Journal List > Clin Exp Otorhinolaryngol > v.8(4) > 1158193

Go, Park, Kwon, Seo, Chae, and Song: Microarray Analysis of Gene Expression Alteration in Human Middle Ear Epithelial Cells Induced by Asian Sand Dust

Abstract

Objectives

The primary aim of this study is to evaluate the gene expression profile of Asian sand dust (ASD)-treated human middle ear epithelial cell (HMEEC) using microarray analysis.

Methods

The HMEEC was treated with ASD (400 µg/mL) and total RNA was extracted for microarray analysis. Molecular pathways among differentially expressed genes were further analyzed. For selected genes, the changes in gene expression were confirmed by real-time polymerase chain reaction.

Results

A total of 1,274 genes were differentially expressed by ASD. Among them, 1,138 genes were 2 folds up-regulated, whereas 136 genes were 2 folds down-regulated. Up-regulated genes were mainly involved in cellular processes, including apoptosis, cell differentiation, and cell proliferation. Down-regulated genes affected cellular processes, including apoptosis, cell cycle, cell differentiation, and cell proliferation. The 10 genes including ADM, CCL5, EDN1, EGR1, FOS, GHRL, JUN, SOCS3, TNF, and TNFSF10 were identified as main modulators in up-regulated genes. A total of 11 genes including CSF3, DKK1, FOSL1, FST, TERT, MMP13, PTHLH, SPRY2, TGFBR2, THBS1, and TIMP1 acted as main components of pathway associated with 2-fold down regulated genes.

Conclusion

We identified the differentially expressed genes in ASD-treated HMEEC. Our work indicates that air pollutant like ASD, may play an important role in the pathogenesis of otitis media.

INTRODUCTION

Sand storms arise very common in desert area and in Asia, it occurs in Gobi Desert, the Taklimakan Desert and interior China. Asian sand dust (ASD) spreads neighboring area including East China, Korean Peninsula, and Japan [1]. ASD is composed of various chemical components such as Sulfate (SO42) and Nitrate (NO3-) derived from air pollutants and microbial agents, including bacteria, fungi, fungal spores, and viruses [2]. ASD is known to be related with enhancement of ovalbumin induced lung eosinophilia, chronic pulmonary injury [3], and rhinovirus replication in human nasal epithelial cells [4]. Therefore, hazardous effects of ASD on human health are becoming a serious concern in East Asia.
The otitis media (OM) is multifactorial disease and the causative agent includes a viral and bacterial infection, biofilm formation, congenital anomaly, and environmental factor, such as smoking, and air pollution [5].
The epidemiologic studies have investigated the relationship between ambient air pollution and OM in human populations. A study conducted in the Czech Republic showed that children living in areas with high concentrations of particulate matter (PM) and SO2 have significantly higher rates of OM compared with those in the control area [6]. Rover et al. [7] showed that the level of SO2 emission is one of the important risk factors of OM in many industrialized western countries. A large cohort study showed the close relationship between the prevalence of OM and air quality [8].
In our previous studies, we have shown that air pollutant such as urban particle, diesel exhaust particle and acrolein can induced inflammation and cause alteration of gene expression human middle ear epithelial cell (HMEEC) [910]. However, there is no study about the biological effect of ASD on middle ear epithelial cells.
The aim of this study is to evaluate the gene expression profile of ASD-treated HMEEC using microarray analysis.

MATERIALS AND METHODS

Preparation of ASD

ASD were collected on March 16, 2009 at outside the Gachon University building in Korea using a high volume air sampler (HV500F, Sibata, Tokyo, Japan) at a flow rate of 500 L/minute. These ASD were prefiltered to filter packs (prefilter AP, 124 mm; Millipore, Bedford, MA, USA) and then sieved on filter of 10-µm pore size after mixing with phosphate buffered saline in a 10-mL tube. The filtered ASD particles were sterilized in an autoclave at 121℃ for 15 minutes and determined their mass and then collected in a 1.5-mL tube. The filtered PM was stored at -20℃ until needed. The particle diameter of the samples (a total of 600 particles) was measured under a scanning electron microscope (JSM-5800 JEOL Ltd., Tokyo, Japan). The mean distribution peak of particle diameter in ASD was observed at 6 mm (Fig. 1). Chemical component of ASD particles were analyzed with X-ray fluorescence spectrometry (PHILIPS PW2404, PHILIPS Electronic Instruments, Amsterdam, the Netherlands) at Korea basic science institute.

