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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2019.9816</article-id>
<article-id pub-id-type="publisher-id">mmr-19-03-1509</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Epigallocatechin-3-gallate modulates long non-coding RNA and mRNA expression profiles in lung cancer cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Hu</surname><given-names>Dong-Li</given-names></name>
<xref rid="af1-mmr-19-03-1509" ref-type="aff">1</xref>
<xref rid="af2-mmr-19-03-1509" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Wang</surname><given-names>Guo</given-names></name>
<xref rid="af1-mmr-19-03-1509" ref-type="aff">1</xref>
<xref rid="af2-mmr-19-03-1509" ref-type="aff">2</xref>
<xref rid="c1-mmr-19-03-1509" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Yu</surname><given-names>Jing</given-names></name>
<xref rid="af1-mmr-19-03-1509" ref-type="aff">1</xref>
<xref rid="af2-mmr-19-03-1509" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Li-Hua</given-names></name>
<xref rid="af1-mmr-19-03-1509" ref-type="aff">1</xref>
<xref rid="af2-mmr-19-03-1509" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Huang</surname><given-names>Yuan-Fei</given-names></name>
<xref rid="af1-mmr-19-03-1509" ref-type="aff">1</xref>
<xref rid="af2-mmr-19-03-1509" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Wang</surname><given-names>Dan</given-names></name>
<xref rid="af1-mmr-19-03-1509" ref-type="aff">1</xref>
<xref rid="af2-mmr-19-03-1509" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhou</surname><given-names>Hong-Hao</given-names></name>
<xref rid="af1-mmr-19-03-1509" ref-type="aff">1</xref>
<xref rid="af2-mmr-19-03-1509" ref-type="aff">2</xref></contrib>
</contrib-group>
<aff id="af1-mmr-19-03-1509"><label>1</label>Department of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, Hunan 410008, P.R. China</aff>
<aff id="af2-mmr-19-03-1509"><label>2</label>Hunan Key Laboratory of Pharmacogenetics, Institute of Clinical Pharmacology, Central South University, Changsha, Hunan 410078, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-19-03-1509"><italic>Correspondence to</italic>: Dr Guo Wang, Department of Clinical Pharmacology, Xiangya Hospital, Central South University, 110 Xiangya Road, Changsha, Hunan 410008, P.R. China, E-mail: <email>207082@csu.edu.cn</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>03</month><year>2019</year></pub-date>
<pub-date pub-type="epub"><day>03</day><month>01</month><year>2019</year></pub-date>
<volume>19</volume>
<issue>3</issue>
<fpage>1509</fpage>
<lpage>1520</lpage>
<history>
<date date-type="received"><day>12</day><month>03</month><year>2018</year></date>
<date date-type="accepted"><day>26</day><month>10</month><year>2018</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Hu 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>(&#x2212;)-Epigallocatechin-3-gallate (EGCG), a major constituent of green tea, is a potential anticancer agent, but the molecular mechanisms of its effects are not well-understood. The present study was conducted to examine the mechanism of EGCG in lung cancer cells. Alterations in long non-coding RNAs (lncRNAs) and mRNAs were investigated in lung cancer cells treated with EGCG by lncRNA microarray analysis. Furthermore, the functions and signaling pathways regulated by EGCG were predicted by bioinformatics analysis. A total of 960 lncRNAs and 1,434 mRNAs were significantly altered following EGCG treatment. These lncRNAs were distributed across nearly all human chromosomes and the mRNAs were involved in the cell cycle and the mitotic cell cycle process. Through a combination of microarray and bioinformatics analysis, 20 mRNAs predicted to serve a key role in the EGCG regulation were identified, and certain regulatory networks involving EGCG-regulated lncRNAs were predicted. In conclusion, EGCG affects the expression of various lncRNAs and mRNAs in the cells, therefore affecting cell functions. The results of the present study provide an insight into the mechanism of EGCG, which may be useful for therapeutic development.</p>
</abstract>
<kwd-group>
<kwd>(&#x2212;)-epigallocatechin-3-gallate</kwd>
<kwd>long non-coding RNAs</kwd>
<kwd>microarray</kwd>
<kwd>lung cancer</kwd>
<kwd>bioinformatics analysis</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Lung cancer is one of the most common solid tumors and has very high global incidence and mortality rates (<xref rid="b1-mmr-19-03-1509" ref-type="bibr">1</xref>). Although therapeutic treatment of lung cancer has made great progress, the prognosis of lung cancer patients remains unsatisfactory and treatment causes a number of side effects (<xref rid="b2-mmr-19-03-1509" ref-type="bibr">2</xref>). Natural dietary molecules are promising candidates for novel therapeutic agents in cancer. Green tea is one of the most widely consumed beverages, worldwide (<xref rid="b3-mmr-19-03-1509" ref-type="bibr">3</xref>). Furthermore, (&#x2212;)-epigallocatechin-3-gallate (EGCG), the main component of green tea polyphenols, was demonstrated to have various biological activities and demonstrates potential as a chemical and therapeutic agent in several diseases, including various cancers (<xref rid="b3-mmr-19-03-1509" ref-type="bibr">3</xref>&#x2013;<xref rid="b8-mmr-19-03-1509" ref-type="bibr">8</xref>) and atherosclerosis (<xref rid="b9-mmr-19-03-1509" ref-type="bibr">9</xref>).</p>
<p>Long non-coding RNAs (lncRNAs) are defined as a class of transcripts longer than 200 nucleotides (nt) in the cytoplasm and nucleus (<xref rid="b10-mmr-19-03-1509" ref-type="bibr">10</xref>&#x2013;<xref rid="b13-mmr-19-03-1509" ref-type="bibr">13</xref>). LncRNAs, characterized by the complexity and diversity of their sequences, have been implicated in a wide spectrum of cellular activities and diseases (<xref rid="b14-mmr-19-03-1509" ref-type="bibr">14</xref>,<xref rid="b15-mmr-19-03-1509" ref-type="bibr">15</xref>). Emerging studies have demonstrated that certain lncRNAs are frequently abnormally regulated in several types of cancer and serve important roles in the occurrence and development of tumors (<xref rid="b16-mmr-19-03-1509" ref-type="bibr">16</xref>&#x2013;<xref rid="b19-mmr-19-03-1509" ref-type="bibr">19</xref>). Accumulating evidence has confirmed the activity of EGCG in lung cancer therapy and many lncRNAs and mRNAs are involved in regulating tumorigenesis (<xref rid="b10-mmr-19-03-1509" ref-type="bibr">10</xref>,<xref rid="b20-mmr-19-03-1509" ref-type="bibr">20</xref>&#x2013;<xref rid="b22-mmr-19-03-1509" ref-type="bibr">22</xref>). However, microarray analysis of the differential expression profiles of lncRNAs and mRNAs in lung cancer cells treated with EGCG has not been reported.</p>
