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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Genet.</journal-id>
<journal-title>Frontiers in Genetics</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Genet.</abbrev-journal-title>
<issn pub-type="epub">1664-8021</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fgene.2021.710143</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Genetics</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Low-Dose Radiation Can Cause Epigenetic Alterations Associated With Impairments in Both Male and Female Reproductive Cells</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Leung</surname> <given-names>Chi Tim</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1386215/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Yang</surname> <given-names>Yi</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Yu</surname> <given-names>Kwan Ngok</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/94125/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Tam</surname> <given-names>Nathan</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Chan</surname> <given-names>Ting Fung</given-names></name>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/39455/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Lin</surname> <given-names>Xiao</given-names></name>
<xref ref-type="aff" rid="aff6"><sup>6</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/597262/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Kong</surname> <given-names>Richard Yuen Chong</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1169990/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Chiu</surname> <given-names>Jill Man Ying</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff7"><sup>7</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/103556/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Wong</surname> <given-names>Alice Sze Tsai</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/19482/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Lui</surname> <given-names>Wing Yee</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/775958/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Yuen</surname> <given-names>Karen Wing Yee</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/458676/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Lai</surname> <given-names>Keng Po</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="aff" rid="aff8"><sup>8</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/593662/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Wu</surname> <given-names>Rudolf Shiu Sun</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="aff" rid="aff9"><sup>9</sup></xref>
<xref ref-type="corresp" rid="c002"><sup>&#x002A;</sup></xref>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>Hong Kong Branch of the Southern Marine Science and Engineering Guangdong Laboratory</institution>, <addr-line>Hong Kong</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Chemistry, City University of Hong Kong</institution>, <addr-line>Kowloon Tong</addr-line>, <country>Hong Kong</country></aff>
<aff id="aff3"><sup>3</sup><institution>School of Biological Sciences, The University of Hong Kong</institution>, <addr-line>Pok Fu Lam</addr-line>, <country>Hong Kong</country></aff>
<aff id="aff4"><sup>4</sup><institution>State Key Laboratory of Marine Pollution, City University of Hong Kong</institution>, <addr-line>Kowloon Tong</addr-line>, <country>Hong Kong</country></aff>
<aff id="aff5"><sup>5</sup><institution>Department of Physics, City University of Hong Kong</institution>, <addr-line>Kowloon Tong</addr-line>, <country>Hong Kong</country></aff>
<aff id="aff6"><sup>6</sup><institution>School of Life Sciences, Hong Kong Bioinformatics Centre, The Chinese University of Hong Kong</institution>, <addr-line>Shatin</addr-line>, <country>Hong Kong</country></aff>
<aff id="aff7"><sup>7</sup><institution>Department of Biology, Hong Kong Baptist University</institution>, <addr-line>Kowloon Tsai</addr-line>, <country>Hong Kong</country></aff>
<aff id="aff8"><sup>8</sup><institution>Laboratory of Environmental Pollution and Integrative Omics, Guilin Medical University</institution>, <addr-line>Guilin</addr-line>, <country>China</country></aff>
<aff id="aff9"><sup>9</sup><institution>Department of Science and Environmental Studies, The Education University of Hong Kong</institution>, <addr-line>Tai Po</addr-line>, <country>Hong Kong</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Pradyumna Kumar Mishra, ICMR-National Institute for Research in Environmental Health, India</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Kailash Manda, Institute of Nuclear Medicine &#x0026; Allied Sciences (DRDO), India; Ravindra M. Samartha, Bhopal Memorial Hospital &#x0026; Research Centre, India</p></fn>
<corresp id="c001">&#x002A;Correspondence: Rudolf Shiu Sun Wu, <email>rudolfwu@eduhk.hk</email></corresp>
<corresp id="c002">Keng Po Lai, <email>kengplai@cityu.edu.hk</email></corresp>
<fn fn-type="other" id="fn004"><p>This article was submitted to Toxicogenomics, a section of the journal Frontiers in Genetics</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>02</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>12</volume>
<elocation-id>710143</elocation-id>
<history>
<date date-type="received">
<day>31</day>
<month>05</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>07</day>
<month>07</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2021 Leung, Yang, Yu, Tam, Chan, Lin, Kong, Chiu, Wong, Lui, Yuen, Lai and Wu.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Leung, Yang, Yu, Tam, Chan, Lin, Kong, Chiu, Wong, Lui, Yuen, Lai and Wu</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Humans are regularly and continuously exposed to ionizing radiation from both natural and artificial sources. Cumulating evidence shows adverse effects of ionizing radiation on both male and female reproductive systems, including reduction of testis weight and sperm count and reduction of female germ cells and premature ovarian failure. While most of the observed effects were caused by DNA damage and disturbance of DNA repairment, ionizing radiation may also alter DNA methylation, histone, and chromatin modification, leading to epigenetic changes and transgenerational effects. However, the molecular mechanisms underlying the epigenetic changes and transgenerational reproductive impairment induced by low-dose radiation remain largely unknown. In this study, two different types of human ovarian cells and two different types of testicular cells were exposed to low dose of ionizing radiation, followed by bioinformatics analysis (including gene ontology functional analysis and Ingenuity Pathway Analysis), to unravel and compare epigenetic effects and pathway changes in male and female reproductive cells induced by ionizing radiation. Our findings showed that the radiation could alter the expression of gene cluster related to DNA damage responses through the control of MYC. Furthermore, ionizing radiation could lead to gender-specific reproductive impairment through deregulation of different gene networks. More importantly, the observed epigenetic modifications induced by ionizing radiation are mediated through the alteration of chromatin remodeling and telomere function. This study, for the first time, demonstrated that ionizing radiation may alter the epigenome of germ cells, leading to transgenerational reproductive impairments, and correspondingly call for research in this new emerging area which remains almost unknown.</p>
</abstract>
<kwd-group>
<kwd>environmental radiation</kwd>
<kwd>epigenetic</kwd>
<kwd>reproductive impairments</kwd>
<kwd>testicular</kwd>
<kwd>ovarian</kwd>
</kwd-group>
<contract-sponsor id="cn001">Hong Kong Branch of Southern Laboratory of Ocean Science and Engineering Guangdong Laboratory<named-content content-type="fundref-id">10.13039/501100018915</named-content></contract-sponsor>
<counts>
<fig-count count="5"/>
<table-count count="9"/>
<equation-count count="0"/>
<ref-count count="68"/>
<page-count count="17"/>
<word-count count="0"/>
</counts>
</article-meta>
</front>
<body>
<sec id="S1">
<title>Introduction</title>
<p>Humans are regularly and continuously exposed to ionizing radiation from both natural and artificial sources. Natural background radiation (NBR) may come from radon and its daughter products, crust, cosmic rays, soil, water, food etc. According to the United States report in 2008, the average world population exposure to natural background radiation was about 2.4 millisievert (mSv) per annum, whereas additional radiation contributed from medical diagnosis is estimated at about 0.6 mSv annually (<xref ref-type="bibr" rid="B62">UNSCEAR, 2010</xref>). Radiation injuries, such as epithelial and stromal lesion, vascular lesions, fibrosis, and neoplasia may occur upon irradiation (<xref ref-type="bibr" rid="B7">Fajardo, 2005</xref>), and level of injuries mainly depends on the radiation dose, duration, and cell cycle stage. In general, male and female gametes are more susceptible to radiation which may affect the composition and biological integrity of their proteins, lipids, and nucleic acids, and hence compromising their capacity to produce normal embryos (<xref ref-type="bibr" rid="B12">Garc&#x00ED;a-Rodr&#x00ED;guez et al., 2018</xref>). Indeed, the adverse effects of ionizing radiation on the reproductive system of mammals (including human being) have been clearly demonstrated by numerous studies. Radiation, for example, has been shown to reduce testis weight and sperm count in male rodent (<xref ref-type="bibr" rid="B19">Haines et al., 2002</xref>). In human, a radiation dose as low as 1 Gy can disrupt gonadotropin levels, reduce the number of spermatocytes and spermatids, while a higher radiation dose of 10 Gy can kill all spermatogonial stem cells, leading to permanent azoospermia (<xref ref-type="bibr" rid="B52">Rowley et al., 1974</xref>; <xref ref-type="bibr" rid="B2">Clifton and Bremner, 1983</xref>). <italic>In vivo</italic> studies in female rats demonstrated that radiation can reduce a number of germ cells and increase synaptonemal complex (SC) fragmentation (<xref ref-type="bibr" rid="B48">Pujol et al., 1996</xref>, <xref ref-type="bibr" rid="B49">1997</xref>). Female cancer patients after irradiation treatments often experience premature ovarian failure, infertility, uterine damage, premature deliveries, and miscarriage (<xref ref-type="bibr" rid="B3">Critchley et al., 1992</xref>; <xref ref-type="bibr" rid="B63">Wallace et al., 2003</xref>).</p>
<p>At cellular level, ionizing radiation can induce DNA damage: (i) directly, <italic>via</italic> energy deposition to DNA molecules; and (ii) indirectly, <italic>via</italic> the attack from reactive oxygen species generated by other ionized molecules, such as free radicals (<xref ref-type="bibr" rid="B64">Ward, 1988</xref>). DNA breaks, if failed to repair, can increase the risk of mutagenesis and carcinogenesis (<xref ref-type="bibr" rid="B16">Goodhead, 1994</xref>; <xref ref-type="bibr" rid="B65">Ward, 1995</xref>; <xref ref-type="bibr" rid="B36">Little, 2000</xref>). Haploid germ cells are more susceptible to DNA mutation induced by radiation due to the absence of sister chromatid. DNA repair is thus performed by non-homologous end joining, which is generally accepted as an error-prone pathway (<xref ref-type="bibr" rid="B1">Ahmed et al., 2015</xref>; <xref ref-type="bibr" rid="B66">Wdowiak et al., 2019</xref>).</p>
