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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">ETM</journal-id>
<journal-title-group>
<journal-title>Experimental and Therapeutic Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-0981</issn>
<issn pub-type="epub">1792-1015</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/etm.2017.5173</article-id>
<article-id pub-id-type="publisher-id">ETM-0-0-5173</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>An integrated bioinformatical analysis of miR-19a target genes in multiple myeloma</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Lv</surname><given-names>Hongyan</given-names></name>
<xref rid="af1-etm-0-0-5173" ref-type="aff"/>
<xref rid="fn1-etm-0-0-5173" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Wu</surname><given-names>Xianda</given-names></name>
<xref rid="af1-etm-0-0-5173" ref-type="aff"/>
<xref rid="fn1-etm-0-0-5173" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Ma</surname><given-names>Guiru</given-names></name>
<xref rid="af1-etm-0-0-5173" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Sun</surname><given-names>Lixia</given-names></name>
<xref rid="af1-etm-0-0-5173" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Meng</surname><given-names>Jianbo</given-names></name>
<xref rid="af1-etm-0-0-5173" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Song</surname><given-names>Xiaoning</given-names></name>
<xref rid="af1-etm-0-0-5173" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Jinqiao</given-names></name>
<xref rid="af1-etm-0-0-5173" ref-type="aff"/>
<xref rid="c1-etm-0-0-5173" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-etm-0-0-5173">Department of Hematology, Third Hospital of Hebei Medical University, Shijiazhuang, Hebei 050051, P.R. China</aff>
<author-notes>
<corresp id="c1-etm-0-0-5173"><italic>Correspondence to</italic>: Dr Jinqiao Zhang, Department of Hematology, Third Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, Hebei 050051, P.R. China, E-mail: <email>zhjq72@163.com</email></corresp>
<fn id="fn1-etm-0-0-5173"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub">
<month>11</month>
<year>2017</year></pub-date>
<pub-date pub-type="epub">
<day>21</day>
<month>09</month>
<year>2017</year></pub-date>
<volume>14</volume>
<issue>5</issue>
<fpage>4711</fpage>
<lpage>4720</lpage>
<history>
<date date-type="received"><day>12</day><month>09</month><year>2016</year></date>
<date date-type="accepted"><day>19</day><month>05</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Lv et al.</copyright-statement>
<copyright-year>2017</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>MicroRNA (miR)-19a, as an oncomiR, has been studied in several types of cancer; however, its role in the development and progression of multiple myeloma (MM) remains unclear. The present study used a bioinformatics approach to investigate the involvement of miR-19a in MM. miR-19a targets were predicted using target prediction programs, followed by screening for differentially expressed genes in MM. The function of these genes was then annotated using gene ontology term enrichment, signaling pathway enrichment and protein-protein interaction (PPI) analysis. In addition, natural language processing (NLP) was performed to identify genes associated with MM. A total of 715 putative targets of miR-19a were identified in the present study, of which 40 were experimentally validated. A total of 121 genes were identified to be differentially expressed in MM, including 80 upregulated genes and 41 downregulated genes. Among the differentially expressed genes, ras homolog family member B, clathrin heavy chain, prosaposin and protein phosphatase 6 regulatory subunit 2 were predicted target genes of miR-19a. The results of NLP revealed that 2 of the differentially expressed genes, Y-box binding protein 1 and TP53 regulated inhibitor of apoptosis 1, were reported to be associated with MM. In addition, 41 target genes of miR-19a were identified to be associated with the development and progression of MM. These results may aid in understanding the molecular mechanisms of miR-19a in the development and progression of MM. In addition, the results of the present study indicate that targets genes of miR-19a are potential candidate biomarkers for MM.</p>
</abstract>
<kwd-group>
<kwd>multiple myeloma</kwd>
<kwd>miR-19a</kwd>
<kwd>systematic analysis</kwd>
<kwd>gene expression</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Multiple myeloma (MM) is a B-cell malignancy characterized by the aberrant clonal expansion of plasma cells (PCs) within the bone marrow, and, as a consequence, osteolytic bone destruction with hypercalcemia, anemia, immunosuppression and end organ damage frequently occurs (<xref rid="b1-etm-0-0-5173" ref-type="bibr">1</xref>). Recent advances in molecular and genetic research into MM have led to the discovery that although MM is defined histologically as a single entity, it encompasses a wide range of genomic abnormalities, including numerical and structural chromosomal abnormalities, gene mutations and epigenetic alterations (<xref rid="b2-etm-0-0-5173" ref-type="bibr">2</xref>&#x2013;<xref rid="b4-etm-0-0-5173" ref-type="bibr">4</xref>), which differ in their molecular pathogenesis and prognostic significance (<xref rid="b5-etm-0-0-5173" ref-type="bibr">5</xref>).</p>
<p>MicroRNAs (miRNAs/miRs) are small non-coding single-stranded RNAs of ~22 nucleotides in length, which control gene expression at a post-transcriptional level by degrading or repressing target mRNAs, resulting in translational repression or mRNA degradation. miRNAs serve roles in essential biological processes, including cellular growth, differentiation and proliferation. In addition, miRNAs regulate the expression of &#x003E;30&#x0025; of protein-coding genes, and &#x003E;50&#x0025; of miRNA target genes are located in cancer-associated genomic regions, suggesting that miRNAs serve an important role in the pathogenesis of human cancer (<xref rid="b6-etm-0-0-5173" ref-type="bibr">6</xref>,<xref rid="b7-etm-0-0-5173" ref-type="bibr">7</xref>). It is well known that the dysregulation of miRNAs is associated with the pathogenesis of cancer, and that miRNA expression profiles have prognostic implications in numerous types of cancer. Thus, inhibiting specific miRNAs is a therapeutic strategy for the treatment of cancer (<xref rid="b8-etm-0-0-5173" ref-type="bibr">8</xref>).</p>
