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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMM</journal-id>
<journal-title-group>
<journal-title>International Journal of Molecular Medicine</journal-title></journal-title-group>
<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.2013.1561</article-id>
<article-id pub-id-type="publisher-id">ijmm-33-01-0185</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Oridonin protects HaCaT keratinocytes against hydrogen peroxide-induced oxidative stress by altering microRNA expression</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>BAE</surname><given-names>SEUNGHEE</given-names></name><xref rid="af1-ijmm-33-01-0185" ref-type="aff">1</xref><xref rid="af2-ijmm-33-01-0185" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>LEE</surname><given-names>EUN-JIN</given-names></name><xref rid="af1-ijmm-33-01-0185" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>LEE</surname><given-names>JAE HO</given-names></name><xref rid="af3-ijmm-33-01-0185" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>PARK</surname><given-names>IN-CHUL</given-names></name><xref rid="af4-ijmm-33-01-0185" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>LEE</surname><given-names>SU-JAE</given-names></name><xref rid="af5-ijmm-33-01-0185" ref-type="aff">5</xref></contrib>
<contrib contrib-type="author">
<name><surname>HAHN</surname><given-names>HYUNG JIN</given-names></name><xref rid="af6-ijmm-33-01-0185" ref-type="aff">6</xref></contrib>
<contrib contrib-type="author">
<name><surname>AHN</surname><given-names>KYU JOONG</given-names></name><xref rid="af6-ijmm-33-01-0185" ref-type="aff">6</xref></contrib>
<contrib contrib-type="author">
<name><surname>AN</surname><given-names>SUNGKWAN</given-names></name><xref rid="af1-ijmm-33-01-0185" ref-type="aff">1</xref><xref rid="af2-ijmm-33-01-0185" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>AN</surname><given-names>IN-SOOK</given-names></name><xref rid="af1-ijmm-33-01-0185" ref-type="aff">1</xref><xref rid="fn1-ijmm-33-01-0185" ref-type="author-notes">&#x0002A;</xref><xref ref-type="corresp" rid="c1-ijmm-33-01-0185"/></contrib>
<contrib contrib-type="author">
<name><surname>CHA</surname><given-names>HWA JUN</given-names></name><xref rid="af1-ijmm-33-01-0185" ref-type="aff">1</xref><xref rid="af2-ijmm-33-01-0185" ref-type="aff">2</xref><xref rid="fn1-ijmm-33-01-0185" ref-type="author-notes">&#x0002A;</xref><xref ref-type="corresp" rid="c1-ijmm-33-01-0185"/></contrib></contrib-group>
<aff id="af1-ijmm-33-01-0185">
<label>1</label>Korea Institute for Skin and Clinical Sciences, Konkuk University, Seoul 143-701, Republic of Korea</aff>
<aff id="af2-ijmm-33-01-0185">
<label>2</label>Molecular-Targeted Drug Research Center, Konkuk University, Seoul 143-701, Republic of Korea</aff>
<aff id="af3-ijmm-33-01-0185">
<label>3</label>Laboratory of Molecular Oncology, Cheil General Hospital and Women&#x02019;s Healthcare Center, Kwandong University College of Medicine, Seoul 100-380, Republic of Korea</aff>
<aff id="af4-ijmm-33-01-0185">
<label>4</label>Laboratory of Functional Genomics, Korea Institute of Radiological and Medical Sciences, Seoul 139-706, Republic of Korea</aff>
<aff id="af5-ijmm-33-01-0185">
<label>5</label>Department of Chemistry, Hanyang University, Seoul 133-791, Republic of Korea</aff>
<aff id="af6-ijmm-33-01-0185">
<label>6</label>Department of Dermatology, Konkuk University School of Medicine, Seoul 143-701, Republic of Korea</aff>
<author-notes>
<corresp id="c1-ijmm-33-01-0185">Correspondence to: Dr In-Sook An or Dr Hwa Jun Cha, Korea Institute for Skin and Clinical Sciences, Konkuk University, 120 Neungdong-ro, Gwangjin-gu, Seoul 143-701, Republic of Korea, E-mail: <email>anis@skinresearch.or.kr</email>, E-mail: <email>hjcha@konkuk.ac.kr</email></corresp><fn id="fn1-ijmm-33-01-0185">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>1</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>19</day>
<month>11</month>
<year>2013</year></pub-date>
<volume>33</volume>
<issue>1</issue>
<fpage>185</fpage>
<lpage>193</lpage>
<history>
<date date-type="received">
<day>07</day>
<month>08</month>
<year>2013</year></date>
<date date-type="accepted">
<day>12</day>
<month>11</month>
<year>2013</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014, Spandidos Publications</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-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.</license-p></license></permissions>
<abstract>
<p>microRNAs (miRNAs) have been shown to function as primary regulators of a variety of biological processes, including proliferation, differentiation and apoptosis in human keratinocytes. However, the biological significance of miRNAs in the defense against oxidative stress in keratinocytes remains to be elucidated. In this study, we demonstrate that oridonin, a diterpenoid compound isolated from <italic>Rabdosia rubescens</italic> with established antioxidant properties, protects HaCaT human keratinocytes from oxidative stress induced by exposure to hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>). Our data demonstrate that low doses of oridonin (1&#x02013;5 &#x003BC;M) protect keratinocytes against H<sub>2</sub>O<sub>2</sub>-induced apoptosis in a concentration- and time-dependent manner. Moreover, as shown by our results, oridonin markedly decreased H<sub>2</sub>O<sub>2</sub>-induced reactive oxygen species production in HaCaT cells. Oridonin mediated these effects by altering miRNA expression. Bioinformatics analysis identified several putative target genes of the differentially expressed miRNAs. Assessment of their gene ontology annotation revealed that these target genes are likely involved in cell growth and inhibition of apoptosis. Thus, the data from this study establish a role for miRNAs in mediating oridonin-induced protective effects against oxidative stress in human keratinocytes.</p></abstract>
