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HK1131833B - Diagnosis of metastatic melanoma and monitoring indicators of immunosuppression through blood leukocyte microarray analysis - Google Patents

Diagnosis of metastatic melanoma and monitoring indicators of immunosuppression through blood leukocyte microarray analysis Download PDF

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Publication number
HK1131833B
HK1131833B HK09110977.7A HK09110977A HK1131833B HK 1131833 B HK1131833 B HK 1131833B HK 09110977 A HK09110977 A HK 09110977A HK 1131833 B HK1131833 B HK 1131833B
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Hong Kong
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genes
expression
patients
protein
transcriptional
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HK09110977.7A
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German (de)
French (fr)
Chinese (zh)
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HK1131833A1 (en
Inventor
Anna Karolina Palucka
Jacques F. Banchereau
Damien Chaussabel
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Baylor Research Institute
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Priority claimed from PCT/US2007/083555 external-priority patent/WO2008100352A2/en
Publication of HK1131833A1 publication Critical patent/HK1131833A1/en
Publication of HK1131833B publication Critical patent/HK1131833B/en

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Description

TECHNICAL FIELD OF THE INVENTION
The present invention relates in general to the field of diagnostic for monitoring indicators of metastatic melanoma and/or immunosuppression, and more particularly, to a system, method and apparatus for the diagnosis, prognosis and tracking of metastatic melanoma and monitoring indicators of immunosuppression associated with transplant recipients (e.g., liver).
BACKGROUND OF THE INVENTION
Pharmacological immunosuppression has been instrumental in transplantation, transforming a last resort experimental procedure into a routinely successful one. Cyclosporin and tacrolimus/FK506 currently constitute the mainstay for transplant recipients. Activated T cells have been considered the main cellular targets for immunosuppressive treatments, but recent reports have also noted a marked effect of these drugs on antigen presenting cells, probably contributing further to the establishment of a generalized state of immune unresponsiveness (Lee et al., 2005b; Woltman et al., 2003). While severe immunosuppression generated by pharmacological treatment is necessary for the maintenance of graft survival and function, it also exposes the recipient to life-threatening infections and malignancies. Skin cancer is a well-established complication in organ transplant recipients (Gerlini et al., 2005). A recent epidemiological study showed that nearly 20% of 1115 renal transplant patients developed skin malignancies in Europe (Bordea et al., 2004), with much higher incidences being observed in less temperate climates, e.g., as high as 28% in Australia (Carroll et al., 2003). In addition to occurring more often, skin malignancies tend to take a more aggressive clinical course in transplanted patients, with a higher propensity to metastasize distantly and lead to a fatal outcome (Barrett et al., 1993).
Tumors maintain their survival by compromising the immune system. Different mechanisms have been identified including secretion of immunosuppressive factors such as cytokines (e.g., IL-10, TGF-beta), hormones (e.g., Prostaglandin E2), and others (e.g., MIA: Melanoma inhibitory activity, Tenascin C)(Jachimczak et al., 2005; Puente Navazo et al., 2001). Furthermore, tumors might promote development of suppressor T cells (Liyanage et al., 2002; Viguier et al., 2004), possibly via modulating dendritic cells (Gabrilovich, 2004; Lee et al., 2005a; Monti et al., 2004).
Thus, immunosuppression, whether from tumors or pharmacological treatments, has been linked to cancer progression. Therefore, a common molecular signature could be identified by profiling genome-wide transcriptional activity in peripheral blood mononuclear cell ("PBMC") samples obtained from immunosuppressed patients with either metastatic melanoma or liver allografts. The analysis of Leukocyte transcriptional profiles generated in the context of the present study supports this notion and identifies a blood signature of immunosuppression.
In Pavey S et al. (Oncogene 23(2004): 4060-4067) a microarray is described which can be used to predict the presence of BRAF mutations in a panel of 61 melanoma cell lines.
Zhou Y et al. (J Invest Dermatol 124(2005): 1044-1052) describe the overexpression of over 190 genes in metastatic melanomas. Thereby they noted that one of the most abundantly expressed genes in metastatic melanoma modules is osteopontin.
In Bittner M et al. (Nature 406(2000): 536-540) gene expression profiling was used to clarify cutaneous malignant melanomas.
SUMMARY OF THE INVENTION
Genomic research is facing significant challenges with the analysis of transcriptional data that are notoriously noisy, difficult to interpret and do not compare well across laboratories and platforms. The present inventors have developed an analytical strategy emphasizing the selection of biologically relevant genes at an early stage of the analysis, which are consolidated into analytical modules that overcome the inconsistencies among microarray platforms. The transcriptional modules developed may be used for the analysis of large gene expression datasets. The results derived from this analysis are easily interpretable and particularly robust, as demonstrated by the high degree of reproducibility observed across commercial microarray platforms.
Applications for this analytical process are illustrated through the mining of a large set of PBMC transcriptional profiles. Twenty-eight transcriptional modules regrouping 4,742 genes were identified. Using the present invention is it possible to demonstrate that diseases are uniquely characterized by combinations of transcriptional changes in, e.g., blood leukocytes, measured at the modular level. Indeed, module-level changes in blood leukocytes transcriptional levels constitute the molecular fingerprint of a disease or sample.
This invention has a broad range of applications. It can be used to characterize modular transcriptional components of any biological system (e.g., peripheral blood mononuclear cells (PBMCs), blood cells, fecal cells, peritoneal cells, solid organ biopsies, resected tumors, primary cells, cells lines, cell clones, etc.). Modular PBMC transcriptional data generated through this approach can be used for molecular diagnostic, prognostic, assessment of disease severity, response to drug treatment, drug toxicity, etc. Other data processed using this approach can be employed for instance in mechanistic studies, or screening of drug compounds. In fact, the data analysis strategy and mining algorithm can be implemented in generic gene expression data analysis software and may even be used to discover, develop and test new, disease- or condition-specific modules. The present invention may also be used in conjunction with pharmacogenomics, molecular diagnostic, bioinformatics and the like, wherein in-depth expression data may be used to improve the results (e.g., by improving or sub-selecting from within the sample population) that mat be obtained during clinical trails.
More particularly, the present invention includes methods for diagnosing a disease or condition by obtaining the transcriptome of a patient; analyzing the transcriptome based on one or more transcriptional modules that are indicative of a disease or condition; and determining the patient's disease or condition based on the presence, absence or level of expression of genes within the transcriptome in the one or more transcriptional modules. The transcriptional modules may be obtained by: iteratively selecting gene expression values for one or more transcriptional modules by: selecting for the module the genes from each cluster that match in every disease or condition; removing the selected genes from the analysis; and repeating the process of gene expression value selection for genes that cluster in a sub-fraction of the diseases or conditions; and iteratively repeating the generation of modules for each clusters until all gene clusters are exhausted.
Examples of clusters selected for use with the present invention include, but are not limited to, expression value clusters, keyword clusters, metabolic clusters, disease clusters, infection clusters, transplantation clusters, signaling clusters, transcriptional clusters, replication clusters, cell-cycle clusters, siRNA clusters, miRNA clusters, mitochondrial clusters, T cell clusters, B cell clusters, cytokine clusters, lymphokine clusters, heat shock clusters and combinations thereof. Examples of diseases or conditions for analysis using the present invention include, e.g., autoimmune disease, a viral infection a bacterial infection, cancer and transplant rejection. More particularly, diseases for analysis may be selected from one or more of the following conditions: systemic juvenile idiopathic arthritis, systemic lupus erythematosus, type I diabetes, liver transplant recipients, melanoma patients, and patients bacterial infections such as Escherichia coli, Staphylococcus aureus, viral infections such as influenza A, and combinations thereof. Specific array may even be made that detect specific diseases or conditions associated with a bioterror agent.
Cells that may be analyzed using the present invention, include, e.g., peripheral blood mononuclear cells (PBMCs), blood cells, fetal cells, peritoneal cells, solid organ biopsies, resected tumors, primary cells, cells lines, cell clones and combinations thereof. The cells may be single cells, a collection of cells, tissue, cell culture, cells in bodily fluid, e.g., blood. Cells may be obtained from a tissue biopsy, one or more sorted cell populations, cell culture, cell clones, transformed cells, biopies or a single cell. The types of cells may be, e.g., brain, liver, heart, kidney, lung, spleen, retina, bone, neural, lymph node, endocrine gland, reproductive organ, blood, nerve, vascular tissue, and olfactory epithelium cells. After cells are isolated, these mRNA from these cells is obtained and individual gene expression level analysis is performed using, e.g., a probe array, PCR, quantitative PCR, bead-based assays and combinations thereof. The individual gene expression level analysis may even be performed using hybridization of nucleic acids on a solid support using cDNA made from mRNA collected from the cells as a template for reverse transcriptase.
Pharmacological immunosuppression promotes graft survival in transplant recipients. Endogenous immunosuppression promotes tumor survival in cancer-bearing patients. Leukocytes from patients with metastatic melanoma display an endogenous immunosuppression signature common with liver transplant recipients under pharmacological immunosuppression. Blood microarray analyses were carried out in 25 healthy volunteers, 35 patients with metastatic melanoma, and 39 liver transplant recipients. Disease signatures were identified, and confirmed in an independent dataset, in comparison to healthy controls. Analysis of a set of 69 transcripts over-expressed preferentially in melanoma and transplant groups in comparison to six other diseases revealed remarkable functional convergence, including several repressors of interleukin-2 transcription, powerful inhibitors of NF-kappaB and MAPK pathways as well as antiproliferative molecules. Thus, patients with metastatic melanoma display an endogenous transcriptional signature of immunosuppression. This signature may now be used to identify patients at the high risk of metastatic melanoma progression.
The present invention includes a system and a method to analyze samples for the prognosis and diagnosis of metastatic melanoma and/or monitoring indicators of immunosuppression associated with transplant recipients (e.g., liver) using multiple variable gene expression analysis. The gene expression differences that remain can be attributed with a high degree of confidence to the unmatched variation. The gene expression differences thus identified can be used, for example, to diagnose disease, identify physiological state, design drugs and monitor therapies.
The sample may be screened by quantitating the mRNA, protein or both mRNA and protein level of the expression vector. When the screening is for mRNA levels, it may be quantitated by a method selected from polymerase chain reaction, real time polymerase chain reaction, reverse transcriptase polymerase chain reaction, hybridization, probe hybridization, and gene expression array. The screening method may also include detection of polymorphisms in the biomarker. Alternatively, the screening step may be accomplished using at least one technique selected from the group consisting of polymerase chain reaction, heteroduplex analysis, single stand conformational polymorphism analysis, ligase chain reaction, comparative genome hybridization, Southern blotting, Northern blotting, Western blotting, enzyme-linked immunosorbent assay, fluorescent resonance energy-transfer and sequencing. For use with the present invention the sample may be any of a number of immune cells, e.g., leukocytes or sub-components thereof.
The present invention relates to a method of identifying a patient with melanoma by examining the phenotype a sample for combinations of six, seven, eight, ten, fifteen, twenty, twenty-five or more genes selected from modules M1.1 and M1.2 of Table 12.
In one aspect, the present invention includes a method of identifying gene expression response to pharmacological immunosuppression in transplant recipients by examining the phenotype a sample for combinations of six, seven, eight, ten, fifteen, twenty, twenty-five or more genes selected from modules M1.1 and M1.2 of Table 13.
The sample may be screened by quantitating the mRNA, protein or both mRNA and protein level of the expression vector. When mRNA level is examined, it may be quantitated by a method selected from polymerase chain reaction, real time polymerase chain reaction, reverse transcriptase polymerase chain reaction, hybridization, probe hybridization, and gene expression array. The screening method may also include detection of polymorphisms in the biomarker. Alternatively, the screening step may be accomplished using at least one technique selected from the group consisting of polymerase chain reaction, heteroduplex analysis, single stand conformational polymorphism analysis, ligase chain reaction, comparative genome hybridization, Southern blotting, Northern blotting, Western blotting, enzyme-linked immunosorbent assay, fluorescent resonance energy-transfer and sequencing. For use with the present invention the sample may be any of a number of immune cells, e.g., leukocytes or sub-components thereof.
The expression vector may be screened by quantitating the mRNA, protein or both mRNA and protein level of the expression vector. When the expression vector is mRNA level, it may be quantitated by a method selected from polymerase chain reaction, real time polymerase chain reaction, reverse transcriptase polymerase chain reaction, hybridization, probe hybridization, and gene expression array. The screening method may also include detection of polymorphisms in the biomarker. Alternatively, the screening step may be accomplished using at least one technique selected from the group consisting of polymerase chain reaction, heteroduplex analysis, single stand conformational polymorphism analysis, ligase chain reaction, comparative genome hybridization, Southern blotting, Northern blotting, Western blotting, enzyme-linked immunosorbent assay, fluorescent resonance energy-transfer and sequencing. For use with the present invention the sample may be any of a number of immune cells, e.g., leukocytes or sub-components thereof.
For example, a method of identifying a subject with melanoma by determining a database that includes the level of expression of one or more metastatic melanoma expression vectors. Another embodiment of the present invention includes a computer implemented method for determining the genotype of a sample by obtaining a plurality of sample probe intensities. Diagnosing metastatic melanoma is based upon the sample probe intensities and calculating a linear correlation coefficient between the sample probe intensities and reference probe intensities.
The present invention also includes a computer readable medium including computer-executable instructions for performing the method of determining the genotype of a sample. The method of determining the phenotype includes obtaining a plurality of sample probe intensities and diagnosing melanoma based upon the sample probe intensities for two or more metastatic melanoma expression vectors selected from those listed in modules M1.1 and M1.2 of Table 12 into a dataset; and calculating a linear correlation coefficient between the sample probe intensities and a reference probe intensity. The tentative phenotype is accepted as the phenotype of the sample if the linear correlation coefficient is greater than a threshold value. In addition, the present invention includes a microarray for identifying a human subject with melanoma. A microarray includes the detection of expression of two or more metastatic melanoma genes listed in modules M1.1 and M1.2 of Table 12 into a dataset. The present invention provides a method of distinguishing between metastatic melanoma and immunosuppression associated with transplants by determining the level of expression of one or more genes, and calculating one or more gene expression vectors. The melanoma-specific transcriptome-expression vectors may include values for the upregulation or downregulation of six or more genes listed in modules M1.1 and M1.2 of Table 12. The present invention provides a method of identifying a subject with immunosuppression associated with transplants by determining the level of expression of one or more immunosuppression associated expression vectors. The immunosuppression-specific transcriptome-expression vectors may include values for the upregulation or downregulation of six or more genes listed in modules M1.1 and M1.2 of Table 13.
A computer readable medium is also included that has computer-executable instructions for performing the method for determining the phenotype of a sample. The method for determining the phenotype of a sample includes obtaining a plurality of sample probe intensities and diagnosing immunosuppression based upon the sample probe intensities for two or more immunosuppression associated expression vectors. A linear correlation coefficient is calculated between the sample probe intensities and a reference probe intensity and a tentative phenotype is accepted as the phenotype of the sample if the linear correlation coefficient is greater than a threshold value. The present invention also includes a system for diagnosing immunosuppression including an expression level detector for determining the expression level of two or more immunosuppression expression vectors selected from the 1, 2, 3, 4, 5, 6, 8, 10, 15, 20, 25 or more genes. The melanoma-specific transcriptome-expression vectors that are used to generate expression data for each gene, which is saved into a dataset, may include values for the upregulation or downregulation of six or more genes listed in modules M1.1 and M1.2 of Table 12. The immunosuppression-specific transcriptome-expression vectors may include values in a dataset that includes the upregulation or downregulation of six or more genes listed in modules M1.1 and M1.2 of Table 13. The presence of melanoma or immunosuppression is determined based on the presence of two or more positive indicators in a gene expression vector dataset.
The arrays, methods and systems of the present invention may even be used to select patients for a clinical trial by obtaining the transcriptome of a prospective patient; comparing the transcriptome to one or more transcriptional modules that are indicative of a disease or condition that is to be treated in the clinical trial; and determining the likelihood that a patient is a good candidate for the clinical trial based on the presence, absence or level of one or more genes that are expressed in the patient's transcriptome within one or more transcriptional modules that are correlated with success in a clinical trial. Generally, for each module a vector that correlates with a sum of the proportion of transcripts in a sample may be used, e.g., when each module includes a vector and wherein one or more diseases or conditions is associated with the one or more vectors. Therefore, each module may include a vector that correlates to the expression level of one or more genes within each module.
Herein arrays, e.g., custom microarrays are described that include nucleic acid probes immobilized on a solid support that includes sufficient probes from one or more expression vectors to provide a sufficient proportion of differentially expressed genes to distinguish between one or more diseases. For example, an array of nucleic acid probes immobilized on a solid support, in which the array includes at least two sets of probe modules, wherein the probes in the first probe set have one or more interrogation positions respectively corresponding to one or more diseases. The array may have between 100 and 100,000 probes, and each probe may be, e.g., 9-21 nucleotides long. When separated into organized probe sets, these may be interrogated separately.
One or more nucleic acid probes immobilized on a solid support to form a module array are also described that includes at least one pair of first and second probe groups, each group having one or more probes as defined by Table 1. The probe groups are selected to provide a composite transcriptional marker vector that is consistent across microarray platforms. In fact, the probe groups may even be used to provide a composite transcriptional marker vector that is consistent across microarray platforms and displayed in a summary for regulatory approval. The skilled artisan will appreciate that using the modules of the present invention it is possible to rapidly develop one or more disease specific arrays that may be used to rapidly diagnose or distinguish between different disease and/or conditions.
A method for displaying transcriptome vector data from a transcriptome vector dataset by separating one or more genes into one or more modules to visually display an aggregate gene expression vector value for each of the modules; and displaying the aggregate gene expression vector value for overexpression, underexpression or equal expression of the aggregate gene expression vector value in each module is also described. In one example, overexpression is identified with a first identifier and underexpression is identified with a second identifier. Examples of identifiers include colors, shapes, patterns, light/dark, on/off, symbols and combinations thereof. For example, overexpression is identified with a first identifier and underexpression is identified with a second identifier, wherein the first identifier is a first color and the second identifier is a second color, and wherein first and second identifiers are superimposed to provide a combined color.
BRIEF DESCRIPTION OF THE DRAWINGS
For a more complete understanding of the features and advantages of the present invention, reference is now made to the detailed description of the invention along with the accompanying figures and in which:
  • FIGURES 1A to 1C show the basic microarray data mining strategy steps involved in accepted gene-level microarray data analysis (FIGURE 1A), the modular mining strategy of the present invention FIGURE 1B and a full size representation of the module extraction algorithm FIGURE 1C to generate on or more datasets used to create the expression vectors;
  • FIGURE 2 is a graph representing transcriptional profiles showing levels of modular gene expression profiles across an independent group of samples;
  • FIGURE 3 is a distribution of keyword occurrence in the literature obtained for four sets of coordinately expressed genes;
  • FIGURE 4 illustrates a modular microarray analysis strategy for characterization of the transcriptional system;
  • FIGURE 5 is an analysis of patient blood leukocyte transcriptional profiles;
  • FIGURE 6 illustrates module maps of transcriptional changes caused by disease;
  • FIGURE 7 illustrates the identification of a blood leukocyte transcriptional signature in patients with metastatic melanoma;
  • FIGURE 8 illustrates the validation of microarray results in an independent set of samples;
  • FIGURE 9 illustrates the identification of a blood leukocyte transcriptional signature in transplant recipients under immunosuppressive drug therapy
  • FIGURE 10-13 illustrate detailed results of the module-level analysis;
  • FIGURE 14 illustrates the module-level analysis for distinctive transcriptional signatures in blood from patients with metastatic melanoma and from liver transplant recipients;
  • FIGURE 15 illustrates the mapping transcriptional changes in patient blood leukocytes at the module level;
  • FIGURE 16 illustrates the module-level analysis for common transcriptional signatures in blood from patients with metastatic melanoma and from liver transplant recipients;
  • FIGURE 17 illustrates the analysis of significance patterns with genes expressed at higher levels in both melanoma and liver transplant patients compared to healthy volunteers;
  • FIGURE 18 illustrates the modular distribution of ubiquitous and specific gene signatures common to melanoma and transplant groups;
  • FIGURE 19 illustrates the transcriptional signature of immunosuppression;
  • FIGURE 20 shows a statistical group comparison between patients and their respective controls;
  • FIGURE 21 shows the analysis of significance patterns for genes over-expressed in SLE patients but not in patients with acute Influenza A infection;
  • FIGURE 22 shows the patterns of significance for genes common to Influenza A and SLE; and
  • FIGURE 23 is a functional analysis of genes shared by patients with Influenza infection and Lupus grouped according to significance patterns.
DETAILED DESCRIPTION OF THE INVENTION
While the making and using of various embodiments of the present invention are discussed in detail below, it should be appreciated that the present invention provides many applicable inventive concepts that can be embodied in a wide variety of specific contexts. The specific embodiments discussed herein are merely illustrative of specific ways to make and use the invention and do not delimit the scope of the invention.
To facilitate the understanding of this invention, a number of terms are defined below. Terms defined herein have meanings as commonly understood by a person of ordinary skill in the areas relevant to the present invention. Terms such as "a", "an" and "the" are not intended to refer to only a singular entity, but include the general class of which a specific example may be used for illustration. The terminology herein is used to describe specific embodiments of the invention, but their usage does not delimit the invention, except as outlined in the claims. Unless defined otherwise, all technical and scientific terms used herein have the meaning commonly understood by a person skilled in the art to which this invention belongs. The following references provide one of skill with a general definition of many of the terms used in this invention: Singleton, et al., Dictionary Of Microbiology And Molecular Biology (2d ed. 1994); The Cambridge Dictionary Of Science And Technology (Walker ed., 1988); The Glossary Of Genetics, 5th Ed., R. Rieger et al. (eds.), Springer Verlag (1991); and Hale & Marham, The Harper Collins Dictionary Of Biology (1991).
Various biochemical and molecular biology methods are well known in the art. For example, methods of isolation and purification of nucleic acids are described in detail in WO 97/10365 , WO 97/27317 , Chapter 3 of Laboratory Techniques in Biochemistry and Molecular Biology: Hybridization With Nucleic Acid Probes, Part I. Theory and Nucleic Acid Preparation, (P. Tijssen, ed.) Elsevier, N.Y. (1993); Chapter 3 of Laboratory Techniques in Biochemistry and Molecular Biology: Hybridization With Nucleic Acid Probes, Part 1. Theory and Nucleic Acid Preparation, (P. Tijssen, ed.) Elsevier, N.Y. (1993); and Sambrook et al., Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Press, N.Y., (1989); and Current Protocols in Molecular Biology, (Ausubel, F. M. et al., eds.) John Wiley & Sons, Inc., New York (1987-1999), including supplements such as supplement 46 (April 1999).
BIOINFORMATICS DEFINITIONS
As used herein, an "object" refers to any item or information of interest (generally textual, including noun, verb, adjective, adverb, phrase, sentence, symbol, numeric characters, etc.). Therefore, an object is anything that can form a relationship and anything that can be obtained, identified, and/or searched from a source. "Objects" include, but are not limited to, an entity of interest such as gene, protein, disease, phenotype, mechanism, drug, etc. In some aspects, an object may be data, as further described below.
As used herein, a "relationship" refers to the co-occurrence of objects within the same unit (e.g., a phrase, sentence, two or more lines of text, a paragraph, a section of a webpage, a page, a magazine, paper, book, etc.). It may be text, symbols, numbers and combinations, thereof
As used herein, "meta data content" refers to information as to the organization of text in a data source. Meta data can comprise standard metadata such as Dublin Core metadata or can be collection-specific. Examples of metadata formats include, but are not limited to, Machine Readable Catalog (MARC) records used for library catalogs, Resource Description Format (RDF) and the Extensible Markup Language (XML). Meta objects may be generated manually or through automated information extraction algorithms.
As used herein, an "engine" refers to a program that performs a core or essential function for other programs. For example, an engine may be a central program in an operating system or application program that coordinates the overall operation of other programs. The term "engine" may also refer to a program containing an algorithm that can be changed. For example, a knowledge discovery engine may be designed so that its approach to identifying relationships can be changed to reflect new rules of identifying and ranking relationships.
As used herein, "semantic analysis" refers to the identification of relationships between words that represent similar concepts, e.g., though suffix removal or stemming or by employing a thesaurus. "Statistical analysis" refers to a technique based on counting the number of occurrences of each term (word, word root, word stem, n-gram, phrase, etc.). In collections unrestricted as to subject, the same phrase used in different contexts may represent different concepts. Statistical analysis of phrase co-occurrence can help to resolve word sense ambiguity. "Syntactic analysis" can be used to further decrease ambiguity by part-of-speech analysis. As used herein, one or more of such analyses are referred to more generally as "lexical analysis." "Artificial intelligence (AI)" refers to methods by which a non-human device, such as a computer, performs tasks that humans would deem noteworthy or "intelligent." Examples include identifying pictures, understanding spoken words or written text, and solving problems.
As used herein, the term "database" or "dataset" refer to repositories for raw or compiled data, even if various informational facets can be found within the data fields. A database is typically organized so its contents can be accessed, managed, and updated (e.g., the database is dynamic). The term "database" and "source" are also used interchangeably in the present invention, because primary sources of data and information are databases. However, a "source database" or "source data" refers in general to data, e.g., unstructured text and/or structured data, which are input into the system for identifying objects and determining relationships. A source database may or may not be a relational database. However, a system database usually includes a relational database or some equivalent type of database or dataset which stores or includes stored values relating to relationships between objects.
As used herein, a "system database" and "relational database" are used interchangeably and refer to one or more collections of data organized as a set of tables containing data fitted into predefined categories. For example, a database table may comprise one or more categories defined by columns (e.g. attributes), while rows of the database may contain a unique object for the categories defined by the columns. Thus, an object such as the identity of a gene might have columns for its presence, absence and/or level of expression of the gene. A row of a relational database may also be referred to as a "set" and is generally defined by the values of its columns. A "domain" in the context of a relational database is a range of valid values a field such as a column may include.
As used herein, a "domain of knowledge" refers to an area of study over which the system is operative, for example, all biomedical data. It should be pointed out that there is advantage to combining data from several domains, for example, biomedical data and engineering data, for this diverse data can sometimes link things that cannot be put together for a normal person that is only familiar with one area or research/study (one domain). A "distributed database" refers to a database that may be dispersed or replicated among different points in a network.
Terms such "data" and "information" are often used interchangeably, as are "information" and "knowledge." As used herein, "data" is the most fundamental unit that is an empirical measurement or set of measurements. Data is compiled to contribute to information, but it is fundamentally independent of it. Information, by contrast, is derived from interests, e.g., data (the unit) may be gathered on ethnicity, gender, height, weight and diet for the purpose of finding variables correlated with risk of cardiovascular disease. However, the same data could be used to develop a formula or to create "information" about dietary preferences, i.e., likelihood that certain products in a supermarket have a higher likelihood of selling.
As used herein, "information" refers to a data set that may include numbers, letters, sets of numbers, sets of letters, or conclusions resulting or derived from a set of data. "Data" is then a measurement or statistic and the fundamental unit of information. "Information" may also include other types of data such as words, symbols, text, such as unstructured free text, code, etc. "Knowledge" is loosely defined as a set of information that gives sufficient understanding of a system to model cause and effect. To extend the previous example, information on demographics, gender and prior purchases may be used to develop a regional marketing strategy for food sales while information on nationality could be used by buyers as a guideline for importation of products. It is important to note that there are no strict boundaries between data, information, and knowledge; the three terms are, at times, considered to be equivalent. In general, data comes from examining, information comes from correlating, and knowledge comes from modeling.
As used herein, "a program" or "computer program" refers generally to a syntactic unit that conforms to the rules of a particular programming language and that is composed of declarations and statements or instructions, divisible into, "code segments" needed to solve or execute a certain function, task, or problem. A programming language is generally an artificial language for expressing programs.
As used herein, a "system" or a "computer system" generally refers to one or more computers, peripheral equipment, and software that perform data processing. A "user" or "system operator" in general includes a person, that uses a computer network accessed through a "user device" (e.g., a computer, a wireless device, etc) for the purpose of data processing and information exchange. A "computer" is generally a functional unit that can perform substantial computations, including numerous arithmetic operations and logic operations without human intervention.
As used herein, "application software" or an "application program" refers generally to software or a program that is specific to the solution of an application problem. An "application problem" is generally a problem submitted by an end user and requiring information processing for its solution.
As used herein, a "natural language" refers to a language whose rules are based on current usage without being specifically prescribed, e.g., English, Spanish or Chinese. As used herein, an "artificial language" refers to a language whose rules are explicitly established prior to its use, e.g., computer-programming languages such as C, C++, Java, BASIC, FORTRAN, or COBOL.
As used herein, "statistical relevance" refers to using one or more of the ranking schemes (O/E ratio, strength, etc.), where a relationship is determined to be statistically relevant if it occurs significantly more frequently than would be expected by random chance.
As used herein, the terms "coordinately regulated genes" or "transcriptional modules" are used interchangeably to refer to grouped, gene expression profiles (e.g., signal values associated with a specific gene sequence) of specific genes. Each transcriptional module correlates two key pieces of data, a literature search portion and actual empirical gene expression value data obtained from a gene microarray. The set of genes that is selected into a transcriptional module based on the analysis of gene expression data (using the module extraction algorithm described above). Additional steps are taught by Chaussabel, D. & Sher, A. Mining microarray expression data by literature profiling. Genome Biol 3, RESEARCH0055 (2002), (http://genomebiology.com/2002/3/10/research/0055) and expression data obtained from a disease or condition of interest, e.g., Systemic Lupus erythematosus, arthritis, lymphoma, carcinoma, melanoma, acute infection, autoimmune disorders, autoinflammatory disorders, etc.).
The Table below lists examples of keywords that were used to develop the literature search portion or contribution to the transcription modules. The skilled artisan will recognize that other terms may easily be selected for other conditions, e.g., specific cancers, specific infectious disease, transplantation, etc. For example, genes and signals for those genes associated with T cell activation are described hereinbelow as Module ID "M 2.8" in which certain keywords (e.g., Lymphoma, T-cell, CD4, CD8, TCR, Thymus, Lymphoid, IL2) were used to identify key T-cell associated genes, e.g., T-cell surface markers (CD5, CD6, CD7, CD26, CD28, CD96); molecules expressed by lymphoid lineage cells (lymphotoxin beta, IL2-inducible T-cell kinase, TCF7; and T-cell differentiation protein mal, GATA3, STAT5B). Next, the complete module is developed by correlating data from a patient population for these genes (regardless of platform, presence/absence and/or up or downregulation) to generate the transcriptional module. In some cases, the gene profile does not match (at this time) any particular clustering of genes for these disease conditions and data, however, certain physiological pathways (e.g., cAMP signaling, zinc-finger proteins, cell surface markers, etc.) are found within the "Underdetermined" modules. In fact, the gene expression data set may be used to extract genes that have coordinated expression prior to matching to the keyword search, i.e., either data set may be correlated prior to cross-referencing with the second data set. Table 1. Examples of Genes within Distinct Modules
M 1.1 76 Ig, Immunoglobulin, Bone, Marrow, PreB, IgM,Mu. Plasma cells. Includes genes coding for Immunoglobulin chains (e.g. IGHM, IGJ, IGLL1, IGKC, IGHD) and the plasma cell marker CD38.
M 1.2 130 Platelet, Adhesion, Aggregation, Endothelial, Vascular Platelets. Includes genes coding for platelet glycoproteins (ITGA2B, ITGB3, GP6, GP1A/B), and platelet-derived immune mediators such as PPPB (pro-platelet basic protein) and PF4 (platelet factor 4).
M 1.3 80 Immunoreceptor, BCR, B-cell, IgG B-cells. Includes genes coding for B-cell surface markers (CD72, CD79A/B, CD19, CD22) and other B-cell associated molecules: Early B-cell factor (EBF), B-cell linker (BLNK) and B lymphoid tyrosine kinase (BLK).
M 1.4 132 Replication, Repression, Repair, CREB, Lymphoid, TNF-alpha Undetermined. This set includes regulators and targets of cAMP signaling pathway (JUND, ATF4, CREM, PDE4, NR4A2, VIL2), as well as repressors of TNF-alpha mediated NF-KB activation (CYLD, ASK, TNFAIP3).
M 1.5 142 Monocytes, Dendritic, MHC, Costimulatory, TLR4, MYD88 Myeloid lineage. Includes molecules expressed by cells of the myeloid lineage (CD86, CD163, FCGR2A), some of which being involved in pathogen recognition (CD14, TLR2, MYD88). This set also includes TNF family members (TNFR2, BAFF).
M 1.6 141 Zinc, Finger, P53, RAS Undetermined. This set includes genes coding for signaling molecules, e.g. the zinc finger containing inhibitor of activated STAT (PIAS1 and PIAS2), or the nuclear factor of activated T-cells NFATC3.
M 1.7 129 Ribosome, Translational, 40S, 60S, HLA MHC/Ribosomal proteins. Almost exclusively formed by genes coding MHC class I molecules (HLA-A,B,C,G,E)+ Beta 2-microglobulin (B2M) or Ribosomal proteins (RPLs, RPSs).
M 1.8 154 Metabolism, Biosynthesis, Replication, Helicase Undetermined. Includes genes encoding metabolic enzymes (GLS, NSF1, NAT1) and factors involved in DNA replication (PURA, TERF2, EIF2S1).
M 2.1 95 NK, Killer, Cytolytic, CD8, Cell-mediated, T-cell, CTL, IFN-g Cytotoxic cells. Includes cytotoxic T-cells amd NK-cells surface markers (CD8A, CD2, CD160, NKG7, KLRs), cytolytic molecules (granzyme, perforin, granulysin), chemokines (CCL5, XCL1) and CTL/NK-cell associated molecules (CTSW).
M 2.2 49 Granulocytes, Neutrophils, Defense, Myeloid, Marrow Neutrophils. This set includes innate molecules that are found in neutrophil granules (Lactotransferrin: LTF, defensin: DEAF1, Bacterial Permeability Increasing protein: BPI, Cathelicidin antimicrobial protein: CAMP...).
M 2.3 148 Erythrocytes, Red, Anemia, Globin, Hemoglobin Erythrocytes. Includes hemoglobin genes (HGBs) and other erythrocyte-associated genes (erythrocytic alkirin:ANK1, Glycophorin C: GYPC, hydroxymethylbilane synthase: HMBS, erythroid associated factor: ERAF).
M 2.4 133 Ribonucleoprotein, 60S, nucleolus, Assembly, Elongation Ribosomal proteins. Including genes encoding ribosomal proteins (RPLs, RPSs), Eukaryotic Translation Elongation factor family members (EEFs) and Nucleolar proteins (NPM1, NOAL2, NAP1L1).
M 2.5 315 Adenoma, Interstitial, Mesenchyme, Dendrite, Motor Undetermined. This module includes genes encoding immune-related (CD40, CD80, CXCL12, IFNA5, IL4R) as well as cytoskeleton-related molecules (Myosin, Dedicator of Cytokenesis, Syndecan 2, Plexin C1, Distrobrevin).
