Evidence map›Paper›PMID 31358043›Full record

ArticleGenome medicine2019

A validated single-cell-based strategy to identify diagnostic and therapeutic targets in complex diseases.

Danuta R Gawel, Jordi Serra-Musach, Sandra Lilja, Jesper Aagesen, Alex Arenas, Bengt Asking, Malin Bengnér, Janne Björkander, Sophie Biggs, Jan Ernerudh and 22 more

Erratum issuedAbstract read
In one paragraph

Article in Genome medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
–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

56 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  17. Craniofacial developmental biology in the single-cell era.Development (Cambridge, England) · 2023
    Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors.

Danuta R GawelCentre for Personalized Medicine, Linköping University, Linköping, Sweden.
Jordi Serra-MusachCentre for Personalized Medicine, Linköping University, Linköping, Sweden.
Sandra LiljaCentre for Personalized Medicine, Linköping University, Linköping, Sweden.
Jesper AagesenDepartment of Internal Medicine, Region Jönköping County, Jönköping, Sweden.
Alex ArenasDepartament d'Enginyeria Informàtica i Matemàtiques, Universitat Rovira i Virgili, Tarragona, Spain.
Bengt AskingDepartment of Surgery, Region Jönköping County, Jönköping, Sweden.
Malin BengnérOffice for Control of Communicable Diseases, Region Jönköping County, Jönköping, Sweden.
Janne BjörkanderDepartment of Internal Medicine, Region Jönköping County, Jönköping, Sweden.
Sophie BiggsDivision of Rheumatology, Autoimmunity, and Immune Regulation, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Jan ErnerudhDepartment of Clinical Immunology and Transfusion Medicine, Linköping University, Linköping, Sweden.
Henrik HjortswangDepartment of Gastroenterology and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Jan-Erik KarlssonDepartment of Internal Medicine, Region Jönköping County, Jönköping, Sweden.
Mattias KöpsenBioinformatics, Department of Physics, Chemistry and Biology, Linköping University, Linköping, Sweden.
Eun Jung LeeCentre for Personalized Medicine, Linköping University, Linköping, Sweden.
Antonio LentiniDepartment of Clinical and Experimental Medicine, Faculty of Medicine and Health Sciences, Linköping University, Linköping, Sweden.
Xinxiu LiCentre for Personalized Medicine, Linköping University, Linköping, Sweden.
Mattias MagnussonDivision of Rheumatology, Autoimmunity, and Immune Regulation, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
David Martínez-EnguitaBioinformatics, Department of Physics, Chemistry and Biology, Linköping University, Linköping, Sweden.
Andreas MatussekClinical Microbiology, Region Jönköping County, Jönköping, Sweden.
Colm E NestorDepartment of Clinical and Experimental Medicine, Faculty of Medicine and Health Sciences, Linköping University, Linköping, Sweden.
Samuel SchäferCentre for Personalized Medicine, Linköping University, Linköping, Sweden.
Oliver SeifertDepartment of Dermatology and Venereology, Region Jönköping County, Jönköping, Sweden.
Ceylan SonmezBioinformatics, Department of Physics, Chemistry and Biology, Linköping University, Linköping, Sweden.
Henrik StjernmanDepartment of Internal Medicine, Region Jönköping County, Jönköping, Sweden.
Andreas TjärnbergBioinformatics, Department of Physics, Chemistry and Biology, Linköping University, Linköping, Sweden.
Simon WuBioinformatics, Department of Physics, Chemistry and Biology, Linköping University, Linköping, Sweden.
Karin ÅkessonDepartment of Clinical and Experimental Medicine, Faculty of Medicine and Health Sciences, Linköping University, Linköping, Sweden.
Alex K ShalekInstitute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA, USA.
Margaretha StenmarkerFuturum - Academy for Health and Care, Department of Pediatrics, Region Jönköping County, Jönköping, Sweden.
Huan ZhangCentre for Personalized Medicine, Linköping University, Linköping, Sweden. huan.zhang@liu.se.
Mika GustafssonBioinformatics, Department of Physics, Chemistry and Biology, Linköping University, Linköping, Sweden.
Mikael BensonCentre for Personalized Medicine, Linköping University, Linköping, Sweden. mikael.benson@liu.se.ORCID http://orcid.org/0000-0002-7753-9181

Funding

"Bottom - Up" Profiling of Interacting Cellular SystemsDP2GM119419 · NIGMS · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI SHALEK, ALEX K · 2015 to 2015
$2.3M
An integrated multiplexed genomic assay for low input clinical samples1U24AI118672 · NIAID · BROAD INSTITUTE, INC. · PI SHALEK, ALEX K · 2015 to 2019
$2.0M
NIAID NIH HHS U24 AI118672NIGMS NIH HHS DP2 GM119419
6 · The paper itself

Abstract

backgroundGenomic medicine has paved the way for identifying biomarkers and therapeutically actionable targets for complex diseases, but is complicated by the involvement of thousands of variably expressed genes across multiple cell types. Single-cell RNA-sequencing study (scRNA-seq) allows the characterization of such complex changes in whole organs.

methodsThe study is based on applying network tools to organize and analyze scRNA-seq data from a mouse model of arthritis and human rheumatoid arthritis, in order to find diagnostic biomarkers and therapeutic targets. Diagnostic validation studies were performed using expression profiling data and potential protein biomarkers from prospective clinical studies of 13 diseases. A candidate drug was examined by a treatment study of a mouse model of arthritis, using phenotypic, immunohistochemical, and cellular analyses as read-outs.

resultsWe performed the first systematic analysis of pathways, potential biomarkers, and drug targets in scRNA-seq data from a complex disease, starting with inflamed joints and lymph nodes from a mouse model of arthritis. We found the involvement of hundreds of pathways, biomarkers, and drug targets that differed greatly between cell types. Analyses of scRNA-seq and GWAS data from human rheumatoid arthritis (RA) supported a similar dispersion of pathogenic mechanisms in different cell types. Thus, systems-level approaches to prioritize biomarkers and drugs are needed. Here, we present a prioritization strategy that is based on constructing network models of disease-associated cell types and interactions using scRNA-seq data from our mouse model of arthritis, as well as human RA, which we term multicellular disease models (MCDMs). We find that the network centrality of MCDM cell types correlates with the enrichment of genes harboring genetic variants associated with RA and thus could potentially be used to prioritize cell types and genes for diagnostics and therapeutics. We validated this hypothesis in a large-scale study of patients with 13 different autoimmune, allergic, infectious, malignant, endocrine, metabolic, and cardiovascular diseases, as well as a therapeutic study of the mouse arthritis model.

conclusionsOverall, our results support that our strategy has the potential to help prioritize diagnostic and therapeutic targets in human disease.

Indexed as

Disease SusceptibilityMolecular Diagnostic TechniquesMultifactorial InheritanceSingle-Cell AnalysisAnimalsArthritis, RheumatoidBiomarkersComputational BiologyDisease Models, AnimalDrug DiscoveryGene Expression ProfilingGenomicsHigh-Throughput Nucleotide SequencingHumansMiceNeural Networks, ComputerBiomarkersBiomarker and drug discoveryNetwork toolsscRNA-seq

Identifiers

PMID31358043
PMCPMC6664760

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.