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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">BR</journal-id>
<journal-title-group>
<journal-title>Biomedical Reports</journal-title></journal-title-group>
<issn pub-type="ppub">2049-9434</issn>
<issn pub-type="epub">2049-9442</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/br.2013.157</article-id>
<article-id pub-id-type="publisher-id">br-01-06-0918</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Network analysis of microRNAs, genes and their regulation in human bladder cancer</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>LI</surname><given-names>YANG</given-names></name><xref rid="af1-br-01-06-0918" ref-type="aff">1</xref><xref rid="af2-br-01-06-0918" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>XU</surname><given-names>ZHIWEN</given-names></name><xref rid="af1-br-01-06-0918" ref-type="aff">1</xref><xref rid="af2-br-01-06-0918" ref-type="aff">2</xref><xref ref-type="corresp" rid="c1-br-01-06-0918"/></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>KUNHAO</given-names></name><xref rid="af1-br-01-06-0918" ref-type="aff">1</xref><xref rid="af2-br-01-06-0918" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>NING</given-names></name><xref rid="af1-br-01-06-0918" ref-type="aff">1</xref><xref rid="af2-br-01-06-0918" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHU</surname><given-names>MINGHUI</given-names></name><xref rid="af1-br-01-06-0918" ref-type="aff">1</xref><xref rid="af2-br-01-06-0918" ref-type="aff">2</xref></contrib></contrib-group>
<aff id="af1-br-01-06-0918">
<label>1</label>College of Computer Science and Technology, Jilin University, Changchun, Jilin 130012, P.R. China</aff>
<aff id="af2-br-01-06-0918">
<label>2</label>Key Laboratory of Symbolic Computation and Knowledge Engineering of Ministry of Education, Jilin University, Changchun, Jilin 130012, P.R. China</aff>
<author-notes>
<corresp id="c1-br-01-06-0918">Correspondence to: Professor Zhiwen Xu, College of Computer Science and Technology, Jilin University, 2699 Qianjin Street, Changchun, Jilin 130012, P.R. China, E-mail: <email>xuzw@jlu.edu.cn</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>11</month>
<year>2013</year></pub-date>
<pub-date pub-type="epub">
<day>19</day>
<month>08</month>
<year>2013</year></pub-date>
<volume>1</volume>
<issue>6</issue>
<fpage>918</fpage>
<lpage>924</lpage>
<history>
<date date-type="received">
<day>20</day>
<month>06</month>
<year>2013</year></date>
<date date-type="accepted">
<day>16</day>
<month>07</month>
<year>2013</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2013, Spandidos Publications</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>Bladder cancer (BC) is the fifth most common malignancy occurring worldwide and a significant cause of cancer-related morbidity and mortality. Although BC is a serious health issue, studies available concerning the relationship of genes, microRNAs (miRNAs) and their host genes has been lacking. In the present study, we assessed experimentally validated data from various sources that reported the effect of miRNA on various diseases, miRNA targeting of mRNAs, and combined these data with initial transcription factor (TF) binding site predictions within miRNA promoter regions. Topology networks obtained in this study included the differentially expressed, BC-associated and global networks. The three networks may be used to assess the effect of miRNAs and their regulation in human BC. By comparing and analyzing the similarities and differences among the three networks, key nodes with the largest potential of affecting the behavior of a particular network were identified. The results also showed potentially substantially influential miRNAs and TFs, which revealed subnetworks demonstrating the mechanisms involved as well as regulatory miRNA network motifs in human BC. Regulatory pathways regarding differentially expressed elements, such as genes and miRNAs, demonstrate self-adapting associations including, self-adapting associations and feedback loops in genes MYC, TP53, PTEN and 10 differentially expressed miRNAs. The differentially expressed network partially identified the BC mechanism. miRNA-targeted human BC genes were also enriched in highly relevant pathways, cell cycle regulation and apoptosis. The present study systematically delineated the pathogenesis of BC and provided theoretical foundations for gene therapy investigators to focu attention on key genes and miRNAs in future studies.</p></abstract>
<kwd-group>
<kwd>transcription factors</kwd>
<kwd>microRNA</kwd>
<kwd>target</kwd>
<kwd>target genes</kwd>
<kwd>host gene</kwd>
<kwd>bladder cancer</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Bladder cancer (BC) is the fifth most common malignancy occurring worldwide and a significant cause of cancer-related morbidity and mortality (<xref rid="b1-br-01-06-0918" ref-type="bibr">1</xref>). Experimental data (<xref rid="b2-br-01-06-0918" ref-type="bibr">2</xref>) indicated that differentially expressed genes and microRNAs (miRNAs) are crucial in the development, metastasis and therapy of BC. For example, mutations in the TP53 gene may be useful in predicting whether BC cells are likely to proliferate and spread to nearby tissues, and whether the disease may recur after treatment. The tumor suppressor gene PTEN, which is mutated or homozygously deleted in various types of cancer, maps to a region of 10q within the reported region of minimal loss in bladder tumors (<xref rid="b3-br-01-06-0918" ref-type="bibr">3</xref>). Although there has been a focus on differentially expressed genes and miRNAs, the signaling pathway and mechanisms that elucidate miRNA transcriptional regulation remain unclear.</p>
