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International Journal of Clinical and Experimental Medicine logoLink to International Journal of Clinical and Experimental Medicine
. 2015 Apr 15;8(4):4862–4882.

Gene microarray analysis of lncRNA and mRNA expression profiles in patients with hypopharyngeal squamous cell carcinoma

Jieyu Zhou 1,*, Wenming Li 1,*, Tong Jin 1, Xuan Xiang 1, Maocai Li 1, Juan Wang 1, Guojun Li 2, Xinliang Pan 1, Dapeng Lei 1
PMCID: PMC4483811  PMID: 26131061

Abstract

Background: Studies have shown that long noncoding RNAs (lncRNAs) are involved in the development and progression of many types of cancer. However, the mechanisms by which lncRNAs influence development and progression of hypopharyngeal squamous cell carcinoma (HSCC) are unclear. Method: We investigated differences in lncRNA and mRNA expression profiles between 3 pairs of HSCC tissues and adjacent nontumor tissues by microarray analysis. Results: In HSCC tissues, 1299 lncRNAs were significantly upregulated (n=669) or downregulated (n=630) compared to levels in adjacent nontumor tissues. Moreover, 1432 mRNAs were significantly upregulated (n=684) or downregulated (n=748) in HSCC tissues. We randomly selected 2 differentially expressed lncRNAs (AB209630, AB019562) and 2 differentially expressed mRNAs (SPP1, TJP2) for confirmation of microarray results using qRT-PCR. The qRT-PCR results matched well with the microarray data. The differentially expressed lncRNAs and mRNAs were distributed on each of the chromosomes, including the X and Y chromosomes. Pathway analysis indicated that the biological functions of differentially expressed mRNAs were related to 48 cellular pathways that may be associated with HSCC development. GO analysis revealed that 593 mRNAs involved in biological processes, 50 mRNAs involved in cellular components, and 46 mRNAs involved in molecular functions were upregulated in the carcinomas; 280 mRNAs involved in biological processes, 58 mRNAs involved in cellular components, and 71 mRNAs involved in molecular functions were downregulated in the carcinomas. In addition, 8 enhancer-like lncRNAs and 21 intergenic lncRNAs with their adjacent mRNA pairs were identified as coregulated transcripts. Conclusion: These findings provide insight into the mechanisms underlying HSCC tumorigenesis and will facilitate identification of new therapeutic targets and diagnostic biomarkers for this disease.

Keywords: Hypopharyngeal squamous cell carcinoma, lncRNA, mRNA, microarray, expression profile

Introduction

Hypopharyngeal squamous cell carcinoma (HSCC), a malignant neoplasm arising from the mucosa of the upper aerodigestive tract, is one of the most aggressive cancers in the head and neck area [1]. Even though surgical resection, radiation therapy, and neoadjuvant chemotherapy for HSCC are continuously improving, patients with HSCC remain exceedingly vulnerable to relapse and death [2]. The 5-year survival rate is only approximately 25% to 40% [2]. Studies to date have resulted in a large body of valuable experimental evidence regarding the cellular and molecular mechanisms of HSCC [3-6]. However, it is difficult to explain the germination of HSCC through a single molecule or gene, and we have not found specific markers for HSCC [7].

For the past several decades, cancer investigation has been focused mostly on protein-coding genes. In recent years, however, it has been well reported that the non-protein-coding portion of the human genome is also crucial for cancer biology [8]. Long noncoding RNAs (lncRNAs, >200 nucleotides) are defined as non-protein-coding RNAs distinct from housekeeping RNAs such as tRNAs, rRNAs, and snRNAs and independent from small RNAs such as microRNAs and piwiRNAs [9,10]. LncRNAs play important roles in almost every aspect of cell biology, including chromosome remodeling, transcription, and posttranscriptional processing [11-14]. Altered expression of lncRNAs is a feature of many types of cancer and has been shown to promote the development, invasion, and metastasis of tumors by a variety of mechanisms [15,16]. Moreover, as mature lncRNA is the functional end product, the level of lncRNA expression correlates directly with the level of the active molecule [8]. Thus, the use of noncoding RNAs in diagnostics has intrinsic advantages over the use of protein-coding RNAs [8].

The expression and functional significance of lncRNAs in HSCC remain unclear. We hypothesized that lncRNAs, in combination with mRNAs, are involved in the germination and development of HSCC. To test this hypothesis and attempt to identify specific genes that may prove helpful for the diagnosis, treatment, and prevention of HSCC, we examined the genome-wide expression levels of both lncRNAs and mRNAs in HSCC tissues and paired adjacent nontumor tissues by microarray analysis. We identified numerous lncRNAs and mRNAs that were differentially regulated between HSCCs and paired nontumor tissues.

Materials and methods

Patients and tissue specimens

We retrospectively analyzed tissue samples and patient data from patients who had undergone surgical treatment for primary HSCC at Qilu Hospital of Shandong University, Jinan, China. All patients had a pathological diagnosis of HSCC before surgery. We retrospectively analyzed 23 tissue samples and patient data from patients who had undergone surgical treatment for primary HSCC between November 2012 and April 2013. All patients had a pathological diagnosis of HSCC before surgery. Primary tumor subsite, clinical stage, treatment, and vital status were abstracted from the medical records. Patients who had received neoadjuvant chemotherapy or radiation therapy before surgery were excluded from this study. Three primary HSCC samples and 3 paired adjacent nontumor tissue samples were used for global profiling of human lncRNA and mRNA expression using the Arraystar Human lncRNA Microarray (Arraystar, Rockville, MD, USA). Additionally, HSCC specimens and matched noncancerous mucosal epithelial tissues from 20 patients were obtained for confirmation of differential lncRNA and mRNA expression by qRT-PCR. The study protocol was approved by the institutional review board (IRB) of the Ethics Boards of Qilu Hospital (the permit number is 12040), and tissue specimen acquisition was carried out in accordance with institutional guidelines. All subjects signed written informed consent, and this consent procedure was approved by the IRB of the Ethics Boards of Qilu Hospital.

