Cross-Study Meta-Analysis of Blood Transcriptomes in Type 2 Diabetes

Type 2 diabetes (T2D) is a chronic metabolic disorder with an estimated prevalence of over 422 million individuals affected globally. Since the advent of genomics, numerous studies have been conducted to elucidate T2D pathogenetic mechanisms and define genetic loci affecting T2D susceptibility. Transcriptomic studies, including bulk and single-cell RNA sequencing, play an important role both in discerning molecular mechanisms of the disease and in identifying potential T2D biomarkers. In this study, we performed bulk RNA-seq of whole blood of nine T2D patients and nine control subjects and performed meta-analysis of these data with seven publicly available blood RNA-seq datasets of T2D patients. Our analysis showed that the changes in the gene expression between different studies show very low concordance; moreover, a substantial number of differentially expressed genes (DEGs) was identified in only three out of eight datasets, with only five DEGs-FBLN2, TPCN1, PC, SHANK1, and PLD4-identified in all three of those datasets. Nevertheless, cross-study meta-analysis identified a broad set of 2065 DEGs, including 713 genes that have not been identified in any of the source studies. These genes showed a significant enrichment of GO terms indicating neutrophil activation and proliferation and included several genes that have not been implicated in type 2 diabetes previously. Taken together, our study highlights challenges associated with biomarker discovery from blood transcriptomics in T2D and suggests novel genes that may be considered as such biomarkers.