1. Introduction
In healthy individuals molecular mechanisms regulate normal pathophysiology. Diseases usually cause alteration of such mechanisms which in turn cause functional outcomes. Omics studies aims to fill the gap in our knowledge of understanding of these distinct and common mechanisms.
Recently, it has been noted that male and female sex share some common molecular mechanisms and differ by some others [
1]. Moreover, such mechanisms change with age [
2,
3,
4,
5,
6,
7,
8] and changes present peculiar distinctive traits with sex [
9] and this characteristics belong to many species. In particular, in humans ageing represents the progressive insurgence and accumulation of changes at genomic, proteomic, and epigenomics level related to these changes [
10,
11,
12,
13,
14,
15]. The whole disclosing of such changes may help to develop novel therapies for many diseases which present different characteristics with age and sex [
2,
3,
4,
5,
6,
7,
8,
16,
17].
Consequently, omics studies in individuals should consider as factors both age (e.g. age groups) and sex. Unfortunately, many independent research projects utilizes sex and age usually in an aggregated manners, so results are not aware of these differences [
18].
To disclose molecular mechanism related to sex and age differences, there is the need to integrate heterogeneous data produced by experiments of different laboratories (e.g. omics, epigenomics, and medical images) and, mainly, to provide metadata concernining age and sex [
19,
20,
21].
Research in such area is based on some key points: (i) introduction of publicly available omics databases annotated with age and sex information; (ii) the introduction of standards related to data modelling and exchange; (iii) the development of methods and models for data integration and analysis, also leveraging capabilities from deep learning and artificial intelligence [
22,
23,
24,
25].
Unfortunately, to the best of our knowledge, there exist few databases providing annotated information. A Google query reports such results: GTEx [
26] data portal contains RNA-Seq data annotated with tissue of provenance and sex and age (grouped into six classes) of patients, SAGD contains sex-associated genes differential expression [
27] in multiple species.
Consequently there is the need for the introduction of annotated databases and annotation aware algorithms for the analysis of such data. More recently, the GTEx-Visualizer platform enable
gtexvisualizer.herokuapp.com the query, visualization and analysis at age, sex, and tissue level of GTEx data. In this paper we report the use of GTEX-Visualiser to a general purpose experiment of age and sex analysis.
1.1. Related Work
We here report state of the art databases storing age sex annotated omics data.
The GTEx data portal [
26] is a public available resource which collect data related to whole-genome sequencing and RNA-seq in individuals. It provides metadata such as tissue of provenance, sex, and age (grouped into six classes) of the patients. The current version of the GTEx database (accessed on February 22th, 2023) stores 17382 samples of 54 tissues of 948 donors, see at
https://gtexportal.org/home/tissueSummaryPage. GTEx has a web interface which offers query interfaces and visualisation. In recent years many independent studies used GTEx data to perform ageing-based analysis [
18,
28,
29,
30].
GTEx data portal presents some limitation in age/sex studies since users cannot query data grouped by age or sex, and data are not integrated with existing protein interaction databases. For example, the used who needs to perform analysis at sex/age level has to download the whole database to extract data with own scripts, and this is a significant limitation for the inexperienced user. The second limitation is related to the possibility of reconstructing and studying ageing processes at a network level, which is promising, as demonstrated in some recent works [
8,
12,
31,
32,
33,
34,
12].
SAGD (Sex-Associated Genes Database) [
27] is a public database of sex-associated genes available at
http://bioinfo.life.hust.edu.cn/SAGD. SAGD (accessed on March, 04 2023) contains data of RNA-SEQ of genes presenting difference between males and females in different species. Whenever available, the database also present annotation related to tissue and age (child, fetal, adult). It integrates curated public RNA-seq datasets from multiple species, presenting differential expressio of paired female and male biological replicates from the same condition. It stores identified 2,828 samples of 21 species.
Users can browse SAGs by gene, species, drug and dataset. Main limitations of SAGD is lack of depth in age groups, limitated query possibilities and absence of raw data. Main strengths of the database are the annotations related to targeting drugs, homologs, ontology and related RNA-seq datasets of SAGs.
