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integRATE: a desirability-based data integration framework for the prioritization of candidate genes across heterogeneous omics and its application to preterm birth
BMC Medical Genomics volume 11, Article number: 107 (2018)
The integration of high-quality, genome-wide analyses offers a robust approach to elucidating genetic factors involved in complex human diseases. Even though several methods exist to integrate heterogeneous omics data, most biologists still manually select candidate genes by examining the intersection of lists of candidates stemming from analyses of different types of omics data that have been generated by imposing hard (strict) thresholds on quantitative variables, such as P-values and fold changes, increasing the chance of missing potentially important candidates.
To better facilitate the unbiased integration of heterogeneous omics data collected from diverse platforms and samples, we propose a desirability function framework for identifying candidate genes with strong evidence across data types as targets for follow-up functional analysis. Our approach is targeted towards disease systems with sparse, heterogeneous omics data, so we tested it on one such pathology: spontaneous preterm birth (sPTB).
We developed the software integRATE, which uses desirability functions to rank genes both within and across studies, identifying well-supported candidate genes according to the cumulative weight of biological evidence rather than based on imposition of hard thresholds of key variables. Integrating 10 sPTB omics studies identified both genes in pathways previously suspected to be involved in sPTB as well as novel genes never before linked to this syndrome. integRATE is available as an R package on GitHub (https://github.com/haleyeidem/integRATE).
Desirability-based data integration is a solution most applicable in biological research areas where omics data is especially heterogeneous and sparse, allowing for the prioritization of candidate genes that can be used to inform more targeted downstream functional analyses.
Biological processes underlying disease pathogenesis typically involve a complex, dynamic, and interconnected system of molecular and environmental factors . Advances in high-throughput omics technologies have allowed for the collection of data corresponding to the genomic, transcriptomic, epigenomic, proteomic, and metabolomic elements that contribute to variation in these biological processes . However, each of these omics approaches, when employed in isolation, can only capture variation within a single layer of a much more complicated biological system [3, 4]. For example, even though the thousands of single nucleotide polymorphisms (SNPs) that have been linked to complex diseases or traits via genome-wide association studies (GWAS) have greatly contributed to our understanding of complex disease, these SNPs may only be tagging the causal genetic element(s), and we still lack in depth knowledge of the molecular mechanisms underlying the vast majority of these associations [5, 6]. Similarly, transcriptomics studies routinely identify hundreds to thousands of differentially expressed genes between diseased and healthy tissue samples, but disentangling the disease-causing changes in gene expression from its byproducts can be far more challenging . Given the limitations of each omics approach and their focuses on different layers of the biological system, integration of different types of omics data to identify the key biological pathways involved in disease has emerged as a promising avenue for research .
One integrative study design is to obtain diverse types of omics data from the same tissue samples or patient cohorts. The resulting data can then be vertically integrated (Fig. 1a, top left) to identify candidate genes and pathways involved in complex disease. Alternatively, a single type of omics data can be collected from a variety of tissue samples or patient cohorts, facilitating their horizontal integration across many samples, which can substantially increase the experiment’s power (Fig. 1a, top right). In both vertical and horizontal integration study designs, the availability of diverse types of omics data from the same samples enables the use of a variety of statistical integration approaches (Fig. 1a, bottom) . For example, multi-staged integration uses multiple steps to first identify associations between different data types and then identify associations between data types and the phenotype of interest , whereas meta-dimensional integration combines data simultaneously based on concatenation, transformation, or model building .
Although multi-omics data sets generated using vertical and horizontal study designs are becoming increasingly common, such data sets are lacking for many complex diseases [11,12,13,14,15]. Often, heterogeneous omics data are collected study by study, for a limited set of tissue samples and across only one or two omics data types at a time (Fig. 1b, top). For each study, a long list of genes or genomic regions with associated data is produced and sorted based on effect size (e.g., fold change), significance (e.g., P-value), or some other criterion. Hard thresholds can then be imposed on P-values, for example, to bin the genes or genomic regions and identify significant candidates for further analysis; this type of approach can then be applied across multiple, heterogeneous omics studies.
Several problems exist with the imposition of hard thresholds, however. Including (or excluding) genes or genomic regions as candidates based on P-value, fold change, expression level, and/or odds ratio cutoffs introduces biases and removes information, especially when combining multiple cutoffs from several criteria [16,17,18]. These cutoffs can sometimes even be arbitrary, like selecting the top n or n% from each data set. Additionally, statistical significance is not always equivalent to biological significance, meaning that non-statistically significant genes may still be involved in disease pathogenesis, or vice versa. Moreover, while selecting the top n genes might limit the scope of further functional analysis, the alternative approach of selecting all significant hits could mean that thousands of genes are identified as candidates. A final consideration in analyzing heterogeneous omics data is that we sometimes do not know any genes, pathways, or networks that have already been shown to be involved in complex disease. Some integration methods, especially those based on prediction (e.g., machine learning, network analysis), depend on the availability of such knowledge for algorithm training and cannot be performed in their absence [8, 9, 19,20,21,22].
Desirability functions provide a way to integrate heterogeneous omics data in systems where gold standards (i.e., genes known to be involved in the complex disease under investigation) are not yet known (Fig. 1b, bottom). Originally developed for industrial quality control, desirability functions have been successfully used in chemoinformatics to rank compounds for drug discovery and have been proposed as a way to integrate multiple selection criteria in functional genomics experiments [23,24,25,26,27]. In the context of integrating diverse but heterogeneous omics data, desirability functions allow for the ranking and prioritizing of candidate genes based on cumulative evidence across data types and their variables, rather than within-study separation of significant and non-significant genes based on single variables in single studies. For example, a 2015 study initially proposed the use of desirability functions to integrate multiple selection criteria for ranking, selecting, and prioritizing genes across heterogeneous biological analyses and demonstrated its use by analyzing a set of microarray-generated gene expression data .
