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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.2017.2954</article-id>
<article-id pub-id-type="publisher-id">ijmm-39-06-1428</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Identification of key genes associated with Schmid-type metaphyseal chondrodysplasia based on microarray data</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Wang</surname><given-names>Bing</given-names></name><xref rid="af1-ijmm-39-06-1428" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>He</surname><given-names>Li</given-names></name><xref rid="af2-ijmm-39-06-1428" ref-type="aff">2</xref><xref ref-type="corresp" rid="c1-ijmm-39-06-1428"/></contrib>
<contrib contrib-type="author">
<name><surname>Miao</surname><given-names>Wusheng</given-names></name><xref rid="af1-ijmm-39-06-1428" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Wu</surname><given-names>Ge</given-names></name><xref rid="af1-ijmm-39-06-1428" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Jiang</surname><given-names>Hai</given-names></name><xref rid="af1-ijmm-39-06-1428" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Wu</surname><given-names>Yongtao</given-names></name><xref rid="af1-ijmm-39-06-1428" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Qu</surname><given-names>Jining</given-names></name><xref rid="af1-ijmm-39-06-1428" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Li</surname><given-names>Min</given-names></name><xref rid="af1-ijmm-39-06-1428" ref-type="aff">1</xref></contrib></contrib-group>
<aff id="af1-ijmm-39-06-1428">
<label>1</label>Department of Pediatric Orthopedics, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi 710054</aff>
<aff id="af2-ijmm-39-06-1428">
<label>2</label>Department of Child Health Care, Xi'an Children's Hospital, Xi'an, Shaanxi 710003, P.R. China</aff>
<author-notes>
<corresp id="c1-ijmm-39-06-1428">Correspondence to: Dr Li He, Department of Child Health Care, Xi'an Children's Hospital, 69 West Juyuan Alley, Lianhu, Xi'an, Shaanxi 710003, P.R. China, E-mail: <email>heliihhhhh@hotmail.com</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>06</month>
<year>2017</year></pub-date>
<pub-date pub-type="epub">
<day>19</day>
<month>04</month>
<year>2017</year></pub-date>
<volume>39</volume>
<issue>6</issue>
<fpage>1428</fpage>
<lpage>1436</lpage>
<history>
<date date-type="received">
<day>11</day>
<month>11</month>
<year>2015</year></date>
<date date-type="accepted">
<day>28</day>
<month>03</month>
<year>2017</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Wang et al.</copyright-statement>
<copyright-year>2017</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license></permissions>
<abstract>
<p>This study aimed to gain a better understanding of the molecular circuitry of Schmid-type metaphyseal chondrodysplasia (SMCD), and to identify more potential genes associated with the pathogenesis of SMCD. Microarray data from GSE72261 were downloaded from the NCBI GEO database, including collagen X p.Asn617Lys knock-in mutation (<italic>ColX<sup>N617K</sup></italic>), ablated <italic>XBP1</italic> activity (<italic>Xbp1<sup>Cart&#x00394;Ex2</sup></italic>), compound mutant (C/X), and wild-type (WT) specimens. Differentially expressed genes (DEGs) were screened in Xbp1 vs. WT, Col vs. WT and CX vs. WT, respectively. Pathway enrichment analysis of these DEGs was performed. Transcription factors (TFs) of the overlapping DEGs were identified. Weighted correlation network analysis (WGCNA) was performed to find modules of DEGs with high correlations, followed by gene function analysis and a protein-protein interaction network construction. In total, 481, 1,530 and 1,214 DEGs were identified in Xbp1 vs. WT, Col vs. WT and CX vs. WT, respectively. These DEGs were enriched in different pathways, such as extracellular matrix (ECM)-receptor interaction and metabolism-related pathways. A total of 7 TFs were found to regulate 19 common upregulated genes, and 4 TFs were identified to regulate 21 common downregulated genes. Two significant gene co-expression modules were enriched and DEGs in the 2 modules were mainly enriched in different biological processes, such as ribosome biogenesis. Moreover, <italic>Kras</italic> (downregulated), <italic>Col5a1</italic> (upregulated) and <italic>Furin</italic> (upregulated) were both identified in the regulatory networks and protein-protein interaction (PPI) network. On the whole, our findings indicate that the <italic>Kras</italic>, <italic>Col5a1</italic> and <italic>Furin</italic> genes may play essential roles in the molecular mechanisms of SMCD, which warrants further investigation.</p></abstract>
<kwd-group>
<kwd>Schmid-type metaphyseal chondrodysplasia</kwd>
<kwd>differentially expressed genes</kwd>
<kwd>functional enrichment analysis</kwd>
<kwd>protein-protein interaction network</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Schmid-type metaphyseal chondrodysplasia (SMCD), a relatively common form of metaphyseal chondrodysplasia, is an autosomal inherited chondrodysplasia; affected patients are of short stature and exhibit coxa vara, genu varum and a waddling gait due to skeletal deformities, resulting from growth plate cartilage abnormalities (<xref rid="b1-ijmm-39-06-1428" ref-type="bibr">1</xref>,<xref rid="b2-ijmm-39-06-1428" ref-type="bibr">2</xref>). Although chondrodysplasias are considered rare &#x0005B;the incidence of chondrodysplasias is 1/4,000 births (<xref rid="b3-ijmm-39-06-1428" ref-type="bibr">3</xref>)&#x0005D;, they severely affect the quality of life of affected individuals. Chondrodysplasias have diverse etiologies and there is ample evidence to indicate that SMCD is caused by heterozygous mutations in the gene of collagen, type X, alpha 1 (<italic>Col10a1</italic>) (<xref rid="b4-ijmm-39-06-1428" ref-type="bibr">4</xref>). The gene encodes a chain of type X collagen molecule whose expression is largely restricted to zones of calcifying or degrading growth plate cartilage, and thus the mutations of <italic>Col10a1</italic> may interfere with endochondral ossification (<xref rid="b5-ijmm-39-06-1428" ref-type="bibr">5</xref>).</p>
