In silico analysis provides potential miRNA biomarkers of mycobacterial infection
Through a combination of data available from current literature and further in silico predictions using IPA, a list of 126 miRNA was generated as potential markers of mycobacterial infection. These were then grouped according to known biological functions (Figure 1). miRNA with primarily tumour suppressor roles (and potential tuberculosis markers) were the most prominent grouping making up approximately 23% of the list, followed closely by apoptosis/cell death and TLR/NFκβ signalling with 18.52% and 17.59% respectively.
Identification of circulating small RNAs in ovine plasma
miRNA sequencing of archived plasma samples from MAP infection trials confirmed the ability of Next Generation Sequencing to identify potential biomarkers of infection. From the 24 animals sampled and 2 timepoints, approximately 60% of reads aligned to mature miRNA sequences (Figure 2), while 9.9% and 20.99% of reads were non-mappable or discarded based on quality, respectively.
Small RNA sequencing uncovers distinct miRNA profiles of MAP infection and resilience in sheep
Differential expression analysis revealed distinct miRNA profiles between infected and resilient sheep (Figure 3). Following FDR and fold change thresholding, a total of 140 miRNA were found to be differentially expressed between groups, and 83 miRNA either up or downregulated compared to controls. Regardless of the timepoint, 29 upregulated and 29 downregulated miRNA were specifically differentially expressed in infected animals compared to both resilient and control groups, displaying a general miRNA MAP infection profile (Table 1). Likewise, 10 upregulated and 15 downregulated miRNA were exclusively dysregulated in resilient sheep when compared to control and MAP infected animals (Table 2).
Within the infected and resilient miRNA groups, there were also time-specific profiles, with particular miRNA differentially regulated specifically in either early or late infection or exposure. Within the infected group, there were 15 upregulated and 16 downregulated miRNAs in early infection only, and 19 upregulated and 10 downregulated miRNAs in late infection only (Supplementary Table 1). In resilient exposed animals, early exposure showed 14 upregulated and 13 downregulated miRNA, and 6 upregulated and 12 downregulated miRNA specific to late exposure timepoint (Supplementary Table 2).
As groups contained both animals that were vaccinated against MAP infection with the commercially available Gudair™ vaccine, and animals that were not vaccinated, analysis was performed to identify a vaccine signature. Six miRNA were identified as being potentially regulated due to vaccination, and displayed differential regulation between control vaccinated, infected vaccinated, and resilient vaccinated groups (Table 3).
In silico, microarrayand small RNA sequencing dataset crossover
To assess the applicability of in silico biomarker prediction and bioinformatic target pairing, overlap between predicted IPA, sequencing, and microarray datasets was assessed. There was an 18.75% similarity between the lists of miRNA generated using in silico prediction approach and those differentially expressed in the miRNA sequencing dataset (Figure 4). From the 126 miRNA predicted, 42 were identified in sequencing and their broad function categorised (Table 4)
In the MAP infected cohort, 88.7% of miRNA identified as significantly differentially expressed had either experimentally observed or moderate to high predicted mRNA targets that were also present in the mRNA infected cohort data. From the differentially expressed mRNA, 57.9% were targets of miRNA of interest. While all miRNA in the resilient animals had all targets present in the mRNA dataset, only 28.9% of the resilient mRNA were targets of the identified miRNA.
Integrated miRNA and mRNA analysis reveals biological pathways regulated following MAP exposure and infection
Differentially expressed miRNA were further analysed alongside previously published microarray gene expression data to further investigate the biological pathways modulated by these miRNA. Pathway analysis of miRNA and their target mRNA provided immune snapshots at the early and late stages of infection and exposure to MAP.
Across both infected and resilient animals there were common pathways which may be indicative of exposure to or infection with MAP. Within the early timepoint, cytokine-chemokine signalling pathways (CXCR4, IL-1, IL-17A, IL-8, BAFF), T-cell activation pathways (iCOS-iCOSL), and immune related signalling pathways (mTOR signalling, JAK-STAT signalling) were all differentially regulated in both exposed resilient and infected animals compared to control groups. Similarly, in the late timepoint, cytokine/chemokine pathways (CCR5, CXCR4, IL-17A, IL-8) and immune signalling pathways (JAK-STAT) were dysregulated in both MAP exposed and infected animals.