To facilitate data integration in the presence of heterogeneous multi-omics data and when prior biological knowledge is limited, we propose a desirability-based framework to prioritize candidate genes for functional analysis. To facilitate application of our framework, we built a user-friendly software package called integRATE, which takes as input data sets from any omics experiment and generates a single desirability score based on all available information. This approach is targeted towards biological processes or diseases with particularly sparse or heterogeneous data, so we test integRATE on a set of 10 omics data sets related to spontaneous preterm birth (sPTB), a complex disease where heterogeneous multi-omics data are the only omics data currently available.
First, relevant studies need to be identified for integration; this selection can be based on any number of characteristics including tissue(s) sampled, disease subtype, or experimental designs (Fig. 2, step 1). The data in each of these studies (e.g., gene expression data, proteomic data, GWAS data, etc.) are typically specific to or can be mapped to individual genetic elements (e.g., genes) in the genome. Furthermore, each study’s data contain genetic element-specific values for many different variables (e.g., P-value, odds ratio, fold change, etc.). Then desirability functions are fit to the observations for each variable within a study (e.g., P-value, odds ratio, fold change, etc.) according to whether low values are most desirable (dlow, e.g., P-value), high values are most desirable (dhigh, e.g., odds ratio), or extreme values are most desirable (dextreme, e.g., fold change) (Fig. 2, step 2). The desirability score for each genetic element can be calculated by applying one of the following equations to a given variable:
In these equations, Y is the variable value and s is the scale coefficient affecting the function’s rate of change that can be customized according to user preference. Alternatively, the equations could be used without any scaling by setting the scale coefficient to 1. For dlow and dhigh, A is the low cut point and B is the high cut point where the function changes. For dextreme, A is the low cut point, C is the intermediate cut point, and B is the high cut point where the function changes. The user can customize these cut points based on numerical values (e.g., P-value < 0.05) or percentile values (e.g., top 10%). The resulting values, ranging from 0 to 1 (or the minimum and maximum values specified) are transformed desirability scores based on information from each variable.
Next, desirability scores for each of the N variables within a study (e.g., P-value, odds ratio, fold change, etc.) are combined using an arithmetic mean so that genetic elements (e.g., genes) with desirability scores of zero for any given variable remain in the analysis (Fig. 2, step 3). Desirability for genetic elements within a study can be calculated by:
In this equation, wi is the weight parameter (assigned to each variable), di is desirability score for each genetic element based on the values of each variable derived from Eqs. (1), (2) or (3), and N is the total number of transformed variables. This step produces a single desirability score (dstudy) for each genetic element in the study containing information from all transformed variables. Here, the user is also able to include variable weights (wi) when integrating their desirability scores, which can be useful in cases where certain variables are considered more informative or accurate than others.
Finally, the dstudy values can be integrated using the arithmetic mean to produce a single desirability score (doverall) for each genetic element, representing its desirability as a candidate according to the weight of evidence from all variables in all K studies that were integrated (Fig. 2, step 4). The overall score used to prioritize candidates can be calculated by:
In this equation, wj is the weight parameter (assigned to each study), dstudy j is the desirability score for each study, and K is the total number of studies integrated. Importantly, the overall desirability score doverall is normalized by the number of studies missing data for each genetic element to account for the number of values contributing to each overall desirability score. This normalization factor can be used to calculate a soft cutoff for the most desirable candidates that is equivalent or higher than the desirability score that would be achieved by a genetic element with a perfect desirability score of 1 in a single study but missing from all other studies. We call genetic elements achieving desirability scores equal to or above this cutoff ‘desirable.’
The methodology described above is implemented in our software, integRATE, available on GitHub as an R package (https://github.com/haleyeidem/integRATE). Although we focus on using desirability functions to integrate heterogeneous omics data corresponding to complex human diseases, integRATE can be applied to data sets from any phenotype, species, and data type (provided that the units can all be mapped to a common set of elements, such as genes). Functionality is provided for the application of customizable desirability functions as well as data visualization.
One human complex genetic disease where the omics data available are heterogeneous is preterm birth (PTB). Defined as birth before 37 weeks of completed gestation, PTB is the leading cause of newborn death worldwide . Although 30% of preterm births are medically indicated due to complications including preeclampsia (PE) or intrauterine growth restriction (IUGR), the remaining 70% occur spontaneously either due to the preterm premature rupture of membranes (PPROM) or idiopathically (sPTB). Further complicating factors are that multiple maternal and fetal tissues are involved (e.g., placenta, fetal membranes, umbilical cord, myometrium, decidua, etc.) as well as multiple genomes (maternal, paternal, and fetal) . Evidence from family, twin, and case-control studies suggests that genetics plays a role in determining birth timing and a recent GWAS identified a handful of genes linked to prematurity . Nevertheless, the pathogenesis of PTB and its many subtypes remains poorly understood [31,32,33].
The publicly available data for sPTB consist of several different independently conducted omics analyses that would be challenging to analyze with statistical approaches developed for vertical and horizontal integration [30, 34, 35]. Although these omics data have been analyzed in isolation, integration of their information using the desirability-based platform implemented in integRATE may provide unique insights into the complex mechanisms involved in regulating birth timing and, thus, allow for the identification and prioritization of novel candidate genes for further functional and targeted analyses.
Studies were initially identified based on the PubMed searches (up to 10/19/2017) using combinations of terms, including “Pregnancy”, “Humans”, “Preterm birth”, “Placenta”, “Decidua”, “Myometrium”, “Cervix Uteri”, “Extraembryonic Membranes”, “Blood”, “Plasma” and “Umbilical Cord”. Studies that reported conducting a genome-wide omics analysis of sPTB from a preliminary scan of the abstract were downloaded for full-text assessment. Furthermore, a thorough investigation was conducted of their associated reference lists to identify studies not captured via PubMed. Additionally, each study had to meet the following inclusion criteria:
Experimental group consisted of sPTB cases only and was not confounded by other pregnancy phenotypes (e.g., preeclampsia),
Analysis was genome-wide and not targeted to any specific subset of genes or pathways, and
Full data set was publicly available (not just top n%).
