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      Caveolin 1 Modulates Aldosterone‐Mediated Pathways of Glucose and Lipid Homeostasis

      research-article
      , MD 1 , 3 , , PhD 1 , , PhD 1 , , MD 1 , , MD 2 , , MD 4 , , MD 5 , , MD 6 , , PhD 1 , , MD 1 , , MD, PhD 2 , , MD, PhD 1 , , MD 1 , , PhD 1 ,
      Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
      John Wiley and Sons Inc.
      aldosterone, caveolin 1, dyslipidemia, eplerenone, insulin resistance, mineralocorticoid receptor, Translational Studies, Ion Channels/Membrane Transport, Cell Signalling/Signal Transduction, ACE/Angiotension Receptors/Renin Angiotensin System, Lipids and Cholesterol

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          Abstract

          Background

          Overactivation of the aldosterone and mineralocorticoid receptor ( MR) pathway is associated with hyperglycemia and dyslipidemia. Caveolin 1 (cav‐1) is involved in glucose/lipid homeostasis and may modulate MR signaling. We investigated the interplay between cav‐1 and aldosterone signaling in modulating insulin resistance and dyslipidemia in cav‐1–null mice and humans with a prevalent variant in the CAV1 gene.

          Methods and Results

          In mouse studies, cav‐1 knockout mice exhibited higher levels of homeostatic model assessment of insulin resistance, cholesterol, and resistin and lower ratios of high‐ to low‐density lipoprotein (all P<0.001 versus wild type). Moreover, cav‐1 knockout mice displayed hypertriglyceridemia and higher mRNA levels for resistin, retinol binding protein 4, NADPH oxidase 4, and aldose reductase in liver and/or fat tissues. MR blockade with eplerenone significantly decreased glycemia ( P<0.01), total cholesterol ( P<0.05), resistin ( P<0.05), and described enzymes, with no effect on insulin or triglycerides. In the human study, we analyzed the CAV1 gene polymorphism rs926198 in 556 white participants; 58% were minor allele carriers and displayed higher odds of insulin resistance (odds ratio 2.26 [95% CI 1.40–3.64]) and low high‐density lipoprotein (odds ratio 1.54 [95% CI 1.01–3.37]). Aldosterone levels correlated with higher homeostatic model assessment of insulin resistance and resistin and lower high‐density lipoprotein only in minor allele carriers. CAV1 gene expression quantitative trait loci data revealed lower cav‐1 expression in adipose tissues by the rs926198 minor allele.

          Conclusions

          Our findings in mice and humans suggested that decreased cav‐1 expression may activate the effect of aldosterone/ MR signaling on several pathways of glycemia, dyslipidemia, and resistin. In contrast, hyperinsulinemia and hypertriglyceridemia are likely mediated by MR‐independent mechanisms. Future human studies will elucidate the clinical relevance of MR blockade in patients with genotype‐mediated cav‐1 deficiency.

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          Most cited references54

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          Retinol-binding protein 4 and insulin resistance in lean, obese, and diabetic subjects.

          Insulin resistance has a causal role in type 2 diabetes. Serum levels of retinol-binding protein 4 (RBP4), a protein secreted by adipocytes, are increased in insulin-resistant states. Experiments in mice suggest that elevated RBP4 levels cause insulin resistance. We sought to determine whether serum RBP4 levels correlate with insulin resistance and change after an intervention that improves insulin sensitivity. We also determined whether elevated serum RBP4 levels are associated with reduced expression of glucose transporter 4 (GLUT4) in adipocytes, an early pathological feature of insulin resistance. We measured serum RBP4, insulin resistance, and components of the metabolic syndrome in three groups of subjects. Measurements were repeated after exercise training in one group. GLUT4 protein was measured in isolated adipocytes. Serum RBP4 levels correlated with the magnitude of insulin resistance in subjects with obesity, impaired glucose tolerance, or type 2 diabetes and in nonobese, nondiabetic subjects with a strong family history of type 2 diabetes. Elevated serum RBP4 was associated with components of the metabolic syndrome, including increased body-mass index, waist-to-hip ratio, serum triglyceride levels, and systolic blood pressure and decreased high-density lipoprotein cholesterol levels. Exercise training was associated with a reduction in serum RBP4 levels only in subjects in whom insulin resistance improved. Adipocyte GLUT4 protein and serum RBP4 levels were inversely correlated. RBP4 is an adipocyte-secreted molecule that is elevated in the serum before the development of frank diabetes and appears to identify insulin resistance and associated cardiovascular risk factors in subjects with varied clinical presentations. These findings provide a rationale for antidiabetic therapies aimed at lowering serum RBP4 levels. Copyright 2006 Massachusetts Medical Society.
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            The Architecture of Gene Regulatory Variation across Multiple Human Tissues: The MuTHER Study

