Tuesday, 2 December 2014

Analysis of Single Nucleotide Polymorphism in DNM3 Gene by Flow Cytometry Technique for Evaluation of Platelet Morphology

1. Introduction
1.1. Dynamin (DNM3): Molecular and Functional Background
         Dynamin 3 belongs to the super-family of the genes that code for the dynamin GTPases which contain an amino-terminal GTPase domain, three central domains (middle, pleckstrin homology and coiled coil) involved in self-assembly and membrane binding, and a carboxy-terminal proline-rich domain that links to SH3 domain-containing signaling/cytoskeletal partner proteins These factors are important for membrane dynamics by their mechano-elastic properties. This includes the regulating of endocytic fissions of the vesicles, linkage of the cell membrane to the actin cytoskeleton, microtubule bundle associated for force generations. The dynamins have been shown to mediate endocytosis of clathrin-coated pits, vesicle budding and pseudopodia formation (Ferguson and De Camilli 2012; Soranzo et al. 2009).

             The DNM3 protein has been observed immunochemically in human MK and murine proplatelets. DNM3 is very important for human megakaryopoiesis. Overexpression of the DNM3 in the cord blood CD34 cells, enhance megakaryocyte colony forming unit formation and increased expression of terminal MK transcription factors NF-E2 p 45 in vitro, while the shRNA mediated knockdown had the opposite effects. DNM3 co-localizes to the demarcation membrane systems which serves the main reservoir during proplatelet and platelet formations. It also binds to non muscle myosin (MYH9) which is mutated in a series of macro thrombocytopenia patients. In the neurons DNM3 co-localize with the Wiskott Aldrich syndrome protein. Deficiency of WASP in the hemopoietic system causes abnormally small platelets. The pan dynamin inhibitor Dynasore inhibits MK proplatelet production in vitro which indicates that dynamins are important for platelet size determinations (Nürnberg et al. 2012; Thon and Italiano 2012).


1.2. DNM3 and Megakaryocytopoiesis
One extremely specialized precursor cells are Megakaryocytes or MK which solely functions to release and produce the platelets within circulation. These cells are often descended from the pluripotent stem cells, and these are considering undergoing replication of DNA without the cell division through a complicated endomitosis process (Leysi-Derilou et al. 2012). After endomitosis completion, the MK polyploidy begins a speedy development of cytoplasmic stage characterized by the construction of a demarcated and elaborated system of membrane, the cytoplasmic proteins accumulation as well as granules required for function of platelets.

        During the developmental stages, the cytoplasm of MK undergoes a sudden restructuring into the cytoplasmic beaded extensions proplatelets. The current research focuses on the role of DNM3 in MK and platelets, exploring the potential role of DNM3 in proplatelet formation and studying possible interacting partners (Reems et al. 2008).
       
Currently, this member of protein motor family is known to have a role in the development of the megakaryocytes. In mammals, 3 separate dynamin (DNM) genes (1, 2 and 3) were found. These are large alternatively spliced numbers of mRNAs which are formed from each gene. It is considered that all 3 of the DNM genes and all recognized alternatively spliced variants of mRNA from every single gene are expressed in the brain. DNM1, found specifically in neuronal tissue, has 5 splice variants, and it  is  mapped on human chromosome 9q34  DNM2  is ubiquitously expressed and has 6 splice variants, while DNM3 is expressed largely in testes, lung, heart and neurons and has 10 splice variants (Gieger et al. 2011; Hisa et al. 2004; Soranzo et al. 2009).

From a genome wide mRNA expression study in different haemopoietic cells, DNM3 was found to be highly transcribed in megakaryocytes and to a lesser extent in platelets with very low expression in other haemopoietic cells. In a recent study (Reems et al. 2008), DNM3 has been found to be expressed in human megakaryocytes, and real–time quantitative polymerase chain reaction (qPCR) confirmed that DNM3 increased by 20.7 ± 3.4 fold during megakaryopoiesis. Electron microscopy through Immunogold also showed that Dynamin3 is diffusely distributed right through the megakaryocytes cytoplasm (MKs) with a punctate manifestation in pro-platelet processes, with no obvious localization to explicit organelles. The DNM3 gene is located on chromosome 1 in humans and extends for 467kb (Nürnberg et al. 2012; Wang et al. 2011).


2. SNP and SNP Genotyping           
This is the measurement of genetic variations of single nucleotide polymorphisms from individual to individual or species to species. Single Nucleotide Polymorphisms are the common types of genetic variations. Single Nucleotide Polymorphism is a single base pair mutation at a specific locus consisting of 2 alleles (where the rare allele frequency is greater than 1%). SNPs are related to be involved in the etiology of human diseases and morphological and count of cells. Therefore they are being analyzed as proposed markers for quantitative analysis and in association studies in place of microsatellites (Brookes 1999; Holliday and Grigg 1993). SNPs can be detected in a number of ways. The SNPs are thus the natural variation in the single nucleotide positions of a genomic DNA for the population. To classify the segment as SNP the minor allele should occur at a frequency of more than 1% to differentiate them from point or the rare mutations. Though many of the SNPs have the potential to be tetra-allelic but almost all are biallelic and falls into 4 classes. There is one transition and three transversions meaning a purine is changed to purine or pyrimidine to pyrimidine in transition while a pyrimidine is changed to purine or vice versa in case of transversions. In human beings, the transitional SNP of C to T and G to A and vice versa are the most common and account for 2/3rd of all SNPs. This occurs due to the deamination of 5-methylcytosine to thymine (Chanock 2003). The tranversional SNPs like C to A and G to T , C to G, G to C, T to A and A to T do all occur at similar frequencies and makes up the next 1/3 rd for all the SNPs (Campbell et al. 2000; Nachman et al. 1998; Taylor et al. 2001a).

                  SNPs are the most plausible form of variation in the human genome and accounts for >90% of all the sequence polymorphisms. They normally occur at a frequency of one in 1000 nucleotides hence as a rule of the thumb, there is a 0.1% chance of a base position to be heterozygous in a particular individual (Tiu et al. 2011). This measurement is referred to as the nucleotide diversity index. This diversity is not constant over the entire length of the genome. Areas of low diversity are in the X chromosomes and areas of high diversity (around 10%) are in the human leukocyte antigen loci. Most of the SNPs occur in the non coding regions (representing introns) of the DNA (Kim et al. 2008). The frequency of the SNPs in the coding portion of the DNA is 4 fold lower than that of the non coding regions and around half of the SNPs occurring in the coding DNA represent similar codon changes. This attributes to the selective constraints on the base changes in the coding sequences. As the size of the human genome is 3x109 bp and the proportion represented by coding DNA (less than 3%) there will be an average of 3 million base differences between two individuals about 100000 of which occurs in the coding sequences or the exon. Considering only half of these coding SNPs result in the variation at the amino acid level, it represents 50,000 amino acid differences between two individuals (Collins et al. 1998; Hirschhorn and Daly 2005; Taylor et al. 2001a).


