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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.2013.1516</article-id>
<article-id pub-id-type="publisher-id">mmr-08-02-0350</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>cDNA microarray profiling of rat cholangiocarcinoma induced by thioacetamide</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>YEH</surname><given-names>CHUN-NAN</given-names></name><xref rid="af1-mmr-08-02-0350" ref-type="aff">1</xref><xref rid="fn1-mmr-08-02-0350" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>WENG</surname><given-names>WEN-HUI</given-names></name><xref rid="af2-mmr-08-02-0350" ref-type="aff">2</xref><xref rid="fn1-mmr-08-02-0350" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>LENKA</surname><given-names>GOVINDA</given-names></name><xref rid="af2-mmr-08-02-0350" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>TSAO</surname><given-names>LEE-CHENG</given-names></name><xref rid="af2-mmr-08-02-0350" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>CHIANG</surname><given-names>KUN-CHUN</given-names></name><xref rid="af3-mmr-08-02-0350" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>PANG</surname><given-names>SEE-TONG</given-names></name><xref rid="af4-mmr-08-02-0350" ref-type="aff">4</xref><xref ref-type="corresp" rid="c1-mmr-08-02-0350"/></contrib>
<contrib contrib-type="author">
<name><surname>CHEN</surname><given-names>TSUNG-WEN</given-names></name><xref rid="af1-mmr-08-02-0350" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>JAN</surname><given-names>YI-YIN</given-names></name><xref rid="af1-mmr-08-02-0350" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>CHEN</surname><given-names>MIIN-FU</given-names></name><xref rid="af1-mmr-08-02-0350" ref-type="aff">1</xref></contrib></contrib-group>
<aff id="af1-mmr-08-02-0350">
<label>1</label>Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, Linkou 333, Taiwan, R.O.C.</aff>
<aff id="af2-mmr-08-02-0350">
<label>2</label>Department of Chemical Engineering and Biotechnology, Institute of Biochemical and Biomedical Engineering, National Taipei University of Technology, Taipei 10608, Taiwan, R.O.C.</aff>
<aff id="af3-mmr-08-02-0350">
<label>3</label>Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, Keelung 222, Taiwan, R.O.C.</aff>
<aff id="af4-mmr-08-02-0350">
<label>4</label>Department of Urology, Chang Gung Memorial Hospital, Chang Gung University, Linkou 333, Taiwan, R.O.C.</aff>
<author-notes>
<corresp id="c1-mmr-08-02-0350">Correspondence to: Dr See-Tong Pang, Department of Urology, Chang Gung Memorial Hospital, Chang Gung University, Linkou 333, Taiwan, R.O.C., E-mail: <email>pst64lab@gmail.com</email></corresp><fn id="fn1-mmr-08-02-0350">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>8</month>
<year>2013</year></pub-date>
<pub-date pub-type="epub">
<day>10</day>
<month>06</month>
<year>2013</year></pub-date>
<volume>8</volume>
<issue>2</issue>
<fpage>350</fpage>
<lpage>360</lpage>
<history>
<date date-type="received">
<day>08</day>
<month>01</month>
<year>2013</year></date>
<date date-type="accepted">
<day>14</day>
<month>05</month>
<year>2013</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2013, Spandidos Publications</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>Cholangiocarcinoma (CCA) is a malignant neoplasm affecting thousands of individuals worldwide. CCA develops through a multistep process. In the current study, an oral thioacetamide (TAA)-induced model of rat CCA was established which generates the histological progression of human CCA, particularly the mass-forming type. Seven male Sprague-Dawley rats were treated with TAA for 24 weeks to induce CCA. Following the generation of the rat CCA model, whole rat genomic oligo microarray was performed to examine gene expression profiles in CCA and non-cancerous liver samples. In brief, 10,427 genes were found to be differentially expressed (8,318 upregulated and 3,489 downregulated) in CCA compared with non-tumor liver tissue. The top 50 genes (upregulated or downregulated) were selected and their functional involvement in various pathways associated with cancer progression was analyzed, including cell proliferation, apoptosis, metabolism and the cell cycle. In addition, increased expression of CLCA3, COL1A2, DCN, GLIPr2 and NID1, and decreased expression of CYP2C7 and SLC10A1 were validated by quantitative real-time PCR. Immunohistochemical analysis was performed to determine the protein expression levels of GLIPr2 and SLC10A1. The gene expression profiling performed in this study provides a unique opportunity for understanding the carcinogenesis of TAA-induced CAA. In addition, expression profiling of a number of specific genes is likely to provide important novel biomarkers for the diagnosis of CCA and the development of novel therapeutic strategies for CCA.</p></abstract>
<kwd-group>
<kwd>cholangiocarcinoma</kwd>
<kwd>thioacetamide</kwd>
<kwd>carcinogenesis</kwd>
<kwd>cDNA expression array</kwd>
<kwd>pathway analysis</kwd>
<kwd>diagnostic markers</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Cholangiocarcinoma (CCA) is a lethal malignancy derived from the epithelial cells (i.e. cholangiocytes) of the bile duct. CCA exhibits a considerable variety of symptoms commonly at the later stages of disease and therefore treatment for CCA is extremely difficult. CCA is grossly divided into mass forming (MF), periductal infiltrating and intraductal papillary subtypes (<xref rid="b1-mmr-08-02-0350" ref-type="bibr">1</xref>). Gross pathological classifications of CCA are important in clinical practice and further translational investigations due to the distinct characteristics and outcomes following hepatectomy (<xref rid="b2-mmr-08-02-0350" ref-type="bibr">2</xref>). The incidence of CCA exhibits considerable geographical variation but generally accounts for 5&#x02013;30&#x00025; of primary liver cancer (<xref rid="b3-mmr-08-02-0350" ref-type="bibr">3</xref>). Previous studies have reported that the incidence and mortality rates of CCA have been increasing worldwide, particularly intrahepatic CCA (<xref rid="b4-mmr-08-02-0350" ref-type="bibr">4</xref>&#x02013;<xref rid="b6-mmr-08-02-0350" ref-type="bibr">6</xref>). CCA is caused by a number of risk factors, including parasitic infections, primary sclerosing cholangitis, choledochal cysts, hepatolithiasis and carcinogen exposure, which leads to the significant variance in incidence rates of CCA worldwide (<xref rid="b7-mmr-08-02-0350" ref-type="bibr">7</xref>&#x02013;<xref rid="b9-mmr-08-02-0350" ref-type="bibr">9</xref>).</p>
<p>Clinically, CCA remains extremely challenging as patients do not typically exhibit clear symptoms until the disease is quite advanced and therefore it is difficult to diagnose in its early stages. In addition to surgical treatments (<xref rid="b2-mmr-08-02-0350" ref-type="bibr">2</xref>,<xref rid="b10-mmr-08-02-0350" ref-type="bibr">10</xref>&#x02013;<xref rid="b14-mmr-08-02-0350" ref-type="bibr">14</xref>), radiation therapy and current chemotherapeutic protocols have not been found to significantly improve the long-term survival rates of CCA patients (<xref rid="b8-mmr-08-02-0350" ref-type="bibr">8</xref>,<xref rid="b15-mmr-08-02-0350" ref-type="bibr">15</xref>). In our previous study, a thioacetamide (TAA)-induced CCA rat model was established to analyze the molecular and morphological behavior of CCA, aiming to generate a powerful preclinical platform to provide insights into therapeutic and chemopreventative strategies for human CCA (<xref rid="b16-mmr-08-02-0350" ref-type="bibr">16</xref>). Since the model recapitulates the dysplasia-carcinoma sequence of human CCA, it is likely to be crucial for the identification of the genetic basis of cholangiocellular neoplasia.</p>
