PMID- 27350898 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160628 LR - 20220330 IS - 2167-8359 (Print) IS - 2167-8359 (Electronic) IS - 2167-8359 (Linking) VI - 4 DP - 2016 TI - Integrated microRNA, gene expression and transcription factors signature in papillary thyroid cancer with lymph node metastasis. PG - e2119 LID - 10.7717/peerj.2119 [doi] LID - e2119 AB - Background. Papillary thyroid carcinoma (PTC) is the commonest thyroid malignancy originating from the follicle cells in the thyroid. Despite a good overall prognosis, certain high-risk cases as in those with lymph node metastasis (LNM) have progressive disease and poorer prognosis. MicroRNAs are a class of non-protein-coding, 19-24 nucleotides single-stranded RNAs which regulate gene expression and these molecules have been shown to play a role in LNM. The integrated analysis of miRNAs and gene expression profiles together with transcription factors (TFs) has been shown to improve the identification of functional miRNA-target gene-TF relationships, providing a more complete view of molecular events underlying metastasis process. Objectives. We reanalyzed The Cancer Genome Atlas (TCGA) datasets on PTC to identify differentially expressed miRNAs/genes in PTC patients with LNM-positive (LNM-P) versus lymph node negative (LNN) PTC patients and to investigate the miRNA-gene-TF regulatory circuit that regulate LNM in PTC. Results. PTC patients with LNM (PTC LNM-P) have a significantly shorter disease-free survival rate compared to PTC patients without LNM (PTC LNN) (Log-rank Mantel Cox test, p = 0.0049). We identified 181 significantly differentially expressed miRNAs in PTC LNM-P versus PTC LNN; 110 were upregulated and 71 were downregulated. The five topmost deregulated miRNAs were hsa-miR-146b, hsa-miR-375, hsa-miR-31, hsa-miR-7-2 and hsa-miR-204. In addition, 395 miRNAs were differentially expressed between PTC LNM-P and normal thyroid while 400 miRNAs were differentially expressed between PTC LNN and normal thyroid. We found four significant enrichment pathways potentially involved in metastasis to the lymph nodes, namely oxidative phosphorylation (OxPhos), cell adhesion molecules (CAMs), leukocyte transendothelial migration and cytokine-cytokine receptor interaction. OxPhos was the most significantly perturbed pathway (p = 4.70E-06) involving downregulation of 90 OxPhos-related genes. Significant interaction of hsa-miR-301b with HLF, HIF and REL/NFkB transcription factors were identified exclusively in PTC LNM-P versus PTC LNN. Conclusion. We found evidence of five miRNAs differentially expressed in PTC LNM-P. Alteration in OxPhos pathway could be the central event in metastasis to the lymph node in PTC. We postulate that hsa-miR-301b might be involved in regulating LNM in PTC via interactions with HLF, HIF and REL/NFkB. To the best of our knowledge, the roles of these TFs have been studied in PTC but the precise role of this miRNA with these TFs in LNM in PTC has not been investigated. FAU - Ab Mutalib, Nurul-Syakima AU - Ab Mutalib NS AD - UKM Medical Molecular Biology Institute, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia. FAU - Othman, Sri Noraima AU - Othman SN AD - UKM Medical Molecular Biology Institute, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia. FAU - Mohamad Yusof, Azliana AU - Mohamad Yusof A AD - UKM Medical Molecular Biology Institute, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia. FAU - Abdullah Suhaimi, Shahrun Niza AU - Abdullah Suhaimi SN AD - Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia. FAU - Muhammad, Rohaizak AU - Muhammad R AD - Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia. FAU - Jamal, Rahman AU - Jamal R AD - UKM Medical Molecular Biology Institute, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia. LA - eng PT - Journal Article DEP - 20160615 PL - United States TA - PeerJ JT - PeerJ JID - 101603425 PMC - PMC4918724 OTO - NOTNLM OT - Gene expression OT - Lymph node OT - MicroRNA OT - Papillary thyroid carcinoma COIS- The authors declare that there are no competing interests. EDAT- 2016/06/29 06:00 MHDA- 2016/06/29 06:01 PMCR- 2016/06/15 CRDT- 2016/06/29 06:00 PHST- 2015/11/25 00:00 [received] PHST- 2016/05/18 00:00 [accepted] PHST- 2016/06/29 06:00 [entrez] PHST- 2016/06/29 06:00 [pubmed] PHST- 2016/06/29 06:01 [medline] PHST- 2016/06/15 00:00 [pmc-release] AID - 2119 [pii] AID - 10.7717/peerj.2119 [doi] PST - epublish SO - PeerJ. 2016 Jun 15;4:e2119. doi: 10.7717/peerj.2119. eCollection 2016.