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      Alzheimer’s disease master regulators analysis: search for potential molecular targets and drug repositioning candidates

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          Abstract

          Background

          Alzheimer’s disease (AD) is a multifactorial and complex neuropathology that involves impairment of many intricate molecular mechanisms. Despite recent advances, AD pathophysiological characterization remains incomplete, which hampers the development of effective treatments. In fact, currently, there are no effective pharmacological treatments for AD. Integrative strategies such as transcription regulatory network and master regulator analyses exemplify promising new approaches to study complex diseases and may help in the identification of potential pharmacological targets.

          Methods

          In this study, we used transcription regulatory network and master regulator analyses on transcriptomic data of human hippocampus to identify transcription factors (TFs) that can potentially act as master regulators in AD. All expression profiles were obtained from the Gene Expression Omnibus database using the GEOquery package. A normal hippocampus transcription factor-centered regulatory network was reconstructed using the ARACNe algorithm. Master regulator analysis and two-tail gene set enrichment analysis were employed to evaluate the inferred regulatory units in AD case-control studies. Finally, we used a connectivity map adaptation to prospect new potential therapeutic interventions by drug repurposing.

          Results

          We identified TFs with already reported involvement in AD, such as ATF2 and PARK2, as well as possible new targets for future investigations, such as CNOT7, CSRNP2, SLC30A9, and TSC22D1. Furthermore, Connectivity Map Analysis adaptation suggested the repositioning of six FDA-approved drugs that can potentially modulate master regulator candidate regulatory units (Cefuroxime, Cyproterone, Dydrogesterone, Metrizamide, Trimethadione, and Vorinostat).

          Conclusions

          Using a transcription factor-centered regulatory network reconstruction we were able to identify several potential molecular targets and six drug candidates for repositioning in AD. Our study provides further support for the use of bioinformatics tools as exploratory strategies in neurodegenerative diseases research, and also provides new perspectives on molecular targets and drug therapies for future investigation and validation in AD.

          Electronic supplementary material

          The online version of this article (10.1186/s13195-018-0394-7) contains supplementary material, which is available to authorized users.

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          Most cited references67

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          The transcriptional network for mesenchymal transformation of brain tumors

          Inference of transcriptional networks that regulate transitions into physiologic or pathologic cellular states remains a central challenge in systems biology. A mesenchymal phenotype is the hallmark of tumor aggressiveness in human malignant glioma but the regulatory programs responsible for implementing the associated molecular signature are largely unknown. Here, we show that reverse-engineering and unbiased interrogation of a glioma-specific regulatory network reveal the transcriptional module that activates expression of mesenchymal genes in malignant glioma. Two transcription factors (C/EBPβ and Stat3) emerge as synergistic initiators and master regulators of mesenchymal transformation. Ectopic co-expression of C/EBPβ and Stat3 reprograms neural stem cells along the aberrant mesenchymal lineage whereas elimination of the two factors in glioma cells leads to collapse of the mesenchymal signature and reduces tumor aggressiveness. In human glioma, expression of C/EBPβ and Stat3 correlates with mesenchymal differentiation and predicts poor clinical outcome. These results reveal that activation of a small regulatory module is necessary and sufficient to initiate and maintain an aberrant phenotypic state in cancer cells.
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            The road to restoring neural circuits for the treatment of Alzheimer's disease.

            Alzheimer's disease is a progressive loss of memory and cognition, for which there is no cure. Although genetic studies initially suggested a primary role for amyloid-in Alzheimer's disease, treatment strategies targeted at reducing amyloid-have failed to reverse cognitive symptoms. These clinical findings suggest that cognitive decline is the result of a complex pathophysiology and that targeting amyloid-alone may not be sufficient to treat Alzheimer's disease. Instead, a broad outlook on neural-circuit-damaging processes may yield insights into new therapeutic strategies for curing memory loss in the disease.
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              The Aging Brain

              Aging is accompanied by cognitive decline in a major segment of the population and is the primary risk factor for Alzheimer's disease and other prevalent neurodegenerative disorders. Despite this central role in disease pathogenesis and morbidity, the aging of the brain has not been well understood at a molecular level. This review seeks to integrate what is known about age-related cognitive and neuroanatomical changes with recent advances in understanding basic molecular mechanisms that underlie aging. An important issue is how normal brain aging transitions to pathological aging, giving rise to neurodegenerative disorders. Toxic protein aggregates have been identified as potential contributory factors, including amyloid β-protein in Alzheimer's disease, tau in frontotemporal dementia, and α-synuclein in Parkinson's disease. However, current models of pathogenesis do not explain the origin of the common sporadic forms of these diseases or address the critical nexus between aging and disease. This review discusses potential approaches to unifying the systems biology of the aging brain with the pathogenesis of neurodegeneration.
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                Author and article information

                Contributors
                +55 51 3308-5556 , daianimv@gmail.com
                tyrev@hotmail.com
                erzimmer@gmail.com
                klamtf@gmail.com
                Journal
                Alzheimers Res Ther
                Alzheimers Res Ther
                Alzheimer's Research & Therapy
                BioMed Central (London )
                1758-9193
                23 June 2018
                23 June 2018
                2018
                : 10
                : 59
                Affiliations
                [1 ]ISNI 0000 0001 2200 7498, GRID grid.8532.c, Laboratory of Cellular Biochemistry, Biochemistry Department, Institute of Health Sciences (ICBS), , Federal University of Rio Grande do Sul (UFRGS), ; Porto Alegre, RS 90035-003 Brazil
                [2 ]ISNI 0000 0001 2200 7498, GRID grid.8532.c, Pharmacology Department, Institute of Health Sciences (ICBS), , Federal University of Rio Grande do Sul (UFRGS), ; Porto Alegre, RS 90035-003 Brazil
                [3 ]ISNI 0000 0001 2166 9094, GRID grid.412519.a, Brain Institute of Rio Grande do Sul (BraIns), , Pontifical Catholic University of Rio Grande do Sul (PUCRS), ; Porto Alegre, RS 90619-900 Brazil
                [4 ]ISNI 0000 0001 2189 2026, GRID grid.450640.3, National Science Technology Institute for Translational Medicine (INCT-TM), National Council for Scientific and Technological Development (CNPq), ; Porto Alegre, Brazil
                Author information
                http://orcid.org/0000-0002-1487-5786
                Article
                394
                10.1186/s13195-018-0394-7
                6015462
                29935546
                431ddef9-979c-4f33-87e5-9e785d748bc2
                © The Author(s). 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 21 February 2018
                : 30 May 2018
                Funding
                Funded by: CNPq/MS/SCTIE/DECIT
                Award ID: 466989/2014-8
                Funded by: INCT-TM/CNPq/FAPESP
                Award ID: #465458/2014-9
                Categories
                Research
                Custom metadata
                © The Author(s) 2018

                Neurology
                alzheimer’s disease,hippocampus,transcriptional regulatory network reconstruction,master regulators,drug repositioning,transcription factors

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