Category CBIO L11 Utilizing the WGCNA package in R to Identify Biomarkers for

Infantile Spasms

Abstract Infantile spasms (IS) is a seizure disorder that affects children in the

first 2 years of life, usually between the ages of 4-8 months. IS has a

very subtle appearance making it difficult to recognize and diagnose.

Approximately 30% of IS cases are idiopathic. In order to improve

current diagnostic methods, my project focuses on identifying

biomarkers for infantile spasms. The DMC Children’s Hospital Lab

collected surgical type brain tissue data from patients with epilepsy,

both those with and without IS. They extracted total RNA from the brain

tissues of both IS (n=17) and other of epilepsies (referred to as "Non-

IS"; n=18) and measured gene expression levels using Agilent

Sureprint microarrays. This gene expression data for 35 samples

containing 32,080 genes collected by DMC Children’s Hospital Lab was

used as an input for my project. Since genes operate in networks, I

began by analyzing the data using the weighted gene co-expression

network analysis (WGCNA) method. The WGCNA package, in the R

programming language, was used to construct and analyze the gene

networks and to detect modules significant for IS. This was followed by

the selection of genes significant for IS and further analysis using the

gene ontology enrichment analysis tool. Gene network visualization was

done by constructing eigengene heatmaps. A total of 73 modules were

detected, out of which 3 modules (#9, #16 and #31) were highly

associated with IS.



Within each of these 3 modules, the top 15 significant genes were

further investigated using https://toppgene.cchmc.org to research

associated terms. In module #31, 3 genes were found significant for IS:

KLHL17, PLCB1, and KCNT1. Gene KLHL17 is known to play a major

role in actin-based regulation of neuronal function and mutations in this

gene can cause West Syndrome, Epilepsy, and X-linked Infantile

Spasm Syndrome. Gene PLCB1 is expressed in the amygdala, cerebral

cortex, hippocampus, lateral septum, and olfactory bulb and is related

to hypsarrhythmia -- a common symptom of infantile spasms. Malignant

migrating partial seizures of infancy (MMPSI) are caused by mutations

in KCNT1 during early embryonic development. In module #9, one gene

NTNG2 was found significant for IS. NTNG2 controls both neuronal

circuit formation and neurite outgrowth of axons and dendrites. Using

the coregulate-genes analysis website dire.dcode.org, the following

transcription factors were predicted to regulate the co-expression of the

significant genes in three modules: PBX, PIT1, CIZ, TEF, AIRE, E47,

EBOX, PBX1, HMEF2, and XFD2. A preliminary identification of such

key genes and the transcription factors provides a starting point in

design of new therapeutic drugs to manage infantile spasms. However,

additional, detailed in-vitro and in-vivo studies are needed to first

validate these targets.

Bibliography https://www.ninds.nih.gov/Disorders/All-Disorders/Infantile-Spasms-

Information-

Pagehttps://labs.genetics.ucla.edu/horvath/CoexpressionNetwork/Rpac

kages/WGCNA/
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