<p>Numerous previous studies have detected miRNA expression in MM via microarray profiling and reverse transcription-quantitative polymerase chain reaction analysis (<xref rid="b9-etm-0-0-5173" ref-type="bibr">9</xref>&#x2013;<xref rid="b11-etm-0-0-5173" ref-type="bibr">11</xref>), with results suggesting that miRNAs serve an important role in the molecular pathogenesis, progression and prognosis of MM. Lionetti <italic>et al</italic> (<xref rid="b9-etm-0-0-5173" ref-type="bibr">9</xref>) evaluated the influence of allelic imbalances on miRNA expression in MM, and identified that differential miRNA expression patterns were associated with the cytogenetic abnormalities in MM, particularly with immunoglobulin heavy locus translocations. Furthermore, Wu <italic>et al</italic> (<xref rid="b10-etm-0-0-5173" ref-type="bibr">10</xref>) was able to develop an &#x2018;outcome classifier&#x2019; in patients newly diagnosed with myeloma based on their expression of specific miRNAs.</p>
<p>The miR-17-92 cluster, located in an intron of miR-17-92a-1 cluster host gene on chromosome 13q31.3, was originally reported to be implicated in B-cell neoplasms, including MM (<xref rid="b11-etm-0-0-5173" ref-type="bibr">11</xref>). Later, the miR-17-92 cluster was identified as an oncomiR due to its oncogenic activity in several types of cancer (<xref rid="b12-etm-0-0-5173" ref-type="bibr">12</xref>). Mendell (<xref rid="b11-etm-0-0-5173" ref-type="bibr">11</xref>) identified that the deletion of miR-17-92 inhibited B-cell proliferation and development, whereas its overexpression induced B-cell hyperproliferation and autoimmune diseases. Another study revealed that members of the miR-17-92 cluster, particularly miR-19a and b, were upregulated in MM, but not in healthy cases or monoclonal gammopathy of undetermined significance (MGUS), suggesting a potential role of the cluster in the progression from MGUS to MM, likely representing MM-specific genetic changes (<xref rid="b2-etm-0-0-5173" ref-type="bibr">2</xref>).</p>
<p>miR-19a, a key component of miR-17-92 cluster, has been directly implicated in myeloma pathogenesis (<xref rid="b13-etm-0-0-5173" ref-type="bibr">13</xref>,<xref rid="b14-etm-0-0-5173" ref-type="bibr">14</xref>). In addition, miR-19a has been demonstrated to be upregulated in patients with MM, and in MM cell lines compared with normal plasma cells (<xref rid="b13-etm-0-0-5173" ref-type="bibr">13</xref>,<xref rid="b15-etm-0-0-5173" ref-type="bibr">15</xref>). Furthermore, miR-19a was more highly expressed in patients with MM with 13q14 deletions compared with those without these deletions (<xref rid="b5-etm-0-0-5173" ref-type="bibr">5</xref>,<xref rid="b16-etm-0-0-5173" ref-type="bibr">16</xref>,<xref rid="b17-etm-0-0-5173" ref-type="bibr">17</xref>). Additionally, miR-19a antagonists have been revealed to suppress MM tumor growth in nude mice (<xref rid="b14-etm-0-0-5173" ref-type="bibr">14</xref>). miR-19a can modulate the expression of proteins that are essential in myeloma pathogenesis, including suppressors of cytokine signaling (SOCS), a gene that is frequently silenced in MM, releasing inhibition of interleukin 6 and leading to pro-growth signaling (<xref rid="b14-etm-0-0-5173" ref-type="bibr">14</xref>). These results highlight the contribution of miR-19a to the pathogenesis of MM and its potential application as a molecular biomarker for MM.</p>
<p>Although the function of miR-19a has been relatively well studied, its exact role in the development and progression of MM remains unclear. Systematic analyses of miR-19a-associated malignant cell behavior is required. Since miR-19a&#x0027;s function is mediated through its target genes, the exploration of its target genes is also essential. The inverse correlation between miRNA-mRNA interactions may aid in the identification of target genes regulated by miR-19a in the pathogenesis of MM. Combined with the MM gene expression profiling data generated by high-throughput technology in a previous study (<xref rid="b18-etm-0-0-5173" ref-type="bibr">18</xref>), the present study performed a systematic analysis of miR-19a predicted target genes associated with the carcinogenesis, prognosis and chemoresistance of MM in order to further investigate the potential involvement of miR-19a in MM.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Prediction of miRNA target genes</title>
<p>miR-19a target prediction was performed using the online tool miRWalk (<uri xlink:href="http://www.umm.uni-heidelberg.de/apps/zmf/mirwalk">http://www.umm.uni-heidelberg.de/apps/zmf/mirwalk</uri>) (<xref rid="b19-etm-0-0-5173" ref-type="bibr">19</xref>) with a combination of three currently available independent target prediction programs, including PicTar (version 2005; <uri xlink:href="http://pictar.mdc-berlin.de/cgi-bin/PicTar_vertebrate.cgi">http://pictar.mdc-berlin.de/cgi-bin/PicTar_vertebrate.cgi</uri>), miRanda (version 5; <uri xlink:href="http://www.ebi.ac.uk/enright-srv/microcosm/htdocs/targets/v5">http://www.ebi.ac.uk/enright-srv/microcosm/htdocs/targets/v5</uri>) and TargetScan (version 5.1; <uri xlink:href="http://www.targetscan.org">http://www.targetscan.org</uri>). Only the targets genes that were confirmed by all of the above prediction programs or experimentally validated according to the miRWalk database were considered putative targets of miR-19a.</p>
</sec>
<sec>
<title>Identifying gene expression profiles</title>
<p>The Gene Expression Omnibus database (GEO, <uri xlink:href="http://www.ncbi.nlm.nih.gov/geo">http://www.ncbi.nlm.nih.gov/geo</uri>), a public repository for high-throughput gene expression datasets, was searched for MM gene expression profiling studies. Expression profiling studies of peripheral blood mononuclear cells from patients with MM were obtained from previous studies (<xref rid="b20-etm-0-0-5173" ref-type="bibr">20</xref>&#x2013;<xref rid="b22-etm-0-0-5173" ref-type="bibr">22</xref>).</p>