<p>It has been demonstrated that many mutations in genes that encode cartilage extracellular matrix (ECM) molecules are involved in the etiology of chondrodysplasias (<xref rid="b6-ijmm-39-06-1428" ref-type="bibr">6</xref>). Chondrodysplasias caused by mutations associated with ECM are due to inappropriate processing, folding, or export of the abnormal ECM molecules, resulting in the accumulation of these molecules within the endoplasmic reticulum (ER) of chondrocytes (<xref rid="b3-ijmm-39-06-1428" ref-type="bibr">3</xref>,<xref rid="b7-ijmm-39-06-1428" ref-type="bibr">7</xref>). Subsequent to the cellular retention of mutant ECM proteins, chondrocyte ER stress and the unfolded protein response (UPR) are activated, in an attempt by the cells to deal with the inappropriate retention of mutant proteins (<xref rid="b8-ijmm-39-06-1428" ref-type="bibr">8</xref>). Rajpar <italic>et al</italic> used the mouse models phenocopying SMCD, a condition involving dwarfism and hypertrophic zone expansion of the growth plate caused by autosomal dominant mutations in <italic>Col10a1</italic>, and demonstrated the central importance of ER stress in the pathology of SMCD (<xref rid="b9-ijmm-39-06-1428" ref-type="bibr">9</xref>). By contrast, the UPR can be activated via ER membrane-spanning sensors, such as inositol-requiring enzyme-1 (IRE1) and activated IRE1 can splice the coding sequence of the X-box binding protein 1 (<italic>XBP1</italic>), a transcription factor (TF) responsible for multiple UPR target gene expression (<xref rid="b10-ijmm-39-06-1428" ref-type="bibr">10</xref>). Recently, Cameron <italic>et al</italic> demonstrated that the IRE1/XBP1 pathway was redundant to cartilage pathology and they proposed that the XBP1-independent UPR-driven dysregulation of CCAAT/enhancer binding protein &#x003B2; (C/EBP-&#x003B2;), a TF important for the transition from chondrocyte proliferation to hypertrophy, was significant for the pathophysiology of SMCD (<xref rid="b11-ijmm-39-06-1428" ref-type="bibr">11</xref>). However, the limited studies have not yet revealed the details of the molecule circuitry in SMCD.</p>
<p>In this study, we downloaded the microarray data from GSE72261, the same gene expression profiling used in the study by Cameron <italic>et al</italic>, from a publicly available database (<xref rid="b11-ijmm-39-06-1428" ref-type="bibr">11</xref>). Mice with a SMCD collagen X p.Asn617Lys knock-in mutation (<italic>ColX<sup>N617K</sup></italic>) were crossed with mice in which <italic>XBP1</italic> activity was ablated specifically in cartilage (<italic>Xbp1<sup>Cart&#x00394;Ex2</sup></italic>), generating the compound mutant, C/X (<xref rid="b11-ijmm-39-06-1428" ref-type="bibr">11</xref>). In the study by Cameron <italic>et al</italic> (<xref rid="b11-ijmm-39-06-1428" ref-type="bibr">11</xref>), they mainly focused on the analysis of role of the IRE1/XBP1 pathway in the pathophysiology of SMCD, and thus they represented the XBP1-dependent gene expression changes using differentially expressed probes between <italic>ColX<sup>N617K</sup></italic> and wild-type (WT), but not between <italic>Xbp1<sup>Cart&#x00394;Ex2</sup></italic> and WT or C/X and WT; the XBP1-independent gene expression changes using differentially expressed probes between <italic>ColX<sup>N617K</sup></italic> and WT, and between C/X and WT, but not <italic>Xbp1<sup>Cart&#x00394;Ex2</sup></italic> and WT. However, they did not analyze the gene part between <italic>ColX<sup>N617K</sup></italic> and WT, C/X and WT, and <italic>Xbp1<sup>Cart&#x00394;Ex2</sup></italic> and WT, as well as the gene part between <italic>ColX<sup>N617K</sup></italic> and WT, <italic>Xbp1<sup>Cart&#x00394;Ex2</sup></italic> and WT, but not C/X and WT.</p>
<p>In the present study, differentially expressed genes (DEGs) were screened in <italic>ColX<sup>N617K</sup></italic>, <italic>Xbp1<sup>Cart&#x00394;Ex2</sup></italic> and C/X hypertrophic zone samples compared with WT hypertrophic zone specimens, respectively. Subsequently, comprehensive bioinformatics was used to analyze the significant pathways of the DEGs, identification of TFs of the overlapping DEGs both in the three comparison groups and construction of the corresponding regulation networks. Furthermore, to further analyze the more potential genes associated with SMCD, gene co-expression modules, as well as protein-protein interaction (PPI) networks were constructed based on the sum of DEGs. We focused on the overlap of the results between regulatory networks and co-expression analysis. The aim of this study was to gain a better understanding of the molecular circuitry of SMCD, and to identify more potential genes associated with the pathogenesis of SMCD.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Microarray data and data preprocessing</title>
<p>The microarray data of GSE72261, deposited by Cameron <italic>et al</italic> (<xref rid="b11-ijmm-39-06-1428" ref-type="bibr">11</xref>), were downloaded from the National Center for Biotechnology Information (NCBI) Gene Expression Omnibus (GEO) database (<ext-link xlink:href="http://www.nibi.nih.gov/geo/" ext-link-type="uri">http://www.nibi.nih.gov/geo/</ext-link>). As described in the original study (<xref rid="b11-ijmm-39-06-1428" ref-type="bibr">11</xref>), hypertrophic zones were microdissected from one proximal tibial growth plate from three 2-week old WT mice, three 2-week old mice carrying a <italic>Col10a1</italic> p.N617K mutation (<italic>ColX<sup>N617K</sup></italic>), three 2-week old mice lacking XBP1 activity in chondrocytes (<italic>Xbp1<sup>Cart&#x00394;Ex2</sup></italic>), and three 2-week old mice resulting from a cross between <italic>ColX<sup>N617K</sup></italic> and <italic>Xbp1<sup>Cart&#x00394;Ex2</sup></italic> (C/X). Thus, the GSE72261 dataset consisted of 3 WT samples, 3 Xbp1<sup>Cart&#x00394;Ex2</sup> specimens (named Xbp1), 3 ColX<sup>N617K</sup> specimens (named Col) and 3 C/X specimens (named C/X). The corresponding platform was GPL6887 Illumina MouseWG-6 v2.0 expression beadchip. In this study, all these 12 samples were selected to carry out the follow-up analysis.</p>