2.1. The Importance of SNPs
There has been a revolution in molecular genetics with the knowledge of SNPs by providing a dense panel of genetic markers which are distributed across the entire human genome. The markers are useful in the study of population dynamics, evolution, to investigate the genetic basis of complex phenotypes and in the forensic and diagnostic studies and assays (Katsanis et al. 2001; Sachidanandam et al. 2001). The study of SNPs for studying complex phenotypes is important in two ways.
            
First, wide-scale genetic association studies are conducted to identify the disease genes and the defective proteins. The clinical phenotypes in humans are complex because they do not follow the simple heritance patterns but do have a significant genetic component. Typing the SNPs from selected populations of affected .Individuals and controlled population matched for age and race indicates that the polymorphisms are associated with an increased risk so as to identify the disease susceptibility genes (Schork et al. 1998). Secondly, large scale genetic association studies have been useful to the development of effective drugs.

2.2. SNP’s in Dynamin Gene: Its association to Platelet Morphology
The factors that are responsible for the determination of the platelet size are revealed recently. Like the other blood cells natural variations exists in platelet size also (marked by the mean platelet volume) between the human population. A genome-wide association study conducted by the HaemGen consortium has recently identified a locus on chromosome 1q24.3 Connected with mean platelet volume (MPV). This was found in intron 2/3 of the dynamin 3 (DNM3) genes. The highest association of the MPV was found to be with a single nucleotide polymorphism (SNP) rs10914144 that resides in intron 2/3 of DNM3 locus. This is a C/T polymorphism with the minor allele (T) having a frequency of 0.17 in Caucasians (Soranzo et al. 2009). Recently, DNM3 has been described in megakaryocytes (MK) supporting the putative role of DNM3 gene in MK and platelet biology (Reems et al. 2008).

           In the genome wide analysis study, it was reflected that 68 SNPs were statistically associated with the variation in the human mean platelet volume and platelet numbers. The significant challenge was to prioritize the data to guide the detailed function. The main focus revolves around the SNPs that lie in the non coding regions.

            The SNP data was triangulated with genome wide MK-specific transcription factor chromatin occupancy and the MK-specific gene expression datasets (Gieger et al. 2011; Nürnberg et al. 2012). This was based on the concept that some SNPs act by altering the key MK cis-regulatory DNA elements. The study focused on the MEIS1, which is a homeobox transcription factor that is essential for the formation of platelets. As per expectation the genome wide chromatin occupancy revealed MEIS1 occupancy at genes enriched in megakaryocyte and platelet functions. The important sentinel SNP (likely proxy variant SNP) identified in earlier proxy studies resides near a revealed MEIS1 occupancy site in the intronic region of the DNM3 gene.

              The megakarocyte transcription factor RUNX1 also binds to this region and it was revealed that this MEIS1/RUNX1 occupancy sites marks the alternate promoter of the DNM3 gene which is selectively used in the MKs (Malmberg 2005; Nürnberg et al. 2012). The transcription from this promoter sites results in skipping of the exons 1 and 2 of the canonical DNM3 gene and creates the insertion of a novel exon. Alternate transcript is also up-regulated during the in-vitro human Mk differentiations. The studies of reporter gene analysis and individuals with different SNP genotypes provided evidence that the minor alleles correlated with the lower expression of the alternate isoform and decreased MPV (Reems et al. 2008; Wang et al. 2011).

The GWAS study hence reflected that the SNP variant rs10914144 located within the second intron of the DNM3 gene locus was associated with variation in the human platelet volume (Soranzo et al. 2009). It was also found that a second variant of SNP (rs2038479) which is found in high linkage disequilibrium with rs10914144 marks a megakaryocyte specific alternate marker (Gieger et al. 2011). The promoter binds MK transcription factors MEIS1/RUNX1 and thus produces a short DNA transcript. The minor alleles were C (A to C transversion) for rs2038479 and T (C to T transversion) for rs10914144 and were associated with decreased expression of alternate transcript (Reems et al. 2008; Wang et al. 2011). Repressive factors bind to the minor alleles of rs2038479 than the major alleles. A study reflected that the minor allele of the non coding variant of rs342293 disrupted a binding site of the transcription factor EVI1/MECOM leading to higher level of transcription of the downstream gene P1K3G (Hisa et al. 2004; Nürnberg et al. 2012).



2.3. The Importance of High Throughput Genotyping
In the genetic association studies various strategies of genotyping studies are implemented. In the regional strategy the candidate region of the genome which has been identified already is screened thoroughly for analysis of the polymorphisms that may have affected the phenotype (Gut 2001; Syvänen 2001). The SNP genotyping technologies have 2 components that are, (1) a method to discriminate between the alternate alleles, and (2) a method for reporting the presence of alleles in a given set of DNA samples (Gut 2001; Kwok 2001). There are 3 types of allele discrimination methods:

1.      Hybridization/annealing with or without subsequent enzymatic steps
2.      Primer extension
3.      Enzymatic cleavage

For each case the technology platform used is either homogenous or heterogeneous involving both a solid-phase and liquid-phase microarray. Some assays do require prior primer amplification of the target genome while others are effective in working directly on the genomic DNA (Sachidanandam et al. 2001; Venter et al. 2001).


2.4. Principles of SNP Genotyping Methods
“The ability of hybridization with allele-specific oligonucleotides (ASO) to detect a single base mismatch was first shown in 1979 and then used to detect the sickle-cell mutation in the β-globin gene by Southern blot hybridization to human genomic DNA in 1983 (Twyman 2005). Identification of a single base change in the 6 × 109 bp of the diploid human genome is, however, a demanding task. Not until the PCR technique was invented did it become possible to design useful assays for genotyping SNPs in complex genomes. Some of the early SNP-genotyping assays used for PCR products were based on ASO hybridization in dot blot or Reverse Dot Blot formats (Syvänen 2001). The reverse dot blot format can be viewed as the precursor of the high-density microarray-based methods for multiplex genotyping of SNPs by ASO hybridization. Before long, the PCR technique was developed further by several groups to allow allele-specific amplification and genotyping of SNPs. The use of ASOs as hybridization probes or as PCR primers is the basis for the SNP genotyping assays that are referred to as ‘homogeneous’, because they contain no separation steps and are monitored in real time during PCR (Knight et al. 1999). These assays are frequently used for large-scale genotyping of SNPs today. The solid-phase assays for enzyme-assisted genotyping, using a DNA ligase or a DNA polymerase, were also introduced more than a decade ago. Because the enzyme-assisted methods have proven to be more robust and to provide more specific allele distinction than ASO hybridization (Napolitano et al. 2004), these methods have been multiplexed, automated and adapted to various detection strategies, and they provide most of the current high-throughput SNP-genotyping platforms. All methods used for genotyping SNPs in large diploid genomes depend on PCR amplification of the genomic regions that span the SNPs before the actual genotyping reaction. The PCR provides the required sensitivity and specificity for distinguishing between heterozygous and homozygous SNP genotypes in large, complex genomes. The difficulty of designing and carrying out multiplex PCR reactions is an important factor that limits the throughput of the current SNP-genotyping assays”. (Syvänen 2001)