</sec>
<sec>
<title>Differential analysis of genes in MM</title>
<p>The raw gene expression data of each study was downloaded from the GEO database, and preprocessed for background correction and Z-score normalization. The Bioconductor limma package (version 1.9.6) in R (<xref rid="b23-etm-0-0-5173" ref-type="bibr">23</xref>) was used to perform differential analysis of genes between MM and controls using a two-tailed Student&#x0027;s t-test. The p-value of individual microarray studies were combined using Fisher&#x0027;s exact test. Differently expressed genes with a false discovery rate (FDR) &#x003C;0.01 were selected.</p>
</sec>
<sec>
<title>Functional classification</title>
<p>GeneCodis (<uri xlink:href="http://genecodis.cnb.csic.es/">http://genecodis.cnb.csic.es/</uri>) was used to perform Gene Ontology (GO) term and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analysis, in order to annotate the function of the selected genes. The functional GO terms were classified into three groups, biological processes, cellular components and molecular functions. Genes were mapped to corresponding signaling pathways according to KEGG signaling pathway database, and the enrichment FDR was calculated for each pathway, and the criteria of FDR &#x003C;0.05 was used as the threshold for significance.</p>
</sec>
<sec>
<title>Protein-protein interaction (PPI) network analysis</title>
<p>To explore the function of genes at the protein level, PPI analysis was performed as previously described (<xref rid="b24-etm-0-0-5173" ref-type="bibr">24</xref>). The Biological General Repository for Interaction Datasets (BioGRID; <uri xlink:href="http://thebiogrid.org">http://thebiogrid.org</uri>) was used to construct the PPI network. BIOGRID is an online interaction repository, confirmed by existing high-throughput experiments. Cytoscape version 3.3.0 software was used to display the PPI network, as previously described (<xref rid="b25-etm-0-0-5173" ref-type="bibr">25</xref>). In the PPI network produced, nodes indicate proteins and edges indicate interactions between these nodes. The nodes that contain the most connectivity degrees are defined as significant hub proteins.</p>
</sec>
<sec>
<title>Natural language processing (NLP) analysis of MM</title>
<p>Document searching and formatting were performed in PubMed (<uri xlink:href="http://www.ncbi.nlm.nih.gov/pubmed">http://www.ncbi.nlm.nih.gov/pubmed</uri>) using the keywords &#x2018;multiple myeloma&#x2019; and &#x2018;resistance or prognosis or carcinogenesis or tumorigenesis&#x2019;. All of the genes and proteins associated with these keywords were extracted, followed by gene mention tagging using A Biomedical Named Entity Recognizer software, version 1.5 (<uri xlink:href="http://pages.cs.wisc.edu/~bsettles/abner">http://pages.cs.wisc.edu/~bsettles/abner</uri>). For the conditions, multiple genes were described in a word, such as &#x2018;STAT3/5 gene&#x2019;, and these were translate manually to &#x2018;STAT3 gene&#x2019;, and &#x2018;STAT5 gene&#x2019;. Gene names were normalized based on the Entrez database (<uri xlink:href="https://www.ncbi.nlm.nih.gov/gene">https://www.ncbi.nlm.nih.gov/gene</uri>). Gene names were normalized based on the Entrez database (<uri xlink:href="https://www.ncbi.nlm.nih.gov/gene">https://www.ncbi.nlm.nih.gov/gene</uri>).</p>
<p>The frequency of the occurrence of each gene was calculated. The higher the frequency of the gene, the greater the likelihood of the association between MM and the gene. The total number of studies in PubMed database was recorded as &#x2018;N&#x2019;. The frequency of the genes and diseases associated with these in the PubMed database were denoted as &#x2018;m&#x2019; and &#x2018;n&#x2019;, respectively. It was hypothesized that subtracting the disease co-occurrent from the actual frequency of the gene would equal &#x2018;k&#x2019;. Then, by using hypergeometric distribution, the probability of a frequency greater than k co-citation at completely random conditions was calculated as follows:</p>
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<graphic xlink:href="etm-14-05-4711-g00.tif"/>
</alternatives>
</disp-formula>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Predicted target genes of miR-19a</title>
<p>Target genes of miR-19a were predicted using three target prediction programs. A total of 715 putative targets of miR-19a were identified using these three programs, among which 40 were experimentally validated in miRWalk (data not shown).</p>
</sec>
<sec>
<title>Differentially expressed genes in MM</title>
<p>Following searching the GEO database, three gene expression profiling studies of MM were collected (GSE23832, GSE21942 and GSE17048; <xref rid="tI-etm-0-0-5173" ref-type="table">Table I</xref>). The raw data was downloaded and processed, and 121 genes were identified to be differentially expressed in MM with an FDR &#x003C;0.01, including 80 upregulated genes and 41 downregulated genes (<xref rid="f1-etm-0-0-5173" ref-type="fig">Fig. 1</xref>). The top 10 most significantly upregulated or downregulated genes are listed in <xref rid="tII-etm-0-0-5173" ref-type="table">Table II</xref>. Interestingly, four putative targets of miR-19a, ras homolog family member B (RHOB), clathrin heavy chain (CLTC), prosaposin (PSAP) and protein phosphatase 6 regulatory subunit 2 (PPP6R2), were identified to be differentially expressed.</p>
</sec>
<sec>
<title>Functional classification of differentially expressed genes</title>
<p>For the differentially expressed genes in MM, GO term enrichment analysis was performed. For biological processes, 38 GO terms were significantly enriched, and the most significantly enriched GO terms were translation (GO:0006412; FDR, 3.14&#x00D7;10<sup>&#x2212;21</sup>) and viral transcription (GO:0019083; FDR, 3.59&#x00D7;10<sup>&#x2212;18</sup>) (<xref rid="f2-etm-0-0-5173" ref-type="fig">Fig. 2A</xref>). For cellular components, 29 GO terms were significantly enriched, and the most significantly enriched GO terms were ribosome (GO:0005840; FDR, 5.12&#x00D7;10<sup>&#x2212;15</sup>) and cytosolic small ribosomal subunit (GO:0022627; FDR, 2.60&#x00D7;10<sup>&#x2212;11</sup>) (<xref rid="f2-etm-0-0-5173" ref-type="fig">Fig. 2B</xref>). For molecular functions, 9 GO terms were significantly enriched, and the most significantly enriched GO terms were structural constituent of ribosome (GO:0003735; FDR, 1.40&#x00D7;10<sup>&#x2212;20</sup>) and protein binding (GO:0005515; FDR, 1.82&#x00D7;10<sup>&#x2212;10</sup>) (<xref rid="f2-etm-0-0-5173" ref-type="fig">Fig. 2C</xref>).</p>
