Supplemental File 1: Laboratory procedures of tissue preparation, microarray and qPCR analyses Tissue preparation and microarray analysis Tissue specimens at the margin of resection were obtained during surgery. All specimens were immediately rinsed with cold diethyl pyrocarbonate-treated phosphate-buffered saline, snapfrozen in liquid nitrogen and stored at -80ºC. RNA was extracted using TRIZOL reagent (Life Technologies, Gaithersburg, MD) and RNeasy mini kit (QIAGEN, GmbH, Hilden). Total RNA (100 ng) was amplified and labeled using the Ambion whole-transcript expression kit (Life Technologies) and Affymetrix WT sense target labeling kit (Affymetrix Inc., Santa Clara, CA). Affymetrix GeneChip Human Gene 1.0 ST arrays were hybridized with 540 ng of labeled sense DNA, washed, and stained using the FS450 Fluidic Station (Affymetrix). Fluorescent signal intensities of each stained chip were captured by the GeneChip Scanner 3000 7G System (Affymetrix). Expression arrays were analyzed using the Partek Genomics Suite v6.5 software (Partek, St. Louis, MO). Probeset signals were normalized with the Robust Multi-array Average (RMA) method and log2-transformed. The three-group (NEC versus Surg-CTL, SIP versus Surg-CTL, and NEC versus SIP) analysis was performed and the gene list was generated using the criteria of (i) >2-fold differences and (ii) P<0.05 between NEC or SIP and Surg-CTL. The microarray data sets were submitted to Gene Expression Omnibus database (GSE46619). 1 Gene ontology and network analysis The web-based tool (Database for Annotation, Visualization, and Integrated Discovery, DAVID) was used to identify enriched Gene Ontology (GO) biological processes among the differentially expressed genes (NEC versus Surg-CTL and SIP versus Surg-CTL). In addition, subgroup analysis was performed on categories of “epithelial cell proliferation” and “smooth muscle proliferation”, as indicators of tissue viability. The MetaCore Analysis Suite (GeneGo-Thomson Reuters, St. Joseph, MI) was used to map differentially expressed networks between the NEC and SIP datasets. The networks listed were annotated with specific biologic functions based on GO processes and ranked according to differences between NEC and SIP. For network analysis of validated targets, we used multiple algorithms to map direct gene-gene interaction, traced pathways and the shortest path for interactions. Validation of target mRNA expression levels by qPCR Gene expression levels of selected targets in NEC, SIP, Surg-CTL and Fetal-CTL tissues were quantified by qPCR using pre-designed TaqMan assays (Life Technologies). A subgroup of preterm infants [NEC (n=12), SIP (n=11) and Surg-CTL (n=9)] with small intestinal specimens were further analyzed separately. Total RNA (500 ng) was used to synthesize cDNA with the high capacity cDNA synthesis kit (Life Technologies). The qPCR reaction was performed in duplicate with cDNA (0.2 µL), 2 x TaqMan Gene Expression Master Mix (10 µL), and specific primers and probes (final volume 20 µL). Amplification was performed for 45 cycles with denaturation at 95°C for 15 sec, and annealing extension at 60°C for 1 min. The emission intensity was detected by the 2 ABI 7300 Real-Time PCR System (Life Technologies). The average threshold cycles (Ct) were used to calculate the expression ratios relative to glyceraldehyde 3-phosphate dehydrogenase (GAPDH; Life Technologies). Supplemental Figure 1. Legend for object symbols of the Metacore network The legend for the object symbols shown in Figures 2, 3, 4 and Supplemental Figure 2 are listed. These objects include enzymes, channels/transporters, receptors, generic classes, and G protein adaptors and regulators. Supplemental Figure 2. Interacting network of angiogenesis and extracellular matrix (ECM) remodeling-related genes in NEC A biological network of dysregulated target genes in the functional categories of angiogenesis and ECM remodeling in NEC tissues was constructed based on the MetaCore software using the direct interaction algorithm. Expression changes are demonstrated as red and blue color circles, representing up- and down-regulation. The gene symbol or name of each target gene is shown next to the object. Green, red and grey arrows between target genes represent positive, negative and unspecified interactions, respectively. The effects of interaction between genes are indicated as binding (B), cleavage (C) and transcriptional regulation (TR). 3 Supplemental Figure 1. Legend for object symbols of the Metacore network 4 Supplemental Figure 2. Interacting network of angiogenesis and extracellular matrix (ECM) remodeling-related genes in NEC 5 Supplemental Table 1. Quantitative PCR assays and reference sequence numbers of the selected genes Gene Angiogensis ACE ACE2 ANGPTL4 Assay ID Reference Sequences Hs00174179_m1 Hs01085333_m1 Hs01101127_m1 FLT1 Hs01052961_m1 GJA5 HBEGF Hs00270952_s1 Hs00181813_m1 NR1H4 Hs01026590_m1 THBS1 Hs00962908_m1 NM_001178057.1;NM_000789.3;NM_152830.2 NM_021804.2 NM_001039667.1;NM_139314.1 NM_001160031.1;NM_001160030.1;NM_002019.4; NM_001159920.1 NM_181703.2;NM_005266.5 NM_001945.2 NM_001206977.1;NM_001206978.1;NM_00120699 3.1;NM_001206979.1;NM_005123.3;NM_00120699 2.1 NM_003246.2 Arginine Metabolism ARG1 Hs00968978_m1 CPS1 Hs00157048_m1 OAT Hs00236852_m1 OTC Hs00166892_m1 NM_000045.3;NM_001244438.1 NM_001122633.2;NM_001122634.2; NM_001875.4 NM_000274.3;NM_001171814.1 NM_000531.5 Cell Adhesion and Chemotaxis CCL20 Hs01011368_m1 CD44 Hs01075861_m1 CXCL5 CXCR1 ICAM1 Hs01099660_g1 Hs01921207_s1 Hs00164932_m1 NM_004591.2;NM_001130046.1 NM_001001392.1;NM_001202555.1;NM_00100138 9.1;NM_001202556.1;NM_000610.3;NM_00100139 