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DREX: Multi-omics Reveals How Diet and Exercise Improve Peripheral Neuropathy

This repository contains the analysis code accompanying our manuscript:

Eid SA, Guo K, Noureldein MH, Jang D-G, Allouch AM, Miller CM, Kiriluk CP, Lentz W, Boutary S, Mule JJ, Pennathur S, Bhatt DK, Feldman EL, Hur J. Multi-omics reveals how diet and exercise improve peripheral neuropathy. [Journal TBD], 2026.

The study investigates how dietary reversal (DR), exercise (EX), and their combination (DREX) reverse obesity-related peripheral neuropathy through Schwann cell metabolic reprogramming, integrating single-cell RNA sequencing, metabolomics, and fluxomics of sciatic nerve tissue.

Study Overview

Experimental Groups (5):

  • SD — Standard Diet (control)
  • HFD — High-Fat Diet (obesity/prediabetes model)
  • DR — Dietary Reversal (switched from HFD to SD at 18 weeks)
  • EX — Exercise (maintained on HFD with running wheel access)
  • DREX — Dietary Reversal + Exercise (combined intervention)

Cell Types Identified (12): Myelinating Schwann cells (mySC), non-myelinating Schwann cells (nmSC), immature Schwann cells (ImmSC), SC3, endothelial cells (Endo), endoneurial fibroblasts (EndoFib1, EndoFib2), epineurial fibroblasts (EpiFib), macrophages (Mac), pericytes, perineurial cells, vascular smooth muscle cells (VSMC)


Repository Structure

├── README.md
├── .gitignore
├── scRNAseq/
│   └── scripts/                    # 9 R scripts for scRNA-seq analyses
├── metabolomics/
│   ├── scripts/                    # 3 R scripts for metabolomics analyses
│   ├── results/                    # Acylcarnitine heatmaps and ratio plots
│   └── Carnitine_annotation_with_chainClass_07032025.csv
├── fluxomics/
│   └── scripts/                    # 1 R script for isotopologue fluxomics (26 weeks)
└── integration/
    ├── scripts/                    # 4 R scripts for multi-omics integration
    ├── data/                       # Pre-processed intermediate data for integration
    ├── results_clustering/         # Mfuzz soft clustering outputs (k=10)
    └── results_network/            # Pathway-based network visualizations

Figure-to-Script Mapping

The table below maps each manuscript figure to the script(s) that generated or contributed to it.

Figure Description Primary Script(s)
Fig. 3A–B UMAP of cell types and Schwann cell subtypes scRNAseq/scripts/run_step_final.r
Fig. 3C–F KEGG pathway network plots from SC DEGs scRNAseq/scripts/run_enrichment_network.r, run_pathway_enrichment.R
Fig. 4A–B Metabolomics VIP pathway enrichment (polar, untargeted) metabolomics/scripts/run_metabolite.R, run_pathway_gsva.R
Fig. 5A–D Transcriptome-metabolome network plots integration/scripts/run_network_visualization.R, run_pathway_integration.R, add_fc_gene_network.R
Fig. 6 Fluxomics isotopologue analysis (13C-glucose tracing) fluxomics/scripts/run_fluxomics_26wk_m0_sum.R
Fig. 7A–C Multi-omics Mfuzz clustering by SC subtype integration/scripts/run_mfuzz_clustering_JH.R
Fig. S3 Cell markers and composition scRNAseq/scripts/run_step_final.r, run_cell_fractions.r
Fig. S4 SC subtype composition and shared DEGs scRNAseq/scripts/run_cell_fractions.r, run_shared_DEGs_heatmap.r
Fig. S5–S7 SC subtype DEGs and KEGG enrichment scRNAseq/scripts/run_step_final.r, run_gsva.r, run_pathway_enrichment.R
Fig. S8 Human–mouse transcriptomic overlap scRNAseq/scripts/run_human_comparison.R
Fig. S9 PLS-DA of polar and untargeted metabolomics metabolomics/scripts/run_metabolite.R
Fig. S10 Metabolomics pathway VIP enrichment metabolomics/scripts/run_pathway_gsva.R
Fig. S11–S12 Fluxomics isotopologue heatmaps fluxomics/scripts/run_fluxomics_26wk_m0_sum.R
Fig. S13–S15 Mfuzz clustering curves per SC subtype integration/scripts/run_mfuzz_clustering_JH.R
Fig. S16 Phenotype-cluster dot plots integration/scripts/run_mfuzz_clustering_JH.R
Table S1–S4 DEG tables for SC subtypes scRNAseq/scripts/run_step_final.r
Table S5–S7 KEGG enrichment for SC subtypes scRNAseq/scripts/run_pathway_enrichment.R, run_gsva.r
Table S8–S9 Human–mouse overlap and enrichment scRNAseq/scripts/run_human_comparison.R
Table S10 Mfuzz cluster features integration/scripts/run_mfuzz_clustering_JH.R

