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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.2019.4270</article-id>
<article-id pub-id-type="publisher-id">ijmm-44-03-1063</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Circular RNA profile in liver tissue of EpCAM knockout mice</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Yang</surname><given-names>Yanhong</given-names></name><xref rid="af1-ijmm-44-03-1063" ref-type="aff">1</xref><xref rid="af2-ijmm-44-03-1063" ref-type="aff">2</xref><xref rid="fn1-ijmm-44-03-1063" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>Liu</surname><given-names>Shaomin</given-names></name><xref rid="af2-ijmm-44-03-1063" ref-type="aff">2</xref><xref rid="af3-ijmm-44-03-1063" ref-type="aff">3</xref><xref rid="fn1-ijmm-44-03-1063" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>Lei</surname><given-names>Zili</given-names></name><xref rid="af2-ijmm-44-03-1063" ref-type="aff">2</xref><xref rid="fn1-ijmm-44-03-1063" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>Chen</surname><given-names>Guibin</given-names></name><xref rid="af2-ijmm-44-03-1063" ref-type="aff">2</xref><xref rid="fn1-ijmm-44-03-1063" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>Huang</surname><given-names>Li</given-names></name><xref rid="af2-ijmm-44-03-1063" ref-type="aff">2</xref><xref rid="af3-ijmm-44-03-1063" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>Yang</surname><given-names>Fei</given-names></name><xref rid="af2-ijmm-44-03-1063" ref-type="aff">2</xref><xref rid="af3-ijmm-44-03-1063" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>Lei</surname><given-names>Yuting</given-names></name><xref rid="af2-ijmm-44-03-1063" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>Liu</surname><given-names>Yanyan</given-names></name><xref rid="af2-ijmm-44-03-1063" ref-type="aff">2</xref><xref rid="af4-ijmm-44-03-1063" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>Yang</surname><given-names>Lanxiang</given-names></name><xref rid="af2-ijmm-44-03-1063" ref-type="aff">2</xref><xref rid="af3-ijmm-44-03-1063" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>Liu</surname><given-names>Wanwan</given-names></name><xref rid="af2-ijmm-44-03-1063" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Lai</surname><given-names>Liangxue</given-names></name><xref rid="af5-ijmm-44-03-1063" ref-type="aff">5</xref><xref ref-type="corresp" rid="c1-ijmm-44-03-1063"/></contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Guo</surname><given-names>Jiao</given-names></name><xref rid="af2-ijmm-44-03-1063" ref-type="aff">2</xref><xref ref-type="corresp" rid="c2-ijmm-44-03-1063"/></contrib></contrib-group>
<aff id="af1-ijmm-44-03-1063">
<label>1</label>The First Affiliated Hospital (School of Clinical Medicine), Guangdong Pharmaceutical University, Guangzhou, Guangdong 510080</aff>
<aff id="af2-ijmm-44-03-1063">
<label>2</label>Guangdong Metabolic Disease Research Center of Integrated Chinese and Western Medicine, Institute of Chinese Medicinal Sciences</aff>
<aff id="af3-ijmm-44-03-1063">
<label>3</label>School of Traditional Chinese Medicine</aff>
<aff id="af4-ijmm-44-03-1063">
<label>4</label>Department of Pathology and Guangdong Key Laboratory for Bioactive Drugs Research, Guangdong Pharmaceutical University, Guangzhou Higher Education Mega Center, Guangzhou, Guangdong 510006</aff>
<aff id="af5-ijmm-44-03-1063">
<label>5</label>Key Laboratory of Regenerative Biology, Guangzhou Institutes of Biomedicine and Health, Chinese Academy of Sciences, Guangzhou, Guangdong 510530, P.R. China</aff>
<author-notes>
<corresp id="c1-ijmm-44-03-1063">Correspondence to: Professor Liangxue Lai, Key Laboratory of Regenerative Biology, Guangzhou Institutes of Biomedicine and Health, Chinese Academy of Sciences, 190 Kai Yuan Avenue, Science Park, Guangzhou, Guangdong 510530, P.R. China, E-mail: <email>lai_liangxue@gibh.ac.cn</email></corresp>
<corresp id="c2-ijmm-44-03-1063">Professor Jiao Guo, Guangdong Metabolic Disease Research Center of Integrated Chinese and Western Medicine, Institute of Chinese Medicinal Sciences, Guangdong Pharmaceutical University, Guangzhou Higher Education Mega Center, 280 Wai-Huan East Road, Guangzhou, Guangdong 510006, P.R. China, E-mail: <email>gyguoyz@163.com</email></corresp><fn id="fn1-ijmm-44-03-1063" fn-type="equal">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>09</month>
<year>2019</year></pub-date>
<pub-date pub-type="epub">
<day>08</day>
<month>07</month>
<year>2019</year></pub-date>
<volume>44</volume>
<issue>3</issue>
<fpage>1063</fpage>
<lpage>1077</lpage>
<history>
<date date-type="received">
<day>28</day>
<month>02</month>
<year>2019</year></date>
<date date-type="accepted">
<day>26</day>
<month>06</month>
<year>2019</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Yang et al.</copyright-statement>
<copyright-year>2019</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>Epithelial cell adhesion molecule (EpCAM) is highly expressed during liver development and carcinogenesis, However, its functions and underlying mechanisms remain unclear. Clustered regularly interspaced short palindromic repeats (CRISPRs)/CRISPR-associated protein 9 (Cas9) technology was used in the current study to establish EpCAM<sup>&#x02212;/&#x02212;</sup> mice. The expression of EpCAM in the livers of the mice at embryonic day (E)18.5 and post-natal day (P)0 was detected by immunofluorescence staining. The expression of genes associated with the development and glycogen metabolism was also assessed by reverse transcription-quantitative PCR. Additionally, the liver tissue of the EpCAM<sup>&#x02212;/&#x02212;</sup> and wild-type mice was used for non-coding RNA sequencing. The results of RNA sequencing revealed 11 up-regulated and 12 downregulated circular RNAs (circRNAs). Kyoto Encyclopedia of Genes and Genomes analysis for resource genes determined that the top altered pathways included cell junctions, cell cycle, immune signaling and metabolism. This analysis was also utilized to predict the target association of the circRNA-microRNA-mRNA network. The comprehensive liver tissue circRNA expression profiles produced in the present study may help to elucidate the functions and mechanisms of EpCAM during liver development.</p></abstract>
<kwd-group>
<kwd>epithelial cell adhesion molecule</kwd>
<kwd>gene knock-out mouse</kwd>
<kwd>circular RNA sequencing</kwd>
<kwd>liver tissue</kwd>
<kwd>development</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Epithelial cell adhesion molecule (EpCAM) is a transmembrane glycoprotein that is involved in several biological processes including cell adhesion, proliferation and differentiation (<xref rid="b1-ijmm-44-03-1063" ref-type="bibr">1</xref>,<xref rid="b2-ijmm-44-03-1063" ref-type="bibr">2</xref>). It has been demonstrated that EpCAM<sup>&#x02212;/&#x02212;</sup> mice exhibit impaired cell junctions in the intestines, contributing to severe defects and phonotypes similar to human congenital tufting enteropathy (<xref rid="b2-ijmm-44-03-1063" ref-type="bibr">2</xref>-<xref rid="b4-ijmm-44-03-1063" ref-type="bibr">4</xref>). EpCAM expression is detected in various tissues from early-stage embryos to adults, and in tumors. Huang <italic>et al</italic> (<xref rid="b1-ijmm-44-03-1063" ref-type="bibr">1</xref>) determined the expression pattern, functions and underlying mechanisms of EpCAMs, revealing that the expression pattern of liver EpCAM is particularly complex. EpCAM has been reported to be expressed in hepatoblasts during embryonic development and in adult liver cholangiocytes, but not in hepatocytes (<xref rid="b5-ijmm-44-03-1063" ref-type="bibr">5</xref>,<xref rid="b6-ijmm-44-03-1063" ref-type="bibr">6</xref>). Previous studies have also identified EpCAM as surface marker of stem cells in normal adult livers (<xref rid="b7-ijmm-44-03-1063" ref-type="bibr">7</xref>,<xref rid="b8-ijmm-44-03-1063" ref-type="bibr">8</xref>). Furthermore, EpCAM mutant zebrafish exhibit impaired hepatic development due to the activation of the Wnt signaling pathway in the endoderm (<xref rid="b9-ijmm-44-03-1063" ref-type="bibr">9</xref>). However, whether EpCAM mutations affect the development of mammalian livers has yet to be elucidated.</p>