1.1;NM_001001390.1 NM_002994.3 NM_000634.2 NM_000201.2 ECM Remodeling MMP1 Hs00899658_m1 MMP9 Hs00957562_m1 PLAUR Hs00958880_m1 SERPINB2 Hs01010736_m1 NM_002421.3;NM_001145938.1 NM_004994.2 NM_001005377.2;NM_002659.3;NM_001005376.2 NM_001143818.1;NM_002575.2 SERPINE1 TFPI2 TIMP1 BC010860.1 (GenBank) NM_006528.2 NM_003254.2 Hs01126606_m1 Hs00197918_m1 Hs00171558_m1 Hypoxia and Oxidative Stress 6 HIF1A HMOX1 Hs00153153_m1 Hs01110250_m1 PRKCZ Hs00177051_m1 PTGS2 SOD2 Hs00153133_m1 Hs00167309_m1 NM_181054.2;NM_001530.3;NM_001243084.1 NM_002133.2 NM_001242874.1;NM_001033581.1;NM_00103358 2.1;NM_002744.4 NM_000963.2 NM_000636.2;NM_001024465.1;NM_001024466.1 Inflammation CD14 Hs02621496_s1 FOSL1 IL10 IL1B IL6 IL8 MEFV NFKB2 NLRC4 Hs04187685_m1 Hs00961622_m1 Hs01555410_m1 Hs00985639_m1 Hs00174103_m1 Hs00925524_m1 Hs01028901_g1 Hs00892666_m1 NLRP3 Hs00918082_m1 NOD2 TLR2 TLR4 TNF TREM1 Hs00223394_m1 Hs00152932_m1 Hs01060206_m1 Hs01113624_g1 Hs00218624_m1 TYROBP Hs00182426_m1 Muscle Contraction Hs00154286_m1 CASQ2 GALR2 Hs00605839_m1 GNA11 Hs01588833_m1 KCNMA1 Hs01119498_m1 MYH11 Hs00224610_m1 MYLK Hs00364926_m1 MYOM1 Hs00187003_m1 NM_000591.3;NM_001040021.2;NM_001174104.1; NM_001174105.1 NM_005438.3 NM_000572.2 NM_000576.2 NM_000600.3 NM_000584.3 NM_000243.2;NM_001198536.1 BC002844.2 (GenBank) NM_001199139.1;NM_021209.4;NM_001199138.1 NM_001127461.2;NM_001243133.1;NM_183395.2; NM_001127462.2;NM_001079821.2;NM_004895.4 NM_022162.1 NM_003264.3 NM_138554.4 NM_000594.2 NM_018643.3 NM_198125.2;NM_003332.3;NM_001173514.1;NR _033390.1;NM_001173515.1 NM_001232.3 NM_003857.2 NM_002067.2 NM_001014797.2;NM_001161352.1;NM_002247.3; NM_001161353.1 NM_002474.2;NM_001040113.1;NM_001040114.1; NM_022844.2 NM_053025.3;NM_053026.3;NM_053031.2;NM_05 3027.3;NM_053028.3;NM_053032.2 NM_003803.3;NM_019856.1 7 Supplemental Table 2. Microarray data analysis on biological processes of differentially expressed transcripts between NEC or SIP and Surg-CTL tissues NEC vs. Surg-CTL (upregulated) Response to wounding Defense response Inflammatory response Immune response Chemotaxis Taxis Locomotory behavior Behavior Response to organic substance Response to bacterium Count 110 112 79 110 46 46 50 60 75 35 % 15.11 15.38 10.85 15.11 6.32 6.32 6.87 8.24 10.30 4.81 P-value 1.06E-46 9.12E-42 3.08E-38 2.02E-35 1.90E-25 1.90E-25 1.98E-18 1.86E-14 3.42E-13 6.91E-13 NEC vs. Surg-CTL (downregulated) Digestion Steroid metabolic process Fatty acid metabolic process Oxidation reduction Lipid catabolic process Lipid localization Carbohydrate transport Lipid biosynthetic process Lipid transport Intestinal absorption Count 30 44 37 78 31 29 17 45 27 9 % 2.52 3.70 3.11 6.57 2.61 2.44 1.43 3.79 2.27 0.76 P-value 6.44E-14 5.04E-13 3.97E-09 9.21E-09 2.32E-07 3.22E-07 5.64E-07 5.83E-07 7.58E-07 1.68E-06 SIP vs. Surg-CTL (upregulated) Defense response Response to wounding Immune response Response to bacterium Inflammatory response Defense response to bacterium Chemotaxis Taxis Regulation of angiogenesis Positive regulation of cell division Count 33 24 24 14 16 10 11 11 7 6 % 25.58 18.60 18.60 10.85 12.40 7.75 8.53 8.53 5.43 4.65 P-value 3.43E-18 1.81E-11 3.24E-09 3.80E-09 3.80E-08 2.41E-07 5.31E-07 5.31E-07 1.00E-05 1.31E-05 SIP vs. Surg-CTL (downregulated) Excretion Muscle contraction Muscle system process Digestion Count 6 8 8 6 % 3.11 4.15 4.15 3.11 P-value 2.40E-04 0.001 0.001 0.002 8 Immune response 16 8.29 0.003 Digestive system process 4 2.07 0.004 Negative regulation of multicellular organismal process 7 3.63 0.005 Metal ion transport 12 6.22 0.005 Regulation of smooth muscle contraction 4 2.07 0.006 Cation transport 13 6.74 0.007 The top 10 significant GO biological process terms are listed. NEC n=5, SIP n=5 and Surg-CTL n=4. 9 Supplemental Table 3. Microarray data analysis on the most differentially affected networks between NEC or SIP and Surg-CTL tissues P-value NEC SIP 1.23E-25 4.29E-13 1.52E-08 9.27E-06 4.09E-03 2.12E-03 4.32E-08 1.18E-02 6.56E-03 NS NS NS Inflammation and Immune Response Neutrophil activation Innate inflammatory response Histamine signaling TREM1 signaling Kallikrein-kinin system Complement system Amphoterin signaling Protein C signaling IgE signaling Jak-STAT Pathway IL-4 signaling IL-10 anti-inflammatory response Interferon signaling NK cell cytotoxicity Inflammasome MIF signaling Phagocytosis Phagosome in antigen presentation Antigen presentation Th17-derived cytokines 1.07E-09 1.01E-08 1.94E-06 3.14E-06 8.55E-05 6.65E-05 9.86E-09 2.52E-04 4.48E-04 2.62E-04 1.20E-04 4.36E-05 1.36E-04 2.60E-03 1.89E-02 3.25E-03 3.77E-08 9.39E-05 3.69E-05 1.26E-07 NS 1.53E-02 NS NS NS NS 3.56E-05 NS NS NS 2.50E-02 5.96E-03 6.18E-03 NS NS NS NS NS NS 1.57E-04 Muscle contraction NS 1.02E-04 Development Regulation of angiogenesis Regulation of epithelial-to-mesenchymal transition 1.67E-06 2.43E-04 1.00E-02 NS Proteolysis ECM remodeling Connective tissue degradation 8.69E-05 4.44E-08 1.51E-07 1.37E-06 Process Networks Chemotaxis and Cell Adhesion Chemotaxis Platelet-endothelium-leucocyte interactions Cell-matrix interactions Leucocyte chemotaxis Cell junctions Glycoconjugates 10 Apoptosis Anti-Apoptosis mediated by external signals via 2.55E-04 PI3K/AKT Anti-Apoptosis mediated by external signals via MAPK 1.73E-02 and JAK/STAT Anti-apoptosis mediated by external signals via NF-kB 1.85E-02 1.48E-02 Response to Hypoxia and Oxidative Stress NS, not significant 11 3.18E-02 NS NS NS Supplemental Table 4. Summary of target gene names and functions Gene Gene name ACE angiotensin I converting enzyme (peptidyl-dipeptidase A) 1 ACE2 angiotensin I converting enzyme (peptidyl-dipeptidase A) 2 ANGPTL4 angiopoietin-like 4 FLT1 fms-related