NOMA-DB [
35] is a framework allowing the query of age related genes based on the GTEx database. Current version of NOMA-DB, available at allows to query and navigate the database by using sex and age information to perform data analysis of genes related to diabetes comorbidities. The framework wraps the GTEx data and it is based on an application logic level on top of such data. The current version enables the analysis of genes by tissue, gene and age, thus it may be used to analyse aging/sex-related molecular mechanisms based on the analysis of expression data.
The AgingAtlas [
36] database, available at
https://ngdc.cncb.ac.cn/aging/index offer data coming from five different experimental platforms: RNA-seq, single-cell transcriptomics, epigenomics, proteomics, and pharmacogenomics. The web interface provides the user to analyse changes in expression profiles at the age level. The database is also available for download. Despite the presence of a protein interaction module, it provides only a search of interactions related to a gene without the possibility of analysis of the networks. Finally, AgingAtlas does not contain tissue-level data.
GenAge [
31]
https://genomics.senescence.info/genes/index.html is a curated database of genes related to ageing in humans. The database, available through a web interface at
https://genomics.senescence.info/genes/index.html offer the possibility to search and analyse genes and related studies. It allows users to analyse the genetic network of a gene or associated pathways. GenAge is a reference database for ageing-related studies, but it does not offer the possibility of discovering other age-related genes or expression profiles. GenAge is part of Human Ageing Genomic Resources (HAGAR), which collects databases and tools for studying ageing [
37]. Similarly to AgingAtlas it does not contain tissue level data.
2. Results
In this section we show some case studies of analysis of sex-age related genes.
2.1. Using NOMA-DB for Studying Gene Changes with Age
In this section we show the use of NOMA-DB for the study of changes of gene expression. We use gene related to type 2 diabetes mellitus (T2DM) comorbidities listed in the T2DiACoD database [
38]. The code of NOMA-DB is available at
https://github.com/roccoscicchitano001/DjangoAPI/tree/main/ui/Gtex-ui, accessed at March 08th 2023. T2DM is a chronic disease [
39] and often presents at least one comorbidity in patients [
40,
41,
42,
43]. Demographic data shows the prevalence of T2DM in male adults over 65 years [
39,
44,
45,
46]. This may suggest the presence of a differential behavior which may be explained at molecular level.
Consequently, we selected a list of 650 genes associated with type 2 diabetes from T2DiACOD database. Then we used NOMA-DB framework for retrieving expression data at tissue level stratified for age and sex.
We accessed the web interface of the NOMA-DB framework and we performed queries for all the tissues by setting following parameters: Tissue - liver, Age Interval - all, Sex - Both. Each parameter has a range of values corresponding to the information of GTEx data portal. Thus user can select one of the tissues present in such database, a specific age interval (or all the age intervals), and the desired sex (or both).
select *
from gtex
where
Tissue=’Liver’
and sex =’M’
and Age=’60-69’;
NOMA-DB returns as output the list of the genes and their expression values and the annotation related to age, tissue and sex as reported in
Figure 2.
Starting from this dataset (which cannot be retrieved by using the query interface of GTEx), user, after downloading it, can perform subsequent analysis, such as retrieving differential expression networks, or finding pattern of co-evolution of genes.
3. Conclusions
In this work we presented a first case study on the use of age-sex annotated data for improving proteomic studies.
Author Contributions
Conceptualization, PHG and PV.; software, UL.; validation, GT BP RG PVi; writing—original draft preparation, PHG.; writing—review and editing, PHG PVe.; visualization, PVe.; project administration, PVi; funding acquisition, PVe All authors have read and agreed to the published version of the manuscript.
Funding
This research was funded by PON-VQA MISE.
Institutional Review Board Statement
Not applicable for studies not involving humans or animals.
Acknowledgments
Authors thank Rocco Scicchitano for his work in developing NOMA-DB.
Conflicts of Interest
The authors declare no conflict of interest.
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