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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.2017.3348</article-id>
<article-id pub-id-type="publisher-id">ijmm-41-03-1500</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Genome expression profiling predicts the molecular mechanism of peripheral myelination</article-title></title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Wu</surname><given-names>Xiaoming</given-names></name><xref ref-type="corresp" rid="c1-ijmm-41-03-1500"/></contrib>
<aff id="af1-ijmm-41-03-1500">Department of Radiology, Jinhua People's Hospital, Jinhua, Zhejiang 321000, P.R. China</aff></contrib-group>
<author-notes>
<corresp id="c1-ijmm-41-03-1500">Correspondence to: Dr Xiaoming Wu, Department of Radiology, Jinhua People's Hospital, 228 Xinhua Road, Jinhua, Zhejiang 321000, P.R. China, E-mail: <email>wwuxiam@163.com</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>03</month>
<year>2018</year></pub-date>
<pub-date pub-type="epub">
<day>22</day>
<month>12</month>
<year>2017</year></pub-date>
<volume>41</volume>
<issue>3</issue>
<fpage>1500</fpage>
<lpage>1508</lpage>
<history>
<date date-type="received">
<day>24</day>
<month>01</month>
<year>2017</year></date>
<date date-type="accepted">
<day>22</day>
<month>11</month>
<year>2017</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Wu et al.</copyright-statement>
<copyright-year>2018</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>The present study aimed to explore the molecular mechanism of myelination in the peripheral nervous system (PNS) based on genome expression profiles. Microarray data (GSE60345) was acquired from the Gene Expression Omnibus database. Differentially expressed genes (DEGs) were integrated and subsequently subjected to pathway and term enrichment analysis. A protein-protein interaction network was constructed and the top 200 DEGs according to their degree value were further subjected to pathway enrichment analysis. A microRNA (miR)-target gene regulatory network was constructed to explore the role of miRs associated with PNS myelination. A total of 783 upregulated genes and 307 downregulated genes were identified. The upregulated DEGs were significantly enriched in the biological function of complement and coagulation cascades, cytokine-cytokine receptor interactions and cell adhesion molecules. Pathways significantly enriched by the downregulated DEGs included the cell cycle, oocyte meiosis and the p53 signaling pathway. In addition, the upregulated DEGs among the top 200 DEGs were significantly enriched in natural killer (NK) cell mediated cytotoxicity and the B cell receptor (BCR) signaling pathway, in which Fc &#x003B3; receptor (FCGR), ras-related C3 botulinum toxin substrate 2 (RAC2) and 1-phosphatidylinositol-4,5-bisphosphate phosphodiesterase &#x003B3;-2 (PLCG2) were involved. miR-339-5p, miR-10a-5p and miR-10b-5p were identified as having a high degree value and may regulate the target genes TOX high mobility group box family member 4 (Tox4), DNA repair protein XRCC2 (Xrcc2) and C5a anaphylatoxin chemotactic receptor C5a2 (C5ar2). NK cell mediated cytotoxicity and the BCR pathway may be involved in peripheral myelination by targeting FCGR, RAC2 and PLCG2. The downregulation of oocyte meiosis, the cell cycle and the cellular tumor antigen p53 signaling pathway suggests decreasing schwann cell proliferation following the initiation of myelination. miR-339-5p, miR-10a-5p and miR-10b-5p may play important roles in PNS myelination by regulating Tox4, Xrcc2 and C5ar2.</p></abstract>
<kwd-group>
<kwd>myelination</kwd>
<kwd>peripheral</kwd>
<kwd>mechanism</kwd>
<kwd>pathways</kwd>
<kwd>microRNA</kwd>
<kwd>prediction</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Myelination is the production of the myelin sheath that surrounds the axons of nerve cells; it occurs through reciprocal interactions between the glial cells and the axons that they ensheath (<xref rid="b1-ijmm-41-03-1500" ref-type="bibr">1</xref>). Schwann cells (SCs) in the peripheral nervous system (PNS) wrap their membranes spirally around long segments of axons. Subsequently, myelinated fibers with multilayered sheaths are developed, something that allows the propagation of rapid impulses (<xref rid="b2-ijmm-41-03-1500" ref-type="bibr">2</xref>,<xref rid="b3-ijmm-41-03-1500" ref-type="bibr">3</xref>). Demyelination is a hallmark of numerous neurological diseases, such as Charcot-Marie-Tooth disease, which is a PNS hereditary disorder affecting 1/2,500 individuals (<xref rid="b1-ijmm-41-03-1500" ref-type="bibr">1</xref>,<xref rid="b4-ijmm-41-03-1500" ref-type="bibr">4</xref>). The mechanism of remyelination in neurological diseases is similar to developmental myelination (<xref rid="b2-ijmm-41-03-1500" ref-type="bibr">2</xref>), therefore it is possible to identify potential therapeutic treatments for neurological diseases by studying the process of normal myelination in the PNS.</p>