<p>The non-normalized data were downloaded and preprocessed using preprocessCore package (<xref rid="b12-ijmm-39-06-1428" ref-type="bibr">12</xref>) which is a part of Bioconductor project (<ext-link xlink:href="http://www.bioconductor.org/" ext-link-type="uri">http://www.bioconductor.org/</ext-link>). Besides, with the use of org.Mm.eg.db (<xref rid="b13-ijmm-39-06-1428" ref-type="bibr">13</xref>) and illuminaMousev2.db (<xref rid="b14-ijmm-39-06-1428" ref-type="bibr">14</xref>) packages of bioconductor, the probe symbols were transformed into corresponding gene symbols. The expression value was averaged for each gene when multiple probes were mapped to the same gene. After data preprocessing, 20,106 gene expression matrix were received.</p></sec>
<sec>
<title>Screening of DEGs</title>
<p>The DEGs in Xbp1 vs. WT, Col vs. WT, and CX vs. WT were analyzed using the limma package (<xref rid="b15-ijmm-39-06-1428" ref-type="bibr">15</xref>) in R/Bioconductor. |log<sub>2</sub>fold change (FC)| and p-values from an unpaired t-test implemented in the limma package (<xref rid="b15-ijmm-39-06-1428" ref-type="bibr">15</xref>) were used to select the DEGs. Values of p&lt;0.01 and |log<sub>2</sub>FC|&#x02265;0.58 (showing &gt;1.5-fold differential expression) were set as the cut-off criteria. Additionally, the DEGs identified in Xbp1 vs. WT, Col vs. WT and CX vs. WT, respectively were clustered using the gplots package (<xref rid="b16-ijmm-39-06-1428" ref-type="bibr">16</xref>) in R, evaluating whether the DEGs identified were sample-specific. The results were displayed as heatmaps.</p>
<p>By contrast, in the original study by Cameron <italic>et al</italic> (<xref rid="b11-ijmm-39-06-1428" ref-type="bibr">11</xref>), DEGs were screened in Xbp1 vs. WT, Col vs. WT and CX vs. WT, respectively with &gt;2-fold differential expression and with an adjusted p-value of 0.01. Moreover, Cameron <italic>et al</italic> focused on the DEGs in Col vs. WT, but not Xbp1 vs. WT or CX vs. WT, and the DEGs in Col vs. WT and CX vs. WT, but not Xbp1 vs. WT, in the subsequent analysis.</p></sec>
<sec>
<title>Pathway enrichment analysis</title>
<p>The database for annotation, visualization and integrated discovery (DAVID) online software can provide a comprehensive set of functional annotation tools (<xref rid="b17-ijmm-39-06-1428" ref-type="bibr">17</xref>). In order to analyze the identified DEGs on the functional level, the Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis was performed for all DEGs using DAVID software (<xref rid="b17-ijmm-39-06-1428" ref-type="bibr">17</xref>). Subsequently, p-values were calculated using the hypergeometric test (<xref rid="b18-ijmm-39-06-1428" ref-type="bibr">18</xref>). Gene count &#x02265;2 and p-values &lt;0.05 were set as the cut-off criterion for pathway enrichment analysis.</p></sec>
<sec>
<title>Identification of TFs and construction of the regulatory network</title>
<p>iRegulon (<xref rid="b19-ijmm-39-06-1428" ref-type="bibr">19</xref>), available as a Cytoscape (<xref rid="b20-ijmm-39-06-1428" ref-type="bibr">20</xref>) plugin, implements a genome-wide ranking-and-recovery approach to detect enriched TF motifs and their optimal sets of direct target genes (<xref rid="b19-ijmm-39-06-1428" ref-type="bibr">19</xref>). Besides, iRegulon allows the integration of predicted regulatory binding sites directly into a biological network (<xref rid="b19-ijmm-39-06-1428" ref-type="bibr">19</xref>). In the original study by Cameron <italic>et al</italic> (<xref rid="b11-ijmm-39-06-1428" ref-type="bibr">11</xref>), DEGs in Col vs. WT and CX vs. WT and Xbp1 vs. WT, as well as the DEGs between in Col vs. WT and Xbp1 vs. WT, but not CX vs. WT, were analyzed. In this study, we screened out the overlapping DEGs with consistent expression changes (both upregulated or both downregulated) in the 3 groups (Xbp1 vs. WT, Col vs. WT and CX vs. WT). The lists of overlapping DEGs with consistent expression change were subjected to iRegulon (<xref rid="b19-ijmm-39-06-1428" ref-type="bibr">19</xref>) and used to predict their transcriptional regulators using the following parameters: minimum identity between orthologous genes, 0.05; and maximum false discovery rate on motif similarity, 0.001. The predicted TF-DEG pairs with normalized enrichment scores (NES) (<xref rid="b19-ijmm-39-06-1428" ref-type="bibr">19</xref>) &gt;4.5 were selected for further analysis and the regulatory networks were constructed.</p></sec>
<sec>
<title>Analysis of gene co-expression modules</title>
<p>To further analyze the more potential genes associated with SMCD, we intended to perform gene co-expression analysis of DEGs. For reducing the deviation, we used all the DEGs as the scope of gene co-expression analysis.</p>
<p>Weighted correlation network analysis (WGCNA) can be used for finding modules (clusters) of genes with high correlations, or relating modules to external sample traits (<xref rid="b21-ijmm-39-06-1428" ref-type="bibr">21</xref>). A robust correlation coefficient emphasizes high correlations of genes and results in a weighted network (<xref rid="b21-ijmm-39-06-1428" ref-type="bibr">21</xref>). In this study, WGCNA R software package (<xref rid="b21-ijmm-39-06-1428" ref-type="bibr">21</xref>), which can cluster the most highly co-expressed genes in defined modules, was applied to detect modules of co-expressed genes of all the DEGs identified in Xbp1 vs. WT, Col vs. WT, and CX vs. WT. If the absolute value of the correlation coefficient was high, the co-expressed genes clustered in modules would have high gene co-expression trend consistency and the modules would be significantly related to external sample traits.</p></sec>
<sec>
<title>Functional enrichment analysis of genes in the co-expression modules</title>
