Literature DB >> 24632812

Transcriptomic analysis of the effects of a fish oil enriched diet on murine brains.

Rasha Hammamieh1, Nabarun Chakraborty1, Aarti Gautam1, Stacy-Ann Miller1, Seid Muhie1, James Meyerhoff1, Marti Jett1.   

Abstract

The health benefits of fish oil enriched with high omega-3 polyunsaturated fatty acids (n-3 PUFA) are widely documented. Fish oil as dietary supplements, however, show moderate clinical efficacy, highlighting an immediate scope of systematic in vitro feedback. Our transcriptomic study was designed to investigate the genomic shift of murine brains fed on fish oil enriched diets. A customized fish oil enriched diet (FD) and standard lab diet (SD) were separately administered to two randomly chosen populations of C57BL/6J mice from their weaning age until late adolescence. Statistical analysis mined 1,142 genes of interest (GOI) differentially altered in the hemibrains collected from the FD- and SD-fed mice at the age of five months. The majority of identified GOI (∼ 40%) encodes proteins located in the plasma membrane, suggesting that fish oil primarily facilitated the membrane-oriented biofunctions. FD potentially augmented the nervous system's development and functions by selectively stimulating the Src-mediated calcium-induced growth cascade and the downstream PI3K-AKT-PKC pathways. FD reduced the amyloidal burden, attenuated oxidative stress, and assisted in somatostatin activation-the signatures of attenuation of Alzheimer's disease, Parkinson's disease, and affective disorder. FD induced elevation of FKBP5 and suppression of BDNF, which are often linked with the improvement of anxiety disorder, depression, and post-traumatic stress disorder. Hence we anticipate efficacy of FD in treating illnesses such as depression that are typically triggered by the hypoactivities of dopaminergic, adrenergic, cholinergic, and GABAergic networks. Contrastingly, FD's efficacy could be compromised in treating illnesses such as bipolar disorder and schizophrenia, which are triggered by hyperactivities of the same set of neuromodulators. A more comprehensive investigation is recommended to elucidate the implications of fish oil on disease pathomechanisms, and the result-driven repositioning of fish oil utilization may revitalize its therapeutic efficacy.

Entities:  

Mesh:

Substances:

Year:  2014        PMID: 24632812      PMCID: PMC3954562          DOI: 10.1371/journal.pone.0090425

Source DB:  PubMed          Journal:  PLoS One        ISSN: 1932-6203            Impact factor:   3.240


Introduction

Fish oils, derived from cold water oily fish like albacore tuna and salmon, are high in omega-3 poly-unsaturated fatty acids (n-3 PUFAs), mainly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), which are believed to have many health benefits [1]–[3]. N-3 PUFAs and fish oil, the major dietary source of n-3 PUFA have been extensively studied as dietary supplements suggesting beneficial effects for the treatment of inflammation [4]–[6], macular degeneration [7], [8], Alzheimer's disease (AD) [9], [10], Parkinson's disease (PD) [11]–[13] depression [6], [13], [14] and anxiety disorders [6], [15]. Optimum maintenance of the synaptosome, brain cell functions, and general health of human central nervous system are potentially facilitated by n-3 PUFA [16]–[18]. Despite of the wide implications of n-3 PUFA on the brain functions, clinical efforts investigating the efficacy of n-3 PUFAs and in that matter, the fish oil as dietary supplements for the treatment of psychiatric diseases have yet met with mixed results. Two separate clinical trials on Alzheimer's patients and Parkinson's patients supplemented by n-3 PUFA enriched diets failed to deliver a robust outcome. The trials found n-3 PUFA effective only if it was administered during the early onset of the AD [10]; in treating PD, its efficacy was restricted to mitigating the depression syndromes only [12]. N-3 PUFAs demonstrated significant positive impact on the major depressive episodes with anxiety co-morbidity [6], [13]; however, the supplement's efficacy on the heterogeneous disease profile (with and without comorbid anxiety) was marginal [13]. A pilot trial offering n-3 PUFA supplementation to patients immediately after life-threatening incidents resulted in reduced post traumatic syndromes [19]. A number of clinical, epidemiological, and laboratory studies linked the health benefits of n-3 PUFA to various dietary compositions, including EPA alone [20], [21], the EPA:DHA ratio [22], the arachidonic acid (AA):EPA ratio [23], [24] the AA: alpha-linolenic acid (ALA) ratio [25] and the overall n-3 PUFA; n-6 PUFA ratio [26]. Consequently, the appropriate dietary composition is still a subject of ongoing investigation. Researchers have been using rodent models for decades to evaluate the efficacy of fish oil as the dietary supplement. Justifying the model, studies reported the increased levels of EPA and DHA accompanied by decreased AA in the brain tissues of rats fed on fish oil enriched diets [27], [28]. The n-3 PUFA enriched diet helped balancing behavioral plasticity [29], improved cognitive function [9] and working memory [30], enhanced neuroprotection [31], [32] and reduced anxiety and depression-like traits [33], [34] in vitro. High throughput genomic studies evaluating the effects of fish oil on the rodent brain identified genes involved in ion channels, neuronal function, signal transduction, synaptic plasticity, cytoskeleton and membrane association, and energy metabolism [35]–[41]. The comprehension of the underlying molecular mechanism is potentially critical to understand the effect of the fish oil on neuronal activities. Toward this goal, we studied the effects of high dietary intake of fish oil on the genomic regulations in the mouse brain, and characterized the potentially associated molecular events focused on the nervous system and neurofunctions. The effects of FD on the genes relevant to neurogenesis are of particular interest in the context of the recent study manifesting n-3PUFA as the mediators in generating new neuronal cells [42].

Materials and Methods

2.1 Ethics statement

Research was conducted in compliance with the Animal Welfare Act, and other Federal statutes and regulations relating to animals and experiments involving animals and adheres to principles stated in the Guide for the Care and Use of Laboratory Animals (NRC 2011) in facilities that are fully accredited by the Association for the Assessment and Accreditation of Laboratory Animal Care, International. The protocol was approved by the IACUC committee of Walter Reed Army Institute of Research, Silver Spring, MD.

2.2 Diet types and mouse handling

The percentage of the fish oil in the customized FD was restricted to 16% to maintain the food pellet structure consistent with that of SD (Certified Rodent Diet 5002*, Purina LabDiet, MA). Thus, the external appearance and texture of FD and SD appeared similar. Solid food pellets helped maintaining the tidiness of the cages; hence, the cages occupied by FD- or SD-fed mice followed the same schedule of regular lab handling, precluding any concerns associated with psychological bias due to the handling with variable frequency [43]. Possible bias due to the rodents' potential favoring of particular food textures was further averted by introducing the two diets with similar textures. Briefly, these two diets were similarly supplemented by proteins (FD: 18.3%, SD: 20.7%, both by weight), carbohydrates (FD: 53.8%, SD: 51.8%, by weight) and crude fibers (FD: 4%, SD: 4.3%, by weight); vitamins and minerals were also supplemented proportionately including vitamin E (FD: 90 IU/kg; SD: 65 IU/kg). The different supplements of fat (FD: 16%; SD: 5.5%, both by weight), primarily the higher n-3 PUFA supplements in FD (FD: 4.70%; SD: 0.20%, by weight) outlined the major difference between FD and SD. The n-6 PUFA supplements were marginally lower in FD (FD: 0.66%; SD: 1.22%, by weight). Overall caloric contributions from the two diets were comparable (FD: 4.2 Kcal/g; SD: 4.07 Kcal/g) (Table 1). To maintain the food quality across the study duration and to minimize the oxidative damage to n-3 PUFA, freshly prepared food was purchased every two months and stored at 4°C in sealed bags and the food chambers were replenished daily with fresh supplies.
Table 1

Compositions of the primary nutrients and n-3 PUFA and n-6 PUFA in two diets of interest.

Fish diet (FD)Standard diet (SD)
% by weight% kcal% by weight% kcal
Primary Nutrients
Protein 18.317.223.924.11
Carbohydrate 51.848.853.862.67
Fat 16.033.95.713.22
Kcal/g 4.2 4.07
Polyunsaturated Fatty Acids
n-3 PUFA EPA 2.560.20
DHA 1.73
ALA 0.29
n-6 PUFA LA 0.291.22
AA 0.37<0.01
n-3 PUFA∶n-6 PUFA 7∶1 1∶6
EPA∶DHA 1.5∶1 0

The composition of protein, carbohydrate, and fat present in the fish oil enriched diet (FD) and standard diet (SD). The percent fraction by the weight and the calories offered by each diet type is presented. Total calories (Kcal/g) offered by each diet type is noted. The percentage fractions of three n-3 PUFA (EPA, DHA, and ALA) and two n-6 PUFA (AA and LA) are reported.

The composition of protein, carbohydrate, and fat present in the fish oil enriched diet (FD) and standard diet (SD). The percent fraction by the weight and the calories offered by each diet type is presented. Total calories (Kcal/g) offered by each diet type is noted. The percentage fractions of three n-3 PUFA (EPA, DHA, and ALA) and two n-6 PUFA (AA and LA) are reported. In designing the assay, we refrained from adjusting any potential shortcomings of the fish oil. For instance FD diet contained 0.3% linoleic acid (LA), whose scale of representation in rodent diets has long been a subject of investigation [44], [45]; of note the nearly equi-caloric control diet contained 1.22% LA (Table 1), as per the recommendation [44]. Hereby, our result highlighted the diet-induced molecular events potentially explaining the suggested benefits or the adverse effects of fish oil on the brain. C57BL/6J male mice were purchased from Jackson Laboratory (Bar Harbor, ME) at the age of three weeks, singly housed and immediately introduced to either SD or FD. Mice had free access to their respective diets and standard lab-supplied liquids for next five months (∼20 weeks).

