Publications and Data
 
>Gene expression comparison of biopsies from DMD and normal skeletal muscle
(2002) Gene expression comparison of biopsies from Duchenne muscular dystrophy (DMD) and normal skeletal muscle. Proceedings of the National Academy of Sciences U S A 99:15000-15005

Abstract
The primary cause of Duchenne muscular dystrophy (DMD) is a mutation in the dystrophin gene leading to absence of the corresponding RNA transcript and protein. Absence of dystrophin leads to disruption of the dystrophin-associated protein complex (DAPC) and substantial changes in skeletal muscle pathology. Although the histological pathology of dystrophic tissue has been well documented, the underlying molecular pathways remain poorly understood. In order to examine the pathogenic pathways and identify new or modifying factors involved in muscular dystrophy, expression microarrays were used to compare individual gene expression profiles of skeletal muscle biopsies from twelve DMD patients and twelve unaffected control patients. Two separate statistical analysis methods were used to interpret the resulting data; t-test analysis to determine the statistical significance of differential expression and geometric fold change analysis to determine the extent of differential expression. These analyses identified 105 genes that differ significantly in expression level between unaffected and DMD muscle. Many of the differentially expressed genes reflect changes in histological pathology. For instance, immune response signals and extracellular matrix genes are overexpressed in DMD muscle, an indication of the infiltration of inflammatory cells and connective tissue. Significantly more genes are overexpressed than underexpressed in dystrophic muscle, with dystrophin underexpressed while other genes encoding muscle structure and regeneration processes are overexpressed, reflecting the regenerative nature of the disease.

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PNAS Data


>Molecular profiles of inflammatory myopathies
(Oct 2002) S.A. Greenberg, D. Sanoudou, J.N. Haslett, I.S. Kohane, L.M. Kunkel, A.H. Begss, A.A. Amato. Molecular profiles of inflammatory myopathies. Neurology 59: 1170 - 1182.

Abstract
Objective: To describe the use of large-scale gene expression profiles to distinguish broad categories of myopathy and subtypes of inflammatory myopathies (IM) and to provide insight into the pathogenesis of inclusion body myositis (IBM), polymyositis (PM), and dermatomyositis (DM). Methods: Using Affymetrix GeneChip microarrays, we measured the simultaneous expression of approximately 10,000 genes in muscle specimens from 45 patients in 4 major disease categories (dystrophy, congenital myopathy, inflammatory myopathy, and normal). We separately analyzed gene expression in 14 patients limited to the three major subtypes of IM. We used bioinformatics techniques to classify specimens with similar expression profiles based on global patterns of gene expression and to identify genes with significant differential gene expression compared to normal. Results: Ten of 11 patients with IM, all normals and nemaline myopathies, and 10 of 12 patients with Duchenne muscular dystrophy were correctly classified by this approach. The various subtypes of inflammatory myopathies have distinct gene expression signatures. Specific sets of immune-related genes allow for molecular classification of patients with IBM, PM, and DM. Analysis of differential gene expression identifies as relevant to disease pathogenesis previously reported cytokines, major histocompatibility complex class I and II molecules, granzymes, and adhesion molecules as well as newly identified members of these categories. Increased expression of actin cytoskeleton genes is also identified. Conclusions: The molecular profiles of muscle tissue in patients with inflammatory myopathies are distinct and represent molecular signatures from which diagnostic insight may follow. Large numbers of differentially expressed genes are rapidly identified.

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•The microarray data set for 16 experiments (6 IBM, 6 DM, 2 PM, and 2 NORM) can be downloaded as an Excel file from: http://potato.chip.org/~steveng1/Greenberg-et-al-IM-Dataset.xls (9.5 MB).

• Various database analyses performed on this data set can be downloaded as an Access database from: http://potato.chip.org/~steveng1/Greenberg-et-al-IM-Analyses.mdb (9.3 MB).

• Studies on the effect of patient age, gender, and muscle on clustering of expression profiles: Because of their potentially confounding influences, we have studied the effects of patient age, gender, and choice of muscle on molecular profiles. Fifteen normals (mean age 25 years, range 1-72) showed no substantial tendency for an age-related or gender clustering effect (Figure 1), though some effect may be present, particularly for gender. Similar analysis for choice of muscle (e.g., quadriceps, biceps brachii) showed no effect on clustering.

Figure 1. (Below) Effect of age and gender on clustering in 15 normal muscle specimens. Hierarchical clustering across 12,600 genes, filtered for variation, resulting in 2491 genes across 15 normal specimens. No substantial age-related clustering effect is evident, though some effect may be present. The cluster consisting of H207, H239, and H126 may be an age effect or related to the fact that these 3 specimens are the only autopsy specimens from the group. Similarly for gender, among the 4 major clusters present, 2 contain a mixture of male and female specimens. One cluster, S93-3678, Ema2, S93-482, and H029, may be a gender related effect.

Figure 1.

>Gene Expression Profiling of Duchenne Muscular Dystrophy Skeletal Muscle
(March 2003) In Press in Neurogenetics Haslett J. N., Sanoudou D., Kho A. T., Han, M., Bennett R. R., Kohane I. S., Beggs A. H. and Kunkel L. M.

Abstract
The primary cause of Duchenne muscular dystrophy is a mutation in the dystrophin gene, leading to absence of the corresponding protein, disruption of the dystrophin-associated protein complex and substantial changes in skeletal muscle pathology. Although the primary defect is known and the histological pathology well documented, the underlying molecular pathways remain in question. To clarify these pathways, we used expression microarrays to compare individual gene expression profiles for skeletal muscle biopsies from DMD patients and unaffected controls. We have previously published expression data for the 12,500 known genes and full-length ESTs on the Affymetrix HG-U95Av2 chips. Here we present comparative expression analysis of the 50,000 EST clusters represented on the remainder of the Affymetrix HG-U95 set. Individual expression profiles were generated for biopsies from ten DMD patients and ten unaffected control patients. Two statistical analysis methods were used to interpret the resulting data; t-test analysis to determine the statistical significance of differential expression and geometric fold change analysis to determine the extent of differential expression. These analyses identified 183 probe sets (59 of which represent known genes) that differ significantly in expression level between unaffected and disease muscle. This study adds to our knowledge of the molecular pathways that are altered in the dystrophic state. In particular it suggests that signaling pathways might be substantially involved in the disease process. In addition it highlights a large number of unknown genes whose expression is altered and whose identity therefore becomes important in understanding the pathogenesis of muscular dystrophy.
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Neurogenetics U95B


Neurogenetics U95C

Neurogenetics U95D


Neurogenetics U95E

 

To view other publications that Harvard Neuromuscular Disease Project researchers participated in, please click here.

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