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International Journal of Neuropsychopharmacology logoLink to International Journal of Neuropsychopharmacology
. 2023 Sep 29;26(12):840–855. doi: 10.1093/ijnp/pyad057

Integrative Analyses of scRNA-seq, Bulk mRNA-seq, and DNA Methylation Profiling in Depressed Suicide Brain Tissues

Yalan Zhou 1, Lan Xiong 2, Jianhua Chen✉ 3,✉, Qingzhong Wang✉ 4,✉
PMCID: PMC10726413  PMID: 37774423

Abstract

Background

Suicidal behaviors have become a serious public health concern globally due to the economic and human cost of suicidal behavior to individuals, families, communities, and society. However, the underlying etiology and biological mechanism of suicidal behavior remains poorly understood.

Methods

We collected different single omic data, including single-cell RNA sequencing (scRNA-seq), bulk mRNA-seq, DNA methylation microarrays from the cortex of Major Depressive Disorder (MDD) in suicide subjects’ studies, as well as fluoxetine-treated rats brains. We matched subject IDs that overlapped between the transcriptome dataset and the methylation dataset. The differential expression genes and differentially methylated regions were calculated with a 2-group comparison analysis. Cross-omics analysis was performed to calculate the correlation between the methylated and transcript levels of differentially methylated CpG sites and mapped transcripts. Additionally, we performed a deconvolution analysis for bulk mRNA-seq and DNA methylation profiling with scRNA-seq as the reference profiles.

Results

Difference in cell type proportions among 7 cell types. Meanwhile, our analysis of single-cell sequence from the antidepressant-treated rats found that drug-specific differential expression genes were enriched into biological pathways, including ion channels and glutamatergic receptors.

Conclusions

This study identified some important dysregulated genes influenced by DNA methylation in 2 brain regions of depression and suicide patients. Interestingly, we found that oligodendrocyte precursor cells (OPCs) have the most contributors for cell-type proportions related to differential expression genes and methylated sites in suicidal behavior.

Keywords: Multi-omics analysis, suicide, depression, postmortem brain tissues, deconvolution analysis


Significance Statement.

Suicide is the second-leading cause of death among young people in different populations. Currently, some candidate targets were identified from suicidal brain tissues with a single-omic-level study. This study aims to integrate multi-omics data from bulk mRNA-seq, snRNA-seq, and DNA methylation data to discover novel cell type–specific DEGs and signaling pathways. We found that 17 key genes were finally found to share changes across transcription, DNA methylation, and 2 different brain tissues (BA11 and BA25). OPCs have the most contributors for cell-type proportions related to differential expression genes and methylated sites in suicidal behavior, which replicated the results of previously published studies on single-nucleus RNA-sequencing. This study provides insights into key cell-type transcripts and CpG biomarkers for the treatment of MDD with suicide.

Introduction

Suicidal behaviors, including suicidal ideation, suicide attempts, and suicide completion, have become a serious public health concern globally due to the economic and human cost of suicidal behavior to individuals, families, communities, and society (Turecki and Brent, 2016b; Gifuni et al., 2021; Brassell et al., 2022; Harmer et al., 2022). Approximately 800,000 people die by suicide every year worldwide, and the number of suicide attempts is estimated to be 20 times that of completed suicides (Brassell et al., 2022; Meda et al., 2022; Miller et al., 2022). Suicide is the second leading cause of death among young people in different populations (Hilario et al., 2021; Kim et al., 2021; Marsden and Tuma, 2022; Watling et al., 2022). From the clinical perspective, the treatment methods for suicidal behavior mainly include physical therapy and psychotherapy intervention. For physical therapy, it mainly includes drug treatment and electroconvulsive therapy (Turecki and Brent, 2016). Regarding drug treatment, a meta-analysis of randomized controlled trials showed that antidepressant drug treatment reduces suicidal ideation in individuals aged 25 years and older (Vitiello et al., 2011; Gibbons et al., 2012; Grunebaum et al., 2012). In participants younger than 24 years, although antidepressant treatment reduced depressive symptoms, it did not always reduce suicidal ideation (Stone et al., 2009; Gibbons et al., 2012). In recent years, clinical studies have found that single and repeated use of ketamine can reduce suicidal ideation, but it has side effects such as transient responses and potential misuse (Fond et al., 2014; Rajkumar et al., 2015). Due to the heterogeneity in the performance and treatment of individuals with suicidal behavior, any treatment plan cannot be effective for all patients, and the development of risk prediction biomarkers and effective targets is of great importance for the prevention and treatment of suicide. The risk of suicidal behavior is multifactorial and includes a range of biological, psychiatric, psychosocial, and cultural factors. However, the underlying etiology and biological mechanism of suicidal behavior remains poorly understood (Docherty et al., 2021; Jiang et al., 2021; Neupane, 2021; Lindner et al., 2022). Currently, postmortem brain tissues obtained from suicide victims offer an important avenue to study the neuropathophysiological mechanisms associated with suicide by offering a snapshot of what happened in the brains that led to suicide and death (Gate et al., 2021; Chang et al., 2022; Jaffe et al., 2022; Kenigsbuch et al., 2022).

With the rapid development of genotyping and sequencing technologies, as well as powerful analytical tools, genome-wide association (GWA), transcriptomic, epigenomic studies, scRNA-seq of postmortem brains has been widely used to investigate genome-wide genetic association, gene expression changes, and epigenetic modifications that influence or mediate the effects of environmental factors on suicidal behaviors (Price et al., 2021; de Witte et al., 2022; Grima et al., 2022). A series of GWA studies, particularly the most recent—as well as the largest and most diverse GWA studies of suicide attempts and suicidal ideation—have identified at least 7 replicable cross-ancestry and 9 replicable ancestry-specific genome-wide significant loci, which provide convincing evidence that ESR1, DRD2, TRAF3, and DCC are highly plausible cross-ancestry risk genes for suicide attempts and suicidal ideation along with genes involved in synapse, dopamingeric pathways, and axon guidance (Kimbrel et al., 2023). In transcriptomic studies, gene expression changes have been reported in postmortem brain tissues of completed suicide, which were involved with altered glial, endothelial, and ATPase activity (Pantazatos et al., 2017); endothelial dysfunction (Kim et al., 2022); GABA and glutamate neurotransmitter system imbalance (Yin et al., 2016); as well as abnormal purinergic signaling in microglia (Punzi et al., 2022). In epigenomic studies, several genes, including PSORS1C3, TAPBP, ATP5G2 (Murphy et al., 2017), GRIK2 (Nagy et al., 2015), and MPP4 (Jeremian et al., 2017), showed differential methylation patterns in brain tissues in epigenome-wide association studies of suicidal behaviors with mood disorders (Fiori and Turecki, 2020). The above-mentioned studies have explored the etiology of mood disorders from the single-omic level. However, from the perspective of systems biology, single-omic-level studies may not be able to explain the complex molecular relationships and regulatory processes involved in the neurobiology of mood disorders. The research method of scientific integration is more conducive to exploring the complexity of brain organization and function from a holistic perspective so as to discover biomarkers and drug targets with clinical potential.

