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e-ISSN: 2582-5208 International Research Journal of Modernization in Engineering Technology and Science Volume:02/Issue:08/August-2020 Impact Factor- 5.354 www.irjmets.com
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[241]
PATHWAY NETWORK ANALYSIS OF GENES INVOLVED IN
DOMINANT SYNDROMES
Salma Hafeez *1, Tahira Aslam *2, Mirza Jawad Ul Hasnain*3
*1, 2Student, Department of Biology, Virtual University of Pakistan, Lahore.
*3Lecturer, Department of Bioinformatics & Computational Biology, Virtual University of
Pakistan, Lahore.
ABSTRACT
The autosomal dominant hearing loss and deafness is one of the unique phenotypical effects that is
observed in multiple dominant syndromes. The hereditary sensorineural hearing loss & Diegenic non-
syndromic hearing impairment are the most familiar and frequent auditory diseases. These auditory
disorders are the main causes of autosomal dominant human deafness and hearing loss. There are a set of
genes that are associated with this sensorineural hearing loss and played a vital role in these disorders.
This research study exploring the set of genes that are closely associated with hearing impairment. The
FGFR and FGF protein family of cell signalling have a significant role in this respect. These proteins are
involved in several anomalies of ears at the embryonic level. The SALL1 protein, Connexin,
Microphthalmia-associated transcription factors, protein tyrosine phosphate and Homeobox protein SIX1
are closely related to syndromic and non -syndromic hearing loss. In this research study, we performed
the biological pathway analysis using online tools and databases such as STRING database, DAVID
(Database for Annotation, Visualization and Integrated Discovery), and IPA (Inguenity Pathway Analysis
software), to find out the Cellular Enrichment Components and Biological Enrichment Process followed
by gene network analysis to determine the interaction of the associated genes. This research study
explains the set of genes that are associated with human autosomal dominant deafness.
KEYWORDS: Biological pathway, gene network, gene annotation, hearing impairment.
I. INTRODUCTION Hearing is a remarkable process that is involved in many types of cells and various cellular and molecular
mechanisms. The inner ear is the sensory organ whose function and development are due to a productive
interaction among various cells [1]. In humans, Congenital hearing loss is mainly caused by the external
and inner ear anomalies [2]. There are multiple dominant syndromes in which hearing impairment is
observed. There is a large no of genes which are involved in hereditary sensorineural hearing loss in
these dominant disorders. These genes are involved in cellular signalling mechanism of the development
of the ear [3]. The genes are involved in 50% of Congenital hearing loss, 15-25 % of autosomal dominant
hearing loss and 70% of non-syndromic hearing loss among them 30% genetic hearing loss is syndromic.
The diagnosis of genetic hearing impairment plays a significant role in the therapies of affected families
[4]. The NGS provides more specific information of the genomic cellular activity as compare to other past
technologies. With the advancement of genomics, more than 150 genes and more than 6000 mutations
are identified as a cause of hearing loss [5].With microarray set of genes must be specified highlighted the
variant copy no in hereditary hearing loss[6]. The next-generation sequencing efficiently identified the
mutation associated with autosomal dominant hearing loss [7]. Through next-generation sequencing, a
large no of genes can be examined in one diagnosis test [8]. The WES successfully identified the type of
mutation related to human dominant hearing loss as Congenital hearing loss affects 1-2 in 1000 birth and
about 50% of the population of developed countries and more than 1000 mutation are causes of hearing
impairment [9-10]. In human inner ear have sensory organs as organ of corti in cochlea and cristae and
maculae in vestibule, each one comprised with sensory epithelia that are responsible for hearing and
balance. In human the mutation of specific miRNA genes are cause of hearing loss. To sequenced short
RNA molecule from cochlear and auditory vestibular epithelial used high throughput RNA-seq analysis.
