Research Paper Volume 10, Issue 12 pp 3881—3896

Accelerated aging induced by deficiency of Zmpste24 protects old mice to develop bleomycin-induced pulmonary fibrosis

Jazmín Calyeca1, , Yalbi I. Balderas-Martínez2, , Raúl Olmos3, , Rogelio Jasso3, , Vilma Maldonado4, , Quetzali Rivera1, , Moisés Selman3, , Annie Pardo1, ,

  • 1 Facultad de Ciencias Universidad Nacional Autonoma de México, Mexico City, Mexico
  • 2 Cátedra Consejo Nacional de Ciencia y Tecnologia (CONACyT)-INER, Mexico City, Mexico
  • 3 Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City, Mexico
  • 4 Instituto Nacional de Medicina Genómica, Mexico City, Mexico

Received: August 19, 2018       Accepted: November 18, 2018       Published: December 10, 2018      

https://doi.org/10.18632/aging.101679
How to Cite

Copyright: Calyeca et al. This is an open‐access article distributed under the terms of the Creative Commons Attribution License (CC BY 3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Idiopathic pulmonary fibrosis is a devastating aging-associated disease of unknown etiology. Despite that aging is a major risk factor, the mechanisms linking aging with this disease are uncertain, and experimental models to explore them in lung fibrosis are scanty. We examined the fibrotic response to bleomycin-induced lung injury in Zmpste24-deficient mice, which exhibit nuclear lamina defects developing accelerated aging. We found that young WT and Zmpste24(-/-) mice developed a similar fibrotic response to bleomycin. Unexpectedly, while old WT mice developed severe lung fibrosis, accelerated aged Zmpste24-/- mice were protected showing scant lung damage. To investigate possible mechanisms associated with this resistance to fibrosis, we compared the transcriptome signature of the lungs and found that Zmpste24(-/-) mice showed downregulation of several core and associated matrisome genes compared with WT mice. Interestingly, some microRNAs that target extracellular matrix molecules such as miR23a, miR27a, miR29a, miR29b-1, miR145a, and miR491 were dysregulated resulting in downregulation of profibrotic pathways such as TGF-β/SMAD3/NF-κB and Wnt3a/β-catenin signaling axis. These results indicate that the absence of Zmpste24 in aging mice results in impaired lung fibrotic response after injury, which is likely associated to the dysregulation of fibrosis-related miRNAs.

Introduction

Idiopathic pulmonary fibrosis (IPF) is a progressive and lethal lung disease of unknown etiology and limited therapeutic options [13]. Although the pathogenic mechanisms are uncertain, most evidence indicates that IPF results from the hyperactivation of the respiratory epithelium, which secretes a variety of mediators that induce the migration, proliferation, and activation of fibroblasts with the subsequent destruction of the lung parenchyma [25]. The median age at diagnosis is ~65 years, and the incidence increases markedly with age, supporting the notion that aging is a driving force for the development of the disease [13].

Aging is characterized by exhaustion of stem cell reservoirs, alterations in proteostasis, increased accumulation of damaged DNA, telomere shortening and mitochondrial dysfunction [6]. Excessive dysfunction of most of these aging-associated mechanisms has been identified in IPF [6,7].

However, most biomedical research regarding the pathogenesis of IPF has been performed in mice 6-8 weeks old and studies on naturally aged, wild-type mice are scanty [8]. The main problem lies in the significant practical difficulties associated with the generation of aged mice, including time and cost. The few studies assessing experimental models in older mice have revealed that aging increases the fibrotic lung response to bleomycin-instillation or herpes virus damage [9,10]. However, in another study, it was found that the severity of fibrosis was not different between young and old mice although aged mice demonstrated an impaired capacity to resolve fibrosis [11].

There is growing interest to identify experimental models of accelerated aging. In this context, the senescence-accelerated mouse (SAM), or the genetically modified telomerase deficient mice have been used to study the effect of aging on the development of pulmonary fibrosis [12,13].

Recently, it was shown that Zmpste24 deficient mice displayed accelerated aging. Zmpste24 is a zinc metalloproteinase responsible for the final cleavage step of nuclear envelop prelamin A, a critical step in its maturation process. Accumulation of immature lamin A is highly toxic to the cell and produce DNA damage, chromatin remodeling and early senescence [14].

Zmpste24-deficient mice appear healthy until ~4 weeks, and are indistinguishable from their heterozygous or wildtype littermates. After eight weeks of age, homozygous null mice progressively show a premature aging phenotype including severe growth retardation, hair loss, osteoporosis, dilated cardiomyopathy, muscular dystrophy, lipodystrophy, and their lifespan is shortened to 4-6 months [14,15].

To clarify the role of aging in the development of lung fibrosis and unveiling whether Zmpste24 deficient mice could be an appropriate aging-model for this purpose, we examined their fibrotic response to bleomycin-induced lung damage.

Unexpectedly, we found that old but not young Zmpste24 deficient mice seem to be protected to the development of bleomycin-induced lung fibrosis finding that was related to an upregulation of the microRNAs miR23a, miR27a, miR29a, and miR145a. These findings suggest that accelerated aging induced by the absence of Zmpste24, result in attenuated fibrotic response and the overexpression of miRNAs that target extracellular matrix related mRNAs.

Results

Baseline lung transcriptome in physiological and accelerated aging

In order to know if there are differences in gene expression between the physiological and accelerated aging process induced by Zmpste24 deficiency, we performed a global gene expression analysis in lungs from young (4 weeks) and old (82 weeks) WT, and young (4 weeks) and old (16 weeks) Zmpste24 deficient mice [14]. As shown in the volcano plots, 576 genes were differentially expressed in old WT compared with their young counterpart (Figure 1A). The top 50 upregulated and downregulated genes are presented in Supplementary Table 1. The highest over-expressed gene in old WT lungs compared with young ones was the core Matrisome secreted phosphoprotein-1 (Spp1 also known as osteopontin). Tenascin C and transforming growth factor beta-induced (Tgf-βi) genes also belonging to the core Matrisome were highly upregulated. In addition, several matrix metalloproteinases considered as Matrisome-associated genes such as Mmp8, Mmp12, Mmp13, and Timp1 were also upregulated. Some of these findings were validated by qPCR as shown in Figure 1B.

