Aberrant Whole Blood Gene Expression in the Lumen of Human Intracranial Aneurysms

The rupture of an intracranial aneurysm (IA) causes devastating hemorrhagic strokes. Yet, most IAs remain asymptomatic and undetected until they rupture. In the search for circulating biomarkers of unruptured IAs, we previously performed transcriptome profiling on whole blood and identified an IA-as...

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Main Authors: Vincent M. Tutino, Yongjun Lu, Daizo Ishii, Kerry E. Poppenberg, Hamidreza Rajabzadeh-Oghaz, Adnan H. Siddiqui, David M. Hasan
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/8/1442
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author Vincent M. Tutino
Yongjun Lu
Daizo Ishii
Kerry E. Poppenberg
Hamidreza Rajabzadeh-Oghaz
Adnan H. Siddiqui
David M. Hasan
author_facet Vincent M. Tutino
Yongjun Lu
Daizo Ishii
Kerry E. Poppenberg
Hamidreza Rajabzadeh-Oghaz
Adnan H. Siddiqui
David M. Hasan
author_sort Vincent M. Tutino
collection DOAJ
description The rupture of an intracranial aneurysm (IA) causes devastating hemorrhagic strokes. Yet, most IAs remain asymptomatic and undetected until they rupture. In the search for circulating biomarkers of unruptured IAs, we previously performed transcriptome profiling on whole blood and identified an IA-associated panel of 18 genes. In this study, we seek to determine if these genes are also differentially expressed within the IA lumen, which could provide a mechanistic link between the disease and the observed circulating gene expression patterns. To this end, we collected blood from the lumen of 37 IAs and their proximal parent vessels in 31 patients. The expression levels of 18 genes in the lumen and proximal vessel were then measured by quantitative polymerase chain reaction. This analysis revealed that the expression of 6/18 genes (<i>CBWD6</i>, <i>MT2A</i>, <i>MZT2B</i>, <i>PIM3</i>, <i>SLC37A3</i>, and <i>TNFRSF4</i>) was significantly higher in intraluminal blood, while the expression of 3/18 genes (<i>ST6GALNAC1</i>, <i>TCN2</i>, and <i>UFSP1</i>) was significantly lower. There was a significant, positive correlation between intraluminal and proximal expression of <i>CXCL10</i>, <i>MT2A</i>, and <i>MZT2B</i>, suggesting local increases of these genes is reflected in the periphery. Expression of <i>ST6GALNAC1</i> and <i>TIFAB</i> was significantly positively correlated with IA size, while expression of <i>CCDC85B</i> was significantly positively correlated with IA enhancement on post-contrast MRI, a metric of IA instability and risk. In conclusion, intraluminal expression differences in half of the IA-associated genes observed in this study provide evidence for IA tissue-mediated transcriptional changes in whole blood. Additionally, some genes may be informative in assessing IA risk, as their intraluminal expression was correlated to IA size and aneurysmal wall enhancement.
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spelling doaj.art-ca56413ba42148f29514f4001f7f997f2023-11-22T07:20:34ZengMDPI AGDiagnostics2075-44182021-08-01118144210.3390/diagnostics11081442Aberrant Whole Blood Gene Expression in the Lumen of Human Intracranial AneurysmsVincent M. Tutino0Yongjun Lu1Daizo Ishii2Kerry E. Poppenberg3Hamidreza Rajabzadeh-Oghaz4Adnan H. Siddiqui5David M. Hasan6Canon Stroke and Vascular Research Center, University at Buffalo, Buffalo, NY 14260, USADepartment of Cardiovascular Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USADepartment of Neurosurgery, University of Iowa Hospitals and Clinics, 1616 JCP, 200 Hawkins Dr, Iowa City, IA 52242, USACanon Stroke and Vascular Research Center, University at Buffalo, Buffalo, NY 14260, USACanon Stroke and Vascular Research Center, University at Buffalo, Buffalo, NY 14260, USACanon Stroke and Vascular Research Center, University at Buffalo, Buffalo, NY 14260, USADepartment of Neurosurgery, University of Iowa Hospitals and Clinics, 1616 JCP, 200 Hawkins Dr, Iowa City, IA 52242, USAThe rupture of an intracranial aneurysm (IA) causes devastating hemorrhagic strokes. Yet, most IAs remain asymptomatic and undetected until they rupture. In the search for circulating biomarkers of unruptured IAs, we previously performed transcriptome profiling on whole blood and identified an IA-associated panel of 18 genes. In this study, we seek to determine if these genes are also differentially expressed within the IA lumen, which could provide a mechanistic link between the disease and the observed circulating gene expression patterns. To this end, we collected blood from the lumen of 37 IAs and their proximal parent vessels in 31 patients. The expression levels of 18 genes in the lumen and proximal vessel were then measured by quantitative polymerase chain reaction. This analysis revealed that the expression of 6/18 genes (<i>CBWD6</i>, <i>MT2A</i>, <i>MZT2B</i>, <i>PIM3</i>, <i>SLC37A3</i>, and <i>TNFRSF4</i>) was significantly higher in intraluminal blood, while the expression of 3/18 genes (<i>ST6GALNAC1</i>, <i>TCN2</i>, and <i>UFSP1</i>) was significantly lower. There was a significant, positive correlation between intraluminal and proximal expression of <i>CXCL10</i>, <i>MT2A</i>, and <i>MZT2B</i>, suggesting local increases of these genes is reflected in the periphery. Expression of <i>ST6GALNAC1</i> and <i>TIFAB</i> was significantly positively correlated with IA size, while expression of <i>CCDC85B</i> was significantly positively correlated with IA enhancement on post-contrast MRI, a metric of IA instability and risk. In conclusion, intraluminal expression differences in half of the IA-associated genes observed in this study provide evidence for IA tissue-mediated transcriptional changes in whole blood. Additionally, some genes may be informative in assessing IA risk, as their intraluminal expression was correlated to IA size and aneurysmal wall enhancement.https://www.mdpi.com/2075-4418/11/8/1442cerebral aneurysmbiomarkersgene expressiontranscriptomicswhole blood
spellingShingle Vincent M. Tutino
Yongjun Lu
Daizo Ishii
Kerry E. Poppenberg
Hamidreza Rajabzadeh-Oghaz
Adnan H. Siddiqui
David M. Hasan
Aberrant Whole Blood Gene Expression in the Lumen of Human Intracranial Aneurysms
Diagnostics
cerebral aneurysm
biomarkers
gene expression
transcriptomics
whole blood
title Aberrant Whole Blood Gene Expression in the Lumen of Human Intracranial Aneurysms
title_full Aberrant Whole Blood Gene Expression in the Lumen of Human Intracranial Aneurysms
title_fullStr Aberrant Whole Blood Gene Expression in the Lumen of Human Intracranial Aneurysms
title_full_unstemmed Aberrant Whole Blood Gene Expression in the Lumen of Human Intracranial Aneurysms
title_short Aberrant Whole Blood Gene Expression in the Lumen of Human Intracranial Aneurysms
title_sort aberrant whole blood gene expression in the lumen of human intracranial aneurysms
topic cerebral aneurysm
biomarkers
gene expression
transcriptomics
whole blood
url https://www.mdpi.com/2075-4418/11/8/1442
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AT kerryepoppenberg aberrantwholebloodgeneexpressioninthelumenofhumanintracranialaneurysms
AT hamidrezarajabzadehoghaz aberrantwholebloodgeneexpressioninthelumenofhumanintracranialaneurysms
AT adnanhsiddiqui aberrantwholebloodgeneexpressioninthelumenofhumanintracranialaneurysms
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