- Research article
- Open Access
Core modular blood and brain biomarkers in social defeat mouse model for post traumatic stress disorder
- Ruoting Yang†1, 5, 6,
- Bernie J Daigle Jr†2,
- Seid Y Muhie5,
- Rasha Hammamieh5,
- Marti Jett5,
- Linda Petzold1, 2, 3 and
- Francis J DoyleIII1, 4Email author
© Yang et al.; licensee BioMed Central Ltd. 2013
- Received: 13 November 2012
- Accepted: 2 August 2013
- Published: 20 August 2013
Post-traumatic stress disorder (PTSD) is a severe anxiety disorder that affects a substantial portion of combat veterans and poses serious consequences to long-term health. Consequently, the identification of diagnostic and prognostic blood biomarkers for PTSD is of great interest. Previously, we assessed genome-wide gene expression of seven brain regions and whole blood in a social defeat mouse model subjected to various stress conditions.
To extract biological insights from these data, we have applied a new computational framework for identifying gene modules that are activated in common across blood and various brain regions. Our results, in the form of modular gene networks that highlight spatial and temporal biological functions, provide a systems-level molecular description of response to social stress. Specifically, the common modules discovered between the brain and blood emphasizes molecular transporters in the blood-brain barrier, and the associated genes have significant overlaps with known blood signatures for PTSD, major depression, and bipolar disease. Similarly, the common modules specific to the brain highlight the components of the social defeat stress response (e.g., fear conditioning pathways) in each brain sub-region.
Many of the brain-specific genes discovered are consistent with previous independent studies of PTSD or other mental illnesses. The results from this study further our understanding of the mechanism of stress response and contribute to a growing list of diagnostic biomarkers for PTSD.
- Core Module
- Fear Memory
- Social Defeat
- Candidate Module
- Stria Terminalis
Post-traumatic stress disorder (PTSD) is an anxiety disorder that is triggered after exposure to traumatic events. Individuals with PTSD have persistent fear memory and often feel emotionally numb. If left untreated, PTSD can be life-threatening, as it is often linked with substance abuse and severe depression. A study of 289,328 Iraq and Afghanistan veterans who were first-time users of Veterans Affairs (VA) health care between 2002 and 2008 showed that 22% of veterans were diagnosed with PTSD and 17% were diagnosed with depression . Given the predominance of PTSD and its negative consequences to long term health, it is very important to identify measurable and quantifiable biological parameters, i.e., biomarkers, which can serve as prognostic and diagnostic indicators for PTSD. Recent studies have proposed several candidate brain gene biomarkers that are associated with PTSD [2, 3]. Even though PTSD is an illness of the brain, taking brain biopsy or spinal fluid is not a viable option for diagnosis. Instead, blood can be used as a surrogate for brain tissue for the purpose of identifying biomarkers [4–8]. Specifically, Rollins et al. recently found over 4,100 brain transcripts co-expressed in the blood of healthy human subjects . Furthermore, it was shown that the mRNA levels of certain transcripts in PTSD patients remain changed with respect to controls even 16 years after the traumatic event [8, 10]. Thus, blood gene expression assays are of particular interest for both short-term and long-term diagnosis, prognosis, and treatment of PTSD. However, the identification of predictive blood markers requires the accurate separation of biologically relevant core markers from unrelated downstream signals. This task is particularly challenging when using surrogate tissues, since biological noise from the surrogate is confounded with noise from the primary tissue. Fortunately, studies performed with model organisms allow the direct assay of both surrogate and primary tissues. By characterizing the molecular changes present in both tissues simultaneously, we can more effectively filter out spurious signals in the surrogate.
