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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.2019.10430</article-id>
<article-id pub-id-type="publisher-id">mmr-20-02-1966</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Differential expression profile analysis of cisplatin-regulated miRNAs in a human gastric cancer cell line</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Yin</surname><given-names>Chunlin</given-names></name>
<xref rid="af1-mmr-20-02-1966" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Zheng</surname><given-names>Xianxian</given-names></name>
<xref rid="af2-mmr-20-02-1966" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Xiang</surname><given-names>Heping</given-names></name>
<xref rid="af3-mmr-20-02-1966" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>He</given-names></name>
<xref rid="af3-mmr-20-02-1966" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Gao</surname><given-names>Ming</given-names></name>
<xref rid="af3-mmr-20-02-1966" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Meng</surname><given-names>Xiangling</given-names></name>
<xref rid="af1-mmr-20-02-1966" ref-type="aff">1</xref>
<xref rid="c1-mmr-20-02-1966" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Yang</surname><given-names>Kai</given-names></name>
<xref rid="af4-mmr-20-02-1966" ref-type="aff">4</xref></contrib>
</contrib-group>
<aff id="af1-mmr-20-02-1966"><label>1</label>Department of General Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, P.R. China</aff>
<aff id="af2-mmr-20-02-1966"><label>2</label>Department of Clinical Laboratory, Hefei Binhu Hospital, Hefei, Anhui 230601, P.R. China</aff>
<aff id="af3-mmr-20-02-1966"><label>3</label>Department of Emergency Surgery, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230032, P.R. China</aff>
<aff id="af4-mmr-20-02-1966"><label>4</label>Department of Clinical Laboratory, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230032, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-20-02-1966"><italic>Correspondence to</italic>: Dr Xiangling Meng, Department of General Surgery, The First Affiliated Hospital of Anhui Medical University, 218 Jixi Road, Hefei, Anhui 230022, P.R. China, E-mail: <email>xianglingmeng55@sina.cn</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>08</month><year>2019</year></pub-date>
<pub-date pub-type="epub"><day>26</day><month>06</month><year>2019</year></pub-date>
<volume>20</volume>
<issue>2</issue>
<fpage>1966</fpage>
<lpage>1976</lpage>
<history>
<date date-type="received"><day>14</day><month>08</month><year>2018</year></date>
<date date-type="accepted"><day>22</day><month>05</month><year>2019</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2019, Spandidos Publications</copyright-statement>
<copyright-year>2019</copyright-year>
</permissions>
<abstract>
<p>Cisplatin, one of the most commonly used drugs in combination chemotherapy, is an effective anti-tumor agent widely used for diverse tumor types. MicroRNAs (miRNAs/miRs) are involved in the occurrence, development, diagnosis and treatment of cancer. Therefore, the aim of the current study was to explore whether cisplatin exerts anticancer effects by causing differential expression of miRNAs in human gastric cancer cells. The human gastric cancer cell line NCI-N87 was cultured with a certain dose of cisplatin and high-throughput sequencing combined with reverse transcription-quantitative polymerase chain reaction (RT-qPCR) was performed to detect cisplatin-regulated miRNAs. miRNAs upregulated and downregulated following cisplatin exposure were analyzed. High-throughput sequencing revealed 33 upregulated and 16 downregulated miRNAs. A total of five significantly upregulated and five significantly downregulated miRNAs were identified by RT-qPCR. The expression levels of hsa-miR-1246 and hsa-miR-892b were consistent with the results obtained from high-throughput sequencing. Gene Ontology and Kyoto Encyclopedia of Genes and Genomes pathway clustering of cisplatin-regulated miRNAs revealed that the miRNAs regulated genes involved in several biological processes and signaling pathways. The results obtained in the current study suggested that cisplatin may exert an important anticancer effect in gastric cancer via complex biological processes and signaling pathways.</p>
</abstract>
<kwd-group>
<kwd>cisplatin</kwd>
<kwd>gastric cancer</kwd>
<kwd>microRNA</kwd>
<kwd>high-throughput sequencing</kwd>
<kwd>differential expression</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Cisplatin (cis-dichlorodiammine platinum) is a platinum-based chemotherapeutic agent used for the treatment of several types of cancer. It binds to DNA and inhibits DNA replication, resulting in apoptosis (<xref rid="b1-mmr-20-02-1966" ref-type="bibr">1</xref>,<xref rid="b2-mmr-20-02-1966" ref-type="bibr">2</xref>). Cisplatin has a strong anti-cancer effect and synergistic action with various anti-tumor drugs and is therefore one of the most commonly used drugs in combination chemotherapy (<xref rid="b3-mmr-20-02-1966" ref-type="bibr">3</xref>,<xref rid="b4-mmr-20-02-1966" ref-type="bibr">4</xref>). It is primarily used in the treatment of ovarian, prostate, testicular, lung and gastric cancer (<xref rid="b3-mmr-20-02-1966" ref-type="bibr">3</xref>,<xref rid="b4-mmr-20-02-1966" ref-type="bibr">4</xref>). Cisplatin is associated with dose-dependent side effects (<xref rid="b5-mmr-20-02-1966" ref-type="bibr">5</xref>,<xref rid="b6-mmr-20-02-1966" ref-type="bibr">6</xref>), including gastrointestinal reactions (<xref rid="b7-mmr-20-02-1966" ref-type="bibr">7</xref>), bone marrow suppression (<xref rid="b8-mmr-20-02-1966" ref-type="bibr">8</xref>), liver and kidney damage (<xref rid="b9-mmr-20-02-1966" ref-type="bibr">9</xref>), ototoxicity (<xref rid="b10-mmr-20-02-1966" ref-type="bibr">10</xref>) and neurotoxicity (<xref rid="b11-mmr-20-02-1966" ref-type="bibr">11</xref>). Renal toxicity is frequently encountered, with a clinical incidence rate of 25&#x2013;35&#x0025; (<xref rid="b12-mmr-20-02-1966" ref-type="bibr">12</xref>&#x2013;<xref rid="b14-mmr-20-02-1966" ref-type="bibr">14</xref>). The side effects associated with cisplatin have limited its use and clinical efficacy (<xref rid="b15-mmr-20-02-1966" ref-type="bibr">15</xref>,<xref rid="b16-mmr-20-02-1966" ref-type="bibr">16</xref>). Therefore, strategies to reduce these side effects are required in the field of antitumor therapy.</p>
