Abstract
DNA ligase (LIG) plays a key role in connecting the 3′-OH end of a DNA strand to the 5′-P end of another DNA strand, resulting in the formation of a phosphodiester bond. It has been reported that LIGs (including LIG1, LIG3 and LIG4) play important roles in the occurrence and progression of many cancers. However, the role of LIGs in breast cancer (BC) is still unclear. In this study, we aim to reveal the expression level, function, and prognostic value of LIGs in BC. Bioinformatic tools were used to study the expression level, potential function and prognostic value of LIG1 and LIG3 in BC patients. ENCORI was used to predict microRNAs (miRNAs) that regulate LIG1 and LIG3 and established a valuable miRNA–mRNA regulation network for BC. We found that the expression of LIG1 and LIG3 was upregulated in BC and predicted high relapse-free survival (RFS) in BC patients. Functional annotation analysis was performed to reveal the role of LIG1 and LIG3 in BC. In addition, hsa-miR-22-3p was identified to be potentially involved in the regulation of LIG3. We suggest that LIG1 and LIG3 are novel valuable prognostic biomarkers for BC and has-miRNA-22-3p may be a potential therapeutic target for BC.
1 Introduction
Worldwide, the most important cause of women’s premature death is BC [1]. Epidemiological reports released around the world from 1990 to 2017 showed that prevalence and mortality were significantly increased in BC, especially in developing countries and low-income areas. Although mortality has decreased slightly in developed countries, it will continue to increase in the next few years [2,3]. Statistics from the American Cancer Society on female BC showed that the incidence of BC increased slightly by 0.3% annually from 2012 to 2016 [4]. At present, the combination of surgical chemotherapy and radiotherapy is the most commonly used strategy for the therapy of BC patients. In addition, the individualized treatment strategy is also under exploration.
The LIG protein family is found to be the main component of DNA ligases. It participates in some processes, such as DNA replication, and also interacts with multiple components in the body contributing to the DNA damage repair [5,6,7]. LIGs are involved in a number of physiological processes in cells. LIG1 connects Okazaki fragments and participates in nucleotide resection, alkaline resection and repair processes under the interaction of value-added cell nuclear antigens. It also can interact with DNA polymerase-β to participate in other alkaline resection and repair processes. LIG2 is derived from LIG3 through a proteolytic mechanism. LIG3 can be divided into two forms by different splicing methods, including LIG3-α and LIG3-β. LIG3-α participates in the repair process of nucleic acid through DNA repair protein named XRCC1, and LIG3-β is found in male germ cells. LIG4 plays an important role in the V(D)J recombination of DNA double-strand break and the connection of non-comorphic ends [5,8].
It has been reported that the expression level of DNA ligase is dysregulated in various cancer cell lines and has been identified as a marker for DNA damage repair in cancer. The potential value of DNA ligase as an anti-cancer target is gradually being recognized [8,9,10]. Although it has been reported that DNA ligase plays important roles in cancer, the systematic role of LIGs in BC is still not clear.
In this study, the bioinformatics analysis of LIGs in BC was performed, including the mRNA expression analysis, protein–protein interaction (PPI) network analysis, functional annotation enrichment analysis, survival analysis and a miRNA-LIG3 regulation network analysis. We observed that LIG1 and LIG3 were overexpressed in BC and predicted a good prognosis in BC patients. Furthermore, has-miRNA-22-3p was identified to be potentially involved in regulating LIG3. Thus, our research indicates that LIG1 and LIG3 may be novel prognostic and predictive biomarkers for BC.
2 Materials and methods
2.1 Oncomine analysis
Oncomine [11] (https://www.oncomine.org/resource/login.html) was used to analyze the expression of the LIG protein family in various cancers. Red cells indicated that the LIGs genes were significantly upregulated, while the blue cells indicated that the LIGs genes were significantly downregulated (p value: 0.01; fold change: 2; and the rank was set to Top 10%).
2.2 CCLE analysis
Cancer Cell Line Encyclopedia [12] (CCLE, https://portals.broadinstitute.org/ccle) is a public online database containing data from cancer patients’ cell lines, which can be used for genomic data research. The mRNA expression levels of LIG1 and LIG3 in different cancer cell lines were detected using CCLE.
2.3 GEPIA analysis
Gene Expression Profiling Interactive Analysis [13] (GEPIA, http://gepia.cancerpku.cn/) includes analysis of single gene, cancer type and multiple genes. Using GEPIA, we analyzed the expression levels and correlation between LIG1 and LIG3 in BC tissues.
2.4 UALCAN analysis
UALCAN [14] (http://ualcan.path.uab.edu/analysis.html) is a useful and valuable web for analyzing various cancer data. We analyzed clinicopathological characteristics of BC patients through eight groups, including patients’ age, race, gender, cancer stages, subtype, TP53 mutation status, menopause status and nodal metastasis status.
2.5 Survival analysis
Using the Kaplan–Meier plotter [15] (http://kmplot.com/analysis/), we observed the survival plots for the LIG1 and LIG3 expression related to relapse-free survival based on logrank p value and hazard ratio (HR). The p value and HR with a 95% confidence interval are shown in the plots.
2.6 cBioPortal analysis
The cBioPortal [16] (https://www.cbioportal.org) data are derived from TCGA, ICGC, GEO and other databases. We showed genomic data and alterations of LIG1 and LIG3 based on the cBioPortal database.
2.7 Protein–protein interaction network analysis
STRING [17] (https://string-db.org/) database collects and sorts out interaction proteins related to target genes to predict the relationship between proteins. We established PPI networks of LIG1 and LIG3.
2.8 Functional annotation enrichment analysis
DAVID [18] (https://david.ncifcrf.gov/) database can help us identify rich biological entries, especially GO terms and conduct functional enrichment analysis of target genes. Functional annotation enrichment analysis predicted potential roles for genes that actively interacted with LIG1 and LIG3.
2.9 ENCORI analysis
ENCORI [19] (http://starbase.sysu.edu.cn/) is a platform for researching the data of miRNA, mRNA, ncRNA, ncRNA, etc. In our study, the expression and prognostic value of miRNA-regulated LIG1 and LIG3 in breast cancer were predicted by ENCORI. The searching options used in this research were as follows: CLIP Data, medium stringency (≥2); Degradome Data, with or without data; Pan-Cancer, 1 Cancer type.
2.10 Statistical analysis
The mRNA expression level of LIGs between BC and normal samples was detected to reveal the statistical difference by Student’s t-tests. Survival curves of various subtypes in BC patients with different expression levels of LIG1 and LIG3 were drafted based on the Log-rank test and hazard ratio (HR) by the Kaplan–Meier plotter. p < 0.05 was considered to be statistically significant.
3 Results
3.1 Transcription level of LIGs in BC
Currently, the role of LIG family in BC is unclear. In order to identify whether LIGs participated in the occurrence and progression of BC, the Oncomine database was used to analyze the expression of LIGs in BC and normal tissue samples. As shown in Figure 1a, the Oncomine analysis contained a total of 455 unique analyses of LIG1, 451 unique analyses of LIG3 and 460 unique analyses of LIG4. Compared with normal samples, the mRNA expression of LIG1, LIG3 and LIG4 in BC was detected. The expression level of LIG1 was significantly higher in TCGA (p value = 0.002, fold change = 2.205) and Gluck breast (p value = 0.015, fold change = 2.349) [20] datasets compared with normal samples (Figure 1b). LIG3 was overexpressed in TCGA (p value = 4.36 × 10−21, fold change = 2.210) and Gluck breast (p value = 2.14 × 10−7, fold change = 2.075) datasets campared with normal samples (Figure 1c). However, no dataset showed upregulated mRNA expression of LIG4 in BC (Figure 1d).