<p>Several previous studies have investigated the genes and pathways associated with peripheral myelination focusing on SC plasticity, polarization, function of the neuregulin (NRG), and extracellular matrix and cytoskeletal signals (<xref rid="b2-ijmm-41-03-1500" ref-type="bibr">2</xref>,<xref rid="b3-ijmm-41-03-1500" ref-type="bibr">3</xref>,<xref rid="b5-ijmm-41-03-1500" ref-type="bibr">5</xref>). These reviews revealed that NRG1 served a key role in myelination by regulating the majority of SC biological processes (<xref rid="b6-ijmm-41-03-1500" ref-type="bibr">6</xref>). NRG1 bounded to the epidermal growth factor receptor and subsequently activated several secondary-messenger cascades, including the phosphoinositide 3-kinase/phosphatidylinositol 3,4,5 trisphosphate/protein kinase B (AKT) (<xref rid="b7-ijmm-41-03-1500" ref-type="bibr">7</xref>), intracellular calcium (<xref rid="b8-ijmm-41-03-1500" ref-type="bibr">8</xref>) and mitogen-activated protein kinase signaling pathways (<xref rid="b9-ijmm-41-03-1500" ref-type="bibr">9</xref>). In addition, the proto-oncogene Wnt/&#x003B2;-catenin (<xref rid="b10-ijmm-41-03-1500" ref-type="bibr">10</xref>), endocytic (<xref rid="b11-ijmm-41-03-1500" ref-type="bibr">11</xref>) and hedgehog signaling pathways (<xref rid="b12-ijmm-41-03-1500" ref-type="bibr">12</xref>) were also reported to be associated with peripheral myelination. However, further investigation is required to clarify the mechanisms of peripheral myelination.</p>
<p>MicroRNAs (miRs) serve a post-transcriptional role in PNS myelination (<xref rid="b13-ijmm-41-03-1500" ref-type="bibr">13</xref>). The majority of previous studies in this area have focused on the function of miRs in peripheral remyelination following nerve injury (<xref rid="b14-ijmm-41-03-1500" ref-type="bibr">14</xref>&#x02013;<xref rid="b18-ijmm-41-03-1500" ref-type="bibr">18</xref>). However, the functional roles of miRs are rarely studied in developmental peripheral myelination. miR-29a has been identified to prevent the expression of peripheral myelin protein 22, which is a disease-associated protein in myelinating SCs (<xref rid="b19-ijmm-41-03-1500" ref-type="bibr">19</xref>). miR-318 has been identified as a suppressor of certain myelination inhibitors, including sex determining region Y-box 2, Jun proto-oncogene and cyclin D1 (<xref rid="b20-ijmm-41-03-1500" ref-type="bibr">20</xref>). Let-7 miR promotes the expression of positive transcriptional factor early growth response protein 2 through suppression of the myelination inhibitor neurogenic locus notch homolog protein 1 (<xref rid="b21-ijmm-41-03-1500" ref-type="bibr">21</xref>). These findings reveal only a small part of the mechanisms of miR in PNS myelination.</p>
<p>Kangas <italic>et al</italic> (<xref rid="b22-ijmm-41-03-1500" ref-type="bibr">22</xref>) presented the genome-wide RNA expression microarray data at different stages of PNS myelination using a dorsal root ganglion (DRG) explant culture. Amongst the differentially expressed genes (DEGs), enriched Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways and Gene Ontology (GO) terms associated with PNS differentiation were identified. Several previous studies have focused on the potential role of miRs in peripheral myelination (<xref rid="b23-ijmm-41-03-1500" ref-type="bibr">23</xref>,<xref rid="b24-ijmm-41-03-1500" ref-type="bibr">24</xref>). However, studies on the interactions between DEGs and miRs based on genome expression profiles in regards to peripheral myelination are rare. In the present study, the microarray dataset GSE60345 (<xref rid="b21-ijmm-41-03-1500" ref-type="bibr">21</xref>) was downloaded, and DEGs were analyzed and subjected to KEGG pathway and GO term enrichment analyses. Several miRs were identified as being associated with peripheral myelination based on the miR-target gene regulatory network analysis.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Data acquisition</title>
<p>The GSE60345 microarray dataset (<xref rid="b21-ijmm-41-03-1500" ref-type="bibr">21</xref>) gene expression profiles were obtained from the National Center for Biotechnology Information Gene Expression Omnibus database (<ext-link xlink:href="http://ncbi.nlm.nih.gov/geo/" ext-link-type="uri">ncbi.nlm.nih.gov/geo/</ext-link>) (<xref rid="b25-ijmm-41-03-1500" ref-type="bibr">25</xref>). The microarray dataset GSE60345 was originally obtained using a SurePrint G3 Mouse GE 8&#x000D7;60K Microarray kit (cat. no. 028005; Agilent Technologies, Inc., Santa Clara, CA, USA). The organism studied was <italic>Mus musculus</italic>. A total of 18 samples of DRG explant cultures were collected at 0 (n=6), 10 (n=6) and 22 days (n=6) following switching to myelination medium from embryonic day 13.5 C57BL/6J mouse embryos. The different time-points that the samples were collected at represented the different stages of the myelination process; i) premyelination (0 days), ii) early myelination (10 days); and iii) advanced myelination (22 days).</p></sec>