2.5. Detection of SNPs by Flow Cytometry
From the above discussion it is evident that there are many considerations for selecting a SNP genotyping assay and the choice will depend on the purpose of research. The main considerations are cost per data point and the simplicity of data acquisition. For the study of genetic mapping and diversity where large markers are required and high level of multiplexing is needed ASPE is a cost effective on and simple than SBE. MAS, on the other hand needs small number of markers to screen large number of samples than DH. The DH should be considered for MAS due to low cost, less time requirement and for simplicity (Bendall et al. 2011).

The Luminex 100 flow cytometry platform provides a robust way of analyzing SNPs. It uses a microsphere based genotyping system which can create multiple analyses the use of reaction specific microspheres that fluoresce at different frequencies hence permitting multiple discrete assays in a single tube with the same sample at the same time. Up to 120,000 genotypes per machine in an 8 hr day could be determined through combination of 100 microspheres. High throughput analysis with multiplexing ability permits SNP genotyping at relatively low costs. The other advantage of flow cytometry is that it can be used for wide variety of SNP genotyping assays (Taylor et al. 2001b).


3. Basics of Flow Cytometry
Flow Cytometry is the methodology that analyzes and measures multiple characteristics of single particles usually cells when they flow in a fluid stream through a beam of light or laser. The properties measured are the particles internal complexity, size and relative fluorescence intensity. These characteristics are determined by optical electro coupling system which records how the cell scatters incident laser light and emits fluorescence. A Flow Cytometry is made of 3 systems: fluidics, optics and electronics. The fluidics system transports particles in a stream to the laser beam for the interrogation. The optics system consists of the laser rays needed to illuminate the sample stream and optical filters to direct resulting light to the detectors. The electronics system converts the detected light signals in to electric signals for processing by the computer (Fulwyler 1965; Givan 2004; Katsanis et al. 2001; Ornatsky et al. 2010).


3.1. Components of Flow Cytometric Analysis
Particles are carried to the laser intercept in a fluid stream and any suspended particle of 0.2 to 150 micrometers is suitable for analysis. The portion of the fluid stream where particles are located is called the sample core (Linden 2013). These samples scatter light because any fluorescence molecule attached to the particle will scatter it. The scattered and fluorescence light is collected by positioned lenses. A combination of beam filters and splitters spread this light to the detectors which produce electrical signals proportional to the optical signals that strikes them. The data are collected and provide information about the various subpopulations analyzed.

           The purpose of fluidics system is to transport the particles. To do this the sample is injected into a stream of sheath fluid within the flow chamber. It consists of a flow cell and the flow chamber in a stream of air is called a nozzle tip. Based on the principles of laminar flow the sample core remains separate but coxial within the sheath fluid. The flow of the sheath fluid accelerates the particles and restricts them to the centre of the sample core. This is called hydrodynamic focusing. The sample pressure and the sheath fluid pressure are different. The former is greater than the later. The sample pressure controls the sample flow rate by changing the sample pressure relative to the sheath pressure (Linden 2013). Increasing the sample pressure increases the flow rate by increasing width of the sample core which allows more particles to enter the stream in a given moment.

A high flow rate is used for qualitative measurements like immune-phenotyping. The data are less resolved since the cells are les in line with the wider core stream but acquired more quickly. Lower flow rates decreases the width of the sample and restricts the position of the particles to a smaller area. The majority of the cells or particles pass through the center of the laser beam thus illuminating the light in uniform manner. A lower rate is required where greater resolution is critical like DNA analysis (Givan 2004; Katsanis et al. 2001).

             Light scattering occurs when the particles detect incident scatter light which depends on the physical properties of the particles and complexity. Forward scatter light is proportional to cell surface area or size and is a measure of mostly diffracted light and is detected just of the axis of incident laser beam in the forward direction of the photodiode. FSC provides suitable method for detecting particles greater than a given size and is used in immune-phenotyping. Side scattered light is proportional to the cell granularity and internal complexity. The SSC is a measurement of mostly refracted and reflected light which occurs in any interface within the cell where there is change of refractive index. It is collected at 90 degrees to the laser beam by a collection lens and redirected to the beam splitter to the detector (Michelson 2006). A correlated measurement of FSC and SSC are used to differentiate of cell types in heterogenous cell population and help to identify the subpopulations and is a measure of cell inclusions and organelles.

        The range over which the fluorescent compound can be activated is called the absorption spectra. When more energy is consumed in absorption transitions than is emitted in the fluorescent transitions then wavelengths will be emitted and called the emission spectra (Michelson 2006). The argon laser beam is the used laser beam because the 448nm light that emits excites more than one flourochrome like Fluoroscein isothiocyanate (FITC). When a fluorescent dye like FITC is conjugated to the monoclonal antibody it can identify a cell type based on antigenic property at the surface of the cell. Peak emission wavelength for FITC is 530nm (Givan 2004).


3.2. Flourochromes Used in Flow Cytometry
There are many fluorescent molecules (fluorochromes) with a potential application in flow cytometry. Some of the widely used fluorochromes for detecting surface or intracellular epitopes are described below, including the very latest in fluorescent probe technology – tandem dyes (Linden 2013).

1.      Single Dyes

Some of these single dyes e.g. FITC have been in use for the past 30 years but are now facing competition from alternatives like Alexa Fluor dyes, which offer the user greater photostability and increased fluorescence (Rahman 2006).