<p>Gastric cancer, which is a malignant tumor originating from the gastric mucosal epithelium (<xref rid="b17-mmr-20-02-1966" ref-type="bibr">17</xref>), is the fourth most common cancer and the second most common cause of cancer-associated mortality worldwide (<xref rid="b18-mmr-20-02-1966" ref-type="bibr">18</xref>). According to global cancer statistics in 2012, gastric cancer accounted for approximately one million new cases and over 700,000 mortalities, representing 8&#x0025; of all cancer cases and 9.7&#x0025; of all cancer mortalities, and almost half of these patients came from China (<xref rid="b19-mmr-20-02-1966" ref-type="bibr">19</xref>). Although the morbidity and mortality of gastric cancer has decreased in recent years, the 5-year survival rate remains low (&#x003C;30&#x0025;) (<xref rid="b20-mmr-20-02-1966" ref-type="bibr">20</xref>,<xref rid="b21-mmr-20-02-1966" ref-type="bibr">21</xref>). Radiotherapy and chemotherapy combined with surgical resection is the main treatment for gastric cancer, but the recurrence rate is very high (<xref rid="b20-mmr-20-02-1966" ref-type="bibr">20</xref>,<xref rid="b21-mmr-20-02-1966" ref-type="bibr">21</xref>). Cisplatin is currently a first line chemotherapeutic agent for gastric cancer (<xref rid="b22-mmr-20-02-1966" ref-type="bibr">22</xref>,<xref rid="b23-mmr-20-02-1966" ref-type="bibr">23</xref>), particularly for patients with advanced gastric cancer.</p>
<p>Cisplatin has a better curative effect for gastric cancer. The target microRNAs (miRNAs) of cisplatin remain unknown. In the current study, the human gastric cancer cell line NCI-N87 was used to identify differentially expressed miRNAs following exposure to cisplatin. High-throughput sequencing and bioinformatics analysis identified 49 differentially expressed miRNAs, including 33 upregulated miRNAs and 16 downregulated miRNAs following treatment with cisplatin. Reverse-transcription quantitative polymerase chain reaction (RT-qPCR) results revealed that the expression level of hsa-miR-1246 and hsa-miR-892b were consistent with the microarray data. The results obtained in the current study suggested that cisplatin may serve a role in the treatment of gastric cancer by regulating the expression of the aforementioned miRNAs, which may allow the development of novel therapeutic agents for gastric cancer.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture and cisplatin stimulation</title>
<p>The human gastric cancer cell line NCI-N87 (American Type Culture Collection) was cultured in Dulbecco&#x0027;s Modified Eagles Medium (DMEM; HyClone; GE Healthcare Life Sciences) supplemented with 10&#x0025; fetal bovine serum (HyClone; GE Healthcare Life Sciences) and 1&#x0025; penicillin and streptomycin (Suzhou Zeke Biotech, Co., Ltd.). Cells were maintained in an incubator at 5&#x0025; CO<sub>2</sub> and 37&#x00B0;C. When the cell confluence reached 70&#x2013;80&#x0025;, the cells were treated 0, 7.5, 15, 30 and 60 &#x00B5;g/ml cisplatin for 48 h at 37&#x00B0;C. Cell viability was subsequently assessed using an MTT assay and applied for further investigation.</p>
</sec>
<sec>
<title>MTT assay</title>
<p>A total of 1&#x00D7;10<sup>4</sup> NCI-N87 cells were seeded in 96-well plates with complete DMEM and incubated at 37&#x00B0;C for 48 h. Cells were treated with MTT (Changchun Keygen Biological Products Co., Ltd.) according to the manufacturer&#x0027;s instructions and incubated in an incubator at 5&#x0025; CO<sub>2</sub> and 37&#x00B0;C for 4 h. The purple formazan crystals were subsequently dissolved in 150 &#x00B5;l dimethyl sulfoxide (Sigma-Aldrich; Merck KGaA) at room temperature for 10 min, and analyzed at a wavelength of 490 nm using a microplate reader.</p>
</sec>
<sec>
<title>High-throughput sequencing</title>
<p>The total RNA of NCI-N87 cells treated with and without cisplatin was extracted using the Takara MiniBEST Universal RNA Extraction Kit (cat. no. 9767; Takara Bio, Inc.) according to the manufacturer&#x0027;s protocol and sent to Shanghai Personal Biotechnology Co., Ltd. for high-throughput sequencing using the Illumina NextSeq500 platform (Illumina, Inc.).</p>
</sec>
<sec>
<title>RT-qPCR assay</title>
<p>The total RNA was extracted using the Takara MiniBEST Universal RNA Extraction Kit (cat. no. 9767; Takara Bio, Inc.). Total RNA was reverse transcribed and qPCR was performed using a PrimeScript One Step RT-PCR Kit Ver.2 (cat. no. RR057A; Takara Bio, Inc.) according to the manufacturers&#x0027; instructions. The reaction mixture, which consisted of 2 &#x00B5;l 5X PrimeScript RT Master mix (included in the PrimeScript One Step RT-PCR Kit), 500 ng total RNA, RNase-free dH<sub>2</sub>O up to 10 &#x00B5;l, was prepared and reacted at 37&#x00B0;C for 15 min, followed by 85&#x00B0;C for 5 sec and 4&#x00B0;C indefinitely. qPCR was subsequently performed using the following mixture: 10 &#x00B5;l of 2&#x00D7; SYBR Premix Ex Taq II (included in the PrimeScript One Step RT-PCR Kit), 0.8 &#x00B5;l of forward primer, 0.8 &#x00B5;l of reverse primer, 0.4 &#x00B5;l of ROX Reference Dye II (included in the kit), 2 &#x00B5;l of cDNA and 6 &#x00B5;l of ddH<sub>2</sub>O. U6 was used as reference gene. The thermocycling conditions were as follows: One cycle of 95&#x00B0;C for 30 sec, 40 cycles of 95&#x00B0;C for 5 sec, 60&#x00B0;C for 34 sec and 4&#x00B0;C indefinitely. The data was analyzed using SDS software (version 1.4; Applied Biosystems; Thermo Fisher Scientific, Inc.) based on the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method (<xref rid="b24-mmr-20-02-1966" ref-type="bibr">24</xref>,<xref rid="b25-mmr-20-02-1966" ref-type="bibr">25</xref>), and histogram analysis was performed using Origin software (version 10.5.30; <uri xlink:href="https://www.originlab.com/index.aspx?go=PRODUCTS/Origin">http://www.originlab.com/index.aspx?go=PRODUCTS/Origin</uri>). All primers are listed in <xref rid="tI-mmr-20-02-1966" ref-type="table">Table I</xref>.</p>
</sec>
<sec>
<title>Bioinformatics analysis of differentially expressed miRNAs in NCI-N87 cells following cisplatin treatment</title>
<p>High-throughput sequencing was performed with &#x003E;3 biological replicates in each group, and t-tests were used to select differentially expressed genes using fold change (FC). FC differences in the cisplatin-treated (3 replicates) and control (3 replicates) groups were investigated. P&#x003C;0.05 and log2 (FC)&#x003E;2 (upregulated) or log2(FC)&#x003C;-2 (downregulated) were used to identify differentially expressed miRNAs. The differentially expressed miRNAs were used to construct heatmaps and perform volcano analysis using R (version 3.5, <uri xlink:href="http://www.R-project.org">www.R-project.org</uri>). The distribution frequency of the miRNAs following cisplatin treatment was determined by the adjusted P-value (Padj) according to the analysis of differentially expressed miRNAs (<xref rid="b26-mmr-20-02-1966" ref-type="bibr">26</xref>).</p>
