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<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="research-article"><?properties manuscript?><front><journal-meta><journal-id journal-id-type="nlm-journal-id">7706761</journal-id><journal-id journal-id-type="pubmed-jr-id">3886</journal-id><journal-id journal-id-type="nlm-ta">Gene</journal-id><journal-id journal-id-type="iso-abbrev">Gene</journal-id><journal-title-group><journal-title>Gene</journal-title></journal-title-group><issn pub-type="ppub">0378-1119</issn><issn pub-type="epub">1879-0038</issn></journal-meta><article-meta><article-id pub-id-type="pmid">27866042</article-id><article-id pub-id-type="pmc">5191957</article-id><article-id pub-id-type="doi">10.1016/j.gene.2016.11.028</article-id><article-id pub-id-type="manuscript">NIHMS831157</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Carcinogenic Effects of Oil Dispersants: a KEGG Pathway-based RNA-seq Study of Human Airway Epithelial Cells</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Liu</surname><given-names>Yao-Zhong</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Lei</given-names></name><xref ref-type="aff" rid="A2">2</xref><xref rid="FN2" ref-type="author-notes">&#x000a7;</xref></contrib><contrib contrib-type="author"><name><surname>Roy-Engel</surname><given-names>Astrid M</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Saito</surname><given-names>Shigeki</given-names></name><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Lasky</surname><given-names>Joseph A</given-names></name><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Wang</surname><given-names>Guangdi</given-names></name><xref ref-type="aff" rid="A5">5</xref></contrib><contrib contrib-type="author"><name><surname>Wang</surname><given-names>He</given-names></name><xref ref-type="aff" rid="A6">6</xref></contrib></contrib-group><aff id="A1"><label>1</label>Dept. of Global Biostatistics and Data Science, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA</aff><aff id="A2"><label>2</label>Center for Genetic Epidemiology and Genomics, School of Public Health, Medical College, Soochow University, Su Zhou, China</aff><aff id="A3"><label>3</label>Dept. of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA</aff><aff id="A4"><label>4</label>Dept. of Medicine, Tulane University School of Medicine, New Orleans, LA, USA</aff><aff id="A5"><label>5</label>Dept. of Chemistry, RCMI Cancer Research Center, Xavier University of Louisiana, New Orleans, LA, USA</aff><aff id="A6"><label>6</label>Dept. of Chronic Respiratory Diseases, School of Health Sciences, University of Newcastle, Callaghan, Australia</aff><author-notes><corresp id="FN1">Corresponding author: Yao-Zhong Liu, M.D., Ph.D., Dept. of Global Biostatistics and Data Science, Tulane University School of Public Health and Tropical Medicine, 1440 Canal Street, Suite 2001, New Orleans, LA 70112, USA, <email>yliu8@tulane.edu</email>, phone: 504-988-1888</corresp><fn id="FN2"><label>&#x000a7;</label><p>co-first author</p></fn></author-notes><pub-date pub-type="nihms-submitted"><day>23</day><month>11</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>16</day><month>11</month><year>2016</year></pub-date><pub-date pub-type="ppub"><day>20</day><month>2</month><year>2017</year></pub-date><pub-date pub-type="pmc-release"><day>20</day><month>2</month><year>2018</year></pub-date><volume>602</volume><fpage>16</fpage><lpage>23</lpage><!--elocation-id from pubmed: 10.1016/j.gene.2016.11.028--><abstract><p id="P2">The health impacts of the BP oil spill are yet to be further revealed as the toxicological effects of oil products and dispersants on human respiratory system may be latent and complex, and hence difficult to study and follow up. Here we performed RNA-seq analyses of a system of human airway epithelial cells treated with the BP crude oil and/or dispersants Corexit 9500 and Corexit 9527 that were used to help break up the oil spill. Based on the RNA-seq data, we then systemically analyzed the transcriptomic perturbations of the cells at the KEGG pathway level using two pathway-based analysis tools, GAGE (generally applicable gene set enrichment) and GSNCA (Gene Sets Net Correlations Analysis). Our results suggested a pattern of change towards carcinogenesis for the treated cells marked by upregulation of ribosomal biosynthesis (hsa03008) (p = 1.97e-13), protein processing (hsa04141) (p = 4.09e-7), Wnt signaling (hsa04310) (p = 6.76e-3), neurotrophin signaling (hsa04722) (p = 7.73e-3) and insulin signaling (hsa04910) (p = 1.16e-2) pathways under the dispersant Corexit 9527 treatment, as identified by GAGE analysis. Furthermore, through GSNCA analysis, we identified gene co-expression changes for several KEGG cancer pathways, including small cell lung cancer pathway (hsa05222, p = 9.99e-5), under various treatments of oil/dispersant, especially the mixture of oil and Corexit 9527. Overall, our results suggested carcinogenic effects of dispersants (in particular Corexit 9527) and their mixtures with the BP crude oil, and provided further support for more stringent safety precautions and regulations for operations involving long-term respiratory exposure to oil and dispersants.</p></abstract><kwd-group><kwd>BP oil spill</kwd><kwd>RNA-seq</kwd><kwd>airway epithelial cells</kwd><kwd>dispersants</kwd><kwd>oil</kwd><kwd>carcinogenesis</kwd><kwd>GAGE</kwd><kwd>GSNCA</kwd><kwd>KEGG</kwd></kwd-group></article-meta></front><body><sec sec-type="intro" id="S1"><title>Introduction</title><p id="P3">The year 2016 marked the sixth anniversary of the Deepwater Horizon oil spill, the largest man-made disaster in the history of petroleum industry. The sheer scale of this disaster is marked by its long duration (lasting for ~3 months), the gigantic volume of crude oil (210 million gallons) spilled and dispersants (1.8 million gallons) applied and the large number of workers (&#x0003e;50,000) involved in the cleaning operation (<xref rid="R19" ref-type="bibr">Hayworth and Clement 2012</xref>; <xref rid="R25" ref-type="bibr">Kujawinski <italic>et al.</italic> 2011</xref>).</p><p id="P4">The full impacts of the disaster to the environment and marine and human lives have yet to be fully unveiled. Specifically, the long term health impacts of the BP oil spill to the &#x0003e;50,000 workers involved in the cleaning operation have not been well characterized and followed up, although limited data on other smaller scale oil spills (e.g., the Prestige oil spill) did suggest that involvement in oil spill cleaning operations may cause persistent respiratory symptoms (<xref rid="R55" ref-type="bibr">Zock <italic>et al.</italic> 2012</xref>), long-lasting airway oxidative stress (<xref rid="R49" ref-type="bibr">Rodriguez-Trigo <italic>et al.</italic> 2010</xref>), and systemic genetic effects (<xref rid="R26" ref-type="bibr">Laffon <italic>et al.</italic> 2006</xref>; <xref rid="R37" ref-type="bibr">Perez-Cadahia <italic>et al.</italic> 2007</xref>; <xref rid="R36" ref-type="bibr">Perez-Cadahia <italic>et al.</italic> 2008a</xref>; <xref rid="R38" ref-type="bibr">Perez-Cadahia <italic>et al.</italic> 2008b</xref>). In addition, the oil-dispersant mixtures may contain potentially mutagenic/carcinogenic chemicals including PAH, benzene, and benzene derivatives (<xref rid="R48" ref-type="bibr">Rodrigues <italic>et al.</italic> 2010</xref>; <xref rid="R50" ref-type="bibr">Saeed and Al-Mutairi 1999</xref>). More importantly, chemical components in the mixtures may enhance each other to induce harmful effects synergistically. The mechanism for inhalation of hazardous substances during the oil spill was also proposed through models where inhalable aerosols that contain dispersed oil can be formed on the sea surface (<xref rid="R9" ref-type="bibr">Ehrenhauser <italic>et al.</italic> 2014</xref>; <xref rid="R33" ref-type="bibr">Middlebrook <italic>et al.</italic> 2012</xref>).</p><p id="P5">To characterize the effects and mechanisms of oil spill to human lung health at the molecular level, we hypothesize that oil spill chemicals (i.e., oil, dispersant, or their mixtures) may have significant effects on respiratory cells, which can be detected at the transcriptomic level. To test this hypothesis, we performed an RNA-seq study of human airway epithelial cells treated with BP crude oil, oil dispersants (Corexit 9500 and 9527) and their mixtures (<xref rid="R28" ref-type="bibr">Liu <italic>et al.</italic> 2016</xref>). Through that study we identified a large number of genes differentially expressed due to the treatments, suggesting significant transcriptomic perturbations of the cells caused by the toxicological effects of the oil and oil cleaning chemicals. The findings provided a strong support to our hypothesis. Furthermore, by annotating the differentially expressed genes using DAVID analysis (<xref rid="R7" ref-type="bibr">Dennis, Jr. <italic>et al.</italic> 2003</xref>), our study (<xref rid="R28" ref-type="bibr">Liu <italic>et al.</italic> 2016</xref>) suggested several key biological processes affected by the chemicals, including degradation of the cell junction, enhanced immune response, decreased local steroid biosynthesis and enhanced angiogenesis. These identified biological processes are consistent with some of the pathological features for several common lung diseases, such as COPD (<xref rid="R11" ref-type="bibr">Faner <italic>et al.