RNA extraction and microarray hybridization

Fresh tissue specimens had been stored immediately in liquid nitrogen for total RNA extraction. Total RNA was extracted from each sample using TRIzol reagent (Invitrogen, Carlsbad, CA, USA) following the manufacturer’s instructions. RNA concentration was quantified with the NanoDrop ND-1000 (NanoDrop Technologies/Thermo Scientific, Wilmington, DE, USA), and RNA integrity was assessed by standard denaturing agarose gel electrophoresis. RNA from the 3 HSCC specimens and 3 paired nontumor tissue specimens was employed for microarray analysis. Sample preparation and microarray hybridization were performed according to the manufacturer’s standard protocols with minor modifications. Briefly, total RNA was purified after removal of rRNA and tRNA (using an mRNA-ONLY Eukaryotic mRNA Isolation Kit, Epicentre, Madison, WI, USA). Then, each sample was amplified and transcribed into fluorescent cRNA along the entire length of the transcript, without 3’ bias, utilizing a random priming method. The labeled cRNAs were hybridized onto the Human lncRNA Array v2.0 (8×60K, Arraystar). After the slides were washed, the arrays were scanned with an Agilent G2505C scanner (Agilent Technologies, Santa Clara, CA, USA).

Microarray data analysis

Agilent Feature Extraction software (v11.0.1.1) was used to analyze the acquired array images. Quantile normalization and subsequent data processing were performed using the GeneSpring GX v11.5.1 software package (Agilent Technologies). After quantile normalization of the raw data, lncRNAs and mRNAs that were flagged as Present or Marginal (“All Targets Value”) in all 6 samples were chosen for further data analysis. Statistically significant differential expression of lncRNAs and mRNAs between HSCC and paired nontumor tissue was identified through volcano plot filtering. Hierarchical clustering was performed to distinguish between the lncRNA and mRNA expression patterns among the samples. The differentially expressed mRNAs were submitted to the KEGG (Kyoto Encyclopedia of Genes and Genomes) database for pathway analysis and were then submitted to the GO (Gene Ontology) database for GO category analysis. LncRNAs with enhancer-like functions were identified using a GENCODE annotation [17] of the human genes [18]. Rinn lncRNA [19,20] profiling and homeobox (HOX) cluster profiling [21] were analyzed based on papers published by the John Rinn laboratory. The differentially expressed lncRNAs, especially the enhancer-like lncRNAs and the Rinn intergenic lncRNAs (lincRNAs), were remapped on the genome and their nearby coding gene pairs (distance <300 kb) to identify for lncRNA-mRNA coexpression analysis.

Validation of the differentially expressed lncRNAs and mRNAs by quantitative real-time PCR (qRT-PCR)

qRT-PCR was used to validate the microarray data among 20 HSCC patients. Total RNA was reverse-transcribed to cDNA using PrimeScript Reverse Transcriptase (Takara, Dalian, China) following the manufacturer’s protocol. qRT-PCR was performed using SYBR Green chemistry in the ABI 7900HT sequence detection machine (ABI Applied Biosystems, Foster City, CA, USA). The gene-specific primers used were as follows: AB019562, 5’-GGATGTCAGGTCTGCGAAACT-3’ (sense), and 5’-GATAGTGTGGTTTATGGACTGAGGT-3’ (antisense); AB209630, 5’-GGGCTATTGTCCCTAAGTTGAT-3’ (sense), and 5’-TGTCTTGTAGAGCATAAGGAAACC-3’ (antisense); SPP1, 5’-ACCTGCCAGCAACCGAAGT-3’ (sense), and 5’-GGTGATGTCCTCGTCTGTAGCA-3’ (antisense); TJP2, 5’-GCAGAGCGAACGAAGAGTATG-3’ (sense), and 5’-ATGACGGGATGTTGATGAGG-3’ (antisense); GAPDH, 5’-GGGAAACTGTGGCGTGAT-3’ (sense), and 5’-GAGTGGGTGTCGCTGTTGA-3’ (antisense). PCR was performed in a 10-μL reaction volume and consisted of an initial denaturation step at 95°C for 30 sec followed by amplification with 40 cycles at 95°C for 5 sec and 60°C for 30 sec. The threshold cycle (Ct) was defined as the cycle number at which the fluorescence passed a predetermined threshold. Both target and reference (GAPDH) genes were amplified in separate wells in triplicate. Gene expression was calculated using the comparative threshold cycle (2-ΔΔCT) method.

Statistical methods

SPSS 18.0 (SPSS Inc., Chicago, IL, USA) and GraphPad Prism 5.0 (GraphPad Software Inc., San Diego, CA, USA) statistical software were employed for the analysis. The statistical significance of the microarray results was analyzed by fold change and Student’s t-test. The false discovery rate was calculated to correct the P value. The threshold value used to screen differentially expressed lncRNAs and mRNAs was a fold change of ≥2.0. The Wilcoxon matched pairs test was used to compare the RNA expression levels in tumors versus adjacent nontumor tissues. In all analyses, a 2-sided P value <0.05 was considered statistically significant.

Results

Quality of the sample RNAs

The integrity of RNAs was assessed by electrophoresis on a denaturing agarose gel. Intact total RNA run on a denaturing gel will have sharp 28S and 18S rRNA bands, and the 28S rRNA band should be approximately twice as intense as the 18S rRNA band. This 2:1 intensity ratio was observed for the RNA in this study (Figure 1), indicating that the RNA was intact. The concentration of RNAs (OD260), protein contamination of RNAs (ratio OD260/OD280), and organic compound contamination of RNAs (ratio OD260/OD230) were measured with the NanoDrop ND-1000. All samples had OD260/OD280 ratios of total RNA higher than 1.8, indicating adequate RNA concentration (Table 1).

Figure 1.

Figure 1

Analysis of RNA integrity and genomic DNA contamination through electrophoresis on a denaturing agarose gel. The 28 s and 18 s rRNA bands are clear and intact. Moreover, the 28 s band is twice as intense as the 18 s band.

Table 1.

RNA quantification and quality assurance by NanoDrop ND-1000

Sample ID OD260/280 OD260/230 Concentration, ng/μL Volume, μL Quantity, ng Quality control pass or fail
PB 1.93 2.29 372.07 20 7441.40 Pass
TB 1.97 2.35 719.20 80 57536.00 Pass
P12068476 1.89 2.22 390.66 20 7813.20 Pass
T12068476 1.98 2.33 674.70 80 53976.00 Pass
P12071728 1.94 2.30 600.29 40 24011.60 Pass
T12071728 2.01 2.35 1031.40 80 82512.00 Pass

Overview of lncRNA and mRNA profiles

Box plots

Box plots were used to compare the distributions of the intensities of the samples. After normalization, for both lncRNA and mRNA, the distributions of log2 ratios were nearly the same in all tested samples (Figure 2A, 2D).