            Introduction Gene expression is an essential cellular function whose regulation determines a significant proportion of the phenotypic variance. Using microarrays and recently second generation sequencing (RNA-seq) [1], [2], major progress has been made in understanding the genetics of human gene expression and identifying loci that drive differential expression across individuals [3], [4], populations [5]–[7] and tissues [7]–[11]. This development is especially valuable for the biological analysis of genome-wide association (GWAS) signals [12], which often map to non-genic regions and are thus hard to interpret in the absence of additional information [13]. Transcript abundance is a very proximal endophenotype affected by genetic variation and has already facilitated the identification of candidate susceptibility genes for metabolic disease traits [14], asthma [15] or Crohn's disease [16]. This has been mostly possible when the tissue of expression was relevant to the interrogated complex trait, as disease phenotypes manifest themselves only in certain tissues. eQTLs discovered in LCLs have primarily helped explain GWAS associations with immunity-related disorders [17], [18] while associations with obesity-related traits were mostly observed when gene expression was quantified in adipose tissue [9]. Nevertheless, our guess of tissue relevance is yet far from satisfactory [19], reinforcing thus the incontestable value of measuring expression in multiple cell-types (including primary tissues reflecting in vivo patterns). Transcriptional regulatory networks are expected to dictate tissue-specificity of regulatory effects [20], but the extent of this is still under debate. Depending on the cell-types compared and the eQTL discovery methods used, current estimates for tissue-specificity of eQTLs range from ∼30% (liver, adipose tissue) [21] to 70–80% (LCL, fibroblasts, T cells) [7]. In this study we investigated various aspects of tissue-specificity and we emphasize the importance of accounting not only for statistical significance but also for continuous biological properties of regulatory variants, such as fold change in expression. We explored the complexity of the human cis-regulatory variation landscape in three tissues (LCL, skin and fat) derived from a subset of female Caucasian twins aged between 40 and 87 years old (mean 62 years) from the UK Adult Twin registry [22]. The present study represents the pilot phase of the MuTHER project (Multiple Tissue Human Expression Resource—http://www.muther.ac.uk/), a major resource initiated to enhance our knowledge about common trait susceptibility by providing genome-wide expression, methylation and eventually transcriptome sequencing information for 855 extensively phenotyped twins (clinical, anthropometric, life-style information as well as a wide range of biological measurements are available). Results Gene expression was quantified in LCL, skin and fat using Illumina's whole genome expression array (HumanHT-12 version 3) containing 48,803 probes in three technical replicates [E-MTAB-522]. Log2 - transformed expression signals were normalized separately per tissue by quantile normalization across replicates followed by quantile normalization across individuals. 27,499 probes mapping uniquely to 18,170 Ensembl genes were retained for further analysis. The same individuals had also been genotyped with Illumina's 1M-Duo and 1.2M-Duo chips; 865,544 SNPs with MAF>1% passed quality check (QC). The overlapping set of successfully genotyped samples with available expression data amounted to 156 individuals for LCL (30 MZ pairs, 37 DZ pairs, 22 singletons), 160 for skin (31 MZ pairs, 37 DZ pairs, 24 singletons) and 166 for fat (31 MZ pairs, 40 DZ pairs, 24 singletons). This final dataset was used for eQTL analysis. We tested for SNP-gene expression associations (eQTLs) separately in each tissue. We considered only unrelated individuals at a time by separating twins from the same pair and thus performing two independent eQTL analyses per tissue. This study design, hereafter named Matched Co-Twin Analysis (MCTA), permits immediate replication and validation of eQTL discoveries. We used Spearman Rank Correlation (SRC) to detect associations and restricted our search to cis effects located within 1Mb on either side of a gene's transcription start site (TSS). Statistical significance was assessed at different thresholds using permutations (10,000 per gene) [5]. We detected an abundance of cis eQTLs (Table S1A) per tissue at a comparable rate to other studies of similar sample size [5], [7]. The reported eQTLs appear robust as they replicate well between individuals of the two co-twin groups per tissue. We measured the eQTL overlap in a continuous fashion by taking the significant SNP-gene associations from one co-twin set and estimating the proportion of true associations (π1 statistic [23], see Materials and Methods) on the distribution of corresponding p-values in the reciprocal co-twin validation set. High levels of eQTL replication were observed across co-twins, with a mean π1 of 0.93 in skin and 0.98 in LCL and fat (Table 1). We also measured the estimated proportion of true positives among the subset of genes that did not replicate in the co-twin at the same threshold. This too is high (π1 = 0.84 for skin and 0.94 for LCL and fat), suggesting that exact overlap of genes at a given permutation threshold (PT) is an underestimate of eQTL replication due to winner's curse. In other words, we detected eQTLs in the co-twin that clearly replicated the initial findings, but at p-values that marginally missed the initial discovery threshold. To further confirm the robustness of our discoveries, we overlapped the MuTHER LCL results with available eQTL data from two recent independent studies. 