BACKGROUND
the rapid development of molecular biology and powerful analytical methods such as network analysis are enabling a shift in our understanding of diseases from a morphological  to a molecular basis.
this shift in focus has led to improvements in the classification of diseases  <cit> .
for example, gene expression analyses have been shown to improve prediction of treatment response in diseases such as breast cancer  <cit>  and leukemia  <cit> .
unfortunately, relatively little is known about how renal diseases are similar and different at the molecular level.
currently, renal diseases are classified largely on morphological similarities.
for example, systemic lupus erythematosus  is classified as a "predominant" inflammatory disease based on clinical findings, whereas focal and segmental glomerulosclerosis  is classified as a "predominant" non-inflammatory disease based on histology.
several studies suggest that such morphology-based classifications could be significantly improved through the analysis of similarities and differences in gene expression, leading to more accurate diagnosis and targeted treatment options  <cit> .
the analysis of gene expressions in chronic renal disease has either been studied at the level of a single renal disease  <cit> , or by studying gene expressions across all known mendelian disorders in the omim database  <cit> .
the former obviously cannot reveal gene expressions that are common across renal diseases; the latter analyzed renal genes based on limited data, and at a high level , and therefore excluded important disease subcategories such as sle.
this article attempts to directly address the lack of understanding about gene expressions in chronic renal diseases.
by using new data at the appropriate level of granularity, our goal was to evaluate the current classification of renal diseases, and generate hypotheses about the molecular mechanisms underlying those diseases.
we begin by describing how we assembled a dataset of renal diseases and implicated genes, why and how we represented it using networks, and how we analyzed the networks using visualizations and quantitative measures.
we then discuss how the network analysis rapidly revealed unexpected overlaps of genes across the diseases.
we conclude by discussing the utility of the network analysis approach to rapidly understand complex relationships, and the need to define a molecular-based classification of chronic renal diseases.
methods
our research began with the question: what are the molecular similarities and differences between chronic renal diseases?
if gene expressions occur in patterns that match the current classification of renal disease, then we can infer that the current classification is sufficient.
however, if diseases have unexpected gene expression similarities, then we can infer that the current classification of renal diseases needs re-evaluation.
to address our research question, we made critical decisions regarding data selection, data representation and data analysis as discussed below:
data selection
gene expression data were obtained from  <dig> patients with one of seven chronic renal diseases  and compared to similar data obtained from biopsies of healthy kidney donors .
due to the rarity of three diseases  they currently have very small sample sizes  in the experimental and/or control conditions.
the dataset consisted of biopsies from  <dig> patients diagnosed with one of  <dig> renal diseases, and compared with biopsies from  <dig> healthy patients within the same expression analysis batch.
a test of significance between the two groups resulted in  <dig> genes implicated across the  <dig> chronic renal diseases.
microdissected renal tubuli in the biopsies underwent gene expression analysis of  <dig> genes in each sample using affymetrix hg-u133a microarrays.
this analysis was done to identify the significantly regulated genes compared to pre-transplant living donor kidney tissues  in each disease.
a gene was considered to be significantly regulated in a disease if:  the difference of the normalized expression values between control and disease samples was significant at the  <dig>  level , and  the regulation effect size  of that gene exceeded + <dig>   or - <dig>   when compared to controls.
these statistical comparisons between experimental and controls were made within the same expression analysis batch to control for variations in equipment and context.
the rigorous controls and tests resulted in a dataset of  <dig> genes significantly implicated in  <dig> renal diseases.
data representation
networks  <cit>  have been used to represent a wide range of molecular phenomena related to human diseases  <cit> .
these include networks to represent gene regulation  <cit> , protein-protein interaction   <cit> , diseases-gene associations  <cit> , and disease-protein associations  <cit> .
idekar and sharan  <cit>  identified four possible goals for the analysis of such disease networks:  identify network properties of disease genes such as the degree of differentially expressed proteins within a ppi network  <cit> ,  predict the role of disease-causing genes based on their relationship with existing known genes and proteins  <cit> ,  identify additional genes associated with particular diseases by analyzing the ppi network of known disease-causing proteins  <cit> , and  identify highly predictive biomarkers that can be used to classify patients  by identifying sets of biomarkers that are grouped within ppi networks  <cit> .
