Keywords
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Bipolar disorder,NCBI-GEO, R SCRIPT, Bioinformatics |
I. INTRODUCTION
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Bipolar disorder is a brain disorder that causes unusual mood swings. Also known as manic-depressive illness, it affects energy levels, accompanied by inability to carry out day-to-day tasks. Symptoms of bipolar disorder may be severe to moderate, affecting people before the age of 30 [1]. Bipolar disorder occurs approximately equally in both sexes [2]. Disorders are marked by severe mood swings leading to manic or major depressive episodes. Treatment includes modafinil/armodafinil as adjuncts for unipolar and bipolar depression. Though it was earlier considered as an adult-onset disorder, recent findings indicate juvenile occurrence [3]. The most reliable markers for bipolar disorder identification are derived from psychopathology and case histories. There have been no biomarkers discovered that predicts treatment responses for the individual suffering from bipolar disorder [4].The biomarkers must be suitable for identification of neurodevelopmental features that help to evaluate clinical results of mood swings. |
II. RELATED WORK
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Around the end of the 19th century, the concept of bipolar disorder originated out of Emil Kraepelin’s classification of manic depressive insanity[5]. Hippocrates also described bouts of frenzy associated with the manic state in the ancient Egyptians. In 1957, the term bipolar was coined by Leonhard for those patients with manic-depression. Angst and Perris demonstrated in 1966, that the clinical presentation was related to family history and therapeutic response. Significant impairment of functioning of speech and ideas has been observed. |
Bipolar disorder symptoms can vary from poor performance at school, poor job, damaged relationships and suicide. Clinical trials have been launched for illnesses of Bipolar Disorder of the Brain in adults and children (https://www.clinicaltrials.gov).Treatment includes the use of Lithium, though the mechanism of action is not certain. However, the effectiveness of lithium therapy on a regular basis has been disputed [1]. |
Production of cytokines such as IL-6, IL-1β, and TNF-α have been implicated in the bipolar disorder. Elevated levels of circulating IL-18 usually seen in cell mediated immunity have also been observed[6, 7 ] . Other cytokine mediators include macrophage migration inhibitory factor (MIF) with neurogenic potential [8,9,10]. |
III. MICROARRAY ANALYSIS FOR PROTEIN EXPRESSION STUDIES
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METHODOLOGY
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Expression profiling of human adult postmortem brain tissue from subjects with bipolar disorder and healthy control were carried out from the cortical areas of the brain. Affymetrix HG-U133A GeneChips were scanned with the Agilent GeneArray Scanner. Generated raw data (CEL files) were read into R statistical package. Normalisation was done by using the robust multi-chip average (RMA) method (Irizarray et al, 2003). Later GEO2R tool was used that allows a sophisticated R-based analysis of GEO data. Identification and visualization of differential gene expression was done. GEO2R uses established Bioconductor R packages to transform and analyze GEO data. The statistical parameters with which to perform the analysis were selected and gene annotation done for each gene using Gene Ontology database. P values for False dicovery Rate, logFC and t test was calculated. |
Datasets from 82 samples of postmortem brain tissue of patients suffering from bipolar brain disorder were screened. 16 samples were selected from samples with age at death varying from 20 years to 55 years of age. The criteria for selection of postmortem dataset was age at death less than 35 years and were diagnosed with the disorder for at least 10 years. This way classification of data based on those who did not survive for more than 35 years would indicate the severity of the disease. The control group included samples from healthy subjects, whose age at death was also less than 35 years. |
IV. SCRIPTS GENERATED IN R
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# Version info: R 2.14.1, Biobase 2.15.3, GEOquery 2.23.2, limma 3.10.1 |
# R scripts generated Fri Jan 23 10:08:52 EST 2015 |
################################################################ |
# Differential expression analysis with limma |
library(Biobase) |
library(GEOquery) |
library(limma) |
# load series and platform data from GEO |
gset <- getGEO("GSE5392", GSEMatrix =TRUE) |
if (length(gset) > 1) idx <- grep("GPL96", attr(gset, "names")) else idx <- 1 |
gset <- gset[[idx]] |
# make proper column names to match toptable |
fvarLabels(gset) <- make.names(fvarLabels(gset)) |
# group names for all samples |
sml <- |
c("X","X","X","X","X","G0","G0","X","X","X","X","X","X","G0","X","X","X","G0","X","X","X","X","X","X","X","X","X","X"," |
G0","X","X","X","G1","G1","X","G1","X","X","X","X","X","X","X","X","X","G1","X","X","X","X","X","G1","X","G1","X","X", |
"X","X","X","X","X","G0","X","X","X","X","G0","X","X","X","G0","X","X","X","X","X","X","G1","X","X","X","G1"); |
# eliminate samples marked as "X" |
sel <- which(sml != "X") |
sml <- sml[sel] |
gset <- gset[ ,sel] |
# log2 transform |
ex <- exprs(gset) |
qx <- as.numeric(quantile(ex, c(0., 0.25, 0.5, 0.75, 0.99, 1.0), na.rm=T)) |
