Last updated: 2026-03-06

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Load Packages

suppressPackageStartupMessages({

  # Data handling
  library(tidyverse)
  library(data.table)
  library(magrittr)
  library(janitor)
  library(here)
  library(scales)
  library(table1)
  library(tableone)
  library(flextable)
  library(gtsummary)
  library(openxlsx)
  library(writexl)
  library(readxl)
  # Visualization
  library(ggplot2)    
  library(ggpubr)
  library(ggrepel)
  library(ggbeeswarm)
  library(ggcorrplot)
  library(corrplot)
  library(pheatmap)
  library(ComplexHeatmap)
  library(circlize)
  library(RColorBrewer)
  library(EnhancedVolcano)
  library(plotly)
  library(patchwork)
  library(cowplot)
  library(gridExtra)
  library(grid)
  library(ggpattern)
  # Statistics
  library(rstatix)
  library(multcomp)
  library(car)
  library(Hmisc)
  library(MASS)       
  library(MuMIn)
  library(broom)
  library(glmnet)
  library(logistf)
  library(drc)
  library(caret)
  library(mice)
  library(pROC)
  # Clustering
  library(randomForest)
  library(factoextra)
  library(cluster)
  library(Rtsne)
  library(umap)
  library(dbscan)
  library(kernlab)
  library(Seurat)
  # Others
  library(ImmunoLogic)
  
})

Define Filepath

  basedir <- here()

Read Data (Healthy, Cohort 1, Cohort 2)

# Import Luminex Data
  
  table_lum_healthy <- openxlsx::read.xlsx(file.path(basedir, "data", "Table_Lum_Healthy_DL_corr.xlsx")) 
   
  table_lum_cohort1 <- openxlsx::read.xlsx(file.path(basedir, "data", "Table_Lum_Cohort1_DL_corr.xlsx")) 
  
  table_lum_cohort2 <- openxlsx::read.xlsx(file.path(basedir, "data", "Table_Lum_Cohort2_DL_corr.xlsx"))

# Combine Tables
  table_lum_myo_healthy <- rbind(table_lum_cohort2, table_lum_cohort1, table_lum_healthy)
  
# Import routine blood parameters
  table_clindat_healthy <- openxlsx::read.xlsx(file.path(basedir, "data", "Table_Serology_Healthy.xlsx")) %>%
                           dplyr::select(Study_ID, Trop_I, NTproBNP, CRP)
   
  table_clindat_cohort1 <- openxlsx::read.xlsx(file.path(basedir, "data", "Table_ClinicalData_Cohort1.xlsx")) %>%
                           dplyr::select(Study_ID, Trop_I, NTproBNP, CRP)

  table_clindat_cohort2 <- openxlsx::read.xlsx(file.path(basedir, "data", "Table_ClinicalData_Cohort2.xlsx")) %>%
                           dplyr::select(Study_ID, Trop_I, NTproBNP, CRP)
   
# Combine Tables
  table_clindat <- bind_rows(table_clindat_cohort1, table_clindat_healthy, table_clindat_cohort2)

Multiple imputation

# Multiple imputation
  imputed_data <- mice(table_clindat, m = 5, method = 'pmm', maxit = 5, seed = 123)

 iter imp variable
  1   1  Trop_I  NTproBNP
  1   2  Trop_I  NTproBNP
  1   3  Trop_I  NTproBNP
  1   4  Trop_I  NTproBNP
  1   5  Trop_I  NTproBNP
  2   1  Trop_I  NTproBNP
  2   2  Trop_I  NTproBNP
  2   3  Trop_I  NTproBNP
  2   4  Trop_I  NTproBNP
  2   5  Trop_I  NTproBNP
  3   1  Trop_I  NTproBNP
  3   2  Trop_I  NTproBNP
  3   3  Trop_I  NTproBNP
  3   4  Trop_I  NTproBNP
  3   5  Trop_I  NTproBNP
  4   1  Trop_I  NTproBNP
  4   2  Trop_I  NTproBNP
  4   3  Trop_I  NTproBNP
  4   4  Trop_I  NTproBNP
  4   5  Trop_I  NTproBNP
  5   1  Trop_I  NTproBNP
  5   2  Trop_I  NTproBNP
  5   3  Trop_I  NTproBNP
  5   4  Trop_I  NTproBNP
  5   5  Trop_I  NTproBNP
# Check the imputed data
  densityplot(imputed_data, col=c("grey", "blue"), pch = c(1, 20))

Version Author Date
3cbb66f anjo1995 2026-03-06
# Create a data set with the observed and completed data
  table_clindat_imp <- complete(imputed_data, 1)
  
# Merge all data tables
  table_all_data <- table_lum_myo_healthy %>%
                    left_join(table_clindat_imp, by = "Study_ID")  

Luminex Heatmap (Healthy, Cohort 1, Cohort 2)

# Prepare data table 
  table_lum_myo_healthy <- table_lum_myo_healthy %>%
                           mutate(Cohort = case_when(Cohort == "Immpath" ~ "Cohort1",
                                           Cohort == "TUB_Myocarditis" ~ "Cohort2",
                                           TRUE ~ as.character(Cohort)))

# Name Rownames with study ID and remove Study ID and Cohort column
  rownames(table_lum_myo_healthy) <- table_lum_myo_healthy$Study_ID
  table_lum_myo_healthy_01 <- subset(table_lum_myo_healthy, select = -c(Study_ID, Cohort)) 

# Remove parameters if they are all the same in all groups
  table_lum_myo_healthy_01 <- Filter(var, table_lum_myo_healthy_01)

# Transpose Data Table
  table_lum_myo_healthy_01_t <- t(table_lum_myo_healthy_01)

##  Column Annotations
  # Create list with Study_ID & Cohort
    list_cohort_group <- subset(table_lum_myo_healthy, select= c(Study_ID, Cohort))
    rownames(list_cohort_group) <- list_cohort_group$Study_ID
    list_cohort_group <- subset(list_cohort_group, select= -c(Study_ID))

##  Row Annotations
  # Create list with Parameters 
    list_parameter_groups <- read_xlsx("/Users/annajoachimbauer/Documents/Projects/ImmpathCarditis/Data Analysis/Data/Luminex/Grouping of Lumminex Marker.xlsx", sheet = "Groups")

