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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<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.2019.10005</article-id>
<article-id pub-id-type="publisher-id">mmr-19-05-3855</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Genome-wide profiling of lncRNA and mRNA expression in CRSwNP</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Liu</surname><given-names>Minglei</given-names></name>
<xref rid="af1-mmr-19-05-3855" ref-type="aff">1</xref>
<xref rid="fn1-mmr-19-05-3855" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Guo</surname><given-names>Ping</given-names></name>
<xref rid="af1-mmr-19-05-3855" ref-type="aff">1</xref>
<xref rid="fn1-mmr-19-05-3855" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>An</surname><given-names>Jun</given-names></name>
<xref rid="af1-mmr-19-05-3855" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Guo</surname><given-names>Chao</given-names></name>
<xref rid="af2-mmr-19-05-3855" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Lu</surname><given-names>Fengxiang</given-names></name>
<xref rid="af1-mmr-19-05-3855" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Lei</surname><given-names>Yanhua</given-names></name>
<xref rid="af1-mmr-19-05-3855" ref-type="aff">1</xref>
<xref rid="c1-mmr-19-05-3855" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-19-05-3855"><label>1</label>Department of Otolaryngology, Head and Neck Surgery, The First People&#x0027;s Hospital of Jining, Jining, Shandong 272000, P.R. China</aff>
<aff id="af2-mmr-19-05-3855"><label>2</label>Department of Anesthesiology, The First People&#x0027;s Hospital of Jining, Jining, Shandong 272000, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-19-05-3855"><italic>Correspondence to</italic>: Ms. Yanhua Lei, Department of Otolaryngology, Head and Neck Surgery, The First People&#x0027;s Hospital of Jining, 6 Jiankang Road, Central District, Jining, Shandong 272000, P.R. China, E-mail: <email>13953769663@163.com</email></corresp>
<fn id="fn1-mmr-19-05-3855"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub"><month>05</month><year>2019</year></pub-date>
<pub-date pub-type="epub"><day>05</day><month>03</month><year>2019</year></pub-date>
<volume>19</volume>
<issue>5</issue>
<fpage>3855</fpage>
<lpage>3863</lpage>
<history>
<date date-type="received"><day>31</day><month>01</month><year>2018</year></date>
<date date-type="accepted"><day>03</day><month>10</month><year>2018</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2019, Spandidos Publications</copyright-statement>
<copyright-year>2019</copyright-year>
</permissions>
<abstract>
<p>Chronic rhinosinusitis with nasal polyps (CRSwNP) is one of the most prevalent chronic diseases. In patients with CRSwNP, the present study performed comprehensive bioinformatics analyses to characterize the transcriptome profiles of mRNAs and long non-coding RNAs (lncRNAs). A total of 265 differentially expressed lncRNAs and 994 mRNAs were identified. The majority of up- and downregulated differentially expressed genes were significantly enriched in the biological process of &#x2018;signal transduction&#x2019;. The most significantly enriched molecular function was &#x2018;protein binding&#x2019; and the most significantly enriched cellular component was &#x2018;membrane&#x2019;. Kyoto Encyclopedia of Genes and Genomes pathway enrichment analysis led to identification of several significantly enriched pathways [false discovery rate (FDR)&#x003C;0.05], including &#x2018;cytokine-cytokine receptor interaction&#x2019; (FDR=3.94&#x00D7;10<sup>16</sup>) and &#x2018;cell adhesion molecules&#x2019; (CAMs) (FDR=1.28&#x00D7;10<sup>&#x2212;5</sup>). Key differentially expressed lncRNAs were identified, including lncRNA XLOC_010280, which regulates chemokine (C-C motif) ligand 18 (CCL18) and inflammation, and RP11-798M19.6, which regulates polypeptide N-acetylgalactosaminyltransferase 7 (GALNT7) and cell proliferation. Based on the results of reverse transcription-quantitative polymerase chain reaction, except for CCL8, neural precursor cell expressed developmentally downregulated gene 4-like and GALNT7, the expression of 3 other selected genes was consistent with the results of integrated analysis. The results of the present study provide a foundation for future investigations into mRNAs and lncRNAs as diagnostic and therapeutic targets in CRSwNP.</p>
</abstract>
<kwd-group>
<kwd>chronic rhinosinusitis with nasal polyps</kwd>
<kwd>long non-coding RNA</kwd>
<kwd>mRNA</kwd>
<kwd>integrated analysis</kwd>
<kwd>differentially expressed genes</kwd>
<kwd>biomarker</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Chronic rhinosinusitis (CRS) is characterized by inflammation of the nose and the sinus mucosa, and has a morbidity rate of approximately 14&#x0025; (<xref rid="b1-mmr-19-05-3855" ref-type="bibr">1</xref>). CRS is one of the most common conditions associated with upper airway illness and severely affects patients&#x0027; quality of life. According to the European Position Paper on Rhinosinusitis and Nasal Polyps (EPOS), CRS can be classified into the following two categories: CRS without nasal polyposis (CRSsNP) and CRS with nasal polyposis (CRSwNP) (<xref rid="b2-mmr-19-05-3855" ref-type="bibr">2</xref>,<xref rid="b3-mmr-19-05-3855" ref-type="bibr">3</xref>).</p>
<p>Although CRSsNP is more prevalent, CRSwNP accounts for ~20&#x0025; of all CRS cases. CRSwNP, which is often accompanied by asthma, fungal rhinosinusitis and aspirin-exacerbated respiratory disease, is considered more difficult to treat compared with CRSsNP (<xref rid="b4-mmr-19-05-3855" ref-type="bibr">4</xref>). The disease often requires a combination of surgical and medical treatments. However, CRSwNP often recurs even after therapy. Despite numerous studies in this field, the pathophysiological mechanisms of human CRS with nasal polyps (CRSwNP) remain to be fully elucidated (<xref rid="b5-mmr-19-05-3855" ref-type="bibr">5</xref>,<xref rid="b6-mmr-19-05-3855" ref-type="bibr">6</xref>).</p>
<p>Development of human diseases can proceed through the accumulation of different genetic alterations affecting the structure and function of the genome. Combined analyses of molecular data at multiple levels, including DNA copy-number alteration, and mRNA, long non-coding RNA (lncRNA) and miRNA expression, can clarify biological functions and pathways dysregulated in various diseases (<xref rid="b7-mmr-19-05-3855" ref-type="bibr">7</xref>). The rapid development of high-throughput sequencing technology has provided a more comprehensive and efficient analytical method for the study of the pathogenesis of CRSwNP. In our study, 994 differentially expressed mRNAs [false discovery rate (FDR) &#x003C;0.05] and 265 differentially expressed lncRNAs (P&#x003C;0.05) were identified. By constructing an lncRNA-mRNA interaction network, and performing GO functional and KEGG pathway enrichment analyses of target genes regulated by lncRNAs, this study aimed to understand the mechanism of CRSwNP and screen potential lncRNAs and mRNAs for determining the prognosis of CRSwNP patients.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Eligible CRSwNP gene expression profiles</title>