Transcription level of LIGs in different types of cancers. (a) The graph showed the number of relevant datasets that meet the analysis requirements and threshold requirements in each cancer. The transcription level of (b) LIG1 and (c) LIG3 were significantly increased in TCGA and Gluck breast datasets campared with normal samples, but not (d) LIG4.
3.2 High expression of LIG1 and LIG3 in BC
To confirm the upregulation of LIG1 and LIG3 in BC, Cancer Cell Line Encyclopedia (CCLE) analysis was performed to detect the mRNA expression levels of LIG1 and LIG3 in different types of cancer cell lines. As shown in Figure 2a, we found the overexpressed transcription level of LIG1 and LIG3 in BC cell lines. Furthermore, Gene Expression Profiling Interactive Analysis (GEPIA) showed that the mRNA expression level of LIG1 and LIG3 was higher in BC than in normal tissues (Figure 2b). In addition, using the UALCAN database, we analyzed the relationship between the high expression of LIG1 and LIG3 in BC with different clinicopathological characteristics. As shown in Figure 2c, the upregulated expression of LIG1 and LIG3 in BC compared with normal samples significantly related to age, gender, race, cancer stages, nodal metastasis status, subtype, TP53 mutation status and menopause status.

The LIG1 and LIG3 expression levels were upregulated in BC. The expression levels of LIG1 and LIG3 in BC were higher than normal samples based on three aspects, including (a) the mRNA transcription level in BC cell lines (CCLE), (b) the LIG1 and LIG3 expression in BC tissues compared with normal samples (GEPIA), (c) clinicopathological characteristics are shown based on UALCAN (eight groups: age, gender, race, cancer stages, nodal metastasis status, subtype, TP53 mutation status and menopause status). *p < 0.05; **p < 0.01; and ***p < 0.001.
The above results indicate that the upregulated expression of LIG1 and LIG3 may be closely related to the biological characteristics of malignant BC.
3.3 Upregulated mRNA expression of LIG1 and LIG3 predicted a good prognosis in patients with BC
Using the Kaplan–Meier plotter, the relationship of LIG1 and LIG3 expression with relapse-free survival (RFS) in patients with BC was analyzed. High expression of LIG1 was significantly related to longer RFS of all BC patients (HR = 0.57, p < 1 × 10−16, Figure 3a). Analysis of different subgroups of BC patients indicated that the high expression of LIG1 was closely related to estrogen receptor-positive (ER-positive) (HR = 0.61, p = 5 × 10−9, Figure 3b), progesterone receptor-positive (PR-positive) (HR = 0.64, p = 0.014, Figure 3d), human epidermal growth factor receptor 2-negative (Her2-negative) (HR = 0.48, p = 6.1 × 10−8, Figure 3g), basal (HR = 0.75, p = 0.028, Figure 3h), luminal A (HR = 0.63, p = 1.2 × 10−7, Figure 3i), luminal B (HR = 0.74, p = 0.0024, Figure 3j), lymph node-positive (HR = 0.58, p = 6.3 × 10−8, Figure 3k) and lymph node-negative (HR = 0.57, p = 6.3 × 10−11, Figure 3l). However, the overexpression of LIG1 was not significantly related to some BC subgroups, such as estrogen receptor-negative (ER-negative) (HR = 1.12, p = 0.32, Figure 3c), progesterone receptor-negative (PR-negative) (HR = 1.04, p = 0.81, Figure 3e) and human epidermal growth factor receptor 2-positive (Her2-positive) (HR = 1.17, p = 0.47, Figure 3f).

Analysis of the prognostic value of LIG1 in BC. The correlation of LIG1 expression with relapse free survival was analyzed by the Kaplan–Meier plotter in (a) all patients with breast cancer, and various subtypes of BC, including (b) ER-positive, (c) ER-negative, (d) PR-positive, (e) PR-negative, (f) Her2-positive, (g) Her2-negative, (h) basal-like, (i) luminal A, (j) luminal B, and (k) lymphnode-positive and (l) lymphnode-negative.
The high expression of LIG3 was closely related to longer RFS of all BC patients (HR = 0.84, p = 0.0016, Figure 4a) and was also associated with some subgroups of BC, including ER-negative (HR = 0.79, p = 0.042, Figure 4c), Her2-negative (HR = 0.85, p = 0.006, Figure 4g) and luminal A (HR = 0.82, p = 0.02, Figure 4i), but not significantly related to other subgroups, such as ER-positive (HR = 0.92, p = 0.29, Figure 4b), PR-positive (HR = 0.88, p = 0.38, Figure 4d), Her2-positive (HR = 0.85, p = 0.2, Figure 4f), basal (HR = 0.81, p = 0.07, Figure 4h), luminal B (HR = 0.94, p = 0.5, Figure 4j), lymphnode-negative (HR = 0.89, p = 0.18, Figure 4k) and lymphnode-negative (HR = 0.89, p = 0.18, Figure 4l). However, high LIG3 expression was related to shorter RFS in PR-negative subtype BC patients (HR = 1.29, p = 0.029, Figure 4e).

Analysis of the prognostic value of LIG3 in BC. The correlation of LIG3 expression with relapse free survival was analyzed by the Kaplan–Meier plotter in (a) all patients with breast cancer, and various subtypes of BC, including (b) ER-positive, (c) ER-negative, (d) PR-positive, (e) PR-negative, (f) Her2-positive, (g) Her2-negative, (h) basal-like, (i) luminal A, (j) luminal B, (k) lymphnode-positive and (l) lymph node-negative.
3.4 Alterations of LIG1 and LIG3 in BC patients, protein–protein interaction networks and functional annotation enrichment analysis
Based on the results of the significant high expression level and prognostic value described above, both LIG1 and LIG3 were selected for further analysis.
Using cBioPortal, a breast-invasive carcinoma dataset was used to analyze LIG1 and LIG3 alterations, including mutations, putative copy-number alterations from GISTIC and mRNA expression z-scores relative to diploid samples (RNA Seq V2 RSEM). LIG1 and LIG3 were altered in 198 samples of 1,084 patients with BC (19%) (Figure 5a) and they were mainly high mRNA expression in BC. We also detected the correlation between LIG1 and LIG3 by analyzing their mRNA expressions in BC based on GEPIA database (Pearson’s correction was included). As shown in Figure 5b, there was no significant correlation between LIG1 and LIG3. Next, we constructed protein–protein interaction networks for LIG1 and LIG3 with the 50 most frequently interacted genes (Figure 5c).

Alterations of LIG1 and LIG3 in BC patients and the protein–protein interaction network. (a) Alterations of LIG1 and LIG3 in BC (cBioportal). (b) No significant correction between LIG1 and LIG3 in BC (GEPIA). (c) Protein–protein interaction networks for LIG1 and LIG3 with the 50 most frequently interacted genes.