<kwd-group>
<kwd>oridonin</kwd>
<kwd>keratinocyte</kwd>
<kwd>hydrogen peroxide</kwd>
<kwd>microRNA</kwd>
<kwd>cell viability</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Human keratinocytes compose the outermost layer of the skin, and are the predominant cells found in the epidermis. Due to their localization in the human body, keratinocytes are continuously exposed to endogenous and environmental pro-oxidant agents. Therefore, the levels of intracellular hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) increase in response to a variety of pro-oxidant agents (e.g., UV radiation and sunlight), free ions liberated from storage and heme-containing proteins (<xref ref-type="bibr" rid="b1-ijmm-33-01-0185">1</xref>,<xref ref-type="bibr" rid="b2-ijmm-33-01-0185">2</xref>). Epidermal cells and keratinocytes of normal skin are the primary targets of pro-oxidant agents, and thus express high levels of cellular proteins related to the detoxification of reactive oxygen species (ROS) (<xref ref-type="bibr" rid="b1-ijmm-33-01-0185">1</xref>). These increased levels are implicated in certain inflammatory skin diseases, such as psoriasis, and are mediated by oxidative stress (<xref ref-type="bibr" rid="b3-ijmm-33-01-0185">3</xref>). Therefore, increased ROS production and defects in the antioxidant system may be involved in the pathogenesis of keratinocyte-related diseases (<xref ref-type="bibr" rid="b4-ijmm-33-01-0185">4</xref>).</p>
<p>Recently, a number of studies have reported that microRNAs (miRNAs) play important roles in the regulation of functions of keratinocytes. Biswas <italic>et al</italic> (<xref ref-type="bibr" rid="b5-ijmm-33-01-0185">5</xref>) first reported the association between miRNAs and keratinocyte proliferation by demonstrating that miR-210 attenuates keratinocyte proliferation by downregulating the cell cycle regulatory gene, <italic>E2F3</italic>. Moreover, Yu <italic>et al</italic> (<xref ref-type="bibr" rid="b6-ijmm-33-01-0185">6</xref>) revealed that miR-205 promotes keratinocyte migration through the downregulation of SH2-containing phosphoinositide 5&#x02032;-phosphatase 2 (SHIP2), a lipid phosphatase that dephosphorylates a critical cell survival factor, termed phosphatidylinositol 3,4,5-triphosphate (PIP3). Furthermore, Hildebrand <italic>et al</italic> (<xref ref-type="bibr" rid="b7-ijmm-33-01-0185">7</xref>) identified an association between miRNAs and keratinocyte differentiation by profiling miRNA expression during human keratinocyte differentiation. miRNAs have also been linked to psoriasis, a disease characterized by abnormal keratinocyte proliferation. More specifically, miR-125a and miR-424 are downregulated in the skin of patients with psoriasis. These miRNAs modulate keratinocyte proliferation by targeting fibroblast growth factor receptor 2 (FGFR2), and putatively target mitogen-activated protein kinase kinase 1 (MEK1) and cyclin E1 (<xref ref-type="bibr" rid="b8-ijmm-33-01-0185">8</xref>,<xref ref-type="bibr" rid="b9-ijmm-33-01-0185">9</xref>). We recently reported that the titrated extract of <italic>Centella asiatica</italic> protects HaCaT keratinocytes from UVB-induced cytotoxicity by altering miRNA expression (<xref ref-type="bibr" rid="b10-ijmm-33-01-0185">10</xref>). Despite these studies demonstrating that miRNAs are key regulators in diverse biological processes in human keratinocytes, the association between ROS and miRNAs in these cells remains unclear.</p>
<p>Oridonin, a diterpenoid isolated from <italic>Rabdosia rubescens</italic>, has been shown to exhibit anticancer, anti-microbial, and anti-inflammatory properties (<xref ref-type="bibr" rid="b11-ijmm-33-01-0185">11</xref>). Although increased ROS production has been implicated in the anticancer effects of oridonin (<xref ref-type="bibr" rid="b12-ijmm-33-01-0185">12</xref>,<xref ref-type="bibr" rid="b13-ijmm-33-01-0185">13</xref>), studies have revealed that this effect does not occur in normal cells (<xref ref-type="bibr" rid="b14-ijmm-33-01-0185">14</xref>). In fact, oridonin has been shown to exert protective effects against arsenic(III)-induced oxidative stress (<xref ref-type="bibr" rid="b15-ijmm-33-01-0185">15</xref>). These data indicate that the oridonin-mediated regulation of ROS production varies by cell type. In the present study, we demonstrate that oridonin reduces ROS production and exerts protective effects against H<sub>2</sub>O<sub>2</sub>-induced damage in HaCaT keratinocytes. Furthermore, we used miRNA microarray and bioinformatics tools to elucidate the molecular mechanisms that mediate these protective effects against oxidative stress.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture and chemical treatment</title>
<p>Normal human HaCaT keratinocytes were grown in Dulbecco&#x02019;s modified Eagle&#x02019;s medium (DMEM; Gibco<sup>&#x000AE;</sup>, Life Technologies, Carlsbad, CA, USA) supplemented with 10&#x00025; fetal bovine serum (FBS; Sigma-Aldrich, St. Louis, MO, USA) and antibiotics. Oridonin and H<sub>2</sub>O<sub>2</sub> were purchased from Sigma-Aldrich and Merck (Darmstadt, Germany), respectively. For toxicity and cell viability assays, 4&#x000D7;10<sup>4</sup> HaCaT cells per well were seeded into 96-well plates and 7&#x000D7;10<sup>5</sup> cells were seeded into 60-mm culture plates, respectively. Oridonin and H<sub>2</sub>O<sub>2</sub> were diluted into DMSO (Sigma-Aldrich) and deionized water, respectively. The cells were treated with various doses of oridonin and a fixed dose (800 &#x003BC;M) of H<sub>2</sub>O<sub>2</sub> for 3&#x02013;24 h. Propidium iodide (PI) and Triton X-100 were purchased from Sigma-Aldrich.</p></sec>
<sec>
<title>Cell viability assay</title>
