Evidence map›Paper›PMID 31329646›Full record

ArticlePloS one2019

Microenvironment of ruptured cerebral aneurysms discovered using data driven analysis of gene expression.

Alexander P Landry, Michael Balas, Julian Spears, Zsolt Zador

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Alexander P LandryDivision of Neurosurgery, Department of Surgery, St. Michael's Hospital, Toronto, ON, Canada.ORCID 0000-0002-7250-8466
Michael BalasDivision of Neurosurgery, Department of Surgery, St. Michael's Hospital, Toronto, ON, Canada.
Julian SpearsDivision of Neurosurgery, Department of Surgery, St. Michael's Hospital, Toronto, ON, Canada.
Zsolt ZadorDivision of Neurosurgery, Department of Surgery, St. Michael's Hospital, Toronto, ON, Canada.ORCID 0000-0001-9767-3372

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is well known that ruptured intracranial aneurysms are associated with substantial morbidity and mortality, yet our understanding of the genetic mechanisms of rupture remains poor. We hypothesize that applying novel techniques to the genetic analysis of aneurysmal tissue will yield key rupture-associated mechanisms and novel drug candidates for the prevention of rupture.

methodsWe applied weighted gene co-expression networks (WGCNA) and population-specific gene expression analysis (PSEA) to transcriptomic data from 33 ruptured and unruptured aneurysm domes. Mechanisms were annotated using Gene Ontology, and gene network/population-specific expression levels correlated with rupture state. We then used computational drug repurposing to identify plausible drug candidates for the prevention of aneurysm rupture.

resultsNetwork analysis of bulk tissue identified multiple immune mechanisms to be associated with aneurysm rupture. Targeting these processes with computational drug repurposing revealed multiple candidates for preventing rupture including Btk inhibitors and modulators of hypoxia inducible factor. In the macrophage-specific analysis, we identify rupture-associated mechanisms MHCII antigen processing, cholesterol efflux, and keratan sulfate catabolism. These processes map well onto several of highly ranked drug candidates, providing further validation.

conclusionsOur results are the first to demonstrate population-specific expression levels and intracranial aneurysm rupture, and propose novel drug candidates based on network-based transcriptomics.

Indexed as

Gene Regulatory NetworksTranscriptomeAneurysm, RupturedBrainCholesterolHLA AntigensHumansHypoxia-Inducible Factor 1Intracranial AneurysmKeratan SulfateMacrophagesCholesterolHLA AntigensHypoxia-Inducible Factor 1Keratan Sulfate

Identifiers

PMID31329646
PMCPMC6645676

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.