In particular, the rise of scRNA-seq technology in recent years has been applied to the study of mood disorders to discover independent cell-type–specific gene expression changes. In 2020, Nagy et al. (2020) used single-nucleus transcriptomics technology to identify gene expression differences in the prefrontal cortex tissue of male depression patients and found that nearly 60% of the identified cell types had gene expression dysregulation, among which OPCs and excitatory neurons had significant gene expression changes (Nagy et al., 2020). Subsequent comparison of single-nucleus RNA-sequencing data from the dorsolateral prefrontal cortex of 71 men and women found that cell-type–specific MDD-associated gene expression patterns were similar between males and females, but there were differences in significantly differentially expressed genes (DEGs): more DEGs were found in microglia and parvalbumin interneurons in females, whereas there were more DEGs in males in deep-layer excitatory neurons, astrocytes, and oligodendrocyte precursors (Nagy et al., 2020; Maitra et al., 2023). In this study, bioinformatics methods such as regression and deconvolution were used to integrate data from bulk mRNA-seq, single nucleus RNA sequencing, and DNA methylation in depressed suicide postmortem brains to discover new cell-type–specific DEGs and signaling pathways.

Methods and Materials

Human Postmortem RNA Sequencing Data and Matched Methylomic Profiling Data

To conduct our research, we accessed 4 datasets from the GEO database: a mRNA expression dataset GSE102556, a methylation dataset (GSE88890), and 2 single-cell datasets (GSE144136 and GSE197622) (Labonté et al., 2017; Murphy et al., 2017; Nagy et al., 2020; Rayan et al., 2022). These omics data were derived from tissue in the prefrontal cortex, a brain region where dysfunction is not only associated with stress-induced cognitive deficits but also with suicidal behavior. For example, early candidate gene studies found that the mRNA or protein levels of brain derived neurotrophic factor and Tyrosine Kinase receptor B genes were significantly reduced in the prefrontal cortex tissues of suicide completers, and the promoters or 3’-UTR gene regions of these 2 genes were also differentially methylated in the prefrontal cortex tissues (Dwivedi et al., 2003; Pandey et al., 2008; Penner-Goeke and Binder, 2019). Additionally, the postmortem brain tissues were obtained from the Douglas Bell Canada Brain Bank (DBCBQ; Douglas Mental Health Institute, Montreal, Québec, Canada) with overlapped samples and brain regions. The detailed clinical characteristics and data generation for both datasets were presented in the previous studies (Labonté et al., 2017; Murphy et al., 2017). For the GSE102556 dataset, 6 brain regions from a total of 48 subjects consisting of 37 MDD/suicide patients and 11 nonpsychiatric, sudden-death controls were examined at the transcription level by RNA-sequencing; and the 6 brain regions included the anterior insula (Ant), orbitofrontal (BA11), cyrus cinguli 25 (BA25), dorsolateral prefrontal cortex (BA8/9), nuclei accumbens (Nac), and subiculum (Subic). The GSE88890 dataset included genome-wide patterns of DNA methylation array data from 2 cortical regions, that is, BA11 and BA25, in 20 depressed MDD suicide deaths and 20 nonpsychiatric sudden deaths. We extracted corresponding matched mRNA expression and methylation array datasets from the same subjects in 2 overlapped regions, that is, BA11 and BA25, which resulted in 6 paired transcriptome-methylome datasets from MDD/suicide subjects and 4 paired datasets from control subjects from BA11 tissue as well as 5 paired datasets from MDD/suicide subjects and 3 paired datasets from control subjects from BA25 tissue (Table 1). For the cell-type analysis, we mainly conducted deconvolution analysis with single-cell sequencing data from the cortex regions (BA9) of 34 subjects from 17 MDD and 17 nonpsychiatric controls in the GSE144136 dataset (Nagy et al., 2020). Meanwhile, we examined the effects of fluoxetine-treated rats by analyzing single-nucleus transcript expression data in 2 brain regions, dorsal hippocampal dentate gyri (dorDG) and ventral hippocampal dentate gyri (venDG), for the GSE197622 dataset (Rayan et al., 2022).

Table 1.

Demographic Information of Subjects

Region Sample ID (GSE102556) Sample ID (GSE88890) Phenotype Age Gender Rin pmi pH
BA11 14 X9297953165_R03C02 CTRL 47 Male 79 12 6.49
20 X9297962014_R04C01 CTRL 31 Male 7.1 29.5 6.67
28 X9297962057_R01C01 CTRL 46 Male 7.7 19.5 6.42
56 X9297962027_R02C01 MDDS 39 Male 4.8 19 6
67 X9297962027_R03C01 MDDS 22 Male 7.4 24 6.68
72 X9297962027_R05C01 MDDS 55 Female 6.9 36 6.79
105 X9297953165_R02C01 MDDS 39 Male 6.8 18.5 6.37
153 X9297953165_R05C02 MDDS 55 Female 8.5 2.5 6.5
162 X9297962014_R02C02 CTRL 79 Female 6.8 7.5 6.4
183 X9297962014_R03C01 MDDS 64 Male 9.1 6.5 6.25
BA25 14 X9297962043_R06C01 CTRL 47 Male 79 12 6.49
20 X9283265107_R03C02 CTRL 31 Male 7.1 29.5 6.67
28 X9297962015_R03C01 CTRL 46 Male 7.7 19.5 6.42
56 X9297962015_R05C01 MDDS 39 Male 4.8 19 6
67 X9297962015_R01C02 MDDS 22 Male 7.4 24 6.68
72 X9297962015_R03C02 MDDS 55 Female 6.9 36 6.79
105 X9297962043_R02C01 MDDS 39 Male 6.8 18.5 6.37
153 X9343114119_R03C02 MDDS 55 Female 8.5 2.5 6.5

Note: CTRL, Control (); MDDS, Major Depressive Disorder with Suicide; rin, RNA integrity number; pmi, post-mortem interval.

Data Analyses

Differential Gene Expression (DGE)—

DGE was assessed through a generalized linear model implemented in limma package, with phenotype (MDD vs CTRL) as main factors for BA11 and BA25 brain region separately (Phipson et al., 2016), adjusted for age, sex, RNA integrity number (RIN), and Body Mass Index (BMI) as covariates. An individual gene was defined as differentially expressed if the P value of its t statistic was at most 0.05.