however, none of these studies have used networks to analyze the similarities and differences between renal diseases based on significantly differentially regulated genes.
a network is a graph consisting of nodes and edges; nodes represent one or more types of entities , and edges between the nodes represent a specific relationship between the entities .
figure  <dig> shows a bipartite network  of diseases and their implicated genes.
as shown, the bipartite network visually represents the explicit relationships between the  <dig> renal diseases and the  <dig> expressed genes.
furthermore, the size of a node is proportional to its degree .
therefore, the larger a node, the more edges it shares with other nodes.
finally, the light edges  and dark edges  between diseases and genes are significantly up and down regulated respectively.
networks have three advantages for analyzing complex relationships.
they do not require a priori assumptions about the data, such as whether the data are hierarchically clustered or contain fuzzy clusters.
instead, by using a simple pair-wise representation of nodes and edges, networks enable rapid discovery of complex relationships using a single representation.
the specificity provided by the pair-wise representation between nodes can reveal details of relationships, for example how specific diseases are connected to specific genes.
they can be rapidly visualized and analyzed using a set of network algorithms to reveal global regularities in the data.
for example, figure  <dig> shows how a force-directed layout algorithm  <cit>  helps to visualize the relationship between diseases and genes.
the algorithm pulls together nodes that are tightly connected, and pushes apart nodes that are not.
as shown, the result is that diseases that share genes  are placed close to each other, and close to their implicated genes.
given these advantages, we used networks to explore the relationship between renal diseases and their implicated genes.
data analysis
the insights from the network visualizations were further analyzed using two standard network analysis methods.
to quantitatively analyze the overall network topology observed in the visualization, we calculated the degree of each gene  and plotted the degree distribution of the genes.
to understand more clearly how diseases had common gene expressions, we transformed the bipartite network to inspect only how the diseases shared genes in a method called a one-mode projection  <cit> .
here, all gene nodes were removed, and a weighted edge was placed between two diseases if they shared one or more genes.
the resulting network visually represented how pairs of diseases shared gene expressions, revealing how two diseases share more or less genes than expected in comparison to the current classification of renal diseases.
the networks were created using pajek   <cit> .
RESULTS
the bipartite network visualization revealed three critical patterns related to renal diseases and genes:
many specific genes, fewer non-specific genes
as shown in figure  <dig>  there are a large number of specific genes in the periphery of the network that are connected to a single disease.
these low degree nodes have been pushed out to the periphery by the force-directed layout algorithm due to their low connectivity with many diseases.
in contrast, there are relatively fewer non-specific genes that are in the center of the network due to their high connectivity to many diseases.
the degree distribution of genes  provides a quantitative basis for this observation: more than half  of the total  <dig> genes are implicated in just one disease, only two genes  are implicated in  <dig> diseases, and none of the genes are implicated in  <dig> or all of the  <dig> diseases.
this result provided the first glimpse into the pattern of overlap between diseases and implicated genes.
the network in figure  <dig> also shows the low number of overall genes for mcd, tmd, and dn which have been pushed to the periphery of the graph due to their low gene overlap.
because each of these diseases has a low sample size  we removed them from the dataset to test its effect on the distribution.
as shown in figure  <dig>  while the number of specific genes drops, the distribution still shows an overall pattern of many specific genes and fewer non-specific genes.
relationship between diseases, genes, and regulation type
the network visualization revealed a multidimensional relationship between diseases, genes, and regulation type.
as shown in figure  <dig>  there exist three disease sets which share a disproportionately large number of genes:  the four dominant diseases  on the right hand side of the network share  <dig>  of the total 4-degree genes.
these genes are mainly down-regulated.
a proper subset of the above disease set  share  <dig>  of the total 3-degree genes.
these genes are mainly up-regulated.
a pair of diseases  which overlap with the above sets share  <dig>  of the total 2-degree genes.
these genes are mainly up-regulated.
the gene expression overlap between diseases is shown more clearly by a one-mode projection on diseases.
as shown in figure  <dig>  the one-mode projection removed the gene nodes, and placed edges between the diseases to correspond with how many genes each pair shares.