</italic> 2013</xref>; <xref rid="R21" ref-type="bibr">Holtzman <italic>et al.</italic> 2014</xref>), asthma (<xref rid="R45" ref-type="bibr">Ribatti <italic>et al.</italic> 2009</xref>) and cystic fibrosis (<xref rid="R15" ref-type="bibr">Georas and Rezaee 2014</xref>; <xref rid="R20" ref-type="bibr">Heijink <italic>et al.</italic> 2014</xref>; <xref rid="R44" ref-type="bibr">Rezaee and Georas 2014</xref>). Therefore our study (<xref rid="R28" ref-type="bibr">Liu <italic>et al.</italic> 2016</xref>) not only detected the existence but also preliminarily characterized potential molecular mechanisms for the toxicological effects of oil and oil cleaning chemicals. Overall our findings (<xref rid="R28" ref-type="bibr">Liu <italic>et al.</italic> 2016</xref>) provided compelling evidence for the potential lung health impact of the BP oil spill on those workers involved in the cleaning operation.</p><p id="P6">One of the key limitations of our previous study (<xref rid="R28" ref-type="bibr">Liu <italic>et al.</italic> 2016</xref>) is that the analysis was largely performed at single gene level. Although we did perform analysis at the level of GO functional terms, the analysis was still based on the results from single gene differential expression analysis. For example, only those genes that achieved a p value of &#x0003c;0.05 in single gene differential expression analysis were submitted to GO analysis. Such a p value threshold, although commonly used, may be arbitrary in a genomic study as those genes that did not achieve the p value &#x0003c;0.05 may also contribute to the effects of biological significance. Hence annotation based only on those genes with a small p value may lose some sensitivity to capture the key signatures of the toxicological effects on the cells. Furthermore, genes often work correlatively and collaboratively in pathways and functional modules. Differential expression analysis at the single gene level as in our previous study (<xref rid="R28" ref-type="bibr">Liu <italic>et al.</italic> 2016</xref>) ignored such correlative relationship, which again may have missed some important transcriptomics signatures and failed to capture some key functional variations of the transcriptome.</p><p id="P7">To alleviate the problems/limitations of our previous study and take full advantage of this valuable RNA-seq dataset (<xref rid="R28" ref-type="bibr">Liu <italic>et al.</italic> 2016</xref>), here we performed a KEGG pathway-based analysis using the two well-developed software packages, GAGE (generally applicable gene set enrichment) (<xref rid="R31" ref-type="bibr">Luo <italic>et al.</italic> 2009</xref>) and GSNCA (Gene Sets Net Correlations Analysis) (<xref rid="R42" ref-type="bibr">Rahmatallah <italic>et al.</italic> 2014</xref>). While the findings from our new analysis agree with some of the previous study (<xref rid="R28" ref-type="bibr">Liu <italic>et al.</italic> 2016</xref>), the findings provided distinct new clues. A number of pathways, including ribosomal biosynthesis, protein processing, Wnt signaling, neurotrophin signaling and insulin signaling pathways, were all upregulated at the whole pathway level (mainly by the dispersant 9527). Importantly, upregulation of these pathways was all closely related with cancers, including lung cancer, in previous molecular and epidemiological studies (<xref rid="R32" ref-type="bibr">Mazieres <italic>et al.</italic> 2005</xref>; <xref rid="R39" ref-type="bibr">Poloz and Stambolic 2015</xref>; <xref rid="R40" ref-type="bibr">Prakash <italic>et al.</italic> 2010</xref>; <xref rid="R54" ref-type="bibr">Zhou <italic>et al.</italic> 2015</xref>). Moreover, by GSNCA analysis (<xref rid="R42" ref-type="bibr">Rahmatallah <italic>et al.</italic> 2014</xref>), we further identified a number of cancer-related pathways, including the small cell lung cancer pathway, whose gene co-expression was changed due to the exposure to the oil/dispersant treatment, especially the mixture of dispersant 9527 and oil. Overall, our study here by analyzing the transcriptomics signals at the KEGG pathway level has revealed potential carcinogenic effects of dispersant 9527 and its mixture with crude oil. The findings provided further evidence for the health hazards of oil and oil dispersants to the respiratory system.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><sec id="S3"><title>Experimental methods</title><p id="P8">The methods for generating the RNA-seq data were detailed in our previous study (<xref rid="R28" ref-type="bibr">Liu <italic>et al.</italic> 2016</xref>). Briefly, human airway epithelial cells (BEAS-2B cells, ATCC<sup>&#x000ae;</sup> CRL-9609<sup>&#x02122;</sup>) were grown under six treatments using WAF (water accommodated fraction) of the following, i.e., the BP crude oil (abbreviated as &#x0201c;oil&#x0201d;), dispersant Corexit 9500 (abbreviated as &#x0201c;9500&#x0201d;), dispersant Corexit 9527 (abbreviated as &#x0201c;9527&#x0201d;), the mixture of oil + 9500 (abbreviated as &#x0201c;oil+9500&#x0201d;), the mixture of oil + 9527 (abbreviated as &#x0201c;oil+9527&#x0201d;), and water (abbreviated as &#x0201c;control&#x0201d;). There were three cell samples (biological replicates) for each treatment and total RNA extraction followed by RNA-seq experiments was performed on each sample. The RNA-seq experiments were performed at Omega Bioservices (Norcross, GA). The RNA-seq data was submitted to GEO under the accession number (GSE70909). Differential expression analysis was performed between each of the first five treatment groups vs. the control group.</p><p id="P9">The BP crude oil was kindly provided by The Architecture, Engineering, Consulting, Operations and Management Company (AECOM, Los Angeles, CA). This oil was obtained from the site of the Macondo well during the BP Oil Spill disaster. Commercially available Corexit EC9500A and EC9527 dispersants were kindly provided by a contract between Nalco/Exxon Energy Chemicals, L.P. (Sugar Land, TX, USA) and Tulane University (New Orleans, USA). The dispersants were provided as liquid solutions ready for use.</p></sec><sec id="S4"><title>GAGE analysis</title><p id="P10">Following the Bioconductor workflow <ext-link ext-link-type="uri" xlink:href="http://www.bioconductor.org/help/workflows/rnaseqGene/">http://www.bioconductor.org/help/workflows/rnaseqGene/</ext-link>, the raw RNA-seq data (GSE70909) was analyzed to generate the raw count matrix, based on which, we used DESeq2 (<xref rid="R29" ref-type="bibr">Love <italic>et al.</italic> 2014</xref>) to perform differential expression analysis between a treatment (e.g., oil) and the control.</p><p id="P11">DESeq2 package requires &#x0201c;raw&#x0201d; counts of sequencing reads as the starting point for differential expression analysis (<xref rid="R29" ref-type="bibr">Love <italic>et al.</italic> 2014</xref>). Therefore, before submitted to the program for analysis, the count matrix was not normalized (which is explicitly required by the software) (<xref rid="R29" ref-type="bibr">Love <italic>et al.</italic> 2014</xref>). However, during the analysis procedures of DESeq2, normalization did occur in the modeling process, where the read count for gene <italic>i</italic> and sample <italic>j</italic> was modeled as a negative binomial distribution with mean <italic>&#x003bc;<sub>ij</sub></italic> and dispersion <italic>&#x003b1;<sub>j</sub></italic>, and <italic>&#x003bc;<sub>ij</sub></italic> = <italic>s<sub>ij</sub>q<sub>ij</sub></italic> where <italic>q<sub>ij</sub></italic> is the raw read count and <italic>s<sub>ij</sub></italic> is a size factor that normalizes differences in sequencing depth between samples and other sources of technical biases, such as GC content and gene length (<xref rid="R29" ref-type="bibr">Love <italic>et al.</italic> 2014</xref>). The size factor <italic>s<sub>ij</sub></italic> was estimated with the &#x0201c;estimateSizeFactor()&#x0201d; function and the dispersion <italic>&#x003b1;<sub>j</sub></italic> estimated with the &#x0201c;DESeq()&#x0201d; function.</p><p id="P12">We ran the &#x0201c;DESeqDataSetFromMatrix&#x0201d; function, with the count matrix for all 18 samples (3 for each of the 5 treatments and 3 for the control) and the design matrix as input data, which produced an R object for the downstream differential expression analysis. Including count data for all the 18 samples (rather than only 3 samples from a treatment and the 3 control samples) is more robust for estimating parameters (such as the size factor and dispersion). For differential expression analysis to compare a certain treatment with the control, we used &#x0201c;contrast()&#x0201d; function, e.g., by defining &#x0201c;contrast = c (&#x0201c;treatment&#x0201d;, &#x0201c;oil&#x0201d;, &#x0201c;control&#x0201d;)&#x0201d;. The result file that contain p values and fold changes for each gene was generated with the &#x0201c;results()&#x0201d; function.</p><p id="P13">The log2 fold changes for all the genes from the differential expression analysis (which is a column in the result file) were submitted as an input file for GAGE analysis (<xref rid="R31" ref-type="bibr">Luo <italic>et al.