Differentially Methylated Regions (DMRs)—

DMRs in BA11 and BA25 were identified using the Bumphunter package (Jaffe et al., 2012). We first grouped methylation data, unmethylation data annotation, and phenotypic information of individual subject and merged into 1 dataset using the MethySet function. Then, the grouped dataset was transformed into beta and M values using function ratioConvert. The function mapToGenome was used to integrate the genomic coordinates and annotation information of CpG sites into the ratioConvert object. Finally, the bumphunter function was used to identify the DMRs between the 2 conditions, and the bumphunter algorithm was applied to compute a t statistic approach at each genomic location. The differentially methylated CpG sites were statistically screened in the BA11 and BA25 regions separately, and the P value of each significant CpG site was further corrected using the GLM function.

To demonstrate the changes of the methylated sites and each transcript in the 2 groups, the Manhattan function in the qqman package was used to plot the relationship between the significant level and the chromosomal position of the CpG sites and transcripts. In addition, we observed simultaneous changes in the 2 omics levels in specific chromosomal regions.

Cross-omics Correlation Analysis—

The chromosomal positions of all the CpG sites were retrieved from the GPL13534 platform, which annotates the BeadChip HumanMethylation450_15017482. LiftOver software was then used to transform the GRCh37/hg19 coordinates into the corresponding ones of the GRCh38/hg38 version. Based on the transformed chromosomal coordinates, bed files were generated and analyzed using the Bedtools software (Utah,USA) to obtain matched genes with each CpG site. Then, using the Ensembl function of the biomart package, each CpG site was mapped into the corresponding transcript ID of the Ensembl database.

After the chromosomal regions of CpG sites were mapped into the corresponding transcripts, correlation coefficients between methylation and expression levels of transcripts in each sample were calculated using COR function. By comparing the mean correlation coefficients between the case and control groups, we focused on methylation sites and transcripts with absolute correlation coefficients greater than 0.8, which were defined as highly correlated CpG sites with gene expression levels. We also investigated the CpG sites with opposite correlation coefficients between the 2 groups.

In addition to the correlation coefficients, we examined the methylation level of each differentially methylated site and calculated the fold-changes between cases and controls. In the present study, we set the threshold of fold change >1.5 as hypermethylated sites and a fold change <0.67 as hypomethylated sites. We further studied the fold changes in the corresponding transcripts in which chromosomal regions have hypermethylated CpG sites.

Functional Annotation of Highly Correlated CpGs Across Omics—

Based on the results of the correlation analysis, we retained only all the highly correlated CpG sites. To obtain the genomic functional regions of these CpG sites, the makeGRangesFromDataFram function from the GenomicRanges package was used to transform into GRanges files, including the chromosomal, start position, and end position of each CpG site. Then, GRanges files were input into the function of locateVariants of the VariantAnnotation package and aligned the GRange files with annotated reference genomic function regions provided by the TxDb.Hsapiens.UCSC.hg38 gene annotated package. Finally, each CpG site was annotated with different genomic functional regions, including promoter, 3’untranslated region (3' UTR), and intron. Finally, we summarized the regulatory gene regions at which these highly correlated CpG sites were located and explored the distribution of gene function regions of these highly correlated methylated sites.

Identification and Functional Annotation of Overlapping Genes Cross Omics or/and Cross Brain Regions—

The overlapping genes in the transcriptomics and methylated omics from BA11 or BA25 were obtained for similarity and difference analyses using the VennDiagram Package. KEGG and enriched pathway analyses of these overlapping transcripts were performed using the clusterProfiler package to identify the main enriched pathways for these key genes. Meanwhile, the same methods were used to further sort out overlapping genes between the 2 brain regions and 2 omics levels, which may contribute to the occurrence of MDD with suicide.

Deconvolution Analysis of Bulk RNA Data—

By using the ReadMtx function in the Seurat package to input the single-cell data (GSE 144136), the cell annotation types were referred to in the raw annotation cell types, which mainly included endothelial, excitatory neurons, OPCs, astrocytes, oligodendrocytes, macrophage/microglia, and inhibitory neurons. Then, dimensionality reduction analysis was performed on the cell annotation results by RunUMAP and RunTSNE functions. With regard to the MuSiC2 package, the single-cell data were input as a reference to estimate the cell type ratio of the bulk RNA-seq data. We also performed statistical analysis on the cell types of the normal group and the suicide group, and analyzed them with the music2_prop_t_statistics function to obtain the cell-type–specific differential genes. The clusterProfiler package was used to perform GO annotation analysis and KEGG pathway analysis on the obtained differential genes.

Cell-Type Deconvolution Analysis of Bulk DNA Methylation Data—

First, we collected the significant methylation sites corresponding to the transcripts and the beta value representing the methylation level. Similar to deconvolution analysis of bulk mRNA-seq, 7 broad cell types were obtained from single-cell sequence data, and the single-cell data as a reference were used to estimate the cell type proportions of the methylation data and compare the difference between the normal group and MDD groups of cell types. The music2_prop_t_statistics function was used to analyze the cell-type–specific differential genes, and the clusterProfiler package was applied to annotate the biological function of those differential genes.

DGE of Fluoxetine-Related RNA-seq Data—

The single-nuclear transcript expression data of fluoxetine-treated rats were retrieved from the GEO database (GSE197622). We reconsidered fluoxetine treatment and cell type as bivariate variables and performed multiple comparison analysis to screen the fluoxetine-specific and cell-type–specific differential genes. The VennDiagram package was used to identify the intersection of those genes and performed GO annotation and KEGG pathway analysis on the intersection genes.

Results

Differential Transcription and Methylation Analyses

For the transcriptional analysis, a total number of 1300 significantly differentially expressed transcripts was identified from the transcriptional data of BA11 after correction by multiple comparisons with different variable factors, such as age, sex, and BMI, as covariates. Similarly, 6793 transcripts were found in BA25. The Manhattan plot presents the significance level of the different transcripts of BA11 and BA25 and their chromosomal positional relationship (Fig. 1C and D). Interestingly, some top significant changes in transcripts belong to the lncRNA family, which is associated with suicide and depression as epigenetic modifications (supplementary Table 1).

Figure 1.

Figure 1.

Distribution of transcripts and methylation sites on chromosomes. (A) BA11 methylation Manhattan plot. (B) BA25 methylation Manhattan plot. (C) BA11 transcriptome plot. (D) BA25 transcriptome plot.