# Create list with Columns of data table
  list_parameter_datatable <- as.data.frame(rownames(table_lum_myo_healthy_01_t))
  colnames(list_parameter_datatable) <- "Parameter"

# Merge to match the order of parameters
  list_parameter_groups_01 <- merge(list_parameter_groups, list_parameter_datatable, by.y = "Parameter")

# Define the predefined order for Group
  group_order <- c("Cytokines", "Chemokines", "Tissue Cytokines")

# Order list based on predefined order
  list_parameter_groups_02 <- list_parameter_groups_01 %>%
                              mutate(Group = factor(Group, levels = group_order)) %>%
                              arrange(Group)

  list_parameter_groups_03 <- unlist(list_parameter_groups_02$Parameter)

# Reorder Data Table based on the new ordered list
  table_lum_myo_healthy_01_t_ordered <- as.data.frame(table_lum_myo_healthy_01_t)
  table_lum_myo_healthy_01_t_ordered <- table_lum_myo_healthy_01_t_ordered[list_parameter_groups_03, , drop = FALSE]

# Convert it back to matrix
  table_lum_myo_healthy_01_t_ordered <- as.matrix(table_lum_myo_healthy_01_t_ordered)

# Log Transform 
  table_lum_myo_healthy_01_t_ordered <- log2(table_lum_myo_healthy_01_t_ordered)
  
# Scale 
  table_lum_myo_healthy_01_t_ordered <- t(apply(table_lum_myo_healthy_01_t_ordered, 1, scale))

# Create Cohort Label Colors of Annotations in heatmap
  ann_colors <- list(Cohort = c("Cohort2" = "orange", "Cohort1" = "royalblue4", "Healthy" = "grey"),
                   Group = c("Cytokines" = "darkseagreen", "Chemokines" = "lightblue", "Tissue Cytokines" = "mediumpurple3"))

## Column Annotation
    col_anno <- HeatmapAnnotation(df = list_cohort_group, col = ann_colors)

##  Row Annotation
  # Prepare row annotations as a data frame
    row_anno <- rowAnnotation(Group = list_parameter_groups_02$Group, 
                              col = list(Group = c("Cytokines" = "darkseagreen", 
                                                   "Chemokines" = "lightblue", 
                                                   "Tissue Cytokines" = "mediumpurple3")))
    
# Create Heatmap
  heatmap_lum <- Heatmap(table_lum_myo_healthy_01_t_ordered, 
                         name = "Expression",  
                         col = circlize::colorRamp2(c(-5, 0, 5), c("blue", "white", "red")),  
                         cluster_rows = FALSE,  
                         cluster_columns = TRUE,  
                         clustering_method_columns = "ward.D",  
                         show_column_names = TRUE,  
                         column_names_gp = gpar(fontsize = 8),  
                         row_names_gp = gpar(fontsize = 8),  
                         width = unit(10, "cm"), height = unit(17, "cm"),  
                         right_annotation = row_anno,  
                         top_annotation = col_anno)

# Draw Heatmap
  heatmap_lum

Version Author Date
3cbb66f anjo1995 2026-03-06

Data Preparation (Cohort 1 & Healthy)

# Combine Tables
  table_lum_cohort1_healthy <- rbind(table_lum_cohort1, table_lum_healthy) 
 
# Remove Columns with same value in all individuals (Variance  = 0)
  table_lum_cohort1_healthy <-  table_lum_cohort1_healthy %>%
                                select_if(~ !(is.numeric(.) && var(., na.rm = TRUE) == 0)) %>%
                                mutate(Cohort = case_when(Cohort == "Immpath" ~ "Cohort1",
                                       TRUE ~ as.character(Cohort)))

Volcano Plot (Cohort 1 & Healthy)

#  Set rownames
   rownames(table_lum_cohort1_healthy) <- table_lum_cohort1_healthy$Study_ID

# Calculate p-values between AM and healthy
    
  # Create the loop.vector (all the parameter columns)
    names(which(sapply(table_lum_cohort1_healthy, is.numeric) == TRUE)) -> parameters 

  # Create table for stats
    table_lum_cohort1_healthy_stat <- data.table (Parameter = numeric(), group1 = character(), 
                                              group2 = character(), n1 = numeric(),
                                              n2 = numeric(), statistic = numeric (),
                                              p = numeric (), p.signif = character(), FDR = numeric())
   
  # Create loop for calculation of stat test by parameter between cohort1 and healthy cohort
    for (i in parameters)
      
    { 
      # Formula to insert parameter in loop 
        formula = as.formula( paste(i, "Cohort", sep="~") )
          
        stat_parameter <- table_lum_cohort1_healthy %>% 
                          wilcox_test(formula = formula) %>%
                          add_significance() %>%
                          mutate(FDR = p.adjust(p, method = "BH")) %>%
                          rename(Parameter = .y.)
        
      # Combine currently calculated stats with previous calculations
        table_lum_cohort1_healthy_stat <- rbind(table_lum_cohort1_healthy_stat, stat_parameter)
    }

# Calculate FC between AM and healthy
    
      # Calculate Mean of parameters per group
        table_lum_cohort1_healthy_log2  <- table_lum_cohort1_healthy %>% 
                                           group_by(Cohort) %>%
                                           summarise(across(FGF_2:CXCL8, ~ mean(.x, na.rm = TRUE)))
      
      # Transverse Data Table and set rownames
        table_lum_cohort1_healthy_log2_t  <- table_lum_cohort1_healthy_log2  %>% 
                                             t %>% 
                                             as.data.frame() %>% 
                                             row_to_names(1)
     
     # Convert whole data table to numeric
       table_lum_cohort1_healthy_log2_t  <- mutate_all(table_lum_cohort1_healthy_log2_t, 
                                                   function(x) as.numeric(as.character(x)))
       
     # Calculate FC between healthy and cohort1
       table_lum_cohort1_healthy_log2_t$log2_fc <- log2(table_lum_cohort1_healthy_log2_t$Cohort1 /
                                                        table_lum_cohort1_healthy_log2_t$Healthy)
       
     # Add p-values to data table
        # Extract only Parameters and p-values
           stat.test_p <- table_lum_cohort1_healthy_stat %>% 
                          dplyr::select(Parameter, FDR)