<sec>
<title>Data preprocessing and DEG statistical analysis</title>
<p>The raw data was normalized using the limma package (version 3.10.3) of R software (<xref rid="b26-ijmm-41-03-1500" ref-type="bibr">26</xref>). The gene expression matrix was divided into two groups of 10 day vs. 0 day and 22 day vs. 0 day. The P-value of each gene was calculated using the non-paired t-test in the limma package software and the P-value was adjusted using the Benjamini-Hochberg method. According to the cut-off value of adjacent P&lt;0.01 and log<sub>2</sub> fold change &#x02265;2, the DEGs of each group were identified. The upregulated and downregulated genes were obtained by pooling the DEGs of the two groups.</p></sec>
<sec>
<title>GO term and KEGG pathway enrichment analyses</title>
<p>The upregulated and downregulated genes were subjected to GO term (<xref rid="b27-ijmm-41-03-1500" ref-type="bibr">27</xref>) and KEGG pathway enrichment analysis. The analyses were conducted with Fisher's exact test using the 'mRNA enrichment' module in the Multifaceted Analysis Tool for Human Transcriptome (<ext-link xlink:href="http://biocloudservice.com" ext-link-type="uri">biocloudservice.com</ext-link>). The cut-off value was set as P&lt;0.05.</p></sec>
<sec>
<title>Protein-protein interactions (PPI) network</title>
<p>The interaction of proteins encoded by the DEGs was predicted using the Search Tool for the Retrieval of Interacting Genes version 10.0 (<xref rid="b28-ijmm-41-03-1500" ref-type="bibr">28</xref>). The PPI score (medium confidence) was set at 0.4. Cytoscape version 3.2.0 software (<xref rid="b29-ijmm-41-03-1500" ref-type="bibr">29</xref>) was used to visualize the PPI network. The modules consisted of the 200 nodes with the highest degree values.</p></sec>
<sec>
<title>miR-target gene regulatory network analysis</title>
<p>The validated miRs that were identified to regulate DEGs from the two groups were downloaded from a validated gene-miR interaction information retrieval system, miRWalk version 2.0 (<xref rid="b30-ijmm-41-03-1500" ref-type="bibr">30</xref>). Cytoscape software was used to construct the miR-target gene regulatory network.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Identification of DEGs</title>
<p>The gene expression data was normalized following preprocessing. A total of 276 DEGs, including 248 upregulated and 28 downregulated genes were obtained in the 10 day vs. 0 day group (<xref rid="f1-ijmm-41-03-1500" ref-type="fig">Fig. 1</xref>). By contrast, 1,045 DEGs were identified in the 22 day vs. 0 day group comprised of 747 upregulated and 298 downregulated genes (<xref rid="f1-ijmm-41-03-1500" ref-type="fig">Fig. 1</xref>). There were a higher number of upregulated genes compared with downregulated genes, and the 22 day vs. 0 day group contained more genes than the 10 day vs. 0 day group. The Venn diagram revealed that the overlapping upregulated and downregulated genes between the two groups were 212 and 18, respectively (<xref rid="f1-ijmm-41-03-1500" ref-type="fig">Fig. 1</xref>). A total of 783 upregulated genes and 307 downregulated genes were identified by pooling the DEGs of the two groups.</p></sec>
<sec>
<title>GO term and KEGG pathway enrichment analyses</title>
<p>A total of 26 pathways were significantly enriched in the upregulated DEGs and 5 pathways were significantly enriched in the downregulated DEGs. The top 10 enriched pathways according to their P-value are listed in <xref rid="tI-ijmm-41-03-1500" ref-type="table">Table I</xref>. The complement and coagulation cascades, cytokine-cytokine receptor interaction, cell adhesion molecules, natural killer (NK) cell mediated cytotoxicity and B cell receptor (BCR) signaling pathways were significantly enriched by the upregulated DEGs. Pathways significantly enriched by the downregulated DEGs included the cell cycle, oocyte meiosis and the cellular tumor antigen p53 (p53) signaling pathway.</p>
<p>The top 5 GO terms in the biological process, molecular function and cellular component categories according to their P-values are illustrated in <xref rid="f2-ijmm-41-03-1500" ref-type="fig">Fig. 2</xref>. The upregulated DEGs were mainly associated with immune response processes and extracellular region components. The cell cycle process was significantly enriched in the downregulated DEGs.</p></sec>
<sec>
<title>PPI network</title>