<p>When performing the KEGG pathway enrichment analysis, 7 signaling pathways were significantly enriched with the criteria of FDR &#x003C;0.05 (<xref rid="tIII-etm-0-0-5173" ref-type="table">Table III</xref>). The most significant pathway was ribosome (FDR, 2.25&#x00D7;10<sup>&#x2212;16</sup>). Furthermore, oxidative phosphorylation (FDR, 0.0277), bacterial invasion of epithelial cells (FDR, 0.0286), lysosome (FDR, 0.0318), the Wnt signaling pathway (FDR, 0.0343), tuberculosis (FDR, 0.0385) and collecting duct acid secretion (FDR, 0.0407) were also significantly enriched.</p>
</sec>
<sec>
<title>PPI network</title>
<p>A PPI network including all of the differentially expressed genes identified was constructed. The PPI network produced included 2,355 nodes and 3,707 edges (<xref rid="f3-etm-0-0-5173" ref-type="fig">Fig. 3</xref>). Highly connected proteins in the network are called hub proteins, which are the core of regulation and serve an important role in the stability of the network. The significant hub proteins were identified, including COP9 signalosome complex subunit 5 (COPS5; connectivity degree, 791), CLTC (connectivity degree, 172) and 60S ribosomal protein L11 (connectivity degree, 167).</p>
</sec>
<sec>
<title>NLP results</title>
<p>The abstracts of 6,795 primary studies were identified using the aforementioned search strategy and a total of 662 MM-associated genes were obtained (data not shown). Integrated analysis was performed to identify the overlap between the 715 miR-19a target genes previously identified and the 662 MM-associated genes obtained from NLP analysis. This revealed that there were 41 overlapping genes (<xref rid="tIV-etm-0-0-5173" ref-type="table">Table IV</xref> and <xref rid="f4-etm-0-0-5173" ref-type="fig">Fig. 4</xref>), which were associated with the development and progression of MM, and were putative miR-19a target genes. In addition, 2 of the differentially expressed genes, Y-box binding protein 1 (YBX1) and TP53 regulated inhibitor of apoptosis 1 (TRIAP1) were identified to be associated with MM (<xref rid="f4-etm-0-0-5173" ref-type="fig">Fig. 4</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Several previous studies (<xref rid="b2-etm-0-0-5173" ref-type="bibr">2</xref>,<xref rid="b13-etm-0-0-5173" ref-type="bibr">13</xref>&#x2013;<xref rid="b15-etm-0-0-5173" ref-type="bibr">15</xref>) have demonstrated that miR-19a is deregulated in MM as an oncomiR, suggesting it serves an important role in MM. Considering that the biological significance of miRNA deregulation relies on the effect upon target protein-coding genes, predicted target genes of miR-19a that were associated with the carcinogenesis, prognosis and chemoresistance of MM were systematically analyzed in the present study in order to further investigate the potential involvement of miR-19a in MM. Strategies to determine miRNA targets include bioinformatical prediction and experimental assays. The present study utilized three common computational algorithms, miRanda, PicTar and TargetScan, to identify 715 putative target genes of miR-19a, among which 40 were experimentally validated in miRWalk. In addition, NLP analysis was performed in the current study, which identified 662 MM-associated genes. Then, integrated analysis revealed 41 predicted target genes of miR-19a that were associated with the development and progression of MM, including Kirsten rat sarcoma viral oncogene homolog (KRAS), SOCS and CCND1. Several of these MM-associated putative miR-19a targets, including SOCS and CCND1, have already been verified by miRNA functional experiments (<xref rid="b14-etm-0-0-5173" ref-type="bibr">14</xref>). Previous studies have demonstrated that oncogenic mutations of RAS occur in 30&#x2013;40&#x0025; of patients with MM and are rarely found in MGUS (<xref rid="b26-etm-0-0-5173" ref-type="bibr">26</xref>&#x2013;<xref rid="b28-etm-0-0-5173" ref-type="bibr">28</xref>). The occurrence of RAS mutation appears independent of clinical stage, but is associated with disease progression, an aggressive phenotype, resistance to therapy and poor patient survival (<xref rid="b26-etm-0-0-5173" ref-type="bibr">26</xref>,<xref rid="b27-etm-0-0-5173" ref-type="bibr">27</xref>,<xref rid="b29-etm-0-0-5173" ref-type="bibr">29</xref>). Steinbrunn <italic>et al</italic> (<xref rid="b27-etm-0-0-5173" ref-type="bibr">27</xref>) also reported that the ectopic overexpression of oncogenic RAS induces MM cell proliferation and lowers drug efficacy.</p>
<p>Given that the altered expression of miR-19a in MM would cause changes in target gene expression, differentially expressed genes between MM and normal controls were assessed in current study using gene expression data. This revealed that 121 genes were differentially expressed in MM, including 80 upregulated genes and 41 downregulated genes. In addition, 2 of the differentially expressed genes, YBX1 and TRIAP1, were identified to be associated with MM in the present study. YBX1, a member of the cold-shock domain protein superfamily, is involved in a wide range of cellular functions, including DNA transcription, replication and repair, and environmental stress and chromatin remodeling, in addition to pre-mRNA splicing (<xref rid="b30-etm-0-0-5173" ref-type="bibr">30</xref>). Chatterjee <italic>et al</italic> (<xref rid="b31-etm-0-0-5173" ref-type="bibr">31</xref>) demonstrated that YBX1 was overexpressed in immature and anaplastic MM cells, but not expressed in normal PCs, MGUS PCs or the majority of MM specimens, suggesting it serves a role in dedifferentiation as part of the malignant transformation process. Furthermore, other studies have reported that the aberrant expression of YBX1 is associated with tumorigenesis, and cancer cell proliferation, survival and drug resistance (<xref rid="b32-etm-0-0-5173" ref-type="bibr">32</xref>,<xref rid="b33-etm-0-0-5173" ref-type="bibr">33</xref>).</p>