        # Merge data tables (log2, FC, p val)
          table_lum_cohort1_healthy_log2_t$Parameter <- rownames(table_lum_cohort1_healthy_log2_t)
          table_lum_cohort1_healthy_volcano <- merge(table_lum_cohort1_healthy_log2_t, stat.test_p, by = "Parameter")
 
  # Create Volcano Plot
          
       # Mark parameters if FC > 1.5 = upregulated
         table_lum_cohort1_healthy_volcano$diff_expression <- ifelse (table_lum_cohort1_healthy_volcano$log2_fc > 1.5, 
                                                                      "up", "no")
     
       # Add new column to relabel parameters FC of > 1.5
         table_lum_cohort1_healthy_volcano$label_para <- ifelse (table_lum_cohort1_healthy_volcano$log2_fc > 1.5, 
                                                                table_lum_cohort1_healthy_volcano$Parameter, "")    
    
   plot_volcano <- EnhancedVolcano(table_lum_cohort1_healthy_volcano, 
                                   lab = table_lum_cohort1_healthy_volcano$label_para,
                                   x = 'log2_fc', y = 'FDR', 
                                   FCcutoff = 1.5, pointSize = 3.5, labSize = 4, colAlpha = 0.7,
                                   boxedLabels = TRUE, col = c("grey", "grey", "grey", "royalblue4"),   
                                   xlab = bquote(~Log[2]~ "fold change"), ylab = bquote("FDR-adjusted p-value"),
                                   xlim = c(0, 4), ylim = c(0, 21), pCutoff = 0.05,
                                   title = NULL, subtitle = NULL, border = 'full',
                                   drawConnectors = TRUE,widthConnectors = 0.5, colConnectors = "royalblue4") +
                                   theme_classic() +
                                   theme(panel.grid = element_blank(),
                                         panel.border = element_rect(colour = "black", fill = NA,),
                                         legend.position = "none")
      
   print( plot_volcano)

Version Author Date
3cbb66f anjo1995 2026-03-06

Data Preparation (Cohort 2 & Healthy)

# Combine Tables
  table_lum_cohort2_healthy <- rbind(table_lum_cohort2, table_lum_healthy)
   
# Remove Columns with same value in all individuals (Variance  = 0) 
  table_lum_cohort2_healthy <- table_lum_cohort2_healthy %>%
                                select_if(~ !(is.numeric(.) && var(., na.rm = TRUE) == 0)) %>%
                                mutate(Cohort = case_when(Cohort == "TUB_Myocarditis" ~ "Cohort2",
                                       TRUE ~ as.character(Cohort)))

Volcano Plot (Cohort 2 & Healthy)

#  Set rownames
   rownames(table_lum_cohort2_healthy) <- table_lum_cohort2_healthy$Study_ID

# Calculate p-values between AM and healthy
    
  # Create the loop.vector (all the parameter columns)
    names(which(sapply(table_lum_cohort2_healthy, is.numeric) == TRUE)) -> parameters 

  # Create table for stats
    table_lum_cohort2_healthy_stat <- data.table (Parameter = numeric(), group1 = character(), 
                                              group2 = character(), n1 = numeric(),
                                              n2 = numeric(), statistic = numeric (),
                                              p = numeric (), p.signif = character(), FDR = numeric())
   
  # Create loop for calculation of stat test by parameter between cohort1 and healthy cohort
    for (i in parameters)
      
    { 
      # Formula to insert parameter in loop 
        formula = as.formula( paste(i, "Cohort", sep="~") )
          
        stat_parameter <- table_lum_cohort2_healthy %>% 
                          wilcox_test(formula = formula) %>%
                          add_significance() %>%
                          mutate(FDR = p.adjust(p, method = "BH")) %>%
                          rename(Parameter = .y.)
        
      # Combine currently calculated stats with previous calculations
        table_lum_cohort2_healthy_stat <- rbind(table_lum_cohort2_healthy_stat, stat_parameter)
    }

# Calculate FC between AM and healthy
    
      # Calculate Mean of parameters per group
        table_lum_cohort2_healthy_log2  <- table_lum_cohort2_healthy %>% 
                                           group_by(Cohort) %>%
                                           summarise(across(FGF_2:CXCL8, ~ mean(.x, na.rm = TRUE)))
      
      # Transverse Data Table and set rownames
        table_lum_cohort2_healthy_log2_t  <- table_lum_cohort2_healthy_log2  %>% 
                                             t %>% 
                                             as.data.frame() %>% 
                                             row_to_names(1)
     
     # Convert whole data table to numeric
       table_lum_cohort2_healthy_log2_t  <- mutate_all(table_lum_cohort2_healthy_log2_t, 
                                                   function(x) as.numeric(as.character(x)))
       
     # Calculate FC between healthy and cohort1
       table_lum_cohort2_healthy_log2_t$log2_fc <- log2(table_lum_cohort2_healthy_log2_t$Cohort2 /
                                                        table_lum_cohort2_healthy_log2_t$Healthy)
       
     # Add p-values to data table
        # Extract only Parameters and p-values
           stat.test_p <- table_lum_cohort2_healthy_stat %>% 
                          dplyr::select(Parameter, FDR)

        # Merge data tables (log2, FC, p val)
          table_lum_cohort2_healthy_log2_t$Parameter <- rownames(table_lum_cohort2_healthy_log2_t)
          table_lum_cohort2_healthy_volcano <- merge(table_lum_cohort2_healthy_log2_t, stat.test_p, by = "Parameter")
 
  # Create Volcano Plot
          
       # Mark parameters if FC > 1.5 = upregulated
         table_lum_cohort2_healthy_volcano$diff_expression <- ifelse (table_lum_cohort2_healthy_volcano$log2_fc > 1.5, 
                                                                      "up", "no")
     
       # Add new column to relabel parameters FC of > 1.5
         table_lum_cohort2_healthy_volcano$label_para <- ifelse (table_lum_cohort2_healthy_volcano$log2_fc > 1.5, 
                                                                 table_lum_cohort2_healthy_volcano$Parameter, "")    
    
   plot_volcano <- EnhancedVolcano(table_lum_cohort2_healthy_volcano, 
                                   lab = table_lum_cohort2_healthy_volcano$label_para,
                                   x = 'log2_fc', y = 'FDR', 
                                   FCcutoff = 1.5, pointSize = 3.5, labSize = 4, colAlpha = 0.7,
                                   boxedLabels = TRUE, col = c("grey", "grey", "grey", "orange"),   
                                   xlab = bquote(~Log[2]~ "fold change"), ylab = bquote("FDR-adjusted p-value"),
                                   xlim = c(0, 4), ylim = c(0, 21), pCutoff = 0.05,
                                   title = NULL, subtitle = NULL, border = 'full',
                                   drawConnectors = TRUE,widthConnectors = 0.5, colConnectors = "orange") +
                                   theme_classic() +
                                   theme(panel.grid = element_blank(),
                                         panel.border = element_rect(colour = "black", fill = NA,),
                                         legend.position = "none")
      
   print( plot_volcano)

