Affymetrix Gene Expression Microarrays Application to Pulmonary Arterial Hypertension Bob Stearman 02/24/2014 Pulmonary Arterial Hypertension (PAH) • Rare Disease: USA ~1000 new cases/yr • More Common in Females (2:1) with Earlier Presentation (30s-40s vs 40s-50s) • BMPR2 Mutations Found in HPAH with Incomplete Penetrance • Combination Drug Therapy Common • • PDE5 and Endothelin Inhibitors plus Prostacyclin Slows Progression But No Cure (5-yr 66%) • Elevations of Pulmonary Hemodynamics Pulmonary Arterial Hypertension (PAH) • Hyperproliferation of PAECs and SMCs • Structural Changes in Lung Vasculature Vessel Thickening Muscularization (SMCs) Plexiform Lesion (ECs) Stacher et al., AJRCCM 186, 261 (2012) Pulmonary Arterial Hypertension (PAH) • Elevation in Pulmonary Hemodynamics • Echocardiogram and Right Heart Catherization Studies • Increased Inflammation Vessel Thickening vs mPAP (p-value 0.03; r=0.27) Perivascular Inflammation Stacher et al., AJRCCM 186, 261 (2012) Pulmonary Hypertension Breakthrough Initiative • Multi-Center Lung Tissue Procurement • 9 Geographically Spread Procurement Centers • • “Excessively” Complex Tissue Dissection 3+ Hours To Carryout • 1 Central Tissue Repository • Genomics Core & Secondary Tissue Repository (Frozen and RNALater) • Rare Disease = Slow Recruitment PHBI Clinical Information Stacher et al., AJRCCM 186, 261 (2012) PHBI Pathological Information • Vessel Thickness (measured and fractional) • Total, Intima, Media, Internal Diameter • Plexiform Lesions • Number and Density • Inflammation • Thrombi • Pulmonary Vein Remodeling Stacher et al., AJRCCM 186, 261 (2012) PHBI Lung Tissue Harvest RUL = right upper lobe RML = right middle lobe RLL = right lower lobe H= Hilum. Stacher et al., AJRCCM 186, 261 (2012) Pulmonary Hypertension Breakthrough Initiative: Sample Summary • PAH Patients: End-stage disease getting transplant • 4 General Types of PAH: HPAH, IPAH, APAH, Other • Failed Donors (FDs; controls): No match for lungs but available for research • Slow Recruitment: MAs run in 3 “annual” batches • PAH: Female Bias (2:1 F:M) and older • FDs: Male Bias (1:2 F:M) and younger compared to PAH Workflow of Gene Expression Biological question Experimental design QC Tissue / sample preparation Extraction of Total RNA QC Probe amplification & labeling QC Microarray hybridization & processing Image analysis Data analysis Biological Verification QC QC Expression measures - Normalization Reddy Gali, Ph.D. Statistical Filtering - Clustering Microarray Analysis Using Pathway analysis R/Bioconductor PHBI: Experimental Design • PAH Patients vs. FD • • • Disease-specific gene expression patterns? 4 General Types of PAH: HPAH, IPAH, APAH, Other Will Gene Expression Patterns Detect Clinical Subclasses? • PAH Patient Gender Bias • PAH vs FD Gender and Age (?) Bias • Microarrays run in 3 “annual” batches • • Different lots of arrays and reagents Changes in labeling methodology PHBI Lung RNA Samples (in RNALater) Are Variable PHBI: Normalization Uncorrected PHBI Data PHBI: Normalization Corrected PHBI Data By Batch and Gender PHBI: Normalization Corrected PHBI Data By Batch and Gender Low Variance Genes Removed (33K->6K) PHBI: Clustering PHBI: Expression Correlation With Clinical Parameters PHBI: Expression Correlation With Clinical Parameters Sources of Reproducibility (Experimental Design- Randomization) C4 Hybridized Sample B & A1 (Day 1); A6 & A15 (Day 2) [while same day samples had very similar #DE genes as C1, C2, and C3] C5 Hybridized Samples B & A1 (Day 1); A6 (Day 2); A15 (Day 3) C2 and C3 Stored Male Arrays ON, 4oC while Female Arrays were Wash/Stain (Yang et al 2008) Sources of Reproducibility (Experimental Design- Randomization) Each dataset is self-consistent Training on Center 3 generally groups M and F by sample type Training on Center 4 produces poor correlation between M and F by sample type (Yang et al 2008) Stability of Results Critical Review of Published Microarray Studies for Cancer Outcome and Guidelines on Statistical Analysis and Reporting Alain Dupuy , Richard M . Simon (JNCI 2007) “Simon Says Top 40” Nature Biotechnology 28, 827 (2010) Affymetrix Gene Expression Microarrays Report Expectations • • • • Experimental Design and Questions Summary Signal Intensities Before and After Normalization PCA plots Significant Genes Listing including FC, p-value, FDR analysis • Cluster Diagram (+/- Signal Intensities) • Over-represented Gene Ontology Categories • • RDAVID?? Experimental Conclusions and Discussion Affymetrix Gene Expression Microarrays Report Expectations Annotation Cluster 1 Category SP_PIR_KEYWORDS SP_PIR_KEYWORDS INTERPRO INTERPRO SP_PIR_KEYWORDS INTERPRO SMART GOTERM_MF_FAT Enrichment Score: 3.980004851748526 Term immunoglobulin c region immunoglobulin IPR007110:Immunoglobulin-like IPR003597:Immunoglobulin C1-set Immunoglobulin domain IPR013783:Immunoglobulin-like fold SM00407:IGc1 GO:0003823~antigen binding Count % 5 6 15 7 14 15 7 6 PValue 3.33 4.00 10.00 4.67 9.33 10.00 4.67 4.00 Genes List Total Pop Hits Pop Total Fold Enrichment Bonferroni Benjamini FDR 1.60E-07 7896697, 8071597, 7981708,118 7981601, 8043476 9 19235 90.56 3.12E-05 3.12E-05 2.00E-04 1.14E-06 7896697, 8043423, 8071597,118 7981708, 7981601, 31 19235 8043476 31.55 2.23E-04 1.12E-04 0.001428 4.84E-06 8071597, 8043423, 7906613,110 8060418, 501 7981601,16659 8110237, 8071642, 8125470, 4.53 7896697, 0.001305368 8117458, 0.001305368 8117435, 7981708, 0.0063618117476, 80434 5.38E-06 7896697, 8071597, 8060418,110 7981708, 7981601, 68 16659 8043476, 8178833, 8125470 15.59 0.001451035 7.26E-04 0.007071 5.76E-06 8043423, 8071597, 7906613,118 8060418, 470 7981601,19235 8110237, 7896697, 8117458, 4.86 8117435, 0.001123285 7981708, 8117476, 3.75E-04 8043476, 0.0071947923917, 80485 1.48E-05 8071597, 8043423, 8060418,110 7981601, 553 8110237,16659 8071642, 8125470, 8117458, 4.11 7896697, 0.0039884 8117435, 0.001331238 7981708, 8117476, 0.0194598043476, 81788 1.75E-05 7896697, 8071597, 8060418, 75 7981708, 7981601, 68 8043476, 9079 8178833, 8125470 12.46 0.00129556 0.00129556 0.018335 2.80E-05 7896697, 8043423, 8071597, 84 7981708, 7981601, 56 12983 8043476 16.56 0.006661364 0.006661364 0.036066