the one-mode projection shows three dominant pairs of diseases  that share many genes.
while the projection is not designed to reveal whether more than two diseases share the same genes, the network clearly shows the dominant relationship between sle, fgs, mgn, and a less dominant relationship with igan.
future studies with larger samples of tmd, dn, and mcd should reveal how they relate to the other renal diseases.
uniform concordance in gene regulation
all the genes in the network, regardless of degree, are concordantly regulated.
in other words, no gene was up-regulated in one disease, and down-regulated in another.
this uniform concordance in gene regulation can be seen by the large areas of uniform color for edges connecting to high degree genes.
given the 100% uniformity of gene concordance, we re-examined the data to check for programmatic and bias errors, but found none.
furthermore, we examined another dataset containing biopsies from patients with acute renal failure.
when the two data sets were merged, we found two genes that were discordantly regulated.
this suggests that the uniformity in gene regulation within chronic renal diseases  is most probably the result of similarity in biological mechanisms across chronic renal diseases, rather than a selection bias or error.
future research should further verify this conclusion.
discussion
given that the data consisted only of the tubular compartment of renal biopsies, we expected to find a large number of non-specific  genes.
instead, we found relatively few non-specific renal genes associated with a large number of diseases.
this relationship held even when we removed diseases with a low sample size.
it is important to note that the many specific genes in our dataset could be implicated in other renal diseases not included in our study, and therefore could be non-specific with respect to a wider scope of diseases.
network analysis therefore helped to identify which genes might be involved in molecular mechanisms that are specific to a disease, and which genes are involved in common pathways activated in combinations of chronic renal diseases.
this approach could guide future research to identify specific and general drug therapies to treat kidney diseases.
besides the distribution of specific and non-specific genes, the network analysis also revealed patterns of molecular similarity between diseases which do not match the current morphology-based classification of renal diseases.
as shown in the first column of table  <dig>  sle and igan belong to the class of inflammatory diseases.
however, the network analysis revealed that sle shares many more genes with fsgs and mgn , compared to igan .
while molecular similarities between non-inflammatory and inflammatory renal diseases have been previously reported  <cit>  the unexpected finding was the strength of the association with members outside its class.
similarly, igan shares an equal number of genes with sle  as it does with fsgs, and mgn .
these results suggest that the current morphology-based classification of renal diseases does not match the pattern of shared tubulo-interstitial gene expression, and therefore motivates future research to define a new molecular-based classification of renal diseases.
the above result also motivates future research to investigate how genes common to sets of disease can guide the identification of existing or new gene regulatory pathways  <cit> .
for example, in a preliminary analysis we used canonical pathways  to search for existing regulatory pathways that best matched the genes shared by the three dominant disease sets.
for the  <dig> genes shared by the disease set fsgs, mgn and igan, the search retrieved  <dig> canonical pathways that were significant at the  <dig>  level.
many of these pathways  were experimentally-verified in these diseases.
for example, involvement of the vegf pathway is suggestive of vascular rarefication as an underlying driving force for ischemic damage in renal failure  <cit> , and is a potential biomarker for progressive renal disease.
however, it is possible that shared genes in our network do not match known pathways, which would suggest the existence of new pathways yet to be discovered.
these new pathways could be important in understanding the pathophysiology of the diseases.
finally, the concordance in gene regulation and the fact that genes in the three dominant disease sets are either mostly up or down-regulated suggest that shared mechanisms have identical effects on gene regulation.
this can be further investigated in the future by analyzing the properties of the shared genes using categories from the gene ontology database.
patterns in how the gene categories relate to different disease sets should lead to an understanding of this and other phenomena related to the type of gene regulation.
the network analysis therefore led to several testable hypotheses about the underlying pathophysiological mechanisms involved in chronic renal disease.