<p>A PPI network with 812 nodes and 13,141 edges was constructed using all of the DEGs (<xref rid="f3-ijmm-41-03-1500" ref-type="fig">Fig. 3A</xref>). The network revealed that the majority of the nodes gathered together with a complex connectivity, indicating that the proteins were closely associated with each other. A PPI sub-network was subsequently constructed from the 200 DEGs with the highest PPI degree value (<xref rid="f3-ijmm-41-03-1500" ref-type="fig">Fig. 3B</xref>). The upregulated and downregulated DEGs were gathered together. The 200 DEGs with the highest PPI degree values were subsequently subjected to KEGG pathway analysis. A total of 28 pathways were significantly enriched in the upregulated DEGs and 5 pathways were significantly enriched in the downregulated DEGs. <xref rid="tII-ijmm-41-03-1500" ref-type="table">Table II</xref> lists the top 10 pathways enriched by the DEGs according to their P-value. The leishmaniasis, osteoclast differentiation, NK cell mediated cytotoxicity and BCR signaling pathways were significantly enriched by the upregulated DEGs, including the Fc &#x003B3; receptor (FCGR), ras-related C3 botulinum toxin substrate 2 (RAC2) and 1-phosphatidylinositol-4,5-bisphosphate phosphodiesterase &#x003B3;-2 (PLCG2). The downregulated DEGs were significantly enriched in the cell cycle, oocyte meiosis and the p53 signaling pathway.</p></sec>
<sec>
<title>miR-target gene regulatory network</title>
<p>The miR-target gene regulatory network comprised of 135 nodes and 144 edges, as shown in <xref rid="f4-ijmm-41-03-1500" ref-type="fig">Fig. 4</xref>. The association between 109 miRs and 26 DEGs (15 upregulated and 11 downregulated) was clearly illustrated. According to their connectivity degree value, the top 10 genes and miRs are listed in <xref rid="tIII-ijmm-41-03-1500" ref-type="table">Table III</xref>. miR-10b-5p, miR-10a-5p and miR-339-5p were identified as having a high connectivity degree value. The validated target genes of these miRs were TOX high mobility group box family member 4 (Tox4), DNA repair protein XRCC2 (Xrcc2) and C5a anaphylatoxin chemotactic receptor C5a2 (C5ar2).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Multiple peripheral nerve diseases have been revealed to be closely associated with dysregulated myelination (<xref rid="b31-ijmm-41-03-1500" ref-type="bibr">31</xref>). However, the mechanism of dysregulated myelination has not been fully identified. In the present study, an integrated bioinformatic analysis was performed on the differential gene expression patterns throughout different stages of myelination. A total of 783 upregulated and 307 downregulated genes were identified throughout the different stages of peripheral myelination. The NK cell mediated cytotoxicity and BCR signaling pathways were significantly enriched by the upregulated DEGs, including FCGR, RAC2 and PLCG2. Pathways significantly enriched by the downregulated DEGs included oocyte meiosis, the cell cycle and the p53 signaling pathway. In addition, miR-339-5p, miR-10a-5p and miR-10b-5p demonstrated a high degree value in targeting Tox4, Xrcc2, C5ar2.</p>
<p>The NK cell mediated cytotoxicity and BCR signaling pathways were significantly enriched in the upregulated DEGs among the top 200 DEGs. NK cells are an essential type of cytotoxic lymphocyte in the innate immune system, which have been revealed to be associated with myelin loss (<xref rid="b32-ijmm-41-03-1500" ref-type="bibr">32</xref>). NK cells also serve a regulatory role in multiple sclerosis, a disease characterized by chronic demyelination (<xref rid="b33-ijmm-41-03-1500" ref-type="bibr">33</xref>). BCRs are also a crucial component of the immune system and the BCR signaling pathway has been implicated in the activation of nuclear factor (NF)-&#x003BA;B, which serves an indispensable role in peripheral myelination (<xref rid="b34-ijmm-41-03-1500" ref-type="bibr">34</xref>). The present study revealed that these two pathways were significantly enriched in the upregulated DEGs. The upregulation of genes in the NK cell mediated cytotoxicity and the BCR signaling pathways suggested that an improved immune response was closely associated with peripheral myelination. In addition, several genes overlapped between these two pathways, including FCGR, RAC2 and PLCG2. FCGR has previously been identified in SCs, which may aid in the regulation of the immune response (<xref rid="b35-ijmm-41-03-1500" ref-type="bibr">35</xref>). A recent study reported that FCGR had a potential role in axonal injury through the mediation of inflammation (<xref rid="b36-ijmm-41-03-1500" ref-type="bibr">36</xref>). RAC2 has been previously identified as stimulating AKT activation in primary mast cells (<xref rid="b37-ijmm-41-03-1500" ref-type="bibr">37</xref>). AKT silencing was previously reported to be associated with hypomyelination (<xref rid="b38-ijmm-41-03-1500" ref-type="bibr">38</xref>). The expression of PLCG2 was revealed to be sensitive to ciliary neurotrophic factor (<xref rid="b39-ijmm-41-03-1500" ref-type="bibr">39</xref>), a cytokine which may promote peripheral nerve regeneration (<xref rid="b40-ijmm-41-03-1500" ref-type="bibr">40</xref>). Consequently, the NK cell mediated cytotoxicity and BCR signaling pathways may be associated with PNS myelination through FCGR, RAC2 and PLCG2.</p>