<p>In the present study, the EGCG-regulated lncRNAs and mRNAs were investigated in lung cancer cells by bioinformatics analysis. Based on the microarray analysis, a set of lncRNAs and mRNAs was identified whose expression levels were significantly modulated by EGCG in lung cancer cells, some of which are novel. However, the extent to which these genes are associated with lung cancer cells through EGCG remains unclear and needs to be addressed in the near future.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture and cell proliferation assay</title>
<p>The human lung cancer cell lines A549 (lung adenocarcinoma) and NCI-H460 (large cell lung carcinoma) were cultured in Dulbecco&#x0027;s modified Eagle&#x0027;s medium containing 10&#x0025; fetal bovine serum (Gibco; Thermo Fisher Scientific, Inc., Waltham, MA, USA). Cells were plated in 96-well plates (5,000 cells/well) and were incubated overnight (37&#x00B0;C, 5&#x0025; CO<sub>2</sub>), followed by treatment with EGCG (20, 40, 80, 160, 320 &#x00B5;M) and 0 &#x00B5;M EGCG (control group) for 24 or 48 h respectively. The MTT-based assay (Sangon Biotech Co., Ltd., Shanghai, China) was performed to determine viable cell numbers at 37&#x00B0;C and DMSO was used to dissolve the formazan. Absorbance at 570 nm was measured and the 50&#x0025; maximal inhibitory concentration (IC<sub>50</sub>) of EGCG for A549 and NCI-H460 cells were calculated by Graphpad Prism version 6.0 (GraphPad Software, Inc., CA, USA).</p>
</sec>
<sec>
<title>RNA extraction and quality control</title>
<p>Total RNA was extracted from 1&#x00D7;10<sup>6</sup> A549 or NCI-H460 cells treated with different concentration of EGCG and control group respectively, using TRIzol reagent (Invitrogen; Thermo Fisher Scientific, Inc.), purified with a mirVana miRNA Isolation kit (Ambion; Thermo Fisher Scientific, Inc.) according to the manufacturer&#x0027;s protocol, and was quantified using a spectrophotometer (NanoDrop ND-1000; NanoDrop, Wilmington, DE, USA). The RNA integrity of each sample was assessed by capillary electrophoresis using the RNA 6000 Nano Lab-on-a-Chip kit and Bioanalyzer 2100 (Agilent Technologies, Santa Clara, CA, USA). Only RNA extracts with RNA integrity values &#x003E;6 were subjected to further analysis.</p>
</sec>
<sec>
<title>RNA amplification, labeling, and hybridization</title>
<p>complementary (c)DNA labeled with a fluorescent dye (Cy5 or Cy3-deoxycytidine triphosphate; CapitalBio Technology Co., Ltd., Beijing, China) was produced by Eberwine&#x0027;s linear RNA amplification method as previously described (<xref rid="b23-mmr-19-03-1509" ref-type="bibr">23</xref>), and subsequently RNase H enzymatic reaction (37&#x00B0;C for 45 min, and followed by 95&#x00B0;C for 5 min). The labeled cDNAs were purified using a Capital Bioc RNA Amplification and Labeling kit (CapitalBio Corporation, Beijing, China) and then hybridized with specific probes (CapitalBio Technology Co., Ltd.) in a hybridization oven (Xinghua Analytical Instrument Factory, Jiangsu, China) overnight at 45&#x00B0;C.</p>
</sec>
<sec>
<title>Microarray analysis</title>
<p>The expression levels of lncRNAs and mRNAs were determined using Gene Spring software V13.0 (Agilent Technologies). The differentially expressed lncRNAs and mRNAs between the EGCG-treated and control groups were identified based on the threshold values of &#x2265;2 and &#x2264;-2 fold-change and paired Student&#x0027;s t-test P&#x003C;0.05. Data were log2-transformed and median-centered using genes and Adjust Data function of CLUSTER 3.0 software (<uri xlink:href="http://bonsai.hgc.jp/~mdehoon/software/cluster/software.htm">http://bonsai.hgc.jp/~mdehoon/software/cluster/software.htm</uri>) and analyzed by hierarchical clustering with average linkages. Tree visualization was performed using the Java TreeView (Stanford University School of Medicine, Stanford, CA, USA; <uri xlink:href="https://sourceforge.net/projects/jtreeview/files">http://sourceforge.net/projects/jtreeview/files</uri>). Gene-lung cancer associations were investigated by using the DisGeNET database (<uri xlink:href="http://www.disgenet.org/web/DisGeNET/menu">http://www.disgenet.org/web/DisGeNET/menu</uri>), which records disease-associated genes and provides literature support, as in the previous reference (<xref rid="b24-mmr-19-03-1509" ref-type="bibr">24</xref>).</p>
</sec>
<sec>
<title>Gene Ontology (GO), pathway and disease analysis</title>
<p>GO analysis was performed using an online database (<uri xlink:href="http://www geneontology.org">www geneontology.org</uri>). The GO database provides a network of three structured definition terms that describe the properties of a gene product (<xref rid="b25-mmr-19-03-1509" ref-type="bibr">25</xref>). Pathway analysis of the differentially expressed genes was performed according to the Kyoto Encyclopedia of Genes and Genomes (KEGG) database (<uri xlink:href="http://www.genome.jp/kegg/">www.genome.jp/kegg/</uri>). Specifically, Fisher&#x0027;s exact test and &#x03C7;<sup>2</sup> tests were performed to classify the GO category and select the significant pathway. The false discovery rate (FDR) was calculated and the threshold of significance was defined as P&#x003C;0.05. FunDO database (<uri xlink:href="http://fundo.nubic.northwestern.edu/">http://fundo.nubic.northwestern.edu/</uri>) was used for disease analysis.</p>
</sec>
<sec>
<title>Network analysis of EGCG target genes</title>