40% of the genes for which we detect LCL eQTLs overlap with eQTLs detected in HapMap 3 samples of European ancestry (CEU) (Stranger et al. submitted). Likewise, 36% of the cis associations detected by Gibson et. al. in leukocytes derived from 194 southern Moroccan individuals [24] overlap with genes reported in our study. Given the differences in gender distribution, sample preparation or even cell-type tested (LCL versus leukocytes) across these studies, the gene overlap observed is reassuring. 10.1371/journal.pgen.1002003.t001 Table 1 Cis eQTL discoveries (number of genes) per tissue at 10−3 PT. Number of significant genes at 10−3 PT SRC analysis SRC-FA analysis Twin 1 Twin 2 Shared Replication (Mean π1) Twin 1 Twin 2 Shared Replication (Mean π1) LCL 509 556 363 0.98 1064 1220 781 0.97 SKIN 238 231 132 0.93 532 542 338 0.95 FAT 462 488 304 0.98 1052 1070 735 0.97 Results from both the Spearman Rank Correlation (SRC) and Factor Analysis (SRC-FA) presented. Proportion of replicating signals calculated as the mean co-twin π1 estimates from the p-value distribution of same SNP-gene associations in the reciprocal twin set. The observed variation in gene expression is not entirely due to genetic effects. Experimental noise and environmental conditions also affect transcript levels in a global manner. Therefore, it is desirable to remove the effects of such random variables and thus increase the power to detect eQTLs. For this purpose, we employed factor analysis (FA) on each tissue separately and corrected for global latent effects on all individuals in each tissue [25]. We fitted various parameters such as number of learned factors and proportion of variance explained, in order to maximize for replication of eQTLs per tissue between twin sets. After performing standard SRC eQTL analysis on the factor-corrected expression data (SRC-FA), we obtained a substantial improvement in eQTL discovery at each of the standard permutation thresholds used (Table S1B). The improvement (twice as many eQTLs at 10−3 PT) is consistent in all tissues. The high eQTL replication between twin sets persists after FA, with an additional improvement of true positives detection in skin: π1 = 0.95 (Table 1). As expected, FA correction recovers the majority of the eQTLs discovered with the initial analysis (90% of LCL and fat and 80% of skin) ensuring that proximal genetic effects have not been corrected out. The FA correction enabled the discovery of additional signals (Table S2) likely representing real effects that could not be detected initially due to low power. This is supported by the significant overrepresentation of low association p-values (π1 = 0.99, Figure 1) estimated in the uncorrected data for eQTLs detected only after FA correction. 10.1371/journal.pgen.1002003.g001 Figure 1 P-value distribution of cis eQTLs (10−3 PT) gained with FA correction in the uncorrected data. The significant overrepresentation of low p-values for the new eQTLs (π1 = 0.99) shows that the signal existed in the uncorrected data but wasn't called significant due to low power. In each tissue, the exact SNP-gene combinations (eQTLs) tested are presented for both co-twin sets (Twin 1—first column, Twin 2—second column). Direct tissue overlap of significant eQTLs supports an extensive level of tissue-specificity for the three tissues, with very similar proportions in both the SRC and SRC-FA analyses (Figure 2). In the first co-twin set we discovered 858 eQTL genes (non-redundant union) at 10−3 PT in all three tissues (Table 2). Of these, 106 genes (12.35%) are shared across all tissues, 139 (16.2%) are shared in at least two tissues and 613 genes (71.44%) are detected in only one tissue. In skin we detect proportionally fewer tissue-specific effects (10.02% of skin eQTLs are specific to skin at 10−3 PT), an observation likely due to tissue heterogeneity and larger variety of present cell-types. SRC-FA results confirm the estimated ∼30% of eQTLs to be shared in at least two tissues based on threshold eQTL discovery (Table S3). 10.1371/journal.pgen.1002003.g002 Figure 2 Proportion of tissue shared and tissue-specific eQTLs (10−3 PT) from the SRC analysis and SRC-FA respectively. Both methods reveal similarly high extents of tissue-specificity. Skin specific eQTLs of smaller effects are harder to detect due to low power. 10.1371/journal.pgen.1002003.t002 Table 2 Tissue-shared and tissue-specific gene associations (10−3 PT), SRC analysis. Twin 1 Twin 2 10−3 PT % total Overlap 10−3 PT % total 3 tissues LCL-SKIN-FAT 106 12.35 78 102 11.02 2 tissues only LCL-SKIN 19 2.21 4 12 1.29 LCL-FAT 93 10.84 52 107 11.56 SKIN-FAT 27 3.15 11 26 2.81 1 tissue only LCL 291 33.92 150 335 36.18 SKIN 86 10.02 17 91 9.82 FAT 236 27.50 103 253 27.32 Total significant LCL 509 363 556 SKIN 238 132 231 FAT 462 304 488 Union of total significant 858 100 563 926 100 Tissue-specific effects are largely not due to tissue-specific expression of the underlying transcripts. We detected regulatory variants active only in one tissue for genes that are expressed at high levels in the other two tissues (Figure S1). The strength of tissue-specificity was investigated further by performing a joint repeated-measures ANOVA analysis with the tissue modelled as a categorical predictor variable (i.e. tissue type comprised the repeated measure). We assessed the relationship to the genotype by inspecting the SNP×tissue interaction p-value term. As expected, we detected a large enrichment of significant SNP×tissue interaction p-values for all associations (π1 = 0.56) with tissue-specific