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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Mol. Biosci.</journal-id>
<journal-title>Frontiers in Molecular Biosciences</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Mol. Biosci.</abbrev-journal-title>
<issn pub-type="epub">2296-889X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">744901</article-id>
<article-id pub-id-type="doi">10.3389/fmolb.2022.744901</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Molecular Biosciences</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Integrating lncRNAs and mRNAs Expression Profiles in Penicillin-Induced Persistent Chlamydial Infection in HeLa Cells</article-title>
<alt-title alt-title-type="left-running-head">Huang et&#x20;al.</alt-title>
<alt-title alt-title-type="right-running-head">Microarray of Persistent Chlamydial Infection</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Huang</surname>
<given-names>Xiaobao</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/974802/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liufu</surname>
<given-names>Qian</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Xu</surname>
<given-names>Rui</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Xiaohong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Mingna</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Han</surname>
<given-names>Jiande</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Guan</surname>
<given-names>Hongyu</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1121737/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Ma</surname>
<given-names>Chunguang</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1257093/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Dermatology</institution>, <institution>The First Affiliated Hospital</institution>, <institution>Sun Yat-sen University</institution>, <addr-line>Guangzhou</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Endocrinology</institution>, <institution>The First Affiliated Hospital</institution>, <institution>Sun Yat-sen University</institution>, <addr-line>Guangzhou</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/133767/overview">Prasun K. Datta</ext-link>, Tulane University, United&#x20;States</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/15952/overview">Guangming Zhong</ext-link>, The University of Texas Health Science Center at San Antonio, United&#x20;States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1224788/overview">Shiva Kumar Goud Gadila</ext-link>, Tulane University, United&#x20;States</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Chunguang Ma, <email>machung@mail.sysu.edu.cn</email>; Hongyu Guan, <email>ghongy@mail.sysu.edu.cn</email>
</corresp>
<fn fn-type="equal" id="fn1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this work and share first authorship</p>
</fn>
<fn fn-type="other">
<p>This article was submitted to Cellular Biochemistry, a section of the journal Frontiers in Molecular Biosciences</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>16</day>
<month>02</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>9</volume>
<elocation-id>744901</elocation-id>
<history>
<date date-type="received">
<day>21</day>
<month>07</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>31</day>
<month>01</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Huang, Liufu, Xu, Chen, Liu, Han, Guan and Ma.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Huang, Liufu, Xu, Chen, Liu, Han, Guan and Ma</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these&#x20;terms.</p>
</license>
</permissions>
<abstract>
<p>
<italic>Chlamydia trachomatis</italic> (<italic>C. trachomatis</italic>) is a major etiological agent of sexually transmitted infection. Some stressing conditions can result in persistent chlamydial infection, which is thought to be associated with severe complications including ectopic pregnancy and tubal factor infertility. Long noncoding RNAs (lncRNAs) have been identified as key modulators in many biological processes. Nevertheless, the role of lncRNAs in persistent chlamydial infection is still unclear. In this study, we used lncRNA and mRNA microarray to identify the global lncRNAs and mRNAs expression in penicillin-induced persistent chlamydial infection in HeLa cells as well as the control group (HeLa cells without <italic>C. trachomatis</italic> infection). Among 1005 differentially expressed lncRNAs, 585 lncRNAs were upregulated and 420 downregulated in persistent chlamydial infection, while 410 mRNAs were identified to express differentially, of which 113 mRNAs were upregulated and 297 downregulated. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis with differentially expressed genes were performed. We then constructed the lncRNA-miRNA-mRNA competing endogenous RNAs (ceRNAs) network. Four mRNAs were validated to be changed by quantitative real-time PCR which were correlated with the microarray result. Integration of protein-protein interaction network was constructed and hub genes were identified. These findings provide a new perspective on the molecular mechanisms of penicillin-induced persistent chlamydial infection.</p>
</abstract>
<kwd-group>
<kwd>lncRNAs</kwd>
<kwd>mRNAs</kwd>
<kwd>
<italic>Chlamydia trachomatis</italic>
</kwd>
<kwd>persistent infection</kwd>
<kwd>microarray</kwd>
<kwd>bioinformatics analysis</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>
<italic>Chlamydia trachomatis</italic> (<italic>C. trachomatis</italic>), as a Gram-negative obligate intracellular bacterium, causes various diseases and sequelae in human beings. Different chlamydial serovars cause different diseases. Serovars D to K are the major etiological pathogens of the most common sexually transmitted infection, while serovars L1 to L3 lead to lymphatic system infection (<xref ref-type="bibr" rid="B46">Witkin et&#x20;al., 2017</xref>). Females infected with <italic>C. trachomatis</italic> in the genital tract usually show asymptomatic. Diseases such as cervicitis, pelvic inflammatory disease (PID), and severe complications including ectopic pregnancy and tubal factor infertility (TFI) probably happen after the asymptomatic infection without a timely treatment (<xref ref-type="bibr" rid="B40">Tsevat et&#x20;al., 2017</xref>).</p>
<p>The developmental cycle of <italic>C. trachomatis</italic> alternates between two forms, infectious non-replicative elementary bodies (EBs) and replicative, non-infectious reticulate bodies (RBs) (<xref ref-type="bibr" rid="B1">Abdelrahman and Belland, 2005</xref>; <xref ref-type="bibr" rid="B39">Stephens et&#x20;al., 2011</xref>). The bacterium develops and replicates in vesicles called inclusions. When the normal lifecycle is disturbed by stress conditions, including amino acid deficiency (<xref ref-type="bibr" rid="B3">Beatty et&#x20;al., 1994</xref>), nutrient depletion (<xref ref-type="bibr" rid="B7">Capmany and Damiani, 2010</xref>), antibiotics (<xref ref-type="bibr" rid="B50">Zhu et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B47">Xue et&#x20;al., 2017</xref>), immunological factors, and interferon-gamma (IFN-&#x3b3;) (<xref ref-type="bibr" rid="B4">Beatty et&#x20;al., 1993</xref>), the inclusions become smaller containing aberrant reticulate bodies (ABs), with slow metabolism and weakened infectivity. It results in a persistent chlamydial infection, which is believed to be associated with female infertility (<xref ref-type="bibr" rid="B46">Witkin et&#x20;al., 2017</xref>). After removing the stressful conditions, persistent infection can be reactivated to acute infection. However, the persistent infection of <italic>C. trachomatis</italic> is still a public health problem because of the difficulty of diagnosis and resistance to antibiotics (<xref ref-type="bibr" rid="B33">Patton et&#x20;al., 1994</xref>). Although there were some studies have found the aberrant reticulate bodies in female endocervix <italic>via</italic> electron microscopy to diagnose the persistent chlamydial infection (<xref ref-type="bibr" rid="B6">Bragina et&#x20;al., 2001</xref>; <xref ref-type="bibr" rid="B25">Lewis et&#x20;al., 2014</xref>), the diagnosis by electron microscopy still cannot be used widespread in clinical cases. In the previous study, we have used penicillin to induce persistent chlamydial infection. We discovered the different structural changes in the Golgi apparatus between persistent and acute chlamydial infections, which indicated the low requirements of lipid in persistent infection (<xref ref-type="bibr" rid="B50">Zhu et&#x20;al., 2014</xref>).</p>
<p>Noncoding RNA (ncRNA) is thought to be a new regulatory layer in transcriptional and posttranscriptional gene regulation (<xref ref-type="bibr" rid="B2">Akhade et&#x20;al., 2017</xref>). Studies based on high-throughput transcriptomics show that more than two-thirds of the mammalian genome is transcribed encoding millions of different classes of small and long noncoding RNAs (lncRNAs). LncRNAs (ncRNAs that are &#x3e;200&#xa0;nt long) now have been identified as key modulators in many biological processes, including cell proliferation, cell cycle, differentiation, apoptosis, metabolism, and maintenance of pluripotency, etc (<xref ref-type="bibr" rid="B44">Wang et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B14">Geisler and Coller, 2013</xref>). LncRNAs exert their harbor sequences complementary to microRNA (miRNA) sequences to sequester them and prevent them from binding to their targets. Such lncRNAs can be derived from pseudogenes or have a similar form with circular RNAs or be common intergenic lncRNAs possessing miRNA binding sites (<xref ref-type="bibr" rid="B2">Akhade et&#x20;al., 2017</xref>). Nowadays lncRNAs are emerging as a hotspot in cancer, diagnosis, and therapy (<xref ref-type="bibr" rid="B5">Bhan et&#x20;al., 2017</xref>). However, in persistent chlamydial infection, the function of lncRNAs is still unknown.</p>