Version Author Date
3cbb66f anjo1995 2026-03-06

Comparison AM Cohort & Healthy selected parameters

# Subset Data Table
  rownames(table_lum_myo_healthy) <- table_lum_myo_healthy$Study_ID

  table_lum_myo_healthy_01 <- table_lum_myo_healthy

# Rename Cohorts to combine myocarditis patients
  table_lum_myo_healthy_01$Cohort <- ifelse(table_lum_myo_healthy_01$Cohort == "Healthy", "Healthy", "Myocarditis")
  
  
  # Prepare data table 
     table_para <- table_lum_myo_healthy_01 %>%
                   pivot_longer(cols = where(is.numeric),
                                names_to = "Parameter",
                                values_to = "Parameter_val")
   
  # Log Transform Parameters
    table_para$Parameter_val_log10 <- log10(table_para$Parameter_val) 
  
# Calculate Stats
  # Wilcox Test
    stat.test <- table_para %>%
                 group_by(Parameter) %>%
                 wilcox_test(Parameter_val ~ Cohort) %>%
                 add_significance()  %>%
                 mutate(p_adj = p.adjust(p, method = "BH")) 
    
    # Get max value per parameter (for p-value position)
      max_y <- table_para %>%
               group_by(Parameter) %>%
               summarise(max_val = max(Parameter_val, na.rm = TRUE))
      
    # Get min value per parameter (for y limits)
      min_y <- table_para %>%
               group_by(Parameter) %>%
               summarise(min_val = min(Parameter_val, na.rm = TRUE))
    
    # Combine with max_y info for plotting
      stat.test <-  stat.test %>%
                    left_join(max_y, by = "Parameter") %>%
                    mutate(y.position = max_val * 1)

# Create the loop to create a plot
    param <- c("HGF", "IL_2R", "CCL3", "CCL4")
  
  # Create a list for all plots created in the loop
    plots_list <- list()
    for (param in param) 
      
      {
        # Filter for the data 
          temp_data <- table_para %>% 
                       filter(Parameter == param) 
          
          temp_stat_test <- stat.test %>% 
                            filter(Parameter == param) %>% 
                            mutate(p_adj_label = ifelse(p_adj < 0.001, "<0.001", sprintf("%.3f", p_adj)))
          
          temp_stat_test <- temp_stat_test %>%
                            mutate(y.position = 30000 / 1.2)
          
        # Plot Boxplot
          plot <-  ggplot(temp_data, aes(x = Cohort, y = Parameter_val)) +
                   geom_boxplot(aes(fill = Cohort), color = "black", outlier.shape = NA, 
                                     width = 0.6, alpha = 0.4) +
                   geom_point(shape = 21, size = 3, color = "black", aes(fill = Cohort),
                              position = position_jitter(width = 0.2, height = 0)) +
                   scale_y_log10(labels = function(x) format(x, scientific = FALSE, trim = TRUE),
                                 limits = c(NA, 30000),
                                 expand = expansion(mult = c(0.05, 0), add = c(0,0))) +
                   scale_fill_manual(values = c("Myocarditis" = "darkred", 
                                                "Healthy" = "grey")) +
                   stat_pvalue_manual(temp_stat_test,label = "p_adj_label",
                                      y.position = log10(temp_stat_test$y.position),
                                      tip.length = 0) +
                   labs(x = NULL, y = paste0(param, " (pg/ml)")) +
                   theme_classic() +
                   theme(axis.title.x = element_blank(),
                         axis.text.x  = element_blank(),
                         axis.ticks.x = element_blank(),
                         legend.position = "none")
  
          plots_list[[param]] <- plot
      }

# Create the loop to create a plot
    param <- c("CXCL9", "CXCL10", "IL_6", "CXCL8")
  
  # Create a list for all plots created in the loop
    plots_list_2 <- list()
    for (param in param) 
      
      {
        # Filter for the data 
          temp_data <- table_para %>% 
                       filter(Parameter == param) 
          
          temp_stat_test <- stat.test %>% 
                            filter(Parameter == param) %>% 
                            mutate(p_adj_label = ifelse(p_adj < 0.001, "<0.001", sprintf("%.3f", p_adj)))
          
          temp_stat_test <- temp_stat_test %>%
                            mutate(y.position = 10000 / 1.2)
          
        # Plot Boxplot
          plot <-  ggplot(temp_data, aes(x = Cohort, y = Parameter_val)) +
                   geom_boxplot(aes(fill = Cohort), color = "black", outlier.shape = NA, 
                                     width = 0.6, alpha = 0.4) +
                   geom_point(shape = 21, size = 3, color = "black", aes(fill = Cohort),
                              position = position_jitter(width = 0.2, height = 0)) +
                   scale_y_log10(labels = function(x) format(x, scientific = FALSE, trim = TRUE),
                                 limits = c(NA, 10000), breaks = c(100, 300, 1000, 3000, 10000),
                                 expand = expansion(mult = c(0.05, 0), add = c(0,0))) +
                   scale_fill_manual(values = c("Myocarditis" = "darkred", 
                                                "Healthy" = "grey")) +
                   stat_pvalue_manual(temp_stat_test,label = "p_adj_label",
                                      y.position = log10(temp_stat_test$y.position),
                                      tip.length = 0) +
                   labs(x = NULL, y = paste0(param, " (pg/ml)")) +
                   theme_classic() +
                   theme(axis.title.x = element_blank(),
                         axis.text.x  = element_blank(),
                         axis.ticks.x = element_blank(),
                         legend.position = "none")
  
          plots_list_2[[param]] <- plot
      }
    
   # Combine plots to a panel
      panel <-  ggarrange(plotlist = c(plots_list, plots_list_2),
                ncol = 4, nrow = ceiling(length(plots_list) / 3),
                common.legend = TRUE) 
      
      print(panel)