<p>The abnormal expression of EpCAM has been associated with different liver diseases. Matsumoto <italic>et al</italic> (<xref rid="b10-ijmm-44-03-1063" ref-type="bibr">10</xref>) reported that proliferating ductal cells (PDCs) expressing EpCAM may lead to the development of hepatocellular carcinoma (HCC) in inflamed livers, indicating the stem/progenitor cell origin of hepatocarcinogenesis. This protein is also highly expressed in premalignant hepatic tissues and EpCAM-positive cells may serve as HCC cancer stem cells (<xref rid="b11-ijmm-44-03-1063" ref-type="bibr">11</xref>-<xref rid="b13-ijmm-44-03-1063" ref-type="bibr">13</xref>). Mani <italic>et al</italic> (<xref rid="b14-ijmm-44-03-1063" ref-type="bibr">14</xref>) demonstrated that EpCAM underwent regulated intramembrane proteolysis in hepatitis B virus (HBV)-replicating cells. It was also revealed that the activation of Wnt signaling may lead to HBV-associated HCC. It has been reported that bile acids induce the expression of long non-coding RNA H19, and the activation of hepatic H19RNA may promote cholestatic liver fibrosis in mice via the ZEB1/EpCAM signaling pathway in mice (<xref rid="b15-ijmm-44-03-1063" ref-type="bibr">15</xref>). Although the expression pattern of EpCAM has been studied, the functions and mechanisms of EpCAM in liver development and disease remain unclear.</p>
<p>Circular RNAs (circRNAs), a novel type of non-coding RNAs (ncRNAs) with a covalently closed-loop structure generated by back splicing, play important roles in several biological processes, including proliferation, apoptosis, development and aging (<xref rid="b16-ijmm-44-03-1063" ref-type="bibr">16</xref>,<xref rid="b17-ijmm-44-03-1063" ref-type="bibr">17</xref>). circRNAs may also serve as potential clinical biomarkers for various diseases, including rheumatoid arthritis, breast cancer, cardiovascular diseases and osteoarthritis (<xref rid="b18-ijmm-44-03-1063" ref-type="bibr">18</xref>-<xref rid="b21-ijmm-44-03-1063" ref-type="bibr">21</xref>). It has been demonstrated that a number of circRNAs are differentially expressed between HCC and normal liver tissues, which may be closely associated with the development and prognosis of HCC (<xref rid="b22-ijmm-44-03-1063" ref-type="bibr">22</xref>). The altered expression of circRNAs has also been implicated in hepatic steatosis and non-alcoholic fatty liver disease (<xref rid="b23-ijmm-44-03-1063" ref-type="bibr">23</xref>,<xref rid="b24-ijmm-44-03-1063" ref-type="bibr">24</xref>).</p>
<p>The aforementioned studies indicate that the expression of circRNAs may be involved in the functions of EpCAM and that circRNAs may serve as biomarkers during liver development and associated diseases. In the current study, the effects of EpCAM on the expression profiles of circRNAs in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice were investigated by high-throughput sequencing. In addition, circRNA-microRNA (miRNA or miR)-mRNA networks were assessed by target analysis. The present study identified several novel circRNAs in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice. These results may therefore enhance our understanding of the functions of EpCAM during liver development and in associated diseases.</p>
<p><bold>Materials and methods</bold></p>
<sec>
<title>Generation of EpCAM<sup>&#x02212;/&#x02212;</sup> mice</title>
<p>All animal experiments were approved by the Committee on the Laboratory Animal Care and Use of Guangdong Pharmaceutical University. Stable genetic EpCAM<sup>&#x02212;/&#x02212;</sup> mice were obtained using the clusters of regularly inter-spaced short palindromic repeats (CRISPRs)/CRISPR-associated protein 9 (Cas9) gene editing technology. The method was as follows: The GGG CGA TCC AGA ACA ACG AT sequence in exon 2 of EpCAM was identified as guide RNA (gRNA) by Vector NTI11 software (version 11.5.1, Invitrogen) (<xref rid="f1-ijmm-44-03-1063" ref-type="fig">Fig. 1A</xref>). The gRNA and Cas9 gene constructed <italic>in vitro</italic> were transfected into the fertilized ova of C57BL/6 mice via electrotransfection, which was subsequently transplanted into the oviducts of surrogate 10-week old ICR (n=12; body weight, 30-34 g) female mice. Fertilized ova were obtained by mating 10-15-week old C57BL/6 males (n=10; body weight, 20-30 g) with 6-week-old C57BL/6 females (n=29; body weight, 18-20 g). F0 mice with successful gene knockout, confirmed by gene sequencing, were mated with wild-type (WT) 8-12-week-old C57BL/6 mice (n=32; body weight, 20-29 g). F1 hybrid mice were then screened out. Female and male mice with identical knockout sequences were selected for breeding F2 mice. Heterozygous F2 mice with stable genetic characteristics were then selected for breeding and conservation. Homozygous mice with the knockout gene were selected for further analysis. All the mice were kept in an SPF mouse facility, at 22&#x000B0;C, 60-65% humidity, with free access to food and water. All mice were from Hunan SJA Laboratory Animal Co. Ltd.</p></sec>
<sec>
<title>Animal tissue collection for circRNA sequencing</title>
<p>WT and EpCAM<sup>&#x02212;/&#x02212;</sup> mice were sacrificed on the first day after birth, after which murine livers were weighed, frozen in liquid nitrogen, and stored at -80&#x000B0;C for preservation. The livers of every 3 mice (at least 200 mg) were collected as 1 sample. The control group (WT) and the EpCAM<sup>&#x02212;/&#x02212;</sup> group had 3 samples each.</p></sec>
<sec>
<title>Hematoxylin and eosin (H&#x00026;E) and immunofluorescence staining</title>
<p>The mouse tissues were fixed in 4% paraformaldehyde at 4&#x000B0;C overnight for H&#x00026;E (Leagene Biotechnology) and immunofluorescence staining H&#x00026;E staining was performed on 4-&#x000B5;m-thick sections, stained with hematoxylin for 3 min and eosin for 20 sec at room temperature. Immunofluorescence staining was performed on frozen sections. Tissues were embedded in optimal cutting temperature compound (OCT) (Sakura Finetek) after fixing, and 7-&#x000B5;m-thick sections were mounted on the slides using the frozen section machine (LEICA CM1860). The sections were boiled in 10 mM citric acid (Merck) at pH 6.0 for 5 min, and then were exposed to 1% bovine serum albumin (BSA; Sigma) in phosphate-buffered saline (PBS; HyClone) containing 0.1% Tween-20 to block non-specific sites. Anti-rabbit EpCAM antibody (cat. no. ab71916; Abcam) was incubated with the sections at 4&#x000B0;C overnight at a dilution of 1:200, and AlexFluor 488 secondary antibody (cat. no. A21206; Thermo fisher Scientific, Inc.) was incubated with the sections at room temperature for 1 h at a dilution of 1:1,000. Images of H&#x00026;E staining were captured using the PerkinElmer Automated Quantitative Pathology System, and the images of immunofluorescence staining were analyzed using an Olympus confocal microscope (FV3000).</p></sec>
<sec>
<title>RNA extraction and library construction</title>