CONCLUSIONS
while networks have been used to analyze a wide range of molecular phenomena, they have not been used to analyze how genes are implicated in multiple renal diseases.
our analysis has enabled us to question the adequacy of the existing morphological based taxonomy of renal diseases.
furthermore, the analysis rapidly revealed useful biological insights, without requiring additional filtering to reveal complex but understandable relationships.
this could be because the network was of medium size and density compared to many large networks, such as the gnutella peer-to-peer file sharing network  <cit> .
in addition, the resulting network quickly revealed overlapping, nested, and subset groups from the same representation, a result that would be difficult using traditional data mining techniques.
however, it is important to note that like most data mining techniques, network analysis is essentially an exploratory tool, and most useful for generating hypotheses, which need rigorous testing using other techniques to arrive at definitive answers.
the limitation of the current analysis is the small sample sizes for three diseases, which new data will soon address.
however, similar to the diseasome project  <cit> , studies that attempt to analyze gene expressions of many diseases simultaneously often have to deal with incomplete data.
networks are surprisingly useful for incomplete data because they enable us to visually inspect the data, and make appropriate choices for filtering and interpretation.
our future research includes:  using categories from the gene ontology database to annotate the genes in the bipartite network, with the goal of understanding why sets of shared genes have similar regulation type.
analyzing the data using additional network analytical techniques  <cit> , such as random network comparison  <cit>  and fuzzy cluster analysis  <cit> .
analyzing a network consisting of individual patients and expressed genes.
the goal of analyzing individual patients is to construct a new classification of renal diseases using a bottom-up approach without the use of a priori disease classifications as was done in the current study.
as previous research on biomarkers in renal diseases have stated, gene expression data should lead to a systematically constructed molecular-based classification, resulting in the identification of more targeted treatments for patients with chronic renal disease.
competing interests
the authors declare that they have no competing interests.
authors' contributions
sb conceived the initial idea to analyze renal diseases and regulated genes using bipartite and one-mode networks, and constructed them; fe extracted and formatted the data; sb, sm, fe, and ps analyzed the networks; mk supervised the project.
sb, fe, sm, ps, hj, mk wrote, discussed, revised, and approved the final manuscript.

 the rapid development of molecular biology and powerful analytical methods such as network analysis are enabling a shift in our understanding of diseases from a morphological to a molecular basis. this shift in focus has led to improvements in the classification of diseases. for example, gene expression analyses have been shown to improve prediction of treatment response in diseases such as breast cancer and leukemia. unfortunately, relatively little is known about how renal diseases are similar and different at the molecular level. currently, renal diseases are classified largely on morphological similarities. for example, systemic lupus erythematosus is classified as a "predominant" inflammatory disease based on clinical findings, whereas focal and segmental glomerulosclerosis is classified as a "predominant" non-inflammatory disease based on histology. several studies suggest that such morphology-based classifications could be significantly improved through the analysis of similarities and differences in gene expression, leading to more accurate diagnosis and targeted treatment options. the analysis of gene expressions in chronic renal disease has either been studied at the level of a single renal disease, or by studying gene expressions across all known mendelian disorders in the omim database. the former obviously cannot reveal gene expressions that are common across renal diseases; the latter analyzed renal genes based on limited data, and at a high level, and therefore excluded important disease subcategories such as sle. this article attempts to directly address the lack of understanding about gene expressions in chronic renal diseases. by using new data at the appropriate level of granularity, our goal was to evaluate the current classification of renal diseases, and generate hypotheses about the molecular mechanisms underlying those diseases. we begin by describing how we assembled a dataset of renal diseases and implicated genes, why and how we represented it using networks, and how we analyzed the networks using visualizations and quantitative measures. we then discuss how the network analysis rapidly revealed unexpected overlaps of genes across the diseases. we conclude by discussing the utility of the network analysis approach to rapidly understand complex relationships, and the need to define a molecular-based classification of chronic renal diseases. methods our research began with the question: what are the molecular similarities and differences between chronic renal diseases? if gene expressions occur in patterns that match the current classification of renal disease, then we can infer that the current classification is sufficient. however, if diseases have unexpected gene expression similarities, then we can infer that the current classification of renal diseases needs re-evaluation. to address our research question, we made critical decisions regarding data selection, data representation and data analysis as discussed below: data selection gene expression data were obtained from