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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMM</journal-id>
<journal-title>International Journal of Molecular Medicine</journal-title>
<issn pub-type="ppub">1107-3756</issn>
<issn pub-type="epub">1791-244X</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijmm.2012.991</article-id>
<article-id pub-id-type="publisher-id">ijmm-30-02-0374</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Differentially expressed microRNAs in Huh-7 cells expressing HCV core genotypes 3a or 1b: Potential functions and downstream pathways</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>GU</surname><given-names>YU</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>XU</surname><given-names>YUQIAO</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>JIANG</surname><given-names>LINA</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>CAO</surname><given-names>XIANGMEI</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>LIU</surname><given-names>FANG</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>LI</surname><given-names>HANG</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>ZHANG</surname><given-names>LIYING</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>LI</surname><given-names>ZENGSHAN</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>LI</surname><given-names>JING</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>YE</surname><given-names>JING</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>LI</surname><given-names>QING</given-names></name><xref ref-type="corresp" rid="c1-ijmm-30-02-0374"/></contrib>
<aff id="af1-ijmm-30-02-0374">State Key Laboratory of Cancer Biology and Department of Pathology, Xijing Hospital, Fourth Military Medical University, Xi&#x02019;an, 
<country>P.R. China</country></aff></contrib-group>
<author-notes>
<corresp id="c1-ijmm-30-02-0374">Correspondence to: Dr Qing Li or Dr Jing Ye, Department of Pathology, Xijing Hospital, Fourth Military Medical University, Xi&#x02019;an 710032, P.R. China, E-mail: <email>liqing@fmmu.edu.cn</email>, E-mail: <email>yejing@fmmu.edu.cn</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>8</month>
<year>2012</year></pub-date>
<pub-date pub-type="epub">
<day>09</day>
<month>05</month>
<year>2012</year></pub-date>
<volume>30</volume>
<issue>2</issue>
<fpage>374</fpage>
<lpage>382</lpage>
<history>
<date date-type="received">
<day>28</day>
<month>02</month>
<year>2012</year></date>
<date date-type="accepted">
<day>23</day>
<month>04</month>
<year>2012</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2012, Spandidos Publications</copyright-statement>
<copyright-year>2012</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</p></license></permissions>
<abstract>
<p>microRNA (miRNA) dysfunction is believed to play important roles in human diseases, including viral infectious diseases. Hepatitis C virus (HCV) infection promotes the development of steatosis, cirrhosis and hepatocellular carcinoma, which is genotype-specific. In order to characterize the miRNA expression profile of Huh-7 cells expressing the HCV core 3a vs. 1b, microarrays and real-time PCR were performed. Consequently, 16 miRNAs (5 miRNAs upregulated and 11 miRNAs downregulated) were found to be dysregulated. In addition, we generated the predicted and validated targets of the differentially expressed miRNAs and explored potential downstream function categories and pathways of target genes using databases of Gene Ontology (GO) and PANTHER and the database for annotation, visualization and integrated discovery (DAVID). The computational results indicated that the dysregulated miRNAs might perform the functions of cellular metabolism and cellular growth. Finally, these biological effects were preliminarily validated. This study identifies a specific miRNA expression profile in cells expressing HCV core proteins of different genotypes (genotype 3a and 1b), which may account for the variable pathophysiological manifestation associated with HCV infection.</p></abstract>
<kwd-group>
<kwd>microRNA</kwd>
<kwd>microarray</kwd>
<kwd>hepatitis C virus</kwd>
<kwd>gene ontology</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Hepatitis C is a world-wide contagious liver disease caused by hepatitis C virus (HCV). As estimated by WHO, some 130&#x02013;170 million people are chronically infected with HCV and are at the risk of developing liver cirrhosis and cancer. More than 350,000 people die of HCV-related liver diseases each year. HCV is an enveloped, positive-sense single-stranded RNA virus and is classified into 6 genotypes and 52 subtypes present all over the world (<xref ref-type="bibr" rid="b1-ijmm-30-02-0374">1</xref>).</p>
<p>Patients infected by different HCV genotypes show respective clinical and pathogenic data (<xref ref-type="bibr" rid="b2-ijmm-30-02-0374">2</xref>). Insulin resistance, steatosis and progression toward fibrosis cirrhosis, and hepatocellular carcinoma establish and develop following genotype-specific mechanisms. Moreover, the genotype influences pharmacological treatment in term of dose and duration. Genotype 1 is associated with a more aggressive disease with increased insulin resistance, worst response to therapy, higher risk of cirrhosis and hepatocellular carcinoma development, while genotype 3 is associated with increased fibrosis and steatosis (<xref ref-type="bibr" rid="b3-ijmm-30-02-0374">3</xref>). The mechanisms by which HCV infection promotes the development of liver disease remain unclear. The direct interaction of viral proteins, particularly core proteins, and host machinery may play important roles (<xref ref-type="bibr" rid="b4-ijmm-30-02-0374">4</xref>).</p>
<p>microRNA (miRNAs) are a class of small non-coding RNA molecules that regulate gene expression through translational repression and mRNA degradation (<xref ref-type="bibr" rid="b5-ijmm-30-02-0374">5</xref>). miRNAs are involved in crucial physiologic and pathologic processes (<xref ref-type="bibr" rid="b6-ijmm-30-02-0374">6</xref>). miRNA dysfunction has been linked to the pathophysiology of human diseases, including those resulting from virus infection (<xref ref-type="bibr" rid="b7-ijmm-30-02-0374">7</xref>). Recently, it has been suggested that host miRNAs play critical roles in regulating HCV infection (<xref ref-type="bibr" rid="b8-ijmm-30-02-0374">8</xref>).</p>
<p>This study was undertaken to characterize the miRNA profile of Huh-7 cells expressing the HCV core 3a vs. 1b, to predict targets of verified miRNAs and to explore potential functions and downstream pathways in order to further elucidate the role of these molecules in the pathogenesis of HCV infection.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Plasmid construction</title>