<p>A number of previous studies have aimed to determine the molecular alterations involved in cholangiocarcinogenesis; however, these processes remain largely unknown (<xref rid="b17-mmr-08-02-0350" ref-type="bibr">17</xref>&#x02013;<xref rid="b19-mmr-08-02-0350" ref-type="bibr">19</xref>). At present, gene expression profiling by DNA microarray represents a promising technique for understanding the molecular abnormalities involved in cancer development. In our previous study, MUC4 overexpression was identified in rat CCA (carcinogenesis caused by TAA) compared with non-tumor liver tissue (<xref rid="b20-mmr-08-02-0350" ref-type="bibr">20</xref>). In the present study, a whole genome rat cDNA microarray was used to determine whether the gene expression profile for CCA reflects a specific etiological agent, with the aim to improve the understanding of the molecular events associated with CCA. In addition, this study compared the molecular profiles in non-cancerous liver to TAA-induced CCA to gain insight into changes in gene expression associated with cholangiocellular carcinogenesis and to identify potential diagnostic biomarkers. The investigation of the molecular pathophysiology associated with CCA is becoming increasingly important and necessary.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Animals, treatment and CCA samples</title>
<p>The experimental animal ethics committee of Chang Gung Memorial Hospital (Linkou, Taiwan, R.O.C.) approved all animal protocols in this study. This study conformed to the US National Institute of Health guidelines for the care and use of laboratory animals (<xref rid="b21-mmr-08-02-0350" ref-type="bibr">21</xref>). Seven adult male Sprague-Dawley (SD) rats (330&#x02013;370 g) were used in these experiments. Rats were housed in an animal room under a 12:12-hour light-dark cycle (light between 08:00 a.m. and 08:00 p.m.) at an ambient temperature of 22&#x000B1;1&#x000B0;C, with food and water available <italic>ad libitum</italic>. Seven experimental rats were administered 300 mg/l TAA in their drinking water daily until week 24. CCA was collected over the 24-week TAA treatment. Only CCA was used for array analysis to avoid variations in expression arising from histologically different tumor progression. Each carcinoma used in this study was obtained from a separate rat.</p></sec>
<sec>
<title>RNA isolation</title>
<p>Total RNA was isolated using TRIzol (Invitrogen Life Technologies, Carlsbad, CA, USA) according to the manufacturer&#x02019;s instructions. The integrity of RNA was checked using an agarose gel.</p></sec>
<sec>
<title>Expression array</title>
<p>The Whole Rat Genome oligo-microarray (P/N G4131A; Agilent Technologies, Santa Clara, CA, USA) was used for microarray experiments. RNA sample preparation for microarray analysis was performed according to the manufacturer&#x02019;s instructions. In brief, 20 &#x003BC;g total RNA was used for cyanine 3-dUTP (Cy3; test) and Cy5-dUTP (reference) labeling. Labeling was performed by oligo(dT)-primed polymerization using SuperScript II reverse transcriptase (Life Technologies, Grand Island, NY, USA) and the labeled Cy3 and Cy5 cDNA probes were purified using a Qiagen PCR QIAquick PCR Purification kit (&#x00023;28104; Qiagen, Hilden, Germany). Array hybridization was performed at 60&#x000B0;C for 14&#x02013;16 h. Following hybridization, the array was washed and dried using the Agilent washing kit. The array image was captured using the Axon GenePix 4000 laser scanner and probe intensity was calculated with GenePix Pro 6.0 software (Molecular Devices, Sunnyvale, CA, USA). The raw data was further examined using Nexus Expression Software (BioDiscovery, Hawthorne, CA, USA).</p></sec>
<sec>
<title>Data processing and analysis</title>
<p>Microarray data analysis was performed as described previously with specific modifications (<xref rid="b22-mmr-08-02-0350" ref-type="bibr">22</xref>). Image analysis was performed with GenePix Pro software. Automatic and manual flagging were used to localise absent or extremely weak spots (&lt;2-fold higher than background), which were excluded from the analysis. The signal from each spot was calculated as the average intensity minus the average local background. Expression ratios of Cy5/Cy3 (or Cy3/Cy5 in case of dye-swap) were normalized using a method that accounts and corrects for intensity-dependent artefacts in the measurements; the LOWESS method in the SMA package. SMA is an add-on library written in the public domain statistical language, R. Three independent microarray experiments were performed. Following data normalization, genes with a 2-fold change in expression compared with the control sample were considered as differentially expressed genes between samples. All genes with a log<sub>2</sub> ratio &#x02265;1 or &#x02264;-1 were considered to be statistically significant. Specific differentially expressed genes were grouped based on information from the KEGG database (<xref rid="b23-mmr-08-02-0350" ref-type="bibr">23</xref>,<xref rid="b24-mmr-08-02-0350" ref-type="bibr">24</xref>), NCBI, Gene Ontology and DAVID (<xref rid="b25-mmr-08-02-0350" ref-type="bibr">25</xref>,<xref rid="b26-mmr-08-02-0350" ref-type="bibr">26</xref>) (<xref rid="tI-mmr-08-02-0350" ref-type="table">Tables I</xref> and <xref rid="tII-mmr-08-02-0350" ref-type="table">II</xref>). Specific genes were annotated for several functions; however, genes were assigned to one group only (<xref rid="tI-mmr-08-02-0350" ref-type="table">Tables I</xref> and <xref rid="tII-mmr-08-02-0350" ref-type="table">II</xref>).</p></sec>
<sec>
<title>Quantitative real-time PCR (qPCR)</title>
<p>qPCR was performed using SYBR Green Super mix (Bio-Rad, Hercules, CA, USA) in a 20 &#x003BC;l total volume and a Bio-Rad iCycler iQ Real-Time Detection System according to the manufacturer&#x02019;s instructions. Primers were designed using Beacon Designer software (Premier Biosoft International, Palo Alto, CA, USA) and are presented in <xref rid="tIII-mmr-08-02-0350" ref-type="table">Table III</xref>. PCR was performed in triplicate and relative gene expression levels in normal and tumor tissue were calculated by normalizing against &#x003B2;-actin expression levels using the comparative C<sub>T</sub> method. C<sub>T</sub> represents the cycle numbers at which the amplification reaches a threshold level selected in the exponential phase of all PCR. Data were analyzed using the iCycle iQ system software. Significance of expression difference was identified by the t-test calculator in Graph pad software (GraphPad Software, Inc., La Jolla, CA, USA).</p></sec>
<sec>
<title>Immunohistochemical analysis</title>