tyrosine kinase 1 GJA5 gap junction protein, alpha 5, 40kDa HBEGF heparin-binding EGFlike growth factor Summary This gene encodes an enzyme involved in catalyzing the conversion of angiotensin I into a physiologically active peptide angiotensin II. Angiotensin II is a potent vasopressor and aldosterone-stimulating peptide that controls blood pressure and fluid-electrolyte balance. This enzyme plays a key role in the renin-angiotensin system. (provided by RefSeq, May 2010) SwissProt: Q9BYF1 # Carboxypeptidase which converts angiotensin I to angiotensin 1-9, a peptide of unknown function, and angiotensin II to angiotensin 1-7, a vasodilator. Also able to hydrolyze apelin-13 and dynorphin-13 with high efficiency. May be an important regulator of heart function. In case of human coronaviruses SARS and HCoV-NL63 infections, serve as functional receptor for the spike glycoprotein of both coronaviruses. This gene is a member of the angiopoietin/angiopoietin-like gene family and encodes a glycosylated, secreted protein with a fibrinogen C-terminal domain. This gene is induced under hypoxic conditions in endothelial cells and is the target of peroxisome proliferation activators. The encoded protein is a serum hormone directly involved in regulating glucose homeostasis, lipid metabolism, and insulin sensitivity and also acts as an apoptosis survival factor for vascular endothelial cells. (provided by RefSeq, Jul 2008) This gene encodes a member of the vascular endothelial growth factor receptor (VEGFR) family. VEGFR family members are receptor tyrosine kinases (RTKs) which contain an extracellular ligand-binding region with seven immunoglobulin (Ig)-like domains, a transmembrane segment, and a tyrosine kinase (TK) domain within the cytoplasmic domain. This protein binds to VEGFR-A, VEGFR-B and placental growth factor and plays an important role in angiogenesis and vasculogenesis. (provided by RefSeq, May 2009) This gene is a member of the connexin gene family. The encoded protein is a component of gap junctions, which are composed of arrays of intercellular channels that provide a route for the diffusion of low molecular weight materials from cell to cell. (provided by RefSeq, Jul 2008) SwissProt: Q99075 # Growth factor that mediates its effects via EGFR, ERBB2 and ERBB4. Required for normal cardiac valve formation and normal heart function. Promotes smooth muscle cell proliferation. May be involved in macrophage-mediated cellular proliferation. It is mitogenic for fibroblasts, but not endothelial cells. It is able to bind EGF receptor/EGFR with 12 NR1H4 nuclear receptor subfamily 1, group H, member 4 THBS1 thrombospondin 1 ARG1 arginase, liver CPS1 carbamoyl-phosphate synthase 1, mitochondrial OAT ornithine aminotransferase higher affinity than EGF itself and is a far more potent mitogen for smooth muscle cells than EGF. Also acts as a diphtheria toxin receptor. SwissProt: Q96RI1 # Ligand-activated transcription factor. Receptor for bile acids such as chenodeoxycholic acid, lithocholic acid and deoxycholic acid. Represses the transcription of the cholesterol 7-alpha-hydroxylase gene (CYP7A1) through the induction of NR0B2 or FGF19 expression, via two distinct mechanisms. Activates the intestinal bile acid-binding protein (IBABP). Activates the transcription of bile salt export pump ABCB11 by directly recruiting histone methyltransferase CARM1 to this locus. The protein encoded by this gene is a subunit of a disulfide-linked homotrimeric protein. This protein is an adhesive glycoprotein that mediates cell-to-cell and cell-to-matrix interactions. This protein can bind to fibrinogen, fibronectin, laminin, type V collagen and integrins alphaV/beta-1. This protein has been shown to play roles in platelet aggregation, angiogenesis, and tumorigenesis. (provided by RefSeq, Jul 2008) Arginase catalyzes the hydrolysis of arginine to ornithine and urea. At least two isoforms of mammalian arginase exist (types I and II) which differ in their tissue distribution, subcellular localization, immunologic crossreactivity and physiologic function. The type I isoform encoded by this gene, is a cytosolic enzyme and expressed predominantly in the liver as a component of the urea cycle. Inherited deficiency of this enzyme results in argininemia, an autosomal recessive disorder characterized by hyperammonemia. Two transcript variants encoding different isoforms have been found for this gene. (provided by RefSeq, Sep 2011) The mitochondrial enzyme encoded by this gene catalyzes synthesis of carbamoyl phosphate from ammonia and bicarbonate. This reaction is the first committed step of the urea cycle, which is important in the removal of excess urea from cells. The encoded protein may also represent a core mitochondrial nucleoid protein. Three transcript variants encoding different isoforms have been found for this gene. The shortest isoform may not be localized to the mitochondrion. Mutations in this gene have been associated with carbamoyl phosphate synthetase deficiency, susceptibility to persistent pulmonary hypertension, and susceptibility to venoocclusive disease after bone marrow transplantation. (provided by RefSeq, May 2010) This gene encodes the mitochondrial enzyme ornithine aminotransferase, which is a key enzyme in the pathway that converts arginine and ornithine into the major excitatory and inhibitory neurotransmitters glutamate and GABA. Mutations that result in a deficiency of this enzyme cause the autosomal recessive eye disease Gyrate Atrophy. Alternatively spliced transcript variants encoding different isoforms have been described. Related pseudogenes 13 OTC ornithine carbamoyltransferase