For the methylation analysis, 3177 differential CpGs were identified at the genome-wide level, with significant changes in the BA11 region. In the BA25 region, 1304 differential CpG sites were identified with significant changes (P < .01). In Figure 1A and B, the Manhattan plot shows a significant relationship between the of CpG sites and chromosomal position. The most significant changes in CpG sites in BA11 and BA25 are listed in Table 2. In BA11 tissue, these significant changes in CpG loci were mainly distributed on chromosomes 8, 11, and 17 (Fig. 1A), whereas in BA25 tissue, these significant changes in CpG loci were distributed on chromosomes 10 and 5 (Fig. 1B).

Table 2.

The Top 20 Differentially Methylated Sites in the BA11 and BA25 Regions of Suicidal MDD Patients and Healthy Controlsa

Brain Region Seq_ID CpG Chromosome Position Function Flanking gene Bio P
BA11 1 cg16292768 8 27467783 Intron CHRNA2 Neuronal acetylcholine receptor subunit alpha-2 .0000026
2 cg05914894 11 36055687 Intron LDLRAD3 Low density lipoprotein receptor class A domain containing 3 .0000161
3 cg02508651 17 46604554 Non-coding RNA NSF Vesicle-fusing ATPase .0000189
4 cg26258213 10 127220321 Intron DOCK1 Dedicator of cytokinesis protein 1 .0000199
5 cg12734688 1 48308390 Intron SPATA6 Spermatogenesis-associated protein 6 .0000296
6 cg00083790 12 132944010 Intron ZNF605 Zinc finger protein 605 .0000332
7 cg02959939 21 47813025 — — — .0000344
8 cg25621518 5 6372336 Exon MED10 Mediator of RNA polymerase II transcription subunit 10 .000066
9 cg01761758 17 76850277 Non-protein coding RNA LINC00868 — .0000702
10 cg18257839 15 63369284 Intron CA12 Carbonic anhydrase 12 .0000736
11 cg00152041 20 61274867 Intron CDH4 Cadherin-4 .0000852
12 cg11965936 11 69811698 Intron FGF3 Fibroblast growth factor 3 .0000988
13 cg07196992 4 78098654 Intron FRAS1 Extracellular matrix protein FRAS1 .000100045
14 cg01996297 6 33970166 — — — .000100555
15 cg24327877 6 131222276 Intron AKAP7 A-kinase anchor protein 7 isoform gamma .000100718
16 cg00394844 19 18343302 Intron PGPEP1 Pyroglutamyl-peptidase I .000105844
17 cg20704247 8 144409764 Intron CPSF1 Cleavage and polyadenylation specificity factor subunit 1 .000108626
18 cg16033053 10 28034794 Intron ENSG00000233472 — .000111832
19 cg16300509 10 102280155 Intron GBF1 Golgi-specific brefeldin A-resistance guanine nucleotide exchange factor 1 .000114731
20 cg07033643 14 74420178 Intron SYNDIG1L Synapse differentiation-inducing gene protein 1-like .000115666
BA25 1 cg09432202 6 163768551 Intron ENSG00000235538 — 3.78E-05
2 cg15212354 10 422330 Intron DIP2C Disco-interacting protein 2 homolog C 5.56E-05
3 cg19781637 5 77935323 — — — .000114315
4 cg15643796 1 10421972 — — — .000119521
5 cg04882341 4 170679129 — — — .000166889
6 cg08169875 2 77340582 Intron LRRTM4 Leucine-rich repeat transmembrane neuronal protein 4 .000169684
7 cg03238595 19 44598377 — — — .000172248
8 cg24041637 1 233462711 — — — .000210215
9 cg10810860 8 144639591 Intron ARHGAP39 Rho GTPase-activating protein 39 .000215068
10 cg08389497 10 73820491 Non-coding RNA CAMK2G Calcium/calmodulin-dependent protein kinase type II subunit gamma .000235872
11 cg20526654 3 72495865 — — — .000257424
12 cg25202111 10 99519374 — — — .000262818
13 cg05653714 3 184349359 Intron CLCN2 Chloride channel protein 2 .000281551
14 cg12568756 2 218717561 Intron TTLL4 Tubulin polyglutamylase TTLL4 .000292654
15 cg05708074 12 122326393 Intron CLIP1 CAP-Gly domain-containing linker protein 1 .000309344
16 cg16765706 14 21109008 Intron ENSG00000178107 — .000343509
17 cg26079320 1 166809407 — — — .000360808
18 cg08073312 3 137483555 Intron SOX14 Transcription factor SOX-14 .000368467
19 cg03691958 11 113345618 Intron TTC12 Tetratricopeptide repeat protein 12 .00039959
20 cg26116980 18 77170314 Intron ENSG00000265844 — .000418198

a Chromosome based on GRCh38/hg38.

Genomic Correlation of Differentially Methylated Regions

The Bumphunter method identified 1 and 5 significantly DMRs (P < .05) between the depression with suicide and the normal control groups in BA11 and BA25, respectively (Table 3). The DMR in the BA11 region is located on chromosome 8 (143751796–143751801) and contains 2 CpG sites located in the gene region of IQANK1, which encodes the Q motif and the ankyrin repeat domain-containing protein 1. This gene was increased in BA11 tissues with depression and suicide compared with healthy controls (FC = 1.51). Interestingly, this DMR was also shared between the BA11 and BA25 regions. In the BA25 tissue, we identified 6 DMR regions, of which 3 were located on chromosome 8. The top 2 DMR regions were located on chromosomes 2 (30669597–30669863) (P = .0057) and 8 (2075209–2075777) (P = .0013). The former DMR is an intergenic gene whose downstream flanking gene is CAPN13, and the latter DMR is located in MYOM2.

Table 3.

Methylation Regions in the BA11 and BA25a

Seq_ID Chromosome Start End Gene symbol Value Area Cluster Index start Index end L Cluster L P
BA11_1 chr8 143751796 143751801 IQANK1 −0.15793041 0.315860825 171507 207552 207553 2 10 .00906879
BA25_1 chr2 30669597 30669863 — −0.13578541 0.407356232 93593 47009 47011 3 12 .005758724
BA25_2 chr8 2075209 2075777 MYOM2 −0.12100563 0.3630169 164336 192790 192792 3 4 .013387803
BA25_3 chr8 143751796 143751801 IQANK1 −0.13326407 0.26652813 171507 207552 207553 2 10 .014273761
BA25_4 chr8 1365049 1365659 DLGAP2 −0.10969437 0.329083121 164092 192111 192113 3 10 .022148939
BA25_5 chr13 43597657 43597736 ENOX1 −0.11820323 0.23640646 48434 290890 290891 2 6 .037702417

a The bold characters represent overlapping regions between BA11 and BA25.