Furthermore, the functions of LIG1 and LIG3 and their interaction genes significantly related to LIG1 and LIG3 were predicted by the analysis of gene ontology (GO) based on the Database for Annotation, Visualization and Integrated Discovery (DAVID) database. As shown in Tables 1 and 2, GO enrichment analysis was performed to predict the roles of target host genes based on three aspects, including biological process (BP), cellular component (CC) and (molecular function) MF. LIG1 and LIG3 were associated with some important BPs, such as nucleotide-excision repair and DNA replication.
Functional annotation enrichment analysis of LIG1 and their interaction genes performed with the DAVID database
GO term | Count | p value | FDR | |
---|---|---|---|---|
GO:0006283 (transcription-coupled nucleotide-excision repair) | 33 | 9.46 × 10−67 | 2.10 × 10−64 | |
GO:0006296 (nucleotide-excision repair, DNA incision, 5′-to lesion) | 23 | 5.78 × 10−49 | 6.41 × 10−47 | |
GO:0033683 (nucleotide-excision repair, DNA incision) | 23 | 1.37 × 10−48 | 1.01 × 10−46 | |
GO:0006260 (DNA replication) | 28 | 4.45 × 10−43 | 2.47 × 10−41 | |
BP | GO:0000722 (telomere maintenance via recombination) | 19 | 3.04 × 10−39 | 1.35 × 10−37 |
GO:0006297 (nucleotide-excision repair, DNA gap filling) | 17 | 1.28 × 10−36 | 4.73 × 10−35 | |
GO:0042769 (DNA damage response, detection of DNA damage) | 16 | 4.65 × 10−30 | 1.47 × 10−28 | |
GO:0006294 (nucleotide-excision repair, preincision complex assembly) | 15 | 3.14 × 10−29 | 8.71 × 10−28 | |
GO:0019985 (translesion synthesis) | 14 | 4.28 × 10−25 | 1.06 × 10−23 | |
GO:0006293 (nucleotide-excision repair, preincision complex stabilization) | 12 | 1.34 × 10−23 | 2.98 × 10−22 | |
GO:0005654 (nucleoplasm) | 49 | 4.26 × 10−37 | 2.86 × 10−35 | |
GO:0005675 (holo TFIIH complex) | 8 | 2.47 × 10−16 | 8.27 × 10−15 | |
GO:0000784 (nuclear chromosome, telomeric region) | 13 | 9.79 × 10−16 | 2.19 × 10−14 | |
GO:0005663 (DNA replication factor C complex) | 6 | 7.58 × 10−13 | 1.27 × 10−11 | |
CC | GO:0000439 (core TFIIH complex) | 6 | 1.58 × 10−11 | 2.12 × 10−10 |
GO:0031390 (Ctf18 RFC-like complex) | 5 | 3.48 × 10−9 | 3.89 × 10−8 | |
GO:0005634 (nucleus) | 36 | 4.66 × 10−9 | 4.46 × 10−8 | |
GO:0042555 (MCM complex) | 5 | 6.25 × 10−9 | 5.24 × 10−8 | |
GO:0005669 (transcription factor TFIID complex) | 6 | 4.48 × 10−8 | 3.33 × 10−7 | |
GO:0043625 (delta DNA polymerase complex) | 4 | 7.76 × 10−8 | 5.20 × 10−7 | |
GO:0003684 (damaged DNA binding) | 14 | 2.30 × 10−21 | 2.44 × 10−19 | |
GO:0003677 (DNA binding) | 31 | 3.71 × 10−18 | 1.97 × 10−16 | |
GO:0003887 (DNA-directed DNA polymerase activity) | 10 | 7.81 × 10−17 | 2.76 × 10−15 | |
GO:0008353 (RNA polymerase II carboxy-terminal domain kinase activity) | 8 | 1.44 × 10−14 | 3.82 × 10−13 | |
MF | GO:0008094 (DNA-dependent ATPase activity) | 9 | 3.28 × 10−14 | 6.95 × 10−13 |
GO:0003689 (DNA clamp loader activity) | 6 | 1.03 × 10−11 | 1.82 × 10−10 | |
GO:0043142 (single-stranded DNA-dependent ATPase activity) | 6 | 4.62 × 10−11 | 7.00 × 10−10 | |
GO:0003678 (DNA helicase activity) | 7 | 6.40 × 10−11 | 8.48 × 10−10 | |
GO:0005515 (protein binding) | 47 | 1.14 × 10−09 | 1.35 × 10−8 | |
GO:0004003 (ATP-dependent DNA helicase activity) | 5 | 2.30 × 10−6 | 2.44 × 10−5 | |
hsa03420:nucleotide excision repair | 30 | 1.37 × 10−56 | 5.20 × 10−55 | |
hsa03030:DNA replication | 25 | 2.33 × 10−47 | 4.43 × 10−46 | |
hsa03430:mismatch repair | 16 | 5.93 × 10−29 | 7.51 × 10−28 | |
hsa03410:base excision repair | 12 | 4.34 × 10−17 | 4.12 × 10−16 | |
Path | hsa03022:basal transcription factors | 9 | 3.14 × 10−10 | 2.39 × 10−9 |
ways | hsa03440:homologous recombination | 7 | 2.36 × 10−8 | 1.49 × 10−7 |
hsa04110:cell cycle | 10 | 7.70 × 10−8 | 4.18 × 10−7 | |
hsa00240:pyrimidine metabolism | 8 | 3.43 × 10−6 | 1.63 × 10−5 | |
hsa05166:HTLV-I infection | 10 | 3.06 × 10−5 | 1.29 × 10−4 | |
hsa00230:purine metabolism | 8 | 1.27 × 10−4 | 4.83 × 10−4 | |
hsa03460:Fanconi anemia pathway | 4 | 0.004878 | 0.01685056 | |
hsa05203:viral carcinogenesis | 6 | 0.010385 | 0.03288545 | |
hsa04120:ubiquitin-mediated proteolysis | 5 | 0.011929 | 0.03486920 |
Functional annotation enrichment analysis of LIG3 and their interaction genes performed with the DAVID database
GO term | Count | p value | FDR | |
---|---|---|---|---|
GO:0006283∼transcription-coupled nucleotide-excision repair | 38 | 1.05 × 10−81 | 2.77 × 10−79 | |
GO:0006296∼nucleotide-excision repair, DNA incision, 5′-to lesion | 25 | 5.51 × 10−55 | 7.25 × 10−53 | |
GO:0033683∼nucleotide-excision repair, DNA incision | 25 | 1.49 × 10−54 | 1.31 × 10−52 | |
GO:0006297∼nucleotide-excision repair, DNA gap filling | 20 | 5.16 × 10−46 | 3.39 × 10−44 | |
BP | GO:0042769∼DNA damage response, detection of DNA damage | 20 | 1.02 × 10−40 | 5.37 × 10−39 |
GO:0006294∼nucleotide-excision repair, preincision complex assembly | 18 | 1.76 × 10−37 | 7.72 × 10−36 | |
GO:0000722∼telomere maintenance via recombination | 16 | 4.76 × 10−31 | 1.79 × 10−29 | |
GO:0019985∼translesion synthesis | 16 | 4.65 × 10−30 | 1.52 × 10−28 | |
GO:0042276∼error-prone translesion synthesis | 14 | 5.21 × 10−30 | 1.52 × 10−28 | |
GO:0006260∼DNA replication | 20 | 1.03 × 10−26 | 2.71 × 10−25 | |
GO:0005654∼nucleoplasm | 50 | 7.26 × 10−41 | 5.30 × 10−39 | |
GO:0005675∼holo TFIIH complex | 7 | 1.26 × 10−13 | 4.59 × 10−12 | |