LogC <- (qx[5] > 100) || |
(qx[6]-qx[1] > 50 && qx[2] > 0) || |
(qx[2] > 0 && qx[2] < 1 && qx[4] > 1 && qx[4] < 2) |
if (LogC) { ex[which(ex <= 0)] <- NaN |
exprs(gset) <- log2(ex) } |
# set up the data and proceed with analysis |
fl <- as.factor(sml) |
gset$description <- fl |
design <- model.matrix(~ description + 0, gset) |
colnames(design) <- levels(fl) |
fit <- lmFit(gset, design) |
cont.matrix <- makeContrasts(G1-G0, levels=design) |
fit2 <- contrasts.fit(fit, cont.matrix) |
fit2 <- eBayes(fit2, 0.01) |
tT <- topTable(fit2, adjust="fdr", sort.by="B", number=250) |
# load NCBI platform annotation |
gpl <- annotation(gset) |
platf <- getGEO(gpl, AnnotGPL=TRUE) |
ncbifd <- data.frame(attr(dataTable(platf), "table")) |
# replace original platform annotation |
tT <- tT[setdiff(colnames(tT), setdiff(fvarLabels(gset), "ID"))] |
tT <- merge(tT, ncbifd, by="ID") |
tT <- tT[order(tT$P.Value), ] # restore correct order |
tT <- subset(tT, select=c("ID","adj.P.Val","P.Value","t","B","logFC","Gene.symbol","Gene.title")) |
write.table(tT, file=stdout(), row.names=F, sep="\t") |
################################################################ |
# Boxplot for selected GEO samples |
library(Biobase) |
library(GEOquery) |
# load series and platform data from GEO |
gset <- getGEO("GSE5392", GSEMatrix =TRUE) |
if (length(gset) > 1) idx <- grep("GPL96", attr(gset, "names")) else idx <- 1 |
gset <- gset[[idx]] |
# group names for all samples in a series |
sml <- |
c("X","X","X","X","X","G0","G0","X","X","X","X","X","X","G0","X","X","X","G0","X","X","X","X","X","X","X","X","X","X"," |
G0","X","X","X","G1","G1","X","G1","X","X","X","X","X","X","X","X","X","G1","X","X","X","X","X","G1","X","G1","X","X", |
"X","X","X","X","X","G0","X","X","X","X","G0","X","X","X","G0","X","X","X","X","X","X","G1","X","X","X","G1") |
# eliminate samples marked as "X" |
sel <- which(sml != "X") |
sml <- sml[sel] |
gset <- gset[ ,sel] |
# order samples by group |
ex <- exprs(gset)[ , order(sml)] |
sml <- sml[order(sml)] |
fl <- as.factor(sml) |
labels <- c("Bipolar_lessthan35yrs","control") |
# set parameters and draw the plot |
palette(c("#dfeaf4","#f4dfdf", "#AABBCC")) |
dev.new(width=4+dim(gset)[[2]]/5, height=6) |
par(mar=c(2+round(max(nchar(sampleNames(gset)))/2),4,2,1)) |
title <- paste ("GSE5392", '/', annotation(gset), " selected samples", sep ='') |
boxplot(ex, boxwex=0.6, notch=T, main=title, outline=FALSE, las=2, col=fl) |
legend("topleft", labels, fill=palette(), bty="n") |
V. RESULTS OF MICROARRAY ANALYSIS
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The box plot was calculated in R for the 16 samples , out of which 8 were controls who were healthy subjects (Fig 1). The GSM sample number is shown in the plot. The analysis was further carried out using GEO2R. The top 14 differentially expressed in bipolar disorder is shown in Table1. |
The results of microarray expression analysis were obtained by clicking on individual result.The expression of sodium-potassium transporting ATPase was found to be increased as depicted in the graph(Fig 2). The expression levels of Glutathione S-transferase having was also found to be increased in patients of bipolar disorder (Fig 3). Both the enzymes, namely ATPases and Glutathione -S- transferases have detoxification function indicating increased synthesis in the disorder as compared to normal subjects. Fig 4. and Fig 5. depicted the reduced expression of IL-10 and corticostatin activity (G protein coupled receptor) respectively. |
Small nuclear ribonucleoprotein or snRNP gives specificity to individual introns by "recognizing" the sequences of critical splicing signals. In our result the expression of sn RNP in bipolar disorder is reduced (Fig 6). Megalencephalic leucoencephalopathy subcortical cysts are associated with developmental delay of motor nerves of mild nature and responsible for seizures [11]. The subjects under the present study group had higher levels of proteins associated with Megalencephalic leucoencephalopathy (Fig 7). Thus, it may be concluded that proteins associated with delay in formation of motor nerves and certain detoxification functions were impaired. The involvement of the above mentioned proteins as well as the proteins mentioned in Table 1, are envisage in Bipolar disorder affecting people severely. |
VI. CONCLUSION AND FUTURE WORK
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With valuable inputs obtained from microarrays, the analysis of proteins most likely expressed in bipolar disorder offers valuable direction for future validation. The analysis was carried out for data sets whose death age was less than 35 years. The profile of samples in the selected age group of below 35 years gives an indication of acute disease, not considering other parameters. The results obtained may be validated for use in laboratory studies for development of biomarkers and develop drugs as target inhibitors. |
Tables at a glance
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Table 1 |
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Figures at a glance
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Figure 1 |
Figure 2 |
Figure 3 |
Figure 4 |
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Figure 5 |
Figure 6 |
Figure 7 |
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References
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- Geddes, J. R., and Miklowitz, D. J., 'Treatment of bipolar disorder', Lancet, Vol.11 Issue 381, pp.1672-82, 2013.