2.3 Collection of hemibrains and RNA isolation

Following the euthanization of the mice by cervical dislocation the brains were removed from their crania. After the mid-sagittal section, the hemibrains were collected by a highly trained professional experienced with this procedure, who was kept blinded from the animal identities during the dissection period. The dissected brain sections were snap-frozen, saved in individually labeled tubes, and transferred to the freezer at the end of the day. The entire process starting with the brain removal from the skull to the snap-freezing of the last brain region took less than 20 minutes as described in our earlier report [46]. On the day of nucleic acid isolation, organs were weighed before thawing and the appropriate amounts of Trizol™ (Invitrogen, NY) were added. RNA was isolated from the Trizol™ suspensions as per the manufacturer's guidelines. Briefly, the hemibrain was homogenized using the TissueLyser system (Qiagen, MD), phase separated with vigorous agitation, and the aqueous phase was collected. Serial alcohol-based precipitations and washes were performed on the aqueous phase to obtain RNA. The isolated nucleic acids were quantified and qualified using the Agilent BioAnalyzer as reported earlier [47].

2.4 High throughput transcriptomic expression analysis

The dual dye microarray was carried out using the Whole Mouse Genome Microarray Kit (Agilent Technologies, Inc.) following the vendor's protocol. 200–2000 ng of purified RNA was labeled with Cy-5 dyes and the reference RNA (Agilent, CA) with Cy-3 dyes (N = 4 from FD-fed mice and N = 3 from SD-fed mice. One SD sample was misplaced). The samples were simultaneously hybridized to Agilent 4×44k slides (platform number: 14868) and incubated for 17 h at 55°C. After overnight hybridization, slides were processed in a series of washes. The slides were scanned using an Agilent DNA microarray scanner and the features were extracted using the default setting of the Feature Extraction software (Feature Extraction software v.10.7, Agilent, CA).

2.5 Data filtering and process normalization

GeneSpring v.10.1 (Agilent Technologies, Inc., CA) was used to carry out the preliminary data filtration and statistical analysis. Each chip was subjected to intra-chip normalization using the locally weighted scatter-plot smoothing method (LOWESS) [48]. Genes were identified that were differently expressed between the hemibrains of mice fed on FD vs. SD based on ±1.5 fold change cut-off with FDR<0.05. The microarray data was submitted to the Gene Expression Omnibus (GEO). This can be searched using the Platform ID: GPL7202, Series: GSE46933.

2.6 Cluster and functional analysis

GeneSpring v.10.1 (Agilent Technologies, Inc., CA) was used to perform two-dimensional hierarchal clustering using Pearson correlation algorithm (Figure 1).
Figure 1

Cluster view (heatmap) of 1,142 genes differentially expressed between the mice fed with fish oil enriched diet (FD) vs. standard lab diet (SD).

These genes are identified using a cut-off of ±1.5 fold changes between the mice with FD vs. SD, with FDR<0.05, and clustered using Pearson correlation algorithm. The color scale of the fold change (log1.5 (FD-/SD-fed mice) is noted at the bottom right of the figure. The first three columns from left represent the genomic expressions of 4 animals fed on FD and subsequent three columns of 3 animals fed on SD.

Cluster view (heatmap) of 1,142 genes differentially expressed between the mice fed with fish oil enriched diet (FD) vs. standard lab diet (SD).

These genes are identified using a cut-off of ±1.5 fold changes between the mice with FD vs. SD, with FDR<0.05, and clustered using Pearson correlation algorithm. The color scale of the fold change (log1.5 (FD-/SD-fed mice) is noted at the bottom right of the figure. The first three columns from left represent the genomic expressions of 4 animals fed on FD and subsequent three columns of 3 animals fed on SD. For the gene ontological classification and enrichment analysis, FATIGO+ [49], MSigDB-Parametric Geneset Enrichment analysis (http://www.broadinstitute.org/gsea/msigdb/index.jsp) and GeneCite [50] were used. Ingenuity Pathway Analysis (IPA; www.ingenuity.com) was used to mine the pathways and networks relevant to the present study.

2.7 Real-time PCR validation of microarray results

The mRNA microarray results were validated using two platforms. The high throughput real-time PCR was carried out using the RT2 Profiler PCR Array System (SABiosciences, MD) on the ABI 7900HT platform (Life Technologies, CA). The PCR was carried out using three biological replicates for each diet. SDS 2.4 software supplied by ABI, CA, was used to compute the changes of threshold cycles (Ct) (i.e., 2 ∧ (−Δ Ct), where Δ Ct = Ct (GOI)−mean (Ct (HKG)); GOI denotes the gene of interest, and HKG denotes the housekeeping gene. In order to eliminate the false positives, the mRNA reads were screened based on two criteria: (i) the controls' threshold cycles were >30, and samples' threshold cycles were <30 (or vice versa), and (ii) the p-values for the fold-changes were either unavailable or relatively high (p>0.05) from the assay backgrounds. In addition, qPCR of five genes (NOS1, FKBP5, MMP9, SOD1 and BDNF) was carried out using primers purchased from Fisher Scientific, Inc, PA using their Solaris gene expression assay (Table S1). The selection of these genes is justified in a brief literature survey (Table 2). Real-time PCR was performed in the HT700 platform (Applied BioSystems, CA) using five technical replicates. The downstream analysis was conducted using the GAPDH (glyceraldehyde-3-phosphate dehydrogenase) and beta-actin housekeeping genes following the protocol described elsewhere [47].
Table 2

A brief literature survey of clinical studies associated with the panel of genes validated by qPCR.

Gene NameTraumaCohortMajor findingsReference
NOS-1DepressionSnap-frozen and paraffin-embedded tissue of anterior cingulate cortex from Caucasian subjects; major depressive disorder, N = 5; bipolar disorder, N = 7; and control N = 12Diminished NOS1 in anterior cingulate cortex with depression, possibly by affecting glutamatergic and GABAergic neurotransmission [120]
ADEuropean subjects; AD (baseline, N = 19; 30 months follow-up, N = 95; 60 months follow-up, N = 106) and controls (baseline, N = 555; 30 months follow-up, N = 360; 60 months follow-up, N = 285)Decreased NOS1 expression in concert with degeneration of NOS-I neurons likely results in impaired hippocampal nitrinergic neurotransmission. [121]
SchizophreniaJapanese patient; Postmortem brain samples of 12 schizophrenic patients, N = 12; and control, N = 15Decreased NOS-1 is associated with schizophrenia patients; with stronger correlation for female patient [122]
Schizophrenia/Bi-polar disorderPost mortem brain samples from schizophrenic patients N = 26; bipolar patients N = 30; and controls, N = 29Over-expression of specific NOS1 isoforms among the schizophrenia patients, but not among bipolar patients [123]
MMP9Traumatic brain injury (TBI)TBI patient, N = 7; and control, N = 4; all maleIncreased levels of MMP-9/-3 in the ventricular CSF of patients with severe TBI. [124]
Bipolar depressionPatients with bipolar disorder (N = 54); and controls (N = 29)Increased serum MMP-9 during depression in young patients [125]
ADAD patients (N = 38); and controls (N = 34)Higher MMP-9/TIMP-1 ratios and lower TIMP-1 levels compared to cognitively healthy individuals. [126]
AD/PDAD patients (N = 30); PD patients (N = 24); and controls (N = 32)Elevated MMP-9 in the plasma of AD patients; but no significant changes of MMP-9 levels in PD cohorts. [127]
SchizophreniaSchizophrenic patients (N = 442); and controls (N = 558)Significant preponderance of −1562 C:T polymorphism in patients [128]
SOD-1ADPost-mortem brain samples from AD patient, N = 4; and patients diagnosed with Huntington's Disease, N = 4Decreased SOD-1 in AD patients' hippocampus [129]
Down syndrome (DS) and ADPost-mortem brain samples; DS, N = 9, AD, N = 9; and controls, N = 9Increased SOD-1 in DS temporal, parietal, and occipital cortex, whereas decreased SOD-1 in the AD temporal cortex [130]
BDNFPTSDAll women cohort, diagnosed with PTSD, N = 17; with PTSD+ childhood physical neglect, N = 17; controls, N = 15Lower plasma BDNF in association with PTSD, and more strongly linked with childhood neglect driven PTSD [131]
PTSDPatients with history of trauma, N = 34; and controls, N = 34Higher level of serum BDNF levels right after the traumatic events decreasing over time [84]
Bipolar disorderUK Caucasian subjects, BD, N = 962; and control, N = 2100No overall influence from the Val66Met polymorphism of BDNF, with a moderate association with the susceptibility to the rapid-cycling subset of the disorder. [132]
Major depressionKorean subjects, major depression, N = 310 and controls, N = 209Significant association of BDNF with the disease onset among the younger subgroup only [133]
PDPD patients, N = 453 and controls, N = 291Increased PD risk in association with the pesticide exposure [134]
ADAD patients with rapid cognitive decline, N = 12; and slow cognitive decline, N = 28Decreased BDNF serum levels in AD patients with fast cognitive decline [135]
FKBP5PTSDNonpsychiatric clinic patients with significant levels of childhood abuse and non–child abuse trauma, N = 900High interaction between four SNPs of the FKBP5 gene (rs9296158, rs3800373, rs1360780, and rs9470080) with severity of child abuse as a predictor of adult PTSD [136]
PTSDSubjects linkage and association studies of the genetics of cocaine, opioid, and alcohol dependence, and controls; N = 1146 European Americans (EAs) and 1284 African Americans (AAs) AA subjects: Significant association between one SNP (rs9470080) with childhood abuse eliciting PTSD. EA subjects: Significant association of PTSD risk with alcohol dependence and childhood adverse experiences interacting with FKBP5 polymorphisms [137]
Anxiety/depressionPatients, newly diagnosed with advanced gastric cancer and supposed to receive first-line chemotherapy, N = 130; and control similar patients after two cycles of chemotherapy, N = 93Significant association of anxiety with FKBP5 rs9296158, and marginal association with rs9470080 and rs1360780. Marginal association of depression with FKBP5 rs9470080 and rs9296158 [138]
Major depressionPatients diagnosed with major depression, N = 68; and controls, N = 87Significant interaction between disease status and FKBP5 risk allele carrier status (minor allele T). [139]

Past clinical reports (demography of the cohorts and major findings) associated with five genes (NOS-1, MMP-9, SOD-1, BDNF and FKBP5) are reported.