<p>Apart from DNA damage, emerging evidence showed that ionizing radiation may further alter DNA methylation pattern (<xref ref-type="bibr" rid="B39">Miousse et al., 2017</xref>), modify histone and chromatin structure (<xref ref-type="bibr" rid="B51">Rogakou et al., 1998</xref>; <xref ref-type="bibr" rid="B47">Pogribny et al., 2005</xref>; <xref ref-type="bibr" rid="B30">Kumar R. et al., 2013</xref>), and miRNA expression levels (<xref ref-type="bibr" rid="B20">Halimi et al., 2012</xref>; <xref ref-type="bibr" rid="B38">Metheetrairut and Slack, 2013</xref>). These induced changes in paternal epigenome can be passed on and affect fertilization and embryogenesis in subsequent generations (<xref ref-type="bibr" rid="B23">Jenkins and Carrell, 2012</xref>), thereby causing transgenerational effects. Non-coding RNA is suggested to play a role in epigenetic inheritance by the trafficking of microRNA-containing vesicles to sperm <italic>via</italic> blood stream (<xref ref-type="bibr" rid="B43">Paris et al., 2015</xref>; <xref ref-type="bibr" rid="B17">Grandjean et al., 2016</xref>; <xref ref-type="bibr" rid="B55">Sharma et al., 2018</xref>; <xref ref-type="bibr" rid="B59">Szatm&#x00E1;ri et al., 2019</xref>). In zebrafish, it has been shown that differential methylation of specific genes in F0 caused by parental radiation exposure can be transmitted to their F3 offspring, which had never been exposed to radiation before throughout their life cycle (<xref ref-type="bibr" rid="B27">Kamstra et al., 2018</xref>). Nevertheless, existing knowledge on radiation-induced epigenetics alterations on reproductive system, especially female, are limited. Irradiated (2.5 Gy) mice showed an upregulation of miR-29 family in male germline, resulting in reduced expression of <italic>de novo</italic> DNA methyltransferase 3a and hypomethylation of interspersed nuclear elements associated to chromatin modification (<xref ref-type="bibr" rid="B10">Filkowski et al., 2010</xref>). Increased phosphorylation of histone H2AX (&#x03B3;-H2AX) was observed in immature spermatozoa of cranially exposed (20 Gy) rats <italic>via</italic> bystander effect. Significant reduction in global DNA methylation was also found in testes and mature sperm cells (<xref ref-type="bibr" rid="B60">Tamminga et al., 2008</xref>). On the contrary, significant increase in global methylation was found in spermatozoa of a human exposed to occupational radiation (<xref ref-type="bibr" rid="B28">Kumar D. et al., 2013</xref>). Nevertheless, the epigenetic and transgenerational effects induced by radiation on the reproductive system are still not fully understood, and the underlying mechanisms remained obscure and need further studies (<xref ref-type="bibr" rid="B57">Skrzypek et al., 2019</xref>; <xref ref-type="bibr" rid="B6">Dubrova and Sarapultseva, 2020</xref>).</p>
<p>Using two different types of human ovarian cells and two different types of testicular cells as models, we carried out a series of <italic>in vitro</italic> experiments followed by bioinformatics analysis (including gene ontology functional analysis and Ingenuity Pathway Analysis), to unravel and compare epigenetic effects and pathway changes in male and female reproductive cells caused by environmentally relevant dose of ionizing radiation. Specifically, we hypothesize that: (a) ionizing radiation could alter the expression of gene cluster related to DNA damage response, and (b) reproductive impairment caused by ionizing radiation is gender specific and controlled by different gene networks.</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="S2.SS1">
<title>Ovarian and Testicular Cell Culture and Ionizing Radiation Exposure</title>
<p>Two human ovarian cancer cells (SKOV3 and COV434) and two mouse testicular germ cells (GC-1 and TM4) were cultured under the conditions described in <xref ref-type="supplementary-material" rid="DS1">Supplementary Table 1</xref>. Only human and mouse cell lines (not primary cells) were used, and these were purchased from an international company. In accordance with the national legislation and the institutional requirements, the Human Research Ethics Committee of The University of Hong Kong waived the requirement for ethical approval and written informed consent for participants in this study. The cells were cultured at 37&#x00B0;C under 95% air and 5% carbon dioxide. For the ionizing radiation exposure, the cells were seeded onto six-well plate 1 day before exposure to 10 cGy of X-ray (320 kV, 2 mA) for 1 min (X-RAD 320 X-ray system).</p>
</sec>
<sec id="S2.SS2">
<title>Cell Viability Test</title>
<p>Cells were seeded in a 96-well plate (24 replicate wells for each treatment). After ionizing radiation exposure, cell viability was measured by the MTT assay (Sigma). Colorimetric reaction was measured at 570 nm.</p>
</sec>
<sec id="S2.SS3">
<title>RNA Isolation</title>
<p>After radiation exposure, total RNA of the cells was extracted using TRIzol Reagent (Invitrogen) according to the manufacturer&#x2019;s instructions. Briefly, the cells were lysed in 1 ml of TRIzol. Then, 200 &#x03BC;l of chloroform was added, and the sample was centrifuged at 12,000 <italic>&#x00D7; g</italic> for 15 min. Next, 500 &#x03BC;l of the aqueous phase was mixed with 500 &#x03BC;l of isopropanol and stored in &#x2212;20&#x00B0;C. After overnight precipitation, the mixture was centrifuged at 12,000 &#x00D7; <italic>g</italic> for 20 min. The RNA pellet was then washed twice using ice-cold 70% ethanol, followed by resuspension in RNAse-free distilled water. RNA quality was assessed using an Agilent 2100 Bioanalyzer system, and samples with an RNA integrity number (RIN) greater than eight was used for RNA library construction.</p>
</sec>
<sec id="S2.SS4">
<title>RNA Sequencing and Bioinformatics Analysis</title>
<p>RNA (cDNA) libraries (three biological replicates from each treatment) of cells were constructed as previously described (<xref ref-type="bibr" rid="B33">Li et al., 2021</xref>) and sequenced by the Beijing Genomics Institute (Wuhan, China). Single-end 50-bp read-length reads were sequenced on a BGISEQ-500RS sequencer. Sequence reads were dynamically trimmed according to the q algorithm of BWA (<xref ref-type="bibr" rid="B33">Li et al., 2021</xref>). At least 50 million quality-trimmed reads were obtained in each sample. Quality-trimmed sequence reads were mapped to human genome reference (GRCh38/hg38) for SKOV3 and COV434 cell lines, and mouse genome reference (GRCm39/mm39) for GC-1 and TM4 cell lines. Read-count data was then subjected to differential expression analysis using the edgeR package (<xref ref-type="bibr" rid="B50">Robinson et al., 2010</xref>). Genes with FDR &#x003C; 0.05 were considered differentially expressed genes (DEGs). Furthermore, Gene Ontology (GO) enrichment analysis, Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis, and Ingenuity Pathway Analysis (IPA<sup>&#x00AE;</sup>, QIAGEN<sup><xref ref-type="fn" rid="footnote1">1</xref></sup>) were used to decipher the biological effects and possible epigenetic effect of ionizing radiation on the female and male reproductive systems.</p>
</sec>
<sec id="S2.SS5">
<title>Data Availability</title>
<p>Sequencing data of transcriptome sequencing that support the findings of this study have been deposited in the NCBI BioProject database<sup><xref ref-type="fn" rid="footnote2">2</xref></sup> with the BioProject accession codes <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="PRJNA730377">PRJNA730377</ext-link>.</p>
</sec>
<sec id="S2.SS6">
<title>Statistical Analysis</title>
<p>For bioinformatics analysis, all pathways, diseases, or biofunctions with <italic>p</italic> &#x003C; 0.05 was considered statistically significant. In MTT assay, results were compared using paired Student&#x2019;s <italic>t</italic>-test. All statistical analyses were performed using GraphPad Prism 3.02 (GraphPad Software Inc.), and results with <italic>p</italic> &#x003C; 0.05 was considered statistically significant.</p>
</sec>
</sec>
<sec id="S3">
<title>Results</title>
<sec id="S3.SS1">
<title>Environmental Relevant Dose of Ionizing Radiation Has no Effect on the Viability of the Female and Male Reproductive Cells</title>
<p>MTT assay was employed to determine the cytotoxicity of the tested ionizing radiation (10 cGy). No significant change in cell viability was found after ionizing radiation exposure (<xref ref-type="fig" rid="F1">Figure 1</xref>), suggesting that the level of radiation used in this study had no cytotoxic effect on both female and male reproductive cells.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>The ionizing radiation exposure (10 cGy) has no effect on the cell viability of SKOV3, COV434, GC-1, and TM4 cells. The white bar represented the control group; the black bar represented the ionizing radiation group. N.s., not statistically significant.</p></caption>
<graphic xlink:href="fgene-12-710143-g001.tif"/>
</fig>
</sec>
<sec id="S3.SS2">
<title>Ionizing Radiation Induced Differential Gene Expression in Both Female and Male Reproductive Cells</title>
<p>In an attempt to understand the biological functions altered by the ionizing radiation, a comparative transcriptomic analysis was conducted. Deep sequencing of RNA libraries derived from control and ionizing radiation treatment groups of each cell lines generated at least 42 million quality-trimmed clean reads (<xref ref-type="supplementary-material" rid="DS2">Supplementary Table 2</xref>). A total of 51.2 Gb quality-trimmed bases were obtained from the transcriptome sequencing (<xref ref-type="supplementary-material" rid="DS2">Supplementary Table 2</xref>). Over 95% of sequencing reads could be mapped to the reference genome (<xref ref-type="supplementary-material" rid="DS2">Supplementary Table 2</xref>). Comparative transcriptomic analysis of ovarian cancer SKOV3 cells found a total 1,144 differentially expressed genes (DEGs), including 574 upregulated and 570 downregulated genes in the ionizing radiation group as compared with the control group (<xref ref-type="fig" rid="F2">Figure 2A</xref> and <xref ref-type="supplementary-material" rid="DS3">Supplementary Table 3</xref>). Four thousand three hundred ninety-nine DEGs, including 1,575 upregulated and 2,824 downregulated genes were found in ovarian cancer COV434 cells after ionizing radiation exposure (<xref ref-type="fig" rid="F2">Figure 2B</xref> and <xref ref-type="supplementary-material" rid="DS4">Supplementary Table 4</xref>). Upregulation of 24 genes and downregulation of 35 genes were common in SKOV3 and COV434 after ionizing radiation (<xref ref-type="fig" rid="F2">Figure 2C</xref> and <xref ref-type="table" rid="T1">Table 1</xref>). Comparative transcriptomic analysis further revealed a smaller number of DEGs in male reproductive cell lines compared with female ovarian cancer cell lines after ionizing radiation. In testicular TM4 germ cell, a total of 783 DEGs, including 278 upregulated and 505 downregulated genes, were found in ionizing radiation group as compared with control group (<xref ref-type="fig" rid="F3">Figure 3A</xref> and <xref ref-type="supplementary-material" rid="DS5">Supplementary Table 5</xref>). In another testicular GC-1 germ cell, we found 248 DEGs including 150 upregulated and 98 downregulated genes under ionizing radiation (<xref ref-type="fig" rid="F3">Figure 3B</xref> and <xref ref-type="supplementary-material" rid="DS6">Supplementary Table 6</xref>). Notably, TM4 and GC-1 cells shared 26 upregulated and 32 downregulated genes (<xref ref-type="fig" rid="F3">Figure 3C</xref> and <xref ref-type="table" rid="T2">Table 2</xref>).</p>
<table-wrap position="float" id="T1">
<label>TABLE 1</label>
<caption><p>Common deregulated genes in SKOV3 and COV434 after radiation exposure.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Common</td>
<td/>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">ABHD14A-ACY1</td>
<td valign="top" align="center">6.321928095</td>
</tr>
<tr>
<td valign="top" align="left">AGAP6</td>
<td valign="top" align="center">&#x2212;0.26995382</td>
</tr>
<tr>
<td valign="top" align="left">AHNAK</td>
<td valign="top" align="center">&#x2212;0.036692267</td>
</tr>
<tr>
<td valign="top" align="left">ANKRD52</td>
<td valign="top" align="center">&#x2212;0.125579585</td>
</tr>
<tr>
<td valign="top" align="left">BHLHE40</td>
<td valign="top" align="center">0.159297821</td>
</tr>
<tr>
<td valign="top" align="left">CCNB1</td>
<td valign="top" align="center">0.118534794</td>
</tr>
<tr>
<td valign="top" align="left">CCT8</td>
<td valign="top" align="center">0.112181258</td>
</tr>
<tr>
<td valign="top" align="left">CELSR1</td>
<td valign="top" align="center">&#x2212;0.169768603</td>
</tr>
<tr>
<td valign="top" align="left">CEP170B</td>
<td valign="top" align="center">&#x2212;0.203081668</td>
</tr>
<tr>
<td valign="top" align="left">CLK1</td>
<td valign="top" align="center">&#x2212;0.581517732</td>
</tr>
<tr>
<td valign="top" align="left">CYR61</td>
<td valign="top" align="center">0.50372215</td>
</tr>
<tr>
<td valign="top" align="left">DAG1</td>
<td valign="top" align="center">&#x2212;0.137058218</td>
</tr>
<tr>
<td valign="top" align="left">DNAJB1</td>
<td valign="top" align="center">0.421062267</td>