<p>Search Tool for Interactions of Chemicals (STITCH; <uri xlink:href="http://stitch.embl.de/">http://stitch.embl.de/</uri>) is a database of interactions and correlations between compounds and genes. The EGCG direct target genes were searched and analyzed by using STITCH according to the reference (<xref rid="b26-mmr-19-03-1509" ref-type="bibr">26</xref>). Search Tool for the Retrieval of Interacting Genes (STRING, <uri xlink:href="https://string-db.org/">http://string-db.org/</uri>) is a database of protein-protein interactions (<xref rid="b27-mmr-19-03-1509" ref-type="bibr">27</xref>). The interaction of EGCG direct target gene and differential expression oncogene affected by EGCG was determined in the STRING database, and only the interactions with a combined score &#x003E; 0.4 were considered as significant. Finally, the network of compound and gene interactions was mapped.</p>
</sec>
<sec>
<title>Analysis of lncRNA binding transcription factors</title>
<p>We downloaded the transcriptional factors for each of the 20 differential expression oncogenes most affected by EGCG treatment from the UCSC Genome Browser (<uri xlink:href="http://genome.ucsc.edu/cgi-bin/hgTracks?hgsid=698152999_7PLacukNAMsjS2GSMIFtIxAic9jW">http://genome.ucsc.edu/cgi-bin/hgTracks?hgsid=698152999_7PLacukNAMsjS2GSMIFtIxAic9jW</uri>). Then, the lncRNA-transcriptional factor-oncogene regulatory network was constructed by using the LncPro database (<uri xlink:href="http://bioinfo.bjmu.edu.cn/lncpro/">http://bioinfo.bjmu.edu.cn/lncpro/</uri>) as previously described (<xref rid="b28-mmr-19-03-1509" ref-type="bibr">28</xref>).</p>
</sec>
<sec>
<title>Reverse transcription-quantitative polymerase chain reaction (RT-qPCR)</title>
<p>The Total RNA of 1&#x00D7;10<sup>6</sup> A549 cells treated with 80 &#x00B5;M EGCG for 48 h and the control group cells was extracted as described above respectively. The PrimeScript<sup>&#x2122;</sup> RT Reagent kit (Takara Bio, Inc., Otsu, Japan) was used for cDNA synthesis and genomic DNA removal. qPCR was performed using SYBR<sup>&#x00AE;</sup> Premix Ex Taq&#x2122; (Takara Bio, Inc., Otsu, Japan) and in an ABI 7000 instrument (Applied Biosystems; Thermo Fisher Scientific, Inc.) for 40 cycles (95&#x00B0;C for 15 sec, 60&#x00B0;C for 1 min) after an initial 3 min degeneration at 95&#x00B0;C, and &#x03B2;-actin was used as an internal control (primers for qPCR listed in <xref rid="tI-mmr-19-03-1509" ref-type="table">Table I</xref>). The relative gene expression data was analyzed by 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method as previously described (<xref rid="b29-mmr-19-03-1509" ref-type="bibr">29</xref>).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>The experiments were performed three times. All results are expressed as the mean &#x00B1; standard deviation. A paired Student&#x0027;s t test was performed to compare the two groups in the microarray analysis. P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Analysis of cell proliferation</title>
<p>Treatment with EGCG inhibited lung cancer cell proliferation in dose-dependent manner (<xref rid="f1-mmr-19-03-1509" ref-type="fig">Fig. 1A</xref>). EGCG inhibited the growth of A549 cells, with IC<sub>50</sub> values of 122.4 and 108.2 &#x00B5;M at 24 and 48 h, respectively. Additionally, the IC<sub>50</sub> values of EGCG in NCI-H460 cells were 693.2 and 485.1 &#x00B5;M at 24 and 48 h, respectively. These results demonstrated that A549 cells are more sensitive to EGCG than NCI-H460 cells. Therefore, A549 cells treated with 80 &#x00B5;M (&#x2248;IC<sub>30</sub>) for 48 h were used for microarray analysis.</p>
</sec>
<sec>
<title>Analysis of differentially expressed lncRNAs</title>
<p>A total of 19,446 lncRNAs were detected by Gene Spring software V13.0. Based on the results of the lncRNA expression profile, differentially expressed lncRNAs between the EGCG-treated and control groups were identified. According to their expression levels in the samples, the clusters were hierarchically clustered (<xref rid="f1-mmr-19-03-1509" ref-type="fig">Fig. 1B</xref>). The threshold was set to a fold-change &#x2265;2, P&#x003C;0.05, and FDR &#x003C;0.05 and a total of 960 differential expressed lncRNAs, including 450 and 510 up- and downregulated lncRNAs, respectively were identified (<xref rid="f1-mmr-19-03-1509" ref-type="fig">Fig. 1C</xref>).</p>
<p>Among the differentially expressed lncRNAs, there were 416 intergenic, 302 antisense, 141 unknown, 44 divergent, 38 intronic, and 19 sense lncRNAs (<xref rid="f1-mmr-19-03-1509" ref-type="fig">Fig. 1D</xref>). The length of the differentially expressed lncRNAs ranged from 200 base pairs (bp) to 8 kb, with the lengths of 660 lncRNAs (68.75&#x0025;) ranging between 200&#x2013;1,000 bp (<xref rid="f1-mmr-19-03-1509" ref-type="fig">Fig. 1E</xref>). Additionally, these differentially expressed lncRNAs were distributed in nearly all human chromosomes (<xref rid="f1-mmr-19-03-1509" ref-type="fig">Fig. 1F</xref>).</p>
</sec>
<sec>
<title>Analysis of differentially expressed mRNAs</title>
<p>A total of 1,434 mRNAs were detected whose expression significantly differed between lung cancer cells treated with EGCG and the control group (fold-change &#x2265;2.0, P&#x003C;0.05, and FDR &#x003C;0.05). Of these, 804 mRNAs were downregulated and 630 were upregulated. Through hierarchical clustering analysis, different expression patterns were predicted (<xref rid="f2-mmr-19-03-1509" ref-type="fig">Fig. 2A and B</xref>). The top 10 upregulated and 10 downregulated mRNAs between the two groups are listed in <xref rid="tII-mmr-19-03-1509" ref-type="table">Table II</xref>. The top 5 upregulated and 5 downregulated mRNAs associated with lung cancer are listed in <xref rid="tIII-mmr-19-03-1509" ref-type="table">Table III</xref>. Genes associated with lung cancer in the DisGeNET database were investigated. By comparing the results of the database with the results obtained upon EGCG treatment, 168 known lung cancer genes in the EGCG-treated groups were identified, and the top 50- changed genes were plotted as a heat map (<xref rid="f2-mmr-19-03-1509" ref-type="fig">Fig. 2C</xref>).</p>
</sec>
<sec>
<title>RT-qPCR verification of differentially expressed lncRNAs and mRNAs</title>