Past clinical reports (demography of the cohorts and major findings) associated with five genes (NOS-1, MMP-9, SOD-1, BDNF and FKBP5) are reported.

Results

The diet compositions listed in Table 1 revealed relatively comparable supplements of major nutrients and consumable calories derived from FD and SD. The major differences between the two diet types were attributed to the n-3 PUFA and n-6 PUFA supplements (Table 1). The mice weighing 10–12 grams at the age of three weeks had a 61.2% increase in body weight as a result of consuming SD for five months; thus the average weight became 30.96 grams (% CV = 6.12). During the same five month period, FD-fed mice showed 67.2% increase in body weight; the average weight became 36.6 grams (% CV = 13.17). It was a near significant difference in the change of body weights between the FD- vs. SD-fed mice, with the FD-fed group gaining 18% more in body mass (p = 0.06). Transcriptomic analysis identified 1,142 genes altered between the mice fed on FD vs. SD (6.6% of total genes). The GOI demonstrated ±1.5 fold changes with FDR<0.05. Figure 1 is a cluster view of these GOI generated using the Pearson correlation algorithm; 659 (58% of GOI) and 483 (42% of GOI) transcripts were elevated and suppressed by FD, respectively. One hundred and fifty two unknown genes with the remaining 990 known genes are documented in Table S2. Figure S1 shows a volcano plot of the same gene set. The entire list is available in the public domain: Gene Expression Omnibus (GEO) and this can be using the Platform ID: GPL7202, Series: GSE46933. Meeting the objectives of the present study, subsequent convergent functional analysis identified the transcripts linked to the neurogenesis, neuroviability and neurodegenerative disorders.

3.1. Biofunction analysis

The 1,142 GOI enriched an ensemble of biofunctions. Table 3 reports the top-ranked biofunctions (p<0.0001) that are enriched by at least 50 genes. The complete list of biofunctions is shown in the Table S3. We identified four biofunctions pertinent to the present objective: “Neurological disease”, “Nervous system development and function”, “Inflammatory response” and “Cell death”, and these were further classified into subcategories enriched by at least 30 genes. Of note, we found certain enriched pathways, such as “LPS/IL-1 Mediated Inhibition of RXR Function”, “Amyotrophic Lateral Sclerosis Signaling” and “Hepatic Fibrosis/Hepatic Stellate Cell Activation”; however, we failed to derive biologically meaningful information from these pathways. Therefore, we focused on exploring the four biofunctional modules identified herein. Together, these four biofunctions enlisted 247 genes (153 up- and 94 down-regulated by FD). The majority of the genes (99 genes, i.e. 40% of the 247 genes) encode the proteins that are located in the plasma membrane. Curating from the Allen Brain Atlas (mouse.brain-map.org) we linked the 20% of these 247 genes to possible brain regions (Table S4).
Table 3

Significant biofunctions (p<0.0001) enriched by more than 50 candidates from the 1,142 genes of interest (GOI).

Biofunction Categoriesp-valuesNumber of Molecules
Genetic Disorder1.09E-3 to 4.24E-6432
Neurological Disease1.01E-3 to 5.69E-5260
Movement disorder8.13E-0493
Neuropathy2.43E-0388
Motor neuron disease1.58E-0386
Progressive motor neuropathy1.98E-0385
Encephalopathy1.79E-0385
Neurodegenerative disorder4.50E-0476
Alzheimer's disease1.11E-0370
Parkinson's disease1.26E-0350
Spinal cord disorder1.89E-0430
Gastrointestinal Disease1.61E-3 to 1.37E-4232
Metabolic Disease1.73E-3 to 2.27E-6211
Tissue Development1.04E-3 to 1.79E-7202
Immunological Disease1.07E-3 to 9.63E-5193
Cellular Growth and Proliferation1.61E-3 to 5.90E-5184
Cardiovascular Disease1.03E-3 to 8.17E-6180
Endocrine System Disorders1.73E-3 to 4.57E-5180
Cellular Development1.06E-3 to 3.03E-7179
Cell-To-Cell Signaling and Interaction1.04E-3 to 1.46E-11176
Molecular Transport1.01E-3 to 3.48E-6169
Hematological Disease1.03E-3 to 1.18E-5165
Nervous System Development and Function1.04E-3 to 7.83E-7150
Neurogenesis5.91E-0673
Neurological process of cells1.01E-0751
Neurological process of neurons7.83E-0742
Neurotransmission2.41E-0737
Synaptic transmission4.98E-0735
Development of brain2.42E-0433
Neurotransmission of nervous tissue2.54E-0630
Organismal Development1.73E-3 to 2.23E-5149
Cellular Movement1.61E-3 to 7.36E-4123
Embryonic Development1.54E-3 to 2.23E-5118
Hematological System Development and Function1.04E-3 to 6.18E-6112
Inflammatory Disease1.60E-3 to 2.06E-5111
Tissue Morphology1.44E-3 to 3.96E-5109
Inflammatory Response3.03E-3 to 6.18E-6108
Immune response1.14E-04102
Activation of leukocytes7.25E-0550
Activation of mononuclear leukocytes4.61E-0539
Activation of lymphocytes1.49E-0436
Activation of T lymphocytes7.59E-0530
Small Molecule Biochemistry1.10E-3 to 2.10E-4107
Organ Development2.19E-3 to 2.23E-5101
Dermatological Diseases and Conditions1.73E-3 to 9.63E-598
Cell Signaling1.01E-3 to 3.48E-697
Cell Death1.25E-3 to 1.79E-789
Apoptosis3.03E03 to 8.95E-443
Killing7.62E-4 to 3.03E-723
Cytotoxicity3.03E-3 to 7.98E-523
Immune Cell Trafficking1.04E-3 to 6.18E-680
Developmental Disorder1.72E-3 to 2.66E-379
Vitamin and Mineral Metabolism1.01E-3 to 4.04E-675
Lipid Metabolism1.06E-3 to 2.24E-475
Behavior1.17E-3 to 3.19E-574
Skeletal and Muscular Disorders1.26E-3 to 5.10E-467
Organismal Injury and Abnormalities1.73E-3 to 1.89E-865
Connective Tissue Development and Function1.27E-3 to 3.76E-555
Cardiovascular System Development and Function1.73E-3 to 6.54E-555
Skeletal and Muscular System Development and Function1.58E-3 to 3.76E-552

Subcategories enriched by >30 genes associated with the “neurological diseases”, “nervous development and functions”, “inflammatory response” and “cell death” are elaborated.

Subcategories enriched by >30 genes associated with the “neurological diseases”, “nervous development and functions”, “inflammatory response” and “cell death” are elaborated.

3.1.i. Neurological diseases

Two hundred and sixty genes (22.7% of GOI) were associated with the “neurological diseases” with a range of p values from 1.01×10−3 to 5.96×10−5 (Table 3). In particular, we focused on three diseases: (i) movement disorder (MvD) (93 genes, p = 8.13×10−4) (Figure 2A, Tables 3 and 4), (ii) AD (70 genes, p = 1.11×10−3) (Figure 2B, Tables 3 and 4) and (iii) PD (50 genes, p = 1.26×10−3) (Figure 2B, Tables 3 and 4). The movement disorder was the most enriched candidate on the list. We also selected AD and PD for further discussion in light of the suggested implications of n-3 PUFAs on these particular illnesses [9], [10], [12], [51]. Together, these three diseases explained approximately 34% of the transcripts linked to “neurological diseases”, with 16 common genes among three disease types of interest. In addition, 3 transcripts were shared by MvD and AD, and 14 transcripts by MvD and PD.
Figure 2

Regulatory networks showing the clusters of differentially regulated genes involved in “neurological diseases”.

The nodes represent the genes and the solid lines depict the interactions between two molecules. Red- and green-colored genes show significantly increased and decreased expression (log1.5 (FD-/SD-fed mice) in the FD-fed mice compared to the SD-fed mice (a color scale is at the bottom right corner). The genes are clustered based on their proteins' cellular locations in the nucleus, cytoplasm, plasma membrane and extracellular space. The genes without the location information are grouped under ‘unknown’. depicts “movement disorder”, the most enriched disease enlisting 70 genes with p = 8.13×10−4. depicts two additional diseases frequently linked with n-3 PUFA diets. Alzheimer's disease (left panel) and Parkinson's disease (right panel) enlist 70 and 50 genes with p values of 1.11×10−3 and 1.26×10−3, respectively.