We identified 54 studies through the first phase of our literature search, but only 10 data sets that met all inclusion criteria. All excluded studies are listed in Additional file 1 with reasons for exclusion and the 10 data sets used in our pilot analysis are outlined in Table 1 [30, 34,35,36,37,38,39,40,41,42,43,44,45,46].
Each of the 10 data sets was mapped to a gene-based format. This step was necessary because integRATE applies desirability functions both within and across studies and, in order for that integration to be possible, the genetic elements of each study have to match.
Gene expression data from microarray experiments were accessed via GEO (https://www.ncbi.nlm.nih.gov/geo/) and re-analyzed using the GEO2R plugin (https://www.ncbi.nlm.nih.gov/geo/info/geo2r.html) [40,41,42,43]. Raw RNA-seq data from Ackerman et al. were analyzed in-house with custom scripts .
Protein expression data were downloaded from supplementary files associated with each publication and the protein IDs were mapped to genes using Ensemble’s BioMart tool (https://www.ensembl.org/info/data/biomart/index.html) [35, 38].
Application of integRATE
After mapping results from all 10 omics studies to genes, we used integRATE to calculate desirabilities for all genes across all variables within studies. We ran four different sPTB analyses:
In the first analysis (iR-none), we ran integRATE with no added customizations (e.g., no cut points, no scales (i.e., scale coefficient = 1), no minimum or maximum desirabilities, etc.) (Figs. 3, 4 and 5, Additional file 2).
In the fourth analysis (HardThresh), we considered statistically significant genes from each study to represent the results that would have been obtained if the typical approach based on hard thresholds and intersection of significant genes across studies outlined earlier was applied (Additional files 11, 12). All genes with adjusted P-values < 0.1 or unadjusted P-values < 0.05 were deemed significant in each study and intersected to compare with the results from integRATE .
To test whether the analyses described above produced results different from what might occur at random, we performed a permutation test shuffling desirabilities for all 26,868 genes 1000 times.
In total, our sPTB analyses integrated gene-based results from 10 omics studies (1 genomics, 4 transcriptomics, 4 epigenomics, and 1 proteomics; Table 1) and included data sets ranging from 422 genes  to 20,841 genes . The null distribution generated by our random permutation test had mean desirability range from 0.056 to 0.062, with an average of 0.059 (95% CI [0.058, 0.061]) (Fig. 3).
First, the software was run without any added cuts, weights, or scales, resulting in a list of 26,868 genes with data from one or more of the 10 omics studies (Additional file 2). Normalized desirabilities for these 26,868 genes ranged from 8.04E-16 to 0.46 (mean = 0.08 ± 0.05) (Fig. 3). Furthermore, 7977 genes (29.7%) had desirabilities ≥0.1 corresponding to values equal to or higher than what would be achieved if a given gene achieved maximal desirability in one study but was absent from all others. These top 7977 genes were enriched for 70 unique GO-Slim Biological Process categories, including pathways involved in metabolic processes, immunity, and signal transduction (Additional file 13) . Additionally, 15,285/26,868 (56.9%) genes achieved desirabilities greater than the permutation mean of 0.059. The top 10 genes (Figs. 4 and 5) had desirabilities ranging from 0.46 (CAPZB) to 0.38 (ACTN1) and were all represented in each of the 10 omics data sets analyzed. This analysis applied integRATE without cut points, allowing for a straightforward, linear transformation of data across all variables and studies.
We next applied cut points based on numerical values (Additional file 3). P-values such that values smaller than 0.0001 received the maximum desirability score of 1 and values larger than 0.1 received the minimum desirability score of 0. All P-values between 0.0001 and 0.1 were transformed according to the dlow function. For dextreme functions, 4 cut points were assigned and we chose commonly used values of 0.5 and 1.5 (or their equivalents if the values were log transformed). Therefore, fold changes below − 1.5 or above − 1.5 (or below log2(1/3) or above log2(3)) received the maximum desirability score of 1 and fold changes between − 0.5 and 0.5 (or between log2(1/1.5) and log2(1.5)) received the minimum desirability score of 0. Intermediate values were transformed according to the dextreme function. This approach mirrors what was applied in a previous implementation of the desirability framework for omics data, and takes into account prior knowledge of typical P-value and fold change distributions . While the top most desirable genes in iR-num appeared to be better candidates in each individual study (Additional file 6), using these cut points corresponding to standard significant P-value and fold change cut offs greatly reduced the number of desirable genes identified (Additional file 3). Specifically, only 1386/26,868 (5.1%) genes achieved desirabilities greater than the permutation mean of 0.059 and the top 10 most desirable genes were analyzed by only 4 or 5 studies instead of all 10 (Additional file 5).
Finally, we applied cut points based on percentiles (Additional file 7). P-values were cut such that those in the top 5% received the maximum desirability score of 1 and those in the bottom 5% received the minimum desirability score of 0, with all values in between transformed according to the dlow function. Fold changes were cut such that those in the top 5% and bottom 5% received the maximum desirability score of 1 and those in the middle 50% received the minimum desirability score of 0, with all other values transformed according to the dextreme function. In this analysis, 16,604/26,868 (61.8%) genes achieved desirabilities greater than the permutation mean of 0.059.
For comparison, we also manually selected candidate genes by imposing a hard threshold on P-value (P-value < 0.05 if unadjusted and P-value < 0.1 if adjusted) (Additional file 11). After binning data into ‘significant’ gene lists, we intersected these lists to pull out genes that would have been identified simply by selecting the intersection of all significant genes. Although 18,727 genes were considered ‘significant’ in at least one study, no genes were identified as significant in all 10 studies. The top candidate gene (KIAA0040) was significant in 6/10 studies and 15 other genes were identified in 5/10 studies (Additional file 12). Interestingly, none of these 16 genes appear in the top 10 of our most desirable candidates after integration and, even more generally, none are specifically discussed in any of the studies, either.