<p>In the study, we used microarray to identify the differentially expressed lncRNAs and messenger RNAs (mRNAs) between persistent chlamydial infection and uninfected cells. We constructed a network for these differentially expressed genes (DEGs) to clarify the relationship between lncRNA and mRNA. To investigate the potential regulatory roles, Gene Ontology (GO) analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis were processed. We then predicted the competing endogenous RNAs (ceRNAs) network among the DEGs. The differential expression levels of 4 mRNAs were validated by quantitative real-time PCR. Besides, we identified hub genes <italic>via</italic> the integration of the protein-protein interaction (PPI) network. These findings provide a new perspective on the molecular mechanism of penicillin-induced persistent chlamydial infection.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>Materials and Methods</title>
<sec id="s2-1">
<title>Cell Culture and Persistent Chlamydial Infection</title>
<p>HeLa cells were cultured in RPMI 1640 medium (Gibco, United&#x20;States) supplemented with 10% fetal bovine serum (Gibco, United&#x20;States) at 37&#xb0;C in 5% CO<sub>2</sub>. The cells were transferred into six-well plates and cultured for 24&#xa0;h under the same condition. <italic>Chlamydia trachomatis</italic> serovar D at an MOI of 2 was incubated with HeLa cells by centrifugation at 3,000&#xa0;rpm/min at 37&#xb0;C for 1&#xa0;h and then incubated for another hour at 37&#xb0;C in 5% CO<sub>2</sub>. Extracellular bacteria in the supernatant were aspirated followed by the addition of fresh RPMI 1640 medium supplemented with 10% fetal bovine serum, 0.5% glucose, and 100 U/ml penicillin G (Sigma, United&#x20;States) (<xref ref-type="bibr" rid="B38">Skilton et&#x20;al., 2009</xref>). HeLa cells without chlamydial infection treated with the same medium containing 100U/ml penicillin G were used as control mock cells. The cells were maintained at 37&#xb0;C in 5% CO<sub>2</sub> (<xref ref-type="bibr" rid="B50">Zhu et&#x20;al., 2014</xref>).</p>
</sec>
<sec id="s2-2">
<title>Immunofluorescence Analysis</title>
<p>The immunofluorescence staining was performed as followed: samples were fixed with 4% paraformaldehyde, permeabilized in 0.5% (v/v) Triton X-100 (Sigma, United&#x20;States), and then blocked with 1% (w/v) BSA (Thermo Scientific, United&#x20;States). Cells were then incubated with goat polyclonal to <italic>Chlamydia trachomatis</italic> major outer-membrane protein (MOMP) coupled to FITC (Abcam, ab30951, United&#x20;States). The samples were counterstained with DAPI (Beyotime, China). Immunofluorescence images were acquired by fluorescence microscopy (Olympus, Japan).</p>
</sec>
<sec id="s2-3">
<title>RNA Extraction</title>
<p>Based on the previous study (<xref ref-type="bibr" rid="B50">Zhu et&#x20;al., 2014</xref>), the total RNA was extracted from the HeLa cells with or without chlamydial infection at 40&#xa0;h post-infection using TRIzol reagent (Invitrogen, United&#x20;States) according to the manufacturer&#x2019;s specifications. The yield of RNA was determined using a NanoDrop 2000 spectrophotometer (Thermo Scientific, United&#x20;States), and the integrity was evaluated using agarose gel electrophoresis stained with ethidium bromide.</p>
</sec>
<sec id="s2-4">
<title>Microarray Analysis</title>
<p>The Agilent Human ceRNA Microarray 2019 (4&#x2a;180k, Design ID:086188) was used in this experiment and data analysis of the six samples was conducted by OE Biotechnology Co., Ltd., (Shanghai, China). The steps of sample labeling, microarray hybridization and washing were performed following the manufacturer&#x2019;s standard protocols. In brief, total RNA was transcribed to double-strand cDNA, then synthesized into cRNA and labeled with Cyanine-3-CTP. The labeled cRNAs were hybridized onto the microarray. After washing steps, the arrays were scanned by the Agilent Scanner G2505C (Agilent Technologies, United States). Feature Extraction software (version10.7.1.1, Agilent Technologies, United States) was used to analyze array images to get raw data. Secondary, the raw data were normalized with the quantile algorithm. The probes that at least one condition out of 2 conditions have flags in &#x201c;Detected&#x201d; were chosen for further data analysis. Differentially expressed genes (DEGs) were identified through fold change as well as <italic>p</italic> values calculated with <italic>t</italic>-test. The threshold set for up-and down-regulated genes was a fold change &#x2265;1.5 and a <italic>p</italic> value &#x003C; 0.01. Afterward, Gene Ontology (GO) analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis were applied to determine the roles of these differentially expressed genes (DEGs). Finally, Hierarchical Clustering was performed to display the distinguishable genes&#x2019; expression pattern among samples.</p>
</sec>
<sec id="s2-5">
<title>Construction of a lncRNA-miRNA-mRNA Network</title>
<p>The competing endogenous RNAs (ceRNAs) network was constructed based on the theory that lncRNA can affect miRNA acting as miRNA sponges to further regulate mRNA (<xref ref-type="bibr" rid="B16">Guo et&#x20;al., 2015</xref>). This analysis selects the differential lncRNAs that are significantly positively correlated with the differential mRNAs as the target lncRNA of the ceRNA analysis. Potential miRNAs were searched for in the miRBase22. The predicted interactions of miRNA-mRNA and miRNA-lncRNA were analyzed. The miRNA&#x2013;lncRNA and miRNA&#x2013;mRNA pairs sharing the same miRNA were merged into a lncRNA&#x2013;miRNA&#x2013;mRNA interaction as a ceRNA relationship.</p>
</sec>
<sec id="s2-6">
<title>Quantitative Real-Time PCR</title>
<p>To validate the results of microarray analysis, four mRNAs were selected. Quantification was performed with reverse transcription (RT) and PCR. Each RT reaction consisted of 0.5&#xa0;&#x3bc;g RNA, 2&#xa0;&#x3bc;L of 5&#xd7;<italic>TransScript</italic> All-in-one SuperMix for qPCR and 0.5&#xa0;&#x3bc;L of gDNA Remover, in a total volume of 10&#xa0;&#x3bc;L. Reactions were performed in a GeneAmp&#xae; PCR System 9700 (Applied Biosystems, United&#x20;States) for 15&#xa0;min at 42&#xb0;C, 5&#xa0;s at 85&#xb0;C. The 10&#xa0;&#x3bc;L RT reaction mix was then diluted &#xd7; 10 in nuclease-free water and held at &#x2212;20&#xb0;C.</p>
<p>Real-time PCR was performed using LightCycler&#xae; 480&#x20;&#x2161; Real-time PCR Instrument (Roche, Swiss) with 10&#xa0;&#x3bc;L PCR reaction mixture that included 1&#xa0;&#x3bc;L of cDNA, 5&#xa0;&#x3bc;L of 2&#xd7;<italic>PerfectStart</italic>
<sup>TM</sup> Green qPCR SuperMix, 0.2&#xa0;&#x3bc;L of forward primer, 0.2&#xa0;&#x3bc;L of reverse primer and 3.6&#xa0;&#x3bc;L of nuclease-free water. Reactions were incubated in a 384-well optical plate (Roche, Swiss) at 94&#xb0;C for 30&#xa0;s, followed by 45 cycles of 94&#xb0;C for 5&#xa0;s, 60&#xb0;C for 30&#xa0;s. Each sample was run in triplicate for analysis. At the end of the PCR cycles, a melting curve analysis was performed to validate the specific generation of the expected PCR product. The primer sequences were designed in the laboratory and synthesized by TsingKe Biotech based on the mRNA sequences obtained from the NCBI database. The expression levels of mRNAs were normalized to GAPDH and were calculated using the 2<sup>-&#x394;&#x394;Ct</sup> method. Characteristics and primers of these RNAs are listed in <xref ref-type="table" rid="T1">Table&#x20;1</xref>.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Characteristics of selected mRNAs in qRT-PCR validation.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Gene ID</th>
<th align="center">Gene symbol</th>
<th align="center">Type</th>
<th align="center">Regulation</th>
<th align="center">Forward primer (5-&#x3e;3)</th>
<th align="center">Reverse primer (5-&#x3e;3)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">ENST00000294179.7</td>
<td align="center">STX5</td>
<td align="center">mRNA</td>
<td align="center">Down</td>
<td align="center">CAGACCCGTCAGAATGGA</td>
<td align="center">TTGGCCATGAGGGTGAAT</td>
</tr>
<tr>
<td align="left">ENST00000240101.2</td>
<td align="center">DUSP4</td>
<td align="center">mRNA</td>
<td align="center">Down</td>
<td align="center">TTG&#x200b;AAT&#x200b;GTC&#x200b;TCC&#x200b;TCG&#x200b;GAC&#x200b;T</td>
<td align="center">GCA&#x200b;TCG&#x200b;ATG&#x200b;TAC&#x200b;TCT&#x200b;ATG&#x200b;GC</td>
</tr>
<tr>
<td align="left">ENST00000546420.5</td>
<td align="center">BICDL1</td>
<td align="center">mRNA</td>
<td align="center">Down</td>
<td align="center">TGTGGAGCTGGAACTTGC</td>
<td align="center">CATGTCATCCTGCCAAGC</td>
</tr>
<tr>
<td align="left">ENST00000533486.5</td>
<td align="center">RAB30</td>
<td align="center">mRNA</td>
<td align="center">Down</td>
<td align="center">GAG&#x200b;AGT&#x200b;GAT&#x200b;GTG&#x200b;GGG&#x200b;AGT&#x200b;TAT</td>
<td align="center">TGC&#x200b;TCA&#x200b;AAT&#x200b;ATT&#x200b;GTG&#x200b;CTT&#x200b;CGT</td>
</tr>
<tr>
<td align="left">ENSG00000240875.6</td>
<td align="center">LINC00926:3</td>
<td align="center">lncRNA</td>
<td align="center">Down</td>
<td align="center">CAC&#x200b;AGA&#x200b;GGT&#x200b;GAA&#x200b;ATG&#x200b;TCC&#x200b;TT</td>
<td align="center">GGTTAACATCAGCAGCGA</td>
</tr>
<tr>
<td align="left">NONHSAG071932.1</td>
<td align="center">NONHSAT173474.1</td>
<td align="center">lncRNA</td>
<td align="center">Down</td>
<td align="center">GAC&#x200b;CTC&#x200b;AGT&#x200b;GTC&#x200b;CTT&#x200b;GTC&#x200b;T</td>
<td align="center">ATG&#x200b;TGA&#x200b;GTC&#x200b;ATC&#x200b;ATC&#x200b;CTT&#x200b;CG</td>
</tr>
<tr>
<td align="left"/>
<td align="center">has-miR-1207-5P</td>
<td align="center">microRNA</td>
<td align="center">Down</td>
<td align="center">GGAGGCTGGGAGGGGAAA</td>
<td align="center">&#x2014;</td>
</tr>
<tr>
<td align="left"/>
<td align="center">has-miR-5088-5P</td>
<td align="center">microRNA</td>
<td align="center">Up</td>
<td align="center">CTC&#x200b;AGG&#x200b;GAT&#x200b;TGG&#x200b;ATG&#x200b;GAG&#x200b;G</td>
<td align="center">&#x2014;</td>
</tr>
<tr>
<td align="left"/>
<td align="center">GAPDH</td>
<td align="center">mRNA</td>
<td align="center">&#x2014;</td>
<td align="center">CCT&#x200b;CAC&#x200b;AGT&#x200b;TGC&#x200b;CAT&#x200b;GTA&#x200b;GA</td>
<td align="center">TGG&#x200b;TAC&#x200b;ATG&#x200b;ACA&#x200b;AGG&#x200b;TGC&#x200b;G</td>
</tr>
<tr>
<td align="left"/>
<td align="center">GAPDH</td>
<td align="center">lncRNA</td>
<td align="center">&#x2014;</td>
<td align="center">CCT&#x200b;CAC&#x200b;AGT&#x200b;TGC&#x200b;CAT&#x200b;GTA&#x200b;GA</td>
<td align="center">TGG&#x200b;TAC&#x200b;ATG&#x200b;ACA&#x200b;AGG&#x200b;TGC&#x200b;G</td>
</tr>
<tr>