<p>The HCV core region DNA (genotypes 3a and 1b) was synthesized according to the sequnce published in NCBI (GenBank, genotype 3a: AM263171.1, genotype 1b: EU155369.2) by Beijing AuGCT DNA-SYN Biotechnology Co., Ltd. (Beijing, China). The core region DNA was cloned into the PCMV5 vector. The HA-tagged HCV core region was cloned into the pcDNA3.1(&#x0002B;) vector using appropriate restriction sites. Direct sequencing of the expression vectors was carried out by AuGCT. Sequences were aligned in the NCBI BLAST server.</p></sec>
<sec>
<title>Cell culture and stable transfection</title>
<p>Human hepatoma Huh-7 cells were cultured at 37&#x000B0;C in a 5&#x00025; CO<sub>2</sub> atmosphere in Dulbecco&#x02019;s modified Eagle&#x02019;s medium (DMEM) supplemented with 10&#x00025; fetal bovine serum (Hangzhou Sijiqing Biological Engineering Materials Co., Ltd., China). pcDNA3.1(&#x0002B;) plasmids containing the HA-tagged HCV genotype 3a or 1b core-encoding regions were transfected into Huh-7 cells with Lipofectamine 2000 (Invitrogen) as previously described (<xref ref-type="bibr" rid="b9-ijmm-30-02-0374">9</xref>). Briefly, cells were incubated with Opti-MEM medium (Invitrogen) under standard conditions for the first 6 h after transfection and then the medium was changed to DMEM containing 10&#x00025; fetal calf serum without antibiotics. Twenty-four hours after transfection, the cells were cultured in the pressure selection medium containing 800 <italic>&#x003BC;</italic>g/ml G418 (Invitrogen). After 10&#x02013;12 days, the neomycin-resistant cell colonies were isolated and maintained in the culture medium containing 400 <italic>&#x003BC;</italic>g/ml G418.</p></sec>
<sec>
<title>miRNA microarray profiling</title>
<p>Total-RNA was purified from Huh-7 cells expressing the HCV core using the miRNeasy mini kit (Qiagen, Valencia, CA, USA). The quality of the total-RNA was confirmed by the Agilent 2100 Bioanalyzer and RNA LabChip<sup>&#x000AE;</sup> kits (Agilent Technologies Inc., Santa Clara, CA, USA). Total-RNA (100 ng) was dephosphorylated with calf intestine alkaline phosphatase (GE Healthcare Europe GmbH), denatured with dimethyl sulfoxide, and labeled with pCp-Cy3 using T4 RNA ligase (GE Healthcare Europe GmbH). The labeled RNAs were hybridized to Agilent human miRNA microarrays for 20 h at 55&#x000B0;C with rotation. After hybridization and washing, the arrays were scanned with an Agilent micro-array scanner using high dynamic range settings as specified by the manufacturer. The Agilent Feature Extraction software was used to extract the data.</p></sec>
<sec>
<title>Real-time fluorescent reverse transcription-polymerase chain reaction for quantification of miRNAs</title>
<p>Quantitative stem-loop real time PCR (qRT-PCR) was carried out to detect and quantify miRNAs whose alteration was more than 3-fold between the HCV core 3a and 1b treatment groups according to the microarray profiling results. Primers for qRT-PCR were synthesized by AuGCT. All used primers were listed in <xref rid="t1-ijmm-30-02-0374" ref-type="table">Table I</xref>. A cDNA synthesis was carried out with the One Step PrimeScript<sup>&#x000AE;</sup> miRNA cDNA Synthesis kit (Takara, Dalian, China) according to the manufacturer&#x02019;s protocols. A quantitative PCR was performed using SYBR<sup>&#x000AE;</sup> Premix Ex Taq&#x02122; II (Takara). The miRNA expression level was quantified using the Bio-Rad MyiQ&#x02122; Detection system (Bio-Rad, Hercules, CA, USA). The reactions were incubated in 96-well optical plates at 95&#x000B0;C for 10 sec followed by 40 cycles of 5 sec at 95&#x000B0;C and 20 sec at 60&#x000B0;C. Expression analysis was performed in triplicate for each sample. The small nuclear RNA U5 was used as the normalization control.</p></sec>
<sec>
<title>Computational analysis of miRNA downstream target functions and pathways</title>
<p>We applied different computational methods to maximally analyze functions and pathways targeted by differentially expressed miRNAs. Firstly, an open access platform for miRNA database miRBase (<ext-link xlink:href="http://www.mirbase.org" ext-link-type="uri">http://www.mirbase.org</ext-link>) was performed to generate the targets of significantly altered miRNAs. In this webserver, we obtained the website links for validated and predicted targets while entering an miRNA accession number. For validated targets, the results from miRTarBase and TarBase were combined. For predicted targets, the microRNA.org server, PicTar and TargetScan was adopted and the predicted targets with mirSVR score &#x02264;-0.1 was adopted in the microRNA.org server (<xref ref-type="bibr" rid="b10-ijmm-30-02-0374">10</xref>). Only the common target gene predicted by two different servers was listed in the final target gene table. Thereafter, the databases of GO and PANTHER were searched for functional annotation and pathway analysis. To exclude these categories identified by chance alone, the enrichment analysis was further executed using the free access program DAVID (<xref ref-type="bibr" rid="b11-ijmm-30-02-0374">11</xref>), where its significance was measured by the Fisher&#x02019;s exact test.</p></sec>
<sec>
<title>Immunofluorescence microscopy and dyes</title>
<p>Cells were fixed with 10&#x00025; formaldehyde for 1 h, permeabilized with 0.01&#x00025; digitonin for 30 min, and treated with 3&#x00025; BSA before immuno labeling for HA. Images were obtained with an Olympus fluorescence microscope. Lipid droplets (LDs) were stained with BODIPY 493/503 (Invitrogen). Hoechst 33258 (Invitrogen) were used to stain the cell nucleus. Contrast and brightness of micrographs were adjusted by Adobe Photoshop CS for data presentation.</p></sec>
<sec>
<title>Lipid extraction and TAG measuring</title>
<p>The cell monolayer was washed with ice-cold PBS and scraped in 1 ml PBS. Lipids were extracted by the Folch method from 1-well of a 6-mutiwell dishes (<xref ref-type="bibr" rid="b12-ijmm-30-02-0374">12</xref>). The total lower phase was dried down, resuspended in isopropanol, and assayed with a triglyceride kit (InTec Products, Inc., Xiamen, China). Proteins were measured by a kit (Bio-Rad, Hercules, CA, USA).</p></sec>
<sec>
<title>Annexin V/PI staining and FCM analysis</title>
<p>Cells were collected for Annexin V/PI staining according to the procedures described by BD Biosciences. In brief, Huh-7 cells were washed twice with cold PBS and then resuspended in 1X binding buffer at a concentration of 1&#x000D7;10<sup>6</sup> cells/ml. Subsequently, 100 <italic>&#x003BC;</italic>l of the solution was transferred into a 5 ml culture tube, and 5 <italic>&#x003BC;</italic>l Annexin V and 2 <italic>&#x003BC;</italic>l PI was added. The cells were gently mixed then incubated for 15 min at room temperature in the dark. Finally, 400 <italic>&#x003BC;</italic>l of 1X binding buffer was added to each tube, followed within 30 min by flow cytometry (FCM) analysis.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The Mann-Whitney U test or the Student&#x02019;s t-test were used to determine statistical significance by the SPSS 12.0 software.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Efficient stable expression of HCV core proteins in Huh-7 cells</title>