Figure 2.

Figure 2

Differences in LncRNA and mRNA expression profiles between HSCC tissues and adjacent nontumor tissues. A and D: Box plots. All 6 samples in the dataset were normalized. For both lncRNA and mRNA, the distributions of log2 ratios were nearly the same in all tested samples. B and E: Scatter plots. The values plotted on the X and Y axes are the averaged normalized signal values in each group (log2 scaled). The green lines indicate the fold change. The middle line indicates a fold change of 1, or no difference in expression between HSCC and adjacent nontumor tissue. The values above the top green line and below the bottom green line indicate more than 2.0-fold difference between HSCC and nontumor tissue samples. C and F: Volcano plots. Volcano plots show the relationship between magnitude of expression difference and statistical significance. They also allow subsets of genes to be isolated on the basis of those values. The vertical green lines correspond to 2.0-fold upregulation and 2.0-fold downregulation of expression, and the horizontal green line indicates a P value of 0.05. Thus, the red points in the plot represent lncRNAs with statistically significant differential expression.

Scatter plots

Scatter plots were used to visualize differences in lncRNA and mRNA expression between the HSCC and nontumor tissue samples. The values plotted on the X and Y axes are the averaged normalized signal values of groups of samples (log2 scaled). The green lines are fold change lines (the default fold change value given is 2.0). The values above the top green line and below the bottom green line indicate more than 2.0-fold difference between HSCC and nontumor samples (Figure 2B, 2E).

Volcano plot filtering

Volcano plot filtering was used to identify lncRNAs and mRNAs with statistically significant differences in expression between HSCC and nontumor samples (fold change ≥2.0, P value cut-off 0.05) (Figure 2C, 2F). The microarray data showed that 1299 lncRNAs were significantly differentially expressed; of those, 669 were upregulated and 630 were downregulated in the carcinomas compared to the adjacent nontumor tissues. In addition, 1432 mRNAs were differentially expressed; of those, 684 were upregulated and 748 were downregulated in the carcinomas compared to the adjacent nontumor tissues. The differentially expressed lncRNAs and mRNAs were distributed on each of the chromosomes, including the X and Y chromosomes (Figure 3). Most of the differentially expressed lncRNAs were found on chromosomes 1, 2, 11, 9, and 3. Most of the differentially expressed mRNAs were found on chromosomes 1, 2, 19, 11, and 17. Volcano plot filtering was also used to identify the 10 most upregulated and downregulated lncRNAs (Table 2) and mRNAs (Table 3) in HSCC tissues.

Figure 3.

Figure 3

Chromosomal distribution of differentially expressed lncRNAs and mRNAs. Most of the differentially expressed lncRNAs were found on chromosomes 1, 2, 11, 9, and 3. Most of the differentially expressed mRNAs were found on chromosomes 1, 2, 19, 11, and 17.

Table 2.

Ten most upregulated and downregulated lncRNAs in the carcinomas compared to the adjacent nontumor tissues by volcano plot

Probe name FC Absolute Regulation Seqname Gene symbol Source Chromosome Relationship Associated gene name Associated protein name
ASHG19A3A021323 8.940928 Up ENST00000478252 RP13-503K1.1 Ensembl 3 Intronic antisense NSUN3 Putative methyltransferase NSUN3
ASHG19A3A022918 8.39297 Up AL359062 misc_RNA 3 Intergenic
ASHG19A3A042290 8.289279 Up ENST00000433897 RP11-397A15.4 Ensembl 1 Intergenic
ASHG19A3A045578 7.7143497 Up AK002107 misc_RNA 1 Exon sense-overlapping RAB3B Ras-related protein Rab-3B
ASHG19A3A040116 7.2975035 Up ENST00000447818 RP11-325E14.3 Ensembl X Intergenic
ASHG19A3A034842 7.117814 Up ENST00000419422 RP11-132A1.4 Ensembl 7 Intergenic
ASHG19A3A030085 6.985488 Up ENST00000399980 RP11-325M4.1 Ensembl 6 Intergenic
ASHG19A3A049457 6.731179 Up AK021444 NRED 13 Exon sense-overlapping POSTN Periostin isoform 4
ASHG19A3A049457 6.731179 Up AK021444 NRED 13 Exon sense-overlapping POSTN Periostin isoform 3
ASHG19A3A049457 6.731179 Up AK021444 NRED 13 Exon sense-overlapping POSTN Periostin isoform 2
ASHG19A3A007356 80.72981 Down NR_024602 CLCA4 RefSeq_NR 1 Exon sense-overlapping CLCA4 Calcium-activated chloride channel regulator 4
ASHG19A3A049241 42.46477 Down ENST00000453176 RP11-38M15.6 Ensembl 13 Intergenic
ASHG19A3A018626 42.141758 Down NR_026755 C21orf15 RefSeq_NR 21 Intergenic
ASHG19A3A030827 38.225327 Down uc003qvy.1 AL832737 UCSC_knowngene 6 Intergenic
ASHG19A3A010514 29.642584 Down NR_026756 LOC284233 RefSeq_NR 18 Intergenic
ASHG19A3A018630 23.840233 Down ENST00000451663 C21orf81 Ensembl 21 Intergenic
ASHG19A3A007578 23.742765 Down NR_027763 GYS1 RefSeq_NR 19 Bidirectional RUVBL2 ruvB-like 2
ASHG19A3A007578 23.742765 Down NR_027763 GYS1 RefSeq_NR 19 Exon sense-overlapping GYS1 “Glycogen [starch] synthase, muscle isoform 2”
ASHG19A3A007578 23.742765 Down NR_027763 GYS1 RefSeq_NR 19 Exon sense-overlapping GYS1 “Glycogen [starch] synthase, muscle isoform 1”
ASHG19A3A051379 23.452465 Down BC008699 misc_RNA 14 Intergenic
Table 3.