<p>KEGG pathways significantly enriched by downregulated DEGs among the top 200 DEGs were identified, such as oocyte meiosis, the p53 signaling pathway and the cell cycle. Oocyte meiosis is linked to the cell cycle and the p53/p21 axis is associated with the cell cycle by regulating G<sub>1</sub>/S transition (<xref rid="b41-ijmm-41-03-1500" ref-type="bibr">41</xref>). The cell cycle is indispensable for glial cell proliferation, not only in PNS myelination but in cell dedifferentiation in response to nerve injury (<xref rid="b42-ijmm-41-03-1500" ref-type="bibr">42</xref>). The results of the present study demonstrated that these three pathways were downregulated, suggesting that glial cells were prone to differentiation instead of proliferation following the initiation of PNS myelination.</p>
<p>The miR-target gene regulatory network revealed that three miRs (miR-339-5p, miR-10a-5p and miR-10b-5p) possessed a relatively high degree value. miR-339-5p has been identified to suppress the protein expression of &#x003B2;-secretase 1, which is a positive regulator of myelination (<xref rid="b43-ijmm-41-03-1500" ref-type="bibr">43</xref>,<xref rid="b44-ijmm-41-03-1500" ref-type="bibr">44</xref>). Additionally, miR-339-5p was reported to be associated with the NF-&#x003BA;B (<xref rid="b45-ijmm-41-03-1500" ref-type="bibr">45</xref>) and p53 signaling pathways (<xref rid="b46-ijmm-41-03-1500" ref-type="bibr">46</xref>) which are crucial to peripheral myelination. miR-10a-5p and miR-10b-5p have been previously reported to regulate the gene encoding brain-derived neurotrophic factor, which may produce a long-term increase in PNS myelin formation (<xref rid="b47-ijmm-41-03-1500" ref-type="bibr">47</xref>&#x02013;<xref rid="b49-ijmm-41-03-1500" ref-type="bibr">49</xref>). In the present study, miR-339-5p, miR-10a-5p and miR-10b-5p were identified to regulate Tox4, Xrcc2 and C5ar2, respectively. Tox4, also known as Lcp1, has previously been revealed to bind with calcium and has been implicated in PNS myelination (<xref rid="b49-ijmm-41-03-1500" ref-type="bibr">49</xref>). Xrcc2 encodes a member of the RecA/DNA repair protein RAD51 homolog 1-(RAD51L1) related protein family, in which hsRec2/Rad51L1 is included. HsRec2/Rad51L1 may phosphorylate myelin basic protein, p53 and cyclin E (<xref rid="b50-ijmm-41-03-1500" ref-type="bibr">50</xref>). C5ar2 encodes C5a anaphylatoxin chemotactic receptor C5a2, which is also known as G protein-coupled receptor 77 (GPR77). The function of GPR77 in peripheral myelination is unclear, whereas another G protein-coupled receptor, GPR126 (encoded by Adgrg6), has been identified to be required for the initiation of SC myelination (<xref rid="b51-ijmm-41-03-1500" ref-type="bibr">51</xref>). This suggests that C5ar2 may serve a similar role to Adgrg6. These findings suggest that miR-339-5p, miR-10a-5p and miR-10b-5p may be associated with peripheral myelination by targeting Tox4, Xrcc2, and C5ar2.</p>
<p>In conclusion, NK cell mediated cytotoxicity and the BCR signaling pathway may be associated with peripheral myelination by regulating FCGR, RAC2 and PLCG2. The indicated downregulation of oocyte meiosis, the cell cycle and the p53 signaling pathway suggests that SC proliferation decreases following the initiation of PNS myelination. miR-339-5p, miR-10a-5p and miR-10b-5p serve a potential role in the myelination of the PNS by regulating Tox4, Xrcc2 and C5ar2. The results of the present study may provide information to clarify the mechanisms of PNS myelination; however, experimental validation is required to confirm these results.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>The present study was supported by the key project of Jinhua Municipal Science and Technology Bureau (grant no. 2016-3-008).</p></ack>
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<floats-group>
<fig id="f1-ijmm-41-03-1500" position="float">
<label>Figure 1</label>
<caption>
<p>Venn diagram of differentially expressed genes. Following normalization of the gene expression data the (A) upregulated and (B) downregulated genes in each group were identified.</p></caption>
<graphic xlink:href="ijmm-41-03-1500-g00.tif"/></fig>
<fig id="f2-ijmm-41-03-1500" position="float">
<label>Figure 2</label>
<caption>
<p>GO terms enrichment analysis of the differentially expressed genes. According to their P-value, the top 5 GO terms in the BP, CC and MF categories were listed for the (A) upregulated and (B) downregulated genes. BP, biological process; CC, cellular component; MF, molecular function; GO, gene ontology.</p></caption>