</tr>
<tr>
<td valign="top" align="left">FLNA</td>
<td valign="top" align="center">&#x2212;0.137776264</td>
</tr>
<tr>
<td valign="top" align="left">FLNB</td>
<td valign="top" align="center">&#x2212;0.101035897</td>
</tr>
<tr>
<td valign="top" align="left">HCFC1</td>
<td valign="top" align="center">&#x2212;0.256265359</td>
</tr>
<tr>
<td valign="top" align="left">HMGA2</td>
<td valign="top" align="center">&#x2212;0.279167524</td>
</tr>
<tr>
<td valign="top" align="left">HSPA1A</td>
<td valign="top" align="center">0.674635288</td>
</tr>
<tr>
<td valign="top" align="left">HSPA1B</td>
<td valign="top" align="center">0.802124194</td>
</tr>
<tr>
<td valign="top" align="left">HSPA8</td>
<td valign="top" align="center">0.522838677</td>
</tr>
<tr>
<td valign="top" align="left">HSPE1-MOB4</td>
<td valign="top" align="center">1.696165063</td>
</tr>
<tr>
<td valign="top" align="left">HSPG2</td>
<td valign="top" align="center">&#x2212;0.131589484</td>
</tr>
<tr>
<td valign="top" align="left">ILF3</td>
<td valign="top" align="center">&#x2212;0.117865207</td>
</tr>
<tr>
<td valign="top" align="left">KMT2D</td>
<td valign="top" align="center">&#x2212;0.128633535</td>
</tr>
<tr>
<td valign="top" align="left">LARP1</td>
<td valign="top" align="center">&#x2212;0.130260559</td>
</tr>
<tr>
<td valign="top" align="left">LDHA</td>
<td valign="top" align="center">0.070238521</td>
</tr>
<tr>
<td valign="top" align="left">LENG8</td>
<td valign="top" align="center">&#x2212;0.167621054</td>
</tr>
<tr>
<td valign="top" align="left">MAP3K14</td>
<td valign="top" align="center">&#x2212;0.246671519</td>
</tr>
<tr>
<td valign="top" align="left">MSH5</td>
<td valign="top" align="center">&#x2212;1.036220188</td>
</tr>
<tr>
<td valign="top" align="left">MTRNR2L1</td>
<td valign="top" align="center">0.086443006</td>
</tr>
<tr>
<td valign="top" align="left">MTRNR2L2</td>
<td valign="top" align="center">0.055259141</td>
</tr>
<tr>
<td valign="top" align="left">MTRNR2L6</td>
<td valign="top" align="center">0.366614351</td>
</tr>
<tr>
<td valign="top" align="left">MTRNR2L8</td>
<td valign="top" align="center">0.07506049</td>
</tr>
<tr>
<td valign="top" align="left">MYC</td>
<td valign="top" align="center">0.465690304</td>
</tr>
<tr>
<td valign="top" align="left">NACA</td>
<td valign="top" align="center">0.066625449</td>
</tr>
<tr>
<td valign="top" align="left">NBPF11</td>
<td valign="top" align="center">&#x2212;2.273922722</td>
</tr>
<tr>
<td valign="top" align="left">NDST1</td>
<td valign="top" align="center">&#x2212;0.324568416</td>
</tr>
<tr>
<td valign="top" align="left">NOL9</td>
<td valign="top" align="center">&#x2212;0.227755207</td>
</tr>
<tr>
<td valign="top" align="left">NOMO3</td>
<td valign="top" align="center">0.261103909</td>
</tr>
<tr>
<td valign="top" align="left">PKD1</td>
<td valign="top" align="center">&#x2212;0.212287115</td>
</tr>
<tr>
<td valign="top" align="left">PLEC</td>
<td valign="top" align="center">&#x2212;0.211283151</td>
</tr>
<tr>
<td valign="top" align="left">POLE</td>
<td valign="top" align="center">&#x2212;0.149276115</td>
</tr>
<tr>
<td valign="top" align="left">PPP1R15A</td>
<td valign="top" align="center">0.341577734</td>
</tr>
<tr>
<td valign="top" align="left">PRRC2B</td>
<td valign="top" align="center">&#x2212;0.102852978</td>
</tr>
<tr>
<td valign="top" align="left">RHOB</td>
<td valign="top" align="center">0.332811579</td>
</tr>
<tr>
<td valign="top" align="left">RPS17</td>
<td valign="top" align="center">8.515699838</td>
</tr>
<tr>
<td valign="top" align="left">SH3BP4</td>
<td valign="top" align="center">&#x2212;0.306432533</td>
</tr>
<tr>
<td valign="top" align="left">SMAD3</td>
<td valign="top" align="center">&#x2212;0.169052451</td>
</tr>
<tr>
<td valign="top" align="left">SNRNP200</td>
<td valign="top" align="center">&#x2212;0.082025905</td>
</tr>
<tr>
<td valign="top" align="left">SRCAP</td>
<td valign="top" align="center">&#x2212;0.18936661</td>
</tr>
<tr>
<td valign="top" align="left">SRRM2</td>
<td valign="top" align="center">&#x2212;0.08339425</td>
</tr>
<tr>
<td valign="top" align="left">TCP1</td>
<td valign="top" align="center">0.131439798</td>
</tr>
<tr>
<td valign="top" align="left">TJP1</td>
<td valign="top" align="center">&#x2212;0.138449491</td>
</tr>
<tr>
<td valign="top" align="left">TMEM189-UBE2V1</td>
<td valign="top" align="center">&#x2212;4.906890596</td>
</tr>
<tr>
<td valign="top" align="left">TNRC18</td>
<td valign="top" align="center">&#x2212;0.247618398</td>
</tr>
<tr>
<td valign="top" align="left">TPT1</td>
<td valign="top" align="center">0.082415032</td>
</tr>
<tr>
<td valign="top" align="left">TPX2</td>
<td valign="top" align="center">0.109746859</td>
</tr>
<tr>
<td valign="top" align="left">TRIO</td>
<td valign="top" align="center">&#x2212;0.102527386</td>
</tr>
<tr>
<td valign="top" align="left">UBR4</td>
<td valign="top" align="center">&#x2212;0.100565996</td>
</tr>
</tbody>
</table></table-wrap>
<table-wrap position="float" id="T2">
<label>TABLE 2</label>
<caption><p>Common deregulated genes in TM4 and GC-1 after radiation exposure.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Common</td>
<td valign="top" align="center">Genes</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">6820431F20Rik</td>
<td valign="top" align="center">&#x2212;0.148053365</td>
</tr>
<tr>
<td valign="top" align="left">Actb</td>
<td valign="top" align="center">0.015429673</td>
</tr>
<tr>
<td valign="top" align="left">Actg1</td>
<td valign="top" align="center">0.035451843</td>
</tr>
<tr>
<td valign="top" align="left">Amotl2</td>
<td valign="top" align="center">0.117501459</td>
</tr>
<tr>
<td valign="top" align="left">Atad5</td>
<td valign="top" align="center">&#x2212;0.144339873</td>
</tr>
<tr>
<td valign="top" align="left">Atrx</td>
<td valign="top" align="center">&#x2212;0.155713413</td>
</tr>
<tr>
<td valign="top" align="left">Bclaf1</td>
<td valign="top" align="center">&#x2212;0.091555479</td>
</tr>
<tr>
<td valign="top" align="left">Cd209c</td>
<td valign="top" align="center">&#x2212;0.538806202</td>
</tr>
<tr>
<td valign="top" align="left">Cd2ap</td>
<td valign="top" align="center">&#x2212;0.108090558</td>
</tr>
<tr>
<td valign="top" align="left">Cited2</td>
<td valign="top" align="center">0.074274825</td>
</tr>
<tr>
<td valign="top" align="left">Cmah</td>
<td valign="top" align="center">&#x2212;0.055197597</td>
</tr>
<tr>
<td valign="top" align="left">Col1a1</td>
<td valign="top" align="center">0.115874807</td>
</tr>
<tr>
<td valign="top" align="left">Ctgf</td>
<td valign="top" align="center">0.213118333</td>
</tr>
<tr>
<td valign="top" align="left">Cxcr2</td>
<td valign="top" align="center">0.239034728</td>
</tr>
<tr>
<td valign="top" align="left">Cyr61</td>
<td valign="top" align="center">0.184896033</td>
</tr>
<tr>
<td valign="top" align="left">Ddx17</td>
<td valign="top" align="center">&#x2212;0.121821168</td>
</tr>
<tr>
<td valign="top" align="left">Dst</td>
<td valign="top" align="center">&#x2212;0.118465395</td>
</tr>
<tr>
<td valign="top" align="left">Dusp1</td>
<td valign="top" align="center">0.227403063</td>
</tr>
<tr>
<td valign="top" align="left">Egr1</td>
<td valign="top" align="center">0.294032038</td>
</tr>
<tr>
<td valign="top" align="left">Eif1</td>
<td valign="top" align="center">0.081156225</td>
</tr>
<tr>
<td valign="top" align="left">Eif4a2</td>
<td valign="top" align="center">&#x2212;0.147533967</td>
</tr>
<tr>
<td valign="top" align="left">Flnb</td>
<td valign="top" align="center">0.044000894</td>
</tr>
<tr>
<td valign="top" align="left">Fn1</td>
<td valign="top" align="center">0.03142685</td>
</tr>
<tr>
<td valign="top" align="left">Fubp1</td>
<td valign="top" align="center">&#x2212;0.054877449</td>
</tr>
<tr>
<td valign="top" align="left">Hspa8</td>
<td valign="top" align="center">0.027844383</td>
</tr>
<tr>
<td valign="top" align="left">Ier2</td>
<td valign="top" align="center">0.169029369</td>
</tr>
<tr>
<td valign="top" align="left">Ier3</td>
<td valign="top" align="center">0.226920302</td>
</tr>
<tr>
<td valign="top" align="left">Luc7l3</td>
<td valign="top" align="center">&#x2212;0.306875903</td>
</tr>
<tr>
<td valign="top" align="left">Mat2a</td>
<td valign="top" align="center">&#x2212;0.098084338</td>
</tr>
<tr>
<td valign="top" align="left">Mki67</td>
<td valign="top" align="center">&#x2212;0.187693922</td>
</tr>
<tr>
<td valign="top" align="left">Myc</td>
<td valign="top" align="center">0.09462868</td>
</tr>
<tr>
<td valign="top" align="left">Ncl</td>
<td valign="top" align="center">&#x2212;0.055239947</td>
</tr>
<tr>
<td valign="top" align="left">Npm1</td>
<td valign="top" align="center">&#x2212;0.02494927</td>
</tr>
<tr>
<td valign="top" align="left">Pcm1</td>
<td valign="top" align="center">&#x2212;0.107611547</td>
</tr>
<tr>
<td valign="top" align="left">Phlda1</td>
<td valign="top" align="center">0.066301904</td>
</tr>
<tr>
<td valign="top" align="left">Plk2</td>
<td valign="top" align="center">0.129986464</td>
</tr>
<tr>
<td valign="top" align="left">Psip1</td>
<td valign="top" align="center">&#x2212;0.107652929</td>
</tr>
<tr>
<td valign="top" align="left">Ptgs2</td>
<td valign="top" align="center">0.085702</td>
</tr>
<tr>
<td valign="top" align="left">Ranbp2</td>
<td valign="top" align="center">&#x2212;0.106473682</td>
</tr>
<tr>
<td valign="top" align="left">Rhob</td>
<td valign="top" align="center">0.100308303</td>
</tr>
<tr>
<td valign="top" align="left">Rplp0</td>
<td valign="top" align="center">0.014678559</td>
</tr>
<tr>
<td valign="top" align="left">Scaf11</td>
<td valign="top" align="center">&#x2212;0.053057537</td>
</tr>
<tr>
<td valign="top" align="left">Serpine1</td>
<td valign="top" align="center">0.060359909</td>
</tr>
<tr>
<td valign="top" align="left">Setd2</td>
<td valign="top" align="center">&#x2212;0.085843794</td>
</tr>
<tr>
<td valign="top" align="left">Smarca5</td>
<td valign="top" align="center">&#x2212;0.063291942</td>
</tr>
<tr>
<td valign="top" align="left">Smc2</td>
<td valign="top" align="center">&#x2212;0.18366615</td>
</tr>
<tr>
<td valign="top" align="left">Smc3</td>
<td valign="top" align="center">&#x2212;0.112639541</td>
</tr>
<tr>
<td valign="top" align="left">Smc4</td>
<td valign="top" align="center">&#x2212;0.145773918</td>
</tr>
<tr>
<td valign="top" align="left">Sparc</td>
<td valign="top" align="center">0.081296273</td>
</tr>
<tr>
<td valign="top" align="left">Srsf10</td>
<td valign="top" align="center">&#x2212;0.063547185</td>
</tr>
<tr>
<td valign="top" align="left">Thbs1</td>
<td valign="top" align="center">0.048740214</td>
</tr>
<tr>
<td valign="top" align="left">Tmem254c</td>
<td valign="top" align="center">&#x2212;7.996389141</td>
</tr>
<tr>
<td valign="top" align="left">Top2a</td>
<td valign="top" align="center">&#x2212;0.085094243</td>
</tr>
<tr>
<td valign="top" align="left">Trpm7</td>
<td valign="top" align="center">&#x2212;0.156997671</td>
</tr>
<tr>
<td valign="top" align="left">Ttc14</td>
<td valign="top" align="center">&#x2212;0.263145409</td>
</tr>
<tr>
<td valign="top" align="left">U2surp</td>
<td valign="top" align="center">&#x2212;0.094367453</td>
</tr>
<tr>
<td valign="top" align="left">Ubc</td>
<td valign="top" align="center">0.050980317</td>
</tr>
<tr>
<td valign="top" align="left">Zfc3h1</td>
<td valign="top" align="center">&#x2212;0.170572408</td>
</tr>
</tbody>
</table></table-wrap>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>The ionizing radiation exposure caused the differential gene expression in male reproductive cells. <bold>(A)</bold> Volcano plot showed the differentially expressed genes in the TM4 cells. Green dots represented downregulated genes. Red dots represented upregulated genes. <bold>(B)</bold> Volcano plot showed the differentially expressed genes in the GC-1 cells. Green dots represented downregulated genes. Red dots represented upregulated genes. <bold>(C)</bold> Common deregulated genes in TM4 and GC-1 cells under the ionizing radiation exposure.</p></caption>
<graphic xlink:href="fgene-12-710143-g002.tif"/>
</fig>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>The ionizing radiation exposure caused the differential gene expression in female reproductive cells. <bold>(A)</bold> Volcano plot showed the differentially expressed genes in the SKOV3 cells. Green dots represented downregulated genes. Red dots represented upregulated genes. <bold>(B)</bold> Volcano plot showed the differential expressed genes in the COV434 cells. Green dots represented downregulated genes. Red dots represented upregulated genes. <bold>(C)</bold> Common deregulated genes in SKOV3 and COV434 cells under the ionizing radiation exposure.</p></caption>
