PATHWAY AND NETWORK ANALYSIS IN ADIPOSE TISSUE RELATED TO BMI AND GLUCOSE TOLERANCE Felicidade, I1,2; Coort, SL²; Mantovani, MS3; Ribeiro, LR¹; Evelo, CT2,4 1- Department of Pathology, Medical School of Botucatu (FMB), São Paulo State University (UNESP), Botucatu, Brazil 2 - Department of Bioinformatics - BiGCaT, Maastricht University, Maastricht, The Netherlands 3 - Department of General Biology, State University of Londrina (UEL), Londrina, Brazil 4 - Maastricht Centre for Systems Biology (MaCSBio), Maastricht University, Maastricht, The Netherlands [email protected] INTRODUCTION Table 3. Biological processes associated with obesity and relevant disorders and metabolism. Table 2. Pathways significantly changed in obese individuals. Obesity is classified and defined by body mass index (BMI), being a heterogeneous condition. Defining obesity based only on BMI is not a sufficiently sensitive marker for risk of metabolic disorders. Therefore it is needed to investigate biological pathways and find markers for an early prediction of metabolic disorders. Subcutaneous adipose tissue (SAT) is the largest adipose tissue depots in humans and also the preferred site to store excess fat. The capacity of SAT to accommodate excess fat is regulated by the ability of the existing adipose cells to expand (hypertrophy) and/or recruit precursor cells into adipogenic differentiation (hyperplasia). The expansion of fat cells, pre-existing, leads to inflamed, dysregulated, and dysfunctional adipose tissue promoting ectopic fat accumulation, and insulin resistance, while the ability to recruit new adipose cells is protective. Therefore, the adipose tissue play a key role on metabolic homeostasis and insulin resistance. OBJECTIVES The aim of the present study was find differences in glucose sensitivity related processes in adipose tissue from individuals with different BMIs, and to identify a functional biology network based on obesity-related genes and pathways. MATERIALS AND METHODS Pathway Z-score p-value Change d genes Complement Activation, Classical Pathway 6.660 0.000 6 miRNA targets in ECM and membrane receptors 4.930 0.001 6 IL1 and megakaryotyces in obesity 4.630 0.000 6 Complement and Coagulation Cascades 4.590 0.000 10 Fatty Acid Biosynthesis 4.230 0.000 5 Pathogenic Escherichia coli infection 3.310 0.004 7 Adipogenesis 2.950 0.004 13 Angiogenesis 2.940 0.007 4 Folate Metabolism 2.930 0.003 7 Vitamin B12 Metabolism 2.810 0.004 6 Allograft Rejection 2.800 0.008 9 IL-3 Signaling Pathway 2.560 0.014 6 Focal Adhesion 2.530 0.010 16 Oxidative Stress 2.530 0.018 4 Constitutive Androstane Receptor Pathway 2.530 0.021 4 Hypertrophy Model 2.240 0.022 3 Glycerophospholipid Biosynthetic Pathway 2.240 0.025 3 Farnesoid X Receptor Pathway 2.240 0.036 3 Spinal Cord Injury 2.180 0.031 10 Selenium Micronutrient Network 2.170 0.022 7 Fatty Acid Beta Oxidation 2.110 0.023 4 Genes ↑ C1QA, C1QB, C1QC, C1R, C1S ↓ C6 ↑ COL1A2, COL5A1, COL6A2, ITGB5, THBS1, THBS2 ↑ CCL2, FCER1A, IL18, MMP9, PLA2G7, TIMP1 ↑ C1QA, C1QB, C1QG, C1S, C1R, C3AR1, C5R1, CFH, CLU ↓ C6 ↓ ACACB, ACAS2, ECHDC2, ECHDC3, HADHSC ↑ ARPC1B, CD14, HCLS1, LY96, TLR5, TUBB2A, TUBB2B ↑ ↓ ↑ ↓ ↑ ↓ ↑ ↓ ↑ ↓ ↑ LEP, GDF10, SFRP4 CEBPD, FOXO1A, IRS2, LPIN1, NR2F1, NR3C1, NRIP1, PCK2, RXRA, TWIST1 MMP9, MMP2 FGF2, VEGFA FOLR2, MCP1 GPX3, HBB, CTH, APOB, SHMT1 MCP1, CCL5 APOB, CTH, HBB, MUT CCL19,COL5, HLA-DRB1, HLA-DMB, HLA-DPB1, HLA-DPA1, HLA-DQB1, HLA-DQA1 VEGFA CSF2RB, HCK, LYN, PTPN6, SYK, VAV1 ↑ ↓ ↑ ↓ ↑ ↓ ↑ ↓ ↑ ↓ COL11A1, COL1A2, COL5A1, COL6A2, FGR, HCK, ITGAM, ITGB2, ITGB5, PDGFD, THBS1, THBS2, VAV1 KDR, PTEN, VEGF NQO1, NOX4, HMOX1 GPX3 ABCC3, SULT1A1 FOXO1, RXRA IL18 EIF4EBP1, VEGF PTDSS1 CRLS1, LPIN1 ↓ FKBP5, IRS2, RXRA ↑ AIF1, AQP1, C1QB, CCL2, LEP, MMP9, NOX4, SELP, SLIT2, TNFSF13B ↑ ALOX5, ALOX5AP, CCL2 ↓ APOB, CTH, HBB, GPX3 ↓ ACAS2, ECI1, HADH, PNPLA2 Transcriptomics dataset Figure 1. Visualization of gene expression on adipogenesis pathway ‒ Publicly available from Gene Expression Omnibus on accession number GSE27951. ‒ Adipose tissues were obtained by biopsies, free from visible blood and connective tissue, from subcutaneous abdominal. ‒ A general health examination and an oral glucose tolerance test (OGTT) were performed and WHO diagnostic criteria were applied (WHO, 1999) for glucose tolerance classification. Table 1. Characteristics of obese and lean subjects Obese Lean p-value ‒ Body Mass Index: n 8 5 ‒ Lean < 25 Kg/m² → 5 subjects Age (y) 49.38 ± 12.14 54.20 ± 13.99 0.543 Fasting insulin (pmol/L) 115.75 ± 58.83 30.80 ± 13.59 0.004** ‒ Obese > 30 Kg/m² → 8 subjects Fasting glucose (mg/dL) 128.48 ± 24.05 92.16 ± 4.10 HbA1c (%) 6.16 ± 0.53 5.56 ± 0.27 BMI (Kg/m²) 39.33 ± 5.86 21.92 ± 2.93 In the adipogenesis pathway selected based on the pathway analysis 13 genes were significantly different in adipose tissue from obese subjects compared to lean subjects. 