Table 4

The genomic candidates associated with three top-ranked neurological diseases: movement disorder (MvD), Alzheimer's disease (AD) and Parkinson's disease (PD).

Entrez IDGene SymbolLog RatioNeurological Disease
16521KCNJ51.45AD
20660SORL11.32AD, MvD
14397GABRA41.27AD, MvD, PD
15360HMGCS21.24MvD
20508SLC18A31.20MvD
108068GRM21.18AD
99738KCNC41.17AD, MvD, PD
18053NGFR1.15AD
76829DOK51.13AD
214779ZNF8791.12MvD, PD
12671CHRM31.11AD, MvD, PD
108043CHRNB31.11AD, MvD, PD
12661CHL11.10AD
108073GRM71.05AD, MvD, PD
94187ZNF4231.05MvD
20618SNCG1.03MvD, PD
68957PAQR61.02MvD, PD
17441MOG1.01MvD, PD
140741GPR61.01MvD
110893SLC8A30.98MvD, PD
14811GRIN2A0.98AD, MvD, PD
16504KCNC30.97MvD
16772LAMA10.96AD
114142FOXP20.96MvD, PD
72605CA100.94AD
224129ADCY50.92MvD
12801CNR10.88AD, MvD, PD
26380ESRRB0.86AD
71137RFX40.85MvD
63993SLC5A70.84AD
213262FSTL50.83AD, MvD, PD
140919SLC17A60.83MvD, PD
18213NTRK30.80AD, MvD, PD
15567SLC6A40.80AD, MvD
16536KCNQ20.78MvD
19049PPP1R1B0.78MvD
12161BMP60.75AD
407831TMEM2040.74MvD, PD
19281PTPRT0.73AD, MvD, PD
20191RYR20.73AD
21834THRB0.71MvD, PD
226922KCNQ50.69MvD, PD
218763LRRC3B0.69AD
192167NLGN10.68MvD, PD
230777HCRTR10.67MvD
18610PDYN0.67MvD
239133DLEU70.66MvD, PD
12286CACNA1A0.66MvD
23859DLG20.64MvD, PD
17172ASCL10.64MvD
213783PLEKHG10.64AD
72844KCTD170.62MvD
70357KCNIP10.62MvD
20745SPOCK10.60AD
13492DRD50.59AD, MvD, PD
67703KIRREL30.59AD
16493KCNA50.59MvD
14169FGF140.56MvD
269132GLT25D20.56MvD, PD
11550ADRA1D0.54AD, MvD, PD
18125NOS10.54AD, MvD, PD
21955TNNT10.53MvD
12950HAPLN10.53AD
12289CACNA1D0.52AD, MvD, PD
16785RPSA0.52MvD
319924APBA10.51AD
269513NKAIN30.50AD, MvD, PD
16409ITGAM0.49MvD
94253HECW10.49AD
12265CIITA0.49AD
11555ADRB20.47AD, MvD
14407GABRG30.46AD, MvD, PD
14407GABRG30.46MvD
58178SORCS10.45AD
12411CBS0.44AD
12336CAPNS10.44MvD
12048BCL2L10.44MvD
435965LRP30.44AD
16597KLF120.43MvD, PD
170735ARR30.43MvD
14708GNG70.43MvD, PD
241494ZNF385B0.43MvD, PD
16522KCNJ60.41MvD, PD
29856SMTN0.40MvD
231872AIMP20.39MvD, PD
56807SCAMP50.39MvD
54218B3GALT40.37MvD
14680GNAL0.36MvD
20249SCD0.35AD, MvD
13033CTSD0.35AD
19697RELA0.34AD, MvD, PD
14804GRID20.32AD, MvD
18753PRKCD0.31AD
12799CNP0.30AD, MvD, PD
17528MPZ0.29MvD
18019NFATC20.27AD
244431SGCZ0.25MvD, PD
241263GPR1580.24AD
20655SOD1−0.32AD, MvD, PD
16439ITPR2−0.33AD
110796TSHZ1−0.34AD
26419MAPK8−0.35AD
110886GABRA5−0.37AD, MvD, PD
19108PRKX−0.37MvD
239743KLHL6−0.39AD
16176IL1B−0.44AD, MvD, PD
20102RPS4X−0.45MvD, PD
12292CACNA1S−0.47AD, MvD, PD
243931TSHZ3−0.47AD
11813APOC2−0.50AD
17536MEIS2−0.50MvD
50790ACSL4−0.51AD
68272RBM28−0.52AD
52679E2F7−0.55MvD, PD
18386OPRD1−0.60MvD
19366RAD54L−0.61MvD
13653EGR1−0.61MvD
319625GALM−0.65MvD, PD
72519TMEM55A−0.67MvD, PD
13654EGR2−0.69MvD
117591SLC2A9−0.71AD
435726KCNMB3−0.79MvD, PD
77055KRT76−0.81AD
21785TFF2−0.85MvD, PD
14173FGF2−0.87AD, MvD
12363CASP4−0.96AD
16153IL10−0.97MvD, PD
252973GRHL2−1.03AD
76645PKD1L2−1.05MvD, PD
21926TNF−1.21AD, MvD, PD
14686GNAT2−1.94MvD
19109PRL−2.23MvD

The genes are identified by the Entrez ID and gene symbol. The log ratio indicates the log1.5 transformed of the average transcriptomic expression from FD-/SD-fed mice.

Regulatory networks showing the clusters of differentially regulated genes involved in “neurological diseases”.

The nodes represent the genes and the solid lines depict the interactions between two molecules. Red- and green-colored genes show significantly increased and decreased expression (log1.5 (FD-/SD-fed mice) in the FD-fed mice compared to the SD-fed mice (a color scale is at the bottom right corner). The genes are clustered based on their proteins' cellular locations in the nucleus, cytoplasm, plasma membrane and extracellular space. The genes without the location information are grouped under ‘unknown’. depicts “movement disorder”, the most enriched disease enlisting 70 genes with p = 8.13×10−4. depicts two additional diseases frequently linked with n-3 PUFA diets. Alzheimer's disease (left panel) and Parkinson's disease (right panel) enlist 70 and 50 genes with p values of 1.11×10−3 and 1.26×10−3, respectively. The genes are identified by the Entrez ID and gene symbol. The log ratio indicates the log1.5 transformed of the average transcriptomic expression from FD-/SD-fed mice. FD elevated the expression of a substantial subset of transcripts associated with MvD (76%), AD (58%) and PD (74%). Proteins associated with 45 transcripts representing 48% of MvD associated genes are located in membranes; likewise, 42% (29 transcripts) and 54% (27 transcripts) of the proteins related to AD and PD, respectively, are located in the membranes. A comprehensive FD-induced elevation was observed among the transcripts associated with the calcium and potassium channels (CACNA1A, CACNA1D, KCNMB3, KCNQ5, KCN1P1, KCNC4, KCNC3, KCNA5, KCNJ6, KCTD7 and KCNQ2) except one, namely CACNA1S. All transcriptomic members of solute carrier family (SLC18A3, SLC5A7 and SLC6A4), and dopamine, glutamate, adrenergic and cholinergic receptors (DRD5, GRID2, GRIN2A, GRM2, GRM7, ADRAID, ADRB2, CHRM3 and CHRNB3) were also elevated. Alternatively, FD reduced the expression of the transcripts associated with the cytokines (IL1B, IL10, PRL and TNF) and early growth response agents (EGR1 and EGR2). The members of zinc finger family (ZNF385B and ZNF423) displayed over expression, but those of the teashirt zinc finger family (TSHZ1 and TSHZ2) displayed suppressed expression in the FD-fed mice. Transcripts encoding the G-protein coupled receptor (GPR6) were elevated, but that encoding the ionotropic GABA receptors were differentially expressed. FD inhibited the transcripts associated with the domain of alpha 5 (GABRA5) and elevated alpha 4 (GABRA4), respectively. Although GABRG3 and GABRA5 are phenotypically juxtaposed in human chromosome, FD elevated the former and suppressed the later transcript.

3.1.ii. Nervous system development and function

One hundred and fifty genes (13.13% of GOI) were associated with the “nervous system development and function” with a range of p values from 2.92×10−3 to 1.01×10−7 (Table 5). Neurogenesis (Ngs) was the most enriched function; 73 transcripts represented 48.6% of all the members associated with the parent function term. Further investigation of Ngs associated genes identified five of the most significantly enriched functional sub-categories, which enlisted 62 genes representing 85% of all genes associated with Ngs. These sub-families were (i) differentiation of neurons (DoN) (30 genes, p = 1.7×10−31) (Figure 3A, Table 5), (ii) growth of neurites (GoN) (29 genes, p = 2.3×10−24) (Figure 3A, Table 5), (iii) differentiation of the nervous system (DNS) (29 genes, p = 7.6×10−23) (Figure S2, Table 5), (iv) formation of plasma membrane projections (FPMP) (26 genes, p = 4.71×10−19) (Figure S2, Table 5) and (v) neuritogenesis (Ntg) (23 genes, p = 8.02×10−18) (Figure S2, Table 5). Among these five closely interconnected sub-families, DoN and GoN collectively enlisted the largest number of unique transcripts (50, 68.5% of the genes associated with Ngs). Therefore, we focused primarily on these two functional sub- categories (Figure 3A).
Table 5

The genomic candidates associated with two top-ranked “nervous system development and functions”: neurogenesis (Ngs) and the synaptic transmission (SyT).