Cell culture and reagents

HMEECs were maintained in a mixture of high glucose Dulbecco's modified Eagle's medium (Invitrogen, Carlsbad, CA, USA) and bronchial epithelial basal medium (Lonza, Walkersville, MD, USA) (1:1). The cells were maintained at subconfluence in a humidified atmosphere of 5% CO2 and 95% air at 37°C.
The cells were grown to 60% confluence in six-well culture plates. After starvation for 2 hours, medium was replaced to ASD containing medium and exposed to disperse ASD at a final concentration of 400 µg/mL for 24 hours. For the control group, ASD was not added.

Gene expression microarray

Total RNAs were extracted using Trizol reagent (Ambion, Carlsbab, CA, USA), and cDNA was synthesized by AccuPower reverse transcriptase premix (BIONEER, Daejeon, Korea). Three RNA samples were used for miRNA microarray analysis. The RNA samples were then labeled with Cyanine 3-CTP (Cy3) and Cyanine 5-CTP (Cy5) in an in vitro transcription reaction using a Low Input Quick Amp Labeling kit (Agilent Technologies, Santa Clara, CA, USA), in accordance with the manufacturer's protocol. Labeled cRNA was hybridized on Human GE 4×44K v2 microarray (ID G2519-026652, Agilent Technologies), followed by manual washing, according to the manufacturer's procedures. The array was scanned using the Agilent DNA MicroArray Scanner and probe signals were quantified using Agilent's Feature Extraction ver. 10.10.1.1 (Agilent Technologies). Normalized data were analyzed using Subio platform v1.16.4376 (Subio Inc., Kagoshima, Japan).

Pathway analysis

Molecular pathways, among the differentially expressed genes identified by the microarray, were dissected using Pathway Studio 9.0 (Ariadne Genomics, Rockville, MD, USA). This program used to facilitate integration of relevant information among the imported genes, consequently allowing identification of biological pathways, gene regulation networks and protein interaction maps.

Real-time reverse transcription polymerase chain reaction

Total RNA was extracted using Trizol according to the protocol of the manufacturer. Yield and purity was determined by spectro-photometry and total RNA was reverse transcribed to cDNA using PrimeScript 1st Strand cDNA Synthesis kit according to the manufacturer's instructions (TaKaRa Bio Inc., Kusatsu, Japan). The quantitation of mRNA expression was carried out using the ABI Prism 7300 real-time polymerase chain reaction (PCR) system (Applied Biosystems, Foster, CA, USA). The PCR amplification performed with a 20-µL final reaction mixture and PCR reaction mixture were incubated at 95℃ for 15 seconds and 60℃ for 1 minutes, followed by amplification for 45 cycles. The relative level of gene expressions were normalized to endogenous glyceraldehyde-3-phosphate dehydrogenase and target mRNA expression in the experimental groups were calculated, relative to the control group.
The genes and primers used for RT-PCR were as follows: MUC1 (mucin 1, cell surface associated), MUC4 (mucin 4, cell surface associated), TNF (tumor necrosis factor [TNF superfamily, member 2]), TNFSF14 (tumor necrosis factor [ligand] superfamily, member 14), CCL5 (chemokine [C-C motif] ligand 5), CCL20 (chemokine [C-C motif] ligand 20), CXCL10 (chemokine [C-X-C motif] ligand 10), JUN (jun oncogene), ANGPT1 (angiopoietin 1), and TIMP1 (TIMP metallopeptidase inhibitor 1) (Table 1).

Statistical analysis

Data were expressed as mean±SD. Paired comparisons were performed using the Mann-Whitney test in SPSS ver. 12.0 (SPSS Inc., Chicago, IL, USA). Differences were considered significant when P-values were <0.05. P-values less than 0.05 were considered significant.

