Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.
Department of Neurosurgery, Sutter Health, Danville, CA, USA.
Transl Stroke Res. 2024 Dec;15(6):1108-1122. doi: 10.1007/s12975-023-01186-w. Epub 2023 Aug 23.
In genetic studies of cerebrovascular diseases, the optimal vessels to use as controls remain unclear. Our goal is to compare the transcriptomic profiles among 3 different types of control vessels: superficial temporal artery (STA), middle cerebral arteries (MCA), and arteries from the circle of Willis obtained from autopsies (AU). We examined the transcriptomic profiles of STA, MCA, and AU using RNAseq. We also investigated the effects of using these control groups on the results of the comparisons between aneurysms and the control arteries. Our study showed that when comparing pathological cerebral arteries to control groups, all control groups presented similar responses in the activation of immunological processes, the regulation of intracellular signaling pathways, and extracellular matrix productions, despite their intrinsic biological differences. When compared to STA, AU exhibited upregulation of stress and apoptosis genes, whereas MCA showed upregulation of genes associated with tRNA/rRNA processing. Moreover, our results suggest that the matched case-control study design, which involves control STA samples collected from the same subjects of matched aneurysm samples in our study, can improve the identification of non-inherited disease-associated genes. Given the challenges associated with obtaining fresh intracranial arteries from healthy individuals, our study suggests that using MCA, AU, or paired STA samples as controls are feasible strategies for future large-scale studies investigating cerebral vasculopathies. However, the intrinsic differences of each type of control should be taken into consideration when interpreting the results. With the limitations of each control type, it may be most optimal to use multiple tissues as controls.
在脑血管疾病的遗传研究中,作为对照的最佳血管仍不清楚。我们的目标是比较 3 种不同类型的对照血管:颞浅动脉(STA)、大脑中动脉(MCA)和尸检获得的 Willis 环动脉(AU)的转录组谱。我们使用 RNAseq 检查了 STA、MCA 和 AU 的转录组谱。我们还研究了使用这些对照组对动脉瘤与对照动脉之间比较结果的影响。我们的研究表明,当将病理性脑血管与对照组进行比较时,所有对照组在免疫过程的激活、细胞内信号通路的调节和细胞外基质的产生方面表现出相似的反应,尽管它们存在内在的生物学差异。与 STA 相比,AU 表现出应激和细胞凋亡基因的上调,而 MCA 则表现出与 tRNA/rRNA 加工相关的基因上调。此外,我们的结果表明,匹配病例对照研究设计,涉及从我们研究中的匹配动脉瘤样本的同一对象收集对照 STA 样本,可以提高非遗传性疾病相关基因的识别。鉴于从健康个体获得新鲜颅内动脉的挑战,我们的研究表明,使用 MCA、AU 或配对的 STA 样本作为对照是未来研究脑血管病的可行策略。然而,在解释结果时,应考虑每种对照类型的内在差异。考虑到每种对照类型的局限性,使用多种组织作为对照可能是最理想的。