</italic> 2009</xref>). Note that we submitted the log2 fold changes for all the genes, not just those genes that achieved a certain significant p values (such as p &#x0003c; 0.05). GAGE (<xref rid="R31" ref-type="bibr">Luo <italic>et al.</italic> 2009</xref>) then uses the information of fold change for each gene to obtain mean and standard deviation of fold changes for a gene set (pathway) as well as for the background (the whole transcriptome) and generate a <italic>t</italic> test statistic and <italic>p</italic> value for a comparison in fold change between a gene set and the background. Essentially, if there is significant difference in fold change between a gene set and the background, an extreme <italic>t</italic> statistic and a small <italic>p</italic> value will be achieved. As the fold change involves information on up- or downregulation (i.e., fold change &#x0003e;1 for up- and &#x0003c;1 for downregulation), a pathway identified by GAGE will also be indicated as up- or downregulated. As a nice feature of GAGE, a KEGG pathway identified as significantly differentially expressed can be visualized in a KEGG pathway plot using PathView (<xref rid="R30" ref-type="bibr">Luo and Brouwer 2013</xref>), where an upregulated gene will be shown in red and a downregulated gene in green and an unregulated gene in grey (<xref rid="F1" ref-type="fig">Figure 1</xref>). Therefore, if, for example, in a pathway plot, the majority of genes are shown in red, the pathway&#x02019;s upregulation can be visually assessed (<xref rid="F1" ref-type="fig">Figure 1</xref>).</p></sec><sec id="S5"><title>GSNCA analysis</title><p id="P14">GSNCA (<xref rid="R42" ref-type="bibr">Rahmatallah <italic>et al.</italic> 2014</xref>) offers multivariate nonparametric statistical methods testing difference in correlation structure of a gene set (pathway) between two conditions. As a key feature, GSNCA quantitatively characterizes the importance of each gene in a correlation network, assigning each gene a weight (<italic>w<sub>i</sub></italic> for gene <italic>i</italic>) that is proportional to the gene&#x02019;s cross-correlation with all the other genes. Thus, genes with high cross-correlations (e.g., the hub gene) will normally have a high weight that may indicate their regulatory importance. Based on cross-correlations among different genes, correlation structure of a pathway can be constructed and a statistical test can be performed to test difference of the structure in different conditions (e.g., treatment vs. control). The correlation structure for a pathway under a specific condition usually features a group of high weight genes (including the hub gene), which might suggest the central regulatory roles exerted by these genes.</p><p id="P15">For GSNCA analysis, we first downloaded gene annotation file from ENSEMBL and extracted gene length information. The raw count matrix was filtered to remove rows of zero counts and rows of no gene annotations. For each element of the count matrix (each gene from each sample), count per million reads (cpm) was calculated to standardize for library size and those rows (genes) with a cpm &#x0003c; 0.1 were further removed, followed by calculation of rpkm (reads per kilobase per million reads) to further standardize for gene length. KEGG pathway list was downloaded and then further partitioned into single KEGG pathway file.</p><p id="P16">Using the GSAR package (<xref rid="R41" ref-type="bibr">Rahmatallah <italic>et al.</italic> 2012</xref>) we performed GSNCA analysis for each of the KEGG pathways (as a single gene set). The analysis is a multivariate differential co-expression test that accounts for the correlation structure between genes. The test assigns weight factors <italic>w<sub>s</sub></italic> to genes under one condition and adjusts these weights simultaneously such that equality is achieved between each genes' weight and the sum of its weighted absolute correlations (<italic>r<sub>ij</sub></italic>)with other genes in a gene set of p genes</p><disp-formula id="FD1"><mml:math id="M1" display="block" overflow="scroll"><mml:mrow><mml:msub><mml:mi>w</mml:mi><mml:mi>i</mml:mi></mml:msub><mml:mo>=</mml:mo><mml:msub><mml:mo>&#x02211;</mml:mo><mml:mrow><mml:mi>j</mml:mi><mml:mo>&#x02260;</mml:mo><mml:mi>i</mml:mi></mml:mrow></mml:msub><mml:mrow><mml:msub><mml:mi>w</mml:mi><mml:mi>j</mml:mi></mml:msub><mml:mo>&#x02223;</mml:mo><mml:msub><mml:mi>r</mml:mi><mml:mrow><mml:mi>i</mml:mi><mml:mi>j</mml:mi></mml:mrow></mml:msub><mml:mo>&#x02223;</mml:mo></mml:mrow><mml:mspace width="0.16667em"/><mml:mspace width="0.16667em"/><mml:mspace width="0.16667em"/><mml:mi mathvariant="italic">where</mml:mi><mml:mspace width="0.16667em"/><mml:mn>1</mml:mn><mml:mo>&#x02264;</mml:mo><mml:mi>i</mml:mi><mml:mo>&#x02264;</mml:mo><mml:mi>p</mml:mi><mml:mo>.</mml:mo></mml:mrow></mml:math></disp-formula><p id="P17">The test statistic <italic>W<sub>GSNCA</sub></italic> is given by the 1<sup>st</sup> norm of difference between the scaled weight vectors <italic>w</italic><sup>(1)</sup> and <italic>w</italic><sup>(2)</sup> (each vector is multiplied by its norm) for the two conditions.</p><disp-formula id="FD2"><mml:math id="M2" display="block" overflow="scroll"><mml:mrow><mml:msub><mml:mi>W</mml:mi><mml:mi mathvariant="italic">GSNCA</mml:mi></mml:msub><mml:mo>=</mml:mo><mml:munderover><mml:mo>&#x02211;</mml:mo><mml:mrow><mml:mi>i</mml:mi><mml:mo>=</mml:mo><mml:mn>1</mml:mn></mml:mrow><mml:mi>p</mml:mi></mml:munderover><mml:mrow><mml:mo>|</mml:mo><mml:mrow><mml:msubsup><mml:mi>w</mml:mi><mml:mi>i</mml:mi><mml:mrow><mml:mo stretchy="false">(</mml:mo><mml:mn>1</mml:mn><mml:mo stretchy="false">)</mml:mo></mml:mrow></mml:msubsup><mml:mo>-</mml:mo><mml:msubsup><mml:mi>w</mml:mi><mml:mi>i</mml:mi><mml:mrow><mml:mo stretchy="false">(</mml:mo><mml:mn>2</mml:mn><mml:mo stretchy="false">)</mml:mo></mml:mrow></mml:msubsup></mml:mrow><mml:mo>|</mml:mo></mml:mrow></mml:mrow></mml:math></disp-formula><p id="P18">This test statistic was used to test the hypothesis:<italic>H</italic><sub>0</sub>: <italic>W<sub>GSNCA</sub> =</italic> 0 <italic>vs. H</italic><sub>0</sub>: <italic>W<sub>GSNCA</sub></italic> &#x02260; 0. The P-values for the test statistic are obtained by comparing the observed value of the test statistic to its null distribution, which is estimated using a permutation approach (through permuting samples&#x02019; class labels). Specifically, the <italic>p</italic> value is calculated as 
<inline-formula><mml:math id="M3" display="inline" overflow="scroll"><mml:mrow><mml:mi>p</mml:mi><mml:mo>=</mml:mo><mml:mstyle scriptlevel="1"><mml:mfrac><mml:mrow><mml:mi>b</mml:mi><mml:mo>+</mml:mo><mml:mn>1</mml:mn></mml:mrow><mml:mrow><mml:mi mathvariant="italic">nperm</mml:mi><mml:mo>+</mml:mo><mml:mn>1</mml:mn></mml:mrow></mml:mfrac></mml:mstyle></mml:mrow></mml:math></inline-formula>, where <italic>b</italic> is the number of permutations with a more extreme statistic <italic>W<sub>GSNCA</sub></italic> than the observed statistic and <italic>nperm</italic> is the total number of permutations. For each specific test, we permute for 10,000 times, the most significant empirical p value that can be possibly achieved is 9.99e-5 (meaning that among 10,000 permutations no permutation has achieved a more extreme test statistic than the observed one).</p></sec></sec><sec sec-type="results" id="S6"><title>Results</title><p id="P19">From GAGE analysis, we identified 4 KEGG pathways that were downregulated by the oil treatment, 7 pathways significantly regulated (including 2 up- and 5 downregulated) by 9500 treatment, 27 pathways upregulated by the 9527 treatment, and 8 pathways upregulated by the 9500 + oil treatment. The results are presented in <xref rid="T1" ref-type="table">Table 1</xref>. For the statistical criterion of significant regulation, we used an FDR q value &#x0003c;0.10 as a cutoff threshold.</p><p id="P20">With oil treatment, among the most significantly regulated pathways are downregulation of actin cytoskeletion (hsa04810) (p = 6.53e-5) and adherens junction (hsa045020) (p = 9.69e-5) pathways. Treatment with 9500 caused upregulation of ribosome (hsa03010) (p = 2.22e-11) and antigen processing and presentation (hsa04612) (p = 1.22e-3) and downregulation of adherens junction (hsa045020) (p = 1.06e-4) pathways, among the most significantly regulated pathways. (<xref rid="T1" ref-type="table">Table 1</xref>)</p><p id="P21">The 9527 treatment leads to the largest number of pathways that are significantly regulated (with a total of 27 pathways, all upregulated). At the top of the list are the ribosome biogenesis (hsa03008) (p = 1.97E-13) and protein processing (hsa04141) pathways. In addition, Wnt signaling (hsa04310) (p = 6.76E-3), neurotrophin signaling (hsa04722) (p = 7.73e-3) and insulin signaling (hsa04910) (p = 1.16E-02) are also among the upregulated pathways.</p><p id="P22">Overall, in terms of statistical significance, the most significantly upregulated pathways are ribosome biogenesis (hsa03008) and ribosome (hsa03010) under 9527, 9500 or 9500+oil treatments. The most significantly downregulated pathways are regulation of actin cytoskeleton (hsa04810) and adherens junction (hsa04520) induced by oil or 9500 treatments. As a key feature, a large number of pathways were upregulated under 9527 or 9500+oil treatments, with the majority of upregulated pathways related to RNA metabolism (<xref rid="T1" ref-type="table">Table 1</xref>).