Differentially expressed genes and pathways in lungs from old compared to young C57/BL6 wild-type mice. (A) Volcano plot of the global gene expression profiling in lungs from old wild type versus young WT mice. Each point represents the difference in expression (log fold-change) between the two groups of mice plotted against the level of statistical significance. Right blue dots represent overexpressed genes, while the left blue dots represent downregulated genes at a significant level of *pB) The expression of these genes was evaluated by quantitative RT-PCR. Bars represent fold-change of old mice over young ones (dotted line). (C and D) Gene ontology (C) and KEGG (D) functional analysis of dysregulated genes in old WT mice compared to young littermates. The most significant 20 terms are shown in this figure. Threshold criteria considered for the analysis are log Fold change > 1 or

Figure 1. Differentially expressed genes and pathways in lungs from old compared to young C57/BL6 wild-type mice. (A) Volcano plot of the global gene expression profiling in lungs from old wild type versus young WT mice. Each point represents the difference in expression (log fold-change) between the two groups of mice plotted against the level of statistical significance. Right blue dots represent overexpressed genes, while the left blue dots represent downregulated genes at a significant level of *p< 0.05 and ** p< 0.01. Some Core or associated genes to the Matrisome are plotted in red. (B) The expression of these genes was evaluated by quantitative RT-PCR. Bars represent fold-change of old mice over young ones (dotted line). (C and D) Gene ontology (C) and KEGG (D) functional analysis of dysregulated genes in old WT mice compared to young littermates. The most significant 20 terms are shown in this figure. Threshold criteria considered for the analysis are log Fold change > 1 or <-1 and p-value < 0.05. KEGG: Kyoto Encyclopedia of Genes and Genomes.

Gene ontology (GO) functional enrichment analysis and KEGG pathways were used for functional analysis of the differentially expressed genes in old and young WT mice. As shown in Figure 1C and D, several pathways were altered in old mice including inflammatory response, positive regulation of cell proliferation and migration and extracellular matrix organization.

The comparison of lungs from young and old Zmpste24 deficient mice revealed 224 differentially expressed genes (Figure 2A). The top 50 upregulated and downregulated genes are shown in Supplementary Table 2. Several genes involved in the immune and inflammatory response, such as chemokines, chemokine receptors, and T-cell receptors were upregulated. As in WT old lungs, Spp1 was increased. Among the downregulated genes, we found several core Matrisome genes such as elastin (Eln), and collagen type 3 alpha-1 (Col3a1). These findings were confirmed by qPCR (Figure 2B). Functional analysis by GO and KEGG revealed pathways related to extracellular matrix organization, cell senescence, immune response, as well as several negative regulation pathways such as epithelia and endothelial cell proliferation (Figure 2C and 2D).

Differentially expressed genes and pathways in lungs from old compared to young Zmpste24 deficient mice. (A) Volcano plot of the global gene expression profiling in lungs from old Zmpste24 deficient mice vs young littermates. Each point represents the difference in expression (log fold-change) between the two groups of mice plotted against the level of statistical significance. Right blue dots represent overexpressed genes; left blue dots represent downregulated genes at a significant level of pB) The expression of these genes was evaluated by quantitative RT-PCR. Data are shown as fold-change values as compared with young -/- (dotted lines). (C and D) Gene ontology (C) and KEGG (D) functional analysis of dysregulated genes in old Zmpste24 deficient mice compared to young littermates. The most significant 20 terms are shown in this figure. Threshold criteria considered for the analysis are log Fold change > 1 or

Figure 2. Differentially expressed genes and pathways in lungs from old compared to young Zmpste24 deficient mice. (A) Volcano plot of the global gene expression profiling in lungs from old Zmpste24 deficient mice vs young littermates. Each point represents the difference in expression (log fold-change) between the two groups of mice plotted against the level of statistical significance. Right blue dots represent overexpressed genes; left blue dots represent downregulated genes at a significant level of p< 0.05. Some Core Matrisome genes are plotted in red. (B) The expression of these genes was evaluated by quantitative RT-PCR. Data are shown as fold-change values as compared with young -/- (dotted lines). (C and D) Gene ontology (C) and KEGG (D) functional analysis of dysregulated genes in old Zmpste24 deficient mice compared to young littermates. The most significant 20 terms are shown in this figure. Threshold criteria considered for the analysis are log Fold change > 1 or <-1 and p-value < 0.05.

Then, when we compared dysregulated genes in natural aging (old versus young WT) with accelerated aging (old versus young Zmpste24-deficient) we found 19 overlapping genes between both groups. (Supplementary Figure 1A and Supplementary Table 3). Gene Ontology analyses revealed altered pathways related to immune response, activation of signaling protein activity involved in unfolded protein response among others. (Supplementary Figure 1B and 1C).

Aging increases lung collagen content in WT and Zmpste24-/- mice and localizes surrounding airways

To evaluate the effect of both physiological and accelerated aging process into lung collagen concentration, we measured hydroxyproline content in the right lungs from WT and Zmpste24 deficient mice. It is important to emphasize that there were no differences in total weight (13.3 ± 3.5 g vs 12.5 ± 3.4 g) or lung weight (5.5 ± 1.5 mg vs 6.1 ± 1.5mg) between young WT and young Zmpste24 deficient mice. By contrast, a significant decrease of body and lung weight was observed in old Zmpste24 deficient mice compared with the WT mice: (body: 14.3 ± 2 g vs 31.5 ± 1.8 g; lung: 8.1 ± 1.6 mg vs 14.1 ± 3.6 mg, p ≤ 0.05). For this reason, hydroxyproline was expressed as μg per mg of the dried lung.

As illustrated in Figure 3A, lungs from old Zmpste24 deficient and WT mice showed a significant increase in hydroxyproline content when compared to their respective young littermates (old Zmpste24 deficient mice: 6.9 ± 1.5 μg/mg vs young 4.2 ± 0.5 μg/mg, and old WT: 6.4 ± 0.6 μg/mg vs young 4.5 ± 0.5 μg/mg, respectively; p ≤ 0.05). Interestingly, morphological analysis using Masson’s trichrome staining showed that collagen fibers accumulation occurred mainly surrounding the airways (Figure 3B).

Aging increases lung collagen content in WT and Zmpste24-/- mice. (A) OH-Proline content. Data represent mean ± SD (n=4); *pB) Representative morphological images of two WT and two Zmpste24 deficient mice stained with Masson’s trichrome. Scale bar, 100 μm.

Figure 3. Aging increases lung collagen content in WT and Zmpste24-/- mice. (A) OH-Proline content. Data represent mean ± SD (n=4); *p< 0.05. (B) Representative morphological images of two WT and two Zmpste24 deficient mice stained with Masson’s trichrome. Scale bar, 100 μm.