We recently used repeated exposures of mice to a trained aggressor mouse as a “social defeat” model for evaluating PTSD symptoms . This social defeat model has often been used to induce anxiety, depression-like and avoidance symptoms, which are the most prominent psychiatric features of PTSD and common co-morbidities. Using a “cage-within-cage resident-intruder” protocol (designed to model unpredictable threats of daily trauma), we exposed individual subject male C57BL/6 J mice to single aggressors for six hours daily for 5 or 10 days, and we placed individual control subject mice in the same cages but in the absence of any other mice. After allowing the subject animals to recover for either 1 or 10 days (5 day exposure) or 1 or 42 days (10 day exposure), we then collected tissue samples of blood and seven brain regions of mice under the different stress conditions and measured gene expression levels of these tissues using DNA microarrays. As described in , the durations of aggressor exposure were chosen to simulate shorter term (5-day) and longer term (10-day) stress. The shortest recovery phase duration (1 day) was chosen to study the immediate effects of stress. The longer of the two recovery phase durations for each exposure time were selected based on behavioral tests conducted throughout the study. These tests demonstrated 5-day exposure defeated mice showed signs of recovery around 10 days post-exposure, and 10-day exposure defeated mice showed signs of recovery at much longer times (up to 42 days post-exposure). Because PTSD represents a persistent stress response, it is important to identify differentially expressed genes (DEGs) active both immediately after the exposure and after a long recovery period. Thus, in the current work we focus on genes consistently over-/under-expressed across all experimental conditions, rather than on DEGs from individual conditions (we will address the latter in future work). The seven brain regions analyzed in this study were chosen due to their known roles in fear memory formation, emotion regulation, and decision-making—all processes important to the development and pathology of PTSD . In particular, the amygdala regulates fear memory and emotional aspects; the hippocampus is the center for short term memory, and the prefrontal cortex controls decision-making. In addition, the ventral striatum is strongly associated with emotional and motivational aspects of behavior, the stria terminalis serves as a major output pathway of the amygdala, and the septal area plays a role in reward and reinforcement along with the ventral striatum. We note that a similar protocol has also recently been used to profile social defeat-induced gene expression changes in the nucleus accumbens, ventral tegmental area, and blood plasma [12–14].
The field of systems biology has demonstrated that complex diseases such as PTSD are not caused by changes in a single gene or pathway. Rather, changes occur in a hierarchy of gene modules which collectively contribute to disruption of essential cellular functions [15–17]. To characterize this module hierarchy, many researchers have adopted an unsupervised approach [17–25] that constructs a network based on gene expression data and identifies functional modules based on network topology or “guilt-by-association”. However, these methods usually face the problem of under-determination, where the number of interactions to be inferred far exceeds the number of independent measurements . Other studies have adopted a supervised network identification approach that begins with a list of “seed” genes and gradually expands the list by adding interacting genes, ultimately resulting in a compact gene module network [26–28]. These supervised approaches have shown good performance for classification tasks, and we expand upon one of them in this work.
Previous computational and experimental work suggests that functional gene modules are highly conserved across conditions, tissues, and species [17, 29, 30]. Direct comparisons have been made between multiple mouse tissues , between human and mouse brains, and between human blood and brain tissue . However, modules inferred separately from different conditions yield partial overlaps at best, which makes drawing comprehensive biological conclusions difficult. Recently, we developed a new module identification tool entitled COMBINER (COre Module Biomarker Identification with Network Exploration) that identifies distinct conserved expression modules across various conditions. The fundamental idea behind COMBINER is to infer candidate modules from data of one condition and validate the inferred modules in other conditions using supervised classification. Those candidate modules that perform well in classifying samples from multiple conditions are then defined as “core modules”. There are three advantages to this approach: (1) The resulting modules are compact and thus exclude unrelated downstream signals; (2) The modules are distinct and well-defined with respect to which conditions/tissues/species invoke them; (3) This method provides multiple robust discriminative biomarkers co-validated in at least two experimental conditions. Given these advantages, we have applied a customized version of COMBINER to mouse social defeat gene expression data deriving from seven brain regions along with blood to identify common expression modules.
In this work, we have attempted to answer two biological questions: 1. Which expression modules act in common between blood and brain tissue of the social defeat mouse model? 2. Which modules act in common between different brain regions? To do so, we first performed a pair wise comparison of differential gene expression, biological pathways, and GO terms between tissues. We then applied a new version of COMBINER which we modified in two ways (discussed below). First, we used linear models to deconvolve time-dependent effects on gene expression from effects due to social defeat. Second, we developed an improved consensus feature elimination method to identify robust modules from data with a relatively small sample size. Our results, in the form of blood-brain and brain-brain social defeat core module networks, provide a concise biological description of social defeat and generate many candidate PTSD biomarkers for future study.