<p>circRNA isolation, library construction, circRNA sequencing and bioinformatics analysis were performed by the Gene Denovo Biotechnology Co. Total RNA was extracted using TRIzol reagent (Life Technologies) and, ribosomal RNA (rRNA) &#x0005B;Ribo-Zero Gold (Human/Mouse/Rat) kit, Illumina&#x0005D; was removed to retain mRNA and ncRNA. Enriched mRNAs and ncRNAs were separated into short fragments and reverse transcribed into cDNA (NEB#7490 kit, New England Biolabs) with random primers. Second-strand cDNA was then synthesized (NEB#7490 kit, New England Biolabs) using DNA polymerase I, RNaseH and dNTPs (NEB#7490 kit, New England Biolabs). The cDNA fragments were purified using the QiaQuick PCR extraction kit (Qiagen), end repaired, poly(A) added, and ligated into Illumina sequencing adapters (NEB#7490 kit, New England Biolabs). Uracil-N-Glycosylase (NEB#7490 kit, New England Biolabs) was then used to digest the second-strand cDNA. Digested products were size selected via agarose gel electrophoresis (Sigma), PCR-amplified, and sequenced using Illumina HiSeqTM 4000 (Illumina).</p></sec>
<sec>
<title>circRNA sequencing analysis</title>
<p>Reads were further filtered to remove those of low quality reads containing adapters or reads with &#x0003E;10% of unknown nucleotides. Reads were then mapped to rRNA of mice (Genome version GRCm38.p5, <ext-link xlink:href="http://asia.ensembl.org/info/about/species.html" ext-link-type="uri">http://asia.ensembl.org/info/about/species.html</ext-link>) and the reference genome was established using Bowtie2 (version 2.2.8, <ext-link xlink:href="http://bowtie-bio.sourceforge.net/bowtie2/index.shtml" ext-link-type="uri">http://bowtie-bio.sourceforge.net/bowtie2/index.shtml</ext-link>) and TopHat2 (version 2.1.1, <ext-link xlink:href="http://ccb.jhu.edu/software/tophat/index.shtml" ext-link-type="uri">http://ccb.jhu.edu/software/tophat/index.shtml</ext-link>) software (<xref rid="b25-ijmm-44-03-1063" ref-type="bibr">25</xref>,<xref rid="b26-ijmm-44-03-1063" ref-type="bibr">26</xref>), respectively. Mapped reads were abandoned and unmapped reads were collected for circRNA identification. Each end of the unmapped reads (20 bp) was extracted and aligned to the reference genome to find unique anchor positions within splice site. Anchor reads that aligned in the reversed orientation (head-to tail) were then analyzed via Find_circ software (version 1) (<xref rid="b27-ijmm-44-03-1063" ref-type="bibr">27</xref>) to identify circRNAs. The type, chromosome distribution and length distribution of the identified circRNAs were then further analyzed. The functions of circRNA source genes were also analyzed via functional enrichment analysis as shown below.</p></sec>
<sec>
<title>Analysis of differentially expressed circRNAs and database annotation</title>
<p>Differentially expressed circRNAs were identified using the edgeR package (<ext-link xlink:href="http://www.r-project.org/" ext-link-type="uri">http://www.r-project.org/</ext-link>). circRNAs were then blasted against the circBase for annotation and those that could not be annotated were defined as novel circRNAs. A fold change &#x02265;2 and P-value &#x0003C;0.05 in the comparison between different groups were considered to indicate statistically significant differences.</p></sec>
<sec>
<title>Gene ontology (GO) and kyoto encyclopedia of genes and genomes (KEGG) pathway analysis</title>
<p>GO is a gene functional classification system that defines the properties and functions of genes in different organisms. GO has 3 ontologies: Molecular function, cellular component and biological process. All the source genes were mapped to GO terms in the GO database (<ext-link xlink:href="http://www.geneontology.org/" ext-link-type="uri">http://www.geneontology.org/</ext-link>) and gene numbers were calculated for every term, with FDR &#x02264;0.05 as a threshold.</p>
<p>KEGG pathway analysis (<ext-link xlink:href="https://www.kegg.jp/" ext-link-type="uri">https://www.kegg.jp/</ext-link>) identifies significantly enriched pathways in source genes compared with the whole genome, which helps to further understand the functions of genes. The calculating formula is the same as GO analysis, and pathways with FDR &#x02264;0.05 were defined as significantly enriched.</p></sec>
<sec>
<title>Integrated analysis of circRNAs-miRNAs-mRNAs</title>
<p>StarBase (v2.0) software was used to predict the target miRNAs of known circRNAs. Mireap (<ext-link xlink:href="https://sourceforge.net/projects/mireap/" ext-link-type="uri">https://sourceforge.net/projects/mireap/</ext-link>), Miranda (v3.3a, <ext-link xlink:href="http://miranda.org.uk/" ext-link-type="uri">http://miranda.org.uk/</ext-link>) and TargetScan (v7.0, <ext-link xlink:href="http://www.targetscan.org" ext-link-type="uri">http://www.targetscan.org</ext-link>) were also used to predict the target miRNAs of novel circRNAs. The circRNA-miRNA-mRNA pathway regulatory network was analyzed via miRTarBase (v6.1, <ext-link xlink:href="http://mirtarbase.mbc.nctu.edu.tw/php/index.php" ext-link-type="uri">http://mirtarbase.mbc.nctu.edu.tw/php/index.php</ext-link>), and the resulting correlation was visualized by Cytoscape (<ext-link xlink:href="https://cytoscape.org/" ext-link-type="uri">https://cytoscape.org/</ext-link>).</p></sec>
<sec>
<title>Reverse transcription-quantitative PCR (RT-qPCR)</title>
<p>Total RNA was extracted from the liver samples using TRIzol reagent (Invitrogen, Thermo Fisher Scientific, Inc.), and subjected to reverse transcription using the PrimeScript&#x02122; RT Reagent kit (Takara). All primers of development and metabolism associated genes are listed in <xref ref-type="supplementary-material" rid="SD1-ijmm-44-03-1063">Table SI</xref> &#x0005B;produced by Sangon Biotech (Shanghai) Co., Ltd.&#x0005D;. qPCR was performed using the SYBR Premix Ex Taq kit (Takara) with the PikoReal PCR system (Thermo Fisher Scientific, Inc.,) under the following conditions: 95&#x000B0;C for 30 sec, followed by 40 cycles at 95&#x000B0;C for 5 sec, 60&#x000B0;C for 20 sec and 65&#x000B0;C for 15 sec. GAPDH was used as a reference gene.</p>
<p>To confirm the expression of circRNAs, qPCR was performed under the following sequential conditions: 95&#x000B0;C for 5 min, 40 cycles at 95&#x000B0;C for 10 sec and 60&#x000B0;C for 34 sec. All the primers of circRNAs were listed in <xref ref-type="supplementary-material" rid="SD1-ijmm-44-03-1063">Table SII</xref> (produced by Geneseed Biotechnology Co., Ltd.). &#x003B2;-actin was used as the reference gene. PCR products were tested via electrophoresis on 2% agarose gels and bands were extracted and used for Sanger sequencing.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Statistical differences were determined using SPSS 23.0 software. An independent-sample t-test was used and the data were presented as the means &#x000B1; SD. P&#x0003C;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Generation of EpCAM knockout mice</title>
<p>Three types of EpCAM gene knockout mice with termination codon mutations were obtained and named -13 bp, -10 bp, -1+9 bp mutant, respectively (<xref rid="f1-ijmm-44-03-1063" ref-type="fig">Fig. 1B</xref>). The phenotypes of these mutants were identical. The -1+9 bp mutant mice were selected for further analysis. The phenotype of the EpCAM knockout mice obtained via CRISPR/Cas9 was identical to that obtained by the traditional gene targeting technique of our previous study (<xref rid="b2-ijmm-44-03-1063" ref-type="bibr">2</xref>). As presented in <xref rid="f1-ijmm-44-03-1063" ref-type="fig">Fig. 1C</xref>, the EpCAM<sup>&#x02212;/&#x02212;</sup> mice generated via CRISPR/Cas9 gene editing were smaller than the heterozygous and WT mice at day 4 after birth (<xref rid="f1-ijmm-44-03-1063" ref-type="fig">Fig. 1C</xref>). The 89.36% (42/47) of the mutant mice died within 1 week after birth, and all the mutant mice died within 12 days. This result was similar to previous studies, and the mice died of intestinal erosion as EpCAM knockout affects the intestinal tight junction (<xref rid="b2-ijmm-44-03-1063" ref-type="bibr">2</xref>-<xref rid="b4-ijmm-44-03-1063" ref-type="bibr">4</xref>).</p></sec>
<sec>
<title>Expression pattern of glycogen-related genes in the livers of EpCAM KO mice</title>