<td align="left"/>
<td align="center">5S</td>
<td align="center">microRNA</td>
<td align="center">&#x2014;</td>
<td align="center">GGAGACCGCCTGGGAATA</td>
<td align="center">&#x2014;</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2-7">
<title>Integration of Protein-Protein Interaction Network</title>
<p>The Search Tool for the Retrieval of Interacting Genes (STRING, <ext-link ext-link-type="uri" xlink:href="http://string.embl.de/">http://string.embl.de/</ext-link>) (<xref ref-type="bibr" rid="B28">von Mering et&#x20;al., 2003</xref>) is a biological database for predicting protein-protein interaction (PPI) information. The DEGs were mapped to STRING to evaluate the interactive relationships, with a confidence score &#x3e;0.9 defined as significant. Then, Cytoscape (<xref ref-type="bibr" rid="B37">Shannon et&#x20;al., 2003</xref>), a biological graph visualization tool for integrated models&#x20;of biologic molecular interaction networks software, was used to construct PPI networks. The CytoHubba (<xref ref-type="bibr" rid="B8">Chin et&#x20;al., 2014</xref>), a plugin for Cytoscape, was used to rank nodes in a network by their network features. The top 10 essential nodes ranked by Maximal Clique Centrality (MCC) scores were selected.</p>
</sec>
<sec id="s2-8">
<title>Statistical Analysis</title>
<p>All statistical analyses were performed using SPSS 25.0 software (SPSS, Chicago, IL, United&#x20;States). Graphs were created using Graphpad Prism 8.0 (GraphPad Software, La Jolla, CA). Data were presented as the mean&#x20;&#xb1; SD. Statistical analysis for comparison of two groups was subject to a two-tailed Student&#x2019;s t-test. For comparison of multiple groups, one-way ANOVA followed by Student&#x2013;Newman&#x2013;Keuls post-hoc test was performed. <italic>p</italic>&#x20;&#x3c; 0.05 was considered statistically significant.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec id="s3-1">
<title>Establishment of Persistent Chlamydial Infection</title>
<p>According to the result of previous experiments, a persistent infection model was successfully established by inoculating with <italic>C. trachomatis</italic> at MOI of 2 and then induced in medium containing 100 U/ml penicillin for 40&#xa0;h. Compared with chlamydial infection in penicillin-free medium (acute infection), the inclusions in persistent chlamydial infection were relatively small (<xref ref-type="fig" rid="F1">Figure&#x20;1</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Immunofluorescence analysis of acute <bold>(A)</bold> and persistent <bold>(B)</bold> chlamydial infection in HeLa cell. The chlamydial inclusions were stained with goat polyclonal to <italic>Chlamydia trachomatis</italic> MOMP coupled to FITC (green). DNA was stained with DAPI (blue). Scale bar &#x3d; 50&#xa0;&#x3bc;m.</p>
</caption>
<graphic xlink:href="fmolb-09-744901-g001.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>LncRNA and mRNA Expression Profiles</title>
<p>According to the microarray results, a total of 1005 lncRNAs were identified to express differentially in penicillin-induced persistent chlamydial infection (over 1.5-fold changes, <italic>p</italic>&#x20;&#x3c; 0.01), of which 585 lncRNAs were upregulated and 420 downregulated (<xref ref-type="fig" rid="F2">Figure&#x20;2A</xref>). Up- and down-regulated lncRNAs were mapped in a volcano plot (<xref ref-type="fig" rid="F2">Figure&#x20;2B</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Variation in lncRNAs and mRNAs expression in persistent chlamydial infection. <bold>(A)</bold> Summarizes the lncRNAs that were differentially expressed. In total of 1005 differentially expressed lncRNAs, 585 were upregulated and 420 were downregulated. <bold>(B)</bold> Volcano plot of up- and downregulated lncRNAs mapped <italic>via</italic> log_2 (fold change). <bold>(C)</bold> Summarizes the mRNAs that were differentially expressed. In total of 410 differentially expressed mRNAs, 113 were upregulated and 297 were downregulated. <bold>(D)</bold> Volcano plot of up- and downregulated mRNAs mapped <italic>via</italic> <inline-formula id="inf1">
<mml:math id="m1">
<mml:mrow>
<mml:msub>
<mml:mrow>
<mml:mtext>log</mml:mtext>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msub>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mtext>fold&#xa0;change</mml:mtext>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:math>
</inline-formula>.</p>
</caption>
<graphic xlink:href="fmolb-09-744901-g002.tif"/>
</fig>
<p>In terms of mRNA analysis, a total of 410 mRNAs were identified to express differentially in penicillin-induced persistent chlamydial infection (over 1.5-fold changes, <italic>p</italic>&#x20;&#x3c; 0.01), of which 113 mRNAs were upregulated and 297 downregulated (<xref ref-type="fig" rid="F2">Figure&#x20;2C</xref>). Up- and downregulated mRNAs were mapped in a volcano plot (<xref ref-type="fig" rid="F2">Figure&#x20;2D</xref>).</p>
</sec>
<sec id="s3-3">
<title>Chromosomal Distribution of Differentially Expressed lncRNAs</title>
<p>Among the 585 upregulated lncRNAs, most came from chromosome 1 (8.71%) and chromosome 2 (8.21%), while the percentages of chromosome 18 (1.88%), chromosome 21 (1.88%), and chromosome Y (0.00%) were &#x3c;2% (<xref ref-type="fig" rid="F3">Figure&#x20;3A</xref>). The distribution of 420 downregulated lncRNAs was also mainly from chromosome 1 (10.00%) and chromosome 2 (9.76%), while those from chromosome 18 (1.90%), chromosome 20 (1.19%), chromosome 21 (1.67%) and chromosome Y (0.24%) were &#x3c;2% (<xref ref-type="fig" rid="F3">Figure&#x20;3B</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Chromosomal distribution of differentially expressed lncRNAs. The upregulated <bold>(A)</bold> and downregulated <bold>(B)</bold> lncRNAs were widely distributed among all chromosomes, including the sex chromosome X and chromosome Y.</p>
</caption>
<graphic xlink:href="fmolb-09-744901-g003.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>Function and Pathway Enrichment Analysis</title>
<p>GO gene functional classification was performed to classify the possible function of the differential expressed genes (DEGs). Based on GO analysis, the DEGs were classified into three main categories: molecular function (MF), cellular component (CC), and biological process (BP). The top ten in each category were presented in <xref ref-type="fig" rid="F4">Figure&#x20;4</xref>. In molecular function, changes were significantly enriched in &#x201c;transcription regulatory region DNA binding,&#x201d; &#x201c;carboxylic acid binding,&#x201d; and &#x201c;MAP kinase tyrosine/serine/threonine phosphatase activity.&#x201d; In cellular component, changes were involved in &#x201c;nucleosome,&#x201d; &#x201c;nucleus,&#x201d; and &#x201c;endosome.&#x201d; In biological process, the top three changes were &#x201c;protein refolding,&#x201d; &#x201c;nucleosome assembly,&#x201d; and &#x201c;hydrogen ion transmembrane transport&#x201d; (<xref ref-type="fig" rid="F4">Figure&#x20;4</xref>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Gene Ontology (GO) gene functional classification.</p>
</caption>
<graphic xlink:href="fmolb-09-744901-g004.tif"/>
</fig>
<p>Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis identified 13 significant pathways with DEGs (<italic>p</italic>&#x20;&#x3c; 0.05). <xref ref-type="fig" rid="F5">Figure&#x20;5</xref> showed the top 30 pathways. The top three pathways included Steroid hormone biosynthesis (TermID: path: hsa00140), Legionellosis (TermID: path: hsa05134), and Viral carcinogenesis (TermID: path: hsa05203) (<xref ref-type="fig" rid="F5">Figure&#x20;5</xref>).</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis.</p>
</caption>
<graphic xlink:href="fmolb-09-744901-g005.tif"/>
</fig>
</sec>
<sec id="s3-5">
<title>Validation of mRNA Microarray Results</title>
<p>To validate the reliability of the microarray results, four mRNAs were selected to exam their expression by quantitative real-time PCR. As shown in <xref ref-type="fig" rid="F6">Figure&#x20;6</xref>, the expression of STX5, DUSP4, BICDL1, and RAB30 were downregulated which were correlated with the microarray results.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Verification of dysregulated genes identified in the microarray experiment.</p>
</caption>
<graphic xlink:href="fmolb-09-744901-g006.tif"/>
</fig>
</sec>
<sec id="s3-6">
<title>Construction of the lncRNA-miRNA-mRNA ceRNA Network</title>
<p>To better understand the interaction of lncRNA, miRNA and mRNA, we constructed a lncRNA-associated ceRNA network by integrating the expression profiles and regulatory relationships of the lncRNAs, miRNAs and mRNAs from the sequencing data of the six samples. A total of 101334 ceRNA relationships was identified from the interaction of 783 differentially expressed lncRNAs, 395 mRNAs, and 814 miRNAs. The network containing the top 100 relationships ranked by correlation coefficient was shown in <xref ref-type="fig" rid="F7">Figure&#x20;7A</xref>. In the network, LINC00926:3 and NONHSAT173474.1 were the lncRNAs that link to most nodes, regulating BICDL1 and DUSP4 respectively. Besides, we selected two pairs of ceRNA to exam the expression change by quantitative real-time PCR: LINC00926:3- has-miR-1207-5P- BICDL1, and NONHSAT173474.1- has-miR-5088-5P- DUSP4. It is well-established that lncRNAs may function as ceRNA by competitively binding miRNAs to regulate the downstream mRNA. Therefore, the lncRNA and its downstream mRNA have the same changing trend, while the microRNA has an opposite one. According to the results, the expression change of NONHSAT173474.1- has-miR-5088-5P- DUSP4 was in line with the changing trend of ceRNA network (<xref ref-type="fig" rid="F7">Figures 7B,C</xref>). These data showed us the potential role of ceRNA regulatory networks in the pathogenesis of penicillin-induced persistent chlamydial infection.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>CeRNA network in the persistent chlamydial infection. <bold>(A)</bold> The top 100 lncRNA-miRNA-mRNA competing endogenous RNA (ceRNA) network. The triangle node represents lncRNA<italic>,</italic> the circular node represents mRNA, and the square node represents miRNA. The node size proportional to the number of connected nodes. <bold>(B,C)</bold> Quantitative real-time PCR results of ceRNA.</p>
</caption>