Using integRATE to identify the most desirable sPTB genes
In our sPTB pilot analyses, members of the annexin family (ANXA3, ANXA4 and ANXA9) appear in the top 10 most desirable candidate gene sets regardless of analysis approach (e.g., without cut points as well as with numerical and percentile cut points). This family is involved in calcium-dependent phospholipid binding and membrane-related exocytotic and endocytotic events, including endosome aggregation mediation (ANXA6). In a previous proteomic analysis, ANXA3 was found to be differentially expressed in cervicovaginal fluid 26–30 days before the eventual onset of sPTB as compared to before healthy, term deliveries . Furthermore, members of the annexin family are known to be involved in coagulation (ANXA3, ANXA4). Coagulation has been previously suggested to be involved in PTB and, even though the mechanism of such involvement is still a mystery, it is interesting that several genes involved in coagulation or blood disorders appear in our top candidate lists . In addition to ANXA3 and ANXA4, VWF (or Von Willebrand Factor) is a gene encoding a glycoprotein involved in coagulation that has been found to be expressed significantly more in preterm infant serum as compared to term [53, 54]. Finally, another highly desirable candidate, STOM, encodes an integral membrane protein that localizes to red blood cells, the loss of which has been linked to anemia .
In addition to coagulation, another biological process represented across our results is actin regulation and muscle activity. The most notable gene associated with this biological process is CAPZB, which encodes part of an actin binding protein that regulates actin filament dynamics and stabilization and is present in the top 10 most desirable candidate gene list in all three analyses. Although CAPZB has never been linked to sPTB or other pregnancy pathologies, its role in muscle function could be linked to myometrial and uterine contractions that, when they occur prematurely, might be directly involved in the development of sPTB [56, 57]. Another one of our top candidates, ACTN1, is also involved in actin regulation and, even more interestingly, has also been linked to blood and bleeding disorders [58, 59]. Finally, several other highly desirable genes identified in one or more of our integrative analyses include GPSM3, WDR1, and DYSF, are all involved in the development and regulation of muscle or in the pathogenesis of muscle-related diseases [60,61,62].
Even outside the top 10 most desirable genes across our integrative analyses, we found genes both previously identified as being involved in pregnancy or sPTB pathology as well as involved in pathways potentially relevant to sPTB (Additional file 2). For example, one gene falling just outside the top 10 most desirable candidates in all analyses is MMP9, a matrix metalloproteinase. Interestingly, MMP9 has been linked not only to sPTB, but also to PPROM and PE across a number of fetal and maternal tissues and at a variety of time points during pregnancy [63,64,65,66,67]. MMP9 gene expression has been observed as significantly higher during preterm labor than during term labor in maternal serum, placenta, and fetal membranes [68,69,70]. Even in the first trimester, levels of MMP9 in maternal serum were higher in PE cases than in healthy controls, suggesting that increased MMP9 protein expression is linked to the underlying inflammatory processes governing PE pathogenesis . Finally, fetal plasma MMP9 concentration has been found to be significantly higher in fetuses with PPROM than in early and term deliveries with intact membranes, implicating MMP9 in the membrane rupture mechanism controlling early delivery due to membrane rupture . We see similar evidence of MMP9 as a desirable sPTB candidate maintained across omics and tissue types in our integRATE analyses, raising the hypothesis that its role in inflammation and extracellular matrix organization relates to sPTB even in the absence of PPROM or PE.
By using desirability functions to rank genes within studies and combine results across studies, integRATE allows for the identification of candidate genes supported across experimental conditions and omics data types. This is especially important when heterogeneous sets of omics data, like those available for sPTB, where the statistical approaches developed for vertical or horizontal integration are challenging to apply. We have shown that integRATE can map any omics data to a common [0, 1] scale for linear integration and produce a list of the most desirable candidates according to their weight of evidence across available studies. These candidates then become promising targets for follow-up functional testing depending on where in the data their desirability signals come from. Analysis of 10 heterogeneous omics data sets on sPTB showed that the gene candidates identified using desirability functions appear to be much more broadly supported than those identified by the intersection of all significant genes across all studies and contain both genes that have been previously associated with sPTB as well as novel ones (Figs. 4 and 5, Additional file 12).
integRATE identifies both known and novel candidate genes associated with a complex disease, including ones that are not among the top candidates in any single omics study but are consistently (i.e., across studies) recovered as significantly (or nearly significantly) associated. For example, genes that are significantly differentially expressed at an intermediate to high level across many studies will have high desirability scores. Furthermore, integRATE can identify such genes across omics types, tissues, patient groups, and any other variable condition. Although integRATE allows for this kind of synergistic, desirability-based analysis, it is important to note that integRATE is not a statistical tool nor is it intended to be the end point of any analysis. Rather, it is a straightforward framework for the identification of well-supported candidate genes in any phenotype where true multi-omics data are unavailable and can also serve as a springboard for future functional analysis, an essential next-step in testing whether the candidates are actually involved in the biology of the disease or phenotype at hand.
In our analyses, the genomics data set was typically the one with the highest desirability scores for each of the top 10 genes (Fig. 4) and the proteomics data set was typically the one in which the relative rank of the top 10 genes was the highest (Fig. 5). Both of these trends may appear surprising considering that our analyses contained just one genomics and one proteomics data set compared to four transcriptomics and four epigenomics ones (Table 1). There are three reasons for these two trends. First, there is substantial heterogeneity among the top genes identified by the four transcriptomic studies (see also ), as well as among the top genes identified by the four epigenomic studies. As a consequence, there is no common signature of the four transcriptomic studies or the four epigenomic studies (see Fig. 4). Second, there are many more genes with high desirability scores in the genomics data set than in the other nine data sets (Additional file 1). However, we note that the ranking of the top 10 genes is not driven by the genomics data set; as we discuss below (see last paragraph of the discussion section), only one of the top 10 genes (EBF1) is among the candidate genes identified to be significantly associated with preterm birth and gestation length in the genomics data set . Third, the number of differentially expressed proteins (mapped to genes) in the proteomics data set, and as a consequence the number of genes with desirability scores in this data set, was substantially lower than that of all other studies (and included hundreds of genes vs tens of thousands of genes). As a result, the percentile rank of the top 10 genes for the proteomics data set (Fig. 5) was much higher than their percentile rank in other data sets. However, as shown in Fig. 4, the desirability scores of the top 10 genes in the proteomics data set were typically neither very high nor very low, and did not appear to exert a disproportionate influence on the ranking of our top 10 genes.