patients with one of seven chronic renal diseases and compared to similar data obtained from biopsies of healthy kidney donors. due to the rarity of three diseases they currently have very small sample sizes in the experimental and/or control conditions. the dataset consisted of biopsies from patients diagnosed with one of renal diseases, and compared with biopsies from healthy patients within the same expression analysis batch. a test of significance between the two groups resulted in genes implicated across the chronic renal diseases. microdissected renal tubuli in the biopsies underwent gene expression analysis of genes in each sample using affymetrix hg-u133a microarrays. this analysis was done to identify the significantly regulated genes compared to pre-transplant living donor kidney tissues in each disease. a gene was considered to be significantly regulated in a disease if: the difference of the normalized expression values between control and disease samples was significant at the level, and the regulation effect size of that gene exceeded + or - when compared to controls. these statistical comparisons between experimental and controls were made within the same expression analysis batch to control for variations in equipment and context. the rigorous controls and tests resulted in a dataset of genes significantly implicated in renal diseases. data representation networks have been used to represent a wide range of molecular phenomena related to human diseases. these include networks to represent gene regulation, protein-protein interaction, diseases-gene associations, and disease-protein associations. idekar and sharan identified four possible goals for the analysis of such disease networks: identify network properties of disease genes such as the degree of differentially expressed proteins within a ppi network, predict the role of disease-causing genes based on their relationship with existing known genes and proteins, identify additional genes associated with particular diseases by analyzing the ppi network of known disease-causing proteins, and identify highly predictive biomarkers that can be used to classify patients by identifying sets of biomarkers that are grouped within ppi networks. however, none of these studies have used networks to analyze the similarities and differences between renal diseases based on significantly differentially regulated genes. a network is a graph consisting of nodes and edges; nodes represent one or more types of entities, and edges between the nodes represent a specific relationship between the entities. figure shows a bipartite network of diseases and their implicated genes. as shown, the bipartite network visually represents the explicit relationships between the renal diseases and the expressed genes. furthermore, the size of a node is proportional to its degree. therefore, the larger a node, the more edges it shares with other nodes. finally, the light edges and dark edges between diseases and genes are significantly up and down regulated respectively. networks have three advantages for analyzing complex relationships. they do not require a priori assumptions about the data, such as whether the data are hierarchically clustered or contain fuzzy clusters. instead, by using a simple pair-wise representation of nodes and edges, networks enable rapid discovery of complex relationships using a single representation. the specificity provided by the pair-wise representation between nodes can reveal details of relationships, for example how specific diseases are connected to specific genes. they can be rapidly visualized and analyzed using a set of network algorithms to reveal global regularities in the data. for example, figure shows how a force-directed layout algorithm helps to visualize the relationship between diseases and genes. the algorithm pulls together nodes that are tightly connected, and pushes apart nodes that are not. as shown, the result is that diseases that share genes are placed close to each other, and close to their implicated genes. given these advantages, we used networks to explore the relationship between renal diseases and their implicated genes. data analysis the insights from the network visualizations were further analyzed using two standard network analysis methods. to quantitatively analyze the overall network topology observed in the visualization, we calculated the degree of each gene and plotted the degree distribution of the genes. to understand more clearly how diseases had common gene expressions, we transformed the bipartite network to inspect only how the diseases shared genes in a method called a one-mode projection. here, all gene nodes were removed, and a weighted edge was placed between two diseases if they shared one or more genes. the resulting network visually represented how pairs of diseases shared gene expressions, revealing how two diseases share more or less genes than expected in comparison to the current classification of renal diseases. the networks were created using pajek.  