<p>In order to analyze gene co-expression modules on the functional level, Gene Ontology (GO) enrichment analysis was carried out using DAVID online tool (<xref rid="b17-ijmm-39-06-1428" ref-type="bibr">17</xref>) to obtain the enriched biological process (BP) terms. A hypergeometric test (<xref rid="b18-ijmm-39-06-1428" ref-type="bibr">18</xref>) was applied to examine the significance of this enrichment analysis. The count number &#x02265;2 and p-value &lt;0.05 were used as the cut-off criterion.</p></sec>
<sec>
<title>Construction of PPI network based on genes in the co-expression modules</title>
<p>The Search Tool for the Retrieval of Interacting Genes (STRING) database can be used as it provides easy access to known and predicted protein interactions (<xref rid="b22-ijmm-39-06-1428" ref-type="bibr">22</xref>). The interaction probabilities of proteins in STRING are provided with a confidence score (<xref rid="b22-ijmm-39-06-1428" ref-type="bibr">22</xref>). A protein with a confidence score &gt;0.4 is deemed to have medium confidence of interaction with other proteins (<xref rid="b23-ijmm-39-06-1428" ref-type="bibr">23</xref>). In the present study, the STRING database was used to select the PPIs among the DEGs identified in the co-expression modules with default parameters (species: <italic>mus musculus</italic>). Interaction pairs of DEGs with the confidence score &#x02265;0.4 were selected for the PPI network construction and the network was visualized using Cytoscape software (<xref rid="b24-ijmm-39-06-1428" ref-type="bibr">24</xref>), where nodes indicated proteins and edges indicated physical interactions. In addition, node degrees of the DEGs were calculated. The nodes with higher degree in the network were considered as hub proteins.</p>
<p>Furthermore, we integrated the results of regulatory networks and PPI networks. The DEGs identified both in the regulatory network and PPI network may be more potential key genes associated with SMCD.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Screening of DEGs</title>
<p>According to the gene expression profile, with p-values &lt;0.01 and |log2FC|&#x02265;0.58, there were 481 DEGs identified in Xbp1 vs. WT, comprising 308 upregulated genes and 173 downregulated genes. The corresponding heatmap of the DEGs is shown in <xref rid="f1-ijmm-39-06-1428" ref-type="fig">Fig. 1A</xref>. Furthermore, 1,530 DEGs (831 up- and 699 downregulated genes) and 1,214 DEGs (640 up- and 574 downregulated genes) were screened out in Col vs. WT and CX vs. WT, respectively. The respective heatmaps are shown in <xref rid="f1-ijmm-39-06-1428" ref-type="fig">Fig. 1B and C</xref>. From the heatmaps, we found that the identified DEGs could distinguish the experimental samples from the WT samples, suggesting the DEGs were eligible for the subsequent analysis.</p></sec>
<sec>
<title>KEGG pathway enrichment analysis of the DEGs identified</title>
<p>The KEGG pathways of the significantly upregulated and downregulated DEGs are summarized in <xref rid="tI-ijmm-39-06-1428" ref-type="table">Table I</xref>. In total, 6 pathways were enriched based on the DEGs identified in Xbp1 vs. WT, such as ECM-receptor interaction and focal adhesion. Moreover, a number of pathways were enriched by the upregulated and downregulated genes in Col vs. WT and CX vs. WT. <xref rid="tI-ijmm-39-06-1428" ref-type="table">Table I</xref> only displays the top 10 and 5 pathways enriched by these DEGs in Col vs. WT and CX vs. WT, respectively. For instance, the upregulated genes in Col vs. WT were significantly associated with aminoacyl-tRNA biosynthesis and associated with ER stress (<xref rid="b11-ijmm-39-06-1428" ref-type="bibr">11</xref>), such as RNA degradation and glutathione metabolism. The downregulated genes in Col vs. WT were associated with focal adhesion. On the other hand, the upregulated genes identified in CX vs. WT were significantly associated with glycolysis/gluconeogenesis, as well as with the fructose and mannose metabolism pathways. The downregulated genes in CX vs. WT were found to be linked with leukocyte transendothelial migration.</p></sec>
<sec>
<title>Analysis of the regulatory network</title>
<p>Among all the DEGs identified in Xbp1 vs. WT, Col vs. WT and CX vs. WT, a total of 24 common upregulated genes and 43 common downregulated genes were identified. The expression changes of these common DEGs in all the samples are shown in the heatmap (<xref rid="f1-ijmm-39-06-1428" ref-type="fig">Fig. 1D</xref>). With NES &gt;4.5, total 7 TFs were found to regulate 19 common upregulated genes (<xref rid="f2-ijmm-39-06-1428" ref-type="fig">Fig. 2A</xref>). These 7 TFs were DEAF1 transcription factor (Deaf1, NES=5.608), sterol regulatory element binding transcription factor 1 (Srebf1, NES=5.579), GATA binding protein 1 (Gata1, NES=5.315), Hes Family BHLH transcription factor 5 (Hes5, NES=5.135), RAR-related orphan receptor C (Rorc, NES=4.74), hedgehog acyltransferase (Hhat, NES=4.593) and CAMP responsive element binding protein 3-like 1 (Cereb3l1, NES=4.535). By contrast, a total of 4 TFs were identified to regulate 21 common downregulated genes (<xref rid="f2-ijmm-39-06-1428" ref-type="fig">Fig. 2B</xref>). These 4 TFs were zinc finger and BTB domain containing 14 (Zbtb14, NES=5.722), SMAD family member 4 (Smad4, NES=5.313), TATA box binding protein (Tbp, NES=5.137), JAZF zinc finger 1 (Jazf1, NES=4.627). However, all the TFs that could regulate upregulated genes or downregulate genes were not DEGs.</p></sec>
<sec>
<title>Gene co-expression modules and functional enrichment analysis of genes in these modules</title>