Importantly, there is no single principled strategy for the selection of cut points. In our sPTB analyses (iR-none, iR-num, and iR-per), we observed that the imposition of cut points corresponding to generally agreed upon values (e.g., P-value < 0.0001) has the potential to greatly affect the resulting gene prioritization. On this basis, we propose that desirability functions are best used to integrate highly heterogeneous omics data without imposed numerical cut points for P-values, fold changes, and other variables. Implemented this way, one can maximize the information from the analysis of each omics data set used in prioritizing candidate genes. But users may also have reasons to want to put more weight on data sets that are of higher quality or on data types that may be more informative. In such instances, the weight parameter can be used to reflect study quality instead of imposing cut points (e.g., studies that fail to achieve P-values as low as others in the integrative analysis can be weighted less to reflect potentially lower experimental quality).
A recent GWAS analysis, the largest of its kind across pregnancy research, identified several candidate genes with SNPs linked to PTB . This study linked EBF1, EEFSEC, and AGTR2 to preterm birth and EBF1, EEFSEC, AGTR2, and WNT4 to gestational duration (with ADCY5 and RAP2C linked suggestively). By analyzing 43,568 women of European ancestry, this large study is the first to identify variants and genes that are statistically associated with sPTB. Interestingly, our integrative analysis identified EBF1 as a desirable candidate (doverall = 0.15 [top 3%] in iR-none and doverall = 0.23 [top 1%] in iR-per), suggesting that this gene, in addition to GWAS, might also be functionally linked to sPTB pathogenesis across transcriptomics, epigenomics, and proteomics studies. Even when analyzing the 9 other omics studies without this GWAS data set, EBF1 still achieved a doverall score of 0.17, placing it in the top 2% of all genes (Additional file 14). While our integrative analysis supports the identification of EBF1 as an interesting candidate gene for follow up, the lack of signal for any of the other GWAS-identified hits also reinforces the need to approach complex phenotypes like sPTB from a variety of omics perspectives, since sequenced-based changes may impact the phenotype in indirect and complicated functional ways.
Desirability-based data integration (and our integRATE software) is a solution most applicable in biological research areas where omics data is especially heterogeneous and sparse. Our approach combines information from all variables across all related studies to calculate the total weight of evidence for any given gene as a candidate involved in disease pathogenesis, for example. Although not a statistical approach, this method of data integration allows for the prioritization of candidate genes based on information from heterogeneous omics data even without known ‘gold standard’ genes to test against and can be used to inform more targeted downstream functional analyses.
Genome-wide association study
Intrauterine growth restriction
Premature rupture of membranes
Single nucleotide polymorphism
Spontaneous preterm birth
Gohlke JM, Thomas R, Zhang Y, Rosenstein MC, Davis AP, Murphy C, et al. Genetic and environmental pathways to complex diseases. BMC Syst Biol. 2009;3:46.
Hasin Y, Seldin M, Lusis A. Multi-omics approaches to disease. Genome Biol. 2017;18:83.
Chen R, Mias GI, Li-Pook-Than J, Jiang L, Lam HYK, Chen R, et al. Personal omics profiling reveals dynamic molecular and medical phenotypes. Cell. 2012;148:1293–307. https://doi.org/10.1016/j.cell.2012.02.009.
Karczewski KJ, Snyder MP. Integrative omics for health and disease. Nat Rev Genet. 2018;19:299–310. https://doi.org/10.1038/nrg.2018.4.
Edwards SL, Beesley J, French JD, Dunning AM. Beyond GWASs: illuminating the dark road from association to function. Am J Hum Genet. 2013;93:779–97.
Visscher PM, Wray NR, Zhang Q, Sklar P, McCarthy MI, Brown MA, et al. 10 years of GWAS discovery: biology, function, and translation. Am J Hum Genet. 2017;101:5–22.
Casamassimi A, Federico A, Rienzo M, Esposito S, Ciccodicola A. Transcriptome profiling in human diseases: new advances and perspectives. Int J Mol Sci. 2017;18:1652. https://doi.org/10.3390/ijms18081652.
Ritchie MD, Holzinger ER, Li R, Pendergrass SA, Kim D. Methods of integrating data to uncover genotype–phenotype interactions. Nat Rev Genet. 2015;16:85–97. https://doi.org/10.1038/nrg3868.
Holzinger ER, Ritchie MD. Integrating heterogeneous high-throughput data for meta-dimensional pharmacogenomics and disease-related studies. Pharmacogenomics. 2012;13:213–22. https://doi.org/10.2217/pgs.11.145.
Kim D, Shin H, Song YS, Kim JH. Synergistic effect of different levels of genomic data for cancer clinical outcome prediction. J Biomed Inform. 2012;45:1191–8. https://doi.org/10.1016/j.jbi.2012.07.008.
Peng C, Li A, Wang M. Discovery of bladder cancer-related genes using integrative heterogeneous network modeling of multi-omics data. Sci Rep. 2017;7:15639. https://doi.org/10.1038/s41598-017-15890-9.
Pavel AB, Sonkin D, Reddy A. Integrative modeling of multi-omics data to identify cancer drivers and infer patient-specific gene activity. BMC Syst Biol. 2016;10:16. https://doi.org/10.1186/s12918-016-0260-9.
Zhu J, Shi Z, Wang J, Zhang B. Empowering biologists with multi-omics data: colorectal cancer as a paradigm. Bioinformatics. 2015;31:1436–43. https://doi.org/10.1093/bioinformatics/btu834.