Integrated Analysis of Methylation and Transcriptomic Data

To more intuitively show the expression changes of the mRNA transcripts corresponding to the methylation sites, we mapped the chromosomal positions of the methylation sites and each transcript and determined the overlapping of chromosomal regions of the methylation sites and the transcripts. We calculated the correlation coefficient between the matched methylation levels and transcript expression levels. Here, we have shown highly correlated CpG sites that have the opposite correlation relationship and a larger difference in correlation coefficients in the case and control samples (Table 4). Fifteen methylation sites were filtered out in the BA25 part. The most significant methylation site, cg03462556, is located in the SLC16A9 gene, and the correlation coefficients in the MDD with suicide and healthy controls were 0.99 and −0.96, respectively, indicating that cg03462556 likely regulates the expression of the SLC16A9 gene directly and that the abnormal expression of the SLC16A9 gene could further mediate the occurrence of depression with suicidal behavior. For the BA11 region, we did not find any highly methylated sites that had a higher conversely correlated relationship between the suicide and control groups; cg17977470 in the TMEM88 gene had the highest difference in correlation coefficients (cases: r = −0.7; controls: r = 0.95).

Table 4.

Correlation Coefficients Between Methylation and Expression Levels of BA11 and BA25 Regions

Seq_ID CpG Gene_symbol Ensembl_gene_id Chromosome Correlation_Control P value_control Correlation_MDD P value_MDD
BA11_1 cg17977470 TMEM88 ENSG00000167874 17 0.948925289 .004740912 −0.65980585 .60000938
BA11_2 cg01290710 HIPK4 ENSG00000160396 19 −0.703659967 3.72E-08 0.855472097 6.89E-10
BA11_3 cg20037968 CARD11 ENSG00000198286 7 0.656621585 .369201006 −0.853767051 .00235136
BA11_4 cg12267236 PTGFRN ENSG00000134247 1 0.855233761 .000623981 −0.639358679 1.83E-08
BA11_5 cg14092536 PTGES2 ENSG00000148334 9 0.8424328 .000541436 −0.648549089 5.90E-08
BA11_6 cg16903122 KLF17 ENSG00000171872 1 0.830488917 3.61E-08 −0.605647773 2.33E-11
BA11_7 cg06759255 TMEM88 ENSG00000167874 17 0.927817849 .076350645 −0.500603773 .12574782
BA11_8 cg15658543 CARD11 ENSG00000198286 7 0.6020029 .06829912 −0.784237835 .29764647
BA11_9 cg22863798 PTGES2 ENSG00000148334 9 −0.590679307 .000510823 0.773734462 5.56E-08
BA25_1 cg03462556 SLC16A9 ENSG00000165449 10 0.995372893 .032890446 −0.960859014 .00764052
BA25_2 cg10162673 ACAD9 ENSG00000177646 3 0.980216299 .000548044 −0.936690779 6.69E-06
BA25_3 cg22003284 KIF6 ENSG00000164627 6 −0.965002098 .001246527 0.919116769 .00012615
BA25_4 cg19535609 LRRC43 ENSG00000158113 12 −0.999999548 .007079487 0.876993627 8.55E-05
BA25_5 cg17334018 UNC5C ENSG00000182168 4 0.886992089 .010077041 −0.981183168 1.88E-05
BA25_6 cg16755630 GABRB1 ENSG00000163288 4 0.952405279 .00253271 −0.912125836 1.67E-05
BA25_7 cg08860287 SLC7A5 ENSG00000103257 16 −0.999296624 .018135309 0.861405282 .00154594
BA25_8 cg04837071 NOXA1 ENSG00000188747 9 −0.98601094 .001183872 0.86074114 .00308855
BA25_9 cg09213964 LRRC43 ENSG00000158113 12 −0.92735654 .005969537 0.91375274 5.30E-05
BA25_10 cg20978193 SCNN1D ENSG00000162572 1 −0.99237863 .107748625 0.847503548 .00108108
BA25_11 cg09552892 MMRN2 ENSG00000173269 10 0.896169973 .034142133 −0.938561759 3.22E-05
BA25_12 cg04738965 ZIC1 ENSG00000152977 3 0.99360233 .088212048 −0.821019255 .00071461
BA25_13 cg22797991 ATP10A ENSG00000206190 15 −0.999800408 .018293452 0.806339301 5.93E-05
BA25_14 cg11110864 CERT1 ENSG00000113163 5 0.965953123 .000838712 −0.838449669 2.27E-06
BA25_15 cg05092932 SLC29A3 ENSG00000198246 10 −0.900490718 .005456505 0.895755569 5.45E-07

From the perspective of the effect of the extent of methylation on the expression level, we identified 85 CpG sites in BA25 that met the criteria for hypermethylation and 17 hypomethylation sites. After further investigation of the altered expression levels of these transcripts mapped by these hypermethylated CpG sites, 3 transcripts, ENSG00000139549, ENSG00000142185, and ENSG00000005379, were highly upregulated (FC > 1.5), and 5 transcripts were significantly downregulated (FC < 0.67). Two corresponding transcripts (ENSG00000269891 and ENSG00000134201) mapped with hypomethylated sites showed 2.4- and 2.0-fold change regulation in the brain tissues of suicide with depression, while the ENSG00000139537 transcript had a downregulated expression (FC = 0.39). No transcripts mapped with the 17 hypermethylation sites, and 15 hypomethylated sites reached a significantly different expression level in the brain tissues of suicide patients with depression compared with healthy controls screened in the BA11 region (supplemental Table 2).

Distribution on the Genomic Region of Those Highly Correlated CpG Sites

We further analyzed all the methylation sites with a correlation coefficient between methylation level and transcript expression greater than 0.8 and annotated the gene functional regions of these methylation sites. The results of annotated genomic functional regions of highly correlated CpG sites showed that the majority of these CpG sites were mainly distributed in the promoter and intron regions, with BA11 having 40 methylation sites in the intron region and 19 sites in the promoter region and BA25 having 591 CpG sites in the intron region and 461 sites in the promoter region (supplemental Table 3). We also determined the correlation coefficients of these methylated sites and found that 47.5% of the DNA methylation sites in the promoter region were negatively correlated with the corresponding transcript expression level. Approximately 47.2% of CpG sites within the intron regions were negatively correlated with mRNA expression, indicating that the positions of CpG sites in the gene regions were not associated with gene expression. To summarize the results of hypermethylated or hypomethylated CpG sites, gene expression is regulated not only by DNA methylation modification but also by other epigenetic modifications, including ncRNA, histone modification, and epitranscriptome modification.