M 2.6 165 Granulocytes, Monocytes, Myeloid, ERK, Necrosis Myeloid lineage. Includes genes expressed in myeloid lineage cells (IGTB2/CD18, Lymphotoxin beta receptor, Myeloid related proteins 8/14 Formyl peptide receptor 1), such as Monocytes and Neutrophils.
M 2.7 71 No keywords extracted. Undetermined. This module is largely composed of transcripts with no known function. Only 20 genes associated with literature, including a member of the chemokine-like factor superfamily (CKLFSF8).
M 2.8 141 Lymphoma, T-cell, CD4, CD8, TCR, Thymus, Lymphoid, IL2 T-cells. Includes T-cell surface markers (CD5, CD6, CD7, CD26, CD28, CD96) and molecules expressed by lymphoid lineage cells (lymphotoxin beta, IL2-inducible T-cell kinase, TCF7, T-cell differentiation protein mal, GATA3, STAT5B).
M 2.9 159 ERK, Transactivation, Cytoskeletal, MAPK, JNK Undetermined. Includes genes encoding molecules that associate to the cytoskeleton (Actin related protein 2/3, MAPK1, MAP3K1, RAB5A). Also present are T-cell expressed genes (FAS, ITGA4/CD49D, ZNF1A1).
M2.10 106 Myeloid, Macrophage, Dendritic, Inflammatory, Interleukin Undetermined. Includes genes encoding for Immune-related cell surface molecules (CD36, CD86, LILRB), cytokines (IL15) and molecules involved in signaling pathways (FYB, TICAM2-Toll-like receptor pathway).
M 2.11 176 Replication, Repress, RAS, Autophosphorylation, Oncogenic Undetermined. Includes kinases (UHMK1, CSNK1G1, CDK6, WNK1, TAOK1, CALM2, PRKCI, ITPKB, SRPK2, STK17B, DYRK2, PIK3R1, STK4, CLK4, PKN2) and RAS family members (G3BP, RAB14, RASA2, RAP2A, KRAS).
M 3.1 122 ISRE, Influenza, Antiviral, IFN-gamma, IFN-alpha, Interferon Interferon-inducible. This set includes interferon-inducible genes: antiviral molecules (OAS1/2/3/L, GBP1, G1P2, EIF2AK2/PKR, MX1, PML), chemokines (CXCL10/IP-10), signaling molecules (STAT1, STAt2, IRF7, ISGF3G).
M 3.2 322 TGF-beta, TNF, Inflammation I. Includes genes encoding molecules involved
Inflammatory, Apoptotic, Lipopolysaccharide in inflammatory processes (e.g. IL8, ICAM1, C5R1, CD44, PLAUR, IL1A, CXCL16), and regulators of apoptosis (MCL1, FOX03A, RARA, BCL3/6/2A1, GADD45B).
M 3.3 276 Inflammatory, Defense, Lysosomal, Oxidative, LPS Inflammation II. Includes molecules inducing or inducible by inflammation (IL18, ALOX5, ANPEP, AOAH, HMOX1, SERPINB1), as well as lysosomal enzymes (PPT1, CTSB/S, NEU1, ASAH1, LAMP2, CAST).
M 3.4 325 Ligase, Kinase, KIP1, Ubiquitin, Chaperone Undetermined. Includes protein phosphatases (PPP1R12A, PTPRC, PPP1CB, PPM1B) and phosphoinositide 3-kinase (PI3K) family members (PIK3CA, PIK32A, PIP5K3).
M 3.5 22 No keyword extracted Undetermined. Composed of only a small number of transcripts. Includes hemoglobin genes (HBA1, HBA2, HBB).
M 3.6 288 Ribosomal, T-cell, Beta-catenin Undetermined. This set includes mitochondrial ribosomal proteins (MRPLs, MRPs), mitochondrial elongations factors (GFM1/2), Sortin Nexins (SN1/6/14) as well as lysosomal ATPases (ATP6V1C/D).
M 3.7 301 Spliceosome, Methylation, Ubiquitin Undetermined. Includes genes encoding proteasome subunits (PSMA2/5, PSMB5/8); ubiquitin protein ligases HIP2, STUB1, as well as components ofubiqutin ligase complexes (SUGT1).
M 3.8 284 CDC, TCR, CREB, Glycosylase Undetermined. Includes genes encoding enzymes: aminomethyltransferase, arginyltransferase, asparagines synthetase, diacylglycerol kinase, inositol phosphatases, methyltransferases, helicases...
M 3.9 260 Chromatin, Checkpoint, Replication, Transactivation Undetermined. Includes genes encoding kinases (IBTK, PRKRIR, PRKDC, PRKCI) and phosphatases (e.g. PTPLB, PPP2CB/3CB, PTPRC, MTM1, MTMR2).
As used herein, the term "array" refers to a solid support or substrate with one or more peptides or nucleic acid probes attached to the support. Arrays typically have one or more different nucleic acid or peptide probes that are coupled to a surface of a substrate in different, known locations. These arrays, also described as "microarrays", "gene-chips" or DNA chips that may have 10,000; 20,000, 30,000; or 40,000 different identifiable genes based on the known genome, e.g., the human genome. These pan-arrays are used to detect the entire "transcriptome" or transcriptional pool of genes that are expressed or found in a sample, e.g., nucleic acids that are expressed as RNA, mRNA and the like that may be subjected to RT and/or RT-PCR to made a complementary set of DNA replicons. Arrays may be produced using mechanical synthesis methods, light directed synthesis methods and the like that incorporate a combination of non-lithographic and/or photolithographic methods and solid phase synthesis methods. Bead arrays that include 50-mer oligonucleotide probes attached to 3 micrometer beads may be used that are, e.g., lodged into microwells at the surface of a glass slide or are part of a liquid phase suspension arrays (e.g., Luminex or Illumina) that are digital beadarrays in liquid phase and uses "barcoded" glass rods for detection and identification.
Various techniques for the synthesis of these nucleic acid arrays have been described, e.g., fabricated on a surface of virtually any shape or even a multiplicity of surfaces. Arrays may be peptides or nucleic acids on beads, gels, polymeric surfaces, fibers such as fiber optics, glass or any other appropriate substrate. Arrays may be packaged in such a manner as to allow for diagnostics or other manipulation of an all inclusive device, see for example, U.S. Pat. No. 6,955,788 .
BIOLOGICAL DEFINITIONS
As used herein, the term "disease" refers to a physiological state of an organism with any abnormal biological state of a cell. Disease includes, but is not limited to, an interruption, cessation or disorder of cells, tissues, body functions, systems or organs that may be inherent, inherited, caused by an infection, caused by abnormal cell function, abnormal cell division and the like. A disease that leads to a "disease state" is generally detrimental to the biological system, that is, the host of the disease. With respect to the present invention, any biological state, such as an infection (e.g., viral, bacterial, fungal, helminthic, etc.), inflammation, autoinflammation, autoimmunity, anaphylaxis, allergies, premalignancy, malignancy, surgical, transplantation, physiological, and the like that is associated with a disease or disorder is considered to be a disease state. A pathological state is generally the equivalent of a disease state.
Disease states may also be categorized into different levels of disease state. As used herein, the level of a disease or disease state is an arbitrary measure reflecting the progression of a disease or disease state as well as the physiological response upon, during and after treatment. Generally, a disease or disease state will progress through levels or stages, wherein the affects of the disease become increasingly severe. The level of a disease state may be impacted by the physiological state of cells in the sample.
As used herein, the terms "therapy" or "therapeutic regimen" refer to those medical steps taken to alleviate or alter a disease state, e.g., a course of treatment intended to reduce or eliminate the affects or symptoms of a disease using pharmacological, surgical, dietary and/or other techniques. A therapeutic regimen may include a prescribed dosage of one or more drugs or surgery. Therapies will most often be beneficial and reduce the disease state but in many instances the effect of a therapy will have non-desirable or side-effects. The effect of therapy will also be impacted by the physiological state of the host, e.g., age, gender, genetics, weight, other disease conditions, etc.
As used herein, the term "pharmacological state" or "pharmacological status" refers to those samples that will be, are and/or were treated with one or more drugs, surgery and the like that may affect the pharmacological state of one or more nucleic acids in a sample, e.g., newly transcribed, stabilized and/or destabilized as a result of the pharmacological intervention. The pharmacological state of a sample relates to changes in the biological status before, during and/or after drug treatment and may serve a diagnostic or prognostic function, as taught herein. Some changes following drug treatment or surgery may be relevant to the disease state and/or may be unrelated side-effects of the therapy. Changes in the pharmacological state are the likely results of the duration of therapy, types and doses of drugs prescribed, degree of compliance with a given course of therapy, and/or un-prescribed drugs ingested.
As used herein, the term "biological state" refers to the state of the transcriptome (that is the entire collection of RNA transcripts) of the cellular sample isolated and purified for the analysis of changes in expression. The biological state reflects the physiological state of the cells in the sample by measuring the abundance and/or activity of cellular constituents, characterizing according to morphological phenotype or a combination of the methods for the detection of transcripts.
As used herein, the term "expression profile" refers to the relative abundance of RNA, DNA or protein abundances or activity levels. The expression profile can be a measurement for example of the transcriptional state or the translational state by any number of methods and using any of a number of gene-chips, gene arrays, beads, multiplex PCR, quantitiative PCR, run-on assays, Northern blot analysis, Western blot analysis, protein expression, fluorescence activated cell sorting (FACS), enzyme linked immunosorbent assays (ELISA), chemiluminescence studies, enzymatic assays, proliferation studies or any other method, apparatus and system for the determination and/or analysis of gene expression that are readily commercially available.
As used herein, the term "transcriptional state" of a sample includes the identities and relative abundances of the RNA species, especially mRNAs present in the sample. The entire transcriptional state of a sample, that is the combination of identity and abundance of RNA, is also referred to herein as the transcriptome. Generally, a substantial fraction of all the relative constituents of the entire set of RNA species in the sample are measured.
As used herein, the term "transcriptional vectors," "expression vectors," "genomic vectors" (used interchangeably) refers to transcriptional expression data that reflects the "proportion of differentially expressed genes." For example, for each module the proportion of transcripts differentially expressed between at least two groups (e.g., healthy subjects versus patients). This vector is derived from the comparison of two groups of samples. The first analytical step is used for the selection of disease-specific sets of transcripts within each module. Next, there is the "expression level." The group comparison for a given disease provides the list of differentially expressed transcripts for each module. It was found that different diseases yield different subsets of modular transcripts. With this expression level it is then possible to calculate vectors for each module(s) for a single sample by averaging expression values of disease-specific subsets of genes identified as being differentially expressed. This approach permits the generation of maps of modular expression vectors for a single sample, e.g., those described in the module maps disclosed herein. These vector module maps represent an averaged expression level for each module (instead of a proportion of differentially expressed genes) that can be derived for each sample. These composite "expression vectors" are formed through successive rounds of selection: 1) of the modules that were significantly changed across study groups and 2) of the genes within these modules which are significantly changed across study groups (Figure 2, step II). Expression levels are subsequently derived by averaging the values obtained for the subset of transcripts forming each vector (Figure 2, step III). Patient profiles can then be represented by plotting expression levels obtained for each of these vectors on a graph (e.g. on a radar plot). Therefore a set of vectors results from two round of selection, first at the module level, and then at the gene level. Vector expression values are composite by construction as they derive from the average expression values of the transcript forming the vector.
Using the present invention it is possible to identify and distinguish diseases not only at the module-level, but also at the gene-level; i.e., two diseases can have the same vector (identical proportion of differentially expressed transcripts, identical "polarity"), but the gene composition of the expression vector can still be disease-specific. This disease-specific customization permits the user to optimize the performance of a given set of markers by increasing its specificity.
Using modules as a foundation grounds expression vectors to coherent functional and transcriptional units containing minimized amounts of noise. Furthermore, the present invention takes advantage of composite transcriptional markers. As used herein, the term "composite transcriptional markers" refers to the average expression values of multiple genes (subsets of modules) as compared to using individual genes as markers (and the composition of these markers can be disease-specific). The composite transcriptional markers approach is unique because the user can develop multivariate microarray scores to assess disease severity in patients with, e.g., SLE, or to derive expression vectors disclosed herein. The fact that expression vectors are composite (i.e. formed by a combination of transcripts) further contributes to the stability of these markers. Most importantly, it has been found that using the composite modular transcriptional markers of the present invention the results found herein are reproducible across microarray platform, thereby providing greater reliability for regulatory approval. Indeed, vector expression values proved remarkably robust, as indicated by the excellent reproducibility obtained across microarray platforms; as well as the validation results obtained in an independent set of pediatric lupus patients. These results are of importance since improving the reliability of microarray data is a prerequisite for the widespread use of this technology in clinical practice.
Gene expression monitoring systems for use with the present invention may include customized gene arrays with a limited and/or basic number of genes that are specific and/or customized for the one or more target diseases. Unlike the general, pan-genome arrays that are in customary use, the present invention provides for not only the use of these general pan-arrays for retrospective gene and genome analysis without the need to use a specific platform, but more importantly, it provides for the development of customized arrays that provide an optimal gene set for analysis without the need for the thousands of other, non-relevant genes. One distinct advantage of the optimized arrays and modules of the present invention over the existing art is a reduction in the financial costs (e.g., cost per assay, materials, equipment, time, personnel, training, etc.), and more importantly, the environmental cost of manufacturing pan-arrays where the vast majority of the data is irrelevant. The modules of the present invention allow for the first time the design of simple, custom arrays that provide optimal data with the least number of probes while maximizing the signal to noise ratio. By eliminating the total number of genes for analysis, it is possible to, e.g., eliminate the need to manufacture thousands of expensive platinum masks for photolithography during the manufacture of pan-genetic chips that provide vast amounts of irrelevant data. Using the present invention it is possible to completely avoid the need for microarrays if the limited probe set(s) of the present invention are used with, e.g., digital optical chemistry arrays, ball bead arrays, beads (e.g., Luminex), multiplex PCR, quantitiative PCR, run-on assays, Northern blot analysis, or even, for protein analysis, e.g., Western blot analysis, 2-D and 3-D gel protein expression, MALDI, MALDI-TOF, fluorescence activated cell sorting (FACS) (cell surface or intracellular), enzyme linked immunosorbent assays (ELISA), chemiluminescence studies, enzymatic assays, proliferation studies or any other method, apparatus and system for the determination and/or analysis of gene expression that are readily commercially available.
The "molecular fingerprinting system" of the present invention may be used to facilitate and conduct a comparative analysis of expression in different cells or tissues, different subpopulations of the same cells or tissues, different physiological states of the same cells or tissue, different developmental stages of the same cells or tissue, or different cell populations of the same tissue against other diseases and/or normal cell controls. In some cases, the normal or wild-type expression data may be from samples analyzed at or about the same time or it may be expression data obtained or culled from existing gene array expression databases, e.g., public databases such as the NCBI Gene Expression Omnibus database.
As used herein, the term "differentially expressed" refers to the measurement of a cellular constituent (e.g., nucleic acid, protein, enzymatic activity and the like) that varies in two or more samples, e.g., between a disease sample and a normal sample. The cellular constituent may be on or off (present or absent), upregulated relative to a reference or downregulated relative to the reference. For use with gene-chips or gene-arrays, differential gene expression of nucleic acids, e.g., mRNA or other RNAs (miRNA, siRNA, hnRNA, rRNA, tRNA, etc.) may be used to distinguish between cell types or nucleic acids. Most commonly, the measurement of the transcriptional state of a cell is accomplished by quantitative reverse transcriptase (RT) and/or quantitative reverse transcriptase-polymerase chain reaction (RT-PCR), genomic expression analysis, post-translational analysis, modifications to genomic DNA, translocations, in situ hybridization and the like.
For some disease states it is possible to identify cellular or morphological differences, especially at early levels of the disease state. The present invention avoids the need to identify those specific mutations or one or more genes by looking at modules of genes of the cells themselves or, more importantly, of the cellular RNA expression of genes from immune effector cells that are acting within their regular physiologic context, that is, during immune activation, immune tolerance or even immune anergy. While a genetic mutation may result in a dramatic change in the expression levels of a group of genes, biological systems often compensate for changes by altering the expression of other genes. As a result of these internal compensation responses, many perturbations may have minimal effects on observable phenotypes of the system but profound effects to the composition of cellular constituents. Likewise, the actual copies of a gene transcript may not increase or decrease, however, the longevity or half-life of the transcript may be affected leading to greatly increases protein production. The present invention eliminates the need of detecting the actual message by, in one embodiment, looking at effector cells (e.g., leukocytes, lymphocytes and/or sub-populations thereof) rather than single messages and/or mutations.
The skilled artisan will appreciate readily that samples may be obtained from a variety of sources including, e.g., single cells, a collection of cells, tissue, cell culture and the like. In certain cases, it may even be possible to isolate sufficient RNA from cells found in, e.g., urine, blood, saliva, tissue or biopsy samples and the like. In certain circumstances, enough cells and/or RNA may be obtained from: mucosal secretion, feces, tears, blood plasma, peritoneal fluid, interstitial fluid, intradural, cerebrospinal fluid, sweat or other bodily fluids. The nucleic acid source, e.g., from tissue or cell sources, may include a tissue biopsy sample, one or more sorted cell populations, cell culture, cell clones, transformed cells, biopies or a single cell. The tissue source may include, e.g., brain, liver, heart, kidney, lung, spleen, retina, bone, neural, lymph node, endocrine gland, reproductive organ, blood, nerve, vascular tissue, and olfactory epithelium.
The present invention includes the following basic components, which may be used alone or in combination, namely, one or more data mining algorithms; one or more module-level analytical processes; the characterization of blood leukocyte transcriptional modules; the use of aggregated modular data in multivariate analyses for the molecular diagnostic/prognostic of human diseases; and/or visualization of module-level data and results. Using the present invention it is also possible to develop and analyze composite transcriptional markers, which may be further aggregated into a single multivariate score.
The present inventors have recognized that current microarray-based research is facing significant challenges with the analysis of data that are notoriously "noisy," that is, data that is difficult to interpret and does not compare well across laboratories and platforms. A widely accepted approach for the analysis of microarray data begins with the identification of subsets of genes differentially expressed between study groups. Next, the users try subsequently to "make sense" out of resulting gene lists using pattern discovery algorithms and existing scientific knowledge.
Rather than deal with the great variability across platforms, the present inventors have developed a strategy that emphasized the selection of biologically relevant genes at an early stage of the analysis. Briefly, the method includes the identification of the transcriptional components characterizing a given biological system for which an improved data mining algorithm was developed to analyze and extract groups of coordinately expressed genes, or transcriptional modules, from large collections of data.
The biomarker discovery strategy described herein is particularly well adapted for the exploitation of microarray data acquired on a global scale. Starting from ~44,000 transcripts a set of 28 modules was defined that are composed of nearly 5000 transcripts. Sets of disease-specific composite expression vectors were then derived. Vector expression values (expression vectors) proved remarkably robust, as indicated by the excellent reproducibility obtained across microarray platforms. This finding is notable, since improving the reliability of microarray data is a prerequisite for the widespread use of this technology in clinical practice. Finally, expression vectors can in turn be combined to obtain unique multivariate scores, therefore delivering results in a form that is compatible with mainstream clinical practice. Interestingly, multivariate scores recapitulate global patterns of change rather than changes in individual markers. The development of such "global biomarkers" can be used for both diagnostic and pharmacogenomics fields.
In one example, twenty-eight transcriptional modules regrouping 4742 probe sets were obtained from 239 blood leukocyte transcriptional profiles. Functional convergence among genes forming these modules was demonstrated through literature profiling. The second step consisted of studying perturbations of transcriptional systems on a modular basis. To illustrate this concept, leukocyte transcriptional profiles obtained from healthy volunteers and patients were obtained, compared and analyzed. Further validation of this gene fingerprinting strategy was obtained through the analysis of a published microarray dataset. Remarkably, the modular transcriptional apparatus, system and methods of the present invention using pre-existing data showed a high degree of reproducibility across two commercial microarray platforms.
The present invention includes the implementation of a widely applicable, two-step microarray data mining strategy designed for the modular analysis of transcriptional systems. This novel approach was used to characterize transcriptional signatures of blood leukocytes, which constitutes the most accessible source of clinically relevant information.
As demonstrated herein, it is possible to determine, differential and/or distinguish between two disease based on two vectors even if the vector is identical (+/+) for two diseases - e.g. M1.3 = 53% down for both SLE and FLU because the composition of each vector can still be used to differentiate them. For example, even though the proportion and polarity of differentially expressed transcripts is identical between the two diseases for M1.3, the gene composition can still be disease-specific. The combination of gene-level and module-level analysis considerably increases resolution. Furthermore, it is possible to use 2, 3, 4, 5, 10, 15, 20, 25, 28 or more modules to differentiate diseases.
The term "gene" refers to a nucleic acid (e.g., DNA) sequence that includes coding sequences necessary for the production of a polypeptide (e.g., ), precursor, or RNA (e.g., mRNA). The polypeptide may be encoded by a full length coding sequence or by any portion of the coding sequence so long as the desired activity or functional property (e.g., enzymatic activity, ligand binding, signal transduction, immunogenicity, etc.) of the full-length or fragment is retained. The term also encompasses the coding region of a structural gene and the sequences located adjacent to the coding region on both the 5' and 3' ends for a distance of about 2 kb or more on either end such that the gene corresponds to the length of the full-length mRNA and 5' regulatory sequences which influence the transcriptional properties of the gene. Sequences located 5' of the coding region and present on the mRNA are referred to as 5'-untranslated sequences. The 5'-untranslated sequences usually contain the regulatory sequences. Sequences located 3' or downstream of the coding region and present on the mRNA are referred to as 3'-untranslated sequences. The term "gene" encompasses both cDNA and genomic forms of a gene. A genomic form or clone of a gene contains the coding region interrupted with non-coding sequences termed "introns" or "intervening regions" or "intervening sequences." Introns are segments of a gene that are transcribed into nuclear RNA (hnRNA); introns may contain regulatory elements such as enhancers. Introns are removed or "spliced out" from the nuclear or primary transcript; introns therefore are absent in the messenger RNA (mRNA) transcript. The mRNA functions during translation to specify the sequence or order of amino acids in a nascent polypeptide.
As used herein, the term "nucleic acid" refers to any nucleic acid containing molecule, including but not limited to, DNA, cDNA and RNA. In particular, the terms "a gene in Table X" refers to at least a portion or the full-length sequence listed in a particular table, as found hereinbelow. The gene may even be found or detected a genomic form, that is, it includes one or more intron(s). Genomic forms of a gene may also include sequences located on both the 5' and 3' end of the coding sequences that are present on the RNA transcript. These sequences are referred to as "flanking" sequences or regions. The 5' flanking region may contain regulatory sequences such as promoters and enhancers that control or influence the transcription of the gene. The 3' flanking region may contain sequences that influence the transcription termination, post-transcriptional cleavage, mRNA stability and polyadenylation.
As used herein, the term "wild-type" refers to a gene or gene product isolated from a naturally occurring source. A wild-type gene is that which is most frequently observed in a population and is thus arbitrarily designed the "normal" or "wild-type" form of the gene. In contrast, the term "modified" or "mutant" refers to a gene or gene product that displays modifications in sequence and/or functional properties (i.e., altered characteristics) when compared to the wild-type gene or gene product. It is noted that naturally occurring mutants can be isolated; these are identified by the fact that they have altered characteristics (including altered nucleic acid sequences) when compared to the wild-type gene or gene product.
As used herein, the term "polymorphism" refers to the regular and simultaneous occurrence in a single interbreeding population of two or more alleles of a gene, where the frequency of the rarer alleles is greater than can be explained by recurrent mutation alone (typically greater than 1%).
As used herein, the terms "nucleic acid molecule encoding," "DNA sequence encoding," and "DNA encoding" refer to the order or sequence of deoxyribonucleotides along a strand of deoxyribonucleic acid. The order of these deoxyribonucleotides determines the order of amino acids along the polypeptide protein) chain. The DNA sequence thus codes for the amino acid sequence.
As used herein, the terms "complementary" or "complementarity" are used in reference to polynucleotides (i.e., a sequence of nucleotides) related by the base-pairing rules. For example, the sequence "A-G-T," is complementary to the sequence "T-C-A." Complementarity may be "partial," in which only some of the nucleic acids' bases are matched according to the base pairing rules. Or, there may be "complete" or "total" complementarity between the nucleic acids. The degree of complementarity between nucleic acid strands has significant effects on the efficiency and strength of hybridization between nucleic acid strands. This is of particular importance in amplification reactions, as well as detection methods that depend upon binding between nucleic acids.
As used herein, the term "hybridization" is used in reference to the pairing of complementary nucleic acids. Hybridization and the strength of hybridization (i.e., the strength of the association between the nucleic acids) is impacted by such factors as the degree of complementarity between the nucleic acids, stringency of the conditions involved, the Tm of the formed hybrid, and the G:C ratio within the nucleic acids. A single molecule that contains pairing of complementary nucleic acids within its structure is said to be "self-hybridized."
As used herein the term "stringency" is used in reference to the conditions of temperature, ionic strength, and the presence of other compounds such as organic solvents, under which nucleic acid hybridizations are conducted. Under "low stringency conditions" a nucleic acid sequence of interest will hybridize to its exact complement, sequences with single base mismatches, closely related sequences (e.g., sequences with 90% or greater homology), and sequences having only partial homology (e.g., sequences with 50-90% homology). Under "medium stringency conditions," a nucleic acid sequence of interest will hybridize only to its exact complement, sequences with single base mismatches, and closely related sequences (e.g., 90% or greater homology). Under "high stringency conditions," a nucleic acid sequence of interest will hybridize only to its exact complement, and (depending on conditions such a temperature) sequences with single base mismatches. In other words, under conditions of high stringency the temperature can be raised so as to exclude hybridization to sequences with single base mismatches.
As used herein, the term "probe" refers to an oligonucleotide (i.e., a sequence of nucleotides), whether occurring naturally as in a purified restriction digest or produced synthetically, recombinantly or by PCR amplification, that is capable of hybridizing to another oligonucleotide of interest. A probe may be single-stranded or double-stranded. Probes are useful in the detection, identification and isolation of particular gene sequences. Any probe used in the present invention may be labeled with any "reporter molecule," so that it is detectable in any detection system, including, but not limited to enzyme (e.g., ELISA, as well as enzyme-based histochemical assays), fluorescent, radioactive, luminescent systems and the like. It is not intended that the present invention be limited to any particular detection system or label.
As used herein, the term "target," refers to the region of nucleic acid bounded by the primers. Thus, the "target" is sought to be sorted out from other nucleic acid sequences. A "segment" is defined as a region of nucleic acid within the target sequence.
As used herein, the term "Southern blot" refers to the analysis of DNA on agarose or acrylamide gels to fractionate the DNA according to size followed by transfer of the DNA from the gel to a solid support, such as nitrocellulose or a nylon membrane. The immobilized DNA is then probed with a labeled probe to detect DNA species complementary to the probe used. The DNA may be cleaved with restriction enzymes prior to electrophoresis. Following electrophoresis, the DNA may be partially depurinated and denatured prior to or during transfer to the solid support. Southern blots are a standard tool of molecular biologists (Sambrook et al., Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Press, NY, pp 9.31-9.58, 1989).
As used herein, the term "Northern blot" refers to the analysis of RNA by electrophoresis of RNA on agarose gels, to fractionate the RNA according to size followed by transfer of the RNA from the gel to a solid support, such as nitrocellulose or a nylon membrane. The immobilized RNA is then probed with a labeled probe to detect RNA species complementary to the probe used. Northern blots are a standard tool of molecular biologists (Sambrook, et al., supra, pp 7.39-7.52, 1989).
As used herein, the term "Western blot" refers to the analysis of protein(s) (or polypeptides) immobilized onto a support such as nitrocellulose or a membrane. The proteins are run on acrylamide gels to separate the proteins, followed by transfer of the protein from the gel to a solid support, such as nitrocellulose or a nylon membrane. The immobilized proteins are then exposed to antibodies with reactivity against an antigen of interest. The binding of the antibodies may be detected by various methods, including the use of radiolabeled antibodies.
As used herein, the term "polymerase chain reaction" ("PCR") refers to the method of K. B. Mullis (U.S. Pat. Nos. 4,683,195 4,683,202 , and 4,965,188 ), which describe a method for increasing the concentration of a segment of a target sequence in a mixture of genomic DNA without cloning or purification. This process for amplifying the target sequence consists of introducing a large excess of two oligonucleotide primers to the DNA mixture containing the desired target sequence, followed by a precise sequence of thermal cycling in the presence of a DNA polymerase. The two primers are complementary to their respective strands of the double stranded target sequence. To effect amplification, the mixture is denatured and the primers then annealed to their complementary sequences within the target molecule. Following annealing, the primers are extended with a polymerase so as to form a new pair of complementary strands. The steps of denaturation, primer annealing and polymerase extension can be repeated many times (i.e., denaturation, annealing and extension constitute one "cycle"; there can be numerous "cycles") to obtain a high concentration of an amplified segment of the desired target sequence. The length of the amplified segment of the desired target sequence is determined by the relative positions of the primers with respect to each other, and therefore, this length is a controllable parameter. By virtue of the repeating aspect of the process, the method is referred to as the "polymerase chain reaction" (hereinafter "PCR"). Because the desired amplified segments of the target sequence become the predominant sequences (in terms of concentration) in the mixture, they are said to be "PCR amplified".
As used herein, the terms "PCR product," "PCR fragment," and "amplification product" refer to the resultant mixture of compounds after two or more cycles of the PCR steps of denaturation, annealing and extension are complete. These terms encompass the case where there has been amplification of one or more segments of one or more target sequences.
As used herein, the term "real time PCR" as used herein, refers to various PCR applications in which amplification is measured during as opposed to after completion of the reaction. Reagents suitable for use in real time PCR embodiments of the present invention include but are not limited to TaqMan probes, molecular beacons, Scorpions primers or double-stranded DNA binding dyes.
As used herein, the term "transcriptional upregulation" as used herein refers to an increase in synthesis of RNA, by RNA polymerases using a DNA template. For example, when used in reference to the methods of the present invention, the term "transcriptional upregulation" refers to an increase of least 1 to 2 fold, 2 to 3 fold, 3 to 10 fold, and even greater than 10 fold, in the quantity of mRNA corresponding to a gene of interest detected in a sample derived from an individual predisposed to SLE as compared to that detected in a sample derived from an individual who is not predisposed to SLE. However, the system and evaluation is sufficiently specific to require less that a 2 fold change in expression to be detected. Furthermore, the change in expression may be at the cellular level (change in expression within a single cell or cell populations) or may even be evaluated at a tissue level, where there is a change in the number of cells that are expressing the gene. Particularly useful differences are those that are statistically significant.
Conversely, the term "transcriptional downregulation" refers to a decrease in synthesis of RNA, by RNA polymerases using a DNA template. For example, when used in reference to the methods of the present invention, the term "transcriptional downregulation" refers to a decrease of least 2 fold, 2 to 3 fold, 3 to 10 fold, and even greater than 10 fold, in the quantity of mRNA corresponding to a gene of interest detected in a sample derived from an individual predisposed to SLE as compared to that detected in a sample derived from an individual who is not predisposed to such a condition or to a database of information for wild-type and/or normal control, e.g., fibromyalgia. Again, the system and evaluation is sufficiently specific to require less that a 2 fold change in expression to be detected. Particularly useful differences are those that are statistically significant.
Both transcriptional "upregulation"/overexpression and transcriptional "downregulation"/underexpression may also be indirectly monitored through measurement of the translation product or protein level corresponding to the gene of interest. The present invention is not limited to any given mechanism related to upregulation or downregulation of transcription.
The term "eukaryotic cell" as used herein refers to a cell or organism with membrane-bound, structurally discrete nucleus and other well-developed subcellular compartments. Eukaryotes include all organisms except viruses, bacteria, and bluegreen algae.
As used herein, the term "in vitro transcription" refers to a transcription reaction comprising a purified DNA template containing a promoter, ribonucleotide triphosphates, a buffer system that includes a reducing agent and cations, e.g., DTT and magnesium ions, and an appropriate RNA polymerase, which is performed outside of a living cell or organism.
As used herein, the term "amplification reagents" refers to those reagents (deoxyribonucleotide triphosphates, buffer, etc.), needed for amplification except for primers, nucleic acid template and the amplification enzyme. Typically, amplification reagents along with other reaction components are placed and contained in a reaction vessel (test tube, microwell, etc.).
As used herein, the term "diagnosis" refers to the determination of the nature of a case of disease. In some embodiments of the present invention, methods for making a diagnosis are provided which permit determination of SLE.
The present invention may be used alone or in combination with disease therapy to monitor disease progression and/or patient management. For example, a patient may be tested one or more times to determine the best course of treatment, determine if the treatment is having the intended medical effect, if the patient is not a candidate for that particular therapy and combinations thereof. The skilled artisan will recognize that one or more of the expression vectors may be indicative of one or more diseases and may be affected by other conditions, be they acute or chronic.
As used herein, the term "pharmacogenetic test" refers to an assay intended to study interindividual variations in DNA sequence related to, e.g., drug absorption and disposition (pharmacokinetics) or drug action (pharmacodynamics), which may include polymorphic variations in one or more genes that encode the functions of, e.g., transporters, metabolizing enzymes, receptors and other proteins.
As used herein, the term "pharmacogenomic test" refers to an assay used to study interindividual variations in whole-genome or candidate genes, e.g., single-nucleotide polymorphism (SNP) maps or haplotype markers, and the alteration of gene expression or inactivation that may be correlated with pharmacological function and therapeutic response.
As used herein, an "expression profile" refers to the measurement of the relative abundance of a plurality of cellular constituents. Such measurements may include, e.g., RNA or protein abundances or activity levels. The expression profile can be a measurement for example of the transcriptional state or the translational state. See U.S. Pat. Nos. 6,040,138 , 5,800,992 , 6,020,135 , 6,033,860 . The gene expression monitoring system, include nucleic acid probe arrays, membrane blot (such as used in hybridization analysis such as Northern, Southern, dot, and the like), or microwells, sample tubes, gels, beads or fibers (or any solid support comprising bound nucleic acids). See, e.g., U.S. Pat. Nos. 5,770,722 , 5,874,219 , 5,744,305 , 5,677,195 and 5,445,934 . The gene expression monitoring system may also comprise nucleic acid probes in solution.
The gene expression monitoring system according to the present invention may be used to facilitate a comparative analysis of expression in different cells or tissues, different subpopulations of the same cells or tissues, different physiological states of the same cells or tissue, different developmental stages of the same cells or tissue, or different cell populations of the same tissue.
As used herein, the term "differentially expressed: refers to the measurement of a cellular constituent varies in two or more samples. The cellular constituent can be either up-regulated in the test sample relative to the reference or down-regulated in the test sample relative to one or more references. Differential gene expression can also be used to distinguish between cell types or nucleic acids. See U.S. Pat. No. 5,800,992 .