GO:0005663∼DNA replication factor C complex | 6 | 6.82 × 10−13 | 1.66 × 10−11 | |
GO:0000784∼nuclear chromosome, telomeric region | 9 | 1.90 × 10−9 | 2.86 × 10−8 | |
CC | GO:0005634∼nucleus | 36 | 1.96 × 10−9 | 2.86 × 10−8 |
GO:0000439∼core TFIIH complex | 5 | 5.75 × 10−9 | 7.00 × 10−8 | |
GO:0031390∼Ctf18 RFC-like complex | 4 | 1.01 × 10−6 | 1.06 × 10−5 | |
GO:0031464∼Cul4A-RING E3 ubiquitin ligase complex | 4 | 2.16 × 10−6 | 1.97 × 10−5 | |
GO:0005662∼DNA replication factor A complex | 4 | 8.12 × 10−6 | 6.59 × 10−5 | |
GO:0043625∼delta DNA polymerase complex | 3 | 4.23 × 10−5 | 3.09 × 10−4 | |
GO:0003684∼damaged DNA binding | 19 | 1.44 × 10−32 | 1.56 × 10−30 | |
GO:0008353∼RNA polymerase II carboxy-terminal domain kinase activity | 7 | 3.41 × 10−12 | 1.28 × 10−10 | |
GO:0008094∼DNA-dependent ATPase activity | 8 | 3.54 × 10−12 | 1.28 × 10−10 | |
GO:0003887∼DNA-directed DNA polymerase activity | 7 | 1.97 × 10−10 | 5.36 × 10−9 | |
MF | GO:0003677∼DNA binding | 23 | 2.57 × 10−10 | 5.61 × 10−9 |
GO:0003689∼DNA clamp loader activity | 5 | 4.35 × 10−9 | 7.90 × 10−8 | |
GO:0005515∼protein binding | 45 | 1.74 × 10−8 | 2.71 × 10−7 | |
GO:0004003∼ATP-dependent DNA helicase activity | 6 | 3.17 × 10−8 | 4.32 × 10−7 | |
GO:0043142∼single-stranded DNA-dependent ATPase activity | 4 | 2.72 × 10−6 | 3.29 × 10−5 | |
GO:0019899∼enzyme binding | 8 | 4.60 × 10−5 | 5.01 × 10−4 | |
hsa03420:nucleotide excision repair | 27 | 2.05 × 10−48 | 6.96 × 10−47 | |
hsa03030:DNA replication | 15 | 9.53 × 10−23 | 1.62 × 10−21 | |
hsa03430:mismatch repair | 12 | 3.19 × 10−19 | 3.61 × 10−18 | |
hsa03410:base excision repair | 12 | 4.34 × 10−17 | 3.69 × 10−16 | |
Path | hsa03440:homologous recombination | 8 | 4.41 × 10−10 | 3.00 × 10−9 |
ways | hsa03022:basal transcription factors | 8 | 1.19 × 10−8 | 6.73 × 10−8 |
hsa00240:pyrimidine metabolism | 8 | 3.43 × 10−6 | 1.66 × 10−5 | |
hsa00230:purine metabolism | 8 | 1.27 × 10−4 | 5.40 × 10−4 | |
hsa05166:HTLV-I infection | 8 | 0.001175 | 0.00443849 | |
hsa04120:ubiquitin-mediated proteolysis | 6 | 0.001876 | 0.00637947 | |
hsa03450:nonhomologous end-joining | 3 | 0.003118 | 0.00963706 | |
hsa03460:Fanconi anemia pathway | 4 | 0.004878 | 0.01382041 | |
hsa04110:cell cycle | 5 | 0.008473 | 0.02216030 | |
hsa03020:RNA polymerase | 3 | 0.018326 | 0.04450605 |
Some pathways significantly associated with the functions of LIG1 and LIG3 alterations in BC were found by KEGG analysis, which were involved in the occurrence and pathogenesis of BC, such as cell cycle, DNA replication, and nucleotide excision repair (Tables 1 and 2).
3.5 Regulatory miRNA-regulated LIG3 was identified and the expression and prognostic value of the miRNA in BC patients were analyzed
A total of eight miRNAs regulating LIG1 and 21 miRNAs regulating LIG3 were predicted based on the ENCORI platform (Tables 3 and 4). Among them, 4 miRNA-LIG1 pairs and 13 miRNA-LIG3 pairs were negatively correlated. However, only one miRNA-LIG3 pair was significantly negatively correlated, and the decreased miRNA expression predicted longer overall survival in BC patients. As shown in Figure 5a–c, we observed that the expression level of hsa-miR-22-3p was decreased in BC compared with normal samples and predicted a good prognosis for BC patients. The above results suggest that the established miRNA-LIG3 regulatory network (Figure 5d) may be a potential prognostic marker of BC and therapeutic target for BC patients (Figure 6).
Correlation of miRNA-LIG1 pairs identified by the ENCORI database
No. | miRNA | Coefficient-R | p-value |
---|---|---|---|
1 | hsa-miR-485-5p | −0.106 | 4.62 × 10−4 |
2 | hsa-miR-4731-5p | −0.065 | 3.19 × 10−2 |
3 | hsa-miR-524-3p | −0.001 | 9.84 × 10−1 |
4 | hsa-miR-676-3p | −0.026 | 3.97 × 10−1 |
5 | hsa-miR-3194-5p | 0.028 | 3.54 × 10−1 |
6 | hsa-miR-4761-5p | 0.022 | 4.79 × 10−1 |
7 | hsa-miR-525-3p | 0.013 | 6.64 × 10−1 |
8 | hsa-miR-3194-5p | 0.028 | 3.54 × 10−1 |
Correlation of miRNA-LIG3 pairs identified by the ENCORI database
No. | miRNA | Coefficient-R | p-value |
---|---|---|---|
1 | hsa-miR-3145-3p | −0.005 | 8.65 × 10−1 |
2 | hsa-miR-381-3p | −0.150 | 6.61 × 10−7 |
3 | hsa-miR-23b-3p | −0.026 | 3.94 × 10−1 |
4 | hsa-miR-187-3p | −0.095 | 1.81 × 10−3 |
5 | hsa-miR-518b | −0.028 | 3.57 × 10−1 |
6 | hsa-miR-518f-3p | −0.092 | 2.43 × 10−3 |
7 | hsa-miR-579-3p | −0.041 | 1.76 × 10−1 |
8 | hsa-miR-340-5p | −0.028 | 3.48 × 10−1 |
9 | hsa-miR-22-3p | −0.203 | 1.44 × 10−11 |
10 | hsa-miR-1179 | −0.062 | 4.21 × 10−2 |
11 | hsa-miR-29c-3p | −0.013 | 6.73 × 10−1 |
12 | hsa-miR-29a-3p | −0.152 | 4.69 × 10−7 |
13 | hsa-miR-381-3p | −0.150 | 6.61 × 10−7 |
14 | hsa-miR-185-5p | 0.040 | 1.88 × 10−1 |
15 | hsa-miR-455-3p | 0.028 | 3.51 × 10−1 |
16 | hsa-miR-29b-3p | 0.015 | 6.29 × 10−1 |
17 | hsa-miR-4677-3p | 0.016 | 5.93 × 10−1 |
18 | hsa-miR-518a-3p | 0.007 | 8.06 × 10−1 |
19 | hsa-miR-330-3p | 0.014 | 6.45 × 10−1 |
20 | hsa-miR-664b-3p | 0.013 | 6.58 × 10−1 |
21 | hsa-miR-375 | 0.111 | 2.34 × 10−4 |

Regulatory miRNA-regulated LIG3 was identified and the expression and prognostic value of the miRNA in BC patients was analyzed. (a) has-miR-22-3p negatively regulated LIG3 expression inBC. (b) The decreased expression of has-miR-22-3p predicted good prognosis for BC patients. (c) The expression of has-miR-22-3p was decreased in BC compared to normal samples. (d) The has-miR-22-3p-LIG3 regulatory network.