<p>Interestingly, four putative targets of miR-19a, RHOB, CLTC, PSAP and PPP6R2, were identified to be differentially expressed in MM in the present study. The tumor suppressor RHOB has been demonstrated to downregulated in various types of cancer (<xref rid="b34-etm-0-0-5173" ref-type="bibr">34</xref>,<xref rid="b35-etm-0-0-5173" ref-type="bibr">35</xref>), which is in accord with the findings of the present study. Notably, Tan <italic>et al</italic> (<xref rid="b36-etm-0-0-5173" ref-type="bibr">36</xref>) revealed that RHOB induced apoptosis, and inhibited proliferation and migration in pancreatic cancer as a direct target of miR-19a. Chromosomal and genomic analyses have revealed that the ALK receptor tyrosine kinase gene is fused to CLTC in inflammatory myofibroblastic tumors and B-cell lymphoma (<xref rid="b37-etm-0-0-5173" ref-type="bibr">37</xref>,<xref rid="b38-etm-0-0-5173" ref-type="bibr">38</xref>). However, the exact role of CLTC in MM has not yet been reported. PSAP, a highly conserved glycoprotein, is overexpressed in prostate cancer and esophageal squamous cell carcinoma (<xref rid="b39-etm-0-0-5173" ref-type="bibr">39</xref>,<xref rid="b40-etm-0-0-5173" ref-type="bibr">40</xref>). A similar expression trend for PSAP was observed in the present study, indicating that it may be a candidate biomarker for MM.</p>
<p>In the PPI network of differentially expressed genes produced in the present study, COPS5 had the highest connectivity degree, suggesting that it serves an important role in MM progression. COPS5, one of the eight subunits of the COP9 signalosome, is overexpressed in a variety of types of human cancer (<xref rid="b41-etm-0-0-5173" ref-type="bibr">41</xref>). COPS5was identified to be overexpressed in MM in the present study. A previous study demonstrated that the specific knockdown of COPS5 inhibits the proliferation of colorectal cancer cells (<xref rid="b42-etm-0-0-5173" ref-type="bibr">42</xref>), and that COPS5-transgenic mice developed a phenotype similar to that of myeloproliferative disorders (<xref rid="b43-etm-0-0-5173" ref-type="bibr">43</xref>). In addition, COPS5 is involved in Ras-mediated cell transformation by inhibiting premature senescence (<xref rid="b44-etm-0-0-5173" ref-type="bibr">44</xref>).</p>
<p>All of the differentially expressed genes in MM identified in the present study underwent GO term and signaling pathway enrichment analysis, in addition to PPI network construction, in order to understand their function. This revealed functions in viral transcription, the viral infectious cycle, viral reproduction and the bacterial invasion of epithelial cells. A previous clinical investigation revealed that the risk of bacterial and viral infections was seven times higher in MM patients compared with matched controls due to MM-associated immunodeficiency resulting from PC disorders, including B-cell dysfunction, and T-cell, dendritic cell and NK cell abnormalities (<xref rid="b45-etm-0-0-5173" ref-type="bibr">45</xref>).</p>
<p>In conclusion, the present study identified and systematically analyzed predicted MM-associated target genes of miR-19a. A total of 121 differentially expressed genes in MM were identified, including 80 upregulated genes and 41 downregulated genes. Among these differentially expressed genes, RHOB, CLTC, PSAP and PPP6R2, were predicted target genes of miR-19a. The results of NLP analysis revealed that 2 of the differentially expressed genes, YBX1 and TRIAP1, were associated with MM. In addition, 41 target genes of miR-19a were associated with the development and progression of MM. The combined examination of gene expression and bioinformatical prediction for miR-19a target genes may provide new insights into carcinogenic mechanisms of MM, in addition to highlighting potential areas for the development of novel personalized therapies. Further studies are required to confirm the results of the present study in patients with MM.</p>
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</back>
<floats-group>
<fig id="f1-etm-0-0-5173" position="float">
<label>Figure 1.</label>
<caption><p>Heatmap of the 121 differentially expressed genes identified in multiple myeloma from the three datasets.</p></caption>
<graphic xlink:href="etm-14-05-4711-g01.tif"/>
</fig>
<fig id="f2-etm-0-0-5173" position="float">
<label>Figure 2.</label>
<caption><p>GO term enrichment analysis of the differentially expressed genes identified in multiple myeloma. GO analysis under the category of (A) biological processes, (B) cellular components and (C) molecular functions. GO, gene ontology.</p></caption>
<graphic xlink:href="etm-14-05-4711-g02.tif"/>
</fig>
<fig id="f3-etm-0-0-5173" position="float">
<label>Figure 3.</label>
<caption><p>Protein-protein interaction analysis of the differentially expressed genes identified in multiple myeloma. Red, upregulated; green, downregulated; rectangles, differentially expressed genes; circular, genes interacting with differentially expressed genes.</p></caption>
<graphic xlink:href="etm-14-05-4711-g03.tif"/>
</fig>
<fig id="f4-etm-0-0-5173" position="float">
<label>Figure 4.</label>
<caption><p>Overlap of the predicted target genes of miR-19a, DEGs in MM and MM-associated genes identified in natural language processing analysis. miR, microRNA; DEGs, differentially expressed genes; MM, multiple myeloma.</p></caption>
<graphic xlink:href="etm-14-05-4711-g04.tif"/>
</fig>
<table-wrap id="tI-etm-0-0-5173" position="float">
<label>Table I.</label>
<caption><p>Characteristics of the three gene expression profiling datasets for multiple myeloma downloaded for integrated analysis.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Author, year</th>
<th align="center" valign="bottom">GEO dataset ID</th>
<th align="center" valign="bottom">Platform for detection</th>
<th align="center" valign="bottom">Samples (N:M)</th>