<p>The effects of oridonin on the growth of HaCaT cells treated with or without H<sub>2</sub>O<sub>2</sub> were assessed using water-soluble tetrazolium salt (WST-1) assays. After treatment, the HaCaT cells were mixed with 100 &#x003BC;l of WST-1 solution followed by incubation at 37&#x000B0;C for 1 h. Cell viability was determined after measuring the absorbance at 450 nm using an iMark microplate reader (Bio-Rad Laboratories, Hercules, CA, USA). All results are expressed as the mean percentage &#x000B1; standard deviation (SD) of 3 independent experiments. When comparing treated and untreated cells, p-values &lt;0.05 as determined by the Student&#x02019;s t-test were considered to indicate statistically significant differences.</p></sec>
<sec>
<title>ROS scavenging assay</title>
<p>Intracellular ROS scavenging assays were performed by measuring the fluorescence intensity of the 2&#x02032;7&#x02032;-dichlorofluroescein diacetate (DCF-DA) probe, which was proportional to the amount of ROS formed. The cells pre-treated with and without oridonin were incubated with H<sub>2</sub>O<sub>2</sub> for 3 h prior to harvest. The cells were then mixed with DCF-DA solution and incubated at 37&#x000B0;C for 1 h. Fluorescence intensity was measured using a BD FACSCalibur flow cytometer (BD Biosciences, San Jose, CA, USA).</p></sec>
<sec>
<title>Analysis of cell death by flow cytometry</title>
<p>Cell cycle and death were estimated by assessing the incorporation of the fluorescent dye, PI. Cells treated with and without oridonin and/or H<sub>2</sub>O<sub>2</sub> were harvested, resuspended, and then incubated with PI staining solution (50 &#x003BC;g/ml PI, 0.5&#x00025; Triton X-100, and 100 &#x003BC;g/ml RNase) at 37&#x000B0;C for 1 h. Fluorescence intensity was detected using a BD FACSCalibur flow cytometer.</p></sec>
<sec>
<title>miRNA-based microarray analysis</title>
<p>Total RNA was isolated using TRIzol reagent (Invitrogen, Life Technologies) according to the manufacturer&#x02019;s instructions. RNA integrity, concentration and purity were estimated using an Agilent 2100 Bioanalyzer (Agilent Technologies, Santa Clara, CA, USA) and MaestroNano (Maestrogen, Las Vegas, NV, USA). RNA samples that exhibited A<sub>260/280</sub> and A<sub>260/A230</sub> values &gt;1.8, as well as an RNA integrity number (RIN) &gt;8.0, were subjected to microarray analysis, which was performed using SurePrint G3 Human V16 miRNA 8&#x000D7;60 K arrays (Agilent Technologies) according to a previously described protocol (<xref ref-type="bibr" rid="b16-ijmm-33-01-0185">16</xref>). Derived data were analyzed using GeneSpring GX software, version 11.5 (Agilent Technologies). The raw data were filtered using Flag and t-tests. miRNA expression was evaluated by assessing the fluorescence ratio between 2 samples. Those displaying &gt;1.5-fold increase or decrease were selected for further bioinformatics analysis.</p></sec>
<sec>
<title>Computational analysis of miRNAs</title>
<p>To investigate the biological functions of miRNAs that exhibited significant changes in expression, we identified their putative target genes using MicroCosm Targets, version 5 (<ext-link xlink:href="www.ebi.ac.uk/enright-srv/microcosm/htdocs/targets/v5/" ext-link-type="uri">www.ebi.ac.uk/enright-srv/microcosm/htdocs/targets/v5/</ext-link>). The cellular functions of the target genes were then determined using AmiGO, a Gene Ontology (GO)-based analysis and categorization tool (<ext-link xlink:href="amigo.geneontology.org/cgi-bin/amigo/browse.cgi" ext-link-type="uri">amigo.geneontology.org/cgi-bin/amigo/browse.cgi</ext-link>).</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Oridonin reduces H<sub>2</sub>O<sub>2</sub>-induced cytotoxicity in HaCaT cells</title>
<p>Prior to investigating the protective effects of oridonin on H<sub>2</sub>O<sub>2</sub>-induced cellular stress, we first determined the dose range of oridonin that causes cytotoxicity in HaCaT cells. The HaCaT cells were treated with various concentrations of oridonin (1&#x02013;20 &#x003BC;M) for 24 h, and cytotoxicity was estimated using the WST-1 assay (<xref rid="f1-ijmm-33-01-0185" ref-type="fig">Fig. 1A</xref>). Cell viability was maintained at doses between 1 to 5 &#x003BC;M; however, higher concentrations of oridonin (10 and 20 &#x003BC;M) decreased HaCaT cell viability. We also determined that HaCaT cell viability decreased following treatment with H<sub>2</sub>O<sub>2</sub> in a dose-dependent manner (<xref rid="f1-ijmm-33-01-0185" ref-type="fig">Fig. 1B</xref>). As we were concerned about the combined effects of H<sub>2</sub>O<sub>2</sub> and oridonin on HaCaT cytotoxicity, the cells were pre-treated with various doses of oridonin for different periods of time prior to the induction of oxidative stress with H<sub>2</sub>O<sub>2</sub>. Cell viability was analyzed using the WST-1 assay. Surprisingly, the oridonin-pre-treated HaCaT cells exhibited a marked resistance to H<sub>2</sub>O<sub>2</sub>-mediated cytotoxicity (<xref rid="f1-ijmm-33-01-0185" ref-type="fig">Fig. 1C&#x02013;F</xref>). In fact, this effect increased in a concentration and time-dependent manner, suggesting that oridonin exerts a protective effect against H<sub>2</sub>O<sub>2</sub>-induced oxidative stress in HaCaT cells.</p></sec>
<sec>
<title>H<sub>2</sub>O<sub>2</sub>-induced HaCaT cell death is reduced following treatment with oridonin</title>