<p>As already indicated, all the identified DEGs in the 3 groups (Xbp1 vs. WT, Col vs. WT and CX vs. WT) were used to construct the co-expression network. Thus, 2,258 genes were included (967 common genes were removed, including overlapping DEGs in the 3 groups or only 2 groups). WGCNA analysis identified a total of 11 modules with highly co-expressed genes (<xref rid="f2-ijmm-39-06-1428" ref-type="fig">Fig. 2C</xref>). Besides, this analysis led to the identification of dark green-colored (correlation coefficient, 0.94) and green-colored (correlation coefficient, &#x02212;0.89) modules with highest significance value (<xref rid="tII-ijmm-39-06-1428" ref-type="table">Table II</xref>). The results of several significant GO BP terms (ranked by p-value) of DEGs in these 2 colored modules are shown in <xref rid="tIII-ijmm-39-06-1428" ref-type="table">Table III</xref>. The results demonstrated that genes enriched in the dark green-colored module were significantly associated with the biological processes, such as ribonucleoprotein complex biogenesis and ribosome biogenesis. Additionally, genes enriched in the green-colored module were significantly correlated with cell adhesion and biological adhesion. Moreover, both the dark green- and green-colored modules were significantly enriched for biosynthetic processes, such as water-soluble vitamin biosynthetic process and cholesterol biosynthetic process.</p></sec>
<sec>
<title>PPI network analysis</title>
<p>The PPI networks upon the DEGs in the dark green- and green-colored modules are shown in <xref rid="f3-ijmm-39-06-1428" ref-type="fig">Figs. 3</xref> and <xref rid="f4-ijmm-39-06-1428" ref-type="fig">4</xref>, respectively. The PPI network of genes in the dark green-colored module consisted of 228 nodes and 444 interactions (edges) (<xref rid="f3-ijmm-39-06-1428" ref-type="fig">Fig. 3</xref>). There were 13 DEGs with a node degree &gt;12 in the network, namely, MRNA turnover 4 homolog (<italic>S. cerevisiae</italic>) (<italic>Mrto4</italic>) (degree = 27), ribosomal protein S27a (<italic>Rps27A</italic>) (degree = 25), WD repeat domain 74 (<italic>Wdr74</italic>) (degree = 21), FBJ murine osteosarcoma viral oncogene homolog (<italic>Fos</italic>) (degree = 20), vascular endothelial growth factor A (<italic>Vegfa</italic>) (degree = 19), IMP3, U3 small nucleolar ribonucleoprotein (<italic>Imp3</italic>) (degree = 17), Jun D proto-oncogene (<italic>Jund</italic>) (degree = 15), PWP2 periodic tryptophan protein homolog (yeast; <italic>Pwp2</italic>) (degree = 15), pescadillo ribosomal biogenesis factor 1 (<italic>Pes1</italic>) (degree = 15), ribosomal RNA processing 9, small subunit (<italic>Ssu</italic>) processome component, homolog (yeast; <italic>Rrp9</italic>) (degree = 13), NOP2/Sun RNA methyltransferase family, member 2 (<italic>Nsun2</italic>) (degree = 13), TRNA methyltransferase 1 homolog (<italic>S. cerevisiae</italic>) (<italic>Trmt1</italic>) (degree = 13), cyclin D2 (<italic>Ccnd2</italic>) (degree = 13). In addition, the 13 DEGs had no overlap in the regulatory networks.</p>
<p>On the other hand, the PPI network of genes in the green-colored module included 135 nodes and 166 interactions (edges) (<xref rid="f4-ijmm-39-06-1428" ref-type="fig">Fig. 4</xref>). Besides, there were 11 DEGs with a node degree &gt;5 in this network, namely, Kirsten rat sarcoma viral oncogene homolog (<italic>Kras</italic>) (degree = 14), collagen, type V, alpha 1 (<italic>Col5a1</italic>) (degree = 11), actin gamma 1 (<italic>Actg1</italic>) (degree = 10), protein kinase, CAMP-dependent, catalytic, alpha (<italic>Prkaca</italic>) (degree = 9), Furin (paired basic amino acid cleaving enzyme) (<italic>Furin</italic>) (degree = 9), heparan sulfate proteoglycan 2 (<italic>Hspg2</italic>) (degree = 8), phosphodiesterase 11A (<italic>Pde11A</italic>) (degree = 8), collagen, type XXVII, alpha 1 (<italic>Col27a1</italic>) (degree = 7), wingless-type M MTV integration site fam ily, member 5B (<italic>Wnt5b</italic>) (degree = 6), myosin, heavy chain 9, non-muscle (<italic>Myh9</italic>) (degree = 6), TIMP metallopeptidase inhibitor 1 (<italic>Timp1</italic>) (degree = 6). Fortunately, we found that 3 of these 11 DEGs, <italic>Kras</italic> (downregulated), <italic>Col5a1</italic> (upregulated), and <italic>Furin</italic> (upregulated) were also included in the regulatory networks.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In the current study, 481, 1,530 and 1,214 DEGs were screened out in Xbp1 vs. WT, Col vs. WT and CX vs. WT, respectively. Pathway enrichment analysis revealed that these DEGs were enriched in different pathways, such as ECM-receptor interaction, focal adhesion and pathways associated with metabolism. In total, 7 TFs were found to regulate 19 common upregulated genes that were with consistent gene change in the 3 groups, while 4 TFs were identified to regulate 21 common downregulated genes. WGCNA demonstrated that 2 significantly enriched gene co-expression modules (dark green- and green-colored modules) and DEGs in the 2 modules were mainly enriched different biological processes, such as ribosome biogenesis. Moreover, <italic>Kras</italic> (downregulated), <italic>Col5a1</italic> (upregulated), and <italic>Furin</italic> (upregulated) were both in the regulatory networks and PPI network.</p>
<p>With greater than 2-fold differential expression and with an adjusted p-value of 0.01, Cameron <italic>et al</italic> (<xref rid="b11-ijmm-39-06-1428" ref-type="bibr">11</xref>) identified 1,337, 215 and 1,633 differentially expressed probes in CX vs. WT, Xbp1 vs. WT and Col vs. WT, respectively. The amount of DEGs identified in this study was slightly different from the original study of Cameron <italic>et al</italic> (<xref rid="b11-ijmm-39-06-1428" ref-type="bibr">11</xref>), which may result from different analysis methods or analytical errors. In the present study, we first paid more attention to the DEGs which had not been analyzed in the original study by Cameron <italic>et al</italic> (<xref rid="b11-ijmm-39-06-1428" ref-type="bibr">11</xref>), including DEGs in Col vs. WT and CX vs. WT and Xbp1 vs. WT, as well as the DEGs between in Col vs. WT and Xbp1 vs. WT, but not CX vs. WT. Finally, our focus was the DEGs both identified in the regulatory networks and PPI networks.</p>
<p><italic>Kras</italic> was one of the DEGs that were identified in the regulatory networks and PPI network. <italic>Kras</italic>, a Kirsten ras oncogene homolog from the mammalian ras gene family, encodes a protein that is a member of the small GTPase super-family (<xref rid="b25-ijmm-39-06-1428" ref-type="bibr">25</xref>). Evidence has indicated that <italic>Kras</italic> can orchestrate multiple metabolic changes, including differential channeling of glucose intermediates, stimulation of glucose uptake, and reprogrammed glutamine metabolism (<xref rid="b26-ijmm-39-06-1428" ref-type="bibr">26</xref>). Moreover, Chan <italic>et al</italic> demonstrated that intracellular mutant collagen X could lead to deregulated cellular metabolism (<xref rid="b27-ijmm-39-06-1428" ref-type="bibr">27</xref>). Taken together, we suggested that <italic>Kras</italic> may play a critical role in the development of SMCD via the regulation of cell metabolism.</p>
