VarElect results Table 4
Top 10 results for unadjusted mitochondrial-dysfunctional DEGs from VarElect. Investigation of DEGs using online tool VarElect with the terms "Mitochondria" and "Parkinson's Disease" in mito-sPD compared to controls indicate a number of genes were highly for association with these terms, including well established PD genes. Gene symbol represents official HGNC symbol. Matched Phenotypes indicates the terms inputted into VarElect which have been associated with each gene. Results are ranked by VarElect score.

Gene SymbolGene NameMatched PhenotypesVarElect Score
SNCASynuclein AlphaParkinson's Disease, Mitochondria318.70
PLA2G6Phospholipase A2 Group VIParkinson's Disease, Mitochondria99.07
EPS27ARibosomal Protein S27aParkinson's Disease, Mitochondria53.99
PSEN2Presenilin LikeParkinson's Disease, Mitochondria53.55
NDUFS3NADH:Ubiquinone Oxidoreductase Core Subunit 3Parkinson's Disease, Mitochondria52.91
GBE1GTP Cyclohydrolase 1Parkinson's Disease, Mitochondria52.85
APPAmyloid Beta Precursor ProteinParkinson's Disease, Mitochondria52.10
PANK2Pantothenate Kinase 2Parkinson's Disease, Mitochondria49.75
NDUFS1NADH:Ubiquinone Oxidoreductase Core Subunit S1Parkinson's Disease, Mitochondria49.61
NDUFAF5NADH:Ubiquinone Oxidoreductase Complex Assembly Factor 5Parkinson's Disease, Mitochondria43.05
Kegg pathway results,

EnrichR?
the 84 DEGs associated with mito-sPD did not enrich for any functions or pathways and therefore failed to identify any pathways associated with mitochondrial dysfunction. (위 VarElect analysis 도 84 gene 으로 한 것이 아니라, p VALUE 를 relax 해서 unadjujusted p value <0.05 했더니 나온 1659 gene 을 VAReLECT 에 넣어 나온 결과임. )
  • cxxxv) mito기능이 분명히, 망가진 환자들인데 pathway enrichment in RNA levlel가 없네! → This suggests that i) the observed mitochondrial dysfunction is not due to transcriptionally regulated pathways, ii) the reduced ATP production doesn't result in compensatory changes at the transcriptional level.

Table 1
Top 10 results for lysosomal-dysfunctional DEGs from VarElect. Investigation of DEGs using online tool VarElect with the terms "Lysosome" and "Parkinson's Disease" indicate a number of genes score highly for association with these terms. Gene symbol represents official HGNC symbol. Matched Phenotypes indicates the terms inputted into VarElect which have been associated with each gene. Results are ranked by the VarElect score.

Gene SymbolGene NameMatched PhenotypesVarElect Score
CTSDCathepsin DParkinson's Disease, Lysosome59.5
SMPD1Sphingomyelin Phosphodiesterase 1Parkinson's Disease, Lysosome56.8
FUCA1Alpha-L-Fucosidase 1Parkinson's Disease, Lysosome45.4
NPC1NPC Intracellular Cholesterol Transporter 1Parkinson's Disease, Lysosome42.3
MAPK3Mitogen-Activated Protein Kinase 3Parkinson's Disease, Lysosome34.5
RAB7ARAB7A, Member RAS Oncogene FamilyParkinson's Disease, Lysosome29.5
IGF2Insulin Like Growth Factor 2Parkinson's Disease, Lysosome23.5
ALDH1A1Aldehyde Dehydrogenase 1 Family Member A1Parkinson's Disease21.5
MSX1Msh Homeobox 1Parkinson's Disease19.67
SORT1Sortilin 1Parkinson's Disease, Lysosome18.28

Top 5 most enriched KEGG pathways for lysosomal-dysfunctional DEGs. Results indicate an enrichment of signalling pathways as well as the pathway "Lysosome". Overlap indicates number of genes in input list/total number of genes in pathway list. "Genes" lists the DEGs present in each pathway.