effects having higher enrichment (π1 = 0.6) than shared ones (π1 = 0.41) (Figure S2). The enrichment in the shared category suggests additional attributes of tissue-specificity beyond statistical significance, as presented in the succeeding fold change analysis. The direction of allelic effects for shared eQTLs (10−3 and 10−2 PT) is consistent across the three given tissues (Figure S3). As expected, for eQTLs significant in one tissue only the SRC correlation coefficient rho (reflecting direction and magnitude of effects) explains a substantially higher fraction of gene expression variation in the tissue of discovery compared to the other two tissues (identical SNP-gene associations - Figure S4). On the other hand, the amount of expression variance explained by shared eQTLs (10−3 PT) is comparable across tissues. To refine regulatory signals and describe independently acting variants, we mapped eQTLs to recombination hotspot intervals and filtered markers in high LD (Materials and Methods). We found that ∼7% of the genes tested are regulated by more than one independent cis eQTL, with similar estimates obtained from the standard and factor eQTL analysis (Figure S5). For finer comparison of eQTL effects, we conducted an analysis where sharing was required for both the gene and the genomic interval harboring the eQTL. This analysis yielded similar counts of tissue-shared and specific effects (Tables S4, S5), suggesting that the vast majority of shared genes also share regulatory variants across tissues. Furthermore, as shown previously [7], we observed that eQTLs cluster symmetrically around the TSS, with shared effects being distributed tightly around the TSS and tissue-specific effects spanning a greater range of distances (Figures S6, S7). The results described so far are based on thresholds, which are driven by statistical significance. Overlaps at these levels are heavily dependent on power and affected by winner's curse. In addition, eQTLs sharing statistical significance may still have notable effect differences on gene expression levels across tissues, with potentially different biological consequences. Given these caveats, we examined tissue-specificity in a continuous manner by quantifying the proportion of true positives estimated from the enrichment of low p-values (π1). Specifically, the p-value distribution of significant SNP-probe pairs (10−3 PT) from a reference tissue was investigated in the other two tissues. The p-value distribution in the other tissues indicates a high degree of tissue sharing (53 to 80%) both with the SRC and SRC-FA, varying slightly depending on the reference tissue in the comparison (Table S6). This suggests that there are effect size differences (both fold change and amount of variance explained) among tissues for the same regulatory variants, which is the basis for the previously described higher eQTL tissue-specificity estimates [7]. Overall, 29% of eQTLs (1-mean π1) are estimated with the continuous approach to be tissue-specific, when comparing the three tissues studied. As described above, tissue overlap of eQTLs should encompass not only sharing of a statistically significant regulatory effect, but also a similar effect size (fold change in expression) of that variant across tissues. In this respect, we report the fold change as the difference between the gene expression means of the heterozygous and major homozygous genotypic classes. Within the same tissue, the two co-twin sets are only slightly different in their fold change estimates. These minor differences reflect most probably the winner's curse effect (0.96 Pearson's correlation of fold change between Twin 1 and Twin 2 in LCL, 0.93 in skin and 0.93 in fat - Figure 3, Figures S8, S9). The difference in estimated effect size is much more apparent however across tissues (e.g. LCL eQTLs have a 0.69 and 0.77 fold change correlation with skin and fat eQTLs respectively, skin eQTLs have a 0.69 fold change correlation with fat eQTLs). This is largely a consequence of eQTL tissue-specificity, but a small effect of winner's curse is also expected (as observed in the comparison of co-twin sets). Furthermore, additional possible hidden tissue-specific effects are implied by the fact that shared eQTLs (at the same threshold of significance) don't always share the same effect size across tissues (LCL fold change correlation of 0.78 in skin and 0.84 in fat for shared eQTLs i.e. up to 20% difference in fold change magnitude between tissues compared to within-tissue difference). This suggests that even statistically tissue-shared eQTLs have additional dimensions of tissue-specificity and their mere discovery in multiple tissues does not guarantee similar magnitude of consequences. 10.1371/journal.pgen.1002003.g003 Figure 3 Fold change within twins and across tissues for LCL eQTLs (10−3 PT, SRC) discovered in Twin 1. The plotted fold change on the X-and Y-axes was calculated as the difference in mean expression of the heterozygous and major homozygous genotypic classes. For each pairwise tissue comparison, the Pearson's correlation coefficient between fold changes is shown. Discussion We have performed eQTL analysis in one cell-line (LCL) and two primary tissues of clinical importance (skin – previously uncharacterized and fat). For each tissue we report robust eQTLs replicating in independent samples with identical (MZ) or on average 50% similar (DZ) genetic background using a matched co-twin design (MCTA). To further increase our power to detect eQTLs and uncover smaller genetic effects, we applied factor analysis accounting for global variance components in the data. We refined our signals to detect independently acting cis