<p>Gene Expression Omnibus database (GEO, <uri xlink:href="http://www.ncbi.nlm.nih.gov/geo">www.ncbi.nlm.nih.gov/geo</uri>) is the largest available database of high-throughput gene expression data and we selected GEO datasets containing gene expression profiles of patients with CRSwNP (<xref rid="b7-mmr-19-05-3855" ref-type="bibr">7</xref>). The following search key words were used: &#x2018;rhinosinusitis&#x2019; [All Fields] AND &#x2018;Homo sapiens&#x2019;[porgn] AND &#x2018;gse&#x2019; [Filter]. The study types were limited to &#x2018;profiling by array&#x2019; and the following inclusion criteria were used: (<xref rid="b1-mmr-19-05-3855" ref-type="bibr">1</xref>) The selected dataset must contain genome-wide mRNA transcriptome data; (<xref rid="b2-mmr-19-05-3855" ref-type="bibr">2</xref>) Data must originate from CRSwNP nasal polyp tissue (NP) samples and normal control nasal mucosa tissue samples; (<xref rid="b3-mmr-19-05-3855" ref-type="bibr">3</xref>) Both normalized and raw datasets were considered. According to these requirements, two CRSwNP datasets [GSE36830 (case: Normal ratio=6:6) and GSE72713 (case: Normal ratio=6:3)] were obtained.</p>
</sec>
<sec>
<title>Identification of differentially expressed mRNAs and lncRNAs in CRSwNP</title>
<p>We performed background correction for the raw data. Using metaMA package analysis (version 3.1.2; Guille mette Marot), P-values of differentially expressed genes were calculated by moderated t-tests (Limma version 3.30.13) for each dataset and combined by the inverse normal method. The adopted standard for determination of DEGs was P&#x003C;0.05, and all datasets had the same direction of differential expression. Finally, the differentially expressed mRNAs and lncRNAs between case and normal control samples were identified (<xref rid="b8-mmr-19-05-3855" ref-type="bibr">8</xref>,<xref rid="b9-mmr-19-05-3855" ref-type="bibr">9</xref>).</p>
</sec>
<sec>
<title>Functional annotation</title>
<p>We performed Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis and Gene Ontology (GO) classification according to the GO categories of molecular function (MF), biological process (BP) and cellular component, to identify the enriched functions and pathways of DEGs, using the online software GeneCoDis 3 (genecodis.cnb.csic.es/analysis) (<xref rid="b10-mmr-19-05-3855" ref-type="bibr">10</xref>). We set FDR&#x003C;0.05 as the threshold of statistical significance. A total of 58 mRNAs were subjected to GO and KEGG enrichment analyses using the R language (GSEABase package), P-value &#x003C;0.01 (P&#x003C;0.01 is considered to indicate a statistically significant difference).</p>
</sec>
<sec>
<title>Protein-protein interaction (PPI) network construction in CRSwNP</title>
<p>To further research the biological functions of DEGs, we constructed a PPI network based on the top 100 DEGs in CRSwNP using Biological General Repository for Interaction Datasets (BioGRID; <uri xlink:href="http://thebiogrid.org">thebiogrid.org</uri>) and Cytoscape software version 3.5.0 (<xref rid="b11-mmr-19-05-3855" ref-type="bibr">11</xref>,<xref rid="b12-mmr-19-05-3855" ref-type="bibr">12</xref>). Based on the existing protein interaction data included in the BioGRID database, Cytoscape was used to search for common and regulatory mRNAs with opposite effects in case vs. normal samples (<xref rid="b13-mmr-19-05-3855" ref-type="bibr">13</xref>). After removing non-differentially expressed genes, a protein interaction network was mapped. Such a network consists of nodes and edges. The nodes in the network represent the proteins and edges represent the interactions between them (<xref rid="b14-mmr-19-05-3855" ref-type="bibr">14</xref>).</p>
</sec>
<sec>
<title>Reverse transcription-quantitative polymerase chain reaction (RT-qPCR) confirmation</title>
<p>Based on the results of the integrated high-throughput transcriptome data analysis, five DEGs and one DElncRNA with higher degrees between case and normal control groups were identified and subsequently screened as candidate genes. The sequences of the primers used to detect the differentially expressed genes/lncRNA and the endogenous control were listed in <xref rid="tI-mmr-19-05-3855" ref-type="table">Table I</xref>. Blood samples from patients with CRSwNP and healthy individuals from the First People&#x0027;s Hospital of Jining (Jining, China) were collected on Nov 24th, 2017. All individuals provided signed informed consent for use of their samples in this present study. The present study was approved by the Ethics Committee of the First People&#x0027;s Hospital of Jining [committee&#x0027;s reference no. 2016(012)]. RNA samples were used to verify the differential expression of candidate genes in disease and control groups using RT-qPCR (<xref rid="b15-mmr-19-05-3855" ref-type="bibr">15</xref>). Blood samples were collected from 3 patients with CRSwNP (cases 1&#x2013;3) and 3NCs and were frozen at &#x2212;80&#x00B0;C within 2 h. We performed RNA isolation using TRIzol reagent (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA) after thawing the frozen samples at room temperature. We generated cDNA from 1 &#x00B5;g extracted RNA using SuperScript<sup>&#x00AE;</sup> III Reverse Transcriptase (Invitrogen; Thermo Fisher Scientific, Inc.). qPCR reactions were performed in an ABI 7500 real-time PCR system with Power SYBR<sup>&#x00AE;</sup> Green PCR Master Mix (Applied Biosystems; Thermo Fisher Scientific, Inc.). We analyzed relative gene expression using the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method (<xref rid="b16-mmr-19-05-3855" ref-type="bibr">16</xref>). We selected the human 18srRNA as an endogenous control for mRNA expression analysis (<xref rid="b17-mmr-19-05-3855" ref-type="bibr">17</xref>). The thermocycling conditions were as follows: 95&#x00B0;C for 15 min, followed by 40 cycles of 95&#x00B0;C for 10 sec, 55&#x00B0;C for 30 sec and 72&#x00B0;C for 32 sec, and then 95&#x00B0;C for 15 sec, 60&#x00B0;C for 60 sec and 95&#x00B0;C for 15 sec.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>The metaMA package in R version 3.1.2 (<uri xlink:href="http://cran.r-project.org/web/packages/metaMA/index.html">cran.r-project.org/web/packages/metaMA/index.html</uri>; Guille mette Marot) was used to combine data from multiple microarray datasets and obtain the individual P-values in the present study. DEGs in CRSwNP compared with normal control were identified with P&#x003C;0.05. Values were presented as the mean &#x00B1; standard deviation. 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>Differential expression analysis of genes in CRSwNP</title>
