Home SNRPB promotes cell cycle progression in thyroid carcinoma via inhibiting p53
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SNRPB promotes cell cycle progression in thyroid carcinoma via inhibiting p53

  • Yan Deng , Xin Li , Wenlei Jiang and Jindan Tang EMAIL logo
Published/Copyright: October 18, 2022

Abstract

Papillary thyroid carcinoma (PTC) accounts for more than 80% of all thyroid carcinoma cases. Small nuclear ribonucleoprotein polypeptides B and B1 (SNRPB) has been indicated to be carcinogenic in several cancers; however, its function and mechanism in PTC are unclarified. Real time quantitative polymerase chain reaction and western blotting revealed the upregulation of SNRPB and downregulation of tumor protein p53 in PTC tissues compared with the normal tissues. Flow cytometry and western blotting displayed that SNRPB silencing induced cell cycle arrest at G1 phase and suppressed the expression levels of Cyclin family proteins in PTC cells. In vivo experiments suggested that SNRPB silencing inhibited PTC tumor growth in mice. Bioinformatics analysis revealed that the expression of SNRPB and cell cycle-associated genes in thyroid carcinoma tissues is positively correlated. Immunofluorescence staining and co-immunoprecipitation demonstrated that SNRPB directly interacted with p53 and suppressed its expression in PTC cells. In conclusion, SNRPB facilitates cell cycle progression in PTC by inhibiting p53 expression.

1 Introduction

Thyroid carcinoma (THCA) is the most prevalent endocrine malignancy which accounts for approximately 12% of newly diagnosed cancers in adolescents [1]. THCA is more common in women; it was estimated that women accounted for over 31,900 cases of THCA out of a total of 48,000 new diagnoses in USA [1]. Papillary thyroid carcinoma (PTC) is the most common subtype of THCA, which comprises more than 80% of all THCA cases [2]. Current treatments including thyroidectomy and radioactive iodine have displayed favorable prognosis in most of PTC patients [3]. Nevertheless, in certain patients, the survival is still far from satisfactory due to tumor recurrence and metastasis [3,4]. For patients with locally advanced or distant metastatic PTC, the existing treatments are still insufficient [5]. Hence, having a better understanding of the underlying mechanism and finding novel effective approaches for PTC treatment are greatly demanded.

Small nuclear ribonucleoprotein polypeptides B and B1 (SNRPB) is a core component of the spliceosome and functions as a splicing factor [6]. SNRPB exerts a crucial effect on the alternative splicing process of pre-mRNAs [7]. It has been indicated that silencing of SNRP proteins inhibits cancer cell viability by modulating expression of their downstream genes [7]. As one of the SNRP proteins, SNRPB has been shown to act as an oncogene in several cancers. For example, SNRPB contributes to the malignant proliferation of hepatocellular carcinoma cells [8]. Additionally, SNRPB depletion suppresses cell growth in glioblastoma, indicating its carcinogenic role [9]. Importantly, bioinformatics analysis displayed that SNRPB is differentially expressed in different stages of THCA patients, suggesting that SNRPB might be implicated in the pathogenesis of THCA. Nevertheless, to our knowledge, the detailed role of SNRPB as well as its underlying mechanism in PTC is unanswered.

Tumor protein p53 encodes a tumor suppressor protein which responds to a diversity of cellular stresses such as oncogene activation, hyperoxia and DNA damage [10]. In response to various cellular stresses, p53 is activated by post-transcriptional modifications and oligomerization; activated p53 regulates transcription of downstream genes, consequently resulting in cell cycle arrest, apoptosis or DNA repair [11,12]. Thus, p53 is considered as a vital factor in preventing tumorigenesis [13]. Importantly, studies have demonstrated the involvement of p53 in PTC [14,15]. Nevertheless, the relationship between p53 and SNRPB in PTC is unclarified.

Herein, we probed the function of SNRPB as well as its underlying mechanisms in PTC. It was hypothesized that SNRPB affected the progression of PTC by modulating p53. The results might develop a new clue for treating PTC.