Therapy or Therapeutic Regimen: In order to alleviate or alter a disease state, a therapy or therapeutic regimen is often undertaken. A therapy or therapeutic regimen, as used herein, refers to a course of treatment intended to reduce or eliminate the affects or symptoms of a disease. A therapeutic regimen will typically comprise, but is not limited to, a prescribed dosage of one or more drugs or surgery. Therapies, ideally, will be beneficial and reduce the disease state but in many instances the effect of a therapy will have non-desirable effects as well. The effect of therapy will also be impacted by the physiological state of the sample.
Modules display distinct "transcriptional behavior". It is widely assumed that co-expressed genes are functionally linked. This concept of "guilt by association" is particularly compelling in cases where genes follow complex expression patterns across many samples. The present inventors discovered that transcriptional modules form coherent biological units and, therefore, predicted that the co-expression properties identified in the initial dataset would be conserved in an independent set of samples. Data were obtained for PBMCs isolated from the blood of twenty-one healthy volunteers. These samples were not used in the module selection process described above.
The present invention includes the following basic components, which may be used alone or in combination, namely, one or more data mining algorithms; one or more module-level analytical processes; the characterization of blood leukocyte transcriptional modules; the use of aggregated modular data in multivariate analyses for the molecular diagnostic/prognostic of human diseases; and/or visualization of module-level data and results. Using the present invention it is also possible to develop and analyze composite transcriptional markers, which may be further aggregated into a single multivariate score.
The present inventors have recognized that current microarray-based research is facing significant challenges with the analysis of data that are notoriously "noisy," that is, data that is difficult to interpret and does not compare well across laboratories and platforms. A widely accepted approach for the analysis of microarray data begins with the identification of subsets of genes differentially expressed between study groups. Next, the users try subsequently to "make sense" out of resulting gene lists using pattern discovery algorithms and existing scientific knowledge.
Rather than deal with the great variability across platforms, the present inventors have developed a strategy that emphasized the selection of biologically relevant genes at an early stage of the analysis. Briefly, the method includes the identification of the transcriptional components characterizing a given biological system for which an improved data mining algorithm was developed to analyze and extract groups of coordinately expressed genes, or transcriptional modules, from large collections of data.
The biomarker discovery strategy that we have developed is particularly well adapted for the exploitation of microarray data acquired on a global scale. Starting from ~44,000 transcripts the inventors defined 28 modules composed of nearly 5000 transcripts. Sets of disease-specific composite expression vectors were then derived. Vector expression values proved remarkably robust, as indicated by the excellent reproducibility obtained across microarray platforms. This finding is notable, since improving the reliability of microarray data is a prerequisite for the widespread use of this technology in clinical practice. Finally, vectors can in turn be combined to obtain unique multivariate scores, therefore delivering results in a form that is compatible with mainstream clinical practice. Interestingly, multivariate scores recapitulate global patterns of change rather than changes in individual markers. The development of such "global biomarkers" constitutes therefore a promising prospect for both diagnostic and pharmacogenomics fields.
In one example, twenty-eight transcriptional modules regrouping 4742 probe sets were obtained from 239 blood leukocyte transcriptional profiles. Functional convergence among genes forming these modules was demonstrated through literature profiling. The second step consisted of studying perturbations of transcriptional systems on a modular basis. To illustrate this concept, leukocyte transcriptional profiles obtained from healthy volunteers and patients were obtained, compared and analyzed. Further validation of this gene fingerprinting strategy was obtained through the analysis of a published microarray dataset. Remarkably, the modular transcriptional apparatus, system and methods of the present invention using pre-existing data showed a high degree of reproducibility across two commercial microarray platforms.
The present invention includes the implementation of a widely applicable, two-step microarray data mining strategy designed for the modular analysis of transcriptional systems. This novel approach was used to characterize transcriptional signatures of blood leukocytes, which constitutes the most accessible source of clinically relevant information.
As demonstrated herein, it is possible to determine, differential and/or distinguish between two disease based on two vectors even if the vector is identical (+/+) for two diseases - e.g. M1.3 = 53% down for both SLE and FLU because the composition of each vector can still be used to differentiate them. For example, even though the proportion and polarity of differentially expressed transcripts is identical between the two diseases for M1.3, the gene composition can still be disease-specific. The combination of gene-level and module-level analysis considerably increases resolution. Furthermore, it is possible to use 2, 3, 4, 5, 10, 15, 20, 25, 28 or more modules to differentiate diseases.
Material and methods. Processing of blood samples. All blood samples were collected in acid citrate dextrose tubes (BD Vacutainer) and immediately delivered at room temperature to the Baylor Institute for Immunology Research, Dallas, TX, for processing. Peripheral blood mononuclear cells (PBMCs) from 3-4 ml of blood were isolated via Ficoll gradient and immediately lysed in RLT reagent (Qiagen, Valencia, CA) with beta-mercaptoethanol (BME) and stored at -80°C prior to the RNA extraction step.
Microarray analysis. Total RNA was isolated using the RNeasy kit (Qiagen) according to the manufacturer's instructions and RNA integrity was assessed using an Agilent 2100 Bioanalyzer (Agilent, Palo Alto, CA).
Affymetrix GeneChips: These microarrays include short oligonucleotide probe sets synthesized in situ on a quartz wafer. Target labeling was performed according to the manufacturer's standard protocol (Affymetrix Inc., Santa Clara, CA). Biotinylated cRNA targets were purified and subsequently hybridized to Affymetrix HG-U133A and U133B GeneChips (>44,000 probe sets). Arrays were scanned using an Affymetrix confocal laser scanner. Microarray Suite, Version 5.0 (MAS 5.0; Affymetrix) software was used to assess fluorescent hybridization signals, to normalize signals, and to evaluate signal detection calls. Normalization of signal values per chip was achieved using the MAS 5.0 global method of scaling to the target intensity value of 500 per GeneChip. A gene expression analysis software program, GeneSpring, Version 7.1 (Agilent), was used to perform statistical analysis and hierarchical clustering.
Illumina BeadChips: These microarrays include 50mer oligonucleotide probes attached to 3µm beads, which are lodged into microwells at the surface of a glass slide. Samples were processed and acquired by Illumina Inc. (San Diego, CA) on the basis of a service contract. Targets were prepared using the Illumina RNA amplification kit (Ambion, Austin, TX). cRNA targets were hybridized to Sentrix HumanRef8 BeadChips (>25,000 probes), which were scanned on an Illumina BeadStation 500. Illumina's Beadstudio software was used to assess fluorescent hybridization signals.
Literature profiling. The literature profiling algorithm employed in this study has been previously described in detail (Chaussabel, D. & Sher, A. Mining microarray expression data by literature profiling. Genome Biol 3, RESEARCH0055 (2002)). This approach links genes sharing similar keywords. It uses hierarchical clustering, a popular unsupervised pattern discovery algorithm, to analyze patterns of term occurrence in literature abstracts. Step 1: A gene:literature index identifying pertinent publications for each gene is created. Step 2: Term occurrence frequencies were computed by a text processor. Step 3: Stringent filter criteria are used to select relevant keywords (i.e., eliminate terms with either high or low frequency across all genes and retain the few discerning terms characterized by a pattern of high occurrence for only a few genes). Step 4: Two-way hierarchical clustering groups of genes and relevant keywords based on occurrence patterns, providing a visual representation of functional relationships existing among a group of genes.
Modular data mining algorithm. First, one or more transcriptional components are identified that permit the characterization of biological systems beyond the level of single genes. Sets of coordinately regulated genes, or transcriptional modules, were extracted using a novel mining algorithm, which was applied to a large set of blood leukocyte microarray profiles (Figure 1). Gene expression profiles from a total of 239 peripheral blood mononuclear cells (PBMCs) samples were generated using Affymetrix U133A&B GeneChips (>44,000 probe sets). Transcriptional data were obtained for eight experimental groups (systemic juvenile idiopathic arthritis, systemic lupus erythematosus, type I diabetes, liver transplant recipients, melanoma patients, and patients with acute infections: Escherichia coli, Staphylococcus aureus and influenza A). For each group, transcripts with an absent flag call across all conditions were filtered out. The remaining genes were distributed among thirty sets by hierarchical clustering (clusters C1 through C30). The cluster assignment for each gene was recorded in a table and distribution patterns were compared among all the genes. Modules were selected using an iterative process, starting with the largest set of genes that belonged to the same cluster in all study groups (i.e. genes that were found in the same cluster in eight of the eight experimental groups). The selection was then expanded from this core reference pattern to include genes with 7/8, 6/8 and 5/8 matches. The resulting set of genes formed a transcriptional module and was withdrawn from the selection pool. The process was then repeated starting with the second largest group of genes, progressively reducing the level of stringency. This analysis led to the identification of 5348 transcripts that were distributed among twenty-eight modules (a complete list is provided as supplementary material). Each module is assigned a unique identifier indicating the round and order of selection (i.e. M3.1 was the first module identified in the third round of selection).
Analysis of "significance patterns" was performed on gene expression data generated from PBMCs obtained from patients and healthy volunteers using Affymetrix HG-U133A GeneChips that were run on the same Affymetrix system, using standard operating procedures. P values were obtained by comparing 7 groups of patients to their respective healthy control groups (Mann-Whitney rank test). The groups were composed of pediatric patients with: 1) Systemic Lupus Erythomatosus (SLE, 16 samples), 2) Influenza A (16 samples), 3) Staphylococcus aureus (16 samples), 4) Escherichia coli (16 samples) and 5) Streptococcus pneumoniae (14 samples); as well as adult transplant recipients: 6) Liver transplant patients that have accepted the graft under immunosuppressive therapy (16 samples) and 7) bone marrow transplant recipients undergoing graft versus host disease (GVHD, 12 samples). Control groups were also formed taking into account age, sex and project (10 samples in each group). Genes significantly changed (p<0.01) in the "study group" (Influenza A and/or SLE) were divided in two sets: over-expressed versus control and under-expressed versus control. P-values of the genes forming the over-expressed set were obtained for the "reference groups" (infections with E. coli, S. aureus, S. pneumoniae, Liver transplant recipients and graft versus host disease). P-values of the reference groups were set to 1 when genes were under-expressed. The same procedure was used in the set of genes under-expressed in study group, only this time P-values of the reference group were set to 1 when genes were over-expressed. P-value data were processed with a gene expression analysis software program, GeneSpring, Version 7.1 (Agilent), that was used to perform hierarchical clustering and group genes based on significance patterns.
Modules display distinct "transcriptional behavior". It is widely assumed that co-expressed genes are functionally linked. This concept of "guilt by association" is particularly compelling in cases where genes follow complex expression patterns across many samples. The present inventors discovered that transcriptional modules form coherent biological units and, therefore, predicted that the co-expression properties identified in the initial dataset would be conserved in an independent set of samples. Data were obtained for PBMCs isolated from the blood of twenty-one healthy volunteers. These samples were not used in the module selection process described above.
FIGURE 2 shows gene expression profiles of four different modules are shown (Figure 2: M1.2, M1.7, M2.11 and M2.1). In the graphs of Figure 2, each line represents the expression level (y-axis) of a single gene across multiple samples (21 samples on the x-axis). Differences in gene expression in this example represent inter-individual variation between "healthy" individuals. It was found that within each module genes display a coherent "transcriptional behavior". Indeed, the variation in gene expression appeared to be consistent across all the samples (for some samples the expression of all the genes was elevated and formed a peak, while in others levels were low for all the genes which formed a dip). Importantly, inter-individual variations appeared to be module-specific as peaks and dips formed for different samples in M1.2, M2.11 and M2.1. Furthermore, the amplitude of variation was also characteristic of each module, with levels of expression being more variable for M1.2 and M2.11 than M2.1 and especially M1.7. Thus, we find that transcriptional modules constitute independent biological variables.
Functional characterization of transcriptional modules. Next, the modules were characterized at a functional level. A text mining approach was employed to extract keywords from the biomedical literature collected for each gene (described in 18). The distribution of keywords associated to the four modules that were analyzed is clearly distinct (Figure 3). The following is a list of keywords that may be associated with certain modules.
  • Keywords highly specific for M1.2 included Platelet, Aggregation or Thrombosis, and were associated with genes such as ITGA2B (Integrin alpha 2b, platelet glycoprotein IIb), PF4 (platelet factor 4), SELP (Selectin P) and GP6 (platelet glycoprotein 6).
  • Keywords highly specific for M1.3 included B-cell, Immunoglobulin or IgG and were associated with genes such as CD19, CD22, CD72A, BLNK (B cell linker protein), BLK (B lymphoid tyrosine kinase) and PAX5 (paired box gene 5, a B-cell lineage specific activator).
  • Keywords highly specific for M1.5 included Monocyte, Dendritic, CD14 or Toll-like and were associated with genes such as MYD88 (myeloid differentiation primary response gene 88), CD86, TLR2 (Toll-like receptor 2), LILRB2 (leukocyte immunoglobulin-like receptor B2) and CD163.
  • Keywords highly specific for M3.1 included Interferon, IFN-alpha, Antiviral, or ISRE and were associated with genes such as STAT1 (signal transducer and activator of transcription 1), CXCL10 (CXC chemokine ligand 10, IP-10), OAS2 (oligoadenylate synthetase 2) and MX2 (myxovirus resistance 2).
This contrasted pattern of term occurrence denotes the remarkable functional coherence of each module. Information extracted from the literature for all the modules that have been identified permit a comprehensive functional characterization of the PBMC system at a transcriptional level. Table 2 provides an example of genes that may be used to distinguish between immune responses to, e.g., melanoma and liver transplant. Table 2: Genes in Module 1.4 Used to Distinguish Immune Responses
1.4 55544 RNPC1 RNA-binding region (RNP1, RRM) containing 1
1.4 5930 RBBP6 retinoblastoma binding protein 6
1.4 80273 GRPEL1
1.4 57162 PELI1 pellino homolog 1 (Drosophila)
1.4 9921 RNF10 ring finger protein 10 /// ring finger protein 10
1.4 90637 LOC90637 hypothetical protein LOC90637
1.4 80314 EPC1 Enhancer of polycomb homolog 1 (Drosophila)
1.4 --- --- Full length insert cDNA clone ZB81B12
1.4 5756 PTK9 PTK9 protein tyrosine kinase 9
1.4 55038 CDCA4 cell division cycle associated 4
1.4 5187 PER1 period homolog 1 (Drosophila)
1.4 9205 ZNF237 zinc finger protein 237
1.4 25976 TIPARP TCDD-inducible poly(ADP-ribose) polymerase
1.4 57018 CCNL1 cyclin L1
1.4 64061 TSPYL2 TSPY-like 2
1.4 81488 GRINL1A glutamate receptor, ionotropic, N-methyl D-aspartate-like 1A
1.4 22850 KIAA0863 KIAA0863 protein
1.4 23764 MAFF v-maf musculoaponeurotic fibrosarcoma oncogene homolog F (avian)
1.4 29035 PRO0149 PRO0149 protein
1.4 7803 PTP4A1 protein tyrosine phosphatase type IVA, member 1
1.4 11171 STRAP serine/threonine kinase receptor associated protein
1.4 5814 PURB purine-rich element binding protein B
1.4 5142 PDE4B phosphodiesterase 4B, cAMP-specific (phosphodiesterase E4 dunce homolog, Drosophila)
1.4 30836 ERBP estrogen receptor binding protein
1.4 6782 STCH stress 70 protein chaperone, microsome-associated, 60kDa
1.4 10950 BTG3 BTG family, member 3
1.4 7037 TFRC transferrin receptor (p90, CD71)
1.4 54934 FLJ20436 hypothetical protein FLJ20436
1.4 5144 PDE4D phosphodiesterase 4D, cAMP-specific (phosphodiesterase E3 dunce homolog, Drosophila)
1.4 9929 KIAA0063 KIAA0063 gene product
1.4 143187 VTI1A Vesicle transport through interaction with t-SNAREs homolog 1A (yeast)
1.4 440309 --- LOC440309
1.4 150094 SNF1LK SNF1-like kinase /// SNF1-like kinase
1.4 1850 DUSP8 dual specificity phosphatase 8
1.4 9584 RNPC2 RNA-binding region (RNP1, RRM) containing 2
1.4 140735 Dlc2 dynein light chain 2
1.4 54542 MNAB membrane associated DNA binding protein
1.4 9262 STK17B serine/threonine kinase 17b (apoptosis-inducing)
1.4 7128 TNFAIP3 tumor necrosis factor, alpha-induced protein 3
1.4 3183 HNRPC heterogeneous nuclear ribonucleoprotein C (C1/C2)
1.4 5144 PDE4D Phosphodiesterase 4D, cAMP-specific (phosphodiesterase E3 dunce homolog, Drosophila)
1.4 80311 KLHL15 kelch-like 15 (Drosophila)
1.4 22850 KIAA0863 KIAA0863 protein
1.4 5996 RGS1 ---
1.4 468 ATF4 activating transcription factor 4 (tax-responsive enhancer element B67)
1.4 --- --- ---
1.4 7430 VIL2 villin 2 (ezrin)
1.4 6627 SNRPA1 small nuclear ribonucleoprotein polypeptide A'
1.4 7750 ZNF198 zinc finger protein 198
1.4 1390 CREM cAMP responsive element modulator
1.4 10291 SF3A1 splicing factor 3a, subunit 1, 120kDa
1.4 9308 CD83 CD83 antigen (activated B lymphocytes, immunoglobulin superfamily)
1.4 63935 C20orf67 ---
1.4 10049 DNAJB6 DnaJ (Hsp40) homolog, subfamily B, member 6
1.4 51526 C20orf111 chromosome 20 open reading frame 111
1.4 55500 ETNK1 ethanolamine kinase 1 /// ethanolamine kinase 1
1.4 79441 C4orf15 chromosome 4 open reading frame 15
1.4 11236 RNF139 ring finger protein 139
1.4 246243 RNASEH1 ribonuclease H1
1.4 3727 JUND jun D proto-oncogene
1.4 6500 SKP1A S-phase kinase-associated protein 1A (p19A)
1.4 4204 MECP2 Methyl CpG binding protein 2 (Rett syndrome)
1.4 3189 HNRPH3 heterogeneous nuclear ribonucleoprotein H3 (2H9)
1.4 222161 DKFZp586I1420 hypothetical protein DKFZp586I1420
1.4 266812 NAP1L5 nucleosome assembly protein 1-like 5
1.4 9908 G3BP2 Ras-GTPase activating protein SH3 domain-binding protein
2
1.4 10425 ARIH2 ---
1.4 55422 ZNF331 Zinc finger protein 331
1.4 8454 CUL1 Cullin 1
1.4 51119 SBDS Shwachman-Bodian-Diamond syndrome
1.4 6309 SC5DL sterol-C5-desaturase (ERG3 delta-5-desaturase homolog, fungal)-like
1.4 5277 PIGA phosphatidylinositol glycan, class A (paroxysmal nocturnal hemoglobinuria) /// phosphatidylinositol glycan, class A (paroxysmal nocturnal hemoglobinuria)
1.4 3422 IDI1 isopentenyl-diphosphate delta isomerase
1.4 63935 C20orf67 chromosome 20 open reading frame 67
1.4 7975 MAFK v-maf musculoaponeurotic fibrosarcoma oncogene homolog K (avian)
1.4 7456 WASPIP Wiskott-Aldrich syndrome protein interacting protein
1.4 55975 KLHL7 kelch-like 7 (Drosophila)
1.4 7128 TNFAIP3 tumor necrosis factor, alpha-induced protein 3
1.4 388796 LOC388796 hypothetical LOC388796
1.4 25852 ARMC8 armadillo repeat containing 8
1.4 54542 MNAB Membrane associated DNA binding protein
1.4 55422 ZNF331 zinc finger protein 331
1.4 1390 CREM cAMP responsive element modulator
1.4 10209 SUI1 putative translation initiation factor
1.4 10049 DNAJB6 DnaJ (Hsp40) homolog, subfamily B, member 6
1.4 4929 NR4A2 nuclear receptor subfamily 4, group A, member 2
1.4 1540 CYLD cylindromatosis (turban tumor syndrome)
1.4 4929 NR4A2 nuclear receptor subfamily 4, group A, member 2
1.4 5805 PTS 6-pyruvoyltetrahydropterin synthase
1.4 10926 ASK activator of S phase kinase
1.4 10923 PC4 activated RNA polymerase II transcription cofactor 4 /// similar to Activated RNA polymerase II transcriptional coactivator p15 (Positive cofactor 4) (PC4) (p14)
1.4 388796 RNU71A Hypothetical LOC388796
1.4 133746 JMY junction-mediating and regulatory protein
1.4 90634 CG018 Hypothetical gene CG018
1.4 10209 SUI1 putative translation initiation factor
1.4 1847 DUSP5 dual specificity phosphatase 5
1.4 7088 TLE1 Transducin-like enhancer of split 1 (E(sp1) homolog, Drosophila)
1.4 84275 MGC4399 mitochondrial carrier protein
1.4 --- --- ---
1.4 7803 PTP4A1 protein tyrosine phosphatase type IVA, member 1
1.4 55422 ZNF331 zinc finger protein 331
1.4 --- --- CDNA clone IMAGE:30332316, partial cds
1.4 3609 ILF3 interleukin enhancer binding factor 3, 90kDa
1.4 --- --- Homo sapiens, clone IMAGE:4753714, mRNA
1.4 6651 SON SON DNA binding protein
1.4 11276 AP1GBP1 AP1 gamma subunit binding protein 1
1.4 84124 ZNF394 zinc finger protein 3 94
1.4 63935 C20orf67 ---
1.4 1983 EIF5 eukaryotic translation initiation factor 5
1.4 80063 ATF7IP2 Activating transcription factor 7 interacting protein 2
1.4 285831 LOC285831 hypothetical protein LOC285831
1.4 81873 ARPC5L actin related protein 2/3 complex, subunit 5-like
1.4 144438 LOC144438 hypothetical protein LOC144438
1.4 10209 SUI1 putative translation initiation factor
1.4 3021 H3F3B H3 histone, family 3B (H3.3B)
1.4 25948 KBTBD2 kelch repeat and BTB (POZ) domain containing 2
1.4 --- --- CDNA FLJ40725 fis, clone TKIDN1000001, highly similar to Translocase of inner mitochondrial membrane 23
1.4 1540 CYLD cylindromatosis (turban tumor syndrome)
1.4 5144 PDE4D phosphodiesterase 4D, cAMP-specific (phosphodiesterase E3 dunce homolog, Drosophila)
1.4 51182 HSPA14 heat shock 70kDa protein 14
1.4 29080 HSPC128 HSPC128 protein
1.4 8731 RNMT RNA (guanine-7-) methyltransferase
1.4 3423 IDS iduronate 2-sulfatase (Hunter syndrome)
1.4 283991 MGC29814 hypothetical protein MGC29814
1.4 1454 CSNK1E Casein kinase 1, epsilon
1.4 26051 PPP1R16B protein phosphatase 1, regulatory (inhibitor) subunit 16B
1.4 3422 IDI1 isopentenyl-diphosphate delta isomerase
1.4 5887 RAD23B RAD23 homolog B (S. cerevisiae)
1.4 5144 PDE4D Phosphodiesterase 4D, cAMP-specific (phosphodiesterase E3 dunce homolog, Drosophila)
1.4 49854 ZNF295 zinc finger protein 295
1.4 60493 FLJ13149 hypothetical protein FLJ13149
1.4 10950 BTG3 BTG family, member 3
Yet another group that may be used alone or in combination with the genes listed in supplementary table that includes the data shown in Figure 17, denoted P2, and which may include one or more the following genes that are overexpressed, e.g., WARS; IFI53; IFP53; GAMMA-2; FAM46C; FLJ20202; H3F3B; H3.3B; FOXK2; ILF; ILF1; ILF-1; DUSP5; HVH3; ARF6; DKFZp762C186; BRD2; NAT; RNF3; FSRG1; RING3; D6S113E; KIAA9001; RORA; ROR1; ROR2; ROR3; RZRA; NR1F1; DKFZp762C186; DNAJB1; SUI1; CXCR4; HM89; LAP3; NPYR; WHIM; LESTR; NPY3R; HSY3RR; NPYY3R; D2S201E; GRINL1A; CTSB; TRIP-Br2; PDE4B; DPDE4; PDEIVB; PMAIP1; APR; NOXA; BTG2; PC3; TIS21; ASAHL; SON; SUI1; A121; ISO1; HERPUD1; SUP; Mif1; KIAA0025; DUSP2; PAC1; PAC-1; RNF139; RCA1; TRC8; HRCA1; MGC31961; TNFAIP3; A20; TNFA1P2; ARS2; HNRPL; hnRNP-L; P/OKc1.14; C20orf67; C20orf111; HSPC207; dJ1183I21.1; ZNF331; RITA; ZNF361; ZNF463; C20orf67; IER5; SBBI48; ; SUI1; JUN; AP1; CD69; TOB1; H3F3B; H3.3B; FOLR1; TNFAIP3; TCF8; BZP; ZEB; ZEB1; AREB6; ZFHEP; NIL-2A; ZFHX1A; NIL-2-A; DUSP10; MKP5; MKP-5; GGTLA4; MGC50550; dJ831C21.2; PMAIP1; ZC3HAV1; ZAP; FLB6421; ZC3HDC2; FLJ13288; MGC48898; DSIPI; DIP; GILZ; hDIP; TSC-22R; MCL1; TM; EAT; MCL1L; MCL1S; MGC1839; SH3TC1; FLJ20356; CIAS1; FCU; MWS; FCAS; NALP3; Clorf7; PYPAF1; AII/AVP; AGTAVPRL; SLC15A3; PHT2; PTR3; hPTR3; PTDSR; PSR; PTDSR1; KIAA0585; BHLHB2; DEC1; STRA13; Stra14; HMGE; KIAA0063; NR4A2; NOT; RNR1; HZF-3; NURR1; TINUR; NR4A2; NOT; RNR1; HZF-3; NURR1; TINUR; PTS; PTPS; HEAB; CLP1; hClp1; AREG; SDGF; CRDGF; MGC13647; EDG4; LPA2; EDG-4; LPAR2; CREM; ICER; MGC17881; MGC41893; CD83; BL11; HB15; ZNF394; FLJ12298, and combinations thereof.
Module-based microarray data mining strategy. Results from "traditional" microarray analyses are notoriously noisy and difficult to interpret. A widely accepted approach for microarray data analyses includes three basic steps: 1) Use of a statistical test to select genes differentially expressed between study groups; 2) Apply pattern discovery algorithms to identify signatures among the resulting gene lists; and 3) Interpret the data using knowledge derived from the literature or ontology databases.
The present invention uses a novel microarray data mining strategy emphasizing the selection of biologically relevant transcripts at an early stage of the analysis. This first step can be carried out using for instance the modular mining algorithm described above in combination with a functional mining tool used for in-depth characterization of each transcriptional module (FIGURE 4: top panel, Step 1). The analysis does not take into consideration differences in gene expression levels between groups. Rather, the present invention focuses instead on complex gene expression patterns that arise due to biological variations (e.g., inter-individual variations among a patient population). After defining the transcriptional components associated to a given biological system the second step of the analysis includes the analysis of changes in gene expression through the comparison of different study groups (FIGURE 4: bottom panel, Step 2). Group comparison analyses are carried out independently for each module. Changes at the module level are expressed as the proportion of genes that meet the significance criteria (represented by a pie chart in FIGURE 5 or a spot in FIGURE 6). Notably, carrying out comparisons at the modular level permits to avoid the noise generated when thousands of tests are performed on "random" collections of genes.
Perturbation of modular PBMC transcriptional profiles in human diseases. To illustrate the second step of the microarray data mining strategy described above (FIGURE 4), gene expression data for PBMC samples obtained from two pediatric patient populations composed of eighteen children with systemic lupus erythematosus (SLE) and sixteen children with acute influenza A infection was obtained, compared and analyzed. Each patient cohort was matched to its respective control group (healthy volunteers: eleven and ten donors were matched to the SLE and influenza groups, respectively). Following the analytical scheme depicted in FIGURE 4, a statistical group comparisons between patient and healthy groups for each individual module and measured the proportion of genes significantly changed in each module (FIGURE 5) was performed. The statistical group comparison approach allows the user to focus the analysis on well defined groups of genes that contain minimal amounts of noise and carry identifiable biological meaning. A key to the graphical representation of these results is provided in Figure 4.
The following findings were made: (1) that a large proportion of genes in M3.1 ("interferon-associated") met the significance level in both Flu and SLE groups (84% and 94%, respectively). This observation confirms earlier work with SLE patients 19 and identifies the presence of an interferon signature in patients with acute influenza infection. (2) Equivalent proportions of genes in M1.3 ("B-cell-associated") were significantly changed in both groups (53%), with over 50% overlap between the two lists. This time, genes were consistently under-expressed in patient compared to healthy groups. (3) Modules were also found that differentiate the two diseases. The proportion of genes significantly changed in Module 1.1 reaches 39% in SLE patients and is only 7% in Flu patients, which at a significance level of 0.05 is very close to the proportion of genes that would be expected to be differentially expressed only by chance. Interestingly, this module is almost exclusively composed of genes encoding immunoglobulin chains and has been associated with plasma cells. However, this module is clearly distinct from the B-cell associated module (M1.3), both in terms of gene expression level and pattern (not shown). (4) As illustrated by module M1.5, gene-level analysis of individual modules can be used to further discriminate the two diseases. It is also the case for M1.3, where, despite the absence of differences at the module-level (FIGURE 4: 53% under-expressed transcripts), differences between Flu and SLE groups could be identified at the gene-level (only 51% of the under-expressed transcripts in M1.3 were common to the two disease groups). These examples illustrate the use of a modular framework to streamline the analysis and interpretation of microarray results.
Mapping changes in gene expression at the modular level. Data visualization is paramount for the interpretation of complex datasets and the present invention includes a comprehensive graphical illustration of changes that occur at the modular level. Changes in gene expression levels caused by different diseases were represented for the twenty-eight PBMC transcriptional modules (FIGURE 6). Each disease group is compared to its respective control group composed of healthy donors who were matched for age and sex (eighteen patients with SLE, sixteen with acute influenza infection, sixteen with metastatic melanoma and sixteen liver transplant recipients receiving immunosuppressive drug treatment were compared to control groups composed of ten to eleven healthy subjects). Module-level data were represented graphically by spots aligned on a grid, with each position corresponding to a different module (See Table 1 for functional annotations on each of the modules).
The spot intensity indicates the proportion of genes significantly changed for each module. The spot color indicates the polarity of the change (red: proportion of over-expressed genes, blue: proportion of under-expressed genes; modules containing a significant proportion of both over- and under-expressed genes would be purple-though none were observed). This representation permits a rapid assessment of perturbations of the PBMC transcriptional system. Such "module maps" were generated for each disease. When comparing the four maps, we found that diseases were characterized by a unique modular combination. Indeed, results for M1.1 and M1.2 alone sufficed to distinguish all four diseases (M1.1/M1.2: SLE = +/+; FLU=0/0; Melanoma=-/+; transplant=-/-). A number of genes in M3.2 ("inflammation") were over-expressed in all diseases (particularly so in the transplant group), while genes in M3.1 (interferon) were over-expressed in patients with SLE, influenza infection and, to some extent, transplant recipients. "Ribosomal protein" module genes (M1.7 and M2.4) were under-expressed in both SLE and Flu groups. The level of expression of these genes was recently found to be inversely correlated to disease activity in SLE patients (Bennett et al., submitted). M2.8 includes T-cell transcripts which are under-expressed in lymphopenic SLE patients and transplant recipients treated with immunosuppressive drugs targeting T-cells.
Interestingly, differentially expressed genes in each module were predominantly either under-expressed or over-expressed (FIGURE 5 and FIGURE 6). Yet, modules were purely selected on the basis of similarities in gene expression profiles, not changes in expression levels between groups. The fact that changes in gene expression appear highly polarized within each module denotes the functional relevance of modular data. Thus, the present invention enables disease fingerprinting by a modular analysis of patient blood leukocyte transcriptional profiles.
Validation of PBMC modules in a published dataset. Next, the validity of the PBMC transcriptional modules described above in a "third-party" dataset was tested. The study from Connolly, et al., who investigated the effects of exercise on gene expression in human PBMCs20 was tested.
Blood samples were obtained from 35 patients with metastatic melanoma enrolled in three phase I/II clinical trials designed to test the efficacy of a dendritic cell therapeutic vaccine as seen in the table below. Gene expression signatures were generated from blood samples collected prior to the initiation of vaccine therapy, and at least 4 weeks after the last systemic therapy if a patient had undergone such. Table 3: Clinical and demographic characteristics of 35 patients with metastatic melanoma
ID Sex Age Stage Diagnosis Time from Dx to Blood Draw (Months) Blood Draw Status Blood Draw to Time of Death (Months)
MEL 23 F 61 M1a 02/14/00 16 06/28/01 Deceased 28
MEL 24 M 53 M1c 09/01/99 22 07/05/01 Deceased 5
MEL 26 F 52 M1c 10/01/97 45 07/18/01 Deceased 2
MEL 27 F 54 M1a 07/10/93 98 09/14/01 Deceased 5
MEL 29 M 41 M1c 10/26/94 83 09/26/01 Deceased 14
MEL 30 F 58 M1c 10/04/99 23 09/25/01 Deceased 11
MEL 32 M 56 M1b 01/17/94 95 12/17/01 Deceased 24
MEL 34 F 28 M1b 04/01/01 10 02/05/02 Deceased 42
MEL 35 M 29 M1a 08/25/98 43 03/12/02 Deceased 12
MEL 36 F 69 M1b 01/01/85 205 02/19/02 Deceased 7
MEL 40 F 43 M1c 07/02/91 132 07/19/02 Deceased 19
MEL 43 M 60 M1a 08/14/94 100 12/04/02 Alive 05/16/05 *
MEL 44 F 68 M1c 05/01/99 44 01/28/03 Deceased 12
MEL 45 F 53 M1a 02/01/02 10 12/17/02 Alive 5/5/05 *
MEL 46 F 47 M1c 11/18/97 61 12/27/02 Deceased 22
MEL 47 F 35 M1c 03/02/02 10 01/09/03 Deceased 2
MEL 48 M 68 M1b *1992 >120 03/12/03 Alive 05/10/05 *
MEL 49 M 71 M1b 12/05/97 64 04/10/03 Alive 07/05/05 *
MEL 50 M 52 M1c 07/08/97 69 04/11/03 Deceased 18
MEL 51 M 56 M1c 10/01/01 18 04/16/03 Alive 05/17/05 *
MEL 52 M 42 M1c 03/01/02 13 04/17/03 Deceased 9
MEL 54 M 50 M1b 07/20/90 153 04/25/03 Alive 04/08/05 *
MEL 56 M 71 M1c 03/01/01 26 05/29/03 Deceased 9
MEL 57 F 36 M1b 07/01/02 11 06/05/03 Deceased 20
MEL 58 M 67 M1c 10/01/99 45 07/18/03 Deceased 10
MEL 59 M 61 M1c unknown * 07/25/03 Alive 06/22/05 *
MEL 60 M 41 M1c 11/01/02 9 08/14/03 Deceased 7
MEL 61 F 54 M1a 03/03/99 54 09/10/03 Alive 05/18/05 *
MEL 62 M 46 M1b 12/01/01 22 10/09/03 Deceased 5
MEL 63 M 75 M1b 12/01/00 34 10/29/03 Alive 03/16/05 *
MEL 64 F 53 M1b 04/01/00 42 10/30/03 Alive 03/05/04 *
MEL 65 M 62 M1b 08/14/94 111 11/14/03 Alive 05/16/05 *
MEL 68 M 74 M1b 06/09/04 1 07/29/04 Deceased 9
MEL 70 M 67 M1b 04/06/04 5 09/23/04 Alive 8/18/2005 *
MEL 72 M 50 M1c 09/23/04 2 11/10/04 Deceased *
The Table provides both clinical and demographic characteristics of 35 patients with metastatic melanoma.
