`Cardiovascular Psychiatry and NeurologyVolume 2010 (2010), Article ID 838164, 2 pageshttp://dx.doi.org/10.1155/2010/838164`
Commentary

## Benefits of Neuropsychiatric Phenomics: Example of the 5-Lipoxygenase-Leptin-Alzheimer Connection

Department of Psychiatry, University of Illinois at Chicago, Chicago, IL 60612, USA

Received 22 April 2010; Accepted 21 May 2010

#### Abstract

Phenomics is a systematic study of phenotypes on a genomewide scale that is expected to unravel, as of yet, unsuspected functional roles of the genome. It remains to be determined how to optimally approach and analyze the available phenomics databases to spearhead innovation in neuropsychiatry. By serendipitously connecting two unrelated phenotypes of increased blood levels of the adipokine leptin, a molecule that regulates appetite, in 5-lipoxygenase- (5-LOX) deficient mice and patients with a lower risk for Alzheimer's disease (AD), we postulated a leptin-mediated basis for beneficial effects of ALOX5 (a gene encoding 5-LOX) gene-deficiency in AD. We suggest that it might be possible to avoid relying on serendipity and develop data-mining tools capable of extracting from phenomics databases indications for such novel hypotheses. Hence, we provide an example of using a free-access Arrowsmith two-node search interface to identify ALOX5 as unsuspected putative mechanisms for the previously described clinical association between increased plasma levels of leptin and a lower risk of incident dementia and AD.

A narrow definition of “phenomics” is “a systematic study of phenotypes on a genome-wide scale” [1]. Phenomics has emerged as natural result of recent successes in high-throughput genotyping. It is expected that phenomics research would unravel, as of yet, unsuspected functional roles of the genome. Notwithstanding some promise in genetic linkage studies in the fields of neurology and psychiatry, it has become a truism that neuropsychiatric disorders are too complex to be caused by a single gene disturbance.

Although new phenotypes are continuously being discovered that can be associated with neuropsychiatric disorders, it remains to be determined how to optimally approach and analyze the available phenomics databases to spearhead innovation in neuropsychiatry. Case in point is the recent report of a curious association between increased plasma levels of the adipokine leptin, a molecule that regulates appetite, and a lower risk of incident dementia and Alzheimer disease (AD) [2]. Although a number of genes have been associated with AD, no obvious genetic marker could account for the observed negative association between increased plasma leptin and AD. Finding such a marker would open novel lines of AD research.

It might be possible to avoid relying on serendipity and develop data-mining tools capable of extracting from phenomics databases answers to questions similar to the one we have posed in this article. For example, one could apply a tool such as the Arrowsmith two-node search interface (http://arrowsmith.psych.uic.edu/arrowsmith_uic/index.html). This tool has been developed to search articles in MEDLINE [6]. Briefly, one inputs two separate PubMed queries, “A” and “C”. Any articles present in both A and C are removed so that the analysis will consider only indirect linkages between the two sets. Then the software identifies all words and 2- and 3-word phrases found in the titles of the articles in both A and C. These so-called B-terms are processed and ranked according to the predicted probability that they will be relevant in pointing to a meaningful link across the two literatures. The user can further streamline the B-list, for example, by selecting only the gene/protein names.

Hence, we used the free-access Arrowsmith interface to test whether the ALOX5 gene could be discovered as a new link between elevated plasma leptin levels and AD by a PubMed search. We had chosen the advanced mode and entered “increased plasma leptin” in search “A”. This generated 2094 items. We entered “Alzheimer” in search “C”. This generated 53659 items. Then, the software generated the “B” list with 5030 items. We filtered this list using the option “semantics” by selecting “gene or protein names”. This reduced the list to 359 items. To further reduce this number, in the next step, we selected a filter termed “frequency” and changed the default settings from “fewer” to “more”, leaving the rest unchanged. This reduced the list to 41 items. First on the list of genes/proteins was “ampk” (adenosine monophosphate-activated protein kinase), and second was “alox5” (other high-ranking genes/proteins were peptide yy, Chop, matrix metalloproteinase MMP-2, phospholipid transfer protein, and serum-glucocorticoid-inducible-kinase 1). Asking the software to identify literature associated with “alox5” returned only two publications. One of them was the paper on elevated plasma leptin in ALOX5 knockout mice [5]. Thus, it appears that in this case we would have been able to discover the 5-LOX-leptin-AD link without prior knowledge about the leptin phenotype of ALOX5 knockout mice. It has to be stressed that a simple use of PubMed, that is, by entering together the three terms “leptin alox5 alzheimer” or “leptin 5-lipoxygenase Alzheimer” did not generate any hits.

With this commentary, we have illustrated how phenomics databases and data-mining interfaces can be used to find unsuspected links such as the example of a putative link between 5-LOX, leptin, and AD. Follow-up research studies are needed to understand the exact nature of such links. For example, to explore whether 5-LOX deficiency could benefit AD patients not only via the previously suggested mechanism that involves gamma secretase [4] but also in part due to 5-LOX-mediated alterations of circulating leptin levels. Recent study has identified a role for 5-LOX polymorphism in AD in a population from Northern Italy [7]. Based on similarities between mouse and human phenotypes described in this article, it appears that including leptin and 5-LOX in future clinical studies with this and similar AD patient populations is warranted.

#### Acknowledgment

This research was supported in part by Grant R01 AG015347 from the National Institute on Aging. The National Institute on Aging had no role in the preparation, review, or approval of this commentary. The content is solely the responsibility of the authors and does not necessary represent the official views of the National Institute on Aging or the National Institutes of Health.

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