<th align="center" valign="bottom">(Refs.)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Zhang <italic>et al</italic>, 2011</td>
<td align="center" valign="top">GSE23832</td>
<td align="left" valign="top">GPL6244 [HuGene-1_0-st] Affymetrix Human Gene 1.0 ST Array [transcript (gene) version]</td>
<td align="center" valign="top">4:8</td>
<td align="center" valign="top">(<xref rid="b20-etm-0-0-5173" ref-type="bibr">20</xref>)</td>
</tr>
<tr>
<td align="left" valign="top">Kemppinen <italic>et al</italic>, 2011</td>
<td align="center" valign="top">GSE21942</td>
<td align="left" valign="top">GPL570 [HG-U133_Plus_2] Affymetrix Human Genome U133 Plus 2.0 Array</td>
<td align="center" valign="top">15:12</td>
<td align="center" valign="top">(<xref rid="b21-etm-0-0-5173" ref-type="bibr">21</xref>)</td>
</tr>
<tr>
<td align="left" valign="top">Gandhi <italic>et al</italic>, 2010</td>
<td align="center" valign="top">GSE17048</td>
<td align="left" valign="top">GPL6947 Illumina HumanHT-12 V3.0 expression beadchip</td>
<td align="center" valign="top">45:99</td>
<td align="center" valign="top">(<xref rid="b22-etm-0-0-5173" ref-type="bibr">22</xref>)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-etm-0-0-5173"><p>GEO, Gene Expression Omnibus; N:M, normal:multiple myeloma.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tII-etm-0-0-5173" position="float">
<label>Table II.</label>
<caption><p>Top 10 significantly upregulated and downregulated DEGs identified in multiple myeloma. All gene ID&#x0027;s were taken from the Entrez database on NCBI.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom" colspan="4">A, Upregulated DEGs</th>
</tr>
<tr>
<th align="center" valign="bottom" colspan="4"><hr/></th>
</tr>
<tr>
<th align="left" valign="bottom">Entrez gene ID</th>
<th align="center" valign="bottom">Abbreviation</th>
<th align="center" valign="bottom">Name</th>
<th align="center" valign="bottom">FDR</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">84265</td>
<td align="left" valign="top">POLR3GL</td>
<td align="left" valign="top">Polymerase (RNA) III (DNA directed) polypeptide G (32kD)-like</td>
<td align="center" valign="top">0.0001793</td>
</tr>
<tr>
<td align="left" valign="top">8364</td>
<td align="left" valign="top">HIST1H4C</td>
<td align="left" valign="top">Histone cluster 1, H4c</td>
<td align="center" valign="top">0.0002646</td>
</tr>
<tr>
<td align="left" valign="top">6170</td>
<td align="left" valign="top">RPL39</td>
<td align="left" valign="top">Ribosomal protein L39</td>
<td align="center" valign="top">0.0013368</td>
</tr>
<tr>
<td align="left" valign="top">5880</td>
<td align="left" valign="top">RAC2</td>
<td align="left" valign="top">Ras-related C3 botulinum toxin substrate 2 (rho family, small GTP binding protein Rac2)</td>
<td align="center" valign="top">0.0013368</td>
</tr>
<tr>
<td align="left" valign="top">29080</td>
<td align="left" valign="top">CCDC59</td>
<td align="left" valign="top">Coiled-coil domain containing 59</td>
<td align="center" valign="top">0.0013368</td>
</tr>
<tr>
<td align="left" valign="top">521</td>
<td align="left" valign="top">ATP5I</td>
<td align="left" valign="top">ATP synthase, H&#x002B; transporting, mitochondrial Fo complex, subunit E</td>
<td align="center" valign="top">0.0013773</td>
</tr>
<tr>
<td align="left" valign="top">9991</td>
<td align="left" valign="top">PTBP3</td>
<td align="left" valign="top">Polypyrimidine tract binding protein 3</td>
<td align="center" valign="top">0.001458</td>
</tr>
<tr>
<td align="left" valign="top">79023</td>
<td align="left" valign="top">NUP37</td>
<td align="left" valign="top">Nucleoporin 37kDa</td>
<td align="center" valign="top">0.001458</td>
</tr>
<tr>
<td align="left" valign="top">64801</td>
<td align="left" valign="top">ARV1</td>
<td align="left" valign="top">ARV1 homolog, fatty acid homeostasis modulator</td>
<td align="center" valign="top">0.001458</td>
</tr>
<tr>
<td align="left" valign="top">3700</td>
<td align="left" valign="top">ITIH4</td>
<td align="left" valign="top">Inter-&#x03B1;-trypsin inhibitor heavy chain family, member 4</td>
<td align="center" valign="top">0.001458</td>
</tr>
<tr>
<td align="center" valign="top" colspan="4"><hr/></td>
</tr>
<tr>
<td align="left" valign="top" colspan="4">B, Downregulated DEGs</td>
</tr>
<tr>
<td align="center" valign="top" colspan="4"><hr/></td>
</tr>
<tr>
<td align="left" valign="top">Entrez gene ID</td>
<td align="center" valign="top">Abbreviation</td>
<td align="center" valign="top">Name</td>
<td align="center" valign="top">FDR</td>
</tr>
<tr>
<td align="center" valign="top" colspan="4"><hr/></td>
</tr>
<tr>
<td align="left" valign="top">387</td>
<td align="left" valign="top">RHOA</td>
<td align="left" valign="top">Ras homolog family member A</td>
<td align="center" valign="top">0.0004738</td>
</tr>
<tr>
<td align="left" valign="top">23256</td>
<td align="left" valign="top">SCFD1</td>
<td align="left" valign="top">Sec1 family domain containing 1</td>
<td align="center" valign="top">0.0013368</td>
</tr>
<tr>
<td align="left" valign="top">92241</td>
<td align="left" valign="top">RCSD1</td>
<td align="left" valign="top">RCSD domain containing 1</td>
<td align="center" valign="top">0.0014580</td>
</tr>
<tr>
<td align="left" valign="top">126364</td>
<td align="left" valign="top">LRRC25</td>
<td align="left" valign="top">Leucine rich repeat containing 25</td>
<td align="center" valign="top">0.0017804</td>
</tr>
<tr>
<td align="left" valign="top">5226</td>
<td align="left" valign="top">PGD</td>
<td align="left" valign="top">Phosphogluconate dehydrogenase</td>
<td align="center" valign="top">0.0026507</td>
</tr>
<tr>
<td align="left" valign="top">129531</td>
<td align="left" valign="top">MITD1</td>
<td align="left" valign="top">MIT, microtubule interacting and transport, domain containing 1</td>
<td align="center" valign="top">0.0027447</td>
</tr>
<tr>
<td align="left" valign="top">10023</td>
<td align="left" valign="top">FRAT1</td>
<td align="left" valign="top">Frequently rearranged in advanced T-cell lymphomas 1</td>
<td align="center" valign="top">0.0027447</td>
</tr>
<tr>
<td align="left" valign="top">8883</td>
<td align="left" valign="top">NAE1</td>