2.      Tandem Dyes

“In a tandem dye, a small fluorochrome takes a ‘piggy-back’ ride on another larger fluorochrome. When the first dye is excited and reaches its maximal singlet state, all its energy transfers to the second dye (an acceptor molecule), located in close proximity. This activates the second fluorochrome, which then produces the fluorescence emission. The process is called FRET (fluorescence resonance energy transfer). It is a clever way to achieve higher Stokes Shifts and, therefore, increase the number of colors that can be analyzed from a single laser wavelength.” (Orozco and Lewis 2010; Rahman 2006)

The majority of tandem dyes have been manufactured for the standard 488 nm laser (Figure 3:1), which is found in most flow cytometers. Tandem dyes are very useful for multicolor fluorescence studies especially in combination with single dyes. For example, Alexa Fluor 488, Phycoerythrin, PerCP-Cy5.5 and PE-Cy7 can all be excited at 488 nm, but will produce green, yellow, purple and infrared emissions respectively, which can be measured using separate detectors (Hulspas et al. 2009; Le Roy et al. 2009).


http://static.abdserotec.com/uploads/flowcytometry.jpg

Figure (3:1): List of some dyes used in flow cytometry analysis. (Givan 2004)


3.3. Fluorescence Compensation
This means that when the two fluorochromes are used for a dual-color experiment, the true reading for fluorochrome A in FL-1 = (total fluorescence measured in FL-1) minus (5% of fluorochrome B’s total fluorescence). Similarly, the true reading for fluorochrome B in FL-2 = (total fluorescence measured in FL-2) minus (17% of fluorochrome A’s total fluorescence). Fortunately, modern Flow Cytometry analytical software applies fluorescence compensation mathematics automatically, which simplifies matters considerably.


3.4. Detection and Analysis of Flow Cytometry Data

1. Collecting the Signals
       Once the light signals strike one portion of the photodiode they are converted to the proportional number of electrons which are multiplied to generate electrical current. The current travels to the multiplier to generate a voltage pulse. The size of the pulse depends on number of photons detected. Once a data file has been stored in the computer cell populations can be displayed in several different formats. A single parameter such as FITC is displayed in single parameter histograms where X axis represents the parameters signal value in the channel numbers and the Y axis gives the number of events per channel number. Signals with identical intensities accumulate in the same channel.


2. Interpretation of Data: Gating and Quadrant Marking
A subset of the data can be defined by a gate. Gate is a numerical or graphical boundary that is used to define the nature of the particles for further analysis. Data analysis from a list mode files by displaying the data in a plot and then measuring the distribution of the events within a plot. A dot plot provides a two parameter display data. Each dot represents one or more event. A subclass control is used to find whether the quadrant markers will be placed. Subcellular debris and clumps can be distinguished from the single cells by size which is estimated by the forward scatters. Dead cells have lower forward scatter and higher side scatter than the living cells.

          A quadrant marker divides two parameter plots into 4 sections to distinguish populations that are single positive, negative, or double positives. The lower left quadrant is meant for events that are negative for both parameters. The upper left quadrant parameter means positive for Y-axis parameter, but negative for X-axis parameter. The lower right corner quadrant means positive for X-axis parameter but negative for Y-axis parameter while the upper right quadrant means positive for both the parameters.

The lysed whole blood cell analysis is the most common application of gating, and the figure below (Figure 3:2) depicts typical graphs of SSC versus FSC when using large cell numbers. The different physical properties of granulocytes, monocytes and lymphocytes allow them to be distinguished from each other and from the cellular contaminants.







gates1

Figure (3:2): Analysis of lysed whole blood using FSC/SSC. The plotting of the density plots like above, each point or dot represents an individual cell that has passed through the instrument. Yellow/green hotspots indicate the large number of events resulting from discrete population of cells. The colors makes the graph a three dimensional approach (Givan 2004).

The plot of contour diagrams is an alternative method to demonstrate the same data. The joined lines in above figure on right represents similar number of cells like the density plot. Discrete populations of cells are easy to visualize in contour maps having clear cu demarcations. The newer gating strategies utilize fluorescence parameters along with scatter parameters (Figure 3:3). The example of data interpretation is studied with blood cells as before.

Figure (3:3): Lysed whole blood analysis using scatter and fluorescence. The figure on the left is a FSC/SSC plot representing a human whole blood using smaller number of cells than in the earlier figure. The lymphocytes, monocytes and granulocytes have been gated as region 1(r1), region 2 (r2), and region 3 (r3) respectively. Region means an area drawn on a plot displaying the Flow Cytometry data. On the right these same cells are plotted as the SSC on the Y-axis versus CD-45 fluorescence on the X-axis. CD45 is a marker expressed on all white blood cells at varying degrees but is absent in the red blood cells and thus the R1 regions do not show the fluorescence. Thus stating in relative terms, lymphocytes have a low SSC and high CD45 count (R4), granulocytes have a high SSC and low CD45 count R6, while the monocytes are somewhere between the other two. The major difference between lymphocytes gated in R1 and those gated in R4 is the absence of red blood cells in the later making it much purer preparation. This feature highlights the usefulness of gating strategies that combine scatter parameter with fluorescent parameter (Givan 2004; Ross 2002).





3.5. Interpretation of Histogram Data: Single Parameter Histograms
These are graphs that display a single measurement parameter (relative fluorescence or light scatter intensity) on the X-axis and the number of events (cell count) on the Y-axis (Figure 3:4).


Figure (3:4): A single-parameter histogram (Shapiro 2005). (Adopted from http://www.abdserotec.com/flow-cytometry-single-parameter-histograms.html)
  
       The histogram in Figure (3:4) looks very basic but is useful for evaluating the total number of cells in a sample that possess the physical properties selected for or which express the marker of interest. Cells with the desired characteristics are known as the positive dataset.

“Ideally, Flow Cytometry will produce a single distinct peak that can be interpreted as the positive dataset. However, in many situations, flow analysis is performed on a mixed population of cells resulting in several peaks on the histogram. In order to identify the positive dataset, Flow Cytometry should be repeated in the presence of an appropriate negative isotype control”. (Rahman 2006) (Figure 3:5)

Figure (3:5): Flow cytometry positive dataset identification. LEFT, using rat anti-mouse F4/80 conjugated to FITC to stain mouse peritoneal macrophages produces two peaks. RIGHT, by running an appropriate isotype control (rat IgG2b negative control conjugated to FITC) and overlaying its image on the histogram (blue outline) the positive dataset is identified as the taller red peak on the right (Shapiro 2005). (Adopted from http://www.abdserotec.com/flow-cytometry-single-parameter-histograms.html)
            
Analytical software packages that accompany Flow Cytometry instruments make measuring the % of positive-staining cells in histograms easy. For example, the F4/80 histogram is shown again below with statistics for R2 and R3 (known on this type of graph as ‘bar regions’) (Rahman 2006). (Figure 3:6)








3.6. Statistical Analysis
In Figure (3:6), 99.83% of the negative control (blue outline) is in R2. 28.14% of cells (red shade) ‘stain negative’ for F4/80 (R2) compared to 71.86% in the positive dataset (R3). Additional statistics about the peaks (median and standard deviation) is also provided automatically here but this will vary with the software. A similar type of analysis will be generated for two-parameter histograms (Brown and Wittwer 2000; Givan 2004; Rahman 2006).