<p>First, we obtained the cDNA fragments of encoding HCV different genotype core proteins and then constructed HCV genotypes 3a and 1b core recombinants. Both of the recombinants were transfected into the Huh-7 cells and G418-resistant stable clones were selected and expanded under G418 selecting for 10&#x02013;12 days. The total-RNA and protein were extracted from the G418-resistant clones. Different genotype core mRNA and protein expressions were identified by real-time PCR and western blot analyses. As shown in <xref rid="f1-ijmm-30-02-0374" ref-type="fig">Fig. 1A and B</xref>, the core mRNA and protein were detected in the extracts from the Huh-7 cells transfected with HCV core 3a and 1b recombinants respectively, but not in the extract from Huh-7 cells transfected with a blank vector. Furthermore, HA-tagged 3a and 1b core proteins were also detected by indirect immunofluorescence only in Huh-7 cells stably transfected by HCV core recombinant (<xref rid="f1-ijmm-30-02-0374" ref-type="fig">Fig. 1C</xref>). These results suggest that these two recombinants could express core protein effectively in the Huh-7 cells. Thus, we established independent Huh-7 cell lines that constitutively expressed core proteins of HCV genotypes 3a and 1b.</p></sec>
<sec>
<title>Identification of differential miRNA expression between Huh-7 cells transfected with HCV core protein of genotypes 3a and 1b</title>
<p>For microarray analysis, we used the commercial Agilent human miRNA (8x60K) v16 array set to examine the miRNA expression profiles of transfected Huh-7 cells with the HCV genotypes 3a and 1b core protein. miRNAs showing at least a 3-fold change in expression were considered for further investigation. In contrast to genotype 1b, there were 8 miRNAs upregulated and 19 miRNAs downregulated in Huh-7 cells stably expressing the core of the genotype 3a (<xref rid="t2-ijmm-30-02-0374" ref-type="table">Table II</xref>). To confirm the microarray results, qRT-PCR was performed on the above 27 miRNAs. U5 was used as control. The primers for the miRNAs are listed in <xref rid="t1-ijmm-30-02-0374" ref-type="table">Table I</xref>. After statistical analysis, 5 miRNAs (miR-16-2<sup>&#x0002A;</sup>, miR-423-3p, miR-30a<sup>&#x0002A;</sup>, miR-663 and miR-92b) and 11 miRNAs (miR-224, miR-629<sup>&#x0002A;</sup>, miR-542-3p, miR-132, miR-455-5p, hsa-miR-192<sup>&#x0002A;</sup>, miR-34b<sup>&#x0002A;</sup>, miR-95, miR-885-5p and miR-664) were determined to be respectively upregulated and downregulated (<xref rid="t3-ijmm-30-02-0374" ref-type="table">Table III</xref>).</p></sec>
<sec>
<title>miRNA target genes and their pathways predicted by computer-aided algorithms</title>
<p>The analysis of miRNA target genes and pathways were based on the data from the qRT-PCR result. We first generated a list of all validated target genes to those dysregulated miRNAs (5 miRNAs upregulated and 11 miRNAs downregulated) from an open access platform for the miRNA database miRBase. The result showed a total of 29 and 188 target genes, respectively. Then, a list of all predicted target genes to those dysregulated miRNAs, including 714 and 1160 genes respectively, was also generated by analyzing the targets from three miRNA target prediction web servers TargetScan, PicTar and the microRNA.org server. Thereafter, a functional annotation and over-representation analysis of the GO biological process (GO BP) terms for those genes were performed using the DAVID program. In this study, a complete list of GO BP terms contained 451 and 495 categories for upregulated and downregulated miRNAs. <xref rid="t4-ijmm-30-02-0374" ref-type="table">Table IV</xref> lists the top 15 categories of those upregulated and downregulated miRNAs. They mainly include regulation of cellular metabolic processes, regulation of cellular biosynthetic processes, and regulation of gene expression. A similar approach was applied to the enrichment analysis of PANTHER pathway for those genes. A total of 4 and 13 pathways (<xref rid="t5-ijmm-30-02-0374" ref-type="table">Table V</xref>) were enriched for upregulated and down-regulated miRNAs with 3 overlaps, including TGF-&#x003B2; signaling pathway, p53 pathway and integrin signaling pathway.</p></sec>
<sec>
<title>Confirmation of the functions regulated by HCV core protein and related miRNAs</title>
<p>By GO and PANTHER analyses, dysregulated miRNAs between cells expressing HCV genotype 3a and 1b core are mainly cellular metabolism and apoptosis associated. Several trials were carried out to confirm the functions regulated by HCV core proteins and related miRNAs. Firstly, cellular lipid storage was detected by LDs staining and TAG measuring. As shown in <xref rid="f2-ijmm-30-02-0374" ref-type="fig">Fig. 2A</xref>, the number and size of lipid droplets were increased in cells transfected with HCV core recombinants and cells transfected with genotype 3a had more and larger lipid droplets than those transfected with genotype 1b. Furthermore, TAG measurement was performed. As shown in <xref rid="f2-ijmm-30-02-0374" ref-type="fig">Fig. 2B</xref>, TAG was gradually increased from blank vector to HCV genotype 1b and 3a groups (TAG content, vector, 55.9&#x000B1;1.7; HCV 1b, 94.5&#x000B1;3.6; HCV 3a, 159.5&#x000B1;7.3 <italic>&#x003BC;</italic>g/mg protein).</p>
<p>Afterwards, cellular apoptosis was assessed by Hoechst 33258 staining and FCM assays. According to the Hoechst 33258 staining of cell nuclei, the percentage of apoptotic cells of the core 1b group was greater than that in the core 3a group, and the lowest in the blank vector group (<xref rid="f3-ijmm-30-02-0374" ref-type="fig">Fig. 3A</xref>). To determine the apoptotic rate of cells accurately, quantitative analysis of apoptosis by FCM of AV/PI dual staining was performed. As shown in <xref rid="f3-ijmm-30-02-0374" ref-type="fig">Fig. 3B and C</xref>, among the blank vector and HCV 3a and 1b groups, the apoptotic rate of cells was gradually increased (apoptotic rate, vector, 8.30&#x000B1;0.36&#x00025;; HCV 3a, 16.43&#x000B1;0.57&#x00025;; HCV 1b, 21.47&#x000B1;0.60&#x00025;). So, HCV core 3a and 1b could affect cellular lipid metabolism and apoptosis differently in Huh-7 cells.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Hepatitis C is a world wide contagious liver disease caused by HCV. HCV infection sometimes results in an acute symptomatic illness. However, more than 80&#x00025; of patients develop a lifelong chronic condition that can lead to steatosis, cirrhosis of the liver and liver cancer (<xref ref-type="bibr" rid="b13-ijmm-30-02-0374">13</xref>). In addition, standard anti-virus therapy with interferon and ribavirin has resulted in suboptimal responses (<xref ref-type="bibr" rid="b14-ijmm-30-02-0374">14</xref>). Thus, it is necessary to study the molecular mechanism of the action of HCV in liver diseases for finding new drug targets. Recently, miRNAs have been demonstrated to play important roles in many physiopathological processes, including HCV infection and hepatitis C. For instance, miR-122 is highly expressed in the liver and plays important roles in cholesterol metabolism, hepatocellular carcinoma and HCV replication (<xref ref-type="bibr" rid="b15-ijmm-30-02-0374">15</xref>). IFN-induced miRNAs miR-196 and miR-448 directly target HCV genomic RNA for inhibition of viral replication (<xref ref-type="bibr" rid="b16-ijmm-30-02-0374">16</xref>). Thus, it is promising to find additional miRNAs related to HCV infection.</p>
