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Distinct sex-specific DNA methylation differences in Alzheimer’s disease

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Distinct sex-specific DNA methylation differences in Alzheimer’s disease

Tiago C. Silva, Wei Zhang, Juan I. Young, Lissette Gomez, Michael A. Schmidt, Achintya Varma, X. Steven Chen, Eden R. Martin, Lily Wang

Description

This github repository includes scripts used for the analyses in the above manuscript.

Method In this work, we performed a sex-specific meta-analysis of two large independent blood-based epigenome-wide association studies, the ADNI and AIBL studies, with a total of 1284 whole blood samples (633 female samples and 651 male samples). Within each dataset, we used two complementary analytical strategies, a sex-stratified analysis that examined methylation to AD associations in male and female samples separately, and a methylation-by-sex interaction analysis that compared the magnitude of these associations between different sexes. After adjusting for age, estimated immune cell type proportions, batch effects, and correcting for inflation, the inverse-variance fixed-effects meta-analysis model was used to identify the most consistent DNAm differences across datasets. In addition, we also evaluated the performance of the sex-specific methylation-based risk prediction models for AD diagnosis using an independent external dataset.

Results In the sex-stratified analysis, we identified 2 CpGs, mapped to the PRRC2A and RPS8 genes, significantly associated with AD in females at a 5% false discovery rate, and an additional 25 significant CpGs (21 in females, 4 in males) at P-value < 1×10-5. In methylation-by-sex interaction analysis, we identified 5 significant CpGs at P-value < 10-5. Out-of-sample validations using the AddNeuroMed dataset showed in females, the best logistic prediction model included age, estimated immune cell-type proportions, and methylation risk scores (MRS) computed from 9 of the 23 CpGs identified in AD vs. CN analysis that are also available in AddNeuroMed dataset (AUC = 0.74, 95% CI: 0.65 - 0.83). In males, the best logistic prediction model included only age and MRS computed from 2 of the 5 CpGs identified in methylation-by-sex interaction analysis that are also available in the AddNeuroMed dataset (AUC = 0.70, 95% CI: 0.56 - 0.82). Overall, our results show that the DNA methylation differences in AD are largely distinct between males and females. As sex is a strong factor underlying phenotypic variability in AD, the results of our study are particularly relevant for a better understanding of the epigenetic architecture that underlie AD and for promoting precision medicine in AD.

1. Preprocessing of DNA methylation data, analysis of individual dataset

File Dataset Link
ADNI/ADNI_SAS_bySex.Rmd ADNI Link to the script
ADNI/GLMM_models_ADNI.sas ADNI Link to the script
AIBL/AIBL_bySex.Rmd AIBL Link to the script
Matched_data_ADNI/matched_RNA_DNAm_data_and_residuals_bySex.R ADNI Link to the script
Clinical/clinical_info.Rmd ADNI, AIBL, AddNeuroMed Link to the script
Clinical/clinical_info_brain.Rmd GASPARONI, LONDON, MtSinai, ROSMAP Link to the script

2. Blood samples meta-analysis

File Link
meta-analysis/meta-analysis-two-cohorts_glm_by_sex.Rmd Link to the script
meta-analysis-two-cohorts-interaction-glm.Rmd Link to the script

2.1 Blood samples meta-analysis results

Result File Link
Female MALE_meta_analysis_glm_fixed_effect_ADNI_and_AIBL_AD_vs_CN_single_cpg.csv Link
Male FEMALE_meta_analysis_glm_fixed_effect_ADNI_and_AIBL_AD_vs_CN_single_cpg.csv Link
Interaction meta_analysis_glm_fixed_effect_ADNI_and_AIBL_AD_vs_CN_interaction_single_cpg.csv Link

3. Cross-tissue meta-analysis

File Link
cross_tissue_meta_analysis/cross_tissue_meta_analysis_male.Rmd Link to the script
cross_tissue_meta_analysis/cross_tissue_meta_analysis_female.Rmd Link to the script