<p>Rat CCA tissues embedded in paraffin were cut into 5-mm sections. The sections were dewaxed in Bioclear (Bio-Optica, Milan, Italy) and rehydrated in decreasing concentrations of ethanol. Paraffin sections were pre-treated in 0.01 M citrate buffer in a microwave oven. Normal horse serum was used as a blocking agent. The sections were then incubated with antibodies against GLIpr2 (Santa Cruz Biotechnology, Inc., Santa Cruz, CA, US) and SLC10A1 (Abnova, Walnut, CA, USA). Following washing in TBS containing 0.1&#x00025; Tween-20, the sections were exposed to a secondary antibody. Next, the slides were incubated with horseradish peroxidase-avidin-biotin complex (Vectastain ABC Elite; Vector Laboratories, Burlingame, CA, USA). The complex-binding site was visualized by 3,3&#x02032;-diaminobenzidine (Vector Laboratories). Sections were counterstained with hematoxylin and dehydrated prior to mounting with Pertex (Histolab Products AB, Gothenburg, Sweden) and observed under a microscrope (Olympus, Yuan Li Instrument, Taipei, Taiwan).</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Systemic effects of TAA administration and tumor detection rate</title>
<p>No instances of TAA-induced mortality were observed during the 20-week study period. TAA-fed rats were observed to exhibit significantly lower levels of body weight gain compared with the control rats beginning at 8 weeks post-treatment. Our previous biochemical analysis revealed that levels of total protein, albumin, aspartate aminotransferase, alkaline phosphatase (ALK), bilirubin and prothrombin time (PT) were similar in both groups. According to necropsy and histological results, the incidence of TAA-induced CCA was 100&#x00025; (<xref rid="b16-mmr-08-02-0350" ref-type="bibr">16</xref>).</p></sec>
<sec>
<title>Comparative expression profiling of TAA-induced CCA and non-cancerous liver tissue</title>
<p>Microarray gene expression profiling identified 10,427 differentially expressed genes (8,318 for &#x02265;2-fold upregulation, 3,489 for &#x02264;0.5-fold downregulation) in CCA compared with the non-cancerous liver tissue. Fisher 344 pre-sialomucin complex, LOC366769 (similar to Ig heavy chain precursor V region), Serta domain-containing 1, LOC362509 (GliPR 2), Bcl2-like 11 (apoptosis facilitator), pyruvate kinase muscle isozyme (similar to pyruvate kinase, M1 isozyme) and LOC306628 were predominantly overexpressed at high levels in CCA tissues; however, usher syndrome 2A &#x0005B;similar to usherin (LOC289369)&#x0005D;, TC500715, hydroxysteroid preferring 2 (sult2a1), LOC291810, olfactory receptor gene (Olr1692), LOC290148 (similar to T-cell receptor &#x003B1; chain precursor V and C regions (TRA29)-rat (fragment) and spinal cord expression protein 4 (RSEP4) were markedly downregulated (<xref rid="tI-mmr-08-02-0350" ref-type="table">Tables I</xref> and <xref rid="tII-mmr-08-02-0350" ref-type="table">II</xref>). The top 50 upregulated and downregulated genes were selected and classified based on their functional involvement as demonstrated in <xref rid="tI-mmr-08-02-0350" ref-type="table">Tables I</xref> and <xref rid="tII-mmr-08-02-0350" ref-type="table">II</xref>.</p></sec>
<sec>
<title>Association of differentially expressed genes with significant molecular processes</title>
<p>The top 50 genes were selected to determine their functional involvement. Molecular databases, including KEGG and NCBI, were used to identify the role of each gene with different pathways. The top most differentially expressed genes in CCA were found to play a significant role in controlling cellular metabolism (<xref rid="tI-mmr-08-02-0350" ref-type="table">Tables I</xref> and <xref rid="tII-mmr-08-02-0350" ref-type="table">II</xref>). Upregulated genes were largely classified in groups associated with cellular metabolism, extracellular regions and ECM organization/biosynthesis, tumorigenic cascades and other important pathways associated with liver disorders, including fibrosis. Similarly, pathway analysis was performed for downregulated genes. The majority of the downregulated genes were grouped under different pathways of various processes involved in metabolism. Specifically, Sult2a1 and Slc10a1 were classified under roles in bile secretion.</p></sec>
<sec>
<title>Gene expression validation by qPCR</title>
<p>A number of genes, including Clca3, Col1a2, Dcn, Glipr2 and Nid1 were selected from the microarray expression profile based on roles associated with liver disorders and the observed increased expression was validated. In addition, Cyp2c7 and Slc10a1 were selected to confirm significant alteration of the expression of these genes in the tumor when compared with the non-tumor liver samples. qPCR was performed using total RNA extracted from CCA tissues and normal tissue samples. &#x003B2;-actin was used as an internal control.</p>
<p>Consistent with microarray expression profiling data, Clca3, Col1a2, Dcn, Glipr2 and Nid1 were found to be upregulated in all rat tumor tissues compared with normal rat tissues (<xref rid="f1-mmr-08-02-0350" ref-type="fig">Fig. 1</xref>). However, expression of Slc10a1 and Cyp2c7 was lower in rat CCA tissues compared with normal rat tissues (<xref rid="f1-mmr-08-02-0350" ref-type="fig">Fig. 1</xref>). These expression patterns were found to be statistically significant (P&lt;0.05).</p></sec>
<sec>
<title>Validation of GLIpr2 and SLC10A1 expression by immunohistochemical analysis</title>
<p>The mRNA expression levels of GLIpr2 and SLC10A1 were identified by microarray and qPCR analysis. To determine their protein expression in CCA tissues, immunohistochemical analysis was performed. GLIpr2 was observed as diffusely expressed in the cytoplasm and at the membrane in rat CCA samples; however, expression was absent in normal liver tissue (<xref rid="f2-mmr-08-02-0350" ref-type="fig">Fig. 2A</xref>). This observation was consistent with mRNA expression levels obtained by microarray where GLIpr2 expression was upregulated in rat CCA compared with normal liver tissue. Immunohistochemical validation was also performed for SLC10A1. However, protein expression levels were observed to be inconsistent with results obtained in the microarray; immunohistochemical analysis revealed upregulation of SLC10A1 protein levels in rat CCA compared with normal liver tissue (<xref rid="f2-mmr-08-02-0350" ref-type="fig">Fig. 2B</xref>), whereas, SLC10A1 mRNA levels were identified to be downregulated.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>CCA is a malignant neoplasm which develops through a multistep process, affecting thousands of individuals worldwide. TAA is used as a preservative for oranges; however, it is also considered to be a hepatotoxin and carcinogen, and requires metabolic activation by mixed-function oxidases (<xref rid="b27-mmr-08-02-0350" ref-type="bibr">27</xref>&#x02013;<xref rid="b30-mmr-08-02-0350" ref-type="bibr">30</xref>). Cytochrome (CY) P450 2B, 2E1 and flavin monooxygenase metabolize TAA into its toxic metabolites (<xref rid="b30-mmr-08-02-0350" ref-type="bibr">30</xref>). Previous studies have identified a number of TAA-induced liver diseases, including hyperplastic liver nodules, liver cell adenomas, hepatocarcinomas, liver cirrhosis and tumors (<xref rid="b31-mmr-08-02-0350" ref-type="bibr">31</xref>&#x02013;<xref rid="b35-mmr-08-02-0350" ref-type="bibr">35</xref>). In our previous study, male SD rats were administered with 300 mg/l TAA in drinking water to construct an easy and reproducible animal model recapitulating the multi-stage progression of human CCA. The TAA rat model may serve as an important preclinical platform for the development of therapeutic strategies in invasive CCA and the evaluation of rational chemoprevention strategies in the dysplastic biliary epithelium. Yield of invasive CCA in the model rats was 100&#x00025; at week 22 and at week 25, the yield of CCA and cirrhosis was 100&#x00025; (<xref rid="b16-mmr-08-02-0350" ref-type="bibr">16</xref>).</p>
