Gene expression in insulin resistance

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Gene expression in insulin resistance Name: Jules Jacobs Date: 4-7-2017 Supervisors: - Mirella Kalafati MSc - Dr. Lars Eijssen Department of Bioinformatics

BACKGROUND

Obesity Defined as: BMI > 30 kg/m 2 In 2030, 50% of population will be overweight/obese Energy intake > Energy expenditure Increased body fat mass Reference: (1)

Obesity and Insulin Resistance Obesity Lipotoxicity Inflammation Reactive Oxygen Species Insulin Resistance Reference: (2,3)

Type 2 Diabetes Mellitus Insulin Resistance β-cell dysfunction Type 2 DM Reference: (4)

Mechanism of insulin (1) Blood stream Ins Glucose β-cell Reference: (5)

Mechanism of insulin (2) Blood stream Ins Insulin Receptor IRS PI3K PDK Akt SOS RAS MEK ERK Reference: (6)

Insulin Resistance Blood stream Ins Insulin Receptor IRS PI3K PDK Akt SOS RAS MEK ERK Reference: (7)

Effects of insulin DNA transcription: - Activation of TF Energy Metabolism: - Glycogen synthesis Growth: - Cell proliferation Insulin Glucose uptake: - GLUT4 translocation Neurophysiology: - Regulation of satiety Vasoactivity: - Vascular recruitment Reference: (8, 9, 10, 11)

Insulin resistance and gene expression Insulin DNA transcription Resistance Energy Metabolism? Growth? Insulin? Glucose uptake?? Vasoactivity Neurophysiology Reference: (12)

Research Question How is gene expression affected in insulin resistance?

METHODS

Methods: Workflow Transcriptomics dataset QC & Pre-processing Network Analysis Pathway Analysis

Methods: Dataset Microarrays Retrieved from Gene Expression Omnibus; - Dataset by Wu et al. - GEO accession: GSE22309 - Retrieved on 20-4-2017 - Affymetrix GeneChips Skeletal muscle biopsies 20 IS vs 20 IR arrays IS cut-off based on glucose uptake; - Glucose disposal rate > 13,9 mg/kg lean mass/min - Measured with hyperinsulinemic-euglycaemic clamp

Methods: Quality Control & Pre-processing Raw data Normalized data Gene statistics

Methods: Pathway Analysis Human pathway collection of WikiPathways Analyzed using PathVisio 3.2.2 Significant pathways: - Z-score > 1,96 - P-value < 0,05 - At least 3 significant genes: - P-value < 0,05 - Absolute 2 LogFC > 1

Methods: Network Analysis Cytoscape 3.5.1 Integration of selected pathways into network (done by Mirella Kalafati MSc) Visualizations based on: - Pathway - 2 LogFC & P-value Network extension with TF - CyTargetLinker plugin - Encode TF database (both proximal & distal) - Visualization based on TF-gene interaction

RESULTS

Results: QC & Pre-processing (1) QC & Pre-processing; outlier removal Figure 1. Relative Log Expression (RLE) before (left) and after (right) removal of the outlier (IR26). IR: Insulin resistant array, IS: Insulin sensitive array

Results: QC & Pre-processing (2) Insulin resistant array Insulin sensitive array Figure 2. Cluster dendrogram of normalized data. IR: insulin resistant array, IS: insulin sensitive array.

Results: Differential Expression 12.262 genes were measured 286 genes were significant - (abs 2 LogFC> 1 & P-value < 0,05) Upregulation: 91% of sign. genes (n = 263)

Results: Pathway Analysis (1) Table 1. Significantly different pathways between IR and IS group Pathway Positive (r) Measured (n) Total % Z Score P-value Exercise-induced Circadian Regulation 10 48 49 20,8 6,75 < 0,001 Glycogen Metabolism 7 34 45 20,6 5,59 0,001 Parkin-Ubiquitin Proteasomal System pathway 8 61 75 13,1 4,25 0,001 Mitochondrial LC-Fatty Acid Beta-Oxidation 3 14 22 21,4 3,76 < 0,001 Translation Factors 5 45 51 11,1 2,90 0,007 Transcription factor regulation in adipogenesis 3 21 24 14,3 2,78 0,006 Proteasome Degradation 6 62 67 9,7 2,78 0,010 TGF-beta Signaling Pathway 9 121 133 7,4 2,52 0,011 EGF/EGFR Signaling Pathway 10 148 163 6,8 2,32 0,017 Factors and pathways affecting insulin-like growth factor (IGF1)-Akt s 3 26 34 11,5 2,32 0,031 T-Cell Receptor and Co-stimulatory Signaling 3 26 45 11,5 2,32 0,032 mrna Processing 8 114 130 7,0 2,19 0,025 Pathogenic Escherichia coli infection 4 47 79 8,5 1,97 0,042 Fatty Acid Beta Oxidation 3 31 69 9,7 1,96 0,037 Positive (r) indicates the number of genes that were significantly different (P < 0,05 & absolute logfc < 1), Measured (n) indicates the number of genes that were measured, Total indicates the total number of genes in the pathway and % indicates the percentage of Positive genes in relation to Measured genes. Reference: (13,14)

Results/Discussion: Fatty Acid β-oxidation Fatty Acid Beta-Oxidation Mitochondrial LC-Fatty Acid Beta-Oxidation Both & expression of FA-βOx genes Sign. FA-βOx gene expression Increased fat utilization Reference: (14)