By RNA-seq analysis it is possible to identify the miRNA that are related to inner ear and demonstrates
the expression profiles of known mi RNA as well as it discovered the novel miRNA in the inner ear. RNA-
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seq analysis also highlighted these mi RNA and their regulatory role in various molecular pathways in the
development of inner ear at embryonic level [11].The RNA-seq analysis revealed the key microRNA that
are caused of sensorineural hearing loss[12]. The syndromic and non-syndromic hearing loss is
associated with various dominant syndromes gives rise dysfunction of ears, vestibular system,
deformities of bones, facial features, craniocytosis and skeletal anomalies [13]. The large no of genes are
involved in these multiple syndromes. These genes are-
GJB2,LORICRINACTG1,COL11A1,COL2A1,COL11A2,CHD7,SEMA3E,MITF,PAX3,GJB6,KCQN4,TECTA,GJB3,D
IAPH1,MYH14,CEACAM16,GSDME,WFS1,COCH,EYA4,IFNLR1,LMX1A,
MYO7A,POU4F3,MYH9,MYO6,SIX1,SLC17A8,REST,GRHL2,NLRP3,TMC1,P2RX2,CRYM,
CCDC50,MIR96,TJP2,TNC,DIABLO,TBC1D24,CD164,OSBPL2,HOMER2,KITLG,MCM2,PTPRQ,DMXL2,MYO3
A,PDE1C,TRRAP,PLS1,MYO1A,COL4A3,FGFR2,EYA1,SIX5,SALL1,PMP22,MPZ,MFN2,NIBPL,RAD21,SMC3,F
GFR1,TWIST1,EDN3,EDNRB,SOX10,TCOF1,POLR1D,FGFR3,FGF10,NF2,TBX1,COMT,FGF18,COL1A1,COL1
A2,IFITM5,NSD1,PAX2,,SF3B4,GATA2,KMT2D,PTPN11,RAF1,BRAF,MAP2K1,SALL4,GATA3,FAM136A,DN
MT1,DSPP,EFTUD2,NOP56,GJA1,POLG,TWNK,RRM2B,SLC254A,SQSTM1,TNFRSF11A,TNFRSF11B,SPTLC1
,NOTCH2,SOX9,KRIT1,CCM2,PDCD10,AFF4,TGFB1,GNAI3,PLCB4,MYCN,MIR17HG,CYLD and OPA3 [14-
83].Therefore we aim to study the biological pathway to analyze the mode of genes associated to
dominant sensorineural hearing loss in multiple autosomal dominant syndromes by analyzing the
behavior of candidate genes with respect to disease and effects of the drug on them by constructing their
associated network. We used different tools and databases of bioinformatics to explore the candidate
genes in human dominant hearing loss and deafness across multiple biological aspects including disease
process, molecular interaction and cellular process. We also investigate the biological behavior of most
targeted protein families and highlighted the set of genes that are involved in sensorineural hearing loss
for diagnosis and remedy purposes.
II. METHODOLOGY
To find out biological pathway and gene network that are associated with human autosomal dominant
deafness following methods are used.
a) Gene Mining associated with Hearing Impairment
Gene mining is a supervised learning process for the identification of contributed genes in a specific
biological pathway. Gene mining can also be employed to figure out the gene associated with any
syndrome. For the purpose of acquiring the data of genes allies associated with all autosomal syndromes
associated with Hearing Impairment (HI) we performed an exhaustive literature survey as well as from
databases in order to find out the genes exclusively associated with all the syndromes associated with
hearing loss and hearing impairment using the analytical method based on the Pearson`s correlation
matrix by ensemble decision analysis of all genes.
b) Functional Protein Association Network
We will upload our candidate genes in STRING database and will filter out the genes having interaction
among them in the larger cluster/network. STRING is a search tool/database or web resource
https://string-db.org/ [84], used for retrieval of interacting genes. It is used to show the interaction of
genes with each other, involved in a related function [85-86]. Filtered genes will be the input of next
tools/software. Filtered genes will be uploaded in DAVID tool.
c) Cellular Enrichment Components and Biological Enrichment Process
The behavior of the candidate genes in biological pathways and the labeling of the associated genes were
predicted by analyzing the gene ontology, cellular enrichment components and biological enrichment
process of hearing impairment gene using DAVID, a Database for Annotation, Visualization and Integrated
Discovery database (https://david.ncifcrf.gov/ ) [87-88].
d) Gene Network
The output of gene ontology predicting the biological pathways is the broad range of information which is
necessary to be narrowed down in order to find the genes of large family responsible for the hearing
impairment especially for hearing loss. For this purpose, the confident score
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cell signaling and metabolic pathways including molecular and biochemical studies, we used network
analysis using Ingenuity Pathway Analysis software (IPA; Ingenuity Systems, Redwood City, CA, USA), a
software connected to world`s largest knowledge based biological network system[89-90]. We referred to