<p>This study was undertaken in order to investigate the effect of HCV core proteins of the two different genotypes 3a and 1b on the miRNA expression profile of Huh-7 cells. Only 7 articles about the relationship between the miRNA expressing profile and HCV infection were retrieved from PubMed and most of the studies have been carried out with genotype 1. HCV is divided into 6 genotypes according to the gene diversity of structure proteins and the clinical and pathogenic data vary among different genotypes. Genotype 1 and 3 are characterized by distinct levels of response to therapy (<xref ref-type="bibr" rid="b17-ijmm-30-02-0374">17</xref>,<xref ref-type="bibr" rid="b18-ijmm-30-02-0374">18</xref>), severity of liver steatosis (<xref ref-type="bibr" rid="b3-ijmm-30-02-0374">3</xref>), insulin resistance (<xref ref-type="bibr" rid="b19-ijmm-30-02-0374">19</xref>) and risk of developing cirrhosis and hepatocellular carcinoma (<xref ref-type="bibr" rid="b20-ijmm-30-02-0374">20</xref>). Therefore, we were interested in investigating the miRNA expression profiles between genotypes 3a and 1b.</p>
<p>By microarray and real-time PCR assays, a total of 16 miRNAs were determined to be dysregulated (5 miRNAs upregulated and 11 miRNAs downregulated) in Huh-7 cells expressing genotype 3a vs. 1b. Some of these dysregulated miRNAs have been reported to be functional in several pivotal biological processes. miR-423-3p, miR-92b and miR-663 promote cell growth by regulating the G1/S transition (<xref ref-type="bibr" rid="b21-ijmm-30-02-0374">21</xref>&#x02013;<xref ref-type="bibr" rid="b23-ijmm-30-02-0374">23</xref>). miR-542-3p, miR-885-5p and miR-192<sup>&#x0002A;</sup> inhibit cell proliferation and induce cell apoptosis (<xref ref-type="bibr" rid="b24-ijmm-30-02-0374">24</xref>&#x02013;<xref ref-type="bibr" rid="b26-ijmm-30-02-0374">26</xref>). miR-224, miR-34b<sup>&#x0002A;</sup> and miR-95 are associated with the genesis and development of diverse tumors (<xref ref-type="bibr" rid="b27-ijmm-30-02-0374">27</xref>&#x02013;<xref ref-type="bibr" rid="b29-ijmm-30-02-0374">29</xref>). miR-192 mediates TGF-&#x003B2;/Smad3 driven renal fibrosis. miR-30 is a key regulator of human adipogenesis (<xref ref-type="bibr" rid="b30-ijmm-30-02-0374">30</xref>). The literature indicates that the dysregulated miRNAs have potential functions in steatosis, cirrhosis and liver cancer which are represent the differences in the pathobiology of genotype 3a and 1b. Meanwhile, this simple model of overexpression of core proteins in cell lines is effective in studying the biological function of HCV core protein.</p>
<p>It is known that a miRNA can reduce the levels of many of its target transcripts and function in multiple processes (<xref ref-type="bibr" rid="b31-ijmm-30-02-0374">31</xref>). In order to explore the novel functions of the dysregulated miRNAs, their target genes were generated from the miRNA database platform miRBase and then functional categories and biological pathways were analyzed using the free access program DAVID. 704 target genes of 5 upregulated miRNAs and 1298 target genes of 11 downregulated miRNAs were finally determined. By GO analysis, the function categories of both the upregulated and downregulated miRNAs mainly include regulation of cellular metabolic process, biosynthetic process, gene expression and cellular process. Among them, we were interested in the regulation of the cellular metabolic process. As reported, HCV core could play a role in virus-induced steatosis and genotype 3a has stronger effect of lipid droplets induction and FAS activation than genotype 1b (<xref ref-type="bibr" rid="b32-ijmm-30-02-0374">32</xref>,<xref ref-type="bibr" rid="b33-ijmm-30-02-0374">33</xref>). In this study, we also found some target genes participating in the processes of neutral lipid metabolism and lipid transport. For instance, ACSL1 (target of miR-16-2<sup>&#x0002A;</sup>), ACSL4 (target of miR-224), and ACSL6 (target of miR-664) are essential for <italic>de novo</italic> lipid synthesis and fatty acid catabolism (<xref ref-type="bibr" rid="b34-ijmm-30-02-0374">34</xref>). HMGCR (target of miR-224) catalyzes a rate-limiting step in sterol and isoprenoid biosynthesis (<xref ref-type="bibr" rid="b35-ijmm-30-02-0374">35</xref>). FBXW7 (target of miR-92b), INSIG1 (target of miR-92b), and CAV1 (target of miR-34b<sup>&#x0002A;</sup> and miR-30a<sup>&#x0002A;</sup>) also play key roles in regulating lipid metabolism and lipid homeostasis in the liver (<xref ref-type="bibr" rid="b36-ijmm-30-02-0374">36</xref>&#x02013;<xref ref-type="bibr" rid="b38-ijmm-30-02-0374">38</xref>). ABCA1 (target of miR-885-5p), ABCC1 (target of miR-34b<sup>&#x0002A;</sup>), and FABP2 (target of miR-132) are tightly associated with the transport of neutral lipid or fatty acids (<xref ref-type="bibr" rid="b39-ijmm-30-02-0374">39</xref>,<xref ref-type="bibr" rid="b40-ijmm-30-02-0374">40</xref>). CREBBP (target of miR-30a<sup>&#x0002A;</sup>), RXRA (target of miR-664) and SIRT1 (target of miR-132) are important transcription factors associated with liver lipid metabolism (<xref ref-type="bibr" rid="b41-ijmm-30-02-0374">41</xref>,<xref ref-type="bibr" rid="b42-ijmm-30-02-0374">42</xref>). Furthermore, we confirmed the difference of core and consequent miRNAs on the effect of lipid storage by carrying out lipid droplets staining and TAG measuring experiments. As shown in <xref rid="f2-ijmm-30-02-0374" ref-type="fig">Fig. 2</xref>, cores of genotype 3a and 1b could induce lipid storage in Huh-7 cells and genotype 3a had a stronger effect, which are consistent with previous studies (<xref ref-type="bibr" rid="b9-ijmm-30-02-0374">9</xref>).</p>
