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Gene & Protein in Disease                                       Bioinformatics to identify gene signatures of CF



            and basal transcription factors (Figure 4A). The primary   GO terms “protein binding” and “cytoplasm.” In addition,
            pathways associated with the downregulated DEGs include   the cytoHubba program enabled us to identify the top 6
            proteolysis mediated by ubiquitin, nucleotide excision   hub  genes  (CDC42,  UBA2,  HDAC4,  CUL1,  RNASEL,  and
            repair, and cell cycle (Figure 4B). Tables S3-S5 provide the   WWP2) from the PPI network (Figure 7). Table 2 displays the
            outputs of GO and KEGG analysis of the DEGs.       topological metrics for each of the five molecular hub genes
                                                               in the PPI linkage, including each gene’s degree, betweenness
            3.3. PPI network construction                      centrality, clustering coefficient, and closeness centrality.
            With the STRING, we were able to determine the PPI
            networks for both up and downregulated genes, which   5. Discussion
            allowed us to assess the PPIs linked to the DEGs. For   CF is a recessive inherited disorder that causes death in 90%
            visualization, we loaded the generated PPI network as a   of patients.  The major dysfunctions of CF include mucus-
                                                                        40
            “.csv” file and entered Cytoscape v3.8.0 after exporting it as   blocked airways leading to severe lung infections, massive
            a “.txt” file from STRING. For both up and downregulated   neutrophil infiltration, and inflammation contributing to
            DEGs, we separately enhanced the PPI networks. Once   tissue damage.  Although the vast majority of morbidity
                                                                           41
            all 211 DEGs had been found, we combined the PPI   and mortality is accounted for by chronic progressive lung
            networks. As shown in Figure 5B and C, the PPI networks   disease in CF, it is important to note that CF is not confined
            for up- and down-regulated DEGs include 74 nodes and   to the lungs and may affect other major organs resulting
            191 connections, and 82 nodes and 282 connections,   in  several  comorbidities.   However,  current  treatment
                                                                                    42
            respectively. There were 515 edges overall for 167 nodes in   approaches are not effective in all patients.  For instance,
                                                                                                 43
            the combined PPI network including all DEGs (Figure 5A).  highly effective modulator therapy is not efficacious to
            4.4. Identification of gene signatures: Module     10  –  20%  of  CF  patients,  and  the  multidrug  bacterial
                                                                                                            14
            analysis from PPI network                          resistance also limits the current antimicrobial choices.
                                                               On the other hand, it has recently been reported that many
            Using the Cytoscape plugin MCODE, we were able to   children with CF are born without any clinical symptoms,
            identify two important modules from the combined   and the diagnosis was only confirmed their birth.  Thus,
                                                                                                       44
            PPI network.  Figure  6A shows that Module 1 exhibited   the search for early and precise detection of CF has become
            13 nodes and 55 connections, while eight nodes and 12   more intense in recent years, especially for techniques to
            connections occurred in Module 2 (Figure 6B). The DEGs   identify gene signatures. In the present study, we evaluated
            of the modules had a vital impact in enriching critical
                                                               the DEGs, gene networks, pathways, and protein–protein
            A                                                  connections that are exclusive to CF. We used temperature
                                                               as a means to manipulate gene expression from the GSE
                                                               dataset. It has been reported that cell growth was nearly
                                                               halted after moderate hypothermia and did not resume
                                                               when temperatures returned to 37°C. The expression of cold
                                                               shock genes, CIRBP and RBM3, was enhanced at 25°C and
                                                               recovered to baseline levels following rewarming, whereas
                                                               that of  HSP70 was inversely regulated. Our data also
                                                               supported that the temperature can affect gene expression,
            B                                                  a finding consistent with another published study. 45

                                                                 The volcano plot (Figure 2) in this article was used to
                                                               visualize the patterns of the DEGs from both the control
                                                               and treated groups. Upregulated genes are denoted by
                                                               green points, while downregulated genes are represented
                                                               by red points.
                                                                 Following the enrichment, we identified a few important
                                                               GO terms enriched in the upregulated genes, including:
                                                               protein kinase activity, N-acyl phosphatidylethanolamine-
                                                               specific phospholipase D activity, N,N-dimethylaniline
            Figure 4. Identification of Kyoto Encyclopedia of Genes and Genomes   monooxygenase activity, transcription, and protein
            (KEGG) pathways following enrichment with differentially expressed
            genes. (A) KEGG pathways enriched in upregulated genes. (B) KEGG   phosphorylation in the biological process;  nucleoplasm,
            pathways enriched in downregulated genes.          cytoplasm, and zinc ion binding in the cellular component; and


            Volume 3 Issue 2 (2024)                         5                               doi: 10.36922/gpd.2937
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