Differentially expressed transcript isoforms associate with resistance to tuberculin skin test and interferon gamma release assay conversion.

<h4>Background</h4>A mechanistic understanding of uncommon immune outcomes such as resistance to infection has led to the development of novel therapies. Using gene level analytic methods, we previously found distinct monocyte transcriptional responses associated with resistance to Mycob...

Full description

Saved in:
Bibliographic Details
Main Authors: Jason D Simmons, R Max Segnitz, Kimberly A Dill-McFarland, Catherine M Stein, Glenna J Peterson, Harriet Mayanja-Kizza, W Henry Boom, Thomas R Hawn
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0284498&type=printable
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823856803184640000
author Jason D Simmons
R Max Segnitz
Kimberly A Dill-McFarland
Catherine M Stein
Glenna J Peterson
Harriet Mayanja-Kizza
W Henry Boom
Thomas R Hawn
author_facet Jason D Simmons
R Max Segnitz
Kimberly A Dill-McFarland
Catherine M Stein
Glenna J Peterson
Harriet Mayanja-Kizza
W Henry Boom
Thomas R Hawn
author_sort Jason D Simmons
collection DOAJ
description <h4>Background</h4>A mechanistic understanding of uncommon immune outcomes such as resistance to infection has led to the development of novel therapies. Using gene level analytic methods, we previously found distinct monocyte transcriptional responses associated with resistance to Mycobacterium tuberculosis (Mtb) infection defined as persistently negative tuberculin skin test (TST) and interferon gamma release assay (IGRA) reactivity among highly exposed contacts (RSTR phenotype).<h4>Objective</h4>Using transcript isoform analyses, we aimed to identify novel RSTR-associated genes hypothesizing that previous gene-level differential expression analysis obscures isoform-specific differences that contribute to phenotype.<h4>Materials and methods</h4>Monocytes from 49 RSTR versus 52 subjects with latent Mtb infection (LTBI) were infected with M. tuberculosis (H37Rv) or left unstimulated (media) prior to RNA isolation and sequencing. RSTR-associated gene expression was then identified using differential transcript isoform analysis.<h4>Results</h4>We identified 81 differentially expressed transcripts (DETs) in 70 genes (FDR <0.05) comparing RSTR and LTBI phenotypes with the majority (n = 79 DETs) identified under Mtb-stimulated conditions. Seventeen of these genes were previously identified with gene-level bulk RNAseq analyses including genes in the IFNγ response that had increased expression among LTBI subjects, findings consistent with a clinical phenotype based on IGRA reactivity. Among the subset of 23 genes with positive differential expression among Mtb-infected RSTR monocytes, 13 were not previously identified. These novel DET genes included PDE4A and ZEB2, which each had multiple DETs with higher expression among RSTR subjects, and ACSL4 and GAPDH that each had a single transcript isoform associated with RSTR.<h4>Conclusion and limitations</h4>Transcript isoform-specific analyses identify transcriptional associations, such as those associated with resistance to TST/IGRA conversion, that are obscured when using gene-level approaches. These findings should be validated with additional RSTR cohorts and whether the newly identified candidate resistance genes directly influence the monocyte Mtb response requires functional study.
format Article
id doaj-art-18e905409be14fb8b0a6884e0c8d5dbf
institution Kabale University
issn 1932-6203
language English
publishDate 2023-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj-art-18e905409be14fb8b0a6884e0c8d5dbf2025-02-12T05:31:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01184e028449810.1371/journal.pone.0284498Differentially expressed transcript isoforms associate with resistance to tuberculin skin test and interferon gamma release assay conversion.Jason D SimmonsR Max SegnitzKimberly A Dill-McFarlandCatherine M SteinGlenna J PetersonHarriet Mayanja-KizzaW Henry BoomThomas R Hawn<h4>Background</h4>A mechanistic understanding of uncommon immune outcomes such as resistance to infection has led to the development of novel therapies. Using gene level analytic methods, we previously found distinct monocyte transcriptional responses associated with resistance to Mycobacterium tuberculosis (Mtb) infection defined as persistently negative tuberculin skin test (TST) and interferon gamma release assay (IGRA) reactivity among highly exposed contacts (RSTR phenotype).