<p>A total of 10 differentially expressed lncRNAs were randomly selected, including 5 upregulated (ENSG00000272796.1, ENSG00000254054.2, ENSG00000260630.2, ENSG00000235142.2 and ENSG00000224063.1) and 5 downregulated lncRNAs (ENSG00000251018.2, ENSG00000226403.1, PSMC3IP, ENSG00000230109.1 and SG00000130600.10), for verification in these lung cancer cells. The RT-qPCR results of these 10 selected lncRNAs were consistent with those from the microarray analysis (<xref rid="f3-mmr-19-03-1509" ref-type="fig">Fig. 3A</xref>). Additionally, 10 differentially expressed mRNAs were also randomly selected, including 5 upregulated (aldolase C, hyaluronan-binding protein 2, complement factor B, interleukin (IL) 11, and secreted modular calcium-binding protein 1) and 5 downregulated mRNAs (amphiregulin, epiregulin, humanin-like protein 6, polymerase (RNA) III (DNA Directed) Polypeptide G, and Ly1 antibody reactive). The results for all 10 selected mRNAs were consistent with those from the microarray analysis (<xref rid="f3-mmr-19-03-1509" ref-type="fig">Fig. 3B</xref>).</p>
</sec>
<sec>
<title>GO and pathway analysis for differentially expressed mRNAs</title>
<p>GO analysis consists of three parts: Biological processes, cellular components, and molecular functions. Through GO analysis, it was demonstrated that the differentially expressed mRNAs were mainly enriched in the GO terms &#x2018;cell cycle&#x2019;, &#x2018;mitotic cell cycle&#x2019;, &#x2018;cell cycle process&#x2019; and &#x2018;mitotic cell cycle process&#x2019; for biological processes (<xref rid="f4-mmr-19-03-1509" ref-type="fig">Fig. 4A</xref>); &#x2018;chromosome&#x2019;, &#x2018;centromeric region&#x2019;, &#x2018;chromosomal region&#x2019;, &#x2018;condensed chromosome kinetochore&#x2019; and &#x2018;chromosome&#x2019; for cellular components (<xref rid="f4-mmr-19-03-1509" ref-type="fig">Fig. 4B</xref>); and DNA-dependent ATPase activity&#x2019;, &#x2018;DNA helicase activity&#x2019; and &#x2018;iron ion binding&#x2019; for molecular functions (<xref rid="f4-mmr-19-03-1509" ref-type="fig">Fig. 4C</xref>). Pathway analysis was based on the KEGG database. The differentially expressed mRNAs were associated with DNA replication, complement and coagulation cascades, cell cycle and other pathways (<xref rid="f4-mmr-19-03-1509" ref-type="fig">Fig. 4D</xref>). The dysregulated mRNAs were associated with a number of diseases, of which cancer was the most relevant (<xref rid="f4-mmr-19-03-1509" ref-type="fig">Fig. 4E</xref>).</p>
</sec>
<sec>
<title>Bioinformatic analysis of potential mechanisms of EGCG regulating lncRNAs/mRNAs</title>
<p>A total of 20 EGCG target genes were detected using the STITCH database; these genes were <italic>AKT1, Caspase 3, IL-6, prostaglandin-endoperoxide synthase 2 (PTGS2), tumor protein 53 (TP53), vascular endothelial growth factor A (VEGFA), FOS, mitogen-activated protein kinase 8 (MAPK8), nitric oxide synthase 3 (NOS3), signal transducer and activator of transcription 3 (STAT3), matrix metalloproteinase 9 (MMP9), C-C motif chemokine ligand 2 (CCL2), transthyretin (TTR), MMP2, DNA (cytosine-5)-methyltransferase 1 (DNMT1), sirtuin 1 (SIRT1), nuclear receptor subfamily 1 group H member 4 (NR1H4), cytochrome P450 family 1 subfamily A member 2 (CYP1A2), cyclin dependent kinase inhibitor 2A (CDKN2A)</italic>, and <italic>IL-8</italic>. The genes are annotated as being directly targeted by EGCG (<xref rid="b26-mmr-19-03-1509" ref-type="bibr">26</xref>). According to the lung cancer tissues&#x2019; gene expression levels, obtained from The Cancer Genome Atlas database, it was demonstrated that the expression levels of these 20 genes were closely associated to the lncRNAs regulated by EGCG, among which <italic>DNMT1</italic> is also a well-known lung cancer-associated gene. All the 20 EGCG direct target genes and 20 oncogenes mostly affected by EGCG were entered into the STRING database for network construction. The network of gene interactions as well as compound-gene interactions were illustrated in <xref rid="f5-mmr-19-03-1509" ref-type="fig">Fig. 5</xref>. A broad linkage between EGCG target genes and known lung cancer-associated genes suggested that EGCG was very likely to affect NSCLC by acting on these genes.</p>
<p>LncPro was used to predict the interaction of the top 10 lncRNAs and top 20 oncogenes affected by EGCG. A total of 8 of the 10 lncRNAs were demonstrated to bind the transcriptional factors (TF) of relevant oncogenes with relatively high binding scores. The network of lncRNA-TF-oncogenes is demonstrated in <xref rid="f6-mmr-19-03-1509" ref-type="fig">Fig. 6</xref>, where the lncRNAs can bind to nearly all oncogene-associated TFs, including B-cell lymphoma-2-modifying factor and collagen type IV &#x03B1;3 chain, which are regulated by additional lncRNA-bound transcriptional factors.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>EGCG, the main active and water-soluble component of green tea polyphenols, accounting for 9&#x2013;13&#x0025; of the green weight of green tea, has been demonstrated to possess anticancer activity (<xref rid="b30-mmr-19-03-1509" ref-type="bibr">30</xref>,<xref rid="b31-mmr-19-03-1509" ref-type="bibr">31</xref>). The IC<sub>50</sub> value (in A549 cells) conversion for green tea was about 0.4&#x2013;2 g, while this is less than a daily intake (15&#x2013;30 g) of people who have tea drinking habits. The golden ratio of brewing tea is 1:50, that is, 50 ml of boiling water poured into 1 g of tea. However, there are differences between <italic>in vitro</italic> and <italic>in vivo</italic> experiments, which need further verification.</p>
<p>As a powerful cancer chemopreventive agent, the anti-tumor effect of EGCG has been recognized in numerous studies conducted in various countries (<xref rid="b6-mmr-19-03-1509" ref-type="bibr">6</xref>,<xref rid="b32-mmr-19-03-1509" ref-type="bibr">32</xref>,<xref rid="b33-mmr-19-03-1509" ref-type="bibr">33</xref>); however, it is difficult to determine the molecular mechanisms of the anticancer effects of EGCG, particularly <italic>in vivo</italic>. Therefore, in the present study, the expression levels of lncRNAs and mRNAs in EGCG-treated and control groups were analyzed in genomic studies combined with bioinformatic analysis. Based on the bioinformatic analysis, the general characteristics, functional comments, and pathways of the differentially expressed lncRNAs and mRNAs were identified. The present results provide a comprehensive understanding of the lncRNAs and mRNAs in lung cancer cells regulated by EGCG, and may help to reveal the molecular mechanisms of EGCG in lung cancer, but these need to be validated further.</p>