<graphic xlink:href="fgene-12-710143-g003.tif"/>
</fig>
</sec>
<sec id="S3.SS3">
<title>Ionizing Radiation Altered Biological Processes and Signaling Pathways in the Reproductive Cells</title>
<p>The common DEGs were then subjected to GO and KEGG enrichment analysis, to elucidate the alteration of biological functions and signaling pathways in female and male reproductive cells caused by the ionizing radiation. The result of GO analysis in the female reproductive cells showed that the ionizing radiation would trigger DNA damage response, leading to the alteration of many biological processes related to cell apoptosis, cell growth, cell cycle arrest, protein stabilization and folding, cell-cell adhesion, gene expression, and <italic>in utero</italic> embryonic development (<xref ref-type="fig" rid="F4">Figure 4A</xref> and <xref ref-type="table" rid="T3">Table 3</xref>). More importantly, our results showed that ionizing radiation can alter the biological processes closely related to epigenetic regulation such as establishment of protein localization to telomere, telomerase RNA localization to Cajal body, and heterochromatin assembly (<xref ref-type="fig" rid="F4">Figure 4A</xref> and <xref ref-type="table" rid="T3">Table 3</xref>). Results of KEGG pathway analysis further highlighted that radiation causes alteration of MAPK signaling pathway, protein processing in endoplasmic reticulum, spliceosome, antigen processing and presentation, estrogen signaling pathway, and cell cycle (<xref ref-type="fig" rid="F4">Figure 4B</xref> and <xref ref-type="table" rid="T4">Table 4</xref>). In the male reproductive cells, the ionizing radiation could similarly cause a DNA damage response (<xref ref-type="fig" rid="F4">Figure 4C</xref> and <xref ref-type="table" rid="T5">Table 5</xref>), leading to alterations of different biological processes such as cell apoptosis, cell proliferation, cell cycle, and cell death (<xref ref-type="fig" rid="F4">Figure 4C</xref> and <xref ref-type="table" rid="T5">Table 5</xref>). Although the responses were similar to those observed in female reproductive cells, the gene clusters involved in the processes were largely different (<xref ref-type="table" rid="T6">Table 6</xref>) and only shared the induction of MYC and CYR61 (<xref ref-type="table" rid="T6">Table 6</xref>). More importantly, the ionizing radiation resulted in the modulation of chromatin remodeling such as chromosome organization, meiotic chromosome segregation, and meiotic chromosome condensation, which was considered a major event leading to epigenetic modification in male reproductive cells (<xref ref-type="fig" rid="F4">Figure 4C</xref> and <xref ref-type="table" rid="T5">Table 5</xref>). The chromatin remodeling is controlled by a family of structural maintenance of chromosome protein including SMC2, SMC3, and SMC4 and SJQ/SMB-related matrix-associated actin-dependent regulator of chromatin subfamily A member 5 (SMARCA5) (<xref ref-type="table" rid="T5">Table 5</xref>). The result of KEGG pathway analysis highlighted the alteration of focal adhesion, Hippo signaling pathway, ECM-receptor interaction, and MAPK signaling pathway (<xref ref-type="fig" rid="F4">Figure 4D</xref> and <xref ref-type="table" rid="T7">Table 7</xref>). Taken together, our data suggested that ionizing radiation caused a similar biological alteration in both the female and male reproductive cells through the regulation of different gene clusters.</p>
<table-wrap position="float" id="T3">
<label>TABLE 3</label>
<caption><p>Gene ontology enrichment analysis on SKOV3 and COV434 common deregulated genes.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Term</td>
<td valign="top" align="center">Count</td>
<td valign="top" align="center"><italic>P</italic>-value</td>
<td valign="top" align="left">Genes</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">GO:2001022&#x223C;positive regulation of response to DNA damage stimulus</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.026451</td>
<td valign="top" align="left">MYC, HMGA2</td>
</tr>
<tr>
<td valign="top" align="left">GO:0043066&#x223C;negative regulation of apoptotic process</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">0.048141</td>
<td valign="top" align="left">SMAD3, FLNA, HMGA2, CYR61, HSPA1B</td>
</tr>
<tr>
<td valign="top" align="left">GO:0030308&#x223C;negative regulation of cell growth</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.037132</td>
<td valign="top" align="left">SMAD3, SH3BP4, HSPA1A</td>
</tr>
<tr>
<td valign="top" align="left">GO:0007050&#x223C;cell cycle arrest</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.016601</td>
<td valign="top" align="left">SMAD3, MYC, PKD1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0045787&#x223C;positive regulation of cell cycle</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.092951</td>
<td valign="top" align="left">CCNB1, MYC</td>
</tr>
<tr>
<td valign="top" align="left">GO:0050821&#x223C;protein stabilization</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">2.61E-04</td>
<td valign="top" align="left">SMAD3, TCP1, FLNA, CCT8, HCFC1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0006457&#x223C;protein folding</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.003713</td>
<td valign="top" align="left">DNAJB1, HSPA8, TCP1, CCT8</td>
</tr>
<tr>
<td valign="top" align="left">GO:0098609&#x223C;cell&#x2013;cell adhesion</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">3.37E-07</td>
<td valign="top" align="left">TJP1, DNAJB1, LDHA, LARP1, FLNB, HCFC1, PLEC, HSPA1A</td>
</tr>
<tr>
<td valign="top" align="left">GO:0010628&#x223C;positive regulation of gene expression</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">0.015824</td>
<td valign="top" align="left">PPP1R15A, HSPA8, SMAD3, HMGA2, HCFC1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0042993&#x223C;positive regulation of transcription factor import into nucleus</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.038247</td>
<td valign="top" align="left">SMAD3, FLNA</td>
</tr>
<tr>
<td valign="top" align="left">GO:0001701&#x223C;<italic>in utero</italic> embryonic development</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">0.005915</td>
<td valign="top" align="left">KMT2D, CCNB1, SMAD3, MYC, PKD1</td>
</tr>
<tr>
<td valign="top" align="left">GO:1904851&#x223C;positive regulation of establishment of protein localization to telomere</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.021693</td>
<td valign="top" align="left">TCP1, CCT8</td>
</tr>
<tr>
<td valign="top" align="left">GO:1904874&#x223C;positive regulation of telomerase RNA localization to Cajal body</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.035899</td>
<td valign="top" align="left">TCP1, CCT8</td>
</tr>
<tr>
<td valign="top" align="left">GO:0032212&#x223C;positive regulation of telomere maintenance via telomerase</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.075063</td>
<td valign="top" align="left">TCP1, CCT8</td>
</tr>
<tr>
<td valign="top" align="left">GO:0031507&#x223C;heterochromatin assembly</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.009699</td>
<td valign="top" align="left">HMGA2, TNRC18</td>
</tr>
<tr>
<td valign="top" align="left">GO:0007339&#x223C;binding of sperm to zona pellucida</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.003459</td>
<td valign="top" align="left">TCP1, CCT8, HSPA1B</td>
</tr>
<tr>
<td valign="top" align="left">GO:0060428&#x223C;lung epithelium development</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.019306</td>
<td valign="top" align="left">HMGA2, PKD1</td>
</tr>
<tr>
<td valign="top" align="left">GO:1904871(positive regulation of protein localization to Cajal body</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.019306</td>
<td valign="top" align="left">TCP1, CCT8</td>
</tr>
<tr>
<td valign="top" align="left">GO:0060236(regulation of mitotic spindle organization</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.019306</td>
<td valign="top" align="left">TPX2, PKD1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0001649(osteoblast differentiation</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.030878</td>
<td valign="top" align="left">SMAD3, SNRNP200, CYR61</td>
</tr>
<tr>
<td valign="top" align="left">GO:0051085(chaperone mediated protein folding requiring cofactor</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.031186</td>
<td valign="top" align="left">DNAJB1, HSPA8</td>
</tr>
<tr>
<td valign="top" align="left">GO:0044319(wound healing, spreading of cells</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.031186</td>
<td valign="top" align="left">FLNA, CYR61</td>
</tr>
<tr>
<td valign="top" align="left">GO:0006468(protein phosphorylation</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">0.050757</td>
<td valign="top" align="left">CLK1, ILF3, CCNB1, TRIO, MAP3K14</td>
</tr>
<tr>
<td valign="top" align="left">GO:0060441(epithelial tube branching involved in lung morphogenesis</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.05683</td>
<td valign="top" align="left">DAG1, HMGA2</td>
</tr>
<tr>
<td valign="top" align="left">GO:0045216(cell&#x2014;cell junction organization</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.05683</td>
<td valign="top" align="left">SMAD3, FLNA</td>
</tr>
<tr>
<td valign="top" align="left">GO:0043484&#x223C;regulation of RNA splicing</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.068266</td>
<td valign="top" align="left">CLK1, AHNAK</td>
</tr>
<tr>
<td valign="top" align="left">GO:0001837&#x223C;epithelial to mesenchymal transition</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.072803</td>
<td valign="top" align="left">FLNA, HMGA2</td>
</tr>
<tr>
<td valign="top" align="left">GO:0042177&#x223C;negative regulation of protein catabolic process</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.081811</td>
<td valign="top" align="left">SMAD3, FLNA</td>
</tr>
<tr>
<td valign="top" align="left">GO:1901998&#x223C;toxin transport</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.081811</td>
<td valign="top" align="left">TCP1, CCT8</td>
</tr>
<tr>
<td valign="top" align="left">GO:0090307&#x223C;mitotic spindle assembly</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.081811</td>
<td valign="top" align="left">TPX2, FLNA</td>
</tr>
<tr>
<td valign="top" align="left">GO:0043085&#x223C;positive regulation of catalytic activity</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.090733</td>
<td valign="top" align="left">HSPA8, MYC</td>
</tr>
<tr>
<td valign="top" align="left">GO:0045944&#x223C;positive regulation of transcription from RNA polymerase II promoter</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">0.092546</td>
<td valign="top" align="left">KMT2D, SMAD3, MYC, HMGA2, PKD1, CYR61</td>
</tr>
<tr>
<td valign="top" align="left">GO:0048565&#x223C;digestive tract development</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.097369</td>
<td valign="top" align="left">CCNB1, PKD1</td>
</tr>
</tbody>
</table></table-wrap>
<table-wrap position="float" id="T4">
<label>TABLE 4</label>
<caption><p>KEGG enrichment analysis on SKOV3 and COV434 common deregulated genes.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Term</td>
<td valign="top" align="center">Count</td>
<td valign="top" align="center"><italic>P</italic>-value</td>
<td valign="top" align="left">Genes</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">mmu04010:MAPK signaling pathway</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">7.20E-05</td>
<td valign="top" align="left">HSPA8, MYC, FLNA, FLNB, MAP3K14, HSPA1B, HSPA1A</td>
</tr>
<tr>
<td valign="top" align="left">mmu04141:protein processing in endoplasmic reticulum</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">0.001406</td>
<td valign="top" align="left">PPP1R15A, DNAJB1, HSPA8, HSPA1B, HSPA1A</td>
</tr>
<tr>
<td valign="top" align="left">mmu03040:spliceosome</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.006952</td>
<td valign="top" align="left">HSPA8, SNRNP200, HSPA1B, HSPA1A</td>
</tr>
<tr>
<td valign="top" align="left">mmu04612:antigen processing and presentation</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.024577</td>