Ten most upregulated and downregulated mRNAs in the carcinomas compared to the adjacent nontumor tissues by volcano plot

Probe name FC Absolute Regulation Seqname Gene symbol Chromosome Protein accession Product
ASHG19A3A020207 41.58339 Up NM_005940 MMP11 22 NP_005931 Matrix metallopeptidase 11 (stromelysin 3)
ASHG19A3A050427 35.78423 Up NM_007129 ZIC2 13 NP_009060 Zic family member 2 (odd-paired homolog, Drosophila)
ASHG19A3A049790 34.567513 Up NM_033132 ZIC5 13 NP_149123 Zic family member 5 (odd-paired homolog, Drosophila)
ASHG19A3A030137 30.225765 Up NM_001126063 KHDC1L 6 NP_001119535 KH homology domain containing 1-like
ASHG19A3A017482 26.772041 Up NM_001898 CST1 20 NP_001889 Cystatin SN
ASHG19A3A025453 19.727985 Up NM_004181 UCHL1 4 NP_004172 Ubiquitin carboxyl-terminal esterase L1 (ubiquitin thiolesterase)
ASHG19A3A019550 15.542832 Up NM_006115 PRAME 22 NP_996839 Preferentially expressed antigen in melanoma
ASHG19A3A045632 15.119103 Up NM_002421 MMP1 11 NP_002412 Matrix metallopeptidase 1 (interstitial collagenase)
ASHG19A3A045635 14.78575 Up NM_002427 MMP13 11 NP_002418 Matrix metallopeptidase 13 (collagenase 3)
CUST_2_PI426249100 14.759951 Up NM_017410_Exon2+ NM_017410 12
ASHG19A3A031264 798.7413 Down NM_001010909 MUC21 6 NP_001010909 Mucin 21, cell surface associated
ASHG19A3A005265 319.68326 Down NM_022438 MAL 2 NP_071885 Mal, T-cell differentiation protein
ASHG19A3A025361 242.24474 Down NM_012128 CLCA4 1 NP_036260 Chloride channel accessory 4
ASHG19A3A005267 176.59032 Down NM_022440 MAL 2 NP_071885 Mal, T-cell differentiation protein
ASHG19A3A024262 162.92448 Down NM_182502 TMPRSS11B 4 NP_872308 Transmembrane protease, serine 11B
ASHG19A3A008290 138.02931 Down NM_019016 KRT24 17 NP_061889 Keratin 24
ASHG19A3A004016 106.28888 Down NM_002371 MAL 2 NP_071885 Mal, T-cell differentiation protein
ASHG19A3A010362 103.64228 Down NM_002974 SERPINB4 18 NP_002965 Serpin peptidase inhibitor, clade B (ovalbumin), member 4
ASHG19A3A010363 103.04679 Down NM_006919 SERPINB3 18 NP_008850 Serpin peptidase inhibitor, clade B (ovalbumin), member 3
ASHG19A3A053404 85.175095 Down NM_031948 PRSS27 16 NP_114154 Protease, serine 27

Heat map and hierarchical clustering

Hierarchical clustering allowed us to hypothesize the relationships between HSCCs and adjacent nontumor tissues with regard to lncRNA (Figure 4A) and mRNA (Figure 4B) expression patterns.

Figure 4.

Figure 4

Heat map and hierarchical clustering of differences in lncRNA (A) and mRNA (B) expression profiles between HSCC tissues and adjacent nontumor tissues. Heat map and hierarchical clustering is one of the most widely used clustering methods for analyzing lncRNA and mRNA expression data. Cluster analysis arranges samples into groups based on their expression levels, which allowed us to hypothesize the relationships between HSCC tissues and adjacent nontumor tissues. In the dendrogram, red indicates high relative expression, and blue indicates low relative expression.

Confirmation of differential expression by qRT-PCR in a cohort of 20 patients with HSCC

To confirm the reliability and validity of the microarray data, we randomly selected 2 differentially expressed lncRNAs (AB209630, AB019562) and 2 differentially expressed mRNAs (SPP1, TJP2) and analyzed their expression in 20 HSCC samples and paired adjacent nontumor tissue samples with qRT-PCR. The relative expression levels of target RNA were given as ratios of RNA transcript level to GAPDH transcript level in the same RNA sample. AB209630 expression was significantly lower in carcinomas than in adjacent nontumor tissues (P<0.0001, 2.23-fold, Figure 5A). AB019562 expression was significantly higher in carcinomas than in adjacent nontumor tissues (P=0.0004, 7.83-fold, Figure 5B). SPP1 expression was significantly higher in carcinomas than in adjacent nontumor tissues (P=0.0001, 10.56-fold, Figure 5C). TJP2 expression was significantly lower in carcinomas than in adjacent nontumor tissues (P<0.0001, 2.25-fold, Figure 5D). The expression levels of these 4 genes were consistent with the microarray results; thus, these qRT-PCR results confirmed the reliability of the microarray data.

Figure 5.

Figure 5

Quantitative determination of lncRNA and mRNA by means of qRT-PCR for lncRNAs AB209630 (A) and AB019562 (B) and mRNAs SPP1 (C) and TJP2 (D) in HSCC tissues or adjacent nontumor tissues. Target RNA relative expression levels were given as ratios of RNA transcript level to GAPDH transcript level in the same RNA sample. Scatter plots were shown with medians with interquartile range. Statistical analyses were performed with the Wilcoxon matched paired test (2-tailed).

Bioinformatics analysis

Pathway analysis

Pathway analysis based on the latest KEGG database (http://www.genome.jp/kegg/) allows users to determine the biological pathways with significant enrichment of differentially expressed mRNAs. The P value denotes the significance of the pathway, with lower P values indicating greater significance (the P value cut-off to determine significance is 0.05). From the whole pathway analysis, we identified 48 pathways with significant differences in gene expression between HSCC and adjacent nontumor tissues; of those, 29 pathways were upregulated and 19 pathways were downregulated in the carcinomas compared to the adjacent nontumor tissues (Table 4). The top 10 upregulated pathways included ECM-receptor interaction, focal adhesion, and melanogenesis signaling (Figure 6A). The top 10 downregulated pathways included tight junction, African trypanosomiasis, and peroxisome signaling (Figure 6B).

Table 4.