Entrez IDGene symbolLog RatioNervous system development and functions
11922NEUROD62.22Ngs (Ntg, FPMP, DCNS, DoN)
18530PCDH82.12SyT
211134LZTS11.80Ngs (Ntg, FPMP, DCNS)
319922VWC21.43Ngs (DCNS, DoN)
56198HEYL1.35Ngs (DoN)
21960TNR1.24SyT
20508SLC18A31.20Ngs (Ntg, FPMP)
108068GRM21.18SyT
14618GJB11.15Ngs (GoN, DCNS)
18053NGFR1.15Ngs (Ntg, FPMP, GoN, DCNS, DoN)
76829DOK51.13Ngs (GoN)
12671CHRM31.11SyT
108043CHRNB31.10SyT
12661CHL11.10Ngs (Ntg, FPMP, DCNS, DoN)
18216NTSR11.07SyT
108073GRM71.05SyT
20618SNCG1.03SyT
65254DPYSL51.02Ngs (GoN)
140741GPR61.01Ngs (GoN)
12774CCR50.99Ngs (DoN)
110893SLC8A30.98SyT
14811GRIN2A0.98SyT
16772LAMA10.96Ngs (Ntg, GoN, FPMP)
18088NKX2-20.93Ngs (DCNS, DoN)
17136MAG0.90Ngs (Ntg, GoN, FPMP)
12801CNR10.88SyT, Ngs (GoN, DCNS, DoN)
53404ATOH70.85Ngs (GoN, DoN)
63993SLC5A70.84SyT
20418SHC30.80SyT, Ngs (DCNS, DoN)
18213NTRK30.80Ngs (Ntg, GoN, FPMP, DoN)
15567SLC6A40.80Ngs (DCNS, DoN)
20665SOX100.80Ngs (DCNS)
19049PPP1R1B0.78Ngs (DoN)
12570CDK5R20.77Ngs (GoN, DCNS, DoN)
12161BMP60.75Ngs (GoN, DoN)
20562SLIT10.74Ngs (Ntg, GoN, FPMP, DCNS)
21834THRB0.71Ngs (DCNS)
22422WNT7B0.70Ngs (Ntg, FPMP)
192167NLGN10.68SyT, Ngs (DoN)
230777HCRTR10.67SyT
16590KIT0.66Ngs (GoN)
12286CACNA1A0.66Ngs (Ntg, FPMP, DCNS, DoN)
18081NINJ10.66Ngs (GoN)
22421WNT7A0.65Ngs (Ntg, FPMP, DoN)
23859DLG20.64SyT
17172ASCL10.64Ngs (Ntg, FPMP, DCNS, DoN)
13616EDN30.63Ngs (DoN)
12005AXIN10.62Ngs (FPMP)
70357KCNIP10.62SyT
13492DRD50.59SyT
13796EMX10.56Ngs (DCNS, DoN)
11682ALK0.54Ngs (GoN)
18125NOS10.54Ngs (Ntg, FPMP, DoN)
319924APBA10.51SyT
22412WNT9B0.48Ngs (DoN)
11555ADRB20.47SyT, Ngs (GoN, DCNS)
22248UNC1190.46SyT
12048BCL2L10.44Ngs (DCNS, DoN)
14586GFRA20.39Ngs (Ntg, GoN, FPMP)
67903GIPC10.37SyT
16825LDB10.37Ngs (DCNS)
19697RELA0.34Ngs (GoN)
14804GRID20.32SyT
18753PRKCD0.31Ngs (GoN)
12799CNP0.30SyT, Ngs (Ntg, FPMP)
17528MPZ0.29SyT, Ngs (Ntg, GoN, FPMP)
13871ERCC20.28Ngs (DCNS, DoN)
18019NFATC20.27Ngs (GoN)
171166MCOLN3−0.22Ngs (DoN)
241568LRRC4C−0.26Ngs (Ntg, FPMP)
242316GDF6−0.28Ngs (FpMP, DoN)
18126NOS2−0.32Ngs (DCNS)
26419MAPK8−0.35Ngs (Ntg, FPMP, GoN, DCNS, DoN)
110886GABRA5−0.37SyT
15234HGF−0.38Ngs (Ntg, FPMP, GoN, DCNS, DoN)
16870LHX2−0.39Ngs (DCNS, DoN)
16176IL1B−0.44SyT, Ngs (Ntg, FPMP, GoN, DCNS, DoN)
19877ROCK1−0.61Ngs (GoN, FPMP)
13654EGR2−0.69Ngs (DCNS)
216858KCTD11−0.73Ngs (DoN)
14173FGF2−0.87SyT, Ngs (Ntg, FPMP, GoN, DCNS, DoN)
21926TNF−1.21SyT, Ngs (Ntg, GoN, FPMP, DCNS)

The neurogenesis biofunction is subsequently subcategorized into differentiation of neurons (DoN), growth of neurites (GoN), differentiation of nervous system (DNS), formation of plasma membrane projections (FPMP), and neuritogenesis (Ntg). The genes are identified by the Entrez IDs and gene symbols. The log ratio indicates the log1.5 transformed of the average transcriptomic expressions from FD-/SD-fed mice.

Figure 3

Regulatory networks showing the clusters of differentially-regulated genes involved in “nervous development and functions”.

The nodes represent the genes and the solid lines depict the interactions between two molecules. Red- and green-colored genes show significantly increased and decreased expression (log1.5 (FD-/SD-fed mice) in the FD-fed mice compared to the SD-fed mice (a color scale is at the bottom right corner). The genes are clustered based on their proteins' cellular locations in the nucleus, cytoplasm, plasma membrane, and extracellular space. The genes without the location information are grouped under ‘unknown’. depicts the two top-ranked subcategories of “neurogenesis”. “Differentiation of neurons” (left panel) and “growth of neurites” (right panel) enlist 30 and 29 genes with p values of 1.7×10−31 and 2.3×10−24, respectively. depicts “synaptic transmission”, the most significant nervous function. It enlists 34 genes, p = 4.9×10−7.

Regulatory networks showing the clusters of differentially-regulated genes involved in “nervous development and functions”.

The nodes represent the genes and the solid lines depict the interactions between two molecules. Red- and green-colored genes show significantly increased and decreased expression (log1.5 (FD-/SD-fed mice) in the FD-fed mice compared to the SD-fed mice (a color scale is at the bottom right corner). The genes are clustered based on their proteins' cellular locations in the nucleus, cytoplasm, plasma membrane, and extracellular space. The genes without the location information are grouped under ‘unknown’. depicts the two top-ranked subcategories of “neurogenesis”. “Differentiation of neurons” (left panel) and “growth of neurites” (right panel) enlist 30 and 29 genes with p values of 1.7×10−31 and 2.3×10−24, respectively. depicts “synaptic transmission”, the most significant nervous function. It enlists 34 genes, p = 4.9×10−7. The neurogenesis biofunction is subsequently subcategorized into differentiation of neurons (DoN), growth of neurites (GoN), differentiation of nervous system (DNS), formation of plasma membrane projections (FPMP), and neuritogenesis (Ntg). The genes are identified by the Entrez IDs and gene symbols. The log ratio indicates the log1.5 transformed of the average transcriptomic expressions from FD-/SD-fed mice. DoN and GoN shared five transcripts: BMP6, CDK5R2, CNR1, NTRK3, and ATOH7; all of them were elevated by FD. In addition, there were four transcripts shared by all five sub-categories; NGFR was elevated, and FGF2, HGF and MAPK8 were all suppressed by FD. Synaptic transmission (SyT) (Figure 3B, Table 5) was a highly significant sub-family of nervous system development and function (34 molecules, 23.3% of parent function; p = 4.9×10−7) sharing 10 common genes with Ngs (CNR1, SHC3, NLGN1, ADRB2, CACNA1A, CNP, and MPZ were elevated and TNF, FGF2, and IL1B were suppressed by FD). DoN, GoN and SyT enlisted 80%, 79% and 88% elevated genes, respectively. In DoN, the proteins associated with these transcripts are almost equally distributed among the extracellular space (8 genes), plasma membrane (7 genes), cytoplasm (6 genes) and nucleus (8 genes). On the other hand, proteins encoded by 48% and 71% of the transcripts associated with GoN and SyT, respectively, are localized in the plasma membrane. FD-elevated transcripts encoding proteins are associated with a wide ensemble of transmembrane receptors and transportation functions (SOX10, CHRNB3, GFRA2, NGFR, APBA1, GJB1, SLC18A3, SLC5A7, SLC6A4 and SLC8A3) and membrane-based G-protein coupled reception (ADBR2, CCR5, CHRM3, CNR1, DRD5, GPR6, GRM2, GRM7, HCRTR1 and NTSR1). FD further increased the expression of most of the genes regulating transcription, such as ASCL1, EMX1, HEYL, LDB1, LZTS1, NFATC2, NKX2-2 and RELA, excluding two, EGR2 and LHX2. Alternatively, FD suppressed the transcripts linked to the growth factors (FGF2, HGF and GDF6) and the cytokines (IL1B and TNF). The transcripts regulating the protein kinases displayed a mixed expression profile; ALK, DLG2, KIT, NTRK3 and PRKCD were elevated, but MAPK8 and ROCK1 were suppressed by FD.