<p>As shown in <xref rid="t5-ijmm-30-02-0374" ref-type="table">Table V</xref>, a total of 13 pathways were identified by PANTHER pathway analysis. In the 3 overlapped pathways, both TGF-&#x003B2; and the p53 pathways are cell growth and apoptosis-associated (<xref ref-type="bibr" rid="b43-ijmm-30-02-0374">43</xref>). Additionally, the p53 pathway feedback loops 2, the PI3 kinase pathway (<xref ref-type="bibr" rid="b44-ijmm-30-02-0374">44</xref>) and insulin/IGF pathway (<xref ref-type="bibr" rid="b45-ijmm-30-02-0374">45</xref>) regulated by downregulated miRNAs, are also related to cell growth, malignant transformation and apoptosis. Therefore, we performed Hoechst 33258 staining and FCM assays to evaluate the cellular apoptosis. Our results showed that core genotypes 3a and 1b could induce apopotosis in Huh-7 cells and genotype 1b had a stronger effect. Until now, the data regarding the role of the HCV core is controversial and has pro- and anti-apoptotic dual effects in death ligand-mediated hepatocyte (<xref ref-type="bibr" rid="b46-ijmm-30-02-0374">46</xref>). Admittedly, our experiments about core and apoptosis are short of depth. In any case, HCV core could play important roles in cell growth and apoptosis and some meaningful miRNAs discovered in this study could have some effects.</p>
<p>In conclusion, this study has identified several miRNAs dysregulated by the core proteins of two different HCV geno-types 3a and 1b, generated possible targets of these miRNAs and explored potential downstream GO categories and PANTHER pathways. The results suggest that these miRNAs could function in cellular metabolism and apoptosis, which has been confirmed by some preliminarily assays. However, the pathophysiologic function of an individual miRNA is unclear and more experiments need to be performed in the future. Finally, these miRNAs will contribute to the understanding of the molecular mechanism of liver diseases caused by HCV infection and the search of possible drug targets.</p></sec></body>
<back>
<ack>
<p>We thank members in Qing Li&#x02019;s Laboratory in the Fourth Military Medical University for technical assistance. This study was supported by grants (81000171 and 81170798) from the National Natural Science Foundation of China.</p></ack>
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<sec sec-type="display-objects">
<title>Figures and Tables</title>
<fig id="f1-ijmm-30-02-0374" position="float">
<label>Figure 1</label>
<caption>
<p>Efficient stable expression of HCV core protein in Huh-7 cells. (A and B) RT-PCR and western blot analyses of the mRNA and protein expression of HCV core in Huh-7 cells transfected with HCV core 3a and 1b recombinants and pcDNA3.1(&#x0002B;) vector. &#x003B2;-actin was used as control. (C) Detection of the expression of HCV core protein in Huh-7 cells by indirect immunofluorescence. The Huh-7 cells transfected with HCV core 3a and 1b recombinants and blank vector were fixed and incubated in HA monoclonal antibody to detect the core protein expression. Cell nuclei were stained by Hoechst 33258.</p></caption>
<graphic xlink:href="IJMM-30-02-0374-g00.gif"/></fig>
<fig id="f2-ijmm-30-02-0374" position="float">
<label>Figure 2</label>
<caption>
<p>Analyses of the TAG storage and lipid droplets conformation in Huh-7 cells. (A) Lipid droplets conformation in Huh-7 cells. Huh-7 cells were incubated with 100 <italic>&#x003BC;</italic>M oleic acid overnight to accelerate lipid droplet conformation. Subsequently, cells were fixed and stained with BODIPY 493/503 to observe the lipid droplets by fluorescence microscopy (magnification, x400). The nuclei were stained with Hoechst 33258. (B) Quantification of the cellular TAG in Huh-7 cells. Cellular lipids were extracted and TAG content was tested by a commercial kit. Significant difference between the samples was determined by the Student&#x02019;s t-test (<sup>&#x0002A;</sup>P&#x0003C;0.05; <sup>&#x0002A;&#x0002A;</sup>P&#x0003C;0.01).</p></caption>
<graphic xlink:href="IJMM-30-02-0374-g01.gif"/></fig>
<fig id="f3-ijmm-30-02-0374" position="float">
<label>Figure 3</label>
<caption>
<p>Detection of the apoptosis of Huh-7 cells transfected with HCV core recombinants and blank vector. (A) Changes in nuclear morphology were assessed by Hoechst 33258 staining. (B and C) Apoptosis was determined by FCM of AV/PI staining. Q2 reprents late apoptosis and Q4 reprents early apoptosis. This set of graphs is a representative of three replicates. Statistical significance was determined by the Student&#x02019;s t-test (<sup>&#x0002A;&#x0002A;</sup>P&#x0003C;0.01).</p></caption>
<graphic xlink:href="IJMM-30-02-0374-g02.gif"/></fig>
<table-wrap id="t1-ijmm-30-02-0374" position="float">
<label>Table I</label>
<caption>
<p>Primer sequences used.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle">miRNA</th>
<th align="center" valign="middle">Forward primer (5&#x02032;&#x02192;3&#x02032;)</th>
<th align="center" valign="middle">mirBase accession no.</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">hsa-miR-30a<sup>&#x0002A;</sup></td>
<td align="left" valign="top">CTTTCAGTCGGATGTTTGCAG</td>
<td align="center" valign="top">MIMAT0000088</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-663</td>
<td align="left" valign="top">ATTAAGGCGGGGCGCCG</td>
<td align="center" valign="top">MIMAT0003326</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-423-3p</td>
<td align="left" valign="top">AGCTCGGTCTGAGGCCC</td>
<td align="center" valign="top">MIMAT0001340</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-92b</td>
<td align="left" valign="top">TATTGCACTCGTCCCGGC</td>
<td align="center" valign="top">MIMAT0003218</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-3646</td>
<td align="left" valign="top">AAAATGAAATGAGCCCAGCC</td>
<td align="center" valign="top">MIMAT0018065</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-3648</td>
<td align="left" valign="top">ATATAGCCGCGGGGATCG</td>
<td align="center" valign="top">MIMAT0018068</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-16-2<sup>&#x0002A;</sup></td>
<td align="left" valign="top">GCCAATATTACTGTGCTGCTTT</td>
<td align="center" valign="top">MIMAT0004518</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-19b-1<sup>&#x0002A;</sup></td>
<td align="left" valign="top">AGTTTTGCAGGTTTGCATCCA</td>
<td align="center" valign="top">MIMAT0004491</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-224</td>
<td align="left" valign="top">GCAAGTCACTAGTGGTTCCGTT</td>
<td align="center" valign="top">MIMAT0000281</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-629<sup>&#x0002A;</sup></td>
<td align="left" valign="top">GTTCTCCCAACGTAAGCCCAG</td>
<td align="center" valign="top">MIMAT0003298</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-32</td>
<td align="left" valign="top">GCTATTGCACATTACTAAGTTGC</td>
<td align="center" valign="top">MIMAT0000090</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-181a-2<sup>&#x0002A;</sup></td>
<td align="left" valign="top">ACCACTGACCGTTGACTGTACC</td>
<td align="center" valign="top">MIMAT0004558</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-500a</td>
<td align="left" valign="top">TAATCCTTGCTACCTGGGTGAGA</td>
<td align="center" valign="top">MIMAT0004773</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-542-3p</td>
<td align="left" valign="top">CGTGTGACAGATTGATAACTGAAA</td>
<td align="center" valign="top">MIMAT0003389</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-769-5p</td>
<td align="left" valign="top">TGAGACCTCTGGGTTCTGAGCT</td>