CCL20 chemokine (C-C motif) ligand 20 CD44 CD44 molecule (Indian blood group) CXCL5 chemokine (C-X-C motif) ligand 5 CXCR1 chemokine (C-X-C motif) receptor 1 ICAM1 intercellular adhesion molecule 1 MMP1 matrix metallopeptidase 1 (interstitial collagenase) have been defined on the X chromosome. (provided by RefSeq, Jan 2010) This nuclear gene encodes a mitochondrial matrix enzyme. Missense, nonsense, and frameshift mutations in this enzyme lead to ornithine transcarbamylase deficiency, which causes hyperammonemia. Since the gene for this enzyme maps close to that for Duchenne muscular dystrophy, it may play a role in that disease also. (provided by RefSeq, Jul 2008) SwissProt: P78556 # Chemotactic factor that attracts lymphocytes and, slightly, neutrophils, but not monocytes. Inhibits proliferation of myeloid progenitors in colony formation assays. May be involved in formation and function of the mucosal lymphoid tissues by attracting lymphocytes and dendritic cells towards epithelial cells. C-terminal processed forms have been shown to be equally chemotactically active for leukocytes. Possesses antibacterial activity E.coli ATCC 25922 and S.aureus ATCC 29213. SwissProt: P16070 # Receptor for hyaluronic acid (HA). Mediates cell-cell and cell-matrix interactions through its affinity for HA, and possibly also through its affinity for other ligands such as osteopontin, collagens, and matrix metalloproteinases (MMPs). Adhesion with HA plays an important role in cell migration, tumor growth and progression. Also involved in lymphocyte activation, recirculation and homing, and in hematopoiesis. Altered expression or dysfunction causes numerous pathogenic phenotypes. Great protein heterogeneity due to numerous alternative splicing and post-translational modification events. SwissProt: P42830 # Involved in neutrophil activation. In vitro, ENA-78(8-78) and ENA78(9-78) show a threefold higher chemotactic activity for neutrophil granulocytes. SwissProt: P25024 # Receptor to interleukin-8, which is a powerful neutrophils chemotactic factor. Binding of IL-8 to the receptor causes activation of neutrophils. This response is mediated via a G-protein that activate a phosphatidylinositol-calcium second messenger system. This receptor binds to IL-8 with a high affinity and to MGSA (GRO) with a low affinity. SwissProt: P05362 # ICAM proteins are ligands for the leukocyte adhesion protein LFA-1 (integrin alpha-L/beta-2). During leukocyte trans-endothelial migration, ICAM1 engagement promotes the assembly of endothelial apical cups through ARHGEF26/SGEF and RHOG activation. In case of rhinovirus infection acts as a cellular receptor for the virus. SwissProt: P03956 # Cleaves collagens of types I, II, and III at one site in the helical domain. Also cleaves collagens of types VII and X. In case of HIV infection, interacts and cleaves the secreted viral Tat protein, leading to a decrease in neuronal Tat's mediated neurotoxicity. 14 MMP9 matrix metallopeptidase 9 (gelatinase B, 92kDa gelatinase, 92kDa type IV collagenase) PLAUR plasminogen activator, urokinase receptor SERPINB2 SERPINE1 serpin peptidase inhibitor, clade B (ovalbumin), member 2 serpin peptidase inhibitor, clade E (nexin, plasminogen activator inhibitor type 1), member 1 TFPI2 tissue factor pathway inhibitor 2 TIMP1 TIMP metallopeptidase inhibitor 1 HIF1A hypoxia inducible factor 1, alpha subunit (basic helix-loop-helix transcription factor) SwissProt: P14780 # May play an essential role in local proteolysis of the extracellular matrix and in leukocyte migration. Could play a role in bone osteoclastic resorption. Cleaves KiSS1 at a Gly- -Leu bond. Cleaves type IV and type V collagen into large C-terminal three quarter fragments and shorter N-terminal one quarter fragments. Degrades fibronectin but not laminin or Pz-peptide. SwissProt: Q03405 # Acts as a receptor for urokinase plasminogen activator. Plays a role in localizing and promoting plasmin formation. Mediates the proteolysis-independent signal transduction activation effects of U-PA. It is subject to negative-feedback regulation by U-PA which cleaves it into an inactive form. SwissProt: P05120 # Inhibits urokinase-type plasminogen activator. The monocyte derived PAI-2 is distinct from the endothelial cell-derived PAI-1. SwissProt: P05121 # Serine protease inhibitor. This inhibitor acts as 'bait' for tissue plasminogen activator, urokinase, protein C and matriptase-3/TMPRSS7. Its rapid interaction with PLAT may function as a major control point in the regulation of fibrinolysis. SwissProt: P48307 # May play a role in the regulation of plasmin-mediated matrix remodeling. Inhibits trypsin, plasmin, factor VIIa/tissue factor and weakly factor Xa. Has no effect on thrombin. SwissProt: P01033 # Complexes with metalloproteinases (such as collagenases) and irreversibly inactivates them by binding to their catalytic zinc cofactor. Also mediates erythropoiesis in vitro; but, unlike IL-3, it is species-specific, stimulating the growth and differentiation of only human and murine erythroid progenitors. Known to act on MMP-1, MMP-2, MMP-3, MMP-7, MMP-8, MMP-9, MMP-10, MMP-11, MMP-12, MMP-13 and MMP-16. Does not act on MMP-14. SwissProt: Q16665 # Functions as a master transcriptional regulator of the adaptive response to hypoxia. Under hypoxic conditions, activates the transcription of over 40 genes, including erythropoietin, glucose transporters, glycolytic enzymes, vascular endothelial growth factor, HILPDA, and other genes whose protein products increase oxygen delivery or facilitate metabolic adaptation to hypoxia. Plays an essential role in embryonic vascularization, tumor angiogenesis and pathophysiology of ischemic disease. Binds to core DNA sequence 5'[AG]CGTG-3' within the hypoxia response element (HRE) of target gene promoters. 