3.1.iii. Apoptosis and immune response

Apoptosis and immune response were the two most enriched sub-categories of “cell death” and “inflammatory response” respectively, which explained 48% and 95% of the transcripts enlisted by the respective parent terms. Together, they shared 34 genes; 23 of these were suppressed (Table S5).Most of the proteins encoded by these transcripts associated with apoptosis (30%) and immune response (35%) are localized in the plasma membrane. The pool of cytokine associated transcripts (CSF2, CXCL11, IK, IL10, IL19, IL1B, PRL, TNF and TNFSF14) was suppressed in FD-fed mice excluding IL25elevated. Likewise, a large panel of CD markers excluding CD4 was suppressed by FD. The list included CD2, CD3G, CD80, CD28 and CD7, which are associated with T-cells; CD5 and CD48 are associated with B-cells; CD244 is associated with both NK-cells and T-cells; and CD226 is associated with platelets as well as T-cells. Alternatively, all the transcripts associated with transportation (GJA4, LBP and SFTPA1) were elevated. Among the growth factors, BMP6 and PGF transcripts were elevated; whereas FGF2 and HGF were suppressed. All of the kinase-transcripts encoding protein localized in the plasma membrane were elevated (ALK, KIT and NTRK3), while the rest (CHEK1, MAPK8, PDPK1, PRKX and ROCK1) were suppressed by FD.

3.2 Validation of gene expression by the real-time PCR analysis

The elevated expressions of DRD3, GABRR1, CCKBR and GABRA3 encoding proteins localized in the membrane were validated by PCR array (Figure 4). The suppressed genes validated by qPCR included MAOA, GAD1, HPRT1, NPY1R, CHRNA1, CHRNB1, GABRD and GABRG2. The assay could not confirm the expressions of CHRNB2, CHRNE, GABRP and GABRB2.
Figure 4

Regulatory networks showing clusters of differentially-regulated genes predicted by mRNA microarray and validated by 96-well qPCR assay.

The nodes represent the genes and the solid lines depict the interactions between two molecules. Red- and green-colored panels show significantly increased and decreased expression in the FD-fed mice compared to the SD-fed mice (log1.5 (FD-/SD-fed mice). The right and left panels represent the mRNA microarray and qPCR output, respectively. The molecules without color are not mined by the present analysis; they are used to build the networks. These molecules constitute the major hubs of this network, but are not identified in the data shown here.

Regulatory networks showing clusters of differentially-regulated genes predicted by mRNA microarray and validated by 96-well qPCR assay.

The nodes represent the genes and the solid lines depict the interactions between two molecules. Red- and green-colored panels show significantly increased and decreased expression in the FD-fed mice compared to the SD-fed mice (log1.5 (FD-/SD-fed mice). The right and left panels represent the mRNA microarray and qPCR output, respectively. The molecules without color are not mined by the present analysis; they are used to build the networks. These molecules constitute the major hubs of this network, but are not identified in the data shown here. By using the low throughput qPCR assay (Figure 5), we confirmed that FKBP5 and NOS-1 were elevated by FD while BDNF, MMP9 and SOD1 were suppressed.
Figure 5

Genomic regulation of five genes associated with physiological stress (NOS1, FKBP5, MMP9, SOD1 and BDNF) validated by real-time PCR assay.

The bar graph shows the genomic fold changes (FD-fed/SD-fed mice) with ± SEM. The horizontal line represents the control line depicting the fold change due to FD consumption.

Genomic regulation of five genes associated with physiological stress (NOS1, FKBP5, MMP9, SOD1 and BDNF) validated by real-time PCR assay.

The bar graph shows the genomic fold changes (FD-fed/SD-fed mice) with ± SEM. The horizontal line represents the control line depicting the fold change due to FD consumption. Altogether, the qPCR assay validated 76% of the genomic expressions tested herein.

Discussion

A multitude of in vitro results suggests potential benefits of n-3 PUFA enriched diets typically supplemented by fish oil, but translating the knowledge to a viable therapeutic model remains challenging [10], [12], [13], [52]–[54]. There is a necessity for a more systematic comprehension of the etiologic relationships between the fish oil and their reported effects on various illnesses. In light of the several studies evaluating the range of the compositions of n-3/n-6 PUFA [21]–[25], [55], [56], our study focused on investigating one particular dietary supplement, namely the fish oil enriched with high n-3 PUFAs, EPA and DHA in particular. This high fat composition with a consequence of increased body mass is certainly a concern [57] that should be addressed by a more comprehensive investigation in the future. Furthermore, we investigated the effects on the hemibrains only; dietary effects on various brain sub-regions were not assessed as reported by others [40]. Present study also did not attempt to quantify the shift of fatty acid levels in the brain as a result of consuming a high fat diet that investigated in past [58]. The genomic profiling of the hemibarns could be further biased by the collection of the small midline structures such as thalamic and hypothalamic nuclei. It is important to note that the present study solicited the molecular impacts of the fish oil, not the consequences of n-3 PUFA. The study was designed to critically comprehend the performances of the fish oil including its benefits and adverse effects. Therefore FD delivered more fish oil derived fatty acids (high n-3 PUFA; but sub-optimal n-6 PUFA) than the controls following many such precedents [42], [59]–[63]. SD with nearly equivalent caloric contribution had unadjusted fat supplements like many other studies [42], [59]–[63]. Adjusting the fatty acid presentation in the diet potentially derived from other sources, such as soybeans might alter the molecular makeups of the rodents risking confounding the outcome. The FD contained 5.2% of n-3 PUFA and 0.65% of n-6 PUFA, presenting a ratio of 8∶1 of n-3 PUFA: n-6 PUFA; the SD contained 0.2% and 1.22% of n-3 and n-6 PUFA, respectively, with a ratio of 1∶6. By mass, FD consisted of 16% fish oil, and the total fat composition in FD was 1.5 fold higher than SD. FD contained twenty times more n-3 PUFA and 50% less n-6 PUFA as present in SD. Furthermore, FD contained a 1.5∶1 ratio of the EPA: DHA and a 7∶1 ratio of EPA: AA, which was in agreement with the literature showing health benefits [23]–[26], [56], [64]. By weight, other major diet components including protein, carbohydrate, vitamins and minerals were similar in FD and SD, and the gross energy levels were also equivalent (Table 1). FD and SD were introduced to randomly chosen mouse groups at three weeks of age. The animals consumed their respective diets for another five months, which is equivalent to their late adolescence. Subsequently, the mice were euthanized to collect the brain samples for transcriptomic analysis. The two mouse populations gained body weight differently. FD mice gained 18% more weight with a marginal significance (p = 0.06) in accordance with a previous study [65]. This could possibly be a negative effect of the high lipid diet [57]; further optimization of the dietary components is required to control the weight gain and consequent health issues. It is, however, beyond the scope of the present study to discuss the potential markers associated with obesity, such as the genes associated with fatty acids (SLC27a4, FADS2, FA2H, and FADS6; all up-regulated by FD) and insulin treatment (INSIG1 up-regulated and IRS1, IGFBP2; all down-regulated by FD) (Table S2).

4.1. Fish oil mediated augmentation of the brain and nervous system

The functional consequences of synaptic plasticity include the power of retention and retrieval of memory; and shifting of learning and behavioral paradigms [66], [67]. Environments combined with diets can critically modify the synaptic networks that involve formations, differentiation, repositioning, and elimination of synapse. The NMDA receptors (NMDARs) are the critical regulators of synaptic plasticity and particularly of the long term consequences such as memory retention [43], [66], [68], [69]. Src-mediated direct phosphorylation of NMDARs initiates the presynaptic influx of Ca+2 [68]. FD apparently activated this presynaptic pathway by elevating the key transcriptomic members, including nSHC (also known as SHC3), NMDAR2A (also known as GRIN2A) and CACNA1A. Promoting the excitatory against the inhibitory synaptic transmissions [70], CACNA1A contributes to a number of neurological disorders [71]. . Unlike CACNA1A, which closely regulates the nervous system, CACNA1S suppressed by FD is associated with photoreception and thermoregulation [72], [73]. NMDAR-mediated influx of Ca+2 contributes to the long term potentiation, thereby controlling the behavioral learning, fear response and extinction [66], [69], [74]. Related observation of elevated mGluR2 (GRM2) in FD-fed mice was rather counterintuitive. mGluR2 in association with moderate Ca+2 influx is linked to long term depression [75]. Addressing the paradox, literatures suggest that the temporal pattern of Ca+2 deposits may shift the consequence from depression to potentiation, and differential buffering of intracellular Ca+2 may also shift the balance [68]. Although we could not rule out the possibility of FD-induced long term depression, our results described hereafter increasingly favored the possibility that FD preferentially promoted long term potentiation. Supporting the hypothesis, FD enhanced glutamatergic activity ( elevated DRD-2/-3/-5; GRM-2/-7; and GRI-D2/-N2a in the FD-fed mice) driving the calcium and dopamine messengers to phosphorylate the protein phosphatase 1 regulatory subunit 1B [69]. Elevated PPP1R1B, also observed by administering DHA-enriched diet [40] is critically related to the emotional learning associated with long term potentiation [76]. In addition, FD elevated a group of transcriptional members associated with choline influx, such as CHRM3, CHRNB3 and SLC5A, which typically promote long term potentiation [77]. FD induced elevation of PDPK1 and AKT (alternate name: PKB), two integral downstream members of PI3K pathways, is likely to cause spine enlargement and stability, thus promoting long term potentiation maintenance [78]. Together, the accumulated evidence from this study increasingly linked FD to long term potentiation, as opposed to long term depression. Emerging knowledge elucidating the complexity of BDNF activity regulation begins to dissociate BDNF from the robust synapse as suggested in past [79]–[81]. Researchers have found that the TRKB-independent pro-BDNF signaling pathway is the causative factor of compromised synapse [82], and potentially eliciting depression [83]. In comparison to the remote PTSD patients, recent PTSD patients have been diagnosed with higher levels of BDNF that likely contribute to the biased consolidation of fear memory [84]. Evidently, the memory consolidation process is exon-specific. Prolonged stress applied on the rodents significantly elevated BDNF mRNA levels in exon I (35%), IV (20%) and IX (16%), and substantially elevated mRNA of exon II (20%) [85]. In this context, our microarray data predicted suppressed exon II of BDNF (NM_007540, vendor-delivered information, Table S1) in FD-fed mice, and the qPCR assay (Figure 5) validated the outcome. Conversion of pro-BDNF to mature BDNF is mediated by MMP-9, [86], [87], which was transcriptionally suppressed by FD. Supporting evidence reported the n-3 PUFA-induced inhibition of MMP-9 in brain cells challenged by an endotoxic assault in vitro [87]. Hence, we postulate that FD promotes axonal growth by steering a BDNF-independent network critically regulated by Src to activate PI3K-AKT-PKC downstream. In fact, the independent actions of Src and BDNF have been reported in the past as a response to a dietary imbalance caused by zinc deficiency [88].