<td valign="top" align="left">HSPA8, HSPA1B, HSPA1A</td>
</tr>
<tr>
<td valign="top" align="left">mmu04915:estrogen signaling pathway</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.034176</td>
<td valign="top" align="left">HSPA8, HSPA1B, HSPA1A</td>
</tr>
<tr>
<td valign="top" align="left">mmu04110:cell cycle</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.052334</td>
<td valign="top" align="left">CCNB1, SMAD3, MYC</td>
</tr>
<tr>
<td valign="top" align="left">mmu05134:legionellosis</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.012357</td>
<td valign="top" align="left">HSPA8, HSPA1B, HSPA1A</td>
</tr>
<tr>
<td valign="top" align="left">mmu05164:influenza A</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.013793</td>
<td valign="top" align="left">DNAJB1, HSPA8, HSPA1B, HSPA1A</td>
</tr>
<tr>
<td valign="top" align="left">mmu05205:proteoglycans in cancer</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.021748</td>
<td valign="top" align="left">MYC, FLNA, FLNB, HSPG2</td>
</tr>
<tr>
<td valign="top" align="left">mmu05132:<italic>Salmonella</italic> infection</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.022385</td>
<td valign="top" align="left">TJP1, FLNA, FLNB</td>
</tr>
<tr>
<td valign="top" align="left">mmu05145:toxoplasmosis</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.038769</td>
<td valign="top" align="left">HSPA8, HSPA1B, HSPA1A</td>
</tr>
<tr>
<td valign="top" align="left">mmu04144:endocytosis</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.04145</td>
<td valign="top" align="left">HSPA8, SMAD3, HSPA1B, HSPA1A</td>
</tr>
<tr>
<td valign="top" align="left">mmu05166:HTLV-I infection</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.047645</td>
<td valign="top" align="left">SMAD3, MYC, MAP3K14, POLE</td>
</tr>
<tr>
<td valign="top" align="left">mmu05162:measles</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.06166</td>
<td valign="top" align="left">HSPA8, HSPA1B, HSPA1A</td>
</tr>
</tbody>
</table></table-wrap>
<table-wrap position="float" id="T5">
<label>TABLE 5</label>
<caption><p>Gene ontology enrichment analysis on GC-1 and TM4 common deregulated genes.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Term</td>
<td valign="top" align="center">Count</td>
<td valign="top" align="center"><italic>p</italic>-value</td>
<td valign="top" align="left">Genes</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">GO:2001022&#x223C;positive regulation of response to DNA damage stimulus</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.031782</td>
<td valign="top" align="left">BCLAF1, MYC</td>
</tr>
<tr>
<td valign="top" align="left">GO:0006974&#x223C;cellular response to DNA damage stimulus</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">0.03441</td>
<td valign="top" align="left">TOP2A, ATAD5, MYC, ATRX, SMC3</td>
</tr>
<tr>
<td valign="top" align="left">GO:0043066&#x223C;negative regulation of apoptotic process</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">3.51E-05</td>
<td valign="top" align="left">NPM1, CITED2, DUSP1, NCL, PLK2, CXCR2, FN1, THBS1, CYR61, IER3</td>
</tr>
<tr>
<td valign="top" align="left">GO:0043065&#x223C;positive regulation of apoptotic process</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center">5.22E-05</td>
<td valign="top" align="left">TOP2A, BCLAF1, DUSP1, TRPM7, PTGS2, PHLDA1, CYR61, RHOB</td>
</tr>
<tr>
<td valign="top" align="left">GO:0043280&#x223C;positive regulation of cysteine-type endopeptidase activity involved in apoptotic process</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.008723</td>
<td valign="top" align="left">MYC, CYR61, CTGF</td>
</tr>
<tr>
<td valign="top" align="left">GO:0008284&#x223C;positive regulation of cell proliferation</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">0.004907</td>
<td valign="top" align="left">NPM1, MYC, CXCR2, FN1, PTGS2, THBS1, CTGF</td>
</tr>
<tr>
<td valign="top" align="left">GO:0071364&#x223C;cellular response to epidermal growth factor stimulus</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.004982</td>
<td valign="top" align="left">COL1A1, NCL, MYC</td>
</tr>
<tr>
<td valign="top" align="left">GO:0007049&#x223C;cell cycle</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">0.033428</td>
<td valign="top" align="left">DUSP1, MKI67, SMC3, SMC4, SMC2, CD2AP</td>
</tr>
<tr>
<td valign="top" align="left">GO:0051383&#x223C;kinetochore organization</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.008768</td>
<td valign="top" align="left">SMC4, SMC2</td>
</tr>
<tr>
<td valign="top" align="left">GO:0010942&#x223C;positive regulation of cell death</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.008723</td>
<td valign="top" align="left">EGR1, PTGS2, CTGF</td>
</tr>
<tr>
<td valign="top" align="left">GO:0010628&#x223C;positive regulation of gene expression</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">0.001063</td>
<td valign="top" align="left">EGR1, HSPA8, CITED2, FUBP1, SERPINE1, FN1, CTGF</td>
</tr>
<tr>
<td valign="top" align="left">GO:0045893&#x223C;positive regulation of transcription, DNA-templated</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">0.006565</td>
<td valign="top" align="left">DDX17, COL1A1, EGR1, NPM1, CITED2, MYC, SMARCA5</td>
</tr>
<tr>
<td valign="top" align="left">GO:0010629&#x223C;negative regulation of gene expression</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">0.007523</td>
<td valign="top" align="left">NPM1, CITED2, MYC, SERPINE1, CTGF</td>
</tr>
<tr>
<td valign="top" align="left">GO:0045944&#x223C;positive regulation of transcription from RNA polymerase II promoter</td>
<td valign="top" align="center">9</td>
<td valign="top" align="center">0.007997</td>
<td valign="top" align="left">DDX17, TOP2A, EGR1, CITED2, NCL, MYC, ATRX, PSIP1, CYR61</td>
</tr>
<tr>
<td valign="top" align="left">GO:0051276&#x223C;chromosome organization</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">1.87E-04</td>
<td valign="top" align="left">MYC, SMC3, SMC4, SMC2</td>
</tr>
<tr>
<td valign="top" align="left">GO:0045132&#x223C;meiotic chromosome segregation</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.014571</td>
<td valign="top" align="left">SMC4, SMC2</td>
</tr>
<tr>
<td valign="top" align="left">GO:0010032&#x223C;meiotic chromosome condensation</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.014571</td>
<td valign="top" align="left">SMC4, SMC2</td>
</tr>
<tr>
<td valign="top" align="left">GO:0006338&#x223C;chromatin remodeling</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.022492</td>
<td valign="top" align="left">MYC, ATRX, SMARCA5</td>
</tr>
<tr>
<td valign="top" align="left">GO:0001525&#x223C;angiogenesis</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">6.84E-05</td>
<td valign="top" align="left">SETD2, NCL, SERPINE1, FN1, PTGS2, CTGF, RHOB</td>
</tr>
<tr>
<td valign="top" align="left">GO:0032355&#x223C;response to estradiol</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">2.18E-04</td>
<td valign="top" align="left">COL1A1, DUSP1, MYC, PTGS2, CTGF</td>
</tr>
<tr>
<td valign="top" align="left">GO:0051591&#x223C;response to cAMP</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">4.48E-04</td>
<td valign="top" align="left">COL1A1, SPARC, MAT2A, DUSP1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0030261&#x223C;chromosome condensation</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">9.85E-04</td>
<td valign="top" align="left">TOP2A, SMC4, SMC2</td>
</tr>
<tr>
<td valign="top" align="left">GO:0048661&#x223C;positive regulation of smooth muscle cell proliferation</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.001666</td>
<td valign="top" align="left">EGR1, MYC, PTGS2, THBS1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0042060&#x223C;wound healing</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.002641</td>
<td valign="top" align="left">COL1A1, SPARC, SERPINE1, FN1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0045766&#x223C;positive regulation of angiogenesis</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.005367</td>
<td valign="top" align="left">SERPINE1, CXCR2, THBS1, RHOB</td>
</tr>
<tr>
<td valign="top" align="left">GO:0043085&#x223C;positive regulation of catalytic activity</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.005828</td>
<td valign="top" align="left">HSPA8, NPM1, MYC</td>
</tr>
<tr>
<td valign="top" align="left">GO:0010595&#x223C;positive regulation of endothelial cell migration</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.006425</td>
<td valign="top" align="left">SPARC, THBS1, RHOB</td>
</tr>
<tr>
<td valign="top" align="left">GO:0035914&#x223C;skeletal muscle cell differentiation</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.011335</td>
<td valign="top" align="left">EGR1, CITED2, MYC</td>
</tr>
<tr>
<td valign="top" align="left">GO:0007155&#x223C;cell adhesion</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">0.013561</td>
<td valign="top" align="left">DST, FN1, THBS1, CYR61, CTGF, RHOB</td>
</tr>
<tr>
<td valign="top" align="left">GO:0010757&#x223C;negative regulation of plasminogen activation</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.014571</td>
<td valign="top" align="left">SERPINE1, THBS1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0048146&#x223C;positive regulation of fibroblast proliferation</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.015584</td>
<td valign="top" align="left">MYC, SERPINE1, FN1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0051592&#x223C;response to calcium ion</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.016973</td>
<td valign="top" align="left">SPARC, DUSP1, THBS1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0071636&#x223C;positive regulation of transforming growth factor beta production</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.017461</td>
<td valign="top" align="left">PTGS2, THBS1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0043434&#x223C;response to peptide hormone</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.0194</td>
<td valign="top" align="left">COL1A1, SPARC, CTGF</td>
</tr>
<tr>
<td valign="top" align="left">GO:0051918&#x223C;negative regulation of fibrinolysis</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.020341</td>
<td valign="top" align="left">SERPINE1, THBS1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0046599&#x223C;regulation of centriole replication</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.020341</td>
<td valign="top" align="left">NPM1, PLK2</td>
</tr>
<tr>
<td valign="top" align="left">GO:0051384&#x223C;response to glucocorticoid</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.020409</td>
<td valign="top" align="left">SPARC, DUSP1, PTGS2</td>
</tr>
<tr>
<td valign="top" align="left">GO:0030335&#x223C;positive regulation of cell migration</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.021653</td>
<td valign="top" align="left">COL1A1, FN1, THBS1, CYR61</td>
</tr>
<tr>
<td valign="top" align="left">GO:0009749&#x223C;response to glucose</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.021963</td>
<td valign="top" align="left">EGR1, THBS1, CTGF</td>
</tr>
<tr>
<td valign="top" align="left">GO:0071347&#x223C;cellular response to interleukin-1</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.023026</td>
<td valign="top" align="left">MYC, SERPINE1, FN1</td>
</tr>
<tr>
<td valign="top" align="left">GO:1904628&#x223C;cellular response to phorbol 13-acetate 12-myristate</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.023214</td>
<td valign="top" align="left">MYC, RPLP0</td>
</tr>
<tr>
<td valign="top" align="left">GO:0007613&#x223C;memory</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.024659</td>
<td valign="top" align="left">PLK2, TRPM7, PTGS2</td>
</tr>
<tr>
<td valign="top" align="left">GO:0000375&#x223C;RNA splicing, via transesterification reactions</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.026078</td>
<td valign="top" align="left">SCAF11, SRSF10</td>
</tr>
<tr>
<td valign="top" align="left">GO:0030728&#x223C;ovulation</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.031782</td>
<td valign="top" align="left">MYC, PTGS2</td>
</tr>
<tr>
<td valign="top" align="left">GO:0008380&#x223C;RNA splicing</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.033622</td>
<td valign="top" align="left">HSPA8, SCAF11, LUC7L3, SRSF10</td>
