- Open Access
Bit1 knockdown contributes to growth suppression as well as the decreases of migration and invasion abilities in esophageal squamous cell carcinoma via suppressing FAK-paxillin pathway
© Fan et al. 2016
Received: 26 November 2015
Accepted: 27 February 2016
Published: 8 March 2016
There is growing evidence that Bit1 exerts different roles in the development and progression of human cancers. Although Bit1 was highly exhibited in ESCC tissues in our previous study, its roles and molecular mechanisms implicated in development and progression of ESCC remain unknown.
Bit1 protein expression in ESCC cell lines and normal esophageal epithelial cell was detected by Western blotting. Bit1 protein expression mediated by Bit1 shRNA was investigated by Western blotting. MTT, migration assay, invasion experiment, ELISA and Flow cytometry were utilized to determine the effects of Bit1 knockdown on cell proliferation, migration, invasion and apoptosis, respectively. A xenograft model was used to examine in vivo tumourigenicity, and immunohistochemistry and TUNEL were utilized to evaluate the related protein expression and apoptosis. Gene microarray was determined by Agilent SurePrint G3 Human GE 8 × 60 K Microarray, the interaction of Bit1 and FAK proteins were detected by Immunoprecipitation and the key protein expressions of FAK-paxillin pathway were detected by Western blotting.
We found Bit1 expression in all human ESCC cell lines tested was significantly higher than that in normal esophageal epithelial cell Het-1A (P < 0.05), in which EC9706 presented the highest Bit1 level. Bit1 protein level was significantly downregulated at day 1 after transfection with specific shRNA against Bit1 (P < 0.05). At days 2 and 3, Bit1 level reached the lowest value after transfection with Bit1 shRNA. Moreover, Bit1 depletion contributed to growth inhibition in vitro and in vivo, reduced cell migration and invasion abilities, and induced cell apoptosis in EC9706 and TE1 cells. More importantly, Bit1 downregulation significantly lowered Bcl-2 and MMP-2 levels in EC9706 xenografted tumor tissues, meanwhile triggered apoptosis after treatment with different doses of Bit1 shRNA. Further gene microarray revealed that 23 genes in Bit1-RNAi group were markedly downregulated, whereas 16 genes were obviously upregulated. Notably, Bit1 intrinsically interacted with FAK protein in EC9706 cells. Moreover, paxillin was downregulated at mRNA and protein levels in Bit1 shRNA group, coupled with the decreases of FAK mRNA and protein expressions.
Bit1 may be an important regulator in cell growth, apoptosis, migration and invasion of ESCC via targeting FAK-paxillin pathway, and thereby combinative manipulation of Bit1 and FAK-paxillin pathway may be the novel and promising therapeutic targets for the patients with ESCC.
Esophageal cancer is the one of the most frequently occurring malignant neoplasms worldwide [1, 2], which consists of two main subtypes, namely esophageal adenocarcinoma (ECA) that is more common in the developed countries, such as North America and Europe [3, 4], and esophageal squamous cell carcinoma (ESCC) that is frequently occurring in the developing countries [4–6], such as East Asian countries. At present, ESCC is still the main histological subtype, accounting for more than 90 % of cases of all esophageal cancers, with the less than 10 % in 5-year survival rate of the patients with ESCC [7–9]. Most importantly, about 50 % of the patients with ESCC exhibit the local invasion and metastasis at the time of diagnosis, which will lead to the high mortality [10, 11]. Despite recent advances in therapeutic strategies, a large number of patients with ESCC remain poor clinical outcome. It is, therefore, dramatically necessary to seek and develop the novel molecular target for therapy of the patients with ESCC.
Bcl-2 inhibitor of transcription 1 (Bit1) is a kind of mitochondria related protein, encoding 179 amino acid, which is identified through Bcl-2 reporter system . Evolutionarily, Bit1 is verified to be dramatically conserved from bacteria to humans . Data from crystallographic studies have revealed in detail that human Bit1 harbors a peptidyl-tRNA hydrolase domain, which is considered to be implicated in protein translation and folding , and thus Bit1 may harbors a large variety of functions involved in the regulation of various biological processes.