A second group of patients included 39 liver transplant recipients maintaining their graft under pharmacological immunosuppressive therapy, time from transplant had a median of 729 days and a range of between 338 and 1905 days. Outpatients coming for routine exams were recruited for this study. All patients received standard treatment regimens with calcineurin inhibitors (e.g., Tacrolimus: n=25; Cyclosporin A: n=13). The main indications for liver transplant were hepatitis C (n = 19) and Laennec's cirrhosis (n = 7). The table below provides both clinical and demographic characteristics of 39 liver transplant recipients. Table 4: Clinical and demographic characteristics of 39 liver transplant recipients
Patient ID Age Sex Transpl. to Blood Draw (Days) TAC CsA Primary Dx
R1292 47 M 1854 yes Hepatitis C
R1297 48 M 1868 yes Hepatitis C
R1308 66 F 1905 yes Primary Biliary Cirrhosis
R1322 32 F 1821 yes Hepatitis C
R1323 45 M 1828 yes Hepatitis C
R1325 50 M 1801 yes Hepatitis C
R1329 51 F 1781 yes Laennec's Cirrhosis
R1340 50 M 1829 yes Laennec's Cirrhosis
R1348 64 F 1802 yes Fulminant Hepatic Failure
R1355 61 M 1780 yes Cryptogenic
R1364 42 M 1756 yes Hepatitis C
R1413 52 M 1856 yes Laennec's Cirrhosis
R1673 60 F 756 yes Hepatitis B
R1674 45 M 729 yes Hepatitis C
R1684 65 F 721 yes Mx. Carcinoid
R1686 59 M 704 yes Hepatitis B
R1689 43 M 692 yes Hepatitis C
R1700 53 M 732 yes Hepatitis C
R1701 45 M 737 yes Hepatitis C
R1702 48 M 726 yes Hepatitis C
R1706 57 M 721 yes Laennec's Cirrhosis
R1710 50 F 736 yes Cryptogenic
R1714 63 F 718 yes Nonalcoholic Steatohepatitis
R1718 53 F 707 yes Hepatitis C
R1754 51 F 589 yes Primary Sclerosing Cholangitis
R1771 42 F 812 Hepatitis C
R1787 60 F 794 yes Laennec's Cirrhosis
R1805 42 M 735 yes Laennec's Cirrhosis & Postnecrotic Cirrhosis Type C
R1814 45 M 427 yes Hepatitis C
R1838 66 F 360 yes Autoimmune Hepatitis
R1839 56 M 354 yes Cryptogenic
R1841 52 M 363 yes PSC-UC
R1843 48 M 361 yes Hepatitis C
R1845 44 F 338 yes Primary Biliary Cirrhosis
R1846 41 F 338 yes Hepatitis C
R1847 53 M 358 yes Laennec's Cirrhosis
R1854 50 M 350 yes Hepatitis C
R1971 46 M 367 yes Hepatitis C; Hepatocellular Carcinoma with Cirrhosis
R1974 54 M 341 yes Hepatitis C
Blood samples were also obtained from 25 healthy donors that constituted the control groups. The table below provides the demographic characteristics of the 25 healthy donors. Table 5: Demographic characteristics of 25 healthy donors
Healthy Volunteers Sex Age
D-001 M 41
D-002 F 53
D-005 F 40
D-007 F 44
D-008 M 40
D-010 M 46
D-011 F 43
D-013 M 58
D-014 F 47
D-015 M 42
D-016 F 40
D-017 M 25
D-018 M 46
D-019 F 40
D-020 M 39
D-021 M 45
D-022 M 50
D-024 F 44
D-025 F 48
D-027 F 43
D-028 F 43
D-029 M 43
D-031 M 35
D-032 F 43
D-033 F 43
Identification of disease-associated blood leukocyte transcriptional signatures. Blood leukocyte gene expression signatures were identified in patients with metastatic melanoma and liver transplant recipients. Each set of patients was compared to a control group of healthy volunteers. Patient samples were divided into a training set, used to identify disease-associated and predictive expression signatures, and an independent test set. This step-wise analysis allowed validation of results in samples that were not used to establish the disease signature. Stringent criteria were employed to select the samples forming training sets in order to avoid confounding the analysis with biological and/or technical factors. The table below illustrates the composition of sample sets taking into account age, gender and sample processing method used for the identification (training) and validation (testing) of expression signatures associated with metastatic melanoma. Table 6: Composition of sample sets associated with metastatic melanoma.
Total n
Fresh Frozen Fresh Frozen
Male 7 7 14 Male 5 0 5
Female 0 9 9 Female 8 0 8
7 16 23 13 0 13 36
Table 6: Composition of sample sets associated with metastatic melanoma.
Fresh Frozen Fresh Frozen
Male 3 9 12 Male 0 11 11
Female 0 10 10 Female 0 5 5
3 19 22 0 16 16 38
Total 45 Total 29
Similarly, the table below provides the composition of sample sets used taking into account age, gender and sample processing method for the identification (training) and validation (testing) of expression signatures associated with liver transplant recipients undergoing immunosuppressive drug therapy. Table 7: Composition of sample sets associated with liver transplant recipients undergoing immunosuppressive drug therapy.
Total n
Fresh Frozen Fresh Frozen
Male 12 5 17 Male 0 2 2
Female 8 2 10 Female 0 7 7
20 7 27 0 9 9 36
Fresh Frozen Fresh Frozen
Male 9 3 12 Male 15 0 15
Female 9 1 10 Female 6 0 6
18 4 22 21 0 21 43
Total 49 Total 30
Table 8 lists the genes differentially expressed in patients with metastatic melanoma in comparison to healthy volunteers. Statistical comparison of a group of twenty-two patients with metastatic melanoma versus twenty-three healthy volunteers, training set, identified 899 differentially expressed genes (p<0.01, non parametric Mann-Whitney rank test and >1.25 fold change; 218 overexpressed and 681 underexpressed genes). The Tables provide a correlation to the modules from which there were identified, their expression level, various nomenclatures for their individual identification.
FIGURES 7A-7D are images of the hierarchical clustering of genes. FIGURE 7A illustrates the hierarchical clustering of genes that produce a reciprocal expression pattern; which was confirmed in an independent test set shown in FIGURE 7B. FIGURE 7B displays results from 13 healthy volunteers versus 16 patients. Next, class prediction algorithms were applied to the initial training set. These algorithms yielded 81 genes with the best ability to classify healthy volunteers and patients based on their differential expression as shown in FIGURE 7C and Table 9). Table 9 illustrates the expression levels of a set of transcripts discriminating patients with melanoma from healthy volunteers. Using these 81 genes, an independent test set was classified with 90% accuracy; the class of only three was indeterminate as illustrated in FIGURE 7D.
FIGURES 8A and 8B are plots of the microarray results in an independent set of samples to confirm the reliability of the results by correlating expression levels obtained for the training and test sets. Genes with the best ability to discriminate between patients and healthy volunteers were identified in a training set using a class prediction algorithm (k-Nearest Neighbors). Fold change expression levels between healthy controls and patients were measured for discriminative genes in the training set and an independent test set. Fold change values obtained in training and test sets were correlated: FIGURE 8A illustrates results for metastatic melanoma and produced 81 genes with a Pearson correlation of r2=0.83 and a p<0.0001 and FIGURE 8B illustrates results for liver transplant recipients and produced 65 genes with a Pearson correlation of r2=0.94 and a p<0.0001.
FIGURES 9A-9D are images of the hierarchical clustering of genes for the identification of a blood leukocyte transcriptional signature in transplant recipients under immunosuppressive drug therapy. Samples were divided into a training set (27 healthy, 22 patients) used to identify differentially expressed genes in liver transplant recipients versus healthy volunteers as seen in FIGURE 9A and FIGURE 9C respectively. A test set of nine healthy and 21 patients were used to independently validate this signature as seen in FIGURE 9B and FIGURE 9D. Class comparison identified 2,589 differentially expressed genes (Mann-Whitney test p < 0.01, fold change > 1.25). FIGURE 9A illustrates a similar signature in the test set and FIGURE 9B illustrates the class prediction that identified 81 genes. FIGURE 9C shows that the discrimination of the independent test set with 90% accuracy. FIGURE 9D illustrates the class could not be identified for two samples out of 30; one sample was incorrectly predicted (i.e. transplant recipient classified as healthy).
The same analysis strategy was applied to Liver transplant patients. Statistical comparison of a group of 22 transplant recipients versus 27 healthy volunteers identified 2,589 differentially expressed genes (p<0.01, non-parametric Mann-Whitney rank test and >1.25 fold change; 938 overexpressed and 1651 underexpressed genes; Table 10). Table 10 illustrates genes that are expressed differentially in liver transplant recipients under treatment with immunosuppressive drugs in comparison to healthy volunteers. Hierarchical clustering of genes produced a reciprocal expression pattern that was observed in both training as seen in FIGURE 9A and independent test sets as seen in FIGURE 9B. Sixty-five classifier genes were established in the training set and are illustrates in FIGURE 9C and Table 11. Table 11 illustrates the expression level of a set of transcripts discriminating liver transplant recipients under treatment with immunosuppressive drugs from healthy volunteers. The sixty-five classifier genes were applied to an independent test set of 9 healthy donors and 21 patients. Samples were correctly classified 90% of the time: class could not be determined in two cases and one sample was misclassified as seen in FIGURE 9D. The results obtained for both of these sets were highly correlated, e.g., pearson correlation, r2=0.94, p<0.0001, as seen in FIGURE 8B. Thus, the blood leukocyte transcriptional signatures associated with patients with metastatic melanoma and in liver transplant recipients have been identified and validated.
Module-level analysis of patients PBMC transcriptional profiles was performed. A custom microarray data mining strategy was used to further characterize disease-associated gene expression patterns. The analysis of a set of 239 blood leukocytes transcriptional signatures identified 28 transcriptional modules regrouping 4,742 probe sets. These "transcriptional modules" are sets of genes that follow similar expression patterns across a large number of samples in multiple studies, identified through co-expression meta-analysis. Each module is associated with a unique identifier that indicates the round of selection and order (e.g., M2.8 designates the eighth module of the second round of selection). Upon extraction each transcriptional module is functionally characterized with the help of a literature profiling algorithm (Chaussabel and Sher, 2002).
FIGURES 10 to 13 illustrate detailed statistical comparisons between healthy and disease groups of the module-level analysis. For example, twenty-eight sets of coordinately expressed genes, or transcriptional modules, were identified through the analysis of 239 PBMC microarray profiles. For each of these modules changes in expression levels between groups of healthy volunteers and either patients with metastatic melanoma or transplant recipients were tested. A pie chart indicates the proportion of genes that were significantly changed in each module, where red indicates overexpressed genes and blue illustrates underexpressed genes, with a p<0.05 for the Mann-Whitney test. For each module, keywords extracted from the literature are listed in green along with a functional assessment of relationships existing among the genes.
FIGURE 14 is a plot of the changes observed in a few representative modules represented by a transcriptional profile. Each differentially expressed gene is represented by a line that indicates relative levels of expression across healthy volunteer and patient samples. Peaks and dips respectively indicate relatively higher and lower gene expression in a given patient. Genes that were not significantly different are not represented. The levels of expression of genes associated with a platelet signature changed in opposite directions: 28% of the genes forming this signature (M1.2) were overexpressed in patients with melanoma and 27% were underexpressed in transplant recipients. Furthermore, half of the genes belonging to module M2.1 (cytotoxic cell signature) were underexpressed in transplant recipients. This trend was not observed in patients with melanoma (7% overexpressed with p<0.05 where 5% of changes are expected by chance only). Similarly, a massive down-regulation of genes associated to T cells was observed in transplant recipients (74% of genes in M2.8). This finding most likely reflects pharmacological immunosuppression. In patients with melanoma 29% of these T-cell related genes were down-regulated. In addition, 44% of interferon-inducible genes that form module M3.1 were overexpressed in transplant recipients, while 26% were underexpressed in patients with melanoma. Lists of differentially expressed genes in each module are available in Tables 12 and 13.
Patients with metastatic melanoma and transplant recipients display common transcriptional profiles at the modular level. This analysis identified similarities as well as differences in blood leukocyte transcriptional signatures of patients with metastatic melanoma and liver transplant recipients.
FIGURE 15 is an image of the modular changes observed in both groups of patients vs. their respective healthy control group. The proportion of differentially expressed genes for each module is indicated by a spot of variable intensity. For example, in the overlay a change in transplant is represented by a yellow, while a change in melanoma is indicated by a blue color and a change in both is indicated by a green color.
Proportions of underexpressed and overexpressed transcripts are represented on separate grids. Modules that were common between the two groups of patients include M1.4 (regulator of cAMP and NF-kB signaling pathways), M2.6 (including genes expressed in myeloid lineage cells), M3.2 and M3.3 (both M3.2 and 3.3 include factors involved in inflammation; as seen in FIGURES 10-13).
FIGURE 16 is an image illustrating the module-level analysis of the present invention. Common transcriptional signatures in blood from patients with metastatic melanoma and from liver transplant recipients. Expression profiles of genes belonging to blood leukocyte transcriptional modules M1.1, M1.3, M1.4 and M3.2. The total number of probes is indicated for each module (U133A), along with a brief functional interpretation. Keywords extracted by literature profiling are indicated in green. From the total number in each module, the proportion of genes that were significantly changed (Mann-Whitney test, p<0.05) in patients compared to the appropriate healthy control group is indicated in a pie chart with overexpressed genes are expressed in red and underexpressed genes are expressed in blue. Graphs represent transcriptional profiles of the genes that were significantly changed, with each line showing levels of expression on the y-axis of a single transcript across multiple conditions (samples, x-axis).
The association between metastatic melanoma and liver transplant phenotype was strongest for M1.4 and M3.2 as seen in FIGURE 16. Interestingly, a majority of underexpressed modules were common to melanoma and transplant groups, with the most striking similarities in the case of M1.1 (including plasma cell associated genes), M1.3 (including B-cell associated genes) and M1.8 (including genes coding for metabolic enzymes and factors involved in DNA replication).
Identification of a common transcriptional signature that is unique to metastatic melanoma and liver transplant patients. The extent of the similarities between patients with metastatic melanoma and liver transplant recipients were specific to these two groups of patients were examined. Statistical group comparison was carried out between patients and healthy controls across all samples (e.g., thirty-eight melanoma, forty-three transplant, thirty-six healthy). Briefly, 323 transcripts were identified that were significantly overexpressed and 918 that were significantly underexpressed in both liver transplant recipients and patients with metastatic melanoma (Mann-Whitney test, p<0.01, filtered >1.25 fold change). Next, group comparisons for these transcripts were carried using samples from patients with Systemic Lupus Erythematosus ("SLE"), acute infections (S. pneumoniae, S. aureus, E. coli, and Influenza A) and Graft versus Host Disease ("GVHD") compared to relevant healthy controls. This analysis yielded p-values whose hierarchical clustering identified distinct significance patterns among transcripts common to the melanoma and transplant groups. This analysis identified sets of genes that changed across all diseases as seen in FIGURE 17 with P1 being ubiquitously overexpressed; P3 being ubiquitously underexpressed, while others were associated more specifically with the melanoma and transplant groups as seen in FIGURE 18 with P2 being overexpressed; and P4 being underexpressed. Table 14 illustrates the significance levels across 8 diseases of the genes forming patterns P1, P2, P3 and P4.
FIGURE 17 is an image of the analysis of significance patterns. Genes expressed at higher levels in both stage IV melanoma or liver transplant patients compared to healthy volunteers were selected. P-values were similarly obtained from gene expression profiles generated in other disease models: in PBMCs obtained from patients suffering from systemic lupus erythematosus (SLE), Graft versus Host Disease (GVHD), or acute infections with influenza virus (Influenza A), Escherichia coli (E. coli), Streptococcus pneumoniae (Strep. Pneumo.) or Staphylococcus aureus (Staph. aureus). Each of these cohorts was compared to the appropriate control group of healthy volunteers accrued in the context of these studies. The genes expressed at significantly higher or lower levels in PBMCs obtained from both patients with melanoma and liver transplant recipients (OVER-XP and UNDER-XP, respectively) were ranked by hierarchical clustering of p-values generated for all the conditions listed above. P-values are represented according to a color scale: Green represents low p-value/significant, while white represents high p-value/not significant. Distinct significant patterns are identified, where P1 and P3 are ubiquitous and P2 and P4 are most specific to melanoma and liver transplant groups.
FIGURE 18 is a chart of the modular distribution of ubiquitous and specific gene signatures common to melanoma and transplant groups. Distribution among 28 PBMC transcriptional modules was determined for genes that form ubiquitous (P1) and specific (P2) transcriptional signatures common to the melanoma and transplant groups. Gene lists of each of the modules were compared in turn to the 109 and 69 transcripts that form P1 and P2. For each module, the proportion of genes shared with either P1 or P2 was recorded. These results are represented by a bar graph of FIGURE 18.
Thus, genes forming transcriptional signatures common to the melanoma and transplant groups can be partitioned into distinct sets based on two properties: (1) coordinated expression as seen in the transcriptional modules of FIGURE 13; and (2) change in expression across diseases as seen in the significance patterns of FIGURE 17. The results from these two different mining strategies were recouped by examining the modular distribution of ubiquitous (P1) and specific (P2) PBMC transcriptional signatures. FIGURE 18 clearly shows that the distribution of P1 and P2 across the 28 PBMC transcriptional modules that have been identified to date is not random. Indeed, P1 transcripts are preferentially found among M3.2 (characterized by transcripts related to inflammation), whereas M1.4 transcripts almost exclusively belonged to P2, which includes genes that are more specifically overexpressed in patients with melanoma and liver transplant recipients.
FIGURE 19 is an illustration of the transcriptional signature of immunosuppression. Transcripts overexpressed most specifically in patients with melanoma and transplant recipients (P1) include repressors of immune responses that inhibit: 1) NF-kB translocation; 2) Interleukin 2 production and signaling; 3) MAPK pathways and 4) cell proliferation. Some of these factors are well characterized anti-inflammatory molecules and others are expressed in anergic T-cells.
Molecular signature of immunosuppression. The genes that were most specifically overexpressed in melanoma and transplant groups (P1) were examined. From the 69 probe sets, 55 unique gene identifiers were identified. A query against a literature database indexed by gene, have developed to aid the interpretation of microarray gene expression data, identified 6527 publications associated with 47 genes, 30 of which were associated with more than ten publications. FIGURE 19 illustrates a remarkable functional convergence among the genes forming this signature and includes genes encoding molecules that possess immunoregulatory functions (e.g., anti-proliferative genes: BTG2, TOB1, AREG, SUI1 or RNF139; anti-inflammatory genes: TNFAIP3); inhibitors of transcription: (SON, ZC3HAV1, ZNF394); stress-induced molecules (HERPUD1); while others possess well established immunosuppressive properties. For example, dual specificity phosphatases 2, 5 and 10 (DUSP2, 5, 10) interfere with the MAP kinases ERK1/2, which are known targets of calcineurin inhibitors such as Tacrolimus/FK506. DUSP10 selectively dephosphorylates stress activated kinases(Theodosiou et al., 1999). Interestingly, DUSP5 was found to have a negative feedback role in IL2 signaling in T-cells(Kovanen et al., 2003). CREM, FOXK2 and TCF8 directly bind the IL2 promoter and can contribute to the repression of IL-2 production in T cell anergy(Powell et al., 1999). BHLHB2 (Stra13) negatively regulates lymphocyte development and function in vivo(Seimiya et al., 2004). CIAS1 codes for the protein Cryopyrin, which regulates NF-kappa B activation and production of proinflammatory cytokines. Mutations of this gene have been identified in several inflammatory disorders(Agostini et al., 2004). DSIPI, a leucine zipper protein, is known to mediate the immunosuppressive effects of glucocorticoids and IL10 by interfering with a broad range of signaling pathways (NF-kappa B, NFAT/AP-1, MEK, ERK 1/2), leading to the general inhibition of inflammatory responses in macrophages and down-regulation of the IL2 receptor in T cells. Noatably, the expression of DSIPI in immune cells was found to be augmented after drug treatment (dexamethasone)(D'Adamio et al., 1997) or long term exposure to tumor cells (Burkitt Lymphoma)(Berrebi et al., 2003).
Other immunosuppressive molecules, which did not belong to P1, were also found overexpressed in melanoma and transplant groups. Notably, DDIT4, another dexamethasone-induced gene which was recently found to inhibit mTOR, the mammalian target for rapamycin (Corradetti et al., 2005). Thus, this endogenous factor appears capable of reproducing the action of potent immunosuppressive drugs. HMOX1, a cytoprotective molecule that also demonstrates anti-inflammatory properties. Most recently, HMOX1 expression was found to be induced by FOXP3 and to mediate immunosuppressive effects of CD4+ CD25+ regulatory T cells (Choi et al., 2005). Accordingly, an increase in transcriptional activity of HMOX1 has been correlated with favorable outcomes in experimental transplant models (Soares et al., 1998). Both DDIT4 and HMOX1 genes were also overexpressed in patients with acute E. coli or S. aureus infections. The immunophilin FKBP1A (FKBP12), a member of the FK506-binding protein family, is a key mediator of T-cell immunosuppression by the drugs FK506 (tacrolimus) and rapamycin (Xu et al., 2002). Expression of this gene was elevated in comparison to healthy donors in all patient groups.
Blood is an accessible tissue and lends itself to comparative analyses across multiple diseases. Parmacological and tumor-mediated immunosuppression would produce a common transcriptional signature in blood leukocytes. Metastatic melanoma and transplant recipients disease-associated transcriptional signatures were identified in the blood of patients. These signatures were identified and confirmed through several analytical approaches. Analysis of transcriptional modules identified alterations in blood leukocytes transcriptional components associated to cell types (e.g., Plasma cells, B-cells, T-cells, Cytotoxic cells) and to immune reactions (e.g., Inflammation, Interferon). Furthermore, using both transcriptional modules and gene expression levels similarities between blood transcriptional signatures in patients with metastatic melanoma and liver transplant recipients were identified. However, this common transcriptional signature could not be entirely attributed to immunosuppression. For instance, expression levels of B-cell associated genes (M1.3) were not only decreased in the melanoma and transplant groups, but also in patients with acute influenza infection and systemic lupus erythematosus (SLE) (53% of genes were underexpressed, in comparison to healthy controls; Chaussabel et al.). Conversely, nearly 40% of the genes associated with plasma cells (M1.1) were overexpressed in SLE patients and there was no change in patients with acute influenza infection (7% of the genes were overexpressed at p<0.05), whereas expression levels were significantly decreased in both patients with melanoma and transplant recipients (61 % and 62% of the genes in M1.1, respectively). In order to select the most specific transcripts common between melanoma and transplant signatures a gene-level analysis was carried out across a total of eight groups of patients. This led to the identification of a set of transcripts that was most specifically overexpressed in immunosuppressed patients. The identified set of genes showed marked functional convergence and included genes coding for repressors of Interleukin-2 transcription, inhibitors of NF-kB or MAPK pathways, and anti-proliferative molecules. Interestingly, these signatures are consistent with the mechanism of action of drugs used for pharmacological immunosuppression, which inhibit the activity of calcineurin, a calcium-dependent serine threonine protein phosphatase responsible for the nuclear translocation of NF-AT and NF-kappaB upon T-cell activation. Indicating a functional convergence between immunosuppressive mechanisms operating in patients with advanced melanoma and pharmacologically treated transplant recipients. The fact that the transcripts more specifically induced in immunosuppressed patients include glucocorticoids-inducible genes (e.g., DSIPI, CXCR4, JUN) and hormone nuclear receptors (NR4A2 and RORA)(Winoto and Littman, 2002) suggest a possible role for steroid hormones in tumor-mediated immunosuppression.
Patients with metastatic melanoma display an endogenous transcriptional signature of immunosuppression similar to that induced by pharmacological treatments in patients who underwent liver transplant. The present invention provides a method and apparatus to identify patients at high risk of melanoma progression. In addition the present invention also provides a method and apparatus for monitoring indicators of immunosuppression could help adjusting the dosage of immunosuppressive drugs and balance risks of rejection and side effects for liver transplant recipients.
Examples of patient information and processing of blood samples include the following. Blood was obtained after informed consent as approved by the institutional IRB (Liver transplant recipients: 002-1570199-017; patients with melanoma: 000-048, 002-094; 003-187). Blood samples were obtained in acid citrate dextrose yellow-top tubes (BD Vaccutainer) at the Baylor University Medical Center in Dallas, TX. Samples were immediately delivered at room temperature to the Baylor Institute for Immunology Research, Dallas, TX, for processing. Fresh PBMCs isolated via Ficoll gradient were either stored in liquid nitrogen (e.g., viable freezing) or immediately lysed in RLT buffer, containing β-mercaptoethanol (Qiagen, Valencia, CA). Total RNA was extracted from cells previously frozen in liquid nitrogen ("frozen") or from cells that were lysed immediately after isolation ("fresh"), using the RNEASY® Mini Kit according to the manufacturer's recommended protocol (Qiagen, Valencia, CA). This parameter was taken into account in the experimental design taking into account the age, gender and sample processing method used for the identification (training) and validation (testing) of expression signatures associated with metastatic melanoma and liver transplant recipients undergoing immunosuppressive drug therapy.
Microarray assays. Total RNA was isolated using the RNEASY® kit (Qiagen, Valencia, CA) according to the manufacturer's instructions and the RNA integrity was assessed using an Agilent 2100 Bioanalyzer (Agilent, Palo Alto, CA). Although, the skilled artisan will recognize that other methods of isolation may be used. From 2-5 micrograms of total RNA, double-stranded cDNA containing the T7-dT (24) promoter sequence (Operon Biotechnologies, Huntsville, AL) was generated. This cDNA was then used as a template for in vitro transcription single round amplification with biotin labels (Enzo BioArray HighYield RNA Transcript Labeling Kit from Affymetrix Inc, Santa Clara, CA). Biotinylated cRNA targets were purified using the Sample Cleanup Module and subsequently hybridized to human U133A GeneChips (Affymetrix Inc, Santa Clara, CA) according to the manufacturer's standard protocols. Affymetrix U133A GeneChips that contain 22,283 probe sets, represented by ten to twenty unique probe pairs (perfect match and its corresponding mismatch), which allow detection of 14,500 different genes and expressed sequence tags (ESTs). Arrays were scanned using a laser confocal scanner (Agilent). The samples were processed by the same team, at the same core facility, and were randomized between each array run. Raw data are deposited with GEO (www.ncbi.nltn.nih.gov/geo/).
Data analysis. For each Affymetrix U133A GENE CHIP® raw intensity data were normalized to the mean intensity of all measurements on that array and scaled to a target intensity value of 500 (TGT) in Affymetrix Microarray Suite 5.0. With the aid of GeneSpring software, version 7.2, the measurement for each gene per patient sample array was divided by the median of that gene's measurement from the cohort of healthy volunteers. A filter was applied based on Affymetrix flag calls: probe sets were selected if "Present" in at least 75% of samples in either group (healthy controls or patients). This step insured a more reliable intensity measurement of the genes used in downstream analyses. Class comparison was performed using a non-parametric ranking statistical analysis test (Mann-Whitney) applied to the selected set of genes. In the vertical direction, hierarchical clusters of genes were generated using the Pearson correlation around zero, Genespring's standard correlation measure. Normalized gene expression data were examined with a nonparametric univariate analysis (Fisher's exact test) to identify genes potentially discriminating two different groups. A supervised learning algorithm, the K-Nearest Neighbors Method, was applied that assigned a sample to pre-defined classes in three steps: 1) identification of genes (observations) that have strong correlations to classes to be distinguished; 2) confirmation that identified genes distinguish pre-defined classes; and 3) validation with "unknown samples".
Identification of transcriptional modules. A total of 239 blood leukocyte gene expression profiles were generated using Affymetrix U133A&B GENECHIPS (>44K probe sets). Transcriptional data were obtained for 8 groups including Systemic Juvenile Idiopathic Arthritis, SLE, liver transplant recipients, melanoma patients, and patients with acute infections: Escherichia coli, Staphylococcus aureus and Influenza A. For each group, transcripts that were present in at least 50% of all conditions were segregated into 30 clusters (k-means clustering: clusters C1 through C30). The cluster assignment for each gene was recorded in a table and distribution patterns were compared among all the genes. Modules were selected using an iterative process, starting with the largest set of genes that belonged to the same cluster in all study groups (i.e. genes that were found in the same cluster in 8 of the 8 groups). The selection was then expanded from this core reference pattern to include genes with 7/8, 6/8 and 5/8 matches. The resulting set of genes formed a transcriptional module and was withdrawn from the selection pool. The process was then repeated starting with the second largest group of genes, progressively reducing the level of stringency. This analysis led to the identification of 4742 transcripts that were distributed among 28 modules. Each module is attributed a unique identifier indicating the round and order of selection (e.g., M3.1 was the first module identified in the third round of selection).
Analysis of significance patterns. Gene expression data were generated for PBMCs obtained from patients and healthy volunteers using Affymetrix HG-U133A GENECHIPS. P values were obtained for six reference datasets by comparing groups of patients to their respective healthy control groups (Mann-Whitney rank test). The groups were composed of patients with: 1) Systemic Lupus Erythematosus (SLE, 16 samples), 2) Influenza A (16 samples), 3) Escherichia coli (16 samples), 4) Staphylococcus aureus (16 samples), and 5) Streptococcus pneumoniae (14 samples); and 7) bone marrow transplant recipients undergoing graft versus host disease (GVHD, 12 samples). Control groups were also formed taking into account age, sex and project (10 samples in each group). Genes significantly changed (p<0.01) in the "study group" (Melanoma and Transplant) were divided in two sets: overexpressed versus control and underexpressed versus control. P-values of the genes forming the overexpressed set were obtained for the "reference groups" (SLE, GVHD and infections with influenza virus, E. coli, S. aureus, S. pneumoniae). P-value data were processed with a gene expression analysis software program, GeneSpring, Version 7.2 (Agilent), which was used to perform hierarchical clustering and group genes based on significance patterns.
Example 2. Determination and Analysis of Patterns of Significance are used to identify ubiquitous and disease-specific gene expression signatures in patient peripheral blood leukocytes.
The use of gene expression microarrays in patient-based research creates new prospects for the discovery of diagnostic biomarkers and the identification of genes or pathways linked to pathogenesis. Gene expression signatures were generated from peripheral blood mononuclear cells isolated from over one hundred patients with conditions presenting a strong immunological component (patient with autoimmune, graft versus host and infectious diseases, as well as immunosuppressed transplant recipients). This dataset permitted the opportunity to carry out comparative analyses and define disease signatures in a broader context. It was found that nearly 20% of overlap between lists of genes significantly changed versus healthy controls in patients with Systemic Lupus Erythematosus (SLE) and acute influenza infection. Transcriptional changes of 22,283 probe sets were evaluated through statistical group comparison performed systematically for 7 diseases versus their respective healthy control groups. Patterns of significance were generated by hierarchical clustering of p-values. This "Patterns of Significance" approach led to the identification of a SLE-specific "diagnostic signature", formed by genes that did not change compared to healthy in the other 6 diseases. Conversely, "sentinel signatures" were characterized that were common to all 7 diseases. These findings allow for the use of blood leukocyte expression signatures for diagnostic and early disease detection.
Briefly, blood is a reservoir and migration compartment for immune cells exposed to infectious agents, allergens, tumors, transplants or autoimmune reactions. Leukocytes isolated from the peripheral blood of patients constitute an accessible source of clinically-relevant information and a comprehensive molecular phenotype of these cells can be obtained by microarray analysis. Gene expression microarrays have been extensively used in cancer research, and proof of principle studies analyzing Peripheral Blood Mononuclear Cell (PBMC) samples isolated from patients with Systemic Lupus Erythematosus (SLE) lead to a better understanding of mechanisms of disease onset and responses to treatment. Two main applications have been found for gene expression microarrays in the context of patient-based research: (1) the discovery of biomarkers and establishment of diagnosis / prognosis signatures (e.g. prediction of survival of breast cancer patients) (2) the identification of genes/pathways involved in pathogenesis, leading for instance to the discovery of the role of interleukin-1 in the pathogenesis of systemic onset juvenile idiopathic arthritis. However, the analysis of microarray data still constitutes a considerable challenge. The ability to simultaneously acquire data for tens of thousands of features in a single test is one of the most appealing characteristic of microarrays, but it can also be a major shortcoming7. This 'curse of dimensionality' is compounded by the fact that the numbers of samples analyzed is usually small. The imbalance between the numbers of genes and conditions analyzed considerably weakens data interpretation capabilities. A microarray gene expression database was created that constitutes samples obtained from patients with diseases that possess a strong immune component. The meta-analysis strategy of the present invention allows for the identification of ubiquitous as well as disease-specific signatures.
Processing of Blood Samples. Blood samples were collected by venipuncture and immediately delivered at room temperature to the Baylor Institute for Immunology Research, Dallas, TX, for processing. Peripheral blood mononuclear cells (PBMCs) from 3-4 ml of blood were isolated via Ficoll gradient and immediately lysed in RLT reagent (Qiagen, Valencia, CA) with beta-mercaptoethanol (BME) and stored at -80°C prior to the RNA extraction step.
Microarray analysis. Total RNA was isolated using the RNeasy kit (Qiagen, Valencia, CA) according to the manufacturer's instructions and RNA integrity was assessed by using an Agilent 2100 Bioanalyzer (Agilent, Palo Alto, CA). Target labeling was performed according to the manufacturer's standard protocol (Affymetrix Inc, Santa Clara, CA). Biotinylated cRNA targets were purified and subsequently hybridized to Affymetrix HG-U133A GeneChips (22,283 probe sets). Arrays were scanned using an Affymetrix confocal laser scanner. Microarray Suite, Version 5.0 (MAS 5.0; Affymetrix) software was used to assess fluorescent hybridization signals, to normalize signals, and to evaluate signal detection calls. Normalization of signal values per chip was achieved using the MAS 5.0 global method of scaling to the target intensity value of 500 per GeneChip. A gene expression analysis software program, GeneSpring, Version 7.1 (Agilent), was used to perform statistical analysis, hierarchical clustering and classification of samples.