4 Discussion
At present, cancer has become the main threat to people’s life and health. According to data released by the American Cancer Society in 2020, 1,806,590 new cancer cases and 606,520 cancer deaths are expected to occur in the United States, and BC is still the most common cause of cancer incidence and death in women [3,21]. To date, more and more suggestions are put forward in clinical applications to design individualized diagnosis and treatment plans for BC patients.
Many BC markers have been found, such as tissue markers, genetic markers and serum markers [22,23,24]. But more valuable biomarkers are still needed to be found to complete the personalized diagnosis and therapy for BC patients. It is worth mentioning that biomedical researchers have established many bioinformatics databases to explore valuable biomarkers for various types of cancer, such as Oncomine, CCLE, GEPIA, UALCAN, Kaplan–Meier plotter, cBioPortal, STRING, DAVID and ENCORI [11,12,13,14,15,16,17,18,19].
DNA damage is considered a hallmark of cancer, and protein mutations that maintain the fidelity of the genome are associated with many cancers. The fracture of double-strand DNA seems to be the most harmful type of DNA damage. The nonhomologous end-joining (NHEJ) pathway is a mechanism for repairing DNA double-strand break. DNA replication may be also regulated by the proteins involved in NHEJ [25]. In recent years, LIGs have been reported to be involved in the development of many cancers, such as lung cancer, nasopharyngeal cancer, rectal adenocarcinoma and BC [25,26,27,28,29,30,31]. To our knowledge, the relationship between the expression of LIG1 and LIG3 and prognostic value for BC patients is still not clear. Therefore, our bioinformatics research explored the LIG1 and LIG3 expression and prognostic value in BC patients, contributing to the further knowledge of LIG1 and LIG3 in BC.
It has been reported that the LIG1 expression in BC is upregulated [32]. However, the LIG3 expression in BC is still not clear. Our study showed that the expression of LIG1 and LIG3 in BC samples was significantly increased, but not LIG4. Furthermore, survival analysis indicated that increased expression of LIG1 and LIG3 was significantly related to longer RFS in all BC patients, indicating that LIG1 and LIG3 had good prognostic value in BC patients. Liao et al. also reported that high LIG3 expression was related to a good prognosis for BC patients [33]. However, the poor prognostic value of LIG3 in PR-negative subtype BC patients needs to be noticed.
In order to explore the role of LIG1 and LIG3 in BC, networks of genes that interacted with LIG1 and LIG3 were, respectively, constructed and GO enrichment analysis was performed to find possible target proteins that interacted with LIG1 and LIG3. We found that LIG1 and LIG3 alterations were related to the nucleotide-excision repair and DNA replication. It also has been reported that LIG1 and LIG3 were related to the nucleotide-excision repair and DNA replication [34,35]. In addition, some pathways significantly associated with the functions of LIG1 and LIG3 alterations in BC were found through KEGG analysis, which were involved in the tumorigenesis and pathogenesis of BC, such as cell cycle, DNA replication, and nucleotide excision repair. It has been reported that cell cycle, DNA replication and nucleotide excision repair were closely related to the occurrence and progression of multiple cancers [36,37,38]. However, the carcinogenic and pathological roles of LIG1 and LIG3 in BC need to be further clarified.
MicroRNAs can be used as potential oncogenes or tumor suppressor genes, which are associated with the progression and treatment of tumors, indicating that they may become potentially valuable diagnosis and prognosis biomarkers [39]. Therefore, we screened miRNAs that may regulate LIG1 and LIG3. We found that hsa-miR-22-3p (negatively correlated with LIG3) had low expression in BC and predicted a good prognosis for BC patients. In previous reports, hsa-miR-22-3p was inhibited by lncRNA DGCR5 to promote the progression of lung adenocarcinoma [40]. However, the role and prognostic value of hsa-miR-22-3p in BC are still unclear. Our research could enrich the role of the expression and prognostic value of hsa-miR-22-3p in BC, which was helpful for the discovery of early BC markers and precise treatment targets.
In conclusion, we confirmed that the expression levels of LIG1 and LIG3 in BC were upregulated and related to a good prognosis for BC patients. Furthermore, the clinicopathological characteristics and related functional annotations of LIG1 and LIG3 were also displayed to deepen their understanding of their role in BC. In addition, we also identified a new miRNA that can negatively regulate LIG3, and revealed the expression level and prognostic significance of hsa-miR-22-3p. Our study suggests that LIG1, LIG3 and hsa-miR-22-3p are involved in the progression of BC and may become potential markers and precise treatment targets.
Abbreviations
- LIG
-
DNA ligase
- BC
-
breast cancer
- GEPIA
-
gene expression profiling interactive analysis
- miRNA
-
microRNA
- GO
-
gene ontology
- BP
-
biological process
- CC
-
cellular component
- MF
-
molecular function
- KEGG
-
Kyoto encyclopedia of genes and genomes
- DAVID
-
database for annotation, visualization and integrated discovery
- PPI
-
protein–protein interaction
- CCLE
-
cancer cell line encyclopedia
- HR
-
hazard ratio
-
Funding information: This study was supported by the National Natural Science Foundation of China (31670989), the Key R&D Program of Shandong Province (2019GSF107037), the Science and Technology Project of Qingdao, China (18-6-1-88-nsh).
-
Author contributions: Lin Sun, Xinyu Liu, Siqi Song, Lingjun Feng and Chunying Shi contributed equally to this work.
-
Conflict of interest: The authors have no conflicts of interest.
-
Data availability statement: The data shown in this study can be obtained through the Corresponding Author upon reasonable request.
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- Use of microspheres in embolization for unruptured renal angiomyolipomas
- COVID-19 cases with delayed absorption of lung lesion
- A triple combination of treatments on moderate COVID-19
- Social networks and eating disorders during the Covid-19 pandemic
- Letter
- COVID-19, WHO guidelines, pedagogy, and respite
- Inflammatory factors in alveolar lavage fluid from severe COVID-19 pneumonia: PCT and IL-6 in epithelial lining fluid
- COVID-19: Lessons from Norway tragedy must be considered in vaccine rollout planning in least developed/developing countries
- What is the role of plasma cell in the lamina propria of terminal ileum in Good’s syndrome patient?