</sec>
<sec>
<title>Gene Ontology (GO) clustering</title>
<p>The GO database (<uri xlink:href="http://geneontology.org">geneontology.org</uri>) contains three aspects of functional information: The biological process (BP), the cellular component (CC), and the molecular function (MF) (<xref rid="b27-mmr-20-02-1966" ref-type="bibr">27</xref>,<xref rid="b28-mmr-20-02-1966" ref-type="bibr">28</xref>). These functions were organized into the &#x2018;Directed Acyclic Graph&#x2019; (DAG) structure according to the size of the concept. Genes are considered significantly enriched based on the ratio of the observed GO term for all genes/GO term for a single gene set. In the current study, each gene annotated to a GO term was extensively annotated to all parent nodes of that node. Each GO term-enriched P-value was calculated using the hyper-geometric distribution method, and the P-value was corrected using the false discovery rate. P&#x003C;0.05 was considered to indicate a statistically significant difference. Redundant GO terms within the threshold were removed; GO terms terminal to the DAG graph which were significantly enriched were selected.</p>
</sec>
<sec>
<title>Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway clustering</title>
<p>The KEGG database (<uri xlink:href="https://www.genome.jp/kegg/">https://www.genome.jp/kegg/</uri>) is the world&#x0027;s largest database for analyzing gene function and genomic information from a biological pathway perspective system (<xref rid="b29-mmr-20-02-1966" ref-type="bibr">29</xref>). It contains metabolites, enzymes, biochemical reactions, gene regulation and protein interactions. In the current study, the hypergeometric distribution method was used to study biological pathways. The F-value was used to correct the P-value and the threshold was set to 0.05. Finally, a KEGG signaling pathway in which differentially expressed genes were significantly enriched was determined. The network was analyzed using the Cytoscape software (version 3.7.1; <uri xlink:href="https://cytoscape.org/download.html">http://cytoscape.org/download.html</uri>).</p>
</sec>
<sec>
<title>Target prediction</title>
<p>miR-1246-regulated genes were obtained using TargetScan (version 7.2; <uri xlink:href="http://www.targetscan.org/vert_72/">http://www.targetscan.org/vert_72/</uri>) (<xref rid="b30-mmr-20-02-1966" ref-type="bibr">30</xref>) and the miRDB database (<uri xlink:href="http://www.mirdb.org/">http://www.mirdb.org/</uri>) (<xref rid="b31-mmr-20-02-1966" ref-type="bibr">31</xref>).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>All data were expressed as mean &#x00B1; standard deviation. One-way ANOVA followed by the Least Significant Difference test was performed. The Student&#x0027;s t-test was used to analyze two groups. Statistical analysis was performed using SPSS software (version 22.0; IBM Corp.). P&#x003C;0.05 and P&#x003C;0.01 were considered to indicate significant and highly significant statistical differences, respectively.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Differential expression profile analysis of cisplatin-regulated miRNAs</title>
<p>According to the quantile normalization exhibited in <xref rid="f1-mmr-20-02-1966" ref-type="fig">Fig. 1</xref>, the length of the miRNAs identified was 19&#x2013;25 nucleotides. Bioinformatics analysis revealed a total of 33 upregulated miRNAs and 16 downregulated miRNAs in NCI-N87 cells following cisplatin treatment (<xref rid="tII-mmr-20-02-1966" ref-type="table">Table II</xref>). A heatmap was generated based on these differentially expressed miRNAs, where red represented the upregulated miRNAs and green represented the downregulated miRNAs (<xref rid="f2-mmr-20-02-1966" ref-type="fig">Fig. 2A</xref>). The distribution frequency of the miRNAs following cisplatin treatment was determined by the Padj according to the analysis of differentially expressed miRNAs. The volcano plot presented in <xref rid="f2-mmr-20-02-1966" ref-type="fig">Fig. 2B</xref> reflected the similarities and the differences in gene expression among the miRNAs regulated by cisplatin treatment.</p>
</sec>
<sec>
<title>Expression of hsa-miR-1246 is significantly increased and that expression of hsa-miR-892b is significantly decreased following cisplatin treatment</title>
<p>To further validate the differently expressed miRNAs identified in the microarray, the top five significantly upregulated miRNAs, including hsa-miR-3609, hsa-miR-4497, hsa-miR-1246, hsa-miR-4301 and hsa-miR-6724-5p, and the top five significantly downregulated miRNAs, including hsa-miR-4508, hsa-miR-33b-3p, hsa-miR-1268b, hsa-miR-153-5p and hsa-miR-892b, were selected for RT-qPCR analysis. The expression level of hsa-miR-1246 was significantly increased, and that of hsa-miR-892b was significantly decreased, following treatment of cisplatin compared with the control (<xref rid="f3-mmr-20-02-1966" ref-type="fig">Fig. 3</xref>), consistent with the results obtained from the microarray. Therefore, hsa-miR-1246 and hsa-miR-892b were selected for subsequent analysis.</p>
</sec>
<sec>
<title>GO clustering of hsa-miR-1246 and hsa-miR-892b-regulated genes</title>
<p>For GO analysis, hsa-miR-1246-regulated genes were obtained using TargetScan and the miRDB database. A total of 14 intersecting genes were obtained as presented in the Venn diagram in <xref rid="f4-mmr-20-02-1966" ref-type="fig">Fig. 4A</xref>. GO clustering was performed to investigate MF, BF and CC associated with the miRs. As presented in <xref rid="f4-mmr-20-02-1966" ref-type="fig">Fig. 4B</xref>, 10 BPs were identified, including &#x2018;transporter activity&#x2019;, &#x2018;substrate-specific transporter activity&#x2019;, &#x2018;regulation of cellular process&#x2019;, &#x2018;regulation of BP&#x2019;, &#x2018;protein binding&#x2019;, &#x2018;primary metabolic process&#x2019;, &#x2018;organic substance metabolic process&#x2019;, &#x2018;organic cyclic compound binding&#x2019;, &#x2018;organelle&#x2019; and &#x2018;nitrogen compound metabolic process&#x2019;. Similarly, for hsa-miR-892b regulated genes, a total of 9 intersecting genes was obtained as presented in Venn diagram in <xref rid="f4-mmr-20-02-1966" ref-type="fig">Fig. 4C</xref>. The GO clustering revealed six processes, including &#x2018;regulation of cellular process&#x2019;, &#x2018;regulation of biological process&#x2019;, &#x2018;protein binding&#x2019;, &#x2018;primary metabolic process&#x2019;, &#x2018;plasma membrane&#x2019; and &#x2018;organic substance metabolic process&#x2019; (<xref rid="f4-mmr-20-02-1966" ref-type="fig">Fig. 4D</xref>). The results obtained indicated that cisplatin-regulated miRNAs participate in a variety of BPs and may have important regulatory roles in the tumorigenesis of gastric cancer.</p>