McLendon R, Friedman A, Bigner D, Van Meir EG, Brat DJ, Mastrogianakis GM, et al. Comprehensive genomic characterization defines human glioblastoma genes and core pathways. Nature. 2008;455:1061–8. https://doi.org/10.1038/nature07385.
Verhaak RGW, Hoadley KA, Purdom E, Wang V, Qi Y, Wilkerson MD, et al. Integrated genomic analysis identifies clinically relevant subtypes of glioblastoma characterized by abnormalities in PDGFRA, IDH1, EGFR, and NF1. Cancer Cell. 2010;17:98–110. https://doi.org/10.1016/j.ccr.2009.12.020.
Cohen J. The cost of dichotomization. Appl Psychol Meas. 1983;7:249–53. https://doi.org/10.1177/014662168300700301.
Streiner DL. Breaking up is hard to do: the heartbreak of dichotomizing continuous data. Can J Psychiatr. 2002;47:262–6. https://doi.org/10.1177/070674370204700307.
Barnwell-Ménard J-L, Li Q, Cohen AA. Effects of categorization method, regression type, and variable distribution on the inflation of type-I error rate when categorizing a confounding variable. Stat Med. 2015;34:936–49. https://doi.org/10.1002/sim.6387.
Reif DM, White BC, Moore JH. Integrated analysis of genetic, genomic and proteomic data. Expert Rev Proteomics. 2004;1:67–75. https://doi.org/10.1586/147894184.108.40.206.
Hamid JS, Hu P, Roslin NM, Ling V, Greenwood CMT, Beyene J. Data integration in genetics and genomics: methods and challenges. Hum Genomics Proteomics. 2009;2009:1–13. https://doi.org/10.4061/2009/869093.
Sieberts SK, Schadt EE. Moving toward a system genetics view of disease. Mamm Genome. 2007;18:389–401. https://doi.org/10.1007/s00335-007-9040-6.
Hawkins RD, Hon GC, Ren B. Next-generation genomics: an integrative approach. Nat Rev Genet. 2010;11:476–86. https://doi.org/10.1038/nrg2795.
Lazic SE. Ranking, selecting, and prioritising genes with desirability functions. PeerJ. 2015;3:e1444. https://doi.org/10.7717/peerj.1444.
Bickerton GR, Paolini GV, Besnard J, Muresan S, Hopkins AL. Quantifying the chemical beauty of drugs. Nat Chem. 2012;4:90–8. https://doi.org/10.1038/nchem.1243.
Harrington E. The desirability function. Ind Qual Control. 1965;21:494–8.
Derringer G, Suich R. Simultaneous optimization of several response variables. J Qual Technol. 1980;12:214–9.
Derringer G. A balancing act: optimizing a products properties. Qual Prog. 1994;27:51.
Romero R, Dey SK, Fisher SJ. Preterm labor: one syndrome, many causes. Science. 2014;345:760–5. https://doi.org/10.1126/science.1251816.
Eidem HR, McGary KL, Capra JA, Abbot P, Rokas A. The transformative potential of an integrative approach to pregnancy. Placenta. 2017;57:204–15.
Zhang G, Jacobsson B, Muglia LJ. Genetic associations with spontaneous preterm birth. N Engl J Med. 2017;377:2401–2. https://doi.org/10.1056/NEJMc1713902.
Plunkett J, Muglia LJ. Genetic contributions to preterm birth: implications from epidemiological and genetic association studies. Ann Med. 2008;40:167–79. https://doi.org/10.1080/07853890701806181.
Muglia LJ, Katz M. The enigma of spontaneous preterm birth. N Engl J Med. 2010;362:529–35. https://doi.org/10.1056/NEJMra0904308.
Lengyel C, Muglia LJ, Pavličev M. Genetics of Preterm Birth. In: eLS. Chichester: Wiley; 2014. https://doi.org/10.1002/9780470015902.a0025448.
Ackerman WE, Buhimschi IA, Eidem HR, Rinker DC, Rokas A, Rood K, et al. Comprehensive RNA profiling of villous trophoblast and decidua basalis in pregnancies complicated by preterm birth following intra-amniotic infection. Placenta. 2016;44:23–33. https://doi.org/10.1016/j.placenta.2016.05.010.
Heng YJ, Taylor L, Larsen BG, Chua HN, Pung SM, Lee MWF, et al. Albumin decrease is associated with spontaneous preterm delivery within 48 h in women with threatened preterm labor. J Proteome Res. 2015;14:457–66. https://doi.org/10.1021/pr500852p.
Parets SE, Conneely KN, Kilaru V, Fortunato SJ, Syed TA, Saade G, et al. Fetal DNA methylation associates with early spontaneous preterm birth and gestational age. PLoS One. 2013;8:e67489. https://doi.org/10.1371/journal.pone.0067489.
Cruickshank MN, Oshlack A, Theda C, Davis PG, Martino D, Sheehan P, et al. Analysis of epigenetic changes in survivors of preterm birth reveals the effect of gestational age and evidence for a long term legacy. Genome Med. 2013;5:96. https://doi.org/10.1186/gm500.
Saade GR, Boggess KA, Sullivan SA, Markenson GR, Iams JD, Coonrod DV, et al. Development and validation of a spontaneous preterm delivery predictor in asymptomatic women. Am J Obstet Gynecol. 2016;214:633.e1–633.e24. https://doi.org/10.1016/j.ajog.2016.02.001.
Zhang G, Bacelis J, Lengyel C, Teramo K, Hallman M, Helgeland Ø, et al. Assessing the causal relationship of maternal height on birth size and gestational age at birth: a Mendelian randomization analysis. PLoS Med. 2015;12:e1001865. https://doi.org/10.1371/journal.pmed.1001865.