- Lloyd, T., Kennedy, N., Fearon, P., Kirkbride, J., Mallett, R., Leff, J., Holloway, J., Harrison, G., Dazzan, P., Morgan, K., Murray, R. M, and Jones, P. B.,'Incidence of bipolar affective disorder in three UK cities: results from the AESOP study', British Journal of Psychiatry, Vol.186, pp.126–131, 2005.
- Geoffroy, P. A., Jardri, R., Etain, B., Thomas, P., and Rolland, B., 'Bipolar disorder in children and adolescents: a difficult diagnosis', Presse médicale, Vol.43,pp.912-20, 2014.
- Hasler, G., and Wolf, A., 'Toward stratified treatments for bipolar disorders', European Neuropsychopharmacology, http://dx.doi.org/10.1016/j.euroneuro, 2015.
- Ebert, A. and Bär, K.J., 'Emil Kraepelin: A pioneer of scientific understanding of psychiatry and psychopharmacology', Indian Journal of Psychiatry, Vol. 52, pp.191-192, 2010.
- Merendino, R. A., Di Rosa, A. E., Di Pasquale, G., Minciullo, P. L., Mangraviti, C., Costantino, A., Ruello, A., and Gangemim S., 'Interleukin-18 and CD30 serumlevels in patients with moderate-severe depression', Mediators of Inflammation, Vol. 11, pp.265–267, 2002.
- Prossin, A. R., Koch, A. E., Campbell, P. L., McInnis, M. G., Zalcman, S. S., and Zubieta, J. K., 'Association of plasma interleukin-18 levels with emotionregulation and μ-opioid neurotransmitter function in major depression and healthy volunteers', Biological Psychiatry, Vol. 69, pp.808–812, 2011.
- Musil, R., Schwarz, M. J., Riedel, M., Dehning, S., Cerovecki, A., Spellmann, I., Arolt, V., and Müller, N., 'Elevated macrophage migration inhibitory factor and decreased transforming growth factor-beta levels in major depression–no influence of celecoxib treatment', Journal of Affective Disorders, Vol.134, pp.217–225,2011.
- Cattaneo, A., Gennarelli, M., Uher, R., Breen, G., Farmer, A., Aitchison, K. J., Craig, I. W., Anacker, C., Zunsztain, P. A., McGuffin, P., and Pariante, C. M.,'Candidate genes expression profile associated with antidepressants response in the GENDEP study: differentiating between baseline “predictors” and longitudinal“targets” ', Neuropsychopharmacology, Vol. 38, pp.377–385, 2013.
- Iwamoto, K., Kakiuchi, C., Bundo, M., Ikeda, K., and Kato, T., 'Molecular characterization of bipolar disorder by comparing gene expression profiles of postmortem brains of major mental disorders', Molecular Psychiatry, Vol. 9, pp.406-416, 2004.
- Knaap, V.D.M. S., Barth, P. G., Stroink, H., van Nieuwenhuizen, O., Arts, W. F., Hoogenraad, F., and Valk, J., 'Leukoencephalopathy with swelling and adiscrepantly mild clinical course in eight children', Annals of Neurology, Vol. 37, pp.324-334, 1995.
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BIOGRAPHY
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Dr. Rama Adiga is an Assistant Professor at Nitte University Centre for Science Education & Research, Biomedical Science department, Nitte University, Mangalore. Qualified as a Biochemist, she has several papers in Bioinformatics. She has been teaching Biochemistry and Bioinformatics in the university department since 2013. The interdisciplinary nature of research work adds value to research. Her current interests are evolutionary Bioinformatics, clinical Bioinformatics and image processing in the biomedical field. |