eQTLs and for most genes we found single associated regulatory variants. When these variants are shared across tissues, they also share the same direction of allelic effects and map to the same recombination hotspot interval. Using threshold-based criteria, tissue overlap of eQTLs supports a large degree of tissue-specificity for the three tissues studied. However, this estimate is dependent on power and we therefore put forth a continuous measure of tissue-specificity that provides a refined view of the decay of statistical significance as well as fold change effect on gene expression. Using this approach we observed a significant overrepresentation of low p-values in all pairwise tissue comparisons, indicating larger proportions of shared statistically significant regulatory effects, some yet to be discovered with bigger sample sizes. However, we also observed significant eQTLs at the same threshold exhibiting differential fold changes in expression between genotypes across tissues. These cases represent tissue-specific effects as well, since differential fold change in expression is likely to have different biological consequences. Overall biological interpretation of regulatory effects - much like in the case of complex traits – is tissue-dependent, highlighting the value of multiple tissue expression datasets. Understanding such complexities and context-dependent effects in the genetic architecture of gene expression and other cellular phenotypes is essential for the interpretation of the biological properties of disease causing variants. Materials and Methods All samples and information were collected with written and signed informed consent. The project has been approved by the local ethics committees of all institutions involved. Sample collection All individuals recruited in this study were Caucasian female twins aged between 40 and 87 years old (mean age 62). Skin punch biopsies (N = 196) were taken from a relatively photo-protected area adjacent and inferior to the umbilicus. The fat sample was then carefully dissected from the same skin biopsy incision. A peripheral blood sample to generate lymphoblastoid cell lines (LCL) was taken contemporaneously. For a full description of the biopsy technique see Text S1. Gene expression measurements and genotyping RNA levels were measured in LCL, skin and fat using Illumina's whole-genome expression array HumanHT-12 version 3 as previously described [5]. Each sample had three technical replicates. Illumina's v3 probes were mapped to unique Ensembl gene IDs by combining and cross-checking two methods. The first approach used Illumina's probe annotation to RefSeq IDs. These were further queried with BioMart (Ensembl 54) for corresponding Ensembl genes. RefSeq IDs mapping to multiple EnsGenes were excluded. The second approach used BLAT to map the 50-mer probe sequences to Ensembl transcripts and to extract genomic locations matching for all 50 bases of the probe sequence. Probes with unique perfect match to the genome and corresponding transcripts matching to the same genes were kept. The union of the two mappings after excluding 196 conflictingly matching probes resulted in 27,499 probes corresponding to 18,170 autosomal genes available for association analysis. Genotyping has been performed in parallel using Illumina's 1M-Duo and 1.2M-Duo custom chips on different subsets of individuals. Before further filtering, there were 106 samples with call rate (CR)≥0.90 on the 1.2M and 88 samples with CR≥0.90 on the 1M chip. Combined intensity files were created for Illuminus [26] by retaining on a per-chromosome basis only SNPs common to both chips. Additionally, any SNPs that moved position between the two chips were removed. Following further quality checks (Hardy-Weinberg p>10−4, MAF>1%), 865,544 SNPs were kept for analysis. The overlapping set of successfully genotyped samples with available expression data amounted to 156 (LCL), 160 (skin) and 166 (fat) individuals. Post-experimental normalization of gene expression data Log2 - transformed expression signals were normalized separately per tissue as follows: quantile normalization was performed across the 3 replicates of each individual followed by quantile normalization across all individuals. Genotype-gene expression associations and multiple testing correction The eQTL analysis was done separately for each tissue. Within each tissue, twins from the same pair were separated by id in two samples analyzed independently. This separation resulted in the following sample size for LCL, skin and fat respectively: Twin 1 (74, 76, 79) and Twin 2 (82, 84, 87). Associations between SNP genotypes and normalized expression values were conducted using Spearman Rank Correlation (SRC). We considered only SNPs in cis, i.e. within a 1MB window from the TSS. We assess the statistical significance of the nominal associations using permutations as previously described [5]. We call an eQTL significant at 10−3 permutation threshold (PT) if the nominal association P-value is greater than the 0.001 tail of the minimal P-value distribution resulting from the SNP's associations with 10,000 permuted sets of expression values for each gene. Factor analysis We applied a Bayesian factor analysis model [25] to the expression data in each tissue. This approach uses an unsupervised linear model to account for global variance components in the data, and yields a residual expression dataset that can be used in further analysis. We tested a wide range of parameter settings for the model, controlling the amount of variance explained by it. This was achieved by setting the parameters of the prior distributions for gene expression precision (inverse