RESULTS

The contents of elements in ASD

The most abundant component was 78.4% for SiO2 among the contents of elements in ASD. Other ASD components were 9.35% for Al2O3, 2.52% for K2O, 2.41% for Na2O, 2.06% for Fe2O3, 1.74% for CaO, respectively. MaO, TiO2, P2O5, and MnO composed less than 0.1% of the total (Table 2).

Modulation of biologic process following differentially expressed gene set in HMEECs exposed to ASD

We performed microarray analysis and depicted molecular pathway using Pathway Studio 9.0 to characterize the effects of ASD exposure to HMEEC. Microarray data assessed the number of genes that showed a fold change of >2 or <0.5 in each group compared with the control group. A total of 1,274 genes were differentially regulated after exposure of ASD. Among them, 1,138 genes were significantly up-regulated, whereas 136 genes were down-regulated. ASD exposure showed a prominent increase in the gene expression involved in signal transduction and regulation of metabolism pathway.
A total of 1,274 genes were classified in up-regulated genes and down-regulated genes, it represents biological network of genes in HMEECs exposed to ASD. Up-regulated genes were mainly involved in cellular processes, including cell proliferation, apoptosis, cell differentiation, cell growth, cell death (Fig. 2). Down-regulated genes affected several cellular processes, including cell cycle, cell proliferation, apoptosis and cell growth (Fig. 3). Gene ontology analysis of microarray data also showed the biological functions of the differentially expressed gene signature in HMEECs treated ASD (Fig. 4).

Identification of potential signaling networks and key mediators associated with exposure to ASD in HMEECs

We investigated signaling networks using Pathway Studio 9.0 to determine potential molecular signaling networks by ASD exposure. Pathway Studio 9.0 represented that relevant components in the putative signaling pathways were chosen and incorporated into the established networks, based on a number of reliable studies.
A total of 47 genes were identified as crucial components in our signaling networks data containing 2-fold up regulated genes (Table 3, Fig. 2). Among them, 10 genes including ADM, CCL5, EDN1, EGR1, FOS, GHRL, JUN, SOCS3, TNF, and TNFSF10 were discovered as the key mediator genes among the up-regulated genes altered by ASD exposure. These 10 genes are shown to be related to diverse biological processes, including cell proliferation, cell differentiation, apoptosis, cell growth and cell death and these cell processes might lead to neoplasm, inflammation, infection, cancer, and death (Fig. 2).
On the other hand, a total of 38 genes were revealed as key modulators in the signaling pathway associated with 2-fold down regulated genes (Table 4, Fig. 3). Among 38 down-regulated genes, 11 genes, CSF3, DKK1, FOSL1, FST, TERT, MMP13, PTHLH, SPRY2, TGFBR2, THBS1, and TIMP1, were identified as the main modulator genes. These down-regulated gene sets showed distinct molecular pathway related to cell differentiation, cell cycle, apoptosis, cell proliferation, cell growth, which can induce neoplasm, neoplasm metastasis, inflammation, cancer, death, wounds and injuries (Fig. 3).

Validation of gene expression by real-time RT-PCR

We conducted real-time RT-PCR to determine the expression pattern of the genes of interest. The real-time RT-PCR and was compared with the results of the microarray experiments, which showed similar pattern (Table 5, Fig. 5).