<p>The probes corresponding to multiple genes were removed and average values of expression were calculated for genes corresponding to multiple probes. Subsequently, lncRNAs included in the GSE72713 dataset were screened out to obtain 1,747 lncRNAs (1483 were newly identified and 264 were previously known). A total of 15,996 mRNAs were overlapping between the two datasets. Compared with the normal control group, 994 DEmRNAs in CRSwNP were identified with P&#x003C;0.05, among which, 354 genes were upregulated and 640 genes were downregulated. The top 20 most significantly up- or downregulated genes were listed in <xref rid="tII-mmr-19-05-3855" ref-type="table">Table II</xref>. The top 100 DEmRNAs were included in the cluster analysis. The heatmap was shown in <xref rid="f1-mmr-19-05-3855" ref-type="fig">Fig. 1</xref>.</p>
<p>Limma package was used for differential expression analysis. Using the standard P&#x003C;0.05, a total of 265 differentially expressed lncRNAs were obtained, including 56 upregulated and 209 downregulated genes. The top 20 significant differences in expression of lncRNA are shown in <xref rid="tIII-mmr-19-05-3855" ref-type="table">Table III</xref>. The differential expression of lncRNAs was presented using heat map in <xref rid="f2-mmr-19-05-3855" ref-type="fig">Fig. 2</xref>.</p>
</sec>
<sec>
<title>Functional annotation</title>
<p>As demonstrated in <xref rid="f3-mmr-19-05-3855" ref-type="fig">Fig. 3</xref>, several GO categories were enriched among the upregulated and downregulated DEmRNAs. &#x2018;Signal transduction&#x2019; (including 81 genes, FDR=1.18&#x00D7;10<sup>&#x2212;9</sup>) and &#x2018;multicellular organismal development&#x2019; (including 62 genes, FDR=1.55&#x00D7;10<sup>&#x2212;6</sup>) were the most significantly enriched BP; the top ranked cellular component (CC) GO categories were &#x2018;membrane&#x2019; (including 304 genes, FDR=4.87&#x00D7;10<sup>56</sup>) and &#x2018;cytoplasm&#x2019; (including 305 genes, FDR=4.87&#x00D7;10<sup>56</sup>); and &#x2018;protein binding&#x2019; (including 229 genes, FDR=3.94&#x00D7;10<sup>16</sup>) was the most significantly enriched MF. The most significantly enriched BP of upregulated and downregulated DEGs was &#x2018;signal transduction&#x2019; and the most significantly enriched MF was &#x2018;protein binding&#x2019;. The most significantly enriched cellular component (CC) was &#x2018;membrane&#x2019;. Several pathways were significantly enriched after the KEGG pathway enrichment analysis (FDR&#x003C;0.05, <xref rid="f4-mmr-19-05-3855" ref-type="fig">Fig. 4</xref>), including &#x2018;cytokine-cytokine receptor interaction&#x2019; (including 26 genes, FDR=3.94&#x00D7;10<sup>16</sup>) and &#x2018;cell adhesion molecules&#x2019; (CAMs) (including 17 genes, FDR=1.28&#x00D7;10<sup>&#x2212;5</sup>).</p>
</sec>
<sec>
<title>Ppi network of differentially expressed mRNAs</title>
<p>Based on the existing protein interaction data included in the BioGRID database, Cytoscape was used to search the top 100 upregulated and top 100 downregulated differentially expressed mRNAs. After removing the non-differentially expressed genes from analysis, the protein interaction network map was drawn (<xref rid="f5-mmr-19-05-3855" ref-type="fig">Fig. 5</xref>). A total of 144 nodes and 123 edges were identified. Among them, the genes with the highest degree were CUL4B (degree=20), COPS5 (degree=8), NEDD4L (degree=8), ITGA4 (degree=5), CSF1R (degree=5), EPRS (degree=5), HSP90AA1 (degree=5).</p>
</sec>
<sec>
<title>DElncRNAs, and GO and KEGG analyses of mRNAs in CRSwNP</title>
<p>Twenty-six pairs formed by lncRNAs and their neighboring genes (including 23 lncRNAs and 25 mRNAs) were searched to identify differentially expressed genes upstream and downstream of lncRNAs, as shown in <xref rid="tIV-mmr-19-05-3855" ref-type="table">Table IV</xref>. GO and KEGG enrichment analyses of the differentially expressed genes were performed using GeneCoDis3 (genecodis.cnb.csic.es/analysis). KEGG enrichment results were obtained using an FDR cut off of 0.05 and are shown in <xref rid="tV-mmr-19-05-3855" ref-type="table">Table V</xref>.</p>
</sec>
<sec>
<title>RT-qPCR confirmation</title>
<p>To validate the results of the integrated analysis, the expression levels of five genes including (CCL18, GALNT7, CCL8, CUL4B, NEDD4L and the lncRNA RP11-798M19.6 were selected and verified by RT-qPCR. In <xref rid="f6-mmr-19-05-3855" ref-type="fig">Fig. 6</xref>, with the exception of CCL8, NEDD4L and GALNT7, the expression of the other 3 selected genes detected using RT-qPCR was consistent with the results of our integrated analysis.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Although many studies have found that CRSwNP has various inflammatory phenotypes, drug sensitivities and prognoses, the detailed molecular mechanisms remain unclear (<xref rid="b18-mmr-19-05-3855" ref-type="bibr">18</xref>). Since effective treatment is lacking, finding novel treatment strategies for CRS has long been a research objective. In our study, 994 DEmRNAs (354 upregulated and 640 downregulated) and 265 DElncRNAs (56 upregulated and 209 downregulated) were identified. Based on the results of integrated high-throughput transcriptome data analysis and a literature search, we selected five differentially expressed genes (CCL18, GALNT7, CCL8, CUL4B, NEDD4L) and one lncRNA (RP11-798M19.6) and the expression of these candidate genes was verified by RT-qPCR in disease and control groups. Expression profiles of CCL8, CUL4B and RP11-798M19.6 were consistent with the results of high-throughput sequencing. However, the RT-qPCR results for CCL18, NEDD4L and GALNT7 were inconsistent with our integrated analysis, which may be due to the small sample size.</p>