<graphic xlink:href="fmolb-09-744901-g007.tif"/>
</fig>
</sec>
<sec id="s3-7">
<title>PPI Network Construction and Hub Genes Selection</title>
<p>To identify the hub genes that play an essential role in persistent chlamydial infection, a PPI network was constructed. The PPI network of DEGs consisted of 373 nodes and 505 edges constructed in the STRING database (version 11.0) and visualized using Cytoscape software. The top 10 essential nodes ranked by Maximal Clique Centrality (MCC) scores were selected and the network was shown in <xref ref-type="fig" rid="F8">Figure&#x20;8</xref>. The detailed information of these 10 hub genes was presented in <xref ref-type="table" rid="T2">Table&#x20;2</xref>. Among these genes, centromere protein A (CENPA) showed the highest score of&#x20;11064.</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>Identification of hub genes from the PPI network with the CytoHubba. Top ten hub genes were ranked by MCC&#x20;score.</p>
</caption>
<graphic xlink:href="fmolb-09-744901-g008.tif"/>
</fig>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Hub genes identified by protein-protein interaction (PPI) network.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Gene symbol</th>
<th align="center">MCC score</th>
<th align="center">Degree</th>
<th align="center">Betweenness</th>
<th align="center">Closeness</th>
<th align="center">Regulation</th>
<th align="center">FC (abs)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">CENPA</td>
<td align="char" char=".">11064</td>
<td align="char" char=".">18</td>
<td align="char" char=".">1501.67966</td>
<td align="char" char=".">78.70595</td>
<td>Down</td>
<td align="char" char=".">1.702051</td>
</tr>
<tr>
<td align="left">PLK1</td>
<td align="char" char=".">6931</td>
<td align="char" char=".">26</td>
<td align="char" char=".">9010.44408</td>
<td align="char" char=".">92.82857</td>
<td>Down</td>
<td align="char" char=".">1.809904</td>
</tr>
<tr>
<td align="left">HIST2H2BE</td>
<td align="char" char=".">6201</td>
<td align="char" char=".">22</td>
<td align="char" char=".">2760.64357</td>
<td align="char" char=".">81.37381</td>
<td>Down</td>
<td align="char" char=".">1.592575</td>
</tr>
<tr>
<td align="left">CASC5</td>
<td align="char" char=".">5785</td>
<td align="char" char=".">12</td>
<td align="char" char=".">517.95956</td>
<td align="char" char=".">74.65595</td>
<td>Down</td>
<td align="char" char=".">1.515542</td>
</tr>
<tr>
<td align="left">CDC20</td>
<td align="char" char=".">5464</td>
<td align="char" char=".">20</td>
<td align="char" char=".">3698.22294</td>
<td align="char" char=".">87.58810</td>
<td>Down</td>
<td align="char" char=".">1.793074</td>
</tr>
<tr>
<td align="left">UBE2C</td>
<td align="char" char=".">5415</td>
<td align="char" char=".">18</td>
<td align="char" char=".">5981.85805</td>
<td align="char" char=".">87.65476</td>
<td>Down</td>
<td align="char" char=".">1.530670</td>
</tr>
<tr>
<td align="left">PTTG1</td>
<td align="char" char=".">5286</td>
<td align="char" char=".">10</td>
<td align="char" char=".">178.70804</td>
<td align="char" char=".">75.87262</td>
<td>Down</td>
<td align="char" char=".">1.539912</td>
</tr>
<tr>
<td align="left">RACGAP1</td>
<td align="char" char=".">5168</td>
<td align="char" char=".">11</td>
<td align="char" char=".">1311.62128</td>
<td align="char" char=".">74.18929</td>
<td>up</td>
<td align="char" char=".">2.247568</td>
</tr>
<tr>
<td align="left">HMMR</td>
<td align="char" char=".">5050</td>
<td align="char" char=".">11</td>
<td align="char" char=".">555.20327</td>
<td align="char" char=".">74.53929</td>
<td>Down</td>
<td align="char" char=".">1.500913</td>
</tr>
<tr>
<td align="left">HIST1H2BJ</td>
<td align="char" char=".">4608</td>
<td align="char" char=".">17</td>
<td align="char" char=".">623.45524</td>
<td align="char" char=".">75.05595</td>
<td>Down</td>
<td align="char" char=".">1.708435</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>
<italic>C. trachomatis</italic> is an obligate intracellular bacterium. It acquires nutrients, including amino acids, nucleotides, and lipids, from the host cells (<xref ref-type="bibr" rid="B41">van Ooij et&#x20;al., 2000</xref>; <xref ref-type="bibr" rid="B29">Moore et&#x20;al., 2008</xref>; <xref ref-type="bibr" rid="B35">Saka and Valdivia, 2010</xref>; <xref ref-type="bibr" rid="B27">Mehlitz et&#x20;al., 2017</xref>). Therefore, <italic>C. trachomatis</italic> may change the biological process of the host cells by a molecular mechanism to support its development, replication, and inclusion growth.</p>
<p>It has been estimated that miRNAs target 20&#x2013;30% of human mRNAs that affect various aspects, including transcription, transduction, growth, and fatty acid metabolism. MiRNAs have been thought to be immune modulators serving as a connection between innate and adaptive immune responses, and dysregulation of miRNA expression plays a role in various diseases, such as cardiovascular disease, cancer, and infectious and metabolic diseases (<xref ref-type="bibr" rid="B11">Dai and Ahmed, 2011</xref>; <xref ref-type="bibr" rid="B18">Ha, 2011</xref>; <xref ref-type="bibr" rid="B31">O&#x27;Connell et&#x20;al., 2012</xref>). Several miRNAs have been elucidated the role in chlamydial infection in the previous studies, involving dampening fibrosis, transcriptional regulation of cytokine responses, and relationship with the degree of clinical inflammation (<xref ref-type="bibr" rid="B19">Igietseme et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B12">Derrick et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B17">Gupta et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B9">Chowdhury et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B48">Yeruva et&#x20;al., 2017</xref>). The latest research found that miR-193b may serve as a potential serum biomarker for <italic>C. trachomatis</italic> infection (<xref ref-type="bibr" rid="B13">Dzakah et&#x20;al., 2021</xref>). Besides, circRNAs have been identified to play a role in chlamydial infection (<xref ref-type="bibr" rid="B26">Liu&#x20;et&#x20;al., 2019</xref>). However, there was little research about the lncRNA-mRNA interaction in persistent chlamydial infection.</p>
<p>In this study, we used microarray to investigate the differentially expressed lncRNAs and mRNAs in persistent chlamydial infection. We identified a total of 1005 differentially expressed lncRNAs, of which 585 lncRNAs were upregulated and 420 downregulated. In terms of mRNA analysis, a total of 410 differentially expressed mRNAs were identified, of which 113 mRNAs were upregulated and 297 downregulated.</p>
<p>Based on the data, genes producing the differentially expressed lncRNAs were widely distributed in all chromosomes including sex chromosome X and chromosome Y. Surprisingly, no matter up-or downregulated, the differentially expressed lncRNAs were mainly from chromosome one and chromosome 2, which are the largest and second-largest human chromosomes and consist of numerous genes. It may explain the reason why most of the differentially expressed genes are on these two chromosomes. However, there has not been proven&#x20;yet.</p>
<p>GO analysis and KEGG pathway annotation were conducted to determine the functions of differentially expressed mRNAs between persistent chlamydial infection and control mock cells. GO enrichment data revealed the differentially expressed genes that are mainly involved in the regulation of biological processes, cellular components, and molecular functions. The most significant GO items were nucleosome, protein refolding, transcription regulatory region DNA binding, indicating that such genes relating to the regulation of gene expression <italic>via</italic> chromatin structure and production of proteins may contribute to the mechanism of persistent chlamydial infection. It is interesting to note that most genes from these items are downregulating in the persistent-infected cells. This may be associated with the reduction of cell division with persistent chlamydial infection, which is basically consistent with previous studies (<xref ref-type="bibr" rid="B15">Gerard et&#x20;al., 2001</xref>; <xref ref-type="bibr" rid="B22">Klos et&#x20;al., 2009</xref>). In the KEGG pathway analysis, thirteen significant pathways were identified. Among these pathways, the MAPK signaling pathway plays an important role in chlamydial infection, including mediating the inflammation or anti-apoptosis (<xref ref-type="bibr" rid="B23">Kr&#xfc;ll et&#x20;al., 2004</xref>; <xref ref-type="bibr" rid="B42">Vignola et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B24">Kun et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B49">Zhou et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B20">Jia et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B26">Liu et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B45">Wen et&#x20;al., 2020</xref>). However, whether this pathway has a different regulatory function between acute and persistent chlamydial infection is still unclear. Furthermore, we reanalyzed the data from the GEO dataset (GSE158814) that contained the persistent chlamydial infection in HeLa cells with IFN-&#x3b3; treatment for 44&#xa0;h (<xref ref-type="bibr" rid="B13">Dzakah et&#x20;al., 2021</xref>). The threshold set for up-and down-regulated genes was a fold change &#x2265;2 and a <italic>p</italic> value &#x2264; 0.05. Based on the criteria, we found a total of 1024 differentially expressed mRNAs, of which 213 mRNAs were upregulated and 811 downregulated. We found that 40 differentially expressed genes were overlapped in both penicillin and IFN-&#x3b3; treatment, indicating that these DEGs may be crucial in the persistent chlamydial infection. We then performed GO gene functional classification and KEGG pathway analysis on these 40 DEGs (<xref ref-type="sec" rid="s11">Supplementary Figures S1, S2</xref>). The most significant GO item was protein refolding. KEGG pathway analysis identified 13 significant pathways with DEGs, while Legionellosis and MAPK signaling pathway were also included. Therefore, we believe that our results provide the data to screen out the crucial genes in the persistent chlamydial infection for future&#x20;study.</p>
