In silico identification of genes involved in Chronic Metabolic Acidosis Ishfaq Ahmad Sheika,*, Adeel Malikb, Mohd Amin Bega, Sameera F. Al-Basric a King Fahd Medical Research Center, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia. b Center for Bioinformatics, Perdana University, Malaysia c Ob-Gyn and Urogynecology, KAUH, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia *Corresponding author: King Fahd Medical Research Center, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia. E-mail: [email protected] Tel.: +966-532972254 1 ABSTRACT Objectives: To characterize the underlying molecular mechanism of Chronic metabolic acidosis (CMA) and identify genes associated with CMA progression using in silico approaches. Method: In silico approaches were adopted to characterize and identify genes associated with CMA progression. GeneMANIA webserver was used for studying interaction among Differentially Expressed Genes (DEGs) and other related genes in the network. DEGs were used for our computational analysis and were downloaded from a study on gene expression profile of duodenal epithelial cells. In this regard, interaction network were constructed for DEGs, and hub genes as well as enriched clusters in the network were also screened. Gene Ontology (GO) was used for enriching functions in each cluster. DAVID functional analysis tool was used for carrying out functional enrichment analysis. Results: Genes associated with CMA progression were screened by identifying DEGs with the help of bioinformatics tools. Function and pathway enrichment of these identified genes followed by interaction and network construction was carried out using in-silico studies. Network analysis for DEGs leads to enrichment of neurological process like neurological system process regulation and nerve impulse transmission. The top three hubs identified by highest node degree distribution are genes encoding for TFF1 (Trefoil factor 1) and HTR5A (5-Hydroxytryptamine (serotonin) receptor 5A) with a node degree of 76. The remaining two hubs are SLC6A11 (Solute Carrier Family 6 (Neurotransmitter Transporter), Member 11) with a node degree value of 68 and GRIN2B (Glutamate Receptor, Ionotropic, N-Methyl D-Aspartate 2B) having node degree value of 64. Conclusion: This study provides insight into the pathways and genes involved into the mechanism of CMA progression. However, further investigations are required to gain in-depth information into networks and pathways. This study would be quite useful in better understanding of CMA and shall finally lead to target based treatment of this disease. Kay words: Chronic metabolic acidosis (CMA), Genes, In silico, intestinal epithelial cells, enriched clusters 2 Chronic metabolic acidosis (CMA) is frequently observed clinical complications in patients suffering from chronic kidney diseases (CKD). CMA is characterized by excessive increase in plasma acidity or acidemia (pH < 7.40). CMA existing in conjunction with CKD is assigned to reduced efficiency of kidneys to secrete hydrogen ions and synthesize ammonia 1. Recent studies have indicated that even a slight acidosis may act as contributing factor in loss of glomerular filtration rate 2. Many metabolic disorders such as massive bone loss, nephrocalcinosis, hypotension, altered blood flow to visceral organs, and multiple-organ damage have been associated with CMA 1, 3. Other metabolic problems reported to be associated with CMA include insulin resistance, parathyroid hormone production, elevated inflammatory mediators, and increased production of corticosteroids 3. One of the adverse effects associated with CMA involves hindrances of intestinal functions. CMA hampers metabolic and barrier functions of intestines 4. In this regard, rat intestinal epithelial cells (IEC-6 cell line) exposed to lipopolysaccharides displayed defective epithelial barrier and was attributed to cytoplasmic acidification resulting from extracellular acidosis 5. Cellular processes like apoptosis, proliferation, lipid peroxidation etc which affect the survival of intestinal epithelial cells are also sensitive to CMA 6, 7. In association with CMA induced metabolic effects on intestines, pronounced adaptations in the epithelial cells of intestines also occur at genomic level which subsequently help in providing with essentially required nutrients 8, 9. Among these CMA promoted changes and adaptations in intestinal function, some distinct features include alterations in transepithelial transport of water, aminoacids, inorganic phosphate, nutrients like Na, Cl, K, HCO3, Ca2 and major elements 9-13. For example, a long term reduction in arterial pH was reported to enhance the absorption of Na, Cl, and water in ileum and reduce the absoption of K in the jejunum 12, 14. Moreover, in CMA, the HCO3 absorption is increased in the proximal colon while as HCO3 secretion decreased in the distal colon 11. CMA induced due to NH4Cl has also been reported to enhance the expression of mRNA of important genes playing a role in Ca transport and assuage the effects of negative calcium balance and osteopenia induced by CMA 9. Also, CMA improved glutamine absorption by intestines which could shield mucosa from acid-induced injury 8, 15. Duodenum plays a key