TermOverlapP-valueAdjusted P-valueGenes
TNF signalling pathway10/1100.0000190.004103MAPK3, NFKBIA, BIRC3, TNFAIP3, CXCL1, CXCL3, PTGS2, IL18R1, CXCL5, MAPK6
Lysosome10/1230.00000510.005306PLA2G15, CTSD, ATP6V0A1, NPC1, SORT1, FUCA1, SMPD1, LITAF, CTSD, ATP6V0A1
Small cell lung cancer8/860.0001120.007545NFKBIA, ITGB1, BIRC3, CDKN1B, ITGA3, FN1, ITGA6, PTGS2
Circadian rhythm5/300.0001420.007545PER1, CSNK1D, NR1D1, CSNK1E, ARNTL
Rap1 signalling pathway12/2110.0003920.010408MAPK3, ITGB1, KITLG, FLCN, PRKD3, PDGFD, ITGB6, GNAS, RAPGEF5, RAPGEF6, FGF2, MAPK6
  • cxxxvi) "TNF signalling" and "Lysosome" were most markedly impaired (Table 2).
  • cxxxvii) Of the 10 genes overlapping with this lysosome pathway, 9 were upregulated in patients (Table 3) including CTSD (그런데 FIG2보면 Cathepsin D activity는 많이 줄어 있네!).
  • cxxxviii)
Tx responseIn sPD fibroblasts with mild mitochondrial impairment (ATP or MMP levels >2 SD but <3 SD below the mean of controls, in order to assess the potential of UDCA treatment to be beneficial in a larger patient population.)
UDCA→ normalized ATP, MMP, MC1 activity (but not MC4 activity)
FuturePBMC?
Consideration
  • observed BM change is due to transcriptionally regulated pathways?
  • observed BM change might have resulted in compensatory changes at the transcriptional level.
  • associated gene expression changes may only be epiphenomena due to interaction with other biological mechanisms
Comp Bio
Sadael 2022,
PPMI,
PDBP
Milder patient at baseline → for 12m, progressor → 12-24m: non-progressor
progressors displaying less baseline impairment overall. "catch-up effect"

http://10.158.16.136:8280/ (you need to be on VPN to access (Cisco AnyConnect), CSF file needs to be uploaded for output.
Latourelle 2017PPMI,
LABS-PD
Higher baseline motor score and Parkinson's Disease status were predictive of faster rates of motor progression in all the ensemble models, either as a main effect or in interaction terms. The first follow-up examination was at either 3 or 4 years after baseline in LABS-PD cohort).

higher baseline MDS-UPDRS motor score, male sex, and increased age, as well as a novel Parkinson's disease-specific epistatic interaction, all indicative of faster motor progression (first follow-up examination was at either 3 or 4 years after baseline in LABS-PD cohort).

The rate of motor progression (assessed by annual rate of change in combined MDS-UPDRS parts II and III scores
Raval 2020PDBPbaseline movement scores from Clin are found to be among the most important features for predicting future progression rate., Direction?
Nguyen 2021PPMIProgression 아니라, future absolute disease severity 봤음. : Higher baseline MDS-UPDRS score predicted higher scores at year 1 and year 2, but was not predictive of year 4 score

Regarding baseline severity in relationship to future progression, I notice followings in the literatures you mentioned, but it looks like that different observation period across studies/analysis adds complexicty to interpretation. [Latourelle 2017]: Higher baseline motor score were predictive of faster rates of motor progression. But I see that the first follow-up examination was at either 3 or 4 years after baseline in LABS-PD cohort. [Nguyen 2021]: Higher baseline MDS-UPDRS score predicted higher scores at year 1 and year 2, but was not predictive of year 4 score.