<p>It is well known that SMCD can be caused by heterozygous mutations in the <italic>Col10a1</italic> gene (<xref rid="b4-ijmm-39-06-1428" ref-type="bibr">4</xref>). In the present study, <italic>Col5a1</italic> was found to be another significant DEG identified both in the regulatory networks and PPI network. <italic>Col5a1</italic> encodes an alpha chain for one of the low abundance fibrillar collagens (<xref rid="b28-ijmm-39-06-1428" ref-type="bibr">28</xref>). It has been demonstrated that <italic>Col5a1</italic> is regulated by transforming growth factor-&#x003B2; (TGF-&#x003B2;) in osteoblasts (<xref rid="b29-ijmm-39-06-1428" ref-type="bibr">29</xref>), and <italic>Col5a1</italic> is involved in the collagen biosynthesis, which is associated with chondrocyte differentiation (<xref rid="b11-ijmm-39-06-1428" ref-type="bibr">11</xref>). In agreement with previous studies, we infer that <italic>Col5a1</italic> may play a critical role in the pathogenesis of SMCD by participating in chondrocyte differentiation, although further verifications are required to confirm this result.</p>
<p>Furthermore, <italic>Furin</italic> was another focus in this study, which was identified both in the regulatory networks and PPI network. Furin is likely to represent the ubiquitous endoprotease activity within constitutive secretory pathways (<xref rid="b30-ijmm-39-06-1428" ref-type="bibr">30</xref>). Evidence has indicated that Furin is an authentic TGF-&#x003B2;1-converting enzyme (<xref rid="b30-ijmm-39-06-1428" ref-type="bibr">30</xref>). Besides, pericellular and diffuse interterritorial distribution of TGF-&#x003B2;2 has been observed in patients with SMCD and there may be a functional interaction of TGF-&#x003B2;2 and type X collagen (<xref rid="b31-ijmm-39-06-1428" ref-type="bibr">31</xref>). Thus, <italic>Furin</italic> may be essential in the mechanisms of SMCD, which warrants further investigation.</p>
<p>However, this study has several limitations. First, a larger sample size in the further investigations is warranted in order to verify our findings. Second, the lack of cross-check and experimental verification were also limitations. Validation using other datasets in similar topic may be used to cross-check our results. In the future, we aim to carry out experimental verifications using different analytical approaches, such as reverse transcription-quantitative polymerase chain reaction (RT-qPCR) and immunohistochemistry.</p>
<p>In conclusion, the data of the present study revealed several potential key genes (<italic>Kras</italic>, <italic>Col5a1</italic> and <italic>Furin</italic>) which may play a role in the molecular mechanisms responsible for SMCD. <italic>KRAS</italic> may play a critical role in the development of SMCD via the regulation of cell metabolism. Besides, <italic>Col5a1</italic> may play a critical role in the pathogenesis of SMCD by participating in chondrocyte differentiation. <italic>Furin</italic> may be essential to the mechanisms of SMCD through an interaction with type X collagen. Further characterization of the genes identified in this study may provide deeper insight into the pathology of SMCD.</p></sec></body>
<back>
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<floats-group>
<fig id="f1-ijmm-39-06-1428" position="float">
<label>Figure 1</label>
<caption>
<p>Heatmaps. (A) Heatmaps of differentially expressed genes (DEGs) identified in Xbp1 vs. WT. (B) Heat maps of DEGs identified in Col vs. WT. (C) Heat maps of DEGs identified in CX vs. WT. (D) Heat maps of overlapping DEGs in all the samples. Red color and green color represent a high expression level and low expression level of specific genes, respectively.</p></caption>
<graphic xlink:href="IJMM-39-06-1428-g00.tif"/></fig>
<fig id="f2-ijmm-39-06-1428" position="float">
<label>Figure 2</label>
<caption>
<p>Regulatory networks and results of weighted correlation network analysis (WGCNA) analysis. (A) The regulatory network based on 7 transcriptional factors (TFs) and 19 common upregulated genes identified. The pink nodes indicate the common upregulated genes. The yellow nodes represent the TFs. (B) The regulatory network based on 4 TFs and 21 common downregulated genes identified. The green nodes indicate the common downregulated genes. The yellow nodes represent the TFs. (C) Gene dendrogram obtained by WGCNA. Each colored row underneath the dendrogram represents a color-coded module that contains a group of highly connected genes.</p></caption>
<graphic xlink:href="IJMM-39-06-1428-g01.tif"/></fig>
<fig id="f3-ijmm-39-06-1428" position="float">
<label>Figure 3</label>
<caption>
<p>Protein-protein interaction (PPI) network of genes in the dark green-colored module. Nodes indicate genes.</p></caption>
<graphic xlink:href="IJMM-39-06-1428-g02.tif"/></fig>
<fig id="f4-ijmm-39-06-1428" position="float">
<label>Figure 4</label>
<caption>
<p>Protein-protein interaction (PPI) network of genes in the green-colored module. Nodes indicate genes.</p></caption>
<graphic xlink:href="IJMM-39-06-1428-g03.tif"/></fig>
<table-wrap id="tI-ijmm-39-06-1428" position="float">
<label>Table I</label>
<caption>
<p>The pathways enriched in the Xbp1 group, and the top 10 pathways and top 5 pathways enriched in the Col group and CX group, respectively.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Gene change</th>
<th valign="top" align="center">KEGG term</th>
<th valign="top" align="center">Count</th>
<th valign="top" align="center">p-value</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">In Xbp1 group</td>
<td valign="top" align="left"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/></tr>
