Peripheral Blood Gene Expression Profiling Reveals Molecular Pathways Associated with Cervical Artery Dissection
Abstract
:1. Introduction
- 1.
- Disorganized thinning and straightening of the internal elastic membrane.
- 2.
- Heterogeneous thickening of the tunica media with areas of non-inflammatory mucoid degeneration, necrosis, fibrosis, and calcification.
- 3.
- Predominance of smooth-muscle cells with a synthetic phenotype (vacuolar degeneration, fissed mitochondria, and irregular cell polarization).
- 4.
- Erythrocyte extravasation (due to rupture of the vasa vasorum) and neovascularization foci on the media-adventitia border.
- 5.
- Electron microscopy signs of mitochondrial cytopathy (circular cristae and pathological inclusions in the matrix of mitochondria) and changes in the structure of extracellular elastic and collagen fibers.
2. Results
2.1. Differential Gene Expression Analysis with DAVID Functional Annotation
2.2. Gene–Disease Associations
2.3. Heatmap Clustering
- 1.
- Healthy volunteers,
- 2.
- Patients with the most pronounced stigmas of UCTD (>9 points),
- 3.
- Patients, including all the most severe cases of CeAD (recurrent dissection, ICA/VA aneurysm, and combined ICA/VA dissection).
- The first and second clusters (63 and 246 genes, respectively) contained genes with downregulated expression in both CeAD subgroups that were enriched in cell cycle regulation, translation, mitochondrial respiration, and ribosome processing (FDR < 0.05).
- The third cluster comprised 87 genes that were upregulated in both CeAD subgroups and enriched in calcium metabolism, G-protein-associated signaling, and the regulation of cell polarization and migration (FDR < 0.05).
- In the fourth cluster, 91 genes were only upregulated in the subgroup of patients with the most pronounced stigmas of UCTD and in some healthy volunteers. These genes were related to phagocytosis, the exchange of membrane lipids, and VEGFA-VEGFR2 signaling (FDR < 0.05).
2.4. Protein–Protein Interactions
2.5. Gene Set Enrichment Analysis
3. Discussion
4. Materials and Methods
4.1. Clinical Description of the Cohort
- 1.
- A dissection of two or more cervical arteries (10 cases).
- 2.
- A recurrent dissection during 1 year of observation after the primary CeAD (3 cases).
- 3.
- An intense chronic headache presenting long before the development of CeAD (13 cases).
- 4.
- A dissecting aneurysm of the VA and/or ICA diagnosed with MR angiography (4 cases).
- 5.
4.2. Sample Processing
4.3. Bioinformatics Processing
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Characteristics | Number of Patients | Ischemic Stroke/Transient Ischemic Attack Due to Dissection | Isolated Headache/Neck Pain Due to Dissection | UCTD Stigmas | Chronic Headache in Anamnesis | ||||
---|---|---|---|---|---|---|---|---|---|
N | % | N | % | N | % | Mean Points Score | N | % | |
All | 19 | 100 | 9 | 47 | 10 | 53 | 8.9 ± 3.8 | 13 | 68 |
Women | 13 | 68 | 4 | 21 | 9 | 48 | 10.9 ± 3.7 | 10 | 52 |
Men | 6 | 32 | 5 | 26 | 1 | 5 | 4.2 ± 3.5 | 3 | 16 |
ICA dissection | 5 | 26 | 2 | 22 | 3 | 30 | 9.6 ± 3.7 | 3 | 23 |
VA dissection | 4 | 21 | 2 | 22 | 2 | 20 | 8.6 ± 4.7 | 2 | 15 |
Dissection of two or more cervical arteries | 10 | 53 | 5 | 32 | 5 | 50 | 8.6 ± 3.5 | 8 | 62 |
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Shlapakova, P.S.; Dobrynina, L.A.; Kalashnikova, L.A.; Gubanova, M.V.; Danilova, M.S.; Gnedovskaya, E.V.; Grigorenko, A.P.; Gusev, F.E.; Manakhov, A.D.; Rogaev, E.I. Peripheral Blood Gene Expression Profiling Reveals Molecular Pathways Associated with Cervical Artery Dissection. Int. J. Mol. Sci. 2024, 25, 5205. https://doi.org/10.3390/ijms25105205
Shlapakova PS, Dobrynina LA, Kalashnikova LA, Gubanova MV, Danilova MS, Gnedovskaya EV, Grigorenko AP, Gusev FE, Manakhov AD, Rogaev EI. Peripheral Blood Gene Expression Profiling Reveals Molecular Pathways Associated with Cervical Artery Dissection. International Journal of Molecular Sciences. 2024; 25(10):5205. https://doi.org/10.3390/ijms25105205
Chicago/Turabian StyleShlapakova, Polina S., Larisa A. Dobrynina, Ludmila A. Kalashnikova, Mariia V. Gubanova, Maria S. Danilova, Elena V. Gnedovskaya, Anastasia P. Grigorenko, Fedor E. Gusev, Andrey D. Manakhov, and Evgeny I. Rogaev. 2024. "Peripheral Blood Gene Expression Profiling Reveals Molecular Pathways Associated with Cervical Artery Dissection" International Journal of Molecular Sciences 25, no. 10: 5205. https://doi.org/10.3390/ijms25105205