Results of KEGG pathway analysis of mRNAs differentially expressed in carcinomas vs adjacent nontumor tissues

Pathway list (selection counts) Enrichment score Regulation Genes
ECM-receptor interaction (14) 6.271957 Up COL1A1, COL1A2, COL4A2, COL5A2, COL5A3, COL6A1, COL6A2, COL6A3, FN1, ITGA1, ITGA5, LAMC2, SPP1, THBS2
Focal adhesion (21) 5.696962 Up COL1A1//COL1A2//COL4A2//COL5A2//COL5A3//COL6A1//COL6A2//COL6A3//CTNNB1//FLT1//FN1//ITGA1//ITGA5//LAMC2//MYL9//PDGFB//PRKCA//ROCK2//SPP1//THBS2//VEGFA
Melanogenesis (12) 3.979435 Up ADCY1//ADCY6//CAMK2D//CREB3L1//CTNNB1//FZD1//FZD2//FZD7//FZD8//FZD9//PRKACA//PRKCA
Amoebiasis (12) 3.69807 Up ADCY1//COL1A1//COL1A2//COL4A2//COL5A2//COL5A3//FN1//GNA11//HSPB1//LAMC2//PRKACA//PRKCA
Wnt signaling pathway (14) 3.388262 Up CAMK2D//CTNNB1//FZD1//FZD2//FZD7//FZD8//FZD9//NFATC1//NKD2//PORCN//PPP2CB//PRKACA//PRKCA//ROCK2
Dilated cardiomyopathy (10) 3.090323 Up ADCY1//ADCY6//ITGA1//ITGA5//PRKACA//SGCB//SGCD//TNNI3//TPM1//TPM2
Protein digestion and absorption (9) 2.899216 Up COL1A1//COL1A2//COL4A2//COL5A2//COL5A3//COL6A1//COL6A2//COL6A3//COL9A2
Basal cell carcinoma (7) 2.701192 Up CTNNB1//FZD1//FZD2//FZD7//FZD8//FZD9//GLI3
Vascular smooth muscle contraction (10) 2.33321 Up ADCY1//ADCY6//ARHGEF1//GNA11//KCNMA1//MYL6B//MYL9//PRKACA//PRKCA//ROCK2
Chagas disease (American trypanosomiasis) (9) 2.158455 Up ADCY1//CALR//CCL3//CCL3L1//CCL3L3//GNA11//MAPK12//PPP2CB//SERPINE1
Pathogenic Escherichia coli infection (6) 2.051097 Up CTNNB1//EZR//PRKCA//ROCK2//TUBB4//YWHAZ
Chemokine signaling pathway (13) 2.040568 Up ADCY1//ADCY6//CCL11//CCL3//CCL3L1//CCL3L3//CCL4//CCL4L1//CXCR2//GNB4//PRKACA//ROCK2//XCL1
Pyruvate metabolism (5) 1.980173 Up ACSS1//AKR1B1//ALDH1B1//PC//PKM2
Cholinergic synapse (9) 1.954947 Up ADCY1//ADCY6//CAMK2D//CHRNA3//CREB3L1//GNA11//GNB4//PRKACA//PRKCA
Retrograde endocannabinoid signaling (8) 1.73084 Up ADCY1//ADCY6//GABRA1//GABRA5//GNB4//MAPK12//PRKACA//PRKCA
Hypertrophic cardiomyopathy (7) 1.724737 Up ITGA1//ITGA5//SGCB//SGCD//TNNI3//TPM1//TPM2
Salmonella infection (7) 1.648289 Up CCL3//CCL3L1//CCL3L3//CCL4//CCL4L1//MAPK12//ROCK2
Gap junction (7) 1.575761 Up ADCY1//ADCY6//GNA11//PDGFB//PRKACA//PRKCA//TUBB4
GABAergic synapse (7) 1.575761 Up ADCY1//ADCY6//GABRA1//GABRA5//GNB4//PRKACA//PRKCA
Salivary secretion (7) 1.575761 Up ADCY1//ADCY6//ATP2B4//CST1//KCNMA1//PRKACA//PRKCA
Bile secretion (6) 1.544129 Up ABCC4//ADCY1//ADCY6//AQP9//PRKACA//SLC27A5
Oocyte meiosis (8) 1.514502 Up ADCY1//ADCY6//ANAPC11//CAMK2D//MAPK12//PPP2CB//PRKACA//YWHAZ
Morphine addiction (7) 1.506877 Up ADCY1//ADCY6//GABRA1//GABRA5//GNB4//PRKACA//PRKCA
Gastric acid secretion (6) 1.467153 Up ADCY1//ADCY6//CAMK2D//EZR//PRKACA//PRKCA
Leukocyte transendothelial migration (8) 1.436409 Up CTNNB1//EZR//MAPK12//MMP9//MYL9//PRKCA//ROCK2//SIPA1
Arginine and proline metabolism (5) 1.415061 Up ALDH1B1//GAMT//NAGS//P4HA1//PYCR1
Pathways in cancer (17) 1.386872 Up BIRC5//COL4A2//CTNNB1//FGFR1//FN1//FZD1//FZD2//FZD7//FZD8//FZD9//GLI3//LAMC2//MMP1//MMP9//PDGFB//PRKCA//VEGFA
Regulation of actin cytoskeleton (12) 1.336989 Up ABI2//ARHGEF1//EZR//FGFR1//FN1//ITGA1//ITGA5//MYL9//PDGFB//RDX//ROCK2//SSH1
GnRH signaling pathway (7) 1.319729 Up ADCY1//ADCY6//CAMK2D//GNA11//MAPK12//PRKACA//PRKCA
Tight junction (13) 2.943522 Down CGN//CLDN3//CLDN7//EPB41L1//HRAS//LLGL2//MAGI3//MYL12B//MYL5//PPP2R1B//PRKCH//TJP1//TJP2
African trypanosomiasis (6) 2.66711 Down HBA1//HBA2//HBB//HPR//IL18//SELE
Peroxisome (9) 2.65428 Down ACAA1//ACOX1//ACOX3//CROT//EPHX2//FAR1//HMGCL//HSD17B4//MLYCD
Drug metabolism-other enzymes (7) 2.597677 Down CES2//CYP3A4//CYP3A43//CYP3A5//CYP3A7//DPYD//TK2
Drug metabolism-cytochrome P450 (8) 2.311757 Down ALDH3B2//CYP3A4//CYP3A43//CYP3A5//CYP3A7//FMO4//MAOA//MGST2
Malaria (6) 1.964824 Down HBA1//HBA2//HBB//IL18//KLRB1//SELE
Nicotinate and nicotinamide metabolism (4) 1.839552 Down C9ORF95//NAPRT1//NT5C3//PNP
Steroid hormone biosynthesis (6) 1.775109 Down CYP3A4//CYP3A43//CYP3A5//CYP3A7//CYP7B1//SRD5A3
Histidine metabolism (4) 1.727958 Down ALDH3B2//AMDHD1//FTCD//MAOA
Linoleic acid metabolism (4) 1.675968 Down CYP3A4//CYP3A43//CYP3A5//CYP3A7
Steroid biosynthesis (3) 1.633233 Down DHCR24//NSDHL//TM7SF2
Phenylalanine metabolism (3) 1.565825 Down ALDH3B2//GOT1//MAOA
Influenza A (12) 1.558672 Down CREBBP//FDPS//IL18//MAPK8//NXF1//PRSS2//PRSS3//RAF1//RNASEL//TLR3//TLR7//TRIM25
Metabolism of xenobiotics by cytochrome P450 (7) 1.550808 Down ALDH3B2//CBR3//CYP3A4//CYP3A43//CYP3A5//CYP3A7//MGST2
Glycolysi/gluconeogenesis (6) 1.488156 Down ALDH3B2//BPGM//DLAT//LDHC//PGAM2//PGM2
Alpha-Linolenic acid metabolism (3) 1.38884 Down ACAA1//ACOX1//ACOX3
Terpenoid backbone biosynthesis (3) 1.38884 Down FDPS//HMGCR//IDI1
Biosynthesis of unsaturated fatty acids (3) 1.38884 Down ACAA1//ACOX1//ACOX3
Neurotrophin signaling pathway (9) 1.341531 Down GAB1//HRAS//MAP3K5//MAPK7//MAPK8//NTRK1//RAF1//RPS6KA1//SORT1
Figure 6.