</tr>
<tr>
<td valign="top" align="left">GO:0006334(nucleosome assembly</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.037334</td>
<td valign="top" align="left">NPM1, ATRX, SMARCA5</td>
</tr>
<tr>
<td valign="top" align="left">GO:0003197(endocardial cushion development</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.037453</td>
<td valign="top" align="left">CITED2, THBS1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0007076(mitotic chromosome condensation</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.037453</td>
<td valign="top" align="left">SMC4, SMC2</td>
</tr>
<tr>
<td valign="top" align="left">GO:0030336(negative regulation of cell migration</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.038648</td>
<td valign="top" align="left">CITED2, SERPINE1, RHOB</td>
</tr>
<tr>
<td valign="top" align="left">GO:0030194(positive regulation of blood coagulation</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.040277</td>
<td valign="top" align="left">SERPINE1, THBS1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0050921(positive regulation of chemotaxis</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.043092</td>
<td valign="top" align="left">FN1, THBS1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0006376(mRNA splice site selection</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.043092</td>
<td valign="top" align="left">LUC7L3, SRSF10</td>
</tr>
<tr>
<td valign="top" align="left">GO:0007067(mitotic nuclear division</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.047549</td>
<td valign="top" align="left">SMC3, SMC4, SMC2, CD2AP</td>
</tr>
<tr>
<td valign="top" align="left">GO:0046907(intracellular transport</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.048698</td>
<td valign="top" align="left">RANBP2, DST</td>
</tr>
<tr>
<td valign="top" align="left">GO:0070542(response to fatty acid</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.054272</td>
<td valign="top" align="left">PTGS2, CTGF</td>
</tr>
<tr>
<td valign="top" align="left">GO:0006259(DNA metabolic process</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.057047</td>
<td valign="top" align="left">TOP2A, MKI67</td>
</tr>
<tr>
<td valign="top" align="left">GO:0046697(decidualization</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.068067</td>
<td valign="top" align="left">CITED2, PTGS2</td>
</tr>
<tr>
<td valign="top" align="left">GO:0007126(meiotic nuclear division</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.068067</td>
<td valign="top" align="left">MKI67, SMC3</td>
</tr>
<tr>
<td valign="top" align="left">GO:0030511(positive regulation of transforming growth factor beta receptor signaling pathway</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.068067</td>
<td valign="top" align="left">CITED2, THBS1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0043044(ATP-dependent chromatin remodeling</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.070802</td>
<td valign="top" align="left">SMARCA5, ACTB</td>
</tr>
<tr>
<td valign="top" align="left">GO:0001895(retina homeostasis</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.070802</td>
<td valign="top" align="left">ACTB, ACTG1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0048025(negative regulation of mRNA splicing, via spliceosome</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.070802</td>
<td valign="top" align="left">NPM1, SRSF10</td>
</tr>
<tr>
<td valign="top" align="left">GO:0010667&#x223C;negative regulation of cardiac muscle cell apoptotic process</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.07353</td>
<td valign="top" align="left">HSPA8, NPM1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0016925&#x223C;protein sumoylation</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.076249</td>
<td valign="top" align="left">TOP2A, RANBP2</td>
</tr>
<tr>
<td valign="top" align="left">GO:0042493&#x223C;response to drug</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.077109</td>
<td valign="top" align="left">COL1A1, MAT2A, PTGS2, THBS1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0007052&#x223C;mitotic spindle organization</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.078961</td>
<td valign="top" align="left">PLK2, SMC3</td>
</tr>
<tr>
<td valign="top" align="left">GO:0007569&#x223C;cell aging</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.084361</td>
<td valign="top" align="left">NPM1, CITED2</td>
</tr>
<tr>
<td valign="top" align="left">GO:0001937&#x223C;negative regulation of endothelial cell proliferation</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.084361</td>
<td valign="top" align="left">SPARC, THBS1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0044344&#x223C;cellular response to fibroblast growth factor stimulus</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.084361</td>
<td valign="top" align="left">COL1A1, MYC</td>
</tr>
<tr>
<td valign="top" align="left">GO:0070372&#x223C;regulation of ERK1 and ERK2 cascade</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.087049</td>
<td valign="top" align="left">FN1, CYR61</td>
</tr>
<tr>
<td valign="top" align="left">GO:0033574&#x223C;response to testosterone</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.089729</td>
<td valign="top" align="left">DUSP1, THBS1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0006446&#x223C;regulation of translational initiation</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">0.092402</td>
<td valign="top" align="left">EIF4A2, EIF1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0006351&#x223C;transcription, DNA-templated</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">0.095659</td>
<td valign="top" align="left">DDX17, EGR1, HSPA8, BCLAF1, SETD2, CITED2, MYC, FUBP1, ATRX, PSIP1</td>
</tr>
<tr>
<td valign="top" align="left">GO:0051301&#x223C;cell division</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.09664</td>
<td valign="top" align="left">SMC3, SMC4, SMC2, CD2AP</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap position="float" id="T6">
<label>TABLE 6</label>
<caption><p>Different gene clusters involved in similar biological processes.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">SKOV3/COV434</td>
<td valign="top" align="center">Biological processes</td>
<td valign="top" align="left">TM4/GC-1</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">MYC, HMGA2</td>
<td valign="top" align="center">DNA damage response</td>
<td valign="top" align="left">BCLAF1, TOP2A, ATAD5, MYC, ATRX, SMC3</td>
</tr>
<tr>
<td valign="top" align="left">SMAD3, FLNA, HMGA2, CYR61, HSPA1B</td>
<td valign="top" align="center">Cell apoptosis</td>
<td valign="top" align="left">NPM1, CITED2, DUSP1, NCL, PLK2, CXCR2, FN1, THBS1, CYR61, IER3, MYC, CTGF, TOP2A, BCLAF1, TRPM7, PTGS2, PHLDA1, RHOB</td>
</tr>
<tr>
<td valign="top" align="left">SMAD3, MYC, PKD1, CCNB1</td>
<td valign="top" align="center">Cell cycle</td>
<td valign="top" align="left">DUSP1, MKI67, SMC3, SMC4, SMC2, CD2AP, MYC</td>
</tr>
<tr>
<td valign="top" align="left">SMAD3, SH3BP4, HSPA1A</td>
<td valign="top" align="center">Cell proliferation</td>
<td valign="top" align="left">NPM1, MYC, CXCR2, FN1, PTGS2, THBS1, CTGF, COL1A1, NCL,</td>
</tr>
<tr>
<td valign="top" align="left">PPP1R15A, HSPA8, SMAD3, HMGA2, HCFC1, FLNA</td>
<td valign="top" align="center">Gene expression</td>
<td valign="top" align="left">EGR1, HSPA8, CITED2, FUBP1, SERPINE1, FN1, CTGF, NPM1, MYC, DDX17, COL1A1, SMARCA5</td>
</tr>
</tbody>
</table></table-wrap>
<table-wrap position="float" id="T7">
<label>TABLE 7</label>
<caption><p>KEGG enrichment analysis on GC-1 and TM4 common deregulated genes.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Term</td>
<td valign="top" align="center">Count</td>
<td valign="top" align="center"><italic>p</italic>-value</td>
<td valign="top" align="left">Genes</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">mmu04510:focal adhesion</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">7.98E-04</td>
<td valign="top" align="left">COL1A1, FN1, FLNB, THBS1, ACTB, ACTG1</td>
</tr>
<tr>
<td valign="top" align="left">mmu04390:hippo signaling pathway</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">0.002025</td>
<td valign="top" align="left">MYC, SERPINE1, ACTB, ACTG1, CTGF</td>
</tr>
<tr>
<td valign="top" align="left">mmu04512:ECM-receptor interaction</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.040363</td>
<td valign="top" align="left">COL1A1, FN1, THBS1</td>
</tr>
<tr>
<td valign="top" align="left">mmu04010:MAPK signaling pathway</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.061762</td>
<td valign="top" align="left">HSPA8, DUSP1, MYC, FLNB</td>
</tr>
<tr>
<td valign="top" align="left">mmu05205:proteoglycans in cancer</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">7.28E-05</td>
<td valign="top" align="left">COL1A1, MYC, FN1, FLNB, THBS1, ACTB, ACTG1</td>
</tr>
<tr>
<td valign="top" align="left">mmu05100:bacterial invasion of epithelial cells</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.002739</td>
<td valign="top" align="left">FN1, ACTB, CD2AP, ACTG1</td>
</tr>
<tr>
<td valign="top" align="left">mmu04145:phagosome</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">0.023537</td>
<td valign="top" align="left">CD209C, THBS1, ACTB, ACTG1</td>
</tr>
<tr>
<td valign="top" align="left">mmu05132:Salmonella infection</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.032375</td>
<td valign="top" align="left">FLNB, ACTB, ACTG1</td>
</tr>
<tr>
<td valign="top" align="left">mmu05222:small cell lung cancer</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.037085</td>
<td valign="top" align="left">MYC, FN1, PTGS2</td>
</tr>
<tr>
<td valign="top" align="left">mmu04919:thyroid hormone signaling pathway</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.064117</td>
<td valign="top" align="left">MYC, ACTB, ACTG1</td>
</tr>
<tr>
<td valign="top" align="left">mmu04611:platelet activation</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.081647</td>
<td valign="top" align="left">COL1A1, ACTB, ACTG1</td>
</tr>
<tr>
<td valign="top" align="left">mmu03040:spliceosome</td>
<td valign="top" align="center">3</td>
<td valign="top" align="center">0.0838</td>
<td valign="top" align="left">HSPA8, SRSF10, U2SURP</td>
</tr>
</tbody>
</table></table-wrap>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p>Alteration of biological processes and signaling pathways in the reproductive cells caused by the ionizing radiation. <bold>(A)</bold> Rich factor plot showed the altered biological processes related to DNA damage responses and cell apoptosis and telomere structure in female reproductive cells using Gene Ontology (GO) enrichment analysis. <bold>(B)</bold> Rich factor plot showed the altered cell signaling pathways in the female reproductive cells after the ionizing radiation exposure using Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis. <bold>(C)</bold> Rich factor plot showed the altered biological processes related to DNA damage and chromosome organization in male reproductive cells using GO enrichment analysis. <bold>(D)</bold> Rich factor plot showed the altered cell signaling pathways in the male reproductive cells after the ionizing radiation exposure using KEGG analysis. The size of dot represented the number of gene. The color intensity of dot represented the significance of the biological processes and cell signaling pathways.</p></caption>
<graphic xlink:href="fgene-12-710143-g004.tif"/>
</fig>
</sec>
<sec id="S3.SS4">
<title>Ionizing Radiation Caused Deregulation of Gene Network and Reproductive Disorder</title>