Development and Analysis of Patterns of Significance. Gene expression data were generated for PBMCs obtained from patients and healthy volunteers using Affymetrix HG-U133A GeneChips that were run on the same Affymetrix system, using standard operating procedures. P values were obtained by comparing 7 groups of patients to their respective healthy control groups (Mann-Whitney rank test). The groups were composed of pediatric patients with: 1) Systemic Lupus Erythomatosus (SLE, 16 samples), 2) Influenza A (16 samples), 3) Staphylococcus aureus (16 samples), 4) Escherichia coli (16 samples) and 5) Streptococcus pneumoniae (14 samples); as well as adult transplant recipients: 6) Liver transplant patients that have accepted the graft under immunosuppressive therapy (16 samples) and 7) bone marrow transplant recipients undergoing graft versus host disease (GVHD, 12 samples). Control groups were also formed taking into account age, sex and project (10 samples in each group). Genes significantly changed (p<0.01) in the "study group" (Influenza A and/or SLE) were divided in two sets: over-expressed versus control and under-expressed versus control. P-values of the genes forming the over-expressed set were obtained for the "reference groups" (infections with E .coli, S. aureus, S. pneumoniae, Liver transplant recipients and graft versus host disease). P-values of the reference groups were set to 1 when genes were under-expressed. The same procedure was used in the set of genes under-expressed in study group, only this time P-values of the reference group were set to 1 when genes were over-expressed. P-value data were processed with a gene expression analysis software program, GeneSpring, Version 7.1 (Agilent), that was used to perform hierarchical clustering and group genes based on significance patterns.
Identification of blood leukocytes transcriptional signatures associated with acute Influenza A infection and SLE. Microarray gene expression data obtained from pediatric patients with either SLE or acute influenza A infections were used to identify transcriptional signatures characteristic of these two diseases (Figure 20). Statistical comparison of a similar number of patients (18 samples) to their respective control group (10 samples) identified: (1) 1826 differentially expressed genes that formed the Influenza signature (of those 703 were over-expressed (red) relative to controls and 1123 were under-expressed (blue), see Figure (20A); 2) 3382 differentially expressed genes formed the SLE signature (of those 1019 were over-expressed relative to controls and 2363 were under-expressed, see Figure 20B).
Figure 20 shows a statistical group comparison between patients and their respective controls. Figure 20A. Microarray expression obtained for PBMC isolated from 16 children with acute Influenza A infection (FLU) and 10 healthy volunteers (HV) were compared (Mann-Whitney rank test, p<0.01). Out of 1826 differentially expressed genes, 703 were over-expressed and 1123 under-expressed in patients. Figure 20B. An equivalent number of children with Systemic Lupus Erythomatosus (SLE) were compared to their respective set of 10 healthy volunteers (HV) (Mann-Whitney rank test, p<0.01). Out of 3382 differentially expressed genes, 1019 were over-expressed and 2363 under-expressed in patients. Figure 20C. Comparison of over-expressed and under-expressed gene lists obtained for SLE and FLU samples relative to their respective control groups (healthy volunteers).
Transformed expression levels are indicated by color scale, with red representing relatively high expression and blue indicating relatively low expression compared to the median expression for each gene across all donors.
Analysis of significance patterns. Next, the specificity of these signatures for each disease was determined. A substantial overlap was found between the sets of genes that were differentially expressed in FLU and SLE (Figure 20C), with 279 over-expressed and 490 under-expressed genes common to both diseases (19% and 16% of similarities, respectively). This observation was used to determine whether a specific disease signature could be obtained in the context of a broader set of diseases.
In order to address this question the analysis was extended to PBMC transcriptional datasets obtained for patients with acute infections caused by bacteria (E. coli, S. aureus and S. pneumoniae) as well as transplant recipients (liver recipients who have accepted the allograft under pharmacological immunosuppressive therapy and bone marrow recipients with graft versus host disease). Patterns of significance were analyzed for genes that were specifically over-expressed in SLE compared to Influenza (Figure 1, 740 genes). This approach allowed the visualization of the significance of changes in levels of gene expression for each disease compared to its respective control group (age and sex matched healthy volunteers). Genes were arranged according to significance patterns by hierarchical clustering.
Of the 4 patterns identified, 2 were found to be largely specific to SLE (Figure 21: P1 - 98 genes, and P3 - 193 genes). In conclusion, the method was used to identify sets of genes, particularly among P3, that displayed a high degree of specificity for SLE when compared to 6 other diseases.
Figure 21 is an analysis of patterns of significance for genes over-expressed in SLE patients but not in patients with acute Influenza A infection. The genes used for this analysis were significantly over-expressed in patients with SLE compared to their respective control group (Mann-Whitney P<0.05) and not in patients with acute influenza A infection were selected for this analysis (740 genes). P values were obtained for five additional groups of patients: E. coli, S. aureus, S. pneumoniae, Liver transplant recipients and patients with graft vs host disease. The values were imported into a microarray data analysis software package (see methods for details). Four patterns were identified: SLE-1 to 4. Significance levels are indicated by color scale, with darker green representing lower P-values and white indicating a P-value of 1.
Identification of a common disease signature. An important proportion of genes from Figure 21 were induced ubiquitously (P2 - 222 genes and P4 - 225 genes). This finding suggests that these different diseases may share common transcriptional components in the blood constituting a "sickness" signature. In order to investigate this possibility sets of genes were analyzed that were shared between Influenza and SLE signatures (Figure 20C: 279 genes over-expressed, and 490 under-expressed).
Figure 22 shows Patterns of Significance for genes common to Influenza A and SLE. Genes overexpressed (left panel, OVER) and underexpressed (right panel, UNDER) in both patients with Influenza A (FLU) and SLE were examined in the context of other diseases: acute infections with E. coli, S. aureus, S. pneumoniae, liver transplant recipients (transplant) and bone marrow recipients with graft versus host disease (GVHD). Significance levels are indicated by color scale, with dark green representing lower P-values and white indicating a P-value of 1.
Patterns of significance were generated for these genes across all 7 diseases as described above. Three subsets were identified among the genes that were over-expressed in patients with Influenza A infection and SLE: one changing in most diseases, another presenting significant differences in all diseases, while the third was more specific to Influenza and SLE (Figure 22A, respectively P1, P2 and P3). Equivalent patterns can be found upon analysis of a set of under-expressed genes common to Influenza and SLE (Figure 22B, P4-7). Interestingly, the group of patient with significance patterns that were the most similar to Influenza and SLE had Graft Versus Host Disease. The parallelism was particularly striking for the set of under-expressed genes (Figure 22B).
Functional analysis of significance patterns. Finally, functional annotations associated to the patterns identified on Figure 22 were extracted. Genes associated with "defense response" were preferentially found in two patterns (P2-3 on Figures 3 & 4; Fisher's test for over-representation of this functional category: p<0.0005). These genes were expressed at higher levels compared to healthy. The list includes Defensin alpha 3, Azurocidin 1, Stabilin 1 (P2); the tumor necrosis factor family member TRAIL, and Galectin 3 binding protein (P3). Conversely under-expressed genes belonging to patterns P4-6 were preferentially associated with "structural constituent of ribosome" (Fisher's test for over-representation of this functional category in P4-6: p<0.0001). These genes include multiple ribosomal protein family members (e.g. RPS10, RPL37, and RPL13). Genes belonging to the set of over-expressed genes the most specific to Influenza and SLE (P3) were preferentially associated to "interferon response" (p<0.0001, e.g. myxovirus resistance 1, interferon alpha-inducible protein 16, double stranded RNA inducible protein kinase), while genes in P1 were uniquely associated to "heavy metal binding" (p<0.0001, reflecting an overabundance of members of the metallothionein family).
Figure 23 is a functional analysis of genes shared by patients with Influenza infection and Lupus grouped according to significance patterns. Sets of genes forming the different patterns indicated on Figure 22 (P1-7) were subjected to functional analyses. The histograms indicate the percentage of genes associated to a given annotation for each of the sets. Over-expressed genes = red, under-expressed = blue. P1 n= 71 genes; P2 n=118; P3 n=85; P4 n=117; P5 n=184; P6 n=120; P7 n=46.
The comparative analysis of PBMC transcriptional patterns identified disease-specific as well as ubiquitous expression signatures. Different degrees of disease specificity were observed among the genes found to be common between the transcriptional profiles of PBMCs obtained from patients with Influenza infection and SLE. Differences in significance patterns were translated into distinct functional associations. Indeed, the genes that were most specific to Influenza and SLE relative to 5 other diseases were the most strongly associated to biological themes such as: "Interferon induction" (over-expressed genes; Figures 22 and 23: P3) or "structural constituent of ribosome" (under-expressed genes; Figures 22 and 24: P4). These observations permit to validate the relevance of this approach. This analysis facilitates the interpretation of microarray data by placing disease signatures in a much broader context.
In addition to contributing to a better understanding of disease processes the meta-analysis of PBMC transcriptional datasets has important implications for clinical diagnostic with: (1) the identification of discriminatory disease-specific signatures; as the screening of tens of thousands of potential markers will in most cases permit to pinpoint a limited number of transcripts that uniquely characterize a disease; and (2) the identification of a sentinel signature; as sets of genes for which expression changes in a wide range of health disorders could potentially be used in a screening assay for early disease detection.
Patients with metastatic melanoma display an endogenous transcriptional signature of immunosuppression similar to that induced by pharmacological treatments in patients who underwent liver transplant. The present invention provides a method and apparatus to identify patients at high risk of melanoma progression. In addition, the present invention also provides a method and apparatus for monitoring indicators of immunosuppression could help adjusting the dosage of immunosuppressive drugs and balance risks of rejection and side effects for liver transplant recipients.
It will be understood that particular embodiments described herein are shown by way of illustration and not as limitations of the invention. The principal features of this invention can be employed in various embodiments without departing from the scope of the invention. Those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, numerous equivalents to the specific procedures described herein. Such equivalents are considered to be within the scope of this invention and are covered by the claims.
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Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
221739_at 0.95782816 1236.3346 1.1074278 1418.6411 0.0419
217148_x_at 1.0001118 1071.8698 0.8419552 919.35004 0.0395
221004_s_at 0.9632601 358.4826 0.6395204 275.68634 0.0373
214973_x_at 0.95571476 425.2174 0.7533219 331.37726 0.0275
217227_x_at 1.030817 252.42172 0.7421306 194.39093 0.0267
217281_x_at 0.9731019 195.9739 0.5853659 134.62273 0.0228
221253_s_at 1.0117456 1245.6392 0.8528783 1057.9501 0.0187
214768_x_at 0.9577761 382.38693 0.7833054 317.42725 0.0187
214916_x_at 1.0031506 836.6 0.7976999 648.4591 0.0187
216207_x_at 0.99609053 1815.187 0.76317847 1397.0773 0.0175
216557_x_at 0.976244 291.37393 0.7877697 237.53636 0.0108
211635_x_at 0.95895207 312.03043 0.65123487 220.43636 0.00867
211634_x_at 0.9670513 337.26523 0.67734057 237.45454 0.00641
211798_x_at 0.9414217 490.5 0.6210052 330.48642 0.00593
205267_at 0.9441677 1333.8263 0.59434533 875.75 0.00398
215214_at 1.0556614 210.14351 0.6043143 141.03635 0.00337
216401_x_at 0.90682054 343.88696 0.41231337 181.18634 0.00261
214836_x_at 1.0400113 1534.1781 0.6920298 1034.5046 0.00116
211881_x_at 0.96697015 412.35217 0.7305791 315.13635 0.00116
211650_x_at 0.9814827 215.1913 0.40998137 108.97729 0.00105
217022_s_at 0.83105236 5844.505 0.32260314 3146.8455 0.000867
216853_x_at 0.9752875 187.34348 0.56240225 122.90455 0.000384
217179_x_at 1.0001303 404.84348 0.61423665 278.5318 0.000384
215121_x_at 1.011581 7666.9604 0.5861822 5019.491 0.000345
209138_x_at 0.99642843 7415.57 0.58257836 4781.964 0.000223
211645_x_at 1.0724704 1021.34796 0.66694844 655.9682 0.000158
211908_x_at 1.0104389 154.12175 0.48859146 78.85 0.000158
215176_x_at 0.9650824 1707.6132 0.52609867 967.5227 0.000141
221651_x_at 1.0071738 13620.529 0.63826245 9160.868 0.000111
216984_x_at 0.9702421 631.7958 0.53891784 363.07272 0.000111
217258_x_at 0.92905986 192.33913 0.45039603 114.42273 0.00008
212592_at 1.0162625 873.5739 0.44719663 393.49088 0.00006
214677_x_at 0.95363015 8469.707 0.52562743 5229.05 0.00005
221671_x_at 1.0028782 13795.262 0.5931697 8619.091 0.00003
214669_x_at 0.9574678 2535.991 0.5320335 1533.1046 0.00002
211644_x_at 0.9865403 714.4 0.59137183 491.3318 0.00001
215379_x_at 0.94754726 1798.8262 0.60458195 1160.209 0.00001
213502_x_at 1.0198038 1779.4697 0.647953 1129.6864 0.00000
215946_x_at 1.0226241 968.33484 0.652376 634.5455 0.00000
211430_s_at 0.9557637 3228.7043 0.34361708 1392.868 0.00000
215118_s_at 1.0264945 666.8652 0.45220152 296.60913 0.00000
214777_at 0.9772283 331.58698 0.45065597 171.59091 0.00000
27
0
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
215240_at
214525_x_at 0.9848302 322.36084 1.3282202 442.75455 0.0443
201108_s_tt 0.9146578 356.29565 1.3576593 612.44104 0.0395
202555_s_at 0.9885717 296.20438 1.3414105 362.7636 0.0373
208792_s_at 0.8612959 807.19556 1.2635909 1124.9318 0.0373
34408_at 0.96183056 182.31737 1.1373757 219.56363 0.0373
217963_s_at 1.1339012 1563.9651 1.5669028 2227.7456 0.0351
216956_s_at 0.7829213 204.1348 1.5463859 415.91818 0.0331
201121_s_at 1.0322056 1613.4347 1.2225119 1934.8318 0.0243
218771_s_at 0.99680185 431.49997 1.42558 581.89545 0.0228
201120_s_at 0.94010484 340.50867 1.42432 520.25 0.0214
208546_x_at 0.8914968 153.6913 1.3705896 228.33636 0.0153
206390_x_at 0.92774665 5643.8003 1.3453588 8165.2554 0.0143
221211_s_at 0.91162527 728.28687 1.5703968 1208.6091 0.0133
215492_x_at 1.0163302 440.34348 1.2563187 549.9545 0.0124
200665_s_at 0.88955754 1178.2607 1.3896513 1828.4362 0.0124
204081_at 1.0017431 4611.0264 1.3459872 5716.1274 0.01
209301_at 0.8715413 527.3521 1.6178412 996.9409 0.00867
209911_x_at 1.0457131 499.37827 1.4152079 703.6182 0.00835
206110_at 0.91896015 598.5217 1.5700213 915.52264 0.00692
203585_at 0.9754219 985.7871 1.2642365 1237.1998 0.00431
204069_at 0.97689235 183.36089 1.3654811 258.06366 0.00239
203414_at 0.91576725 1835.5477 1.4408619 2731.3635 0.00168
204838_s_at 1.0724757 356.96957 1.802362 579.2273 0.00168
208527_x_at 0.99865276 315.16528 1.2899728 411.1136 0.00153
206655_s_at 0.95771337 710.26086 1.7583773 1352.2181 0.00031
202708_s_at 1.020722 641.77405 1.6268821 1041.6364 0.00001
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
M1.1 Total = 69 transcripts 1 Overexpressed
41 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
221739_at IL27w AL524093 56005
217148_x_at IGLV immunoglobulin lambda variable region AJ249377 28831
221004_s_at ITM2C; E25; BRI3; E25C; ITM3; BRICD2C integral membrane protein 3 NM_030926 81618
214973_x_at IGVH3 immunoglobulin heavy chain variable region AJ275469 3502
217227_x_at IGL@ immunoglobulin lambda light chain VJC region X93006 3535
217281_x_at IGHV immunoglobulin heavy chain variable region AJ239383 3502
221253_s_at TXNDC5; ERP46; UNQ364; EndoPDI; MGC3178 thioredoxin domain containing 5 isoform 2; thioredoxin domain containing 5 isoform 1 NM_030810 81567
214768_x_at IGKC BG540628 3514
214916_x_at IGHM BG340548 3507
216207_x_at IGKV1D-13 AW408194 28902
216557_x_at A1VH3 rearranged immunoglobulin heavy chain U92706 3502
211635_x_at IGH@ M24670 3507
211634_x_at IGH@ M24669 3507
211798_x_at IGLJ3 single-chain antibody AB001733 28831
205267_at POU2AF1; BOB1; OBF1; OCAB; OBF-1 POU domain, class 2, associating factor 1 NM_006235 5450
215214_at IGL@ H53689 3535
216401_x_at IGKV immunoglobulin kappa chain variable region AJ408433
214836_x_at IGKC BG536224 3514
211881_x_at IGLJ3 VEGF single chain antibody AB014341 28831
211650_x_at IGHM L34164 3507
217022_a_at IGHM immunoglobulin A1-A2 lambda hybrid GAU heavy chain S55735 3507
216853_x_at IGLJ3 immunoglobulin light chain variable region AF234255 28831
217179_x_at IGL@ immunoglobulin lambda light chain X79782 3535
215121_x_at IGLJ3 AA680302 28831
209138_x_at IGLJ3 M87790 28831
211645_x_at IgK immunoglobulin kappa-chain VK-1 M85256 3514
211908_x_at IGHM IgM M87268 3507
215176_x_at IGKC AW404894 3514
221651_x_at IGKC Unknown (protein for MGC:12418) BC005332 3514
216984_x_at IGLJ3 immunoglobulin light chain V-J region D84143 28831
217258_x_at IGL immunoglobulin lambda chain AF043583
212592_at IGJ AV733266 3512
214677_x_at IGLJ3 X57812 28831
221671_x_at IGKC M63438 3514
214669_x_at IGKC BG485135 3514
211644_x_at IGKC L14458 3514
215379_x_at IGLJ3 AV698647 3535
213502_x_at IGLL3; 16.1 lambda L-chain C region X03529 91316
215946_x_at LOC91316 AL022324 91316
211430_s_at IGHG3 M87789 3502
215118_s_at AW519168
214777_at IGKC BG482805 3514
M1.2 Total = 96 transcripts 27 Overexpressed
0 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
215240_at ITGB3 AI189839 3690
214525_x_at MLH3; HNPCC; S240II117 mutL homolog 3 AB039667 27030
201108_a_at THBS1 AI812030 7057
202555_s_at MYLK; KRP; MLCK; MLCK108; MLCK210; FLJ12216 myosin light chain kinase isoform 6; myosin light chain kinase isoform 1; myosin light chain kinase isoform 2; myosin light chain kinase isoform 3A; myosin light chain kinase isoform 3B; myosin light chain kinase isoform 4; myosin light chain kinase isofo NM_005965 4638
208792_s_at CLU; CLI; APOJ; SGP2; SGP-2; SP-40; TRPM2; TRPM-2; MGC24903 clusterin isoform 1; clusterin isoform 2 M25915 1191
34408_at RTN2; NSP2; NSPL1 reticulon 2 isoform A; reticulon 2 isoform B; reticulon 2 isoform C; reticulon 2 isoform D AF004222 6253
217963_s_at NGFRAP1; Bex; BEX3; NADE; HGR74; DXS6984E nerve growth factor receptor (TNFRSF16) associated protein 1 isoform b; nerve growth factor receptor (TNFRSF16) associated protein 1 isoform a NM_014380 27018
216956_s_at ITGA2B; GTA; CD41; GP2B; CD41B; GPIIb integrin alpha 2b precursor AF098114 3674
201121_s_at PGRMC1; MPR; HPR6.6 progesterone receptor membrane component 1 NM_006667 10857
218711_s_at SDPR; SDR; PS-p68 serum deprivation response protein NM_004657 8436
201121_s_at PGRMC1 AL547946 10857
208546_x_at HIST1H2BH; H2B/j; H2BFJ H2B histone family, member J NM_003524 8345
206390_x_at PF4; CXCL4; SCYB4 platelet factor 4 (chemokine (C-X-C motif) ligand 4) NM_002619 5196
221211_s_at C21orf7; TAK1L chromosome 21 open reading frame 7 NM_020152 56911
215492_x_at PTCRA AL035587 17155
200665_s_at SPARC; ON secreted protein, acidic, cysteine-rich (osteonectin) NM_003118 6678
204081_at NRGN; RC3; hng neurogranin NM_006176 4900
209301_at CA2; CA-II carbonic anhydrase II M36532 760
209911_x_at HIST1H2BD; H2B/b; H2BFB; H2B.1B; HIRIP2; dJ221C16.6 H2B histone family, member B BC002842 3017
206110_at HIST1H3H; H3/k; H3FK; H3F1K H3 histone family, member K NM_003536 8357
203585_at ZNF185 zinc finger protein 185 (LIM domain) NM_007150 7739
204069_at MEIS1 Meis1 homolog NM_002398 4211
203414_at MMD; MMA; PAQR11 monocyte to macrophage differentiation-associated precursor NM_012329 23531
204838_s_at MLH3; HNPCC; S240II117 mutL homolog 3 NM_014381 27030
208527_x_at HIST1H2BE; H2B.h; H2B/h; H2BFH; dJ221C16.8 H2B histone family, member H NM_003523 8344
206655_s_at GP1BB; CD42c glycoprotein Ib beta polypeptide precursor NM_000407 2812
202708_s_at HIST2H2BE; GL105; H2B.1; H2B/q; H2BFQ H2B histone family, member Q NM_003528 8349
M1.3 Total = 47 transcripts 0 Overexpressed
38 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
202431_s_at MYC; c-Myc v-myc myelocytomatosis viral oncogene homolog NM_002467 4609
213674_x at IGHG3 AI858004 3502
204208_at RNGTT; HCE; HCE1; hCAP; CAP1A RNA guanylyltransferase and 5'-phosphatase NM_003800 8732
202759_s_at AKAP2 BE879367 11217
215925_s_at CD72; LYB2 CD72 antigen AF283777 971
39318_at TCL1A T-cell lymphoma-1 X82240 8115
219471_at C13orf18; FLJ21562 chromosome 13 open reading frame 18 NM_025113 80183
212827_at IGHM; MU X17115 3507
206896_s_at GNG7 guanine nucleotide binding protein (G protein), gamma 7 NM_005145 2788
218781_at SMC6L1; FLJ22116 SMC6 protein NM_024624 79677
206398_s_at CD19; B4; MGC12802 CD19 antigen NM_001770 930
201689_s_at TPD52 BE974098 7163
205297_s_at CD79B; B29; IGB CD79B antigen isoform 1 precursor; CD79B antigen isoform 2 precursor NM_000626 974
210889_s_at FCGR2B; CD32; FCG2; IGFR2 Fc fragment of IgG, low affinity IIb, receptor for (CD32) isoform 2; Fc fragment of IgG, low affinity IIb, receptor for (CD32) isoform 3; Fc fragment of IgG, low affinity IIb, receptor for (CD32) isoform 4; Fc fragment of IgG, low affinity IIb, receptor f M31933 2213
217979_at TM4SF13; NET-6; FLJ22934 tetraspan NET-6 NM_014399 27075
206478_at KIAA0125 KIAA0125 gene product NM_014792 9834
204004_at PAWR AI336206 5074
220068_at VPREB3; 8HS20; N27C7-2 pre-B lymphocyte gene 3 NM_013378 29802
204581_at CD22; SIGLEC-2 CD22 antigen NM_001771 933
206759_at FCER2; CD23; FCE2; CD23A; IGEBF Fc fragment of IgE, low affinity II, receptor for (CD23A) NM_002002 2208
206255_at BLK; MGC10442 B lymphoid tyrosine kinase NM_001715 640
203642_s_at COBLL1; KIAA0977 COBL-like 1 NM_014900 22837
213772_s_at GGA2 BF196572 23062
209583_s_at CD200; MRC; MOX1; MOX2; OX-2 CD200 antigen isoform b; CD200 antigen isoform c; CD200 antigen isoform a precursor AF063591 4345
212386_at AK021980
219498_s_at BCL11A; EVI9; CTIP1; BCL11A-L; BCL11A-S; FLJ10173; KIAA1809; BCL11A-XL B-cell CLL/lymphoma 11A isoform 2; B-cell CLL/lymphoma 11A isoform 1; B-cell CLL/lymphoma 11A isoform 5; B-cell CLL/lymphoma 11A isoform 3 NM_018014 53335
219497_s_at BCL11A; EVI9; CTIP1; BCL11A-L; BCL11A-S; FLJ10173; KIAA1809; BCL11A-XL B-cell CLL/lymphoma 11A isoform 2; B-cell CLL/lymphoma 11A isoform 1; B-cell CLL/lymphoma 11A isoform 5; B-cell CLL/lymphoma 11A isoform 3 NM_022893 53335
44790_s_at C13orf18 AI129310 80183
205671_s_at HLA-DOB major histocompatibility complex, class II, DO beta precursor NM_002120 3112
210356_x_at MS4A1; B1; S7; Bp35; CD20; MS4A2; LEU-16; MGC3969 membrane-spanning 4-domains, subfamily A, member 1 BC002807 931
207777_s_at SP140; LYSP100-A; LYSP100-B SP140 nuclear body protein isoform 2; SP140 nuclear body protein isoform 1 NM_007237 11262
213891_s_at AI927067
220059_at BRDG1; STAP1; STAP-1 BCR downstream signaling 1 NM_012108 26228
217418_x_at MS4A1; B1; S7; Bp35; CD20; MS4A2; LEU-16; MGC3969 membrane-spanning 4-domains, subfamily A, member 1 X12530 931
205861_at SPIB; SPI-B Spi-B transcription factor (Spi-1/PU.1 related) NM_003121 6689
207655_s_at BLNK; Ly57; SLP65; BLNK-s; SLP-65 B-cell linker NM_013314 29760
219073_s_at OSBPL10; ORP10; OSBP9; FLJ20363 oxysterol-binding protein-like protein 10 NM_017784 11488
219667_s_at BANK1; FLJ20706 B-cell scaffold protein with ankyrin repeats 1 NM_017935 55024
M1.4 Total = 87 transcripts 53 Overexpressed
0 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
221727_at PC4 BF209507 10923
218319_at PELI1 pellino protein NM_020651 57162
210281_s_at ZNF198; FIM; MYM; RAMP; SCLL zinc finger protein 198 AL136621 7750
212434_at HMGE AL542571 80273
208881_x_at IDI1 isopentenyl-diphosphate delta isomerase BC005247 3422
209967_s_at CREM; ICER; MGC17881; MGC41893 cAMP responsive element modulator isoform b; cAMP responsive element modulator isoform a; cAMP responsive element modulator isoform d; cAMP responsive element modulator isoform e; cAMP responsive element modulator isoform f; cAMP responsive element modula D14826 1390
200870_at STRAP; MAWD; PT-WD; UNRIP serine/threonine kinase receptor associated protein NM_007178 11171
60084_at CYLD AI453099 1540
202644_s_at TNFAIP3; A20; TNFA1P2 tumor necrosis factor, alpha-induced protein 3 NM_006290 7128
218399_s_at CDCA4; HEPP; FLJ20764; cell division cycle associated 4 NM_017955 55038
204440_at CD83; BL11; HB15 CD83 antigen (activated B lymphocytes, immunoglobulin superfamily) NM_004233 9308
203708_at PDE4B; DPDE4; PDEIVB phosphodiesterase 4B, cAMP-specific (phosphodiesterase E4 dunce homolog, Drosophila) NM_002600 5142
213134_x_at BTG3 AI765445 10950
212665_at DKFZP434J214 AL556438 25976
211999_at H3F3B; H3.3B H3 histone, family 3B NM_005324 3021
208811_s_at HSJ2 DnaJ-like 2 protein AF080569 10049
208931_s_at ILF3; MMP4; MPP4; NF90; NFAR; TCP80; DRBP76; NFAR-1; MPHOSPH4; NF-AT-90 interleukin enhancer binding factor 3 isoform b; interleukin enhancer binding factor 3 isoform a: interleukin enhancer binding factor 3 isoform c AF147209 3609
214714_at ZNF394; FLJ12298 zinc finger protein 99 AK022360 84124
205548_s_at BTG3; ANA; TOB5; TOFA; TOB55; MGC8928 B-cell translocation gene 3 NM_006806 10950
212241_at GRINL1A AI632774 81488
216248_s_at NR4A2; NOT; RNR1; HZF-3; NURR1; TINUR nuclear receptor subfamily 4, group A, member 2 isoform a; nuclear receptor subfamily 4, group A, member 2 isoform b; nuclear receptor subfamily 4, group A, member 2 isoform c; nuclear receptor subfamily 4, group A, member 2 isoform d S77154 4929
36711_at MAFF AL021977 23764
220046_s_at CCNL1; BM-001; ania-6a cyclin L1 NM_020307 57018
205281_s_at PIGA; GPI3; PIG-A phosphatidylinositol N-acetylglucosaminyltransferase subunit A isoform 1; phosphatidylinositol N-acetylglucosaminyltransferase subunit A isoform 2; phosphatidylinositol N-acetylglucosaminyltransferase subunit A isoform 3 NM_002641 5277
200731_s_at PTP4A1 BF576710 7803
203752_s_at JUND jun D proto-oncogene NM_005354 3727
220239_at KLHL7; KLHL6; SBBI26 SBBI26 protein NM_018846 55975
219228_at ZNF331; RITA; ZNF361; ZNF463 zinc finger protein 331 NM_018555 55422
201751_at KIAA0063 KIAA0063 gene product NM_014876 9929
209020_at C20orf111; HSPC207; dJ1183I21.1 chromosome 20 open reading frame 111 AF217514 51526
202861_at PER1; hPER; RIGUI period 1 NM_002616 5187
222044_at C20orf67 AI199589 63935
213538_at SON AI936458 6651
207332_s_at TFRC; CD71; TRFR transferrin receptor NM_003234 7037
210110_x_at HNRPH3; 2H9 heterogeneous nuclear ribonucleoprotein H3 isoform a; heterogeneous nuclear ribonucleoprotein H3 isoform b AF132363 3189
204622_x_at NR4A2; NOT; RNR1; HZF-3; NURR1; TINUR nuclear receptor subfamily 4, group A, member 2 isoform a; nuclear receptor subfamily 4, group A, member 2 isoform b; nuclear receptor subfamily 4, group A, member 2 isoform c; nuclear receptor subfamily 4, group A, member 2 isoform d NM_006186 4929
212430_at RNPC1 AL109955 55544
205214_at STK17B; DRAK2 serine/threonine kinase 17b (apoptosis-inducing) NM_004226 9262