<p>GO and KEGG analyses were performed to identify the biological functions enriched in the DEmRNAs. Following the analysis of the dysregulated mRNAs, we found that two central characteristics of CRSwNP were significantly enriched. These included the inflammatory and immune response, such as &#x2018;cytokine-cytokine receptor interaction&#x2019; (FDR=3.94&#x00D7;10<sup>16</sup>), and regional microenvironment changes in nasal polyps, such as &#x2018;signal transduction&#x2019; and &#x2018;protein binding&#x2019;. We found that the most significantly enriched BP of upregulated and downregulated DEGs was &#x2018;signal transduction&#x2019; and the most significantly enriched MF was &#x2018;protein binding&#x2019;. The most significantly enriched cellular component (CC) was &#x2018;membrane&#x2019;. Several pathways were demonstrated to be significantly enriched following the KEGG pathway enrichment analysis (FDR&#x003C;0.05, <xref rid="f3-mmr-19-05-3855" ref-type="fig">Fig. 3</xref>), including &#x2018;cytokine-cytokine receptor interaction&#x2019; (FDR=3.94&#x00D7;10<sup>16</sup>), and &#x2018;cell adhesion molecules (CAMs)&#x2019; (FDR=1.28&#x00D7;10<sup>&#x2212;5</sup>). KEGG analysis of DEmRNAs adjacent to DElncRNAs, revealed that DEmRNAs were enriched in &#x2018;mucin type O-Glycan biosynthesis (GALNT7)&#x2019; and &#x2018;chemokine signaling pathway (CCL18)&#x2019;. Chemokine receptors are potential targets for the treatment of many inflammatory diseases (<xref rid="b19-mmr-19-05-3855" ref-type="bibr">19</xref>&#x2013;<xref rid="b21-mmr-19-05-3855" ref-type="bibr">21</xref>). Collectively these findings indicate that CCL18, closely related to chemokine signaling, is involved in CRSwNP.</p>
<p>CCL18, a 7.8 kDa protein composed of 69 amino acids, is known as pulmonary and activation-regulated chemokine (PARC) (<xref rid="b22-mmr-19-05-3855" ref-type="bibr">22</xref>). Peterson <italic>et al</italic> (<xref rid="b22-mmr-19-05-3855" ref-type="bibr">22</xref>) found that compared with normal control uncinate tissue (UT), CCL18 mRNA was significantly increased in NP (P&#x003C;0.001) and UT (P&#x003C;0.05) from patients with CRSwNP, but not in UT from patients with CRSsNP. And the author guessed that overproduction of CCL18 might contribute to the pathogenesis of CRSwNP (<xref rid="b23-mmr-19-05-3855" ref-type="bibr">23</xref>). In our study, CCL18 was upregulated in patients with CRSwNP and the adjacent lncRNA XLOC_010280 was also upregulated. Wang <italic>et al</italic> (<xref rid="b24-mmr-19-05-3855" ref-type="bibr">24</xref>) also found an important lncRNA, XLOC_010280, which was highly correlated with CCL18 in <italic>cis</italic> prediction of functions of lncRNAs. In our study, differentially expressed CCL18 was enriched in CCL18, and XLOC_010280 was determined as the adjacent lncRNA of CCL18. CCL18 and XLOC_010280 were both upregulated in patients with CRSwNP. We may conclude that lncRNA XLOC_010280 upregulates the mRNA expression of CCL18, and causes the inflammatory disease.</p>
<p>As part of the acetylgalactosaminyltransferase family, N-acetylgalactosaminyltransferase 7 (GALNT7) acts as a glycosyltransferase in protein O-GlcNAcylation. A previous study demonstrated that GGalNAc-transferase-7 (GALNT7) was involved in the regulation of cell proliferation and was related to tumorigenesis. miR-494 and GALNT7-small interfering RNA (siRNA) have been shown to inhibit tumor growth in nude mice (<xref rid="b25-mmr-19-05-3855" ref-type="bibr">25</xref>). In our study, GALNT7 was upregulated in patients with CRSwNP, and its adjacent lncRNA RP11-798M19.6 was downregulated in these patients. Besides, in the KEGG analysis, the mRNA of GALNT7 was enriched in &#x2018;mucin type O-Glycan biosynthesis&#x2019;, which may be associated with CRSwNP.</p>
<p>In conclusion, the present study provides further insight into the molecular aspects of CRSwNP, suggesting new molecular signatures and new targets for application as specific biomarkers. In particular, our findings suggest that inflammation-related genes and cell proliferation-associated genes may be factors indicating poor prognosis of CRSwNP.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The authors would like to thank Beijing Medintell Bioinformatic Technology Co., Ltd. (Beijing, China) for assisting with the in high-throughput sequencing and data analysis.</p>
</ack>
<sec>
<title>Funding</title>
<p>No funding was received.</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>ML and YL supervised the research program, drafted the manuscript and revised it critically for important intellectual content. PG and JA participated in the acquisition, analysis and interpretation of data. CG contributed to the acquisition and analysis of data. FL and YL carried out the data analysis. ML and YL gave final approval of the version to be published. All authors read and approved the final manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>The present study has been approved by the Ethics Committee of The First People&#x0027;s Hospital of Jining.</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>All individuals provided signed informed consent for the use of their samples in the present study.</p>
</sec>
<sec>
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
<ref-list>
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<floats-group>
<fig id="f1-mmr-19-05-3855" position="float">
<label>Figure 1.</label>
<caption><p>Heatmap images displaying genes that were significantly up- or downregulated (P&#x003C;0.05) in chronic rhinosinusitis with nasal polyps when compared with normal controls. (A) GSE36830 and (B) GSE72713 datasets.</p></caption>
<graphic xlink:href="MMR-19-05-3855-g00.tif"/>
</fig>
<fig id="f2-mmr-19-05-3855" position="float">
<label>Figure 2.</label>
<caption><p>Heatmap image displaying long non-coding RNAs that were significantly up- or downregulated (P&#x003C;0.05) in chronic rhinosinusitis with nasal polyps when compared with normal controls.</p></caption>
<graphic xlink:href="MMR-19-05-3855-g01.tif"/>
</fig>
<fig id="f3-mmr-19-05-3855" position="float">
<label>Figure 3.</label>
<caption><p>Gene Ontology pathway analyses of dysregulated protein-coding genes. (A) BP, (B) CC and (C) MF. BP, biological process; CC, cellular component; MF, molecular functions; FDR, false discovery rate.</p></caption>
<graphic xlink:href="MMR-19-05-3855-g02.tif"/>
</fig>
<fig id="f4-mmr-19-05-3855" position="float">
<label>Figure 4.</label>
<caption><p>Kyoto Encyclopedia of Genes and Genomes pathway analyses of dysregulated protein-coding genes. FDR, false discovery rate; Jak, c-Jun N-terminal kinase; STAT, signal transducer and activator of transcription.</p></caption>
<graphic xlink:href="MMR-19-05-3855-g03.tif"/>
</fig>
<fig id="f5-mmr-19-05-3855" position="float">
<label>Figure 5.</label>
<caption><p>Chronic rhinosinusitis with nasal polyps-specific protein-protein interaction network. All points represent differentially expressed genes; green indicates downregulated, and red represents upregulated. The black border indicates the top 10 downregulated and the blue border indicates the top 10 upregulated.</p></caption>
<graphic xlink:href="MMR-19-05-3855-g04.tif"/>
</fig>
<fig id="f6-mmr-19-05-3855" position="float">
<label>Figure 6.</label>