Young WT and Zmpste24 deficient mice develop similar fibrotic response after bleomycin injury

To explore the effect of lung damage in young WT and Zmpste24 deficient mice, we administered them oropharyngeal bleomycin, and animals were sacrificed 21 days after injury. As illustrated in Figure 4A, both, WT and Zmpste24 deficient mice displayed similar fibrotic morphological lesions and collagen deposition that was confirmed by the fibrotic score (Figure 4B). OH-proline analysis confirmed this observation showing an increase of lung collagen content after bleomycin without significant differences between WT and Zmpste24 deficient mice (6.1 ± 0.6 μg/mg, and 6.3 ± 1.3 μg/mg, respectively) (Figure 4C).

Young WT and Zmpste24 deficient mice develop similar fibrotic response after bleomycin injury. (A) Representative Masson Trichrome staining of lung sections from young saline control WT (panel a), and 21 days after bleomycin (panels b, c), and Zmpste24 deficient mice saline control (panel d) and at 21 d after bleomycin (panels e, f). Scale bar, 100 μm. (B) Fibrosis score for grading lung histopathological changes. Graphs represent means ± SD. (C) OH-Proline content in lungs after saline or 21 days of bleomycin injury. *p

Figure 4. Young WT and Zmpste24 deficient mice develop similar fibrotic response after bleomycin injury. (A) Representative Masson Trichrome staining of lung sections from young saline control WT (panel a), and 21 days after bleomycin (panels b, c), and Zmpste24 deficient mice saline control (panel d) and at 21 d after bleomycin (panels e, f). Scale bar, 100 μm. (B) Fibrosis score for grading lung histopathological changes. Graphs represent means ± SD. (C) OH-Proline content in lungs after saline or 21 days of bleomycin injury. *p< 0.05; (n=6).

Aging protects Zmpste24 deficient mice from bleomycin-induced pulmonary fibrosis

There is some evidence suggesting that old mice show a more severe lung remodeling after injury compared with young ones [9,10]. In this context, we evaluated the fibrotic response after 21 days of bleomycin administration in old WT mice (82 weeks) and accelerated aging Zmpste24 deficient mice (16 weeks). Morphological analysis by Masson´s trichrome staining of old WT mice showed severe lung damage and collagen fiber deposition while lungs from old Zmpste24 deficient mice showed scant damage (Figure 5A). Supporting these data, the fibrotic score was significantly lower in Zmpste24 deficient mice compared with WT mice (-/- 1.3 ± 0.6 versus WT: 2.5 ± 0.3 p ≤ 0.05) (Figure 5B). Quantification of hydroxyproline content revealed the expected significant increase after bleomycin in old WT mice (8.8 ± 0.5 μg/mg vs saline: 6.4 ± 0.6 μg/mg, p ≤ 0.05). In sharp contrast, lungs from Zmpste24 deficient mice showed no increase in hydroxyproline content after bleomycin injury (6.5 ± 1.3 μg/mg vs 6.9 ± 1.5μg/mg) (Figure 5C). Taking together, these results suggest that both aging and the absence of Zmpste24 protect mice for developing pulmonary fibrosis.

Aging protects Zmpste24 deficient mice from bleomycin-induced pulmonary fibrosis. (A) Representative Masson Trichrome staining of lung sections from old saline control WT (panel a), and 21 days after bleomycin (panels b, c), and Zmpste24 deficient mice saline control (panel d) and at 21 d after bleomycin (panels e, f). Scale bar, 100 μm. (B) Fibrosis score for grading lung histopathological changes. Graphs represent means ± SD. *pC) OH-Proline content in lungs after saline or 21 days of bleomycin injury. *pZmpste24 deficient mice (n=6).

Figure 5. Aging protects Zmpste24 deficient mice from bleomycin-induced pulmonary fibrosis. (A) Representative Masson Trichrome staining of lung sections from old saline control WT (panel a), and 21 days after bleomycin (panels b, c), and Zmpste24 deficient mice saline control (panel d) and at 21 d after bleomycin (panels e, f). Scale bar, 100 μm. (B) Fibrosis score for grading lung histopathological changes. Graphs represent means ± SD. *p< 0.05. (C) OH-Proline content in lungs after saline or 21 days of bleomycin injury. *p< 0.05; Old WT (n=3); Zmpste24 deficient mice (n=6).

In order to investigate possible mechanisms that may explain the resistance of the accelerated aged Zmpste24 deficient mice to bleomycin-induced lung fibrosis, we compared the lung transcriptome signature of the injured old Zmpste24 deficient mice with those of old WT mice. Whole-transcript array showed 1165 differentially expressed RNAs (Figure 6). Our results revealed that several associated-Matrisome genes including Mmp12, Mmp13, Mmp19, and Timp1 as well as the core Matrisome Col1a1, Col3a,Spp1, and Fn1 were downregulated in the old Zmpste24 deficient mice (Supplementary Table 4). Likewise, some genes with putative antifibrotic effects such as NADPH oxidase 4, transforming growth factor beta receptor III, and decorin were upregulated.

Microarray analysis of bleomycin-injured lungs of old Zmpste24 deficient mice (n=3) compared with old wildtype littermates (n=3). Lungs were obtained 21 days after bleomycin injury. (A) Volcano plot of the global gene expression profiling in lungs from old injured Zmpste24 deficient mice vs old WT mice. Each point represents the difference in expression (log fold-change) between the two groups of mice plotted against the level of statistical significance. Right blue dots represent overexpressed genes; left blue dots represent relatively downregulated genes at a significant level of pB and C) Gene ontology (B) and KEGG (C) functional analysis. The most significant 20 terms are shown. Threshold criteria considered for the analysis are log fold-change > 1 or 0.5 or z-0.5 for miRnas.

Figure 6. Microarray analysis of bleomycin-injured lungs of old Zmpste24 deficient mice (n=3) compared with old wildtype littermates (n=3). Lungs were obtained 21 days after bleomycin injury. (A) Volcano plot of the global gene expression profiling in lungs from old injured Zmpste24 deficient mice vs old WT mice. Each point represents the difference in expression (log fold-change) between the two groups of mice plotted against the level of statistical significance. Right blue dots represent overexpressed genes; left blue dots represent relatively downregulated genes at a significant level of p< 0.05. (B and C) Gene ontology (B) and KEGG (C) functional analysis. The most significant 20 terms are shown. Threshold criteria considered for the analysis are log fold-change > 1 or <-1 and p-value < 0.05 for genes, and >0.5 or z-0.5 for miRnas.