<p>Transcription factors (TFs) and miRNAs are notable regulators for gene expression (<xref rid="b4-br-01-06-0918" ref-type="bibr">4</xref>). TFs are proteins capable of activating or repressing transcription by binding to cis-regulatory elements located in the upstream regions of genes. They are capable of regulating gene expression at the transcriptional level individually or in combination with other proteins.</p>
<p>miRNAs are 21&#x02013;24 nt regulatory, non-coding RNAs that regulate gene expression at the post-transcriptional level and are therefore important cell components. miRNAs are involved in various biological processes, including cell proliferation, differentiation and apoptosis. Calin <italic>et al</italic>(<xref rid="b5-br-01-06-0918" ref-type="bibr">5</xref>) first confirmed that differentially expressed miRNAs are associated with BC.</p>
<p>miRNAs are located within genes designated as host genes. Rodriguez <italic>et al</italic>(<xref rid="b6-br-01-06-0918" ref-type="bibr">6</xref>) suggested that miRNAs are transcribed in parallel with their host transcripts, and the two different transcription classes of miRNAs (exonic and intronic) identified in that study may require slightly different mechanisms of biogenesis. Baskerville <italic>et al</italic>(<xref rid="b7-br-01-06-0918" ref-type="bibr">7</xref>) identified that intronic miRNA and its host gene are closely associated. Intronic miRNAs and their host genes are usually equally expressed in biological progression, usually acting as a potential partner in order to achieve biological function and affect the alteration of pathways (<xref rid="b8-br-01-06-0918" ref-type="bibr">8</xref>). The above-mentioned results suggested that miRNAs together with their host gene or separately were capable of contributing to cancer progression. In this study, when miRNA was differentially expressed, we considered that the host genes were also differentially expressed and were involved in cancer progression.</p>
<p>The aim of the present study was to determine the associations of among genes, miRNAs and their host genes. Additionally, these transcriptional relations were regarded as a penetration point to build the regulatory network of the genes and miRNAs in human BC. The topology networks derived included the differentially expressed, BC-associated and global networks. The global network revealed experimentally validated pathways with regard to genes and miRNAs, however, this network is extremely complex and BC-associated pathways could not be determined. Therefore, we focused on the remaining two networks. Pathways regarding differentially expressed elements were extracted. The differentially expressed network partially revealed BC formation, and the topology network of BC was identified. Similarities and differences among the three networks were compared and analyzed in order to identify the key nodes and pathways. The network of differentially expressed elements partially revealed the mechanism of BC. The findings of this study may be useful for future investigations into the mechanism of action, as well as the pathogenesis and treatments of BC.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Material collection and data processing</title>
<p>miRNA-target interactions were extracted from TarBase 5.0 (<xref rid="b9-br-01-06-0918" ref-type="bibr">9</xref>) and miRTarBase (<xref rid="b10-br-01-06-0918" ref-type="bibr">10</xref>). TarBase 5.0 is a comprehensive database of experimentally supported animal miRNA targets, while miRTarBase is a database of experimentally validated miRNA-target interactions. Different databases use varying symbols to represent miRNAs and genes. In order to systemize the symbolic representation method, official symbols from the National Center for Biotechnology Information (NCBI) database, which can be accessed online at <ext-link xlink:href="http://www.ncbi.nlm.nih.gov/gene/" ext-link-type="uri">http://www.ncbi.nlm.nih.gov/gene/</ext-link>, were used. These experimentally validated data strongly support our study. The complete data can be considered as set<italic><sup>U</sup></italic><sup><sub>1</sub></sup>.</p>
<p>TF-miRNA interactions from TransmiR were extracted (<xref rid="b11-br-01-06-0918" ref-type="bibr">11</xref>). TransmiR is a TF-miRNA regulation database. Data of TransmiR are extracted from public literature and biological experiments. The complete data of TF-miRNA interactions can be considered as set<italic><sup>U</sup></italic><sup><sub>2</sub></sup>.</p>
<p>miRNAs and their host genes were extracted from miRBase (<xref rid="b12-br-01-06-0918" ref-type="bibr">12</xref>) and NCBI. miRBase provides a collection of confirmed human miRNAs. Official symbols and IDs from NCBI were used to verify host genes and their miRNAs. The complete data can be considered as set<italic><sup>U</sup></italic><sup><sub>3</sub></sup>.</p>
<p>Differentially expressed genes of BC were extracted from the KEGG pathway database (<xref rid="b13-br-01-06-0918" ref-type="bibr">13</xref>) and the Cancer Genetics Web, which can be accessed online at: <ext-link xlink:href="http://www.cancerindex.org" ext-link-type="uri">http://www.cancerindex.org</ext-link>. The KEGG pathway database comprises graphical diagrams of biochemical pathways as well as some of the known regulatory pathways, and can be accessed online at: <ext-link xlink:href="http://www.kegg.com/kegg/pathway.html" ext-link-type="uri">http://www.kegg.com/kegg/pathway.html</ext-link>. For this study, the BC pathway map was employed which indicates the validated mutated BC genes. Similar methods were employed to elicit mutated BC genes from the Cancer Genetics Web. In order to make the data collected comprehensive, related SCI studies on BC-mutated genes were manually obtained. Similarly, BC-related genes including differentially expressed genes of BC and other genes associated with BC were manually obtained. In the present study, differentially expressed genes were considered as part of the related genes in the BC-associated network. Additionally, the P-match method was used to extract TFs