- Case Report
- Rivaroxaban triggered multifocal intratumoral hemorrhage of the cabozantinib-treated diffuse brain metastases: A case report and review of literature
- CTU findings of duplex kidney in kidney: A rare duplicated renal malformation
- Synchronous primary malignancy of colon cancer and mantle cell lymphoma: A case report
- Sonazoid-enhanced ultrasonography and pathologic characters of CD68 positive cell in primary hepatic perivascular epithelioid cell tumors: A case report and literature review
- Persistent SARS-CoV-2-positive over 4 months in a COVID-19 patient with CHB
- Pulmonary parenchymal involvement caused by Tropheryma whipplei
- Mediastinal mixed germ cell tumor: A case report and literature review
- Ovarian female adnexal tumor of probable Wolffian origin – Case report
- Rare paratesticular aggressive angiomyxoma mimicking an epididymal tumor in an 82-year-old man: Case report
- Perimenopausal giant hydatidiform mole complicated with preeclampsia and hyperthyroidism: A case report and literature review
- Primary orbital ganglioneuroblastoma: A case report
- Primary aortic intimal sarcoma masquerading as intramural hematoma
- Sustained false-positive results for hepatitis A virus immunoglobulin M: A case report and literature review
- Peritoneal loose body presenting as a hepatic mass: A case report and review of the literature
- Chondroblastoma of mandibular condyle: Case report and literature review
- Trauma-induced complete pacemaker lead fracture 8 months prior to hospitalization: A case report
- Primary intradural extramedullary extraosseous Ewing’s sarcoma/peripheral primitive neuroectodermal tumor (PIEES/PNET) of the thoracolumbar spine: A case report and literature review
- Computer-assisted preoperative planning of reduction of and osteosynthesis of scapular fracture: A case report
- High quality of 58-month life in lung cancer patient with brain metastases sequentially treated with gefitinib and osimertinib
- Rapid response of locally advanced oral squamous cell carcinoma to apatinib: A case report
- Retrieval of intrarenal coiled and ruptured guidewire by retrograde intrarenal surgery: A case report and literature review
- Usage of intermingled skin allografts and autografts in a senior patient with major burn injury
- Retraction
- Retraction on “Dihydromyricetin attenuates inflammation through TLR4/NF-kappa B pathway”
- Special Issue Computational Intelligence Methodologies Meets Recurrent Cancers - Part I
- An artificial immune system with bootstrap sampling for the diagnosis of recurrent endometrial cancers
- Breast cancer recurrence prediction with ensemble methods and cost-sensitive learning
Articles in the same Issue
- Research Articles
- Identification of ZG16B as a prognostic biomarker in breast cancer
- Behçet’s disease with latent Mycobacterium tuberculosis infection
- Erratum
- Erratum to “Suffering from Cerebral Small Vessel Disease with and without Metabolic Syndrome”
- Research Articles
- GPR37 promotes the malignancy of lung adenocarcinoma via TGF-β/Smad pathway
- Expression and role of ABIN1 in sepsis: In vitro and in vivo studies
- Additional baricitinib loading dose improves clinical outcome in COVID-19
- The co-treatment of rosuvastatin with dapagliflozin synergistically inhibited apoptosis via activating the PI3K/AKt/mTOR signaling pathway in myocardial ischemia/reperfusion injury rats
- SLC12A8 plays a key role in bladder cancer progression and EMT
- LncRNA ATXN8OS enhances tamoxifen resistance in breast cancer
- Case Report
- Serratia marcescens as a cause of unfavorable outcome in the twin pregnancy
- Spleno-adrenal fusion mimicking an adrenal metastasis of a renal cell carcinoma: A case report and embryological background
- Research Articles
- TRIM25 contributes to the malignancy of acute myeloid leukemia and is negatively regulated by microRNA-137
- CircRNA circ_0004370 promotes cell proliferation, migration, and invasion and inhibits cell apoptosis of esophageal cancer via miR-1301-3p/COL1A1 axis
- LncRNA XIST regulates atherosclerosis progression in ox-LDL-induced HUVECs
- Potential role of IFN-γ and IL-5 in sepsis prediction of preterm neonates
- Rapid Communication
- COVID-19 vaccine: Call for employees in international transportation industries and international travelers as the first priority in global distribution
- Case Report
- Rare squamous cell carcinoma of the kidney with concurrent xanthogranulomatous pyelonephritis: A case report and review of the literature
- An infertile female delivered a baby after removal of primary renal carcinoid tumor
- Research Articles
- Hypertension, BMI, and cardiovascular and cerebrovascular diseases
- Case Report
- Coexistence of bilateral macular edema and pale optic disc in the patient with Cohen syndrome
- Research Articles
- Correlation between kinematic sagittal parameters of the cervical lordosis or head posture and disc degeneration in patients with posterior neck pain
- Review Articles
- Hepatoid adenocarcinoma of the lung: An analysis of the Surveillance, Epidemiology, and End Results (SEER) database
- Research Articles
- Thermography in the diagnosis of carpal tunnel syndrome
- Pemetrexed-based first-line chemotherapy had particularly prominent objective response rate for advanced NSCLC: A network meta-analysis
- Comparison of single and double autologous stem cell transplantation in multiple myeloma patients
- The influence of smoking in minimally invasive spinal fusion surgery
- Impact of body mass index on left atrial dimension in HOCM patients
- Expression and clinical significance of CMTM1 in hepatocellular carcinoma
- miR-142-5p promotes cervical cancer progression by targeting LMX1A through Wnt/β-catenin pathway
- Comparison of multiple flatfoot indicators in 5–8-year-old children
- Early MRI imaging and follow-up study in cerebral amyloid angiopathy
- Intestinal fatty acid-binding protein as a biomarker for the diagnosis of strangulated intestinal obstruction: A meta-analysis
- miR-128-3p inhibits apoptosis and inflammation in LPS-induced sepsis by targeting TGFBR2
- Dynamic perfusion CT – A promising tool to diagnose pancreatic ductal adenocarcinoma
- Biomechanical evaluation of self-cinching stitch techniques in rotator cuff repair: The single-loop and double-loop knot stitches
- Review Articles
- The ambiguous role of mannose-binding lectin (MBL) in human immunity
- Case Report
- Membranous nephropathy with pulmonary cryptococcosis with improved 1-year follow-up results: A case report
- Fertility problems in males carrying an inversion of chromosome 10
- Acute myeloid leukemia with leukemic pleural effusion and high levels of pleural adenosine deaminase: A case report and review of literature
- Metastatic renal Ewing’s sarcoma in adult woman: Case report and review of the literature
- Burkitt-like lymphoma with 11q aberration in a patient with AIDS and a patient without AIDS: Two cases reports and literature review
- Skull hemophilia pseudotumor: A case report
- Judicious use of low-dosage corticosteroids for non-severe COVID-19: A case report
- Adult-onset citrullinaemia type II with liver cirrhosis: A rare cause of hyperammonaemia
- Clinicopathologic features of Good’s syndrome: Two cases and literature review
- Fatal immune-related hepatitis with intrahepatic cholestasis and pneumonia associated with camrelizumab: A case report and literature review
- Research Articles