2 Materials and methods

2.1 Tissue specimens

Paired PTC and nontumor tissues (N = 33) were collected from PTC patients who underwent surgeries in Wuhan Fifth Hospital (Hubei, China). None of these patients received radiotherapy or chemotherapy before surgery and patients with other malignancies were excluded from the study. Written informed consent was obtained from all participants. Tissue samples were immediately frozen in liquid nitrogen and preserved at −80°C. The study was approved by the Ethics Committee of Wuhan Fifth Hospital (Hubei, China).

2.2 Cell culture and transfection

PTC cell lines (TPC-1 and IHH4) were obtained from WHELAB (Shanghai, China) and incubated in Dulbecco’s modified eagle medium (Invitrogen, Carlsbad, CA, USA) containing 10% fetal bovine serum (Gibco, Rockville, MD, USA) and 1% penicillin–streptomycin (Invitrogen) at 37°C in a humidified incubator with 5% CO2.

For knockdown assays, short hairpin RNAs targeting SNRPB (sh-SNRPB) and corresponding negative control obtained from Sangon (Shanghai, China) were transfected into PTC cells using Lipofectamine 2000 (Invitrogen). Mock served as a control group. After 48 h, the transfection efficiency was assessed by real time quantitative polymerase chain reaction (RT-qPCR). Sh-SNPRB#1 with the best silencing effect was used for subsequent experiments.

2.3 In vivo xenograft experiments

BALB/c nude mice (female, 5-week-old) were purchased from Vital River (Beijing, China) and divided into two groups, with five per group. TPC-1 cells stably transfected with sh-SNRPB or sh-NC were injected subcutaneously into the mice (4 × 105 cells/mouse). Tumor volume was monitored every 3 days and calculated with the formula: volume = 0.5 × length × width2. After 27 days, mice were euthanized under anesthesia with 2% pentobarbital sodium (30 mg/kg). Tumors were harvested and weighed. All animal experiments were approved by the Animal Research Ethics Committee of Wuhan Fifth Hospital (Hubei, China).

2.4 RT-qPCR

Total RNA was extracted from tissues and PTC cells using TRIzol reagent (Invitrogen). Approximately 1 μg of total RNA was reverse transcribed using PrimeScriptTM RT Master Mix (Takara, Dalian, China) to obtain cDNA. RT-qPCR was implemented using SYBR Premix Ex TaqTM (Takara) on a Bio-Rad Real-Time PCR System (Bio-Rad, Hercules, CA, USA). Relative SNRPB expression was calculated with the 2−ΔΔCt method, with GAPDH as the internal control. Primer sequences are as follows:

SNRPB

Forward: 5′-GGAAGAGAAGCGAGTCCTC-3′

Reverse: 5′-AATACCAGTATCTTTGGGAGGAG-3′

GAPDH

Forward: 5′-TCAAGATCATCAGCAATGCC-3′

Reverse: 5′-CGATACCAAAGTTGTCATGGA-3′

2.5 Western blotting

Proteins were isolated from tissues and PTC cells using RIPA lysis buffer (Beyotime, Shanghai, China) and quantified with a BCA assay kit (Bio-Rad). Equal amounts of protein samples (20 μg) were separated by 10% SDS-PAGE and blotted on polyvinylidene fluoride membranes (Millipore, Billerica, MA, USA). After blocking with 5% defatted milk, the membranes were incubated at 4°C overnight with primary antibodies against: SNRPB (ab155026, 1:1,000), Cyclin A1 (ab270940, 1:1,000), Cyclin B1 (ab181593, 1:2,000), Cyclin D1 (ab16663, 1:200), Cyclin E1 (ab33911, 1:1,000), p53 (ab32389, 1:10,000) and GAPDH (ab9485, 1:2,500) (all from Abcam, Cambridge, MA, USA), followed by incubation with the secondary antibody (Abcam) at room temperature for 2 h. Eventually, protein bands were visualized with an enhanced chemiluminescence detection system (Pierce, Rockford, IL, USA) and quantified with ImageJ software (National Institutes of Health, Bethesda, MD, USA).