DISCUSSION

Recently, the environmental factor, such as air pollution and PM have been evaluated for hazardous effects on human health and most of these studies are elucidating the correlation between environmental factors and human disease [1]. In the present study, we focused on the effects of ASD on HMEECs to determine the relationship between ASD and the pathogenesis of OM in human.
ASD are mainly composed of various chemical components as well as biological materials such as bacterial, fungi and viruses. The composition of ASD mix can change during their long-range transport and it can cause numerous harmful health effect according to materials of ASD mix [11]. Recent studies reported that ASD exposure is associated with inflammatory reaction via cytokine production [12]. Also, it has been reported that acute and chronic pulmonary toxicity was induced by intratracheally instilled ASD [3]. However, specific molecular signaling network for ASD-induced toxic response in human middle ear epithelium is not investigated yet. We, therefore, analyzed gene expression profile using microarray to understand molecular mechanism between ASD and OM. Visualization of signaling pathways among differentially expressed genes enables to create their own pathways and understand complicated signaling network easily [13]. Additionally, Pathway Studio 9.0 was applied for investigation of molecular signaling network triggered by ASD in human cells.
A total of 1,274 genes were 2 folds differentially expressed by ASD exposure. Among them, 1,138 genes were 2 folds up-regulated, whereas 136 genes were 2 folds down-regulated. Our signaling network among 2-fold up-regulated genes suggested several cellular processes including apoptosis, cell death, cell differentiation, cell growth, and cell proliferation might be regulated by ASD exposure. Also, this cell processes may lead to cancer, death, inflammation, infection, and neoplasm. Our signaling network data suggested the key modulators based on integration of relevant information among imported genes, consequently al-lowing identification of biological pathways, gene regulation networks, and protein interaction maps. The 10 genes including ADM, CCL5, EDN1, EGR1, FOS, GHRL, JUN, SOCS3, TNF, and TNFSF10 were identified as main modulators in up-regulated genes. TNF family genes are a multifunctional proinflammatory cytokine. Regarding PM, few of studies have been reported recently. TNF-α production was enhanced by yellow sand dust exposure in RBL-2H3 cells [14]. Another study reported increase of TNF-α in bronchoalveolar lavage under ASD exposure [15]. Our data also showed up-regulation of TNF genes under ASD exposure, therefore, this gene can be a critical biomarker for ASD.
Yanagisawa et al. [16], examined the enhancement of inflammatory response-related genes in the murine lung by ASD using microarray analysis. Inflammation is a critical for OM, and uncontrolled inflammation in the middle ear can cause the development and progression of OM. In our data, inflammatory response-related genes including CCL5, CCL20, and CXCL10 are increased after exposure to ASD to HMEEC compared to the control group, indicating that ASD-induced inflammatory cytokines can affect to the development of OM. One of the key modulators in up-regulated genes, JUN gene, is known to be regulated by peptide growth factors, proinflammatory cytokines, oxidative and other forms of cellular stress with dimerization of AP-1 [17]. In our data, JUN was up-regulated by ASD, indicating that it may act as a main mediator to induce OM via regulation of inflammatory cytokines and oxidative stress in middle ear epithelial cells.
Mucins are known to play an important role for the protection and function of the underlying middle ear epithelium. In this study, MUC1 and MUC4 expression level were higher after ASD exposure. It can relate to mucous production for protection of epithelium by ASD. Wei et al. [18], reported interaction of MUC1 with p53 results in inhibition of p53-mediated apoptosis and cell cycle arrest. In our data, MUC1 was increased in HMEECs exposed ASD compared to the control group. It means that MUC1 may contribute to a defense mechanism to prevent cell death against ASD exposure.
Other genes, ADM, CCL5, EDN1, EGR1, FOS, GHRL, SOCS3, and TNFSF10, were firstly identified and suggested as responsible genes toward ASD exposure. Therefore, further studies are warranted for being reliable biomarker.
We also depicted molecular signaling network among 2-fold down-regulated genes. We found that 11 genes including CSF3, DKK1, FOSL1, FST, TERT, MMP13, PTHLH, SPRY2, TGFBR2, THBS1, and TIMP1 acted as main components of pathway as-sociated with apoptosis, cell cycle, cell growth, cell differentiation, and cell proliferation against ASD exposure. Among them, FOSL1 was significantly up-regulated against PM 2.5 in A549 cells [19]. Although our data showed down-regulation of FOSL1, this gene might be considered as a candidate ASD biomarker.
Telomerase reverse transcriptase (TERT) has been known to prevent of aging following multiple round of replication. Recent study demonstrated that TERT partially protect HSCs from reactive oxygen species-induced apoptosis via p38MAPK activation [20]. Expression of TERT was decreased compared to the control group in our present study. Therefore, down-regulation of TERT might affect reactive oxygen species-induced apoptosis and block cell survival in HMEECs after ASD exposure. In addition down-regulation of TIMP1 has been suggested as key modulator toward micro particle in HMEECs [10]. Similarly, our result showed down-regulated TIMP1 against ADS exposure. Hence, this gene can be candidates for potential biomarker. Newly identified genes, CSF3, DKK1, FST, TERT, MMP13, PTHLH, SPRY2, TGFBR2, and THBS1, might be suggested as significant modulators against ADS.
To compare with previous our study about micro particle in HMEECs, both PM and ASD showed similar gene expression profile in several cellular processes including apoptosis, cell differentiation, cell proliferation, and cell growth. However, ASD exposure markedly enhanced mucin genes and inflammatory response-related genes based on the 24-hour data. These results indicate that common and unique genes and signaling pathways affect biological effect on HMEECs according to different particle compositions between PM and ASD.