</p><p id="P23">To illustrate the significance of the two most regulated pathways (hsa03008 and hsa04810) mentioned above, we used PathView to visualize the up- (in red color) and downregulation (in green color) of each gene in the context of the whole KEGG pathway plots (<xref rid="F1" ref-type="fig">Figure 1</xref>). Unregulated genes are shown in grey. If the majority of the colored genes are red/green, then that pathway is up/downregulated as a whole. As examples, note the prevailing red color for the ribosome biogenesis pathway upregulated by the 9527 treatment (<xref rid="F1" ref-type="fig">Figure 1B</xref>) and the prevailing green color for the actin cytoskeleton pathway downregulated by the oil treatment (<xref rid="F1" ref-type="fig">Figure 1A</xref>).</p><p id="P24">Using GAGE (<xref rid="R31" ref-type="bibr">Luo <italic>et al.</italic> 2009</xref>), we also performed differential expression analysis at the GO level to corroborate the KEGG pathway results. The detailed GO terms significantly regulated are not presented here due to the large number of terms involved and the space limitation. Instead we present the number of regulated terms and some example GO terms in <xref rid="T2" ref-type="table">Table 2</xref>.</p><p id="P25">The GO results are generally consistent with the KEGG results. The impact of oil treatment is featured by downregulation of anchoring junction (GO:0070161) and adherens junction (GO:0005912). The 9500 treatment effect is characterized by upregulation of inflammatory response (GO:0006954) and innate immune response (GO:0045087), in addition to simultaneous downregulation of anchoring junction (GO:0070161) and adhereins junction (GO:0005912). 9527 treatment induced the largest significantly regulated GO terms, with the vast majority of the terms being upregulated, especially the upregulation of the BP (biological process) terms (n = 159), which again features ribosome biogenesis (GO:0042254), translation (GO:0006412) and the related terms.</p><p id="P26">Using GSNCA analysis (<xref rid="R42" ref-type="bibr">Rahmatallah <italic>et al.</italic> 2014</xref>), we identified 64 KEGG pathways that have differential co-expression patterns (i.e., the between-gene correlation structure) in treatment and control groups (<xref rid="T3" ref-type="table">Table 3</xref>), which achieved a p value of 9.99e-5, the smallest p value that can be possibly achieved in 10,000 permutations. This p value is significant even after Bonferroni correction for testing a total of 187 KEGG pathways (as the Bonferroni corrected significance level is 0.05/186 = 2.67e-4). Many of these pathways overlap with those pathways identified by GAGE analysis, such as regulation of actin cytoskeleton (hsa04810), endocytosis (hsa04144), antigen processing and presentation (hsa04612) and insulin signaling pathway (hsa04910). The most interesting pathways identified that are distinct from the GAGE analysis are a number of KEGG pathways related to cancer. These pathways (bolded and italicized in <xref rid="T3" ref-type="table">Table 3</xref>) include small cell lung cancer (hsa05222), pathways in cancer (hsa05200), prostate cancer (hsa05215), endometrial cancer (hsa05213), and basal cell carcinoma (hsa05217). Among the treatments, oil+9527 appears to be the one most frequently associated with these cancer-related pathways as oil+9527 is either the only one or one of the conditions associated with these cancer pathways.</p><p id="P27">As an example (shown in <xref rid="F2" ref-type="fig">Figure 2</xref>), the major change in the small lung cancer pathway due to the oil+9527 treatment is that a number of genes in this pathway that have high or medium weights in controls become genes with a very low weight, suggesting the loss of their correlative relationship with other genes and their regulatory roles. Under the oil+9527 treatment, the pathway has hence become functionally dominated by a smaller subset of higher weight genes as compared with controls. Using DAVID (<xref rid="R7" ref-type="bibr">Dennis, Jr. <italic>et al.</italic> 2003</xref>) to annotate the subset of the higher weight genes produces a top annotation cluster (with an enrichment score of 7.27) that contains 8 KEGG cancer pathway terms, e.g., hsa05215:Prostate cancer (p = 5.60e-14), hsa05220:Chronic myeloid leukemia (p = 7.65e-12), hsa05212:Pancreatic cancer (p = 1.61e-10), hsa05223:Non-small cell lung cancer (p = 2.85e-07), etc. (note: p values are Bonferroni corrected p values). In contrast, if we annotate those lower weight genes with DAVID (<xref rid="R7" ref-type="bibr">Dennis, Jr. <italic>et al.</italic> 2003</xref>), the top annotation cluster (with an enrichment score of 4.95) does not contain cancer terms. These results suggest that under the oil+9527 treatment the pathway is now functionally shifted to a smaller set of genes that are further more enriched with cancer pathways.</p><p id="P28">Overall, at the whole KEGG pathway level, the most pronounced regulated pathways are ribosomal biosynthesis and its related pathways. Gene co-expression changes were also observed for a number of cancer pathways, most relevantly, the small cell lung cancer pathway. While 9527 treatment has the largest number of pathways significantly regulated, including not only ribosomal biosynthesis but also several signaling pathways, such as Wnt signaling, 9527 + oil appears to be the most common treatment to change gene co-expression patterns of cancer related pathways. Therefore, the overall effects appear to be most pronounced and enriched for 9527 and 9527+oil treatments.</p></sec><sec sec-type="discussion" id="S7"><title>Discussion</title><p id="P29">In this study, we performed pathway-based analysis on RNA-seq data of the human airway epithelial cells treated with oil and dispersants 9500 and 9527. Pathway-based analysis of gene expression data is more informative and biologically meaningful than individual gene based analysis since very often genes work correlatively and orchestrally as a &#x0201c;team&#x0201d; (a functional module or a functional pathway). For some genes, their moderate changes of expression at the individual gene level may be insignificant under single gene statistical analysis framework yet they may be part of a biologically significant process by contributing to the process in an orchestrated manner. In such case, it is more reasonable that the analytical unit for gene expression analysis be a group of (functionally related) genes rather than individual transcripts. Statistically speaking, it can also alleviate effectively the common problem of multiple testing and &#x0201c;winner&#x02019;s curse&#x0201d; (<xref rid="R22" ref-type="bibr">Ioannidis 2008</xref>) in a genomic study. Therefore, here we used GAGE (<xref rid="R31" ref-type="bibr">Luo <italic>et al.</italic> 2009</xref>) to identify differential expression at the whole pathway level due to oil and/or dispersant treatments.</p><p id="P30">Given the intrinsic correlation among the genes in a pathway, sometime a pathway is not up or down-regulated at the whole pathway level but may change in a more delicate manner, which is the alteration of the inner correlative structure or the co-expression patterns. For example, under certain conditions, some genes (e.g., the so called hub genes) that have a large number of correlative relationships with other members of a pathway may lose the &#x0201c;network hub&#x0201d; status and be replaced by other genes as new hubs. If that happens, the pathway&#x02019;s function may also changes as the regulatory roles asserted by different hub genes may be different. Here we used GSNCA (<xref rid="R42" ref-type="bibr">Rahmatallah <italic>et al.</italic> 2014</xref>) to capture such delicate changes at the whole pathway level and identified a large number of pathways with changed co-expression patterns under the oil and/or dispersant treatments.</p><p id="P31">Some of the results from the present study are consistent with what our previous study reported (<xref rid="R28" ref-type="bibr">Liu <italic>et al.</italic> 2016</xref>) based on individual genes. For instance, downregulation of the cell junction (e.g., adherens junction and anchoring junction) and upregulation of inflammatory response and immune response due to oil and/or dispersants treatment were observed in both studies. These findings again indicated the potential detrimental effects on cellular structure integrity and activation of immune response by the oil/dispersant treatment, lending mechanistic support for the observed respiratory symptoms in workers involved in previous oil cleaning operations (<xref rid="R55" ref-type="bibr">Zock <italic>et al.</italic> 2012</xref>).</p><p id="P32">However, the key distinct features observed in this study are upregulated ribosomal biosynthesis, protein processing, Wnt signaling, neurotrophin signaling and insulin signaling pathways upon treatment with the dispersant 9527. Importantly the observation of such a coordinated upregulation of these pathways may indicate a tendency towards cancer development for the cells.