2.6 Flow cytometry

Cell cycle distribution was determined by flow cytometry analysis. Cells were fixed in 70% ethanol at 4°C overnight. After washing with phosphate buffer saline, cells were incubated with 10 mg/mL RNA enzyme (Sigma-Aldrich, St. Louis, MO, USA) and 0.5 μg/mL propidium iodide and maintained for 30 min at room temperature away from light. Afterwards, cell populations in different phases were measured by Flow Cytometer (Beckman Coulter, Inc., Brea, CA, USA).

2.7 Immunofluorescence (IF) staining

Cells were incubated on glass coverslips and fixed with 4% formaldehyde for 10 min, followed by permeation in 0.5% Triton X-100 for 15 min at room temperature [16]. The coverslips were blocked with goat serum (Sigma-Aldrich). Afterwards, cells were incubated with anti-SNRPB (Abcam) and anti-p53 (Abcam) primary antibodies at 4°C overnight, followed by incubation with the secondary antibody for 1 h at 37°C. Cell nuclei were stained with DAPI (Sigma-Aldrich). The fluorescence was observed under a LEICA TCS SP5 Confocal Microscope (Leica, Germany).

2.8 Co-immunoprecipitation (Co-IP) assay

Cells were lysed in Pierce IP lysis buffer (Thermo Scientific, Waltham, MA, USA). Cell lysates were incubated with the indicated antibodies at 4°C overnight on a rocker, followed by incubation with Protein A/G Agarose (Beyotime) for 3 h at 4°C. Then, the immunoprecipitates were analyzed by western blotting. Full-length sequences of p53 and SNRPB were inserted into pcDNA5-HA and pcDNA5-Flag vectors to construct pcDNA5-HA-p53 and pcDNA5-Flag-SNRPB [17,18]. PTC cells were transfected with the above vectors and then lysed in ice-cold IP buffer. Cell lysates were incubated with anti-Flag M2 Magnetic beads (Sigma-Aldrich) and Pierce anti-HA Magnetic beads (Thermo Scientific) overnight at 4°C. Then, the immune complexes were analyzed by western blotting using the indicated primary and secondary antibodies.

2.9 Statistical analysis

Data were analyzed by SPSS 21.0 software (SPSS Inc., Chicago, IL, USA) and are presented as the mean ± standard deviation. Student’s t-test was used for difference comparisons between two groups, while analysis of variance (ANOVA) was used for those among multiple groups followed by Tukey’s post hoc analysis. Each experiment was implemented in triplicate. p < 0.05 was considered as statistically significant.

3 Results

3.1 SNRPB displays a high level in PTC

First, we tested SNRPB expression in PTC tissues by RT-qPCR together with western blotting. In comparison to those in the adjacent nontumor samples, mRNA and protein levels of SNRPB were elevated in PTC tissues (N = 33) (Figure 1a and b). Moreover, data from GEPIA revealed that SNRPB expression is higher in PTC tissues at stage III and IV than those at stage I and II (Figure 1c), indicating the close relation between SNRPB level and PTC development.

Figure 1 
                  SNRPB displays a high level in PTC: (a and b) RT-qPCR analysis and western blotting of SNRPB mRNA and protein levels in PTC and adjacent normal tissues (N = 33) and (c) SNRPB expression in THCA tissues of different stages shown by GEPIA. Student’s t-test was performed for statistical analysis. **p < 0.01.
Figure 1

SNRPB displays a high level in PTC: (a and b) RT-qPCR analysis and western blotting of SNRPB mRNA and protein levels in PTC and adjacent normal tissues (N = 33) and (c) SNRPB expression in THCA tissues of different stages shown by GEPIA. Student’s t-test was performed for statistical analysis. **p < 0.01.