<caption><p>Reverse transcription-quantitative polymerase chain reaction results of differentially expressed mRNAs and differentially expressed long non-coding RNAs in chronic rhinosinusitis with nasal polyps. CCL, chemokine (C-C motif) ligand; CUL4B, cullin-4B; NEDD4L, neural precursor cell expressed developmentally downregulated gene 4-like; GALNT7, polypeptide N-acetylgalactosaminyltransferase 7.</p></caption>
<graphic xlink:href="MMR-19-05-3855-g05.tif"/>
</fig>
<table-wrap id="tI-mmr-19-05-3855" position="float">
<label>Table I.</label>
<caption><p>Sequence of primers.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Name</th>
<th align="center" valign="bottom">Sequence (5&#x2032;-3&#x2032;)</th>
<th align="center" valign="bottom">Size of product (bp)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">GAPDH-F (endogenous control)</td>
<td align="left" valign="top">GGAGCGAGATCCCTCCAAAAT</td>
<td align="center" valign="top">197</td>
</tr>
<tr>
<td align="left" valign="top">GAPDH-R (endogenous control)</td>
<td align="left" valign="top">GGCTGTTGTCATACTTCTCATGG</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">CCL18-F</td>
<td align="left" valign="top">AGCATCATGAAGGGCCTTGC</td>
<td align="center" valign="top">209</td>
</tr>
<tr>
<td align="left" valign="top">CCL18-R</td>
<td align="left" valign="top">TGCCGGCCTCTCTTGGTTAG</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">CCL8-F</td>
<td align="left" valign="top">TGGAGAGCTACACAAGAATCACC</td>
<td align="center" valign="top">133</td>
</tr>
<tr>
<td align="left" valign="top">CCL8-R</td>
<td align="left" valign="top">TGGTCCAGATGCTTCATGGAA</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">CUL4B-F</td>
<td align="left" valign="top">TTTACAACCCAGGGATTCGGC</td>
<td align="center" valign="top">154</td>
</tr>
<tr>
<td align="left" valign="top">CUL4B-R</td>
<td align="left" valign="top">GGATTCCTCAGCCATCTTCGC</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">NEDD4L-F</td>
<td align="left" valign="top">CTGGGAAATGAGGATAGCGCC</td>
<td align="center" valign="top">191</td>
</tr>
<tr>
<td align="left" valign="top">NEDD4L-R</td>
<td align="left" valign="top">AAAACGTTCGGCCATCCAAGT</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">GALNT7-F</td>
<td align="left" valign="top">GGTTCATCTTACGCAGTTTGCT</td>
<td align="center" valign="top">140</td>
</tr>
<tr>
<td align="left" valign="top">GALNT7-R</td>
<td align="left" valign="top">GGGCATGGGGTCATTGACA</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">RP11-798M19.6-F</td>
<td align="left" valign="top">AAAGTTTTGGGAAGCTGGCAAG</td>
<td align="center" valign="top">192</td>
</tr>
<tr>
<td align="left" valign="top">RP11-798M19.6-R</td>
<td align="left" valign="top">GGAGAAAGCAATCAGGGCACA</td>
<td/>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-mmr-19-05-3855"><p>CCL, chemokine (C-C motif) ligand; CUL4B, cullin-4B; NEDD4L, neural precursor cell expressed developmentally downregulated gene 4-like; GALNT7, polypeptide N-acetylgalactosaminyltransferase 7; F, forward; R, reverse.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tII-mmr-19-05-3855" position="float">
<label>Table II.</label>
<caption><p>Top 20 differentially expressed mRNAs.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">ID</th>
<th align="center" valign="bottom">Symbol</th>
<th align="center" valign="bottom">Combined.ES</th>
<th align="center" valign="bottom">P-value</th>
<th align="center" valign="bottom">FDR</th>
<th align="center" valign="bottom">Up/down</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">8564</td>
<td align="left" valign="top">KMO</td>
<td align="center" valign="top">3.53</td>
<td align="center" valign="top">5.66&#x00D7;10<sup>&#x2212;8</sup></td>
<td align="center" valign="top">4.14&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">28959</td>
<td align="left" valign="top">TMEM176B</td>
<td align="center" valign="top">3.26</td>
<td align="center" valign="top">1.54&#x00D7;10<sup>&#x2212;7</sup></td>
<td align="center" valign="top">4.64&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">3426</td>
<td align="left" valign="top">CFI</td>
<td align="center" valign="top">3.59</td>
<td align="center" valign="top">1.60&#x00D7;10<sup>&#x2212;7</sup></td>
<td align="center" valign="top">4.64&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">2206</td>
<td align="left" valign="top">MS4A2</td>
<td align="center" valign="top">3.27</td>
<td align="center" valign="top">2.51&#x00D7;10<sup>&#x2212;7</sup></td>
<td align="center" valign="top">5.75&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">23406</td>
<td align="left" valign="top">COTL1</td>
<td align="center" valign="top">3.25</td>
<td align="center" valign="top">4.93&#x00D7;10<sup>&#x2212;7</sup></td>
<td align="center" valign="top">7.82&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">2207</td>
<td align="left" valign="top">FCER1G</td>
<td align="center" valign="top">3.06</td>
<td align="center" valign="top">5.38&#x00D7;10<sup>&#x2212;7</sup></td>
<td align="center" valign="top">7.82&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">6355</td>
<td align="left" valign="top">CCL8</td>
<td align="center" valign="top">3.20</td>
<td align="center" valign="top">6.33&#x00D7;10<sup>&#x2212;7</sup></td>
<td align="center" valign="top">8.44&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">85329</td>
<td align="left" valign="top">LGALS12</td>
<td align="center" valign="top">2.89</td>
<td align="center" valign="top">1.13&#x00D7;10<sup>&#x2212;6</sup></td>
<td align="center" valign="top">1.32&#x00D7;10<sup>&#x2212;3</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">6275</td>
<td align="left" valign="top">S100A4</td>
<td align="center" valign="top">2.89</td>
<td align="center" valign="top">1.15&#x00D7;10<sup>&#x2212;6</sup></td>
<td align="center" valign="top">1.32&#x00D7;10<sup>&#x2212;3</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">151258</td>
<td align="left" valign="top">SLC38A11</td>
<td align="center" valign="top">2.81</td>
<td align="center" valign="top">1.40&#x00D7;10<sup>&#x2212;6</sup></td>
<td align="center" valign="top">1.49&#x00D7;10<sup>&#x2212;3</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">342574</td>
<td align="left" valign="top">KRT27</td>
<td align="center" valign="top">&#x2212;3.99</td>
<td align="center" valign="top">1.13&#x00D7;10<sup>&#x2212;8</sup></td>
<td align="center" valign="top">1.81&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">140597</td>
<td align="left" valign="top">TCEAL2</td>
<td align="center" valign="top">&#x2212;3.80</td>
<td align="center" valign="top">7.76&#x00D7;10<sup>&#x2212;8</sup></td>
<td align="center" valign="top">4.14&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">372</td>
<td align="left" valign="top">ARCN1</td>
<td align="center" valign="top">&#x2212;3.34</td>
<td align="center" valign="top">1.74&#x00D7;10<sup>&#x2212;7</sup></td>