<p>Previous studies demonstrated that ~18&#x0025; of encoded protein genes that produce lncRNAs are associated with cancer, while only ~9&#x0025; of all encoded protein-coding genes are associated with cancer (<xref rid="b34-mmr-19-03-1509" ref-type="bibr">34</xref>). Increasing evidence has revealed the importance of lncRNAs in lung cancer. For example, a previous study demonstrated that Oct4 regulates the expression of the lncRNAs nuclear paraspeckle assembly transcript 1 and metastasis associated lung adenocarcinoma transcript 1 promoting lung cancer progression (<xref rid="b35-mmr-19-03-1509" ref-type="bibr">35</xref>). The lncRNA HOTAIR was demonstrated to regulate lung cancer cell growth and metastasis (<xref rid="b36-mmr-19-03-1509" ref-type="bibr">36</xref>). The lncRNA XLOC008466 was reported as an oncogene in human non-small cell lung cancer by virtue of its targeting miR-874 (<xref rid="b37-mmr-19-03-1509" ref-type="bibr">37</xref>). However, studies on lncRNAs regulated by EGCG in lung cancer are limited. The present study aimed to identify significantly down- or upregulated lncRNAs and mRNAs in lung cancer cells treated with EGCG. First, a lung cancer cell line demonstrating sensitivity to EGCG was selected by MTT analysis and was treated with 80 &#x00B5;&#x039C; EGCG for 48 h, followed by microarray analysis.</p>
<p>GO analysis revealed that these differentially expressed mRNAs are associated with different biological processes, including cell cycle, mitotic cell cycle, DNA replication, organelle fission, nuclear division, mitotic nuclear division, and cell cycle phase transition. Thus, the present results indicate that EGCG may exert its anticancer function by regulating lung cancer cell proliferation, including suppression of the cell cycle and mitotic cell cycle. Furthermore, a previous mechanistic study demonstrated that EGCG inhibits lung cancer-associated processes, including anchorage-independent growth and the cell cycle, by directly targeting the epidermal growth factor receptor (EGFR) signaling pathway (<xref rid="b38-mmr-19-03-1509" ref-type="bibr">38</xref>).</p>
<p>Additionally, a study on salivary adenoid cystic carcinoma revealed that the EGCG anticancer effect is mediated via the EGFR/extracellular regulated kinase (ERK) signaling transduction and mitochondrial apoptosis pathways (<xref rid="b34-mmr-19-03-1509" ref-type="bibr">34</xref>). Differential proteomic analysis demonstrated that EGCG inhibited hepatoma-derived growth factor and activated apoptosis to increase the chemosensitivity of non-small cell lung cancer (<xref rid="b39-mmr-19-03-1509" ref-type="bibr">39</xref>). Based on the present results, it may be hypothesized that the various lncRNAs, mRNAs, or proteins regulated by EGCG identified in these studies constitute or regulate important cellular components, including the chromosome centromeric region and chromosome region, but this needs to be investigated further. Several studies have confirmed that EGCG significantly inhibits the expression of telomerase and increases the chemosensitivity of lung cancer cells (<xref rid="b21-mmr-19-03-1509" ref-type="bibr">21</xref>,<xref rid="b40-mmr-19-03-1509" ref-type="bibr">40</xref>,<xref rid="b41-mmr-19-03-1509" ref-type="bibr">41</xref>).</p>
<p>GO analysis indicated that the mRNAs induced by EGCG are involved in various molecular functions, including DNA-dependent ATPase activity, DNA helicase activity and iron ion binding. A previous study reported that EGCG regulates the cross-talk between JWA (also known as ADP Ribosylation Factor Like GTPase 6 Interacting Protein 5) and topoisomerase Ii&#x03B1; regulating lung cancer cell invasion (<xref rid="b42-mmr-19-03-1509" ref-type="bibr">42</xref>). Antioxidant supplementation is known to increase the risk of lung cancer, and EGCG as an exemplary antioxidant reported to induce significant cell death and DNA damage in human lung cells through a reductive mechanism (<xref rid="b43-mmr-19-03-1509" ref-type="bibr">43</xref>). KEGG pathway enrichment analysis indicated that EGCG inhibited lung cancer by affecting DNA replication, complement and coagulation cascades, cell cycle, and other signaling pathways, including the Wnt/<italic>&#x03B2;</italic>-catenin, unclear respirator factor2/Kelch-like ECH-associated protein 1, mitogen-activated kinase/ERK, EGFR, STAT3, and AKT signaling pathways (<xref rid="b38-mmr-19-03-1509" ref-type="bibr">38</xref>,<xref rid="b44-mmr-19-03-1509" ref-type="bibr">44</xref>&#x2013;<xref rid="b47-mmr-19-03-1509" ref-type="bibr">47</xref>). However, the precise co-regulatory functions and mechanisms of lncRNA-mRNA require further investigation.</p>
<p>Additionally, combined analysis of the microarray chip sequencing and bioinformatics results obtained from databases revealed a number of key factors in the EGCG process, including <italic>TP53</italic> and <italic>DNMT1</italic>, which are well-known cancer-associated genes (<xref rid="b48-mmr-19-03-1509" ref-type="bibr">48</xref>,<xref rid="b49-mmr-19-03-1509" ref-type="bibr">49</xref>). These factors also demonstrate high variability in cancer patients; therefore, the levels of variation in these factors may affect the anticancer effects of EGCG in patients, but additional studies are necessary to determine the effects of these factors.</p>
<p>In conclusion, the present study provided the lncRNA and RNA expression profile <italic>in vitro</italic>. In the present study, 960 lncRNAs and 1,434 mRNAs were identified to be differentially expressed in lung cancer cells treated with EGCG compared with those without treatment. Furthermore, through cluster analysis and GO function and KEGG pathway analysis, it was demonstrated that EGCG is associated with possible regulation of the expression of several lncRNA and mRNAs, but this needs to be investigated further.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec>
<title>Funding</title>
<p>The present study was supported by the Science and Technology Project of Hunan Province, China (grant no. 2013FJ3036).</p>