that may involve in BC (<xref rid="b14-br-01-06-0918" ref-type="bibr">14</xref>). P-match is a new tool used to identify TF-binding sites in DNA sequences. It combines pattern matching and weight matrix approaches thus providing higher accuracy of recognition than each of the methods separately. TFs were regarded as BC-related genes and the focus was on the TFs set<italic><sup>U</sup></italic><sup><sub>2</sub></sup>. We downloaded 1,000 nt (5,000 nt) promoter region sequences of targets that were targeted by mutated miRNAs from the UCSC database (<xref rid="b15-br-01-06-0918" ref-type="bibr">15</xref>). The P-match method was used to map TF-binding sites (TFBSs) onto the promoter region of targets. P-match utilizes the matrix library as well as sets of known TF-binding sites collected in TRANSFAC, allowing the possibility to search for varying TF-binding sites (<xref rid="b16-br-01-06-0918" ref-type="bibr">16</xref>). The vertebrate matrix and restricted high-quality criterion were used. The latter is used to indicate the matrix with a cut-off value allowing a false-negative rate of 50&#x00025;, while the false-positive rate is required to be reduced below a certain threshold (<xref rid="b16-br-01-06-0918" ref-type="bibr">16</xref>). Thus, the matrices that produce the highest number of false-positive matches are defined as low-quality matrices. The complete data of differentially expressed genes and related genes can be considered as set<italic><sup>U</sup></italic><sup><sub>4</sub></sup>.</p>
<p>Differentially expressed miRNAs were elicited from mir2Disease (<xref rid="b17-br-01-06-0918" ref-type="bibr">17</xref>). mir2Disease is a manually curated database that aims to provide a comprehensive resource of miRNA deregulation in various human diseases. To ensure data were comprehensive, related SCI studies on BC were manually obtained. The complete differentially expressed miRNAs and related miRNAs of BC can be considered as set<italic><sup>U</sup></italic><sup><sub>5</sub></sup>.</p></sec>
<sec>
<title>Three networks construction</title>
<p>Transcriptional network of BC is a very complex regulatory network. Differentially expressed genes and miRNAs are important in this network as they are involved in every process of cancer formation. Thus, the core regulation network of BC was utilized using the following method: Differentially expressed data from set<italic><sup>U</sup></italic><sup><sub>4</sub></sup> and set<italic><sup>U</sup></italic><sup><sub>5</sub></sup> were mapped onto set<italic><sup>U</sup></italic><sup><sub>1</sub></sup>, <italic><sup>U</sup></italic><sup><sub>2</sub></sup> and <italic><sup>U</sup></italic><sup><sub>3</sub></sup>, then regulatory relations of TF-miRNA, miRNA-targets and hostgene-miRNA were determined. The relations were then combined to determine the core network.</p>
<p>Besides differentially expressed genes and miRNAs, BC-related genes and miRNAs are also involved in each process of cancer formation. Thus, a BC-related network was determined to further demonstrate the regulatory network of BC. This network included both the core network and more complex regulatory relations. The regulation network in BC was obtained using the method mentioned above.</p>
<p>The former two networks present are crucial in regulatory relations. Besides the experimentally validated genes and miRNAs included in the former two networks, there may be some genes and miRNAs that have not been validated experimentally to be involved in the progression of BC. In the third network, TFs and miRNAs present in the related network were mapped onto<italic><sup>U</sup></italic><sup><sub>1</sub></sup>, <italic><sup>U</sup></italic><sup><sub>2</sub></sup> and <italic><sup>U</sup></italic><sup><sub>3</sub></sup>, then the regulatory relations of TF-miRNA, miRNA-targets and hostgene-miRNA were extracted. Following the combination of all relations, the expanded global network was derived.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Core transcriptional network of BC</title>
<p>Through the statistical analysis, we derived a core transcriptional network that reported the regulation mechanisms in human BC. Five important TFs, i.e., TP53, TP73, CDKN1A, RB1 and PTEN, had more relations with other elements in this network and therefore were regarded as essential regulatory elements.</p>
<p><xref rid="f1-br-01-06-0918" ref-type="fig">Fig. 1</xref> shows some of the regulation pathways, such as PTEN which regulates hsa-miR-25a, which in turn targets TP53. TP53 regulates the miRNAs, hsa-miR-143, hsa-miR-145, hsa-miR-155, hsa-miR-200a, hsa-miR-200b and hsa-miR-200c, which target the genes KRAS, HRAS, MUC1 and CDKN1A. At the end of the pathway, hsa-miR-449a was targeted by CDKN1A. These genes and miRNAs are important elements in the progression of BC. The TP53 gene provides instructions for generating tumor protein p53. This protein acts as a tumor suppressor, thus it regulates cell division by keeping cells from growing and dividing too rapidly or in an uncontrolled manner. Mutations in the TP53 gene may be useful in predicting whether BC is likely to proliferate and spread to nearby tissues and whether the disease may recur following treatment. HRAS is the oncogene of BC, and it is the starting point of the MAPK signaling pathway. Mucins are a group of high molecular weight glycoproteins present on epithelial surfaces. In the bladder, they have a protective role, inhibiting bacterial and stone adhesion. Nine human mucin genes have been identified, one of which is located on chromosome 1 (<xref rid="b18-br-01-06-0918" ref-type="bibr">18</xref>) encoding for MUC1 mucin. This mucin is upregulated (<xref rid="b19-br-01-06-0918" ref-type="bibr">19</xref>) and abnormally glycosylated (<xref rid="b20-br-01-06-0918" ref-type="bibr">20</xref>) in several common types of cancer, including BC (<xref rid="b21-br-01-06-0918" ref-type="bibr">21</xref>).</p>
