AUTHOR=Zhou Guofeng , Sun Shaoyan , Yuan Qiuyue , Zhang Run , Jiang Ping , Li Guangyu , Wang Yong , Li Xiao TITLE=Multiple-Tissue and Multilevel Analysis on Differentially Expressed Genes and Differentially Correlated Gene Pairs for HFpEF JOURNAL=Frontiers in Genetics VOLUME=Volume 12 - 2021 YEAR=2021 URL=https://www.frontiersin.org/journals/genetics/articles/10.3389/fgene.2021.668702 DOI=10.3389/fgene.2021.668702 ISSN=1664-8021 ABSTRACT=Heart failure with preserved ejection fraction (HFpEF) is a complex disease characterized by dysfunctions in the heart, adipose tissue, and cerebral arteries. The elucidation of the interactions between these three tissues in HFpEF will improve our understanding of the mechanism of HFpEF. In this study, we propose a multi-level comparative framework based on differentially expressed genes (DEGs) and differentially correlated gene pairs (DCGs) to investigate the shared and unique pathological features among the three tissues in HFpEF. At the network level, functional enrichment analysis revealed that the networks of the heart, adipose tissue, and cerebral arteries were enriched in the cell cycle and immune response. The networks of the heart and adipose tissues were enriched in hemostasis, GPCR ligand, and cancer-related pathway. The heart-specific networks were enriched in the inflammatory response and cardiac hypertrophy, while the adipose tissue-specific networks were enriched in the response to peptides and regulation of cell adhesion. The cerebral artery-specific networks were enriched in gene expression (transcription). At the module and gene levels, five housekeeping DEGs, two housekeeping DCGs, six modules of merged protein-protein interaction network, five tissue-specific hub genes, and 20 shared hub genes were identified through comparative analysis of tissue pairs. Furthermore, the therapeutic drugs for HFpEF targeting these genes were examined using molecular docking. The combination of multi-tissue and multi-level comparative frameworks is a potential strategy for the discovery of effective therapy and personalized medicine for HFpEF.