Makieva S, Dubicke A, Rinaldi SF, Fransson E, Ekman-Ordeberg G, Norman JE. The preterm cervix reveals a transcriptomic signature in the presence of premature prelabor rupture of membranes. Am J Obstet Gynecol. 2017;216:602.e1–602.e21. https://doi.org/10.1016/j.ajog.2017.02.009.
Heng YJ, Pennell CE, Chua HN, Perkins JE, Lye SJ. Whole blood gene expression profile associated with spontaneous preterm birth in women with threatened preterm labor. PLoS One. 2014;9:e96901. https://doi.org/10.1371/journal.pone.0096901.
Chim SSC, Lee WS, Ting YH, Chan OK, Lee SWY, Leung TY. Systematic identification of spontaneous preterm birth-associated RNA transcripts in maternal plasma. PLoS One. 2012;7:e34328. https://doi.org/10.1371/journal.pone.0034328.
Mayor-Lynn K, Toloubeydokhti T, Cruz AC, Chegini N. Expression profile of MicroRNAs and mRNAs in human placentas from pregnancies complicated by preeclampsia and preterm labor. Reprod Sci. 2011;18:46–56. https://doi.org/10.1177/1933719110374115.
de Goede OM, Lavoie PM, Robinson WP. Cord blood hematopoietic cells from preterm infants display altered DNA methylation patterns. Clin Epigenetics. 2017;9:39. https://doi.org/10.1186/s13148-017-0339-1.
Hong X, Sherwood B, Ladd-Acosta C, Peng S, Ji H, Hao K, et al. Genome-wide DNA methylation associations with spontaneous preterm birth in US blacks: findings in maternal and cord blood samples. Epigenetics. 2018;13:163–72. https://doi.org/10.1080/15592294.2017.1287654.
Fernando F, Keijser R, Henneman P, van der Kevie-Kersemaekers A-MF, Mannens MM, van der Post JA, et al. The idiopathic preterm delivery methylation profile in umbilical cord blood DNA. BMC Genomics. 2015;16:736. https://doi.org/10.1186/s12864-015-1915-4.
Zhang G, Feenstra B, Bacelis J, Liu X, Muglia LM, Juodakis J, et al. Genetic associations with gestational duration and spontaneous preterm birth. Obstet Gynecol Surv. 2017;73:83–5. https://doi.org/10.1097/01.ogx.0000530434.15441.45.
de Leeuw CA, Mooij JM, Heskes T, Posthuma D. MAGMA: generalized gene-set analysis of GWAS data. PLoS Comput Biol. 2015;11:e1004219. https://doi.org/10.1371/journal.pcbi.1004219.
Conway JR, Lex A, Gehlenborg N. UpSetR: an R package for the visualization of intersecting sets and their properties. Bioinformatics. 2017;33:2938–40. https://doi.org/10.1093/bioinformatics/btx364.
Mi H, Huang X, Muruganujan A, Tang H, Mills C, Kang D, et al. PANTHER version 11: expanded annotation data from gene ontology and reactome pathways, and data analysis tool enhancements. Nucleic Acids Res. 2017;45:D183–9. https://doi.org/10.1093/nar/gkw1138.
Heng YJ, Liong S, Permezel M, Rice GE, Di Quinzio MKW, Georgiou HM. Human cervicovaginal fluid biomarkers to predict term and preterm labor. Front Physiol. 2015;6. https://doi.org/10.3389/fphys.2015.00151.
Velez DR, Fortunato SJ, Thorsen P, Lombardi SJ, Williams SM, Menon R. Preterm birth in Caucasians is associated with coagulation and inflammation pathway gene variants. PLoS One. 2008;3:e3283. https://doi.org/10.1371/journal.pone.0003283.
Cowman J, Quinn N, Geoghegan S, Müllers S, Oglesby I, Byrne B, et al. Dynamic platelet function on von Willebrand factor is different in preterm neonates and full-term neonates: changes in neonatal platelet function. J Thromb Haemost. 2016;14:2027–35. https://doi.org/10.1111/jth.13414.
Strauss T, Elisha N, Ravid B, Rosenberg N, Lubetsky A, Levy-Mendelovich S, et al. Activity of Von Willebrand factor and levels of VWF-cleaving protease (ADAMTS13) in preterm and full term neonates. Blood Cells Mol Dis. 2017;67:14–7. https://doi.org/10.1016/j.bcmd.2016.12.013.
Zhu Y, Paszty C, Turetsky T, Tsai S, Kuypers FA, Lee G, et al. Stomatocytosis is absent in “stomatin”-deficient murine red blood cells. Blood. 1999;93:2404–10 http://www.ncbi.nlm.nih.gov/pubmed/10090952.
Littlefield R, Almenar-Queralt A, Fowler VM. Actin dynamics at pointed ends regulates thin filament length in striated muscle. Nat Cell Biol. 2001;3:544–51. https://doi.org/10.1038/35078517.
Caldwell JE, Heiss SG, Mermall V, Cooper JA. Effects of CapZ, an actin-capping protein of muscle, on the polymerization of actin. Biochemistry. 1989;28:8506–14. https://doi.org/10.1021/bi00447a036.
Bottega R, Marconi C, Faleschini M, Baj G, Cagioni C, Pecci A, et al. ACTN1-related thrombocytopenia: identification of novel families for phenotypic characterization. Blood. 2015;125:869–72. https://doi.org/10.1182/blood-2014-08-594531.
Kunishima S, Okuno Y, Yoshida K, Shiraishi Y, Sanada M, Muramatsu H, et al. ACTN1 mutations cause congenital macrothrombocytopenia. Am J Hum Genet. 2013;92:431–8. https://doi.org/10.1016/j.ajhg.2013.01.015.
Zhao P, Chidiac P. Regulation of RGS5 GAP activity by GPSM3. Mol Cell Biochem. 2015;405:33–40. https://doi.org/10.1007/s11010-015-2393-3.
Ono S. Functions of actin-interacting protein 1 (AIP1)/WD repeat protein 1 (WDR1) in actin filament dynamics and cytoskeletal regulation. Biochem Biophys Res Commun. 2017. https://doi.org/10.1016/j.bbrc.2017.10.096.