4.2 Fish oil mediated neuroprotection

Consistent with a past study [40], here we also reported a host of elevated genes in FD-fed mice associated with the myelin accumulation and preservation, including MOG, MPZ and MAG. Demyelinated lesions in neuronal cells are early indicators of inflammation that lead to the rapid destruction of the myelin sheath, causing increased vulnerability of the axons [89]. In fact, selective loss of MOG was identified as a serologic marker of inflammatory brain disease [90]. Pro-inflammatory cytokines such as TNF-a, IL-1B, IL-10 and TNFSF1 showed decreased transcriptomic expression, while the transcription of interferon gamma antagonist (IK) was elevated by FD in accordance to many past studies [91]–[94]. A study conducted on healthy young human adults identified the lower levels of n-3 PUFA (or a higher n-6: n-3 ratio) in serum as the primary cause of the larger influx of IFN-γ and TNF-α [6], [95]. Of particular note, we observed elevated RELA in FD mice; a rather counterintuitive observation, particularly in light of the suppressed expression of related genes like TNF, and the relevant past studies [96]. One possible reason could be the near obesity condition of the FD-fed mice; a high fat diet allegedly increases NF-κB activities in rodents [97]. The immunological implications of fish oil were further supported by the comprehensive FD induced suppression of CD markers associated with T-cells, B-cells, NK-cells and platelets. Emerging knowledge suggests that there are inhibitory effects of n-3 PUFA on CD cells, the potential markers of depression [98]. Down-regulation of apoptotic pathways and promotion of cell survival are known implications of n-3 PUFA enriched diets. Elevated AKT and BCL21A in FD-fed mice are the established markers of cell survival [99] [100]. The suppressed genes encoding the caspase family (Casp -1/-4/-7/-14) may suggested the diet's potential protective roles against inflammation by regulating the caspase family members [101]–[103].

4.3 Potential therapeutic efficacy of FD treating neurodegenarative disorders

The motivation of testing fish oil as the dietary supplements could be derived from the ongoing clinical trial activities evaluating the agonists of GABRG-3, GABRA-4, DRD-5, and THRB (all were elevated by FD), and the antagonists of GABRA-5 (suppressed by FD) for treating depression (www.clinicaltrials.gov). On the other hand, the antagonists targeting GABRG-3, GABRG-4, DRD5, ADR -A1D/–B2, CHRM-3, and SLC6A4 (all elevated by FD) are under investigation for treating bipolar disorder and schizophrenia. In contrast, FD-regulated transcripts could be relevant in eliciting the risk of the schizophrenia, bipolar disorder, and suicidal inclination. FD, for instance activated ADR-A1D/-B2 and SLC6A4; and the activated adrenergic and serotoninergic pathways are linked to augment the suicidal psychopathology [104]. In addition, several of the GABA family members (GABRG-3, GABRG-4) and key dopamine receptors (DRD5) were also elevated by FD. The activities of GABA families and dopaminergic hyperactivity are positively correlated with the prevalence of bipolar disorder and schizophrenia [105] [106]. Contrastingly, dopaminergic hypoactivity has been recognized as a possible precursor of depression [107]. This observation emphasizes the fact that the efficacy of fish oil potentially depends on the disease pathophysiology. Affective disorder is typically triggered by the decreased activities of antioxidants such as glutathione and the depletion of serological markers such as BDNF and somatostatin [108]. Our report showed FD-induced elevation of a number of transcripts related to transmembrane glutathione transfer (Gstm -4/-6, and Gstt-1) (Table S2) accompanied by CORT encoding cortistatin, and thereby likely activated of the somatostatin receptors. Among other neurodegenerative diseases, the reported impacts of FD on AD and PD were in accordance with a multitude of existing evidence [9], [10], [12], [31]. FD suppressed APBA1, a key gene encoding the amyloid beta (A4) precursor protein-binding family; thereby potentially suppressed the amyloidal toxicity, a vital precursor of AD progression [109]. Possible activation of the dopaminergic cascade, evident from the elevated receptors (DRD-2/-3/-5), indicated a stronger efficacy of FD in treating PD. In addition, FD altered a collection of transcriptomic expression linked to AD and PD onset [110], [111], such as NOS-2, SOD1 and caspases (CASP-1/-4/-7). Accumulated evidences underscore the importance of the beta-adrenergic receptors and MAPK signaling towards AD pathology [112]; members of these respective networks (ADR-A1D/-B2 and MAPK-8) were altered by FD. FD mice showed a comprehensive elevation of the transcripts associated with voltage-gated potassium channels (KCNMB3, KCNQ5, KCN1P1, KCNC4, KCNC3, KCNA5, KCNJ6, KCTD7 and KCNQ2) and cholinergic modulation (CHRM3 and CHRNB3), which are associated with memory consolidation and stress management [113]–[115]. Among another psychological illnesses, FD showed positive implications in PTSD, regulating some of the potential therapeutic markers like BDNF, FKBP5 and SLC6A4 [116] (Table 2). In addition, Table 2 shows a list of psychological debilities associated with a panel of transcripts investigated by qPCR.

Conclusions

The biomechanisms exhibited by the fish oil that facilitate neurotrophic regulation are still elusive. The knowledge gap limits our predictive aptitude in realistically estimating the efficacy of this dietary supplement. To address this challenge, we customized a diet enriched of 16% fish oil by weight, the optimum fraction of oil added to the rodent food without altering its texture from the standard lab diet. Two randomly chosen groups of C57BL/6J mice consumed one of the two diets from weaning age until their young adulthood. We sacrificed five month old mice and investigated their hemibrains using a genome-wide transcriptomic platform. Functional analyses of the transcriptomic data focused on the areas of the neurogenesis, neuroviability and neurodegenerative disorders. The GOI were clustered into four most significant functions: “Neurological disease”, “Nervous system development and function”, “Immune response” and “Apoptosis”. Together these functions encompassed 247 transcripts (∼20%) identified from 1,142 genes displaying the most differential expression between the FD- and SD-fed mice. Approximately 40% of the proteins associated with these genes are located in the plasma membrane, suggesting a biased impact of the fish oil on the membrane-associated activities. Leveraging from the mouse brain atlas (mouse.brain-map.org) we found several of these genes found enriching the brain regions (Table S4) such as olfactory bulb, cerebellar cortex, thalamus and amygdala typically associated with the motor activities, information relay and neuropsychology. In FD-fed mice, a Src-mediated calcium-controlled network was suggested to reinforce synapse that possibly operated in a BDNF-MMP-9 independent pathway. FD suppressed the transcription of BDNF exons II, which is known to express in response to stress [85]. Activated PI3K-AKT-PKC cascades operated in concert. We further acknowledged a risk of spurring depression through FD-mediated activation of mGluR2/Ca+2 [75]. However, the FD-induced long term potentiation was deemed as more plausible endpoint in cognition of the additional evidences, including the stimulation of NMDAR and downstream glutaminergic/dopaminergic/cholinergic networks [69], [77] and the elevated transcription of WNT family genes [117], PPP1R1B [76] and NEUROD6 [118]. The risk of Ca+2 -induced biased recurrence of excitatory synaptic transmission was possibly mitigated by the FD-induced NLGN1 that typically helps in restoring the balance between the excitatory and inhibitory synapses [119]. FD-induced attenuation of oxidative stress and reduction of amyloidal burden coupled with suppressed inflammatory and apoptosis networks affirmed the potential efficacy of fish oil in treating a range of neurodegenerative debilities such as affective, Alzheimer's and Parkinson's disorders. In contrast, the FD-stimulated neuromodulators like dopamine, choline, GABA and glutamate may diminish the efficacy of the fish oil in treating bipolar disorder, schizophrenia and suicidal inclination, which has been proposed to be triggered by the hyperactivity of the same pool of molecular messengers [105], [106]. Taken together, our results suggested a potential susceptibility of the fish oil's efficacy on the disease pathology and highlighted the need for strategic repositioning of the fish oil as a therapeutic adjuvant. Supporting our results a number of past in vitro rodent models [41] [37] [35], [36], [38], [39] reported n-3 PUFA benefits in the restoration of myelin sheath, activation of dopaminergic networks with downstream elevation of PPP1R1B, activation of synaptic plasticity and comprehensive attenuation of inflammasome networks. In conclusion, fish oil could provide therapeutic benefits for a number of neurodegenerative diseases, while there is a valid concern about its therapeutic efficacy in treating certain other illnesses. The comprehensive investigation to confirm these findings are exigent and the effectiveness of this fish oil diet should be validated by introducing this diet type to specific disease models. The volcano plot of the GOI depicting the expression distribution in FD and SD fed murine hemibrains. Here the x-axis depicts the log2(fold change) and y-axis depicts -log10(p-value), where p-value is calculated by FDR algorithm. The red and green dots represent the up- and down-regulated transcripts, respectively. (TIF) Click here for additional data file. Regulatory networks showing an additional three clusters of differentially-regulated genes involved in “neurogenesis”. The nodes represent the genes and the solid lines depict the interactions between two molecules. Red- and green-colored genes show significantly increased and decreased expression (log1.5 (FD-/SD-fed mice) in the FD-fed mice compared to the SD-fed mice (a color scale is at the bottom right corner). The genes are clustered based on their proteins' cellular locations in the nucleus, cytoplasm, plasma membrane, and extracellular space. Three subgroups are “differentiation of nervous system” (left panel), “formation of plasma membrane projections” (middle panel) and “neuritogenesis” (right panel). They enlist 29, 26, and 23 genes with p values of 7.6×10−23, 4.71×10−19 and 8.02×10−18, respectively. (TIF) Click here for additional data file. List of primers and probes used in qPCR assay. (DOCX) Click here for additional data file. List of 1,142 genes of interest (GOI). The genes are identified by the Gene Name and gene symbol. The log ratio indicates the log1.5 transformed of the average transcriptomic expressions from FD-/SD-fed mice. (DOCX) Click here for additional data file. Complete list of biofunction categories enriched by 1,142 genes. For individual functional categories, corresponding range of p values and the number of enriching genomic members are reported. (DOCX) Click here for additional data file. The brain regions enriched by the genes mined by present study relevant to “Neurological disease”, “Nervous system development and function”, “Inflammatory response” and “Cell death”. (DOCX) Click here for additional data file. The genomic candidates associated with apoptosis (Apop) and immune response (ImRes). The genes are identified by the Entrez IDs and gene symbols. The log ratio indicates the log1.5 transformed of the average transcriptomic expressions from FD-/SD-fed mice. (DOCX) Click here for additional data file.
  138 in total