</p><p id="P33">Increased ribosomal biosynthesis has been linked to oncogenic signals. For example, a study showed that c-Myc oncogenic activity required robust ribosome biogenesis and protein synthesis and when the upregulated protein synthesis was reduced to normal level by deleting one allele of RPL24 (Ribosomal Protein L24), the oncogenic potential of c-Myc was markedly abolished (<xref rid="R1" ref-type="bibr">Barna <italic>et al.</italic> 2008</xref>). Several tumor suppressors, such as RB and p130, inhibit tumor cell growth and proliferation by interfering with ribosome biogenesis and thus restricting global protein synthesis (<xref rid="R4" ref-type="bibr">Cavanaugh <italic>et al.</italic> 1995</xref>; <xref rid="R5" ref-type="bibr">Ciarmatori <italic>et al.</italic> 2001</xref>; <xref rid="R18" ref-type="bibr">Hannan <italic>et al.</italic> 2000</xref>). Ribosomal biosynthesis pathway has been proposed as a potential target for cancer treatment (<xref rid="R54" ref-type="bibr">Zhou <italic>et al.</italic> 2015</xref>).</p><p id="P34">Activation of Wnt signaling pathway was associated with lung cancer development (<xref rid="R32" ref-type="bibr">Mazieres <italic>et al.</italic> 2005</xref>; <xref rid="R51" ref-type="bibr">Stewart 2014</xref>) and inhibition of Wnt signaling was shown to inhibit lung cancer cell growth both in vitro and in vivo (<xref rid="R24" ref-type="bibr">Kim <italic>et al.</italic> 2007</xref>). Neutrotropin signaling has also been shown to promote lung cancer development (<xref rid="R40" ref-type="bibr">Prakash <italic>et al.</italic> 2010</xref>) as high levels of TrkA and TrkB have been found in human lung adenocarcinoma and squamous cell carcinomas (<xref rid="R47" ref-type="bibr">Ricci <italic>et al.</italic> 2001</xref>), and TrkB has been found in small cell lung cancers and atypical carcinoids (<xref rid="R46" ref-type="bibr">Ricci <italic>et al.</italic> 2005</xref>).</p><p id="P35">Insulin signaling has been well known for its crucial role in cancer development (as reviewed in (<xref rid="R39" ref-type="bibr">Poloz and Stambolic 2015</xref>)), including lung cancer (<xref rid="R8" ref-type="bibr">Dziadziuszko <italic>et al.</italic> 2008</xref>; <xref rid="R12" ref-type="bibr">Ferguson <italic>et al.</italic> 2012</xref>; <xref rid="R14" ref-type="bibr">Frisch <italic>et al.</italic> 2015</xref>). Hyperinsulinemia is linked to the development of lung cancer (<xref rid="R12" ref-type="bibr">Ferguson <italic>et al.</italic> 2012</xref>) as well as other types of cancers (<xref rid="R3" ref-type="bibr">Calle <italic>et al.</italic> 2003</xref>; <xref rid="R16" ref-type="bibr">Goodwin <italic>et al.</italic> 2002</xref>; <xref rid="R43" ref-type="bibr">Renehan <italic>et al.</italic> 2008</xref>; <xref rid="R52" ref-type="bibr">Stewart <italic>et al.</italic> 2009</xref>). Insulin signaling through insulin receptor A has direct oncogenic and anti-apoptotic effects on cancer cells (<xref rid="R6" ref-type="bibr">Cox <italic>et al.</italic> 2009</xref>; <xref rid="R13" ref-type="bibr">Frasca <italic>et al.</italic> 1999</xref>; <xref rid="R23" ref-type="bibr">Kalli <italic>et al.</italic> 2002</xref>; <xref rid="R27" ref-type="bibr">Law <italic>et al.</italic> 2008</xref>; <xref rid="R34" ref-type="bibr">Novosyadlyy <italic>et al.</italic> 2010</xref>; <xref rid="R35" ref-type="bibr">Papa <italic>et al.</italic> 1990</xref>). Insulin signaling has also been a target for cancer treatment as hyperinsulinemia drugs, such as metformin, have proven to be valuable for cancer therapy (<xref rid="R2" ref-type="bibr">Bosco <italic>et al.</italic> 2011</xref>; <xref rid="R10" ref-type="bibr">Evans <italic>et al.</italic> 2005</xref>; <xref rid="R17" ref-type="bibr">Goodwin <italic>et al.</italic> 2011</xref>; <xref rid="R53" ref-type="bibr">Vissers <italic>et al.</italic> 2015</xref>).</p><p id="P36">Through GSNCA analysis we also identified several cancer-related pathways, including small cell lung cancer pathway, which have gene co-expression changes due to oil/dispersant treatment. For example, under oil+9527 treatment, the higher weight genes (those with more important regulatory roles) were reduced to a smaller subset of genes that are further enriched for cancer development (<xref rid="F2" ref-type="fig">Figure 2</xref>).</p><p id="P37">Not surprisingly, our findings indicate that exposure to Corexit 9527-oil mixture has the most nocive effect on cells with significant upregulation of cancer pathways. The toxic effect of Corexit 9527 has been previously established. In particular, Corexit 9527 contains the toxin 2-Butoxyethanol (NIH US National Library of Medicine Toxicology Data Network <ext-link ext-link-type="uri" xlink:href="https://toxnet.nlm.nih.gov/cgi-bin/sis/search/a?dbs+hsdb:@term+@DOCNO+7838">https://toxnet.nlm.nih.gov/cgi-bin/sis/search/a?dbs+hsdb:@term+@DOCNO+7838</ext-link>) that was shown to cause liver, kidney, lung, nervous system, and blood disorders among cleanup crews in Alaska following the 1989 Exxon Valdez oil spill (<ext-link ext-link-type="uri" xlink:href="http://www.takepart.com/article/2013/04/17/corexit-deepwater-horizon-oil-spill">http://www.takepart.com/article/2013/04/17/corexit-deepwater-horizon-oil-spill</ext-link>). Although approved by the EPA, formulations of Corexit 9500 and 9527 were banned from use in the United Kingdom in 1998 because laboratory tests found them harmful to marine life that inhabits rocky shores (<ext-link ext-link-type="uri" xlink:href="http://www.biologicaldiversity.org/programs/public_lands/energy/dirty_energy_development/oil_and_ga">http://www.biologicaldiversity.org/programs/public_lands/energy/dirty_energy_development/oil_and_ga</ext-link> s/gulf_oil_spill/dispersants.html). Regardless of the risks, these dispersants were still used in the BP oil spill site, and by June 1 2010, 800,000 to 900,000 gallons of Corexit 9527 had already been sprayed (<ext-link ext-link-type="uri" xlink:href="https://www.whistleblower.org/gulftruth">https://www.whistleblower.org/gulftruth</ext-link>).</p><p id="P38">The above findings, both from differential expression analysis at the pathway level using GAGE (<xref rid="R31" ref-type="bibr">Luo <italic>et al.</italic> 2009</xref>) and from gene co-expression analysis using GSNCA (<xref rid="R42" ref-type="bibr">Rahmatallah <italic>et al.</italic> 2014</xref>), suggest a significant pattern of change towards cancer development in human airway epithelial cells under oil/dispersant treatment, especially the 9527 treatment. This, together with our previous study (<xref rid="R28" ref-type="bibr">Liu <italic>et al.</italic> 2016</xref>), provides compelling evidence for the toxicological effects, especially carcinogenic effects, of oil and dispersants and further reveals the potential health impacts of the recent BP oil spill on the lung health for those workers involved in the rescue mission. Accordingly, more strict regulations should be established to protect the personnel routinely working on the sites of oil spill and even those working in the refineries who may be exposed to oil products on a daily basis. Precautions should also be exercised on using oil dispersants, especially the Corexit 9527, to contain an oil spill in the future.</p></sec></body><back><ack id="S8"><p>This study was supported by NIOSH (National Institute for Occupational Safety and Health) Pilot Projects Research Training Program of Southwest Center for Occupational and Environmental Health. AMR-E is also supported by the by National Institutes of Health (NIH) P20GM103518/ P20RR020152. GW is supported by 2G12MD007595. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of NIH.</p></ack><fn-group><fn id="FN3"><p content-type="publisher-disclaimer">This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.</p></fn></fn-group><glossary id="GL"><title>Abbreviation list</title><def-list><def-item><term id="G1">GAGE</term><def><p>generally applicable gene set enrichment</p></def></def-item><def-item><term id="G2">GSNCA</term><def><p>Gene Sets Net Correlations Analysis</p></def></def-item><def-item><term id="G3">WAF</term><def><p>water accommodated fraction</p></def></def-item><def-item><term id="G4">DAVID</term><def><p>Database for Annotation, Visualization, and Integrated Discovery</p></def></def-item></def-list></glossary><ref-list><title>Reference List</title><ref id="R1"><label>1</label><element-citation publication-type="journal"><person-group 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7.65E-12), hsa05212:Pancreatic cancer (p = 1.61E-10), hsa05223:Non-small cell lung cancer (p = 2.85E-07), etc. (note: p values are Bonferroni corrected p values), suggesting that the high weight genes are highly enriched for these cancer pathways.</p><p>In contrast, DAVID (<xref rid="R7" ref-type="bibr">Dennis, Jr. <italic>et al.</italic> 2003</xref>) annotation for the low weight genes resulted in the top annotation cluster (with an enrichment score of 4.95) that does not contain cancer terms.</p><p>The difference in annotation results may indicate that under treatment of oil+9527 this pathway&#x02019;s regulatory genes (as manifested by those high weight genes) are more concentrated to a subset of genes highly enriched for cancer development.