<h4>Objective</h4>Using transcript isoform analyses, we aimed to identify novel RSTR-associated genes hypothesizing that previous gene-level differential expression analysis obscures isoform-specific differences that contribute to phenotype.<h4>Materials and methods</h4>Monocytes from 49 RSTR versus 52 subjects with latent Mtb infection (LTBI) were infected with M. tuberculosis (H37Rv) or left unstimulated (media) prior to RNA isolation and sequencing. RSTR-associated gene expression was then identified using differential transcript isoform analysis.<h4>Results</h4>We identified 81 differentially expressed transcripts (DETs) in 70 genes (FDR <0.05) comparing RSTR and LTBI phenotypes with the majority (n = 79 DETs) identified under Mtb-stimulated conditions. Seventeen of these genes were previously identified with gene-level bulk RNAseq analyses including genes in the IFNγ response that had increased expression among LTBI subjects, findings consistent with a clinical phenotype based on IGRA reactivity. Among the subset of 23 genes with positive differential expression among Mtb-infected RSTR monocytes, 13 were not previously identified. These novel DET genes included PDE4A and ZEB2, which each had multiple DETs with higher expression among RSTR subjects, and ACSL4 and GAPDH that each had a single transcript isoform associated with RSTR.<h4>Conclusion and limitations</h4>Transcript isoform-specific analyses identify transcriptional associations, such as those associated with resistance to TST/IGRA conversion, that are obscured when using gene-level approaches. These findings should be validated with additional RSTR cohorts and whether the newly identified candidate resistance genes directly influence the monocyte Mtb response requires functional study.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0284498&type=printable
spellingShingle Jason D Simmons
R Max Segnitz
Kimberly A Dill-McFarland
Catherine M Stein
Glenna J Peterson
Harriet Mayanja-Kizza
W Henry Boom
Thomas R Hawn
Differentially expressed transcript isoforms associate with resistance to tuberculin skin test and interferon gamma release assay conversion.
PLoS ONE
title Differentially expressed transcript isoforms associate with resistance to tuberculin skin test and interferon gamma release assay conversion.
title_full Differentially expressed transcript isoforms associate with resistance to tuberculin skin test and interferon gamma release assay conversion.
title_fullStr Differentially expressed transcript isoforms associate with resistance to tuberculin skin test and interferon gamma release assay conversion.
title_full_unstemmed Differentially expressed transcript isoforms associate with resistance to tuberculin skin test and interferon gamma release assay conversion.
title_short Differentially expressed transcript isoforms associate with resistance to tuberculin skin test and interferon gamma release assay conversion.
title_sort differentially expressed transcript isoforms associate with resistance to tuberculin skin test and interferon gamma release assay conversion
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0284498&type=printable
work_keys_str_mv AT jasondsimmons differentiallyexpressedtranscriptisoformsassociatewithresistancetotuberculinskintestandinterferongammareleaseassayconversion
AT rmaxsegnitz differentiallyexpressedtranscriptisoformsassociatewithresistancetotuberculinskintestandinterferongammareleaseassayconversion
AT kimberlyadillmcfarland differentiallyexpressedtranscriptisoformsassociatewithresistancetotuberculinskintestandinterferongammareleaseassayconversion
AT catherinemstein differentiallyexpressedtranscriptisoformsassociatewithresistancetotuberculinskintestandinterferongammareleaseassayconversion
AT glennajpeterson differentiallyexpressedtranscriptisoformsassociatewithresistancetotuberculinskintestandinterferongammareleaseassayconversion
AT harrietmayanjakizza differentiallyexpressedtranscriptisoformsassociatewithresistancetotuberculinskintestandinterferongammareleaseassayconversion
AT whenryboom differentiallyexpressedtranscriptisoformsassociatewithresistancetotuberculinskintestandinterferongammareleaseassayconversion
AT thomasrhawn differentiallyexpressedtranscriptisoformsassociatewithresistancetotuberculinskintestandinterferongammareleaseassayconversion