<p>As shown in <xref rid="f2-ijmm-44-03-1063" ref-type="fig">Fig. 2A</xref>, the expression level of EpCAM was significantly decreased in the EpCAM knockout mice. The results of immunofluorescence staining also demonstrated that EpCAM was primarily expressed in the liver cholangiocytes of WT mice at E18.5 (<xref rid="f2-ijmm-44-03-1063" ref-type="fig">Figs. 2B</xref> and <xref ref-type="supplementary-material" rid="SD1-ijmm-44-03-1063">S1A</xref>) and at P0 (<xref ref-type="supplementary-material" rid="SD1-ijmm-44-03-1063">Fig. S1C</xref>). H&#x00026;E staining revealed no marked differences in the livers of the EpCAM<sup>&#x02212;/&#x02212;</sup> and WT mice at E18.5, although some EpCAM<sup>&#x02212;/&#x02212;</sup> mice exhibited reduced cytoplasmic vacuolation when compared with WT mice (<xref rid="f2-ijmm-44-03-1063" ref-type="fig">Fig. 2C</xref>), indicating defects in hepatic glycogen storage (<xref rid="b28-ijmm-44-03-1063" ref-type="bibr">28</xref>). In addition, no marked differences were observed following H&#x00026;E staining in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> and WT mice at P0. The EpCAM<sup>&#x02212;/&#x02212;</sup> murine livers at P4 exhibited marked vacuolation compared with those of the WT mice <xref ref-type="supplementary-material" rid="SD1-ijmm-44-03-1063">Fig. S1D</xref>.</p>
<p>The expression levels of development associated genes, including marker of hepatoblast delta-like 1 homologue (DLK1; <xref rid="f2-ijmm-44-03-1063" ref-type="fig">Fig. 2D</xref>), hepatocyte albumin (ALB), CD26 and H19 (<xref rid="f2-ijmm-44-03-1063" ref-type="fig">Fig. 2E</xref>), hepatic oval cell CD34 and thymus cell antigen 1 (Thy1) (<xref rid="f2-ijmm-44-03-1063" ref-type="fig">Fig. 2F</xref>), Wnt signal pathway axis inhibition protein 2 (Axin2) and leucine rich repeat containing G-protein coupled receptor 5 (Lgr5) (<xref rid="f2-ijmm-44-03-1063" ref-type="fig">Fig. 2G</xref>) and cholangiocyte hepatocyte nuclear factor 1&#x003B2; (Hnf1&#x003B2;), cytokeratin 19, CD133 and SRY box 9 (Sox9; <xref rid="f2-ijmm-44-03-1063" ref-type="fig">Fig. 2H</xref>) were further assessed by RT-qPCR. The results revealed that while the expression of CD34 was increased in the knockout mice, the level of Axin2 was significantly decreased. The expression of Hnf1&#x003B2; was also increased, but not significantly (P=0.09).</p>
<p>Since some EpCAM<sup>&#x02212;/&#x02212;</sup> mice demonstrated reduced cytoplasmic vacuolation of the liver, suggesting defects in hepatic glycogen storage (<xref rid="b28-ijmm-44-03-1063" ref-type="bibr">28</xref>), the expression of glycogen-associated genes was also determined (<xref rid="f3-ijmm-44-03-1063" ref-type="fig">Fig. 3</xref>). Glycogen phosphorylase and glucose-6-phosphatase (G6PC) were determined to be associated with glycogenolysis in the liver (<xref rid="b29-ijmm-44-03-1063" ref-type="bibr">29</xref>,<xref rid="b30-ijmm-44-03-1063" ref-type="bibr">30</xref>), and the expression of G6PC was decreased in the knockout mice (P=0.08, <xref rid="f3-ijmm-44-03-1063" ref-type="fig">Fig. 3A</xref>). The expression levels of two glycogen synthesis-associated genes, UDP-glucose pyrophosphorylase 2 (Ugp2) and glucokinase (GCK) were significantly decreased (P=0.08, <xref rid="f3-ijmm-44-03-1063" ref-type="fig">Fig. 3B</xref>). The expression levels of various genes that regulate glycogen catabolism, including protein phosphatase 1 regulatory subunit 3B (PPP1R3B), protein phosphatase 1 catalytic subunit &#x003B1; (PPC1CA), common &#x003B2; subunit of phosphorylase kinase (PHKB), phosphorylase kinase catalytic subunit, gamma 2 (PHKG2) remained unaltered (<xref rid="f3-ijmm-44-03-1063" ref-type="fig">Fig. 3C</xref>). Additionally, no changes in the expression of PAS domain containing serine/threonine kinase (PASK), which regulates glycogen synthesis in the liver (<xref rid="b31-ijmm-44-03-1063" ref-type="bibr">31</xref>), were observed (<xref rid="f3-ijmm-44-03-1063" ref-type="fig">Fig. 3D</xref>). The expression of solute carrier family 2 (facilitated glucose transporter), member 2 &#x0005B;SLC2A2; also known as glucose transporter-2 (GLUT-2)&#x0005D;, a gene associated with disorders of glycogen storage (<xref rid="b32-ijmm-44-03-1063" ref-type="bibr">32</xref>), was significantly increased (<xref rid="f3-ijmm-44-03-1063" ref-type="fig">Fig. 3E</xref>).</p></sec>
<sec>
<title>Overview of circRNAs in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice</title>
<p>According to the sequence data, 526,000,032 clean reads (255,388,976 for EpCAM<sup>&#x02212;/&#x02212;</sup> mice and 270,611,056 for WT mice) were generated. Following the removal of the low quality, adapter-containing and poly-N containing reads, 518,617,322 high quality clean reads (251,809,406 from EpCAM<sup>&#x02212;/&#x02212;</sup> mice and 266,807,916 from WT mice) were obtained (<xref ref-type="supplementary-material" rid="SD1-ijmm-44-03-1063">Table SIII</xref>). A total of 3,984 circRNAs were identified, including 292 known circRNAs and 3,692 novel circRNAs. The majority of the circRNAs were ~300-400 nucleotides in length (<xref rid="f4-ijmm-44-03-1063" ref-type="fig">Fig. 4A</xref>). The length distribution of known circRNAs and novel circRNAs are presented in <xref ref-type="supplementary-material" rid="SD1-ijmm-44-03-1063">Fig. S2A and B</xref>, respectively. Different types of circRNAs were identified, including annot_exons, antisense, exon_intron, intergenic, intronic and one_exon circRNAs. Among these, the most common type was annot_exon followed by one_exon (<xref rid="f4-ijmm-44-03-1063" ref-type="fig">Fig. 4B-C</xref>). The different types of known and novel circRNAs are presented in <xref ref-type="supplementary-material" rid="SD1-ijmm-44-03-1063">Fig. S2C and D</xref>, respectively, of which, the first and second most common types were also annot_exon and one_exon. In addition, the chromosome distributions of known circRNAs and novel circRNAs are presented in <xref ref-type="supplementary-material" rid="SD1-ijmm-44-03-1063">Fig. S2E and F</xref>, respectively.</p>
<p>To elucidate the functions of circRNAs, all source genes were mapped to terms in the GO database and compared with the background. GO has 3 ontologies including biological process, cellular component and molecular function. In the biological process group, the majority of genes were associated with cellular process, metabolic process and single-organism process. In the cellular component group, the majority of genes were associated with cell, cell part and organelle. Additionally, in the molecular function group, the majority of genes were associated with binding and catalytic activity (<xref rid="f4-ijmm-44-03-1063" ref-type="fig">Fig. 4D</xref>).</p>
<p>KEGG assignments were used to classify the functional annotations of source genes to further understand the biological functions of circRNAs. The top 20 pathways are presented in <xref rid="f4-ijmm-44-03-1063" ref-type="fig">Fig. 4E</xref> and included ubiquitin mediated proteolysis, thyroid hormone signaling, adherents junction, cell cycle and cell senescence, regulation of actin cytoskeleton, and insulin signaling pathway.</p></sec>
<sec>
<title>circRNA expression profiles in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice</title>
<p>The differences in circRNA expression between the livers of WT and EpCAM<sup>&#x02212;/&#x02212;</sup> mice were compared and those with a log<sub>2</sub> fold change &#x0003E;1 and P-value &#x0003C;0.05 were considered statistically significant. A total of 11 upregulated circRNAs and 12 downregulated circRNAs were identified in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice compared with the WT group (<xref rid="f5-ijmm-44-03-1063" ref-type="fig">Fig. 5A</xref>), including 6 known circRNAs and 17 novel circRNAs. The basic information of the upregulated and downregulated circRNAs and their predicted target miRNAs is presented in <xref rid="tI-ijmm-44-03-1063" ref-type="table">Tables I</xref> and <xref rid="tII-ijmm-44-03-1063" ref-type="table">II</xref>, respectively.</p>