Infected animals
Following exposure to MAP, infected animals displayed a distinct profile compared to control and MAP resilient exposed groups in the early timepoint (Table 5). Infected sheep displayed a classical inflammatory response, with increased signalling through cytokine-chemokine pathways (CCR5, CXCR4, IL-3, IL-15, IL-8, IL-9), increased engulfment of bacteria through phagocytosis, and increased T cell activity (iCOS-iCOSL, CD28). Increased Th1 responses were evident in MAP infected animals with enhanced pro-inflammatory cytokine gene expression, as well as regulation of genes associated with leukocyte extravasation and chemotaxis towards bacterial stimuli. Further, genes involved in haematopoietic and chemotactic pathways via GM-CSF, IL-3, fMLP in neutrophils, and CXCR4 were upregulated, suggesting current inflammatory immune response to invading bacteria following challenge. Immune signalling cascades were also enhanced, including LPS-stimulated MAPK signalling, natural killer cell signalling, and mTOR related signalling pathways, suggesting pathogen recognition and host responses to clear bacterial infection.
In the late stage of infection, a switch to an anti-inflammatory and pro-mycobacterial response is evident (Table 6). A reduction in Th1 associated responses is observed, alongside decreasing antigen recognition and TCR signalling. T cell activation and responses were dampened in late infection (CD40 signalling, CD28 signalling, iCOS-iCOSL signalling), indicative of chronic granulomatous infection. Decreases in inflammatory cytokine-chemokine pathways (CCR5, CXCR4, IL-1, IL-15, IL-2, IL-6, IL-7, IL-9, IL-17A, IL-8, TNFR1/2) further imply a classic anti-inflammatory immune response in the later stages of MAP infection.
Exposed animals
Animals that were exposed to MAP and later appeared to be resilient were distinct from animals that were or became infected, suggesting a divergent, effective host response (Table 7). In the early stages of exposure, resilient sheep exhibited a non-inflammatory immune response, with T cell receptor (TCR) signalling decreased (Nur77, DC maturation, TOB). Genes associated with cytokine-chemokine signalling were also downregulated (CCR5, CXCR4, IL-15, IL-17A, IL-22, IL-23). Of interest, production of reactive oxygen and nitrogen species was decreased, which may indicate a non-damaging or less destructive host-protective immune response. Similarly, the T cell exhaustion pathway was down regulated in resilient animals in the early stages post exposure. This pathway was not present in infected animals at either timepoint and, may contribute to the observed disease resilience.
Conversely, at the late timepoint post exposure, resilient animals exhibited a classical inflammatory profile, similar to that observed in early infected animals (Table 8). Antigen recognition and TCR signalling was increased (Nur77, FcεRI), while T cell function and exhaustion and lymphocyte apoptosis were also increased suggesting bacterial recognition and active host responses. Further, inflammatory cytokine-chemokine associated genes were altered, resulting in an increase in signalling pathways (CCR5, CCR3, CXCR4, IL-17A, IL-22, IL-7, IL-8).
qPCR validation of small RNA sequencing
Eight differentially expressed miRNA were analysed using qPCR and compared to the fold change provided by the sequencing analysis (Figure 5, Supplementary Figures 1-2). miRs -16b and -486 were chosen as endogenous reference genes for normalisation as they displayed the most stable expression among the housekeeping candidates. In both early and late timepoint samples, biological variation in miRNA levels was more apparent in qPCR detection. However, despite outliers, the overall direction of expression was aligned to the observed sequencing fold change in the majority of groups. This level of agreement between the sequencing and qPCR results for miRNA at both timepoints was expected due to the differences in sensitivity and data normalisation method used between the two methods.