the most interconnected molecules in a network as central node. The network of each group was studied
to estimate the likelihood that all genes of a group fit in to the same network. Statistical analysis of
network and pathways was performed in IPA using the right-tailed Fisher`s exact test to filter pathways
by using the cut off value (p
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[244]
COL11A1
1
Myopia, Hearing loss, Joints
problems
Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
GNAI3
Auriculo-Condylar
syndrome
Abnormalities of ears,
Micrognathia,Hearing
loss,Microstomia,Facial asymmetry
[79]
SF3B4
Nager syndrome
Micrognathia,Hearing loss,
Syndactyly, Clinodactyly,
Deformities
[50]
MFN2 Charcot-Marie Tooth
disease
Muscle atropy,Itching,Loss of
vision, Hearing loss(deafness)
[33]
GJB3 Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
COL4A3
2
Alport syndrome Kidney disease, Hearing loss, Eye
anomalies, Hematuria, proteinuria
[30]
PAX3
Waardenburg
Syndrome
Hearing loss, Pigmentation [38-39]
Craniofacial deafness
hand syndrome
Hypoplastic maxilla, Sensorineural
deafness, Ocular Hypotelorism,
Ulnar deviation, Camptodactyly
[26]
RAF1
3
Noonan syndrome with
lentigines(LEOPARD)
syndrome
Hypertelorism, Heart defects,
Pigmentation, Hearing loss,
Decrease fertility, Short stature,
Hypospadias, Cryptorchidism
[54]
PDCD10 Cereberal cavernous
malformations
Headaches, seizure, paralysis,
hearing or vision loss, cerebral
haemorrhage
[74]
MCM2 Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
GATA2 Emberger syndrome Leukemia, anemia, sensorineural
hearing loss, Hypertelorism
[51]
MITF Tietz syndrome
Hearing loss, pigmentation of eyes
& skin
[25]
Waardenburg
syndrome
REST
4
Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
WFS1
FGFR3 Lacrimo-Auriculo-
Dental-Digital (LAAD)
syndrome
Keratoconjunctivitis,
Dacryocystitis, Sensorineural
deafness, Xerostomia, dental
anomalies, Hydronephrosis,
deformities of fingers
[41]
DIAPH1
5
Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
SQSTM1 Paget disease Arthritis, Hearing loss,
Osteosarcoma, Abnormalities of
bones, Dizziness
[69]
FGF10 Lacrimo-Auriculo- Keratoconjunctivitis, [41]
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[245]
Dental-Digital (LAAD)
syndrome
Dacryocystitis, Sensorineural
deafness, Xerostomia, dental
anomalies, Hydronephrosis,
deformities of fingers
FGF18 Di George syndrome Cardiovascular defects,
Hypocalcemia, cleft palate, hearing
loss, Arthritis, Grave disease
[43]
COL11A2
6
Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
Stickler syndrome Scoliosis, cataract,
Glucoma,Myopia, Hearing loss,
Joints problems
[18]
EYA4 Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
MYO6
GJA1 Oculodentodigital
Dysplasia
Syndactyly, Microcephaly, Hearing
loss, Ataxia, anomalies of eyes &
teeth, Dysarthria, Palmoplantar
keratoderma
[64]
COL1A2
7
Dentinogenesis
Imperfecta
Hearing loss , dental anomalies [60]
[44] Osteogenesis
Imperfecta
Blue or purple sclera , joints or
muscular disorders, hearing loss,
deformities of bones, Kyphosis,
Scoliosis, fracture by minor trauma
BRAF Noonan syndrome with
lentigines(LEOPARD)
syndrome
Hypertelorism,Heart defects,
Pigmentation,Hearing loss,
Decrease fertility, Short stature,
Hypospadias, Cryptorchidism
[54]
KRIT1 Cereberal cavernous
malformations
Headaches, seizure, paralysis,
hearing or vision loss, cerebral
hemorrhage
[74]
CCM2
EYA1
8
Branchiootorenal(BOR)
syndrome
Deformities of tissues,
malformation of ear & neck
[32]
FGFR1 Pfeiffer syndrome Hearing loss, Ankylosis, dental
problems
Craniosynostosis,Syndactyly,
Brachydactyly,
[36]
RAD21 Cornelia de Lang
syndrome
Synophrys ,Microcephaly,
Hypertrichosis, hearing loss, vision
problem, heart defects, digestive
problems, abnormalities of bones
[34]
TNC 9 Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
Pfeiffer syndrome Craniosynostosis, Brachydactyly,
Syndactyly, Ankylosis, Hearing loss,
dental problems
[36]
Lacrimo-Auriculo-
Dental-Digital (LAAD)
syndrome
Keratoconjunctivitis,
Dacryocystitis, Sensorineural
deafness, Xerostomia, dental
[41]
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[246]
FGFR2
10
anomalies, Hydronephrosis,
deformities of fingers
Crouzon syndrome Craniosynostosis, hearing loss,
Strabismus, dental problems, vision
problems
[35]
[31] Apert syndrome Craniosynostosis, Syndactyly,
exophthalmos, Hypertelorism,
Strabismus, Ocular proptosis,
hearing loss, malformation of ears,
hyperhidrosis, Polydactyly,
SMC3 Cornelia de Lang
syndrome
Synophrys , Microcephaly,
Hypertrichosis, hearing loss, vision
problem, heart defects, digestive
problems, abnormalities of bones
[34]
GATA3 Barakat syndrome Hypoparathyroidism,