<td align="center" valign="top">MIMAT0003886</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-3613-3p</td>
<td align="left" valign="top">ACAAAAAAAAAAGCCCAACCC</td>
<td align="center" valign="top">MIMAT0017991</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-146b-5p</td>
<td align="left" valign="top">CTGAGAACTGAATTCCATAGGCT</td>
<td align="center" valign="top">MIMAT0002809</td></tr>
<tr>
<td align="left" valign="top">hsa-let-7c</td>
<td align="left" valign="top">GCTGAGGTAGTAGGTTGTATGGT</td>
<td align="center" valign="top">MIMAT0000064</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-132</td>
<td align="left" valign="top">TAACAGTCTACAGCCATGGTCG</td>
<td align="center" valign="top">MIMAT0000426</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-24-1<sup>&#x0002A;</sup></td>
<td align="left" valign="top">GTGCCTACTGAGCTGATATCAGT</td>
<td align="center" valign="top">MIMAT0000079</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-455-5p</td>
<td align="left" valign="top">TATGTGCCTTTGGACTACATCG</td>
<td align="center" valign="top">MIMAT0003150</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-192<sup>&#x0002A;</sup></td>
<td align="left" valign="top">CTGCCAATTCCATAGGTCACA</td>
<td align="center" valign="top">MIMAT0004543</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-551b</td>
<td align="left" valign="top">GCGACCCATACTTGGTTTCAG</td>
<td align="center" valign="top">MIMAT0003233</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-664</td>
<td align="left" valign="top">TATTCATTTATCCCCAGCCTACA</td>
<td align="center" valign="top">MIMAT0005949</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-885-5p</td>
<td align="left" valign="top">TCCATTACACTACCCTGCCTCT</td>
<td align="center" valign="top">MIMAT0004947</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-95</td>
<td align="left" valign="top">TTCAACGGGTATTTATTGAGCA</td>
<td align="center" valign="top">MIMAT0000094</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-34b<sup>&#x0002A;</sup></td>
<td align="left" valign="top">TAGGCAGTGTCATTAGCTGATTG</td>
<td align="center" valign="top">MIMAT0000685</td></tr></tbody></table></table-wrap>
<table-wrap id="t2-ijmm-30-02-0374" position="float">
<label>Table II</label>
<caption>
<p>Dysregulated miRNAs between Huh-7 cells transfected by HCV core 3a and 1b detected by microarray.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle">miRNAs</th>
<th align="center" valign="middle">Fold (downregulated)</th>
<th align="center" valign="middle">miRNAs</th>
<th align="center" valign="middle">Fold (upregulated)</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">hsa-miR-224</td>
<td align="center" valign="top">0.31</td>
<td align="left" valign="top">hsa-miR-30a<sup>&#x0002A;</sup></td>
<td align="center" valign="top">10.4</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-629<sup>&#x0002A;</sup></td>
<td align="center" valign="top">0.14</td>
<td align="left" valign="top">hsa-miR-663</td>
<td align="center" valign="top">8.39</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-32</td>
<td align="center" valign="top">0.13</td>
<td align="left" valign="top">hsa-miR-423-3p</td>
<td align="center" valign="top">3.90</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-181a-2<sup>&#x0002A;</sup></td>
<td align="center" valign="top">0.13</td>
<td align="left" valign="top">hsa-miR-92b</td>
<td align="center" valign="top">3.82</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-500a</td>
<td align="center" valign="top">0.12</td>
<td align="left" valign="top">hsa-miR-3646</td>
<td align="center" valign="top">3.78</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-542-3p</td>
<td align="center" valign="top">0.12</td>
<td align="left" valign="top">hsa-miR-3648</td>
<td align="center" valign="top">3.74</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-769-5p</td>
<td align="center" valign="top">0.10</td>
<td align="left" valign="top">hsa-miR-16-2<sup>&#x0002A;</sup></td>
<td align="center" valign="top">3.66</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-3613-3p</td>
<td align="center" valign="top">0.10</td>
<td align="left" valign="top">hsa-miR-19b-1<sup>&#x0002A;</sup></td>
<td align="center" valign="top">3.56</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-146b-5p</td>
<td align="center" valign="top">0.10</td>
<td align="left" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">hsa-let-7c</td>
<td align="center" valign="top">0.10</td>
<td align="left" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">hsa-miR-132</td>
<td align="center" valign="top">0.09</td>
<td align="left" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">hsa-miR-24-1<sup>&#x0002A;</sup></td>
<td align="center" valign="top">0.09</td>
<td align="left" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">hsa-miR-455-5p</td>
<td align="center" valign="top">0.03</td>
<td align="left" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">hsa-miR-192<sup>&#x0002A;</sup></td>
<td align="center" valign="top">0.02</td>
<td align="left" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">hsa-miR-551b</td>
<td align="center" valign="top">0.02</td>
<td align="left" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">hsa-miR-664</td>
<td align="center" valign="top">0.02</td>
<td align="left" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">hsa-miR-885-5p</td>
<td align="center" valign="top">0.01</td>
<td align="left" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">hsa-miR-95</td>
<td align="center" valign="top">0.01</td>
<td align="left" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">hsa-miR-34b<sup>&#x0002A;</sup></td>
<td align="center" valign="top">0.01</td>
<td align="left" valign="top"/>
<td align="center" valign="top"/></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-ijmm-30-02-0374">
<p>miRNAs presented here was &#x0003E;3-fold up- or downregulated.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="t3-ijmm-30-02-0374" position="float">
<label>Table III</label>
<caption>
<p>Dysregulated miRNAs confirmed by real-time PCR.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">miRNAs</th>
<th align="center" valign="top">Core 3a median (IQR)</th>
<th align="center" valign="top">Core 1b median (IQR)</th>
<th align="center" valign="top">Fold-change</th>
<th align="center" valign="top">P-value</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">Upregulated</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;hsa-miR-30a<sup>&#x0002A;</sup></td>
<td align="center" valign="top">0.90 (0.79, 1.01)</td>
<td align="center" valign="top">0.39 (0.32, 0.44)</td>
<td align="center" valign="top">2.34</td>
<td align="center" valign="top">0.004</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;hsa-miR-423-3p</td>
<td align="center" valign="top">1.57 (1.37, 1.77)</td>
<td align="center" valign="top">0.84 (0.72, 1.11)</td>
<td align="center" valign="top">1.88</td>