</sec>
<sec>
<title>KEGG pathway clustering of hsa-miR-1246 and hsa-miR-892b regulated genes</title>
<p>As presented in <xref rid="f5-mmr-20-02-1966" ref-type="fig">Fig. 5A</xref>, the KEGG pathway enrichment based on hsa-miR-1246 regulated genes revealed three pathways, including &#x2018;oxidative stress response&#x2019;, &#x2018;axon guidance mediated by netrin&#x2019; and &#x2018;salvage pyrimidine deoxyribonucleotides&#x2019;. Cytoscape software was used to further analyze the hsa-miR-1246 regulated genes (<xref rid="f5-mmr-20-02-1966" ref-type="fig">Fig. 5B</xref>).</p>
<p>In addition, as presented in <xref rid="f5-mmr-20-02-1966" ref-type="fig">Fig. 5C</xref>, the KEGG pathway clustering based on the hsa-miR-892b regulated genes were involved in 11 pathways, including &#x2018;Wnt signaling pathway&#x2019;, &#x2018;cadherin signaling pathway&#x2019; and &#x2018;notch signaling pathway&#x2019;. Cytoscape software was used to further analyze the hsa-miR-892b regulated genes (<xref rid="f5-mmr-20-02-1966" ref-type="fig">Fig. 5D</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In the current study, the human gastric cancer cell line NCI-N87 was cultured with the 15 &#x00B5;g/ml of cisplatin, and high-throughput sequencing combined with RT-qPCR was used to detect cisplatin-regulated genes. Finally, miRNAs that were positively and negatively associated with cisplatin treatment were analyzed statistically, and confirmed 33 positively- and 16 negatively-associated miRNAs. The top five significantly upregulated and top five significant down-regulation miRNAs were selected to further verify the results obtained from the microarray analysis. It was revealed that the expression levels of hsa-miR-1246 and hsa-miR-892b were consistent with microarray analysis. GO and KEGG pathway clustering of cisplatin-regulated miRNAs was performed, and it was demonstrated that the two miRNAs were involved in several BPs and signaling pathways. Therefore, cisplatin may exert an important anticancer effect in gastric cancer by affecting biological processes and signal pathways; however further investigation is required.</p>
<p>Gastric cancer is the second leading cause of cancer-associated mortalities in the world, and has a poor prognosis as the majority of patients are diagnosed at an advanced stage (<xref rid="b18-mmr-20-02-1966" ref-type="bibr">18</xref>). Although there have been improvements in the early diagnosis and treatment of gastric cancer, the prognosis of patients with gastric cancer is generally not favorable (<xref rid="b32-mmr-20-02-1966" ref-type="bibr">32</xref>,<xref rid="b33-mmr-20-02-1966" ref-type="bibr">33</xref>). One of the main reasons for this observation is primary or secondary drug resistance during chemotherapy (<xref rid="b34-mmr-20-02-1966" ref-type="bibr">34</xref>). A number of mechanisms have been proposed to explain the phenomenon of drug resistance in cancer cells (<xref rid="b34-mmr-20-02-1966" ref-type="bibr">34</xref>). Previous studies revealed that tumor drug-resistance mechanisms included oncogene activation, anti-oncogene inactivation, reduced intracellular drug concentration, drug target molecular changes, metabolism detoxification, enhanced DNA damage repair function and inhibition of tumor cell apoptosis (<xref rid="b28-mmr-20-02-1966" ref-type="bibr">28</xref>&#x2013;<xref rid="b30-mmr-20-02-1966" ref-type="bibr">30</xref>). Therefore, elucidating the mechanisms underlying the occurrence and development of gastric cancer drug resistance in order to reverse this process may improve treatment outcomes in gastric cancer. Cisplatin is one of the most commonly used drugs in the treatment of advanced cancer, including gastric cancer (<xref rid="b35-mmr-20-02-1966" ref-type="bibr">35</xref>). Despite the high sensitivity of patients with gastric cancer to cisplatin at initial administration, a substantial number of patients develop drug resistance, which is one of the major causes of treatment failure (<xref rid="b36-mmr-20-02-1966" ref-type="bibr">36</xref>). Cisplatin-based combination chemotherapy is the most effective treatment for metastatic gastric cancer (<xref rid="b37-mmr-20-02-1966" ref-type="bibr">37</xref>). However, chemoresistance remains an obstacle for the effective treatment of the disease (<xref rid="b38-mmr-20-02-1966" ref-type="bibr">38</xref>).</p>
<p>miRNAs are small non-coding RNAs that function as endogenous silencers of various target genes (<xref rid="b39-mmr-20-02-1966" ref-type="bibr">39</xref>). Mature miRNAs bind to the 3&#x2032;untranslated regions of target mRNA, leading to the silencing of mRNA (<xref rid="b39-mmr-20-02-1966" ref-type="bibr">39</xref>). miRNAs regulate biological functions, including cell proliferation, differentiation and apoptosis. A number of studies have demonstrated that miRNAs are involved in the occurrence, development, diagnosis and treatment of cancer (<xref rid="b40-mmr-20-02-1966" ref-type="bibr">40</xref>,<xref rid="b41-mmr-20-02-1966" ref-type="bibr">41</xref>). Certain miRNAs, such as miR-34a, are downregulated in various types of cancer and act as tumor suppressors (<xref rid="b42-mmr-20-02-1966" ref-type="bibr">42</xref>,<xref rid="b43-mmr-20-02-1966" ref-type="bibr">43</xref>). Conversely, miRNAs such as miR-155 are reportedly overexpressed in various types of cancer, and act as oncogenes (<xref rid="b44-mmr-20-02-1966" ref-type="bibr">44</xref>). Changes in miRNA expression contribute to the initiation and progression of cancer (<xref rid="b45-mmr-20-02-1966" ref-type="bibr">45</xref>,<xref rid="b46-mmr-20-02-1966" ref-type="bibr">46</xref>). The association between miRNAs and tumors suggests that miRNAs may be altered in patients with gastric cancer (<xref rid="b47-mmr-20-02-1966" ref-type="bibr">47</xref>,<xref rid="b48-mmr-20-02-1966" ref-type="bibr">48</xref>). A previous study demonstrated that miR-218 increased chemosensitivity to cisplatin <italic>in vitro</italic> and <italic>in vivo</italic> by inducing apoptosis (<xref rid="b18-mmr-20-02-1966" ref-type="bibr">18</xref>). The current study revealed that cisplatin upregulated hsa-miR-1246 and downregulated hsa-miR-892b. Few studies have investigated the role of hsa-miR-1246 in cancer; however, it has been reported that miR-1246 is associated with the apoptosis and migration of cancer cells (<xref rid="b49-mmr-20-02-1966" ref-type="bibr">49</xref>). Furthermore, miR-1246 has a p53-responsive element in its promoter region; p53 was determined to induced hsa-miR-1246 expression (<xref rid="b49-mmr-20-02-1966" ref-type="bibr">49</xref>). In non-small cell lung cancer, hsa-miR-1246 plays an important role in the invasion of cancer cells by promoting proliferation, and sphere and colony formation (<xref rid="b50-mmr-20-02-1966" ref-type="bibr">50</xref>); however, its role in gastric cancer has not been reported. The role of hsa-miR-892b in tumor progression, particularly in gastric cancer, remains unclear.</p>