In human cells, Bit1 can mediate integrin-dependent survival signals via NF-κB signaling pathway , which plays an essential role in the development and progression of many human cancers, suggesting Bit1 is tightly associated with tumor development and progression. Although few studies were reported regarding the connection between Bit1 and tumors, some data from ovarian cancer demonstrated Bit1 overexpression was exhibited in ovarian cancer tissues [16, 17], whereas other evidence showed that Bit1 exerted tumor suppressor in lung cancer . These conflicting data about the different roles of Bit1 in diverse human cancers will reinforce us to further investigate its underlying biological roles in the development and progression of ESCC. Our previous studies revealed that Bit1 overexpression was exhibited in ESCC tissues, and its overexpression was closely correlated with lymphatic metastasis, TNM staging and tumor differentiation . These data suggest that Bit1 plays different roles in various types of cancer, and thereby elucidation of Bit1 function in different tumors will provide a new diagnostic and therapeutic marker for these tumors.
To further verify the underlying functions of Bit1 in ESCC, therefore, in the present study, we examined Bit1 expression in a panel of ESCC cell lines, and investigated the effects of Bit1 knockdown on tumor growth, migration and invasion as well as cell apoptosis in ESCC, and further preliminarily elucidated the possible molecular mechanisms. All data presented herein suggest Bit1 may be a promising molecular target for the therapy of ESCC, and thus intervention of Bit1 may lead to better therapeutic outcomes for the patients with ESCC.
Expression of Bit1 in a panel of ESCC cell lines
Specific shRNA against Bit1 reduces Bit1 protein level in EC9706 and TE1 cells
Bit1 knockdown suppresses cell proliferation, migration and invasion in EC9706 and TE1 cells
Knockdown of Bit1 expression promotes EC9706 and TE1 cell apoptosis
Bit1 downregulation reduced tumorigenicity in EC9706 xenografted nude mice
Bit1-shRNA reduced the levels of Bit1, Bcl-2 and MMP-2 as well as induced cell apoptosis in EC9706 xenografted nude mice
Bit1 downregulation altered gene expression profiles in EC9706 cells
Bit1 interacted with FAK protein as well as Bit1 downregulation evoked the decrease of FAK and Paxillin expressions in EC9706 cells
Increasing evidence has demonstrated that mitochondria dysfunction leads to many diseases [25–28], such as Alzheimer, Parkinson, tumor, etc., which is tightly associated with aberrant alterations of gene expression profiles. Bit1, as a mitochondria protein, also was verified to be implicated in tumor development and progression in many documented publications [18, 29–31]. Our previous studies demonstrated that Bit1 expression was significantly higher than that in normal esophageal tissues , which was further supported by our current study in a panel of ESCC cell lines. Interestingly, Bit1 expression in poorly-differentiated ESCC cell lines was higher than that in well-differentiated ESCC cell lines, suggesting Bit1 may function as oncogene in ESCC. Overall, these findings suggest that Bit1 may play an essential role in the development and progression of ESCC.
It is well documented that balance between tumor oncogene and suppressor play predominant roles in the development and progression of a variety of human tumors. Bit1, as an oncogene or a tumor suppressor, seems to be in a context-dependent manner through many different molecular mechanisms. Yao X et al. found that reintroduction of Bit1 was sufficient to suppress the anchorage-independent growth; conversely, Bit1 downregulation significantly enhances anchorage-independent growth in A549 cells and further investigation revealed that the Bit1-depletion cells displayed significantly enhanced tumorigenecity in vivo , implying Bit1 functions as tumor suppressor in lung carcinoma. Conversely, Bit1 depletion contributed to cell growth suppression in cervical cancer cell line HeLa, compared with control cells . To test whether Bit1 downregulation affected cell growth in ESCC, MTT assay and nude mice xenografts were utilized to investigate the effects of Bit1 knockdown on cell growth in ESCC, we found that Bit1 downregulation markedly suppressed cell growth in vitro and in vivo, implying Bit1 functions tumor suppressor in ESCC.
Invasion and metastasis are one of the typical hallmarks of tumors. The investigation from Karmali PP and colleagues demonstrated that metastatic numbers and foci in Bit1-depletion B16F1 cells were significantly increased compared with control B16F1 cells, whereas Bit1 overexpression by exogenous introduction reduced the formation of lung metastatic colonies , implying Bit1 functions as the suppressor of metastasis in melanoma. Contrary to this result, in the current study, we found Bit1 downregulation contributed to the decreases of migration and invasion abilities of ESCC EC9706 and TE1 cells. These findings suggest that the role exerted by Bit1 in invasion and metastasis may be associated with tumor types, however, its precise molecular mechanisms involved in invasion and metastasis of ESCC remains to be elucidated in future.