variance) and factor weight precision. These random variables are modelled using Gamma distributions, thus we varied their natural exponential family parameters - the prior mean and number of prior observations. We varied the prior mean from 10−6 to 10−2, and number of prior observations from N*10−3 to N, where N is the number of observations from data, and learned 120 latent factors. In the subsequent analysis, we used for each tissue the residual dataset that gave the best eQTL overlap between the two twin samples. The prior values used for each dataset are given in Table S7. The eQTL analysis on the corrected expression data was performed identically to the standard analysis: SRC followed by permutation testing. Proportion of true positives from p-value distribution For quantifying eQTL replication and tissue sharing in a continuous way, we used Storey's QVALUE software [23] (implemented in the R package qvalue 1.20.0, default recommended settings). The program takes a list of p-values and computes their estimated π0 - the proportion of features that are truly null - based on their distribution (the assumption used is that p-values of truly alternative cases tend to be close to zero, while p-values of null features will be uniformly distributed among [0,1]). The quantity π1 = 1−π0 estimates the lower bound of the proportion of truly alternative features, i.e. the proportion of true positives (TP). Replication and sharing between two samples is reported as the proportion of TP (π1) estimated from the p-value distribution of independent eQTLs discovered in sample 1 in the second sample (exact SNP-probe combinations are tested). Recombination hotspot interval mapping and LD filtering We refined the eQTL signals in order to characterize likely independent effects per gene. For this purpose, we mapped all common autosomal SNPs to recombination hotspot intervals as defined by McVean et.al [27]. We map significant eQTLs to recombination hotspot intervals and save the most significant SNP per gene. For each gene, SNPs resulting from this mapping are in addition filtered for LD in a pairwise manner (for each pair with D′>0.5 the least significant SNP is ignored). This filtering ensures that true shared effects (interval-gene combinations) are compared and not just genes. Supporting Information Figure S1 Median expression values of tissue-specific genes in the tissue of discovery and the other two tissues. Tissue-specific effects are not restricted to genes expressed in a tissue-specific manner. (TIFF) Click here for additional data file. Figure S2 SNP×tissue interaction p-value from repeated measures ANOVA for all, shared and tissue-specific eQTLs respectively. Greater enrichment of significant SNP×tissue p-values is observed for tissue-restricted effects. (TIFF) Click here for additional data file. Figure S3 eQTLs (10−2 PT, SRC) shared in all three tissues tested have the same direction of allelic effect (SRC rho) across tissues. (TIFF) Click here for additional data file. Figure S4 Cumulative SRC rho distribution across tissues for tissue-specific and shared eQTLs (10−3 PT, Twin1). eQTLs discovered in one tissue only have distinctively higher variance in the tissue of discovery compared to shared effects. (TIFF) Click here for additional data file. Figure S5 Most regulatory signals come from single independent eQTLs (SRC, 10−2 PT). (TIFF) Click here for additional data file. Figure S6 Distribution of independent cis eQTLs (10−3 PT, SRC) around TSS, Twin 1. (TIFF) Click here for additional data file. Figure S7 Distribution of independent cis eQTLs gained with FA correction (10−3 PT) around TSS, Twin 1. (TIFF) Click here for additional data file. Figure S8 Fold change within twins and across tissues for SKIN eQTLs (10−3 PT, SRC) discovered in Twin 1. Fold change was calculated as the difference in mean expression of the heterozygous and major homozygous genotypic classes. For each pairwise tissue comparison, the Pearson's correlation coefficient between fold changes is shown. (TIFF) Click here for additional data file. Figure S9 Fold change within twins and across tissues for FAT eQTLs (10−3 PT, SRC) discovered in Twin 1. Fold change was calculated as the difference in mean expression of the heterozygous and major homozygous genotypic classes. For each pairwise tissue comparison, the Pearson's correlation coefficient between fold changes is shown. (TIFF) Click here for additional data file. Table S1 Cis eQTL associations with SRC and SRC-FA. (DOC) Click here for additional data file. Table S2 eQTL recovery with FA. FA correction recovers the majority of eQTLs from the SRC analysis and adds twice as many discoveries. (DOC) Click here for additional data file. Table S3 Tissue-shared and tissue-specific gene associations (10−3 PT), SRC-FA. (DOCX) Click here for additional data file. Table S4 Tissue-shared and tissue-specific interval-gene associations (10−3 PT), SRC analysis. (DOC) Click here for additional data file. Table S5 Tissue-shared and tissue-specific interval-gene associations (10−3 PT), SRC-FA. (DOC) Click here for additional data file. Table S6 Continuous estimates of tissue sharing by enrichment of low p-values (π1) of reference eQTLs (SNP-probes 10−3 PT) in the other two secondary tissues. (DOC) Click here for additional data file. Table S7 FA weight and noise prior values used for each tissue. (DOC) Click here for additional data file. Text S1 Biopsy technique protocol. (DOC) Click here for additional data file.
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              Caveolin-1-deficient mice are lean, resistant to diet-induced obesity, and show hypertriglyceridemia with adipocyte abnormalities.