<p>We subsequently investigated the biological mechanisms involved in the protective effects of oridonin against H<sub>2</sub>O<sub>2</sub>-induced oxidative stress. Changes in cell viability can be physiologically related to cell cycle arrest and cell death. Therefore, we examined cell cycle progression by PI staining and flow cytometry. The HaCaT cells treated as indicated in <xref rid="f2-ijmm-33-01-0185" ref-type="fig">Fig. 2</xref> were collected, fixed, stained with PI solution, and subsequently analyzed by flow cytometry. Our data demonstrated that the distribution of cells across the various stages of the cell cycle was similar between the oridonin-treated and the control (DMSO-treated) cells, confirming that treatment with 5 &#x003BC;M oridonin was non-cytotoxic (<xref rid="f2-ijmm-33-01-0185" ref-type="fig">Fig. 2A and B</xref>). By contrast, the percentage of cells in the sub-G1 phase was much higher in the H<sub>2</sub>O<sub>2</sub>-treated HaCaT cells compared with the untreated and oridonin-treated cells (<xref rid="f2-ijmm-33-01-0185" ref-type="fig">Fig. 2C</xref>). Nevertheless, this increase was not observed in the HaCaT cells pre-treated with oridonin prior to the induction of oxidative stress (<xref rid="f2-ijmm-33-01-0185" ref-type="fig">Fig. 2D</xref>). These results suggest that treatment with oridonin maintains cell viability by reducing HaCaT cell death in H<sub>2</sub>O<sub>2</sub>-induced oxidative stress.</p></sec>
<sec>
<title>Treatment with oridonin decreases H<sub>2</sub>O<sub>2</sub>-induced ROS production</title>
<p>H<sub>2</sub>O<sub>2</sub> is well established as a strong inducer of ROS, which, if present at high levels, promote cell death. Since oridonin is a diterpenoid compound, and some diterpenoid compounds have been shown to have antioxidant properties, we examined the possibility that oridonin acts as a ROS scavenger. HaCaT cells grown in oridonin-containing medium were treated with H<sub>2</sub>O<sub>2</sub> for 3 h. Following exposure to H<sub>2</sub>O<sub>2</sub>, the cells were stained with DCF-DA solution and the levels of ROS were then analyzed by flow cytometry. Unlike treatment with H<sub>2</sub>O<sub>2</sub>, oridonin alone did not induce significant ROS production in the HaCaT cells (<xref rid="f3-ijmm-33-01-0185" ref-type="fig">Fig. 3A and C</xref>). Of note, our results demonstrated that the increased ROS production induced by H<sub>2</sub>O<sub>2</sub> was reduced to the levels of the controls following treatment with oridonin (<xref rid="f3-ijmm-33-01-0185" ref-type="fig">Fig. 3D</xref>), indicating that oridonin has a scavenging effect on ROS produced in response to H<sub>2</sub>O<sub>2</sub> in HaCaT cells.</p></sec>
<sec>
<title>Oridonin alters miRNA expression profiles in H<sub>2</sub>O<sub>2</sub>-treated HaCaT cells</title>
<p>Since miRNAs have been reported to regulate almost every biological process, including development, differentiation, proliferation and apoptosis (<xref ref-type="bibr" rid="b17-ijmm-33-01-0185">17</xref>&#x02013;<xref ref-type="bibr" rid="b19-ijmm-33-01-0185">19</xref>), we sought to determine the effects of oridonin on miRNA expression in HaCaT cells treated with H<sub>2</sub>O<sub>2</sub> for 24 h. A total of 21 miRNAs were differentially expressed following treatment with oridonin (<xref rid="f4-ijmm-33-01-0185" ref-type="fig">Fig. 4</xref> and <xref rid="tI-ijmm-33-01-0185" ref-type="table">Table I</xref>). More specifically, 6 miRNAs were upregulated while 15 miRNAs were downregulated. These results indicate that, although the majority of miRNAs did not exhibit significant changes in expression, treatment with oridonin still affected the miRNA expression levels in the HaCaT cells exposed to H<sub>2</sub>O<sub>2</sub>.</p></sec>
<sec>
<title>Bioinformatics analysis of miRNAs affected by treatment with oridonin</title>
<p>The miRNAs that exhibited altered expression levels following treatment with oridonin are likely involved in the the cellular mechanisms responsible for the protective effects of oridonin against H<sub>2</sub>O<sub>2</sub>-induced oxidative stress in HaCaT cells. Therefore, we used the miRbase Target Database tool, MicroCosm, to identify the putative target genes of these miRNAs. We then determined the biological functions associated with the target genes by GO analysis using AmiGO. Finally, the target genes were grouped according to biological processes. Our data demonstrated that the target genes of the differentially expressed miRNAs could be categorized into 4 groups, namely aging, skin development, apoptosis and cell proliferation (<xref rid="tII-ijmm-33-01-0185" ref-type="table">Tables II</xref> and <xref rid="tIII-ijmm-33-01-0185" ref-type="table">III</xref>).</p>
<p>The GO terms contained bi-directional processes for each term. For example, &#x02018;apoptosis&#x02019; included both anti-apoptotic and pro-apoptotic processes. Therefore, we further categorized the target genes into subsets of GO terms, such as anti-apoptosis and positive or negative regulation of the cell cycle, cell growth and cell proliferation (<xref rid="f5-ijmm-33-01-0185" ref-type="fig">Fig. 5</xref>). A greater number of target genes of the upregulated miRNAs was associated with the negative regulation of the cell cycle, growth and proliferation than with the positive regulation of these processes. Conversely, the target genes of the downregulated miRNAs were more biased towards anti-apoptosis and positive regulation of the cell cycle, growth and proliferation. These results suggest that the upregulated miRNAs may potentially target genes involved in cell death, whereas the downregulated miRNAs may regulate genes critical for cell survival. Further categorization of the target genes demonstrated that the upregulated miRNAs may be linked to the positive regulation of p53 pathways and the activation of MAPKK activity, while those targeted by the downregulated miRNAs are associated with antioxidant activity and the positive regulation of DNA repair (<xref rid="f6-ijmm-33-01-0185" ref-type="fig">Fig. 6</xref>). Collectively, these results suggest that the oridonin-mediated protective effects against H<sub>2</sub>O<sub>2</sub>-induced damage in HaCaT cells involve changes in the expression of specific miRNAs that regulate cell proliferation and apoptosis.