</p></caption><graphic xlink:href="nihms831157f2"/></fig><table-wrap id="T1" position="float" orientation="portrait"><label>Table 1</label><caption><p>KEGG pathways significantly regulated by oil and/or dispersants</p></caption><table frame="hsides" rules="groups"><thead><tr><th valign="top" align="left" rowspan="1" colspan="1">KEGG pathway name</th><th valign="top" align="left" rowspan="1" colspan="1">P value</th><th valign="top" align="left" rowspan="1" colspan="1">FDR</th><th valign="top" align="left" rowspan="1" colspan="1">Treatment group</th><th valign="top" align="left" rowspan="1" colspan="1">Up or down-regulated by treatment</th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa04810 Regulation of actin cytoskeleton</td><td align="left" valign="top" rowspan="1" colspan="1">6.53E-05</td><td align="left" valign="top" rowspan="1" colspan="1">5.97E-03</td><td align="left" valign="top" rowspan="1" colspan="1">Oil</td><td align="left" valign="top" rowspan="1" colspan="1">Downregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa04520 Adherens junction</td><td align="left" valign="top" rowspan="1" colspan="1">9.69E-05</td><td align="left" valign="top" rowspan="1" colspan="1">5.97E-03</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Downregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa04144 Endocytosis</td><td align="left" valign="top" rowspan="1" colspan="1">1.11E-04</td><td align="left" valign="top" rowspan="1" colspan="1">5.97E-03</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Downregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03015 mRNA surveillance pathway</td><td align="left" valign="top" rowspan="1" colspan="1">1.61E-03</td><td align="left" valign="top" rowspan="1" colspan="1">6.51E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Downregulated</td></tr><tr><td colspan="5" align="left" valign="bottom" rowspan="1">
<hr/></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03010 Ribosome</td><td align="left" valign="top" rowspan="1" colspan="1">2.22E-11</td><td align="left" valign="top" rowspan="1" colspan="1">3.60E-09</td><td align="left" valign="top" rowspan="1" colspan="1">9500</td><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa04612 Antigen processing and presentation</td><td align="left" valign="top" rowspan="1" colspan="1">1.22E-03</td><td align="left" valign="top" rowspan="1" colspan="1">9.91E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa04520 Adherens junction</td><td align="left" valign="top" rowspan="1" colspan="1">1.06E-04</td><td align="left" valign="top" rowspan="1" colspan="1">1.72E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Downregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa00900 Terpenoid backbone biosynthesis</td><td align="left" valign="top" rowspan="1" colspan="1">1.84E-03</td><td align="left" valign="top" rowspan="1" colspan="1">9.55E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Downregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa04144 Endocytosis</td><td align="left" valign="top" rowspan="1" colspan="1">1.95E-03</td><td align="left" valign="top" rowspan="1" colspan="1">9.55E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Downregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03015 mRNA surveillance pathway</td><td align="left" valign="top" rowspan="1" colspan="1">2.37E-03</td><td align="left" valign="top" rowspan="1" colspan="1">9.55E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Downregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa04810 Regulation of actin cytoskeleton</td><td align="left" valign="top" rowspan="1" colspan="1">2.95E-03</td><td align="left" valign="top" rowspan="1" colspan="1">9.55E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Downregulated</td></tr><tr><td colspan="5" align="left" valign="bottom" rowspan="1">
<hr/></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03008 Ribosome biogenesis in eukaryotes</td><td align="left" valign="top" rowspan="1" colspan="1">1.97E-13</td><td align="left" valign="top" rowspan="1" colspan="1">3.20E-11</td><td align="left" valign="top" rowspan="1" colspan="1">9527</td><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03013 RNA transport</td><td align="left" valign="top" rowspan="1" colspan="1">2.03E-09</td><td align="left" valign="top" rowspan="1" colspan="1">1.64E-07</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa00970 Aminoacyl-tRNA biosynthesis</td><td align="left" valign="top" rowspan="1" colspan="1">3.42E-07</td><td align="left" valign="top" rowspan="1" colspan="1">1.66E-05</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa04141 Protein processing in endoplasmic reticulum</td><td align="left" valign="top" rowspan="1" colspan="1">4.09E-07</td><td align="left" valign="top" rowspan="1" colspan="1">1.66E-05</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03040 Spliceosome</td><td align="left" valign="top" rowspan="1" colspan="1">6.09E-07</td><td align="left" valign="top" rowspan="1" colspan="1">1.97E-05</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03050 Proteasome</td><td align="left" valign="top" rowspan="1" colspan="1">4.66E-05</td><td align="left" valign="top" rowspan="1" colspan="1">1.26E-03</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa00240 Pyrimidine metabolism</td><td align="left" valign="top" rowspan="1" colspan="1">6.59E-05</td><td align="left" valign="top" rowspan="1" colspan="1">1.53E-03</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa04120 Ubiquitin mediated proteolysis</td><td align="left" valign="top" rowspan="1" colspan="1">1.01E-04</td><td align="left" valign="top" rowspan="1" colspan="1">2.05E-03</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03018 RNA degradation</td><td align="left" valign="top" rowspan="1" colspan="1">1.64E-04</td><td align="left" valign="top" rowspan="1" colspan="1">2.95E-03</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa00020 Citrate cycle (TCA cycle)</td><td align="left" valign="top" rowspan="1" colspan="1">2.22E-04</td><td align="left" valign="top" rowspan="1" colspan="1">3.59E-03</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03015 mRNA surveillance pathway</td><td align="left" valign="top" rowspan="1" colspan="1">4.09E-04</td><td align="left" valign="top" rowspan="1" colspan="1">5.53E-03</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa04110 Cell cycle</td><td align="left" valign="top" rowspan="1" colspan="1">4.10E-04</td><td align="left" valign="top" rowspan="1" colspan="1">5.53E-03</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa04114 Oocyte meiosis</td><td align="left" valign="top" rowspan="1" colspan="1">6.65E-04</td><td align="left" valign="top" rowspan="1" colspan="1">8.29E-03</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa00230 Purine metabolism</td><td align="left" valign="top" rowspan="1" colspan="1">7.65E-04</td><td align="left" valign="top" rowspan="1" colspan="1">8.85E-03</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03010 Ribosome</td><td align="left" valign="top" rowspan="1" colspan="1">1.07E-03</td><td align="left" valign="top" rowspan="1" colspan="1">1.15E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03022 Basal transcription factors</td><td align="left" valign="top" rowspan="1" colspan="1">1.34E-03</td><td align="left" valign="top" rowspan="1" colspan="1">1.35E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03020 RNA polymerase</td><td align="left" valign="top" rowspan="1" colspan="1">1.75E-03</td><td align="left" valign="top" rowspan="1" colspan="1">1.67E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa00520 Amino sugar and nucleotide sugar metabolism</td><td align="left" valign="top" rowspan="1" colspan="1">6.48E-03</td><td align="left" valign="top" rowspan="1" colspan="1">5.77E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa04310 Wnt signaling pathway</td><td align="left" valign="top" rowspan="1" colspan="1">6.76E-03</td><td align="left" valign="top" rowspan="1" colspan="1">5.77E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa04722 Neurotrophin signaling pathway</td><td align="left" valign="top" rowspan="1" colspan="1">7.73E-03</td><td align="left" valign="top" rowspan="1" colspan="1">6.27E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa04914 Progesterone-mediated oocyte maturation</td><td align="left" valign="top" rowspan="1" colspan="1">8.47E-03</td><td align="left" valign="top" rowspan="1" colspan="1">6.54E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa00010 Glycolysis / Gluconeogenesis</td><td align="left" valign="top" rowspan="1" colspan="1">1.05E-02</td><td align="left" valign="top" rowspan="1" colspan="1">7.71E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa04910 Insulin signaling pathway</td><td align="left" valign="top" rowspan="1" colspan="1">1.16E-02</td><td align="left" valign="top" rowspan="1" colspan="1">8.16E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa00290 Valine, leucine and isoleucine biosynthesis</td><td align="left" valign="top" rowspan="1" colspan="1">1.37E-02</td><td align="left" valign="top" rowspan="1" colspan="1">9.22E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td colspan="5" align="left" valign="bottom" rowspan="1">