Liu J, Aoki M, Illa I, Wu C, Fardeau M, Angelini C, et al. Dysferlin, a novel skeletal muscle gene, is mutated in Miyoshi myopathy and limb girdle muscular dystrophy. Nat Genet. 1998;20:31–6. https://doi.org/10.1038/1682.
Athayde N, Romero R, Gomez R, Maymon E, Pacora P, Mazor M, et al. Matrix metalloproteinases-9 in preterm and term human parturition. J Matern Neonatal Med. 1999;8:213–9. https://doi.org/10.3109/14767059909052049.
Chen J, Khalil RA. Matrix metalloproteinases in normal pregnancy and preeclampsia. In: Progress in molecular biology and translational science; 2017. p. 87–165. https://doi.org/10.1016/bs.pmbts.2017.04.001.
Xu P, Alfaidy N, Challis JRG. Expression of matrix metalloproteinase (MMP)-2 and MMP-9 in human placenta and fetal membranes in relation to preterm and term labor. J Clin Endocrinol Metab. 2002;87:1353–61. https://doi.org/10.1210/jcem.87.3.8320.
Poon LCY, Nekrasova E, Anastassopoulos P, Livanos P, Nicolaides KH. First-trimester maternal serum matrix metalloproteinase-9 (MMP-9) and adverse pregnancy outcome. Prenat Diagn. 2009;29:553–9. https://doi.org/10.1002/pd.2234.
Romero R, Chaiworapongsa T, Espinoza J, Gomez R, Yoon BH, Edwin S, et al. Fetal plasma MMP-9 concentrations are elevated in preterm premature rupture of the membranes. Am J Obstet Gynecol. 2002;187:1125–30. https://doi.org/10.1067/mob.2002.127312.
Tency I, Verstraelen H, Kroes I, Holtappels G, Verhasselt B, Vaneechoutte M, et al. Imbalances between matrix metalloproteinases (MMPs) and tissue inhibitor of metalloproteinases (TIMPs) in maternal serum during preterm labor. PLoS One. 2012;7:e49042. https://doi.org/10.1371/journal.pone.0049042.
Sundrani DP, Chavan-Gautam PM, Pisal HR, Mehendale SS, Joshi SR. Matrix metalloproteinase-1 and -9 in human placenta during spontaneous vaginal delivery and caesarean sectioning in preterm pregnancy. PLoS One. 2012;7:e29855.
Yonemoto H, Young CB, Ross JT, Guilbert LL, Fairclough RJ, Olson DM. Changes in matrix metalloproteinase (MMP)-2 and MMP-9 in the fetal amnion and chorion during gestation and at term and preterm labor. Placenta. 2006;27:669–77.
Eidem HR, Ackerman WE, McGary KL, Abbot P, Rokas A. Gestational tissue transcriptomics in term and preterm human pregnancies: a systematic review and meta-analysis. BMC Med Genet. 2015;8:27.
We thank Dr. Lou Muglia for invaluable discussion and support in designing and applying this approach to data integration and Dr. Ge Zhang for providing access to preprocessed GWAS data.
HRE was supported by a Transdisciplinary Scholar Award from the March of Dimes Prematurity Research Center Ohio Collaborative. This research was supported by the March of Dimes through the March of Dimes Prematurity Research Center Ohio Collaborative and the Burroughs Wellcome Fund. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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Results of meta-analysis to identify studies for integration. We outline the 10 studies meeting all inclusion criteria for integrative analysis. Furthermore, we list the other 44 studies that we identified through our literature search but we excluded from the data analysis as well as reasons for their exclusion. (XLSX 42 kb)
All results from iR-none. All desirability scores across all variables in all studies as well as overall desirabilities and normalized overall desirabilities are presented. (XLSX 3762 kb)
All results from iR-num. All desirability scores across all variables in all studies as well as overall desirabilities and normalized overall desirabilities are presented. (XLSX 1988 kb)
Results from iR-num. All genes in the analysis including numerical cut points were sorted from most desirable (rank = 1) to least desirable (rank = 26,869) and plotted according to their overall desirability scores. (EPS 611 kb)
Top 10 genes from iR-num by data type. Desirability scores for the top 10 most desirable genes are plotted according to the type of omics analysis. (EPS 761 kb)
Top 10 genes from iR-num by study. Desirability scores for the top 10 most desirable genes are plotted according to individual study. (EPS 784 kb)
All results from iR-per. All desirability scores across all variables in all studies as well as overall desirabilities and normalized overall desirabilities are presented. (XLSX 3512 kb)
Results from iR-per. All genes in the iR-per analysis were sorted from most desirable (rank = 1) to least desirable (rank = 26,869) and plotted according to their overall desirability scores. (EPS 618 kb)
Top 10 genes from iR-per by data type. Desirability scores for the top 10 most desirable genes are plotted according to the type of omics analysis. (EPS 764 kb)
Top 10 genes from iR-per by study. Desirability scores for the top 10 most desirable genes are plotted according to individual study. (EPS 789 kb)
Raw data for manual overlap based on significance dichotomization. All 18,727 genes identified as significant in at least 1 study and overlap across the entire data set. (XLSX 769 kb)
Genes binned as significant in 4 or more omics studies. Upset plot showing intersections of significant genes across all 10 omics studies. (EPS 12 kb)
GO-Slim gene set enrichment results. The PANTHER output for gene set functional enrichment is provided, including 37 statistically enriched biological pathways. (XLSX 13 kb)
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Eidem, H.R., Steenwyk, J.L., Wisecaver, J.H. et al. integRATE: a desirability-based data integration framework for the prioritization of candidate genes across heterogeneous omics and its application to preterm birth. BMC Med Genomics 11, 107 (2018). https://doi.org/10.1186/s12920-018-0426-y
- Integrative genomics
- Complex disease
- Candidate gene ranking
- Venn diagram