ACKNOWLEDGMENTS

This study was supported by the Korea Ministry of Environment as part of "The Environmental Health Action Program" (2012 001360002).

Notes

CONFLICT OF INTEREST: The first two authors contributed equally to this study.

References

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Fig. 1

Analysis of Asian sand dust (ASD) constitution. (A) Scanning electron microscopic photomicrograph of ASD particles. (B) Distribution peak of particle diameter in ASD.

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Fig. 2

Dissection of responsive molecular network of up-regulated genes induced by Asian sand dust. Magnified red circles indicate up-regulated genes in our microarray data; EGR1, CCL5, TNF, FOS, ADM, EDN1, TNFSF10, SOCS3, CCL11, MAP3K8, JUN, TGFB1, MAPK8, MAPK14, and GHRL.

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Fig. 3

Dissection of responsive molecular network of down-regulated genes induced by Asian sand dust. Magnified blue circles indicate down-regulated genes in our microarray data; FST, TERT, SPRY2, PTHLH, MMP13, DKK1, TGFBR2, CSF3, FOSL1, THBS1, MAPK1, MAPK1, SH202A, and TIMP1.

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Fig. 4

Biological processes involving genes that are altered in response to Asian sand dust exposure at human middle ear epithelial cells are shown in graph.

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Fig. 5

Quantitative reverse transcription polymerase chain reaction analysis of selected genes at 24 hours after exposure to Asian sand dust (ASD). The results are shown as means±SD. All data are determined P-value. P<0.05 vs. the control group.

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Table 1.

Sequences of primers used for real-time reverse transcription polymerase chain reaction

Gene name Forward primer sequence Reverse primer sequence Size (bp)
MUC1 CGCCGAAAGAACTACGGGCAGCTG CAAGTTGGCAGAAGTGGCTGCCAC 207
MUC4 CTTACTCTGGCCAACTCTGTAGTG GAGAAGTTGGGCTTGACTGTC 470
TNF GAGGCCAAGCCCTGGTATG CGGGCCGATTGATCTCAGC 91
TNFSF14 ATACAAGAGCGAAGGTCTCACG CTGAGTCTCCCATAACAGCGG 102
CCL5 CTGCTTTGCCTACATTGCCC TCGGGTGACAAAGACGACTG 103
CCL20 TGCTGTACCAAGAGTTTGCTC CGCACACAGACAACTTTTTCTTT 220
CXCL10 GTGGCATTCAAGGAGTACCTC TGATGGCCTTCGATTCTGGATT 198
JUN TCGACATGGAGTCCCAGGA GGCGATTCTCTCCAGCTTCC 100
ANG AGCGCCGAAGTCCAGAAAAC TACTCTCACGACAGTTGCCAT 108
TIMP1 AGAGTGTCTGCGGATACTTCC CCAACAGTGTAGGTCTTGGTG 169
TERT CAAGCTGTTTGCGGGGATTC AGTTCACCACTGTCTTCCGC 167
Table 2.

Elemental contents of Asian sand dust

Component Element fraction (wt%)
SiO2 78.4
Al2O3 9.35
K2O 2.52
Na2O 2.41
Fe2O3* 2.06
CaO 1.74
MgO 0.69
TiO2 0.29
P2O5 0.05
MnO 0.05
Loss on ignition 1.74

* Total Fe.