3.2 SNRPB silencing suppresses PTC cell cycle progression

To test SNRPB effect on malignant phenotypes of PTC cells, we knocked down SNRPB in two PTC cell lines (TPC-1 and IHH4). The efficiency of SNRPB was confirmed by RT-qPCR and western blotting which showed that SNRPB levels were markedly reduced in sh-SNRPB#1-transfected cells (Figure 2a–c). Subsequently, SNRPB effect on cell cycle progression was evaluated by flow cytometry. It was shown that the percentage of cells in G1 phase was dramatically enhanced in sh-SNRPB#1-treated group, compared to the mock- and sh-NC-treated groups (Figure 2d and e). Additionally, SNRPB silencing presented a significant reduction in the percentage of cells in S phase (Figure 2d and e). These results suggested that knocking down SNRPB induced cell cycle arrest in G1 phase. This was confirmed by the results of western blotting in detection of cell cycle-related proteins. As shown in Figure 2f and g, protein levels of Cyclin family (A1, B1, D1, E1) were decreased in sh-SNRPB#1-transfected PTC cells. Overall, depletion of SNRPB restrains PTC cell cycle progression.

Figure 2 
                  SNRPB knockdown induces G1 phase arrest in PTC cells: (a–c) RT-qPCR and western blotting for evaluating efficiency of SNRPB knockdown in PTC cells (TPC-1, IHH4), (d and e) flow cytometry for determining cell cycle distribution of PTC cells with treatment of mock, sh-NC or sh-SNRPB#1 and (f and g) western blotting for assessing levels of cell cycle-associated proteins in indicated PTC cells. ANOVA followed by Tukey’s post hoc analysis was performed for statistical analysis. *p < 0.05, **p < 0.01, ***p < 0.001.
Figure 2

SNRPB knockdown induces G1 phase arrest in PTC cells: (a–c) RT-qPCR and western blotting for evaluating efficiency of SNRPB knockdown in PTC cells (TPC-1, IHH4), (d and e) flow cytometry for determining cell cycle distribution of PTC cells with treatment of mock, sh-NC or sh-SNRPB#1 and (f and g) western blotting for assessing levels of cell cycle-associated proteins in indicated PTC cells. ANOVA followed by Tukey’s post hoc analysis was performed for statistical analysis. *p < 0.05, **p < 0.01, ***p < 0.001.

3.3 SNRPB expression is positively correlated with cell cycle-related gene expression

Cyclin family proteins are encoded by corresponding cell cycle-related genes (CCNA1, CCNB1, CCND1 and CCNE1) [19]. Notably, data from GEPIA database displayed that SNRPB expression has a positive correlation with cell cycle-related gene expression in THCA tissues (Figure 3a–d), further confirming that SNRPB is strongly associated with the development of THCA.

Figure 3 
                  SNRPB expression is positively correlated with cell cycle-related gene expression: (a–d) expression correlation between SNRPB and cell cycle-associated genes in THCA tissues shown by GEPIA database.
Figure 3

SNRPB expression is positively correlated with cell cycle-related gene expression: (a–d) expression correlation between SNRPB and cell cycle-associated genes in THCA tissues shown by GEPIA database.

3.4 SNRPB inhibits p53 expression

It has been indicated that SNRPB exerts an oncogenic role in cervical cancer by inhibiting p53 expression [17]. Here, to reveal the underlying mechanism of SNRPB in PTC, we detected its impact on p53 in PTC cells. We first detected the protein level of p53 in PTC tissues. The results of western blotting displayed that p53 protein expression was downregulated in PTC tissues in comparison to that in the adjacent normal samples (Figure 4a). As shown by IF staining, SNRPB was markedly expressed in PTC cells compared with that of p53 (Figure 4b). Notably, knocking down SNRPB led to a significant increase of p53 expression in PTC cells (Figure 4b–d). Furthermore, the results from Co-IP presented that SNRPB could interact with p53 in PTC cells (Figure 4e–g). To improve the specificity of detection, SNRPB and p53 were fused with protein tags to generate Flag-SNRPB and HA-p53. It was confirmed that SNRPB directly interacted with p53 in PTC cells (Figure 4f and g). Collectively, SNRPB directly interacts with p53 and inhibits its expression in PTC cells.