Version Author Date
3cbb66f anjo1995 2026-03-06

Correlation Plots NTproBNP & selected Parameters (Healthy, Cohort 1, Cohort 2)

# Rename Cohorts
  table_corr <- table_all_data %>%
                mutate(Cohort = if_else (Cohort == "Healthy", "Healthy", "Myocarditis"))

# Fixed variable
  fixed_param <- "NTproBNP"
  
# Create the loop to create a plot
  biomarkers <- c("CXCL9","CCL4", "CCL3", "CXCL8", "IL_6")
  x_settings <- list(CXCL9 = list(limits = c(NA, 10000),  breaks = c(300, 1000, 3000, 10000)),
                     CCL4 = list(limits = c(NA, 30000), breaks = c(100, 300, 1000, 3000, 10000, 30000)),
                     CCL3 = list(limits = c(NA, 30000), breaks = c(100, 300, 1000, 3000, 10000, 30000)),
                     CXCL8 = list(limits = c(NA, 10000), breaks = c(100, 300, 1000, 3000, 10000)),
                     IL_6 = list(limits = c(NA, 10000), breaks = c(100, 300, 1000, 3000, 10000)))
  
# Define axis labels for each biomarker
  biomarker_labels <- c("CXCL9 (pg/ml)", "CCL4 (pg/ml)", "CCL3 (pg/ml)", "CXCL8 (pg/ml)", "IL-6 (pg/ml)")
  names(biomarker_labels) <- biomarkers

# Create list for plots
  plots_list <- list()

# Loop Correlation Plot
  for (p in biomarkers) 
    
    {
  
      # Compute Spearman correlation
        cor_test <- cor.test(table_corr$NTproBNP, table_corr[[p]], method = "spearman")
  
      # Axis settings
        x_lim <- x_settings[[p]]$limits
        x_brk <- x_settings[[p]]$breaks 
  
      # Scatter plot with regression line
        plot <- ggplot(table_corr, aes(x = .data[[p]], y = NTproBNP)) +
                geom_point(shape = 21, size = 3, color = "black", aes(fill = Cohort),
                             position = position_jitter(width = 0.05, height = 0)) +
                geom_smooth(method = "lm", se = TRUE, color = "black") +
                scale_fill_manual(values = c("Myocarditis" = "darkred", 
                                                     "Healthy" = "grey")) +
                scale_x_log10(labels = function(x) format(x, scientific = FALSE, trim = TRUE),
                                      limits = x_lim, breaks = x_brk, expand = expansion(mult = c(0.05, 0))) +
                scale_y_log10(labels = function(x) format(x, scientific = FALSE, trim = TRUE),
                              limits = c(10, 100000), expand = c(0, 0)) +
                theme_classic() +
                labs(x = biomarker_labels[[p]], y = "NT-proBNP (ng/l)") +
                annotate("text", x = min(table_corr[[p]], na.rm = TRUE),
                                 y = min(table_corr$LV_EF, na.rm = TRUE),
                                label = paste0("r = ", round(cor_test$estimate, 2),
                                        "\np = ", ifelse(cor_test$p.value < 0.001, "< 0.001",signif(cor_test$p.value, 3))),
                         hjust = 0, vjust = 1, size = 4)
        
      # Store each plot
      plots_list[[p]] <- plot

  }

# Combine plots to a panel
  panel <-  ggarrange(plotlist = plots_list,
                      ncol = 3,
                      nrow = ceiling(length(plots_list) / 2),
                      common.legend = TRUE)
      
  print(panel)

Version Author Date
3cbb66f anjo1995 2026-03-06

Comparison AM Cohorts & Healthy fibroblast-derived factors

# Subset Data Table
  table_lum_myo_healthy_01 <- table_lum_myo_healthy %>%
                              dplyr::select(EGF, FGF_2, VEGF_A, Cohort)

# Rename Cohorts to combine myocarditis patients
  table_lum_myo_healthy_01$Cohort <- ifelse(table_lum_myo_healthy_01$Cohort == "Healthy", "Healthy", "Myocarditis")
  
  
# Prepare data table 
  table_para <- table_lum_myo_healthy_01 %>%
                pivot_longer(cols = where(is.numeric),
                             names_to = "Parameter",
                             values_to = "Parameter_val")
   
# Log Transform Parameters
  table_para$Parameter_val_log10 <- log10(table_para$Parameter_val) 
  
# Calculate Stats
    # Wilcox Test
      stat.test <- table_para %>%
                   group_by(Parameter) %>%
                   wilcox_test(Parameter_val ~ Cohort) %>%
                   add_significance()  %>%
                   mutate(p_adj = p.adjust(p, method = "BH")) 
    
    # Get max value per parameter (for p-value position)
      max_y <- table_para %>%
               group_by(Parameter) %>%
               summarise(max_val = max(Parameter_val, na.rm = TRUE))
      
    # Get min value per parameter (for y limits)
      min_y <- table_para %>%
               group_by(Parameter) %>%
               summarise(min_val = min(Parameter_val, na.rm = TRUE))
    
    # Combine with max_y info for plotting
      stat.test <-  stat.test %>%
                    left_join(max_y, by = "Parameter") %>%
                    mutate(y.position = max_val * 1)
      
# Define Parameters and axis settings
  param <- c("EGF", "FGF_2", "VEGF_A")

  y_settings <- list(EGF = list(limits = c(NA, 10000), breaks = c(100, 300, 1000, 3000, 10000)),
                     FGF_2  = list(limits = c(NA, 3000),  breaks = c(100, 300, 1000, 3000)),
                     VEGF_A = list(limits = c(NA, 1000),  breaks = c(100, 300, 1000)))
  
# Define axis labels for each biomarker
  biomarker_labels <- c("EGF (pg/ml)", "FGF-2 (pg/ml)", "VEGF-A (pg/ml)")
  names(biomarker_labels) <- param

# Create a list for all plots created in the loop
  plots_list <- list()
  for (param in param) 
      
  {
      # Axis settings
        y_lim <- y_settings[[param]]$limits
        y_brk <- y_settings[[param]]$breaks 
      