scRNAseq Analysis Scripts

All scripts are located in scRNAseq/scripts/ (9 scripts).

Core Pipeline

Script Description Input Output
run_step_final.r Complete scRNA-seq processing: Cell Ranger import, QC filtering (200–6000 genes, <5% mito), SCTransform normalization, Harmony batch integration, UMAP clustering (resolution 0.3), cell type annotation, and differential expression (FindMarkers) for all pairwise comparisons Cell Ranger filtered_feature_bc_matrix (h5 files), sample metadata sc.rdata (annotated Seurat object), UMAP plots, DEG CSVs per cell type
run_gsva.r Gene Set Variation Analysis using KEGG and HALLMARK gene sets. Computes pathway activity scores per cell and tests for significant differences using Wilcoxon tests with BH correction sc.rdata, KEGG mouse annotations, MSigDB HALLMARK gene sets GSVA scores, significant pathway lists (padj < 0.05), violin plots, heatmaps
run_pseudo.r Pseudobulk aggregation and DESeq2 differential expression. Aggregates single-cell counts per sample/cell type, filters low-count genes (>60 total), runs DESeq2 Pseudobulk count data, sample metadata sc_integration_predata.rdata, DESeq2 results CSVs per cell type

Pathway and Enrichment Analyses

Script Description
run_pathway_enrichment.R KEGG pathway enrichment bubble plots colored by -log10(p-value) and sized by rich factor
run_enrichment_network.r Enrichment network visualizations with pathway term trimming and padj filtering

Pseudobulk and Cross-Species Comparisons

Script Description
run_pseudobulk_DE.R Comprehensive pseudobulk DE with integrated GSVA pathway scoring and fGSEA
run_human_comparison.R Mouse scRNA-seq DEGs versus human sural nerve transcriptomics via homologene

Cell Composition and Shared DEGs

Script Description
run_cell_fractions.r Cell type composition counts and fractions across groups
run_shared_DEGs_heatmap.r Shared DEGs across contrasts with Venn diagrams and heatmaps

Metabolomics Analysis Scripts

All scripts are located in metabolomics/scripts/ (3 scripts).

Script Description
run_metabolite.R Main metabolomics pipeline for 4 datasets (SCN, Acylcarnitines, Polar, Untargeted): log2 transformation, Wilcoxon tests (BH correction), PLS-DA with VIP scoring, KEGG enrichment
run_pathway_gsva.R GSVA scoring of metabolic pathways followed by Wilcoxon testing and PLS-DA
omics.r Helper function library (~3,200 lines) for PCA, PLS-DA, VIP scoring, and visualization

Pairwise Comparisons (5): HFD_18WK vs WT_18WK, HFD_26WK vs WT_26WK, DR_26WK vs HFD_26WK, EX_26WK vs HFD_26WK, DREX_26WK vs HFD_26WK


Fluxomics Analysis Scripts

All scripts are located in fluxomics/scripts/ (1 script). These process isotopologue labeling data from [U-13C6]-glucose tracer experiments in sciatic nerve at 26 weeks.