role in nutrient absorption and hence has been selected for studying the profiles of CMA altered genes 9, 16. Gene profile analysis of intestinal epithelial cells for functional characterization was carried out using microarray and PCR techniques. In this regard, altered expression profile of many transporter genes in response to CMA has been reported 17. The objective of this study is to characterize the underlying mechanism of CMA at molecular level by identifying genes associated with CMA progression using in silico approaches. For identification of these genes, interaction network of DEGs was constructed, and hub genes as well as enriched clusters in the network were also screened. Gene Ontology (GO) was used for enriching functions in each cluster. Methods. Datasets. In this work, 88 differentially expressed genes (DEGs) were used for our computational analysis and were downloaded from a study on gene expression profile of duodenal epithelial cells in response to chronic metabolic acidosis (CMA) 17. These DEGs represent the Illumina’s microarray featuring high-performance BeadArray technology that was originally carried out on RNA 3 samples from the rat duodenal epithelial cells exposed to long-standing academia 17 . The dataset of 88 DEGs consists of 49 up-regulated and 39 down-regulated genes and represent Table 2 and 3 of the original analysis. This data set comprises of mRNAs whose expression levels altered by greater than 10-fold in response to CMA. Network Analysis. Using GeneMANIA [www.genemania.org/], functional interaction among DEGs was determined on the basis of GO term “biological process” and R. norvegicus (rat) as reference species. Predicted correlation among network genes incorporates various parameters which include coexpression, biological pathways, similarity in protein domains, co-localization, physical and genetic interactions, and predicted interactions. Identification of hub genes. Scale free property is shown by biological networks 18 where hubs represent nodes having multiple connections in the network. Hubs were determined by computing node degree distribution values using NetworkAnalyzer plugin of Cytoscape 19. In current network, top three genes which have highest value of node degree distribution were considered as hubs. Community Analysis. Greedy community-structure detection algorithm via GLay [http://brainarray.mbni.med.umich.edu/sugang/glay] 20 plugin in Cytoscape was applied in determining modules with functional property. In each cluster over represented biological function were identified by subjecting clusters to a functional enrichment analysis. Only those communities were focused for functional enrichment analysis which has at least 10 nodes. DAVID functional analysis tool was used for carrying out functional enrichment analysis. Results. We downloaded a list of 88 genes that were determined to be differentially expressed by at least 10 fold for duodenal epithelial cells in response to CMA 17. This data consists of 49 up-regulated and 39 down-regulated genes and was further used for the network analysis. Network construction and identification of hub genes. GeneMANIA webserver was used for studying interaction among DEG and other related genes in the network 21. Out of total 88 DEGs, GeneMANIA could identify only 86 genes. Network analysis using GeneMANIA for DEGs leads to enrichment of neurological process like neurological system process regulation and nerve impulse transmission. Other GO term “biological processes” which are overrepresented includes regulation of synaptic transmission, exocytosis, neurotransmitter transport and axon part (Table 1). Further analysis of interaction networks inferred from GeneMania was carried out using Cytoscope 2.8.2 19. Initial network which consists of 180 genes and 2771 nodes was reduced to 180 genes and 2461 edges after filtering by eliminating edges and self-loops which appear in duplicate. Network genes are represented by circles and edges represent interactions between these genes. Green nodes represent up-regulated genes, while as downregulated genes are denoted by red nodes. Cyan exhibits additional related genes which have been predicted by GeneMANIA (Figure 1). 4 Figure 1- 5 Top three hubs with highest node degree distribution represent genes encoding for TFF1 (Trefoil factor 1) and HTR5A (5-Hydroxytryptamine (serotonin) receptor 5A) with a node degree of 76 (Figure -2A and 2B). Other two hubs are SLC6A11 (Solute Carrier Family 6 (Neurotransmitter Transporter), Member 11) with a node degree value of 68 and GRIN2B (Glutamate Receptor, Ionotropic, NMethyl D-Aspartate 2B) having node degree value of 64. Figure 2A- 6 Figure 2B- Community analysis and functional annotation of detected modules. Fast greedy community-structure identification algorithm led to the identification of six biologically-related clusters (Figure 3). Out of these six clusters, cluster 1 has 69 genes and is largest (Figure 3a). Cluster 2 has 66 genes (Figure 3b) and cluster 3 has 29 genes (Fig. 3c). All the identified top hubs which have been detected in present study (TFF1, HTR5A, SLC6A11 and GRIN2B) are present in cluster 2 (Figure 3b). In remaining clusters 4, 5 and 6 the number of genes observed was less than 10 in each of them (Figure 3d). Hence, Communities with at least 10 nodes were chosen for enrichment studies. Therefore only 3 communities were finally analyzed for over representation of GO terms. 