<p>Although TAA-induced hepatic pathology is well characterized, a limited number of studies have analyzed the molecular alterations in the development of CCA. For example, alterations in the kinases, c-erb-B2 and c-met, together with possible aberrant autocrine expression of hepatocyte growth factor/scatter factor (HGF/SF), may play a significant role in the development and/or progression of human CCA (<xref rid="b17-mmr-08-02-0350" ref-type="bibr">17</xref>,<xref rid="b19-mmr-08-02-0350" ref-type="bibr">19</xref>,<xref rid="b36-mmr-08-02-0350" ref-type="bibr">36</xref>). In addition, in our previous study the role of MUC4 as a marker of poor prognosis in mass-forming cholangiocarcinoma (MF-CCA) patients undergoing hepatectomy was investigated (<xref rid="b20-mmr-08-02-0350" ref-type="bibr">20</xref>). The aim of the present study was to characterize the molecular alterations associated with TAA-induced rat CCA through cDNA microarray analysis and to identify significantly expressed genes as distinct diagnostic biomarkers for CCA. cDNA microarray analysis was used to identify the most common upregulated and downregulated genes of TAA-induced CCA. The majority of the genes were identified to play important roles in the control of various metabolic pathways.</p>
<p>The liver is the major drug metabolizing organ where several drug-metabolizing enzymes are present, including CYP450. CYP450 is a multi-gene family of important drug-metabolizing enzyme-encoding genes. P450 plays a key role in the metabolism of drugs, steroids, fatty acids and environmental pollutants (<xref rid="b37-mmr-08-02-0350" ref-type="bibr">37</xref>). In the present microarray analysis, altered expression of members of the CYP450 family, including CYP2C7, CYP1A1, CYP4A3 and CYP1A2 (<xref rid="tI-mmr-08-02-0350" ref-type="table">Tables I</xref> and <xref rid="tII-mmr-08-02-0350" ref-type="table">II</xref>) was identified, consistent with the hypothesis that CYP450 family members are important for the metabolism of carcinogens. Similar to other hepatotoxins (e.g., diethylnitrosamine and carbon tetrachloride), TAA resulted in a significant reduction in the expression of CYP2C7. In agreement with previous studies (<xref rid="b38-mmr-08-02-0350" ref-type="bibr">38</xref>,<xref rid="b39-mmr-08-02-0350" ref-type="bibr">39</xref>), downregulation of CYP2C7 was found in male rats in the current analysis. In addition, increased expression of a number of other genes was identified, including glutathione peroxidase 3, solute carrier family 2, aldehyde dehydrogenase family 1, procollagen lysine and 2-oxoglutarate 5-dioxygenase 2, which are associated with various metabolic processes. These observations indicated that, to support the active function of cells in the CCA environment, genes involved in the metabolism of cells must be upregulated.</p>
<p>In addition, decreased expression of the Na<sup>&#x0002B;</sup>-dependent taurocholate co-transporting protein (SLC10A1; <xref rid="f1-mmr-08-02-0350" ref-type="fig">Fig. 1</xref>) was observed, a protein responsible for the majority of hepatocellular uptake of bile salt-coupled chemotherapeutics (<xref rid="b40-mmr-08-02-0350" ref-type="bibr">40</xref>). Previously, downregulation of Ntcp1 (Slc10a1) protein levels has been implicated in cholestasis (<xref rid="b41-mmr-08-02-0350" ref-type="bibr">41</xref>). Reduced expression of Sult2a1 and Slc10a1, genes important for bile secretion (<xref rid="tIII-mmr-08-02-0350" ref-type="table">Table III</xref>), may play an important role in CCA aetiopathogenesis and those specific proteins may represent future biomarkers.</p>
<p>Increased expression of CLCA3, COL1A2, DCN, GLIpr2 and NID1 was further validated by qPCR (<xref rid="f1-mmr-08-02-0350" ref-type="fig">Fig. 1</xref>). DCN is a member of the small leucine-rich repeat proteoglycan family and is a major component of the extracellular matrix (<xref rid="b42-mmr-08-02-0350" ref-type="bibr">42</xref>). DCN has been reported to mediate a number of functions, including proliferation, migration and differentiation of human keratinocytes by interacting with the epidermal growth factor receptor, ErbB2 (<xref rid="b43-mmr-08-02-0350" ref-type="bibr">43</xref>), TGF&#x003B2; (<xref rid="b44-mmr-08-02-0350" ref-type="bibr">44</xref>) and cytokines. In addition to its well-known role in extracellular matrix organization, previous studies have also reported abnormal expression in a number of types of cancer, including oral cancer (<xref rid="b45-mmr-08-02-0350" ref-type="bibr">45</xref>). In the present study, DCN was found to be differentially expressed in CCA, indicating its appearance and overexpression as a possible biological marker of CCA progression.</p>
<p>Nid is an important constituent of basement membranes, which forms a defined supramolecular complex between the extracellular matrix molecules, laminin-1 and type IV collagen (<xref rid="b46-mmr-08-02-0350" ref-type="bibr">46</xref>). Previously, Nid and specific laminin chains were revealed to play a crucial role in determining the outcome of hepatic injury, in a study involving partial hepatectomy. Increased expression of Nid1 may be involved in the concomitant correlation between TAA-induced rat CCA and liver cirrhosis.</p>
<p>In a previous study, increased GLIpr-2 expression in the kidney was hypothesized to contribute to the development of fibrosis by increasing the pool of activated fibroblasts, possibly through the induction of epithelial-mesenchymal transition (<xref rid="b47-mmr-08-02-0350" ref-type="bibr">47</xref>). The biological function of GLIpr-2 remains poorly understood. The enhanced expression of GLIpr-2 in TAA-induced CCA may play a pivotal role in liver fibrosis and represent an additional molecular target which must be analyzed further.</p>
<p>In conclusion, the extensive information gained from the gene expression profiling of TAA-induced CCA performed in the present study is likely to provide important insights into the genes involved in the development of CCA. Further studies must be performed to develop a further understanding of the cellular activities of differentially expressed genes during CCA progression.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present study was supported by grants from the Chang Gung Medical Research Program (no. CMRPG3B0531, CMRPG3B0532, CMRPG3B0361 and CMRPG3B0362).</p></ack>
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<floats-group>
<fig id="f1-mmr-08-02-0350" position="float">
<label>Figure 1</label>
<caption>
<p>qPCR validation of specific differentially expressed genes identified in the expression array. Data are presented as the mean &#x000B1; SD for individual gene expression changes in six paired tissue samples of N and T liver samples obtained from six rats. <sup>&#x0002A;</sup>P&lt;0.05, vs N. N, normal; T, tumor; qPCR, quantitative real-time PCR.</p></caption>
<graphic xlink:href="MMR-08-02-0350-g00.gif"/></fig>
<fig id="f2-mmr-08-02-0350" position="float">
<label>Figure 2</label>
<caption>
<p>(A) Immunohistochemical analysis of GLIpr2 protein expression in human CCA. (Aa-c) GLIpr2 protein expression was distributed in the cytoplasm and membrane in human CCA but was absent or weak in normal hepatocytes (magnification, &#x000D7;200). (B) Immunohistochemical analysis of SLC10A1 protein expression in human CCA. SLC10A1 protein was downregulated and diffusely distributed in the cytoplasm and membrane in (Bd) normal liver tissue compared with (Ba-c) human CCA (magnification, &#x000D7;200). CCA, cholangiocarcinoma.</p></caption>