1.  Meiosis-activating sterol promotes the metaphase I to metaphase II transition and preimplantation developmental competence of mouse oocytes maturing in vitro.

Authors:  Carrie L Marín Bivens; Christian Grøndahl; Anthony Murray; Thorsten Blume; You-Qiang Su; John J Eppig
Journal:  Biol Reprod       Date:  2004-01-21       Impact factor: 4.285

2.  A balance between excitatory and inhibitory synapses is controlled by PSD-95 and neuroligin.

Authors:  Oliver Prange; Tak Pan Wong; Kimberly Gerrow; Yu Tian Wang; Alaa El-Husseini
Journal:  Proc Natl Acad Sci U S A       Date:  2004-09-09       Impact factor: 11.205

3.  Omega-3 supplementation lowers inflammation in healthy middle-aged and older adults: a randomized controlled trial.

Authors:  Janice K Kiecolt-Glaser; Martha A Belury; Rebecca Andridge; William B Malarkey; Beom Seuk Hwang; Ronald Glaser
Journal:  Brain Behav Immun       Date:  2012-05-26       Impact factor: 7.217

4.  GeneCite: a stand-alone open source tool for high-throughput literature and pathway mining.

Authors:  Rasha Hammamieh; Nabarun Chakraborty; Yan Wang; Mark Laing; Zaigang Liu; John Mulligan; Marti Jett
Journal:  OMICS       Date:  2007

5.  Importance of the omega-6/omega-3 balance in health and disease: evolutionary aspects of diet.

Authors:  Artemis P Simopoulos
Journal:  World Rev Nutr Diet       Date:  2011-08-05       Impact factor: 0.575

6.  Dietary linoleic acid and polyunsaturated fatty acids in rat brain and other organs. Minimal requirements of linoleic acid.

Authors:  J M Bourre; M Piciotti; O Dumont; G Pascal; G Durand
Journal:  Lipids       Date:  1990-08       Impact factor: 1.880

7.  Long-chain omega-3 fatty acids for indicated prevention of psychotic disorders: a randomized, placebo-controlled trial.

Authors:  G Paul Amminger; Miriam R Schäfer; Konstantinos Papageorgiou; Claudia M Klier; Sue M Cotton; Susan M Harrigan; Andrew Mackinnon; Patrick D McGorry; Gregor E Berger
Journal:  Arch Gen Psychiatry       Date:  2010-02

Review 8.  The influence of dietary docosahexaenoic acid and arachidonic acid on central nervous system polyunsaturated fatty acid composition.

Authors:  J Thomas Brenna; Guan-Yeu Diau
Journal:  Prostaglandins Leukot Essent Fatty Acids       Date:  2007-11-26       Impact factor: 4.006

9.  Functional polymorphism of the matrix metalloproteinase-9 (MMP-9) gene in schizophrenia.

Authors:  Janusz K Rybakowski; Maria Skibinska; Pawel Kapelski; Leszek Kaczmarek; Joanna Hauser
Journal:  Schizophr Res       Date:  2009-03-04       Impact factor: 4.939

10.  Dietary supplementation with n-3 fatty acids suppresses interleukin-2 production and mononuclear cell proliferation.

Authors:  S Endres; S N Meydani; R Ghorbani; R Schindler; C A Dinarello
Journal:  J Leukoc Biol       Date:  1993-12       Impact factor: 4.962

View more
  9 in total

Review 1.  Common mechanisms of Alzheimer's disease and ischemic stroke: the role of protein kinase C in the progression of age-related neurodegeneration.

Authors:  Brandon P Lucke-Wold; Ryan C Turner; Aric F Logsdon; James W Simpkins; Daniel L Alkon; Kelly E Smith; Yi-Wen Chen; Zhenjun Tan; Jason D Huber; Charles L Rosen
Journal:  J Alzheimers Dis       Date:  2015       Impact factor: 4.472

2.  Multi-Tissue Multi-Omics Nutrigenomics Indicates Context-Specific Effects of Docosahexaenoic Acid on Rat Brain.

Authors:  Guanglin Zhang; Qingying Meng; Montgomery Blencowe; Rahul Agrawal; Fernando Gomez-Pinilla; Xia Yang
Journal:  Mol Nutr Food Res       Date:  2020-10-15       Impact factor: 5.914

3.  Six Tissue Transcriptomics Reveals Specific Immune Suppression in Spleen by Dietary Polyunsaturated Fatty Acids.

Authors:  Sara L Svahn; Leif Väremo; Britt G Gabrielsson; Eduard Peris; Intawat Nookaew; Louise Grahnemo; Ann-Sofie Sandberg; Ingrid Wernstedt Asterholm; John-Olov Jansson; Jens Nielsen; Maria E Johansson
Journal:  PLoS One       Date:  2016-05-11       Impact factor: 3.240

Review 4.  Beneficial effects of omega-3 fatty acid supplementation in schizophrenia: possible mechanisms.

Authors:  Mei-Chi Hsu; Yung-Sheng Huang; Wen-Chen Ouyang
Journal:  Lipids Health Dis       Date:  2020-07-03       Impact factor: 3.876

5.  Metabolomic analysis of male combat veterans with post traumatic stress disorder.

Authors:  Synthia H Mellon; F Saverio Bersani; Daniel Lindqvist; Rasha Hammamieh; Duncan Donohue; Kelsey Dean; Marti Jett; Rachel Yehuda; Janine Flory; Victor I Reus; Linda M Bierer; Iouri Makotkine; Duna Abu Amara; Clare Henn Haase; Michelle Coy; Francis J Doyle; Charles Marmar; Owen M Wolkowitz
Journal:  PLoS One       Date:  2019-03-18       Impact factor: 3.240

Review 6.  The stress-Wnt-signaling axis: a hypothesis for attention-deficit hyperactivity disorder and therapy approaches.

Authors:  Cristine Marie Yde Ohki; Leoni Grossmann; Emma Alber; Tanushree Dwivedi; Gregor Berger; Anna Maria Werling; Susanne Walitza; Edna Grünblatt
Journal:  Transl Psychiatry       Date:  2020-09-18       Impact factor: 6.222

7.  Temporal Progression of Pneumonic Plague in Blood of Nonhuman Primate: A Transcriptomic Analysis.

Authors:  Rasha Hammamieh; Seid Muhie; Richard Borschel; Aarti Gautam; Stacy-Ann Miller; Nabarun Chakraborty; Marti Jett
Journal:  PLoS One       Date:  2016-03-22       Impact factor: 3.240

8.  Effects of Diets Differing in Composition of 18-C Fatty Acids on Adipose Tissue Thermogenic Gene Expression in Mice Fed High-Fat Diets.

Authors:  Sunhye Shin; Kolapo M Ajuwon
Journal:  Nutrients       Date:  2018-02-23       Impact factor: 5.717

Review 9.  Stressful Newborn Memories: Pre-Conceptual, In Utero, and Postnatal Events.

Authors:  Zoe Papadopoulou; Angeliki-Maria Vlaikou; Daniela Theodoridou; Georgios S Markopoulos; Konstantina Tsoni; Eleni Agakidou; Vasiliki Drosou-Agakidou; Christoph W Turck; Michaela D Filiou; Maria Syrrou
Journal:  Front Psychiatry       Date:  2019-04-18       Impact factor: 4.157

  9 in total

北京卡尤迪生物科技股份有限公司 © 2022-2023.