Immune Response Associated Gene Signatures in Aortic Dissection Compared to Aortic Aneurysm

Background: Thoracic aortic dissections (TAD) are life-threatening events mostly requiring immediate surgical treatment. Although dissections mainly occur independently of thoracic aortic aneurysms (TAA), both share a high comorbidity. There are several indications for an involvement of the immune s...

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Main Authors: Christian Doppler, Marlene Rezk, Barbara Arbeithuber, David Bernhard
Format: Article
Language:English
Published: IMR Press 2024-02-01
Series:Frontiers in Bioscience-Landmark
Subjects:
Online Access:https://www.imrpress.com/journal/FBL/29/2/10.31083/j.fbl2902064
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author Christian Doppler
Marlene Rezk
Barbara Arbeithuber
David Bernhard
author_facet Christian Doppler
Marlene Rezk
Barbara Arbeithuber
David Bernhard
author_sort Christian Doppler
collection DOAJ
description Background: Thoracic aortic dissections (TAD) are life-threatening events mostly requiring immediate surgical treatment. Although dissections mainly occur independently of thoracic aortic aneurysms (TAA), both share a high comorbidity. There are several indications for an involvement of the immune system in the development of TAD, just as in TAA. Nevertheless, specific disease-relevant genes, biomolecular processes, and immune-specific phenotypes remain unknown. Methods: RNA from isolated aortic smooth muscle cells from TAD (n = 4), TAA (n = 3), and control patients were analyzed using microarray-based technologies. Additionally, three publicly available bulk RNA-seq studies of TAD (n = 23) and controls (n = 17) and one single-cell RNA-seq study of TAA (n = 8) and controls (n = 3) were analyzed. Differentially expressed genes were identified and used to identify affected pathways in TAD. Five selected genes were validated by quantitative real-time polymerase chain reaction (PCR). Results: We identified 37 genes that were significantly dysregulated in at least three TAD studies—24 of them were not shown to be associated with TAD, yet. Gene ontology analysis showed that immune response was significantly affected. Five of the genes (CCL2, RNASE2, HAVCR2, CXCL8, and IL6R) were revealed as core genes that affect immune response in TAD. We compared the gene expression of those genes to TAA and found that CXCL8, IL6R, and potentially also CCL2 were upregulated in TAD. Conclusions: The identified immune-related genes showed TAD-specificity, independent of possible pre-existing comorbidities like TAA. So, these genes represent potential biomarkers and therapeutic targets linked to the immune response in acute TAD. Additionally, we identified a set of differentially expressed genes that represents a resource for further studies.
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spelling doaj.art-6df34538299345b0bfffe21ffb6e07cc2024-02-29T09:53:15ZengIMR PressFrontiers in Bioscience-Landmark2768-67012024-02-012926410.31083/j.fbl2902064S2768-6701(23)01175-9Immune Response Associated Gene Signatures in Aortic Dissection Compared to Aortic AneurysmChristian Doppler0Marlene Rezk1Barbara Arbeithuber2David Bernhard3Division of Pathophysiology, Institute of Physiology and Pathophysiology, Medical Faculty, Johannes Kepler University Linz, 4020 Linz, AustriaExperimental Gynaecology, Obstetrics and Gynaecological Endocrinology, Kepler University Hospital Linz, Johannes Kepler University Linz, 4020 Linz, AustriaExperimental Gynaecology, Obstetrics and Gynaecological Endocrinology, Kepler University Hospital Linz, Johannes Kepler University Linz, 4020 Linz, AustriaDivision of Pathophysiology, Institute of Physiology and Pathophysiology, Medical Faculty, Johannes Kepler University Linz, 4020 Linz, AustriaBackground: Thoracic aortic dissections (TAD) are life-threatening events mostly requiring immediate surgical treatment. Although dissections mainly occur independently of thoracic aortic aneurysms (TAA), both share a high comorbidity. There are several indications for an involvement of the immune system in the development of TAD, just as in TAA. Nevertheless, specific disease-relevant genes, biomolecular processes, and immune-specific phenotypes remain unknown. Methods: RNA from isolated aortic smooth muscle cells from TAD (n = 4), TAA (n = 3), and control patients were analyzed using microarray-based technologies. Additionally, three publicly available bulk RNA-seq studies of TAD (n = 23) and controls (n = 17) and one single-cell RNA-seq study of TAA (n = 8) and controls (n = 3) were analyzed. Differentially expressed genes were identified and used to identify affected pathways in TAD. Five selected genes were validated by quantitative real-time polymerase chain reaction (PCR). Results: We identified 37 genes that were significantly dysregulated in at least three TAD studies—24 of them were not shown to be associated with TAD, yet. Gene ontology analysis showed that immune response was significantly affected. Five of the genes (CCL2, RNASE2, HAVCR2, CXCL8, and IL6R) were revealed as core genes that affect immune response in TAD. We compared the gene expression of those genes to TAA and found that CXCL8, IL6R, and potentially also CCL2 were upregulated in TAD. Conclusions: The identified immune-related genes showed TAD-specificity, independent of possible pre-existing comorbidities like TAA. So, these genes represent potential biomarkers and therapeutic targets linked to the immune response in acute TAD. Additionally, we identified a set of differentially expressed genes that represents a resource for further studies.https://www.imrpress.com/journal/FBL/29/2/10.31083/j.fbl2902064rna-seqimmune responseaortic aneurysmaortic dissection
spellingShingle Christian Doppler
Marlene Rezk
Barbara Arbeithuber
David Bernhard
Immune Response Associated Gene Signatures in Aortic Dissection Compared to Aortic Aneurysm
Frontiers in Bioscience-Landmark
rna-seq
immune response
aortic aneurysm
aortic dissection
title Immune Response Associated Gene Signatures in Aortic Dissection Compared to Aortic Aneurysm
title_full Immune Response Associated Gene Signatures in Aortic Dissection Compared to Aortic Aneurysm
title_fullStr Immune Response Associated Gene Signatures in Aortic Dissection Compared to Aortic Aneurysm
title_full_unstemmed Immune Response Associated Gene Signatures in Aortic Dissection Compared to Aortic Aneurysm
title_short Immune Response Associated Gene Signatures in Aortic Dissection Compared to Aortic Aneurysm
title_sort immune response associated gene signatures in aortic dissection compared to aortic aneurysm
topic rna-seq
immune response
aortic aneurysm
aortic dissection
url https://www.imrpress.com/journal/FBL/29/2/10.31083/j.fbl2902064
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AT davidbernhard immuneresponseassociatedgenesignaturesinaorticdissectioncomparedtoaorticaneurysm