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In this study, we demonstrate that the protective effects of oridonin against H<sub>2</sub>O<sub>2</sub>-induced damage in HaCaT human keratinocytes occurs through the regulation of miRNA expression. Oridonin, a diterpenoid isolated from <italic>Rabdosia rubescens</italic>, reportedly exhibits anticancer effects (<xref ref-type="bibr" rid="b11-ijmm-33-01-0185">11</xref>). Although some terpenoid compounds are used as antioxidants (<xref ref-type="bibr" rid="b20-ijmm-33-01-0185">20</xref>), this property has yet to be confirmed for oridonin. Depending on the dosage, this compound induces bifunctional effects. As previoiusly demonstrated, high doses (&#x02265;10 &#x003BC;M) induce apoptosis in several cancer cell types (<xref ref-type="bibr" rid="b11-ijmm-33-01-0185">11</xref>,<xref ref-type="bibr" rid="b13-ijmm-33-01-0185">13</xref>,<xref ref-type="bibr" rid="b21-ijmm-33-01-0185">21</xref>), while low doses (&#x02264;5 &#x003BC;M) protect against arsenic(III)-induced cytotoxicity in UROtsa cells (<xref ref-type="bibr" rid="b15-ijmm-33-01-0185">15</xref>). Consistent with these studies, we found that cytotoxicity due to treatment with oridonin only occurs at high concentrations (&gt;5 &#x003BC;M). Notably, at non-cytotoxic concentrations, oridonin induced a protective effect on H<sub>2</sub>O<sub>2</sub>-induced cell death in HaCaT cells. In addition, DCF-based fluorimetric assay revealed that low doses of oridonin act as a scavenger of ROS during H<sub>2</sub>O<sub>2</sub>-induced oxidative stress. Our data suggest that oridonin exerts these effects by altering miRNA expression profiles. Bioinformatics analysis of the putative target genes of the miRNAs revealed that the differentially expressed miRNAs may potentially be involved in the anti-apoptotic and antioxidant effects induced by oridonin in HaCaT cells.</p>
<p>Our miRNA microarray and bioinformatics analysis indicated that the putative target genes of the downregulated miRNAs may be involved in antioxidant processes and the negative regulation of cell proliferation. Of note, miR-210 expression was markedly decreased by oridonin in the H<sub>2</sub>O<sub>2</sub>-treated HaCaT cells (<xref rid="tI-ijmm-33-01-0185" ref-type="table">Table I</xref>). This miRNA has been reported to increase ROS formation in response to hypoxia and to target the iron-sulfur cluster protein, ISCU, in MCF-7 and HCT116 cancer cells (<xref ref-type="bibr" rid="b22-ijmm-33-01-0185">22</xref>,<xref ref-type="bibr" rid="b23-ijmm-33-01-0185">23</xref>). Moreover, miR-210 is the predominant miRNA activated under hypoxic conditions in various cancer types, and its expression is upregulated by hypoxia-inducible factor (HIF)-1&#x003B1; (<xref ref-type="bibr" rid="b24-ijmm-33-01-0185">24</xref>). Hypoxia-induced miR-210 expression has been shown to attenuate keratinocyte proliferation by downregulating the cell cycle regulatory protein, E2F3 (<xref ref-type="bibr" rid="b5-ijmm-33-01-0185">5</xref>). Taken together, these data strongly suggest that miR-210 is an important miRNA in ROS-mediated cellular processes; thus, the regulation of its expression is a major strategy in antioxidative defense mechanisms in keratinocytes.</p>
<p>Our investigation also revealed that miR-1246 and miR-181b-5p (also known as miR-181b) expression was downregulated following treatment with oridonin in H<sub>2</sub>O<sub>2</sub>-treated HaCaT cells. Recent studies identified miR-1246 as a novel target of p53, p63 and p73 (<xref ref-type="bibr" rid="b25-ijmm-33-01-0185">25</xref>), of which p53 and p63 are important regulators of keratinocyte proliferation and differentiation (<xref ref-type="bibr" rid="b26-ijmm-33-01-0185">26</xref>,<xref ref-type="bibr" rid="b27-ijmm-33-01-0185">27</xref>). miR-181b expression is induced during human keratinocyte differentiation (<xref ref-type="bibr" rid="b7-ijmm-33-01-0185">7</xref>). Another study demonstrated that the overexpression of miR-181b induces cisplatin-mediated apoptosis by targeting B-cell lymphoma 2 (<italic>BCL2</italic>) mRNA (<xref ref-type="bibr" rid="b28-ijmm-33-01-0185">28</xref>). Moreover, miR-181 expression has been found to be upregulated in the brain tissue of patients with Alzheimer&#x02019;s disease, which has been linked to ROS-mediated oxidative stress (<xref ref-type="bibr" rid="b29-ijmm-33-01-0185">29</xref>,<xref ref-type="bibr" rid="b30-ijmm-33-01-0185">30</xref>). Collectively, these data, as well as ours indicate that miR-1246 and miR-181 are important targets involved in the regulation of ROS-mediated oxidative stress in keratinocytes.</p>
<p>The treatment of HaCaT cells exposed to H<sub>2</sub>O<sub>2</sub> with oridonin also induced an increase in miRNA expression. The expression of miR-182-5p (also known as miR-182) was significantly upregulated in our system, and was predicted to function in anti-apoptotic processes. Indeed, previously published studies have demonstrated a role of miR-182-5p in anti-apoptosis. miR-182-5p enhances melanoma oncogenic behavior and reduces apoptosis by targeting the tumor suppressor genes, forkhead factor O3 (<italic>FOXO3</italic>) and microphthalmia-associated transcription factor-M (<italic>MITF-M</italic>) (<xref ref-type="bibr" rid="b31-ijmm-33-01-0185">31</xref>). In addition, the overexpression of miR-182-5p has been shown to induce prostate cancer progression by targeting the tumor suppressor genes forkhead box F2 (<italic>FOXF2</italic>), reversion-inducing cysteine-rich protein with Kazal motifs (<italic>RECK</italic>) and metastasis suppressor 1 (<italic>MTSS1</italic>) (<xref ref-type="bibr" rid="b32-ijmm-33-01-0185">32</xref>). Furthermore, miR-182-5p overexpression has been shown to markedly induce tumorigenesis and to reduce ionizing radiation (IR)-mediated apoptosis in ovarian cancer cells (<xref ref-type="bibr" rid="b33-ijmm-33-01-0185">33</xref>). Similar to these studies, we observed that miR-182-5p expression was significantly higher in the oridonin-pre-treated H<sub>2</sub>O<sub>2</sub>-exposed HaCaT cells compared with the control cells treated only with H<sub>2</sub>O<sub>2</sub>. Therefore, our results indicate that the oridonin-mediated upregulation of miR-182-5p expression enhances cell growth- and anti-apoptosis-related functions, thus exerting protective effects against oxidative stress and cell death induced by H<sub>2</sub>O<sub>2</sub> in HaCaT cells.</p>