Table 3.

List of genes up-regulated 2 folds in human middle ear epithelial cell exposed to Asian sand dust

Gene symbol Gene name Fold change P-value
CCL11 chemokine (C-C motif) ligand 11 19.2 0.0070259
IGFBP3 insulin-like growth factor binding protein 3 12.3 1.15E-20
PROC protein C (inactivator of coagulation factorsVa andVIIIa) 6.3 0.0071087
NDRG1 N-myc downstream regulated 1 6.2 0.0069414
MUC4 mucin 4, cell surface associated 6.1 0.0229008
EGR1 early growth response 1 6.0 0.0070178
TEK TEK tyrosine kinase, endothelial 5.7 0.0258073
ANGPT1 angiopoietin 1 5.3 0.0126616
INPP5D inositol polyphosphate-5-phosphatase, 145kDa 5.3 0.0075098
ADM adrenomedullin 5.3 1.64E-19
COL2A1 collagen, type II, alpha 1 5.1 0.0438108
ALOX5 arachidonate 5-lipoxygenase 5.0 2.91E-10
IL1RN interleukin 1 receptor antagonist 4.9 0.0078352
MUC1 mucin 1, cell surface associated 4.8 0.0078951
ATF3 activating transcription factor 3 4.5 0.0082827
CCL5 chemokine (C-C motif) ligand 5 4.5 0.0084039
GHRL ghrelin/obestatin prepropeptide 4.4 6.90E-05
TNFSF14 tumor necrosis factor (ligand) superfamily, member 14 4.1 0.0095794
S100A8 S100 calcium binding protein A8 3.8 0.0017427
NGFR nerve growth factor receptor (TNFR superfamily, member 16) 3.5 0.0114835
TNFSF10 tumor necrosis factor (ligand) superfamily, member 10 3.4 0.010262
IL24 interleukin 24 3.3 0.0145976
FOSL2 FOS-like antigen 2 3.2 0.0111863
ESR1 estrogen receptor 1 3.1 2.03E-08
PDCD4 programmed cell death 4 (neoplastic transformation inhibitor) 3.1 0.0113895
CEBPA CCAAT/enhancer binding protein (C/EBP), alpha 3.0 0.0026859
CXCL10 chemokine (C-X-C motif) ligand 10 2.9 0.0137745
DPP4 dipeptidyl-peptidase 4 2.7 0.0146426
CTSD cathepsin D 2.7 0.0138585
FGFR3 fibroblast growth factor receptor 3 2.7 0.0067294
TNF tumor necrosis factor (TNF superfamily, member 2) 2.6 0.0211606
PTGS1 prostaglandin-endoperoxide synthase 1 (prostaglandin G/H synthase and cyclooxygenase) 2.6 0.014793
IL11 interleukin 11 2.5 0.0153152
EDN1 endothelin 1 2.4 0.0028692
JUN jun oncogene 2.3 0.0175072
CCL20 chemokine (C-C motif) ligand 20 2.3 0.0182421
TIMP2 TIMP metallopeptidase inhibitor 2 2.3 0.0175299
COL18A1 collagen, type XVIII, alpha 1 2.3 0.0181303
HSPB1 heat shock 27kDa protein 1 2.3 0.0181494
CLU clusterin 2.2 0.0193858
MAP3K8 mitogen-activated protein kinase kinase kinase 8 2.2 0.0198989
NOTCH1 Notch homolog 1, translocation-associated (Drosophila) 2.1 0.0036407
SOCS3 suppressor of cytokine signaling 3 2.1 0.0219293
TLR3 toll-like receptor 3 2.1 0.0222069
F2R coagulation factor II (thrombin) receptor 2.0 0.0255691
TP73 tumor protein p73 2.0 0.0336533
CSF1R colony stimulating factor 1 receptor 2.0 0.002476
Table 4.