Figure 6

Pathway analysis report. A: The top 10 pathways that were upregulated in the carcinomas compared to the adjacent nontumor tissues. B: The top 10 pathways that were downregulated in the carcinomas compared to the adjacent nontumor tissues.

GO analysis

GO analysis is a functional analysis associating differentially expressed mRNAs with GO categories. The GO categories are derived from Gene Ontology (www.geneontology.org), which comprises 3 structured networks of defined terms that describe gene product attributes. The P value denotes the significance of GO Term enrichment in the differentially expressed mRNA list. The lower the P value, the more significant the GO Term (the P value cut-off is 0.05). GO analysis showed that 593 genes involved in biological processes, 50 genes involved in cellular components, and 46 genes involved in molecular functions were upregulated in the carcinomas compared to the adjacent nontumor tissues; 280 genes involved in biological processes, 58 genes involved in cellular components, and 71 genes involved in molecular functions were downregulated in the carcinomas compared to the adjacent nontumor tissues (data not shown). However, the top 10 upregulated and downregulated GO functions of Counts Enrichment Terms are shown in Table 5. The top 10 upregulated GO functions of Fold Enrichment Terms and Score Enrichment Terms are shown in Figure 7. The top 10 downregulated GO functions of Fold Enrichment Terms and Score Enrichment Terms are shown in Figure 8.

Table 5.

Ten most upregulated and downregulated GO classifications for carcinomas versus adjacent nontumor tissues

Biological process classification No. of genes Cellular component classification No. of genes Molecular function classification No. of genes Regulation
Cellular process 436 Cytoplasm 296 Protein binding 247 Up
Biological regulation 309 Cytoplasmic part 237 Receptor binding 54 Up
Primary metabolic process 296 Extracellular region 102 Structural molecule activity 35 Up
Regulation of biological process 290 Membrane-enclosed lumen 96 Carbohydrate binding 21 Up
Regulation of cellular process 276 Organelle lumen 94 Pattern binding 16 Up
Macromolecule metabolic process 247 Cytosol 86 Polysaccharide binding 16 Up
Response to stimulus 241 Plasma membrane part 79 Glycosaminoglycan binding 15 Up
Multicellular organismal process 225 Extracellular region part 70 Chromatin binding 15 Up
Developmental process 192 Endoplasmic reticulum 57 G-protein coupled receptor binding 14 Up
Cellular response to stimulus 189 Cell projection 47 Protein complex binding 14 Up
Cellular response to stimulus 183 Cell part 508 Binding 426 Down
Cell communication 179 Cell 508 Protein binding 255 Down
Signaling 176 Cytoplasm 341 Catalytic activity 215 Down
Signal transduction 160 Membrane 286 Transferase activity 76 Down
Positive regulation of biological process 129 Cytoplasmic part 255 Oxidoreductase activity 44 Down
Positive regulation of cellular process 121 Cell periphery 185 Enzyme regulator activity 44 Down
Response to chemical stimulus 110 Plasma membrane 182 Calcium ion binding 38 Down
Small molecule metabolic process 108 Extracellular region 106 Protein dimerization activity 36 Down
Regulation of response to stimulus 93 Plasma membrane part 101 Identical protein binding 35 Down
Catabolic process 84 Cytosol 90 Protein homodimerization activity 27 Down
Figure 7.

Figure 7

The top 10 upregulated GO functions of Fold Enrichment Terms and Score Enrichment Terms in the carcinomas compared to the adjacent nontumor tissues.

Figure 8.

Figure 8

The top 10 downregulated GO functions of Fold Enrichment Terms and Score Enrichment Terms in the carcinomas compared to the adjacent nontumor tissues.

LncRNA classification and subgroup analysis

Enhancer lncRNA profiling

LncRNAs with enhancer-like function are identified using GENCODE annotation [17] of the human genes [18]. The consideration of selection of lncRNAs with enhancer-like function exclude transcripts mapping to the exons and introns of annotated protein-coding genes, the natural antisense transcripts, overlapping the protein coding genes and all known transcripts. We identified the profiling data for all probes for lncRNAs with enhancer-like function, eight differentially expressed enhancer-like lncRNAs were detected near 15 coding genes that were differentially expressed (distance <300 kb); 7 of the lncRNA-mRNA pairs were regulated in the up-up direction, 7 pairs were regulated in the down-down direction, and 1 pair was regulated in the down-up direction as shown in Table 6.

Table 6.