</sec>
<sec>
<title>Availability of data and materials</title>
<p>The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>D-LH and GW conceived and designed the study. D-LH and L-HZ performed the experiments. GW provided the financial aid and approved the final version. JY acquired data. Y-FH, L-HZ and DW analyzed the data. H-HZ contributed to the interpretation of the results. Y-FH, DW and H-HZ drafted and revised the manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
<glossary>
<def-list>
<title>Abbreviations</title>
<def-item><term>EGCG</term><def><p>(&#x2212;)-epigallocatechin-3-gallate</p></def></def-item>
<def-item><term>lncRNAs</term><def><p>long non-coding RNAs</p></def></def-item>
<def-item><term>nt</term><def><p>nucleotides</p></def></def-item>
<def-item><term>MTT</term><def><p>3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide</p></def></def-item>
<def-item><term>GO</term><def><p>gene ontology</p></def></def-item>
<def-item><term>KEGG</term><def><p>Kyoto Encyclopedia of Genes and Genomes</p></def></def-item>
<def-item><term>FDR</term><def><p>false discovery rate</p></def></def-item>
<def-item><term>RT-qPCR</term><def><p>reverse transcription-quantitative polymerase chain reaction</p></def></def-item>
<def-item><term>TF</term><def><p>transcription factor</p></def></def-item>
</def-list>
</glossary>
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</back>
<floats-group>
<fig id="f1-mmr-19-03-1509" position="float">
<label>Figure 1.</label>
<caption><p>Hierarchical clustering of differentially expressed lncRNAs. (A) The survival rate of lung cancer cells following treatment with EGCG detected by MTT assay. (B) Hierarchical clustering of 3 EGCG-treated samples (EGCG1-3) versus 3 untreated samples (CON1-3) was based on the 960 dysregulated lncRNAs. Red represents upregulated lncRNAs, while green represents downregulated lncRNAs. (C) Red, black, and green dots represent lncRNAs with expression that was increased, equivalent, or decreased between the EGCG-treated and control groups. (D) Length distribution of 960 differentially expressed lncRNAs. (E) Class distribution of dysregulated lncRNAs, including 416 intergenic, 302 antisense, 141 unknown, 44 divergent, 38 intronic, and 19 sense lncRNAs. (F) Chromosome enrichment analysis of 960 differentially expressed lncRNAs on chromosomes (DNA). &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01 vs. NCI-H460. EGCG, (&#x2212;)-epigallocatechin-3-gallate; lncRNA, long non-coding RNA.</p></caption>
<graphic xlink:href="MMR-19-03-1509-g00.tif"/>
</fig>
<fig id="f2-mmr-19-03-1509" position="float">
<label>Figure 2.</label>
<caption><p>Hierarchical clustering of the differentially expressed mRNAs. (A) Hierarchical clustering of 3 EGCG treatment samples (EGCG1-3) versus 3 untreated samples (CON1-3) was based on the 1,434 dysregulated mRNAs. Red represents upregulated mRNAs, while green represents downregulated mRNAs. (B) Red, black, and green dots represent mRNAs with expression that was increased, equivalent, or decreased between the EGCG-treated and control groups. (C) Known lung cancer oncogenes in the heat map were significantly differentially expressed following EGCG treatment. EGCG, (&#x2212;)-epigallocatechin-3-gallate; lncRNA, long non-coding RNA.</p></caption>
<graphic xlink:href="MMR-19-03-1509-g01.tif"/>
</fig>
<fig id="f3-mmr-19-03-1509" position="float">
<label>Figure 3.</label>
<caption><p>RT-qPCR validation of the microarray analysis results. (A) RT-qPCR analysis of 10 dysregulated lncRNAs, including 5 upregulated and 5 downregulated lncRNAs. (B) RT-qPCR analysis of 10 dysregulated mRNAs, consisting of 5 upregulated and 5 downregulated mRNAs. ALDOC, Aldolase C; AREG, Amphiregulin; CFB, Complement factor B; EREG, Epiregulin; HABP, Hyaluronan-binding protein; IL, Interleukin; lncRNA, long non-coding RNA; LYAR, Ly1 antibody reactive; MTRNR2L6, Humanin-like protein; POLR3G, Polymerase (RNA) III (DNA Directed) Polypeptide G; RT-qPCR, reverse transcription-quantitative polymerase chain reaction; SMOC, Secreted modular calcium-binding protein.</p></caption>
<graphic xlink:href="MMR-19-03-1509-g02.tif"/>
</fig>
<fig id="f4-mmr-19-03-1509" position="float">
<label>Figure 4.</label>
<caption><p>Pathways and GO terms for differentially expressed mRNAs. (A-C) GO analysis. (D) KEGG pathway analysis. (E) FunDO disease analysis. GO, gene ontology; KEGG, Kyoto encyclopedia of genes and genomes.</p></caption>
<graphic xlink:href="MMR-19-03-1509-g03.tif"/>
</fig>
<fig id="f5-mmr-19-03-1509" position="float">
<label>Figure 5.</label>
<caption><p>Compound and gene interaction network diagram. Red represents EGCG, blue borders represent the target genes for direct action of EGCG, blue circles or squares represent known lung cancer genes, red solid lines indicate that EGCG may directly interact with the genes, and light gray dashed lines indicate gene-gene interactions. The black dotted lines indicate the shortest path from the target genes of EGCG to known oncogenes. EGCG, (&#x2212;)-epigallocatechin-3-gallate.</p></caption>
<graphic xlink:href="MMR-19-03-1509-g04.tif"/>
</fig>
<fig id="f6-mmr-19-03-1509" position="float">
<label>Figure 6.</label>
<caption><p>lncRNA-TF-oncogene regulatory network diagram. Red represents lncRNAs, blue represents transcriptional factors, and white represents functional lung cancer genes. lncRNA, long non-coding RNA; TF, transcriptional factor.</p></caption>
<graphic xlink:href="MMR-19-03-1509-g05.tif"/>
</fig>
<table-wrap id="tI-mmr-19-03-1509" position="float">
<label>Table I.</label>
<caption><p>The primers for RT-qPCR.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Gene</th>
<th align="center" valign="bottom">Name</th>
<th align="center" valign="bottom">Sequence</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">ENSG00000272796.1</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">CATTGGACTGGGTGAGGC</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">TTGAGCACGGTAGAGGAGAC</td>
</tr>
<tr>
<td align="left" valign="top">ENSG00000254054.2</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">GATTCCACTGATATTTACTGAA</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">GGACCGCTCCTTTGATGC</td>