Identification of Key Genes From Cross-Tissue and Cross-Omics Analysis and Pathway Enrichment Analysis

By analyzing the similarities and differences between DEGs and genes mapped using differentially methylated CpG sites, the results of the cross-omics study are shown in the Venn diagram (Fig. 2A and B). We found that 146 genes in BA11 and 1283 genes in the BA25 brain region showed both differentially methylated DNA and dysregulated mRNA expression. Further KEGG and functional annotation analysis of these genes showed that the genes in the BA11 region were mainly enriched in calmodulin-dependent protein kinase activity, calmodulin binding, and calcium channel activity, whereas the key genes in BA25 were mainly enriched in GTPase regulator activity, calcium ion transmembrane transporter activity, and calmodulin binding (Fig. 3).

Figure 2.

Figure 2.

Overlapped differentially expressed and methylated genes in BA 11 and BA25 tissues. (A–B) The intersected transcripts sharing with transcriptome and methylation levels in BA11 and BA25 regions. (C) Seventeen key genes were identified across different omics and tissues.

Figure 3.

Figure 3.

The key genes and enriched pathways from cross omics and tissue analysis. (A–D) GO enrichment analysis and KEGG pathway analysis of BA11 and BA25 regional differential transcripts. The results show that these transcripts are associated with ion channel receptor activities (red boxes).

Finally, we also found that there were 17 key genes shared with 2 regions of BA11 and BA25 (Fig. 2C), and the results of gene function further demonstrated that 6 out of 17 genes were directly associated with ion channel–related biological functions (Table 5).

Table 5.

GO and KEGG Pathway Analysis Showed that BA11 and BA25 Shared Genesa

Seq_ID GENE ENSG CpG Description Expression_BA11_FC Top_Methylation_BA11_FC Top_DMP_BA11_pval DEG_BA11_pval Expression_BA25_FC Top_Methylation_BA25_FC Top_DMP_BA25_pval DEG_BA25_pval
1 G2AN ENSG00000089597 cg05882782,cg25217772,cg25217772,cg08151654,cg26417427,cg19589057 Glucosidase II alpha subunit 1.0721 0.8062 0.0071 0.0422 0.8554 1.1990 0.1525 0.2839
2 KIF17 ENSG00000117245 cg03626238,cg14035553,cg14035553,cg05653329,cg10530135,cg27312359 Kinesin family member 17 1.3175 0.9933 0.0242 0.0148 1.8211 0.9860 0.3410 0.3862
3 CCNI ENSG00000118816 cg17080371,cg16316472,cg16316472,cg02639808,cg10560514,cg17512133 Cyclin I 1.1700 0.9329 0.0168 0.0139 1.1881 0.9856 0.1684 0.2458
4 AKAP9 ENSG00000127914 cg02582136,cg08524932,cg08524932,cg22127703,cg00334498,cg00502697 A-kinase anchoring protein 9 0.8671 0.9361 0.0151 0.0086 0.9243 1.0023 0.7927 0.3496
5 CPLX2 ENSG00000145920 cg15622912,cg18328894,cg18328894,cg01252455,cg19885761,cg01938009 Complexin 2 1.2339 0.9533 0.0044 0.0333 1.5097 1.1729 0.2682 0.0376
6 PTGES2 ENSG00000148334 cg22863798,cg14092536,cg14092536,cg01311102,cg16020551,cg13833419 Prostaglandin E synthase 2 1.1576 1.0094 0.0113 0.0198 1.3177 1.0622 0.3050 0.1709
7 PHKG2 ENSG00000156873 cg02091607,cg07029862,cg07029862,cg15970621,cg00027499,cg00467202 Phosphorylase kinase catalytic subunit gamma 2 1.1703 1.0035 0.0467 0.0418 1.2511 0.9907 0.4781 0.2859
8 FOXH1 ENSG00000160973 cg19792544,cg01906600,cg01906600,cg00845765,cg13623135,cg22340053  Forkhead box H1 2.2476 0.9684 0.0249 0.0212 3.3984 0.9822 0.4371 0.0814
9 LOXHD1 ENSG00000167210 cg07931960,cg16481525,cg16481525,cg14850601,cg14165909,cg15132710 Lipoxygenase homology PLAT domains 1 1.9221 0.9755 0.0468 0.0219 2.1435 1.0622 0.0217 0.2604
10 LRP1B ENSG00000168702 cg10499042,cg21340845,cg21340845,cg26413307,cg21484213,cg09618674 LDL receptor related protein 1B 0.8386 0.9897 0.0115 0.0120 1.2359 0.9905 0.5336 0.2740
11 IRX2 ENSG00000170561 cg05659097,cg15941948,cg15941948,cg05903444,cg23164183,cg09524455 Iroquois homeobox 2 0.1018 1.0616 0.0227 0.0089 0.2731 1.0050 0.2199 0.3988
12 CHRNA7 ENSG00000175344 cg04785227,cg20861607,cg20861607,cg21883683,cg23854667,cg08481732 Cholinergic receptor nicotinic alpha 7 subunit 1.5010 0.8955 0.0379 0.0319 1.4663 0.8666 0.6103 0.3852
13 LRRC75A ENSG00000181350 cg22912701,cg10498052,cg10498052,cg18017908,cg08783616,cg26744387 Leucine rich repeat containing 75A 1.3350 0.9841 0.0236 0.0170 1.5347 0.9936 0.9896 0.1520
14 CAMK1D ENSG00000183049 cg20683445,cg12768145,cg12768145,cg12273284,cg09926867,cg26169081 Calcium/calmodulin dependent protein kinase ID 1.2527 0.9633 0.0357 0.0238 1.5639 1.0799 0.9687 0.2604
15 SCN5A ENSG00000183873 cg16874743,cg00378492,cg00378492,cg18800918,cg12926589,cg09290614 sodium voltage-gated channel alpha subunit 5 1.7448 0.9961 0.0180 0.0360 0.2746 0.9914 0.2656 0.3847
16 C1QTNF12 ENSG00000184163 cg00211609,cg15582176,cg15582176,cg13440692,cg10208113,cg25594899 C1q and TNF related 12 6.4427 0.8108 0.0174 0.0449 Inf 1.0319 0.7701 0.2233
17 GRM7 ENSG00000196277 cg04023483,cg21032008,cg21032008,cg23055496,cg13231680,cg18399935 Glutamate metabotropic receptor 7 1.1591 0.7147 0.0125 0.0280 1.4010 0.9774 0.4663 0.4068

a Bold characters represented genes associated with ion channels.

