Objective
“’Omics” analysis of large datasets has an increasingly important role in perinatal research, but understanding gene expression analyses in the fetal context remains a challenge. We compared the interpretation provided by a widely-used systems biology resource (Ingenuity Pathway Analysis, IPA) to that from Gene Set Enrichment Analysis (GSEA) with functional annotation curated specifically for the fetus (Developmental FunctionaL Annotation at Tufts or DFLAT).
Study Design
Using amniotic fluid supernatant transcriptome datasets previously produced by our group, we analyzed three different developmental perturbations: aneuploidy (Trisomy 21, T21); hemodynamic (twin-twin transfusion syndrome, TTTS); and metabolic (maternal obesity, MAT OB) versus sex and gestational age matched controls. Differentially expressed probe IDs were identified using paired t-tests with the Benjamini-Hochberg correction for multiple testing (BH p<0.05). Functional analyses were performed using IPA and GSEA/DFLAT. Outputs were compared for biological relevance to the fetus.
Results
Compared to controls, there were 414 significantly dysregulated probe IDs in T21 fetuses, 2226 in TTTS recipient twins, and 470 in fetuses of obese women. Each analytic output was unique but complementary. For T21, both IPA and GSEA/DFLAT identified dysregulation of brain, cardiovascular, and integumentary system development. For TTTS, both analytic tools identified dysregulation of cell growth/proliferation, immune and inflammatory signaling, brain, and cardiovascular development. For maternal obesity, both identified dysregulation of immune and inflammatory signaling; brain and musculoskeletal development; and cell death. GSEA/DFLAT identified substantially more dysregulated biological functions in fetuses of obese women (1203 vs. 151). For all three datasets, GSEA/DFLAT provided more comprehensive information about brain development. IPA consistently provided more detailed annotation about cell death. IPA produced many dysregulated terms pertaining to cancer (14 in T21, 109 in TTTS, 26 in MAT OB); GSEA/DFLAT did not.
Conclusion
Interpretation of the fetal AFS transcriptome depends on the analytic program. This suggests that more than one resource should be utilized. Within IPA, physiologic cellular proliferation in the fetus produced many “false positive” annotations pertaining to cancer, reflecting its bias toward adult diseases. This study supports the use of gene annotation resources with a developmental focus, such as DFLAT, for 'omics studies in perinatal medicine.