<p>Previous studies suggest that lncRNAs could play a sponge/decoy role, competing with other genes for miRNA binding and therefore reducing the regulatory effect of miRNAs on targeted mRNAs (<xref ref-type="bibr" rid="B21">Klein et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B43">Wang et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B32">Paraskevopoulou and Hatzigeorgiou, 2016</xref>). To fully investigate the potential regulatory mechanism of differentially expressed lncRNAs, the ceRNAs network was constructed. A total of 101334 ceRNA relationships was identified from the interaction of 783 differentially expressed lncRNAs, 395 mRNAs, and 814 miRNAs. In the top 100 relationships, LINC00926:3 and NONHSAT173474.1 were the lncRNAs that link to most nodes. The downregulation of LINC00926:3 could act as a sponge for several miRNAs, which influence the function of BICDL1. BICDL1 may be the component of secretory vesicle machinery regulating the transport of Rab6-containing vesicles (<xref ref-type="bibr" rid="B36">Schlager et&#x20;al., 2010</xref>), while Rab6 has been demonstrated to be a regulator of <italic>Chlamydia</italic> development (<xref ref-type="bibr" rid="B34">Rejman Lipinski et&#x20;al., 2009</xref>). Thus, the downregulation of BICDL1 in persistent chlamydial infection suggested the slow development of <italic>C. trachomatis</italic> in the persistent stage. In addition, NONHSAT173474.1 may regulate the function of DUSP4 through the downstream miRNAs. The protein encoded by DUSP4 is a member of the dual-specificity protein phosphatase subfamily. These phosphatases dephosphorylate both the phosphoserine/threonine and phosphotyrosine residues to inactivate their target kinases. They negatively regulate members of the mitogen-activated protein (MAP) kinase superfamily (MAPK/ERK, SAPK/JNK, p38) that are associated with cellular proliferation and differentiation. The decreased expression of DUSP4 in cells persistently infected with <italic>C. trachomatis</italic> may contribute to chlamydial suppression of host cell proliferation. We then used quantitative real-time PCR to confirm the expression change of a ceRNA interaction, NONHSAT173474.1- has-miR-5088-5P- DUSP4, in persistent-infected cells. Taken together, ceRNAs have an important influence on regulating gene expression at the post-transcriptional level and our results presented a potential regulatory network in persistent chlamydial infection.</p>
<p>A recent study showed that penicillin-binding proteins (PBP) regulate multiple steps in the polarized cell division process of Chlamydia (<xref ref-type="bibr" rid="B10">Cox et&#x20;al., 2020</xref>). Peptidoglycan regulates at least two distinct steps in the polarized division of <italic>C. trachomatis</italic> and Chlamydia muridarum. Peptidoglycan crosslinking in cells treated with penicillin was prevented by PBP3. Thereby, cells can initiate polarized division, but the process arrests at an early stage of daughter cell growth, indicating that penicillin has an adverse effect on cell division in persistent chlamydial infection. We selected 10 hub genes from the PPI network, and CENPA is the gene with the highest score. This gene encodes a centromere protein which contains a histone H3 related histone fold domain that is required for targeting the centromere, while centromeres are the differentiated chromosomal domains that specify the mitotic behavior of chromosomes. Its downregulation suggested decreased mitosis. Most of the hub genes related to cell division and cell cycle and most of them were detected to be downregulated in persistently infected cells. In persistent infection, <italic>Chlamydia</italic> slows down DNA replication and continues to transcribe genes, but stops dividing, becoming viable but non-cultivable (<xref ref-type="bibr" rid="B30">Muramatsu et&#x20;al., 2016</xref>). Taken together, our results suggested that the inhibition of cell division might be an important biological phenomenon in the persistent chlamydial infection induced by penicillin.</p>
</sec>
<sec sec-type="conclusion" id="s5">
<title>Conclusion</title>
<p>In summary, our microarray data revealed the dysregulation of lncRNAs and mRNAs in penicillin-induced persistent chlamydial infection in HeLa cells. GO and KEGG pathway analyses were performed to analyze the potential functions of dysregulated mRNAs. LncRNA-miRNA-mRNA networks indicated that the alterations in lncRNA may affect the mRNA transcription and protein translation of vital pathways during the pathogenesis of persistent chlamydial infection. Ten hub genes were selected from the PPI network. Our results provide newly found information regarding the crucial role of lncRNAs in persistent chlamydial infection, which could be beneficial to understand more about the function of lncRNAs and may provide novel insight into the molecular mechanisms during the pathogenesis of persistent chlamydial infection. However, our study has only shown the profile of differentially expressed lncRNAs and mRNAs and screened some potential genes and pathways <italic>via</italic> bioinformatics analysis. Further studies need to be carried out to identify the function of the differentially expressed lncRNAs that may become novel diagnostic biomarkers for persistent chlamydial infection. We hope that these genes can be validated in human tissues and used to assist the diagnosis of persistent chlamydial infection in humans.</p>
</sec>
</body>
<back>
<sec id="s6">
<title>Data Availability Statement</title>
<p>The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found below: <ext-link ext-link-type="uri" xlink:href="https://www.ncbi.nlm.nih.gov/">https://www.ncbi.nlm.nih.gov/</ext-link>, GSE180478.</p>
</sec>
<sec id="s7">
<title>Author Contributions</title>
<p>XH and QL were the main investigators of the study and drafted the manuscript. RX, XC, and ML contributed in performing the experiment and analyzing the data. JH contributed to the conception and design of the work. HG and CM were the corresponding authors who contributed to the conception and design of the work, funding, and revising the manuscript. All authors approved the version to be published and agreed to be accountable for all aspects of the&#x20;work.</p>
</sec>
<sec id="s8">
<title>Funding</title>
<p>This study was supported by the Science and Technology Projects in Guangzhou, China (grant number 201807010081).</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s11">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fmolb.2022.744901/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fmolb.2022.744901/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.PDF" id="SM1" mimetype="application/PDF" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Abdelrahman</surname>
<given-names>Y. M.</given-names>
</name>
<name>
<surname>Belland</surname>
<given-names>R. J.</given-names>
</name>
</person-group> (<year>2005</year>). <article-title>The Chlamydial Developmental Cycle: Figure&#x20;1</article-title>. <source>FEMS Microbiol. Rev.</source> <volume>29</volume>, <fpage>949</fpage>&#x2013;<lpage>959</lpage>. <pub-id pub-id-type="doi">10.1016/j.femsre.2005.03.002</pub-id> </citation>
</ref>
<ref id="B2">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Akhade</surname>
<given-names>V. S.</given-names>
</name>
<name>
<surname>Pal</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Kanduri</surname>
<given-names>C.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Long Noncoding RNA: Genome Organization and Mechanism of Action</article-title>. <source>Adv. Exp. Med. Biol.</source> <volume>1008</volume>, <fpage>47</fpage>&#x2013;<lpage>74</lpage>. <pub-id pub-id-type="doi">10.1007/978-981-10-5203-3_2</pub-id> </citation>
</ref>
<ref id="B3">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Beatty</surname>
<given-names>W. L.</given-names>
</name>
<name>
<surname>Belanger</surname>
<given-names>T. A.</given-names>
</name>
<name>
<surname>Desai</surname>
<given-names>A. A.</given-names>
</name>
<name>
<surname>Morrison</surname>
<given-names>R. P.</given-names>
</name>
<name>
<surname>Byrne</surname>
<given-names>G. I.</given-names>
</name>
</person-group> (<year>1994</year>). <article-title>Tryptophan Depletion as a Mechanism of Gamma Interferon-Mediated Chlamydial Persistence</article-title>. <source>Infect. Immun.</source> <volume>62</volume>, <fpage>3705</fpage>&#x2013;<lpage>3711</lpage>. <pub-id pub-id-type="doi">10.1128/iai.62.9.3705-3711.1994</pub-id> </citation>
</ref>
<ref id="B4">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Beatty</surname>
<given-names>W. L.</given-names>
</name>
<name>
<surname>Byrne</surname>
<given-names>G. I.</given-names>
</name>
<name>
<surname>Morrison</surname>
<given-names>R. P.</given-names>
</name>
</person-group> (<year>1993</year>). <article-title>Morphologic and Antigenic Characterization of Interferon Gamma-Mediated Persistent <italic>Chlamydia trachomatis</italic> Infection <italic>In Vitro</italic>
</article-title>. <source>Proc. Natl. Acad. Sci.</source> <volume>90</volume>, <fpage>3998</fpage>&#x2013;<lpage>4002</lpage>. <pub-id pub-id-type="doi">10.1073/pnas.90.9.3998</pub-id> </citation>
</ref>
<ref id="B5">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bhan</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Soleimani</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Mandal</surname>
<given-names>S. S.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Long Noncoding RNA and Cancer: A New Paradigm</article-title>. <source>Cancer Res.</source> <volume>77</volume>, <fpage>3965</fpage>&#x2013;<lpage>3981</lpage>. <pub-id pub-id-type="doi">10.1158/0008-5472.CAN-16-2634</pub-id> </citation>
</ref>
<ref id="B6">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Bragina</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Gomberg</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Dmitriev</surname>
<given-names>G.</given-names>
</name>
</person-group> (<year>2001</year>). <article-title>Electron Microscopic Evidence of Persistent Chlamydial Infection Following Treatment</article-title>. <source>J.&#x20;Eur. Acad. Dermatol. Venerol</source> <volume>15</volume>, <fpage>405</fpage>&#x2013;<lpage>409</lpage>. <pub-id pub-id-type="doi">10.1046/j.1468-3083.2001.00342.x</pub-id> </citation>
</ref>
<ref id="B7">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Capmany</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Damiani</surname>