the bipartite network visualization revealed three critical patterns related to renal diseases and genes: many specific genes, fewer non-specific genes as shown in figure there are a large number of specific genes in the periphery of the network that are connected to a single disease. these low degree nodes have been pushed out to the periphery by the force-directed layout algorithm due to their low connectivity with many diseases. in contrast, there are relatively fewer non-specific genes that are in the center of the network due to their high connectivity to many diseases. the degree distribution of genes provides a quantitative basis for this observation: more than half of the total genes are implicated in just one disease, only two genes are implicated in diseases, and none of the genes are implicated in or all of the diseases. this result provided the first glimpse into the pattern of overlap between diseases and implicated genes. the network in figure also shows the low number of overall genes for mcd, tmd, and dn which have been pushed to the periphery of the graph due to their low gene overlap. because each of these diseases has a low sample size we removed them from the dataset to test its effect on the distribution. as shown in figure while the number of specific genes drops, the distribution still shows an overall pattern of many specific genes and fewer non-specific genes. relationship between diseases, genes, and regulation type the network visualization revealed a multidimensional relationship between diseases, genes, and regulation type. as shown in figure there exist three disease sets which share a disproportionately large number of genes: the four dominant diseases on the right hand side of the network share of the total 4-degree genes. these genes are mainly down-regulated. a proper subset of the above disease set share of the total 3-degree genes. these genes are mainly up-regulated. a pair of diseases which overlap with the above sets share of the total 2-degree genes. these genes are mainly up-regulated. the gene expression overlap between diseases is shown more clearly by a one-mode projection on diseases. as shown in figure the one-mode projection removed the gene nodes, and placed edges between the diseases to correspond with how many genes each pair shares. the one-mode projection shows three dominant pairs of diseases that share many genes. while the projection is not designed to reveal whether more than two diseases share the same genes, the network clearly shows the dominant relationship between sle, fgs, mgn, and a less dominant relationship with igan. future studies with larger samples of tmd, dn, and mcd should reveal how they relate to the other renal diseases. uniform concordance in gene regulation all the genes in the network, regardless of degree, are concordantly regulated. in other words, no gene was up-regulated in one disease, and down-regulated in another. this uniform concordance in gene regulation can be seen by the large areas of uniform color for edges connecting to high degree genes. given the 100% uniformity of gene concordance, we re-examined the data to check for programmatic and bias errors, but found none. furthermore, we examined another dataset containing biopsies from patients with acute renal failure. when the two data sets were merged, we found two genes that were discordantly regulated. this suggests that the uniformity in gene regulation within chronic renal diseases is most probably the result of similarity in biological mechanisms across chronic renal diseases, rather than a selection bias or error. future research should further verify this conclusion. discussion given that the data consisted only of the tubular compartment of renal biopsies, we expected to find a large number of non-specific genes. instead, we found relatively few non-specific renal genes associated with a large number of diseases. this relationship held even when we removed diseases with a low sample size. it is important to note that the many specific genes in our dataset could be implicated in other renal diseases not included in our study, and therefore could be non-specific with respect to a wider scope of diseases. network analysis therefore helped to identify which genes might be involved in molecular mechanisms that are specific to a disease, and which genes are involved in common pathways activated in combinations of chronic renal diseases. this approach could guide future research to identify specific and general drug therapies to treat kidney diseases. besides the distribution of specific and non-specific genes, the network analysis also revealed patterns of molecular similarity between diseases which do not match the current morphology-based classification of renal diseases. as shown in the first column of table sle and igan belong to the class of inflammatory diseases. however, the network analysis revealed that sle shares many more genes with fsgs and mgn, compared to igan. while molecular similarities between non-inflammatory and inflammatory renal diseases have been previously reported the unexpected finding was the strength of the association with members outside its class. similarly, igan shares an equal number of genes with sle as it does with fsgs, and mgn. these results suggest that the current morphology-based classification of renal diseases does not match the pattern of shared tubulo-interstitial gene expression, and therefore motivates future research to define a new molecular-based classification of renal diseases. the above result also motivates future research to investigate how genes common to sets of disease can guide the identification of existing or new gene regulatory pathways. for example, in a preliminary analysis we used canonical pathways to search for existing regulatory pathways that best matched the genes shared by the three dominant disease sets. for the genes shared by the disease set fsgs, mgn and igan, the search retrieved canonical pathways that were significant at the level. many of these pathways were experimentally-verified in these diseases. for example, involvement of the vegf pathway is suggestive of vascular rarefication as an underlying driving force for ischemic damage in renal failure, and is a potential biomarker for progressive renal disease. however, it is possible that shared genes in our network do not match known pathways, which would suggest the existence of new pathways yet to be discovered. these new pathways could be important in understanding the pathophysiology of the diseases. finally, the concordance in gene regulation and the fact that genes in the three dominant disease sets are either mostly up or down-regulated suggest that shared mechanisms have identical effects on gene regulation. this can be further investigated in the future by analyzing the properties of the shared genes using categories from the gene ontology database. patterns in how the gene categories relate to different disease sets should lead to an understanding of this and other phenomena related to the type of gene regulation. the network analysis therefore led to several testable hypotheses about the underlying pathophysiological mechanisms involved in chronic renal disease.  