<p>In order to understand the reproductive diseases and to delineate the gene networks involved in ionizing radiation-altered biological processes, IPA was conducted. The results of disease analysis showed that the radiation exposure could potentially lead to many female reproductive disorders and diseases such as ovary growth impairment, genital tract cancer, and ovarian cancer (<xref ref-type="table" rid="T8">Table 8</xref>). A similar finding was observed in the male reproductive system that radiation could cause tumorigenesis of reproductive tract and develop malignant neoplasm and endometriosis of the male genital organ (<xref ref-type="table" rid="T9">Table 9</xref>). Canonical pathway analysis of IPA further highlighted the involvement of many components from different cellular levels in radiation-mediated reproductive impairment. In the female reproductive cells, tight junction protein 1 (TJP1) was found to be downregulated and associated with the deregulation of filamin A, alpha (FLNA) and heat shock 70 kDa protein 1 (HSPA1A) (<xref ref-type="fig" rid="F5">Figure 5A</xref>). Also, a group of enzymes such as lactate dehydrogenase A (LDHA), DNA polymerase Epsilon (POLE), and small nuclear ribonucleoprotein U5 Subunit 200 (SNRP200) (<xref ref-type="fig" rid="F5">Figure 5A</xref>) were highlighted. More importantly, a cluster of transcription factors including DnaJ heat shock protein family (Hsp40) member B1 (DNAJB1), mothers against decapentaplegic homolog 3 (SMAD3) and MYC proto-oncogene, and BHLH transcription factor (MYC) were involved in the ionizing radiation-mediated reproductive impairment (<xref ref-type="fig" rid="F5">Figure 5A</xref>). Our result showed that MYC is a key mediator that directly controls different kinases and enzymes (<xref ref-type="fig" rid="F5">Figure 5A</xref>). In the male reproductive cells, more candidates were found to be involved in reproductive impairment caused by the ionizing radiation (<xref ref-type="fig" rid="F5">Figure 5B</xref>). The gene networking showed the induction of thrombospondin-1 (THBS1), fibronectin 1 (FN1), collagen, type I, alpha 1 (COL1A1), and serpin family E member 1 (SERPINE1) in extracellular matrix (<xref ref-type="fig" rid="F5">Figure 5B</xref>). Also, radiation exposure could lead to downregulation of membrane protein transient receptor potential cation channel subfamily M member 7 (TRPM7). Similar to the result in the female reproductive cells, MYC was the major mediator connecting different enzymes such as methionine adenosyltransferase 2A (MAT2), Ras homolog family member B (RHOB), ubiquitin C (UBC), prostaglandin-endoperoxide synthase 2 (PTGS2), and heat shock protein family A member 8 (HSPA8), as well as a large number of transcription factors including nucleophosmin (NPM1), Cbp/p300-interacting transactivator 2 (CITED2), and ATP-dependent helicase (ATRX) (<xref ref-type="fig" rid="F5">Figure 5B</xref>). Taken together, our results suggested a gender-specific gene network involved in the ionizing radiation-mediated reproductive impairment.</p>
<table-wrap position="float" id="T8">
<label>TABLE 8</label>
<caption><p>Female reproductive diseases caused by radiation exposure.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Diseases or functions annotation</td>
<td valign="top" align="center"><italic>p</italic>-value</td>
<td valign="top" align="center"># molecules</td>
<td valign="top" align="left">Molecules</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Genital tract cancer</td>
<td valign="top" align="center">2.64E-08</td>
<td valign="top" align="center">46</td>
<td valign="top" align="left">ABHD14A-ACY1, AGAP6 (includes others), AHNAK, ANKRD52, BHLHE40, CCN1, CCNB1, CELSR1, CEP170B, CLK1, FLNA, FLNB, HCFC1, HMGA2, HSPA1A/HSPA1B, HSPA8, HSPE1-MOB4, HSPG2, ILF3, KMT2D, LARP1, LENG8, MAP3K14, MSH5, MYC, NACA, NBPF10 (includes others), NDST1, NOMO1 (includes others), PKD1, PLEC, POLE, PPP1R15A, PRRC2B, RHOB, SH3BP4, SMAD3, SNRNP200, SRCAP, SRRM2, TJP1, TMEM189-UBE2V1, TNRC18, TPX2, TRIO, UBR4</td>
</tr>
<tr>
<td valign="top" align="left">Genital tumor</td>
<td valign="top" align="center">4.45E-08</td>
<td valign="top" align="center">46</td>
<td valign="top" align="left">ABHD14A-ACY1, AGAP6 (includes others), AHNAK, ANKRD52, BHLHE40, CCN1, CCNB1, CELSR1, CEP170B, CLK1, FLNA, FLNB, HCFC1, HMGA2, HSPA1A/HSPA1B, HSPA8, HSPE1-MOB4, HSPG2, ILF3, KMT2D, LARP1, LENG8, MAP3K14, MSH5, MYC, NACA, NBPF10 (includes others), NDST1, NOMO1 (includes others), PKD1, PLEC, POLE, PPP1R15A, PRRC2B, RHOB, SH3BP4, SMAD3, SNRNP200, SRCAP, SRRM2, TJP1, TMEM189-UBE2V1, TNRC18, TPX2, TRIO, UBR4</td>
</tr>
<tr>
<td valign="top" align="left">Female genital tract cancer</td>
<td valign="top" align="center">1.02E-07</td>
<td valign="top" align="center">40</td>
<td valign="top" align="left">ABHD14A-ACY1, AGAP6 (includes others), AHNAK, ANKRD52, CCN1, CCNB1, CELSR1, CLK1, FLNA, FLNB, HCFC1, HMGA2, HSPA1A/HSPA1B, HSPE1-MOB4, HSPG2, ILF3, KMT2D, LARP1, LENG8, MAP3K14, MSH5, MYC, NBPF10 (includes others), NDST1, NOMO1 (includes others), PKD1, PLEC, POLE, RHOB, SH3BP4, SMAD3, SNRNP200, SRCAP, SRRM2, TJP1, TMEM189-UBE2V1, TNRC18, TPX2, TRIO, UBR4</td>
</tr>
<tr>
<td valign="top" align="left">Tumorigenesis of reproductive tract</td>
<td valign="top" align="center">1.79E-07</td>
<td valign="top" align="center">40</td>
<td valign="top" align="left">ABHD14A-ACY1, AGAP6 (includes others), AHNAK, ANKRD52, CCN1, CCNB1, CELSR1, CLK1, FLNA, FLNB, HCFC1, HMGA2, HSPA1A/HSPA1B, HSPE1-MOB4, HSPG2, ILF3, KMT2D, LARP1, LENG8, MAP3K14, MSH5, MYC, NBPF10 (includes others), NDST1, NOMO1 (includes others), PKD1, PLEC, POLE, RHOB, SH3BP4, SMAD3, SNRNP200, SRCAP, SRRM2, TJP1, TMEM189-UBE2V1, TNRC18, TPX2, TRIO, UBR4</td>
</tr>
<tr>
<td valign="top" align="left">Female genital tract adenocarcinoma</td>
<td valign="top" align="center">2.10E-07</td>
<td valign="top" align="center">37</td>
<td valign="top" align="left">ABHD14A-ACY1, AGAP6 (includes others), AHNAK, ANKRD52, CCNB1, CELSR1, CLK1, FLNA, FLNB, HCFC1, HMGA2, HSPA1A/HSPA1B, HSPE1-MOB4, HSPG2, ILF3, KMT2D, LARP1, LENG8, MAP3K14, MSH5, MYC, NBPF10 (includes others), NDST1, NOMO1 (includes others), PKD1, PLEC, POLE, SH3BP4, SMAD3, SNRNP200, SRCAP, SRRM2, TMEM189-UBE2V1, TNRC18, TPX2, TRIO, UBR4</td>
</tr>
<tr>
<td valign="top" align="left">Endometrioid endometrial adenocarcinoma</td>
<td valign="top" align="center">2.98E-07</td>
<td valign="top" align="center">33</td>
<td valign="top" align="left">ABHD14A-ACY1, AGAP6 (includes others), AHNAK, ANKRD52, CELSR1, FLNA, FLNB, HCFC1, HSPA1A/HSPA1B, HSPG2, ILF3, KMT2D, LARP1, LENG8, MAP3K14, MSH5, MYC, NBPF10 (includes others), NDST1, NOMO1 (includes others), PKD1, PLEC, POLE, SH3BP4, SMAD3, SNRNP200, SRCAP, SRRM2, TMEM189-UBE2V1, TNRC18, TPX2, TRIO, UBR4</td>
</tr>
<tr>
<td valign="top" align="left">Endometrial cancer</td>
<td valign="top" align="center">3.27E-07</td>
<td valign="top" align="center">35</td>
<td valign="top" align="left">ABHD14A-ACY1, AGAP6 (includes others), AHNAK, ANKRD52, CCNB1, CELSR1, FLNA, FLNB, HCFC1, HSPA1A/HSPA1B, HSPG2, ILF3, KMT2D, LARP1, LENG8, MAP3K14, MSH5, MYC, NBPF10 (includes others), NDST1, NOMO1 (includes others), PKD1, PLEC, POLE, SH3BP4, SMAD3, SNRNP200, SRCAP, SRRM2, TJP1, TMEM189-UBE2V1, TNRC18, TPX2, TRIO, UBR4</td>
</tr>
<tr>
<td valign="top" align="left">Development of genital tumor</td>
<td valign="top" align="center">3.67E-07</td>
<td valign="top" align="center">39</td>
<td valign="top" align="left">ABHD14A-ACY1, AGAP6 (includes others), AHNAK, ANKRD52, CCN1, CCNB1, CELSR1, CLK1, FLNA, FLNB, HCFC1, HMGA2, HSPA1A/HSPA1B, HSPE1-MOB4, HSPG2, ILF3, KMT2D, LARP1, LENG8, MAP3K14, MSH5, MYC, NBPF10 (includes others), NDST1, NOMO1 (includes others), PKD1, PLEC, POLE, SH3BP4, SMAD3, SNRNP200, SRCAP, SRRM2, TJP1, TMEM189-UBE2V1, TNRC18, TPX2, TRIO, UBR4</td>
</tr>
<tr>
<td valign="top" align="left">Endometrial carcinoma</td>
<td valign="top" align="center">5.26E-07</td>
<td valign="top" align="center">34</td>
<td valign="top" align="left">ABHD14A-ACY1, AGAP6 (includes others), AHNAK, ANKRD52, CELSR1, FLNA, FLNB, HCFC1, HSPA1A/HSPA1B, HSPG2, ILF3, KMT2D, LARP1, LENG8, MAP3K14, MSH5, MYC, NBPF10 (includes others), NDST1, NOMO1 (includes others), PKD1, PLEC, POLE, SH3BP4, SMAD3, SNRNP200, SRCAP, SRRM2, TJP1, TMEM189-UBE2V1, TNRC18, TPX2, TRIO, UBR4</td>
</tr>
<tr>
<td valign="top" align="left">Ovarian tumor</td>
<td valign="top" align="center">6.44E-05</td>
<td valign="top" align="center">18</td>
<td valign="top" align="left">AHNAK, ANKRD52, CCN1, CCNB1, CLK1, HCFC1, HMGA2, HSPE1-MOB4, KMT2D, MYC, PKD1, POLE, RHOB, SMAD3, SNRNP200, SRCAP, TNRC18, TPX2</td>
</tr>
<tr>
<td valign="top" align="left">Ovarian cancer</td>
<td valign="top" align="center">1.63E-04</td>
<td valign="top" align="center">17</td>
<td valign="top" align="left">AHNAK, ANKRD52, CCN1, CCNB1, CLK1, HCFC1, HMGA2, HSPE1-MOB4, KMT2D, MYC, PKD1, POLE, RHOB, SNRNP200, SRCAP, TNRC18, TPX2</td>
</tr>
<tr>
<td valign="top" align="left">Growth of genital organ</td>
<td valign="top" align="center">4.23E-04</td>
<td valign="top" align="center">4</td>
<td valign="top" align="left">KMT2D, MYC, NDST1, SMAD3</td>
</tr>
<tr>
<td valign="top" align="left">Growth of ovary</td>
<td valign="top" align="center">6.45E-04</td>
<td valign="top" align="center">3</td>
<td valign="top" align="left">KMT2D, MYC, SMAD3</td>
</tr>
<tr>
<td valign="top" align="left">Ovarian carcinoma</td>
<td valign="top" align="center">1.76E-03</td>
<td valign="top" align="center">14</td>
<td valign="top" align="left">AHNAK, ANKRD52, CLK1, HCFC1, HMGA2, HSPE1-MOB4, KMT2D, MYC, PKD1, POLE, SNRNP200, SRCAP, TNRC18, TPX2</td>
</tr>
</tbody>
</table></table-wrap>
<table-wrap position="float" id="T9">
<label>TABLE 9</label>
<caption><p>Male reproductive diseases caused by radiation exposure.</p></caption>
<table cellspacing="5" cellpadding="5" frame="hsides" rules="groups">
<thead>
<tr>
<td valign="top" align="left">Diseases or functions annotation</td>
<td valign="top" align="center"><italic>p</italic>-value</td>
<td valign="top" align="center"># molecules</td>
<td valign="top" align="left">Molecules</td>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Malignant neoplasm of male genital organ</td>
<td valign="top" align="center">9.69E-07</td>
<td valign="top" align="center">30</td>
<td valign="top" align="left">ATAD5, ATRX, BCLAF1, CD2AP, COL1A1, DDX17, DUSP1, EGR1, FLNB, FN1, HSPA8, IER3, LUC7L3, MKI67, MYC, NPM1, PHLDA1, PLK2, PSIP1, PTGS2, RGPD4 (includes others), SETD2, SMC3, SMC4, SPARC, SRSF10, TOP2A, TRPM7, UBC, ZFC3H1</td>
</tr>
<tr>
<td valign="top" align="left">Endometriosis</td>
<td valign="top" align="center">3.09E-06</td>
<td valign="top" align="center">9</td>
<td valign="top" align="left">ACTB, CITED2, CXCR2, DUSP1, EGR1, FN1, PLK2, PTGS2, TOP2A</td>
</tr>
<tr>
<td valign="top" align="left">Prostate cancer</td>
<td valign="top" align="center">9.27E-06</td>
<td valign="top" align="center">28</td>
<td valign="top" align="left">ATAD5, ATRX, CD2AP, COL1A1, DDX17, DUSP1, EGR1, FLNB, FN1, HSPA8, IER3, LUC7L3, MKI67, MYC, NPM1, PHLDA1, PLK2, PSIP1, PTGS2, RGPD4 (includes others), SETD2, SMC3, SMC4, SPARC, SRSF10, TOP2A, UBC, ZFC3H1</td>
</tr>
<tr>
<td valign="top" align="left">Tumorigenesis of reproductive tract</td>
<td valign="top" align="center">9.69E-06</td>
<td valign="top" align="center">36</td>
<td valign="top" align="left">ACTB, ACTG1, ATAD5, ATRX, BCLAF1, CD2AP, COL1A1, CXCR2, DUSP1, EIF4A2, FLNB, FN1, FUBP1, IER3, LUC7L3, MKI67, MYC, NPM1, PHLDA1, PLK2, PSIP1, PTGS2, RGPD4 (includes others), RHOB, SCAF11, SERPINE1, SETD2, SMARCA5, SMC3, SMC4, THBS1, TOP2A, TRPM7, U2SURP, UBC, ZFC3H1</td>
</tr>
<tr>
<td valign="top" align="left">Genital tumor</td>
<td valign="top" align="center">1.16E-05</td>
<td valign="top" align="center">41</td>
<td valign="top" align="left">ACTB, ACTG1, ATAD5, ATRX, BCLAF1, CD2AP, COL1A1, CXCR2, DDX17, DUSP1, EGR1, EIF4A2, FLNB, FN1, FUBP1, HSPA8, IER3, LUC7L3, MKI67, MYC, NPM1, PHLDA1, PLK2, PSIP1, PTGS2, RGPD4 (includes others), RHOB, SCAF11, SERPINE1, SETD2, SMARCA5, SMC3, SMC4, SPARC, SRSF10, THBS1, TOP2A, TRPM7, U2SURP, UBC, ZFC3H1</td>
</tr>
<tr>
<td valign="top" align="left">Morphology of reproductive system</td>
<td valign="top" align="center">1.68E-05</td>
<td valign="top" align="center">11</td>
<td valign="top" align="left">ATRX, CXCR2, DUSP1, EGR1, FUBP1, MYC, PLK2, PTGS2, SERPINE1, SETD2, THBS1</td>
</tr>
<tr>
<td valign="top" align="left">Prostatic carcinoma</td>
<td valign="top" align="center">9.71E-05</td>
<td valign="top" align="center">24</td>
<td valign="top" align="left">ATAD5, ATRX, CD2AP, COL1A1, DDX17, DUSP1, FLNB, FN1, HSPA8, LUC7L3, MKI67, MYC, NPM1, PHLDA1, PLK2, PTGS2, RGPD4 (includes others), SETD2, SMC3, SMC4, SRSF10, TOP2A, UBC, ZFC3H1</td>
</tr>
<tr>
<td valign="top" align="left">Development of genital tumor</td>
<td valign="top" align="center">1.75E-04</td>
<td valign="top" align="center">33</td>
<td valign="top" align="left">ACTB, ACTG1, ATAD5, ATRX, BCLAF1, CD2AP, COL1A1, CXCR2, EIF4A2, FLNB, FN1, FUBP1, IER3, LUC7L3, MKI67, MYC, NPM1, PHLDA1, PLK2, PSIP1, PTGS2, RGPD4 (includes others), SCAF11, SETD2, SMARCA5, SMC3, SMC4, THBS1, TOP2A, TRPM7, U2SURP, UBC, ZFC3H1</td>