<p>The tumor suppressor gene PTEN, which is mutated or homozygously deleted in various types of cancer, maps to a region of 10q within the reported region of minimal loss in bladder tumors (<xref rid="b19-br-01-06-0918" ref-type="bibr">19</xref>). PTEN is also involved in two feedback loops by targeting hsa-miR-21 and hsa-miR-19a, and vice versa.</p>
<p>In the present study, we utilized the core transcriptional network to explore these mechanisms of BC.</p></sec>
<sec>
<title>BC-associated network</title>
<p>The related regulatory network of BC comprises differentially expressed genes and miRNAs, related genes and miRNAs, targets of miRNAs and host genes of miRNAs, with the BC-associated network including the core network. <xref rid="f2-br-01-06-0918" ref-type="fig">Fig. 2</xref> shows more complex regulatory relations as compared to <xref rid="f1-br-01-06-0918" ref-type="fig">Fig. 1</xref>.</p>
<p><xref rid="f1-br-01-06-0918" ref-type="fig">Fig. 1</xref> shows six TFs, i.e., CDKN1A, RB1, PTEN, TP53, TP73, and VHL in the regulation network, which may be considered essential regulatory elements. In <xref rid="f2-br-01-06-0918" ref-type="fig">Fig. 2</xref>, there are 37 TFs in the regulation network, which include the six essential TFs (<xref rid="f1-br-01-06-0918" ref-type="fig">Fig. 1</xref>) and which regulate 59 mutated miRNAs. Among the TFs in the network BRCA1, PTEN and NFKB1 regulate more miRNA expression and therefore have a high potential of being more influential than others TFs. BRCA1 regulates hsa-miR-146a expression, which targets EGFR, NFKB1, CDKN1A and BRCA1. Thus, BRCA1 and hsa-miR-146a constitute a feedback loop.</p>
<p><xref rid="f2-br-01-06-0918" ref-type="fig">Fig. 2</xref> shows some additional pathways that affect the progression of BC with regard to differentially expressed TFs and additional miRNAs. PTEN is a mutated gene that regulates hsa-miR-19a, hsa-miR-21 and hsa-miR-25 expression. These three miRNAs target 19 relevant genes including PTEN, ESR1 and PDCD4. It has been demonstrated that ESR1 mediated a decrease in hsa-miR-21 expression correlated with an increased protein expression of endogenous hsa-miR-21 targets such as PDCD4, PTEN and BCL2 (<xref rid="b22-br-01-06-0918" ref-type="bibr">22</xref>). Another important TF is NFKB1 which regulates the expression of 11 miRNAs including hsa-miR-21, hsa-miR-155 and hsa-miR-146a. Hsa-mir-155 targets 13 relevant genes, including KRAS (<xref rid="b22-br-01-06-0918" ref-type="bibr">22</xref>).</p>
<p>In our network, 32 feedback loops were identified consisting of 35 genes and 32 miRNAs. Fourteen differentially expressed genes are involved in the feedback loops. <xref rid="f2-br-01-06-0918" ref-type="fig">Fig. 2</xref> shows a regulation network of the interactions of 35 relevant TFs, 100 relevant miRNAs and their 161 relevant targets.</p></sec>
<sec>
<title>Global network of BC</title>
<p>The global regulatory network of BC provides more comprehensive regulatory relations. Furthermore, it has additional TFs, targets, miRNAs and host genes of miRNA compared to the related network. The global network includes more comprehensive regulatory relations including all relations in <italic><sup>U</sup></italic><sup><sub>1</sub></sup>, <italic><sup>U</sup></italic><sup><sub>2</sub></sup> and <italic><sup>U</sup></italic><sup><sub>3</sub></sup>. This network includes both the differentially expressed and BC-associated network.</p></sec>
<sec>
<title>Analysis of the host gene and its miRNA in BC</title>
<p>The host gene and its miRNA demonstrate some important features in this study. Alhough these host genes are not differentially expressed genes of BC, we considered them as differentially expressed genes when miRNAs they regulate are differentially expressed miRNAs. <xref rid="f3-br-01-06-0918" ref-type="fig">Fig. 3</xref> shows some pathways of host genes and miRNAs, for example, NR6A1 includes hsa-miR-181a-2, which targets HRAS. The association between hsa-miR-93 and E2F1 is noteworthy. E2F1 includes hsa-miR-93 and is targeted by hsa-miR-93. A host gene includes several miRNAs, for example, MIB1 includes hsa-miR-1 and hsa-miR-133a. A miRNA is located in several genes, for example, hsa-miR-133a includes the host genes MIB1 and C20orf166.</p>
<p>It is therefore suggested that host genes and their miRNAs may be useful in our understanding of the pathogenesis of BC.</p></sec>
<sec>
<title>Transcriptional network of TFs and differentially expressed miRNAs</title>
<p>There are 82 miRNAs in the differentially expressed network, of which 47 are included in <xref rid="f4-br-01-06-0918" ref-type="fig">Fig. 4</xref>. These miRNAs and popular TFs constitute a transcriptional network. They present some significant characteristics in BC formation. TFs and miRNAs present several types of regulatory relations and affect the expression of their target elements. <xref rid="f4-br-01-06-0918" ref-type="fig">Fig. 4</xref> shows that PTEN regulates three miRNAs, while being targeted by 12 miRNAs. These miRNAs, i.e., hsa-miR-19a, hsa-miR-21 and hsa-miR-25, are regulated by CDKN1A, but also target CDKN1A. CDKN1A regulates hsa-miR-25, which in turn targets TP53. TP53, RB1, TP73 and VHL are similar to CDKN1A and together with differentially expressed miRNAs interact with each other to influence the progression of BC. <xref rid="f4-br-01-06-0918" ref-type="fig">Fig. 4</xref> also shows that one differentially expressed miRNA is regulated by several TFs, one TF is targeted by several differentially expressed miRNAs, one TF indirectly influenced another TF by differentially expressed miRNA and one differentially expressed miRNA indirectly influenced another miRNA by TF.</p></sec>
<sec>
<title>Regulatory pathways of differentially expressed genes</title>
<p>To describe the BC network more clearly, we extracted the upstream and downstream information of the important elements: differentially expressed genes, differentially expressed miRNAs and popular TFs from the P-match method.</p>