3.1 Cross-tissue meta-analysis results

Result File Link
Male MALE_cross_tissue_meta_analysis_glm_using_AD_vs_CN_single_cpg.csv Link
Female FEMALE_cross_tissue_meta_analysis_glm_using_AD_vs_CN_single_cpg.csv Link

4. Correlations between methylation levels of significant CpGs and DMRs in AD with expressions of nearby genes

File Link
DNAm_vs_RNA/Blood_ADNI_RNA_vs_cpg_bySex.R Link to the script
DNAm_vs_RNA/Brain_ROSMAP_RNA_vs_cpg_bySex.R Link to the script

5. Out-of-sample validations of AD-associated DNAm differences in an external cohort - Methylation_Risk_scores

File Link
Methylation_Risk_scores/Methylation_risk_scores_both.Rmd Link to the script

6. Correlation and overlap with genetic susceptibility loci

File Link
mQTL_analysis/mQTL_analysis.R Link to the script

For reproducible research

The following R packages are required:

if (!requireNamespace("BiocManager", quietly = TRUE)){
  install.packages("BiocManager")
}
BiocManager::install(version = "3.14",ask = FALSE) # Install last version of Bioconductor

list.of.packages <- c(
  "bacon",
  "EpiSmokEr",
  "DMRcate",                                      
  "doParallel",                                   
  "dplyr",                                        
  "DT",                                           
  "EpiDISH",                                      
  "ExperimentHub",                                
  "fgsea",                                        
  "GenomicRanges",                                
  "GEOquery",                                     
  "ggpubr",                                       
  "ggrepel",                                      
  "gridExtra",                                    
  "gt",                                           
  "GWASTools",                                    
  "IlluminaHumanMethylationEPICanno.ilm10b4.hg19",
  "lubridate",                                    
  "lumi",                                         
  "meta",                                         
  "metap",                                        
  "MethReg",                                      
  "minfi",                                        
  "missMethyl",                                   
  "mygene",                                       
  "plyr",                                         
  "readr",                                        
  "readxl",                                       
  "ReMapEnrich",                                  
  "RPMM",                                         
  "RVenn",                                        
  "sm",                                           
  "stats",                                        
  "SummarizedExperiment",                         
  "tidyr",                                        
  "wateRmelon",                                   
  "writexl" 
)

new.packages <- list.of.packages[!(list.of.packages %in% installed.packages()[,"Package"])]
if(length(new.packages)) BiocManager::install(new.packages)

devtools::install_github("igordot/msigdbr")

For ADNIMERGE, download it from https://ida.loni.usc.edu/: Merged ADNI 1/GO/2 Packages for R

install.packages("/path/to/ADNIMERGE_0.0.1.tar.gz", repos = NULL, type = "source")

The platform information are:

 version  R version 4.2.0 (2022-04-22)
 os       macOS Big Sur 11.4          
 system   x86_64, darwin17.0          
 ui       RStudio                     
 language (EN)                        
 collate  en_US.UTF-8                 
 ctype    en_US.UTF-8                 
 tz       America/New_York            
 date     2021-07-12      

Acknowledgement

Data used in preparation of this article were obtained from the Alzheimer’s Disease Neuroimaging Initiative (ADNI) database (adni.loni.usc.edu). As such, the investigators within the ADNI contributed to the design and implementation of ADNI and/or provided data but did not participate in analysis or writing of this report. A complete listing of ADNI investigators can be found at: http://adni.loni.usc.edu/wp-content/uploads/how_to_apply/ADNI_Acknowledgement_List.pdf

References

  1. Vasanthakumar, A. et al. Harnessing peripheral DNA methylation differences in the Alzheimer's Disease Neuroimaging Initiative (ADNI) to reveal novel biomarkers of disease. Clin Epigenetics 12, 84 (2020).

  2. Ellis, K.A. et al. Enabling a multidisciplinary approach to the study of ageing and Alzheimer's disease: an update from the Australian Imaging Biomarkers and Lifestyle (AIBL) study. Int Rev Psychiatry 25, 699-710 (2013).

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