Using key Pathway Advisor-Clarivate we found six transcription factors upregulated including paternally expressed 3 (Peg3), the negative regulator of the inflammatory response nuclear receptor subfamily 4 group A member 1 (NR4A1) RAR-related orphan receptor C (RORC), Krupple-like factor 15 (KLF15), hypoxia-inducible factor 3a, and early growth factor response 1 (Egr1).

GO functional enrichment analysis and KEGG revealed several altered pathways primarily related to an immune/inflammatory response (Figure 6B and C).

Fibrotic injury induces the expression of antifibrotic microRNAs in lungs of aging Zmpste24 deficient mice

In the global RNA expression, we noticed that 42 microRNAs were differentially expressed, 22 upregulated and 20 down-regulated in the lungs from bleomycin injured Zmpste24 deficient mice compared with their WT counterpart (Figure 7A, Supplementary Table 5). Several of these microRNAs were of interest because their targets are related with the extracellular matrix such as miR23a, miR27a, miR29a, miR29b-1, miR491, and miR145a, which were validated by qPCR. These five miRNAs were increased during the fibrotic response in old Zmpste24 deficient mice (Figure 7B). The three members of the miR29 family (miR29a, miR29b-1, and miR29c) have been shown to target mRNAs of extracellular matrix proteins [16,17]. We found a downregulation of several miR29 targets in lungs from old Zmpste24 deficient mice such as Col1a1, Col3a1, and Tgfb-1, which were corroborated by qPCR (Figure 7C). As mentioned, miR27a was upregulated in the lungs of old Zmpste24 deficient mice after bleomycin injury. To investigate the role of this microRNA, we searched for targets in silico databases [18]. Matching with our results, we found two genes, Spp1, and Ppar-γ. That was downregulated in the lungs of old Zmpste24 deficient mice compared with their WT counterpart after bleomycin injury. These results were validated by qPCR (Figure 7D).

Dysregulated miRNA expression and gene targets of bleomycin-treated lungs of old Zmpste24 deficient mice (n=3) compared to old WT (n=3) analyzed by quantitative RT-PCR. (A) Pie graph showing significantly different mRNA (up= 627, down= 538) and miRNAs (up= 22, down= 20) in lungs of Zmpste24 deficient mice compared with their WT counterparts after bleomycin damage. (B) Expression levels of selected miRNAs. Gene expression of (C) miR29 targets, (D) miR27a targets, (E) mir145a targets. White bars represent mean expression in WT lungs, and black bars represent mean expression in Zmpste24 deficient mice ± S.E.M. *p p

Figure 7. Dysregulated miRNA expression and gene targets of bleomycin-treated lungs of old Zmpste24 deficient mice (n=3) compared to old WT (n=3) analyzed by quantitative RT-PCR. (A) Pie graph showing significantly different mRNA (up= 627, down= 538) and miRNAs (up= 22, down= 20) in lungs of Zmpste24 deficient mice compared with their WT counterparts after bleomycin damage. (B) Expression levels of selected miRNAs. Gene expression of (C) miR29 targets, (D) miR27a targets, (E) mir145a targets. White bars represent mean expression in WT lungs, and black bars represent mean expression in Zmpste24 deficient mice ± S.E.M. *p < 0.05 and ** p< 0.01.

miR145a that was also overexpressed in the lungs of Zmpste24 deficient mice targets among others, Mmp12, Mmp13 and Timp1 genes. As shown in Figure 7E, these genes had a lower expression in old bleomycin injured Zmpste24 deficient mice as validated by qPCR.

Discussion

Aging is not only a major risk factor for the development of IPF but also worsens the fibrotic response and outcome in human and experimental fibrotic lung diseases [9,10,19]. Moreover, it has been shown that old mice display impaired resolution after lung injury [11]. Thus, aged mice may reflect more appropriately the physiopathological behavior of aging-associated human pulmonary fibrosis. However, there are considerable practical difficulties related to the generation of aged mice and most of the research in this field has been performed in mice 6-8 weeks old.

In this context, senescence-prone mice that exhibit accelerated aging, and genetically modified mice that result in age-related lung fibrosis have been explored as models that may resemble what occurs in IPF and other human fibrotic lung disorders [2,13,20].

In this study, we used the Zmpste24 deficient mice that display several features of premature aging [14]. We selected the time point of biological age in the rapid aging model to compare with old WT mice, using the strong evidence that Zmpste24 deficient mice had a remarkably aging phenotype since they are12 weeks old, including short lifespan (20 weeks old) [14,2123]. For this reason, we selected as young, mice of 4 weeks age, and old, those of 13 weeks age to start observations [14]. Of note, no lung morphological differences were found between WT and Zmpste24 deficient mice by conventional light microscopy (not shown). Additionally, we analyzed whether aging affected the lung levels of Zmpste24. We found that the enzyme increase in old mice, and is mainly located in bronchioalveolar epithelial cells (Supplementary Figure 2).

We first compared the transcriptome signature of young and old WT and young and old Zmpste24 deficient mice, and a number of differences showed-up. Interestingly for our study, in the WT mice, aging was associated with the upregulation of several extracellular matrix proteins (core matrisome) and of matrix metalloproteinases (matrisome-associated genes) [24]. The opposite, with the exception of Spp1, was observed in the Zmpste24 deficient mice. Interestingly, although fibrillar collagen genes were not up upregulated, when we examined the lung hydroxyproline content we found a marked but similar increase of collagen with age suggesting that it represents an accumulation of the protein with aging. The fibrils were localized mainly adjacent to the airways.

Afterward, we evaluated the effect of age on the fibrotic response to bleomycin comparing the extent of the lesions and collagen deposition in young and old WT versus young and old Zmpste24 deficient mice. The mouse model of bleomycin-induced lung injury is the most widely used for the study of lung fibrosis [25].

Strikingly, we found that while young WT and young Zmpste24 deficient mice develop a similar architectural lung remodeling and increased collagen accumulation, the fibrotic lesions were remarkably attenuated in accelerated aged old Zmpste24 deficient mice compared with physiologically aged WT.

To better understand the mechanisms by which old Zmpste24 deficient mice are protected from bleomycin-induced lung fibrosis, we examined the transcriptome expression profiling of the aged mice. Our results demonstrated that several Core matrisome (extracellular matrix) genes and MMPs (Matrisome-associated genes) are downregulated in Zmpste24 deficient mice.

Interestingly, one of them was osteopontin a strong profibrotic mediator [26]. Osteopontin increases fibroblast migration and proliferation, and induces the upregulation of type I collagen, and the down-regulation of MMP-1 expression. Moreover, osteopontin-deficient mice show a marked reduced collagen accumulation in response to bleomycin challenge compared with WT mice [27].

