Angiogenic gene networks are dysregulated in opioid use disorder: evidence from multi-omics and imaging of postmortem

Emily F Mendez1, Haichao Wei2,3, Ruifeng Hu4

  • 1Louis A. Faillace, MD, Department of Psychiatry and Behavioral Sciences, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA.

Molecular Psychiatry
|August 13, 2021
PubMed

Insights

Opioid use disorder (OUD) alters brain gene networks, increasing blood vessel growth. This study reveals new neurovascular targets for treating OUD, a major public health crisis.

Area of Science:

  • Neuroscience
  • Genomics
  • Proteomics

Background:

  • Opioid use disorder (OUD) is a significant public health issue causing numerous overdose deaths annually.
  • Brain region Brodmann Area 9 is implicated in OUD pathophysiology.

Purpose of the Study:

  • To investigate the molecular and neurovascular changes in the brain associated with OUD.
  • To identify specific genes, pathways, and cellular mechanisms affected by OUD.

Main Methods:

  • Utilized next-generation RNA sequencing and proteomics to analyze postmortem brain tissue from OUD subjects.
  • Employed Weighted-genome correlation network analysis (WGCNA) to identify cell-type specific gene networks.
  • Conducted ex vivo magnetic resonance imaging (MRI) to assess brain vascularization.

Main Results:

  • Identified 394 differentially expressed RNAs and 213 differentially expressed proteins in Brodmann Area 9.
  • Observed convergence of molecular changes on pro-angiogenic gene networks and cytokine signaling pathways.
  • Found evidence of increased vascularization in postmortem brains of OUD subjects, linked to astrocyte, endothelial, and microglia pathways.

Conclusions:

  • This study provides the first integrated molecular and imaging evidence of angiogenic gene network dysregulation and hypervascularization in the OUD brain.
  • Findings highlight the critical role of neurovascular alterations in OUD.
  • Identified potential therapeutic targets within angiogenic and cytokine signaling pathways for OUD treatment.

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