              Caveolae organelles and caveolin-1 protein expression are most abundant in adipocytes and endothelial cells. Our initial report on mice lacking caveolin-1 (Cav-1) demonstrated a loss of caveolae and perturbations in endothelial cell function. More recently, however, observation of the Cav-1-deficient cohorts into old age revealed significantly lower body weights, as compared with wild-type controls. These results suggest that Cav-1 null mice may have problems with lipid metabolism and/or adipocyte functioning. To test this hypothesis directly, we placed a cohort of wild-type and Cav-1 null mice on a high fat diet. Interestingly, despite being hyperphagic, Cav-1 null mice show overt resistance to diet-induced obesity. As predicted, adipocytes from Cav-1 null null mice lack caveolae membranes. Early on, a lack of caveolin-1 selectively affects only the female mammary gland fat pad and results in a near complete ablation of the hypo-dermal fat layer. There are also indications of generalized adipose tissue pathology. With increasing age, a systemic decompensation in lipid accumulation occurs resulting in dramatically smaller fat pads, histologically reduced adipocyte cell diameter, and a poorly differentiated/hypercellular white adipose parenchyma. To gain mechanistic insights into this phenotype, we show that, although serum insulin, glucose, and cholesterol levels are entirely normal, Cav-1 null mice have severely elevated triglyceride and free fatty acid levels, especially in the post-prandial state. However, this build-up of triglyceride-rich chylomicrons/very low density lipoproteins is not due to perturbed lipoprotein lipase activity, a major culprit of isolated hypertriglyceridemia. The lean body phenotype and metabolic defects observed in Cav-1 null mice are consistent with the previously proposed functions of caveolin-1 and caveolae in adipocytes. Our results show for the first time a clear role for caveolins in systemic lipid homeostasis in vivo and place caveolin-1/caveolae as major factors in hyperlipidemias and obesity.
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                Author and article information