Interestingly, several transcription factors were over-expressed including paternally expressed 3 (Peg3) a mediator of p53 in response to DNA damage [28], the negative regulator of the inflammatory response nuclear receptor subfamily 4 group A member 1 (NR4A1), which regulates cytokine signaling and attenuates inflammation in lung epithelial cells [29], and RAR-related orphan receptor C (RORC), which regulates T-cell polarity and cytokine production [30]. Also, the transcription factor Krupple-like factor 15 (KLF15) involved in defense response and hypoxia inducible factor 3a (Hif3a) were also overexpressed [31]. Likewise, the mechanosensitive gene of early growth factor response 1 (Egr1) was also upregulated. This transcription factor was found overexpressed in mice protected from lung hyperventilation injury [32], and has an important role in the inflammatory response [33]. Accordingly, functional analysis revealed altered immune and inflammatory response.

Since considerable evidence indicates that miRNAs play critical roles in the pathogenesis of lung fibrosis either enhancing or attenuating fibrogenic pathways, we also examined the miRNA expression profile, and we identified a panel of 42 miRNAs that were differentially expressed. Among them, miR23a, miR27a, miR29a, miR29b-1, and miR145a, that target different components of extracellular matrix and can be considered anti-fibrotic, were increased in old Zmpste24 deficient mice compared with old WT after bleomycin-injury.

One of them, miR-29b, inhibits TGF-β1, CTGF, and Smad3 signaling, acting as a counter-regulator of the strong profibrotic TGF-β/Smad3/CTGF axis [34].

Moreover, evaluation of the expression of miR-29a/b in lungs collected at different time points after bleomycin treatment revealed a gradual decrease during the development of fibrosis with a subsequent increase that correlates with the remission of the fibrotic lesions [16].

miR27-a, another upregulated miRNA in bleomycin-injured Zmpste24 deficient mice, functions via negative-feedback mechanisms decreasing lung myofibroblast differentiation, and therapeutically mitigates bleomycin-induced lung fibrosis in mice [35]. Furthermore, in silico analysis predicts that one of its targets is osteopontin.

miRNA-491 has been evaluated mostly in cancer, but it has been shown that target mRNAs involved in strong profibrotic pathways including TGF-β/SMAD3/NF-κB and Wnt3a/β-catenin signaling pathways [36,37].

Certainly, several other mechanisms may contribute to the decreased fibrotic response of the Zmpste24-deficient mice to lung injury. For example, autophagy that results in the accumulation of damaged macromolecules, decreases during aging and is even exaggeratedly reduced in lung fibrosis. In sharp contrast, Zmpste24-deficient mice exhibit a pronounced activation of autophagic proteolysis caused by reduced activity of mTOR [38].

In conclusion, our results indicate that the absence of Zmpste24 in aging mice results in impaired lung fibrotic response after injury which is likely associated to the dysregulation of fibrosis-related miRNAs.

Materials and Methods

Animals

Young (4 weeks) and old (79 weeks) C57BL/6 wild type mice (WT) and young (4 weeks) and old (13 weeks) Zmpste24 deficient mice were housed in specific pathogen-free conditions and used for different experiments. Mice genotypes were determined by PCR analysis from mouse tail DNA as previous described [14]. The Ethics Committee of the National Institute of Respiratory Diseases of Mexico (INER) approved all experiments.

Bleomycin-induced lung fibrosis

Pulmonary fibrosis was induced by oropharyngeal administration of a single dose of 0.1U Bleomycin/g mice weight (BLEOLEM, Lemery) in a volume of 50µl saline solution. Control groups received only the vehicle. All mice were sacrificed at 21 days after bleomycin or saline administration (Zmpste24-deficient mice: 16 months and WT: 82 months). Lungs were perfused with sterile saline from right to left ventricle of the heart. Lungs were removed for fixation overnight in paraformaldehyde (right lung) or snap frozen in liquid nitrogen (left lung) followed by storage at –80°C.

Hydroxyproline assay

Left lungs were dried at 110°C during 48 h and then hydrolyzed in 6 N HCl for 24 h. Samples of 5 μL were assayed as previously described [39,40]. Each sample was tested in duplicate and results were expressed as μg of hydroxyproline/mg of the dry left lung.

Morphometric analysis

Right lungs were fixed by inflation using 4% paraformaldehyde at a continuous pressure of 25 cm H2O, and embedded in paraffin. Lung sections were either stained with hematoxylin-eosin or Masson trichrome and scored blindly for severity and extent of lung lesions. The severity of lung fibrosis was determined using a semiquantitative histopathological scoring method [40].

RNA extraction and preparation

RNA was extracted using TRIzol reagent (Life Technologies, Grand Island, New York, NY) following the manufacturers' instructions, and purity and efficiency were verified by spectrophotometry (NanoDrop; Wilmington, DE) and bioanalysis (Agilent; Palo Alto, CA).

Quantitative real-time PCR

One μg of RNA was treated with 1 unit of DNase and reverse transcribed into cDNA (RT2 First strand kit, Qiagen) according to the manufacturer's instructions. qPCR amplification was performed with specific FAM or VIC dye-labeled TaqMan probes for Col1a1 (Mm00801666_g1), Col3a1 (Mm00802300_m1), Mmp8 (Mm00439509_m1), Mmp12 (Mm00500554_m1), Mmp13 (Mm00439491_m1), Mmp19 (Mm00491296_m1), Pparᵧ (Mm00440940_m1), Spp1 (Mm00436767_m1), Egr1 (Mm00656724_m1), Eln (Mm00514670_m1), Tgfβ-1 (Mm01178820_m1), Tgfβi (Mm01337605_m1), Timp1 (Mm00441818_m1) and normalized to 18S rRNA expression (PE Applied Biosystems). Time PCR amplification was performed using BIORAD CFX-96 Real-Time PCR system (Bio-Rad) [41].

Microarray analysis

The biotin-labeled cRNA was purified, fragmented, and hybridized to GeneChip™ Mouse Gene 2.0 ST Array (Affymetrix®). For each group, 100 ng of RNA from three different biological samples were used. The results were analyzed by R software (http://www.r-project.org/) [42] and Bioconductor (http://www.bioconductor.org/) [43]. To identify significant differences between gene expression in each condition, all data were analyzed by Limma linear model based on Bayes empirical method [44]. Representative data were considered significantly with higher p-values (adjusted p-value < 0.05).

The microarray data were submitted to the Gene Expression Omnibus https://www.ncbi.nlm.nih.gov/geo/ (access number GSE123293).

Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG Pathway analyses

For functional analysis, we used Gene Ontology enrichment tool at the Enrichr website. GO enrichment analysis is a computational method for inferring knowledge about an input gene set by comparing it to annotated gene sets representing prior biological knowledge. The data was graphed as Combined Score, a combination of the p-value and z-score calculated by multiplying the two scores as follows: c = ln(p) * z. Where c is the combined score, p is the p-value computed using Fisher's exact test, and z is the z-score computed to assess the deviation from the expected rank. The Combined Score provides a compromise between both methods and in several benchmarks and it has been shown that reports the best rankings when compared with other scoring schemes. KEGG database was used for pathway analysis of differential expression genes using gProfile software. For all comparison we considered differentially expressed genes with an adjusted p-value < 0.05 [4547].

microRNA expression

Total RNA was reverse transcribed using TaqMan miRNA reverse transcription kit (Applied Biosystems) following the manufacturer’s instructions, and amplification was performed using BIORAD CFX-96 Real-Time PCR system (Bio-Rad). MicroRNA expression was evaluated using following TaqMan probes mmu-miR23a-5p (002439), mmu-miR27a-3p (000408), mmu-miR29a-3p (002112), mmu-miR29b-3p (000413), mmu-miR145a-3p (002514). Expression of snoRNA202 (001232/AF357327) was used as an internal control. All experiments were performed with Taqman Gene Expression Assays (Applied Biosystems).

Statistical analysis

Statistical differences were determined by two-way ANOVA followed by Tuckey test for quantitative PCR and hydroxyproline measurement. For two groups, differences were analyzed by Student’s t-test. Values of p < 0.05 were considered statistically significant. Fibrosis score was evaluated by the nonparametric Kruskal-Wallis test followed by nonparametric Mann-Whitney U-test. Results are expressed as mean ± SD. or S.E.M., p-value < 0.05 was considered statistically significant. For gene tables, we only show identified genes in the Affymetrix annotation database. All graphs were made using Graphpad Prism Software Version 4.0 (Graphpad Software Inc., San Diego CA).

Acknowledgments

We thank Dr. Carlos López-Otín (Universidad de Oviedo, Spain) who kindly donated the Zmpste24 deficient mice. We thank Remedios Ramírez for her technical support.

This paper constitutes a partial fulfillment of Jazmín Calyeca to obtain the PhD “Doctor en Ciencias del Posgrado en Ciencias Biológicas”, Universidad Nacional Autónoma de México (UNAM).

Conflicts of Interest

The authors declare no conflicts of interest.

Funding

This research was supported by CONACYT 281074 and Jazmín Calyeca´s PhD scholarship supported by CONACYT 262585.