Cell Type Transcriptomic Changes From Deconvolution Analysis

To explore the cell types associated with suicide and depression, we deconvoluted the bulk mRNA-seq of test samples from single-cell transcriptome data. With the help of Seruat and MuSiC2 software packages, we found that among 7 broad cell types, OPC cells have the most significant difference of cell type ratios in the suicide group compared with the control (P = .00324), indicating that suicidal behavior may have some links with cell-type transcriptome changes with OPCs (Fig. 4). In addition, we identified 312 differential genes associated with cell type specificity (supplementary Table 4). Further functional annotation analysis found that these genes were mainly enriched in glutamatergic system–related signaling pathways, such as GABAergic synapses, cGMP-PKG signaling pathways, and glutamatergic synapses (see Fig. 5 for details). Among them, studies have shown that MAPK1, GABRB1, SLC1A3, and other genes in this pathway are related to depression. In addition, we analyzed the cell-type enrichment of 17 genes obtained from cross-omics and cross-tissue analysis and found that 13 genes, including KIF17, CCNI, AKAP9, CAMK1D, and GRM7, were significantly enriched in OPCs cells.

Figure 4.

Figure 4.

Overview of cell types characterized in the dlPFC. (A) TSNE plot colored by the broad cell types. (B) UMAP plot colored by the broad cell types.

Figure 5.

Figure 5.

Functional analysis of key genes and differential cell types for bulk RNA deconvolution analysis. (A–D) The proportion of cells and different cell types in bulk RNA deconvolution analysis. (E–F) GO enrichment analysis and KEGG pathway analysis of bulk RNA deconvolution analysis.

Cell Type Analysis of Methylated Sites With Deconvolution Analysis

Based on the significant methylation sites obtained from the correlated analysis, we further explored the cell-type–specific distribution of these methylation sites. Similar to the deconvolution analysis of bulk mRNA-seq, we have found that these significant changes of cell type proportions present in endothelial (P = 1.94E-20), excitatory neurons (P = 3.51E-12), OPCs (P = 1.51E-10), astrocytes (P = 2.96E-8), oligodendrocytes (P = 1.66E-7), and macrophage/microglia (P = .00057) from statistical analysis. At the same time, 1095 differential genes related to cell type specificity were identified (supplementary Table 5). Further functional enrichment analysis also demonstrated that these methylated genes associated with cell type were mainly enriched in the dopamine signaling pathway, such as Hippo signaling pathway, Dopaminergic synapse, and Wnt signaling pathway (see Fig. 6 for details).

Figure 6.

Figure 6.

Functional analysis of key genes and differential cell types for methylation deconvolution analysis. (A–G) The proportion of cells and different cell types in methylation deconvolution analysis. (H–I) GO enrichment analysis and KEGG pathway analysis of methylation deconvolution analysis.

Key Genes and Pathways Analyzed From Data of Antidepressant Treatment

To further understand the effect on antidepressant treatment, we analyzed single-cell transcriptional data for genes in the dorDG and venDG brain regions. Our analysis revealed 1405 cell- and drug-related differential genes in the dorDG region and 1362 in the venDG region. Of these genes, 118 transcripts were found to be overlapping genes sharing 2 brain regions, including NPW, Qdpr, and Aldoc (Fig. 7A). The biological annotation analysis showed that these overlapping transcripts were mainly enriched in pathways related to calcium-dependent exocytosis, calcium-dependent phospholipid binding, ion channel complexes, and glutamate receptor activity (Fig. 7B and C). Our findings confirm our previous results and suggest that these pathways may play a crucial role in the development of depression.

Figure 7.

Figure 7.

Key genes and enrichment pathways for cross-tissue analysis of drug single-cell data. (A) The intersected genes of drug single-cell data in dorDG and venDG regions. (B–C) GO enrichment analysis and KEGG pathway analysis of dorDG and venDG regional differential genes. The results show that these genes are associated with ion channel receptor activities (red boxes).

Discussion

High-throughput technologies, including microarray and next-generation sequencing, provide a hypothesis-free approach to investigate the expression and methylation levels of the whole genome and to identify changes in transcripts and CpG methylated sites (Grubb and Caliari, 2021; Yang et al., 2021a, 2021b). Genome-wide expression analysis and DNA methylation profiles have been conducted using postmortem brain samples of suicide completers and suicides with psychiatric disorders from different cohorts (Fagerberg et al., 2014; Edwards et al., 2017). Some novel genes, such as PSORS1C3, TABP, ATP5G2, and POU5F1, have been found to be differentially methylated in the orbitofrontal cortex and anterior cingulate cortex (Fiori and Turecki, 2020). The limited availability of postmortem brain samples remains a challenge with a genome-wide strategy for neurobiological studies of suicidal behavior. Thus, we conducted a series of integrative multi-omics data analyses to identify potential key genes shared with different omics layers and/or tissues. To perform an integrated analysis of transcriptional and methylation data in the present study, we paired 2 sets of separate transcriptomic and methylomic data together from the same postmortem brain tissues and then mapped each significant CpG site into the corresponding transcripts based on their unified corresponding chromosome positions and further correlated the transcriptional and methylation levels from paired data sets.

From the correlation analysis, several genes, such as GABRB1 encoding gamma-aminobutyric acid receptor and solute carrier family genes (SLC16A9 and SLC7A5), have been found to be direct evidence in previously published studies and have also shown from current study the opposite relationship of correlated level in the case and control groups (Patel et al., 2021; Su et al., 2022).

From cross-omics and cross-tissue analyses, a total of 17 genes have been identified to share with transcription, methylation, and different tissues. Interestingly, 6 genes, including G2AN, IRX2, CHRNA7, CAMK1D, SCN5A, and GRM7, encode proteins associated with glutamine receptors and ion channels. Meanwhile, the enriched pathways of genes from the cross-omics analysis were related to calcium ion channel–related activities in BA11 and BA25. Thus, altered mRNA expression of ion channel–related genes regulated by CpG methylation in the brain directly mediates the development of depression and suicide, and these receptor-related genes may provide potential targets for treating depression.

Previous studies have shown that DNA methylation in different genomic regions affects different gene functions based on gene flanking sequences. We explored the gene distribution of methylation sites that were highly correlated with expression, and our results showed that not all the methylation sites in promoter regions were negatively correlated with mRNA gene expression; the methylation sites within the gene body were also not completely positively correlated with expression. These results indicate that DNA methylation of the gene body, in addition to promoter regions, may also contribute to gene expression regulation in the brain, which is consistent with some previous reports (Aapola et al., 2000; Guo et al., 2011a, 2011b; Xie et al., 2012).