<p>The results of hierarchical clustering, which is one of the most commonly used clustering techniques for gene expression analysis, revealed the distinguishable circRNA expression profiles between the WT and EpCAM <sup>&#x02212;/&#x02212;</sup> mice (<xref rid="f5-ijmm-44-03-1063" ref-type="fig">Fig. 5B</xref>).</p>
<p>The results of KEGG pathway analysis demonstrated that the top 20 pathways were the mRNA surveillance pathway, fat digestion and absorption, insulin signaling, Hippo signaling and cell senescence, as well as others (<xref rid="f5-ijmm-44-03-1063" ref-type="fig">Fig. 5C</xref>).</p>
<p>The results of GO analysis determined that in the biological process group, the majority of source genes of differentially expressed circRNAs were associated with cellular process, single-organism process, metabolic process and developmental process. In the cellular component group, the majority of genes were associated with cell, cell part, organelle organelle part and membrane-enclosed lumen. Furthermore, in the molecular function group, the majority of genes were associated with binding and catalytic activity (<xref rid="f5-ijmm-44-03-1063" ref-type="fig">Fig. 5D</xref>).</p></sec>
<sec>
<title>Validation of circRNA expression profiles in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice</title>
<p>To validate circRNA profiles, 3 circRNAs were randomly selected and amplified by RT-qPCR. The results revealed that the expression levels of novel_circ_00176 and _circ_002561 were significantly increased in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice compared with those of WT mice. Furthermore, the expression of novel_circ_00189 was decreased in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice (<xref rid="f6-ijmm-44-03-1063" ref-type="fig">Fig. 6A</xref>). These results were in agreement with the RNA-seq data. The PCR products were subsequently analyzed using agarose gels to validate single DNA amplifications (<xref rid="f6-ijmm-44-03-1063" ref-type="fig">Fig. 6B</xref>). In addition, the identity of 3 selected circRNAs were further confirmed by Sanger sequencing (<xref rid="f6-ijmm-44-03-1063" ref-type="fig">Fig. 6C</xref>).</p></sec>
<sec>
<title>Prediction of target association of circRNA-miRNA-mRNA network</title>
<p>To confirm the functions of circRNAs as 'miRNAs sponges', the mmu-miR-302b-5p and mmu-miR-691 binding sites of novel_circ_000189; the mmu-miR-200b-3p and mmu-miR-195a-5p binding sites of novel_circ_000176; and the mmu-miR-200a-3p and mmu-miR-466b-5p binding sites of novel_circ_002561 are presented in <xref rid="f7-ijmm-44-03-1063" ref-type="fig">Fig. 7</xref>. All the established miRNA binding sites of the 3 selected circRNAs are presented in <xref ref-type="supplementary-material" rid="SD1-ijmm-44-03-1063">Figs. S3-S5</xref>. The regulatory circRNA-miRNA-mRNA networks of the 3 circRNAs were further established. In novel_circ_002561, the target genes associated with the Wnt signaling pathway &#x0005B;(Wnt family member 3a (Wnt3a), Lgr5, transcription factor (Tcf)3 and Tcf4 and others&#x0005D;, cell junctions (cadherin 1, catenin beta-1 and cell adhesion molecule 1 and others), cell cycle and division (cyclin E1, anaphase promoting complex subunit 16, cyclin T2 and cyclin-dependent kinase 6 and others), stem cell (Nanog), metabolism (insulin-induced gene 2, hepatocyte nuclear factor 4 gamma, insulin-like growth factor 1 and ATP binding cassette subfamily D and others) and inflammation &#x0005B;interleukin (IL)11, IL6 signal transducer, IL5 receptor subunit alpha and tumor necrosis factor alpha-induced protein 3&#x0005D; were selected to establish the circRNA-miRNA-mRNA network. As presented in <xref rid="f8-ijmm-44-03-1063" ref-type="fig">Fig. 8A</xref>, novel_circ_002561 was predicted to combine with 41 miRNAs to regulate the expression of 104 target genes. Some of the 41 miRNAs were mmu-miR-96-5p, mmu-miR-666-3p, mmu-miR-183-5p, mmu-miR-141-3p, mmu-miR-296-5p and mmu-miR-200a-3p. The networks of 2 further circRNAs, novel_circ_000176 and novel_circ_000189 are presented in <xref rid="f8-ijmm-44-03-1063" ref-type="fig">Fig. 8B and C</xref>, respectively. The network of all the target genes of novel_circ_002561, novel_circ_000176 and novel_ circ_000189 are presented in <xref ref-type="supplementary-material" rid="SD1-ijmm-44-03-1063">Fig. S6</xref>. The networks of the 6 known differentially expressed circRNAs (novel_circ_000125, novel_circ_000596, novel_circ_000649, novel_circ_002754, novel_circ_002813 and novel_circ_003291) and 6 other randomly selected novel differentially expressed circRNAs are presented in <xref ref-type="supplementary-material" rid="SD1-ijmm-44-03-1063">Figs. S7-S8</xref>.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>EpCAM is a cell-cell adhesion molecule, which serves important roles in cell signaling, proliferation, differentiation, formation and maintenance of organ morphology (<xref rid="b1-ijmm-44-03-1063" ref-type="bibr">1</xref>). The phonotype of EpCAM knockout mice primarily manifests the symptoms of intestinal defects, with abnormalities in tight junctions and barrier functions of the intestinal epithelium (<xref rid="b2-ijmm-44-03-1063" ref-type="bibr">2</xref>). Recently, EpCAM was identified as a novel marker of cancer stem cells in HCC. Additionally, EpCAM-positive HCC cells exhibited hepatic cancer stem cell-like traits that could initiate highly invasive HCC in severe combined immunodeficient mice (<xref rid="b33-ijmm-44-03-1063" ref-type="bibr">33</xref>).</p>
<p>In the current study, the results of immunofluorescence staining demonstrated that EpCAM was mainly expressed on the liver cholangiocytes of WT mice at E18.5 and P0. However, this expression was completely eradicated in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice, indicating that a successful knockout mouse model was generated in the present study. RT-qPCR analysis of genes associated with liver development revealed increased CD34 levels in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice, compared with WT mice. CD34 is a marker of hepatic oval cells, resembling hepatic progenitor cells (HPCs), located in the periportal region of the liver (<xref rid="b36-ijmm-44-03-1063" ref-type="bibr">36</xref>). In response to liver injury, HPCs become involved in the proliferation and differentiation of liver cells (<xref rid="b34-ijmm-44-03-1063" ref-type="bibr">34</xref>). Since the expression of CD34 increased in the EpCAM knockout mice in the current study, this was confirmed to resemble a type of liver injury. In addition, PDCs have long been considered a type of putative liver stem/progenitor cell, and EpCAM-positive PDCs with genetic alterations induced by chemicals have been determined to develop into HCC, resembling human cholangiolocellular carcinomas (CLCs). During this process, the Wnt signaling pathway was demonstrated to be specifically upregulated in the CLC components of PDC-derived HCC (<xref rid="b10-ijmm-44-03-1063" ref-type="bibr">10</xref>). The results of the present study revealed that the expression of Axin2, an important component and target gene of the Wnt signaling pathway, was significantly decreased in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice. This result indicated that EpCAM may interact with the Wnt signaling pathway to play an important role in the liver development and liver diseases. Furthermore, the present results revealed the distinct expression of circRNAs in the livers of EpCAM knockout mice, such as novel_circ_002561, which could regulate the transcription of Wnt signaling related genes (Wnt3a, Lgr5, Tcf3 and Tcf4, and others). It was therefore hypothesized that EpCAM may regulate liver development via certain circRNAs.</p>