<graphic xlink:href="MMR-08-02-0350-g01.gif"/></fig>
<table-wrap id="tI-mmr-08-02-0350" position="float">
<label>Table I</label>
<caption>
<p>Top 50 significantly upregulated genes with biological process ontologies.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Ontology</th>
<th align="center" valign="bottom">Gene ID</th>
<th align="center" valign="bottom">Gene symbol</th>
<th align="center" valign="bottom">Gene description</th>
<th align="center" valign="bottom">Fold change</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">Cell adhesion molecules</td>
<td align="left" valign="top">NM_031521</td>
<td align="left" valign="top">Ncam1</td>
<td align="left" valign="top">Neural cell adhesion molecule 1</td>
<td align="left" valign="top">3.92235410303046</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_012705</td>
<td align="left" valign="top">Cd4</td>
<td align="left" valign="top">CD4 antigen</td>
<td align="left" valign="top">3.85832760624149</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_172067</td>
<td align="left" valign="top">Spon1</td>
<td align="left" valign="top">Spondin 1</td>
<td align="left" valign="top">3.83860585169924</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_053909</td>
<td align="left" valign="top">Nfasc</td>
<td align="left" valign="top">Neurofascin</td>
<td align="left" valign="top">3.44243163237158</td></tr>
<tr>
<td align="left" valign="top">Cell death</td>
<td align="left" valign="top">NM_001007735</td>
<td align="left" valign="top">Sertad1</td>
<td align="left" valign="top">Serta domain-containing 1</td>
<td align="left" valign="top">4.75153117961431</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_171988</td>
<td align="left" valign="top">Bcl2l11</td>
<td align="left" valign="top">Bcl2-like 11 (apoptosis facilitator; Bcl2l11), transcript variant 3</td>
<td align="left" valign="top">4.34809778573906</td></tr>
<tr>
<td align="left" valign="top">Cell growth</td>
<td align="left" valign="top">AF454371</td>
<td align="left" valign="top">Ahnak</td>
<td align="left" valign="top">Ahnak-related protein</td>
<td align="left" valign="top">4.14343358370448</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_057211</td>
<td align="left" valign="top">Bteb1</td>
<td align="left" valign="top">Basic transcription element binding protein 1</td>
<td align="left" valign="top">3.63347765601812</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_199267</td>
<td align="left" valign="top">v-rel</td>
<td align="left" valign="top">V-rel reticuloendotheliosis viral oncogene homolog A (avian; Rela)</td>
<td align="left" valign="top">3.53615002143989</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_012817</td>
<td align="left" valign="top">Igfbp5</td>
<td align="left" valign="top">Insulin-like growth factor binding protein 5</td>
<td align="left" valign="top">3.38491249464085</td></tr>
<tr>
<td align="left" valign="top">Deoxyribonuclease I activity</td>
<td align="left" valign="top">NM_013097</td>
<td align="left" valign="top">Dnase1</td>
<td align="left" valign="top">Deoxyribonuclease I</td>
<td align="left" valign="top">3.8275058577354</td></tr>
<tr>
<td align="left" valign="top">Fibrosis</td>
<td align="left" valign="top">XM_342827</td>
<td align="left" valign="top">GliPR2</td>
<td align="left" valign="top">Similar to chromosome 9 open reading frame 19; 17 kD fetal brain protein (LOC362509)</td>
<td align="left" valign="top">4.42322128503159</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_031050</td>
<td align="left" valign="top">Lum</td>
<td align="left" valign="top">Lumican</td>
<td align="left" valign="top">3.45085666984717</td></tr>
<tr>
<td align="left" valign="top">Hematopoietic cell lineage</td>
<td align="left" valign="top">NM_001008884</td>
<td align="left" valign="top">RT1-Db1</td>
<td align="left" valign="top">RT1 class II, locus Db1</td>
<td align="left" valign="top">3.36846228092561</td></tr>
<tr>
<td align="left" valign="top">Metabolic pathways</td>
<td align="left" valign="top">NM_022525</td>
<td align="left" valign="top">Gpx3</td>
<td align="left" valign="top">Glutathione peroxidase 3</td>
<td align="left" valign="top">3.93130723332512</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_012879</td>
<td align="left" valign="top">Slc2a2</td>
<td align="left" valign="top">Solute carrier family 2 (facilitated glucose transporter), member 2</td>
<td align="left" valign="top">3.8236468641884</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_153300</td>
<td align="left" valign="top">Aldh1a3</td>
<td align="left" valign="top">Aldehyde dehydrogenase family 1, subfamily</td>
<td align="left" valign="top">3.74838767192997</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_175869</td>
<td align="left" valign="top">Plod2</td>
<td align="left" valign="top">Procollagen lysine, 2-oxoglutarate 5-dioxygenase 2</td>
<td align="left" valign="top">3.42998378780718</td></tr>
<tr>
<td align="left" valign="top">Neuroendocrine secretory pathway</td>
<td align="left" valign="top">NM_019279</td>
<td align="left" valign="top">Pcsk1n</td>
<td align="left" valign="top">Proprotein convertase subtilisin/kexin type 1 inhibitor</td>
<td align="left" valign="top">3.43934389253231</td></tr>
<tr>
<td align="left" valign="top">Neuronal differentiation</td>
<td align="left" valign="top">NM_053369</td>
<td align="left" valign="top">Tcf4</td>
<td align="left" valign="top">Transcription factor 4</td>
<td align="left" valign="top">3.35972972064775</td></tr>
<tr>
<td align="left" valign="top">Osteoporosis</td>
<td align="left" valign="top">XM_213440</td>
<td align="left" valign="top">COLIA1</td>
<td align="left" valign="top">Similar to collagen &#x003B1;1 (LOC287636)</td>
<td align="left" valign="top">3.580131772724</td></tr>
<tr>
<td align="left" valign="top">Protein digestion and absorption</td>
<td align="left" valign="top">XM_216399</td>
<td align="left" valign="top">LOC298069</td>
<td align="left" valign="top">Collagen, type XV, &#x003B1;1 (Col15a1)</td>
<td align="left" valign="top">3.33229268844969</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_031341</td>
<td align="left" valign="top">Slc7a7</td>
<td align="left" valign="top">Solute carrier family 7 (cationic amino acid transporter, y&#x0002B; system), member 7</td>
<td align="left" valign="top">3.33134108780008</td></tr>
<tr>
<td align="left" valign="top">RNA transport</td>
<td align="left" valign="top">NM_017063</td>
<td align="left" valign="top">Kpnb1</td>
<td align="left" valign="top">Karyopherin (importin) &#x003B2;1</td>
<td align="left" valign="top">3.51437343518773</td></tr>
<tr>
<td align="left" valign="top">Signal transduction pathways</td>
<td align="left" valign="top">NM_001007005</td>
<td align="left" valign="top">Arhgdia</td>
<td align="left" valign="top">Rho gdp dissociation inhibitor (GDI) &#x003B1;</td>
<td align="left" valign="top">3.9113860940851</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_013127</td>
<td align="left" valign="top">Cd38</td>
<td align="left" valign="top">Cd38 antigen</td>
<td align="left" valign="top">3.91115383379829</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_057116</td>
<td align="left" valign="top">Ppp2r2c</td>