</tr>
<tr>
<td align="left" valign="top">ENSG00000260630.2</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">GCCGTGAGTGAAGGGCAGAG</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">TTCCAGAGCCGCCAGTAGGG</td>
</tr>
<tr>
<td align="left" valign="top">ENSG00000235142.2</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">AGCTGGAATGCAGATGGG</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">AGCACAGGCTCAAGGGAC</td>
</tr>
<tr>
<td align="left" valign="top">ENSG00000224063.1</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">AGAACTGATTTTAGAATGCCA</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">CCAATGTATTTGCCAAGA</td>
</tr>
<tr>
<td align="left" valign="top">ENSG00000251018.2</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">AGACCTATTGGAACTGACT</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">AGAACCTGAGTGCCTTGT</td>
</tr>
<tr>
<td align="left" valign="top">ENSG00000226403.1</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">CTGGTCCTCGCAGTCCGC</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">CTCTTTCCCAAAGGGCAC</td>
</tr>
<tr>
<td align="left" valign="top">PSMC3IP</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">GCGGATCAGGACCAGTTT</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">TTTGACCAGGACTAGGCG</td>
</tr>
<tr>
<td align="left" valign="top">ENSG00000230109.1</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">AAAACTATGAGAAAACTGGGTC</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">ATGTAAGTTTCTGATTGGTCC</td>
</tr>
<tr>
<td align="left" valign="top">ENSG00000130600.10</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">GAGGAGCTGAGTGGGACC</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">TTGATGTTGGGCTGATGAG</td>
</tr>
<tr>
<td align="left" valign="top">ALDOC</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">GGCATCAAGGTTGACAAGGG</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">GCTGGCAGATACTGGCATAA</td>
</tr>
<tr>
<td align="left" valign="top">HABP2</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">AATAAGTGTCAGAAAGTGCAAAA</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">CAGCGGTAGTAGGGAGGA</td>
</tr>
<tr>
<td align="left" valign="top">CFB</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">TATGAAGACCACAAGTTGAAGT</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">GTATAGCAAGTCCCGGATC</td>
</tr>
<tr>
<td align="left" valign="top">IL11</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">TGCACAGCTGAGGGACAA</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">CCGCAGGTAGGACAGTAGG</td>
</tr>
<tr>
<td align="left" valign="top">SMOC1</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">AGATGACGGGTCTAAGCC</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">ATCACCAAGTGTTTAATCCATA</td>
</tr>
<tr>
<td align="left" valign="top">AREG</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">CTCGGCTCAGGCCATTAT</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">AGCCAGGTATTTGTGGTTCG</td>
</tr>
<tr>
<td align="left" valign="top">EREG</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">CTGGGTTTCCATCTTCTA</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">TGTTATTGACACTTGAGCC</td>
</tr>
<tr>
<td align="left" valign="top">MTRNR2L6</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">TAGGGACTTGTATGAATGAC</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">ATAGGTTGCTCGGAGGTT</td>
</tr>
<tr>
<td align="left" valign="top">POLR3G</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">CACCTGAAGAAAGACAAG</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">TCAGTATTAGTGAGTGGTGT</td>
</tr>
<tr>
<td align="left" valign="top">LYAR</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">TTTCTGGGGCGATGACTA</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">TTGGGGCTGACATTGGGT</td>
</tr>
<tr>
<td align="left" valign="top">&#x03B2;-actin</td>
<td align="left" valign="top">Sense</td>
<td align="left" valign="top">AGGGGCCGGACTCGTCATACT</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">Antisense</td>
<td align="left" valign="top">GGCGGCACCACCATGTACCCT</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="tII-mmr-19-03-1509" position="float">
<label>Table II.</label>
<caption><p>Top 10 up and downregulated mRNAs following EGCG treatment.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th align="left" valign="bottom" colspan="2">Upregulated mRNAs</th>
<th align="center" valign="bottom" colspan="2">Downregulated mRNAs</th>
</tr>
<tr>
<th/>
<th align="left" valign="bottom" colspan="2"><hr/></th>
<th align="center" valign="bottom" colspan="2"><hr/></th>
</tr>
<tr>
<th align="left" valign="bottom">mRNA</th>
<th align="center" valign="bottom">FC(abs)</th>
<th align="center" valign="bottom">mRNA</th>
<th align="center" valign="bottom">FC(abs)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">CEACAM7</td>
<td align="center" valign="top">36.10</td>
<td align="left" valign="top">MTRNR2L6</td>
<td align="center" valign="top">18.14</td>
</tr>
<tr>
<td align="left" valign="top">AGT</td>
<td align="center" valign="top">30.47</td>
<td align="left" valign="top">CYP1A1</td>
<td align="center" valign="top">10.22</td>
</tr>
<tr>
<td align="left" valign="top">TF</td>
<td align="center" valign="top">15.28</td>
<td align="left" valign="top">ID4</td>
<td align="center" valign="top">9.65</td>
</tr>
<tr>
<td align="left" valign="top">TNS1</td>
<td align="center" valign="top">10.05</td>
<td align="left" valign="top">CORO1A</td>
<td align="center" valign="top">8.27</td>
</tr>
<tr>
<td align="left" valign="top">SMOC1</td>
<td align="center" valign="top">9.04</td>
<td align="left" valign="top">HMGCS2</td>
<td align="center" valign="top">7.21</td>
</tr>
<tr>
<td align="left" valign="top">IL11</td>
<td align="center" valign="top">8.17</td>
<td align="left" valign="top">MTRNR2L8</td>
<td align="center" valign="top">6.22</td>
</tr>
<tr>
<td align="left" valign="top">ALDOC</td>
<td align="center" valign="top">8.15</td>
<td align="left" valign="top">SP5</td>
<td align="center" valign="top">6.14</td>
</tr>
<tr>
<td align="left" valign="top">NRAP</td>
<td align="center" valign="top">8.06</td>
<td align="left" valign="top">HPDL</td>
<td align="center" valign="top">5.72</td>
</tr>
<tr>
<td align="left" valign="top">KCNJ16</td>