References

  • 1. Travis WD, Costabel U, Hansell DM, King TEJr, Lynch DA, Nicholson AG, Ryerson CJ, Ryu JH, Selman M, Wells AU, Behr J, Bouros D, Brown KK, et al, and ATS/ERS Committee on Idiopathic Interstitial Pneumonias. An official American Thoracic Society/European Respiratory Society statement: update of the international multidisciplinary classification of the idiopathic interstitial pneumonias. Am J Respir Crit Care Med. 2013; 188:733–48. https://doi.org/10.1164/rccm.201308-1483ST [PubMed]
  • 2. King TEJr, Pardo A, Selman M. Idiopathic pulmonary fibrosis. Lancet. 2011; 378:1949–61. https://doi.org/10.1016/S0140-6736(11)60052-4 [PubMed]
  • 3. Raghu G, Richeldi L. Current approaches to the management of idiopathic pulmonary fibrosis. Respir Med. 2017; 129:24–30. https://doi.org/10.1016/j.rmed.2017.05.017 [PubMed]
  • 4. Selman M, King TEJr, Pardo A, and American Thoracic Society, and European Respiratory Society, and American College of Chest Physicians. Idiopathic pulmonary fibrosis: prevailing and evolving hypotheses about its pathogenesis and implications for therapy. Ann Intern Med. 2001; 134:136–51. https://doi.org/10.7326/0003-4819-134-2-200101160-00015 [PubMed]
  • 5. Xu Y, Mizuno T, Sridharan A, Du Y, Guo M, Tang J, Wikenheiser-Brokamp KA, Perl AT, Funari VA, Gokey JJ, Stripp BR, Whitsett JA. Single-cell RNA sequencing identifies diverse roles of epithelial cells in idiopathic pulmonary fibrosis. JCI Insight. 2016; 1:e90558. https://doi.org/10.1172/jci.insight.90558 [PubMed]
  • 6. López-Otín C, Blasco MA, Partridge L, Serrano M, Kroemer G. The hallmarks of aging. Cell. 2013; 153:1194–217. https://doi.org/10.1016/j.cell.2013.05.039 [PubMed]
  • 7. Selman M, López-Otín C, Pardo A. Age-driven developmental drift in the pathogenesis of idiopathic pulmonary fibrosis. Eur Respir J. 2016; 48:538–52. https://doi.org/10.1183/13993003.00398-2016 [PubMed]
  • 8. Jenkins RG, Moore BB, Chambers RC, Eickelberg O, Königshoff M, Kolb M, Laurent GJ, Nanthakumar CB, Olman MA, Pardo A, Selman M, Sheppard D, Sime PJ, et al, and ATS Assembly on Respiratory Cell and Molecular Biology. An Official American Thoracic Society Workshop Report: Use of Animal Models for the Preclinical Assessment of Potential Therapies for Pulmonary Fibrosis. Am J Respir Cell Mol Biol. 2017; 56:667–79. https://doi.org/10.1165/rcmb.2017-0096ST [PubMed]
  • 9. Sueblinvong V, Neveu WA, Neujahr DC, Mills ST, Rojas M, Roman J, Guidot DM. Aging promotes pro-fibrotic matrix production and increases fibrocyte recruitment during acute lung injury. Adv Biosci Biotechnol. 2014; 5:19–30. https://doi.org/10.4236/abb.2014.51004 [PubMed]
  • 10. Torres-González E, Bueno M, Tanaka A, Krug LT, Cheng DS, Polosukhin VV, Sorescu D, Lawson WE, Blackwell TS, Rojas M, Mora AL. Role of endoplasmic reticulum stress in age-related susceptibility to lung fibrosis. Am J Respir Cell Mol Biol. 2012; 46:748–56. https://doi.org/10.1165/rcmb.2011-0224OC [PubMed]
  • 11. Hecker L, Logsdon NJ, Kurundkar D, Kurundkar A, Bernard K, Hock T, Meldrum E, Sanders YY, Thannickal VJ. Reversal of persistent fibrosis in aging by targeting Nox4-Nrf2 redox imbalance. Sci Transl Med. 2014; 6:231ra47. https://doi.org/10.1126/scitranslmed.3008182 [PubMed]
  • 12. Xu J, Gonzalez ET, Iyer SS, Mac V, Mora AL, Sutliff RL, Reed A, Brigham KL, Kelly P, Rojas M. Use of senescence-accelerated mouse model in bleomycin-induced lung injury suggests that bone marrow-derived cells can alter the outcome of lung injury in aged mice. J Gerontol A Biol Sci Med Sci. 2009; 64:731–39. https://doi.org/10.1093/gerona/glp040 [PubMed]
  • 13. Naikawadi RP, Disayabutr S, Mallavia B, Donne ML, Green G, La JL, Rock JR, Looney MR, Wolters PJ. Telomere dysfunction in alveolar epithelial cells causes lung remodeling and fibrosis. JCI Insight. 2016; 1:e86704. https://doi.org/10.1172/jci.insight.86704 [PubMed]
  • 14. Pendás AM, Zhou Z, Cadiñanos J, Freije JM, Wang J, Hultenby K, Astudillo A, Wernerson A, Rodríguez F, Tryggvason K, López-Otín C. Defective prelamin A processing and muscular and adipocyte alterations in Zmpste24 metalloproteinase-deficient mice. Nat Genet. 2002; 31:94–99. https://doi.org/10.1038/ng871 [PubMed]
  • 15. Liu J, Yin X, Liu B, Zheng H, Zhou G, Gong L, Li M, Li X, Wang Y, Hu J, Krishnan V, Zhou Z, Wang Z. HP1α mediates defective heterochromatin repair and accelerates senescence in Zmpste24-deficient cells. Cell Cycle. 2014; 13:1237–47. https://doi.org/10.4161/cc.28105 [PubMed]
  • 16. Cushing L, Kuang PP, Qian J, Shao F, Wu J, Little F, Thannickal VJ, Cardoso WV, Lü J. miR-29 is a major regulator of genes associated with pulmonary fibrosis. Am J Respir Cell Mol Biol. 2011; 45:287–94. https://doi.org/10.1165/rcmb.2010-0323OC [PubMed]
  • 17. Xiao J, Meng XM, Huang XR, Chung AC, Feng YL, Hui DS, Yu CM, Sung JJ, Lan HY. miR-29 inhibits bleomycin-induced pulmonary fibrosis in mice. Mol Ther. 2012; 20:1251–60. https://doi.org/10.1038/mt.2012.36 [PubMed]
  • 18. Wong N, Wang X. miRDB: an online resource for microRNA target prediction and functional annotations. Nucleic Acids Res. 2015; 43:D146–52. https://doi.org/10.1093/nar/gku1104 [PubMed]
  • 19. Guler SA, Ellison K, Algamdi M, Collard HR, Ryerson CJ. Heterogeneity in Unclassifiable Interstitial Lung Disease. A Systematic Review and Meta-Analysis. Ann Am Thorac Soc. 2018; 15:854–63. https://doi.org/10.1513/AnnalsATS.201801-067OC [PubMed]
  • 20. B Moore B, Lawson WE, Oury TD, Sisson TH, Raghavendran K, Hogaboam CM. Animal models of fibrotic lung disease. Am J Respir Cell Mol Biol. 2013; 49:167–79. https://doi.org/10.1165/rcmb.2013-0094TR [PubMed]
  • 21. Ugalde AP, Ramsay AJ, de la Rosa J, Varela I, Mariño G, Cadiñanos J, Lu J, Freije JM, López-Otín C. Aging and chronic DNA damage response activate a regulatory pathway involving miR-29 and p53. EMBO J. 2011; 30:2219–32. https://doi.org/10.1038/emboj.2011.124 [PubMed]
  • 22. Osorio FG, Obaya AJ, López-Otín C, Freije JM. Accelerated ageing: from mechanism to therapy through animal models. Transgenic Res. 2009; 18:7–15. https://doi.org/10.1007/s11248-008-9226-z [PubMed]
  • 23. Varela I, Cadiñanos J, Pendás AM, Gutiérrez-Fernández A, Folgueras AR, Sánchez LM, Zhou Z, Rodríguez FJ, Stewart CL, Vega JA, Tryggvason K, Freije JM, López-Otín C. Accelerated ageing in mice deficient in Zmpste24 protease is linked to p53 signalling activation. Nature. 2005; 437:564–68. https://doi.org/10.1038/nature04019 [PubMed]