<td align="left" valign="top">Protein phosphatase 2 (formerly 2A), regulatory subunit B (PR 52), &#x003B3; isoform</td>
<td align="left" valign="top">3.40886940369163</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_024129</td>
<td align="left" valign="top">Dcn</td>
<td align="left" valign="top">Decorin</td>
<td align="left" valign="top">3.36137935471163</td></tr>
<tr>
<td align="left" valign="top">Structural proteins</td>
<td align="left" valign="top">NM_181089</td>
<td align="left" valign="top">Mast1</td>
<td align="left" valign="top">Microtubule associated serine/threonine kinase 1</td>
<td align="left" valign="top">4.11144062655087</td></tr>
<tr>
<td align="left" valign="top">Others</td>
<td align="left" valign="top">U06751</td>
<td align="left" valign="top">pSMC</td>
<td align="left" valign="top">Fisher 344 pre-sialomucin complex</td>
<td align="left" valign="top">6.57759198187846</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_345756</td>
<td align="left" valign="top">LOC366769</td>
<td align="left" valign="top">Similar to Ig heavy chain precursor V region (IdB5.7)</td>
<td align="left" valign="top">4.80829731905218</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_341923</td>
<td align="left" valign="top">LOC361644</td>
<td align="left" valign="top">Similar to pyruvate kinase, M1 isozyme (pyruvate kinase muscle isozyme)</td>
<td align="left" valign="top">4.24360287494609</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_225043</td>
<td align="left" valign="top">LOC306628</td>
<td align="left" valign="top">Similar to collagen &#x003B1; 2(IV) chain precursor</td>
<td align="left" valign="top">4.20372195431914</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_223569</td>
<td align="left" valign="top">LOC305482</td>
<td align="left" valign="top">Similar to myotubularin-related protein 3</td>
<td align="left" valign="top">4.15416630589892</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_233686</td>
<td align="left" valign="top">LOC313722</td>
<td align="left" valign="top">Similar to SPRY domain-containing SOCS box protein SSB-1</td>
<td align="left" valign="top">4.08502203156001</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_223781</td>
<td align="left" valign="top">LOC305679</td>
<td align="left" valign="top">Similar to vinculin (metavinculin)</td>
<td align="left" valign="top">3.90695618191964</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_139041</td>
<td align="left" valign="top">MUC-13</td>
<td align="left" valign="top">Putative cell surface antigen (LOC207126)</td>
<td align="left" valign="top">3.89086963314564</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_236535</td>
<td align="left" valign="top">LOC300920</td>
<td align="left" valign="top">Similar to claudin-2</td>
<td align="left" valign="top">3.84946284637836</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_214861</td>
<td align="left" valign="top">LOC292699</td>
<td align="left" valign="top">Similar to casitas B-lineage lymphoma c</td>
<td align="left" valign="top">3.77729841356227</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_223944</td>
<td align="left" valign="top">LOC305824</td>
<td align="left" valign="top">Similar to &#x003B1; enolase (2-phospho-D-glycerate hydro-lyase) (Non-neural enolase; NNE; Enolase 1)</td>
<td align="left" valign="top">3.69235152157205</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_242992</td>
<td align="left" valign="top">LOC313536</td>
<td align="left" valign="top">Similar to &#x003B2;-1,4-galactosyltransferase II</td>
<td align="left" valign="top">3.67034914805361</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_343901</td>
<td align="left" valign="top">LOC363605</td>
<td align="left" valign="top">Similar to RIKEN cDNA 2210407C18</td>
<td align="left" valign="top">3.66158192578579</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_342245</td>
<td align="left" valign="top">LOC361945</td>
<td align="left" valign="top">Similar to osteoblast specific factor 2 precursor</td>
<td align="left" valign="top">3.66054009489806</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_237497</td>
<td align="left" valign="top">LOC316717</td>
<td align="left" valign="top">Similar to protein phosphatase 1</td>
<td align="left" valign="top">3.60236548308193</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_344268</td>
<td align="left" valign="top">LOC364208</td>
<td align="left" valign="top">Similar to DKFZP566K1924 protein</td>
<td align="left" valign="top">3.51188899584009</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_214386</td>
<td align="left" valign="top">LOC290856</td>
<td align="left" valign="top">Similar to defensin 5 precursor (RD-5; Enteric defensin)</td>
<td align="left" valign="top">3.45619469144432</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_227388</td>
<td align="left" valign="top">LOC310614</td>
<td align="left" valign="top">Similar to transcription repressor p66</td>
<td align="left" valign="top">3.42529996437158</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_346200</td>
<td align="left" valign="top">LOC367530</td>
<td align="left" valign="top">Similar to RIKEN cDNA 4933431D05</td>
<td align="left" valign="top">3.41118393261051</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_243652</td>
<td align="left" valign="top">Plxnb2</td>
<td align="left" valign="top">Similar to KIAA0315 (LOC315217)</td>
<td align="left" valign="top">3.40547098028761</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_233386</td>
<td align="left" valign="top">LOC313499</td>
<td align="left" valign="top">Similar to hypothetical protein DKFZp566D1346</td>
<td align="left" valign="top">3.40381726129247</td></tr></tbody></table></table-wrap>
<table-wrap id="tII-mmr-08-02-0350" position="float">
<label>Table II</label>
<caption>
<p>Top 50 significantly downregulated genes with biological process ontologies.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Ontology</th>
<th align="center" valign="top">Gene ID</th>
<th align="center" valign="top">Gene symbol</th>
<th align="center" valign="top">Gene description</th>
<th align="center" valign="top">Fold change</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">Bile secretion</td>
<td align="left" valign="top">NM_133616</td>
<td align="left" valign="top">Sult2a1</td>
<td align="left" valign="top">Hydroxysteroid preferring 2 (Sth2)</td>
<td align="left" valign="top">&#x02212;4.9054121581746</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_017047</td>
<td align="left" valign="top">Slc10a1</td>
<td align="left" valign="top">Solute carrier family 10 (sodium/bile acid cotransporter family), member 1</td>
<td align="left" valign="top">&#x02212;3.14433787788225</td></tr>
<tr>
<td align="left" valign="top">Cell differentiation</td>
<td align="left" valign="top">XM_223053</td>
<td align="left" valign="top">Usher syndrome 2A</td>
<td align="left" valign="top">Similar to usherin (LOC289369)</td>
<td align="left" valign="top">&#x02212;6.40569654980506</td></tr>
<tr>
<td align="left" valign="top">Complement and coagulation cascades</td>
<td align="left" valign="top">NM_022257</td>
<td align="left" valign="top">Masp1</td>
<td align="left" valign="top">Mannose-binding protein associated serine protease-1</td>
<td align="left" valign="top">&#x02212;2.85305822741612</td></tr>
<tr>
<td align="left" valign="top">Lipid metabolic process</td>
<td align="left" valign="top">NM_139192</td>