<td align="center" valign="top">7.61</td>
<td align="left" valign="top">GREB1</td>
<td align="center" valign="top">5.58</td>
</tr>
<tr>
<td align="left" valign="top">BMF</td>
<td align="center" valign="top">7.59</td>
<td align="left" valign="top">CEMIP</td>
<td align="center" valign="top">5.53</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-mmr-19-03-1509"><p>abs, absolute; EGCG, (&#x2212;)-epigallocatechin-3-gallate; FC, fold-change.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tIII-mmr-19-03-1509" position="float">
<label>Table III.</label>
<caption><p>Top 5 up- and downregulated mRNAs associated with lung cancer.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Author, year</th>
<th align="center" valign="bottom">Genesymbol</th>
<th align="center" valign="bottom">FC(abs)</th>
<th align="center" valign="bottom">Regulation</th>
<th align="center" valign="bottom">Reported function in lung cancer</th>
<th align="center" valign="bottom">(Refs.)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Pan <italic>et al</italic>, 2016</td>
<td align="left" valign="top">TTR</td>
<td align="center" valign="top">6.91</td>
<td align="left" valign="top">Up</td>
<td align="left" valign="top">Reduced transthyretin expression in sera of lung cancer</td>
<td align="center" valign="top">(<xref rid="b21-mmr-19-03-1509" ref-type="bibr">21</xref>)</td>
</tr>
<tr>
<td align="left" valign="top">Liu <italic>et al</italic>, 2007</td>
<td align="left" valign="top">SLC5A10</td>
<td align="center" valign="top">5.21</td>
<td align="left" valign="top">Up</td>
<td align="left" valign="top">DNA methylation in SLC5A8 expression in lung cancer cell lines, Reduced or lost expression of SLC5A8 was observed in tumor tissues</td>
<td align="center" valign="top">(<xref rid="b50-mmr-19-03-1509" ref-type="bibr">50</xref>)</td>
</tr>
<tr>
<td align="left" valign="top">Park <italic>et al</italic>, 2013 and Tsai <italic>et al</italic>, 2014</td>
<td align="left" valign="top">RAB37</td>
<td align="center" valign="top">4.73</td>
<td align="left" valign="top">Up</td>
<td align="left" valign="top">Lung cancer patients with metastasis and poor survival show low hRAB37 protein expression</td>
<td align="center" valign="top">(<xref rid="b51-mmr-19-03-1509" ref-type="bibr">51</xref>)</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td/>
<td align="left" valign="top">Knockdown of hRAB37 in low metastasis cell line led to a significant increase in cell migration</td>
<td align="center" valign="top">(<xref rid="b52-mmr-19-03-1509" ref-type="bibr">52</xref>)</td>
</tr>
<tr>
<td align="left" valign="top">Wu <italic>et al</italic>, 2009</td>
<td align="left" valign="top">ITIH5</td>
<td align="center" valign="top">3.46</td>
<td align="left" valign="top">Up</td>
<td align="left" valign="top">ITIH5 mRNA expression was significantly decreased in NSCLC compared to normal lung tissue, ITIH5 may be a novel putative tumor suppressor gene in NSCLC</td>
<td align="center" valign="top">(<xref rid="b53-mmr-19-03-1509" ref-type="bibr">53</xref>)</td>
</tr>
<tr>
<td align="left" valign="top">D&#x00F6;tsch <italic>et al</italic>, 2015</td>
<td align="left" valign="top">IGFBP7</td>
<td align="center" valign="top">3.08</td>
<td align="left" valign="top">Up</td>
<td align="center" valign="top">(IGFBP7) was considered a tumor suppressor gene in lung cancer.</td>
<td align="center" valign="top">(<xref rid="b54-mmr-19-03-1509" ref-type="bibr">54</xref>)</td>
</tr>
<tr>
<td align="left" valign="top">Chen <italic>et al</italic>, 2011</td>
<td align="left" valign="top">GREB1</td>
<td align="center" valign="top">5.58</td>
<td align="left" valign="top">Down</td>
<td align="left" valign="top">The expression of GREB1 in lung cancers is significantly higher than that in normal lung tissues, and closely related to smoking</td>
<td align="center" valign="top">(<xref rid="b55-mmr-19-03-1509" ref-type="bibr">55</xref>)</td>
</tr>
<tr>
<td align="left" valign="top">Zhang <italic>et al</italic>, 2012 and McLemore <italic>et al</italic>, 1990</td>
<td align="left" valign="top">CYP1A1</td>
<td align="center" valign="top">10.22</td>
<td align="left" valign="top">Down</td>
<td align="left" valign="top">A biomarker for lung cancer risk, and closely related to smoking</td>
<td align="center" valign="top">(<xref rid="b56-mmr-19-03-1509" ref-type="bibr">56</xref>,<xref rid="b57-mmr-19-03-1509" ref-type="bibr">57</xref>)</td>
</tr>
<tr>
<td align="left" valign="top">Taioli <italic>et al</italic>, 1998</td>
<td align="left" valign="top">CLSPN</td>
<td align="center" valign="top">5.24</td>
<td align="left" valign="top">Down</td>
<td align="left" valign="top">Claspin contribute to the radioresistance of lung cancer brain metastases</td>
<td align="center" valign="top">(<xref rid="b58-mmr-19-03-1509" ref-type="bibr">58</xref>)</td>
</tr>
<tr>
<td align="left" valign="top">Choi <italic>et al</italic>, 2014 and Taniguchi <italic>et al</italic>, 2016</td>
<td align="left" valign="top">AREG</td>
<td align="center" valign="top">4.72</td>
<td align="left" valign="top">Down</td>
<td align="left" valign="top">AREG can cause lung tumorigenesis and resistance to crizotinib</td>
<td align="center" valign="top">(<xref rid="b59-mmr-19-03-1509" ref-type="bibr">59</xref>,<xref rid="b60-mmr-19-03-1509" ref-type="bibr">60</xref>)</td>
</tr>
<tr>
<td align="left" valign="top">Taron <italic>et al</italic>, 2004</td>
<td align="left" valign="top">BRCA1</td>
<td align="center" valign="top">3.08</td>
<td align="left" valign="top">Down</td>
<td align="left" valign="top">BRCA1 as an indicator of chemoresistance in lung cancer</td>
<td align="center" valign="top">(<xref rid="b61-mmr-19-03-1509" ref-type="bibr">61</xref>)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn2-mmr-19-03-1509"><p>abs, absolute; AREG, amphiregulin; BRCA1, breast cancer 1; CLSPN, claspin; CYP1A1, cytochrome P450 family 1 subfamily A member 1; FC, fold-change; IGFBP7, insulin like growth factor binding protein 7; ITIH5, inter-&#x03B1;-trypsin inhibitor heavy chain family member 5; SLC5A10, solute carrier family 5 member 10; TTR, transthyretin.</p></fn>
</table-wrap-foot>
</table-wrap>
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</article>