<p>The results obtained in the current study suggested that hsa-miR-1246 and hsa-miR-892b may play important roles in the progression of gastric cancer via certain BPs and signaling pathways; however, future studies are required to confirm this. The high incidence of false positives obtained in the current study may be associated with the small sample size and the use of only one cell line. A larger sample size and other cell lines are required for future work.</p>
<p>The current study investigated cisplatin-regulated genes in NCI-N87 cells. The results obtained may provide a theoretical basis for a novel approach to further study the association between miRNA and cisplatin resistance in gastric cancers, as well as its possible mechanism. Importantly, differential miRNA expression patterns may provide a solid basis for further functional studies to identify potential oncogenic or tumor suppressor miRNAs in gastric cancer during cisplatin resistance. Of note, as our study was conducted in a preliminary matter, further investigation is required to determine the direct target genes of cisplatin and the mechanism underlying the effects of cisplatin on gastric cancer.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</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>CY and XM conceived and designed the experiments. CY, XZ, HX and HL performed the experiments. CY, XZ, MG and KY contributed to the acquisition and analysis of data. CY and XM wrote, reviewed and edited 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>
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</back>
<floats-group>
<fig id="f1-mmr-20-02-1966" position="float">
<label>Figure 1.</label>
<caption><p>Length distribution of miRNAs sequences. Length distribution of the sequenced miRNAs. Most of sequenced miRNAs exhibited 19&#x2013;25 nucleotides in length. Hsa, <italic>Homo sapiens</italic>; miRNA, microRNA.</p></caption>
<graphic xlink:href="MMR-20-02-1966-g00.jpg"/>
</fig>
<fig id="f2-mmr-20-02-1966" position="float">
<label>Figure 2.</label>
<caption><p>Heatmap and volcano plot analysis of the differentially expressed miRNAs following cisplatin treatment. (A) Heatmap analysis of the differentially expressed miRNAs following cisplatin treatment. Red indicates upregulated miRNAs, and green indicates downregulated miRNAs. The degree of differential expression was indicated by the color intensity. (B) The volcano plot analysis of the differentially expressed miRNAs following cisplatin treatment. The image indicated that with cisplatin treatment, a total of 49 differentially expressed miRNAs were identified, including 33 upregulated and 16 downregulated miRNAs. miRNA, microRNA.</p></caption>
<graphic xlink:href="MMR-20-02-1966-g01.jpg"/>
</fig>
<fig id="f3-mmr-20-02-1966" position="float">
<label>Figure 3.</label>
<caption><p>Expression levels of the top five significantly upregulated and top five significantly downregulated miRNAs as identified by reverse transcription-quantitative polymerase chain reaction analysis. The expression level of hsa-miR-1246 was significantly increased, and that of hsa-miR-892b was significantly decreased in NCI-N87 cells treated with cisplatin compared with control cells. This was consistent with the results of microarray analysis. &#x002A;&#x002A;P&#x003C;0.01 vs. control. miR, microRNA.</p></caption>
<graphic xlink:href="MMR-20-02-1966-g02.jpg"/>
</fig>
<fig id="f4-mmr-20-02-1966" position="float">
<label>Figure 4.</label>
<caption><p>Investigation of hsa-miR-1246- and hsa-miR-892b-regulated genes by Venn diagram analysis and GO clustering. (A) The intersecting genes of hsa-miR-1246-regulated genes by Venn diagram analysis. (B) The intersecting genes of hsa-miR-1246-regulated genes analysis by GO clustering. (C) The intersecting genes of hsa-miR-892b-regulated genes by Venn diagram analysis. (D) The intersecting genes of hsa-miR-892b-regulated genes analysis by GO clustering. miR, microRNA; GO, Gene Ontology; miRDB, microRNA Target Prediction and Functional Study Database.</p></caption>
<graphic xlink:href="MMR-20-02-1966-g03.jpg"/>
</fig>
<fig id="f5-mmr-20-02-1966" position="float">
<label>Figure 5.</label>
<caption><p>KEGG pathway analysis of hsa-miR-1246 and hsa-miR-892b-regulated genes by histogram and cross-talk network. (A) The histogram exhibited the KEGG pathway of the hsa-miR-1246 regulated genes. (B) The cross-talk network analysis of the hsa-miR-1246 regulated genes. (C) The histogram exhibited the KEGG pathway of the hsa-miR-892b-regulated genes. (D) The cross-talk network analysis of the hsa-miR-892b-regulated genes. KEGG, Kyoto Encyclopedia of Genes and Genomes; miR, microRNA.</p></caption>
<graphic xlink:href="MMR-20-02-1966-g04.jpg"/>
</fig>
<table-wrap id="tI-mmr-20-02-1966" position="float">
<label>Table I.</label>
<caption><p>Primers used for the reverse-transcription polymerase chain reaction.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Primer</th>
<th align="center" valign="bottom">Sequence (5&#x2032;&#x2192;3&#x2032;)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">hsa-miR-3609-F</td>
<td align="left" valign="top">5&#x2032;-ACACTCCAGCTGGGCAAAGTGATGAGTAATAC-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-3609-R</td>
<td align="left" valign="top">5&#x2032;-CTCAACTGGTGTCGTGGAGTCGGCAATTCAGTTGAGCAGCCAGT-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4497-F</td>
<td align="left" valign="top">5&#x2032;-ACACTCCAGCTGGGCTCCGGGACGG-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4497-R</td>
<td align="left" valign="top">5&#x2032;-CTCAACTGGTGTCGTGGAGTCGGCAATTCAGTTGAGGCCCAGCC-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-1246-F</td>
<td align="left" valign="top">5&#x2032;-ACACTCCAGCTGGGAATGGATTTTTGG-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-1246-R</td>