In previous study, Bit1 was verified to be a critical apoptosis regulator through manipulation of Bcl-2 expression . Several studies have demonstrated that Bcl-2 is tightly associated with tumor development and progression [33–35], and thus may be an underlying molecular biomarker. It is well documented that MMP-2 is implicated in tumor invasion and metastasis, which is also confirmed in some publications [36–38]. Therefore, to further confirm the role of Bit1 in EC9706 cells xenografted nude mice, we found that Bit1 downregulation mediated by shRNA significantly decreased the levels of Bcl-2 and MMP-2 mRNA and proteins in EC9706 cells xenografted nude mice, compared to negative groups, coupled with the increases of apoptotic index. These data indicate that the alterations of cell growth, migration and invasion triggered by Bit1 depletion is tightly involved in the regulation of Bcl-2 and MMP-2, however, precise molecular mechanisms related to these changes above is under investigation.
Understanding the molecular mechanisms of Bit1 involved in development and progression of tumors is crucial and helps to accelerate the development of drugs that target Bit1 or its related signaling pathways. To further clarify the signaling pathway mediated by Bit1 downregulation, we performed array assay by gene chip, we found that Bit1 downregulation triggered 23 genes downregulation and 16 genes upregulation in EC9706 cells, which was implicated in cell apoptosis, cell adhesion, invasion and metastasis, etc., suggesting Bit1 may be an important regulator in cell invasion and metastasis of ESCC. Currently, increasing evidence has demonstrated that paxillin is highly expressed in many tumors, and is tightly associated with development, progression, invasion, metastasis and poor prognosis of a multiple of human tumors [39–45]. Furthermore, FAK-paxillin signaling pathway participates in the processes of tumor invasion and metastasis via different molecular mechanisms in many human tumors [46–48], and thus may be a potential predictor for metastasis of tumors. To establish the connections of Bit1 and FAK-paxillin signaling pathway, immunoprecipitation was employed to verify the interaction of Bit1 and FAK proteins in EC9706 cells. We found Bit1 intrinsically interacted with FAK protein in EC9706 cells. To further understand the underlying mechanisms of Bit1 downregualtion mediated the alterations of migration and invasion, and verify the validation of paxillin expression obtained by gene chip in EC9706 cells, we detected the expressions of paxillin and its related protein FAK by Real-time qPCR and Western blotting. The results revealed that paxilllin and FAK expressions were markedly decreased, compared with untreated group and negative control group, implying Bit1 functions as invasion and metastasis- regulator through FAK-paxillin signaling pathway, however, precise molecular mechanisms mediated by Bit1 downregulation remain under investigation. Based on the results above, we put forward to a novel pathway Bit1-FAK-paxillin, which participates in the invasion and metastasis of ESCC, and manipulation of the signaling pathway may be a potentially molecular target in future.
Collectively, our data suggest that Bit1 expression is exhibited at the high level in ESCC cell lines, and its expression in poorly-differentiated ESCC cell lines is significantly higher than that in well-differentiated ESCC cell lines. Bit1 downregulation significantly suppresses cell growth in vitro and in vivo, and reduces the migration and invasion abilities in ESCC cells, which may be tightly associated with decreases of Bcl-2 and MMP-2 expressions. Combined with gene chip results, stepwise investigation indicates that Bit1 intrinsically interacted with FAK protein in EC9706 cells, and Bit1 downregulation significantly reduces paxillin and FAK expression. Future directions will be to develop the Bit1 as novel molecular target for the patients with ESCC, which may be implicated in large numbers of molecular regulation mechanisms of Bit1 in ESCC.
Cell lines and culture conditions
The human ESCC cell lines EC9706, Eca109, TE1, TE13, KYES-450 and KYSE-70 were all purchased from the Tumor Cell Bank of Chinese Academy of Sciences, and both maintained in Roswell Park Memorial Institute (RPMI) 1640 media supplemented with 10 % Fetal bovine serum (FBS), 1 % L-Glutamine and 1 % Penicillin-Streptomycin (Solarbio Life Technologies, Beijing, China). Normal esophageal epithelial cell Het-1A immortalized by introducing plasmid pRSV-T with RSV-LTR promoter and SV40 T antigen  was purchased from the American Type Culture Collection (Manassas, VA, USA), which was also maintained under the culture conditions above. All of the cells were cultured at 37 °C under 5 % humidified CO2 enriched atmosphere.