<p>In this study, we provide evidence of the potential role of miRNAs in oridonin-mediated anti-apoptosis in response to H<sub>2</sub>O<sub>2</sub>-induced oxidative stress in HaCaT human keratinocytes. Although further research is required to verify the biological significance of these changes in miRNA expression, as well as the target genes of these miRNAs, our study provides a meaningful link between oridonin-induced antioxidative defense mechanims and the regulation of miRNA expression in human keratinocytes.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>We are grateful to all members of our research group for their support and advice regarding this study. This study was supported by the KU Research Professor Program of Konkuk University and a grant from the Ministry of Science, ICT and Future Planning (Grant 20110028646) of the Republic of Korea.</p></ack>
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<floats-group>
<fig id="f1-ijmm-33-01-0185" position="float">
<label>Figure 1</label>
<caption>
<p>Analysis of cytotoxic and protective effects of oridonin against hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>)-induced oxidative stress in HaCaT keratinocytes. (A) Cytotoxicity assay for oridonin. HaCaT cells were seeded in 96-well plates and then treated with the indicated concentrations of oridonin for 24 h. (B) Cytotoxicity assay for hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>). HaCaT cells were seeded in 96-well plates and then treated with 800 &#x003BC;M H<sub>2</sub>O<sub>2</sub> for 24 h. (C&#x02013;F) Protective effects of oridonin against H<sub>2</sub>O<sub>2</sub>-induced cytotoxicity. HaCaT cells were pre-treated with DMSO (control) or oridonin for (C) 3 h, (D) 6 h, (E) 12 h and (F) 24 h. After pre-treatment, cell viability was determined using the WST-1 assay. All results are representative of 3 independent experiments (means &#x000B1; SD). The Student&#x02019;s t-test was performed to determine statistical significance (<sup>&#x0002A;</sup>p&lt;0.05).</p></caption>
<graphic xlink:href="IJMM-33-01-0185-g00.gif"/></fig>
<fig id="f2-ijmm-33-01-0185" position="float">
<label>Figure 2</label>
<caption>
<p>Analysis of cell cycle distribution by flow cytometry. HaCaT cells were seeded and then treated with DMSO or oridonin for 24 h prior to the addition of hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>). After 24 h of incubation, the cells were stained with propidium iodide (PI) solution and then analyzed by flow cytometry. (A) Control cells; (B) oridonin-treated cells; (C) H<sub>2</sub>O<sub>2</sub>-treated cells; and (D) cells pre-treated with oridonin and then treated with H<sub>2</sub>O<sub>2</sub>. An asterisk denotes that M1 is the sub-G1 ratio.</p></caption>
<graphic xlink:href="IJMM-33-01-0185-g01.gif"/></fig>
<fig id="f3-ijmm-33-01-0185" position="float">
<label>Figure 3</label>
<caption>
<p>Analysis of intracellular reactive oxygen species (ROS) levels using the 2&#x02032;7&#x02032;-dichlorofluroescein diacetate (DCF-DA) assay. HaCaT cells were pre-treated with DMSO or oridonin and then oxidative stress was induced by treatment with hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>). The cells were collected, stained with DCF-DA solution, and then the levels of intracellular ROS were analyzed by flow cytometry. (A) Control cells; (B) oridonin-treated cells; (C) H<sub>2</sub>O<sub>2</sub>-treated cells; and (D) cells pre-treated with oridonin and then treated with H<sub>2</sub>O<sub>2</sub>.</p></caption>
<graphic xlink:href="IJMM-33-01-0185-g02.gif"/></fig>
<fig id="f4-ijmm-33-01-0185" position="float">
<label>Figure 4</label>
<caption>
<p>Microarray analysis of miRNA expression. (A) HaCaT cells were pre-treated with oridonin prior to the addition of hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>). The cells were harvested and total RNA was purified. The RNA was labeled with cyanine 3-pCp, and then hybridized to miRNA microarrays. miRNA expression profiles were analyzed using Agilent GeneSpring GX software. Upregulated (left panel) and downregulated (right panel) miRNAs are listed in (A) and graphed in (B).</p></caption>
<graphic xlink:href="IJMM-33-01-0185-g03.gif"/></fig>
<fig id="f5-ijmm-33-01-0185" position="float">
<label>Figure 5</label>
<caption>
<p>Gene Ontology analysis of predicted target genes of miRNAs differentially expressed in response to treatment with oridonin.</p></caption>
<graphic xlink:href="IJMM-33-01-0185-g04.gif"/></fig>
<fig id="f6-ijmm-33-01-0185" position="float">
<label>Figure 6</label>
<caption>
<p>Molecular functions of predicted target genes of miRNAs differentially expressed in response to oridonin, based on Gene Ontology analysis.</p></caption>
<graphic xlink:href="IJMM-33-01-0185-g05.gif"/></fig>
<table-wrap id="tI-ijmm-33-01-0185" position="float">
<label>Table I</label>
<caption>
<p>miRNAs whose expression was altered following treatment with oridonin in H<sub>2</sub>O<sub>2</sub>-exposed HaCaT cells.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">miRNA<xref rid="tfn1-ijmm-33-01-0185" ref-type="table-fn">a</xref></th>
<th align="center" valign="bottom">FC</th>
<th align="center" valign="bottom">Chromosome</th>
<th align="center" valign="bottom">miRNA</th>
<th align="center" valign="bottom">FC</th>
<th align="center" valign="bottom">Chromosome</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">hsa-miR-1246</td>
<td align="left" valign="top">&#x02212;3.58</td>
<td align="left" valign="top">Chr2</td>