<td align="left" valign="top">5&#x2032;-CTCAACTGGTGTCGTGGAGTCGGCAATTCAGTTGAGCCTGCTCC-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4301-F</td>
<td align="left" valign="top">5&#x2032;-ACACTCCAGCTGGGTCCCACTACTTCAC-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4301-R</td>
<td align="left" valign="top">5&#x2032;-CTCAACTGGTGTCGTGGAGTCGGCAATTCAGTTGAGTCACAAGT-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-6724-5p-F</td>
<td align="left" valign="top">5&#x2032;-ACACTCCAGCTGGGCTGGGCCCGCGGCGGGC-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-6724-5p-R</td>
<td align="left" valign="top">5&#x2032;-CTCAACTGGTGTCGTGGAGTCGGCAATTCAGTTGAGCCCCACGC-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4508-F</td>
<td align="left" valign="top">5&#x2032;-ACACTCCAGCTGGGGCGGGGCTGGG-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4508-R</td>
<td align="left" valign="top">5&#x2032;-CTCAACTGGTGTCGTGGAGTCGGCAATTCAGTTGAGCGCGCGCC-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-33b-3p-F</td>
<td align="left" valign="top">5&#x2032;-ACACTCCAGCTGGGCAGTGCCTCGGCAGTG-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-33b-3p-R</td>
<td align="left" valign="top">5&#x2032;-CTCAACTGGTGTCGTGGAGTCGGCAATTCAGTTGAGGGGCTGCA-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-1268b-F</td>
<td align="left" valign="top">5&#x2032;-ACACTCCAGCTGGGCGGGCGTGGTGGTG-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-1268b-R</td>
<td align="left" valign="top">5&#x2032;-CTCAACTGGTGTCGTGGAGTCGGCAATTCAGTTGAGCACCCCCA-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-153-5p-F</td>
<td align="left" valign="top">5&#x2032;-ACACTCCAGCTGGGTCATTTTTGTGATGTT-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-153-5p-F</td>
<td align="left" valign="top">5&#x2032;-CTCAACTGGTGTCGTGGAGTCGGCAATTCAGTTGAGAGCTGCAA-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-892b-F</td>
<td align="left" valign="top">5&#x2032;-ACACTCCAGCTGGGCACTGGCTCCTTTCTG-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-892b-R</td>
<td align="left" valign="top">5&#x2032;-CTCAACTGGTGTCGTGGAGTCGGCAATTCAGTTGAGTCTACCCA-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">U6-F</td>
<td align="left" valign="top">5&#x2032;-CTCGCTTCGGCAGCACA-3&#x2032;</td>
</tr>
<tr>
<td align="left" valign="top">U6-R</td>
<td align="left" valign="top">5&#x2032;-AACGCTTCACGAATTTGCGT-3&#x2032;</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-mmr-20-02-1966"><p>Hsa, <italic>homo sapiens</italic>; miR, microRNA; F, forward; R, reverse.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tII-mmr-20-02-1966" position="float">
<label>Table II.</label>
<caption><p>Microarray expression profile analysis of microRNAs in NCI-N87 gastric cancer cells following cisplatin treatment.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">miR</th>
<th align="center" valign="bottom">Normalized mean value</th>
<th align="center" valign="bottom">Normalized mean value in the control group</th>
<th align="center" valign="bottom">Normalized mean value in the cisplatin treatment group</th>
<th align="center" valign="bottom">Fold change</th>
<th align="center" valign="bottom">P-value</th>
<th align="center" valign="bottom">Adjusted P-value</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">hsa-miR-3609</td>
<td align="center" valign="top">93</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">180</td>
<td align="center" valign="top">27.1907</td>
<td align="center" valign="top">3.32&#x00D7;10<sup>&#x2212;83</sup></td>
<td align="center" valign="top">5.94&#x00D7;10<sup>&#x2212;81</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4497</td>
<td align="center" valign="top">287</td>
<td align="center" valign="top">21</td>
<td align="center" valign="top">553</td>
<td align="center" valign="top">26.7058</td>
<td align="center" valign="top">7.36&#x00D7;10<sup>&#x2212;163</sup></td>
<td align="center" valign="top">6.59&#x00D7;10<sup>&#x2212;160</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-1246</td>
<td align="center" valign="top">1,530</td>
<td align="center" valign="top">173</td>
<td align="center" valign="top">2,887</td>
<td align="center" valign="top">16.6663</td>
<td align="center" valign="top">7.95&#x00D7;10<sup>&#x2212;71</sup></td>
<td align="center" valign="top">1.19&#x00D7;10<sup>&#x2212;68</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4301</td>
<td align="center" valign="top">15,355</td>
<td align="center" valign="top">1,951</td>
<td align="center" valign="top">28,759</td>
<td align="center" valign="top">14.7441</td>
<td align="center" valign="top">7.76&#x00D7;10<sup>&#x2212;100</sup></td>
<td align="center" valign="top">2.32&#x00D7;10<sup>&#x2212;97</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-6724-5p</td>
<td align="center" valign="top">192</td>
<td align="center" valign="top">25</td>
<td align="center" valign="top">359</td>
<td align="center" valign="top">14.6075</td>
<td align="center" valign="top">2.13&#x00D7;10<sup>&#x2212;108</sup></td>
<td align="center" valign="top">9.51&#x00D7;10<sup>&#x2212;106</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-598-5p</td>
<td align="center" valign="top">31</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">58</td>
<td align="center" valign="top">12.9564</td>
<td align="center" valign="top">3.79&#x00D7;10<sup>&#x2212;15</sup></td>
<td align="center" valign="top">6.64&#x00D7;10<sup>&#x2212;14</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4485-3p</td>
<td align="center" valign="top">185</td>
<td align="center" valign="top">27</td>
<td align="center" valign="top">343</td>
<td align="center" valign="top">12.7338</td>
<td align="center" valign="top">8.22&#x00D7;10<sup>&#x2212;09</sup></td>
<td align="center" valign="top">7.08&#x00D7;10<sup>&#x2212;08</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-542-5p</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">12</td>
<td align="center" valign="top">11.6069</td>
<td align="center" valign="top">3.93&#x00D7;10<sup>&#x2212;08</sup></td>
<td align="center" valign="top">3.00&#x00D7;10<sup>&#x2212;07</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-647</td>
<td align="center" valign="top">12</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">22</td>
<td align="center" valign="top">9.4955</td>
<td align="center" valign="top">1.45&#x00D7;10<sup>&#x2212;13</sup></td>
<td align="center" valign="top">1.96&#x00D7;10<sup>&#x2212;12</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-6073</td>
<td align="center" valign="top">45,471</td>