<p>circRNAs act as 'sponges' for microRNAs and RNA binding proteins to regulate target gene expression (<xref rid="b16-ijmm-44-03-1063" ref-type="bibr">16</xref>,<xref rid="b35-ijmm-44-03-1063" ref-type="bibr">35</xref>,<xref rid="b36-ijmm-44-03-1063" ref-type="bibr">36</xref>). circRNAs have recently gained interest due to their complex involvement in the regulation of transcriptional processes their important roles in human diseases and their potential to serve as biomarkers and potential clinical targets (<xref rid="b37-ijmm-44-03-1063" ref-type="bibr">37</xref>). Although circRNAs modulate transcription and interfere with splicing, the expression pattern and functions of the majority of circRNAs remain largely unexplored. Therefore, the study of circRNAs and their dynamic expression patterns and complicated regulatory networks in different biological processes and diseases will help to further classify them (<xref rid="b38-ijmm-44-03-1063" ref-type="bibr">38</xref>). In the present study, high-throughput sequencing identified 3,984 circRNAs, including 292 known circRNAs and 3,692 novel circRNAs in the liver of WT and EpCAM<sup>&#x02212;/&#x02212;</sup> mice. The current study also identified 11 upregulated and 12 downregulated circRNAs in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice compared with the WT group. Within these circRNAs, 6 were known circRNAs and 17 were novel circRNAs. The results of GO analysis revealed that the majority of source genes of the differentially expressed circRNAs were associated with cellular process, single-organism process, metabolic process and developmental process. These data were consistent with the identification of development associated genes via RT-qPCR. These results demonstrated the important role of EpCAM in liver development.</p>
<p>H&#x00026;E staining revealed reduced cytoplasmic vacuolation of the liver, in EpCAM<sup>&#x02212;/&#x02212;</sup> mice, suggesting defects in hepatic glycogen storage (<xref rid="b28-ijmm-44-03-1063" ref-type="bibr">28</xref>). The analysis of glycogen-associated genes then identified two UDP-glucose pyrophosphorylase genes (UGP1 and UGP2), which are essential for sucrose and polysaccharide synthesis (<xref rid="b39-ijmm-44-03-1063" ref-type="bibr">39</xref>). The results of the current study also revealed that the expression of UGP2 was decreased in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice. In addition, the expression of SLC2A2 was increased in the EpCAM<sup>&#x02212;/&#x02212;</sup> livers. SLC2A2 encodes the glucose transporter 2 (GLUT2), and a defect may lead to neonatal diabetes, hepatomegaly and renal Fanconi syndrome (<xref rid="b40-ijmm-44-03-1063" ref-type="bibr">40</xref>). The results of the current study demonstrated that EpCAM affected glycogen synthesis and genes associated with diseases of glycogen storage. However, the underlying mechanisms warrant further investigation in future studies. The results of KEGG pathway analysis demonstrated that the top 20 pathways of differentially expressed circRNA source genes included mRNA surveillance, fat digestion and absorption and insulin signaling pathways. These bioinformatics data were consistent with the results of RT-qPCR and glycogen H&#x00026;E staining, indicating that EpCAM may also be involved in liver glycogen metabolism.</p>
<p>The results of H&#x00026;E staining also revealed that the livers of EpCAM <sup>&#x02212;/&#x02212;</sup> mice at P4 contained marked vacuolation compared with the livers of WT mice. EpCAM<sup>&#x02212;/&#x02212;</sup> mice also manifested intestinal barrier defects and died shortly after birth as a result of intestinal erosion, showing similar phenotypes with a previous study (<xref rid="b2-ijmm-44-03-1063" ref-type="bibr">2</xref>). It is hypothesized that EpCAM<sup>&#x02212;/&#x02212;</sup> mice exhibiting intestinal defects may have difficulties in digesting and absorbing food and energy, which affected liver glycogen metabolism, causing vacuolation. This hypothesis was supported by the data of the present study. However, the underlying mechanisms require further investigation.</p>
<p>To further study the functions and mechanisms of liver EpCAM, the target associations of the circRNA-miRNA- mRNA networks was predicted. Based on experimental results, target genes associated with the Wnt signaling pathway, cell junctions, cell cycle and division, stem cells, metabolism and inflammation were selected to establish the circRNA-miRNA-mRNA network. The results identified Novel_circ_002561, located in chromosome 4, whose expression was up-regulated in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice. The circRNA-microRNA-mRNA network of novel_circ_002561, its target genes and target microRNAs were also established. From network analysis, the regulatory association was clearly demonstrated, providing directions for further analysis.</p>
<p>In circRNAs profiling, 6 known circRNAs were differentially expressed. Novel_circ_000125 (mm9_ circ_017649) and novel_circ_002813 (mm9_circ_018676) were up-regulated in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice, while novel_circ_000596 (mm9_circ_017983), novel_circ_000649 (m m9_ci rc_ 015947), novel_ci rc_ 0 02754 (m m9_ circ_013483) and novel_circ_003291 (mm9_circ_003692) were down-regulated. As determined by Memczak <italic>et al</italic> (<xref rid="b27-ijmm-44-03-1063" ref-type="bibr">27</xref>), novel_circ_000125 and novel_circ_003291 were detected in the brains and heads of mice, novel_circ_000596 was detected in the embryonic stem cells (ES) and heads of mice, novel_circ_000649 was detected in the heads of mice, novel_circ_002754 was detected in the ES and brains of mice, and novel_circ_0002813 was detected in the ES, brains and heads of mice. The current study determined that these circRNAs were also expressed in the livers of WT mice at the P0 stage and that their expression was altered in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice. However, their functions, mechanisms and homologous human sequences remain obscure. The circRNAs determined in the present study may provide useful information for further study.</p>
<p>In conclusion, the current study revealed that the expression of certain development and glycogen-associated genes was altered in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice. The livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice exhibited glycogen shortages at E18.5 and vacuolation at P4. Based on RNA sequencing, a circRNA expression profile of EpCAM<sup>&#x02212;/&#x02212;</sup> murine livers was established. Several novel circRNAs were identified, and the circRNA-miRNA-mRNA regulatory network was established. These results may provide important information and direction for the future development of novel targets for the treatment of liver disease.</p></sec>
<sec sec-type="supplementary-material">
<title>Supplementary Materials</title>
<supplementary-material id="SD1-ijmm-44-03-1063" content-type="local-data">
<media xlink:href="Supplementary_Data.pdf" mimetype="application" mime-subtype="pdf"/></supplementary-material></sec></body>
<back>
<sec sec-type="other">
<title>Funding</title>
<p>This study was supported by the National Natural Science Foundation of China (grant nos. 31671520 and 81803912), the Science and Technology Project of Guangdong Province (grant nos. 2016B050501003 and 2017B050504005), the Scientific Research Project of the Administration of Traditional Chinese Medicine of Guangdong Province (grant no. 20182079), the Characteristic Innovation Project (Natural Science) of the Education Department of Guangdong Province and the 'Innovation Strong School Project' of Guangdong Pharmaceutical University (grant no. 2017KTSCX102), and the Science and Technology Project of Yue-Xiu District of Guangzhou (grant no. 2018-WS-011).</p></sec>