Overlaps of DEGs/DEGOs/DEPaths
Next, we identified differentially expressed Biological Process GO terms (DEGOs) in each tissue by first ranking all genes in descending order of limma significance and then performing Iterative Group Analysis (iGA)  for each GO term with ≤ 100 constituent genes. We computed p-values for each term’s iGA score using a null distribution obtained via 1000 random permutations of the original gene order. The numbers of significant DEGOs (p ≤ 0.05) for each tissue are listed in blue on the diagonal in Figure 1b. We established the significance of DEGO overlaps in the same manner as in Figure 1a.
Finally, we identified differentially expressed MSigDB  (http://www.broadinstitute.org/gsea/msigdb/) canonical sub-pathways (DEPATHs) in the same manner as DEGOs with the following modification. For each pathway, we performed iGA separately for all ordered sub-pathways ranging in size from three to 10 genes (when genes are ordered in terms of limma significance). We selected the highest scoring sub-pathway and established significance as before by repeating the procedure on 1000 random gene order permutations. The numbers of significant DEPATHs and significant DEPATH overlaps are denoted in the same manner as above.
Significantly overlapping DEPATHs between amygdala and hippocampus
Number of significant genes
BioCarta cytokine pathway
BioCarta inflam pathway
KEGG type I diabetes mellitus
KEGG JAK STAT signaling pathway
Significantly overlapping DEPATHs between hippocampus and stria terminalis
Number of significant genes
SA caspase cascade
BioCarta IL1R pathway
KEGG cytosolic DNA sensing pathway
KEGG graft versus host disease
KEGG prostate cancer
BioCarta keratinocyte pathway
Core module network
Identified final modules between blood and brain regions with the associated mean AUC and mean error rate of both tissues
Mean error rate
The resulting nine core modules represent biological functions related to molecular transport, integrin and tight junction function, retinol metabolism, cell cycle, and mRNA transcription. Although initially inferred from blood tissue, most of these processes have been previously implicated in normal and pathological brain function. For example, tight junctions and ABC efflux transporters are present in the blood-brain barrier (BBB) and the blood-cerebrospinal fluid barrier (BCSFB) [34, 35], and SLC transporters encode facilitated transporters and ion-coupled secondary active transporters such as neurotransmitters. The latter also represent the major class of transporters used in the delivery of drugs to the brain . In addition, overexpressed integrin genes lead to vascular remodeling, which is believed to be highly correlated with mild Traumatic Brain Injury (mTBI) , a disease related to PTSD. Finally, retinoids are important for the maintenance of the nervous system and may play a role in Alzheimer’s disease .
The resulting 43 core genes also exhibit ample evidence for association with brain function and/or PTSD. In particular, the genes Abca4, Fech, Magoh, Ppp1r12b, and Uros were previously shown to be differentially expressed in a human PTSD signature discovered by Segman et al. . Seven of the 43 genes closely resemble genes from a blood signature for depression (Ahsp, Dhrs9, Map2k2, Slc13a2, Slc16a1, Slc39a3, U2af1) [39, 40], while Hmbs, Pafah1b1, Sfrs2, and Yes1 were previously identified as bipolar disorder blood markers . In addition, Ugt2b5 and Slc6a9 are also present in a blood signature for brain injury , while Dbh, Itgb1, Ltc4s, and Rhoa were reported to be relevant to mTBI . Many of the other genes have been associated with various mental illnesses and neurodege-nerative diseases, including Schizophrenia, Alzheimer’s disease, and sleep disorder. Detailed associations and references are listed in Additional file 4: Table S5.