0.003** 0.020* 2E-05*** LEP is upregulated, and LPIN1, NRIP1, TWIST1, NR3C1 and NR2F1 are downregulated in obese adipose tissue, and the genetic expression is inversely correlated with adiposity. The data are present as Mean ± SD. Student’s t test was done for test the significant difference between obese and lean subjects. *p < 0.05, **p < 0.01 and ***p < 0.001. Statistical analysis in normalized data ‒ Selected human adipose tissue dataset 20,111 genes → Affymetrix Human Genome U133 Plus 2.0 ‒ 590 genes differentially expressed (absolute logFC > 0.58 and p-value < 0.05): ‒ 343 were upregulated ‒ 247 were downregulated Pathway analysis ‒ To interpret and visualize the molecular changes on a pathway level. ‒ PathVisio 3.2.0 → WikiPathways collection ‒ Criteria: (1) Z-score > 1.96, (2) permutated p-value < 0.05 and (3) minimum number of changed genes is 3 The expression of GDF10 had a similar mode of action as observed in murine cells, where GDF10 inhibited adipocyte differentiation by affecting this transcriptional cascade. Gene Ontology analysis ‒ Identify biological processes for the differentially expressed genes in the normalized dataset. ‒ GO-Elite ‒ Settings:(1) 2000 permutations, (2) Z-score pruning algorithm, (3) Z-score threshold > 1.96, (4) p-value threshold < 0.05 and (5) minimum number of changed genes is 3 Figure 2. Biological functional network of the genes differentially expressed in adipogenesis pathway from obese subjects. The network shows which genes are linked to adipogenesis and whether they are nuclear receptors. The biological processes linked to the differentially expressed genes and obtained with GO analysis are shown in the functional network. Network analysis ‒ Comprehensive visualization functionality for adipogenesis pathway ‒ Cytoscape 3.2.1 ‒ 195 edges connecting 59 nodes, consisting in 13 genes products, 2 pathways and 44 biological process. CONCLUSION RESULTS AND DISCUSSION The anthropometric and metabolic characteristics of the subjects selected are demonstrated in Table 1. The pathway statistical analysis resulted 21 significantly changed pathways (Table 2). The most relevant biological process for obesity and metabolic disorders associate are demonstrated in Table 3. After analysis of the pathways and biological process related with the genes differentially expressed in obese subjects. The adipogenesis pathway was selected and in this pathway 13 genes were differentially expressed in obese subjects, compared with lean, where 3 were upregulated and 10 were downregulated (Figure 1). The functional biology network, for these genes, is shown in Figure 2. In this study, the results were able to confirm many pathways related to insulin resistance and T2DM in obese adipose tissue. In addition it was demonstrated that in humans the GDF10 expression is changed in SAT from obese subjects. The pathway and network analysis also demonstrated the importance of LEP in obesity, and the cascade molecular action. Obesity increases the risk of developing serious health complications including hypertension, steatohepatitis, fatty liver, dyslipidemia and type 2 diabetes mellitus (T2DM), where adipose tissue has a big impact. Therefore, understand and underlying the mechanisms, and network, of the key genes involved in this process is essential for early interventions and prevention of obesity complications. REFERENCES Dataset: Keller P, Gburcik V, Petrovic N, Gallagher IJ et al. Gene-chip studies of adipogenesis-regulated microRNAs in mouse primary adipocytes and human obesity. BMC Endocr Disord 2011 Mar 22;11:7. Arrayanalysis.org: Eijssen LMT, Jaillard M, Adriaens ME, Gaj S, de Groot PJ, Müller M, Evelo CT. User-friendly solutions form microarray quality control and pre-processing on ArrayAnalysis.org. Nucleic Acids Res. 2013; 41(Web Server issue): 71–76. PathVisio: Kutmon M, van Iersel MP, Bohler A, Kelder T, Nunes N, Pico AR, Evelo CT. PathVisio 3: an extendable pathway analysis toolbox. PLoS Comput Biol. 2015; 11(2): e1004085. WikiPathways: Kelder T, van Iersel MP, Hanspers K, Kutmon M, Conklin BR, Evelo CT, Pico AR. WikiPathways: building research communities on biological pathways. 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