RT Journal Article SR Electronic T1 A systems genomics approach to uncover patient-specific pathogenic pathways and proteins in a complex disease JF bioRxiv FD Cold Spring Harbor Laboratory SP 692269 DO 10.1101/692269 A1 Johanne Brooks A1 Dezso Modos A1 Padhmanand Sudhakar A1 David Fazekas A1 Azedine Zoufir A1 Orsolya Kapuy A1 Mate Szalay-Beko A1 Matthew Madgwick A1 Bram Verstockt A1 Lindsay Hall A1 Alastair Watson A1 Mark Tremelling A1 Miles Parkes A1 Severine Vermeire A1 Andreas Bender A1 Simon R. Carding A1 Tamas Korcsmaros YR 2019 UL http://biorxiv.org/content/early/2019/07/04/692269.abstract AB We describe a novel precision medicine workflow, the integrated single nucleotide polymorphism network platform (iSNP), designed to identify the exact mechanisms of how SNPs affect cellular regulatory networks, and how SNP co-occurrences contribute to disease pathogenesis in ulcerative colitis (UC). Using SNP profiles of 377 UC patients, we mapped the regulatory effects of the SNPs to a human signalling network containing protein-protein, miRNA-mRNA and transcription factor binding interactions. Unsupervised clustering algorithms grouped these patient-specific networks into four distinct clusters based on two large disease hubs, NFKB1 and PKCB. Pathway analysis identified the epigenetic modification as common and the T-cell specific responses as differing signalling pathways in the clusters. By integrating individual transcriptomes in active and quiescent disease setting to the patient networks, we validated the impact of non-coding SNPs. The iSNP approach identified regulatory effects of disease-associated non-coding SNPs, and identified how pathogenesis pathways are activated via different genetic modifications.