<td align="center" valign="top">4.64&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">54682</td>
<td align="left" valign="top">MANSC1</td>
<td align="center" valign="top">&#x2212;3.22</td>
<td align="center" valign="top">3.36&#x00D7;10<sup>&#x2212;7</sup></td>
<td align="center" valign="top">6.72&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">5523</td>
<td align="left" valign="top">PPP2R3A</td>
<td align="center" valign="top">&#x2212;3.06</td>
<td align="center" valign="top">4.88&#x00D7;10<sup>&#x2212;7</sup></td>
<td align="center" valign="top">7.82&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">64816</td>
<td align="left" valign="top">CYP3A43</td>
<td align="center" valign="top">&#x2212;2.97</td>
<td align="center" valign="top">1.72&#x00D7;10<sup>&#x2212;6</sup></td>
<td align="center" valign="top">1.63&#x00D7;10<sup>&#x2212;3</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">138046</td>
<td align="left" valign="top">RALYL</td>
<td align="center" valign="top">&#x2212;2.76</td>
<td align="center" valign="top">1.78&#x00D7;10<sup>&#x2212;6</sup></td>
<td align="center" valign="top">1.63&#x00D7;10<sup>&#x2212;3</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">6663</td>
<td align="left" valign="top">SOX10</td>
<td align="center" valign="top">&#x2212;2.75</td>
<td align="center" valign="top">1.83&#x00D7;10<sup>&#x2212;6</sup></td>
<td align="center" valign="top">1.63&#x00D7;10<sup>&#x2212;3</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">56994</td>
<td align="left" valign="top">CHPT1</td>
<td align="center" valign="top">&#x2212;2.73</td>
<td align="center" valign="top">2.19&#x00D7;10<sup>&#x2212;6</sup></td>
<td align="center" valign="top">1.65&#x00D7;10<sup>&#x2212;3</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">81621</td>
<td align="left" valign="top">KAZALD1</td>
<td align="center" valign="top">&#x2212;2.96</td>
<td align="center" valign="top">2.23&#x00D7;10<sup>&#x2212;6</sup></td>
<td align="center" valign="top">1.65&#x00D7;10<sup>&#x2212;3</sup></td>
<td align="center" valign="top">Down</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn2-mmr-19-05-3855"><p>FDR, false discovery rate; CCL, chemokine (C-C motif) ligand.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tIII-mmr-19-05-3855" position="float">
<label>Table III.</label>
<caption><p>Top 20 differentially expressed long non-coding RNAs.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">ID</th>
<th align="center" valign="bottom">Symbol</th>
<th align="center" valign="bottom">Log2FC</th>
<th align="center" valign="bottom">P-value</th>
<th align="center" valign="bottom">FDR</th>
<th align="center" valign="bottom">Up/down</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">XLOC_003006</td>
<td align="center" valign="top">&#x2013;</td>
<td align="center" valign="top">6.63</td>
<td align="center" valign="top">4.19&#x00D7;10<sup>&#x2212;7</sup></td>
<td align="center" valign="top">1.83&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_016248</td>
<td align="center" valign="top">&#x2013;</td>
<td align="center" valign="top">5.91</td>
<td align="center" valign="top">4.63&#x00D7;10<sup>&#x2212;6</sup></td>
<td align="center" valign="top">1.62&#x00D7;10<sup>&#x2212;3</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">ENSG00000253339.1</td>
<td align="center" valign="top">RP11-434I12.3</td>
<td align="center" valign="top">4.48</td>
<td align="center" valign="top">8.09&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">8.83&#x00D7;10<sup>&#x2212;2</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_017561</td>
<td align="center" valign="top">&#x2013;</td>
<td align="center" valign="top">2.46</td>
<td align="center" valign="top">9.52&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">9.23&#x00D7;10<sup>&#x2212;2</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_011814</td>
<td align="center" valign="top">&#x2013;</td>
<td align="center" valign="top">2.44</td>
<td align="center" valign="top">2.05&#x00D7;10<sup>&#x2212;3</sup></td>
<td align="center" valign="top">1.43&#x00D7;10<sup>&#x2212;1</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_018649</td>
<td align="center" valign="top">&#x2013;</td>
<td align="center" valign="top">3.99</td>
<td align="center" valign="top">2.32&#x00D7;10<sup>&#x2212;3</sup></td>
<td align="center" valign="top">1.43&#x00D7;10<sup>&#x2212;1</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_015500</td>
<td align="center" valign="top">&#x2013;</td>
<td align="center" valign="top">5.85</td>
<td align="center" valign="top">2.39&#x00D7;10<sup>&#x2212;3</sup></td>
<td align="center" valign="top">1.43&#x00D7;10<sup>&#x2212;1</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">ENSG00000248810.1</td>
<td align="center" valign="top">RP11-362F19.1</td>
<td align="center" valign="top">1.50</td>
<td align="center" valign="top">2.82&#x00D7;10<sup>&#x2212;3</sup></td>
<td align="center" valign="top">1.43&#x00D7;10<sup>&#x2212;1</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_018891</td>
<td align="center" valign="top">&#x2013;</td>
<td align="center" valign="top">1.87</td>
<td align="center" valign="top">4.59&#x00D7;10<sup>&#x2212;3</sup></td>
<td align="center" valign="top">1.78&#x00D7;10<sup>&#x2212;1</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_000122</td>
<td align="center" valign="top">&#x2013;</td>
<td align="center" valign="top">5.61</td>
<td align="center" valign="top">5.16&#x00D7;10<sup>&#x2212;3</sup></td>
<td align="center" valign="top">1.88&#x00D7;10<sup>&#x2212;1</sup></td>
<td align="center" valign="top">Up</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_010540</td>
<td align="center" valign="top">&#x2013;</td>
<td align="center" valign="top">&#x2212;9.00</td>
<td align="center" valign="top">1.79&#x00D7;10<sup>&#x2212;9</sup></td>
<td align="center" valign="top">3.13&#x00D7;10<sup>&#x2212;6</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_010305</td>
<td align="center" valign="top">&#x2013;</td>
<td align="center" valign="top">&#x2212;6.89</td>
<td align="center" valign="top">7.56&#x00D7;10<sup>&#x2212;9</sup></td>
<td align="center" valign="top">6.60&#x00D7;10<sup>&#x2212;6</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">ENSG00000250360.1</td>
<td align="center" valign="top">CTD-2089N3.1</td>
<td align="center" valign="top">&#x2212;5.53</td>
<td align="center" valign="top">8.81&#x00D7;10<sup>&#x2212;8</sup></td>
<td align="center" valign="top">5.13&#x00D7;10<sup>&#x2212;5</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_018529</td>
<td align="center" valign="top">&#x2013;</td>
<td align="center" valign="top">&#x2212;2.83</td>
<td align="center" valign="top">6.32&#x00D7;10<sup>&#x2212;5</sup></td>