15 HMOX1 heme oxygenase (decycling) 1 PRKCZ protein kinase C, zeta PTGS2 prostaglandinendoperoxide synthase 2 (prostaglandin G/H Activation requires recruitment of transcriptional coactivators such as CREBPB and EP300. Activity is enhanced by interaction with both, NCOA1 or NCOA2. Interaction with redox regulatory protein APEX seems to activate CTAD and potentiates activation by NCOA1 and CREBBP. Involved in the axonal distribution and transport of mitochondria in neurons during hypoxia. Heme oxygenase, an essential enzyme in heme catabolism, cleaves heme to form biliverdin, which is subsequently converted to bilirubin by biliverdin reductase, and carbon monoxide, a putative neurotransmitter. Heme oxygenase activity is induced by its substrate heme and by various nonheme substances. Heme oxygenase occurs as 2 isozymes, an inducible heme oxygenase-1 and a constitutive heme oxygenase-2. HMOX1 and HMOX2 belong to the heme oxygenase family. (provided by RefSeq, Jul 2008) SwissProt: Q05513 # Calcium- and diacylglycerol-independent serine/threonine-protein kinase that functions in phosphatidylinositol 3-kinase (PI3K) pathway and mitogen-activated protein (MAP) kinase cascade, and is involved in NF-kappa-B activation, mitogenic signaling, cell proliferation, cell polarity, inflammatory response and maintenance of longterm potentiation (LTP). Upon lipopolysaccharide (LPS) treatment in macrophages, or following mitogenic stimuli, functions downstream of PI3K to activate MAP2K1/MEK1MAPK1/ERK2 signaling cascade independently of RAF1 activation. In EGF-induced cells, binds and activates MAP2K5/MEK5-MAPK7/ERK5 independently of its kinase activity and can activate JUN promoter through MEF2C. Through binding with SQSTM1/p62, functions in interleukin-1 signaling and activation of NF-kappa-B with the specific adapters RIPK1 and TRAF6. Participates in TNF-dependent transactivation of NF-kappa-B by phosphorylating and activating IKBKB kinase, which in turn leads to the degradation of NF-kappa-B inhibitors. In inflammatory response, is required for the T-helper 2 (Th2) differentiation process, including interleukines production, efficient activation of JAK1 and the subsequent phosphorylation and nuclear translocation of STAT6. May be involved in development of allergic airway inflammation (asthma), a process dependent on Th2 immune response. In NFkappa-B-mediated inflammatory response, can relieve the SETD6-dependent repression of NF-kappa-B target genes by phosphorylating the RELA subunit at 'Ser-311'. Is necessary and sufficient for LTP maintenance in hippocampal CA1 pyramidal cells. Prostaglandin-endoperoxide synthase (PTGS), also known as cyclooxygenase, is the key enzyme in prostaglandin biosynthesis, and acts both as a dioxygenase and as a peroxidase. There are two isozymes of PTGS: a constitutive PTGS1 and an inducible PTGS2, which 16 synthase and cyclooxygenase) SOD2 superoxide dismutase 2, mitochondrial CD14 CD14 molecule FOSL1 FOS-like antigen 1 IL10 interleukin 10 IL1B interleukin 1, beta IL6 interleukin 6 (interferon, beta 2) differ in their regulation of expression and tissue distribution. This gene encodes the inducible isozyme. It is regulated by specific stimulatory events, suggesting that it is responsible for the prostanoid biosynthesis involved in inflammation and mitogenesis. (provided by RefSeq, Feb 2009) This gene is a member of the iron/manganese superoxide dismutase family. It encodes a mitochondrial protein that forms a homotetramer and binds one manganese ion per subunit. This protein binds to the superoxide byproducts of oxidative phosphorylation and converts them to hydrogen peroxide and diatomic oxygen. Mutations in this gene have been associated with idiopathic cardiomyopathy (IDC), premature aging, sporadic motor neuron disease, and cancer. Alternate transcriptional splice variants, encoding different isoforms, have been characterized. (provided by RefSeq, Jul 2008) SwissProt: P08571 # Cooperates with MD-2 and TLR4 to mediate the innate immune response to bacterial lipopolysaccharide (LPS). Acts via MyD88, TIRAP and TRAF6, leading to NF-kappa-B activation, cytokine secretion and the inflammatory response. Up-regulates cell surface molecules, including adhesion molecules The Fos gene family consists of 4 members: FOS, FOSB, FOSL1, and FOSL2. These genes encode leucine zipper proteins that can dimerize with proteins of the JUN family, thereby forming the transcription factor complex AP-1. As such, the FOS proteins have been implicated as regulators of cell proliferation, differentiation, and transformation. (provided by RefSeq, Jul 2008) SwissProt: P22301 # Inhibits the synthesis of a number of cytokines, including IFN-gamma, IL-2, IL-3, TNF and GM-CSF produced by activated macrophages and by helper T-cells. SwissProt: P01584 # Produced by activated macrophages, IL-1 stimulates thymocyte proliferation by inducing IL-2 release, B-cell maturation and proliferation, and fibroblast growth factor activity. IL-1 proteins are involved in the inflammatory response, being identified as endogenous pyrogens, and are reported to stimulate the release of prostaglandin and collagenase from synovial cells. This gene encodes a cytokine that functions in inflammation and the maturation of B cells. In addition, the encoded protein has been shown to be an endogenous pyrogen capable of inducing fever in people with autoimmune diseases or infections. The protein is primarily produced at sites of acute and chronic inflammation, where it is