<td align="center" valign="top">8,943</td>
<td align="center" valign="top">81,999</td>
<td align="center" valign="top">9.1686</td>
<td align="center" valign="top">9.15&#x00D7;10<sup>&#x2212;40</sup></td>
<td align="center" valign="top">6.30&#x00D7;10<sup>&#x2212;38</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-892a</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">9</td>
<td align="center" valign="top">9.0982</td>
<td align="center" valign="top">0.00074172</td>
<td align="center" valign="top">0.00301745</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-3135b</td>
<td align="center" valign="top">8,839</td>
<td align="center" valign="top">1,807</td>
<td align="center" valign="top">15,871</td>
<td align="center" valign="top">8.7814</td>
<td align="center" valign="top">2.23&#x00D7;10<sup>&#x2212;52</sup></td>
<td align="center" valign="top">2.00&#x00D7;10<sup>&#x2212;50</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-589-3p</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">12</td>
<td align="center" valign="top">6.7428</td>
<td align="center" valign="top">8.38&#x00D7;10<sup>&#x2212;07</sup></td>
<td align="center" valign="top">5.28&#x00D7;10<sup>&#x2212;06</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4652-3p</td>
<td align="center" valign="top">427</td>
<td align="center" valign="top">138</td>
<td align="center" valign="top">715</td>
<td align="center" valign="top">5.1846</td>
<td align="center" valign="top">4.70&#x00D7;10<sup>&#x2212;19</sup></td>
<td align="center" valign="top">9.34&#x00D7;10<sup>&#x2212;18</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-190b</td>
<td align="center" valign="top">33</td>
<td align="center" valign="top">11</td>
<td align="center" valign="top">55</td>
<td align="center" valign="top">5.1624</td>
<td align="center" valign="top">3.19&#x00D7;10<sup>&#x2212;21</sup></td>
<td align="center" valign="top">7.32&#x00D7;10<sup>&#x2212;20</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4796-3p</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">4.9350</td>
<td align="center" valign="top">0.00614119</td>
<td align="center" valign="top">0.01850627</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-548t-5p</td>
<td align="center" valign="top">107</td>
<td align="center" valign="top">36</td>
<td align="center" valign="top">178</td>
<td align="center" valign="top">4.9321</td>
<td align="center" valign="top">3.05&#x00D7;10<sup>&#x2212;41</sup></td>
<td align="center" valign="top">2.27&#x00D7;10<sup>&#x2212;39</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-1291</td>
<td align="center" valign="top">102</td>
<td align="center" valign="top">35</td>
<td align="center" valign="top">169</td>
<td align="center" valign="top">4.8621</td>
<td align="center" valign="top">2.77&#x00D7;10<sup>&#x2212;39</sup></td>
<td align="center" valign="top">1.77&#x00D7;10<sup>&#x2212;37</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4461</td>
<td align="center" valign="top">32</td>
<td align="center" valign="top">11</td>
<td align="center" valign="top">52</td>
<td align="center" valign="top">4.8275</td>
<td align="center" valign="top">1.14&#x00D7;10<sup>&#x2212;19</sup></td>
<td align="center" valign="top">2.44&#x00D7;10<sup>&#x2212;18</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-6077</td>
<td align="center" valign="top">158</td>
<td align="center" valign="top">54</td>
<td align="center" valign="top">261</td>
<td align="center" valign="top">4.7968</td>
<td align="center" valign="top">2.65&#x00D7;10<sup>&#x2212;32</sup></td>
<td align="center" valign="top">1.19&#x00D7;10<sup>&#x2212;30</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4780</td>
<td align="center" valign="top">11</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">19</td>
<td align="center" valign="top">4.7869</td>
<td align="center" valign="top">1.76&#x00D7;10<sup>&#x2212;08</sup></td>
<td align="center" valign="top">1.46&#x00D7;10<sup>&#x2212;07</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-193a-3p</td>
<td align="center" valign="top">11</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">19</td>
<td align="center" valign="top">4.7675</td>
<td align="center" valign="top">2.97&#x00D7;10<sup>&#x2212;08</sup></td>
<td align="center" valign="top">2.31&#x00D7;10<sup>&#x2212;07</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-3180-3p</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">4.7199</td>
<td align="center" valign="top">0.04119246</td>
<td align="center" valign="top">0.09570207</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-6131</td>
<td align="center" valign="top">159</td>
<td align="center" valign="top">56</td>
<td align="center" valign="top">263</td>
<td align="center" valign="top">4.6951</td>
<td align="center" valign="top">9.21&#x00D7;10<sup>&#x2212;26</sup></td>
<td align="center" valign="top">2.84&#x00D7;10<sup>&#x2212;24</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4474-3p</td>
<td align="center" valign="top">13</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">21</td>
<td align="center" valign="top">4.6427</td>
<td align="center" valign="top">1.96&#x00D7;10<sup>&#x2212;06</sup></td>
<td align="center" valign="top">1.19&#x00D7;10<sup>&#x2212;05</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-3944-3p</td>
<td align="center" valign="top">17</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">28</td>
<td align="center" valign="top">4.2961</td>
<td align="center" valign="top">2.18&#x00D7;10<sup>&#x2212;09</sup></td>
<td align="center" valign="top">2.04&#x00D7;10<sup>&#x2212;08</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-7107-5p</td>
<td align="center" valign="top">16</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">27</td>
<td align="center" valign="top">4.2217</td>
<td align="center" valign="top">9.13&#x00D7;10<sup>&#x2212;09</sup></td>
<td align="center" valign="top">7.79&#x00D7;10<sup>&#x2212;08</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-149-5p</td>
<td align="center" valign="top">14</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">23</td>
<td align="center" valign="top">4.2044</td>
<td align="center" valign="top">9.25&#x00D7;10<sup>&#x2212;09</sup></td>
<td align="center" valign="top">7.81&#x00D7;10<sup>&#x2212;08</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-6809-3p</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">4.1852</td>
<td align="center" valign="top">0.01789444</td>
<td align="center" valign="top">0.04669248</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-3182</td>
<td align="center" valign="top">720</td>