<td align="center" valign="top">0.004</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;hsa-miR-663</td>
<td align="center" valign="top">0.98 (0.94, 1.09)</td>
<td align="center" valign="top">0.53 (0.37, 0.60)</td>
<td align="center" valign="top">1.86</td>
<td align="center" valign="top">0.004</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;hsa-miR-16-2<sup>&#x0002A;</sup></td>
<td align="center" valign="top">1.53 (1.30, 1.70)</td>
<td align="center" valign="top">0.84 (0.77, 0.96)</td>
<td align="center" valign="top">1.83</td>
<td align="center" valign="top">0.004</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;hsa-miR-92b</td>
<td align="center" valign="top">1.04 (0.90, 1.10)</td>
<td align="center" valign="top">0.61 (0.35, 0.74)</td>
<td align="center" valign="top">1.72</td>
<td align="center" valign="top">0.004</td></tr>
<tr>
<td align="left" valign="top">Downregulated</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;hsa-miR-132</td>
<td align="center" valign="top">0.94 (0.85, 1.02)</td>
<td align="center" valign="top">1.46 (1.41, 1.63)</td>
<td align="center" valign="top">0.65</td>
<td align="center" valign="top">0.004</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;hsa-miR-664</td>
<td align="center" valign="top">1.00 (0.97, 1.04)</td>
<td align="center" valign="top">1.59 (1.50, 1.81)</td>
<td align="center" valign="top">0.63</td>
<td align="center" valign="top">0.004</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;hsa-miR-455-5p</td>
<td align="center" valign="top">1.07 (0.71, 1.36)</td>
<td align="center" valign="top">1.76 (1.63, 2.24)</td>
<td align="center" valign="top">0.61</td>
<td align="center" valign="top">0.004</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;hsa-miR-224</td>
<td align="center" valign="top">1.02 (0.96, 1.04)</td>
<td align="center" valign="top">2.05 (1.59, 2.59)</td>
<td align="center" valign="top">0.50</td>
<td align="center" valign="top">0.004</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;hsa-miR-629<sup>&#x0002A;</sup></td>
<td align="center" valign="top">1.13 (0.58, 1.50)</td>
<td align="center" valign="top">2.26 (1.32, 3.90)</td>
<td align="center" valign="top">0.50</td>
<td align="center" valign="top">0.045</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;hsa-miR-542-3p</td>
<td align="center" valign="top">0.99 (0.93, 1.07)</td>
<td align="center" valign="top">1.96 (1.52, 2.56)</td>
<td align="center" valign="top">0.50</td>
<td align="center" valign="top">0.004</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;hsa-miR-34b<sup>&#x0002A;</sup></td>
<td align="center" valign="top">0.93 (0.87, 1.21)</td>
<td align="center" valign="top">2.17 (1.88, 2.78)</td>
<td align="center" valign="top">0.43</td>
<td align="center" valign="top">0.004</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;hsa-miR-95</td>
<td align="center" valign="top">0.99 (0.92, 1.11)</td>
<td align="center" valign="top">2.34 (2.13, 2.57)</td>
<td align="center" valign="top">0.42</td>
<td align="center" valign="top">0.004</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;hsa-miR-192<sup>&#x0002A;</sup></td>
<td align="center" valign="top">0.97 (0.89, 1.15)</td>
<td align="center" valign="top">2.62 (1.34, 4.57)</td>
<td align="center" valign="top">0.37</td>
<td align="center" valign="top">0.006</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;hsa-miR-885-5p</td>
<td align="center" valign="top">1.13 (0.98, 1.18)</td>
<td align="center" valign="top">3.12 (2.38, 4.08)</td>
<td align="center" valign="top">0.36</td>
<td align="center" valign="top">0.004</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;hsa-miR-551b</td>
<td align="center" valign="top">1.03 (0.86, 1.15)</td>
<td align="center" valign="top">3.57 (3.00, 3.93)</td>
<td align="center" valign="top">0.29</td>
<td align="center" valign="top">0.004</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn2-ijmm-30-02-0374">
<p>The relative miRNA expression level was represented by 2<sup>&#x02212;&#x00394;&#x00394;CT</sup> transformation on raw data.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="t4-ijmm-30-02-0374" position="float">
<label>Table IV</label>
<caption>
<p>Top 15 categories of upregulated and downregulated miRNAs.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle">Term</th>
<th align="center" valign="middle">Count (&#x00025;)</th>
<th align="center" valign="middle">P-value</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">Upregulated</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of macromolecule metabolic process</td>
<td align="center" valign="top">218 (31.0)</td>
<td align="center" valign="top">5.9E-17</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of metabolic process</td>
<td align="center" valign="top">234 (33.2)</td>
<td align="center" valign="top">2.3E-16</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of primary metabolic process</td>
<td align="center" valign="top">218 (31.0)</td>
<td align="center" valign="top">4.1E-16</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of cellular metabolic process</td>
<td align="center" valign="top">224 (31.8)</td>
<td align="center" valign="top">1.7E-15</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of biosynthetic process</td>
<td align="center" valign="top">198 (28.1)</td>
<td align="center" valign="top">1.0E-14</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of cellular biosynthetic process</td>
<td align="center" valign="top">197 (28.0)</td>
<td align="center" valign="top">1.1E-14</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of gene expression</td>
<td align="center" valign="top">192 (27.3)</td>
<td align="center" valign="top">1.7E-14</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of macromolecule biosynthetic process</td>
<td align="center" valign="top">189 (26.8)</td>
<td align="center" valign="top">6.0E-14</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of nitrogen compound metabolic process</td>
<td align="center" valign="top">187 (26.6)</td>
<td align="center" valign="top">3.4E-13</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of nucleobase, nucleoside, nucleotide and nucleic acid metabolic process</td>
<td align="center" valign="top">185 (26.3)</td>
<td align="center" valign="top">5.9E-13</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of transcription</td>
<td align="center" valign="top">172 (16.9)</td>
<td align="center" valign="top">3.9E-12</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Biological regulation</td>
<td align="center" valign="top">378 (53.7)</td>
<td align="center" valign="top">3.1E-11</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of cellular process</td>
<td align="center" valign="top">351 (49.9)</td>
<td align="center" valign="top">5.4E-11</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of biological process</td>
<td align="center" valign="top">362 (51.4)</td>
<td align="center" valign="top">6.5E-11</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Transcription</td>