secreted into the serum and induces a transcriptional inflammatory response through interleukin 6 receptor, alpha. The functioning of this gene is implicated in a wide variety of inflammation-associated disease 17 IL8 MEFV NFKB2 NLRC4 NLRP3 NOD2 states, including suspectibility to diabetes mellitus and systemic juvenile rheumatoid arthritis. (provided by RefSeq, Jun 2011) SwissProt: P10145 # IL-8 is a chemotactic factor that attracts neutrophils, basophils, and Tcells, but not monocytes. It is also involved in neutrophil activation. It is released from several cell types in response to an inflammatory stimulus. IL-8(6-77) has a 5-10-fold higher activity interleukin 8 on neutrophil activation, IL-8(5-77) has increased activity on neutrophil activation and IL8(7-77) has a higher affinity to receptors CXCR1 and CXCR2 as compared to IL-8(1-77), respectively. This gene encodes a protein, also known as pyrin or marenostrin, that is an important Mediterranean fever modulator of innate immunity. Mutations in this gene are associated with Mediterranean fever, a hereditary periodic fever syndrome. (provided by RefSeq, Jul 2008) This gene encodes one of the subunits of the transcription factor complex nuclear factorkappa-B (NFkB). The NFkB transcription factor complex is expressed in numerous cell types nuclear factor of kappa and functions as a central activator of genes involved in inflammation and immune function. light polypeptide gene The NFkB complex can consist of different subunits that form both homo- or heterodimers enhancer in B-cells 2 which bind specific kappa-B elements in target genes. This gene encodes the p100 subunit (p49/p100) that is processed into the active p52 subunit. This protein can function as both a transcriptional activator and repressor, depending on its dimer partner. Alternate splicing results in both coding and non-coding variants. (provided by RefSeq, May 2012) Uniprot Q9NPP4 # Key component of inflammasomes that indirectly senses specific proteins NLR family, CARD from pathogenic bacteria and fungi and responds by assembling an inflammasome complex domain containing 4 that promotes caspase-1 activation, cytokine production and macrophage pyroptosis. SwissProt: Q96P20 # May function as an inducer of apoptosis. Interacts selectively with ASC and this complex may function as an upstream activator of NF-kappa-B signaling. Inhibits NLR family, pyrin TNF-alpha induced activation and nuclear translocation of RELA/NF-KB p65. Also inhibits domain containing 3 transcriptional activity of RELA. Activates caspase-1 in response to a number of triggers including bacterial or viral infection which leads to processing and release of IL1B and IL18. This gene is a member of the Nod1/Apaf-1 family and encodes a protein with two caspase recruitment (CARD) domains and six leucine-rich repeats (LRRs). The protein is primarily nucleotide-binding expressed in the peripheral blood leukocytes. It plays a role in the immune response to oligomerization domain intracellular bacterial lipopolysaccharides (LPS) by recognizing the muramyl dipeptide containing 2 (MDP) derived from them and activating the NFKB protein. Mutations in this gene have been associated with Crohn disease and Blau syndrome. (provided by RefSeq, Jul 2008) 18 TLR2 toll-like receptor 2 TLR4 toll-like receptor 4 TNF tumor necrosis factor TREM1 triggering receptor expressed on myeloid cells 1 TYROBP TYRO protein tyrosine kinase binding protein SwissProt: O60603 # Cooperates with LY96 to mediate the innate immune response to bacterial lipoproteins and other microbial cell wall components. Cooperates with TLR1 to mediate the innate immune response to bacterial lipoproteins or lipopeptides. Acts via MYD88 and TRAF6, leading to NF-kappa-B activation, cytokine secretion and the inflammatory response. May also promote apoptosis in response to lipoproteins. Recognizes mycoplasmal macrophage-activating lipopeptide-2kD (MALP-2), soluble tuberculosis factor (STF), phenol-soluble modulin (PSM) and B.burgdorferi outer surface protein A lipoprotein (OspA-L) cooperatively with TLR6. SwissProt: O00206 # Cooperates with LY96 and CD14 to mediate the innate immune response to bacterial lipopolysaccharide (LPS). Acts via MYD88, TIRAP and TRAF6, leading to NF-kappa-B activation, cytokine secretion and the inflammatory response. Also involved in LPS-independent inflammatory responses triggered by Ni(2+). These responses require non-conserved histidines and are, therefore, species-specific. This gene encodes a multifunctional proinflammatory cytokine that belongs to the tumor necrosis factor (TNF) superfamily. This cytokine is mainly secreted by macrophages. It can bind to, and thus functions through its receptors TNFRSF1A/TNFR1 and TNFRSF1B/TNFBR. This cytokine is involved in the regulation of a wide spectrum of biological processes including cell proliferation, differentiation, apoptosis, lipid metabolism, and coagulation. This cytokine has been implicated in a variety of diseases, including autoimmune diseases, insulin resistance, and cancer. Knockout studies in mice also suggested the neuroprotective function of this cytokine. (provided by RefSeq, Jul 2008) SwissProt: Q9NP99 # Stimulates neutrophil and monocyte-mediated inflammatory responses. Triggers release of pro-inflammatory chemokines and cytokines, as well as increased surface expression of cell activation markers. Amplifier of inflammatory responses that is triggered by bacterial and fungal infections and is a crucial mediator of septic shock. This gene encodes a transmembrane signaling polypeptide which contains an immunoreceptor tyrosine-based activation motif (ITAM) in its