<td align="left" valign="top">NEDD8 activating enzyme E1 subunit 1</td>
<td align="center" valign="top">0.0028332</td>
</tr>
<tr>
<td align="left" valign="top">81631</td>
<td align="left" valign="top">MAP1LC3B</td>
<td align="left" valign="top">Microtubule-associated protein 1 light chain 3 &#x03B2;</td>
<td align="center" valign="top">0.0028998</td>
</tr>
<tr>
<td align="left" valign="top">4904</td>
<td align="left" valign="top">YBX1</td>
<td align="left" valign="top">Y box binding protein 1</td>
<td align="center" valign="top">0.0028998</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn2-etm-0-0-5173"><p>DEGs, differentially expressed genes; FDR, false discovery rate. Entrez database: <uri xlink:href="https://www.ncbi.nlm.nih.gov/gene">https://www.ncbi.nlm.nih.gov/gene</uri>.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tIII-etm-0-0-5173" position="float">
<label>Table III.</label>
<caption><p>Significantly enriched KEGG signaling pathways of the differentially expressed genes identified in multiple myeloma.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">KEGG ID</th>
<th align="center" valign="bottom">KEGG term</th>
<th align="center" valign="bottom">No. of enriched genes</th>
<th align="center" valign="bottom">FDR</th>
<th align="center" valign="bottom">Genes</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">hsa03010</td>
<td align="left" valign="top">Ribosome</td>
<td align="center" valign="top">13</td>
<td align="center" valign="top">2.25&#x00D7;10<sup>&#x2212;16</sup></td>
<td align="left" valign="top">RPS15A, RPS27A, RPS25, RPS13, RPL26,RPL39, RPL21, RPS29, RPS14, RPS27, RPL11, RPL27, RPS10</td>
</tr>
<tr>
<td align="left" valign="top">hsa00190</td>
<td align="left" valign="top">Oxidative phosphorylation</td>
<td align="center" valign="top">&#x00A0;&#x00A0;4</td>
<td align="center" valign="top">2.77&#x00D7;10<sup>&#x2212;02</sup></td>
<td align="left" valign="top">NDUFS4, ATP6V1A, ATP5I, ATP6V0C</td>
</tr>
<tr>
<td align="left" valign="top">hsa05100</td>
<td align="left" valign="top">Bacterial invasion of epithelial cells</td>
<td align="center" valign="top">&#x00A0;&#x00A0;3</td>
<td align="center" valign="top">2.86&#x00D7;10<sup>&#x2212;02</sup></td>
<td align="left" valign="top">CLTC, RHOA, CRKL</td>
</tr>
<tr>
<td align="left" valign="top">hsa04142</td>
<td align="left" valign="top">Lysosome</td>
<td align="center" valign="top">&#x00A0;&#x00A0;4</td>
<td align="center" valign="top">3.18&#x00D7;10<sup>&#x2212;02</sup></td>
<td align="left" valign="top">CLTC, PSAP, ATP6V0C, LAMP2</td>
</tr>
<tr>
<td align="left" valign="top">hsa04310</td>
<td align="left" valign="top">Wnt signaling pathway</td>
<td align="center" valign="top">&#x00A0;&#x00A0;4</td>
<td align="center" valign="top">3.43&#x00D7;10<sup>&#x2212;02</sup></td>
<td align="left" valign="top">SIAH1, RAC2, RHOA, FRAT1</td>
</tr>
<tr>
<td align="left" valign="top">hsa05152</td>
<td align="left" valign="top">Tuberculosis</td>
<td align="center" valign="top">&#x00A0;&#x00A0;4</td>
<td align="center" valign="top">3.85&#x00D7;10<sup>&#x2212;02</sup></td>
<td align="left" valign="top">APAF1, RHOA, ATP6V0C, LAMP2</td>
</tr>
<tr>
<td align="left" valign="top">hsa04966</td>
<td align="left" valign="top">Collecting duct acid secretion</td>
<td align="center" valign="top">&#x00A0;&#x00A0;2</td>
<td align="center" valign="top">4.07&#x00D7;10<sup>&#x2212;02</sup></td>
<td align="left" valign="top">ATP6V1A, ATP6V0C</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn3-etm-0-0-5173"><p>KEGG, Kyoto Encyclopedia of Genes and Genomes; FDR, false discovery rate.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tIV-etm-0-0-5173" position="float">
<label>Table IV.</label>
<caption><p>Overlapping genes that were associated with the development and progression of multiple myeloma, and were putative target genes of microRNA-19a (n=41).</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Gene abbreviation</th>
<th align="center" valign="bottom">Gene name</th>
<th align="center" valign="bottom">Count</th>
<th align="center" valign="bottom">P-value</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">CCND1</td>
<td align="left" valign="top">Cyclin D1</td>
<td align="center" valign="top">78</td>
<td align="center" valign="top">&#x003C;0.0001</td>
</tr>
<tr>
<td align="left" valign="top">CCNA2</td>
<td align="left" valign="top">Cyclin A2</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.2128</td>
</tr>
<tr>
<td align="left" valign="top">CCND2</td>
<td align="left" valign="top">Cyclin D2</td>
<td align="center" valign="top">16</td>
<td align="center" valign="top">&#x003C;0.0001</td>
</tr>
<tr>
<td align="left" valign="top">CD69</td>
<td align="left" valign="top">CD69 molecule</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.0818</td>
</tr>
<tr>
<td align="left" valign="top">CTGF</td>
<td align="left" valign="top">Connective tissue growth factor</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.2861</td>
</tr>
<tr>
<td align="left" valign="top">S1PR1</td>
<td align="left" valign="top">Sphingosine-1-phosphate receptor 1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.1044</td>
</tr>
<tr>
<td align="left" valign="top">EREG</td>
<td align="left" valign="top">Epiregulin</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.0388</td>
</tr>
<tr>
<td align="left" valign="top">ESR1</td>
<td align="left" valign="top">Estrogen receptor 1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;3</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.4207</td>
</tr>
<tr>
<td align="left" valign="top">F3</td>
<td align="left" valign="top">Coagulation factor III (thromboplastin, tissue factor)</td>
<td align="center" valign="top">&#x00A0;&#x00A0;2</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.0853</td>
</tr>
<tr>
<td align="left" valign="top">GJA1</td>
<td align="left" valign="top">Gap junction protein, &#x03B1; 1, 43kDa</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.2950</td>
</tr>
<tr>
<td align="left" valign="top">GRK6</td>
<td align="left" valign="top">G protein-coupled receptor kinase 6</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.0625</td>
</tr>
<tr>