<td align="center" valign="top">143 (20.3)</td>
<td align="center" valign="top">8.1E-11</td></tr>
<tr>
<td align="left" valign="top">Downregulated</td>
<td align="center" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of metabolic process</td>
<td align="center" valign="top">386 (29.8)</td>
<td align="center" valign="top">4.0E-18</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of cellular metabolic process</td>
<td align="center" valign="top">373 (28.8)</td>
<td align="center" valign="top">4.1E-18</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of primary metabolic process</td>
<td align="center" valign="top">352 (27.2)</td>
<td align="center" valign="top">4.2E-16</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of cellular biosynthetic process</td>
<td align="center" valign="top">323 (24.9)</td>
<td align="center" valign="top">4.5E-16</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of macromolecule metabolic process</td>
<td align="center" valign="top">349 (26.9)</td>
<td align="center" valign="top">5.8E-16</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of biosynthetic process</td>
<td align="center" valign="top">323 (24.9)</td>
<td align="center" valign="top">1.4E-15</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of macromolecule biosynthetic process</td>
<td align="center" valign="top">311 (24.0)</td>
<td align="center" valign="top">1.8E-15</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of gene expression</td>
<td align="center" valign="top">312 (24.1)</td>
<td align="center" valign="top">3.5E-15</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of nitrogen compound metabolic process</td>
<td align="center" valign="top">307 (23.7)</td>
<td align="center" valign="top">2.7E-14</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Cellular process</td>
<td align="center" valign="top">870 (67.2)</td>
<td align="center" valign="top">3.5E-14</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Regulation of nucleobase, nucleoside, nucleotide and nucleic acid metabolic process</td>
<td align="center" valign="top">304 (23.5)</td>
<td align="center" valign="top">4.4E-14</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Multicellular organismal development</td>
<td align="center" valign="top">306 (23.6)</td>
<td align="center" valign="top">1.6E-13</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Anatomical structure development</td>
<td align="center" valign="top">276 (21.3)</td>
<td align="center" valign="top">3.3E-13</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Development process</td>
<td align="center" valign="top">327 (25.3)</td>
<td align="center" valign="top">6.5E-13</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;Nervous system development</td>
<td align="center" valign="top">143 (11.0)</td>
<td align="center" valign="top">3.1E-12</td></tr></tbody></table></table-wrap>
<table-wrap id="t5-ijmm-30-02-0374" position="float">
<label>Table V</label>
<caption>
<p>PANTHER pathways of upregulated and downregulated miRNAs.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="middle">Term</th>
<th align="center" valign="middle">Count (&#x00025;)</th>
<th align="center" valign="middle">P-value</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">Upregulated</td>
<td align="right" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;<underline>P00052: TGF-&#x003B2; signaling pathway</underline></td>
<td align="right" valign="top">17 (2.4)</td>
<td align="center" valign="top">5.8E-3</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;<underline>P00059: p53 pathway</underline></td>
<td align="right" valign="top">14 (2.0)</td>
<td align="center" valign="top">9.5E-3</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;<underline>P00034: integrin signaling pathway</underline></td>
<td align="right" valign="top">20 (2.8)</td>
<td align="center" valign="top">2.0E-2</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;P00037: ionotropic glutamate receptor pathway</td>
<td align="right" valign="top">8 (1.1)</td>
<td align="center" valign="top">2.6E-2</td></tr>
<tr>
<td align="left" valign="top">Downregulated</td>
<td align="right" valign="top"/>
<td align="center" valign="top"/></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;P00005: angiogenesis</td>
<td align="right" valign="top">37 (2.9)</td>
<td align="center" valign="top">5.2E-4</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;<underline>P00052: TGF-&#x003B2; signaling pathway</underline></td>
<td align="right" valign="top">25 (1.9)</td>
<td align="center" valign="top">7.1E-3</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;P00048: PI3 kinase pathway</td>
<td align="right" valign="top">19 (1.5)</td>
<td align="center" valign="top">1.9E-2</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;P04398: p53 pathway feedback loops 2</td>
<td align="right" valign="top">12 (0.9)</td>
<td align="center" valign="top">2.7E-2</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;<underline>P00059: p53 pathway</underline></td>
<td align="right" valign="top">19 (1.5)</td>
<td align="center" valign="top">2.8E-2</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;P05916: opioid prodynorphin pathway</td>
<td align="right" valign="top">8 (0.6)</td>
<td align="center" valign="top">3.0E-2</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;P00033: insulin/IGF pathway-protein kinase B signaling cascade</td>
<td align="right" valign="top">15 (1.2)</td>
<td align="center" valign="top">3.2E-2</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;P00036: interleukin signaling pathway</td>
<td align="right" valign="top">29 (0.7)</td>
<td align="center" valign="top">3.5E-2</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;P00016: cytoskeletal regulation by Rho GTPase</td>
<td align="right" valign="top">17 (1.3)</td>
<td align="center" valign="top">4.5E-2</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;P00040: metabotropic glutamate receptor group II pathway</td>
<td align="right" valign="top">10 (0.8)</td>
<td align="center" valign="top">5.0E-2</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;P00032: insulin/IGF pathway-mitogen activated protein kinase kinase/MAP kinase cascade</td>
<td align="right" valign="top">9 (0.7)</td>
<td align="center" valign="top">6.8E-2</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;<underline>P00034: integrin signaling pathway</underline></td>
<td align="right" valign="top">28 (2.2)</td>
<td align="center" valign="top">7.9E-2</td></tr>
<tr>
<td align="left" valign="top">&#x02003;&#x02003;P05917: opioid proopiomelanocortin pathway</td>
<td align="right" valign="top">7 (0.5)</td>
<td align="center" valign="top">9.3E-2</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn3-ijmm-30-02-0374">
<p>Common pathways involved in both upregulated and downregulated miRNAs are underlined.</p></fn></table-wrap-foot></table-wrap></sec></back></article>