<td align="center" valign="top">1.84&#x00D7;10<sup>&#x2212;2</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_025155</td>
<td align="center" valign="top">&#x2013;</td>
<td align="center" valign="top">&#x2212;2.98</td>
<td align="center" valign="top">7.93&#x00D7;10<sup>&#x2212;5</sup></td>
<td align="center" valign="top">1.98&#x00D7;10<sup>&#x2212;2</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_005882</td>
<td align="center" valign="top">&#x2013;</td>
<td align="center" valign="top">&#x2212;4.35</td>
<td align="center" valign="top">1.39&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">3.04&#x00D7;10<sup>&#x2212;2</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_018024</td>
<td align="center" valign="top">&#x2013;</td>
<td align="center" valign="top">&#x2212;2.16</td>
<td align="center" valign="top">2.09&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">4.06&#x00D7;10<sup>&#x2212;2</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_015712</td>
<td align="center" valign="top">&#x2013;</td>
<td align="center" valign="top">&#x2212;2.44</td>
<td align="center" valign="top">3.15&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">5.50&#x00D7;10<sup>&#x2212;2</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_019396</td>
<td align="center" valign="top">&#x2013;</td>
<td align="center" valign="top">&#x2212;1.70</td>
<td align="center" valign="top">3.72&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">5.91&#x00D7;10<sup>&#x2212;2</sup></td>
<td align="center" valign="top">Down</td>
</tr>
<tr>
<td align="left" valign="top">ENSG00000181123.4</td>
<td align="center" valign="top">RP4-539M6.14</td>
<td align="center" valign="top">&#x2212;1.83</td>
<td align="center" valign="top">5.77&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">7.80&#x00D7;10<sup>&#x2212;2</sup></td>
<td align="center" valign="top">Down</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn3-mmr-19-05-3855"><p>FDR, false discovery rate.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tIV-mmr-19-05-3855" position="float">
<label>Table IV.</label>
<caption><p>Differentially expressed long non-coding RNAs and adjacent mRNAs.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th colspan="3" align="center" valign="bottom">Long non-coding RNA</th>
<th colspan="3" align="center" valign="bottom">mRNA</th>
</tr>
<tr>
<th/>
<th colspan="3" align="center" valign="bottom"><hr/></th>
<th colspan="3" align="center" valign="bottom"><hr/></th>
</tr>
<tr>
<th align="left" valign="bottom">ID</th>
<th align="center" valign="bottom">Symbol</th>
<th align="center" valign="bottom">Start-100 kb</th>
<th align="center" valign="bottom">End&#x002B;100 kb</th>
<th align="center" valign="bottom">Symbol</th>
<th align="center" valign="bottom">Start</th>
<th align="center" valign="bottom">End</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">ENSG00000204380.2</td>
<td align="center" valign="top">PKP4-AS1</td>
<td align="right" valign="top">159,435,168</td>
<td align="right" valign="top">159,691,330</td>
<td align="left" valign="top">PKP4</td>
<td align="right" valign="top">159,313,476</td>
<td align="right" valign="top">159,539,391</td>
</tr>
<tr>
<td align="left" valign="top">ENSG00000268001.1</td>
<td align="center" valign="top">CARD8-AS1</td>
<td align="right" valign="top">48,658,932</td>
<td align="right" valign="top">48,861,456</td>
<td align="left" valign="top">EMP3</td>
<td align="right" valign="top">48,824,766</td>
<td align="right" valign="top">48,833,810</td>
</tr>
<tr>
<td align="left" valign="top">ENSG00000272870.1</td>
<td align="center" valign="top">RP11-798M19.6</td>
<td align="right" valign="top">174,185,145</td>
<td align="right" valign="top">174,390,966</td>
<td align="left" valign="top">GALNT7</td>
<td align="right" valign="top">174,089,904</td>
<td align="right" valign="top">174,245,118</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_001856</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">60,327,121</td>
<td align="right" valign="top">60,534,026</td>
<td align="left" valign="top">HOOK1</td>
<td align="right" valign="top">60,280,458</td>
<td align="right" valign="top">60,342,050</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_002179</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">153,430,979</td>
<td align="right" valign="top">153,633,083</td>
<td align="left" valign="top">S100A2</td>
<td align="right" valign="top">153,533,584</td>
<td align="right" valign="top">153,540,366</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_002179</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">153,430,979</td>
<td align="right" valign="top">153,633,083</td>
<td align="left" valign="top">S100A4</td>
<td align="right" valign="top">153,516,089</td>
<td align="right" valign="top">153,522,612</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_003728</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">115,617,190</td>
<td align="right" valign="top">115,820,554</td>
<td align="left" valign="top">NHLRC2</td>
<td align="right" valign="top">115,614,420</td>
<td align="right" valign="top">115,676,953</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_004001</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">34,532,537</td>
<td align="right" valign="top">34,734,403</td>
<td align="left" valign="top">EHF</td>
<td align="right" valign="top">34,642,640</td>
<td align="right" valign="top">34,682,604</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_005757</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">108,928,967</td>
<td align="right" valign="top">109,130,444</td>
<td align="left" valign="top">SELPLG</td>
<td align="right" valign="top">109,016,053</td>
<td align="right" valign="top">109,027,735</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_005757</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">108,928,967</td>
<td align="right" valign="top">109,130,444</td>
<td align="left" valign="top">CORO1C</td>
<td align="right" valign="top">109,038,885</td>
<td align="right" valign="top">109,125,372</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_006494</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">118,455,546</td>
<td align="right" valign="top">118,673,787</td>
<td align="left" valign="top">PEBP1</td>
<td align="right" valign="top">118,573,663</td>
<td align="right" valign="top">118,583,389</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_009628</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">20,654,577</td>
<td align="right" valign="top">20,875,447</td>
<td align="left" valign="top">ACSM3</td>
<td align="right" valign="top">20,621,565</td>
<td align="right" valign="top">20,808,903</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_010280</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">34,304,118</td>