<tr>
<td rowspan="4" valign="top" align="left">Upregulated</td>
<td valign="top" align="left">mmu04512:ECM-receptor interaction</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">5.23E-04</td></tr>
<tr>
<td valign="top" align="left">mmu04510:Focal adhesion</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">0.0020</td></tr>
<tr>
<td valign="top" align="left">mmu04142:Lysosome</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">0.0043</td></tr>
<tr>
<td valign="top" align="left">mmu00561:Glycerolipid metabolism</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.0468</td></tr>
<tr>
<td rowspan="2" valign="top" align="left">Downregulated</td>
<td valign="top" align="left">mmu03010:Ribosome</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">2.69E-05</td></tr>
<tr>
<td valign="top" align="left">mmu00860:Porphyrin and chlorophyll metabolism</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.0364</td></tr>
<tr>
<td valign="top" align="left">In Col group</td>
<td valign="top" align="left"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/></tr>
<tr>
<td rowspan="10" valign="top" align="left">Upregulated</td>
<td valign="top" align="left">mmu00970:Aminoacyl-tRNA biosynthesis</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">0.0011</td></tr>
<tr>
<td valign="top" align="left">mmu00051:Fructose and mannose metabolism</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">0.0030</td></tr>
<tr>
<td valign="top" align="left">mmu00600:Sphingolipid metabolism</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">0.0057</td></tr>
<tr>
<td valign="top" align="left">mmu00250:Alanine, aspartate and glutamate metabolism</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">0.00594</td></tr>
<tr>
<td valign="top" align="left">mmu04142:Lysosome</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">0.0071</td></tr>
<tr>
<td valign="top" align="left">mmu00290:Valine, leucine and isoleucine biosynthesis</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.00796</td></tr>
<tr>
<td valign="top" align="left">mmu00510:N-Glycan biosynthesis</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">0.00893</td></tr>
<tr>
<td valign="top" align="left">mmu03018:RNA degradation</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">0.00895</td></tr>
<tr>
<td valign="top" align="left">mmu00480:Glutathione metabolism</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">0.0160</td></tr>
<tr>
<td valign="top" align="left">mmu00010:Glycolysis/gluconeogenesis</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">0.0172</td></tr>
<tr>
<td rowspan="10" valign="top" align="left">Downregulated</td>
<td valign="top" align="left">mmu04510:Focal adhesion</td>
<td valign="top" align="center">24</td>
<td valign="top" align="center">1.18E-05</td></tr>
<tr>
<td valign="top" align="left">mmu04070:Phosphatidylinositol signaling system</td>
<td valign="top" align="center">14</td>
<td valign="top" align="center">1.55E-05</td></tr>
<tr>
<td valign="top" align="left">mmu04142:Lysosome</td>
<td valign="top" align="center">15</td>
<td valign="top" align="center">5.58E-04</td></tr>
<tr>
<td valign="top" align="left">mmu04270:Vascular smooth muscle contraction</td>
<td valign="top" align="center">15</td>
<td valign="top" align="center">6.08E-04</td></tr>
<tr>
<td valign="top" align="left">mmu04512:ECM-receptor interaction</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">8.03E-04</td></tr>
<tr>
<td valign="top" align="left">mmu04912:GnRH signaling pathway</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">8.79E-04</td></tr>
<tr>
<td valign="top" align="left">mmu05210:Colorectal cancer</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">0.00108</td></tr>
<tr>
<td valign="top" align="left">mmu04540:Gap junction</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">0.00108</td></tr>
<tr>
<td valign="top" align="left">mmu05213:Endometrial cancer</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">0.00157</td></tr>
<tr>
<td valign="top" align="left">mmu04670:Leukocyte transendothelial migration</td>
<td valign="top" align="center">14</td>
<td valign="top" align="center">0.00175</td></tr>
<tr>
<td valign="top" align="left">In CX group</td>
<td valign="top" align="left"/>
<td valign="top" align="center"/>
<td valign="top" align="center"/></tr>
<tr>
<td rowspan="5" valign="top" align="left">Upregulated</td>
<td valign="top" align="left">mmu00010:Glycolysis/gluconeogenesis</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">0.0012</td></tr>
<tr>
<td valign="top" align="left">mmu00051:Fructose and mannose metabolism</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">0.0055</td></tr>
<tr>
<td valign="top" align="left">mmu00030:Pentose phosphate pathway</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">0.0082</td></tr>
<tr>
<td valign="top" align="left">mmu00520:Amino sugar and nucleotide sugar metabolism</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">0.0116</td></tr>
<tr>
<td valign="top" align="left">mmu00750:Vitamin B6 metabolism</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.0135</td></tr>
<tr>
<td rowspan="5" valign="top" align="left">Downregulated</td>
<td valign="top" align="left">mmu04670:Leukocyte transendothelial migration</td>
<td valign="top" align="center">16</td>
<td valign="top" align="center">1.83E-05</td></tr>
<tr>
<td valign="top" align="left">mmu04510:Focal adhesion</td>
<td valign="top" align="center">20</td>
<td valign="top" align="center">7.17E-05</td></tr>
<tr>
<td valign="top" align="left">mmu05210:Colorectal cancer</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">2.15E-04</td></tr>
<tr>
<td valign="top" align="left">mmu04664:Fc epsilon RI signaling pathway</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">6.15E-04</td></tr>
<tr>
<td valign="top" align="left">mmu04270:Vascular smooth muscle contraction</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">0.0011</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-ijmm-39-06-1428">
<p>KEGG, Kyoto Encyclopedia of Genes and Genomes; ECM, extracellular matrix.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tII-ijmm-39-06-1428" position="float">