<p>Nodes were classified according to the regulatory relations, with adjacent nodes for the three-level networks in order to compare and analyze the interactions of each differentially expressed gene. Of the genes investigated, CDKN1A, PTEN, TP53 and RB1 demonstrated the special feature involving each gene regulating miRNA(s) and being regulated by the miRNA(s).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In the present study, we initially focused on TFs. The first class of TF has six types of adjacent nodes (three types of successors and three types of predecessors). This class of TFs includes CDKN1A, PTEN, TP53 and RB1.</p>
<p><xref rid="tI-br-01-06-0918" ref-type="table">Table I</xref> provides evidence of the relationship of PTEN and miRNAs in each network. In the core network, 12 miRNAs targeting PTEN were identified, with PTEN regulating three miRNAs. In the BC-associated network 14 miRNAs (2 additional miRNAs: hsa-miR-19b-1 and hsa-miR-19b-2) were identified to target PTEN, with PTEN regulating three miRNAs. In the global network, 17 miRNAs (3 additional miRNAs: hsa-miR-214, hsa-miR-217 and hsa-miR-216a) were identified to target PTEN, with PTEN regulating 9 miRNAs (6 additional miRNAs: hsa-miR-22, hsa-miR-302a, hsa-miR-302b, hsa-miR-302c, hsa-miR-302d and hsa-miR-302f). These predecessors indirectly affected the successors through PTEN. Of all the miRNAs, we observed that hsa-miR-19a targets PTEN and PTEN regulates hsa-miR-19a in all three networks. Additionally, they form self-adapting associations and are both differentially expressed elements in BC.</p>
<p>The second class of TFs has five types of adjacent nodes (two types of successor and three types of predecessor), for example, KRAS. Two differentially expressed miRNAs target KRAS, however, KRAS does not regulate any miRNA.</p>
<p>The third class of TFs has four types of adjacent nodes (three types of successors and a type of predecessor, a type of successor and three types of predecessors), such as CDKN1A. Four miRNAs target CDKN1A, which, however, does not regulate any miRNA in the differentially expressed or BC-associated networks.</p>
<p>The fourth class of TFs has three types of adjacent nodes (three types of successors), for example VHL. No miRNA targets VHL, which only regulates hsa-miR-210.</p>
<p>We also focused on the genes that do not regulate any miRNA. The first class of genes has three types of adjacent nodes (three types of predecessors), including KRAS and HRAS. Although they are targeted by some miRNAs, they do not regulate any miRNA, possibly due to their being the last node in the pathway. Oncogenic HRAS directly results in the development of BC (<xref rid="b18-br-01-06-0918" ref-type="bibr">18</xref>).</p>
<p>The second class of genes has a type of adjacent node (a type of predecessor), for example GRB2. GRB2 is targeted by two miRNAs in the global network but does not regulate any miRNA. It is suggested that GRB2 has the least influence compared to any other differentially expressed genes.</p>
<p>In conclusion, we collected all currently validated genes and miRNAs associated with BC and derived three regulatory networks to analyze complex regulatory relations of differentially expressed elements in BC. We extracted and compared the similarities and differences of all differentially expressed elements in the three networks to distinguish the key nodes and pathways that contribute to understanding the tumorigenic mechanism and therapy of BC. We observed that some pathways of differentially expressed elements have been validated in BC, while other pathways have not been validated in BC although they have an impact on other types of cancer. Additionally, some related pathways in the BC-associated network and additional pathways in the global network also affect the progression of other types of cancer. Pathways of differentially expressed elements must be involved in BC, however, the majority of their mechanisms remain unclear. Consequently, these pathways which have not been validated in BC potentially affect the progression of cancer. However, their exact role in BC remains to be clarified and additional investigations on these pathways in BC should be conducted. The present study has provided comprehensive data associated with BC which is useful in investigations regarding the mechanism of differentially expressed genes and miRNAs in BC. In the subsequent studies, transcriptional co-factors and the interaction of proteins in our network are to be further investigated in order to derive a more comprehensive and extensive network to obtain greater insights into the pathogenesis and treatments of BC.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by grants from the National Natural Science Foundation of China (grant nos. 60973091 and 60905022).</p></ack>
<ref-list>
<title>References</title>
<ref id="b1-br-01-06-0918"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jemal</surname><given-names>A</given-names></name><name><surname>Murray</surname><given-names>T</given-names></name><name><surname>Ward</surname><given-names>E</given-names></name><etal/></person-group><article-title>Cancer statistics, 2005</article-title><source>CA Cancer J Clin</source><volume>55</volume><fpage>10</fpage><lpage>30</lpage><year>2005</year></element-citation></ref>
<ref id="b2-br-01-06-0918"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pashos</surname><given-names>CL</given-names></name><name><surname>Botteman</surname><given-names>MF</given-names></name><etal/></person-group><article-title>Bladder cancer: epidemiology, diagnosis, and management</article-title><source>Cancer Pract</source><volume>10</volume><fpage>311</fpage><lpage>322</lpage><year>2002</year></element-citation></ref>