- Effects of hydroxyethyl starch and gelatin on the risk of acute kidney injury following orthotopic liver transplantation: A multicenter retrospective comparative clinical study
- Significance of nucleic acid positive anal swab in COVID-19 patients
- circAPLP2 promotes colorectal cancer progression by upregulating HELLS by targeting miR-335-5p
- Ratios between circulating myeloid cells and lymphocytes are associated with mortality in severe COVID-19 patients
- Risk factors of left atrial appendage thrombus in patients with non-valvular atrial fibrillation
- Clinical features of hypertensive patients with COVID-19 compared with a normotensive group: Single-center experience in China
- Surgical myocardial revascularization outcomes in Kawasaki disease: systematic review and meta-analysis
- Decreased chromobox homologue 7 expression is associated with epithelial–mesenchymal transition and poor prognosis in cervical cancer
- FGF16 regulated by miR-520b enhances the cell proliferation of lung cancer
- Platelet-rich fibrin: Basics of biological actions and protocol modifications
- Accurate diagnosis of prostate cancer using logistic regression
- miR-377 inhibition enhances the survival of trophoblast cells via upregulation of FNDC5 in gestational diabetes mellitus
- Prognostic significance of TRIM28 expression in patients with breast carcinoma
- Integrative bioinformatics analysis of KPNA2 in six major human cancers
- Exosomal-mediated transfer of OIP5-AS1 enhanced cell chemoresistance to trastuzumab in breast cancer via up-regulating HMGB3 by sponging miR-381-3p
- A four-lncRNA signature for predicting prognosis of recurrence patients with gastric cancer
- Knockdown of circ_0003204 alleviates oxidative low-density lipoprotein-induced human umbilical vein endothelial cells injury: Circulating RNAs could explain atherosclerosis disease progression
- Propofol postpones colorectal cancer development through circ_0026344/miR-645/Akt/mTOR signal pathway
- Knockdown of lncRNA TapSAKI alleviates LPS-induced injury in HK-2 cells through the miR-205/IRF3 pathway
- COVID-19 severity in relation to sociodemographics and vitamin D use
- Clinical analysis of 11 cases of nocardiosis
- Cis-regulatory elements in conserved non-coding sequences of nuclear receptor genes indicate for crosstalk between endocrine systems
- Four long noncoding RNAs act as biomarkers in lung adenocarcinoma
- Real-world evidence of cytomegalovirus reactivation in non-Hodgkin lymphomas treated with bendamustine-containing regimens
- Relation between IL-8 level and obstructive sleep apnea syndrome
- circAGFG1 sponges miR-28-5p to promote non-small-cell lung cancer progression through modulating HIF-1α level
- Nomogram prediction model for renal anaemia in IgA nephropathy patients
- Effect of antibiotic use on the efficacy of nivolumab in the treatment of advanced/metastatic non-small cell lung cancer: A meta-analysis
- NDRG2 inhibition facilitates angiogenesis of hepatocellular carcinoma
- A nomogram for predicting metabolic steatohepatitis: The combination of NAMPT, RALGDS, GADD45B, FOSL2, RTP3, and RASD1
- Clinical and prognostic features of MMP-2 and VEGF in AEG patients
- The value of miR-510 in the prognosis and development of colon cancer
- Functional implications of PABPC1 in the development of ovarian cancer
- Prognostic value of preoperative inflammation-based predictors in patients with bladder carcinoma after radical cystectomy
- Sublingual immunotherapy increases Treg/Th17 ratio in allergic rhinitis
- Prediction of improvement after anterior cruciate ligament reconstruction
- Effluent Osteopontin levels reflect the peritoneal solute transport rate
- circ_0038467 promotes PM2.5-induced bronchial epithelial cell dysfunction
- Significance of miR-141 and miR-340 in cervical squamous cell carcinoma
- Association between hair cortisol concentration and metabolic syndrome
- Microvessel density as a prognostic indicator of prostate cancer: A systematic review and meta-analysis
- Characteristics of BCR–ABL gene variants in patients of chronic myeloid leukemia
- Knee alterations in rheumatoid arthritis: Comparison of US and MRI
- Long non-coding RNA TUG1 aggravates cerebral ischemia and reperfusion injury by sponging miR-493-3p/miR-410-3p
- lncRNA MALAT1 regulated ATAD2 to facilitate retinoblastoma progression via miR-655-3p
- Development and validation of a nomogram for predicting severity in patients with hemorrhagic fever with renal syndrome: A retrospective study
- Analysis of COVID-19 outbreak origin in China in 2019 using differentiation method for unusual epidemiological events
- Laparoscopic versus open major liver resection for hepatocellular carcinoma: A case-matched analysis of short- and long-term outcomes
- Travelers’ vaccines and their adverse events in Nara, Japan
- Association between Tfh and PGA in children with Henoch–Schönlein purpura
- Can exchange transfusion be replaced by double-LED phototherapy?
- circ_0005962 functions as an oncogene to aggravate NSCLC progression
- Circular RNA VANGL1 knockdown suppressed viability, promoted apoptosis, and increased doxorubicin sensitivity through targeting miR-145-5p to regulate SOX4 in bladder cancer cells
- Serum intact fibroblast growth factor 23 in healthy paediatric population
- Algorithm of rational approach to reconstruction in Fournier’s disease
- A meta-analysis of exosome in the treatment of spinal cord injury
- Src-1 and SP2 promote the proliferation and epithelial–mesenchymal transition of nasopharyngeal carcinoma
- Dexmedetomidine may decrease the bupivacaine toxicity to heart
- Hypoxia stimulates the migration and invasion of osteosarcoma via up-regulating the NUSAP1 expression
- Long noncoding RNA XIST knockdown relieves the injury of microglia cells after spinal cord injury by sponging miR-219-5p
- External fixation via the anterior inferior iliac spine for proximal femoral fractures in young patients
- miR-128-3p reduced acute lung injury induced by sepsis via targeting PEL12
- HAGLR promotes neuron differentiation through the miR-130a-3p-MeCP2 axis
- Phosphoglycerate mutase 2 is elevated in serum of patients with heart failure and correlates with the disease severity and patient’s prognosis
- Cell population data in identifying active tuberculosis and community-acquired pneumonia
- Prognostic value of microRNA-4521 in non-small cell lung cancer and its regulatory effect on tumor progression
- Mean platelet volume and red blood cell distribution width is associated with prognosis in premature neonates with sepsis
- 3D-printed porous scaffold promotes osteogenic differentiation of hADMSCs
- Association of gene polymorphisms with women urinary incontinence
- Influence of COVID-19 pandemic on stress levels of urologic patients
- miR-496 inhibits proliferation via LYN and AKT pathway in gastric cancer
- miR-519d downregulates LEP expression to inhibit preeclampsia development
- Comparison of single- and triple-port VATS for lung cancer: A meta-analysis
- Fluorescent light energy modulates healing in skin grafted mouse model
- Silencing CDK6-AS1 inhibits LPS-induced inflammatory damage in HK-2 cells
- Predictive effect of DCE-MRI and DWI in brain metastases from NSCLC
- Severe postoperative hyperbilirubinemia in congenital heart disease
- Baicalin improves podocyte injury in rats with diabetic nephropathy by inhibiting PI3K/Akt/mTOR signaling pathway
- Clinical factors predicting ureteral stent failure in patients with external ureteral compression