<label>Table II</label>
<caption>
<p>Results of gene co-expression module analysis.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Module</th>
<th valign="top" align="center">Correlation</th>
<th valign="top" align="center">Gene count</th>
<th valign="top" align="center">p-value</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">Turquoise</td>
<td valign="top" align="center">&#x02212;0.6</td>
<td valign="top" align="center">503</td>
<td valign="top" align="center">0.03850043</td></tr>
<tr>
<td valign="top" align="left">Dark orange</td>
<td valign="top" align="center">0.17</td>
<td valign="top" align="center">40</td>
<td valign="top" align="center">0.590624</td></tr>
<tr>
<td valign="top" align="left">Dark red</td>
<td valign="top" align="center">0.37</td>
<td valign="top" align="center">28</td>
<td valign="top" align="center">0.2373936</td></tr>
<tr>
<td valign="top" align="left">Dark olive green</td>
<td valign="top" align="center">0.024</td>
<td valign="top" align="center">24</td>
<td valign="top" align="center">0.9413225</td></tr>
<tr>
<td valign="top" align="left">Dark green</td>
<td valign="top" align="center">0.94</td>
<td valign="top" align="center">378</td>
<td valign="top" align="center">4.28E-06</td></tr>
<tr>
<td valign="top" align="left">Pale turquoise</td>
<td valign="top" align="center">0.69</td>
<td valign="top" align="center">31</td>
<td valign="top" align="center">0.01377187</td></tr>
<tr>
<td valign="top" align="left">Black</td>
<td valign="top" align="center">0.62</td>
<td valign="top" align="center">896</td>
<td valign="top" align="center">0.03280841</td></tr>
<tr>
<td valign="top" align="left">Dark magenta</td>
<td valign="top" align="center">&#x02212;0.78</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">0.002588195</td></tr>
<tr>
<td valign="top" align="left">Green</td>
<td valign="top" align="center">&#x02212;0.89</td>
<td valign="top" align="center">267</td>
<td valign="top" align="center">8.83E-05</td></tr>
<tr>
<td valign="top" align="left">Royal blue</td>
<td valign="top" align="center">&#x02212;0.73</td>
<td valign="top" align="center">66</td>
<td valign="top" align="center">0.006466701</td></tr>
<tr>
<td valign="top" align="left">Saddle brown</td>
<td valign="top" align="center">&#x02212;0.35</td>
<td valign="top" align="center">15</td>
<td valign="top" align="center">0.2660367</td></tr></tbody></table></table-wrap>
<table-wrap id="tIII-ijmm-39-06-1428" position="float">
<label>Table III</label>
<caption>
<p>The most significant GO terms of DEGs identified in darkgreen and green modules.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="top" align="left">Module</th>
<th valign="top" align="center">Term</th>
<th valign="top" align="center">p-value</th>
<th valign="top" align="center">Gene</th></tr></thead>
<tbody>
<tr>
<td rowspan="10" valign="top" align="left">Darkgreen</td>
<td valign="top" align="left">GO:0022613 - ribonucleoprotein complex biogenesis</td>
<td valign="top" align="center">10</td>
<td valign="top" align="left">8.91E-04</td></tr>
<tr>
<td valign="top" align="left">GO:0042254 - ribosome biogenesis</td>
<td valign="top" align="center">9</td>
<td valign="top" align="left">9.96E-04</td></tr>
<tr>
<td valign="top" align="left">GO:0007050 - cell cycle arrest</td>
<td valign="top" align="center">6</td>
<td valign="top" align="left">0.0037</td></tr>
<tr>
<td valign="top" align="left">GO:0042364 - water-soluble vitamin biosynthetic process</td>
<td valign="top" align="center">4</td>
<td valign="top" align="left">0.0071</td></tr>
<tr>
<td valign="top" align="left">GO:0034470 - ncRNA processing</td>
<td valign="top" align="center">9</td>
<td valign="top" align="left">0.0083</td></tr>
<tr>
<td valign="top" align="left">GO:0000041 - transition metal ion transport</td>
<td valign="top" align="center">6</td>
<td valign="top" align="left">0.0088</td></tr>
<tr>
<td valign="top" align="left">GO:0055114 - oxidation reduction</td>
<td valign="top" align="center">22</td>
<td valign="top" align="left">0.0109</td></tr>
<tr>
<td valign="top" align="left">GO:0034660 - ncRNA metabolic process</td>
<td valign="top" align="center">10</td>
<td valign="top" align="left">0.0116</td></tr>
<tr>
<td valign="top" align="left">GO:0016053 - organic acid biosynthetic process</td>
<td valign="top" align="center">8</td>
<td valign="top" align="left">0.0146</td></tr>
<tr>
<td valign="top" align="left">GO:0046394 - carboxylic acid biosynthetic process</td>
<td valign="top" align="center">8</td>
<td valign="top" align="left">0.0146</td></tr>
<tr>
<td rowspan="8" valign="top" align="left">Green</td>
<td valign="top" align="left">GO:0007155 - cell adhesion</td>
<td valign="top" align="center">14</td>
<td valign="top" align="left">0.0126</td></tr>
<tr>
<td valign="top" align="left">GO:0022610 - biological adhesion</td>
<td valign="top" align="center">14</td>
<td valign="top" align="left">0.0128</td></tr>
<tr>
<td valign="top" align="left">GO:0006928 - cell motion</td>
<td valign="top" align="center">10</td>
<td valign="top" align="left">0.0258</td></tr>
<tr>
<td valign="top" align="left">GO:0006695 - cholesterol biosynthetic process</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left">0.0283</td></tr>
<tr>
<td valign="top" align="left">GO:0055114 - oxidation reduction</td>
<td valign="top" align="center">14</td>
<td valign="top" align="left">0.0456</td></tr>
<tr>
<td valign="top" align="left">GO:0016126 - sterol biosynthetic process</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left">0.0462</td></tr>
<tr>
<td valign="top" align="left">GO:0006865 - amino acid transport</td>
<td valign="top" align="center">4</td>
<td valign="top" align="left">0.0482</td></tr>
<tr>
<td valign="top" align="left">GO:0006694 - steroid biosynthetic process</td>
<td valign="top" align="center">4</td>
<td valign="top" align="left">0.0482</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn2-ijmm-39-06-1428">
<p>GO, Gene Ontology; DEGs, differentially expressed genes.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