  • 24. Hynes RO, Naba A. Overview of the Matrisome-An Inventory of Extracellular Matrix. Cold Spring Harb Perspect Biol. 2012; 4:1–15. https://doi.org/10.1101/cshperspect.a004903
  • 25. Cabrera S, Maciel M, Herrera I, Nava T, Vergara F, Gaxiola M, López-Otín C, Selman M, Pardo A. Essential role for the ATG4B protease and autophagy in bleomycin-induced pulmonary fibrosis. Autophagy. 2015; 11:670–84. https://doi.org/10.1080/15548627.2015.1034409 [PubMed]
  • 26. Pardo A, Gibson K, Cisneros J, Richards TJ, Yang Y, Becerril C, Yousem S, Herrera I, Ruiz V, Selman M, Kaminski N. Up-regulation and profibrotic role of osteopontin in human idiopathic pulmonary fibrosis. PLoS Med. 2005; 2:e251. https://doi.org/10.1371/journal.pmed.0020251 [PubMed]
  • 27. Berman JS, Serlin D, Li X, Whitley G, Hayes J, Rishikof DC, Ricupero DA, Liaw L, Goetschkes M, O’Regan AW. Altered bleomycin-induced lung fibrosis in osteopontin-deficient mice. Am J Physiol Lung Cell Mol Physiol. 2004; 286:L1311–18. https://doi.org/10.1152/ajplung.00394.2003 [PubMed]
  • 28. Johnson MD, Wu X, Aithmitti N, Morrison RS. Peg3/Pw1 is a mediator between p53 and Bax in DNA damage-induced neuronal death. J Biol Chem. 2002; 277:23000–07. https://doi.org/10.1074/jbc.M201907200 [PubMed]
  • 29. Kurakula K, Vos M, Logiantara A, Roelofs JJ, Nieuwenhuis MA, Koppelman GH, Postma DS, van Rijt LS, de Vries CJ. Nuclear Receptor Nur77 Attenuates Airway Inflammation in Mice by Suppressing NF-κB Activity in Lung Epithelial Cells. J Immunol. 2015; 195:1388–98. https://doi.org/10.4049/jimmunol.1401714 [PubMed]
  • 30. Zhu E, Wang X, Zheng B, Wang Q, Hao J, Chen S, Zhao Q, Zhao L, Wu Z, Yin Z. miR-20b suppresses Th17 differentiation and the pathogenesis of experimental autoimmune encephalomyelitis by targeting RORγt and STAT3. J Immunol. 2014; 192:5599–609. https://doi.org/10.4049/jimmunol.1303488 [PubMed]
  • 31. Lu Y, Haldar S, Croce K, Wang Y, Sakuma M, Morooka T, Wang B, Jeyaraj D, Gray SJ, Simon DI, Jain MK. Kruppel-like factor 15 regulates smooth muscle response to vascular injury--brief report. Arterioscler Thromb Vasc Biol. 2010; 30:1550–52. https://doi.org/10.1161/ATVBAHA.110.207050 [PubMed]
  • 32. López-Alonso I, Blázquez-Prieto J, Amado-Rodríguez L, González-López A, Astudillo A, Sánchez M, Huidobro C, López-Martínez C, Dos Santos CC, Albaiceta GM. Preventing loss of mechanosensation by the nuclear membranes of alveolar cells reduces lung injury in mice during mechanical ventilation. Sci Transl Med. 2018; 10:eaam7598. https://doi.org/10.1126/scitranslmed.aam7598 [PubMed]
  • 33. Carter JH, Lefebvre JM, Wiest DL, Tourtellotte WG. Redundant role for early growth response transcriptional regulators in thymocyte differentiation and survival. J Immunol. 2007; 178:6796–805. https://doi.org/10.4049/jimmunol.178.11.6796 [PubMed]
  • 34. Guo J, Lin Q, Shao Y, Rong L, Zhang D. miR-29b promotes skin wound healing and reduces excessive scar formation by inhibition of the TGF-β1/Smad/CTGF signaling pathway. Can J Physiol Pharmacol. 2017; 95:437–42. https://doi.org/10.1139/cjpp-2016-0248 [PubMed]
  • 35. Cui H, Banerjee S, Xie N, Ge J, Liu RM, Matalon S, Thannickal VJ, Liu G. MicroRNA-27a-3p Is a Negative Regulator of Lung Fibrosis by Targeting Myofibroblast Differentiation. Am J Respir Cell Mol Biol. 2016; 54:843–52. https://doi.org/10.1165/rcmb.2015-0205OC [PubMed]
  • 36. Jiang F, Wang X, Liu Q, Shen J, Li Z, Li Y, Zhang J. Inhibition of TGF-β/SMAD3/NF-κB signaling by microRNA-491 is involved in arsenic trioxide-induced anti-angiogenesis in hepatocellular carcinoma cells. Toxicol Lett. 2014; 231:55–61. https://doi.org/10.1016/j.toxlet.2014.08.024 [PubMed]
  • 37. Sun R, Liu Z, Tong D, Yang Y, Guo B, Wang X, Zhao L, Huang C. miR-491-5p, mediated by Foxi1, functions as a tumor suppressor by targeting Wnt3a/β-catenin signaling in the development of gastric cancer. Cell Death Dis. 2017; 8:e2714. https://doi.org/10.1038/cddis.2017.134 [PubMed]
  • 38. Mariño G, Ugalde AP, Salvador-Montoliu N, Varela I, Quirós PM, Cadiñanos J, van der Pluijm I, Freije JM, López-Otín C. Premature aging in mice activates a systemic metabolic response involving autophagy induction. Hum Mol Genet. 2008; 17:2196–211. https://doi.org/10.1093/hmg/ddn120 [PubMed]
  • 39. Woessner JFJr. The determination of hydroxyproline in tissue and protein samples containing small proportions of this imino acid. Arch Biochem Biophys. 1961; 93:440–47. https://doi.org/10.1016/0003-9861(61)90291-0 [PubMed]
  • 40. Pardo A, Ruiz V, Arreola JL, Ramírez R, Cisneros-Lira J, Gaxiola M, Barrios R, Kala SV, Lieberman MW, Selman M. Bleomycin-induced pulmonary fibrosis is attenuated in gamma-glutamyl transpeptidase-deficient mice. Am J Respir Crit Care Med. 2003; 167:925–32. https://doi.org/10.1164/rccm.200209-1007OC [PubMed]
  • 41. Livak KJ, Schmittgen TD. Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Δ Δ C(T)) Method. Methods. 2001; 25:402–08. https://doi.org/10.1006/meth.2001.1262 [PubMed]
  • 42. R Core Team. R: A language and environment for statistical computing. R Foundation for Statistical. Computing, Vienna, Austria. 2017. https://www.R-project.org/.
  • 43. Huber W, Carey VJ, Gentleman R, Anders S, Carlson M, Carvalho BS, Bravo HC, Davis S, Gatto L, Girke T, Gottardo R, Hahne F, Hansen KD, et al. Orchestrating high-throughput genomic analysis with Bioconductor. Nat Methods. 2015; 12:115–21. https://doi.org/10.1038/nmeth.3252 [PubMed]
  • 44. Ritchie ME, Phipson B, Wu D, Hu Y, Law CW, Shi W, Smyth GK. limma powers differential expression analyses for RNA-sequencing and microarray studies. Nucleic Acids Res. 2015; 43:e47. https://doi.org/10.1093/nar/gkv007 [PubMed]
  • 45. Chen EY, Tan CM, Kou Y, Duan Q, Wang Z, Meirelles GV, Clark NR, Ma’ayan A. Enrichr: interactive and collaborative HTML5 gene list enrichment analysis tool. BMC Bioinformatics. 2013; 14:128. https://doi.org/10.1186/1471-2105-14-128 [PubMed]
  • 46. Kuleshov MV, Jones MR, Rouillard AD, Fernandez NF, Duan Q, Wang Z, Koplev S, Jenkins SL, Jagodnik KM, Lachmann A, McDermott MG, Monteiro CD, Gundersen GW, Ma’ayan A. Enrichr: a comprehensive gene set enrichment analysis web server 2016 update. Nucleic Acids Res. 2016; 44:W90-7. https://doi.org/10.1093/nar/gkw377 [PubMed]
  • 47. Reimand J, Arak T, Adler P, Kolberg L, Reisberg S, Peterson H, Vilo J. g:Profiler-a web server for functional interpretation of gene lists (2016 update). Nucleic Acids Res. 2016; 44:W83-9. https://doi.org/10.1093/nar/gkw199 [PubMed]