
DIFFERENTIALLY EXPRESSED CIRCULATING LONG-NONCODING RNAS IN PREMATURE INFANTS WITH RESPIRATORY DISTRESS SYNDROME Bao ZD, Wan J, Zhu W, Shen JX, Yang Y, Zhou XY *Corresponding Author: Dr. Yang Yang and Dr. Zhou Xiao‑Yu, E‑mail: yy860507@126.com (YY) and xyzhou161@163.com (XYZ), Tel:+ 86-25-83117362, Department of Neonatology, Children’s Hospital of Nanjing Medical University, Nanjing, Jiangsu 210008, P.R. China page: 11
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RESULTS
Clinical characteristics of the premature infants
(G1, G2 and G3)
This present study was comprised of 15 premature
infants in total, 5 cases without RDS for control (named as
Group 1, G1), 5 cases with mild RDS (named as Group 2,
G2) and 5 with severe RDS (named as Group 3, G3). The
recruitment procedures are shown in Figure 1, and clinical
characteristics of the infants are summarized in table 2.
There were no significant differences in gestational age,
birth weight, 5 min Apgar score, gender, mode of delivery,
twin pregnancy, mother of gestational diabetes, and
prenatal glucocorticoid (P>0.05).
Expression profile of lncRNAs and mRNAs
in three groups (G1, G2, and G3)
Affymetrix Human GeneChip was utilized to determine
the expression spectrum of lncRNAs. As a result, the
G1 vs. G2 comparison showed a total of 10112 differentially
expressed lncRNAs, while the G2 vs. G3 comparison
showed a total of 4663 differentially expressed lncRNAs.
Of them, 135 lncRNAs were indicated to be differentially
expressed among all three groups (G1, G2, and G3) after
fold‑change filtering (adjusted P value<0.05 and |log2-fold
change|>2). The information of the top 10 upregulated and
downregulated lncRNAs are listed in table 3. A hierarchical
clustering map is presented to distinguish lncRNA
expression profiles among the three groups. (Figure 2)
Construction of the lncRNA-mRNA co-expression
network (G1, G2, and G3)
Furthermore, differentially expressed mRNAs were compared
for target prediction. Of them, the comparison between
G1 and G2 showed a total of 2520 differentially expressed
mRNAs, while the comparison between G2 and G3 showed
a total of 530 mRNAs. The comparison of the three groups
showed a total of 616 differentially expressed mRNAs. The
lncRNA-mRNA co-expression network was constructed and
showed a complex interaction between lncRNAs and mRNAs.
Our analysis finally identified a total of 278 mRNAs closely
related to 108 upregulated lncRNAs and 27 downregulated
lncRNAs. These mRNAs with FC> 2 are shown in table 4.
GO and KEGG analysis
of lncRNAs and mRNAs
GO and KEGG analysis were further performed to annotate
the biological functions of differentially expressed
mRNAs. The GO analysis indicated that the mRNAs
co‑expressed with 108 upregulated lncRNAs were associated
with 247 GO terms. The top 25 enriched terms are
shown in Figures 3A and 3B.
Additionally, a KEGG pathway analysis was performed
to investigate the possible roles of the lncRNA‑associated
mRNA genes. The most significant pathways
enriched in the set of upregulated protein‑coding genes
included PI3 kinase/Akt (PI3K-Akt), RAS, and mitogenactivated
protein kinase (MAPK) signal pathways, while
the most significant KEGG pathways of the downregulated
protein‑coding genes were mainly related to metabolic
pathways, etc. The bubble diagrams of the top KEGG
pathways of mRNAs co‑expressed with upregulated and
downregulated lncRNAs are shown in Figure 3C and 3D.
Differentially expressed lncRNAs
verified by qRT-PCR
Following the screening, four lncRNAs including
ENST00000470527.1, ENST00000504497.1,
ENST00000417781.5, and ENST00000440408.5 were
further confirmed by qRT-PCR. Compared with G2 and
G1, the expression levels of these four lncRNAs were
increased in G3, which is consistent with the results of
RNA sequencing. The relative expression levels are shown
in Figure 4.
In-depth bioinformatics analysis of lncRNAs
showed all the four lncRNAs were involved in the
MAPK signaling pathway by down-regulating gene
GRB2 and MECOM. Moreover, ENST00000417781.5
and ENST00000440408.5 may regulate the MAPK signaling
pathway by down-regulating gene IGF2, while
ENST00000440408.5 and ENST00000504497.1 may
target the MAPK signaling pathway by up-regulating
gene EFNA1 and PLA2G4F, respectively. This study also
showed that the above four lncRNAs participate in PI3KAkt
and RAS signaling pathway by down-regulating GRB2,
while ENST00000417781.5 and ENST00000440408.5
could regulate PI3K-Akt pathway by down-regulating
IGF2 and up-regulating ITGB8 and TCL1B.
In addition, three of lncRNAs including ENST00000417781.5,
ENST00000470527.1, and ENST00000504497.1
could target the RAS signaling pathway
by up-regulating RASAL1, while ENST000004177, as
well as ENST00000440408.5 could regulate RAS pathway
by down-regulating IGF2. ENST00000440408.5 and
ENST00000504497.1 may be involved in the RAS signaling
pathway by up-regulating EFNA1 and PLA2G4F,
respectively. LncRNAs including ENST00000417781.5,
ENST00000470527.1, and ENST00000504497.1 could
participate in the TGF-β signaling pathway by promoting
gene expression of AMH and inhibiting TGIF2. In addition,
ENST00000470527.1 and ENST00000504497.1 could be
involved in the TGF-β pathway by up-regulating GDF7
and down-regulating GDF6, while ENST00000440408.5
may down-regulate FST to be involved in TGF-β pathway.
The pathway regulatory network of four validated
lncRNAs are shown in Figure 5.
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