Differentially expressed enhancer-like lncRNAs and their nearby coding gene pairs that were differentially expressed in carcinomas compared to adjacent nontumor tissues (distance <300 kb)

lncRNAs mRNAs Direction (LncRNA-mRNA)

Seqname Gene symbol P Value Fold Change Nearby gene Nearby gene symbol P Value Fold change
NR_015410 FLJ22536 0.0132885 3.6317198 NM_003107 SOX4 0.010653352 2.9999847 Up-up
Uc002wkq.2 BC069037 0.0349635 2.4205506 NM_175841 SMOX 0.015637238 2.8002222 Up-up
Uc002wkq.2 BC069037 0.0349635 2.4205506 NM_001134338 RNF24 0.016596192 2.018034 Up-up
Uc002wkq.2 BC069037 0.0349635 2.4205506 NM_175839 SMOX 0.026806494 3.3381217 Up-up
Uc002wkq.2 BC069037 0.0349635 2.4205506 NM_175840 SMOX 0.021685325 2.0501275 Up-up
ENST00000417473 AC099344.4 0.0040785 2.2474518 NM_004850 ROCK2 0.04852472 2.2684875 Up-up
ENST00000419064 RP11-13P5.2 0.0049485 3.0325863 NM_032532 FNDC1 0.016545452 3.0720844 Up-up
Uc003nsj.1 AK094433 0.0389439 4.254517 NM_001010909 MUC21 8.35326E-05 798.7413 Down-down
Uc003nsj.1 AK094433 0.0389439 4.254517 NM_001954 DDR1 0.000148092 4.3601513 Down-down
ENST00000433357 RP11-255A11.21 0.004358 6.7445364 NM_002771 PRSS3 0.02605703 3.0595872 Down-down
ENST00000416894 RP11-54A4.8 0.0294946 14.243775 NM_025008 ADAMTSL4 0.045489967 3.7833204 Down-down
ENST00000416894 RP11-54A4.8 0.0294946 14.243775 NM_004425 ECM1 0.000824244 11.762663 Down-down
ENST00000416894 RP11-54A4.8 0.0294946 14.243775 NM_022664 ECM1 0.003080209 23.130184 Down-down
ENST00000416894 RP11-54A4.8 0.0294946 14.243775 NM_019032 ADAMTSL4 0.012949571 7.710182 Down-down
HIT000395572 RP11-54A4.8 0.0307008 2.790272 NM_203459 CAMSAP1L1 0.007201749 2.2794487 Down-up

Rinn lincRNA profiling

All lincRNAs based on John Rinn’s papers [19,20] are identified. As shown in Table 7, a total of 21 differentially expressed lincRNAs had 27 adjacent coding gene pairs; 5 of the lincRNA-mRNA pairs were regulated in the up-up direction, 10 pairs were regulated in the down-down direction, 9 pairs were regulated in the up-down direction, and 3 pairs were regulated in the down-up direction.

Table 7.

Differentially expressed lincRNAs and their nearby coding gene pairs that were differentially expressed in carcinomas compared to adjacent nontumor tissues (distance <300 kb)

lncRNAs mRNAs Direction (LncRNA-mRNA)

Seqname Gene symbol P Value Fold change Nearby gene Nearby gene symbol P Value Fold change
ENST00000508827 AL355916.1 0.0066856 2.3141046 NM_003082 SNAPC1 0.0434955 2.556988 Up-up
NR_027005 C6orf147 0.0386217 3.5584037 NM_138441 MB21D1 0.0095622 2.0235877 Up-up
AF085351 0.0053471 2.3140755 NM_001135651 EIF2AK2 0.0018426 5.02935 Up-up
uc002ilc.1 CR602880 0.0232957 2.092423 NM_001012511 GOSR2 0.0391195 2.0630145 Up-up
ENST00000417473 AC099344.4 0.0040785 2.2474518 NM_004850 ROCK2 0.0485247 2.2684875 Up-up
chr11:8215149-8227449+ LincRNA-LMO1-2 0.0050277 2.042942 NM_024557 RIC3 0.0196345 2.4191647 Up-down
AX721103 0.004123 2.2437043 NM_003447 ZNF165 0.0192913 2.0826676 Up-down
AK131566 LincRNA-NR4A1 0.0026101 2.054437 NM_005556 KRT7 0.0031214 4.3845367 Up-down
ENST00000366365 C17orf86 0.0100169 2.6049378 NM_001113494 SEPT9 0.0001254 2.989717 Up-down
NR_003013 SCARNA16 0.0210531 2.6479173 NM_001113494 SEPT9 0.0001254 2.989717 Up-down
ENST00000508827 AL355916.1 0.0066856 2.3141046 NM_006255 PRKCH 0.0159917 2.4145923 Up-down
ENST00000403367 RP1-72A23.1 0.0396599 2.1803179 NM_006813 PNRC1 0.0491512 2.110001 Up-down
Uc001nnk.1 AB231722 0.0121469 2.0080948 NM_080661 GLYATL1 0.0046781 2.2372477 Up-down
Chr2:192293450-192304436+ LincRNA-OBFC2A-4 0.0483022 2.4108155 NM_001031716 OBFC2A 0.0350843 2.0829911 Up-down
NR_003587 MYO15B 0.043617 3.2647016 NM_001031803 LLGL2 0.0237679 3.1176605 Down-down
BF724558 LincRNA-MCL1 0.0042217 3.1531017 NM_019032 ADAMTSL4 0.0129496 7.710182 Down-down
AI683742 LincRNA-ATG5-4 0.0193867 2.8032198 NM_001624 AIM1 0.0052337 5.3022714 Down-down
AK125137 LincRNA-AIM1-2 0.0023624 5.41028 NM_001624 AIM1 0.0052337 5.3022714 Down-down
BF724558 LincRNA-MCL1 0.0042217 3.1531017 NM_004425 ECM1 0.0008242 11.762663 Down-down
BF724558 LincRNA-MCL1 0.0042217 3.1531017 NM_025008 ADAMTSL4 0.04549 3.7833204 Down-down
BF724558 LincRNA-MCL1 0.0042217 3.1531017 NM_022664 ECM1 0.0030802 23.130184 Down-down
NR_003587 MYO15B 0.043617 3.2647016 NM_001015002 LLGL2 0.0445101 2.3903623 Down-down
NR_003587 MYO15B 0.043617 3.2647016 NM_004524 LLGL2 0.0020565 3.233063 Down-down
ENST00000427394 RP11-497D6.4 0.0058733 2.3810697 NM_001127715 STXBP5 0.0001852 2.5615492 Down-down
AI218855 LincRNA-RPS14-2 0.0179113 6.2049127 NM_001012301 ARSI 0.0224058 4.1109605 Down-up
Exon397+ LincRNA-FAM107B 0.0129884 2.944849 NM_031453 FAM107B 0.0228996 2.1127982 Down-up
HIT000395572 0.0307008 2.790272 NM_203459 CAMSAP1L1 0.0072017 2.2794487 Down-up

HOX cluster profiling

Rinn et al characterized the transcriptional landscape of the 4 human Hox loci and identified 407 discrete transcribed regions in the four Hox loci [21]. Among the 407 targeted discrete transcribed regions, 166 coding transcripts and 299 noncoding transcripts were detected after we used the profiling data of all the probes targeting the 4 HOX loci.