Protein extraction and Western blotting
Cells were washed twice with ice-cold PBS, and collected cells were lysed in buffer (Beyotime Institute of Biotechnology, Shanghai, China). Protein concentration was determined using Bradford reagent (Sigma-Aldrich, San Luis, MO, USA) according to standard precedures. Total protein (0.4 mg) was added to 5× protein sample buffer, heated at 100 °C for 2 min and separated by SDS-PAGE with 3 μl of pre-stained protein molecular weight marker (Fermentas Life Sciences, Burlington, ON, Canada) as a standard, which was transferred to a polyvinylidene fluoride (PVDF) membrane and incubated with the following respective primary antibodies including anti-Bit1 (1:10000), anti-FAK (1: 1000), anti-paxillin (1:200), and control anti-β-actin (1:500) overnight at 4 °C, followed by secondary antibodies (goat anti mouse, 1:5000, goat anti rabbit, 1:2000) conjugated with horseradish peroxidase. Membranes were developed using the ECL detection system (Beyotime Institute of Biotechnology, Shanghai, China). Quantification of Western blotting was performed using Quantity-One software (NIH) to determine the relative protein level, and the results were from at least three independently repeated experiments.
Quantitative real-time RT-PCR
Quantitative real-time RT-PCR (real-time qPCR) assay was performed as our previous report . Briefly, total RNA was extracted from 100 mg of the mice tumors or cells by using TRIzol reagent (Invitrogen, USA). The cDNA was prepared using a reverse transcription reagent kit (TaKaRa Company, Dalian, China) according to the manufacturer's instructions. Target genes were amplified using ABI 7500 Real-Time PCR System (USA) with the following specific primers: Bit1, 5’-AGAGGTAGCTCACGCGATAGAA-3’ (forward) and 5’-GCATCCCAAAGCATA CTCGAA-3’ (reverse) (product length, 196 bp); Bcl-2, 5′-CAGCTGCACCTGACGCC CTT-3’ (forward) and 5’-GCCTCCGTTATCCTGGATCC-3’ (reverse) (product length, 230 bp); MMP-2, 5’-CTCCTGACATTGACCTTGGC -3’ (forward) and 5’-CCTCGCT CCAGGGTGCTGGC-3’ (reverse) (product length, 310 bp); FAK, 5’-AGTAAAATCC AGCCAGCCCC-3’ (forward) and 5’-GACATACTGCTGGGCCAGTT-3’ (reverse) (product length, 207 bp); paxillin, 5’-CTGTCGGATTTCAAGTTCATGGC-3’ (forward) and 5’-TGGGTGCAGACGAAG TGC-3’(reverse) (product length, 239 bp) as well as GAPDH, 5’-GCACCGTCAAGGCTGAGAAC-3’ (forward) and 5’-TGGTGAA GACG CCAGTGGA-3’ (reverse) (product length, 138 bp); GAPDH was utilized as normalization. Each sample was tested in triplicate, and the gene relative levels were normalized using the 2−ΔΔCt method according to a previous description .
Liposome mediated cell transfection assay
EC9706 and TE1 cells were seeded in a 6-well plate at a density of 4 × 105 for 24 h before transfection. The pSilencer3.1-H1-neo-negative-shRNA and pSilencer3.1-H1-neo-Bit1 -shRNA plasmids were generated as described previously . Experiments were divided into three groups: untreated group (transfection with Lipofectamine 2000), negative group (transfection with pSilencer3.1-H1-neo-negative-shRNA), and Bit1 shRNA group (transfection with pSilencer3.1-H1-neo-Bit1-shRNA). Transfection was carried out according to the manufacturer’s instructions using pSilencer3.1-H1-neo-Bit1-shRNA or pSilencer3.1-H1-neo-negative-shRNA plasmids at final quantifications of 2-4 μg, and untreated group was transfected with Lipofectamine 2000 reagent (Invitrogen, USA) alone as control. Cells were harvested and subjected to immunoblotting, migration, transwell, ELISA, or Microarray assays as described below 72 h after transfection.