<hr/></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03008 Ribosome biogenesis in eukaryotes</td><td align="left" valign="top" rowspan="1" colspan="1">6.17E-11</td><td align="left" valign="top" rowspan="1" colspan="1">1.00E-08</td><td align="left" valign="top" rowspan="1" colspan="1">9500+oil</td><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa00970 Aminoacyl-tRNA biosynthesis</td><td align="left" valign="top" rowspan="1" colspan="1">1.11E-07</td><td align="left" valign="top" rowspan="1" colspan="1">8.98E-06</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03013 RNA transport</td><td align="left" valign="top" rowspan="1" colspan="1">3.02E-07</td><td align="left" valign="top" rowspan="1" colspan="1">1.63E-05</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03010 Ribosome</td><td align="left" valign="top" rowspan="1" colspan="1">1.53E-05</td><td align="left" valign="top" rowspan="1" colspan="1">6.18E-04</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03040 Spliceosome</td><td align="left" valign="top" rowspan="1" colspan="1">1.81E-04</td><td align="left" valign="top" rowspan="1" colspan="1">5.86E-03</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03018 RNA degradation</td><td align="left" valign="top" rowspan="1" colspan="1">3.12E-04</td><td align="left" valign="top" rowspan="1" colspan="1">8.41E-03</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa03050 Proteasome</td><td align="left" valign="top" rowspan="1" colspan="1">9.20E-04</td><td align="left" valign="top" rowspan="1" colspan="1">2.13E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1">Upregulated</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">hsa04141 Protein processing in endoplasmic reticulum</td><td align="left" valign="top" rowspan="1" colspan="1">4.00E-03</td><td align="left" valign="top" rowspan="1" colspan="1">8.11E-02</td><td align="left" valign="top" rowspan="1" colspan="1"/><td align="left" valign="top" rowspan="1" colspan="1"/></tr></tbody></table></table-wrap><table-wrap id="T2" position="float" orientation="landscape"><label>Table 2</label><caption><p>GAGE GO analysis results</p></caption><table frame="hsides" rules="rows"><thead><tr><th valign="top" align="left" rowspan="1" colspan="1">Treatment</th><th valign="top" align="left" rowspan="1" colspan="1">GO analysis type</th><th valign="top" align="left" rowspan="1" colspan="1">Up or downregulated terms</th><th valign="top" align="left" rowspan="1" colspan="1">N of significant terms (FDR&#x0003c;0.1)</th><th valign="top" align="left" rowspan="1" colspan="1">Examples of regulated GO terms</th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="3" colspan="1">Oil</td><td align="left" valign="top" rowspan="1" colspan="1">CC</td><td align="left" valign="top" rowspan="1" colspan="1">Down</td><td align="left" valign="top" rowspan="1" colspan="1">24</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0070161 anchoring junction; GO:0005912 adherens junction</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">BP</td><td align="left" valign="top" rowspan="1" colspan="1">Down</td><td align="left" valign="top" rowspan="1" colspan="1">20</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0051301 cell division</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">MF</td><td align="left" valign="top" rowspan="1" colspan="1">Down</td><td align="left" valign="top" rowspan="1" colspan="1">5</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0000988 protein binding transcription factor activity</td></tr><tr><td align="left" valign="top" rowspan="6" colspan="1">9500</td><td align="left" valign="top" rowspan="2" colspan="1">CC</td><td align="left" valign="top" rowspan="1" colspan="1">Up</td><td align="left" valign="top" rowspan="1" colspan="1">8</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0022626 cytosolic ribosome</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Down</td><td align="left" valign="top" rowspan="1" colspan="1">4</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0005912 adherens junction; GO:0070161 anchoring junction</td></tr><tr><td align="left" valign="top" rowspan="2" colspan="1">BP</td><td align="left" valign="top" rowspan="1" colspan="1">Up</td><td align="left" valign="top" rowspan="1" colspan="1">19</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0006954 inflammatory response; GO:0045087 innate immune response</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Down</td><td align="left" valign="top" rowspan="1" colspan="1">8</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0051301 cell division; GO:0030036 actin cytoskeleton organization</td></tr><tr><td align="left" valign="top" rowspan="2" colspan="1">MF</td><td align="left" valign="top" rowspan="1" colspan="1">Up</td><td align="left" valign="top" rowspan="1" colspan="1">1</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0003735 structural constituent of ribosome</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Down</td><td align="left" valign="top" rowspan="1" colspan="1">1</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0003779 actin binding</td></tr><tr><td align="left" valign="top" rowspan="5" colspan="1">9527</td><td align="left" valign="top" rowspan="2" colspan="1">CC</td><td align="left" valign="top" rowspan="1" colspan="1">Up</td><td align="left" valign="top" rowspan="1" colspan="1">39</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0005759 mitochondrial matrix; GO:0005840 ribosome</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Down</td><td align="left" valign="top" rowspan="1" colspan="1">1</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0034702 ion channel complex</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">BP</td><td align="left" valign="top" rowspan="1" colspan="1">Up</td><td align="left" valign="top" rowspan="1" colspan="1">159</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0034660 ncRNA metabolic process; GO:0006412 translation: GO:0022613 ribonucleoprotein complex biogenesis; GO:0042254 ribosome biogenesis</td></tr><tr><td align="left" valign="top" rowspan="2" colspan="1">MF</td><td align="left" valign="top" rowspan="1" colspan="1">Up</td><td align="left" valign="top" rowspan="1" colspan="1">31</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0008135 translation factor activity, nucleic acid binding; GO:0016874 ligase activity; GO:0003735 structural constituent of ribosome</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Down</td><td align="left" valign="top" rowspan="1" colspan="1">7</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0005261 cation channel activity; GO:0005216 ion channel activity; GO:0022836 gated channel activity</td></tr><tr><td align="left" valign="top" rowspan="5" colspan="1">Oil+9500</td><td align="left" valign="top" rowspan="2" colspan="1">CC</td><td align="left" valign="top" rowspan="1" colspan="1">Up</td><td align="left" valign="top" rowspan="1" colspan="1">14</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0005840 ribosome; GO:0005759 mitochondrial matrix</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Down</td><td align="left" valign="top" rowspan="1" colspan="1">6</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0000323 lytic vacuole; GO:0005764 lysosome</td></tr><tr><td align="left" valign="top" rowspan="2" colspan="1">BP</td><td align="left" valign="top" rowspan="1" colspan="1">Up</td><td align="left" valign="top" rowspan="1" colspan="1">30</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0034660 ncRNA metabolic process; GO:0042254 ribosome biogenesis</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Down</td><td align="left" valign="top" rowspan="1" colspan="1">4</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0008203 cholesterol metabolic process; GO:0016125 sterol metabolic process</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">MF</td><td align="left" valign="top" rowspan="1" colspan="1">Up</td><td align="left" valign="top" rowspan="1" colspan="1">13</td><td align="left" valign="top" rowspan="1" colspan="1">GO:0003735 structural constituent of ribosome; GO:0004812 aminoacyl-tRNA ligase activity</td></tr></tbody></table></table-wrap><table-wrap id="T3" position="float" orientation="portrait"><label>Table 3</label><caption><p>GSNCA analysis results</p></caption><table frame="hsides" rules="groups"><thead><tr><th valign="top" align="left" rowspan="1" colspan="1">KEGG pathways with a significant p value (p = 9.99e-5)</th><th valign="top" align="left" rowspan="1" colspan="1">Treatments associated with the co- expression changes of a pathway</th></tr></thead><tbody><tr><td align="left" valign="top" rowspan="1" colspan="1">ABC transporters</td><td align="left" valign="top" rowspan="1" colspan="1">9500, oil +9527</td></tr><tr><td colspan="2" valign="bottom" align="left" rowspan="1">