<sec sec-type="materials">
<title>Availability of data and materials</title>
<p>The datasets generated and analyzed during the current study are not publicly available due to the reason that part of the dataset has not been analyzed and published yet, but are available from the corresponding author on reasonable request.</p></sec>
<sec sec-type="other">
<title>Authors' contributions</title>
<p>ZL, LL and JG designed the study and conceived the report. YY analyzed and interpreted the results of RNA sequencing, wrote the first draft of the manuscript and revised it critically. SL, GC and LH established the mouse model. FY, YLi, LY, WL and YLe performed the molecular experiments, including RT-qPCR and H&#x00026;E staining. YLe also created the figures. All authors read and approved the final manuscript.</p></sec>
<sec sec-type="other">
<title>Ethics approval and consent to participate</title>
<p>All animal experiments were approved by the Committee on the Laboratory Animal Care and Use of Guangdong Pharmaceutical University.</p></sec>
<sec sec-type="other">
<title>Patient consent for publication</title>
<p>Not applicable.</p></sec>
<sec sec-type="other">
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p></sec>
<ack>
<title>Acknowledgments</title>
<p>The authors would like to express their gratitude to Professor Yaacov Ben-David (University of Toronto) for markedly revising the text of the manuscript.</p></ack>
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<floats-group>
<fig id="f1-ijmm-44-03-1063" position="float">
<label>Figure 1</label>
<caption>
<p>Generation of EpCAM knockout mice. (A) The GGGCGATCCAGAACAACGAT sequence in exon 2 (yellow) of EpCAM was identified as guide RNA using Vector NTI11 software. Red, blue and green represent the exon, PCR primers and the protospacer adjacent motif site, respectively. (B) Three types of EpCAM gene knockout mice with termination codon mutations were obtained, and named as -13, -10 and -1+9 bp mutants. (C) EpCAM<sup>&#x02212;/&#x02212;</sup> mice generated by clusters of regularly interspaced short palindromic repeats/CRISPR associated protein 9 gene editing technology were significantly smaller than heterozygous and wild-type mice at day 4 after birth. EpCAM, epithelial cell adhesion molecule.</p></caption>
<graphic xlink:href="IJMM-44-03-1063-g00.tif"/></fig>
<fig id="f2-ijmm-44-03-1063" position="float">
<label>Figure 2</label>
<caption>
<p>H&#x00026;E staining and immunofluorescence staining of EpCAM, and the expression of development-associated genes at the mRNA level in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice at embryonic day (E)18.5, as detected by reverse transcription-quantitative PCR. (A) The expression of EpCAM was significantly decreased in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice at E18.5. (B) Immunofluorescence staining of EpCAM in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice and WT mice at E18.5. (C) H&#x00026;E staining of EpCAM<sup>&#x02212;/&#x02212;</sup> murine livers and WT mice of E18.5. The expression levels of (D) DLK1, (E) ALB, CD26 and H19, (F) CD34 and Thy1, (G) Axin2 and Lgr5, (H) Hnf1&#x003B2;, CK19, CD133 and Sox9 were determined. <sup>&#x0002A;</sup>P&#x0003C;0.05 and <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.001, vs. WT mice. H&#x00026;E, hematoxylin and eosin; EpCAM, epithelial cell adhesion molecule; WT, wild-type; DLK1, marker of hepatoblast delta-like 1 homologue; ALB, albumin; Axin2, axis inhibition protein 2; Lgr5, leucine rich repeat containing G-protein coupled receptor; Hnf1&#x003B2;, hepatocyte nuclear factor 1&#x003B2;; CK19, cytokeratin 19; Sox9, SRY box 9.</p></caption>
<graphic xlink:href="IJMM-44-03-1063-g01.tif"/>
<graphic xlink:href="IJMM-44-03-1063-g02.tif"/></fig>
<fig id="f3-ijmm-44-03-1063" position="float">
<label>Figure 3</label>
<caption>
<p>Expression of glycogen-associated genes at the mRNA level in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice at E18.5, as detected by reverse transcription-quantitative PCR. The expression levels of (A) PYGL and G6PC, (B) GCK and UGP2, (C) PPP1R3B, PPP1CA, PHKB and PHKG2, (D) PASK and (E) SLC2A2 were determined. <sup>&#x0002A;</sup>P&#x0003C;0.05, vs. WT mice. EpCAM, epithelial cell adhesion molecule; WT, wild-type; PYGL, glycogen phosphorylase; G6PC, glucose-6-phosphatase; GCK, glucokinase; UPG2, UDP-glucose pyrophosphorylase 2; PPP1R3B, regulatory subunit of phosphoprotein phosphatase-1, PPC1CA, protein phosphatase 1 catalytic subunit &#x003B1;; PHKB, common &#x003B2; subunit of phosphorylase kinase; PHKG2, &#x003B3; subunit hepatic phosphorylase kinase; PASK, PAS domain containing serine/threonine kinase; SLC2A2, solute carrier family 2 member 2.</p></caption>
<graphic xlink:href="IJMM-44-03-1063-g03.tif"/></fig>
<fig id="f4-ijmm-44-03-1063" position="float">
<label>Figure 4</label>
<caption>
<p>Overview of circRNAs in the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice. (A) The length distribution of circRNAs. (B and C) the types of circRNAs identified. (D) The presentation of GO classification of the source genes of the circRNAs and (E) Kyoto Encyclopedia of Genes and Genomes assignments of circRNA source genes. circRNA, circular RNA; EpCAM, epithelial cell adhesion molecule.</p></caption>
<graphic xlink:href="IJMM-44-03-1063-g04.tif"/>
<graphic xlink:href="IJMM-44-03-1063-g05.tif"/></fig>
<fig id="f5-ijmm-44-03-1063" position="float">
<label>Figure 5</label>
<caption>
<p>circRNA expression profiles in the livers of EpCAM <sup>&#x02212;/&#x02212;</sup> mice. (A) The circRNA expression profile of EpCAM<sup>&#x02212;/&#x02212;</sup> murine livers. (B) Heatmap of the distinguishable circRNA expression profiles between the wild-type and the EpCAM<sup>&#x02212;/&#x02212;</sup> groups. (C and D) Kyoto Encyclopedia of Genes and Genomes assignments and GO classification of the source genes of the differentially expressed circRNAs. circRNA, circular RNA; EpCAM, epithelial cell adhesion molecule.</p></caption>
<graphic xlink:href="IJMM-44-03-1063-g06.tif"/>
<graphic xlink:href="IJMM-44-03-1063-g07.tif"/></fig>
<fig id="f6-ijmm-44-03-1063" position="float">
<label>Figure 6</label>
<caption>
<p>Validation of the circRNA expression profiles of the livers of EpCAM<sup>&#x02212;/&#x02212;</sup> mice. (A) The expression of novel_circ_002561, novel_circ_000176 and novel_circ_000189 was determined. (B) RT-q PCR products were visualized via electrophoresis. (C) RT-qPCR products were confirmed via Sanger sequencing. <sup>&#x0002A;</sup>P&#x0003C;0.05 and <sup>&#x0002A;&#x0002A;</sup>P&#x0003C;0.01, vs. WT mice. circRNA, circular RNA; RT-qPCR, reverse transcription-quantitative PCR; EpCAM, epithelial cell adhesion molecule; WT, wild-type.</p></caption>
<graphic xlink:href="IJMM-44-03-1063-g08.tif"/></fig>
<fig id="f7-ijmm-44-03-1063" position="float">
<label>Figure 7</label>
<caption>
<p>Examples of miRNA target sites of novel_circ_000189, novel_circ_000176 and novel_circ_002561. (A) The mmu-miR-302b-5p and mmu-miR-691 binding sites of novel_circ_000189. (B) The mmu-miR-200b-3p and mmu-miR-195a-5p binding sites of novel_circ_000176. (C) The mmu-miR-200a-3p and mmu-miR-466b-5p binding sites of novel_circ_002561. Red represents the complementary sequence of circRNA with miRNAs, green represents the binding of Guanine and Uracil (GU), and blue demonstrates the section of miRNA that cannot bind to circRNA. circRNA direction: 5&#x02032;-3&#x02032;, miRNA direction 3&#x02032;-5&#x02032;. miRNA or miR, microRNA; circRNA, circular RNA.</p></caption>
<graphic xlink:href="IJMM-44-03-1063-g09.tif"/></fig>
<fig id="f8-ijmm-44-03-1063" position="float">
<label>Figure 8</label>
<caption>