</tr>
</tbody>
</table></table-wrap>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption><p>The alteration of gene networks is caused by the ionizing radiation. The gene networking of the Ingenuity Pathway Analysis (IPA) showed the gene networks in response to the ionizing radiation in <bold>(A)</bold> female reproductive cells and <bold>(B)</bold> male reproductive cells. Red color represented upregulated genes and green color represented downregulated genes. The purple arrow showed the direct transcriptional regulation.</p></caption>
<graphic xlink:href="fgene-12-710143-g005.tif"/>
</fig>
</sec>
</sec>
<sec id="S4">
<title>Discussion</title>
<p>The present study unraveled that epigenetic changes associated with reproductive impairment can be elicited by a low dose of ionizing radiation (i.e., 100 mGy). The dose we used in this study is considered a low-dose radiation because fetal absorbed about 4.9 cGy per procedure during abdominal CT scan, and for pelvis it was as high as 7.9 cGy (<xref ref-type="bibr" rid="B18">Groen et al., 2012</xref>). A cohort study of diagnostic medical radiation workers in South Korea showed that the workers absorbed a mean cumulative badge dose of 7.20 mSv (<xref ref-type="bibr" rid="B32">Lee et al., 2021</xref>). While the environmental level of ionizing radiation is about 3 mGy/year, high levels of background radiation was commonly reported in some areas around the world (<xref ref-type="bibr" rid="B21">Hendry et al., 2009</xref>).</p>
<p>In this study, we determined and compared the effects of radiation on different types of male and female reproductive cells. GC-1 spg is an immortalized type B spermatogonia line and displays characteristics of a stage between type B spermatogonia and primary spermatocytes. TM4 is an immortalized Sertoli cell line and is a somatic cell-type essential for nurturing germ cell development. Due to the low availability of freshly isolated primary ovarian reproductive cells, two ovarian cancer lines derived from ovarian surface epithelium and granulosa cells, respectively, are used. Our comparative transcriptomic analysis revealed that environmental relevant level of ionizing radiation is sufficient to induced DNA damage, leading to cell cycle arrest and cell apoptosis in both female and male reproductive cells. It is not surprising that the genes involved were largely different according to cell types, and only MYC and CYR61 were shared in both female and male reproductive cells. MYC is a transcription factor and contributes to the development of many cancer types (<xref ref-type="bibr" rid="B14">Godwin et al., 2021</xref>). In addition, it plays an important role in DNA damage response repair. For instance, MYC formed foci with &#x03B3;-H2AX to phosphorylate ATM and to mediate DNA-PKcs activity (<xref ref-type="bibr" rid="B4">Cui et al., 2015</xref>), leading to enhanced chromosomal and chromatid breaks in response to &#x03B3;-ray ionizing radiation (<xref ref-type="bibr" rid="B34">Li et al., 2012</xref>). In addition, MYC was essential for DNA damage-induced apoptosis through the control of the p53 tumor suppressor protein (<xref ref-type="bibr" rid="B46">Phesse et al., 2014</xref>). The other deregulated gene, cysteine-rich angiogenic inducer 61 (CYR61), is an extracellular matrix-associated signaling protein of the CCN intercellular signaling protein family (<xref ref-type="bibr" rid="B31">Lau, 2011</xref>). CYR61 is a cell apoptosis and senescence inducer involved in DNA damage response through the regulation of p53 upon genotoxic stress (<xref ref-type="bibr" rid="B8">Feng et al., 2008</xref>; <xref ref-type="bibr" rid="B40">Morrison et al., 2009</xref>). In addition, CYR61 was a downstream effector of the Hippo signaling pathway that is one the important cell signaling pathways of DNA damage response (<xref ref-type="bibr" rid="B56">Shome et al., 2020</xref>). Other than the common DNA damage responses, our result also suggested that the ionizing radiation could cause gene deregulation related to impairment of utero embryonic development in the female reproductive system. Although it has been reported that abdominopelvic ionizing irradiation (&#x003E;5 Gy) increased the risk of unfavorable neonatal outcomes such as fetal malformation and disturbances of growth or development (<xref ref-type="bibr" rid="B29">Kumar and DeJesus, 2021</xref>), our result showed that even a much lower level of ionizing radiation (10 cGy) could also pose adverse effect on embryonic development. In addition, our data highlighted that ionizing radiation could alter estrogen signaling pathway in female reproductive cells. Estrogen signaling pathway is one of the most important pathways involved in steroid hormones and reproductive regulation in mammals (<xref ref-type="bibr" rid="B53">Saito and Cui, 2018</xref>), and estrogens are also associated with tumor development, particularly breast and ovary cancers (<xref ref-type="bibr" rid="B9">Ferreira et al., 2009</xref>). Studies also demonstrated that estrogen is also related to the DNA repair pathways and DNA integrity (<xref ref-type="bibr" rid="B24">Jim&#x00E9;nez-Salazar et al., 2021</xref>; <xref ref-type="bibr" rid="B45">Pescatori et al., 2021</xref>).</p>
<p>Our results further highlighted that ionized radiation could alter a spectrum of male reproductive function-related cell signaling such as ECM-receptor interaction, Hippo signaling pathway, and MAPK signaling pathway. Extracellular matrix (ECM) receptor interaction pathway has been reported to be associated with spermatogenesis (<xref ref-type="bibr" rid="B15">Gong et al., 2018</xref>). In addition, ECM remodeling is required for the testicular development and maturation (<xref ref-type="bibr" rid="B58">Slongo et al., 2002</xref>). Hippo signaling pathway is responsible for the controls of organ size through the regulation of cell proliferation and apoptosis (<xref ref-type="bibr" rid="B68">Zhang et al., 2009</xref>). Yes-associated protein, the downstream effector of Hippo signaling pathway was reported to modulate the decline of germline stem cells and niche cells (<xref ref-type="bibr" rid="B11">Francis et al., 2019</xref>). Also, Hippo signaling cascade was found to be associated with the pubertal development of male reproductive tract and spermatogenesis in sheep (<xref ref-type="bibr" rid="B67">Zhang et al., 2019</xref>). MAPK signaling pathway is the key mediator that controls the phosphorylation of many downstream effectors, leading to modulate different cellular functions, including cell proliferation, differentiation, and migration (<xref ref-type="bibr" rid="B25">Joerger-Messerli et al., 2021</xref>). Oxidative stress-mediated p38 MAPK signaling pathway was associated with the blood-testis barrier-related junction protein and promoting apoptosis in mice testes (<xref ref-type="bibr" rid="B22">Huang et al., 2021</xref>). Moreover, activation of the MAPK signaling pathway was involved in the molecular mechanism of apoptosis in spermatogonia cells (<xref ref-type="bibr" rid="B44">Park et al., 2020</xref>). As such, deregulation of these pathways found in the present study suggested different aspects of reproductive impairment caused by the ionizing radiation.</p>
<p>Beside the cell signaling pathways related to reproductive functions, our result also demonstrated that ionizing radiation may cause epigenetic modification in both female and male reproductive cells. In female reproductive cells, telomerase, telomere-binding proteins, and heterochromatin assembly were disturbed by ionizing radiation. In male reproductive cells, chromosome organization such as meiotic chromosome segregation and condensation was interfered. Telomere, a repetitive DNA sequencing at the end of chromosome, protects chromosome from progressive degradation. The length of telomere is controlled by a group of telomere-binding proteins and the enzymatic activity of telomerase. Recent research showed that dysregulated telomerase activation was associated with epigenetic, transcriptional, and posttranscriptional modifications (<xref ref-type="bibr" rid="B5">Dogan and Forsyth, 2021</xref>). <xref ref-type="bibr" rid="B35">Lister-Shimauchi et al. (2021)</xref> demonstrated that deficiency for telomerase in <italic>Caenorhabditis elegans</italic> resulted in transgenerational shortening of telomeres. In addition, histone modifications including activation markers (H3K4me1 and H3K4me3) and silencing marks (H3K27me3) at distal promoters were telomere length dependent, suggesting that the epigenetic state of telomere-distal promoters could be influenced by telomere length (<xref ref-type="bibr" rid="B42">Mukherjee et al., 2018</xref>). Moreover, meiotic chromosome segregation is essential for the maintenance of genomic integrity of gametes and requires functional centromeres that are required for a precise epigenetic inheritance (<xref ref-type="bibr" rid="B37">Mahlke and Nechemia-Arbely, 2020</xref>; <xref ref-type="bibr" rid="B61">Tan et al., 2020</xref>).</p>
<p>In conclusion, we show that environmental relevant dose of ionizing radiation can alter the expression of gene cluster related to DNA damage response through the control of MYC, which agreed with other studies reporting amplification of MYC gene in somatic cells and cancer cells (<xref ref-type="bibr" rid="B54">Sawey et al., 1987</xref>; <xref ref-type="bibr" rid="B41">Mothersill et al., 1991</xref>; <xref ref-type="bibr" rid="B26">K&#x00E4;cker et al., 2013</xref>; <xref ref-type="bibr" rid="B13">Ginter et al., 2014</xref>). The ionizing radiation-mediated reproductive impairment is not only gender specific but also connected with different gene networks and pathways. Due to the limited number of germ cells and their extended period of developmental processes, research on the radiation-induced effects of female germline has been hindered (<xref ref-type="bibr" rid="B57">Skrzypek et al., 2019</xref>). In this study, we have unraveled possible pathways in ovarian cells altered by radiation, thus providing insights on the mechanisms underlying the perturbed reproductive functions. More importantly, our findings suggested that ionizing radiation can interfere telomere and chromatin remodeling, leading to possible epigenetic changes. Further investigation is warranted to elucidate whether these induced modifications can lead to transgenerational reproductive impairments.</p>
</sec>
<sec id="S5">
<title>Data Availability Statement</title>
<p>Sequencing data of transcriptome sequencing that support the findings of this study have been deposited in the NCBI BioProject database (<ext-link ext-link-type="uri" xlink:href="https://www.ncbi.nlm.nih.gov/bioproject">https://www.ncbi.nlm.nih.gov/bioproject</ext-link>) with the BioProject accession code <ext-link ext-link-type="DDBJ/EMBL/GenBank" xlink:href="PRJNA730377">PRJNA730377</ext-link>.</p>
</sec>
<sec id="S6">
<title>Ethics Statement</title>
<p>In accordance with the national legislation and the institutional requirements, the Human Research Ethics Committee of The University of Hong Kong waived the requirement for ethical approval and written informed consent for participants in this study.</p>
</sec>
<sec id="S7">
<title>Author Contributions</title>
<p>RW, AW, WL, KWY, RK, and JC contributed to conception and design of the study. CL and YY performed the experiments. KL organized the database. TC, XL, and NT performed the bioinformatics and statistical analysis. KL, RW, and KNY wrote the manuscript. All authors contributed to manuscript revision, read, and approved the submitted version.</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="pudiscl1">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<fn-group>
<fn fn-type="financial-disclosure">
<p><bold>Funding.</bold> This project was supported by the Hong Kong Branch of Southern Marine Science and Engineering Guangdong Laboratory (Guangzhou) (SMSEGL20SC02). KL was supported by the Hong Kong SAR, Macao SAR, and Taiwan Province Talented Young Scientist Program of Guangxi.</p>
</fn>
</fn-group>
<sec id="S9" sec-type="supplementary material">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fgene.2021.710143/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fgene.2021.710143/full#supplementary-material</ext-link></p>
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