while networks have been used to analyze a wide range of molecular phenomena, they have not been used to analyze how genes are implicated in multiple renal diseases. our analysis has enabled us to question the adequacy of the existing morphological based taxonomy of renal diseases. furthermore, the analysis rapidly revealed useful biological insights, without requiring additional filtering to reveal complex but understandable relationships. this could be because the network was of medium size and density compared to many large networks, such as the gnutella peer-to-peer file sharing network. in addition, the resulting network quickly revealed overlapping, nested, and subset groups from the same representation, a result that would be difficult using traditional data mining techniques. however, it is important to note that like most data mining techniques, network analysis is essentially an exploratory tool, and most useful for generating hypotheses, which need rigorous testing using other techniques to arrive at definitive answers. the limitation of the current analysis is the small sample sizes for three diseases, which new data will soon address. however, similar to the diseasome project, studies that attempt to analyze gene expressions of many diseases simultaneously often have to deal with incomplete data. networks are surprisingly useful for incomplete data because they enable us to visually inspect the data, and make appropriate choices for filtering and interpretation. our future research includes: using categories from the gene ontology database to annotate the genes in the bipartite network, with the goal of understanding why sets of shared genes have similar regulation type. analyzing the data using additional network analytical techniques, such as random network comparison and fuzzy cluster analysis. analyzing a network consisting of individual patients and expressed genes. the goal of analyzing individual patients is to construct a new classification of renal diseases using a bottom-up approach without the use of a priori disease classifications as was done in the current study. as previous research on biomarkers in renal diseases have stated, gene expression data should lead to a systematically constructed molecular-based classification, resulting in the identification of more targeted treatments for patients with chronic renal disease. competing interests the authors declare that they have no competing interests. authors' contributions sb conceived the initial idea to analyze renal diseases and regulated genes using bipartite and one-mode networks, and constructed them; fe extracted and formatted the data; sb, sm, fe, and ps analyzed the networks; mk supervised the project. sb, fe, sm, ps, hj, mk wrote, discussed, revised, and approved the final manuscript. 
this article describes how we extracted gene expression profiles from biopsies of patients with chronic renal diseases, and used network visualizations and associated quantitative measures to rapidly analyze similarities and differences between the diseases. uniform concordance in the regulation of all genes in the network. chronic renal diseases are currently classified based on morphological similarities such as whether they produce predominantly inflammatory or non-inflammatory responses. unexpected combinations of renal diseases that share relatively large numbers of genes. the overall results suggest the need to define a molecular-based classification of renal diseases, in addition to hypotheses for the unexpected patterns of shared genes and the uniformity in gene concordance. furthermore, the results demonstrate the utility of network analyses to rapidly understand complex relationships between diseases and regulated genes. in contrast, recent studies in diseases such as breast cancer suggest that a classification which includes molecular information could lead to more accurate diagnoses and prediction of treatment response.
 chronic renal diseases are currently classified based on morphological similarities such as whether they produce predominantly inflammatory or non-inflammatory responses. however, such classifications do not reliably predict the course of the disease and its response to therapy. in contrast, recent studies in diseases such as breast cancer suggest that a classification which includes molecular information could lead to more accurate diagnoses and prediction of treatment response. this article describes how we extracted gene expression profiles from biopsies of patients with chronic renal diseases, and used network visualizations and associated quantitative measures to rapidly analyze similarities and differences between the diseases.  the analysis revealed three main regularities: many genes associated with a single disease, and fewer genes associated with many diseases. unexpected combinations of renal diseases that share relatively large numbers of genes. uniform concordance in the regulation of all genes in the network.  the overall results suggest the need to define a molecular-based classification of renal diseases, in addition to hypotheses for the unexpected patterns of shared genes and the uniformity in gene concordance. furthermore, the results demonstrate the utility of network analyses to rapidly understand complex relationships between diseases and regulated genes. 15– march amia summit on translational bioinformatics san francisco, ca, usa 