<td align="right" valign="top">34,520,635</td>
<td align="left" valign="top">CCL18</td>
<td align="right" valign="top">34,391,640</td>
<td align="right" valign="top">34,399,392</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_010305</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">37,141,750</td>
<td align="right" valign="top">37,342,737</td>
<td align="left" valign="top">PLXDC1</td>
<td align="right" valign="top">37,219,556</td>
<td align="right" valign="top">37,310,647</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_011271</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">72,625,994</td>
<td align="right" valign="top">72,827,011</td>
<td align="left" valign="top">CD300LF</td>
<td align="right" valign="top">72,690,450</td>
<td align="right" valign="top">72,709,117</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_013363</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">58,726,344</td>
<td align="right" valign="top">58,938,866</td>
<td align="left" valign="top">RPS5</td>
<td align="right" valign="top">58,897,767</td>
<td align="right" valign="top">58,906,173</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_013363</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">58,726,344</td>
<td align="right" valign="top">58,938,866</td>
<td align="left" valign="top">ZSCAN22</td>
<td align="right" valign="top">58,838,385</td>
<td align="right" valign="top">58,853,698</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_014821</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">98,570,692</td>
<td align="right" valign="top">98,801,316</td>
<td align="left" valign="top">VWA3B</td>
<td align="right" valign="top">98,703,579</td>
<td align="right" valign="top">98,929,762</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_016476</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">38,383,272</td>
<td align="right" valign="top">38,584,377</td>
<td align="left" valign="top">SOX10</td>
<td align="right" valign="top">38,366,693</td>
<td align="right" valign="top">38,383,429</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_018137</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">128,110,058</td>
<td align="right" valign="top">128,311,374</td>
<td align="left" valign="top">GATA2</td>
<td align="right" valign="top">128,198,270</td>
<td align="right" valign="top">128,212,028</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_018236</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">151,046,653</td>
<td align="right" valign="top">151,250,581</td>
<td align="left" valign="top">P2RY13</td>
<td align="right" valign="top">151,044,100</td>
<td align="right" valign="top">151,047,336</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_019500</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">174,101,606</td>
<td align="right" valign="top">174,311,598</td>
<td align="left" valign="top">GALNT7</td>
<td align="right" valign="top">174,089,904</td>
<td align="right" valign="top">174,245,118</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_019578</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">1,831,467</td>
<td align="right" valign="top">2,036,070</td>
<td align="left" valign="top">IRX4</td>
<td align="right" valign="top">1,877,527</td>
<td align="right" valign="top">1,887,350</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_024517</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">134,039,147</td>
<td align="right" valign="top">134,241,605</td>
<td align="left" valign="top">WISP1</td>
<td align="right" valign="top">134,203,282</td>
<td align="right" valign="top">134,242,587</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_025491</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">113,925,958</td>
<td align="right" valign="top">114,147,241</td>
<td align="left" valign="top">OR2K2</td>
<td align="right" valign="top">114,089,763</td>
<td align="right" valign="top">114,092,463</td>
</tr>
<tr>
<td align="left" valign="top">XLOC_026071</td>
<td align="center" valign="top">&#x2013;</td>
<td align="right" valign="top">139,765,127</td>
<td align="right" valign="top">139,967,176</td>
<td align="left" valign="top">CDR1</td>
<td align="right" valign="top">139,864,570</td>
<td align="right" valign="top">139,867,036</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="tV-mmr-19-05-3855" position="float">
<label>Table V.</label>
<caption><p>Kyoto Encyclopedia of Genes and Genomes of differentially expressed mRNAs adjacent to differentially expressed long non-coding RNA.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">ID</th>
<th align="center" valign="bottom">Term</th>
<th align="center" valign="bottom">FDR</th>
<th align="center" valign="bottom">Count</th>
<th align="center" valign="bottom">Symbols</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">00512</td>
<td align="left" valign="top">Mucin type O-Glycan biosynthesis</td>
<td align="center" valign="top">3.59&#x00D7;10<sup>&#x2212;10</sup></td>
<td align="center" valign="top">1</td>
<td align="left" valign="top">GALNT7</td>
</tr>
<tr>
<td align="left" valign="top">00650</td>
<td align="left" valign="top">Butanoate metabolism</td>
<td align="center" valign="top">3.59&#x00D7;10<sup>&#x2212;10</sup></td>
<td align="center" valign="top">1</td>
<td align="left" valign="top">ACSM3</td>
</tr>
<tr>
<td align="left" valign="top">05150</td>
<td align="left" valign="top">Staphylococcus aureus infection</td>
<td align="center" valign="top">5.43&#x00D7;10<sup>&#x2212;7</sup></td>
<td align="center" valign="top">1</td>
<td align="left" valign="top">SELPLG</td>
</tr>
<tr>
<td align="left" valign="top">03010</td>
<td align="left" valign="top">Ribosome</td>
<td align="center" valign="top">4.46&#x00D7;10<sup>&#x2212;4</sup></td>
<td align="center" valign="top">1</td>
<td align="left" valign="top">RPS5</td>
</tr>
<tr>
<td align="left" valign="top">04514</td>
<td align="left" valign="top">CAMs</td>
<td align="center" valign="top">4.86&#x00D7;10<sup>&#x2212;3</sup></td>
<td align="center" valign="top">1</td>
<td align="left" valign="top">SELPLG</td>
</tr>
<tr>
<td align="left" valign="top">04062</td>
<td align="left" valign="top">Chemokine signaling pathway</td>
<td align="center" valign="top">2.86&#x00D7;10<sup>&#x2212;2</sup></td>
<td align="center" valign="top">1</td>
<td align="left" valign="top">CCL18</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn4-mmr-19-05-3855"><p>ACSM3, acyl-coenzyme A synthetase medium chain family member 3; RPS5, ribosomal protein S5; SELPLG, selectin P ligand; GALNT7, polypeptide N-acetylgalactosaminyltransferase 7; CCL18, chemokine (C-C motif) ligand 18; FDR, false discovery rate; CAMs, cell adhesion molecules.</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>