<given-names>M. T.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>
<italic>Chlamydia trachomatis</italic> Intercepts Golgi-Derived Sphingolipids through a Rab14-Mediated Transport Required for Bacterial Development and Replication</article-title>. <source>PLoS One</source> <volume>5</volume>, <fpage>e14084</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0014084</pub-id> </citation>
</ref>
<ref id="B8">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chin</surname>
<given-names>C. H.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>S. H.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>H. H.</given-names>
</name>
<name>
<surname>Ho</surname>
<given-names>C. W.</given-names>
</name>
<name>
<surname>Ko</surname>
<given-names>M. T.</given-names>
</name>
<name>
<surname>Lin</surname>
<given-names>C. Y.</given-names>
</name>
</person-group> (<year>2014</year>). <article-title>cytoHubba: Identifying Hub Objects and Sub-networks from Complex Interactome</article-title>. <source>Bmc Syst. Biol.</source> <volume>8 Suppl 4</volume>, <fpage>S11</fpage>. <pub-id pub-id-type="doi">10.1186/1752-0509-8-S4-S11</pub-id> </citation>
</ref>
<ref id="B9">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chowdhury</surname>
<given-names>S. R.</given-names>
</name>
<name>
<surname>Reimer</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Sharan</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Kozjak-Pavlovic</surname>
<given-names>V.</given-names>
</name>
<name>
<surname>Eulalio</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Prusty</surname>
<given-names>B. K.</given-names>
</name>
<etal/>
</person-group> (<year>2017</year>). <article-title>Chlamydia Preserves the Mitochondrial Network Necessary for Replication via microRNA-dependent Inhibition of Fission</article-title>. <source>J.&#x20;Cel Biol.</source> <volume>216</volume>, <fpage>1071</fpage>&#x2013;<lpage>1089</lpage>. <pub-id pub-id-type="doi">10.1083/jcb.201608063</pub-id> </citation>
</ref>
<ref id="B10">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Cox</surname>
<given-names>J.&#x20;V.</given-names>
</name>
<name>
<surname>Abdelrahman</surname>
<given-names>Y. M.</given-names>
</name>
<name>
<surname>Ouellette</surname>
<given-names>S. P.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Penicillin-binding Proteins Regulate Multiple Steps in the Polarized Cell Division Process of Chlamydia</article-title>. <source>Sci. Rep.</source> <volume>10</volume>, <fpage>12588</fpage>. <pub-id pub-id-type="doi">10.1038/s41598-020-69397-x</pub-id> </citation>
</ref>
<ref id="B11">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dai</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Ahmed</surname>
<given-names>S. A.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>MicroRNA, a New Paradigm for Understanding Immunoregulation, Inflammation, and Autoimmune Diseases</article-title>. <source>Translational Res.</source> <volume>157</volume>, <fpage>163</fpage>&#x2013;<lpage>179</lpage>. <pub-id pub-id-type="doi">10.1016/j.trsl.2011.01.007</pub-id> </citation>
</ref>
<ref id="B12">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Derrick</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Last</surname>
<given-names>A. R.</given-names>
</name>
<name>
<surname>Burr</surname>
<given-names>S. E.</given-names>
</name>
<name>
<surname>Roberts</surname>
<given-names>C. H.</given-names>
</name>
<name>
<surname>Nabicassa</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Cassama</surname>
<given-names>E.</given-names>
</name>
<etal/>
</person-group> (<year>2016</year>). <article-title>Inverse Relationship between microRNA-155 and -184 Expression with Increasing Conjunctival Inflammation during Ocular <italic>Chlamydia trachomatis</italic> Infection</article-title>. <source>BMC Infect. Dis.</source> <volume>16</volume>, <fpage>60</fpage>. <pub-id pub-id-type="doi">10.1186/s12879-016-1367-8</pub-id> </citation>
</ref>
<ref id="B13">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Dzakah</surname>
<given-names>E. E.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Xue</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Wei</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>H.</given-names>
</name>
<etal/>
</person-group> (<year>2021</year>). <article-title>Host Cell Response and Distinct Gene Expression Profiles at Different Stages of <italic>Chlamydia trachomatis</italic> Infection Reveals Stage-specific Biomarkers of Infection</article-title>. <source>BMC Microbiol.</source> <volume>21</volume>, <fpage>3</fpage>. <pub-id pub-id-type="doi">10.1186/s12866-020-02061-6</pub-id> </citation>
</ref>
<ref id="B14">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Geisler</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Coller</surname>
<given-names>J.</given-names>
</name>
</person-group> (<year>2013</year>). <article-title>RNA in Unexpected Places: Long Non-coding RNA Functions in Diverse Cellular Contexts</article-title>. <source>Nat. Rev. Mol. Cel Biol</source> <volume>14</volume>, <fpage>699</fpage>&#x2013;<lpage>712</lpage>. <pub-id pub-id-type="doi">10.1038/nrm3679</pub-id> </citation>
</ref>
<ref id="B15">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>G&#xe9;rard</surname>
<given-names>H. C.</given-names>
</name>
<name>
<surname>Krausse-Opatz</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Rudy</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Rao</surname>
<given-names>J.&#x20;P.</given-names>
</name>
<name>
<surname>Zeidler</surname>
<given-names>H.</given-names>
</name>
<etal/>
</person-group> (<year>2001</year>). <article-title>Expression of <italic>Chlamydia trachomatis</italic> Genes Encoding Products Required for DNA Synthesis and Cell Division during Active versus Persistent Infection</article-title>. <source>Mol. Microbiol.</source> <volume>41</volume>, <fpage>731</fpage>&#x2013;<lpage>741</lpage>. <pub-id pub-id-type="doi">10.1046/j.1365-2958.2001.02550.x</pub-id> </citation>
</ref>
<ref id="B16">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Guo</surname>
<given-names>L.-L.</given-names>
</name>
<name>
<surname>Song</surname>
<given-names>C. H.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Dai</surname>
<given-names>L. P.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>J.&#x20;Y.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>K. J.</given-names>
</name>
</person-group> (<year>2015</year>). <article-title>Competing Endogenous RNA Networks and Gastric Cancer</article-title>. <source>Wjg</source> <volume>21</volume>, <fpage>11680</fpage>&#x2013;<lpage>11687</lpage>. <pub-id pub-id-type="doi">10.3748/wjg.v21.i41.11680</pub-id> </citation>
</ref>
<ref id="B17">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Gupta</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Arkatkar</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Keck</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Koundinya</surname>
<given-names>G. K. L.</given-names>
</name>
<name>
<surname>Castillo</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Hobel</surname>
<given-names>S.</given-names>
</name>
<etal/>
</person-group> (<year>2016</year>). <article-title>Antigen Specific Immune Response in Chlamydia Muridarum Genital Infection Is Dependent on Murine microRNAs-155 and -182</article-title>. <source>Oncotarget</source> <volume>7</volume>, <fpage>64726</fpage>&#x2013;<lpage>64742</lpage>. <pub-id pub-id-type="doi">10.18632/oncotarget.11461</pub-id> </citation>
</ref>
<ref id="B18">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ha</surname>
<given-names>T.-Y.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>The Role of MicroRNAs in Regulatory T&#x20;Cells and in the Immune Response</article-title>. <source>Immune Netw.</source> <volume>11</volume>, <fpage>11</fpage>&#x2013;<lpage>41</lpage>. <pub-id pub-id-type="doi">10.4110/in.2011.11.1.11</pub-id> </citation>
</ref>
<ref id="B19">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Igietseme</surname>
<given-names>J.&#x20;U.</given-names>
</name>
<name>
<surname>Omosun</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Stuchlik</surname>
<given-names>O.</given-names>
</name>
<name>
<surname>Reed</surname>
<given-names>M. S.</given-names>
</name>
<name>
<surname>Partin</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>He</surname>
<given-names>Q.</given-names>
</name>
<etal/>
</person-group> (<year>2015</year>). <article-title>Role of Epithelial-Mesenchyme Transition in Chlamydia Pathogenesis</article-title>. <source>PLoS One</source> <volume>10</volume>, <fpage>e0145198</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0145198</pub-id> </citation>
</ref>
<ref id="B20">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jia</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Sun</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Gong</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Yang</surname>
<given-names>L.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>
<italic>Chlamydia trachomatis</italic> Ct143 Stimulates Secretion of Proinflammatory Cytokines via Activating the P38/MAPK Signal Pathway in THP-1 Cells</article-title>. <source>Mol. Immunol.</source> <volume>105</volume>, <fpage>233</fpage>&#x2013;<lpage>239</lpage>. <pub-id pub-id-type="doi">10.1016/j.molimm.2018.12.007</pub-id> </citation>
</ref>
<ref id="B21">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Klein</surname>
<given-names>U.</given-names>
</name>
<name>
<surname>Lia</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Crespo</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Siegel</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Shen</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Mo</surname>
<given-names>T.</given-names>
</name>
<etal/>
</person-group> (<year>2010</year>). <article-title>The DLEU2/miR-15a/16-1 Cluster Controls B&#x20;Cell Proliferation and its Deletion Leads to Chronic Lymphocytic Leukemia</article-title>. <source>Cancer Cell</source> <volume>17</volume>, <fpage>28</fpage>&#x2013;<lpage>40</lpage>. <pub-id pub-id-type="doi">10.1016/j.ccr.2009.11.019</pub-id> </citation>
</ref>