Sensorineural hearing loss, renal
dysplasia, Cardiomyopathy,
Muscular pain
[56]
MYO3A Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
COL2A1
12
Stickler syndrome Scoliosis, cataract, Glaucoma,
Myopia, Hearing loss, Joints
problems
[18]
Czech Dysplasia Progressive hearing loss,
osteoarthritis, Kyphoscoliosis,
platyspondyly
[19]
Kniest Dysplasia Myopia, hearing loss,
Kyphoscoliosis, dwarfism,
platyspondyly
[23]
[20-22] Spondyloperipheral
Dysplasia
Brachydactyly, platyspondyly,
lordosis, Myopia, hearing loss
Spondyloperipheral
Dysplasia congenita
Hearing loss, Myopia, dwarfism,
skeletal anomalies, lordosis
KITLG Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
PTPN11 Noonan syndrome with
lentigines(LEOPARD)
syndrome
Hypertelorism, Heart defects,
Pigmentation, Hearing loss,
Decrease fertility, Short stature,
Hypospadias, Cryptorchidism
[53]
MYO1A Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
GJB2
13
Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
Vohwinkel syndrome Erythroderma, Ichthyosis, hearing
loss, Palmoplantar keratosis
[14]
[15]
Bart-Pumphrey
syndrome
Leukonychia, hearing loss, knuckle
pads, Palmoplantar keratoderma,
Pseudoainhum
Hystrix –like ichthyosis Hearing loss, ichthyosis, Squamous [15]
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[247]
with deafness cell carcinoma
KID syndrome Photophobia, blindness, hearing
loss, ichthyosis, palmoplantar
keratoderma, Squamous cell
carcinoma, erythrokeratoderma
[16]
Palmoplantar
Keratoderma with
deafness
Palmoplantar keratoderma,
hearing loss, skin anomalies
GJB6 Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
EDN3 Waardenburg
syndrome
Hearing loss, Pigmentation [38-39]
SIX1 14 Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
BOR syndrome Deformities of tissues,
malformation of ears, kidneys &
neck, sensorineural hearing loss
[32]
MAP2K1 15 Noonan syndrome with
lentigines(LEOPARD)
syndrome
Hypertelorism,Heart defects,
Pigmentation,Hearing loss,
Decrease fertility, Short stature,
Hypospadias, Cryptorchidism
[54]
SALL1
16
Towne-Brocks
syndrome
Anomalies of ears, Sensorineural
hearing loss, Anorectal
malformation, renal abnormalities,
heart defects deformities
[61]
BOR syndrome Deformities of tissues,
malformation of ears, kidneys &
neck, sensorineural hearing loss
[32]
CYLD Multiple familial
trichoepithelioma
Multiple skin tumors,
trichoepitheliomas, spiradenomas,
cylindromas, vision disorders,
hearing disorders
[82]
COL1A1
17
Dentinogenesis
Imperfecta
Hearing loss , dental anomalies [60]
[44] Osteogenesis
Imperfecta
Blue or purple sclera , joints or
muscular disorders, hearing loss,
deformities of bones, Kyphosis,
Scoliosis, fracture by minor trauma
ACTG1 Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
Baraitser- winter
syndrome
Unusual facial appearances,
hearing loss, dystonia, heart defects
[17]
EFTUD2 MFDM syndrome Progressive microcephaly,
Micrognathia, hearing loss, ears
infections, choanal atresia, heart
problems ,esophageal atresia
[62]
SMAD4 18 Myhre syndrome Fibrosis, dwarfism, Hearing loss
Hypertension, Myopia, Distinct
facial features
[48-49]
TGFB1 19 Camurauti Engelmann Hyperostosis, Contractures, [77]
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disease Erythema of limbs, Macrocephaly,
Ocular proptosis, headache,
Hearing loss, vision problems,
ringing of ears(tinnitus),
dizziness(vertigo), facial paralysis,
dentition, anemia, hyperhidrotic,
hepatosplenomegaly
MYH14 Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
SALL4 20 Duane-radial ray
syndrome
Distinctive facial features, hearing
loss, bones & eyes anomalies, heart
& kidney defects
[55]
PLCB4 Auriculo-Condylar
syndrome
Abnormalities of ears,
Micrognathia, Hearing loss,
Microstomia, Facial asymmetry
[78]
EDNRB Waardenburg
syndrome
Hearing loss, Pigmentation [38-39]
MYH9 22 Non-syndromic hearing
loss
Sensorineural hearing loss [27-28]
SOX10 Waardenburg
syndrome
Hearing loss, Pigmentation [38-39]
Functional Protein Association Network
STRING database showed experimentally proved interaction in 57 genes displaying by different clusters
of significant interaction. The COL11A1, COL11A2, COL1A1, COL1A2, COL4A3, COL2A1, TGFB1, SALL1,
SALL4, REST, SMAD4 GATA2 and GATA3 genes shows a specific pattern of interaction in STRING
database. Next GJA1, GJB2, GJB3, GJB6, MYH14, MYH9, MYO1A MYO3A, MYO6, ACTG1 and DIAPH1 genes
shows another unique pattern of interaction in protein associated network database. FGF10, FGF18,
FGFR1, FGFR2, FGFR3, EDN3, EDNRB, KITLG, MAP2K1, MCM2, PTPN11, BRAF, RAF1, GNAI3 and PLCB4
genes shows another large interaction among themselves. These three network of interaction are
assumed as large association of protein-protein interaction in STRING database among these 57 genes.