Figure (3:6): The flow cytometric readings and the statistical outputs. (Brown and Wittwer 2000; Rahman 2006)


3.7. Interpretation of Histogram Data: Double Parameter Histograms
These are graphs that display two measurement parameters, one on the X-axis and one on the Y- axis, and the cell count as a density (dot) plot or contour map. The parameters could be SSC, FSC or fluorescence. Some examples of two-parameter histograms were illustrated earlier. Another example is the dual-color fluorescence histogram presented below (Figure 3:7). Lymphocytes were stained with anti-CD3 in the FITC channel (X-axis) and anti-HLA-DR in the PE channel (Y-axis). CD3 and HLA-DR are markers for T cells and B cells, respectively.


Figure (3:7): Two-parameter (dual-color fluorescence) histogram. The R2 encompasses the PE-labeled B cells – note their positive shift along the PE axis. The R5 contains the FITC-labeled T cells (positively shifted along the FITC axis). The top right quadrant contains a few ‘activated T cells’ (about 4% in this sample) that possess some HLA-DR expression also. As these stain with both antibody markers they are grouped in their own region (R3). The R4 contains cells negative for both FITC and PE (no shift) (Ross 2002). (Adopted from http://www.abdserotec.com/flow-cytometry-two-parameter-histograms.html)

Currently, Flow Cytometry can be performed on samples labeled with up to 17 fluorescence markers simultaneously. Therefore a single experiment can yield a large set of data for analysis using various two-parameter histograms.


3.8. Flow Cytometric Determination of Intracellular Pathogens
Staining intracellular antigens like cytokines can be difficult because antibody based probes cannot pass sufficiently through the plasma membrane into the interior of the cell. To improve the situation, cells should first be fixed in suspension and then permeabilized before adding the fluorochrome. This allows probes to access intracellular structures while leaving the morphological scatter characteristics of the cells intact. Many commercial kits are available today that provide the reagents to carry out these crucial steps e.g. Leukoperm (Figure 3:8).







Figure (3:8): Flow Cytometry showing leucoperm used in conjunction with an antibody that recognizes MOMA-2. The MOMA-2 is an intracellular antigen in mouse macrophages and monocytes. After fixation and permeabilization (b), the positive dataset begins (Ross 2002; Shapiro 2005). (Adopted from http://www.abdserotec.com/flow-cytometry-intracellular-antigens.html)


3.9. Flow Cytometry and Immunophenotyping
        All normal cells express a variety of cell surface markers, dependent on the specific cell type and degree of maturation. However, abnormal growth may interfere with the natural expression of markers resulting in overexpression of some and under-representation of others. Flow cytometry can be used to immunophenotype cells and thereby distinguish between healthy and diseased cells (Figure 3:9). It is unsurprising that today immunophenotyping is one of the major clinical applications of flow cytometry, and is used to aid the diagnosis of myelomas, lymphomas and leukaemias (Szczepański et al. 2006). It can also be used to monitor the effectiveness of clinical treatments. The differences between the blood profiles of a healthy individual and one suffering from leukemia, for instance, are very dramatic. This can be seen from the FSC versus SSC plots in Figures (3:9; 3:11). In the healthy person the cell types are clearly defined, whereas blood from a leukemia patient is abnormal and does not follow the classic profile.



Figure (3:9): Immunophenotyping of lymphocytes of normal and leukemia patients by flow cytometry (Brown and Wittwer 2000; Shapiro 2005). (Adopted from http://www.abdserotec.com/flow-cytometry-immunophenotyping.html)


Testing the patient’s lymphocytes for specific cell surface markers also reveals more about the condition (Figure 3:10).


Figure (3:10): Diagnosing leukemia by flow cytometry. Being CD3-negative, CD20-positive and HLA-DR-positive, a clinician could diagnose with certainty that this patient is suffering from a B cell lineage leukemia or lymphoma. The precise classification of disease may be determined using further antibodies (Brown and Wittwer 2000; Shapiro 2005). (Adopted from http://www.abdserotec.com/flow-cytometry-immunophenotyping.html)

Figure (3:11): Flow cytometric analysis of platelet activation and hence morphology. Note the use of mouse antibody markers to tag platelet receptor proteins. (Adapted from www.bdbiosciences.com)






3.10. Flow Cytometric Analysis of Cloned Cell Lines
While analyzing a cloned cell line to determine whether it is positive for a particular molecule, percentage calculations are not ideal as it would be either 100% negative or positive. If you were analyzing a cloned cell line to determine if it were positive for a particular molecule, you would most likely not use percentages. Since a cloned cell line consists of a single population, in most cases it would either be 100% negative or 100% positive. It’s also possible that it would express low amounts of the molecule in question. In that case, it would still be positive but dim.

             For these cases where we want to compare fluorescence intensities and measure the degree of positivity, we would compare the geometric means or medians of the subclass control data versus the sample data. If the sample data statistic is greater than that of the subclass control data by some limit set by the user, it would be considered positive. The greater the difference between the two, the more molecules are expressed per cell and the more positive, or brighter the population (Givan 2004; Katsanis et al. 2001).

            Besides being used to measure positivity, geometric means or medians can be used to estimate the quantity of molecules (ligands) expressed per cell. Special software programs like Quanticalc use the median in conjunction with the data from a standard curve to calculate the number of antibodies that are bound per cell. This information is used to calculate the number of ligands per cell (Julius et al. 1972; Ornatsky et al. 2010; Qian et al. 2010).








Materials and Methods
The basic principle was to study the expression of Dynamin-3 protein in genotypes with TT and CC single nucleotide polymorphisms amongst platelets. To study the concentration of Dynamin 3 protein first of all the platelets were permeabilized, platelet count was also taken to find the platelet numbers in individuals with different genotypes (TT or CC). Two types of antibodies were used as markers for the DNM3 antigenic determinant DNM3-abcam and DNM3-GTX antibody and were suitably tagged to anti-GTX and anti-Abcam FITC antibodies. Thus tagging to this primary antibody, the FTIC secondary antibody was tagged to analyze the signals emitted as a function of cell count and DNM3 protein through flow cytometry. The usage of different markers against the same epitope helps to prove the robustness of data crosschecked by two methodologies. The markers on the platelet surface were tagged by rabbit immunoglobulin to detect fibrinogen attached platelet surface proteins as markers of platelet structure. The individual steps are described below:


1. Machine Standardization
Before the machine is turned on we checked whether waste was full or not and if so it was blenched with 2 tablets in 200ml water. The sheath fluid used was Isoton II. The machine was started as usual and EXPO32 was used as start up function, and waited for one hour and then the quality control test was done. To do the QC 15 drops of Fluorospheres in the tubes for QC was put in position 1 and wax mixed through the hands. Protocol for QC check done as usual and the QC results were noted. The QC for the Sysmex machine (hematology analyzer) was taken from fridge and mixed first for 5min with buffer and the power was set on, the tube rinsed and the QC sample (after drying) was added.