For proliferation assay, cells were plated in a volume of 150 μl at a density of 5,000 cells per well in 96-well plates, which was allowed grow for 24 h and then transfected with the pSilencer3.1-H1-neo-Bit1-shRNAor pSilencer3.1-H1-neo-negative-shRNA. At each indicated time point (1d, 2d, 3d, 4d, 5d, 6d and 7d for EC9706 cells and 1d, 2d, 3d and 4d for TE1 cells), the numbers of metabolically active cells were assessed by 3- (4, 5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide (MTT) assay. Briefly, MTT reagent (Sigma, USA) was dissolved in sterile PBS at 5 mg/ml. 20 μl of this solution was added to each well in a 96-well plate (1:5 dilution). The plate was then incubated for 4 h at 37 °C in 5 % humidified CO2 enriched atmosphere. Afterwards, the medium was gently aspirated away and the MTT precipitate was dissolved in 100 μl of a 50 % MeOH-50 % DMSO solution. The precipitate was allowed to dissolve at room temperature for 10 min with gentle shaking. Absorbance (A) was measured at a wavelength of 490 nm using a Microplate Reader (BIO-TEK, Winooski, USA).
Cell migration experiment
Migration of ESCC EC9706 and TE1 cells was investigated by Wound healing migration assay. Viable cells were plated at 4 × 105 cells per well in 6-well culture plates using growth media containing 10 % FBS. After transfection with pSilencer3.1-H1-neo-Bit1-shRNA and pSilencer3.1-H1-neo–negative-shRNA vectors for 24 h, in vitro scratch wounds were created by scraping the cell monolayers with a 200 μl sterile pipette tip. After washing away suspended cells, photomicrograph was taken immediately (time 0 h) with an inverted microscope equipped with a digital camera, and the wounded cultures were allowed to grow for 36 h at 37 °C. At 12 h, 24 h, 36 h, photomicrographs were taken at the same position, respectively. Migrations at least three independently repeated experiments were quantified by measuring distances from the wound edges.
Cell invasion assay
To determine whether the invasion ability of ESCC EC9706 and TE1 cells was mediated by Bit1 shRNA. Transwell invasion assay was performed as Corning’s Transwell chambers (24-well plate, 6.5 mm in diameter with 8.0 μm pores) with 100 μl of Matrigel basement membrane matrix (BD Bioscience, Bedford, MA) per well and solidified at 37 °C for 30 min. Briefly, after transfection with pSilencer3.1-H1-neo-Bit1-shRNA or pSilencer3.1-H1-neo-negative-shRNA for 24 h, cells (3-5 × 104 per well) were seeded into ECM gel pre-coated, porous upper chamber inserts and allowed to invade overnight at 37 °C in a CO2 incubator. Subsequently, the insert was washed with PBS and the cells on the top surface of the insert were removed by wiping with a cotton swab. The cells that invaded the bottom surface of the insert were fixed with methanol and stained by 0.5 % crystal violet and then subjected to microscopic inspection. All fields were chosen and the numbers of penetrated cells were counted at 200× magnification. All data were calculated based on triplicate experiments.
Histone/DNA fragment ELISA
Exponentially growing EC9706 and TE1 cells were plated in sterile petri dishes and transfected with pSilencer3.1-H1-neo-Bit1-shRNA or pSilencer3.1-H1-neo-negative -shRNA. Cytosolic fractions of 5 × 104 cells per group served as an antigen source in a sandwich ELISA using primary anti-histone antibody-coated microplate and a secondary peroxidase-conjugated anti-DNA antibody. The photometric immunoassay for histone-associated DNA fragments was executed according to the manufacturer’s instructions and absorbance (A) value was measured at 405 nm using a Microplate Reader (BIO-TEK, Winooski, USA). A higher A value was correlated with increased apoptosis. All data were calculated based on triplicate experiments.
EC9706 cells were lysed for 30 min on ice with immunoprecipitations (IP) buffer (Pierce, Rockford, IL). The lysates were centrifuged at 12,000 g for 10 min at 4 °C. The cell lysates (500 μg) was mixed with 5 μg of antibodies against Bit1 or FAK, respectively. Subsequently, immune complexes were collected with elution buffer at 3000 g centrifugation for 1 min at 4 °C according to manufacturer’s protocol. Finally, the samples were submitted to immunoblotting assay.