202558_s_at STCH stress 70 protein chaperone, microsome-associated, 60kDa precursor NM_006948 6782
210837_s_at PDE4D; DPDE3; STRK1 cAMP-specific phosphodiesterase 4D AF012074 5144
209510_at RNF139; RCA1; TRC8; HRCA1; MGC31961 ring finger protein 139 AF064801 11236
208632_at RNF10; RIE2; KIAA0262 ring finger protein 10 AL578551 9921
209457_at DUSP5; HVH3 dual specificity phosphatase 5 U16996 1847
208078_s_at TCF8; BZP; ZEB; ZEB1; AREB6; ZFHEP; NIL-2A; ZFHX1A; NIL-2-A transcription factor 8 (represses interleukin 2 expression) No_030751 6935
89948_at C20orf67 AI743331 63935
202021_x_at SUI1; A121; ISO1 putative translation initiation factor AF083441 10209
212130_x_at SUI1 AL537707 10209
212227_x_at SUI1 AL516854 10209
207630_s_at CREM; ICER; MGC17881; MGC41893 cAMP responsive element modulator isoform b; cAMP responsive element modulator isoform a; cAMP responsive element modulator isoform d; cAMP responsive element modulator isoform e; cAMP responsive element modulator isoform f; cAMP responsive element modula NM_001881 1390
222045_s_at C20orf67 iduronate-2-sulfatase isoform a precursor; iduronate-2-sulfatase isoform b precursor AI199589 63935
206342_x_at IDS; MPS2; SIDS NM_006123 3423
200732_s_at PTP4A1 BF576710 7803
200779_at ATF4; CREB2; TXREB; CREB-2; TAXREB67 activating transcription factor 4 NM_001675 468
M1.5 Total = 130 transcripts 28 Overexpressed
0 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
209263_x_at TM4SF7; NAG-2; TSPAN-4; transmembrane 4 superfamily member 7 BC000389 7106
211284_s_at GRN; PEPI; PCDGF granulin BC000324 2896
204393_s_at ACPP; PAP; ACP3; ACP-3 prostatic acid phosphatase precursor NM_001099 55
221731_x_at CSPG2; VERSICAN chondroitin sulfate proteoglycan 2 (versican) J02814 1462
209949_at NCF2; NOXA2; p67phox; P67-PHOX neutrophil cytosolic factor 2 BC001606 4688
208702_x_at APLP2; APPH; APPL2; CDEBP amyloid beta (A4) precursor-like protein 2 BC000373 334
203508_at TNFRSF1B; p75; TBPII; TNFBR; TNFR2; CD120b; TNFR80; TNF-R75; p75TNFR; TNF-R-II tumor necrosis factor receptor 2 precursor NM_001066 7133
222218_s_at PILRA; FDF03 paired immunoglobulin-like type 2 receptor alpha isoform 1 precursor; paired immunoglobulin-like type 2 receptor alpha isoform 2 precursor; paired immunoglobulin-like type 2 receptor alpha isoform 3 precursor AJ400843 29992
201743_at CD14 CD14 antigen precursor NM_000591 929
201360_at CST3; AD8 cystatin C precursor NM_000099 1471
217865_at RNF130; GP; G1RZFP; GOLIATH ring finger protein 130 NM_018434 55819
200743_s_at CLN2; TPP1; LINCL; TPP I; TPP-I tripeptidyl-peptidase I precursor NM_000391 1200
217897_at FXYD6 FXYD domain-containing ion transport regulator 6 NM_022003 53826
202902_s_at CTSS; MGC3886 cathepsin S preproprotein NM_004079 1520
218217_at SCPEP1; RISC; HSCP1 serine carboxypeptidase 1 precursor protein NM_021626 59342
217764_s_at RAB31; Rab22B RAB31, member RAS oncogene family AF183421 11031
208248_x_at APLP2; APPH; APPL2; CDEBP amyloid beta (A4) precursor-like protein 2 NM_001642 334
208130_s_at TBXAS1; TS; TXS; CYP5; THAS; TXAS; CYP5A1 thromboxane A synthase 1 (platelet, cytochrome P450, family 5, subfamily A) isoform TXS-I; thromboxane A synthase 1 (platelet, cytochrome P450, family 5, subfamily A) isoform TXS-II NM_030984 6916
215049_x_at CD163; M130; MM130 CD163 antigen isoform a; CD163 antigen isoform b Z22969 9332
200838_at CTSB; APPS; CPSB cathepsin B preproprotein NM_001908 1508
202833_s_at SERPINA1; A1A; AAT; PI1; A1AT; MGC9222; MGC23330 serine (or cysteine) proteinase inhibitor, clade A (alpha-1 antiproteinase, antitrypsin), member 1 NM_000295 5265
215051_x_at AIF1 BF213829 199
218454_at FLJ22662 hypothetical protein FLJ22662 NM_024829 79887
205237_at FCN1; FCNM ficolin 1 precursor NM_002003 2219
203773_x_at BLVRA; BVRA biliverdin reductase A NM_000712 644
211729_x_at BLVRA; BVRA biliverdin reductase A BC005902 644
209901_x_at AIF1; IBA1; AIF-1; IRT-1 allograft inflammatory factor 1 isoform 3; allograft inflammatory factor 1 isoform 2; allograft inflammatory factor 1 isoform 1 U19713 199
201995_at EXT1 exostosin 1 NM_000127 2131
M1.6 Total = 28 transcripts 0 Overexpressed
1 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
215221_at AK025064
M1.7 Total = 127 transcripts 14 Overexpressed
0 Underexpressed
Systematic Common _Affy Product Genbank LocusLink
214459_x_at HLA-C; D6S204; HLA-Cw7; HLA-JY3 major histocompatibility complex, class I, C precursor M12679 51353
217740_x_at RPL7A; TRUP; SURF3 ribosomal protein L7a NM_000972 6130
201665_x_at RPS17; RPS17L1; RPS17L2 ribosomal protein S17 NM_001021 6218
200716_x_at RPL13A ribosomal protein L13a NM_012423 23521
211942_x_at BF979419
201254_x_at RPS6 ribosomal protein S6 NM_001010 6194
211296_x_at UBC; HMG20 ubiquitin C AB009010 7316
212788_x_at FTL BG537190 2512
221700_s_at UBA52; CEP52; RPL40; HUBCEP52 ubiquitin and ribosomal protein L40 precursor AF348700 7311
208729_x_at HLA-B D83043 3106
200905_x_at HLA-E; HLA-6.2 major histocompatibility complex, class I, E precursor NM_005516 3133
204102_s_at EEF2; EEF-2 eukaryotic translation elongation factor 2 NM_001961 1938
212581_x_at GAPD BE561479 2597
211528_x_at HLA-G2.2 b2 microglobulin M90685 3135
M1.8 Total = 86 transcripts 0 Overexpressed
73 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
201447_at TIA1 TIA1 protein isoform 1; TIA1 protein isoform 2 NM_022037
221081_s_at FLJ22457 hypothetical protein FLJ22457 NM_024901 79961
213405_at N95443
221865_at DKFZp547P234 BF969986 20319
202184_s_at NUP133; hNUP133; FLJ10814; MGC21133 nucleoporin 133kDa NM_018230 55746
202453_s_at GTF2H1; BTF2; TFIIH general transcription factor IIH, polypeptide 1, 62kDa NM_005316 2965
219243_at HIMAP4; IAN1; hIAN1; MSTP062; FLJ11110 immunity associated protein 4 NM_018326 55303
202227_s_at BRD8; SMAP; p120 bromodomain containing 8 isoform 1; bromodomain containing 8 isoform 2; bromodomain containing 8 isoform 3 NM_006696 10902
218455_at NFS1; NIFS; HUSSY-08 NFS1 nitrogen fixation 1 isoform a precursor; NM_021100 9054
NFS1 nitrogen fixation 1 isoform b precursor
208121_a_at PTPRO; PTPU2; GLEPP1; PTP-U2 receptor-type protein tyrosine phosphatase O isoform b precursor; receptor-type protein tyrosine phosphatase O isoform a precursor; receptor-type protein tyrosine phosphatase O isoform d precursor; receptor-type protein tyrosine phosphatase O isoform c pr NM_002848 5800
212378_at GART BE966876 2618
218303_x_at LOC51315 hypothetical protein LOC51315 NM_016618 51315
218614_at FLJ10652 hypothetical protein FLJ10652 NM_018169 55196
209175_at SEC23IP; P125; MSTP053 Sec23-interacting protein p125 AK001135 11196
213838_at RANBP9 AA191426 51406
210053_at TAF5 AW138827 6877
219146_at FLJ22729 hypothetical protein FLJ22729 NM_024683 79736
212872_s_at USP49; TRFP; PR00213; TRF-proximal protein AK023092 25862
201121_s_at PUM2; PUMH2; PUML2; KIAA0235 pumilio homolog 2 D87078 23369
218371_s_at PSPC1; PSP1; FLJ10955 paraspeckle protein 1 NM_018282 55269
203159_at GLS; GLS1; KIAA0838 glutaminase C NM_014905 2744
210541_s_at RFP; RNF76; TRIM27 ret finger protein isoform alpha; ret finger protein isoform beta AF230394 5987
212116_at RFP; RNF76; TRIM27 ret finger protein isoform alpha; ret finger protein isoform beta NM_006510 5987
214129_at PDE4DIP AI821791 9659
218716_x_at MTO1; CGI-02 mitochondrial translation optimization 1 homolog; mitochondrial translation optimization 1 homolog isoform IV NM_012123 25821
212405_s_at CGI-01; KIAA0859 CGI-01 protein isoform 2; CGI-01 protein isoform 1 AL049669 51603
209828_s_at IL16; LCF; IL-16; prIL-16; HsT19289 interleukin 16 isoform 1 precursor; interleukin 16 isoform 2 M90391 3603
218588_s_at C5orf3; 133K02 chromosome 5 open reading frame 3 NM_018691 10827
212170_at RBM12; SWAN; KIAA0765; HRIHFB2091 RNA binding motif protein 12 AB018308 10137
207338_s_at ZNF200 zinc finger protein 200 NM_003454 7752
204676_at DKFZP564K2062 DKFZP564K2062 protein NM_015421 25880
219303_at C13orf7; FLJ13449 chromosome 13 open reading frame 7 NM_024546 79596
64418_at AI472320
213626_at CBR4; FLJ14431 carbonic reductase 4 AL049442 84869
212632_at AF131808
206734_at JRKL; HHMJG jerky homolog-like NM_003772 8690
208968_s_at ZFP64; ZNF338 zinc finger protein 64 isoform a; zinc finger protein 64 isoform b; zinc finger protein 64 isoform c; zinc finger protein 64 isoform d NM_018197 55734
53968 at KIAA1698 AI869988 80789
212740_at PIK3R4 BF740111 30849
206332_s_at IFI16; IFNGIP1 interferon, gamma-inducible protein 16 NM_005531 3428
217907_at MRPL18; HSPC071; MRP-L18 mitochondrial ribosomal protein L18 NM_014161 29074
203584_at KIAA0103 KIAA0103 NM_014673 9694
203614_at UTP14C; KIAA0266; 2700066J21Rik UTP14, U3 small nucleolar ribonucleoprotein, homolog C NM_021645 9724
218534_s_at VG5Q; FLJ10283; HSU84971; HSU84971 angiogenic factor VG5Q NM_018046 55109
203143_s_at KIAA0040 T79953 9674
205140_at FPGT; GFPP fucose-1-phosphate guanyltransferase NM_003838 8790
219130_at FLJ10287; FLJ11219 hypothetical protein FLJ10287 NM_019083 54482
219123_at ZNF232 zinc finger protein 232 NM_014519 7775
214440_at NAT1; AAC1 N-acetyltransferase 1 NM_000662 9
222028_at ZNF45 AI967981 7596
212453_at KIAA1279; DKFZP586B0923 KIAA1279 AB033105 26128
202060_at SH2BP1; TSBP; p150TSP; SH2 domain binding protein 1 NM_014633 9646
218138_at MKKS; KMS; MKS; BB56; HMCS McKueick-Kaufman syndrome protein NM_018848 8195
41329_at FLJ10706 AI458463 57147
202983_at SMARCA3 AI760760 6596
220992_s_at Clorf25; MGC57134; bG120K12.3 N2,N2-dimethylguanosine tRNA methyltransferase-like NM_030934 81627
203611_at TERF2; TRF2; TRBF2 telomeric repeat binding factor 2 NM_005652 7014
201142_at EIF2S1 AA577698 1965
219467_at FLJ20125 hypothetical protein FLJ20125 NM_017676 54826
219913_s_at CRNKL1; HCRN; MSTP021 crooked neck-like 1 protein NM_016652 51340
202322_s_at GGPS1; GGPPS; GGPPS1 geranylgeranyl diphosphate synthase 1 NM_004837 9453
203427_at ASF1A; CIA; DKFZP547E2110 ASF1 anti-silencing function 1 homolog A NM_014034 25842
219777_at hIAN2; FLJ22690 human immune associated nucleotide 2 NM_024711 79765
201832_s_at VDP; TAP; P115 vesicle docking protein p115 NM_003715 8615
219128_at FLJ20558 hypothetical protein FLJ20558 NM_017880 54980
200854_at NCOR1; N-CoR; TRAC1; hN-CoR; KIAA1047; hCIT529I10 nuclear receptor co-repressor 1 NM_006311 9611
209662_at CETN3; CEN3; MGC12502 centrin 3 BC005383 1070
211758_x_at TXNDC9; APACD ATP binding protein associated with cell differentiation BC005968 10190
214988_s_at SON; SON3; BASS1; DBP-5; NREBP; C21orf50; FLJ21099; KIAA1019 SON DNA-binding protein isoform G; SON DNA-binding protein isoform B; SON DNA-binding protein isoform E; SON DNA-binding protein isoform A; SON DNA-binding protein isoform C; SON DNA-binding protein isoform F X63071 6651
207513_s_at ZNF189 zinc finger protein 189 NM_003452 7743
218056_at BFAR; BAR; RNF47 apoptosis regulator NM_016561 51283
212402_at KIAA0853 BE895685 23091
218242_s_at SUV420H1; CGI-85; MGC703; MGC21161 suppressor of variegation 4-20 homolog 1 isoform 2; suppressor of variegation 4-20 homolog 1 isoform 1 NM_017635 51111
M2.1 Total = 72 transcripts 1 Overexpressed
4 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
204655_at CCLS; SISd; SCYAS; RANTES; TCP228; D17S136E; MGC17164 small inducible cytokine A5 precursor NM_002985 6352
216920_s_at TCRGC2 M27331 6965
209813_x_at TRGV9; V2; TCRGV9 M16768 6965
215806_x_at TRGC2; TCRGC2; TRGC2(2X); TRGC@ (3X) M13231 6967
207723_s_at KLRC3; NKG2E; NKG2-E killer cell lectin-like receptor subfamily C, member 3 isoform NKG2-E; killer cell lectin-like receptor subfamily C, member 3 isoform NKG2-H NM_002261 3823
M2.2 Total = 44 transcripts 5 Overexpressed
6 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
201161_s_at CSDA; DBPA; ZONAB cold shock domain protein A NM_003651 8531
207205_at CEACAM4; CGM7 carcinoembryonic antigen-related cell adhesion molecule 4 NM_001817 1089
219281_at MSRA methionine sulfoxide reductase A NM_012331 4482
212531_at LCN2; NGAL lipocalin 2 (oncogene 24p3) NM_005564 3934
208650_s_at CD24 BG327863 934
204881_s_at UGCG; GCS ceramide glucosyltransferase NM_003358 7357
208651_x_at CD24; CD24A CD24 antigen M58664 934
266_s_at CD24; CD24A CD24 antigen L33930 934
204351_at S100P S100 calcium binding protein P NM_005980 6286
216379_x_at CD24 AK000168 934
209771_x_at CD24 AA761181 934
M2.3 Total = 94 transcripts 12 Overexpressed
2 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
217748_at ADIPOR1; PAQR1; ACDCR1; CGI-45 adiponectin receptor 1 NM_015999 51094
218847_at IMP-2; IMP2; VICKZ2 IGF-II mRNA-binding protein 2 NM_006548 10644
202947_s_at GYPC; GE; GPC glycophorin C isoform 1; glycophorin C isoform 2 NM_002101 2995
221824_s_at MGC26766 AA770170 22097
204848_x_at HBG1; HBGA; HBGR A-gamma globin NM_000559 3047
209018_s_at PINK1 BF432478 65018
207827_x_at SNCA; PD1; NACP; PARK1; PARK4 alpha-synuclein isoform NACP140; alpha-synuclein isoform NACP112 L36675 6622
200075_s_at GUK1; GMK guanylate kinase 1 BC006249 2987
220757_s_at UBXD1; UBXDC2 UBX domain containing 1 NM_025241 80700
219458_s_at NSUN3; FLJ22609 NOL1/NOP2/Sun domain family 3 NM_022072 63899
207667_s_at MAP2K3; MEK3; MKK3; MAPKK3; PRKMK3 mitogen-activated protein kinase kinase 3 isoform A; mitogen-activated protein kinase kinase 3 isoform B; mitogen-activated protein kinase kinase 3 isoform C NM_002756 5606
201178_at FBXO7; FBX7; FBX07 F-box only protein 7 NM_012179 25793
214273_x_at CGTHBA AV704353 8131
211475_s_at BAG1 BCL2-associated athanogene isoform 1L AF116273 573
M2.4 Total = 118 transcripts 10 Overexpressed
1 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
217906_at KLHDC2; LCP; HCLP-1 kelch domain containing 2 NM_014315 23588
201993_x_at HNRPDL; HNRNP; JKTBP; JKTBP2; laAUF1 heterogeneous nuclear ribonucleoprotein D-like NM_005463 9987
200631_s_at SET; 2PP2A; IGAAD; I2PP2A; PHAPII; TAF-IBETA SET translocation (myeloid leukemia-associated) NM_003011 6418
201258_at RPS16 ribosomal protein S16 NM_001020 6217
211666_x_at RPL3; TARBP-B ribosomal protein L3 L22453 6122
222099_s_at DKFZP434D1335 AW593859 26065
201230_s_at ARIH2; ARI2; TRIAD1 ariadne homolog 2 NM_006321 10425
221476_s_at RPL15; EC45; RPL10; RPLY10; RPYL10 ribosomal protein L15 AF279903 6138
217747_s_at RPS9 ribosomal protein S9 NM_001013 6203
207132_x_at PFDN5; MM1; MM-1; PFD5; MGC5329 prefoldin 5 isoform alpha; prefoldin 5 isoform beta; prefoldin 5 isoform gamma NM_002624 5204
200081_s_at RPS6 BE741754 6194
M2.5 Total = 242 transcripts 3 Overexpressed
1 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
216809_at CYLC1; CYCL1 cylicin Z22780 1538
218692_at FLJ20366 hypothetical protein FLJ20366 NM_017786 55638
220375_s_at NM_024752
211572_s_at SLC23A2; NBTL1; SVCT2; YSPL2; solute carrier family 23 (nucleobase AF092511 9962
SLC23A1; KIAA0238 transporters), member 2
M2.6 Total = 110 transcripts 33 Overexpressed
1 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
213590_at SLC16A5 AA705628 9121
201422_at IFI30; GILT; IP30; IFI-30; MGC32056 interferon, gamma-inducible protein 30 preproprotein NM_006332 10437
212041_at ATP6V0D1 AL566172 9114
202917_s_at S100A8; P8; MIF; NIF; CAGA; CFAG; CGLA; L1Ag; MRP8; CP-10; MA387; 60B8AG S100 calcium-binding protein A8 NM_002964 6279
208949_a_at LGALS3; GAL3; MAC2; CBP35; GALBP; LGALS2 galectin-3 BC001120 3958
208704_x_at APLP2; APPH; APPL2; CDEBP amyloid beta (A4) precursor-like protein 2 BC000373 334
202192_s_at GAS7 growth arrest-specific 7 isoform b NM_005890 8522
204232_at FCER1G Fc fragment of IgE, high affinity I, receptor for, gamma polypeptide precursor NM_004106 2207
202388_at RGS2; G0S8 regulator of G-protein signalling 2, 24kDa NM_002923 5997
201425_at ALDH2; ALDM; ALDHI; ALDH-E2; MGC1806 mitochondrial aldehyde dehydrogenase 2 precursor NM_000690 217
205922_at VNN2; FOAP-4; GPI-80 vanin 2 isoform 1 precursor; vanin 2 isoform 2 NM_004665 8875
204122_at TYROBP; DAP12; KARAP; PLOSL TYRO protein tyrosine kinase binding protein isoform 1 precursor; TYRO protein tyrosine kinase binding protein isoform 2 precursor NM_003332 7305
211474_s_at SERPINB6 BC004948 5269
213187_x_at BG538564
209179_s_at LENG4; BB1 leukocyte receptor cluster (LRC) member 4 protein BC003164 79143
202201_at BLVRB; FLR; BVRB biliverdin reductase B (flavin reductase (NADPH)) NM_000713 645
211429_s_at SERPINAL PR02275 AF119873 5265
203645_s_at CD163; M130; MM130 CD163 antigen isoform a; CD163 antigen isoform b NM_004244 9332
200839_s_at CTSB; APPS; CPSB cathepsin B preproprotein NM_001908 1508
208703_s_at APLP2; APPH; APPL2; CDEBP amyloid beta (A4) precursor-like protein 2 BC000373 334
202426_s_at RXRA; NR2B1 retinoid X receptor, alpha NM_002957 6256
203535_at S100A9; MIF; NIF; P14; CAGB; CFAG; CGLB; L1AG; LIAG; MRP14; 60B8AG; MAC387 S100 calcium-binding protein A9 NM_002965 6280
203167_at TIMP2; CSC-21K tissue inhibitor of metalloproteinase 2 precursor NM_003255 7077
204053_x_at PTEN; BZS; MHAM; TEP1; MMAC1; PTEN1; MGC11227 phosphatase and tensin homolog U96180 5728
213006_at CEBPD AV655640 1052
211404_s_at APLP2; APPH; APPL2; CDEBP amyloid beta (A4) precursor-like protein 2 BC004371 334
214875_x_at APLP2 AW001847 334
201200_at CREG1 cellular repressor of E1A-stimulated genes NM_003851 8804
200645_at GABARAP; MM46 GABA(A) receptor-associated protein NM_007278 11337
202803_s_at ITGB2; LAD; CD18; MF17; MFI7; LCAMB; LFA-1 integrin beta chain, beta 2 precursor NM_000211 3689
209288_s_at CDC42EP3; UB1; CEP3; BORG2 Cdc42 effector protein 3 AL136842 10602
200701_at NPC2; HE1; NP-C2; MGC1333 Niemann-Pick disease, type C2 precursor NM_006432 10577
221541_at DKFZP434B044 hypothetical protein DKFZp434B044 AL136861 83716
205068_s_at GRAF BE671084 23092
M2.7 Total = 43 transcripts 0 Overexpressed
0 Underexpressed
M2.8 Total = 104 transcripts 1 Overexpressed
29 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
204019_s_at SH3YL1; Ray; DKFZP586F1318 SH3 domain containing, Ysc84-like 1 NM_015677 26751
219315_s_at C16orf30; CLP24; FLJ20898 claudin-like protein 24 NM_024600 79652
212413_at SEPT6; SEP2; KIAA0128; MGC16619; MGC20339 septin 6 isoform B; septin 6 isoform A; septin 6 isoform D D50918 23157
213340_s_at KIAA0495 KIAA0495 AB007964 57212
218877_s_at C6orf75; MDS024; dJ187J11.2 chromosome 6 open reading frame 75 NM_021820 60487
216262_s_at .TIF2 AL050318 60436
213971_s_at JJAZ1 AI924660 23512
212549_at AL080218
221558_s_at LEF1; TCF1ALPHA lymphoid enhancer binding factor-1 AF288571 51176
214482_at ZNF46; KUP; ZBTB25 zinc finger protein 46 (KUP) NM_006977 7597
218259_at MKL2; MRTF-B; NPD001 megakaryoblastic leukemia 2 protein NM_014048 57496
202969_at DYRK2 dual-specificity tyrosine-(Y)-phosphorylation regulated kinase 2 isoform 1; dual-specificity tyrosine-(Y)-phosphorylation regulated kinase 2 isoform 2 Y09216
218918_at MAN1C1; HMIC; MAN1A3 mannosidase, alpha, class 1C, member 1 NM_020379 57134
219765_at FLJ12586 hypothetical protein FLJ12586 NM_024620 79673
212771_at LOC221061 AU150943
216945_x_at PASK; STK37; PASKIN; KIAA0135; DKFZP434O051 PAS domain containing serine/threonine kinase U79240 23178
218510_x_at FLJ20152 AI816291 54463
212642_s_at HIVEP2 AL023584 3097
212313_at MGC29816 hypothetical protein MGC29816 BC004344 91782
219724_s_at KIAA0748 NM_014796 9840
212400_at AL043266
213039_at ARHGEF18; KIAA0521; MGC15913 Rho-specific guanine nucleotide exchange factor p114 AB011093 23370
218437_s_at LZTFL1 leucine zipper transcription factor-like 1 NM_020347 54585
221601_s_at TOSO AI084226 9214
221602_s_at TOSO regulator of Fas-induced apoptosis AF057557 9214
219734_at SIDT1; SID1; SID-1; FLJ20174; B830021E24Rik SID1 transmembrane family, member 1 NM_017699 54847
206337_at CCR7; BLR2; EBI1; CDw197; chemokine (C-C motif) receptor 7 precursor NM_001838 1236
218932_at FLJ20729; FLJ20760 hypothetical protein FLJ20729 NM_017953 54680
215967_s_at LY9 AL582804 4063
57082_at ARH AA169780 26119
M2.9 Total = 122 transcripts 2 Overexpressed
5 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
211537_x_at MAP3K7; TAK1; TGF1a mitogen-activated protein kinase kinase kinase 7 isoform A; mitogen-activated protein kinase kinase kinase 7 isoform B; mitogen-activated AF218074 6885
protein kinase kinase kinase 7 isoform C; mitogen-activated protein kinase kinase kinase 7 isoform D
210235_s_at PPFIA1; LIP1; LIP.1; LIPRIN; MGC26800 PTPRF interacting protein alpha 1 isoform b; PTPRF interacting protein alpha 1 isoform a U22815 8500
200839_s_at SMAP-5; SB140; FLJ30014 golgi membrane protein SB140 NM_030799 81555
200839_s_at ENO1; NNE; PPH; MPB1; MBP-1; ENO1 enolase 1 U88968
207724_s_at SPG4; FSP2; ADPSP; SPAST; spastin isoform 1; spastin isoform 2 NM_014946 6683
221268_s_at SGPP1; SPPasel sphingosine-1-phosphatase NM_030791 81537
201044_x_at DUSP1 AA530892 1843
M2.10 Total = 44 transcripts 2 Overexpressed
4 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
221656_s_at FLJ10521 hypothetical protein FLJ10521 BC003073 55160
208056_s_at CBFA2T3; MTG16; MTGR2; ZMYND4 myeloid translocation gene-related protein 2 isoform MTG16a; myeloid translocation gene-related protein 2 isoform MTG16b NM_005187 863
207761_s_at DKFZP586A0522 DKFZP586A0522 protein NM_014033 25840
201944_at HEXB hexosaminidase B peproprotein NM_000521 3074
214030_at DKFZp667G2110 BE501352 13154
221539_at EIF4EBP1; PHAS-I eukaryotic translation initiation factor 4E binding protein 1 AB044548 1978
M2.11 Total = 77 transcripts 0 Overexpressed
15 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
203627_at IGF1R; JTK13 insulin-like growth factor 1 receptor precursor NM_000875
221830_at RAP2A AI302106 5911
200839_s_at TPR BF110993 7175
200839_s_at YY1; DELTA; NF-E1; UCRBP; YIN-YANG-1 YY1 transcription factor NM_003403 7528
207700_s_at NCOA3; ACTR; AIB1; RAC3; SRC3; pCIP; CTG26; CAGH16; TNRC14; TNRC16; TRAM-1 nuclear receptor coactivator 3 isoform b; nuclear receptor coactivator 3 isoform a NM_006534 8202
200839_s_at SNX27; MY014; KIAA0488; MGC20471 sorting nexin family member 27 NM_030918 81609
211503_s_at RAB14 ras-related protein rab-14 AF112206 51552
200839_s_at ZNF148; BERF-1; BFCOL1; ZBP-89; ZFP148; pHZ-52; HT-BETA zinc finger protein 148 (pHZ-52) L04282 7707
202971_s_at DYRK2 dual-specificity tyrosine-(Y)-phosphorylation regulated kinase 2 isoform 1; dual-specificity tyrosine-(Y)-phosphorylation regulated kinase 2 isoform 2 NM_006482 8445
200839_s_at PRKCI; PKCI; DXS1179E; MGC26534; nPKC-iota protein kinase C, iota L18964 5584
209750 at NR1D2 N32859 9975
200839_s_at ALS2CR3 AV705253 66008
219757_s_at C14orf101; FLJ20392 chromosome 14 open reading frame 101 NM_017799 54916
205798 at IL7R; CD127; CDW127; IL-7R-alpha interleukin 7 receptor precursor NM_002185 3575
215342_s_at RABGAP1L; HHL; TBC1D18; RAB GTPase activating protein 1-like AB019490 9910
M3.1 Total = 80 transcripts 0 Overexpressed
21 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
204747_at IFIT3; IRG2; IFI60; IFIT4; ISG60; RIG- G; CIG-49; GARG-49 interferon-induced repeats 3 protein with tetratricopeptide NM_001549 3437
203882_at ISGF3G; p48; IRF9; IRF-9 interferon-stimulated gamma 48kDa transcription factor 3, NM_006084 10379
211429_s_at TRIM5; RNF88 tripartite motif tripartite motif tripartite motif protein TRIM5 isoform alpha; protein TRIM5 isoform gamma; protein TRIM5 isoform delta AF220028 85363
209761_s_at SP110; IFI41; IFI75; FLJ22835 SP110 nuclear body nuclear body protein body protein isoform protein isoform a; SP110 isoform b; SP110 nuclear c AF280094 3431
202270_at GBP1 guanylate binding inducible, 67kD protein 1, interferon- NM_002053 2633
219014_at PLAC8; C15 placenta-specific 8 NM_016619 51316
211429_s_at OAS1; OIAS; IFI-4; OIASI 2',5'-oligoadenylate 2',5'-oligoadenylate synthetase 1 isoform E16; synthetase 1 isoform E18 NM_002534 4938
219209_at IFIH1; Hlcd; MDA5; MDA-5 melanoma differentiation associated protein-5 NM_022168 64135
202869_at OAS1; OIAS; IFI-4; OIASI 2',5'-oligoadenylate synthetase 1 isoform E16; 2',5'-oligoadenylate synthetase 1 isoform E18 NM_016816 4938
213361_at PCTAIRE2BP AW129593 23424
204972_at OAS2; P69 2'-5'oligoadenylate synthetase 2 isoform p69; 2'-5'oligoadenylate synthetase 2 isoform p71 NM_016817 4939
219439_at C1GALT1 core 1 alpha-R beta UDP-galactose:N-acetylgalactosamine-1,3-galactosyltransferase NM_020156 56913
211429_s_at STAT1; ISGF-3; STAT91 signal transducer 1 isoform alpha; of transcription 1 and activator of transcription signal transducer and activator isoform beta NM_007315 6772
218085_at SNF7DC2 SNF7 domain containing 2 NM_015961 51510
211429_s_at FLJ20035; FLJ10787 hypothetical protein FLJ20035 NM_017631 55601
206133_at HSXIAPAF1; XAF1 XIAP associated factor-1 isoform 1; XIAP associated factor-1 isoform 2 NM_017523 54739
202687_s_at TNFSF10; TL2; APO2L; TRAIL; Apo-2L tumor necrosis factor member 10 (ligand) superfamily, U57059 8743
213293_s_at TRIM22 AA083478 10346
218943_s_at DDX58; RIG-I; FLJ13599 DEAD/H (Asp-Glu-Ala-Asp/His) polypeptide RIG-I box NM_014314 23586
202269_x_at GBP1 guanylate binding inducible, 67kD protein 1, interferon- BC002666 2633
219691_at SAMD9; C7orf5; FLJ20073; KIAA2004 sterile alpha motif domain containing 9 NM_017654 54809
M3.2 Total = 230 transcripts 99 Overexpressed
0 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
218032_at SNN Stannin AF070673 8303
211429_s_at LMNA; FPL; LFP; EMD2; FPLD; HGPS; LDP1; LMN1; LMNC; PRO1; CMD1A; CMT2B1; LGMD1B lamin A/C isoform 2; precursor; lamin A/C lamin A/C isoform 1 isoform 3 NM_005572 4000
203140 at BCL6; BCL5; LAZ3; BCL6A; ZNF51; ZBTB27 B-cell lymphoma 6 protein NM_001706 604
206115_at EGR3; PILOT early growth response 3 NM_004430 1960
207993_s_at CHP; SLC9A1BP calcium binding protein P22 NM_007236 11261
213191_at TRIF; TICAM1; PRVTIRB; MGC35334 TIR domain containing interferon-beta adaptor inducing AF070530 14802
200868_s_at ZNF313; RNF114 zinc finger protein 313 NM_018683 55905
201055_s_at HNRPAO; hnRNPA0 heterogeneous nuclear ribonucleoprotein A0 NM_006805 10949
91682_at FLJ20591 AI571298 54512
203003_at MEF2D AL530331 4209
201329_s_at ETS2 v-ets erythroblastosis virus E26 oncogene NM_005239 2114
homolog 2
201739_at SGK; SGK1 serum/glucocorticoid regulated kinase NM_005627 6446
211506_s_at IL8 interleukin 8 C-terminal variant AF043337 3576
217996_at PHLDA1 AA576961 22822
216268_s_at JAG1; AGS; AHD; AWS; HJ1; JAGL1 jagged 1 precursor U77914 182
216260_at DICER1; Dicer; HERNA; KIAA0928 dicerl AK001827 23405
202498_s_at SLC2A3; GLUT3 solute carrier family 2 (facilitated glucose transporter), member 3 NM_006931 6515
203888_at THBD; TM; THRM; CD141 thrombomodulin precursor NM_000361 7056
208092_s_at FAM49A; FLJ11080; DKFZP566A1524 family with sequence similarity 49, member A NM_030797 81553
219257_s_at SPHK1 sphingosine kinase 1 NM_021972 8877
212432_at HMGE AL542571 80273
203887_s_at THBD; TM; THRM; CD141 thrombomodulin precursor NM_000361 7056
219382_at SERTAD3; RBT1 RPA-binding trans-activator NM_013368 29946
221654_s_at USP3 SIH003 AF077040 9960
201858_s_at PRG1; PPG; MGC9289; SERGLYCIN proteoglycan 1, secretory granule precursor J03223 5552
202672_s_at ATF3 activating transcription factor 3 long isoform; activating transcription factor 3 delta Zip isoform NM_001674 467
201531_at ZFP36; TTP; GOS24; TIS11; NUP475; RNF162A zinc finger protein 36, C3H type, homolog NM_003407 7538
202657_s_at TRIP-Br2 NM_014755 9792
209808_x_at ING1 AW193656 3621
201490_s_at PPIF; CYP3 peptidylprolyl isomerase F precursor NM_005729 10105
203370_s_at PDLIM7 enigma protein isoform 1; enigma protein isoform 2; enigma protein isoform 3; enigma protein isoform 4 NM_005451 9260
209545_s_at RIPK2; RICK; RIP2; CARD3; CARDIAK receptor-interacting serine-threonine kinase 2 AF064824 8767
220088_at C5R1; C5A; C5AR; CD88 complement component 5 receptor 1 (C5a ligand) NM_001736 728
217739_s_at PBEF1 pre-B-cell colony enhancing factor 1 isoform a; pre-B-cell colony enhancing factor 1 isoform b NM_005746 10135
203045_at NINJ1; NIN1; NINJURIN ninjurin 1 NM_004148 4814
208786_s_at MAP1LC3B; MAP1A/1BLC3 microtubule-associated proteins 1A/1B light chain 3 AF183417 81631
217738_at PBEF BF575514 10135
212769_at TLE3 AI567426 7090
216236_s_at SLC2A3; GLUT3 solute carrier family 2 (facilitated glucose transporter), member 3 AL110298 6515
201236_s_at BTG2; PC3; TIS21 B-cell translocation gene 2 NM_006763 7832
220712_at NM_024984
205114_s_at CCL3; MIP1A; SCYA3; G0S19-1; LD78ALPHA; MIP-1-alpha chemokine (C-C motif) ligand 3 NM_002983 6348
