21
19–22 APRIL, 2017, BARCELONA, SPAIN
15:41–15:44
S2-3 (PP)
IDENTIFICATION OF DIFFERENTIALLY EXPRESSED GENES
IN BIOPSIES FROM NEUROGENIC BLADDERS USING
RNASEQ
Luise BORCH
1
, Søren HAGSTRØM
2
, Anne-Francoise SPINOIT
3
, Ulrik BAANDRUP
4
and Jane H CHRISTENSEN
5
1) Aarhus University Hospital, Pediatrics, Aarhus N, DENMARK - 2) Aalborg University Hospital, Pediatrics, Aalborg,
DENMARK - 3) Gent University Hospital, Urology, Gent, DENMARK - 4) North Denmark Reginal Hospital, Aalborg
University, Hjørring, Center for Clinical Reseach, Hjørring, DENMARK - 5) Aarhus University Hospital, Biomedicine,
Aarhus N, DENMARK
PURPOSE
The aim of this study was to analyze differentially expressed genes (DEGs) in bladder biopsies from
patients with a neurogenic bladder compared to controls.
MATERIAL AND METHODS
The study included two groups. Group 1 (controls): 13 adults with healthy bladders (6 males). Group
2: 11 adults with neurogenic bladders (5 males). One biopsy was retrieved from the bladder wall
of each subject. The biopsy was snap frozen in liquid nitrogen, followed by RNA extraction. RNA
sequencing data was obtained by next generation sequencing, and statistically significant DEGs
between the two groups were estimated. Enrichment of specific biological properties and biochemi-
cal pathways among the DEGs were identified.
RESULTS
Differential gene expression analysis identified 115 significant up-regulated DEGs, and 2 down-
regulated. SLURP1, keratins and UPK3A are among the top significantly regulated genes together
with their potential common regulator, KLF4.The DEGs are enriched in genes encoding secreted
protein and/or peptides andin genes with molecular functions in: 1) Serine-type endopeptidase
inhibitor activity, 2) Haptoglobin binding, and 3) RAGE receptor binding. The most significantly
enriched biological process among the DEGs is epidermis development. KEGG Pathway analysis
revealed 7 significantly enriched pathways (Q-value < 0.05). These pathways are predominantly
immune response pathways (including DEGs as IL6, IL8, CD20, CD21, CD22, CD36, CD42, and
AP1).
CONCLUSIONS
DEGs identified in biopsies from neurogenic bladder were predominantly enriched in immune
response pathways and the most regulated DEGs are likely involved in keratinocyte cell differ-
entiation, keratinization, signaling within non-neuronal cells through the α7 nicotinic acetylcholine
receptor as well as the barrier function of the urothelium.