<ref id="b3-br-01-06-0918"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>DS</given-names></name><name><surname>Rieger-Christ</surname><given-names>K</given-names></name><name><surname>Latini</surname><given-names>JM</given-names></name><etal/></person-group><article-title>Molecular analysis of PTEN and MXI1 in primary bladder carcinoma</article-title><source>Int J Cancer</source><volume>88</volume><fpage>620</fpage><lpage>625</lpage><year>2000</year></element-citation></ref>
<ref id="b4-br-01-06-0918"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hobert</surname><given-names>O</given-names></name></person-group><article-title>Gene regulation by transcription factors and microRNAs</article-title><source>Science</source><volume>319</volume><fpage>1785</fpage><lpage>1786</lpage><year>2008</year></element-citation></ref>
<ref id="b5-br-01-06-0918"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Calin</surname><given-names>GA</given-names></name><name><surname>Dumitru</surname><given-names>CD</given-names></name><name><surname>Shimizu</surname><given-names>M</given-names></name><etal/></person-group><article-title>Frequent deletions and down-regulation of micro-RNA genes miR15 and miR16 at 13q14 in chronic lymphocytic leukemia</article-title><source>Proc Natl Acad Sci USA</source><volume>99</volume><fpage>15524</fpage><lpage>15529</lpage><year>2002</year></element-citation></ref>
<ref id="b6-br-01-06-0918"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rodriguez</surname><given-names>A</given-names></name><name><surname>Griffiths-Jones</surname><given-names>S</given-names></name><name><surname>Ashurst</surname><given-names>JL</given-names></name><name><surname>Bradley</surname><given-names>A</given-names></name></person-group><article-title>Identification of mammalian microRNA host genes and transcription units</article-title><source>Genome Res</source><volume>14</volume><fpage>1902</fpage><lpage>1910</lpage><year>2004</year></element-citation></ref>
<ref id="b7-br-01-06-0918"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Baskerville</surname><given-names>S</given-names></name><name><surname>Bartel</surname><given-names>DP</given-names></name></person-group><article-title>Microarray profiling of microRNAs reveals frequent coexpression with neighboring miRNAs and host genes</article-title><source>RNA</source><volume>11</volume><fpage>241</fpage><lpage>247</lpage><year>2005</year></element-citation></ref>
<ref id="b8-br-01-06-0918"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cao</surname><given-names>GJ</given-names></name><name><surname>Huang</surname><given-names>BC</given-names></name><name><surname>Liu</surname><given-names>ZH</given-names></name><etal/></person-group><article-title>Intronic miR-301 feedback regulates its host gene, ska2, in A549 cells by targeting MEOX2 to affect ERK/CREB pathways</article-title><source>Biochem Biophys Res Commun</source><volume>396</volume><fpage>978</fpage><lpage>982</lpage><year>2010</year></element-citation></ref>
<ref id="b9-br-01-06-0918"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sethupathy</surname><given-names>P</given-names></name><name><surname>Corda</surname><given-names>B</given-names></name><name><surname>Hatzigeorgiou</surname><given-names>AG</given-names></name></person-group><article-title>TarBase: a comprehensive database of experimentally supported animal microRNA targets</article-title><source>RNA</source><volume>12</volume><fpage>192</fpage><lpage>197</lpage><year>2006</year></element-citation></ref>
<ref id="b10-br-01-06-0918"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hsu</surname><given-names>SD</given-names></name><name><surname>Lin</surname><given-names>FM</given-names></name><name><surname>Wu</surname><given-names>WY</given-names></name><etal/></person-group><article-title>miRTarBase: a database curates experimentally validated microRNA-target interactions</article-title><source>Nucleic Acids Res</source><volume>39</volume><fpage>D163</fpage><lpage>D169</lpage><year>2011</year></element-citation></ref>
<ref id="b11-br-01-06-0918"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Lu</surname><given-names>M</given-names></name><name><surname>Qiu</surname><given-names>CX</given-names></name><name><surname>Cui</surname><given-names>QH</given-names></name></person-group><article-title>TransmiR: a transcription factor-microRNA regulation database</article-title><source>Nucleic Acids Res</source><volume>38</volume><fpage>D119</fpage><lpage>D122</lpage><year>2010</year></element-citation></ref>
<ref id="b12-br-01-06-0918"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Griffiths-Jones</surname><given-names>S</given-names></name><name><surname>Saini</surname><given-names>HK</given-names></name><name><surname>van Dongen</surname><given-names>S</given-names></name><name><surname>Enright</surname><given-names>AJ</given-names></name></person-group><article-title>miRBase: tools for microRNA genomics</article-title><source>Nucleic Acids Res</source><volume>36</volume><fpage>D154</fpage><lpage>D158</lpage><year>2008</year></element-citation></ref>
<ref id="b13-br-01-06-0918"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kanehisa</surname><given-names>M</given-names></name><name><surname>Goto</surname><given-names>S</given-names></name><name><surname>Furumichi</surname><given-names>M</given-names></name><name><surname>Tanabe</surname><given-names>M</given-names></name><name><surname>Hirakawa</surname><given-names>M</given-names></name></person-group><article-title>KEGG for representation and analysis of molecular networks involving diseases and drugs</article-title><source>Nucleic Acids Res</source><volume>38</volume><fpage>D355</fpage><lpage>D360</lpage><year>2010</year></element-citation></ref>