<ref id="B22">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Klos</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Thalmann</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Peters</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>G&#xe3;&#xa9;rard</surname>
<given-names>H. C.</given-names>
</name>
<name>
<surname>Hudson</surname>
<given-names>A. P.</given-names>
</name>
</person-group> (<year>2009</year>). <article-title>The Transcript Profile of persistentChlamydophila(Chlamydia)pneumoniae in Vitrodepends on the Means by Which Persistence Is Induced</article-title>. <source>Fems Microbiol. Lett.</source> <volume>291</volume>, <fpage>120</fpage>&#x2013;<lpage>126</lpage>. <pub-id pub-id-type="doi">10.1111/j.1574-6968.2008.01446.x</pub-id> </citation>
</ref>
<ref id="B23">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kru&#x308;ll</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Kramp</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Petrov</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Klucken</surname>
<given-names>A. C.</given-names>
</name>
<name>
<surname>Hocke</surname>
<given-names>A. C.</given-names>
</name>
<name>
<surname>Walter</surname>
<given-names>C.</given-names>
</name>
<etal/>
</person-group> (<year>2004</year>). <article-title>Differences in Cell Activation by Chlamydophila Pneumoniae and <italic>Chlamydia trachomatis</italic> Infection in Human Endothelial Cells</article-title>. <source>Infect. Immun.</source> <volume>72</volume>, <fpage>6615</fpage>&#x2013;<lpage>6621</lpage>. <pub-id pub-id-type="doi">10.1128/iai.72.11.6615-6621.2004</pub-id> </citation>
</ref>
<ref id="B24">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kun</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Xiang-Lin</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Ming</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Qi</surname>
<given-names>L.</given-names>
</name>
</person-group> (<year>2013</year>). <article-title>Chlamydia Inhibit Host Cell Apoptosis by Inducing Bag-1 via the MAPK/ERK Survival Pathway</article-title>. <source>Apoptosis</source> <volume>18</volume>, <fpage>1083</fpage>&#x2013;<lpage>1092</lpage>. <pub-id pub-id-type="doi">10.1007/s10495-013-0865-z</pub-id> </citation>
</ref>
<ref id="B25">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lewis</surname>
<given-names>M. E.</given-names>
</name>
<name>
<surname>Belland</surname>
<given-names>R. J.</given-names>
</name>
<name>
<surname>AbdelRahman</surname>
<given-names>Y. M.</given-names>
</name>
<name>
<surname>Beatty</surname>
<given-names>W. L.</given-names>
</name>
<name>
<surname>Aiyar</surname>
<given-names>A. A.</given-names>
</name>
<name>
<surname>Zea</surname>
<given-names>A. H.</given-names>
</name>
<etal/>
</person-group> (<year>2014</year>). <article-title>Morphologic and Molecular Evaluation of <italic>Chlamydia trachomatis</italic> Growth in Human Endocervix Reveals Distinct Growth Patterns</article-title>. <source>Front. Cel. Infect. Microbiol.</source> <volume>4</volume>, <fpage>71</fpage>. <pub-id pub-id-type="doi">10.3389/fcimb.2014.00071</pub-id> </citation>
</ref>
<ref id="B26">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Hu</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Sun</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>Q.</given-names>
</name>
</person-group> (<year>2019</year>). <article-title>Identification of Differentially Expressed Circular RNAs in HeLa Cells Infected with <italic>Chlamydia trachomatis</italic>
</article-title>. <source>Pathog. Dis.</source> <volume>77</volume>, <fpage>ftz062</fpage>. <pub-id pub-id-type="doi">10.1093/femspd/ftz062</pub-id> </citation>
</ref>
<ref id="B27">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mehlitz</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Eylert</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Huber</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Lindner</surname>
<given-names>B.</given-names>
</name>
<name>
<surname>Vollmuth</surname>
<given-names>N.</given-names>
</name>
<name>
<surname>Karunakaran</surname>
<given-names>K.</given-names>
</name>
<etal/>
</person-group> (<year>2017</year>). <article-title>Metabolic Adaptation ofChlamydia Trachomatisto Mammalian Host Cells</article-title>. <source>Mol. Microbiol.</source> <volume>103</volume>, <fpage>1004</fpage>&#x2013;<lpage>1019</lpage>. <pub-id pub-id-type="doi">10.1111/mmi.13603</pub-id> </citation>
</ref>
<ref id="B28">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Mering</surname>
<given-names>C. v.</given-names>
</name>
<name>
<surname>Huynen</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Jaeggi</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Schmidt</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Bork</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Snel</surname>
<given-names>B.</given-names>
</name>
</person-group> (<year>2003</year>). <article-title>STRING: a Database of Predicted Functional Associations between Proteins</article-title>. <source>Nucleic Acids Res.</source> <volume>31</volume>, <fpage>258</fpage>&#x2013;<lpage>261</lpage>. <pub-id pub-id-type="doi">10.1093/nar/gkg034</pub-id> </citation>
</ref>
<ref id="B29">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Moore</surname>
<given-names>E. R.</given-names>
</name>
<name>
<surname>Fischer</surname>
<given-names>E. R.</given-names>
</name>
<name>
<surname>Mead</surname>
<given-names>D. J.</given-names>
</name>
<name>
<surname>Hackstadt</surname>
<given-names>T.</given-names>
</name>
</person-group> (<year>2008</year>). <article-title>The Chlamydial Inclusion Preferentially Intercepts Basolaterally Directed Sphingomyelin-Containing Exocytic Vacuoles</article-title>. <source>Traffic</source> <volume>9</volume>, <fpage>2130</fpage>&#x2013;<lpage>2140</lpage>. <pub-id pub-id-type="doi">10.1111/j.1600-0854.2008.00828.x</pub-id> </citation>
</ref>
<ref id="B30">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Muramatsu</surname>
<given-names>M. K.</given-names>
</name>
<name>
<surname>Brothwell</surname>
<given-names>J.&#x20;A.</given-names>
</name>
<name>
<surname>Stein</surname>
<given-names>B. D.</given-names>
</name>
<name>
<surname>Putman</surname>
<given-names>T. E.</given-names>
</name>
<name>
<surname>Rockey</surname>
<given-names>D. D.</given-names>
</name>
<name>
<surname>Nelson</surname>
<given-names>D. E.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Beyond Tryptophan Synthase: Identification of Genes that Contribute to <italic>Chlamydia trachomatis</italic> Survival during Gamma Interferon-Induced Persistence and Reactivation</article-title>. <source>Infect. Immun.</source> <volume>84</volume>, <fpage>2791</fpage>&#x2013;<lpage>2801</lpage>. <pub-id pub-id-type="doi">10.1128/Iai.00356-16</pub-id> </citation>
</ref>
<ref id="B31">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>O&#x27;Connell</surname>
<given-names>R. M.</given-names>
</name>
<name>
<surname>Rao</surname>
<given-names>D. S.</given-names>
</name>
<name>
<surname>Baltimore</surname>
<given-names>D.</given-names>
</name>
</person-group> (<year>2012</year>). <article-title>microRNA Regulation of Inflammatory Responses</article-title>. <source>Annu. Rev. Immunol.</source> <volume>30</volume>, <fpage>295</fpage>&#x2013;<lpage>312</lpage>. <pub-id pub-id-type="doi">10.1146/annurev-immunol-020711-075013</pub-id> </citation>
</ref>
<ref id="B32">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Paraskevopoulou</surname>
<given-names>M. D.</given-names>
</name>
<name>
<surname>Hatzigeorgiou</surname>
<given-names>A. G.</given-names>
</name>
</person-group> (<year>2016</year>). <article-title>Analyzing MiRNA-LncRNA Interactions</article-title>. <source>Methods Mol. Biol.</source> <volume>1402</volume>, <fpage>271</fpage>&#x2013;<lpage>286</lpage>. <pub-id pub-id-type="doi">10.1007/978-1-4939-3378-5_21</pub-id> </citation>
</ref>
<ref id="B33">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Patton</surname>
<given-names>D. L.</given-names>
</name>
<name>
<surname>Askienazy-Elbhar</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Henry-Suchet</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Campbell</surname>
<given-names>L. A.</given-names>
</name>
<name>
<surname>Cappuccio</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Tannous</surname>
<given-names>W.</given-names>
</name>
<etal/>
</person-group> (<year>1994</year>). <article-title>Detection of <italic>Chlamydia trachomatis</italic> in Fallopian Tube Tissue in Women with Postinfectious Tubal Infertility</article-title>. <source>Am. J.&#x20;Obstet. Gynecol.</source> <volume>171</volume>, <fpage>95</fpage>&#x2013;<lpage>101</lpage>. <pub-id pub-id-type="doi">10.1016/s0002-9378(94)70084-2</pub-id> </citation>
</ref>
<ref id="B34">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Rejman Lipinski</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Heymann</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Meissner</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Karlas</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Brinkmann</surname>
<given-names>V.</given-names>
</name>
<name>
<surname>Meyer</surname>
<given-names>T. F.</given-names>
</name>
<etal/>
</person-group> (<year>2009</year>). <article-title>Rab6 and Rab11 Regulate <italic>Chlamydia trachomatis</italic> Development and Golgin-84-dependent Golgi Fragmentation</article-title>. <source>Plos Pathog.</source> <volume>5</volume>, <fpage>e1000615</fpage>. <pub-id pub-id-type="doi">10.1371/journal.ppat.1000615</pub-id> </citation>
</ref>
<ref id="B35">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Saka</surname>
<given-names>H. A.</given-names>
</name>
<name>
<surname>Valdivia</surname>
<given-names>R. H.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>Acquisition of Nutrients by Chlamydiae: Unique Challenges of Living in an Intracellular Compartment</article-title>. <source>Curr. Opin. Microbiol.</source> <volume>13</volume>, <fpage>4</fpage>&#x2013;<lpage>10</lpage>. <pub-id pub-id-type="doi">10.1016/j.mib.2009.11.002</pub-id> </citation>
</ref>
<ref id="B36">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Schlager</surname>
<given-names>M. A.</given-names>
</name>
<name>
<surname>Kapitein</surname>
<given-names>L. C.</given-names>
</name>
<name>
<surname>Grigoriev</surname>
<given-names>I.</given-names>
</name>
<name>
<surname>Burzynski</surname>