However there are small pattern of interaction in some genes as EYA1, EYA4, SIX1, PAX3, MITF, SOX10,
CYLD, EFTU2D, SF3B4, WFS1, TNC, SQSTM1, MFN2, RAD21, SMC3, KRIT1, CCM2 and PDCD10. Figure 1.1
Clusters of significant interaction in 57 genes associated with one phenotypical effect of hearing loss in
multiple dominant syndromes (Fig 1.1 STRING database).
Cellular enrichment components and biological enrichment process
In order to estimate the signal transmission in cell these filtered 115 genes were added to the DAVID
database, among these 115 genes 57 genes are experimentally proved interaction protein-protein
interaction associated genes which are under specific consideration in this research and cellular
enrichment components, as well as the pathway description of each cluster of genes, was procured. Here
we found that our 57 experimentally proved associated genes are present in the largest group of 112
genes with Pathway ID GO: 0044464 involving in cell part pathway to show protein-protein interaction in
the signal transduction in the cell. Here on DAVID database our 57 genes of interest are present in
another large group of 104 genes with Pathway ID GO: 0005622 to show the intracellular pathway .It is
to be noted that among these 57 gene, 56 genes are also present in another large group of 103 genes with
Pathway ID GO:0044424 involving in intracellular part pathway. All of these pathway describes the
intracellular signal transduction in cell. Table 1.2 the whole large group genomic pathway statistic
background is concluded.
The DAVID database also gives biological process descripting that in which biological pathway the group
or sub group of genes are involved. Here it is shown that large no of 108 genes with Pathway ID GO:
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0009987 involved in cellular process with FDR value 2.04×106.The 57 genes ACTG1, BRAF, CCM2,
COL11A1, COL11A2,COL1A1, COL1A2, COL4A3, COL2A1, CYLD, DIAPH1, EDN3, EDNRB, EFTU2D, EYA1,
EYA4, FGF10, FGF18, FGFR1, FGFR2, FGFR3, GATA2, GATA3, GJA1, GJB2, GJB3, GJB6, GNAI3, KITLG,
KRIT1, MAP2K1 ,MCM2, MFN2, MITF, MYH14, MYH9, MYO1A MYO3A, MYO6, PAX3, PDCD10, PLCB4,
PTPN11, RAD21, RAF1, REST, SALL1, SALL4, SF3B4, SIX1, SOX10, SMAD4, SMC3, SQSTM1, TGFB1, TNC,
WFS1 that are associated with unique phenotypical effect hearing loss in all multiple dominant
syndromes most of them are involved in overall biological enrichment process in Gene Ontology (Table
1.3)
Table 1. 2: Gene Ontology behavior of genes: cellular enrichment analysis keeping whole genomic
statistics background (DAVID database)
Cellular Enrichment Components(GO)
Pathway ID Pathway
description
Observed
gene
count
False
discovery rate
Matching protein clusters(labels)
GO: 0044464
Cell part
112
5.19e-05
ACTG1, BRAF, CCM2, COL11A1,
COL11A2,COL1A1, COL1A2, COL4A3,
COL2A1, CYLD, DIAPH1, EDN3, EDNRB,
EFTU2D, EYA1, EYA4, FGF10, FGF18,
FGFR1, FGFR2, FGFR3, GATA2, GATA3,
GJA1, GJB2, GJB3, GJB6, GNAI3, KITLG,
KRIT1, MAP2K1 ,MCM2, MFN2, MITF,
MYH14, MYH9, MYO1A MYO3A, MYO6,
PAX3, PDCD10, PLCB4, PTPN11, RAD21,
RAF1, REST, SALL1, SALL4, SF3B4, SIX1,
SOX10, SMAD4, SMC3, SQSTM1, TGFB1,
TNC, WFS1
GO: 0005622
Intracellular
104
7.86e-05
ACTG1, BRAF, CCM2, COL11A1,
COL11A2,COL1A1, COL1A2, COL4A3,
COL2A1, CYLD, DIAPH1, EDN3, EDNRB,
EFTU2D, EYA1, EYA4, FGF10, FGF18,
FGFR1, FGFR2, FGFR3, GATA2, GATA3,
GJA1, GJB2, GJB3, GJB6, GNAI3, KITLG,
KRIT1, MAP2K1 ,MCM2, MFN2, MITF,
MYH14, MYH9, MYO1A MYO3A, MYO6,
PAX3, PDCD10, PLCB4, PTPN11, RAD21,
RAF1, REST, SALL1, SALL4, SF3B4, SIX1,
SOX10, SMAD4, SMC3, SQSTM1, TGFB1,
TNC, WFS1
GO: 0044424
Intracellular
part
103
7.40e-05
ACTG1, BRAF, CCM2, COL11A1,
COL11A2,COL1A1, COL1A2, COL4A3,
COL2A1, CYLD, DIAPH1, EDNRB,
EFTU2D, EYA1, EYA4, FGF10, FGF18,
FGFR1, FGFR2, FGFR3, GATA2, GATA3,
GJA1, GJB2, GJB3, GJB6, GNAI3, KITLG,
KRIT1, MAP2K1 ,MCM2, MFN2, MITF,
MYH14, MYH9, MYO1A MYO3A, MYO6,