Discussion

Although the molecular mechanism of HSCC has been extensively investigated [3-6], the exact pathogenesis of this disease is still unclear. Until recently, lncRNAs had been considered as simply transcriptional noise [22]. However, recent studies showed that lncRNAs can regulate not only basal transcription but also posttranscriptional processes, including pre-mRNA processing, splicing, transport, translation, and siRNA-directed gene regulation [23]. Some lncRNAs can directly bind proteins and regulate protein function [24]. Furthermore, lncRNAs are involved in epigenetic modifications, including DNA methylation [25] and histone modification [26]. Several association studies have recognized that lncRNAs may function in various aspects of cell biology and have identified a large number of lncRNAs that are differentially expressed in disease states, including oncogenesis [27]. It has been reported that the expression of lncRNAs differs significantly between normal tissue and tumor tissue [28,29]. Thus, lncRNAs are emerging as new players in the cancer paradigm, having regulatory functions in both oncogenic and tumor-suppressive pathways [30-33]. Dysregulation of lncRNAs, such as PCGEM1, ANRIL, DD3, HOTAIR, XIST, HULC, MALAT1, and Neat2, has been regarded as an important feature of several human cancers, including prostate cancer [34-36], breast cancer [37,38], colorectal cancer [39], laryngeal cancer [40], male testicular cancer [41], non-small cell lung cancer [42], hepatocellular cancer [43], and colorectal cancer [44]. However, the expression and functional significance of lncRNAs in HSCC tumorigenesis have not been characterized.

In the present study, in order to reveal the molecular mechanisms underlying HSCC, we performed a genomewide screen of differences in mRNA and lncRNA expression profiles between HSCC tissues and matched adjacent nontumor mucosal epithelial tissues. We found that 1299 lncRNAs and 1432 mRNAs were differentially expressed in carcinomas compared with the adjacent nontumor tissues, indicating that many lncRNAs and mRNAs were significantly upregulated or downregulated in HSCC. To confirm the reliability and validity of the microarray results, we used qRT-PCR to validate the expression patterns of lncRNAs AB209630 and AB019562 and mRNAs SPP1 and TJP2 in 20 HSCC patients. The qRT-PCR results matched well with the microarray data. These differentially expressed genes were subsequently organized into hierarchical categories based on heat map and hierarchical clustering. We also found that differentially expressed lncRNAs and mRNAs were distributed on each of the chromosomes. This result proved that all of the chromosomes, including the X and Y chromosomes, can display different quantities and degrees of abnormalities in HSCC tumorigenesis. Furthermore, pathway analysis revealed 48 pathways that may play key roles in the different core epigenetic mechanisms of HSCC, including ECM-receptor interaction, focal adhesion, melanogenesis signaling, tight junction, African trypanosomiasis, and peroxisome signaling. GO analysis revealed that 593 mRNAs involved in biological processes, 50 mRNAs involved in cellular components, and 46 mRNAs involved in molecular functions were upregulated in the carcinomas and 280 mRNAs involved in biological processes, 58 mRNAs involved in cellular components, and 71 mRNAs involved in molecular functions were downregulated in the carcinomas.

LncRNAs are known to function via a variety of mechanisms. However, a common and important function of lncRNAs is to alter the expression of nearby coding genes by affecting transcription [19,45,46] or playing a direct enhancer-like role [18,47]. To gain insight into the function of lncRNAs in lncRNA-mRNA coexpression, we further identified nearby coding genes (<300 kb) that may be regulated by enhancer-like lncRNAs and Rinn lincRNAs, which may be used for predicting target genes of lncRNAs. The expression profiles included 8 differentially expressed enhancer-like lncRNAs with nearby coding genes that were differentially expressed. For example, the lncRNA-mRNA pairs FLJ22536-SOX4, BC069037-SMOX, and BC069037-RNF24 were regulated in the up-up direction; however, the pairs AK094433-MUC21, AK094433-DDR1, and RP11-255A11.21-PRSS3 were regulated in the down-down direction. A total of 21 differentially expressed lincRNAs had adjacent coding gene pairs that were differentially expressed. For example, the lincRNA-mRNA pairs AL355916.1-SNAPC1 and C6orf147-MB21D1 were regulated in the up-up direction; lincRNA-LMO1-2-RIC3 and lincRNA-NR4A1-KRT7 were regulated in the up-down direction; MYO15B-LLGL2 and lincRNA-MCL1-ADAMTSL4 were regulated in the down-down direction; and lincRNA-RPS14-2-ARSI and lincRNA-FAM107B-FAM107B were regulated in the down-up direction. Rinn et al characterized the transcriptional landscape of the 4 human Hox loci and identified a total of 407 discrete transcribed regions [21]. It was reported that lncRNAs in the Hox loci became systematically dysregulated during some cancer progression [15]. Among the 407 targeted discrete transcribed regions, 166 coding transcripts and 299 noncoding transcripts were detected in this study. Although the function of most aberrantly expressed lncRNAs is yet unknown, the information from this study may be useful for further studies on the mechanisms of HSCC tumorigenesis.

In conclusion, we demonstrated for the first time the expression profiles of human lncRNAs and mRNAs in patients with HSCC by microarray analysis. We identified 1299 lncRNAs and 1432 mRNAs that were differentially expressed in carcinomas compared to the adjacent nontumor tissues. It is likely that these deregulated lncRNAs and mRNAs play key roles in the development of HSCC. In addition, we identified potential regulatory mechanisms with bioinformatics analyses. Such information will be used to investigate the functions of these lncRNAs and mRNAs in the occurrence and development of HSCC and will facilitate identification of new therapeutic targets and diagnostic biomarkers for this disease.

Acknowledgements

This work was supported by the Taishan Scholars Program (No. tshw20130950), Shandong Province, and the Department of Science & Technology of Shandong Province (No. ZR2013HM107 and ZR2014HM005), and Science Foundation of Qilu Hospital Of Shandong University; and the Fundamental Research Funds Of Shandong University (No. 2014QLKY05).

Disclosure of conflict of interest

None.

Abbreviations

HSCC

hypopharyngeal squamous cell carcinoma

lincRNA

intergenic long noncoding RNA

lncRNA

long noncoding RNA

qRT-PCR

quantitative real-time polymerase chain reaction

KEGG

Kyoto Encyclopedia of Genes and Genomes

GO

Gene Ontology

HOX

homeobox.

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