2. Preparation of Buffer Solutions
The flask was first washed with PBS. A 500ml buffer was prepared (25ml EDTA and BSA) with 475ml PBS. The buffer was filtered using a suitable filter.


3. Preparation of Fixed and Permeabilized Platelets
10ml of blood sample was collected and kept stored with citrate at room temperature to prevent clotting. Then this blood sample was spun at 1200rpm for 17 min and the plasma fraction was separated from it. Then Apyrase 0.25U/ml was added which means 6.25μl of apyrase is required. ThenPGE1 (1microlitre/ml was added) and centrifugation was done at 2000rpm for 10 mins. The supernatant was removed and 1 ml of THG buffer (THG = 20mlTH from the stock + 200μl of Glucose 0.5 molar solution). The platelet wash was carried out with this buffer and at second wash PGE1 was used. Platelets were counted off.


4. Method of Platelet Permeabilization
For permeabilization of platelets, 40μl of platelets were added in all tubes (NPEM and PEM). A 40μl of Fix and Perm agent A was added to the PEM tubes only. Incubation was carried out for 15mins. Platelets were washed with 2ml wash buffer and centrifuged for 6min at 3200rpm. A 40μl of Fix and Perm agent B was added to the PEM tubes only. Earlier steps were repeated as above and then antibodies were added to all tubes.







5. Methods of Antibody labeling of Markers

1.      Method of Adding Antibodies to Platelets for labeling External Membrane Proteins (Fibrinogen and P-Selectin)
Tubes were prepared by adding 40μl of antibody and 40μl of platelets in plastic tubes and were centrifuged. The tubes were incubated for 30 minutes at room temperature. After 30mins, 2ml buffer was added to each tube by a special pipette. Centrifugation was carried out at 3000rpm for 6mins and the supernatant was removed and shaked. Washing was repeated and 2 ml buffer to each tube was added. A 40μl of platelets were then taken in the 16 tubes, and 40μl of primary antibody was added to each tube, and 10μl secondary PE antibody was added. Negative control was marked as antibody that does not bind to platelets.


2.      Method of Antibody Preparations for labeling the DNM3 Protein
The DNM3 GTX and Abcam antibodies (both DNM3-PDK) have a concentration of 1mg/ml and to get the required concentration of 50mcgm/ml a dilution ratio of 1:20 was used. For the 12 tubes, 18μl of the antibody and 342μl of the buffer were used. For the primary rabbit antibody (11.1 mg/ml) at 50mcg/ml (11000/50), 500μl was needed that is 2.5μl of antibody and 497.5μl of buffer. For the anti-rabbit FITC 20μl of 1:25 dilution was used, therefore 60μl FITC + 1440μl buffer were required.


6. Analysis of Data
1.      Flow Cytometry Readings
The results were generated and analyzed for the various parameters, All-X median, all % gated, BX- median, B % gated both the sample genotypes. All X median signifies the ungated counts in totality, and BX represents the specific gate through which the particular data points are taken and B5 represents the amount of data points expressed as a totality with respect to the total of other gates or as a percentage of All-X data points. The readings were taken in SSC and FSC channels and also the double marker channels. Results were statistically interpreted on the basis of p values between the mean of the differences of the groups of values generated by SPSS software.


2.      Statistical Interpretation
Tests of statistical significance that is the one tailed and two tailed t tests were carried out to interpret the findings. This means that the two tail tests were carried to find out whether there is significant difference in the values estimated of the variables in the two genotypes. The p value was calculated and a value less than 0.05 was considered statistically significant that means there is significant differences in the two genotypes regarding the value of a particular  variable and has happened to due to the effects of the condition and not by chance and the null hypothesis is rejected. If the values were >0.05 we infer that there is no significant difference between the two values of a variable in both the groups and the null hypothesis is retained. The one tail tests done for DNM3 abcam and GTX was to find whether the levels of DNM3 in one genotype is significantly higher or lower than the other and also whether GTX bound to more regions of DNM3 than the other genotype for interpreting results.


7. Methodology Summary
First of all, the total platelet count of both the genotypes was found out by automated cell counter. Then the flow cytometric data in both the aspects of FSC and SSC was used to determine the number and the volume of the platelets and thus the total external morphology in relation to the single nucleotide polymorphism of the DNM3 gene. The speculation is that if due to SNP, the DNM3 transcript could be short or long then it will lead to different protein conformations of the DNM3 proteins and itself the platelet surface proteins. To find out the DNM3 expressions the permeabilized platelets were used. To detect the DNM3 protein in human platelets, western blotting was done to analyze the DNM3 protein transcript, after analysis of western blot data the flow cytometry analysis was done to detect the extent of expression of DNM3 gene in the two groups of genotypes. Platelets were permeabilized because staining intracellular proteins like DNM3 can be difficult because antibody-based probes cannot pass sufficiently through the plasma membrane into the interior of the cell. To improve the situation, cells should first be fixed in suspension and then permeabilized before adding the fluorochrome. This allowed probes (DNM3 abcams and GTX antibodies) to access intracellular structures while leaving the morphological scatter characteristics of the cells intact. Primary and secondary antibodies tagged with FTIC were used for screening purposes in the flow cytometry. The primary rabbit immunoglobulin and anti-rabbit immunoglobulin (secondary antibodies) were used to label the surface proteins on the platelet membranes.




















Results
Results are based on 10 samples with TT and CC DNM3 genotype from Cambridge Bioresource, five samples each

Platelet Count in TT Genotype Samples
Platelet Count in CC Genotype Samples
323
493
348
359
461
536
755
797
708
694
Average = 519
Average = 575.8


Figure (3:12): The platelet count (in multiples of 103) in TT and CC genotype of human platelet samples.



TT All X Median
CC All X Median
 0.268
0.286
0.288
0.283
0.271
0.28
0.28
0.291
0.278
0.268
Average = 0.279
Average = 0.2795


Figure (3:13): The flow cytometric values (PERM platelets All X Median) in TT and CC genotype of human platelet samples.









TT All X-Median RGIgG
CC All X-median RBIgG
3.625
3.895
4.27
4.52
4.035
4.46
3.95
3.945
4.185
4.18
Average = 4.013
Average = 4.2


Figure (3:14): The flow cytometric values (RbIgG All X Median) in TT and CC genotype of human platelet samples.









TT BX Median DNM3 Abcam
CC BX Median DNM3 Abcam
25
25.05
35
28.85
21.6
26.85
18.75
19.57
24.15
16.35
 Average = 24.9
 Average = 23.34


Figure (3:15): The flow cytometric values (DNM3 Abcam Bx-medium) in TT and CC genotype of human platelet samples.