<given-names>G. M.</given-names>
</name>
<name>
<surname>Wulf</surname>
<given-names>P. S.</given-names>
</name>
<name>
<surname>Keijzer</surname>
<given-names>N.</given-names>
</name>
<etal/>
</person-group> (<year>2010</year>). <article-title>Pericentrosomal Targeting of Rab6 Secretory Vesicles by Bicaudal-D-Related Protein 1 (BICDR-1) Regulates Neuritogenesis</article-title>. <source>EMBO J.</source> <volume>29</volume>, <fpage>1637</fpage>&#x2013;<lpage>1651</lpage>. <pub-id pub-id-type="doi">10.1038/emboj.2010.51</pub-id> </citation>
</ref>
<ref id="B37">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Shannon</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Markiel</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Ozier</surname>
<given-names>O.</given-names>
</name>
<name>
<surname>Baliga</surname>
<given-names>N. S.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>J.&#x20;T.</given-names>
</name>
<name>
<surname>Ramage</surname>
<given-names>D.</given-names>
</name>
<etal/>
</person-group> (<year>2003</year>). <article-title>Cytoscape: a Software Environment for Integrated Models of Biomolecular Interaction Networks</article-title>. <source>Genome Res.</source> <volume>13</volume>, <fpage>2498</fpage>&#x2013;<lpage>2504</lpage>. <pub-id pub-id-type="doi">10.1101/gr.1239303</pub-id> </citation>
</ref>
<ref id="B38">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Skilton</surname>
<given-names>R. J.</given-names>
</name>
<name>
<surname>Cutcliffe</surname>
<given-names>L. T.</given-names>
</name>
<name>
<surname>Barlow</surname>
<given-names>D.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Salim</surname>
<given-names>O.</given-names>
</name>
<name>
<surname>Lambden</surname>
<given-names>P. R.</given-names>
</name>
<etal/>
</person-group> (<year>2009</year>). <article-title>Penicillin Induced Persistence in <italic>Chlamydia trachomatis</italic>: High Quality Time Lapse Video Analysis of the Developmental Cycle</article-title>. <source>PLoS One</source> <volume>4</volume>, <fpage>e7723</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0007723</pub-id> </citation>
</ref>
<ref id="B39">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Stephens</surname>
<given-names>A. J.</given-names>
</name>
<name>
<surname>Aubuchon</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Schust</surname>
<given-names>D. J.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>Antichlamydial Antibodies, Human Fertility, and Pregnancy Wastage</article-title>. <source>Infect. Dis. Obstet. Gynecol.</source> <volume>2011</volume>, <fpage>1</fpage>&#x2013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1155/2011/525182</pub-id> </citation>
</ref>
<ref id="B40">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tsevat</surname>
<given-names>D. G.</given-names>
</name>
<name>
<surname>Wiesenfeld</surname>
<given-names>H. C.</given-names>
</name>
<name>
<surname>Parks</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Peipert</surname>
<given-names>J.&#x20;F.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>Sexually Transmitted Diseases and Infertility</article-title>. <source>Am. J.&#x20;Obstet. Gynecol.</source> <volume>216</volume>, <fpage>1</fpage>&#x2013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1016/j.ajog.2016.08.008</pub-id> </citation>
</ref>
<ref id="B41">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>van Ooij</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Kalman</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>van Ijzendoorn</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Nishijima</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Hanada</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Mostov</surname>
<given-names>K.</given-names>
</name>
<etal/>
</person-group> (<year>2000</year>). <article-title>Host Cell-Derived Sphingolipids Are Required for the Intracellular Growth of <italic>Chlamydia trachomatis</italic>
</article-title>. <source>Cell Microbiol</source> <volume>2</volume>, <fpage>627</fpage>&#x2013;<lpage>637</lpage>. <pub-id pub-id-type="doi">10.1046/j.1462-5822.2000.00077.x</pub-id> </citation>
</ref>
<ref id="B42">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Vignola</surname>
<given-names>M. J.</given-names>
</name>
<name>
<surname>Kashatus</surname>
<given-names>D. F.</given-names>
</name>
<name>
<surname>Taylor</surname>
<given-names>G. A.</given-names>
</name>
<name>
<surname>Counter</surname>
<given-names>C. M.</given-names>
</name>
<name>
<surname>Valdivia</surname>
<given-names>R. H.</given-names>
</name>
</person-group> (<year>2010</year>). <article-title>cPLA2 Regulates the Expression of Type I Interferons and Intracellular Immunity to <italic>Chlamydia trachomatis</italic>
</article-title>. <source>J.&#x20;Biol. Chem.</source> <volume>285</volume>, <fpage>21625</fpage>&#x2013;<lpage>21635</lpage>. <pub-id pub-id-type="doi">10.1074/jbc.M110.103010</pub-id> </citation>
</ref>
<ref id="B43">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Ni</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Gu</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Qiao</surname>
<given-names>Y.</given-names>
</name>
<etal/>
</person-group> (<year>2010</year>). <article-title>CREB Up-Regulates Long Non-coding RNA, HULC Expression through Interaction with microRNA-372 in Liver Cancer</article-title>. <source>Nucleic Acids Res.</source> <volume>38</volume>, <fpage>5366</fpage>&#x2013;<lpage>5383</lpage>. <pub-id pub-id-type="doi">10.1093/nar/gkq285</pub-id> </citation>
</ref>
<ref id="B44">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Song</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Glass</surname>
<given-names>C. K.</given-names>
</name>
<name>
<surname>Rosenfeld</surname>
<given-names>M. G.</given-names>
</name>
</person-group> (<year>2011</year>). <article-title>The Long Arm of Long Noncoding RNAs: Roles as Sensors Regulating Gene Transcriptional Programs</article-title>. <source>Cold Spring Harbor Perspect. Biol.</source> <volume>3</volume>, <fpage>a003756</fpage>. <pub-id pub-id-type="doi">10.1101/cshperspect.a003756</pub-id> </citation>
</ref>
<ref id="B45">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wen</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Luo</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Zhao</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Su</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Shu</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>Z.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>
<italic>Chlamydia trachomatis</italic> Plasmid-Encoded Protein pORF5 Activates Unfolded Protein Response to Induce Autophagy via MAPK/ERK Signaling Pathway</article-title>. <source>Biochem. Biophysical Res. Commun.</source> <volume>527</volume>, <fpage>805</fpage>&#x2013;<lpage>810</lpage>. <pub-id pub-id-type="doi">10.1016/j.bbrc.2020.04.117</pub-id> </citation>
</ref>
<ref id="B46">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Witkin</surname>
<given-names>S. S.</given-names>
</name>
<name>
<surname>Minis</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Athanasiou</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Leizer</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Linhares</surname>
<given-names>I. M.</given-names>
</name>
</person-group> (<year>2017</year>). <article-title>
<italic>Chlamydia trachomatis</italic>: the Persistent Pathogen</article-title>. <source>Clin. Vaccin. Immunol</source> <volume>24</volume>, <fpage>e00203</fpage>&#x2013;<lpage>17</lpage>. <pub-id pub-id-type="doi">10.1128/CVI.00203-17</pub-id> </citation>
</ref>
<ref id="B47">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xue</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Zheng</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Mai</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Qin</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>T.</given-names>
</name>
<etal/>
</person-group> (<year>2017</year>). <article-title>An <italic>In Vitro</italic> Model of Azithromycin-Induced Persistent <italic>Chlamydia trachomatis</italic> Infection</article-title>. <source>FEMS Microbiol. Lett.</source> <volume>364</volume>, <fpage>1</fpage>&#x2013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1093/femsle/fnx145</pub-id> </citation>
</ref>
<ref id="B48">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yeruva</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Pouncey</surname>
<given-names>D. L.</given-names>
</name>
<name>
<surname>Eledge</surname>
<given-names>M. R.</given-names>
</name>
<name>
<surname>Bhattacharya</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Luo</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Weatherford</surname>
<given-names>E. W.</given-names>
</name>
<etal/>
</person-group> (<year>2017</year>). <article-title>MicroRNAs Modulate Pathogenesis Resulting from Chlamydial Infection in Mice</article-title>. <source>Infect. Immun.</source> <volume>85</volume>, <fpage>e00768</fpage>&#x2013;<lpage>16</lpage>. <pub-id pub-id-type="doi">10.1128/IAI.00768-16</pub-id> </citation>
</ref>
<ref id="B49">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhou</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Xie</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Ma</surname>
<given-names>K.</given-names>
</name>
<etal/>
</person-group> (<year>2013</year>). <article-title>PORF5 Plasmid Protein of <italic>Chlamydia trachomatis</italic> Induces MAPK-Mediated Pro-inflammatory Cytokines via TLR2 Activation in THP-1 Cells</article-title>. <source>Sci. China Life Sci.</source> <volume>56</volume>, <fpage>460</fpage>&#x2013;<lpage>466</lpage>. <pub-id pub-id-type="doi">10.1007/s11427-013-4470-8</pub-id> </citation>
</ref>
<ref id="B50">
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhu</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>K.</given-names>
</name>
<etal/>
</person-group> (<year>2014</year>). <article-title>Persistent and Acute Chlamydial Infections Induce Different Structural Changes in the Golgi Apparatus</article-title>. <source>Int. J.&#x20;Med. Microbiol.</source> <volume>304</volume>, <fpage>577</fpage>&#x2013;<lpage>585</lpage>. <pub-id pub-id-type="doi">10.1016/j.ijmm.2014.03.002</pub-id> </citation>
</ref>
</ref-list>
</back>
</article>