201170_s_at BHLHB2; DEC1; STRA13; Stra14 differentiated embryo chondrocyte expressed gene 1 NM_003670 8553
210190_at STX11 syntaxin 11 AF071504 8676
200797_s_at MCL1; TM; EAT; MCL1L; MCL1S; MGC1839 myeloid cell leukemia sequence 1 isoform 1; myeloid cell leukemia sequence 1 isoform 2 NM_021960 4170
202284_s_at CDKN1A; P21; CIP1; SDI1; WAF1; CAP20; MDA-6 cyclin-dependent kinase inhibitor 1A NM_000389 1026
36994_at ATP6V0C; ATPL; VATL; Vma3; ATP6C; ATP6L ATPase, H+ transporting, lysosomal, V0 subunit c M62762 527
203094_at MAD2L1BP; CMT2; KIAA0110; MGC11282 MAD2L1 binding protein isoform 1; MAD2L1 binding protein isoform 2 NM_014628 9587
201460_at MAPKAPK2 AI141802 9261
217202_s_at glutamine synthetase U08626
204908_s_at BCL3; BCL4; D19S37 B-cell CLL/lymphoma 3 NM_005178 602
200711_s_at SKP1A NM_003197 6500
219434_at TREM1; TREM-1 triggering receptor expressed on myeloid cells 1 NM_018643 54210
206472_s_at TLE3; ESG; ESG3; HsT18976; KIAA1547 transducin-like enhancer protein 3 NM_005078 7090
213138_at ARID5A; MRF-1 AT rich interactive domain 5A isoform 2; AT rich interactive domain 5A isoform 1 M62324 10865
37028_at PPP1R15A; GADD34 protein phosphatase 1, regulatory subunit 15A U83981 23645
212146_at PLEKHM2; KIAA0842 KIAA0842 protein AB020649 23207
38037_at DTR; DTS; HBEGF; HEGFL diphtheria toxin receptor (heparin-binding epidermal growth factor-like growth factor) M60278 1839
212171_x_at VEGF H95344 7422
204095_s_at ELL AL521391 8178
202638_s_at ICAM1; BB2; CD54 intercellular adhesion molecule 1 precursor NM_000201 3383
216015_s_at CIAS1; FCU; MWS; FCAS; NALP3; Clorf7; PYPAF1; AII/AVP; AGTAVPRL cryopyrin isoform a; cryopyrin isoform b AK027194 11454
212723_at PTDSR; PSR; PTDSR1; KIAA0585 phosphatidylserine receptor AK021780 23210
205409_at FOSL2; FRA2; FLJ23306 FOS-like antigen 2 NM_005253 2355
203574_at NFIL3; E4BP4; IL3BP1; NFIL3A; NF-IL3A nuclear factor, interleukin 3 regulated NM_005384 4783
213300_at KIAA0404 AW168132 23130
204370_at HEAB; CLP1; hClp1 ATP/GTP-binding protein NM_006831 10978
211458_s_at GABARAPL3 GABA-A receptor-associated protein AF180519 23766
202497_x_at SLC2A3; GLUT3 solute carrier family 2 (facilitated glucose transporter), member 3 NM_006931 6515
215501_s_at DUSP10; MKP5; MKP-5 dual specificity phosphatase 10 isoform a; dual specificity phosphatase 10 isoform b AK022513 11221
218033_s_at SNN Stannin NM_003498 8303
212770_at TLE3 AI567426 7090
202014_at PPP1R15A; GADD34 protein phosphatase 1, regulatory subunit 15A NM_014330 23645
210845_s_at PLAUR; CD87; UPAR; URKR plasminogen activator, urokinase receptor isoform 2 precursor; plasminogen activator, urokinase receptor isoform 3 precursor; plasminogen activator, urokinase receptor isoform 1 precursor U08839 5329
203821_at DTR; DTS; HBEGF; HEGFL diphtheria toxin receptor (heparin-binding epidermal growth factor-like growth factor) NM_001945 1839
200663_at CD63; MLA1; ME491; LAMP-3; OMA81h CD63 antigen NM_001780 967
208785_s_at MAP1LC3B BE893893 81631
201489_at PPIF; CYP3 peptidylprolyl isomerase F precursor BC005020 10105
210365_at RUNX1; AML1; CBFA2; AMLCR1; PEBP2A2; PEBP2aB runt-related transcription factor 1 isoform b; runt-related transcription factor 1 isoform a D43967 861
205349_at GNA15; GNA16 guanine nucleotide binding protein (G protein), alpha 15 (Gq class) NM_002068 2769
222088_s_at SLC2A14, AA778684 14419
218023_s_at C5orf6 putative nuclear protein NM_016605 51307
202859_x_at IL8; K60; NAF; GCP1; IL-8; LECT; LUCT; NAP1; 3-10C; CXCL8; GCP-1; LYNAP; MDNCF; MONAP; NAP-1; SCYB8; TSG-1; AMCF-I; b-ENAP interleukin 8 precursor NM_000584 3576
209304_x_at GADD45B; MYD118; GADD45BETA; DKFZP566B133 growth arrest and DNA-damage-inducible, beta AF087853 4616
218881_s_at FOSL2 FOS-like antigen 2 NM_024530 79579
200919_at PHC2; EDR2; HPH2 polyhomeotic 2-like isoform b; polyhomeotic 2-like isoform a NM_004427 1912
203234_at UPP1; UPASE; UDRPASE uridine phosphorylase 1 NM_003364 7378
214696_at MGC14376; DKFZp686006159 hypothetical protein MGC14376 AF070569 84981
209345_s_at PI4KII AL561930 55361
211924_s_at PLAUR; CD87; UPAR; URKR plasminogen activator, urokinase receptor isoform 2 precursor; plasminogen activator, urokinase receptor isoform 3 precursor; plasminogen activator, urokinase receptor isoform 1 precursor AY029180 5329
210264_at GPR35 G protein-coupled receptor 35 AF089087 2859
200730_s_at PTP4A1 BF576710 7803
208937_s_at ID1 inhibitor of DNA binding 1 isoform a; inhibitor of DNA binding 1 isoform b D13889 3397
218880_at FOSL2 N36408 2355
212722_s_at PTDSR; PSR; PTDSR1; KIAA0585 phosphatidylserine receptor AK021780 23210
219622_at RAB20; FLJ20429 RAB20, member RAS oncogene family NM_017817 55647
208869_s_at GABARAPL1; GEC1; APG8L GABA(A) receptor-associated protein like 1 AF087847 23710
213524_s_at G0S2 putative lymphocyte G0/G1 switch gene NM_015714 50486
201631_s_at IER3; DIF2; IEX1; PRG1; DIF-2; GLY96; IEX-1; IEX-1L immediate early response 3 immediate early response 3 isoform short; isoform long NM_003897 8870
M3.3 Total = 230 transcripts 54 Overexpressed
6 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
214500_at H2AFY; H2A.y; H2A/y; H2AFJ; mH2A1; H2AF12M; MACROH2A1.1; MACROH2A1.2 H2A histone family, member Y isoform 2; H2A histone family, member Y isoform 1; H2A histone family, member Y isoform 3 AF044286 9555
216338_s_at C6orf109; KLIP1; dJ337H4.3; DKFZP566C243 chromosome 6 open reading frame 109 AK021433 25844
217995_at SQRDL; CGI-44 sulfide dehydrogenase like NM_021199 58472
211742_s_at EVI2B; EVDB; D17S376 ecotropic viral integration site 2B BC005926 2124
218388_at PGLS; 6PGL 6-phosphogluconolactonase NM_012088 25796
218017_s_at FLJ22242 NM_025070 80140
207168_s_at H2AFY; H2A.y; H2A/y; H2AFJ; mH2A1; H2AF12M; MACROH2A1.1; MACROH2A1.2 H2A histone family, member Y isoform 2; H2A histone family, member Y isoform 1; H2A histone family, member Y isoform 3 NM_004893 9555
220990_s_at VMP1; DKFZP566I133 hypothetical protein DKFZp566I133 NM_030938 81671
205639_at AOAH acyloxyacyl hydrolase precursor NM_001637 313
206488_s_at CD36; FAT; GP4; GP3B; GPIV; PASIV; SCARB3 CD36 antigen NM_000072 948
201463_s_at TALDO1; TAL-H; TALDOR transaldolase 1 NM_006755 6888
204620_s_at CSPG2; VERSICAN chondroitin sulfate proteoglycan 2 (versican) NM_004385 1462
213733_at MYO1F BF740152 4542
214152_at PIGB AU144243 9488
210715_s_at SPINT2; Kop; HAI2; HAI-2 serine protease inhibitor, Kunitz type, 2 AF027205 10653
212807_s_at SORT1 BE742268 6272
217837_s_at VPS24; NEDF; CGI-149 vacuolar protein sorting 24 NM_016079 51652
200808_s_at ZYX zyxin NM_003461 7791
209575_at IL10RB; CRFB4; CRF2-4; D21S58; D21S66; CDW210B; IL-10R2 interleukin 10 receptor, beta precursor BC001903 3588
220034_at IRAK3; IRAK-M interleukin-1 receptor-associated kinase 3 NM_007199 11213
202788_at MAPKAPK3; 3PK; MAPKAP3 mitogen-activated protein kinase-activated protein kinase 3 NM_004635 7867
205147_x_at NCF4; MGC3810; P40PHOX neutrophil cytosolic factor 4 (40kD) isoform 1; neutrophil cytosolic factor 4 (40kD) isoform 2 NM_000631 4689
209473_at ENTPD1 AV717590 953
212268_at SERPINB1; EI; LEI; PI2; MNEI; M/NEI; ELANH2 serine (or cysteine) proteinase inhibitor, clade B (ovalbumin), member 1 NM_030666 1992
209616_s_at CES1; CEH; CES2; HMSE; SES1; HMSE1 carboxylesterase 1 (monocyte/macrophage serine esterase 1) S73751 1066
202888_s_at ANPEP; CD13; LAP1; PEPN; gp150 membrane alanine aminopeptidase precursor NM_001150 290
208270_s_at RNPEP; DKFZP547H084 arginyl aminopeptidase (aminopeptidase B) NM_020216 6051
201118_at PGD; 6PGD phosphogluconate dehydrogenase NM_002631 5226
200824_at GSTP1; PI; DFN7; GST3; FAEES3 glutathione transferase NM_000852 2950
212657_s_at IL1RN AW083357 3557
89476_r_at NPEPL1 AA398062 79716
201095_at DAP death-associated protein NM_004394 1611
208700_s_at TKT; TKT1 transketolase L12711 7086
201483_s_at SUPT4H1; SPT4H suppressor of Ty 4 homolog 1 BC002802 6827
203175_at RHOG; ARHG ras homolog gene family, member G NM_001665 391
201470_at GST01; P28; GSTTLp28 glutathione-S-transferase omega 1 NM_004832 9446
215706_x_at ZYX zyxin BC002323 7791
215489_x_at HOMER3 AI871287 9454
208699_x_at TKT BF696840 7086
218945_at MGC2654; FLJ12433 hypothetical protein MGC2654 NM_024109 79091
200941_at HSBP1 heat shock factor binding protein 1 AK026575 3281
202096_s_at BZRP; MBR; PBR; PBR-S peripheral benzodiazapine receptor isoform PBR; peripheral benzodiazapine receptor isoform PBR-S NM_000714 706
212043_at TGOLN2; TGN38; TGN46; TGN48; TGN51; TTGN2; MGC14722 trans-golgi network protein 2 AK025557
208074_s_at AP2S1; AP17; CLAPS2; AP17-DELTA adaptor-related protein complex 2, sigma 1 subunit isoform AP17; adaptor-related protein complex 2, sigma 1 subunit isoform AP17delta NM_021575 1175
219256_s_at SH3TC1; FLJ20356 SH3 domain and tetratricopeptide repeats 1 NM_018986 54436
202671_s_at PDXK; PKH; PNK; C21orf97 pyridoxal kinase NM_003681 8566
211047_x_at AP2S1; AP17; CLAPS2; AP17-DELTA adaptor-related protein complex 2, sigma 1 subunit isoform AP17; adaptor-related protein complex 2, sigma 1 subunit isoform AP17delta BC006337 1175
218606_at ZDHHC7; ZNF370; FLJ10792; FLJ20279 zinc finger, DHHC domain containing 7 NM_017740 55625
204099_at SMARCD3; Rsc6p; BAF60C; CRACD3 SWI/SNF related, matrix associated, actin dependent regulator of chromatin, subfamily d, member 3 isoform 2; SWI/SNF related, matrix associated, actin dependent regulator of chromatin, subfamily d, member 3 isoform 1 NM_003078 6604
207809_s_at ATP6AP1; 16A; CF2; ORF; Ac45; XAP3; XAP-3; ATP6S1; VATPS1; ATP6IP1 ATPase, H+ transporting, lysosomal accessory protein 1 precursor NM_001183 537
221059_s_at CHST6; MCDC1 carbohydrate (N-acetylglucosamine 6-O) sulfotransferase 6 NM_021615 4166
205863_at S100A12; p6; CGRP; MRP6; CAAF1; ENRAGE S100 calcium-binding protein A12 NM_005621 6283
201379_s_at TPD52L2; D54; hD54 tumor protein D52-like 2 isoform e; tumor protein D52-like 2 isoform f; tumor protein D52-like 2 isoform a; tumor protein D52-like 2 isoform b; tumor protein D52-like 2 isoform c; tumor protein D52-like 2 isoform d NM_003288 7165
213902_at ASAH1 AI379338 427
206130_s_at ASGR2; L-H2; ASGP-R; Hs.1259 asialoglycoprotein receptor 2 isoform a; asialoglycoprotein receptor 2 isoform b; asialoglycoprotein receptor 2 isoform c NM_001181 433
219549_s_at RTN3; ASYIP; NSPL2; NSPLII reticulon 3 isoform a; reticulon 3 isoform b; reticulon 3 isoform c; reticulon 3 isoform d NM_006054 10313
204214_s_at RAB32 RAB32, member RAS oncogene family NM_006834 10981
203081_at CTNNBIP1; ICAT beta-catenin-interacting protein ICAT NM_020248 56998
200736_s_at GPX1; GSHPX1; MGC14399 glutathione peroxidase 1 isoform 1; glutathione peroxidase 1 isoform 2 NM_000581 2876
200866_s_at PSAP; GLBA; SAP1 prosaposin (variant Gaucher disease and variant metachromatic leukodystrophy) M32221 5660
M3.4 Total = 323 transcripts 1 Overexpressed
107 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
208841_s_at G3BP2 Ras-GTPase activating protein SH3 domain-binding protein 2 isoform a; Ras-GTPase activating protein SH3 domain-binding protein 2 isoform b AB014560 9908
201385_at DHX15; DBP1; HRH2; DDX15; PRP43; PrPp43p DEAH (Asp-Glu-Ala-His) box polypeptide 15 NM_001358 1665
221502_at KPNA3 AL120704 3839
212200_at KIAA0692 KIAA0692 protein AB014592 5451
212180_at CRKL v-crk sarcoma virus CT10 oncogene homolog (avian)-like AK000311
209689_at FLJ10996; MGC13033 hypothetical protein FLJ10996 BC005078 83609
221493_at TSPYL1; SIDDT hypothetical protein AL136629 7259
214467_at GPR65; TDAG8; hTDAG8 G protein-coupled receptor 65 NM_003608 8477
218263_s_at LOC58486 Buster1 transposase-like protein NM_021211 58486
201934_at PR02730 N92524 80335
215716_s_at ATP2B1; PMCA1 plasma membrane calcium ATPase 1 isoform 1a; plasma membrane calcium ATPase 1 isoform 1b L14561 490
202265_at BMI1; RNF51; MGC12685 B lymphoma Mo-MLV insertion region NM_005180 648
203303_at TCTE1L; TCTEX1L t-complex-associated-testis-expressed 1-like NM_006520 8971
201031_s_at HNRPH1; hnRNPH heterogeneous nuclear ribonucleoprotein H1 NM_005520 3187
209654_at KIAA0947 KIAA0947 protein BC004902 23379
210346_s_at CLK4 AF212224
204512_at HIVEP1; MBP-1; ZNF40; PRDII-BF1 human immunodeficiency virus type I enhancer binding protein 1 NM_002114 3096
204009_s_at KRAS2 W80678 3845
55692_at ELM02 W22924 63916
208896_at DDX18; MrDb DEAD (Asp-Glu-Ala-Asp) box polypeptide 18 BC003360 8886
207956_x_at APRIN; AS3; CG008; FLJ23236; KIAA0979 androgen-induced prostate proliferative shutoff associated protein NM_015928 23047
207996_s_at C18orf1 chromosome 18 open reading frame 1 isoform gamma 1; chromosome 18 open reading frame 1 isoform gamma 2; chromosome 18 open reading frame 1 isoform beta 1; chromosome 18 open reading frame 1 isoform alpha 1; chromosome 18 open reading frame 1 isoform alpha NM_004338 753
221596_s_at DKFZP564O0523 hypothetical protein DKFZp56400523 AL136619 84060
212706_at RASA4; GAPL; CAPRI; KIAA0538 RAS p21 protein activator 4 AB011110 10156
202653_s_at AXOT; MARCH-VII; DKFZP586F1122 axotrophin BC003404 64844
208661_s_at TTC3; DCRR1; RNF105; TPRDIII tetratricopeptide repeat domain 3 D84294 7267
212366_at ZNF292 AA972711 23036
212984_at BE786164
212569_at KIAA0650 AA868754 23347
214855_s_at GARNL1; GRIPE; TULIP1; KIAA0884; DKFZp566D133; GTPase activating Rap/RanGAP domain-like 1 isoform 1; GTPase activating Rap/RanGAP domain-like 1 isoform 2 AL050050 26134
214363_s_at MATR3 AA129420 9782
202853_s_at RYK; RYK1; D3S3195 RYK receptor-like tyrosine kinase precursor NM_002958 6259
212855_at KIAA0276 KIAA0276 protein D87466 23142
202386_s_at LKAP; KIAA0430; A-362G6.1 limkain b1 isoform 1; limkain b1 isoform 2 NM_019081
213372_at LOC152559 AW173157
221020_s_at MFTC mitochondrial folate transporter/carrier NM_030780 81034
217812_at YTHDF2; HGRG8; NY-REN-2 high glucose-regulated protein 8 NM_016258 51441
221559_s_at MIS12; hMis12; MGC2488; 2510025F08Rik MIS12 homolog BC000229 79003
208127_s_at SOCS5; CIS6; CISH6; Cish5; SOCS-5; KIAA0671 suppressor of cytokine signaling 5 NM_014011 9655
209187_at DR1 AW516932 1810
202918_s_at PREI3; 2C4D; MOB1; MOB3; CGI-95; MGC12264 preimplantation protein 3 isoform 1; preimplantation protein 3 isoform 2 AF151853 25843
209451_at TANK; TRAF2; I-TRAF TRAF interacting protein TANK isoform a; TRAF interacting protein TANK isoform b U59863 10010
217863_at PIAS1; GBP; DDXBP1; GU/RH-II protein inhibitor of activated STAT, 1 NM_016166
215696_s_at KIAA0310 KIAA0310 protein BC001404 9919
221905_at CYLD; EAC; CDMT; CYLD1; HSPC057; KIAA0849 cylindromatosis (turban tumor syndrome) AJ250014 1540
209666_s_at CHUK; IKK1; IKKA; IKBKA; TCF16; NFKBIKA; IKK-alpha conserved helix-loop-helix ubiquitous kinase AF080157 1147
212920_at AV682285
218172_s_at DER1 derlin-1 NM_018630 55493
213212_x_at AI632181
213227_at PGRMC2 BE879873 10424
203250_at RBM16; KIAA1116 RNA-binding motif protein 16 NM_014892 22828
218352_at RCBTB1; GLP; CLLD7; CLLL7; FLJ10716 regulator of chromosome condensation (RCC1) and BTB (POZ) domain containing protein 1 NM_018191 55213
212927_at SMC5L1; KIAA0594 SMC5 protein AB011166 23137
201713_s_at RANBP2; NUP358 RAN binding protein 2 D42063 5903
221257_x_at FBX038; MOKA; Fbx38; SP329 F-box protein 38 isoform a; F-box protein 38 isoform b NM_030793 81545
212006_at UBXD2; UBXDC1; KIAA0242 UBX domain containing 2 D87684 23190
218386_x_at USP16; UBP-M ubiquitin specific protease 16 isoform b; ubiquitin specific protease 16 isoform a NM_006447 10600
211375_s_at ILF3; MMP4; MPP4; NF90; NFAR; TCP80; DRBP76; NFAR-1; MPHOSPH4; NF-AT-90 interleukin enhancer binding factor 3 isoform b; interleukin enhancer binding factor 3 isoform a; interleukin enhancer binding factor 3 isoform c AF141870 3609
203403_s_at RNF6 ring finger protein 6 isoform 1; ring finger protein 6 isoform 2 NM_005977 6049
218649_x_at SDCCAG1; NY-CO-1; FLJ10051 serologically defined colon cancer antigen 1 NM_004713 9147
209724_s_at ZFP161 AL534416 7541
214709_s_at KTN1; CG1; KNT; KIAA0004 kinectin 1 Z22551 3895
212588_at PTPRC AI809341 5788
219031_s_at CGI-37; HSPC031 Saccharomyces cerevisiae Nip7p homolog NM_016101 51388
218499_at MST4; MASK serine/threonine protein kinase MASK NM_016542 51765
218674_at FLJ13611 hypothetical protein FLJ13611 NM_024941 80006
216944_s_at ITPR1; IP3R; IP3R1; Insp3r1 inositol 1,4,5-triphosphate receptor, type 1 U23850 3708
221568_s_at LIN7C; VELI3; LIN-7C; MALS-3; LIN-7-C; FLJ11215 lin-7 homolog C AF090900 55327
217833_at SYNCRIP; pp68; NSAP1; GRY-RBP; dJ3J17.2 synaptotagmin binding, cytoplasmic RNA interacting protein NM_006372
212231_at FBXO21; FBX21; KIAA0875; DKFZp434G058 F-box only protein 21 isoform 2; F-box only protein 21 isoform 1 AK001699 23014
213070_at AV682436
208671_at TDE2; TDE1L; TMS-2; KIAA1253 tumor differentially expressed 2 AF164794 57515
201486_at RCN2; E6BP; ERC55; ERC-55 reticulocalbin 2, EF-hand calcium binding domain NM_002902 5955
201437_s_at EIF4E; CBP; EIF-4E; EIF4EL1 eukaryotic translation initiation factor 4E NM_001968 1977
221970_s_at DKFZP586L0724 AU158148 25926
218098_at ARFGEF2; BIG2; dJ1164I10.1 ADP-ribosylation factor guanine nucleotide-exchange factor 2 NM_006420
212536_at ATP11B; ATPIF; ATPIR; KIAA0956; MGC46576; DKFZP434J238; DKFZP434N1615 KIAA0956 protein AB023173 23200
206695_x_at ZNF43; HTF6; KOX27; ZNF39L1 zinc finger protein 43 (HTF6) NM_003423 7594
203301_s_at DMTF1; DMP1; hDMP1 cyclin D binding myb-like transcription factor 1 NM_021145 9988
202673_at DPM1; MPDS; CDGIE dolichyl-phosphate mannosyltransferase polypeptide 1 NM_003859 8813
211946_s_at XTP2; BAT2-iso; KIAA1096 HBxAg transactivated protein 2 AL096857 23215
201769_at ENTH; EPN4; EPNR; Clint; EPSINR; KIAA0171 enthoprotin NM_014666 9685
221751_at AL565516
201603_at PPP1R12A; MBS; MYPT1 protein phosphatase 1, regulatory (inhibitor) subunit 12A NM_002480 4659
213025_at FLJ20274 AL134904 55623
218566_s_at CHORDC1; CHP1 cysteine and histidine-rich domain (CHORD)-containing, zinc binding protein 1 NM_012124 26973
209022_at STAG2 AK026678 10735
222204_s_at RRN3; DKFZp566E104 RRN3 RNA polymerase I transcription factor homolog AL110238 54700
200899_s_at MGEA5; MEA5; KIAA0679 meningioma expressed antigen 5 (hyaluronidase) NM_012215 10724
209115_at UBE1C; UBA3; hUba3; MGC22384; DKFZp566J164 ubiquitin-activating enzyme E1C isoform 1; ubiquitin-activating enzyme E1C isoform 2; ubiquitin-activating enzyme E1C isoform 3 AL117566 9039
218432_at FBX03; FBA; FBX3; DKFZp564B092 F-box only protein 3 isoform 1; F-box only protein 3 isoform 2 NM_012175 26273
201260_s_at SYPL; H-SP1 synaptophysin-like protein isoform a; synaptophysin-like protein isoform b NM_006754 6856
209028_s_at ABI1; E3B1; NAP1; ABI-1; SSH3BP1 abl-interactor 1 AF006516 10006
201672_s_at USP14; TGT ubiquitin specific protease 14 NM_005151 9097
216321_s_at NR3C1; GR; GCR; GRL nuclear receptor subfamily 3, group C, member 1 (glucocorticoid receptor) X03348 2908
205269_at LCP2 AI123251 3937
221229_s_at FLJ20628; DKFZp564I2178 hypothetical protein FLJ20628 NM_017910 55006
213000_at ZCWCC3; NXP2; ZCW5; KIAA0136 zinc finger, CW-type with coiled-coil domain 3 AP000693 23515
203531_at BF435809
218096_at LPAAT-e; FLJ11210 acid acyltransferase-epsilon NM_018361 55326
203378_at PCF11; KIAA0824 pre-mRNA cleavage complex II protein Pcf11 AB020631 51585
212450_at KIAA0256 KIAA0256 gene product D87445 9728
203347_s_at M96; MTF2 putative DNA binding protein NM_007358 22823
201699_at PSMC6; P44; p42; SUG2; CADP44; MGC12520 proteasome 26S ATPase subunit 6 NM_002806 5706
215245_x_at FMR1 AA830884 2332
212633_at KIAA0776 AW298092 23376
218577_at FLJ20331 hypothetical protein FLJ20331 NM_017768 55631
218878_s_at SIRT1; SIR2L1 sirtuin 1 NM_012238 23411
M3.5 Total = 19 transcripts 3 Overexpressed
0 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
217052_x_at AK024108
208749_x_at FLOT1 flotillin 1 AF085357 10211
200630_x_at SET AV702810 6418
M3.6 Total = 233 transcripts 2 Overexpressed
76 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Commo Product Genbank Locus
202603_at ADAM10 N51370 102
214895_s_at ADAM10 AU135154 102
200723_s_at M11S1; GPIAP1 membrane component, chromosome 11, surface marker 1 isoform 1; membrane component, chromosome 11, surface marker 1 NM_005898 4076
218973_at EFTUD1; FAM42A; FLJ13119; HsT19294 elongation factor Tu GTP binding domain containing 1 NM_024580 79631
205078_at PIGF; MGC32646; MGC33136 phosphatidylinositol glycan, class F isoform 1; phosphatidylinositol glycan, class F isoform 2 NM_002643 5281
217815_at SUPT16H; FACT; CDC68; FACTP140; FLJ10857; FLJ14010; chromatin-specific transcription elongation factor large subunit NM_007192 11198
204215_at C7orf23; MGC4175; MM-TRAG SPT16/CDC68 chromosome 7 open reading frame 23 NM_024315 79161
213149_at DLAT AW299740 1737
202970_at DYRK2 dual-specificity tyrosine-(Y)-phosphorylation regulated kinase 2 isoform 1; dual-specificity tyrosine-(Y)-phosphorylation regulated kinase 2 isoform 2 Y09216
201633_s_at CYB5-M AW235051 80777
203073_at COG2; LDLC component of oligomeric golgi complex 2 NM_007357 22796
209600_s_at ACOX1; MGC1198; PALMCOX acyl-Coenzyme A oxidase isoform a; acyl-Coenzyme A oxidase isoform b S69189 51
200687_s_at SF3B3; RSE1; SAP130; SF3b130; STAF130; KIAA0017 splicing factor 3b, subunit 3, 130kDa NM_012426 23450
206572_x_at ZNF85; HPF4; HTF1 zinc finger protein 85 (HPF4, HTF1) NM_003429 7639
217939_s_at AFTIPHILIN; FLJ20080; FLJ23793; MGC33965 aftiphilin protein isoform c; aftiphilin protein isoform b; aftiphilin protein isoform a NM_017657 54812
203201_at PMM2; CDG1; CDGS phosphomannomutase 2 NM_000303 5373
208716_s_at LOC54499 putative membrane protein AB020980 54499
204185_x_at PPID; CYPD; CYP-40; MGC33096 peptidylprolyl isomerase D NM_005038 5481
212216_at KIAA0436; FLJ16627 putative prolyl oligopeptidase AB007896 9581
211337_s_at 76P gamma tubulin ring complex protein (76p gene) BC000966 27229
204172_at CPOX; CPX; HCP coproporphyrinogen oxidase NM_000097 1371
205055_at ITGAE; CD103; HUMINAE integrin, alpha E (antigen CD103, human mucosal lymphocyte antigen 1; alpha polypeptide) NM_002208 3682
203306_s_at SLC35A1; CST; HCST; CMPST; inactive solute carrier family 35 (CMP-sialic acid transporter), member A1 NM_006416 10559
204683_at ICAM2; CD102 intercellular adhesion molecule 2 precursor NM_000873 3384
202654_x_at AXOT; MARCH-VII; DKFZP586F1122 axotrophin NM_022826 64844
207627_s_at TFCP2; LSF; LBP-1C; TFCP2C transcription factor CP2 NM_005653 7024
209366_x_at CYB5 cytochrome b-5 M22865 1528
202663_at AI005043
214179_s_at NFE2L1 H93013 4779
217921_at H97940
219017_at ETNK1; EKI; EKI1 ethanolamine kinase 1 NM_018638 55500
201128_s_at ACLY; ATPCL; CLATP ATP citrate lyase isoform 1; ATP citrate lyase isoform 2 NM_001096 47
212264_s_at KIAA0261; FOE KIAA0261 D87450 23063
204642_at EDG1; ECGF1; EDG-1; S1PR1; CHEDG1; D1S3362 endothelial differentiation, sphingolipid G-protein-coupled receptor, 1 NM_001400 1901
200683_s_at UBE2L3; E2-F1; L-UBC; UBCH7; UbcM4 ubiquitin-conjugating enzyme E2L 3 isoform 1; ubiquitin-conjugating enzyme E2L 3 isoform 2 NM_003347 7332
201500_s_at PPP1R11; HCGV; HCG-V; TCTE5; TCTEX5 protein phosphatase 1, regulatory (inhibitor) subunit 11 isoform 1; protein phosphatase 1, regulatory (inhibitor) subunit 11 isoform 2 NM_021959 6992
218313_s_at GALNT7; GalNAcT7; GALNAC-T7 polypeptide N-acetylgalactosaminyltransferase 7 NM_017423 51809
207490_at TUBA4; FLJ13940 tubulin, alpha 4 NM_025019 80086
200979_at BF739979
211547_s_at PAFAH1B1; LIS1; MDCR platelet-activating factor acetylhydrolase, isoform Ib, alpha subunit (45kD) L13387 5048
214582_at PDE3B phosphodiesterase 3B, cGMP-inhibited NM_000753 5140
204634_at NEK4; NRK2; STK2 NIMA (never in mitosis gene a)-related kinase 4 NM_003157 6787
219283_at C1GALT2 core 1 UDP-galactose:N-acetylgalactosamine-alpha-R beta 1,3-galactosyltransferase 2 NM_014158 29071
205263_at BCL10; CLAP; mE10; CIPER; c-E10; CARMEN B-cell CLL/lymphoma 10 AF082283 8915
205202_at PCMT1 protein-L-isoaspartate (D-aspartate) O-methyltransferase NM_005389 5110
201746_at TP53; p53; TRP53 tumor protein p53 NM_000546 7157
206989_s_at SFRS2IP; SIP1; CASP11; SRRP129 splicing factor, arginine/serine-rich 2, interacting protein NM_004719 9169
218538_s_at MRS2L; HPT MRS2-like, magnesium homeostasis factor NM_020662 57380
218646_at FLJ20534 hypothetical protein FLJ20534 NM_017867 54969
200703_at DNCL1; LC8; PIN; DLC1; DLC8; hdlc1 cytoplasmic dynein light polypeptide NM_003746 8655
213246_at C14orf109 AI346504 26175
213063_at FLJ11806 N64802 79882
203284_s_at HS2ST1; KIAA0448 heparan sulfate 2-O-sulfotransferase 1 NM_012262 9653
202451_at GTF2H1; BTF2; TFIIH general transcription factor IIH, polypeptide 1, 62kDa BC000365 2965
201359_at COPB; DKFZp761K102 coatomer protein complex, subunit beta NM_016451 1315
209384_at PROSC AA176833 11212
213853_at ZCSL3 zinc finger, CSL domain containing 3 AL050199
202297_s_at RER1 RER1 homolog AF157324 11079
212507_at RW1; PRO1048; KIAA0257 D87446 23505
204613_at PLCG2 phospholipase C, gamma 2 (phosphatidylinositol-specific) NM_002661 5336
201634_s_at CYBS-M cytochrome b5 outer mitochondrial membrane precursor NM_030579 80777
201240_s_at KIAA0102 KIAA0102 gene product NM_014752 9789
201295_s_at WSB1; SWIP1; WSB-1 WD SOCS-box protein 1 isoform 1; WD SOCS-box protein 1 isoform 3; WD SOCS-box protein 1 isoform 2 NM_015626 26118
200996_at ACTR3; ARP3 ARP3 actin-related protein 3 homolog NM_005721 10096
211760_s_at VAMP4; VAMP24 vesicle-associated membrane protein 4 BC005974 8674
200994_at IPO7; RANBP7 importin 7 AL137335 10527
201985_at KIAA0196 KIAA0196 gene product NM_014846 9897
201518_at CBX1; M31; MOD1; HP1-BETA; HP1Hs-beta chromobox homolog 1 (HP1 beta homolog Drosophila ) NM_006807 10951
201098_at COPB2; beta'-COP coatomer protein complex, subunit beta 2 (beta prime) NM_004766 9276
201479_at DKC1; NAP57; NOLA4; XAP101; dyskerin dyskerin NM_001363 1736
202811_at STAMBP; AMSH STAM binding protein NM_006463 10617
200050_at ZNF146; OZF zinc finger protein 146 NM_007145 7705
201472_at VBP1; PFD3; PFDN3; VBP-1 von Hippel-Lindau binding protein 1 NM_003372 7411
205898_at CX3CR1; V28; CCRL1; GPR13; CMKDR1; GPRV28; CMKBRL1 chemokine (C-X3-C motif) receptor 1 U20350 1524
213102_at ACTR3 Z78330 10096
201661_s_at ACSL3; ACS3; FACL3; PR02194 acyl-CoA synthetase long-chain family member 3 NM_004457 2181
212412_at AV715767
203008_x_at TXNDC9; APACD ATP binding protein associated with cell differentiation NM_005783 10190
M3.7 Total = 80 transcripts 2 Overexpressed
16 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
202266_at TTRAP; EAP2; AD022; MGC9099; dJ30M3.3 TRAF and TNF receptor-associated protein NM_016614 51567
214096_s_at SHMT2 AW190316 6472
201966_at NDUFS2 NADH dehydrogenase (ubiquinone) Fe-S protein 2, 49kDa (NADH-coenzyme Q reductase) NM_004550 4720
203721_s_at CGI-48 CGI-48 protein NM_016001 51096
211061_s_at MGAT2; GNT2; CDGS2; GNT-II; GLCNACTII alpha-1,6-mannosyl-glycoprotein beta-1,2-N-acetylglucosaminyltransferase BC006390 4247
200045_at ABCF1; ABC27; ABC50; EST123147 ATP-binding cassette, sub-family F, member 1 NM_001090 23
203576_at BCAT2; BCAM; BCT2 branched chain aminotransferase 2, mitochondrial NM_001190 587
221622_s_at HT007 uncharacterized hypothalamus protein HT007 AF246240 55863
205644_s_at SNRPG; SMG small nuclear ribonucleoprotein polypeptide G NM_003096 6637
218288_s_at MDS025; MDS011 hypothetical protein MDS025 NM_021825 60492
201697_s_at DNMT1; MCMT; CXXC9 DNA (cytosine-5-)-methyltransferase 1 NM_001379 1786
201176_s_at ARCN1; COPD archain NM_001655 372
219220_x_at MRPS22; GIBT; GK002; C3orf5; RPMS22; MRP-S22 mitochondrial ribosomal protein S22 NM_020191 56945
202520_s_at MLH1; FCC2; COCA2; HNPCC; hMLH1; HNPCC2; MGC5172 MutL protein homolog 1 NM_000249 4292
211070_x_at DBI; ACBP; ACBD1 diazepam binding inhibitor BC006466 1622
201241_at DDX1; DBP-RB DEAD (Asp-Glu-Ala-Asp) box polypeptide 1 NM_004939 1653
208985_s_at EIF3S1; eIF3-p35; eIF3-alpha eukaryotic translation initiation factor 3, subunit 1 alpha, 35kDa BC002719 8669
202911_at MSH6; GTBP; HNPCC5 mutS homolog 6 NM_000179 2956
M3.8 Total = 182 transcripts 1 Overexpressed
33 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
213670_x_at WBSCR20C AI768378 15540
203551_s_at COX11; COX11P COX11 homolog NM_004375 1353
215743_at RPP38 AL134489 10557
217902_s_at HERC2; jdf2; p528; D15F37S1; KIAA0393 hect domain and RLD 2 NM_004667 8924
212944_at AK024896
212126_at BG391282