<hr/></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Antigen processing and presentation</td><td align="left" valign="top" rowspan="1" colspan="1">9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Arginine and proline metabolism</td><td align="left" valign="top" rowspan="1" colspan="1">9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Axon guidance</td><td align="left" valign="top" rowspan="1" colspan="1">Oil, 9500, oil +9500,oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">B cell receptor signaling pathway</td><td align="left" valign="top" rowspan="1" colspan="1">oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"><bold><italic>Basal cell carcinoma</italic></bold></td><td align="left" valign="top" rowspan="1" colspan="1"><bold><italic>oil +9527</italic></bold></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Basal transcription factors</td><td align="left" valign="top" rowspan="1" colspan="1">oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Butanoate metabolism</td><td align="left" valign="top" rowspan="1" colspan="1">oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Cell adhesion molecules CAMS</td><td align="left" valign="top" rowspan="1" colspan="1">9500, 9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Cytokine cytokine receptor interaction</td><td align="left" valign="top" rowspan="1" colspan="1">9500</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Cytosolic DNA sensing pathway</td><td align="left" valign="top" rowspan="1" colspan="1">Oil</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Drug metabolism other enzymes</td><td align="left" valign="top" rowspan="1" colspan="1">9500</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">ECM receptor interaction</td><td align="left" valign="top" rowspan="1" colspan="1">Oil, 9527, oil +9500, oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Endocytosis</td><td align="left" valign="top" rowspan="1" colspan="1">9527, oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"><bold><italic>Endometrial cancer</italic></bold></td><td align="left" valign="top" rowspan="1" colspan="1"><bold><italic>oil +9527</italic></bold></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Epithelial cell signaling in helicobacter pylori infection</td><td align="left" valign="top" rowspan="1" colspan="1">oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Fc epsilon RI signaling pathway</td><td align="left" valign="top" rowspan="1" colspan="1">Oil, 9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Fc gamma R mediated phagocytosis</td><td align="left" valign="top" rowspan="1" colspan="1">9500</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Focal adhesion</td><td align="left" valign="top" rowspan="1" colspan="1">Oil, 9500, oil +9500, oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Fructose and mannose metabolism</td><td align="left" valign="top" rowspan="1" colspan="1">oil +9500, oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Gap junction</td><td align="left" valign="top" rowspan="1" colspan="1">9500, oil +9500</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Glycerolipid metabolism</td><td align="left" valign="top" rowspan="1" colspan="1">9500</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Glycosaminoglycan biosynthesis chondroitin sulfate</td><td align="left" valign="top" rowspan="1" colspan="1">9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Graft versus host disease</td><td align="left" valign="top" rowspan="1" colspan="1">oil</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Hedgehog signaling pathway</td><td align="left" valign="top" rowspan="1" colspan="1">9500, oil +9500, oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Hematopoietic cell lineage</td><td align="left" valign="top" rowspan="1" colspan="1">Oil, oil +9500, oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Histidine metabolism</td><td align="left" valign="top" rowspan="1" colspan="1">Oil</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Homologous recombination</td><td align="left" valign="top" rowspan="1" colspan="1">Oil</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Insulin signaling pathway</td><td align="left" valign="top" rowspan="1" colspan="1">9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Intestinal immune network for IGA production</td><td align="left" valign="top" rowspan="1" colspan="1">Oil, 9500, oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Jak-Stat signaling pathway</td><td align="left" valign="top" rowspan="1" colspan="1">Oil</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Leukocyte transendothelial migration</td><td align="left" valign="top" rowspan="1" colspan="1">9500</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Lysine degradation</td><td align="left" valign="top" rowspan="1" colspan="1">oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">MAPK signaling pathway</td><td align="left" valign="top" rowspan="1" colspan="1">Oil, oil +9500</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Mismatch repair</td><td align="left" valign="top" rowspan="1" colspan="1">oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Natural killer cell mediated cytotoxicity</td><td align="left" valign="top" rowspan="1" colspan="1">Oil, oil +9500, oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Neuroactive ligand receptor interaction</td><td align="left" valign="top" rowspan="1" colspan="1">Oil, 9500, 9527, oil +9500, oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Notch signaling pathway</td><td align="left" valign="top" rowspan="1" colspan="1">Oil</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Oxidative phosphorylation</td><td align="left" valign="top" rowspan="1" colspan="1">Oil</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">P53 signaling pathway</td><td align="left" valign="top" rowspan="1" colspan="1">9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"><bold><italic>Pathways in cancer</italic></bold></td><td align="left" valign="top" rowspan="1" colspan="1"><bold><italic>Oil, 9500, oil +9500, oil +9527</italic></bold></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Phosphatidylinositol signaling system</td><td align="left" valign="top" rowspan="1" colspan="1">9500, oil+9500</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">PPAR signaling pathway</td><td align="left" valign="top" rowspan="1" colspan="1">Oil, oil +9500</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Primary immunodeficiency</td><td align="left" valign="top" rowspan="1" colspan="1">oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"><bold><italic>Prostate cancer</italic></bold></td><td align="left" valign="top" rowspan="1" colspan="1"><bold><italic>oil +9527</italic></bold></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Proximal tubule bicarbonate reclamation</td><td align="left" valign="top" rowspan="1" colspan="1">oil +9500</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Pyrimidine metabolism</td><td align="left" valign="top" rowspan="1" colspan="1">Oil</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Regulation of actin cytoskeleton</td><td align="left" valign="top" rowspan="1" colspan="1">9500, oil +9500, oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Regulation of autophagy</td><td align="left" valign="top" rowspan="1" colspan="1">9500</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Selenoamino acid metabolism</td><td align="left" valign="top" rowspan="1" colspan="1">Oil</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1"><bold><italic>Small cell lung cancer</italic></bold></td><td align="left" valign="top" rowspan="1" colspan="1"><bold><italic>Oil, oil +9527</italic></bold></td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Snare interactions in vesicular transport</td><td align="left" valign="top" rowspan="1" colspan="1">Oil</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">T cell receptor signaling pathway</td><td align="left" valign="top" rowspan="1" colspan="1">9500, 9527, oil +9500, oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Terpenoid backbone biosynthesis</td><td align="left" valign="top" rowspan="1" colspan="1">Oil, oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">TGF beta signaling pathway</td><td align="left" valign="top" rowspan="1" colspan="1">Oil</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Tight junction</td><td align="left" valign="top" rowspan="1" colspan="1">Oil, 9500</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Toll like receptor signaling pathway</td><td align="left" valign="top" rowspan="1" colspan="1">Oil, 9500, 9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Tryptophan metabolism</td><td align="left" valign="top" rowspan="1" colspan="1">Oil</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Type II diabetes mellitus</td><td align="left" valign="top" rowspan="1" colspan="1">9500</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Tyrosine metabolism</td><td align="left" valign="top" rowspan="1" colspan="1">Oil</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Ubiquitin mediated proteolysis</td><td align="left" valign="top" rowspan="1" colspan="1">oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Valine leucine and isoleucine degradation</td><td align="left" valign="top" rowspan="1" colspan="1">9500</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">Vascular smooth muscle contraction</td><td align="left" valign="top" rowspan="1" colspan="1">9500, 9527, oil +9527</td></tr><tr><td align="left" valign="top" rowspan="1" colspan="1">VEGF signaling pathway</td><td align="left" valign="top" rowspan="1" colspan="1">oil +9527</td></tr></tbody></table></table-wrap></floats-group></article>