7 Figure 3a- 8 Figure 3b- 9 Figure 3c- Figure 3d- 10 In order to categorize these clusters biologically, DAVID functional analysis tool was applied for classifying genes of each module. Enrichment of GO term “biological process” was observed in three chosen modules. Table 2 summarizes statistically significant top 10 enriched GO terms for DEGs in top 3 clusters for community analysis. For Cluster 1, top three statistically significant enriched GO terms are exocytosis, secretion by cell and secretion. Among the other statistically significant GO terms which are included in this cluster is generation of a signal involved in cell-cell signaling as well as regulation of system process. For Cluster 2 higher enrichment for GO terms was observed in biological processes associated to synaptic transmission and regulation of nerve impulse transmission. In Cluster 3 GO terms with higher enrichment are associated with lipid regulation, inflammatory and defense response, cholesterol and steroid transport. Discussion. Identification of drug targets at molecular level and targeted therapies have proven to be important curative treatments for various diseases. This has been of tremendous importance since last few decades due to progress in bioinformatics. To investigate the role of DEGs that were identified from a study on gene expression profile of duodenal epithelial cells in response to CMA 17 , and additionally related genes, an interaction network was created and node degree for each individual gene in the network was calculated. TFF1, HTR5A, SLC6A11 and GRIN2B were the genes with the highest degree and considered as hubs in the network created from DEGs of duodenal epithelial cells in response to CMA and additional related genes predicted by GeneMANIA. The statistically significant enriched GO terms within the interaction network predicted by GeneMANIA are neurological processes like regulation of neurological system and nerve impulse transmission. Other GO terms which are over-represented includes regulation of synaptic transmission, exocytosis, neurotransmitter transport and axon part (Table 1). 11 Table 1- S. No 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Feature regulation of neurological system process Exocytosis regulation of transmission of nerve impulse regulation of synaptic transmission neurotransmitter transport neurotransmitter secretion regulation of vesicle-mediated transport axon part regulation of neurotransmitter levels regulation of exocytosis FDR 3.0272E-14 1.3713E-13 2.2024E-13 4.1962E-12 2.1815E-11 1.9134E-10 2.7835E-10 3.7407E-10 6.7995E-10 4.584E-08 TFF1 was the only gene discerned as hub from a list of DEGs, and whereas HTR5A, SLC6A11 and GRIN2B were part of interaction network as predicted by GeneMANIA. TFF1 (Trefoil factor 1) is a member of Trefoil factor protein family, is expressed mainly in gastric mucosa 22 and has an important role in regulation of cell proliferation 23. It prevents cell death in intestinal epithelia by exerting anti-apoptotic effects 24. TFF1 may play a role in maintenance of mucosal integrity and may mediate repair process after exposure to hazardous conditions 23-25. Another gene that was identified as a potential hub in our study that plays an essential role in the serotonergic synapse is Sodium- and chloride-dependent GABA transporter 3 (SLC6A11 or GABT3 or GAT3), a member of the Na+/Cl- transporter family also involved in neurotransmitter uptake 26. Modifications in the transepithelial transport of water, key elements, and nutrients, for example Na+, Cl-, K+, HCO3-, Ca2+, inorganic phosphate (Pi), and amino acids, are well designated as the trademarks of CMA-induced alterations in the intestinal functions 9-13. N-methyl D-aspartate (NMDA) receptors such as Glutamate receptor ionotropic, NMDA 2B (GRIN2B or NR2B) constitute the main subtype of glutamate receptors, and generally contribute in quick excitatory synaptic transmission 27. The toxicity of NMDA receptors is reliant on extracellular Ca2+, and reflects a great quantity of Ca2+ influx directly through the receptor-gated ion channels 28. Additionally, several intracellular signals are able to control NMDA receptor channel activity 29 besides inducing NMDA receptordependent cell death 28 ,30. In order to investigate biological processes, it is essential to recognize the structure and function of biological networks. Recently many studies have reported use of network based studies for investigating different biological issues 31-34. In the current study we discerned 6 functional modules or communities in the interaction network using fast greedy algorithm implemented as GLAY 20 plugin for Cytoscape. Moreover, with the help of functional annotation tool DAVID, only 3 modules were explored (based on the criteria described in the methods section) for functional enrichment. From our analysis it is clear that these modules exhibit enrichment of 12 functions related to exocytosis, secretion by cell and secretion in cluster 1. Among the other statistically significant GO terms