<ref id="b14-br-01-06-0918"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chekmenev</surname><given-names>DS</given-names></name><name><surname>Haid</surname><given-names>C</given-names></name><name><surname>Kel</surname><given-names>AE</given-names></name></person-group><article-title>P-Match: transcription factor binding site search by combining patterns and weight matrices</article-title><source>Nucleic Acids Res</source><volume>33</volume><fpage>W432</fpage><lpage>W437</lpage><year>2005</year></element-citation></ref>
<ref id="b15-br-01-06-0918"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Dreszer</surname><given-names>TR</given-names></name><name><surname>Karolchik</surname><given-names>D</given-names></name><name><surname>Zweig</surname><given-names>AS</given-names></name><etal/></person-group><article-title>The UCSC Genome Browser database: extensions and updates 2011</article-title><source>Nucleic Acids Res</source><volume>40</volume><fpage>D918</fpage><lpage>D923</lpage><year>2012</year></element-citation></ref>
<ref id="b16-br-01-06-0918"><label>16</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Kao</surname><given-names>A</given-names></name><name><surname>Poteet</surname><given-names>SR</given-names></name><name><surname>Jones</surname><given-names>DH</given-names></name><etal/></person-group><article-title>P-MATCH: Identifying Part Name in Noisy Text Data</article-title><source>Cross-Disciplinary Advances in Applied Natural Language Processing: Issues and Approaches</source><person-group person-group-type="editor"><name><surname>Boonthum-Denecke</surname><given-names>C</given-names></name><name><surname>McCarthy</surname><given-names>PM</given-names></name><name><surname>Lamkin</surname><given-names>T</given-names></name></person-group><publisher-name>IGI Global</publisher-name><publisher-loc>Hershey</publisher-loc><fpage>172</fpage><lpage>184</lpage><year>2011</year></element-citation></ref>
<ref id="b17-br-01-06-0918"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jiang</surname><given-names>QH</given-names></name><name><surname>Wang</surname><given-names>YD</given-names></name><name><surname>Hao</surname><given-names>YY</given-names></name><etal/></person-group><article-title>miR2Disease: a manually curated database for microRNA deregulation in human disease</article-title><source>Nucleic Acids Res</source><volume>37</volume><fpage>D98</fpage><lpage>D104</lpage><year>2009</year></element-citation></ref>
<ref id="b18-br-01-06-0918"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Swallows</surname><given-names>DM</given-names></name><name><surname>Gendler</surname><given-names>S</given-names></name><name><surname>Gribths</surname><given-names>B</given-names></name><etal/></person-group><article-title>The hypervariable gene locus PUM, which encodes for the tumour associated epithelial mucins, is located on chromosome 1, within the region 1q21&#x02013;24</article-title><source>Ann Hum Genet</source><volume>51</volume><fpage>289</fpage><lpage>294</lpage><year>1987</year></element-citation></ref>
<ref id="b19-br-01-06-0918"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zotter</surname><given-names>S</given-names></name><name><surname>Hageman</surname><given-names>PC</given-names></name><name><surname>Lossnitzer</surname><given-names>A</given-names></name><name><surname>Mooi</surname><given-names>WJ</given-names></name><name><surname>Hilgers</surname><given-names>J</given-names></name></person-group><article-title>Tissue and tumour distribution of human polymorphicepithelial mucin</article-title><source>Cancer Rev</source><volume>11</volume><fpage>55</fpage><lpage>79</lpage><year>1988</year></element-citation></ref>
<ref id="b20-br-01-06-0918"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Girling</surname><given-names>A</given-names></name><name><surname>Bartkova</surname><given-names>J</given-names></name><name><surname>Burchell</surname><given-names>J</given-names></name><etal/></person-group><article-title>A core protein epitope of the polymorphic epithelial mucin detected by the monoclonal antibody SM-3 is selectively exposed in a range of primary carcinomas</article-title><source>Int J Cancer</source><volume>43</volume><fpage>1072</fpage><lpage>1076</lpage><year>1989</year></element-citation></ref>
<ref id="b21-br-01-06-0918"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Simms</surname><given-names>MS</given-names></name><name><surname>Hughes</surname><given-names>ODM</given-names></name><name><surname>Limb</surname><given-names>M</given-names></name><name><surname>Price</surname><given-names>MR</given-names></name><name><surname>Bishop</surname><given-names>MC</given-names></name></person-group><article-title>MUC1 mucin as a tumour marker in bladder cancer</article-title><source>BJU Int</source><volume>84</volume><fpage>350</fpage><lpage>352</lpage><year>1999</year></element-citation></ref>
<ref id="b22-br-01-06-0918"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kompier</surname><given-names>LC</given-names></name><name><surname>Lurkin</surname><given-names>I</given-names></name><name><surname>van der Aa</surname><given-names>MN</given-names></name><name><surname>van Rhijn</surname><given-names>BW</given-names></name><name><surname>van der Kwast</surname><given-names>TH</given-names></name><name><surname>Zwarthoff</surname><given-names>EC</given-names></name></person-group><article-title>FGFR3, HRAS, KRAS, NRAS and PIK3CA mutations in bladder cancer and their potential as biomarkers for surveillance and therapy</article-title><source>PloS One</source><volume>5</volume><fpage>e13821</fpage><year>2010</year></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-br-01-06-0918" position="float">
<label>Figure 1</label>
<caption>
<p>Core transcriptional network of differentially expressed genes, miRNAs and their host genes in bladder cancer (BC). All elements participate in various progressions of BC, such as TP53 which participates in the cell cycle and hsa-miR-10a which contributes to the cell proliferation of BC. Relations between differentially expressed elements (genes and miRNAs) are shown in this network. They partially revealed the mechanism of BC.</p></caption>