cytoplasmic domain. The encoded protein may associate with the killer-cell inhibitory receptor (KIR) family of membrane glycoproteins and may act as an activating signal transduction element. This protein may bind zeta-chain (TCR) associated protein kinase 70kDa (ZAP-70) and spleen tyrosine kinase (SYK) and play a role in signal transduction, bone modeling, brain myelination, and inflammation. Mutations within this gene have been associated with polycystic lipomembranous osteodysplasia with sclerosing leukoencephalopathy (PLOSL), also known as Nasu-Hakola disease. Its putative 19 CASQ2 calsequestrin 2 (cardiac muscle) GALR2 galanin receptor 2 GNA11 guanine nucleotide binding protein (G protein), alpha 11 (Gq class) KCNMA1 potassium large conductance calciumactivated channel, subfamily M, alpha member 1 MYH11 myosin, heavy chain 11, smooth muscle receptor, triggering receptor expressed on myeloid cells 2 (TREM2), also causes PLOSL. Multiple alternative transcript variants encoding distinct isoforms have been identified for this gene. (provided by RefSeq, Mar 2010) SwissProt: O14958 # Calsequestrin is a high-capacity, moderate affinity, calcium-binding protein and thus acts as an internal calcium store in muscle. The release of calcium bound to calsequestrin through a calcium release channel triggers muscle contraction. The skeletal muscle isoform (CASQ1) binds around 80 Ca(2+) ions, while the cardiac isoform (CASQ2) binds approximately 60 Ca(2+) ions. Galanin is an important neuromodulator present in the brain, gastrointestinal system, and hypothalamopituitary axis. It is a 30-amino acid non-C-terminally amidated peptide that potently stimulates growth hormone secretion, inhibits cardiac vagal slowing of heart rate, abolishes sinus arrhythmia, and inhibits postprandial gastrointestinal motility. The actions of galanin are mediated through interaction with specific membrane receptors that are members of the 7-transmembrane family of G protein-coupled receptors. GALR2 interacts with the Nterminal residues of the galanin peptide. The primary signaling mechanism for GALR2 is through the phospholipase C/protein kinase C pathway (via Gq), in contrast to GALR1, which communicates its intracellular signal by inhibition of adenylyl cyclase through Gi. However, it has been demonstrated that GALR2 couples efficiently to both the Gq and Gi proteins to simultaneously activate 2 independent signal transduction pathways. (provided by RefSeq, Jul 2008) SwissProt: P29992 # Guanine nucleotide-binding proteins (G proteins) are involved as modulators or transducers in various transmembrane signaling systems. Acts as an activator of phospholipase C. MaxiK channels are large conductance, voltage and calcium-sensitive potassium channels which are fundamental to thecontrol of smooth muscle tone and neuronal excitability. MaxiK channels can be formed by 2 subunits: the pore-forming alpha subunit, which is the product of this gene, and the modulatory beta subunit. Intracellular calcium regulates the physical association between the alpha and beta subunits. Alternatively spliced transcript variants encoding different isoforms have been identified. (provided by RefSeq, Jul 2008) The protein encoded by this gene is a smooth muscle myosin belonging to the myosin heavy chain family. The gene product is a subunit of a hexameric protein that consists of two heavy chain subunits and two pairs of non-identical light chain subunits. It functions as a major 20 MYLK myosin light chain kinase contractile protein, converting chemical energy into mechanical energy through the hydrolysis of ATP. The gene encoding a human ortholog of rat NUDE1 is transcribed from the reverse strand of this gene, and its 3' end overlaps with that of the latter. The pericentric inversion of chromosome 16 (inv(16)(p13q22)) produces a chimeric transcript that encodes a protein consisting of the first 165 residues from the N terminus of core-binding factor beta in a fusion with the C-terminal portion of the smooth muscle myosin heavy chain. This chromosomal rearrangement is associated with acute myeloid leukemia of the M4Eo subtype. Alternative splicing generates isoforms that are differentially expressed, with ratios changing during muscle cell maturation. Alternatively spliced transcript variants encoding different isoforms have been identified. (provided by RefSeq, Jul 2008) SwissProt: Q15746 # Calcium/calmodulin-dependent myosin light chain kinase implicated in smooth muscle contraction via phosphorylation of myosin light chains (MLC). Also regulates actin-myosin interaction through a non-kinase activty. Phosphorylates PTK2B/PYK2 and myosin light-chains. Involved in the inflammatory response (e.g. apoptosis, vascular permeability, leukocyte diapedesis), cell motility and morphology, airway hyperreactivity and other activities relevant to asthma. Required for tonic airway smooth muscle contraction that is necessary for physiological and asthmatic airway resistance. Necessary for gastrointestinal motility. Implicated in the regulation of endothelial as well as vascular permeability, probably via the regulation of cytoskeletal rearrangements. In the nervous system it has been shown to control the growth initiation of astrocytic processes in culture and to participate in transmitter release at synapses formed between cultured sympathetic ganglion cells. Critical participant in signaling sequences that result in fibroblast apoptosis. Plays a role in the regulation of epithelial cell survival. Required for epithelial wound healing, especially during actomyosin ring contraction during purse-string wound closure. Mediates RhoA-dependent membrane blebbing. Triggers TRPC5 channel activity in a calcium-dependent signaling, by inducing its subcellular localization at the plasma membrane. Promotes cell migration (including tumor cells) and tumor metastasis. PTK2B/PYK2 activation by phosphorylation mediates ITGB2 activation and is thus essential to trigger neutrophil transmigration during acute lung injury (ALI). May regulate optic nerve head astrocyte migration. Probably involved in mitotic cytoskeletal regulation. Regulates tight junction probably by modulating ZO-1 exchange in the perijunctional actomyosin ring. Mediates burn-induced microvascular barrier injury; triggers endothelial contraction in the development of microvascular hyperpermeability by phosphorylating MLC. Essential for intestinal barrier dysfunction. Mediates Giardia spp.