                Contributors
                lpojoga@partners.org
                Journal
                J Am Heart Assoc
                J Am Heart Assoc
                10.1002/(ISSN)2047-9980
                JAH3
                ahaoa
                Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
                John Wiley and Sons Inc. (Hoboken )
                2047-9980
                28 September 2016
                October 2016
                : 5
                : 10 ( doiID: 10.1002/jah3.2016.5.issue-10 )
                : e003845
                Affiliations
                [ 1 ] Division of Endocrinology, Diabetes and Hypertension Department of Medicine Brigham and Women's HospitalHarvard Medical School Boston MA
                [ 2 ] Division of Cardiovascular Medicine Department of Medicine Brigham and Women's HospitalHarvard Medical School Boston MA
                [ 3 ] Department of Endocrinology School of MedicinePontificia Universidad Catolica De Chile SantiagoChile
                [ 4 ] Cardiovascular Genetics Department of Internal MedicineUniversity of Utah School of Medicine Salt Lake City UT
                [ 5 ] Centre d'Investigation Clinique Inserm/AP Departement de GenetiqueHȏpital European Georges Pompidou ParisFrance
                [ 6 ] Department MeSVA San Salvatore HospitalUniversity of L'Aquila Italy
                Author notes
                [*] [* ] Correspondence to: Luminita H. Pojoga, PhD, Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital, Harvard Medical School, 221 Longwood Avenue, Boston, MA 02115. E‐mail: lpojoga@ 123456partners.org
                Article
                JAH31701
                10.1161/JAHA.116.003845
                5121487
                27680666
                c5ba0654-09e3-4732-abaf-651fd0257396
                © 2016 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell.

                This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 24 May 2016
                : 19 July 2016
                Page count
                Figures: 4, Tables: 3, Pages: 12, Words: 8490
                Funding
                Funded by: NIH
                Award ID: HL104032
                Award ID: HL103845
                Award ID: DK107407
                Award ID: K23HL111771
                Award ID: HL105301
                Award ID: HL096518
                Funded by: American Heart Association
                Award ID: 14GRNT20500000
                Funded by: Doris Duke Foundation
                Award ID: 2015085
                Funded by: FONDECYT
                Award ID: 1150437
                Award ID: 1150327
                Award ID: 1160836
                Award ID: 1160695
                Funded by: CORFO
                Award ID: 13CTI‐21526‐P1
                Categories
                Original Research
                Original Research
                Molecular Cardiology
                Custom metadata
                2.0
                jah31701
                October 2016
                Converter:WILEY_ML3GV2_TO_NLMPMC version:4.9.7 mode:remove_FC converted:08.11.2016

                Cardiovascular Medicine
                aldosterone,caveolin 1,dyslipidemia,eplerenone,insulin resistance,mineralocorticoid receptor,translational studies,ion channels/membrane transport,cell signalling/signal transduction,ace/angiotension receptors/renin angiotensin system,lipids and cholesterol

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