Numbers of COMBINER modules identified using data from six brain regions
The putative biological functions of the core modules in brain-brain network
Complement and coagulation
Regulation of beta cells
NOD like receptor
G alpha 13 protein
G alpha Q protein
Neuroactive ligand receptor
Complement and Coagulation
Systemic lupus erythematosus
Class A1 rhodopsin like receptors
IRS Related events
Host interaction of HIV factors
Post translational protein modification
Peptide ligand biding receptors
Downstream TCR signaling
In the brain-brain core module network, Modules 6, 8, 33, and 15 are of particular interest. An active Module 6 (Creb3l2, Prkx, Avp) in the hippocampus indicates a down regulated PKA-CREB long term potentiation pathway, which has been shown to impair memory . In addition, the activity of Module 8 (Prka1b, Hspa1a, Nfkbia, Jun, Cpt1b) in the septal region shows down regulation of a heat shock protein (HSPA1A). Such activity has previously been found in other PTSD studies . Module 33 depicts an up regulated dopamine pathway in the ventral striatum. This activity could potentially send excessive dopamine to the amygdala and other brain regions, which has been shown to lead to increased anxiety [46, 47]. Finally, Module 15 implies an active pro-inflammatory response in the medial prefrontal cortex (MPFC) that agrees with the study in . Other validated findings include olfactory impairment in the stria terminalis (ST) (module 32) ; alteration of complement pathways in the MPFC (module 20)  and activated coagulation function in the ST (module 31) .
The above findings highlight that while the putative biological functions of the brain-brain core modules largely encompass the DEPATHs identified in the statistical overlap analysis (Tables 1 and 2), the COMBINER network-based analysis provides a much richer molecular description of mouse responses to social defeat. With additional validation in human studies, we expect these findings to yield robust prognostic and diagnostic biomarkers for PTSD.
The identification of diagnostic and prognostic blood biomarkers for PTSD currently is of great interest. In this work, we have improved the COMBINER method—a computational framework for identifying gene expression modules that are activated in common across experimental conditions—and applied it to blood and brain data from a mouse social defeat model. The resulting gene networks highlight stress-related biological processes active in both brain and blood and provide a comprehensive molecular description of social defeat. In total, our approach identified seven blood biomarker sets that have each been validated for classification performance in one brain sub-region. Some of the genes and processes discovered are consistent with previous independent studies of PTSD or other mental illnesses, while others represent novel candidate PTSD biomarkers. We note that the same approach can be readily applied to other disease models to construct gene networks that are activated in common across tissues; future work will focus on this task.
Blood, organ and tissue collection
Defeated and control mice (in the form of (number of defeated) / (number of control)) in different regions and conditions
(5) / (5)
(5) / (5)
(5) / (4)
(5) / (5)
5) / (5)
(5) / (5)
(5) / (5)
(5) / (5)
(2) / (3)
(4) / (5)
(4) / (3)
(4) / (3)
(4) / (3)
(6) / (4)
(5) / (6)
(5) / (5)
MPFC (Medial Prefrontal Cortex)
(5) / (4)
(5) / (5)
(4) / (3)
(4) / (4)
SE (Septal Region)
(2) / (3)
(3) / (2)
(3) / (3)
(3) / (3)
ST (Stria Terminalis)
(5) / (5)
(5) / (5)
(4) / (4)
(5) / (4)
VS (Ventral Striatum)
(5) / (5)
(5) / (5)
(4) / (4)
(4) / (5)
RNA isolation and quality assessment
Total RNA was isolated according to the Trizol® method (Invitrogen Inc., Grand Island, NY) from homogenized whole blood and brain regions. RNA from blood was isolated using the PreAnalytiX PAXgene® blood RNA kit (Qiagen Inc., Valencia, CA). We collected the seven organ tissues from 5-6 control and defeat mice, respectively. We evaluated RNA integrity using the Agilent Bioanalyzer and excluded samples of low quality, which appears to either have low total RNA, or low ribosomal RNA (rRNA) mass ratio between 28S and 18S rRNA and high amount of non-ribosomal RNAs in the electropherograms.
Microarray assays were performed using Agilent’s genome wide mouse expression array (GE 4x44K v2 two color microarray) slides and kits (Agilent Technologies Inc., Santa Clara, CA) following the manufacturer’s protocol. To minimize batch effects, each sample was hybridized with a universal common reference that was used for all experiments. Hybridized microarray slides were scanned using Agilent Technologies Scanner G2505C US09493743.