PAX3, PDCD10, PLCB4, PTPN11, RAD21,
RAF1, REST, SALL1, SALL4, SF3B4, SIX1,
SOX10, SMAD4, SMC3, SQSTM1, TGFB1,
TNC, WFS1
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Table 1.3: Gene Ontology (GO): biological enrichment analysis keeping the whole genome as statistical
background for identification of multiple dominant syndromes with common phenotypical effect of
Hearing loss (DAVID databse)
Biological Enrichment Process(GO)
Pathway
ID
Pathway
description
Observed
gene
count
False
discovery
rate
Matching protein (labels)
GO:
0009987
Cellular
process
108
2.04e-06
ACTG1,BRAF,CCM2, COL11A1, COL11A2,
COL1A1, COL1A2, COL4A3, COL2A1, CYLD,
IAPH1, EDN3, EDNRB, EFTU2D, EYA1, EYA4,
FGF10, FGF18, FGFR1, FGFR2, FGFR3, GATA2,
GATA3, GJA1, JB2, GJB3, GJB6, GNAI3,
KITLG,KRIT1, MAP2K1 ,MCM2, MFN2, MITF,
MYH14, MYH9, MYO1A MYO3A, MYO6, PAX3,
PDCD10, PLCB4, PTPN11, RAD21, RAF1, REST,
SALL1, SALL4, SF3B4,SIX1,SOX10, SMAD4, SMC3,
SQSTM1, TGFB1, TNC, WFS1
GO:
0065007
Biological
regulation
98
1.16e-07
BRAF,CCM2,COL11A1,COL11A2,COL1A1,COL1A2,
COL4A3, COL2A1, CYLD,
DIAPH1,EDN3,EDNRB,EYA1, EYA4, FGF10,
FGF18, FGFR1, FGFR2, FGFR3, GATA2, GATA3,
GJA1, GJB2, GJB3, GJB6,GNAI3,KITLG, KRIT1,
MAP2K1 ,MCM2, MFN2, MITF, MYH14, MYH9,
MYO1A MYO3A, MYO6, PAX3, PDCD10, PLCB4,
PTPN11, RAF1, REST, SALL1, SALL4, SIX1, SOX10,
SMAD4, SMC3, TGFB1, TNC, WFS1
GO:
0032501
Multicellular
organismal
process
95
2.66e-24
ACTG1,BRAF,CCM2,COL1A1,COL1A2,
COL4A3,COL2A1,CYLD,DIAPH1,EDN3,
EDNRB,EYA1,EYA4,FGF10, FGF18, FGFR1,
FGFR2,FGFR3,GATA2,GATA3, GJA1, GJB6, GNAI3,
KITLG, KRIT1, MAP2K1 ,MCM2,
MFN2,MITF,MYH14, MYH9, MYO6, PAX3,
PDCD10, PLCB4, PTPN11, RAD21, RAF1, REST,
SALL1, SALL4, SF3B4, SIX1, SOX10,
SMAD4,SMC3,SQSTM1,TGFB1,TNC, WFS1
Gene Network
The network analysis of genes including auditory and vestibular development and system, embryonic
development, organ development, cellular development, connective tissue disorders, auditory diseases,
hereditary disorders, cell morphology and neurological disease but important features is auditory
diseases such as hearing and speech disorder malformation of external and inner ears, pigmentation of
skin, eyes and hairs and others anomalies of ears and eyes are studied which explained three network
but the network with 35 molecules with 13 focus genes is selected with score 27 and p=10-21 in (Fig 1.4 &
Fig 1.5). We rejected rest of two networks as all these networks consists of 35 molecules but the focus
genes no is different among these network, rest of two network have focus genes no 10 and 6 respectively
(Fig 1.3). All of these network are involved in auditory disorder on top, neurological disorders on second
no and hereditary disorder on third no (Fig 1.2). As our focus is to determine genes which are involved in
sensorineural hearing loss or hearing impairment with respect to multiple dominant syndrome, so we
found a very significant interaction in network with the middle nodule Erk1/2 dimer with 20 edges while
10 and 7 edges are connected to Integrin and PLC gamma respectively. Detailed information explains that
FGF10 and FGF18 are located on extracellular space, FGFR1, FGFR2, FGFR3, GJB2, GJB6, GJB3 are located
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on plasma membrane, PTPN11 and MAP2K1 are located on cytoplasm, SALL1 and SIX1 are located in
nucleus. Table 1.4 shows that most of our candidate genes are on plasma membrane. We found that most
of our candidate genes are forming clusters in network (Fig 1.4 & Fig 1.5) which proves that these genes
are directly & indirectly interacting with each other in hearing loss as well as associated syndromes. This
network indicates many others genes are playing some direct and indirect role in hearing loss and
associated syndromes and also pointed out our candidate genes in the treatment of auditory diseases. The
GJB2, GJB6, GJB3 are transporters on plasma membrane and have specific role disease progression.