<graphic xlink:href="ijmm-41-03-1500-g01.tif"/></fig>
<fig id="f3-ijmm-41-03-1500" position="float">
<label>Figure 3</label>
<caption>
<p>PPI network of the DEGs. (A) A PPI network was constructed using all of the DEGs identified. (B) A secondary PPI was constructed using the 200 DEGs with the highest degree values. The purple circles represent upregulated genes and the blue squares represent downregulated genes. PPI, protein-protein interaction; DEG, differentially expressed gene.</p></caption>
<graphic xlink:href="ijmm-41-03-1500-g02.tif"/></fig>
<fig id="f4-ijmm-41-03-1500" position="float">
<label>Figure 4</label>
<caption>
<p>miR-target gene regulatory network. Cytoscape was used to construct a miR-target gene regulatory network. The green arrows represent miRs, the purple circles represent upregulated genes and the blue squares represent downregulated genes. miR, microRNA.</p></caption>
<graphic xlink:href="ijmm-41-03-1500-g03.tif"/></fig>
<table-wrap id="tI-ijmm-41-03-1500" position="float">
<label>Table I</label>
<caption>
<p>Kyoto Encyclopedia of Genes and Genomes pathways that the DEGs were significantly enriched in.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th colspan="4" valign="top" align="left">A, Upregulated genes
<hr/></th></tr>
<tr>
<th valign="top" align="left">Pathway ID no.</th>
<th valign="top" align="center">Pathway name</th>
<th valign="top" align="center">No. of DEGs enriched in pathway</th>
<th valign="top" align="center">P-value</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">mmu04610</td>
<td valign="top" align="left">Complement and coagulation cascades</td>
<td valign="top" align="center">31</td>
<td valign="top" align="center">4.43&#x000D7;10<sup>&#x02212;22</sup></td></tr>
<tr>
<td valign="top" align="left">mmu04060</td>
<td valign="top" align="left">Cytokine-cytokine receptor interaction</td>
<td valign="top" align="center">32</td>
<td valign="top" align="center">5.84&#x000D7;10<sup>&#x02212;8</sup></td></tr>
<tr>
<td valign="top" align="left">mmu05330</td>
<td valign="top" align="left">Allograft rejection</td>
<td valign="top" align="center">15</td>
<td valign="top" align="center">1.24&#x000D7;10<sup>&#x02212;7</sup></td></tr>
<tr>
<td valign="top" align="left">mmu05332</td>
<td valign="top" align="left">Graft-vs.-host disease</td>
<td valign="top" align="center">15</td>
<td valign="top" align="center">1.24&#x000D7;10<sup>&#x02212;7</sup></td></tr>
<tr>
<td valign="top" align="left">mmu04940</td>
<td valign="top" align="left">Type I diabetes mellitus</td>
<td valign="top" align="center">15</td>
<td valign="top" align="center">3.76&#x000D7;10<sup>&#x02212;7</sup></td></tr>
<tr>
<td valign="top" align="left">mmu04662</td>
<td valign="top" align="left">B cell receptor signaling pathway</td>
<td valign="top" align="center">16</td>
<td valign="top" align="center">1.47&#x000D7;10<sup>&#x02212;6</sup></td></tr>
<tr>
<td valign="top" align="left">mmu04514</td>
<td valign="top" align="left">Cell adhesion molecules</td>
<td valign="top" align="center">22</td>
<td valign="top" align="center">2.92&#x000D7;10<sup>&#x02212;6</sup></td></tr>
<tr>
<td valign="top" align="left">mmu04650</td>
<td valign="top" align="left">Natural killer cell mediated cytotoxicity</td>
<td valign="top" align="center">19</td>
<td valign="top" align="center">4.96&#x000D7;10<sup>&#x02212;6</sup></td></tr>
<tr>
<td valign="top" align="left">mmu05322</td>
<td valign="top" align="left">Systemic lupus erythematosus</td>
<td valign="top" align="center">17</td>
<td valign="top" align="center">8.62&#x000D7;10<sup>&#x02212;6</sup></td></tr>
<tr>
<td valign="top" align="left">mmu05320</td>
<td valign="top" align="left">Autoimmune thyroid disease</td>
<td valign="top" align="center">14</td>
<td valign="top" align="center">1.16&#x000D7;10<sup>&#x02212;5</sup></td></tr></tbody></table>
<table frame="below" rules="groups">
<thead>
<tr>
<th colspan="4" valign="top" align="left">B, Downregulated genes
<hr/></th></tr>
<tr>
<th valign="top" align="left">Pathway ID no.</th>
<th valign="top" align="center">Pathway name</th>
<th valign="top" align="center">No. of DEGs enriched in pathway</th>
<th valign="top" align="center">P-value</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">mmu04110</td>
<td valign="top" align="left">Cell cycle</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">2.73&#x000D7;10<sup>&#x02212;9</sup></td></tr>
<tr>
<td valign="top" align="left">mmu04114</td>
<td valign="top" align="left">Oocyte meiosis</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">1.38&#x000D7;10<sup>&#x02212;7</sup></td></tr>
<tr>
<td valign="top" align="left">mmu04914</td>
<td valign="top" align="left">Progesterone-mediated oocyte maturation</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">1.77&#x000D7;10<sup>&#x02212;5</sup></td></tr>