TT BX Median DNM3 GTX
CC BX Median DNM3 GTX
26.8
23.6
24.1
26.1
18.4
21.8
16.8
19.9
18
13.8
Average = 20.82
Average = 21.04
                                                                                                

Figure (3:16): The flow cytometric values (DNM3 GTX Bx-median) in TT and CC genotype of human platelet samples.









Discussion
              From the review of literature regarding the DNM3 and it is expressed functional protein , it is evident that the functional transcript of DNM3 is required for the normal process of megakaryopoiesis and a transcript chain short of the predicted length leads to decreased mean platelet volume and number. Single nucleotide polymorphisms in the intronic regions of the variants are an established cause of the DNM3 expression in the human population. This is due to the SNP at these leads to difficulty in binding to the transcription factors which regulates the expression of the DNM3 mRNA. The SNP are attributed to the various variants and the minor alleles are the T alleles resulting from C to T transversions and the C alleles resulting from the A to C transversions. These are designated as minor alleles as their frequency occurs in more than 1%. It was postulated that these SNP caused decreased MPV and platelet numbers. A genome-wide association study conducted identified a locus on chromosome 1q24.3 which was connected with mean platelet volume (MPV).This was found in intron 2/3 of the dynamin 3 DNM3 genes. The highest association of the MPV was found to be with a single nucleotide polymorphism (SNP) rs10914144 that resides in intron 2/3 of DNM3 locus. This is a C/T polymorphism with the minor allele (T) having a frequency of 0.17 in Caucasians reflected that the SNP variant rs10914144 located within the second intron of the DNM3 gene locus was associated with variation in the human platelet volume.

It was also found that a second variant of SNP (rs2038479) which is found in high linkage disequilibrium with rs10914144 marks a megakaryocyte specific alternate marker. The promoter binds MK transcription factors MEIS1/RUNX1 and thus produces a short DNA transcript. The minor alleles were C (A to C transversion) for rs2038479 and T (C to T transversion) for rs10914144 and were associated with decreased expression of alternate transcript. Repressive factors bind to the minor alleles of rs2038479 than the major alleles. It was also revealed from a study that the minor allele of the non coding variant of rs342293 disrupted a binding site of the transcription factor EVI1/MECOM leading to higher level of transcription of the downstream gene P1K3G. Thus it is seen that neither a single SNP nor a single transcription factor is sufficient to explain the expression of a structural (or functional) gene. This provided the basis of our study to analyze and speculate the various protein-protein and protein- DNA instructions and what are the probable factors causing alterations or no alterations in the DNM3 gene expression in our subjects.

          First of all, the total platelet count of both the genotypes was found out by automated cell counter. Then the flow cytometric data in both the aspects of FSC and SSC were used to determine the number and the volume of the platelets and thus the total external morphology in relation to the single nucleotide polymorphism of the DNM3 gene. The speculation is that if due to SNP, the DNM3 transcript could be short or long then it will lead to different protein conformations of the DNM3 proteins and itself the platelet surface proteins.

To find out the DNM3 expressions we used the permeabilized platelets and to detect the DNM3 protein. Western blotting was done to analyze the DNM3 protein transcript. After analysis of western blot data the flow cytometry analysis was done to detect the extent of expression of DNM3 gene in the two groups of genotypes. Platelets were permeabilized because staining intracellular proteins like DNM3 can be difficult because antibody-based probes cannot pass sufficiently through the plasma membrane into the interior of the cell. To improve the situation, cells should first be fixed in suspension and then permeabilized before adding the fluorochrome. This allowed probes (DNM3 abcams and the GTX antibodies, both DNM3-PDK) to access intracellular structures while leaving the morphological scatter characteristics of the cells intact. Primary and secondary antibodies tagged with FTIC were used for screening purposes in the flow cyotmetry. The primary rabbit immunoglobulin and anti- rabbit immunoglobulin (secondary antibodies) were used to label the surface proteins on the platelet membranes.


           The flow cytometric data analysis was used for both ungated data (All X Median was used to find the total population of the cells or proteins) and gated data (for specific cells or proteins the BX-Median data was analyzed through the process of gating). This means we used gates to indicate their expression in the specific subsets (if at all would have been isolated). The median data can be used to estimate the quantity of molecules (ligands) expressed per cell.  Special software programs like Quanticalc use the median in conjunction with the data from a standard curve to calculate the number of antibodies that are bound per cell. This information is used to calculate the number of ligands per cell. This approach was used because for detecting small molecules like proteins or ligands within or on the surface of the cell the tests for positivity will be limited to a specific population always and all the other gates will appear countless.

            In Figure (3:12), which represented the platelet count in TT and CC genotype of the samples.( where p>0.05) indicated that although there was no difference statistically in the platelet counts of TT and CC genotype individuals, but marginally the platelet count was more in the CC genotype. This finding of small marginal increase in platelet counts can be correlated with the literature findings that the CC genotype which is the major genotype is responsible for platelet count.

           In Figure (3:13) which represented the flow cytometric values (PERM platelets All X Median) in TT and CC genotype of the samples.(p>0.05). This means that equal numbers of PERM platelets were used for the comparison of DNM3 expression in these cells for data reproducibility and this is indicated by the SSC versus FSC plot where the total platelet count was indicated. The p- selectin PE (Phycoerythrin dye) channel and fibrinogen FTIC channel gated and ungated figures were used for platelets morphological features to mark fibrinogen and p-selectin functional concentration of both the genotypes. P-selectin mediates rolling of platelets and leukocytes on activated endothelial cells. After platelet activation, P-selectin is translocated from intracellular granules to the external membrane (Merten and Thiagarajan 2000), whereas fibrinogen aggregates platelets by bridging glycoprotein (GP) IIb/IIIa between adjacent platelets (Floyd and Ferro 2012). Thus, P selectin is an active platelet marker and indicates the platelet morphology while fibrininogen marks platelet receptors.

             The platelet bound fibrinogen was detected by the rabbit immunoglobulin as indicated in Figure (3:14), the results indicated that in the CC genotype more fibrinogen is bound to the platelet receptor proteins (p<0.05) and this was in the All X median data but when cross checked the data with specific gates such as the BX- median data, it was found that there was no statistical significant difference between the two data in the CC and TT genotypes indicating the expression of proteins in both the genotypes platelet surface was almost similar. But the gate wanted to use was for the fibrinogen molecule and hence taking the All-X median data would be a misnomer, but still physiologically accepting the data the fibrinogen markers were less in the TT genotype.

In Figure (3:15), the DNM3-abcam labeling of DNM3 in both the TT and the CC genotypes indicated that in both the genotypes DNM3 are equally expressed and exhibited similarity in concentration (p>0.05). Once again, the BX gated data was considered as it indicated a specific ligand based detection procedure and only the permeabilized platelets DNM3 had to be labeled and screened. By this analysis one wanted to detect the overall expression and concentration in both the genotypes and found it same.