201837_s_at STAF65 (gamma); ART1; KIAA0764 SPTF-associated factor 65 gamma AF197954 9913
204142_at HSRTSBETA rTS beta protein isoform 2; rTS beta protein isoform 1 NM_017512 55556
203135_at TBP; GTF2D; SCA17; TFIID; GTF2D1 TATA box binding protein NM_003194 6908
212037_at PNN; DRS; SDK3 pinin, desmosome associated protein Y09703 5411
212454_x_at HNRPDL AI762552 9987
206150_at TNFRSF7; T14; CD27; S152; Tp55; MGC20393 tumor necrosis factor receptor superfamily, member 7 precursor NM_001242 939
202979_s_at ZF HCF-binding transcription factor Zhangfei NM_021212 58487
215307_at AL109722
213703_at LOC150759 W95043
212914_at CBX7 AV648364
203944_x_at BTN2A1; BTF1; BT2.1 butyrophilin, subfamily 2, member A1 isoform 1 precursor; butyrophilin, subfamily 2, member A1 isoform 2 precursor NM_007049 11120
221264_s_at TARDBP TAR DNA binding protein NM_031214 81927
218557_at NIT2 nitrilase family, member 2 NM_020202 56954
221626_at ZNF506; DKFZp761G1812 AL136548
213213_at DATF1 AL035669 11083
219698_s_at METTL4; HsT661; FLJ23017 methyltransferase like 4 NM_022840 64863
213653_at AW069290
212179_at C6orf111; FLJ14752; FLJ14992; bA98I9.2; DKFZp564B0769 chromosome 6 open reading frame 111 AL080186 25957
219169_s_at TFB1M; CGI75; mtTFB; CGI-75 transcription factor B1, mitochondrial NM_016020 51106
40569_at ZNF42; MZF1; MZF-1; MZF1B zinc finger protein 42 isoform 1; zinc finger protein 42 isoform 2 M58297 7593
220081_x_at HSD17B7; PRAP; MGC12523; MGC75018 hydroxysteroid (17-beta) dehydrogenase 7 NM_016371 51478
218373_at FTS; FT1; FLJ13258 fused toes homolog NM_022476 64400
202220_at KIAA0907 NM_014949 22889
220035_at NUP210; GP210; POM210; FLJ22389; KIAA0906 nucleoporin 210 NM_024923 23225
209007_s_at NPD014; DJ465N24.2.1 NPD014 protein isoform 2; NPD014 protein isoform 1 AF267856 57035
218343_s_at GTF3C3; TFIIIC102; TFIIICgamma; TFiiiC2-102 general transcription factor IIIC, polypeptide 3, 102kDa NM_012086 9330
213483_at KIAA0073 KIAA0073 protein AK025679 23398
204352_at TRAF5; RNF84; MGC:39780 TNF receptor-associated factor 5 NM_004619 7188
M3.9 Total = 261 transcripts 0 Overexpressed
135 Underexpressed
Table 12 Module-by-module comparison of genes expression levels in patients with metastatic melanoma vs. healthy volunteers. Patients with melanoma (n=22) vs. Healthy Volunteer (n=23) - training test Mann Whitney U test p-value<0.05, no mtc
Systematic Common _Affy Product Genbank LocusLink
204236_at FLI1; EWSR2; SIC-1 Friend leukemia virus integration 1 NM_002017 2313
201501_s_at GRSF1 G-rich RNA sequence binding factor 1 NM_002092 2926
213883_s_at BBP AA012917 83941
203629_s_at COG5 AU152134 10466
209199_s_at MEF2C N22468 4208
208289_s_at EI24; PIG8; TP53I8 etoposide induced 2.4 NM_004879 9538
204333_s_at AGA; AGU aspartylglucosaminidase precursor NM_000027 175
209382_at POLR3C; RPC3; RPC62 polymerase (RNA) III (DNA directed) polypeptide C (62kD) U93867 10623
211987_at top2B; topIIB DNA topoisomerase II, beta isozyme NM_001068 7155
204274_at EBAG9 AA812215 9166
212585_at OSBPL8; ORP8; OSBP10 oxysterol-binding protein-like protein 8 isoform b; oxysterol-binding protein-like protein 8 isoform a AB040884 11488
217724_at PAI-RBP1 AF131807 26135
218452_at SMARCAL1; HARP; HHARP SWI/SNF-related matrix-associated actin-dependent regulator of chromatin a-like 1 NM_014140 50485
212648_at DHX29; DDX29 DEAH (Asp-Glu-Ala-His) box polypeptide 29 AL079292 54505
200988_s_at PSME3; Ki; PA28G; REG-GAMMA; PA28-gamma proteasome activator subunit 3 isoform 1; proteasome activator subunit 3 isoform 2 NM_005789 10197
209786_at HMGN4; NHC; HMG17L3; MGC5145 high mobility group nucleosomal binding domain 4 BC001282 10473
209943_at FBXL4; FBL4; FBL5 F-box and leucine-rich repeat protein 4 AF176699 26235
201990_s_at CREBL2 cAMP responsive element binding protein-like 2 NM_001310 1389
218460_at FLJ20397 hypothetical protein FLJ20397 NM_017802 54919
217858_s_at ARMCX3; ALEX3; MGC12199 ALEX3 protein NM_016607 51566
221744_at HAN11 WD-repeat protein AK026008 10238
203983_at TSNAX; TRAX translin-associated factor X NM_005999 7257
201034_at ADD3 BE545756 120
205771_s_at AKAP7; AKAP18 A-kinase anchor protein 7 isoform alpha; A-kinase anchor protein 7 isoform gamma; A-kinase anchor protein 7 isoform beta AL137063 9465
218536_at AF052167
210111_s_at PNAS-138 AF277175
219485_s_at PSMD10; p28 proteasome 26S non-ATPase subunit 10 isoform 1; proteasome 26S non-ATPase subunit 10 isform 2 NM_002814 5716
219007_at NUP43; p42; FLJ13287; bA350J20.1 nucleoporin 43kDa NM_024647 79700
201517_at NCBP2; NIP1; CBP20 nuclear cap binding protein subunit 2, 20kDa BC001255 22916
209206_at SEC22L1 AV701283 9554
213154_s_at BICD2; KIAA0699 bicaudal D homolog 2 isoform 1; bicaudal D homolog 2 isoform 2 AB014599 23299
207305_s_at KIAA1012; HsT2706 KIAA1012 NM_014939 22878
209247_s_at ABCF2; ABC28; M-ABC1; HUSSY-18; EST133090; DKFZp586K1823 ATP-binding cassette, sub-family F, member 2 isoform b; ATP-binding cassette, sub-family F, member 2 isoform a BC001661 10061
212476_at CENTB2; ACAP2; CNT-B2; KIAA0041 centaurin, beta 2 D26069 23527
65472_at AI161338
201833_at HDAC2; RPD3; YAF1 histone deacetylase 2 NM_001527 3066
219296_at ZDHHC13; HIP14L; HIP3RP; FLJ10852; FLJ10941; MGC64994 zinc finger, DHHC domain containing 13 isoform 2; zinc finger, DHHC domain containing 13 isoform 1 NM_019028 54503
218699_at RAB7L1 BG338251 8934
222103_at ATF1 AI434345 466
200902_at 15-Sep 15 kDa selenoprotein isoform 1 precursor; 15 kDa selenoprotein isoform 2 precursor NM_004261 9403
213390_at C19orf7; KIAA1064 KIAA1064 protein AB028987 23211
218396_at VPS13C vacuolar protein sorting 13C protein NM_017684 54832
203048_s_at KIAA0372 BE566023 9652
203537_at PRPSAP2; PAP41 phosphoribosyl pyrophosphate synthetase-associated protein 2 NM_002767 5636
201036_s_at HADHSC; SCHAD L-3-hydroxyacyl-Coenzyme A dehydrogenase, short chain NM_005327 3033
203566_s_at AGL; GDE amylo-1,6-glucosidase, 4-alpha-glucanotransferase isoform 1; amylo-1,6-glucosidase, 4-alpha-glucanotransferase 4-alphisoform 1; amylo-1,6-glucosidase, 4-alpha-glucanotransferase isoform 2; amylo-1,6-glucosidase, 4-alpha-glucanotransferase isoform 3 NM_000645 178
218593_at RBM28; FLJ10377 RNA binding motif protein 28 NM_018077 55131
202318_s_at SENP6; SSP1; SUSP1; KIAA0797 SUMO1/sentrin specific protease 6 AF306508 26054
218838_s_at FLJ12788 hypothetical protein FLJ12788 NM_022492 64427
212150_at KIAA0143 AA805651 23167
218147_s_at AD-017; FLJ14611 glycosyltransferase AD-017 NM_018446 55830
200760_s_at JWA N92494 10550
211971_s_at LRPPRC; LSFC; GP130; LRP130; CLONE-23970 leucine-rich PPR motif-containing protein AF052133 10128
218684_at LRRC5; FLJ10470 leucine rich repeat containing 5 NM_018103 55144
201624_at DARS aspartyl-tRNA synthetase NM_001349 1615
214198_s_at DGCR2 AU150824 9993
218989_x_at SLC30A5; ZNT5; ZTL1; ZNTL1; ZnT-5; MGC5499; FLJ12496; FLJ12756 zinc transporter ZTL1 NM_022902 64924
200860_s_at KIAA1007; AD-005 KIAA1007 protein isoform a; KIAA1007 protein isoform b BC000779 23019
217886_at EPS15 BF213575 2060
208953_at KIAA0217 KIAA0217 protein BC003381 23185
205052_at AUH AU RNA-binding protein/enoyl-Coenzyme A hydratase precursor NM_001698 549
202215_s_at NFYC; HSM; CBFC; HAP5; CBF-C; NF-YC; H1TF2A nuclear transcription factor Y, gamma NM_014223 4802
202038_at UBE4A; UFD2; KIAA0126 ubiquitination factor E4A NM_004788 9354
212530_at NEK7 NIMA (never in mitosis gene a)-related kinase 7 AL080111 14060
212499_s_at C14orf32; MISS; MGC23138; c14_5346 MAPK-interacting and spindle-stabilizing protein AK025580
201375_s_at PPP2CB protein phosphatase 2 (formerly 2A), catalytic subunit, beta isoform NM_004156 5516
209486_at SAS10 disrupter of silencing 10 BC004546 57050
218491_s_at THY28; MY105; MDS012; HSPC144; MGC12187 thymocyte protein thy28 isoform 1; thymocyte protein thy28 isoform 2 NM_014174 29087
218212_s_at MOCS2; MPTS; MCBPE; MOCO1 molybdopterin synthase large subunit MOCS2B; molybdopterin synthase small subunit MOCS2A NM_004531 4338
210962_s_at AKAP9; PRKA9; CG-NAP; YOTIAO; AKAP350; AKAP450; HYPERION; KIAA0803 A-kinase anchor protein 9 isoform 2; A-kinase anchor protein 9 isoform 4; A-kinase anchor protein 9 isoform 1; A-kinase anchor protein 9 isoform 3 AB019691 10142
203513_at FLJ21439; KIAA1840 hypothetical protein FLJ21439 NM_025137 80208
213027_at AU146655
38892_at KIAA0240 D87077 23506
203690_at TUBGCP3; Spc98p spindle pole body protein NM_006322 10426
209551_at MGC11061 hypothetical protein MGC11061 BC004875 84272
202850_at ABCD3; ABC43; PMP70; PXMP1 ATP-binding cassette, sub-family D, member 3 NM_002858 5825
203738_at FLJ11193 AI421192 55322
209200_at MEF2C N22468 4208
201326_at CCT6A BE737030 908
218128_at NFYB AI804118 4801
218962_s_at FLJ13576 hypothetical protein FLJ13576 NM_022484 64418
209143_s_at CLNS1A; CLCI; ICln; CLNS1B chloride channel, nucleotide-sensitive, 1A AF005422 1207
204314_s_at CREB1; MGC9284 cAMP responsive element binding protein 1 isoform A; cAMP responsive element binding protein 1 isoform B NM_004379 1385
201778_s_at KIAA0494 NM_014774 9813
202664_at AI005043
204354_at POT1; hPot1; DKFZP586D211 POT1 protection of telomeres 1 homolog NM_015450 25913
212640_at LOC201562 AV712602
203787_at SSBP2; HSPC116 single-stranded DNA binding protein 2 NM_012446 23635
202346_at HIP2; LIG; HYPG huntingtin interacting protein 2 NM_005339 3093
215548_s_at SCFD1; RA410; KIAA0917; STXBP1L2; C14orf163 vesicle transport-related protein isoform a; vesicle transport-related protein isoform b AB020724 23256
212513_s_at USP33; VDU1; KIAA1097; MGC16868 ubiquitin specific protease 33 isoform 1; ubiquitin specific protease 33 isoform 2; ubiquitin specific protease 33 isoform 3 AB029020 23032
212486_s_at N20923
212904_at KIAA1185 KIAA1185 protein AB033011 57470
204020_at PURA BF739943 5813
203465_at MRPL19; RLX1; RPML15; MRP-L15; KIAA0104; MGC20675 mitochondrial ribosomal protein L19 NM_014763 9801
212943_at KIAA0528 KIAA0528 gene product AB011100 9847
201296_s_at WSB1; SWIP1; WSB-1 WD SOCS-box protein 1 isoform 1; WD SOCS-box protein 1 isoform 3; WD SOCS-box protein 1 isoform 2 NM_015626 26118
202214_s_at CUL4B; KIAA0695 cullin 4B NM_003588 8450
218179_s_at FLJ12716 FLJ12716 protein isoform a; FLJ12716 protein isoform b NM_021942 60684
214670_at ZNF36 AA653300 7586
222201_s_at CASP8AP2; CED-4; FLASH; RIP25; FLJ11208; KIAA1315 CASP8 associated protein 2 AB037736 9994
201218_at CTBP2 C-terminal binding protein 2 isoform 1; C-terminal binding protein 2 isoform 2 NM_001329 1488
204980_at CLOCK; KIAA0334 clock NM_004898 9575
208882_s_at DD5 U69567 51366
201817_at KIAA0010 NM_014671 9690
221196_x_at C6.1A c6.1A NM_024332 79184
201493_s_at PUM2 BE778078 23369
202956_at ARFGEF1; BIG1; P200; ARFGEP1; D730028018Rik brefeldin A-inhibited guanine nucleotide-exchange protein 1 NM_006421 10565
218842_at FLJ21908 hypothetical protein FLJ21908 NM_024604 79657
203253_s_at KIAA0433 KIAA0433 protein NM_015216 23262
214113_s_at RBM8A AI738479 9939
212299_at NEK9; Nek8; NERCC; NERCC1; MGC16714; DKFZp434D0935 NIMA related kinase 9 AL117502 91754
200992_at IPO7; RANBP7 importin 7 AL137335 10527
203689_s_at FMR1 AI743037 2332
209323_at PRKRIR; DAP4; P52rIPK protein-kinase, interferon-inducible double stranded RNA dependent inhibitor, repressor of (P58 repressor) AF081567 5612
218322_s_at ACSL5; ACS2; ACS5; FACL5 acyl-CoA synthetase long-chain family member 5 isoform a; acyl-CoA synthetase long-chain family member 5 isoform b NM_016234 51703
38290_at RGS14 regulator of G-protein signalling 14 AF037195 10636
34031_i_at CCM1; CAM; KRIT1 krev interaction trapped 1 U90268 889
213090_s_at TAF4 AI744029 6874
218545_at FLJ11088; p56 hypothetical protein FLJ11088 NM_018318 55297
209268_at VPS45A; H1; VSP45; VPS45B; VPS54A; VSP45A; H1VPS45 vacuolar protein sorting 45A AF165513 11311
203743_s_at TDG thymine-DNA glycosylase NM_003211 6996
218047_at OSBPL9; ORP9; FLJ12492; oxysterol-binding protein-like protein 9 isoform NM_024586 11488
FLJ14629; FLJ14801; FLJ32055; FLJ34384; MGC15035 e; oxysterol-binding protein-like protein 9 isoform a; oxysterol-binding protein-like protein 9 isoform b; oxysterol-binding protein-like protein 9 isoform c; oxysterol-binding protein-like protein 9 isofor
221873 at ZNF143 AW162015 7702
211784_s_at BC006181
201448 at TIA1 TIA1 protein isoform 1; TIA1 protein isoform 2 NM_022037
221931_s_at SEC13L AV701173 81929
221931_s_at KIAA0372 KIAA0372 NM_014639 9652
201503 at G3BP BG500067 10146
203791 at DMXL1 Dmx-like 1 NM_005509 1657
219363_s_at CGI-12 CGI-12 protein NM_015942 51001
202491_s_at IKBKAP: FD; DYS; IKAP inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein NM_003640 8518
201589_at SMC1L1; SMCB; SB1.8; DXS423E; KIAA0178; SMC1alpha SMC1 structural maintenance of chromosomes 1-like 1 D80000 8243
213238_at ATP10D AI478147 57205
209523_at TAF2; TAF2B; CIF150; TAFII150 TBP-associated factor 2 AK001618 6873
Table 13: Module-by-module comparison of genes expression levels in liver transplant recipients vs. healthy volunteers. Liver transplant recipients (n=22) vs. Healthy Volunteer (n=27) - training set Mann Whitney U test p-value<0.05, no mtc
M1.1 Total = 69 transcripts p<0.05 1
42
Table 13: Module-by-module comparison of genes expression levels in liver transplant recipients vs. healthy volunteers. Liver transplant recipients (n=22) vs. Healthy Volunteer (n=27) - training set Mann Whitney U test p-value<0.05, no mtc
216510_x_at 0.9535944 293.8852 0.68922555 230.9773 0.037
211908_x_at 0.90837705 178.65926 0.48615247 121.38636 0.0333
214916_x_at 1.0085313 918.9667 0.7224307 673.1591 0.0316
216853_x_at 0.9532237 192.05556 0.65257263 144.11365 0.0284
211881_x_at 1.0114585 395.59628 0.8215793 334.8909 0.0215
217148_x_at 0.9987921 1299.385 0.76691246 1122.8818 0.0191
211641_x_at 0.93511134 363.24442 0.6844703 278.39545 0.016
216576_x_at 0.9978868 505.27032 0.610412 395.1182 0.0134
217480_x_at 0.97234654 896.04816 0.7454202 709.15 0.00755
214768_x_at 0.98825425 465.96667 0.7120667 329.78638 0.00661
211650_x_at 0.78916377 269.76294 0.31672192 166.3909 0.00577
217227_x_at 1.0972255 284.1741 0.84450734 249.20454 0.00378
217179_x_at 0.92833304 451.8037 0.578116 359.58636 0.00352
211798_x_at 1.0213583 531.3816 0.56347245 331.82272 0.00085
221931_s_at 1.0176613 8300.245 0.24382864 4918.7866 0.000849
215121_x_at 0.98634666 9623.081 0.48235297 6273.741 0.000715
215118_s_at 1.0840191 703.87775 0.5814518 406.17273 0.000459
215777_at 0.9363759 87.022224 0.5081718 52.359093 0.000459
211644_x_at 1.0106673 871.6556 0.5211471 570.0091 0.000382
221253_s_at 1.035757 1441.9109 0.7921406 1241.8682 0.000348
215379_x_at 1.0907915 2435.1445 0.6510944 2274.6091 0.000262
221931_s_at 0.93837446 385.98148 0.6499519 293.54544 0.000216
209138_x_at 1.0315566 8949.182 0.5179802 5852.959 0.000178
215214_at 1.0720766 222.12222 0.620685 140.14091 0.000146
216984_x_at 1.025168 841.889 0.5098904 503.11816 0.000146
217281_x_at 1.0657202 226.53333 0.35082975 118.431816 0.000146
221739_at 0.97063583 1171.1519 1.1927835 1448.1772 0.000146
216401_x_at 0.93514395 426.41113 0.35121965 219.93636 0.000107
214777_at 0.8662704 399.81854 0.3215993 206.45456 0.000107
215176_x_at 1.0185648 1924.6481 0.52285767 1201.3545 0.00009
209374_s_at 0.9966258 5095.5405 0.59940046 3293.0908 0.000063
217258_x_at 0.9936845 222.2 0.43583792 126.109085 0.00005
215946_x_at 0.9841579 1175.8036 0.53852904 764.5227 0.00005
214677_x_at 1.0062306 9875.494 0.46147978 5883.8677 0.00004
213502_x_at 0.989173 2057.2258 0.58787936 1328.241 0.00001
214669_x_at 0.9705455 2949.4036 0.49041447 1899.9272 0.00000
211645_x_at 1.0296928 1275.4926 0.5159448 875.50006 0.00000
205267_at 1.0090047 1391.5444 0.55226755 816.43634 0.00000
214836_x_at 1.0482535 1661.7258 0.61028546 1019.04095 0.00000
221651_x_at 1.0553 14163.74 0.58122855 8642.6045 0.00000
221671_x_at 1.0026699 14210.46 0.52689755 8358.081 0.00000
221931_s_at 1.0306439 4548.656 0.25486428 2239.9727 0.00000
212592_at 1.0268843 1194.1445 0.35290387 647.8092 0.00000
M1.2 Total = 96 transcripts 1 Overexpressed
25 Underexpressed
Table 13: Module-by-module comparison of genes expression levels in liver transplant recipients vs. healthy volunteers. Liver transplant recipients (n=22) vs. Healthy Volunteer (n=27) - training set Mann Whitney U test p-value<0.05, no mtc
Healthy Normalized Raw Liver Transplant Normalized Raw p-value
202708_x_at 1.0291246 703.4631 1.293131 928.1227 0.037 Overexpressed
215492_x_at 1.0371836 505.05554 0.84501696 420.0091 0.0333 Underexpressed
220496_at 0.93682235 459.94073 0.72206074 372.5818 0.0333 Underexpressed
209806_at 0.9521103 2293.4187 0.81702846 2045.5999 0.0299 Underexpressed
207815_at 1.1267686 381.02594 0.6693667 246.11362 0.0247 Underexpressed
221931_s_at 0.9734153 322.73703 0.818861 272.37726 0.0227 Underexpressed
221931_s_at 0.9424713 1687.637 0.7506878 1352.9364 0.0203 Underexpressed
203680_at 1.0543469 1530.6296 0.7015139 1100.2819 0.0181 Underexpressed
221931_s_at 0.971758 136.51112 0.7027385 106.4591 0.0181 Underexpressed
221931_s_at 0.9768981 2615.9995 0.62159055 1791.5591 0.0151 Underexpressed
220336_s_at 0.9005469 229.16667 0.70483 178.05453 0.0134 Underexpressed
204115_at 1.0053754 1191.0223 0.5847472 852.1319 0.0134 Underexpressed
201278_at 0.9849579 355.89264 0.8393757 310.1182 0.0134 Underexpressed
206167_s_at 0.9658439 181.8778 0.6749217 132.58638 0.00707 Underexpressed
221931_s_at 0.99204427 153.80742 0.71427935 116.05909 0.00661 Underexpressed
221931_s_at 1.0480876 1498.8186 0.7536483 1140.0544 0.00557 Underexpressed
205442_at 0.9410932 403.21854 0.53875446 268.2682 0.00468 Underexpressed
203817_at 0.9738554 329.04446 0.6397933 240.97728 0.00406 Underexpressed
221931_s_at 1.0526993 317.59625 0.76514447 233.68182 0.00178 Underexpressed
212813_at 1.0291963 436.27036 0.7281337 334.1091 0.00164 Underexpressed
206283_s_at 0.97842056 356.47775 0.68749416 263.33636 0.00129 Underexpressed
217963_s_at 0.9497207 2299.615 0.5692195 1455.3591 0.00129 Underexpressed
221211_s_at 1.0132638 973.77783 0.60756016 625.14105 0.00085 Underexpressed
218999_at 0.9999457 590.4556 0.6729006 404.76367 0.000119 Underexpressed
221931_s_at 1.0227504 1134.2667 0.78785646 880.1727 0.00007 Underexpressed
221556_at 0.9153534 344.37778 0.6053534 225.53183 0.00002 Underexpressed
Table 13: Module-by-module comparison of genes expression levels in liver transplant recipients vs. healthy volunteers. Liver transplant recipients (n=22) vs. Healthy Volunteer (n=27) - training set Mann Whitney U test p-value<0.05, no mtc
Module-by-module comparison of genes expression levels in liver transplant recipients vs. healthy volunteers. Liver transplant recipients (n=22) vs. Healthy Volunteer (n=27) - training set Mann Whitney U test p-value<0.05, no mtc
M1.1 Total = 69 transcripts p<0.05 1 Overexpressed
42 Underexpressed
Table 13: Module-by-module comparison of genes expression levels in liver transplant recipients vs. healthy volunteers. Liver transplant recipients (n=22) vs. Healthy Volunteer (n=27) - training set Mann Whitney U test p-value<0.05, no mtc
LocusLink Common Product Genbank
216510_x_at IgH VH immunoglobulin heavy chain AB035175 3507
211908_x_at IGHM IgM M87268 3507
214916_x_at IGHM BG340548 3507
216853_x_at IGLJ3 immunoglobulin light chain variable region AF234255 28831
211881_x_at IGLJ3 VEGF single chain antibody AB014341 28831
217148_x_at IGLV immunoglobulin lambda variable region AJ249377 28831
211641_x_at IGH@ immunoglobulin heavy chain V-region L06101 3507
216576_x_at immunoglobulin kappa light chain variable region AF103529
217480_x_at IGKV1oR15-118; IGKVP2; IGKV1oR118 M20812
214768_x_at IGKC BG540628 3514
211650_x_at IGHM L34164 3507
217227_x_at IGL@ immunoglobulin lambda light chain VJC region X93006 3535
217179_x_at IGL@ immunoglobulin lambda light chain X79782 3535
211798_x_at IGLJ3 single-chain antibody AB001733 28831
221931_s_at IGHM immunoglobulin A1-A2 lambda hybrid GAU heavy chain S55735 3507
215121_x_at IGLJ3 AA680302 28831
221931_s_at AW519168
215777_at_ AW405975
211644_x_at IGKC L14458 3514
221253_s_at TXNDC5; ERP46; UNQ364; EndoPDI; MGC3178 thioredoxin domain containing 5 isoform 2; thioredoxin domain containing 5 isoform 1 NM_030810 81567
215379_x_at IGLJ3 AV698647 3535
221931_s_at ITM2C; E25; BRI3; E25C; ITM3; BRICD2C integral membrane protein 3 NM_030926 81618
209138_x_at IGLJ3 M87790 28831
215214_at IGL@ H53689 3535
216984_x_at IGLJ3 immunoglobulin light chain V-J region D84143 28831
217281_x_at IGHV immunoglobulin heavy chain variable region AJ239383 3502
221739_at IL27w AL524093 56005
216401_x_at IGKV immunoglobulin kappa chain variable region AJ408433
214777_at IGKC BG482805 3514
215176_x_at IGKC AW404894 3514
221931_s_at IGHM; MU IGHM protein BC001872 3507
217258_x_at IGL immunoglobulin lambda chain AF043583
215946_x_at LOC91316 AL022324 91316
214677_x_at IGLJ3 X57812 28831
213502_x_at IGLL3; 16.1 lambda L-chain C region X03529 91316
214669_x_at IGKC BG485135 3514
211645_x_at IgK immunoglobulin kappa-chain VK-1 M85256 3514
205267_at_ POU2AF1; BOB1; OBF1; OCAB; OBF-1 POU domain, class 2, associating factor 1 NM_006235 5450
214836_x_at IGKC BG536224 3514
221651_x_at IGKC Unknown (protein for MGC:12418) BC005332 3514
221671_x_at IGKC M63438 3514
211430_s_at IGHG3 M87789 3502
212592_at IGJ AV733266 3512
M1.2 Total = 96 transcripts 1 Overexpressed
25 Underexpressed
Table 13: Module-by-module comparison of genes expression levels in liver transplant recipients vs. healthy volunteers. Liver transplant recipients (n=22) vs. Healthy Volunteer (n=27) - training set Mann Whitney U test p-value<0.05, no mtc
LocusLink Common Product Genbank
202708_s_at HIST2H2BE; GL105; H2B.1; H2B/q; H2BFQ H2B histone family, member Q NM_003528 8349
215492_x_at PTCRA AL035587 17155
220496_at CLEC2 C-type lectin-like receptor-2 NM_016509 51266
209806_at HIST1H2BK; H2B/S; H2BFT; H2BFAiii H2B histone family, member T BC000893 85236
207815_at PF4V1; PF4A; CXCL4V1; PF4-ALT; SCYB4V1 platelet factor 4 variant 1 NM_002620 5197
214039_s_at LAPTM4B T15777 55353
208690_s_at PDLIM1; CLIM1; CLP36; ELFIN; CLP-36; hCLIM1 PDZ and LIM domain 1 (elfin) BC000915 9124
203680_at PRKAR2B; RII-BETA cAMP-dependent protein kinase, regulatory subunit beta 2 NM_002736 5577
207808_s_at PROS1; PSA protein S (alpha) NM_000313 5627
215071_s_at H2AFL AL353759 8334
220336_s_at GP6; GPIV; GPVI glycoprotein VI (platelet) AB043821 51206
204115_at GNG11 guanine nucleotide binding protein (G protein), gamma 11 NM_004126 2791
201278_at N21202
206167_s_at ARHGAP6; RHOGAP6; rhoGAPX-1 Rho GTPase activating protein 6 isoform 2; Rho GTPase activating protein 6 isoform 3; Rho GTPase activating protein 6 isoform 5; Rho GTPase activating protein 6 isoform 4; Rho GTPase activating protein 6 isoform 1 NM_001174 395
221027_s_at PLA2G12A phospholipase A2, group XIIA NM_030821 81579
215111_s_at TGFB1I4; TSC22; MGC17597 transforming growth factor beta 1 induced transcript 4 isoform 2; transforming growth factor beta 1 induced transcript 4 isoform 1 AK027071 8848
205442_at_ KIAA0626 NM_021647 9848
203817_at GUCY1B3 W93728 2983
201280_s_at DAB2; DOC2; DOC-2 disabled homolog 2 NM_001343 1601
212813_at JAM3 AA149644 83700
206283_s_at TAL1; SCL; TCL5 T-cell acute lymphocytic leukemia 1 NM_003189 6886
217963_s_at NGFRAP1; Bex; BEX3; NADE; HGR74; DXS6984E nerve growth factor receptor (TNFRSF16) associated protein 1 isoform b; nerve growth factor receptor (TNFRSF16) associated protein 1 isoform a NM_014380 27018
221211_s_at C21orf7; TAK1L chromosome 21 open reading frame 7 NM_020152 56911
218999_at FLJ11000 hypothetical protein FLJ11000 NM_018295 55281
209586_s_at HTCD37 TcD37 homolog AF123539 58497
221556_at CDC14B AU145941 8555

Claims (14)

  1. A method of identifying a subject with melanoma comprising:
    determining two or more melanoma vectors of expression, wherein the two or more melanoma vectors of expression comprise the expression level of six or more genes over-expressed, under-expressed or combinations thereof selected from module M1.1 and module M1.2 of Table 12; and
    displaying each of the melanoma expression vectors with a separate identifier.
  2. The method of claim 1, further comprising the step of detecting one or more polymorphisms in the six or more genes.
  3. The method of claim 1 further comprising a method for displaying melanoma transcriptome vector data comprising:
    separating one or more genes into one or more modules to visually display an aggregate gene expression vector value for each of the modules; and
    displaying the aggregate gene expression vector value for overexpression, underexpression or equal expression of the aggregate gene expression vector value in each module.
  4. A method of identifying a subject with immunosuppression associated with transplants comprising:
    determining two or more immunosuppression vectors of expression; and
    displaying each of the immunosuppression vectors of expression with a separate identifier, wherein each immunosuppression vector of expression comprises levels of expression of six or more genes selected from module M1.1 and module M1.2 of Table 13.
  5. The method of claim 4, further comprising the step of detecting one or more polymorphisms in the one or more immunosuppression vector of expression.
  6. The method claim 4 or 5, wherein the one or more immunosuppression vectors of expression are derived from a leukocyte.
  7. The method of any one of claims 4 to 6 comprising:
    separating six or more genes into two or more modules to visually display, as an aggregate, a vector of expression for each of the modules; and
    displaying the vector of expression for overexpression, underexpression or equal expression of the vector of expression in each module.
  8. The method of any one of claims 1 to 7, wherein the six or more genes comprise genes related to platelets, platelet glycoproteins, platelet-derived immune mediators, MHC/ribosomal proteins, MHC class I molecules, Beta 2-microglobulin, ribosomal proteins, hemoglobin genes or combinations thereof and/or genes related to interferon-inducible genes, signaling molecules, kinases, RAS family members or combinations thereof.
  9. The method of any one of claims 1 to 8, wherein the expression level comprises mRNA expression level, protein expression level or both mRNA expression level and protein expression level.
  10. The method of any one of claims 1 to 9, wherein the expression level-comprises a mRNA expression level and is quantitated by a method selected from the group consisting of polymerase chain reaction, real time polymerase chain reaction, reverse transcriptase polymerase chain reaction, hybridization, probe hybridization and gene expression array.
  11. The method of any one of claims 1 to 10, wherein the expression level is determined using at least one technique selected from the group consisting of polymerase chain reaction, heteroduplex analysis, single stand conformational polymorphism analysis, ligase chain reaction, comparative genome hybridization, Southern blotting, Northern blotting, Western blotting, enzyme-linked immunosorbent assay, fluorescent resonance energy-transfer and sequencing.
  12. The method of claim 3 or 8, wherein overexpression is identified with a first identifier and underexpression is identified with a second identifier.
  13. The method of claim 3 or 8, wherein overexpression is identified with a first identifier and underexpression is identified with a second identifier, wherein the first identifier is a first color and the second identifier is a second color, wherein first and second identifiers are superimposed to provide a combined color.
  14. A computer readable medium comprising computer-executable instructions for performing the method of claim 1.
HK09110977.7A 2006-11-03 2007-11-03 Diagnosis of metastatic melanoma and monitoring indicators of immunosuppression through blood leukocyte microarray analysis HK1131833B (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US85640606P 2006-11-03 2006-11-03
US60/856,406 2006-11-03
PCT/US2007/083555 WO2008100352A2 (en) 2006-11-03 2007-11-03 Diagnosis of metastatic melanoma and monitoring indicators of immunosuppression through blood leukocyte microarray analysis

Publications (2)

Publication Number Publication Date
HK1131833A1 HK1131833A1 (en) 2010-02-05
HK1131833B true HK1131833B (en) 2014-01-30

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