<tr>
<td valign="top" align="left">mmu04115</td>
<td valign="top" align="left">p53 signaling pathway</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">4.68&#x000D7;10<sup>&#x02212;3</sup></td></tr>
<tr>
<td valign="top" align="left">mmu04020</td>
<td valign="top" align="left">Calcium signaling pathway</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">4.02&#x000D7;10<sup>&#x02212;2</sup></td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-ijmm-41-03-1500">
<p>DEG, differentially expressed gene.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tII-ijmm-41-03-1500" position="float">
<label>Table II</label>
<caption>
<p>Top 10 significantly enriched Kyoto Encyclopedia of Genes and Genomes pathways of the top 200 DEGs.</p></caption>
<table frame="above" rules="groups">
<thead>
<tr>
<th colspan="5" valign="bottom" align="left">A, Upregulated genes
<hr/></th></tr>
<tr>
<th valign="bottom" align="left">Pathway ID no.</th>
<th valign="bottom" align="center">Pathway name</th>
<th valign="bottom" align="center">No. of DEGs enriched in pathway</th>
<th valign="bottom" align="center">P-value</th>
<th valign="bottom" align="center">Genes</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">mmu05140</td>
<td valign="top" align="left">Leishmaniasis</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">3.44&#x000D7;10<sup>&#x02212;10</sup></td>
<td valign="top" align="left">PTPN6, TNF, NCF2, NCF4, FCGR4, TLR2, TLR4, ITGB2, FCGR1, FCGR3</td></tr>
<tr>
<td valign="top" align="left">mmu04380</td>
<td valign="top" align="left">Osteoclast differentiation</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">6.01&#x000D7;10<sup>&#x02212;10</sup></td>
<td valign="top" align="left">CYBB, TNF, FCGR2B, NCF2, NCF4, PLCG2, FCGR4, FCGR1, CSF1R, FCGR3, SYK, TYROBP</td></tr>
<tr>
<td valign="top" align="left">mmu05150</td>
<td valign="top" align="left"><italic>Staphylococcus aureus</italic> infection</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">1.23&#x000D7;10<sup>&#x02212;9</sup></td>
<td valign="top" align="left">C1QA, C3AR1, C1QB, FCGR2B, FCGR4, ITGB2, FCGR1, C1QC, FCGR3</td></tr>
<tr>
<td valign="top" align="left">mmu04650</td>
<td valign="top" align="left">Natural killer cell mediated cytotoxicity</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">1.68&#x000D7;10<sup>&#x02212;9</sup></td>
<td valign="top" align="left">CD48, PTPN6, TNF, RAC2, PLCG2, FCGR4, FCER1G, ITGB2, VAV1, SYK, TYROBP</td></tr>
<tr>
<td valign="top" align="left">mmu05152</td>
<td valign="top" align="left">Tuberculosis</td>
<td valign="top" align="center">12</td>
<td valign="top" align="center">2.10&#x000D7;10<sup>&#x02212;8</sup></td>
<td valign="top" align="left">TNF, ITGAX, FCGR2B, FCGR4, TLR2, FCER1G, TLR4, ITGB2, CTSS, FCGR1, FCGR3, SYK</td></tr>
<tr>
<td valign="top" align="left">mmu04666</td>
<td valign="top" align="left">Fc &#x003B3; R-mediated phagocytosis</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">8.34&#x000D7;10<sup>&#x02212;8</sup></td>
<td valign="top" align="left">PTPRC, FCGR2B, RAC2, PLCG2, INPP5D, FCGR1, VAV1, WAS, SYK</td></tr>
<tr>
<td valign="top" align="left">mmu04145</td>
<td valign="top" align="left">Phagosome</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">2.20&#x000D7;10<sup>&#x02212;7</sup></td>
<td valign="top" align="left">CYBB, FCGR2B, NCF2, NCF4, FCGR4, TLR2, TLR4, ITGB2, CTSS, FCGR1, FCGR3</td></tr>
<tr>
<td valign="top" align="left">mmu05133</td>
<td valign="top" align="left">Pertussis</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">6.04&#x000D7;10<sup>&#x02212;7</sup></td>
<td valign="top" align="left">C1QA, C1QB, TNF, IRF8, TLR4, ITGB2, CASP1, C1QC</td></tr>
<tr>
<td valign="top" align="left">mmu04664</td>
<td valign="top" align="left">Fc epsilon RI signaling pathway</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">6.19&#x000D7;10<sup>&#x02212;6</sup></td>
<td valign="top" align="left">TNF, RAC2, PLCG2, FCER1G, INPP5D, VAV1, SYK</td></tr>
<tr>
<td valign="top" align="left">mmu04662</td>
<td valign="top" align="left">B cell receptor signaling pathway</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">7.34&#x000D7;10<sup>&#x02212;6</sup></td>
<td valign="top" align="left">PTPN6, FCGR2B, RAC2, PLCG2, INPP5D, VAV1, SYK</td></tr></tbody></table>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th colspan="5" valign="bottom" align="left">B, Downregulated genes
<hr/></th></tr>
<tr>
<th valign="bottom" align="left">Pathway ID no.</th>
<th valign="bottom" align="center">Pathway name</th>
<th valign="bottom" align="center">No. of DEGs enriched in pathway</th>
<th valign="bottom" align="center">P-value</th>
<th valign="bottom" align="center">Genes</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">mmu04110</td>
<td valign="top" align="left">Cell cycle</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">1.16&#x000D7;10<sup>&#x02212;14</sup></td>
