Our aim was to identify differentially expressed (DE) genes and biological processes that may help predict patient response to biologic agents for rheumatoid arthritis (RA). Using the INMEX (integrative meta-analysis of expression data) software tool, we performed a meta-analysis of publicly available microarray Gene Expression Omnibus (GEO) datasets that examined patient response to biologic therapy for RA. Three GEO datasets, containing 79 responders and 34 non-responders, were included in the meta-analysis. We identified 1,374 genes that were consistently differentially expressed in responders vs. non-responders (651 up-regulated and 723 down-regulated). The up-regulated gene with the smallest p value (p=0.000192) was ASCC2 (Activating Signal Cointegrator 1 Complex Subunit 2), and the up-regulated gene with the largest fold change (average log fold change=-0.75869, p=0.000206) was KLRC3 (Killer Cell Lectin-Like Receptor Subfamily C, Member 3). The down-regulated gene with the smallest p value (p=0.000195) was MPL (Myeloproliferative Leukemia Virus Oncogene). Among the 236 GO terms associated with the set of DE genes, the most significantly enriched was "CTP biosynthetic process" (GO:0006241; p=0.000454). Our meta-analysis identified genes that were consistently DE in responders vs. non-responders, as well as biological pathways associated with this set of genes. These results provide insight into the molecular mechanisms underlying responsiveness to biologic therapy for RA.
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Acknowledgements This study was supported in part by a grant of the Korea Healthcare technology R&D project, Ministry for Health & Welfare, Republic of Korea (HI12C1834)
- Biologic agent
- Gene expression
- Rheumatoid arthritis
ASJC Scopus subject areas