List of genes down-regulated 2 folds in human middle ear epithelial cell exposed to Asian sand dust

Gene symbol Gene name Fold change P-value
TGFBR2 transforming growth factor, beta receptor II (70/80kDa) 0.5 0.0420199
SPRY1 sprouty homolog 1, antagonist of FGF signaling (Drosophila) 0.5 0.049248
NEFH neurofilament, heavy polypeptide 0.5 0.0393223
GRB14 growth factor receptor-bound protein 14 0.5 0.0385258
RUNX1 runt-related transcription factor 1 0.5 0.0407238
TNFRSF10A tumor necrosis factor receptor superfamily, member 10a 0.5 0.0451189
ADAM19 ADAM metallopeptidase domain 19 (meltrin beta) 0.5 0.0433274
SNAI1 snail homolog 1 (Drosophila) 0.5 0.0388442
SSH1 slingshot homolog 1 (Drosophila) 0.5 0.041561
FKBP4 FK506 binding protein 4, 59kDa 0.5 0.0392789
IFRD1 interferon-related developmental regulator 1 0.5 0.0396027
NT5E 5'-nucleotidase, ecto (CD73) 0.5 0.0408103
HMGA2 high mobility group AT-hook 2 0.4 0.0382585
WNT5B wingless-type MMTV integration site family, member 5B 0.4 0.0402535
SERPINE2 serpin peptidase inhibitor, clade E (nexin, plasminogen activator inhibitor type 1), member 2 0.4 0.0396555
FUT4 fucosyltransferase 4 (alpha (1,3) fucosyltransferase, myeloid-specific) 0.4 0.0438824
TNFRSF8 tumor necrosis factor receptor superfamily, member 8 0.4 0.0383572
ESX1 ESX homeobox 1 0.4 0.0409304
NF2 neurofibromin 2 (merlin) 0.4 0.0382844
SPRY2 sprouty homolog 2 (Drosophila) 0.4 0.0420374
PLCB2 phospholipase C, beta 2 0.4 0.0392296
FOSL1 FOS-like antigen 1 0.4 0.0382001
LHX1 LIM homeobox 1 0.4 0.0486411
TERT telomerase reverse transcriptase 0.4 0.033238
SPRED1 sprouty-related, EVH1 domain containing 1 0.4 0.0416513
PTHLH parathyroid hormone-like hormone 0.4 0.0402907
WWTR1 WW domain containing transcription regulator 1 0.4 0.0382663
THBS1 thrombospondin 1 0.4 0.0395504
SLC8A1 solute carrier family 8 (sodium/calcium exchanger), member 1 0.4 0.0447106
TIMP1 TIMP metallopeptidase inhibitor 1 0.4 0.0389436
PHLDA1 pleckstrin homology-like domain, family A, member 1 0.4 0.0477989
FST follistatin 0.4 0.0347311
IL23A interleukin 23, alpha subunit p19 0.3 0.0403809
DUSP6 dual specificity phosphatase 6 0.3 0.0443029
DKK1 dickkopf homolog 1 (Xenopus laevis) 0.3 0.0434405
MMP1 matrix metallopeptidase 1 (interstitial collagenase) 0.3 0.0266174
DCBLD2 discoidin, CUB and LCCL domain containing 2 0.3 0.0466419
CSF3 colony stimulating factor 3 (granulocyte) 0.2 0.0483729
Table 5.

Quantification of gene expression using real-time reverse transcription polymerase chain reaction (RT-PCR)

Gene symbol Gene name Fold change
Quantitative RT-PCR Microarray
MUC1 mucin 1, cell surface associated 3.9 4.8
MUC4 mucin 4, cell surface associated 5.7 6.1
TNF tumor necrosis factor (TNF superfamily, member 2) 2.2 2.6
TNFSF14 tumor necrosis factor (ligand) superfamily, member 14 3.0 4.1
CCL5 chemokine (C-C motif) ligand 5 4.7 4.5
CCL20 chemokine (C-C motif) ligand 20 3.0 2.3
JUN jun oncogene 2.8 2.3
ANG angiopoietin 1 4.7 5.3
TIMP1 TIMP metallopeptidase inhibitor 1 0.4 0.4
TERT telomerase reverse transcriptase 0.2 0.4
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