pyPAGE: A framework for Addressing biases in gene-set enrichment analysis-A case study on Alzheimer's disease

Inferring the driving regulatory programs from comparative analysis of gene expression data is a cornerstone of systems biology. Many computational frameworks were developed to address this problem, including our iPAGE (information-theoretic Pathway Analysis of Gene Expression) toolset that uses information theory to detect non-random patterns of expression associated with given pathways or regulons. Our recent observations, however, indicate that existing approaches are susceptible to the technical biases that are inherent to most real world annotations. To address this, we have extended our information-theoretic framework to account for specific biases and artifacts in biological networks using the concept of conditional information. To showcase pyPAGE, we performed a comprehensive analysis of regulatory perturbations that underlie the molecular etiology of Alzheimer's disease (AD). pyPAGE successfully recapitulated several known AD-associated gene expression programs. We also discovered several additional regulons whose differential activity is significantly associated with AD. We further explored how these regulators relate to pathological processes in AD through cell-type specific analysis of single cell and spatial gene expression datasets. Our findings showcase the utility of pyPAGE as a precise and reliable biomarker discovery in complex diseases such as Alzheimer's disease. Biological regulation is governed by a complex network of interactions involving transcription factors, RNA-binding proteins, and microRNAs. To reveal the regulatory programs underlying gene expression modulations, researchers often take advantage of gene-set enrichment analysis, an approach that studies concerted changes in a group of genes rather than observing genes in isolation. Previously, we developed a tool called iPAGE to facilitate this analysis. However, both iPAGE and other similar tools implicitly assume that different genes have uniform gene-set membership. Our recent observations challenge this assumption, revealing that some genes form regulatory networks far more frequently than others. These technical biases and redundancies in gene-set annotations complicate the accurate inference of true regulatory relationships in specific contexts. To overcome these limitations, we introduced pyPAGE, an enhanced method that extends our information-theoretic framework by incorporating conditional mutual information to account for specific biases and artifacts.We applied pyPAGE to Alzheimer's disease, a neurodegenerative disorder marked by its complexity and characterized by progressive cognitive decline, memory loss, and behavioral changes. Pathological processes of Alzheimer's disease involve various cell types and diverse molecular mechanisms, which pose significant challenges for study. In our study we took advantage of our newly developed framework pyPAGE, performing analysis of gene expression changes at both tissue and cell type levels. This way we were able to describe regulation patterns of known regulators of Alzheimer's as well as several new ones. Additionally, we performed a cohort study of the association between the enrichment of the identified regulons and survival prognosis for patients, showing that increased activity of a subset of RBPs is positively associated with a lifespan. In total the results highlight the utility of pyPAGE and provide a valuable set of biomarkers for Alzheimer's disease.