      # Filter for the data 
        temp_data <- table_para %>% 
                     filter(Parameter == param) 
          
        temp_stat_test <- stat.test %>% 
                          filter(Parameter == param) %>% 
                          mutate(p_adj_label = ifelse(p_adj < 0.001, "<0.001", sprintf("%.3f", p_adj)))
          
        temp_stat_test <- temp_stat_test %>%
                          mutate(y.position = max(y_lim, na.rm = TRUE) / 1.2)
          
      # Plot Boxplot
        plot <-  ggplot(temp_data, aes(x = Cohort, y = Parameter_val)) +
                 geom_boxplot(aes(fill = Cohort), color = "black", outlier.shape = NA, 
                                     width = 0.6, alpha = 0.4) +
                 geom_point(shape = 21, size = 3, color = "black", aes(fill = Cohort),
                              position = position_jitter(width = 0.2, height = 0)) +
                 scale_y_log10(labels = function(x) format(x, scientific = FALSE, trim = TRUE),
                                  limits = y_lim, breaks = y_brk, expand = expansion(mult = c(0.05, 0))) +
                 scale_fill_manual(values = c("Myocarditis" = "darkred", 
                                                "Healthy" = "grey")) +
                 stat_pvalue_manual(temp_stat_test,label = "p_adj_label",
                                      y.position = log10(temp_stat_test$y.position),
                                      tip.length = 0) +
                 labs(x = NULL, y = biomarker_labels[[param]]) +
                 theme_classic() +
                 theme(axis.title.x = element_blank(),
                       axis.text.x  = element_blank(),
                       axis.ticks.x = element_blank(),
                       legend.position = "none")
  
        plots_list[[param]] <- plot
    }
    
   # Combine plots to a panel
     panel <-  ggarrange(plotlist = plots_list,
               ncol = 3, nrow = 1,
               common.legend = TRUE) 
      
     print(panel)

Version Author Date
3cbb66f anjo1995 2026-03-06

session info

sessionInfo()
R version 4.4.3 (2025-02-28)
Platform: aarch64-apple-darwin20
Running under: macOS 26.3

Matrix products: default
BLAS:   /Library/Frameworks/R.framework/Versions/4.4-arm64/Resources/lib/libRblas.0.dylib 
LAPACK: /Library/Frameworks/R.framework/Versions/4.4-arm64/Resources/lib/libRlapack.dylib;  LAPACK version 3.12.0

locale:
[1] en_US.UTF-8/en_US.UTF-8/en_US.UTF-8/C/en_US.UTF-8/en_US.UTF-8

time zone: Europe/Zurich
tzcode source: internal

attached base packages:
[1] grid      stats     graphics  grDevices utils     datasets  methods  
[8] base     

other attached packages:
 [1] ImmunoLogic_0.0.0.9000 Seurat_5.3.1           SeuratObject_5.2.0    
 [4] sp_2.2-0               kernlab_0.9-33         dbscan_1.2-0          
 [7] umap_0.2.10.0          Rtsne_0.17             cluster_2.1.8         
[10] factoextra_1.0.7       randomForest_4.7-1.2   pROC_1.19.0.1         
[13] mice_3.18.0            caret_7.0-1            lattice_0.22-6        
[16] drc_3.0-1              logistf_1.26.1         glmnet_4.1-10         
[19] Matrix_1.7-2           broom_1.0.11           MuMIn_1.48.11         
[22] Hmisc_5.2-3            car_3.1-3              carData_3.0-5         
[25] multcomp_1.4-28        TH.data_1.1-4          MASS_7.3-65           
[28] survival_3.8-3         mvtnorm_1.3-3          rstatix_0.7.3         
[31] ggpattern_1.2.1        gridExtra_2.3          cowplot_1.2.0         
[34] patchwork_1.3.2        plotly_4.11.0          EnhancedVolcano_1.24.0
[37] RColorBrewer_1.1-3     circlize_0.4.16        ComplexHeatmap_2.22.0 
[40] pheatmap_1.0.12        corrplot_0.95          ggcorrplot_0.1.4.1    
[43] ggbeeswarm_0.7.2       ggrepel_0.9.6          ggpubr_0.6.2          
[46] readxl_1.4.5           writexl_1.5.0          openxlsx_4.2.5.2      
[49] gtsummary_2.4.0        flextable_0.9.6        tableone_0.13.2       
[52] table1_1.4.3           scales_1.4.0           here_1.0.2            
[55] janitor_2.2.0          magrittr_2.0.4         data.table_1.17.8     
[58] lubridate_1.9.4        forcats_1.0.1          stringr_1.6.0         
[61] dplyr_1.1.4            purrr_1.2.0            readr_2.1.6           
[64] tidyr_1.3.1            tibble_3.3.0           ggplot2_4.0.1         
[67] tidyverse_2.0.0       