<td valign="top" align="left">CDK1, CDC6, RBL1, TTK, CDC20, CDC25C, MCM5, CCNB1, CCNB2, PLK1, BUB1, BUB1B, CCNA2</td></tr>
<tr>
<td valign="top" align="left">mmu04114</td>
<td valign="top" align="left">Oocyte meiosis</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">1.53&#x000D7;10<sup>&#x02212;7</sup></td>
<td valign="top" align="left">CDK1, PLK1, SGOL1, BUB1, FBXO5, CDC20, AURKA, CDC25C</td></tr>
<tr>
<td valign="top" align="left">mmu04914</td>
<td valign="top" align="left">Progesterone-mediated oocyte maturation</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">8.23&#x000D7;10<sup>&#x02212;7</sup></td>
<td valign="top" align="left">CCNB1, CDK1, CCNB2, PLK1, BUB1, CDC25C, CCNA2</td></tr>
<tr>
<td valign="top" align="left">mmu04115</td>
<td valign="top" align="left">p53 signaling pathway</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">2.15&#x000D7;10<sup>&#x02212;3</sup></td>
<td valign="top" align="left">CCNB1, CDK1, CCNB2, RRM2</td></tr>
<tr>
<td valign="top" align="left">mmu03460</td>
<td valign="top" align="left">Fanconi anemia pathway</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">1.65&#x000D7;10<sup>&#x02212;2</sup></td>
<td valign="top" align="left">BRIP1, UBE2T, RAD51</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn2-ijmm-41-03-1500">
<p>DEG, differentially expressed gene.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tIII-ijmm-41-03-1500" position="float">
<label>Table III</label>
<caption>
<p>Top 10 miRs and DEGs according to their degree value.</p></caption>
<table frame="above" rules="groups">
<thead>
<tr>
<th colspan="3" valign="top" align="left">A, DEGs
<hr/></th></tr>
<tr>
<th valign="top" align="left">Symbol</th>
<th valign="top" align="center">Regulation</th>
<th valign="top" align="center">Degree value</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">Tox4</td>
<td valign="top" align="left">Up</td>
<td valign="top" align="center">21</td></tr>
<tr>
<td valign="top" align="left">Xrcc2</td>
<td valign="top" align="left">Down</td>
<td valign="top" align="center">18</td></tr>
<tr>
<td valign="top" align="left">C5ar2</td>
<td valign="top" align="left">Up</td>
<td valign="top" align="center">14</td></tr>
<tr>
<td valign="top" align="left">Mtfr2</td>
<td valign="top" align="left">Down</td>
<td valign="top" align="center">13</td></tr>
<tr>
<td valign="top" align="left">Sgpp1</td>
<td valign="top" align="left">Up</td>
<td valign="top" align="center">11</td></tr>
<tr>
<td valign="top" align="left">Ackr4</td>
<td valign="top" align="left">Up</td>
<td valign="top" align="center">9</td></tr>
<tr>
<td valign="top" align="left">Lypla1</td>
<td valign="top" align="left">Up</td>
<td valign="top" align="center">9</td></tr>
<tr>
<td valign="top" align="left">Ttbk2</td>
<td valign="top" align="left">Down</td>
<td valign="top" align="center">6</td></tr>
<tr>
<td valign="top" align="left">Cdh20</td>
<td valign="top" align="left">Down</td>
<td valign="top" align="center">6</td></tr>
<tr>
<td valign="top" align="left">Arhgef39</td>
<td valign="top" align="left">Down</td>
<td valign="top" align="center">6</td></tr></tbody></table>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th colspan="3" valign="top" align="left">B, miRs
<hr/></th></tr>
<tr>
<th valign="top" align="left">Symbol</th>
<th valign="top" align="center">Regulation</th>
<th valign="top" align="center">Degree value</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">mmu-miR-290-5p</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">3</td></tr>
<tr>
<td valign="top" align="left">mmu-miR-10a-5p</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">3</td></tr>
<tr>
<td valign="top" align="left">mmu-miR-339-5p</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">3</td></tr>
<tr>
<td valign="top" align="left">mmu-miR-10b-5p</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">3</td></tr>
<tr>
<td valign="top" align="left">mmu-miR-4661-5p</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">3</td></tr>
<tr>
<td valign="top" align="left">mmu-miR-466i-5p</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">3</td></tr>
<tr>
<td valign="top" align="left">mmu-miR-466k</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">3</td></tr>
<tr>
<td valign="top" align="left">mmu-miR-466d-5p</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">3</td></tr>
<tr>
<td valign="top" align="left">mmu-miR-1199-5p</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">3</td></tr>
<tr>
<td valign="top" align="left">mmu-miR-3089-5p</td>
<td valign="top" align="center">&#x02013;</td>
<td valign="top" align="center">3</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn3-ijmm-41-03-1500">
<p>miR, microRNA; DEG, differentially expressed gene.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
