sabato 9 novembre 2013

The human disease network
  1. Kwang-Il Goh * ,  ,  , § 
  2. Michael E. Cusick  ,  ,  
  3. David Valle  
  4. Barton Childs  
  5. Marc Vidal  ,  ,  , **, and 
  6. Albert-László Barabási * ,  ,  , **
  1. Edited by H. Eugene Stanley, Boston University, Boston, MA, and approved April 3, 2007 (received for review February 14, 2007)

Abstract

A network of disorders and disease genes linked by known disorder–gene associations offers a platform to explore in a single graph-theoretic framework all known phenotype and disease gene associations, indicating the common genetic origin of many diseases. Genes associated with similar disorders show both higher likelihood of physical interactions between their products and higher expression profiling similarity for their transcripts, supporting the existence of distinct disease-specific functional modules. We find that essential human genes are likely to encode hub proteins and are expressed widely in most tissues. This suggests that disease genes also would play a central role in the human interactome. In contrast, we find that the vast majority of disease genes are nonessential and show no tendency to encode hub proteins, and their expression pattern indicates that they are localized in the functional periphery of the network. A selection-based model explains the observed difference between essential and disease genes and also suggests that diseases caused by somatic mutations should not be peripheral, a prediction we confirm for cancer genes.
Decades-long efforts to map human disease loci, at first genetically and later physically (1), followed by recent positional cloning of many disease genes (2) and genome-wide association studies (3), have generated an impressive list of disorder–gene association pairs (45). In addition, recent efforts to map the protein–protein interactions in humans (67), together with efforts to curate an extensive map of human metabolism (8) and regulatory networks offer increasingly detailed maps of the relationships between different disease genes. Most of the successful studies building on these new approaches have focused, however, on a single disease, using network-based tools to gain a better understanding of the relationship between the genes implicated in a selected disorder (9).
Here we take a conceptually different approach, exploring whether human genetic disorders and the corresponding disease genes might be related to each other at a higher level of cellular and organismal organization. Support for the validity of this approach is provided by examples of genetic disorders that arise from mutations in more than a single gene (locus heterogeneity). For example, Zellweger syndrome is caused by mutations in any of at least 11 genes, all associated with peroxisome biogenesis (10). Similarly, there are many examples of different mutations in the same gene (allelic heterogeneity) giving rise to phenotypes currently classified as different disorders. For example, mutations in TP53 have been linked to 11 clinically distinguishable cancer-related disorders (11). Given the highly interlinked internal organization of the cell (1217), it should be possible to improve the single gene–single disorder approach by developing a conceptual framework to link systematically all genetic disorders (the human “disease phenome”) with the complete list of disease genes (the “disease genome”), resulting in a global view of the “diseasome,” the combined set of all known disorder/disease gene associations.Previous Section

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