Script Description
run_fluxomics_26wk_m0_sum.R 26-week isotopologue analysis with M+0 normalization: each isotopologue is normalized to the corresponding M+0 value, followed by statistical testing across all 5 groups with bar plots and heatmaps

Integration Analysis Scripts

All scripts are located in integration/scripts/ (4 scripts). Supporting data files are in integration/data/.

Temporal Clustering (Mfuzz)

Script Description
run_mfuzz_clustering_JH.R Multi-omics Mfuzz soft clustering with run_mfuzz_batch(), seed setting, multiple metabolite configurations, and KEGG enrichment across 5 groups (k=10) for 11 cell types

Pathway-Based Network Integration

Script Description
run_pathway_integration.R Gene-metabolite-pathway network construction per cell type via KEGG annotations
add_fc_gene_network.R Metabolite fold-change integration from 4 sources into pathway networks
run_network_visualization.R Publication-quality network plots (v2.1) with three color scales and Cytoscape export

Integration Supporting Data (integration/data/)

File Description
sc_integration_predata.rdata Pre-processed pseudobulk single-cell data (averaged by cell type and condition)
metabol_integration_predata.rdata Pre-processed metabolomics data for integration
fluxomics_26wk_final_m0_avg.csv Averaged M+0-normalized fluxomics data (26 weeks)
sc_deg_bulk_all.csv Pseudobulk differential expression results
step_path.csv KEGG pathway mapping for metabolites
gene_metabolite_pathway_group.csv Gene-metabolite-pathway association table
gene_metabolite_pathway_group_MetaboliteFC_v2.csv Gene-metabolite-pathway table with metabolite fold-change values

R Package Dependencies

Core: Seurat (v4+), DESeq2, harmony, SCTransform

Pathway and Enrichment: GSVA, scGSVA, fgsea, richR, enrichR

Metabolomics and Multivariate: mixOmics, FactoMineR, Mfuzz

Visualization: ggplot2, pheatmap, ComplexHeatmap, ggraph, tidygraph, igraph, VennDiagram, VennDetail, UpSetR

Utilities: homologene, readxl, dplyr, tidyr, rstatix, data.table


Data Availability

Raw sequencing data (scRNA-seq) and metabolomics/fluxomics datasets are not included in this repository due to size. Raw data will be available through GEO (accession number TBD) upon publication. The integration/data/ directory contains pre-processed intermediate files required for integration analyses.

Input data requirements:

  • scRNA-seq: Cell Ranger v7.1.0 output (filtered_feature_bc_matrix, mm10 reference genome)
  • Metabolomics: CSV files for 4 metabolite datasets (SCN, Acylcarnitines, Polar, Untargeted)
  • Fluxomics: Excel files with isotopologue distributions from [U-13C6]-glucose tracer experiments

Statistical Methods

Analysis Method Threshold Correction
Cell QC filtering nFeature + mito% 200–6000 genes, <5% mito
Graph-based clustering Seurat Louvain Resolution 0.3
Single-cell DE Wilcoxon rank-sum p < 0.05 BH
Pseudobulk DE DESeq2 p < 0.01 BH
Pathway analysis (GSVA) Wilcoxon rank-sum padj < 0.05 BH
Metabolomics DE Wilcoxon rank-sum p < 0.05 BH
PLS-DA VIP Variable Importance in Projection VIP > 1
Gene filtering (pseudobulk) Total count >= 60 counts
Mfuzz soft clustering Fuzzy c-means Membership > 0.5

Notes on Reproducibility

Scripts contain setwd() calls with paths specific to the original analysis environment. Users will need to update these paths to match their local directory structure. All scripts assume the input data files (raw data, Seurat objects, etc.) are available in the working directory or at the specified relative paths.


License

This repository is provided for academic and research use. Please cite the accompanying manuscript if you use these scripts.


Contact

  • Junguk Hur, PhD — Department of Biomedical Sciences, University of North Dakota, Grand Forks, ND (computational analysis)
  • Eva L. Feldman, MD, PhD — Department of Neurology, University of Michigan, Ann Arbor, MI (corresponding author)

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