Abstract. Cerebral small vessel disease (CSVD) primarily affects the perforating cerebral arterioles and capillaries, and results in injury to subcortical grey and white matter. Despite advances in determining the genetic basis of CSVD, the molecular mechanisms underlying the development and progression of CSVD remain unclear. The present study aimed to identify significant signaling pathways associated with CSVD based on differential pathway network analysis. Combining CSVD microarray data with human protein-protein interaction data and data from the Reactome pathway database, pathway interactions were constructed using the Spearman's correlation coefficient strategy. Pathway interactions with weight values of >0.95 were selected to construct the differential pathway network, which contained 715 differential pathway interactions covering 312 nodes and was visualized using Cytoscape software. A total of 15 hub pathways with a top 5% degree distribution in the differential pathway network were identified. The top 5 hub pathways were associated with the synthesis and metabolism of fatty acids. The results of the present study indicate that the synthesis and metabolism of fatty acids is associated with the occurrence and development of CSVD, and may thus provide insights to improve the early diagnosis and treatment of CSVD.
IntroductionCerebral small vessel disease (CSVD) predominantly affects the perforating cerebral arterioles and capillaries, and results in injury to subcortical grey and white matter (1). CSVD is associated with focal motor deficits, stroke and cognitive decline, which typically progresses to dementia (2). Genetic studies of CSVD indicate that the development and progression of the disease can be attributed to the accumulation of genomic changes (3). Gene expression profiling has been widely used to research the pathogenesis of diseases, including CSVD. However, despite advances in our knowledge of the genetic basis of CSVD, the underlying molecular mechanisms of the development and progression of CSVD remain unclear.Pathway analysis is a useful tool for gaining insight into the biological functions of genes and proteins (4). Given the complex nature of biological systems, signaling pathways are typically required in order for systems to function in a coordinated fashion to produce the appropriate physiological responses to internal and external stimuli (5). However, previous studies have focused on identifying altered signaling pathways between normal and diseased groups, and common genes between different signaling pathways. For example, a previous study identified differential interactions between two signaling pathways across diseased and normal samples (6). Network-based methods have been used to analyze this interaction data and gain insights into the underlying molecular mechanisms by which biological systems operate (7). Sun et al (8) introduced a network-based approach, differential expression network analysis, which reflects phenotypic differences at a network level. Similarly, in the ...