Similarly FGFR1, FGFR2, FGFR3 are kinase and located on plasma membrane & have a great role in
prognosis, diagnosis and response to therapy. FGF10 and FGF18 are growth factors & located on
extracellular space. IPA network analysis also provides information about upstream analysis, upstream
regulators involved in biological pathways interacting with our candidate genes. Table 1.4 shows that
most of our candidate genes or proteins are present in upstream analysis dataset follow different type of
molecularity pattern. These 13 genes as FGFR1, FGFR2, FGFR3, GJB2, GJB6, GJB3, FGF10, FGF18, PTPN11,
MAP2K1, GJB3, SIX1 and SALL1 are more closely biologically pathway in the auditory disorders with
specific phenotypical effects of hearing impairment, development & morphogenesis of ears (Fig1.7 & 1.8).
Among these 13 genes 11 genes are more predicted inhibited to auditory diseases and human autosomal
dominant deafness (Fig 1. 6, Fig 1.10 & Fig 1.11).The Fig 1.9 shows the MAP (molecule activity predicted )
depicts the downstream and upstream effect of activation & inhibition of molecules in network, most of
molecules in network shows activation as well as inhibition effect.
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Fig-1.1: Clusters of significant interaction of 57 genes associated with one phenotypical effect of hearing loss in
multiple dominant syndromes (STRING database).
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Table-1.3: Most common Upstreaming analysis biological pathway interacted with target genes in
hearing loss.
Upstreaming
Regulators
Molecules Type p-value
overlap
Target molecules in dataset
CTNNB1 Transcription
regulators
1.17E-10 SIX1,SALL1,MITF,GJB2,FGF18
TGFB1 Growth factor 2.26E-10 SIX1,MITF,GJB2,MAP2K1,FGFR1,FGFR2,FGF10
TNF Cytokines 2.27E-09 PTPN11,FGFR1,FGFR2,FGF18,FGF10,MITF
EPHB4 Kinase 3.53E-09 FGFR2
FGF2 Growth factor 7.70E-09 MITF,FGFR1,FGFR2,FGFR3
WNT3A Cytokines 2.12E-08 FGF18,MITF
Trichostatin A Chemical drug 3.65E-08 FGFR1.FGFR3
IFNG Cytokines 3.76E-07 SIX1,PTPN11,GJB2,MITF,MAP2K1
HRAS Enzymes 5.50E-06 GJB2,GJB3
ERS2 Ligand-
dependent
nuclear
receptors
6.07E-06 GJB3,FGFR1
TWIST1 Transcription
regulators
4.00E-06 FGFR2,FGFR3,FGF10
SPDEF Transcription
regulators
2.07E--08 FGFR1
Estrogen
receptor
Group 1.74E-07 GJB3,FGFR2,FGFR3,FGFR1
TGFBR2 Kinase 7.65E-07 GJB2,GJB6
TP53 Transcription
regulators
7.66E-07 GJB3,MAP2K1,PTPN11,FGFR1
KRAS Enzyme 3.29E-06 MAP2K1,FGFR1,FGF10
ESR1 Ligand-
dependent
nuclear
receptors
5.11E-06 SIX1,FGFR2,FGF10
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Fig-1.2: Diseases associated with biological expression analysis keeping view on Hearing loss
Fig-1.3: Biological pathway of three network of candidate genes produced by IPA
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Fig-1.4: significant network of genes produced by IPA (Hearing Loss)
Fig-1.5: significant network of highlightened genes produced by IPA associated with hearing loss
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Fig-1.6: Highlighted the genes associated with auditory diseases Network produced by IPA
Fig-1.7: network of genes involved in development of ears
Fig-1.8: Biological pathway showing morphogenesis of ear produced by IPA
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Fig-1.9: MAP (molecule activity predictor)
Fig-1.10: Auditory diseases & their associated genes biological pathway produced by IPA
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Fig-1.11: Auditory diseases & their associated functional genes biological pathway produced by IPA
(prediction inhibited in all syndromes
IV. DISCUSSION In this study of expression analysis of different autosomal dominant syndromes with one common
phenotypical effect of hearing loss different tissues and cells are examined and biological pathway are
analyzed. These networks and pathways are help us to understanding the role of these candidate genes in
human sensorineural hearing loss and effects of drugs on them. Gene mining from NCBI databases[91] as
well as review of research literature, these genes are filtered by STRING database 115 genes are
selected out of 119 among which we select 57 genes which shows most significant interaction among
themselves and are experimentally proved one, and gene enrichment analysis are performed by DAVID.