<graphic xlink:href="BR-01-06-0918-g00.gif"/></fig>
<fig id="f2-br-01-06-0918" position="float">
<label>Figure 2</label>
<caption>
<p>Bladder cancer (BC)-associated network consisting of relevant genes, miRNAs and their host genes in BC. BC-associated network expands additional topology relations of differentially expressed elements.</p></caption>
<graphic xlink:href="BR-01-06-0918-g01.gif"/></fig>
<fig id="f3-br-01-06-0918" position="float">
<label>Figure 3</label>
<caption>
<p>Specific host genes and their regulatory relations with the transcription factor, targets and their miRNAs. miRNAs can partially affect the progression to cancer together with their host gene. A host gene includes several miRNAs that target the same genes when combined or some genes when separate.</p></caption>
<graphic xlink:href="BR-01-06-0918-g02.gif"/></fig>
<fig id="f4-br-01-06-0918" position="float">
<label>Figure 4</label>
<caption>
<p>Transcriptional network of popular transcription factors (TFs) and differentially expressed microRNAs (miRNAs). This figure shows that popular TFs regulate differentially expressed miRNAs which target differentially expressed genes. These popular TFs are frequently involved in the transcriptional progression of cancer.</p></caption>
<graphic xlink:href="BR-01-06-0918-g03.gif"/></fig>
<table-wrap id="tI-br-01-06-0918" position="float">
<label>Table I</label>
<caption>
<p>Regulatory relation between microRNAs (miRNA) and PTEN.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom" rowspan="3"/>
<th colspan="4" align="center" valign="bottom">PTEN</th>
<th align="center" valign="bottom" rowspan="3"/></tr>
<tr>
<th colspan="4" align="left" valign="bottom">
<hr/></th></tr>
<tr>
<th colspan="2" align="center" valign="bottom">miRNAs that target genes</th>
<th colspan="2" align="center" valign="bottom">miRNAs that are regulated by genes</th></tr>
<tr>
<th colspan="3" align="left" valign="bottom">
<hr/></th>
<th colspan="3" align="left" valign="bottom">
<hr/></th></tr>
<tr>
<th align="left" valign="bottom">Differentially expressed miRNAs</th>
<th align="center" valign="bottom">Related miRNAs</th>
<th align="center" valign="bottom">Global miRNAs</th>
<th align="center" valign="bottom">Differentially expressed miRNAs</th>
<th align="center" valign="bottom">Related miRNAs</th>
<th align="center" valign="bottom">Global miRNAs</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top">hsa-miR-106b</td>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top">hsa-miR-141</td>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">hsa-miR-106b</td>
<td align="left" valign="top">hsa-miR-17</td>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top"/></tr>
<tr>
<td align="left" valign="top">hsa-miR-106b</td>
<td align="left" valign="top">hsa-miR-141</td>
<td align="left" valign="top">hsa-miR-18a</td>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top"/></tr>
<tr>
<td align="left" valign="top">hsa-miR-141</td>
<td align="left" valign="top">hsa-miR-17</td>
<td align="left" valign="top">hsa-miR-19a</td>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top">hsa-miR-19a</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-17</td>
<td align="left" valign="top">hsa-miR-18a</td>
<td align="left" valign="top">hsa-miR-20a</td>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top">hsa-miR-25</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-18a</td>
<td align="left" valign="top">hsa-miR-19a</td>
<td align="left" valign="top">hsa-miR-21</td>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top">hsa-miR-21</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-19a</td>
<td align="left" valign="top">hsa-miR-20a</td>
<td align="left" valign="top">hsa-miR-221</td>
<td align="left" valign="top">hsa-miR-19a</td>
<td align="left" valign="top">hsa-miR-19a</td>
<td align="left" valign="top">hsa-miR-22</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-20a</td>
<td align="left" valign="top">hsa-miR-21</td>
<td align="left" valign="top">hsa-miR-222</td>
<td align="left" valign="top">hsa-miR-21</td>
<td align="left" valign="top">hsa-miR-21</td>
<td align="left" valign="top">hsa-miR-302f</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-21</td>
<td align="left" valign="top">hsa-miR-221</td>
<td align="left" valign="top">hsa-miR-26a-1</td>
<td align="left" valign="top">hsa-miR-25</td>
<td align="left" valign="top">hsa-miR-25</td>
<td align="left" valign="top">hsa-miR-302a</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-221</td>
<td align="left" valign="top">hsa-miR-222</td>
<td align="left" valign="top">hsa-miR-26a-2</td>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top">hsa-miR-302b</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-222</td>
<td align="left" valign="top">hsa-miR-26a-1</td>
<td align="left" valign="top">hsa-miR-494</td>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top">hsa-miR-302c</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-26a-1</td>
<td align="left" valign="top">hsa-miR-26a-2</td>
<td align="left" valign="top">hsa-miR-19b-1</td>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top">hsa-miR-302d</td></tr>
<tr>
<td align="left" valign="top">hsa-miR-26a-2</td>
<td align="left" valign="top">hsa-miR-494</td>
<td align="left" valign="top">hsa-miR-19b-2</td>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top"/></tr>
<tr>
<td align="left" valign="top">hsa-miR-494</td>
<td align="left" valign="top">hsa-miR-19b-1</td>
<td align="left" valign="top">hsa-miR-216a</td>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">hsa-miR-19b-2</td>
<td align="left" valign="top">hsa-miR-217</td>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top"/></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top">hsa-miR-214</td>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="left" valign="top"/></tr></tbody></table></table-wrap></floats-group></article>