Results/Discussion: Protein Degradation Parkin-Ubiquitin Proteasomal System Proteasome Degradation Sign. genes Differences in proteasome subunit expression - proteasome activity ER stress & UPR IR Reference: (13)

Results/Discussion: Adipogenesis & Glycogen Metabolism Transcription factor regulation in adipogenesis Glycogen Metabolism Direction adipogenesis/glycogen metabolism not clear; - Inhibition/stimulation? Literature: IR decreases adipogenesis & glycogen synthesis Reference: (15,16)

Results: Network Analysis (1)

Results: Network Extension

DISCUSSION

Discussion: Strengths & Limitations Strengths: - Pathway analysis put gene expression in context - Network analysis shows connections between genes and pathways - Network extension provides additional information based on existing data Limitations; - Lack of information about dataset and subjects - +/- 25% of microarray probes were not matched with gene - Statistical significance (LogFC & P-value) biological relevance

Conclusion How is gene expression affected in insulin resistance? IR increases overall gene expression; - T2DM Energy metabolism shifts; - Increased fat utilization - Changes in glycogen metabolism and adipogenesis Proteasome expression changes in IR; - Proteasome activity - Cell stress Pathways; - Minimally connected themselves - TF link pathways

Future Perspectives Ins-stimulated IR gene expression vs Insstimulated IS gene expression - both corrected for basal state expression Gene expression Biological relevance

Special thanks to: Mirella Kalafati MSc Dr. Lars Eijssen 1. Seidell, J. C. (2014). Worldwide Prevalence of Obesity in Adults. In Handbook of Obesity, vol. 1 (pp. 47 54). 2. van Herpen, N. A., & Schrauwen-Hinderling, V. B. (2008). Lipid accumulation in non-adipose tissue and lipotoxicity. Physiology and Behavior, 94(2), 231 241. https://doi.org/10.1016/j.physbeh.2007.11.049 3. Gregor, M. F., & Hotamisligil, G. S. (2011). Inflammatory Mechanisms in Obesity. Annual Review of Immunology, 29(1), 415 445. https://doi.org/10.1146/annurev-immunol-031210-101322 4. Mullur, R. (2015). Beta-cell failure as complication of diabetes. Rev Endocr Metab Disord, 9(4), 329 343. https://doi.org/10.1007/s11154-008-9101-5. 5. MacDonald, P. E., Joseph, J. W., & Rorsman, P. (2005). Glucose-sensing mechanisms in pancreatic -cells. Philosophical Transactions of the Royal Society B: Biological Sciences, 360(1464), 2211 2225. https://doi.org/10.1098/rstb.2005.1762 6. Hale, L. J., & Coward, R. J. M. (2013). Insulin signalling to the kidney in health and disease, 370, 351 370. https://doi.org/10.1042/cs20120378 7. Samuel, V. T. and S. G. I. (2013). Integrating Mechanisms for Insulin Resistance; Common threads and missing links. Cell, 148(5), 852 871. https://doi.org/10.1016/j.cell.2012.02.017. 8. Dimitriadis, G., Mitrou, P., Lambadiari, V., Maratou, E., & Raptis, S. A. (2011). Insulin effects in muscle and adipose tissue. Diabetes Research and Clinical Practice, 93, S52 S59. https://doi.org/10.1016/s0168-8227(11)70014-6 9. Boer, M. P. D. E., Meijer, R. I., Newman, J., Stehouwer, C. D. A., Eringa, E. C., Smulders, Y. V. O. M., & E, E. H. S. (2014). Insulin-Induced Changes in Microvascular Vasomotion and Capillary Recruitment are Associated in Humans, 380 387. https://doi.org/10.1111/micc.12114 10. Woods, S. C., Lutz, T. A., Geary, N., & Langhans, W. (2006). Pancreatic signals controlling food intake ; insulin, glucagon and amylin, (June), 1219 1235. https://doi.org/10.1098/rstb.2006.1858 11. Laron, Z. (2017). Insulin a growth hormone. Archives of Physiology and Biochemistry IS, 3455(June). https://doi.org/10.1080/13813450801928356 12. Konstantopoulos, N., Foletta, V. C., Segal, D. H., Shields, K. A., Sanigorski, A., Windmill, K., Walder, K. R. (2011). A gene expression signature for insulin resistance. Technology Development for Physiological Genomics, 110 120. https://doi.org/10.1152/physiolgenomics.00115.2010. 13. Iwawaki, T., & Oikawa, D. (2013). The role of the unfolded protein response in diabetes mellitus. Semin Immunopathol, 333 350. https://doi.org/10.1007/s00281-013-0369-5 14. Lopaschuk, G. D. (2016). Fatty Acid Oxidation and Its Relation with Insulin Resistance and Associated Disorders. Annals of Nutrition & Metabolism, 68(suppl 3), 15 20. https://doi.org/10.1159/000448357 15. Litherland, G. J., Morris, N. J., Walker, M., & Yeaman, S. J. (2006). Role of Glycogen Content in Insulin Resistance in Human Muscle Cells. Journal of Cellular Physiology, (February), 344 352. https://doi.org/10.1002/jcp 16. Gustafson, B., Hedjazifar, S., Gogg, S., Hammarstedt, A., & Smith, U. (2015). Insulin resistance and impaired adipogenesis. Trends in Endocrinology & Metabolism, 26(4), 193 200. https://doi.org/10.1016/j.tem.2015.01.006