At last IPA software is used to predict interaction between most associated genes. Most of these 57 gene
are present biological enrichment process to follow different intracellular pathway to covey the signal
transduction in cell at cellular level. These genes as ACTG1, BRAF, CCM2, COL11A1, COL11A2,COL1A1,
COL1A2, COL4A3, COL2A1, CYLD, DIAPH1, EDN3, EDNRB, EFTU2D, EYA1, EYA4, FGF10, FGF18, FGFR1,
FGFR2, FGFR3, GATA2, GATA3, GJA1, GJB2, GJB3, GJB6, GNAI3, KITLG, KRIT1, MAP2K1 ,MCM2, MFN2,
MITF, MYH14, MYH9, MYO1A MYO3A, MYO6, PAX3, PDCD10, PLCB4, PTPN11, RAD21, RAF1, REST,
SALL1, SALL4, SF3B4, SIX1, SOX10, SMAD4, SMC3, SQSTM1, TGFB1, TNC and WFS1 are involved in all
autosomal dominant syndromes having one common phenotypical effects of hearing loss with other one
medical defects. In DAVID these genes are present in all pathways both in cellular enrichment & biological
process to gives a strong interaction of these genes with one another with respect to hearing loss by
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following the pathway of cellular process, biological regulation, cell part, intracellular process and
multicellular organismal process (Table 1.2 & 1.3). In IPA we upload our 57 genes, where 56 genes are
identified except ACTG1 .By core analysis in IPA (Expression analysis) 3 networks are predicted in which
most significant network is selected (fig 1.3). All of these network are related to auditory disease on its
top functional diseases (Fig 1.2). In IPA software one out of three networks, one network with 35
molecules and 13 focus genes is selected (Fig 1.4 & Fig 1.5). Among these 13 target genes 11 genes are the
genes (Fig 1.6) that showed most significant & functional interaction in IPA with respect to development
of ears (fig1.7) in certain auditory diseases as it is top most predicted disease (Fig 1.2) in all these 3
network. These genes FGFR1, FGFR2, FGFR3, GJB2, GJB6, GJB3, FGF10, PTPN11, GJB3, SIX1 and SALL1 (fig
1.10 & fig 1.11) are located on cytoplasm, nucleus, plasma membrane and extracellular space. These
genes are associated with progressive disease of hearing loss & malfunctioning of ears. In IPA a precise
depiction of upstreaming analysis of target genes showing p-value overlap from7.66×107 to 1.17×1010
having different molecules type as cytokines TNF,INFG and transcription regulators as
TP53,SPDEF,TWIST1 ,Trichostatin A as drug. There are ligand –dependent nuclear receptor as ERS1 and
ERS2.KRAS are HRAS are enzymes. In the IPA selected network among these 13 genes 11 genes are
interacting showing clusters with respect to hearing loss (Fig 1.6 & Fig 1.10). So by expression analysis
we found 11 target genes having functional role in the auditory and vestibular system development as
well as in function of particular system with respect to human deafness. As these genes are involved in
auditory disorders so by this predicted scheme of network we identify their location and can be cured
with possible ways with respect to these target genes. Fig 1.10 & 1.11 shows the precise network of target
genes & their associated auditory syndromes, most of these genes are located on plasma membrane. All of
these auditory syndromes such as sensorineural hearing loss, autosomal dominant deafness,
development of inner ear and external ears, diegenic non-syndromic hearing loss & autosomal non-
syndromic hearing impairment, morphogenesis of ears are all showed more and less confident prediction
inhibition with target 11 genes. (Fig1.10 & Fig 1.11)
IV. CONCLUSION
It is concluded that 57 genes that have significantly interacted in STRING database only 11 genes among
them as FGFR1, FGFR2, FGFR3, GJB2, GJB6, GJB3, FGF10, , PTPN11, GJB3, SIX1 and SALL1(fig 1.10) are
showing significant clusters in the IPA selected network. These genes are involved in hereditary hearing
loss and in malformation of ears at embryonic level. These genes are not only involved in hearing loss but
as well as in certain neurological & connective tissue disorders that affect muscular activity in human.
Through this study we found the core location and relevant genes and their relationship with one other
and with neighboring genes that are involved in common phenotypical effect of hearing loss in multiple
dominant syndromes. To compete this query of health we can use different strategy of gene therapy by
gene editing and a specific technique of CRISPR cas-9 [92].There are several therapies of genome editing
and replacing to treat sensorineural hearing loss, also stem cell therapy is a new strategy and hope in the
treatment of hearing loss to regenerate the cells associated with auditory diseases [93-94].
ACKNOWLEDGEMENTS
Especially thanks to Great supervisor Mirza Jawad Ul Hasnain who helped and guides at every step. All
credits goes to Mirza Jawad Ul Hasnain, without his co-operation it was impossible.
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