Microarray data processing
Genespring with feature extraction 10.x (Agilent, CA) was used to process all two-color chips. Log2 transformation, Lowess normalization, and quantile normalization were applied to normalize within and between microarrays. For the latter, we applied quantile normalization separately on data from each tissue. Outlier spots were converted to missing values. If more than half of the expression values of a probe were missing, we removed the probe from consideration. We then imputed missing values using the k-nearest neighbor imputation method. To avoid incurring a bias in favor of genes represented by a greater number of probes, we aggregated multiple probes from the same Entrez Gene together by computing the mean of the “sibling” probes. We have deposited all microarray data for this study at the Gene Expression Omnibus (GEO):
where D i and C i i = 1, …, 4 denote log2 gene expression values of defeated and control mice in condition i, α defeat denotes the overall effect of social defeat and β1, …, β4 are the undesired time effects. In practice, we solve the above over determined system for each gene separately using least squares (implemented in the limma package), carrying forward only the gene-specific defeat effect for subsequent analyses.
Differential expression analysis
As described above in Section 2, we used the R/Bioconductor limma package and iterative Group Analysis (iGA) method for differentially expressed gene and GO term/pathway identification, respectively.
In our previous work , we applied both the Condition Responsive Genes (CORG)  and Core Module Inference (CMI)  methods to infer candidate modules and express them as pathway activities (PAs). In the greedy search process, CORG picks up either up- or down-regulated genes, while CMI identifies genes of both directions together. However, because of the multiple-time-point nature of the social defeat data, the application of the CMI method is not straightforward. Thus, in this work we used only the CORG method with the procedure described as follows. For a given pathway, we first rank the standardized gene expressions by their limma moderated t-score. If up-regulated genes are dominant, we rank the t-score in descending order; otherwise, ascending order is chosen. Next, we aggregate the first two genes using the formula ; if the expression of this aggregate yields a larger absolute t-score than the first gene, this combination is retained as a module with the combined expression becoming the PA. Otherwise, the procedure further adds the third gene using , and so on, until the module-size limit, 25 genes, is reached. Finally, we ranked all modules using the absolute value of the pathway activity t-score.
We faced two major challenges when modifying our COMBINER method. First, the multiple-time-point nature of the data initially decreased the binary classification performance of the static LDA classifier . Second, the small data sample size leads to a large variability of feature ranks after recursive feature elimination. To cope with the first challenge, we used a linear model to deconvolve the time effects from the original expression values. We solved the second problem by improving our method for consensus feature elimination. We generated 250 groups of 500 classifiers in parallel, then removed the bottom feature using the voting principle. In general, using additional groups of classifiers will further improve the reproducibility of the final modules. In our experience 250 groups were sufficient to yield a reproducible result (results not shown). Finally, we used a fixed average AUC threshold to determine the final modules instead of the max average AUC threshold described in . This was required since the inference and validation sets can be very dissimilar, which leads to low values of the max average AUC.
We obtained pathway information from the MSigDB v3.0 Canonical Pathways subset . To decrease redundancy, we applied pathway filtering to remove bulky pathways. This resulted in a pathway dataset containing 791 pathways with 5,633 genes assayed in all regions. The protein-protein interaction information was obtained from String v9.0 .
Average time curve
where is the population average time curve for gene i evaluated at time t j and where ϵ ij is the random deviation from this curve. and are average expressions of disease and control mice respectively for gene i at time t j.
COMBINER was implemented in Matlab R2010a with Bioinformatics toolbox v3.5 (Math Works Inc., Natick, MA), statconn (http://www.statconn.com/), LinkR (http://www.mathworks.com/matlabcentral/fileexchange/5051), and R . The source code can be found in Additional files 6 and 7.
Availability of supporting data
The supporting data is provided in the supporting information.
We gratefully acknowledge financial support from U.S. Army Research Office (PTSD Grant W911NF-10-2-0111). We also thank the SysBiocube team, Uma Mudunuri, Sudhir Chowbina, and Raina Kumar, for providing secure data depository system.
The views, opinions, and/or findings contained in this report are those of the authors and should not be construed as official Department of the Army position, policy, or decision, unless so designated by other official documentation. Research was conducted in compliance with the Animal Welfare Act, and other Federal statutes and regulations relating to animals and experiments involving animals and adheres to principles stated in the Guide for the Care and Use of Laboratory Animals (NRC 2011) in facilities that are fully accredited by the Association for the Assessment and Accreditation of Laboratory Animal Care, International. Citations of commercial organizations or trade names in this report do not constitute an official Department of the Army endorsement or approval of the products or services of these organizations.
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