which are included in this cluster is generation of a signal involved in cell-cell signaling as well as regulation of system process (Table 2A). For cluster 2 regulation of neurological system process, regulation of transmission of nerve impulse and cell-cell signaling are the over-represented biological processes (Table 2B). The intestinal absorptive roles of neuropeptide Y and its associated peptides are common in inhibitory enteric neurons or in neuroendocrine L-cells that predominate in the colorectal mucosa 35. In Cluster 3 GO terms with higher enrichment are associated with lipid regulation, inflammatory and defense response, cholesterol and steroid transport as well as various metabolic processes (Table 2C). CMA is known to cause various kinds of metabolic disturbances to numerous organs, such as, heart, kidney, and bone. As a response to these disorders, the body creates compensatory mechanisms to reinstate homeostasis, for instance hyperventilation to clear CO2, renal exclusion of acid counterparts, and release of phosphate from bone 36. Table 2 (A,B,C)Category Term P-value A) GOTERM_BP_FAT GO:0006887~exocytosis 2.2093E-09 GOTERM_BP_FAT GO:0032940~secretion by cell 2.4833E-08 GOTERM_BP_FAT GO:0046903~secretion 2.5067E-08 GOTERM_BP_FAT 8.5009E-06 GOTERM_BP_FAT GO:0003001~generation of a signal involved in cell-cell signaling GO:0003001~generation of a signal involved in cell-cell signaling GO:0044057~regulation of system process GOTERM_BP_FAT GO:0044057~regulation of system process 1.2079E-05 GOTERM_BP_FAT GO:0016192~vesicle-mediated transport 2.3768E-05 GOTERM_BP_FAT GO:0006182~cGMP biosynthetic process 3.8979E-05 GOTERM_BP_FAT GO:0017157~regulation of exocytosis 8.1683E-05 B) GOTERM_BP_FAT GO:0007268~synaptic transmission 3.9481E-10 GOTERM_BP_FAT GO:0019226~transmission of nerve impulse 7.3096E-09 GOTERM_BP_FAT GO:0044057~regulation of system process 2.7781E-08 GOTERM_BP_FAT GO:0007267~cell-cell signaling 4.04E-08 GOTERM_BP_FAT GO:0031644~regulation of neurological system process 2.9012E-06 GOTERM_BP_FAT GO:0051969~regulation of transmission of nerve impulse 1.9756E-05 GOTERM_BP_FAT GO:0051969~regulation of transmission of nerve impulse 1.9756E-05 GOTERM_BP_FAT 2.2752E-05 GOTERM_BP_FAT GO:0051240~positive regulation of multicellular organismal process GO:0051240~positive regulation of multicellular organismal process GO:0007610~behavior C) GOTERM_BP_FAT GO:0032368~regulation of lipid transport 1.3757E-05 GOTERM_BP_FAT GO:0032371~regulation of sterol transport 0.00034825 GOTERM_BP_FAT GO:0032374~regulation of cholesterol transport 0.00034825 GOTERM_BP_FAT GO:0006954~inflammatory response 0.00038997 GOTERM_BP_FAT GOTERM_BP_FAT 13 8.5009E-06 1.2079E-05 2.2752E-05 2.9175E-05 GOTERM_BP_FAT GO:0006952~defense response 0.00039246 GOTERM_BP_FAT GO:0002526~acute inflammatory response 0.00041474 GOTERM_BP_FAT GO:0016054~organic acid catabolic process 0.00051667 GOTERM_BP_FAT GO:0046395~carboxylic acid catabolic process 0.00051667 GOTERM_BP_FAT GO:0009611~response to wounding 0.00051879 GOTERM_BP_FAT GO:0019439~aromatic compound catabolic process 0.00053562 Conclusion. Genes associated with CMA were screened by identifying DEGs with the help of bioinformatic tools. Function and pathway enrichment of these identified genes followed by interaction and network construction was carried out using in-silico studies. This study would help in further elucidation of mechanisms involved in progression of CMA. However, further investigations are required to gain more insight into networks and pathways. These studies would be quite useful in better understanding of CMA at molecular level and shall finally lead to target based treatment of this disease. Disclosure of Interest. Author declare that there exists no conflict. Acknowledgement. This work was supported by Deanship of Scientific Research (DSR), King Abdulaziz University, Jeddah, under grant No. (141-1025-D1435), The authors, therefore, gratefully acknowledge the DSR technical and financial support. 14 References: 1. Wiederkehr M, Krapf R. Metabolic and endocrine effects of metabolic acidosis in humans. 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The size of each node represents its node degree with larger nodes representing higher node degree. Figure 2: Top hubs (indicated by arrows) based on node degree as identified in the network of DEGs. A) The hubs TFF1 and, B) HTR5A and their first neighbors. The genes that were up-regulated are shown in green, whereas the down-regulated are shown in red. The genes predicted by GeneMMANIA are shown as cyan. Both TFF1 and HTR5A have the node degree of 76 and are considered as the top hubs in the network. 18 Figure 3: Communities (clusters) generated by greedy algorithm (GLAY) are shown. A) Cluster 1- mainly involved in functions related to exocytosis, secretion and cell-cell signaling, B) Cluster 2 - shows over-representation of functions related to synaptic transmission, or transmission of nerve impulse, C) Cluster 3 – regulation of lipid, cholesterol, and sterol, as well as processes related to inflammatory response are enriched in this cluster, and D) Cluster 4-6 – no enriched process was observed in these three clusters. 19
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