Sex differences in age-related gene expression across tissues are not well understood. Here, using naturally aging mouse models, we compared gene expression across three tissue types, gastrocnemius muscle, liver and white adipose tissue in old (24 month) and young (6 months) females and males. We applied DE analysis and gene feature selection by machine learning approaches to identify sex and tissue specific genes whose expression levels are associated with aging. We found that the vast majority of age-related genes were sex and tissue specific. Overall, sex differences were driven by pathways in amino acid metabolism, digestive system and lipid metabolism, and genes specifically associated with aging in females were enriched for lipid metabolism. Using machine learning approaches, core genes associated with aging independent of sex and tissue-type were also identified, and these were enriched for immune pathways and signaling.
Tissue-specific sex differences
Tissue type explained the vast majority of variance in our gene expression datasets, more so than sex or age (Additional File 1). This is not surprising as it has been observed in previous studies in humans and mammals in the field of aging (9, 11, 25). We also observed significant sex dimorphisms when comparing the female and male samples both in the old age group and the age group changes, i.e. the aging process.
The majority of the genes contributing to sex differences were tissue specific, evidenced by extremely limited common genes (Fig. 2D and 3D). Within the old age group, these DEGs were enriched for pathways in the circulatory system for Muscle, lipid metabolism for Liver, and signaling pathways for Wat, which aligns with each tissue’s specialized functions and environment (16). We looked into the specific regulation pattern of these pathways based on gene expression levels, and found circulatory system pathways (in Muscle) and lipid metabolism and digestive system pathways (in Liver) were up-regulated in females compared to males. Down-regulated genes in females were involved in amino acid metabolism, lipid metabolism and immune system (in Liver) and signal transduction (in Wat).
We observed a slightly different story when looking at the aging process (rather than just comparing within the old age groups). We saw clear sex differences again, with only 2, 37, and 5 genes shared when combining the females and males in three types of tissues, respectively. Interestingly, while more genes changed in Muscle in males, which is also revealed in another study (34), most gene expression changes with age in Liver and Wat were in females. This is possibly due to the fact that loss of muscle mass during aging is more prominent in males (35) and males may have less physiological changes than females in the liver and adipose tissues (36, 37). For enrichment analysis for sex-specific genes, we observed protein digestion and absorption in male Muscle samples. Protein homeostasis is one of the 12 hallmarks of aging (5), and this result suggests protein metabolism differences in muscle aging of the two sexes. For Wat, we identified female-specific changes in digestive system-related pathways as well as lipid metabolism. Sex differences (38) and aging (39) have been reported to have an impact on adipose tissue, and our results further indicate sex differences in adipose tissue aging.
Liver showed the most overlap (37 genes) between sexes for genes that are changed in aging. Additionally, even when only considering distinct sex-specific gene lists, both male and female genes in Liver were enriched for common pathways including steroid hormone biosynthesis, metabolism of xenobiotics by cytochrome P450, and retinol metabolism. In particular, four cytochrome P450 genes, Cyp2d9, Cyp1a2, Cyp3a11, and Cyp17a1 were similarly changed in aging across males and females. Cytochrome P450 genes have been previously found, either in humans or mice, to be under the influence of age and sex (25, 40). Lipid metabolism has also been previously shown to change in age and sex (41, 42). Interestingly, three genes detected in Liver, 1810053B23Rik, AA986860, and Cyp8b1, showed opposite directions of change with age in females and males. Cyp8b1, another cytochrome P450 gene, increased in females, and decreased in males in our study. A previous study using only male rats observed a decrease in Cyp8b1 expression between 6 and 24 months (43), and one previous study showed sex differences in Cyp8b1 levels in young hepatocyte nuclear factor (HNF) 4α knock-out mice (39). Given the potential role for this enzyme in the treatment of nonalcoholic fatty liver disease and type 2 diabetes (44), more investigation into this intriguing sex difference is needed. 1810053B23Rik, AA986860 are currently un-annotated but also present intriguing targets for further investigation. Overall, our aging liver results reveal both sex-dependent and -independent changes and imply key roles of Cytochrome P450 genes and lipid metabolism in aging, across both sexes.
Sex differences across tissues
Although most changes in aging were tissue specific, we also looked at core genes changed with age between sexes across the three tissues examined. From the differential expression analysis, we found 5 sex chromosome-linked genes (Xist, Ddx3y, Eif2s3y, Uty, and Kdm5d) were differentially expressed independent of tissue type in the old mice. Intriguingly, these genes have been highly associated with aging or age-related diseases. Xist serves as a feature in predicting cellular age (45), and the remaining four genes are related to cardiac diseases in males (46, 47).
We also combined enriched pathways from the DEG lists of sex-specific gene expression changes in aging, and found 18 pathways present in more than one tissue. Among these pathways, we identified three pathway classes, amino acid metabolism, digestive system and lipid metabolism as core pathways changed with age in a sex-specific manner across tissues. Many metabolites related to the above three classes have been found to show sex differences, for instance, phenylalanine, tyrosine (48), bile acid (49) and linoleic acid (50). Our results further indicate their functions in sex differences in aging. We propose pathways involved in these three candidate classes are potential core mechanisms of sex differences in aging and need further study.
Apart from the merge of DEG analysis results, we utilized a machine learning approach to select gene features associated with sex, independent of tissue type. Of the top 20 genes whose levels were predictive of female sex in the old age group, two interesting genes were Smarcc1 and Smarca4, which encode subunits of SWI/SNF complex, an activity-dependent neuroprotective protein that has previously shown sex dimorphism (51, 52). For aging, we stratified female and male samples and performed feature selection respectively, and revealed distinct gene sets predictive of aging. We identified mRNA surveillance pathway as an enriched pathway in female samples, wherein gene PNN is linked to aging and neurological diseases (53), and revealed thermogenesis and circadian rhythm as enriched pathways in male samples. The latter two pathways have been demonstrated as closely related to aging (54, 55). These results demonstrate the utility of feature selection using machine learning algorithms, and suggest that, across tissues, males and females have different gene expression profiles in aging.
Taking tissue-specific and tissue-wide analysis together, we have shown strong sex differences in aging. These results highlight the importance of understanding sex differences and provide implications for sex-specific aging interventions.
General aging
Although we were mostly interested in sex differences, we did explore whether there were core genes associated with aging across both tissues and sexes. Using co-expression network analysis, we selected a set of 127 hub genes from the module that was associated with aging regardless of sex. Of these hub genes, 23 genes overlap with the previously determined genes from DE analysis in Liver and Wat, suggesting key functions of these genes in aging as well as sex differences. We also identified 38 enriched KEGG pathways, wherein 12 pathways were in the immune system class and 4 in the signal transduction class. These results suggested that the immune system and signal transduction are strongly altered during the aging process. Furthermore, as the hub genes were derived from a gene module that was associated with aging regardless of sex and tissue, it can be concluded that these pathways are universally related to aging. These results align with previous findings (56, 57).
Limitations
There are some limitations to this study. The sample size for RNA sequencing is relatively small, which might decrease the power of statistical analysis. However, C57 mice are genetically identical and present relatively little heterogeneity. Additionally, our study was limited to three tissue types, and it would be interesting in future work to include other tissues, for instance kidney, brain and intestine. Nevertheless, based on the current three types of tissue, we have successfully revealed the tissue specificity of aging. For future work, it would also be ideal to validate these results in other data sets, other mouse strains, and human datasets.