.88 (Microsoft 365)Data statistics and chart generation; used for publication count, deduplication, chart plotting
org.Hs.eg.db (R package)Bioconductor Core Team3.20.0Human genome annotation database; used for gene ID conversion
RR Core Team4.4.2Statistical computing and plotting environment; run date: March 13, 2026
Scimago GraphicaScimago Lab2Visualization tool; layout: map projection; edge curvature: 0.5; color mapping: by cluster
ScopusElsevierhttps://www.scopus.comLiterature retrieval database; Elsevier Scopus 2026 complete edition; retrieval date: March 9, 2026
STRINGEMBL12.0 / https://cn.string-db.orgProtein-protein interaction database; accessed March 12, 2026; interaction score threshold: 0.7 (high confidence); network type: physical + functional
VOSviewerLeiden University1.6.20Bibliometric analysis; co-authorship as analysis type; normalization method: association strength
Web of Science Core CollectionClarivate Analyticshttps://www.webofscience.comLiterature retrieval database; covers SCIE and SSCI sub-databases; retrieval date: March 9, 2026

References

  1. Wijsenbeek M, Suzuki A, Maher TM. Interstitial lung diseases. Lancet. 2022;400(10354):769-786.
  2. Maher TM. Interstitial Lung Disease: A Review. JAMA. 2024;331(19):1655-1665.
  3. King CS, Shlobin OA. The Trouble With Group 3 Pulmonary Hypertension in Interstitial Lung Disease: Dilemmas in Diagnosis and the Conundrum of Treatment. Chest. 2020;158(4):1651-1664.
  4. Waxman A, et al. Inhaled Treprostinil in Pulmonary Hypertension Due to Interstitial Lung Disease. N Engl J Med. 2021;384(4):325-334.
  5. Rutland C, et al. Pulmonary Hypertension Associated with Interstitial Lung Disease: Screening and Epidemiology. ATS Sch. 2025;6(4):521-522.
  6. Ang HL, et a....

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Tags

Disease ComorbidityBibliometric AnalysisBioinformatics AnalysisProtein Interaction NetworkKEGG PathwayHub GenesImmune Pathways