In vivo experiment
All procedures were done according to protocols approved by the Institutional Committee for Use and Care of Laboratory Animals of Zhengzhou University. Female BALB/c nude mice (4–6 weeks old) were purchased from the Beijing Weitong Lihua Experimental Animal Technical Co., Ltd. To observe the effect of Bit1 on tumor growth in vivo, EC9706 cells (4 × 106) were subcutaneously implanted into one flank in each of 20 nude mice. Once the tumor volumes reached approximate 100 mm3 (length × width2/2, about on day 5), the mice were randomly divided into four groups. The different complexes, which consisted of pSilencer3.1-H1-neo-Bit1-shRNA (5 μg and 10 μg) or pSilencer3.1-H1-neo-negative-shRNA (5 μg and 10 μg) and corresponding volume of Lipofectamine 2000, were injected to nude mice via intratumor route every 4 days (injection on days 5, 9, 13, 17, respectively). The mice were sacrificed on day 21, then the tumor tissues were harvested and qRT-PCR, TUNEL and immunohistochemistry assays were performed as described below.
Immunohistochemistry was performed on 4 mm thick paraffin-embedded tissue sections as our previous description . Briefly, the processed sections of Bit1 protein were incubated with the same antibody as the Western blotting, while Bcl-2 and MMP-2 protein were used anti-Bcl-2 (1:2000) and anti-MMP-2(1:1000), respectively, and PBS instead of Bit1, Bcl-2, and MMP-2 primary antibodies was used as a negative control. The DAB Detection Kit was used to develop staining signal according to the protocols provided for the Ventana Molecular Discovery System (Illkirch, France). The slides were counterstained with haematoxylin. All sections were investigated by light microscopy. The staining evaluation was performed by calculating the IOD (integrate optical density) using the software of Biosens Digital Imaging System V1.6 (Shanghai, China) at 400× magnification. All of the normal and neoplastic cells that both exhibited cytoplasmic immunoreactivity with clearly brown-yellow were regarded as Bit1, Bcl-2, and MMP-2 positive staining. A scoring system for Bit1, Bcl-2 and MMP-2 positive staining was carried out by the software automatically.
In Situ Apoptosis Detection
Detection of apoptotic cells in tumor sections was performed using the DeadEnd Colorimetric TUNEL System (Promega) following the manufacturer’s instructions. Briefly, sections were deparaffinized, rehydrated, and incubated with proteinase K for 20 min at room temperature. After washing with PBS, the sections were incubated with a working concentration of recombinant Terminal Deoxynucleotidyl Transferase (rTdT) at 37 °C for 1 h in wet and dark atmosphere. The sections were washed with PBS and immersed in 0.3 % hydrogen peroxide to block endogenous peroxidase activity. The sections were subsequently washed with PBS and incubated with the 50 μl streptavidin-HRP working solution at 37 °C for 30 min. Finally, the resulting dark brown signal was visualized with Diaminobenzidine (DAB) as chromogen. Negative control (label solution contained no terminal deoxynucleotidyl transferase in TUNEL reaction mixture) and positive control (incubation of permeabilized cells with 100 μl DNAse 1 buffer for 10 min at 15-25 °C, prior to labeling procedures) were also performed as internal controls.
RNA isolation and whole-genome gene expression profiling of EC9706 cells
EC9706 cells were harvested 72 h after transfection with pSilencer3.1-H1 -neo-Bit1-shRNA or pSilencer3.1-H1-neo-negative-shRNA. Approximate 1 × 106 cells from each sample were subjected to gene microarray assay. Total RNA was extracted using TRIzol reagent (Invitrogen, USA) following the manufacturer’s instructions and analyzed with Agilent SurePrint G3 Human GE 8 × 60 K Microarray (Agilent technologies) by the Shanghai Biochip Company (Shanghai, China). Data were annotated using the SAS Analysis System and filtered by signal intensity and detection call [present (P), marginal (M), or absent (A)]. Gene expression fold changes were compared between Bit1-shRNA treated and negative-shRNA treated cells. Microarray data were deposited in the NCBI GEO database (http://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE78813).
SPSS 17.0 statistical software package (SPSS, Inc., Chicago, IL, USA) was used for statistical treatment. For the measurement data, data were presented as mean ± SD. Differences among the groups were determined using one-way ANOVA, and then multiple comparisons between groups were performed using LSD t-test. For the count data, rank sum test was used in the comparisons between groups. A value of P less than 0.05 was considered as statistically significant.
This research was supported by the National Natural Science Foundation of China (81071723 and 81272691) and High School Science and Technology Innovation Talents Project of Henan Province(15HASTIT037).
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