loaded via a namespace (and not attached):
  [1] IRanges_2.40.1          nnet_7.3-20             goftest_1.2-3          
  [4] vctrs_0.6.5             spatstat.random_3.4-3   digest_0.6.39          
  [7] png_0.1-8               shape_1.4.6.1           git2r_0.36.2           
 [10] alabama_2023.1.0        deldir_2.0-4            httpcode_0.3.0         
 [13] parallelly_1.45.1       fontLiberation_0.1.0    reshape2_1.4.5         
 [16] httpuv_1.6.16           foreach_1.5.2           BiocGenerics_0.52.0    
 [19] withr_3.0.2             xfun_0.54               crul_1.4.2             
 [22] emmeans_1.10.4          systemfonts_1.3.1       ragg_1.5.0             
 [25] zoo_1.8-14              GlobalOptions_0.1.3     gtools_3.9.5           
 [28] pbapply_1.7-4           Formula_1.2-5           promises_1.5.0         
 [31] otel_0.2.0              httr_1.4.7              globals_0.18.0         
 [34] fitdistrplus_1.2-4      rstudioapi_0.17.1       pan_1.9                
 [37] miniUI_0.1.2            generics_0.1.4          base64enc_0.1-3        
 [40] curl_7.0.0              S4Vectors_0.44.0        mitools_2.4            
 [43] polyclip_1.10-7         quadprog_1.5-8          xtable_1.8-4           
 [46] doParallel_1.0.17       evaluate_1.0.5          hms_1.1.4              
 [49] irlba_2.3.5.1           colorspace_2.1-2        polynom_1.4-1          
 [52] ROCR_1.0-11             reticulate_1.44.1       spatstat.data_3.1-9    
 [55] lmtest_0.9-40           snakecase_0.11.1        later_1.4.4            
 [58] spatstat.geom_3.6-1     future.apply_1.20.0     scattermore_1.2        
 [61] survey_4.4-2            matrixStats_1.5.0       RcppAnnoy_0.0.22       
 [64] class_7.3-23            pillar_1.11.1           nlme_3.1-167           
 [67] iterators_1.0.14        compiler_4.4.3          RSpectra_0.16-2        
 [70] stringi_1.8.7           gower_1.0.2             jomo_2.7-6             
 [73] tensor_1.5.1            minqa_1.2.8             plyr_1.8.9             
 [76] crayon_1.5.3            abind_1.4-8             orthopolynom_1.0-6.1   
 [79] sandwich_3.1-1          whisker_0.4.1           codetools_0.2-20       
 [82] textshaping_1.0.4       basefun_1.2-4           recipes_1.3.1          
 [85] openssl_2.3.4           bslib_0.9.0             GetoptLong_1.0.5       
 [88] mime_0.13               splines_4.4.3           Rcpp_1.1.0             
 [91] fastDummies_1.7.5       coneproj_1.20           variables_1.1-2        
 [94] cellranger_1.1.0        knitr_1.50              clue_0.3-66            
 [97] lme4_1.1-38             fs_1.6.6                listenv_0.10.0         
[100] checkmate_2.3.3         Rdpack_2.6.4            ggsignif_0.6.4         
[103] estimability_1.5.1      tzdb_0.5.0              pkgconfig_2.0.3        
[106] tools_4.4.3             cachem_1.1.0            rbibutils_2.4          
[109] numDeriv_2016.8-1.1     viridisLite_0.4.2       DBI_1.2.3              
[112] fastmap_1.2.0           rmarkdown_2.30          ica_1.0-3              
[115] tram_1.2-4              sass_0.4.10             officer_0.6.6          
[118] coda_0.19-4.1           dotCall64_1.2           RANN_2.6.2             
[121] rpart_4.1.24            farver_2.1.2            reformulas_0.4.2       
[124] mgcv_1.9-1              yaml_2.3.11             workflowr_1.7.2        
[127] foreign_0.8-88          cli_3.6.5               stats4_4.4.3           
[130] lifecycle_1.0.4         uwot_0.2.4              askpass_1.2.1          
[133] lava_1.8.0              backports_1.5.0         mlt_1.6-6              
[136] timechange_0.3.0        gtable_0.3.6            rjson_0.2.23           
[139] ggridges_0.5.7          progressr_0.18.0        parallel_4.4.3         
[142] jsonlite_2.0.0          RcppHNSW_0.6.0          mitml_0.4-5            
[145] qrng_0.0-10             spatstat.utils_3.2-0    zip_2.3.1              
[148] jquerylib_0.1.4         spatstat.univar_3.1-5   timeDate_4051.111      
[151] lazyeval_0.2.2          shiny_1.12.0            htmltools_0.5.9        
[154] sctransform_0.4.2       glue_1.8.0              gfonts_0.2.0           
[157] BB_2019.10-1            spam_2.11-1             gdtools_0.3.7          
[160] rprojroot_2.1.1         boot_1.3-31             igraph_2.2.1           
[163] R6_2.6.1                labeling_0.4.3          ipred_0.9-15           
[166] nloptr_2.2.1            tidyselect_1.2.1        vipor_0.4.7            
[169] plotrix_3.8-4           htmlTable_2.4.3         operator.tools_1.6.3   
[172] xml2_1.5.1              fontBitstreamVera_0.1.1 future_1.68.0          
[175] ModelMetrics_1.2.2.2    KernSmooth_2.23-26      S7_0.2.1               
[178] fontquiver_0.2.1        htmlwidgets_1.6.4       rlang_1.1.6            
[181] spatstat.sparse_3.1-0   spatstat.explore_3.6-0  uuid_1.2-1             
[184] formula.tools_1.7.1     hardhat_1.4.1           beeswarm_0.4.0         
[187] prodlim_2023.08.28     
date()
[1] "Fri Mar  6 14:27:36 2026"

sessionInfo()
R version 4.4.3 (2025-02-28)
Platform: aarch64-apple-darwin20
Running under: macOS 26.3

Matrix products: default
BLAS:   /Library/Frameworks/R.framework/Versions/4.4-arm64/Resources/lib/libRblas.0.dylib 
LAPACK: /Library/Frameworks/R.framework/Versions/4.4-arm64/Resources/lib/libRlapack.dylib;  LAPACK version 3.12.0

locale:
[1] en_US.UTF-8/en_US.UTF-8/en_US.UTF-8/C/en_US.UTF-8/en_US.UTF-8

time zone: Europe/Zurich
tzcode source: internal

attached base packages:
[1] grid      stats     graphics  grDevices utils     datasets  methods  
[8] base     

other attached packages:
 [1] ImmunoLogic_0.0.0.9000 Seurat_5.3.1           SeuratObject_5.2.0    
 [4] sp_2.2-0               kernlab_0.9-33         dbscan_1.2-0          
 [7] umap_0.2.10.0          Rtsne_0.17             cluster_2.1.8         
[10] factoextra_1.0.7       randomForest_4.7-1.2   pROC_1.19.0.1         
[13] mice_3.18.0            caret_7.0-1            lattice_0.22-6        
[16] drc_3.0-1              logistf_1.26.1         glmnet_4.1-10         
[19] Matrix_1.7-2           broom_1.0.11           MuMIn_1.48.11         
[22] Hmisc_5.2-3            car_3.1-3              carData_3.0-5         
[25] multcomp_1.4-28        TH.data_1.1-4          MASS_7.3-65           
[28] survival_3.8-3         mvtnorm_1.3-3          rstatix_0.7.3         
[31] ggpattern_1.2.1        gridExtra_2.3          cowplot_1.2.0         
[34] patchwork_1.3.2        plotly_4.11.0          EnhancedVolcano_1.24.0
[37] RColorBrewer_1.1-3     circlize_0.4.16        ComplexHeatmap_2.22.0 
[40] pheatmap_1.0.12        corrplot_0.95          ggcorrplot_0.1.4.1    
[43] ggbeeswarm_0.7.2       ggrepel_0.9.6          ggpubr_0.6.2          
[46] readxl_1.4.5           writexl_1.5.0          openxlsx_4.2.5.2      
[49] gtsummary_2.4.0        flextable_0.9.6        tableone_0.13.2       
[52] table1_1.4.3           scales_1.4.0           here_1.0.2            
[55] janitor_2.2.0          magrittr_2.0.4         data.table_1.17.8     
[58] lubridate_1.9.4        forcats_1.0.1          stringr_1.6.0         
[61] dplyr_1.1.4            purrr_1.2.0            readr_2.1.6           
[64] tidyr_1.3.1            tibble_3.3.0           ggplot2_4.0.1         
[67] tidyverse_2.0.0       