<td align="left" valign="top">ID2</td>
<td align="left" valign="top">Inhibitor of DNA binding 2, dominant negative helix-loop-helix protein</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.1265</td>
</tr>
<tr>
<td align="left" valign="top">IL6ST</td>
<td align="left" valign="top">Interleukin 6 signal transducer (gp130, oncostatin M receptor)</td>
<td align="center" valign="top">&#x00A0;&#x00A0;2</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.0231</td>
</tr>
<tr>
<td align="left" valign="top">ITGA6</td>
<td align="left" valign="top">Integrin, &#x03B1; 6</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.1979</td>
</tr>
<tr>
<td align="left" valign="top">KIT</td>
<td align="left" valign="top">V-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog</td>
<td align="center" valign="top">10</td>
<td align="center" valign="top">&#x003C;0.0001</td>
</tr>
<tr>
<td align="left" valign="top">KRAS</td>
<td align="left" valign="top">V-Ki-ras2 Kirsten rat sarcoma viral oncogene homolog</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.5071</td>
</tr>
<tr>
<td align="left" valign="top">LIF</td>
<td align="left" valign="top">leukemia inhibitory factor (cholinergic differentiation factor)</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.1516</td>
</tr>
<tr>
<td align="left" valign="top">SMAD4</td>
<td align="left" valign="top">SMAD family member 4</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.3981</td>
</tr>
<tr>
<td align="left" valign="top">MDM4</td>
<td align="left" valign="top">Mdm4 p53 binding protein homolog (mouse)</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.1155</td>
</tr>
<tr>
<td align="left" valign="top">PTEN</td>
<td align="left" valign="top">Phosphatase and tensin homolog</td>
<td align="center" valign="top">&#x00A0;&#x00A0;5</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.0038</td>
</tr>
<tr>
<td align="left" valign="top">ATXN1</td>
<td align="left" valign="top">Ataxin 1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.1155</td>
</tr>
<tr>
<td align="left" valign="top">SDC1</td>
<td align="left" valign="top">Syndecan 1</td>
<td align="center" valign="top">46</td>
<td align="center" valign="top">&#x003C;0.0001</td>
</tr>
<tr>
<td align="left" valign="top">TGFBR2</td>
<td align="left" valign="top">Transforming growth factor, &#x03B2; receptor II (70/80kDa)</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.3081</td>
</tr>
<tr>
<td align="left" valign="top">THBS1</td>
<td align="left" valign="top">Thrombospondin 1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.3418</td>
</tr>
<tr>
<td align="left" valign="top">KLF10</td>
<td align="left" valign="top">Kruppel-like factor 10</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.0487</td>
</tr>
<tr>
<td align="left" valign="top">TNFAIP3</td>
<td align="left" valign="top">Tumor necrosis factor, &#x03B1;-induced protein 3</td>
<td align="center" valign="top">&#x00A0;&#x00A0;2</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.0064</td>
</tr>
<tr>
<td align="left" valign="top">SOCS1</td>
<td align="left" valign="top">Suppressor of cytokine signaling 1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;8</td>
<td align="center" valign="top">&#x003C;0.0001</td>
</tr>
<tr>
<td align="left" valign="top">SOCS3</td>
<td align="left" valign="top">Suppressor of cytokine signaling 3</td>
<td align="center" valign="top">&#x00A0;&#x00A0;3</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.0022</td>
</tr>
<tr>
<td align="left" valign="top">HDAC4</td>
<td align="left" valign="top">Histone deacetylase 4</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.1463</td>
</tr>
<tr>
<td align="left" valign="top">FOXP1</td>
<td align="left" valign="top">Forkhead box P1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;2</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.0016</td>
</tr>
<tr>
<td align="left" valign="top">MIB1</td>
<td align="left" valign="top">Mindbomb homolog 1 (<italic>Drosophila</italic>)</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.0267</td>
</tr>
<tr>
<td align="left" valign="top">PCDH10</td>
<td align="left" valign="top">Protocadherin 10</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.0226</td>
</tr>
<tr>
<td align="left" valign="top">CYLD</td>
<td align="left" valign="top">Cylindromatosis (turban tumor syndrome)</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.1007</td>
</tr>
<tr>
<td align="left" valign="top">PTK2B</td>
<td align="left" valign="top">PTK2B protein tyrosine kinase 2 &#x03B2;</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.2757</td>
</tr>
<tr>
<td align="left" valign="top">IGF1</td>
<td align="left" valign="top">Insulin-like growth factor 1 (somatomedin C)</td>
<td align="center" valign="top">14</td>
<td align="center" valign="top">&#x003C;0.0001</td>
</tr>
<tr>
<td align="left" valign="top">MAPK10</td>
<td align="left" valign="top">Mitogen-activated protein kinase 10</td>
<td align="center" valign="top">&#x00A0;&#x00A0;3</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.0001</td>
</tr>
<tr>
<td align="left" valign="top">RAF1</td>
<td align="left" valign="top">V-raf-1 murine leukemia viral oncogene homolog 1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.4154</td>
</tr>
<tr>
<td align="left" valign="top">SGK1</td>
<td align="left" valign="top">Serum/glucocorticoid regulated kinase 1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;2</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.0173</td>
</tr>
<tr>
<td align="left" valign="top">TSC1</td>
<td align="left" valign="top">Tuberous sclerosis 1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.1861</td>
</tr>
<tr>
<td align="left" valign="top">BCL2L11</td>
<td align="left" valign="top">BCL2-like 11 (apoptosis facilitator)</td>
<td align="center" valign="top">&#x00A0;&#x00A0;4</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.0002</td>
</tr>
<tr>
<td align="left" valign="top">TLR2</td>
<td align="left" valign="top">Toll-like receptor 2</td>
<td align="center" valign="top">&#x00A0;&#x00A0;1</td>
<td align="center" valign="top">&#x00A0;&#x00A0;0.5613</td>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</article>