<td align="left" valign="top">hsa-miR-572</td>
<td align="center" valign="top">&#x02212;1.90</td>
<td align="left" valign="top">Chr4</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-1268</td>
<td align="left" valign="top">&#x02212;1.58</td>
<td align="left" valign="top">Chr15</td>
<td align="left" valign="top">hsa-miR-575</td>
<td align="center" valign="top">&#x02212;2.01</td>
<td align="left" valign="top">Chr4</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-1290</td>
<td align="left" valign="top">&#x02212;2.49</td>
<td align="left" valign="top">Chr1</td>
<td align="left" valign="top">hsa-miR-630</td>
<td align="center" valign="top">&#x02212;2.29</td>
<td align="left" valign="top">Chr15</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-135a-3p</td>
<td align="left" valign="top">&#x02212;1.87</td>
<td align="left" valign="top">Chr3</td>
<td align="left" valign="top">hsa-miR-642b-3p</td>
<td align="center" valign="top">&#x02212;1.68</td>
<td align="left" valign="top">Chr19</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-181b-5p</td>
<td align="left" valign="top">&#x02212;2.96</td>
<td align="left" valign="top">Chr1</td>
<td align="left" valign="top">hsa-miR-1305</td>
<td align="center" valign="top">1.59</td>
<td align="left" valign="top">Chr4</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-1973</td>
<td align="left" valign="top">&#x02212;1.51</td>
<td align="left" valign="top">Chr4</td>
<td align="left" valign="top">hsa-miR-152</td>
<td align="center" valign="top">2.13</td>
<td align="left" valign="top">Chr17</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-210</td>
<td align="left" valign="top">&#x02212;4.30</td>
<td align="left" valign="top">Chr11</td>
<td align="left" valign="top">hsa-miR-182-5p</td>
<td align="center" valign="top">2.87</td>
<td align="left" valign="top">Chr7</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-30c-5p</td>
<td align="left" valign="top">&#x02212;2.76</td>
<td align="left" valign="top">Chr1</td>
<td align="left" valign="top">hsa-miR-29b-3p</td>
<td align="center" valign="top">1.65</td>
<td align="left" valign="top">Chr1</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-30e-5p</td>
<td align="left" valign="top">&#x02212;1.53</td>
<td align="left" valign="top">Chr1</td>
<td align="left" valign="top">hsa-miR-4298</td>
<td align="center" valign="top">1.51</td>
<td align="left" valign="top">Chr11</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-3162-5p</td>
<td align="left" valign="top">&#x02212;1.57</td>
<td align="left" valign="top">Chr11</td>
<td align="left" valign="top">hsa-miR-939-5p</td>
<td align="center" valign="top">1.94</td>
<td align="left" valign="top">Chr8</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-4299</td>
<td align="left" valign="top">&#x02212;1.55</td>
<td align="left" valign="top">Chr11</td>
<td align="left" valign="top"/>
<td align="center" valign="top"/>
<td align="left" valign="top"/></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-ijmm-33-01-0185">
<label>a</label>
<p>The list shows miRNAs that exhibited &gt;1.5-fold change in expression after Flag sorting. FC, fold change.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tII-ijmm-33-01-0185" position="float">
<label>Table II</label>
<caption>
<p>Predicted targets of miRNAs which were upregulated in response to treatment with oridonin in H<sub>2</sub>O<sub>2</sub>-exposed HaCaT cells.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom"/>
<th colspan="4" align="center" valign="bottom">Target genes and functions</th></tr>
<tr>
<th align="left" valign="bottom"/>
<th colspan="4" align="left" valign="bottom">
<hr/></th></tr>
<tr>
<th align="left" valign="bottom">miRNA</th>
<th align="center" valign="bottom">Aging</th>
<th align="center" valign="bottom">Skin development</th>
<th align="center" valign="bottom">Apoptosis</th>
<th align="center" valign="bottom">Cell proliferation</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">hsa-miR-29b-3p</td>
<td align="left" valign="top">AURKB, FOS, CNR1, BAK1, LOXL2, NUAK1, ATP5G3</td>
<td align="left" valign="top">ABCB6, FRAS1, COL5A1, COL1A1, COL5A3</td>
<td align="left" valign="top">AURKB, BIRC2, NOTCH1, AKAP13, HMGB1, DIABLO, MAP2K4, TIAM1, ZNF336, BAK1, CNR1, MCL1, ISL1</td>
<td align="left" valign="top">AURKB, BIRC2, NOTCH1, ABI1, GAB1, ARNT, NASP, RXRB, STAT3, CDC7, CO80, AKT2, VEGFA</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-182-5p</td>
<td align="left" valign="top">BCL2, RTN4, TWIST1, MET, NOX4, AQP2, NUAK1</td>
<td align="left" valign="top">APC, TFAP2B</td>
<td align="left" valign="top">BCL2, TWIST1, APC, RARG, TOPORS, HDAC2, ARHGEF2, BAG1, CASP9, MLL, ROCK1, PDCD7, CREB1, RASSF6, MAPK9, SORT1, MEF2C, GLI2, AQP2</td>
<td align="left" valign="top">BCL2, TWIST1, NOX4, RBM5, BIRC5, RARG, WNT5A, ADK, CDK3, SMAD1, FIGF, NUM, NRAS</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-152</td>
<td align="left" valign="top">MNT, BRCA2, TP53, WNT1, MAP2K1, SCAP, CNR1</td>
<td align="left" valign="top">PTGES3, ERRFI1</td>
<td align="left" valign="top">MNT, TP53, WNT1, BRCA2, JAG2, ADAM17, BCL2L11, RTN3, SEMA3A, DEDD2, C1D, PDIA3, SIX4, TRIM39, USP7, BAG3, E2F1, CNR1</td>
<td align="left" valign="top">CDK1B, E2F1, ERBB3, JAG2, FGF1, FOXF1, IRS1, CDON</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-939-5p</td>
<td align="left" valign="top">CDKN1A, HRAS, RARA, SIN3A, TBX2, ICAM1, GRB2, HTT, BAK1</td>
<td align="left" valign="top">SRF, NGFR, EDA, TCF7L1, JUP, SUFU, COL1A1</td>
<td align="left" valign="top">CDKN1A, HRAS, CALR, CLU, SAMD3, MSX1, TCF7, TNF, CUL1, HDAC6, DFFA, IF16, DUSP2, E2F2, MCF2L, RHOB, SPDEF, IRAK1, USP47, AXL, ZMAT, BNIP2, TRAF1, PAX8</td>
<td align="left" valign="top">HRAS, RXRA, CLU, ERBB4, VDR, CDKN1A, SRF, TCF7, CREB3, VAX1, WDR6, OSR2, EDN2, IGF2, FOXO4, BAI1, TSC1, OSMR, IGF1R</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-1305</td>