<td align="left" valign="top">Scd1</td>
<td align="left" valign="top">Stearoyl-coenzyme A desaturase 1</td>
<td align="left" valign="top">&#x02212;3.31761447196781</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_341791</td>
<td align="left" valign="top">Sult2a2</td>
<td align="left" valign="top">Similar to alcohol sulfotransferase (hydroxysteroid sulfotransferase; ST; ST-60; LOC361510)</td>
<td align="left" valign="top">&#x02212;3.18536619753157</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_053923</td>
<td align="left" valign="top">Pik3c2g</td>
<td align="left" valign="top">Phosphatidylinositol 3-kinase, C2 domain containing, &#x003B3; polypeptide (Pik3c2g)</td>
<td align="left" valign="top">&#x02212; 3.01034237267081</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_144750</td>
<td align="left" valign="top">LOC246266</td>
<td align="left" valign="top">Lysophospholipase</td>
<td align="left" valign="top">&#x02212;2.92586164948934</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_012737</td>
<td align="left" valign="top">Apoa4</td>
<td align="left" valign="top">Apolipoprotein A-IV</td>
<td align="left" valign="top">&#x02212;2.84424543169138</td></tr>
<tr>
<td align="left" valign="top">Metabolic pathways</td>
<td align="left" valign="top">NM_017158</td>
<td align="left" valign="top">Cyp2c7</td>
<td align="left" valign="top">Cytochrome P450, family 2, subfamily c, polypeptide 7</td>
<td align="left" valign="top">&#x02212;3.66306395998859</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_138904</td>
<td align="left" valign="top">Gls2</td>
<td align="left" valign="top">Glutaminase 2 (liver, mitochondrial)</td>
<td align="left" valign="top">&#x02212;3.34037650319876</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_012540</td>
<td align="left" valign="top">Cyp1a1</td>
<td align="left" valign="top">Cytochrome P450, family 1, subfamily a, polypeptide 1</td>
<td align="left" valign="top">&#x02212;3.32079040147379</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_017193</td>
<td align="left" valign="top">Aadat</td>
<td align="left" valign="top">Aminoadipate aminotransferase</td>
<td align="left" valign="top">&#x02212;3.01966588124673</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_175760</td>
<td align="left" valign="top">Cyp4a3</td>
<td align="left" valign="top">Cytochrome P450, family 4, subfamily a, polypeptide 3</td>
<td align="left" valign="top">&#x02212;2.87595624954108</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_017159</td>
<td align="left" valign="top">Hal</td>
<td align="left" valign="top">Histidine ammonia lyase</td>
<td align="left" valign="top">&#x02212;2.84715718276888</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_053902</td>
<td align="left" valign="top">Kynu</td>
<td align="left" valign="top">kynureninase (L-kynurenine hydrolase)</td>
<td align="left" valign="top">&#x02212;2.71604891669278</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_030850</td>
<td align="left" valign="top">Bhmt</td>
<td align="left" valign="top">Betaine-homocysteine methyltransferase</td>
<td align="left" valign="top">&#x02212;2.68923042042384</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_031835</td>
<td align="left" valign="top">Agxt2</td>
<td align="left" valign="top">Alanine-glyoxylate aminotransferase 2 (Agxt2)</td>
<td align="left" valign="top">&#x02212;2.64435761342884</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_012541</td>
<td align="left" valign="top">Cyp1a2</td>
<td align="left" valign="top">Cytochrome P450, family 1, subfamily a, polypeptide 2 (Cyp1a2)</td>
<td align="left" valign="top">&#x02212;2.64005746673363</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_001013057</td>
<td align="left" valign="top">LOC291283</td>
<td align="left" valign="top">Aldo-keto reductase family 1, member C2 (Akr1c2)</td>
<td align="left" valign="top">&#x02212;2.62748122574613</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_198784</td>
<td align="left" valign="top">Mup4</td>
<td align="left" valign="top">Major urinary protein 4 (Mup4)</td>
<td align="left" valign="top">&#x02212;2.57882737786856</td></tr>
<tr>
<td align="left" valign="top">Olfactory transduction</td>
<td align="left" valign="top">NM_001000888</td>
<td align="left" valign="top">Olr1692</td>
<td align="left" valign="top">Olfactory receptor gene</td>
<td align="left" valign="top">&#x02212;4.83343644893506</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_001000696</td>
<td align="left" valign="top">Olr1845</td>
<td align="left" valign="top">Olfactory receptor gene</td>
<td align="left" valign="top">&#x02212;3.1610886895668</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_001000386</td>
<td align="left" valign="top">Olr415</td>
<td align="left" valign="top">Olfactory receptor gene</td>
<td align="left" valign="top">&#x02212;2.75631096513904</td></tr>
<tr>
<td align="left" valign="top">Peroxisome biogenesis</td>
<td align="left" valign="top">NM_031587</td>
<td align="left" valign="top">Pxmp2</td>
<td align="left" valign="top">Peroxisomal membrane protein 2 (Pxmp2)</td>
<td align="left" valign="top">&#x02212;2.79776944314083</td></tr>
<tr>
<td align="left" valign="top">Signaling pathways</td>
<td align="left" valign="top">NM_024352</td>
<td align="left" valign="top">Mst1</td>
<td align="left" valign="top">Macrophage stimulating 1 (hepatocyte growth factor-like)</td>
<td align="left" valign="top">&#x02212;3.01686336303489</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_012630</td>
<td align="left" valign="top">Prlr</td>
<td align="left" valign="top">Prolactin receptor (Prlr)</td>
<td align="left" valign="top">&#x02212;2.78270670754098</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_012799</td>
<td align="left" valign="top">Nmbr</td>
<td align="left" valign="top">Neuromedin B receptor (Nmbr)</td>
<td align="left" valign="top">&#x02212;2.72210897797388</td></tr>
<tr>
<td align="left" valign="top">Trypsin inhibitor</td>
<td align="left" valign="top">NM_152936</td>
<td align="left" valign="top">LOC266602</td>
<td align="left" valign="top">Serine peptidase inhibitor, Kazal type 1 (Spink1)</td>
<td align="left" valign="top">&#x02212;2.72988934134003</td></tr>
<tr>
<td align="left" valign="top">Others</td>
<td align="left" valign="top">TC500715</td>
<td align="left" valign="top">TC500715</td>
<td align="left" valign="top">Unknown</td>
<td align="left" valign="top">&#x02212;4.99924740959998</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_226197</td>
<td align="left" valign="top">LOC291810</td>
<td align="left" valign="top">Similar to cDNA sequence BC033409</td>
<td align="left" valign="top">&#x02212;4.85708838735576</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_224106</td>
<td align="left" valign="top">LOC290148</td>
<td align="left" valign="top">Similar to T-cell receptor &#x003B1; chain precursor V and C regions (TRA29)-rat (fragment)</td>
<td align="left" valign="top">&#x02212;4.47997612759399</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_001001799</td>
<td align="left" valign="top">RSEP4</td>
<td align="left" valign="top">Spinal cord expression protein 4</td>
<td align="left" valign="top">&#x02212;3.92583197177519</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">TC462695</td>
<td align="left" valign="top">TC462695</td>
<td align="left" valign="top">I52849 alcohol sulfotransferase</td>