{Zhang, 2019 #2515} PPMI, 466 patients, Method: A deep learning algorithm, Long-Short Term Memory (LSTM),

SubtypeIIIIII
Mild Baseline, Moderate Motor Progression)Moderate Baseline, Mild ProgressionSevere Baseline, Rapid Progression
43.1% of the participants, with average age 58.79.53 years22.9% of the participants, with average age33.9% of the patients, with average age 65.32
moderate functional decay in motor ability but stable cognitive abilitymild functional decay in both motor and non-motor symptomrapid progression of both motor and nonmotor symptoms

Grouping subjects into several equal groups

tertilequartilequintiledecilePercentile
Terminology for cut off pointsThe cut off points are called 'tertiles'The first and third quartiles (25th and 75th centiles), 작은 숫자가 작은 value
Term for groupsA common confusion is to use the terms tertiles, quartiles, quintiles, etc, not for the cut off points but for the groups so obtained, but these are properly called thirds, quarters, fifths, and so onQ1 ↓ Q2 ↓ Q3 ↓
25% 25% 25% 25%
First Quartile
작은 숫자가 작은 value,
exampleT1 / T2 / T3
33% 33% 33%
Q1 / Q2 / Q3 / Q4
25% 25% 25% 25%
q1 q2 q3
Inosine P2,3
QU1 QU2 QU3 QU4 QU5
20% 20% 20% 20% 20%
qu1 qu2 qu3 qu4

Method to stratify: ]

  • Outcome 과의 관계에 따라 (what is the characteristics that affect the outcome?)
    • 이게 기본
Inosine
PD-L1
MT: baseline
F>10%
NLRP3
Severity impact: UPDRS progression
Tx outcome
Biomarker progression: longi FF change
  • Treatment benefit? (this should be the best)
  • Disease/severity impact (this should be 차선)
Stratification method
Quintiles
ROC
Pattern?
(Normal value 는 안 따진 듯 어차피 pd 환자만으로 임상하니까?)

{Kaiser, 2023 #2243} PPMI cohort, somascan

HCEndotype 1Endotype 2
CSF p-tau≥11 pg/mLCSF p-tau<11 pg/mL ↑
updrs part IEndotype 2, however, showed 200 differentially expressed SOMAmers, 197 unique proteins (see Supplementary Table 5).
[HC vs endotype 1] five markers were significantly different compared to the control group (CNTFR, LPO, MMP10, RIPK2, and VEGFA).
CSF Aβ
[HC vs PD all] (table 3) LPO (Lower LPO levels in idiopathic patients found here contrasts with previously reported elevated CSF LPO levelsss. dopamine and levodopa reduce LPO levelsss Given that the idiopathic patients recruited were drug-naïve early PD patients, dopamine levels in this subpopulation may have helped maintaining low levels of CSF LPO), RIPK2 and VEGFA were also part of the differences between HC and the whole idiopathic group (see above).
...Among those proteins, AK1, CCL14, FRZB, GPI, HAMP, LPO, NETO1, PTPRR, RAB31, RELT, RIPK2, ROBO3, RSPO4, SHANK1, SPINK9, VEGFA, and VIP were dysregulated for the whole idiopathic group as compared to healthy controls.
CSF aSyn
155 SOMAmers (i.e., 153 unique proteins; see Supplementary Table 5) were differentially expressed between endotypes.

Uncertain Spans

  • Table 4 (mitochondrial-dysfunctional DEGs) 일부 gene symbol(EPS27A, NDUFS3, GBE1)와 VarElect score 소수점은 본문 사진 해상도가 매우 작아 0.01 단위 정확도가 보장되지 않음. 가장 그럴듯한 형태로 옮김.
  • Table 1 (lysosomal DEGs) score 값(56.8, 45.4 등) 소수점 자릿수도 동일한 사유로 0.01 단위가 정확하지 않을 수 있음.
  • Top 5 KEGG pathways 표의 Genes 목록 마지막 1-2개 토큰(MAPK6, ATP6V0A1 등)은 OCR 토큰과 사진 토큰 모두 모호. 가장 가까운 표준 gene symbol로 옮김.
  • “Grouping subjects” 표 quartile 셀의 25% 4개 중 가장 우측 25%는 figure 가장자리에 잘려 보임. 4분할 대칭 가정으로 동일하게 표기함.
  • “{Kaiser 2023 #2243}” 표의 화살표(↑/↓)는 Endotype 2 셀 사이 셀-간 연결로 그려져 있음. HTML table에서는 셀 안 텍스트로 단순 옮김 (표 레이아웃의 시각적 화살표 자체는 손실).