<td align="left" valign="top">CTGF, JUN, NEK6, MSH2, ACAN, FAS, SERP1, CAT, FADS1, EDN1, MAPKAPK5, SIRT1, ATM, NR3C1, PTEN, CDK6</td>
<td align="left" valign="top">ITGA2, CDSN, ATP7A, STS, LEF1, PSEN1, COL1A2, TCF7L2, COL3A1, COL5A2, TFAP2C, BCL11B</td>
<td align="left" valign="top">JUN, FOXC1, FOXO1, HIF1A, NEK6, MSH2, YAP1, DICER1, BMI1, CD24, PDCD6IP, NET1, PSMD5, SIRT1, PTEN, ATM, IL6R, MDM4, SGK6, MAGI3, GLO1, LEF1, RB1, HOXA13, NF1, PAK2, DNAJC10, PECR, MAP2K, IFG1, ROBO1, SGK3, MITF, EDN1</td>
<td align="left" valign="top">JUN, WNT16, LEF1, FGFR2, HIF1A, MDM4, USP28, RB1, BMI1, STA1, CDK7, JAG1, ERG, FKTN, ATF3, CCNB1, BIRC6, LIFR, BCL6, PI3KR1, DICER1, IGF1, ID4, ROBO1, SGK3, MITF, KRAS</td></tr></tbody></table></table-wrap>
<table-wrap id="tIII-ijmm-33-01-0185" position="float">
<label>Table III</label>
<caption>
<p>Predicted targets of miRNAs which were downregulated in response to treatment with oridonin in H<sub>2</sub>O<sub>2</sub>-exposed HaCaT cells.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom"/>
<th colspan="4" align="center" valign="bottom">Functions of target genes</th></tr>
<tr>
<th align="left" valign="bottom"/>
<th colspan="4" align="left" valign="bottom">
<hr/></th></tr>
<tr>
<th align="left" valign="bottom">miRNA</th>
<th align="center" valign="bottom">Aging</th>
<th align="center" valign="bottom">Skin development</th>
<th align="center" valign="bottom">Apoptosis</th>
<th align="center" valign="bottom">Cell proliferation</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">hsa-miR-30c-5p</td>
<td align="left" valign="top">EDNRA, CAT, LIMS1, CISD2, MNT, SIRT1, TIMP3, UCP3, SLC6A3</td>
<td align="left" valign="top">BCL11B, PDGFA, OVOL1</td>
<td align="left" valign="top">EDNRA, CAT, BCL11B, VAV3, TRIM32, FRZB, GCG, AR, JAG2, BCL6, HIP1, SON, TIA1, CARD14, ARHGEF6, SIRT1, TCTN3, ITSN1, BEX2, MNT, MLL</td>
<td align="left" valign="top">EDNRA, CAT, BCL11B, IRS1, VAV3, TRIM32, FRZB, GCG, CDCA7, LRRK2, BIRC6, ERG, AR, JAG2, BCL6, PRG4, VIP, NOX1, MTBP, AREG, PELO, BNC1, TSC1, ERG, PDGFA, RUNX1, NFIB, LIFR, MAGI2</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-181b-5p</td>
<td align="left" valign="top">AGT, NR3C1, CNR1, MET, HCN2, SMC6, PDCD4, VCAM1</td>
<td align="left" valign="top">STS</td>
<td align="left" valign="top">CTNNA1, TGFBR1, PDCD4, HEY2, SGK3, GATA6, IFNG TNF, SOX7, KRIT1, DUSP6, AKT2, MAGI3, ARF6, PDCD2, RAD21, SORT1, MAP2K4</td>
<td align="left" valign="top">AGT, NR3C1, TGFBR1, STS, MORC3, MET, WNT16, ID4, VACM1, HEY2, SGK3, NBN, TNF, SOX7, CDKN3, CREB3, EREG, FGF7, MMP7, PKD2, APPL2, TGFBI, CDC73, ARTN</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-210</td>
<td align="left" valign="top">INPP5D, SIN3A, TFRC</td>
<td align="left" valign="top">-</td>
<td align="left" valign="top">INPP5D, SIN3A, RUNX3, CCKBR, AIFM3, DLX1, BTK</td>
<td align="left" valign="top">INPP5D, ASCL1, RUNX3, CCKBR, TRIB1, DEAF1, CSF1, NPPC, FGFRL1, PROK1</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-572</td>
<td align="left" valign="top">NOX4, FZR1, ATM</td>
<td align="left" valign="top">-</td>
<td align="left" valign="top">PIK3R1, BFAR, UACA, BAG1, ATM</td>
<td align="left" valign="top">NOX4, PIK3R1, CCNB1, CTH, BMPER, FZR1, ATM, CDH13</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-575</td>
<td align="left" valign="top">IL6, VDR, MAPK14, FAS, IL15, PTEN, TP63, EDN1</td>
<td align="left" valign="top">COL5A2, ITGA2, TP63</td>
<td align="left" valign="top">IL6, VDR, MAPK14, HDAC2, HIF1A, JAK3, MDM2, BID, AKAKP13, BCL2L1, VEGFB, CD40, DAPK3, MCL1, FXR1, CASP3, PTEN, TP63, EDN1</td>
<td align="left" valign="top">IL6, VDR, DLC1, HGF, HIF1A, PURA, OVOL2, WARS, PTEN, JAK3, MDM2, HDAC2, TP63, USP28, CD40, VSIG4, COMT, BCL2L1, DBN1, FGF1, NKX2-8, FOXA3, MMP14, PDFGB EVI5, DISC1, BRCA1, FGFR2, VEGFB</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-630</td>
<td align="left" valign="top">SOD2, SOCS, HMGCR, CANX, SLC1A2, MME</td>
<td align="left" valign="top">-</td>
<td align="left" valign="top">SOD2, YAP1, FOXO1, PAX3, CYLD, DOCK1, GHR, MPO, MKNK2, APAF1, TGFBR2, MEF2D, RAC1, PAK7, DDIT4, ETS1, XIAP, IL7, NOTCH2</td>
<td align="left" valign="top">SOD2, YAP1, FOXO1, TOB2, TDGF1, SMAD2, PID1, KLF5, FZD6, PAWR, XIAP, TGFBR2 CDON, MMP12, FYN, SAV1 SOCS2, NOTCH2, RASGRF1, FRS2</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-1290</td>
<td align="left" valign="top">NUP62, DLD, TGFB3, CDK6, TWIST1, GSN, SOCS3, BCL2, NUAK1, FADS1, MAP2K1</td>
<td align="left" valign="top">DHCR24, COL5A1, JUP, SUFU, DSP, ERRFI1</td>
<td align="left" valign="top">NUP62, FOXC1, EGFR, LRP6, SMAD3, NUAK2, NOTCH1, MEF2C, BMP4, RNF144B, RRN3, CUL4A, PTK2, RALB, ATG5, MAP3K5, MAP2K7, SOX9, ACTC1, TCHP, GDNF SIX4, STK24, BTG2, SOCS3, MAP3K1, BCL2, IGF1R</td>
<td align="left" valign="top">NUP62, TWIST, HTR2A, IGF1, DHCR24, TGFB3, TNFRSF9, SMAD3, MAP2K1, EGFR, F3, MEF2C, PRNP, PTK2, NRAS, TRIM24, CHUK, DLG3, DPT, EMP2, ANG, INSR, NOTCH3, IRF2, ATF3, IRAK4, FBXW7, TIPIN, NR2F2, CER1, ERBB4, BECN1, MAFG, CUL5, KRAS, MDM4, IRS2, ROBO1, CDK6</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-1246</td>
<td align="left" valign="top">PRKCQ, CTSC, PRELP</td>
<td align="left" valign="top">EDA</td>
<td align="left" valign="top">PRKCQ, CTSC, ESR2, HIPK2, CAV1, DIDO1, PEG3, SART1</td>
<td align="left" valign="top">PRKCQ, ESR2, PRKCA, BTC, WT1, CAV1, CGRRF1, DKC1, MYO16, SESN1, ING1, PCM1, PRL, ACE2, WNT2B, POLA1</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-1268</td>
<td align="left" valign="top">DBH, TERF1, CDKN2A</td>
<td align="left" valign="top">DDR1, TGM3</td>
<td align="left" valign="top">DBH, TERF1, E2F1, CARD10, PAX2, MAPK1, SFRP4, PAX8, TBX5, TRIO, TNS4, BCL2L15, E2F2, CARD8, NOL3</td>
<td align="left" valign="top">DBH, NES, E2F1, TBX5, FTO, ICMT, RASGRP4, PGR, EGR4, CXCL10, TRIM27, TGFB1I1, MITF, BNIPL, PAX2, MAPK1, CDKN2A, IGFBR3, EIF5A2</td></tr></tbody></table></table-wrap></floats-group></article>