<p>Prediction of the target associations of the circRNA-microRNA-mRNA network. circRNA-microRNA-mRNA networks of the target genes associated with Wnt signaling pathway, cell junctions, cell cycle and division, stem cell, metabolism and inflammation of (A) novel_circ_002561. Prediction of the target associations of the circRNA-microRNA-mRNA network. circRNA-microRNA-mRNA networks of the target genes associated with Wnt signaling pathway, cell junctions, cell cycle and division, stem cell, metabolism and inflammation of (B) novel_circ_000176 and (C) novel_circ_000189. circRNA, circular RNA.</p></caption>
<graphic xlink:href="IJMM-44-03-1063-g10.tif"/>
<graphic xlink:href="IJMM-44-03-1063-g11.tif"/>
<graphic xlink:href="IJMM-44-03-1063-g12.tif"/></fig>
<table-wrap id="tI-ijmm-44-03-1063" position="float">
<label>Table I</label>
<caption>
<p>Basic information and predicted targets of up-regulated circRNAs.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">circRNA ID</th>
<th valign="bottom" align="center">Location</th>
<th valign="bottom" align="center">Gene symbol</th>
<th valign="bottom" align="center">Targets</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">novel_circ_000125</td>
<td valign="top" align="left">chr 1</td>
<td valign="top" align="left">Agap1</td>
<td valign="top" align="left">mmu-miR-15b-5p; mmu-miR-16-5p; mmu-miR-1907; mmu-miR-195a-5p; mmu-miR-195b</td></tr>
<tr>
<td valign="top" align="left">novel_circ_000176</td>
<td valign="top" align="left">chr 1</td>
<td valign="top" align="left">Camsap2</td>
<td valign="top" align="left">mmu-let-7a-2-3p; mmu-miR-103-3p; mmu-miR-107-3p; mmu-miR-124-5p; mmu-miR-139-5p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_000813</td>
<td valign="top" align="left">chr 12</td>
<td valign="top" align="left">Psma6</td>
<td valign="top" align="left">mmu-miR-1197-5p; mmu-miR-154-3p; mmu-miR-1903; mmu-miR-1912-3p; mmu-miR-199a-3p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_002426</td>
<td valign="top" align="left">chr 3</td>
<td valign="top" align="left">Fmo5</td>
<td valign="top" align="left">mmu-let-7a-5p; mmu-let-7c-5p; mmu-let-7d-5p; mmu-let-7f-5p; mmu-let-7g-5p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_002561</td>
<td valign="top" align="left">chr 4</td>
<td valign="top" align="left">Hemgn</td>
<td valign="top" align="left">mmu-miR-103-3p; mmu-miR-105; mmu-miR-107-5p; mmu-miR-1197-5p; mmu-miR-1198-5p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_002569</td>
<td valign="top" align="left">chr 4</td>
<td valign="top" align="left">Abca1</td>
<td valign="top" align="left">mmu-let-7a-2-3p; mmu-miR-103-1-5p; mmu-miR-103-2-5p; mmu-miR-1193-5p; mmu-miR-135a-5p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_002574</td>
<td valign="top" align="left">chr 4</td>
<td valign="top" align="left">Tmem245</td>
<td valign="top" align="left">mmu-miR-1192; mmu-miR-1247-5p; mmu-miR-127-5p; mmu-miR-1306-5p; mmu-miR-153-5p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_002674</td>
<td valign="top" align="left">chr 4</td>
<td valign="top" align="left">Zmym4</td>
<td valign="top" align="left">mmu-miR-152-5p; mmu-miR-1938; mmu-miR-1955-3p; mmu-miR-1958; mmu-miR-1964-5p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_002813</td>
<td valign="top" align="left">chr 5</td>
<td valign="top" align="left">Ppp1cb</td>
<td valign="top" align="left">mmu-miR-1264-3p; mmu-miR-1298-3p; mmu-miR-1306-5p; mmu-miR-130b-5p; mmu-miR-137-5p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_003376</td>
<td valign="top" align="left">chr 7</td>
<td valign="top" align="left">Pik3c2a</td>
<td valign="top" align="left">mmu-let-7f-2-3p; mmu-miR-103-1-5p; mmu-miR-103-2-5p; mmu-miR-107-5p; mmu-miR-1191a</td></tr>
<tr>
<td valign="top" align="left">novel_circ_003491</td>
<td valign="top" align="left">chr 8</td>
<td valign="top" align="left">Nsd3</td>
<td valign="top" align="left">mmu-miR-1224-3p; mmu-miR-137-5p; mmu-miR-188-5p; mmu-miR-194-1-3p; mmu-miR-214-5p</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-ijmm-44-03-1063">
<p>novel_circ_000125, mm9_circ_017649; novel_circ_002813, mm9_circ_018676.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tII-ijmm-44-03-1063" position="float">
<label>Table II</label>
<caption>
<p>Basic information and predicted targets of down-regulated circRNAs.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">circRNA ID</th>
<th valign="bottom" align="center">Location</th>
<th valign="bottom" align="center">Gene symbol</th>
<th valign="bottom" align="center">Targets</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">novel_circ_000085</td>
<td valign="top" align="left">chr 1</td>
<td valign="top" align="left">Kansl1l</td>
<td valign="top" align="left">mmu-let-7a-2-3p; mmu-let-7c-1-3p; mmu-let-7j; mmu-miR-101a-3p; mmu-miR-101c</td></tr>
<tr>
<td valign="top" align="left">novel_circ_000161</td>
<td valign="top" align="left">chr 1</td>
<td valign="top" align="left">Tmcc2</td>
<td valign="top" align="left">mmu-miR-1188-5p; mmu-miR-1190; mmu-miR-1258-5p; mmu-miR-129-1-3p; mmu-miR-129-2-3p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_000189</td>
<td valign="top" align="left">chr 1</td>
<td valign="top" align="left">Rnf2</td>
<td valign="top" align="left">mmu-miR-1933-5p; mmu-miR-19b-1-5p; mmu-miR-19b-2-5p; mmu-miR-302b-5p; mmu-miR-302c-5p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_000596</td>
<td valign="top" align="left">chr 11</td>
<td valign="top" align="left">Smg6</td>
<td valign="top" align="left">mmu-miR-105; mmu-miR-107-5p; mmu-miR-1190; mmu-miR-1224-5p; mmu-miR-1231-5p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_000649</td>
<td valign="top" align="left">chr 11</td>
<td valign="top" align="left">Vezf1</td>
<td valign="top" align="left">mmu-miR-106a-3p; mmu-miR-1187; mmu-miR-1197-3p; mmu-miR-132-5p; mmu-miR-134-5p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_001018</td>
<td valign="top" align="left">chr 13</td>
<td valign="top" align="left">Klhl3</td>
<td valign="top" align="left">mmu-miR-1251-3p; mmu-miR-133a-3p; mmu-miR-133b-3p; mmu-miR-133c; mmu-miR-135a-5p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_002754</td>
<td valign="top" align="left">chr 4</td>
<td valign="top" align="left">Rere</td>
<td valign="top" align="left">mmu-miR-181d-3p; mmu-miR-1964-5p; mmu-miR-28a-5p; mmu-miR-666-3p; mmu-miR-6929-3p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_002908</td>
<td valign="top" align="left">chr 5</td>
<td valign="top" align="left">Aff1</td>
<td valign="top" align="left">mmu-miR-1197-3p; mmu-miR-1198-5p; mmu-miR-137-3p; mmu-miR-145a-3p; mmu-miR-145a-5p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_003147</td>
<td valign="top" align="left">chr 6</td>
<td valign="top" align="left">Slc41a3</td>
<td valign="top" align="left">mmu-miR-1197-5p; mmu-miR-1943-5p; mmu-miR-29a-3p; mmu-miR-29b-3p; mmu-miR-29c-3p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_003291</td>
<td valign="top" align="left">chr 7</td>
<td valign="top" align="left">Gas2</td>
<td valign="top" align="left">mmu-miR-124-3p; mmu-miR-1904; mmu-miR-207; mmu-miR-210-5p; mmu-miR-24-3p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_003375</td>
<td valign="top" align="left">chr 7</td>
<td valign="top" align="left">Pik3c2a</td>
<td valign="top" align="left">mmu-miR-1898; mmu-miR-1904; mmu-miR-216b-5p; mmu-miR-22-3p; mmu-miR-300-5p</td></tr>
<tr>
<td valign="top" align="left">novel_circ_003479</td>
<td valign="top" align="left">chr 8</td>
<td valign="top" align="left">Efnb2</td>
<td valign="top" align="left">mmu-let-7a-1-3p; mmu-let-7c-2-3p; mmu-miR-105; mmu-miR-1192; mmu-miR-1224-3p</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn2-ijmm-44-03-1063">
<p>novel_circ_000596, mm9_circ_017983; novel_circ_000649, mm9_circ_015947; novel_circ_002754, mm9_circ_013483; novel_circ_003291, mm9_circ_003692.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