<td align="center" valign="top">282</td>
<td align="center" valign="top">1,159</td>
<td align="center" valign="top">4.1092</td>
<td align="center" valign="top">6.49&#x00D7;10<sup>&#x2212;34</sup></td>
<td align="center" valign="top">3.06&#x00D7;10<sup>&#x2212;32</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-7641</td>
<td align="center" valign="top">52</td>
<td align="center" valign="top">20</td>
<td align="center" valign="top">83</td>
<td align="center" valign="top">4.0835</td>
<td align="center" valign="top">1.45&#x00D7;10<sup>&#x2212;19</sup></td>
<td align="center" valign="top">3.02&#x00D7;10<sup>&#x2212;18</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-19a-5p</td>
<td align="center" valign="top">39</td>
<td align="center" valign="top">16</td>
<td align="center" valign="top">63</td>
<td align="center" valign="top">4.0720</td>
<td align="center" valign="top">6.52&#x00D7;10<sup>&#x2212;20</sup></td>
<td align="center" valign="top">1.42&#x00D7;10<sup>&#x2212;18</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-6723-5p</td>
<td align="center" valign="top">17</td>
<td align="center" valign="top">7</td>
<td align="center" valign="top">27</td>
<td align="center" valign="top">4.0387</td>
<td align="center" valign="top">0.00518868</td>
<td align="center" valign="top">0.01601334</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-548ab</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">9</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">0.2471</td>
<td align="center" valign="top">0.00544169</td>
<td align="center" valign="top">0.01673648</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4496</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.2460</td>
<td align="center" valign="top">0.04127486</td>
<td align="center" valign="top">0.09570207</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-95-3p</td>
<td align="center" valign="top">9</td>
<td align="center" valign="top">14</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">0.2335</td>
<td align="center" valign="top">5.91&#x00D7;10<sup>&#x2212;06</sup></td>
<td align="center" valign="top">3.35&#x00D7;10<sup>&#x2212;05</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-3960</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.2299</td>
<td align="center" valign="top">0.02518227</td>
<td align="center" valign="top">0.06285282</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-548c-3p</td>
<td align="center" valign="top">9</td>
<td align="center" valign="top">14</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">0.2067</td>
<td align="center" valign="top">8.12&#x00D7;10<sup>&#x2212;06</sup></td>
<td align="center" valign="top">4.41&#x00D7;10<sup>&#x2212;05</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-181b-3p</td>
<td align="center" valign="top">91</td>
<td align="center" valign="top">152</td>
<td align="center" valign="top">31</td>
<td align="center" valign="top">0.2048</td>
<td align="center" valign="top">2.38&#x00D7;10<sup>&#x2212;37</sup></td>
<td align="center" valign="top">1.42&#x00D7;10<sup>&#x2212;35</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-6743-3p</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.1925</td>
<td align="center" valign="top">0.00920966</td>
<td align="center" valign="top">0.02633433</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4472</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">9</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">0.1774</td>
<td align="center" valign="top">0.0001624</td>
<td align="center" valign="top">0.00074159</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-5000-3p</td>
<td align="center" valign="top">8</td>
<td align="center" valign="top">14</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">0.1724</td>
<td align="center" valign="top">2.20&#x00D7;10<sup>&#x2212;06</sup></td>
<td align="center" valign="top">1.32&#x00D7;10<sup>&#x2212;05</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4454</td>
<td align="center" valign="top">169</td>
<td align="center" valign="top">290</td>
<td align="center" valign="top">47</td>
<td align="center" valign="top">0.1624</td>
<td align="center" valign="top">7.04&#x00D7;10<sup>&#x2212;22</sup></td>
<td align="center" valign="top">1.75&#x00D7;10<sup>&#x2212;20</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-1258</td>
<td align="center" valign="top">4</td>
<td align="center" valign="top">6</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">0.1573</td>
<td align="center" valign="top">0.00176885</td>
<td align="center" valign="top">0.00646173</td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-4508</td>
<td align="center" valign="top">103</td>
<td align="center" valign="top">179</td>
<td align="center" valign="top">28</td>
<td align="center" valign="top">0.1541</td>
<td align="center" valign="top">1.19&#x00D7;10<sup>&#x2212;09</sup></td>
<td align="center" valign="top">1.14&#x00D7;10<sup>&#x2212;08</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-33b-3p</td>
<td align="center" valign="top">18</td>
<td align="center" valign="top">31</td>
<td align="center" valign="top">5</td>
<td align="center" valign="top">0.1453</td>
<td align="center" valign="top">2.76&#x00D7;10<sup>&#x2212;08</sup></td>
<td align="center" valign="top">2.23&#x00D7;10<sup>&#x2212;07</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-1268b</td>
<td align="center" valign="top">267</td>
<td align="center" valign="top">477</td>
<td align="center" valign="top">57</td>
<td align="center" valign="top">0.1204</td>
<td align="center" valign="top">9.38&#x00D7;10<sup>&#x2212;93</sup></td>
<td align="center" valign="top">2.10&#x00D7;10<sup>&#x2212;90</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-153-5p</td>
<td align="center" valign="top">50</td>
<td align="center" valign="top">91</td>
<td align="center" valign="top">9</td>
<td align="center" valign="top">0.1019</td>
<td align="center" valign="top">3.28&#x00D7;10<sup>&#x2212;35</sup></td>
<td align="center" valign="top">1.73&#x00D7;10<sup>&#x2212;33</sup></td>
</tr>
<tr>
<td align="left" valign="top">hsa-miR-892b</td>
<td align="center" valign="top">20</td>
<td align="center" valign="top">37</td>
<td align="center" valign="top">3</td>
<td align="center" valign="top">0.0773</td>
<td align="center" valign="top">3.90&#x00D7;10<sup>&#x2212;13</sup></td>
<td align="center" valign="top">5.14&#x00D7;10<sup>&#x2212;12</sup></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn2-mmr-20-02-1966"><p>Hsa, <italic>homo sapiens</italic>; miR, microRNA.</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>