<td align="left" valign="top">&#x02212;3.75483258125134</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">U33847</td>
<td align="left" valign="top">Gucy2g</td>
<td align="left" valign="top">ksGC mRNA, complete cds</td>
<td align="left" valign="top">&#x02212;3.68824766043768</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_228610</td>
<td align="left" valign="top">LOC302446</td>
<td align="left" valign="top">Similar to expressed sequence AW011752</td>
<td align="left" valign="top">&#x02212;3.59095310312283</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">AY383691</td>
<td align="left" valign="top">AY383691</td>
<td align="left" valign="top">LRRGT00036 mRNA, complete cds</td>
<td align="left" valign="top">&#x02212;3.20650059581476</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">AF010442</td>
<td align="left" valign="top">AF010442</td>
<td align="left" valign="top">MARRLC7A mRNA</td>
<td align="left" valign="top">&#x02212;3.17415725515125</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">TC490222</td>
<td align="left" valign="top">TC490222</td>
<td align="left" valign="top">AB027125 aldo-keto reductase AKR1C13</td>
<td align="left" valign="top">&#x02212;3.12591316822196</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_224468</td>
<td align="left" valign="top">LOC290458</td>
<td align="left" valign="top">Similar to tripartite motif-containing 52</td>
<td align="left" valign="top">&#x02212;3.12295823834706</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_222983</td>
<td align="left" valign="top">LOC289295</td>
<td align="left" valign="top">Similar to putative pheromone receptor (Go-VN2)</td>
<td align="left" valign="top">&#x02212;3.0085660426128</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_230584</td>
<td align="left" valign="top">LOC311387</td>
<td align="left" valign="top">Similar to CG1090-PB (Drosophila melanogaster)</td>
<td align="left" valign="top">&#x02212;2.85086212260344</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_341007</td>
<td align="left" valign="top">LOC360734</td>
<td align="left" valign="top">Similar to dnaJ (Hsp40) homolog, subfamily B, member 11</td>
<td align="left" valign="top">&#x02212;2.82980905422533</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_233818</td>
<td align="left" valign="top">LOC313840</td>
<td align="left" valign="top">Similar to hypothetical protein</td>
<td align="left" valign="top">&#x02212;2.79863476103598</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_344625</td>
<td align="left" valign="top">LOC364771</td>
<td align="left" valign="top">Similar to aldo-keto reductase family 1 member C3 (Trans-1,2-dihydrobenzene-1,2-diol dehydrogenase) (Chlordecone reductase homolog HAKRb) (HA1753) (Dihydrodiol dehydrogenase, type I) (Dihydrodiol dehydrogenase 3; DD3)</td>
<td align="left" valign="top">&#x02212;2.795863390899</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_342422</td>
<td align="left" valign="top">LOC362120</td>
<td align="left" valign="top">Similar to complement C5 precursor</td>
<td align="left" valign="top">&#x02212;2.70059226884497</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_012674</td>
<td align="left" valign="top">Spink3</td>
<td align="left" valign="top">Serine peptidase inhibitor, Kazal type 3 (Spink3)</td>
<td align="left" valign="top">&#x02212;2.67592384788853</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">AY387049</td>
<td align="left" valign="top">AY387049</td>
<td align="left" valign="top">LRRGT00063</td>
<td align="left" valign="top">&#x02212;2.65932082072998</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">NM_147215</td>
<td align="left" valign="top">Obp3</td>
<td align="left" valign="top">&#x003B1;-2u globulin PGCL4 (Obp3)</td>
<td align="left" valign="top">&#x02212;2.65115608927097</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">XM_235065</td>
<td align="left" valign="top">LOC299735</td>
<td align="left" valign="top">Similar to hypothetical protein MGC35366 (LOC299735)</td>
<td align="left" valign="top">&#x02212;2.64919760822929</td></tr></tbody></table></table-wrap>
<table-wrap id="tIII-mmr-08-02-0350" position="float">
<label>Table III</label>
<caption>
<p>Primer sequences used for qPCR validation.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Accession no.</th>
<th align="center" valign="bottom">Gene</th>
<th align="center" valign="bottom">Gene name</th>
<th align="center" valign="bottom">Primers (forward/reverse)</th>
<th align="center" valign="bottom">Annealing temperature (&#x000B0;C)</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">XM_217689</td>
<td align="left" valign="top">Clca3</td>
<td align="left" valign="top">Chloride channel calcium activated 3</td>
<td align="left" valign="top">5&#x02032;-AAG GTG GCC TAC CTC CAA GT-3&#x02032;<break/>5&#x02032;-GAG AAT AGG CGA GGC TCC TT-3&#x02032;</td>
<td align="center" valign="top">58</td></tr>
<tr>
<td align="left" valign="top">NM_053356</td>
<td align="left" valign="top">Col1a2</td>
<td align="left" valign="top">Procollagen, type I, &#x003B1;2</td>
<td align="left" valign="top">5&#x02032;-TTG ACC CTA ACC AAG GAT GC-3&#x02032;<break/>5&#x02032;-CAC CCC TTC TGC GTT GTA TT-3&#x02032;</td>
<td align="center" valign="top">60</td></tr>
<tr>
<td align="left" valign="top">NM_024129</td>
<td align="left" valign="top">Dcn</td>
<td align="left" valign="top">Decorin</td>
<td align="left" valign="top">5&#x02032;-CAA TAG CAT CAC CGT TGT GG-3&#x02032;<break/>5&#x02032;-CCG GAC AGG GTT GCT ATA AA-3&#x02032;</td>
<td align="center" valign="top">60</td></tr>
<tr>
<td align="left" valign="top">XM_342827</td>
<td align="left" valign="top">Glipr2</td>
<td align="left" valign="top">GLI pathogenesis-related 2</td>
<td align="left" valign="top">5&#x02032;-GAA TGT CCC ACC TCC AAA GA-3&#x02032;<break/>5&#x02032;-TCA CAG GAG ATG CTC ACA GG-3&#x02032;</td>
<td align="center" valign="top">60</td></tr>
<tr>
<td align="left" valign="top">XM_213954</td>
<td align="left" valign="top">Nid 1</td>
<td align="left" valign="top">Nidogen 1</td>
<td align="left" valign="top">5&#x02032;-CCA CCC ACA TAA GCA TAC CC-3&#x02032;<break/>5&#x02032;-ACT CCC AAG GTG TTG TCA GG-3&#x02032;</td>
<td align="center" valign="top">60</td></tr>
<tr>
<td align="left" valign="top">NM_017158</td>
<td align="left" valign="top">Cyp2c7</td>
<td align="left" valign="top">Cytochrome P450, family 2, subfamily c, polypeptide 7</td>
<td align="left" valign="top">5&#x02032;-ACG GGG AGA AGT TTT CTG GT-3&#x02032;<break/>5&#x02032;-TGT GCT TCC TCT TGA ACA CG-3&#x02032;</td>
<td align="center" valign="top">60</td></tr>
<tr>
<td align="left" valign="top">NM_017047</td>
<td align="left" valign="top">Slc10a1</td>
<td align="left" valign="top">Solute carrier family (sodium/bile acid cotransporter family), member 1</td>
<td align="left" valign="top">10 5&#x02032;-GGT GCC CTA CAA AGG CAT TA-3&#x02032;<break/>5&#x02032;-TGA TGA CAG AGA GGG CTG TG-3&#x02032;</td>
<td align="center" valign="top">60</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">Reference</td>
<td align="left" valign="top"/>
<td align="left" valign="top"/>
<td align="center" valign="top">60</td></tr>
<tr>
<td align="left" valign="top"/>
<td align="left" valign="top">&#x003B2;-actin</td>
<td align="left" valign="top"/>
<td align="left" valign="top">5&#x02032;-GAC AGG ATG CAG AAG GAG AT-3&#x02032;<break/>5&#x02032;-CTG CTT GCT GAT CCA CAT CT-3&#x02032;</td>
<td align="center" valign="top"/></tr></tbody></table></table-wrap></floats-group></article>