- Novel H2S donor proglumide-ADT-OH protects HUVECs from ox-LDL-induced injury through NF-κB and JAK/SATA pathway
- Triple-Endobutton and clavicular hook: A propensity score matching analysis
- Long noncoding RNA MIAT inhibits the progression of diabetic nephropathy and the activation of NF-κB pathway in high glucose-treated renal tubular epithelial cells by the miR-182-5p/GPRC5A axis
- Serum exosomal miR-122-5p, GAS, and PGR in the non-invasive diagnosis of CAG
- miR-513b-5p inhibits the proliferation and promotes apoptosis of retinoblastoma cells by targeting TRIB1
- Fer exacerbates renal fibrosis and can be targeted by miR-29c-3p
- The diagnostic and prognostic value of miR-92a in gastric cancer: A systematic review and meta-analysis
- Prognostic value of α2δ1 in hypopharyngeal carcinoma: A retrospective study
- No significant benefit of moderate-dose vitamin C on severe COVID-19 cases
- circ_0000467 promotes the proliferation, metastasis, and angiogenesis in colorectal cancer cells through regulating KLF12 expression by sponging miR-4766-5p
- Downregulation of RAB7 and Caveolin-1 increases MMP-2 activity in renal tubular epithelial cells under hypoxic conditions
- Educational program for orthopedic surgeons’ influences for osteoporosis
- Expression and function analysis of CRABP2 and FABP5, and their ratio in esophageal squamous cell carcinoma
- GJA1 promotes hepatocellular carcinoma progression by mediating TGF-β-induced activation and the epithelial–mesenchymal transition of hepatic stellate cells
- lncRNA-ZFAS1 promotes the progression of endometrial carcinoma by targeting miR-34b to regulate VEGFA expression
- Anticoagulation is the answer in treating noncritical COVID-19 patients
- Effect of late-onset hemorrhagic cystitis on PFS after haplo-PBSCT
- Comparison of Dako HercepTest and Ventana PATHWAY anti-HER2 (4B5) tests and their correlation with silver in situ hybridization in lung adenocarcinoma
- VSTM1 regulates monocyte/macrophage function via the NF-κB signaling pathway
- Comparison of vaginal birth outcomes in midwifery-led versus physician-led setting: A propensity score-matched analysis
- Treatment of osteoporosis with teriparatide: The Slovenian experience
- New targets of morphine postconditioning protection of the myocardium in ischemia/reperfusion injury: Involvement of HSP90/Akt and C5a/NF-κB
- Superenhancer–transcription factor regulatory network in malignant tumors
- β-Cell function is associated with osteosarcopenia in middle-aged and older nonobese patients with type 2 diabetes: A cross-sectional study
- Clinical features of atypical tuberculosis mimicking bacterial pneumonia
- Proteoglycan-depleted regions of annular injury promote nerve ingrowth in a rabbit disc degeneration model
- Effect of electromagnetic field on abortion: A systematic review and meta-analysis
- miR-150-5p affects AS plaque with ASMC proliferation and migration by STAT1
- MALAT1 promotes malignant pleural mesothelioma by sponging miR-141-3p
- Effects of remifentanil and propofol on distant organ lung injury in an ischemia–reperfusion model
- miR-654-5p promotes gastric cancer progression via the GPRIN1/NF-κB pathway
- Identification of LIG1 and LIG3 as prognostic biomarkers in breast cancer
- MitoQ inhibits hepatic stellate cell activation and liver fibrosis by enhancing PINK1/parkin-mediated mitophagy
- Dissecting role of founder mutation p.V727M in GNE in Indian HIBM cohort
- circATP2A2 promotes osteosarcoma progression by upregulating MYH9
- Prognostic role of oxytocin receptor in colon adenocarcinoma
- Review Articles
- The function of non-coding RNAs in idiopathic pulmonary fibrosis
- Efficacy and safety of therapeutic plasma exchange in stiff person syndrome
- Role of cesarean section in the development of neonatal gut microbiota: A systematic review
- Small cell lung cancer transformation during antitumor therapies: A systematic review
- Research progress of gut microbiota and frailty syndrome
- Recommendations for outpatient activity in COVID-19 pandemic
- Rapid Communication
- Disparity in clinical characteristics between 2019 novel coronavirus pneumonia and leptospirosis
- Use of microspheres in embolization for unruptured renal angiomyolipomas
- COVID-19 cases with delayed absorption of lung lesion
- A triple combination of treatments on moderate COVID-19
- Social networks and eating disorders during the Covid-19 pandemic
- Letter
- COVID-19, WHO guidelines, pedagogy, and respite
- Inflammatory factors in alveolar lavage fluid from severe COVID-19 pneumonia: PCT and IL-6 in epithelial lining fluid
- COVID-19: Lessons from Norway tragedy must be considered in vaccine rollout planning in least developed/developing countries
- What is the role of plasma cell in the lamina propria of terminal ileum in Good’s syndrome patient?
- Case Report
- Rivaroxaban triggered multifocal intratumoral hemorrhage of the cabozantinib-treated diffuse brain metastases: A case report and review of literature
- CTU findings of duplex kidney in kidney: A rare duplicated renal malformation
- Synchronous primary malignancy of colon cancer and mantle cell lymphoma: A case report
- Sonazoid-enhanced ultrasonography and pathologic characters of CD68 positive cell in primary hepatic perivascular epithelioid cell tumors: A case report and literature review
- Persistent SARS-CoV-2-positive over 4 months in a COVID-19 patient with CHB
- Pulmonary parenchymal involvement caused by Tropheryma whipplei
- Mediastinal mixed germ cell tumor: A case report and literature review
- Ovarian female adnexal tumor of probable Wolffian origin – Case report
- Rare paratesticular aggressive angiomyxoma mimicking an epididymal tumor in an 82-year-old man: Case report
- Perimenopausal giant hydatidiform mole complicated with preeclampsia and hyperthyroidism: A case report and literature review
- Primary orbital ganglioneuroblastoma: A case report
- Primary aortic intimal sarcoma masquerading as intramural hematoma
- Sustained false-positive results for hepatitis A virus immunoglobulin M: A case report and literature review
- Peritoneal loose body presenting as a hepatic mass: A case report and review of the literature
- Chondroblastoma of mandibular condyle: Case report and literature review
- Trauma-induced complete pacemaker lead fracture 8 months prior to hospitalization: A case report
- Primary intradural extramedullary extraosseous Ewing’s sarcoma/peripheral primitive neuroectodermal tumor (PIEES/PNET) of the thoracolumbar spine: A case report and literature review
- Computer-assisted preoperative planning of reduction of and osteosynthesis of scapular fracture: A case report
- High quality of 58-month life in lung cancer patient with brain metastases sequentially treated with gefitinib and osimertinib
- Rapid response of locally advanced oral squamous cell carcinoma to apatinib: A case report
- Retrieval of intrarenal coiled and ruptured guidewire by retrograde intrarenal surgery: A case report and literature review
- Usage of intermingled skin allografts and autografts in a senior patient with major burn injury
- Retraction
- Retraction on “Dihydromyricetin attenuates inflammation through TLR4/NF-kappa B pathway”
- Special Issue Computational Intelligence Methodologies Meets Recurrent Cancers - Part I
- An artificial immune system with bootstrap sampling for the diagnosis of recurrent endometrial cancers
- Breast cancer recurrence prediction with ensemble methods and cost-sensitive learning