- 21 MYOM1 myomesin family member 1 Information retrieved from mediated reduced epithelial barrier function during giardiasis intestinal infection via reorganization of cytoskeletal F-actin and tight junctional ZO-1. The giant protein titin, together with its associated proteins, interconnects the major structure of sarcomeres, the M bands and Z discs. The C-terminal end of the titin string extends into the M line, where it binds tightly to M-band constituents of apparent molecular masses of 190 kD (myomesin 1) and 165 kD (myomesin 2). This protein, myomesin 1, like myomesin 2, titin, and other myofibrillar proteins contains structural modules with strong homology to either fibronectin type III (motif I) or immunoglobulin C2 (motif II) domains. (provided by RefSeq, Jul 2008) the gene summary section of GeneCards webpage contributed by (http://www.ncbi.nlm.nih.gov/gene) and UniProtKB (UniprotKB/Swiss-Prot/UniprotKB/TrEMBL)*. *Reorganizing the protein space at the Universal Protein Resource (UniProt). Nucleic Acids Res 2012;40:D71-D75. 22 Entrez Gene Supplemental Table 5. Comparison of target gene expressions between fetal-CTL (n=4) and Surg-CTL (n=14) by qPCR assay Surg-CTL vs. Fetal-CTL Fold P-value Gene Angiogensis ACE ACE2 ANGPLT4 FLT1 GJA5 HBEGF NR1H4 THBS1 0.678 0.925 1.003 0.309 0.745 1.664 1.408 1.011 0.288 1.000 0.750 0.008 0.203 0.671 0.457 1.000 Arginine Metabolism ARG1 CPS1 OAT OTC 1.223 0.799 0.876 0.615 1.000 0.671 0.915 0.339 Cell Adhesion and Chemotaxis CCL20 CD44 CXCL5 CXCR1 ICAM1 3.054 0.798 1.786 2.215 0.765 0.288 0.243 0.832 0.111 0.111 ECM Remodeling MMP1 MMP9 PLAUR SERPINB2 SERPINE1 TFPI2 TIMP1 0.442 0.337 1.005 2.319 1.194 0.558 0.877 0.671 0.167 0.457 0.111 0.915 0.089 0.366 Hypoxia and Oxidative Stress HIF1A HMOX1 0.827 0.727 0.457 0.457 23 PRKCZ PTGS2 SOD2 0.474 2.589 0.884 0.012 0.056 0.457 Inflammation CD14 FOSL1 IL10 IL1B IL6 IL8 MEFV NFKB2 NLRC4 NLRP3 NOD2 TLR2 TLR4 TNF TREM1 TYROBP 1.494 6.028 1.480 2.513 13.549 6.423 1.158 0.465 1.681 1.512 0.638 1.188 1.106 1.898 3.278 1.265 0.089 1.000 0.202 0.089 0.015 0.026 0.832 0.008 0.089 0.288 0.071 0.457 0.524 0.089 0.056 0.457 Muscle Contraction CASQ2 GALR2 GNA11 KCNMA1 MYH11 MYLK MYOM1 1.403 1.434 0.815 1.100 1.345 1.255 0.674 0.750 0.595 0.243 0.832 0.832 0.750 0.288 24 Supplemental Table 6. Comparison of target gene expressions in small intestinal tissues of NEC (n=12), SIP (n=11) and Surg-CTL (n=9) preterm infants by qPCR assay Gene Angiogensis ACE ACE2 ANGPTL4 FLT1 GJA5 HBEGF NR1H4 THBS1 NEC vs. Surg-CTL Fold P-value SIP vs. Surg-CTL Fold P-value NEC vs. SIP Fold P-value 0.060 0.079 9.673 1.799 1.680 1.594 0.116 3.367 0.002 0.011 0.021 0.034 0.063 0.483 0.016 0.004 0.496 0.748 4.624 1.034 1.101 1.028 0.790 2.109 0.124 0.739 0.097 0.994 0.923 1.000 0.836 0.178 0.121 0.106 2.092 1.740 1.525 1.551 0.147 1.597 0.052 0.003 0.294 0.045 0.169 0.367 0.003 0.254 83.346 0.088 0.086 0.052 0.007 0.000 0.000 0.001 10.936 1.090 0.665 4.122 0.086 0.952 0.405 0.539 7.621 0.081 0.129 0.013 0.015 0.000 0.030 0.334 Cell Adhesion and Chemotaxis CCL20 12.543 CD44 1.558 CXCL5 246.244 CXCR1 5.078 ICAM1 2.921 0.004 0.055 0.007 0.011 0.028 1.001 0.577 11.461 1.957 1.056 1.000 0.105 0.476 0.248 0.998 12.536 2.699 21.485 2.594 2.767 0.004 0.000 0.009 0.054 0.027 ECM Remodeling MMP1 MMP9 PLAUR SERPINB2 SERPINE1 TFPI2 TIMP1 0.003 0.020 0.000 0.038 0.034 0.041 0.001 8.686 1.197 2.368 28.483 3.651 11.636 4.666 0.040 0.973 0.248 0.073 0.120 0.013 0.002 2.266 4.115 6.468 48.568 3.135 4.431 3.026 0.105 0.025 0.001 0.042 0.139 0.120 0.008 0.000 0.006 1.175 2.729 0.735 0.048 1.961 1.398 0.003 0.575 Arginine Metabolism ARG1 CPS1 OAT OTC 19.682 4.926 15.320 1383.367 11.448 51.564 14.119 Hypoxia and Oxidative Stress HIF1A 2.305 HMOX1 3.817 25 PRKCZ PTGS2 SOD2 0.160 11.194 11.400 0.002 0.026 0.000 0.749 3.473 2.125 0.520 0.099 0.102 0.214 3.223 5.363 0.001 0.108 0.000 Inflammation CD14 FOSL1 IL10 IL1B IL6 IL8 MEFV NFKB2 NLRC4 NLRP3 NOD2 TLR2 TLR4 TNF TREM1 TYROBP 5.510 5.388 4.308 71.685 20.474 240.474 5.129 1.677 5.275 3.716 5.258 6.953 1.686 7.068 22.595 2.240 0.009 0.025 0.032 0.003 0.009 0.003 0.023 0.025 0.002 0.018 0.002 0.001 0.150 0.018 0.000 0.042 1.754 1.645 1.331 5.205 2.238 12.780 2.022 0.910 1.525 1.122 1.385 1.682 0.950 1.107 3.512 0.969 0.146 0.799 0.824 0.344 0.493 0.151 0.070 0.954 0.287 0.975 0.408 0.412 0.983 0.977 0.063 0.997 3.142 3.274 3.237 13.771 9.147 18.817 2.537 1.842 3.459 3.312 3.797 4.133 1.775 6.387 6.435 2.311 0.028 0.053 0.062 0.004 0.014 0.004 0.100 0.005 0.006 0.024 0.004 0.002 0.106 0.020 0.001 0.036 0.139 0.479 0.222 0.279 0.181 0.343 0.204 0.012 0.194 0.000 0.057 0.017 0.017 0.002 0.064 0.210 0.600 0.154 0.138 0.308 0.185 0.007 0.004 0.030 0.022 0.013 0.011 0.002 2.151 2.278 0.370 1.809 1.314 1.116 1.103 0.365 0.555 0.029 0.710 0.813 0.982 0.984 Muscle Contraction CASQ2 GALR2 GNA11 KCNMA1 MYH11 MYLK MYOM1 26