Our results of the hypermethylated and hypomethylated sites have demonstrated that gene expression dysregulation in the brain is not directly associated with methylation levels of the methylated islands. Gene expression abnormalities in the disease state might be caused by multiple epigenetic modifications, including DNA methylation, microRNAs, and histone modifications. Recently, Lutz et al. (2021) also reported that histone marks, as well as DNA methylation sites, together with transcriptomic changes have consistently presented across multiple epigenetic mechanisms in subjects with a history of ELA and controls (Lutz et al., 2021). Accumulating evidence from such studies indicates that complex mechanisms of genomic regulation may contribute to the disease and healthy state of the brain.

Deconvolution of mRNA and methylation data showed that OPCs have the changes of cell type specificity in suicide brain tissues, and the expression of 13 genes obtained by cross-omics and cross-tissue integration analysis also have been found distributed into OPCs. Therefore, we replicated the results reported by Nagy et al. (2020) with an independent sample cohort (Nagy et al., 2020). Currently, it was found that loss of OPCs is directly associated with the emergence of depression-like behaviors (Birey et al., 2015). For example, chronic psychosocial stress can lead to chronic loss and transient proliferation of OPCs, abnormal differentiation of oligodendrocytes, and severe hypomyelination in a mouse model of RSDS, associated with the combined stress response of depression (Kokkosis et al., 2022). Du et al. (2019) showed that minocycline can exert antidepressant effects by inhibiting microglial activation, promoting OPCs maturation and remyelination (Du et al., 2019). Additionally, OPCs are now recognized as a distinct glial cell type implicated in brain plasticity through integration of synaptic activity and mediation of long-term potentiation (Ge et al., 2006; Birey et al., 2017). Combined with the results of key genes enrichment analysis, we speculated that suicide accompanied by depression may be related to the abnormal expression of glutamatergic receptors and ion channel–related signaling pathways in OPCs, thereby changing synaptic tactile activity and brain plasticity.

Our analysis of drug single-cell transcriptional data indicates that differential genes affected by drugs are mainly enriched in pathways related to calcium ion channels, glutamate nerve energy, and GABA neurons. Studies have shown that the upregulation of calcium/calmodulin-dependent protein kinase type II in the lateral habenula of a depression animal model is reversed by antidepressants. Additionally, it can reverse depressive symptoms by downregulating calcium/calmodulin-dependent protein kinase type II levels, blocking its activity, or its target molecule glutamate receptor GluR1 (Li et al., 2013). Tang et al. (2020) discovered that the hyperactivation of extrasynaptic GluN2B receptors is associated with the antidepressant effects of ketamine and that the interaction between GluN2B and calcium/calmodulin-dependent protein kinase IIα is crucial for GluN2B localization and activity (Tang et al., 2020). Our findings suggest that calcium ion channels and glutamatergic nerves may be potential pathways for antidepressants to exert their efficacy, which supports the results of the cross-omics integration analysis in the previous article.

In recent years, several single-omics data have been generated from different study groups (Schubert et al., 2018; Barh et al., 2021; Yao et al., 2021; Li et al., 2022). Through the integration of different omics data, it is possible to detect and discover new biomarkers and targets, which are difficult to find with single-omics data, and cross-omics data have been applied to the study of emotional disorders. For example, Ju et al. (2019) conducted integration analysis of transcriptomics and methylation data in the MDD patients and successfully mined out 1 methylated site located in the CHN2 gene, which can be a possible candidate biomarker of antidepressant treatment response (Ju et al., 2019). Regarding multi-omics research methods, in addition to conventional regression analysis, overlapping analysis, and correlation analysis, advanced analysis methods are emerging, such as the deconvolution analysis method used in this study, and machine learning methods that have become more popular in recent years (Wang et al., 2018). The field of multi-omics analysis holds immense potential for development as well as significant challenges: (1) data availability: published omics data are stored in public and free databases, such as the TCGA database in the field of tumor research, which is convenient for researchers to obtain and share; (2) develop more accurate algorithms and software, disclose detailed analysis procedures, and promote the progress of molecular psychiatry; (3) generation of multi-omics datasets from more individuals, including clinical and phenotypic data.

In conclusion, our study identified some important dysregulated genes influenced by DNA methylation in 2 brain regions of depression and suicide patients. Interestingly, we found that OPCs have the most contributors for cell-type proportions related to differential expression genes and methylated sites in suicidal behavior, which replicated the results in the previously published studies on single-nucleus RNA-sequencing. This study provides insights into key cell-type transcripts and CpG biomarkers for the treatment of MDD with suicide.

Supplementary Material

pyad057_suppl_Supplementary_Table_S1
pyad057_suppl_Supplementary_Table_S2
pyad057_suppl_Supplementary_Table_S3
pyad057_suppl_Supplementary_Table_S4
pyad057_suppl_Supplementary_Table_S5

Acknowledgments

We thank Dr Corina Nagy and Ryan Denniston, who provided lots of useful suggestions on scRNA-seq data analysis for this study.

This work was supported by the National Natural Science Foundation of China (31871281,82071500), Shanghai Municipal Health Commission (2020XGKY12), and Scientific Research Foundation for Advanced Talents of Shanghai University of Traditional Chinese Medicine and by Peak Discipline Project of Shanghai Jiao Tong University School of Medicine-Clinical Medicine “Research Physician” Project, Program of Shanghai Academic/Technology Research Leader under the Science, Technology Innovation Action Plan (21XD1423300), and Shanghai Pujiang Talent Program (21PJD063).

Contributor Information

Yalan Zhou, Institute of Chinese Materia Medica, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Lan Xiong, Montreal Neurological Institute and Hospital, McGill University, Montreal, Canada.

Jianhua Chen✉, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Qingzhong Wang✉, Institute of Chinese Materia Medica, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Interest Statement

The authors have no conflict interest.

Ethics Statement

Anonymized data were collected from a publicly available database and did not require ethics committee approval.

Data Availability

The authors declare that all data supporting the findings of this study are available within the paper and its supplementary information files.

Author Contributions

Yalan Zhou (Data curation [Equal], Writing—original draft [Equal]), lan Xiong (Data curation [Equal], Formal analysis [Equal], Writing—original draft [Equal]), Jianhua Chen (Data curation [Equal], Formal analysis [Equal], Writing—original draft [Equal]), and Qingzhong Wang (Data curation [Equal], Formal analysis [Equal], Methodology [Equal], Writing—original draft [Equal])

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Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Supplementary Materials

pyad057_suppl_Supplementary_Table_S1
pyad057_suppl_Supplementary_Table_S2
pyad057_suppl_Supplementary_Table_S3
pyad057_suppl_Supplementary_Table_S4
pyad057_suppl_Supplementary_Table_S5

Data Availability Statement

The authors declare that all data supporting the findings of this study are available within the paper and its supplementary information files.


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