In Figure (3:16), the results indicated that after specific tagging antibodies like DNM3-GTX to the Homeobox specific regions of proteins which might not be expressed if the protein is mutated or SNP resulted change which might finally influence the expression of these proteins. The binding of DNM3-GTX to the DNM3 was again similar in both the genotypes indicating there was no difference in the structural properties of the specific targeted region of the protein domain (DNM3) and hence one can conclude that there no change in the structure of DNM3 was noted in both the genotypes.


             From the above data it seems quite plausible that SNPs may be involved in protein size and expression but in this study that was not reflected in comparison to both the genotypes as far as the production of a functional DNM3 is involved. The literature findings were not confirmed in our study because the proteins (dynamins) which are being responsible for platelet size and volume were equally expressed in both the genotypes which deviated from the findings in earlier studies (Reems et al. 2008). This was equally supported from this intra-platelet data which correlated to the findings that the DNM3 expression and features were same as was found with the flow cytometric findings with both the DNM3-abcam and the DNM3-GTX antibodies in both the genotypes TT and CC.

Earlier studies revealed the fact that some SNPs acted by altering the key MK cis regulatory DNA elements. It was found MEIS1, which is a homeobox transcription factor is essential for the formation of platelets. As per expectation the genome wide chromatin occupancy revealed MEIS1 occupancy at genes enriched in megakaryocyte and platelet functions. SNPs were identified in earlier proxy studies resided near a revealed MEIS1 occupancy site in the intronic region of the DNM3 gene (Nürnberg et al. 2012). Evidence suggested that megakaryocyte transcription factor RUNX1 also binds to this region and it was revealed that this MEIS1/RUNX1 occupancy sites marked the alternate promoter of the DNM3 gene which is selectively used in the MKs. The transcription from this promoter sites resulted in skipping of the exons 1 and 2 of the canonical DNM3 gene and created the insertion of a novel exon which resulted in shorter transcripts of the DNM3 gene. So there can be a probability that although there was a SNP and this might have inhibited MEIS1 binding to the DNM3 DNA so to RUNX1 but there can be other proteins which might get bind to that SNP portion to complement the actions of MEIS1 on DNM3 gene expression.

This could have acted through the theory of DNA Logic Gate (Bonnet et al. 2013). This means if binding of a transcription factor at one portion due to one SNP is altered but another transcription factor may bind to that SNP and cause the DNA polymerase to express the DNM3 mRNA which might have occurred in this study. This puts the way of logic which means if either transcription factor can cause expression of the DNM3 mRNA then it can be considered a “OR” gate logic. The logic is either transcription factor binding can cause the final functional gene to be expressed( like in Boolean Algebra 1 0r 0 =1, here 1 means one transcription factor and 0 means the another but the resultant 1 means the function, in this case expression of the DNM3 gene will be intact). If it would been an AND gate then we could have concluded that the SNP makes a favorable platform for binding to other transcription factor at other SNP may compensate for the altered association with MEISI binding factors due to our proposed SNP. The AND gate logic will put that both 1+1=1 that is the presence of both the transcription factors are necessary for production of the DNM3 gene expression. While the NAND gate would have suggested that if both proteins and transcription factors bind to DNM3 DNA then there would be no DNM3 expression. Perhaps the most possible explanation can be the OR gate which means definitely alternate transcription factors which can bind efficiently at the SNP should be present. The other way different SNP might have been there that favoured the regulation of DNM3 gene expression by accepting transcription factors which might be even MEIS1 to bind on them and maintain DNM3 gene expressions.

 The rabbit antibody which was used as a marker for the fibrinogen bound receptor proteins on the platelet membranes indicated that in the CC genotype more fibrinogen is bound to the platelet receptor proteins (p<0.05) and this was in the All X median data but when the data was cross checked with specific gates such as the BX- median data  it was found there was no statistical significant difference between the two data in the CC and TT genotypes indicating the expression of proteins in both the genotypes platelet surface was almost same (p>0.05). Since the gate used was for the fibrinogen molecule and hence taking the All-X median data would be a misnomer, but still physiologically accepting the data the fibrinogen markers were less in the TT genotype. This can be explained again by the Logic gate that the platelet receptors for protein receptors like fibrinogen is up-regulated by dynamin and may be other protein/s acting as a OR gate fashion so even if the dynamin expressions were same in both genotypes the AND gate logic with the absence of other proteins that interact with Dynamin to cause the receptor up-regulations was missing and that effect was not under the purview of this study.

The only thing in this study that matched literature results were that, the platelet counts were high in the CC genotype than in the TT genotype but on the other hand these values were not statistically significant again. This might be due to the fact that, the sample size considered in this study was low and there might have been individual differences and may be the homeobox dependent marker could not target the proper SNP site to reveal the structural difference in the DNM3 protein. The other probability is that apart from Dynamin 3 other proteins were deficit to influence Megakaryocytopoiesis in the TT genotype.




















Conclusion
         The findings in this study though do not confirm to the literature in terms of statistical differences but there might be clinical correlates to it. The findings in this study may give an insight to the probable compensating mechanisms via repression modulation through alternate transcription factors, or may be a resultant effect of Boolean function related to the principle of DNA logic gates on the expression of the DNM3 gene. This means though the genotypes are different and an altered function of the DNM3 gene is speculated, but in vivo the situation is completely different. For the expression of DNM3 gene, binding of transcription factors in the intron region is crucial, but there might be two regions in the intronic portion and so two transcription factors may be involved in expression of the DNM3 gene. If binding of a transcription factor at one portion is altered also another transcription factor with no SNP or rather another SNP can provide a site for binding of another transcription factor and the resultant effect will produce the full functional Dynamin GTPase protein as were the findings in this study.


This means that the altered binding of the transcription factors may be adjusted by “OR” logic gates. Elucidating these molecular mechanisms in further studies is potential to identify the newer components and regulatory pathways involved in thrombopoiesis regulated by the MK specific DNM3 isoform. Even it was seen from literature survey, shorter MK specific DNM3 isoform influences the activity of protein to keep it in normal functioning mode and produces normalized platelets. The answer could lie in the GTPase domain which resides in the amino terminal portion of the molecule and might be impacted by alternate transcription sites which might exist to compensate the SNP mediated thrombocytopenia. So further studies related to the identification of various transcription factors and the intronic regions to which they find could throw more light to study the protein-protein and protein-DNA interactions for producing the DNM3 protein. There can be other proteins also which could influence platelet morphology and their interaction should also be an active area of interest in regulating the difference of platelet morphology in TT and CC genotypes. This might throw more light onto the investigation of role of dynamins in platelet production and membrane remodeling