loaded via a namespace (and not attached):
  [1] IRanges_2.40.1          nnet_7.3-20             goftest_1.2-3          
  [4] vctrs_0.6.5             spatstat.random_3.4-3   digest_0.6.39          
  [7] png_0.1-8               shape_1.4.6.1           git2r_0.36.2           
 [10] alabama_2023.1.0        deldir_2.0-4            httpcode_0.3.0         
 [13] parallelly_1.45.1       fontLiberation_0.1.0    reshape2_1.4.5         
 [16] httpuv_1.6.16           foreach_1.5.2           BiocGenerics_0.52.0    
 [19] withr_3.0.2             xfun_0.54               crul_1.4.2             
 [22] emmeans_1.10.4          systemfonts_1.3.1       ragg_1.5.0             
 [25] zoo_1.8-14              GlobalOptions_0.1.3     gtools_3.9.5           
 [28] pbapply_1.7-4           Formula_1.2-5           promises_1.5.0         
 [31] otel_0.2.0              httr_1.4.7              globals_0.18.0         
 [34] fitdistrplus_1.2-4      rstudioapi_0.17.1       pan_1.9                
 [37] miniUI_0.1.2            generics_0.1.4          base64enc_0.1-3        
 [40] curl_7.0.0              S4Vectors_0.44.0        mitools_2.4            
 [43] polyclip_1.10-7         quadprog_1.5-8          xtable_1.8-4           
 [46] doParallel_1.0.17       evaluate_1.0.5          hms_1.1.4              
 [49] irlba_2.3.5.1           colorspace_2.1-2        polynom_1.4-1          
 [52] ROCR_1.0-11             reticulate_1.44.1       spatstat.data_3.1-9    
 [55] lmtest_0.9-40           snakecase_0.11.1        later_1.4.4            
 [58] spatstat.geom_3.6-1     future.apply_1.20.0     scattermore_1.2        
 [61] survey_4.4-2            matrixStats_1.5.0       RcppAnnoy_0.0.22       
 [64] class_7.3-23            pillar_1.11.1           nlme_3.1-167           
 [67] iterators_1.0.14        compiler_4.4.3          RSpectra_0.16-2        
 [70] stringi_1.8.7           gower_1.0.2             jomo_2.7-6             
 [73] tensor_1.5.1            minqa_1.2.8             plyr_1.8.9             
 [76] crayon_1.5.3            abind_1.4-8             orthopolynom_1.0-6.1   
 [79] sandwich_3.1-1          whisker_0.4.1           codetools_0.2-20       
 [82] textshaping_1.0.4       basefun_1.2-4           recipes_1.3.1          
 [85] openssl_2.3.4           bslib_0.9.0             GetoptLong_1.0.5       
 [88] mime_0.13               splines_4.4.3           Rcpp_1.1.0             
 [91] fastDummies_1.7.5       coneproj_1.20           variables_1.1-2        
 [94] cellranger_1.1.0        knitr_1.50              clue_0.3-66            
 [97] lme4_1.1-38             fs_1.6.6                listenv_0.10.0         
[100] checkmate_2.3.3         Rdpack_2.6.4            ggsignif_0.6.4         
[103] estimability_1.5.1      tzdb_0.5.0              pkgconfig_2.0.3        
[106] tools_4.4.3             cachem_1.1.0            rbibutils_2.4          
[109] numDeriv_2016.8-1.1     viridisLite_0.4.2       DBI_1.2.3              
[112] fastmap_1.2.0           rmarkdown_2.30          ica_1.0-3              
[115] tram_1.2-4              sass_0.4.10             officer_0.6.6          
[118] coda_0.19-4.1           dotCall64_1.2           RANN_2.6.2             
[121] rpart_4.1.24            farver_2.1.2            reformulas_0.4.2       
[124] mgcv_1.9-1              yaml_2.3.11             workflowr_1.7.2        
[127] foreign_0.8-88          cli_3.6.5               stats4_4.4.3           
[130] lifecycle_1.0.4         uwot_0.2.4              askpass_1.2.1          
[133] lava_1.8.0              backports_1.5.0         mlt_1.6-6              
[136] timechange_0.3.0        gtable_0.3.6            rjson_0.2.23           
[139] ggridges_0.5.7          progressr_0.18.0        parallel_4.4.3         
[142] jsonlite_2.0.0          RcppHNSW_0.6.0          mitml_0.4-5            
[145] qrng_0.0-10             spatstat.utils_3.2-0    zip_2.3.1              
[148] jquerylib_0.1.4         spatstat.univar_3.1-5   timeDate_4051.111      
[151] lazyeval_0.2.2          shiny_1.12.0            htmltools_0.5.9        
[154] sctransform_0.4.2       glue_1.8.0              gfonts_0.2.0           
[157] BB_2019.10-1            spam_2.11-1             gdtools_0.3.7          
[160] rprojroot_2.1.1         boot_1.3-31             igraph_2.2.1           
[163] R6_2.6.1                labeling_0.4.3          ipred_0.9-15           
[166] nloptr_2.2.1            tidyselect_1.2.1        vipor_0.4.7            
[169] plotrix_3.8-4           htmlTable_2.4.3         operator.tools_1.6.3   
[172] xml2_1.5.1              fontBitstreamVera_0.1.1 future_1.68.0          
[175] ModelMetrics_1.2.2.2    KernSmooth_2.23-26      S7_0.2.1               
[178] fontquiver_0.2.1        htmlwidgets_1.6.4       rlang_1.1.6            
[181] spatstat.sparse_3.1-0   spatstat.explore_3.6-0  uuid_1.2-1             
[184] formula.tools_1.7.1     hardhat_1.4.1           beeswarm_0.4.0         
[187] prodlim_2023.08.28