Figure 4 
                  SNRPB inhibits p53 expression: (a) western blotting of p53 protein level in PTC tissues and adjacent normal tissues, (b) IF staining for detecting expression of SNRPB and p53 in sh-NC- or sh-SNRPB#1-transfected PTC cells, (c and d) quantification of IF intensity of SNRPB and p53 and (e–g) Co-IP for determining the interaction between p53 and SNRPB in PTC cells. Student’s t-test was performed for statistical analysis. **p < 0.01.
Figure 4

SNRPB inhibits p53 expression: (a) western blotting of p53 protein level in PTC tissues and adjacent normal tissues, (b) IF staining for detecting expression of SNRPB and p53 in sh-NC- or sh-SNRPB#1-transfected PTC cells, (c and d) quantification of IF intensity of SNRPB and p53 and (e–g) Co-IP for determining the interaction between p53 and SNRPB in PTC cells. Student’s t-test was performed for statistical analysis. **p < 0.01.

3.5 Knocking down SNRPB restrains tumor growth in vivo

To further elucidate the function of SNRPB in PTC, in vivo experiments were implemented. Mice were injected subcutaneously with sh-NC- or sh-SNRPB#1-transfected TPC-1 cells. The results displayed that the tumors were smaller and grew more slowly in SNRPB-depleted group (Figure 5a–c), indicating that knocking down SNRPB might suppress PTC tumor growth. Additionally, compared to that in sh-NC-treated group, SNRPB level in sh-SNRPB#1-treated group was markedly decreased (Figure 5d). Moreover, SNRPB protein level was reduced in SNRPB-depleted group, while that of p53 was significantly elevated (Figure 5e and f). Notably, depletion of SNRPB resulted in the downregulation of cell cycle-associated proteins in tumors (Figure 5e and f), validating that SNRPB silencing inhibits cell cycle progression in vivo.

Figure 5 
                  Knocking down SNRPB restrains tumor growth in vivo: (a) photographs of murine tumor samples, n = 5 per group, (b) tumor volumes of each group measured every 3 days, (c) measurement of tumor weight on the 27th day, (d) RT-qPCR analysis of SNRPB level in each group and (e and f) western blotting for evaluating levels of SNRPB, p53 and cell cycle-related proteins in murine tumors. Student’s t-test was performed for statistical analysis. **p < 0.01, ***p < 0.001.
Figure 5

Knocking down SNRPB restrains tumor growth in vivo: (a) photographs of murine tumor samples, n = 5 per group, (b) tumor volumes of each group measured every 3 days, (c) measurement of tumor weight on the 27th day, (d) RT-qPCR analysis of SNRPB level in each group and (e and f) western blotting for evaluating levels of SNRPB, p53 and cell cycle-related proteins in murine tumors. Student’s t-test was performed for statistical analysis. **p < 0.01, ***p < 0.001.

4 Discussion

PTC is the major type of THCA which accounts for over 80% of all THCA cases, with the majority of cases in women [20]. Most of PTC cases are associated with favorable prognosis; however, in certain cases, patients tend to develop clinical aggressive disease and have a high rate of recurrence after treatments [21]. Hence, it is imperative to understand the mechanism underlying PTC pathogenesis and find novel effective approaches for PTC treatment.

Numerous studies have revealed the critical role of SNRPB, a core component of spliceosome, in tumorigenesis, including cervical cancer, glioblastoma and non-small cell lung cancer [7,9,17]. SNRPB exerts a carcinogenic role in the progression of many cancers by promoting malignant behaviors of cancer cells. For example, SNRPB overexpression facilitates the proliferative and migratory capabilities of hepatocellular carcinoma cells [22]. In cervical cancer, SNRPB upregulation enhances cell proliferation but inhibits cell apoptosis [17]. Additionally, dysregulation of SNRPB is closely associated with the adverse prognosis of patients [22]. To our knowledge, it is unclarified whether SNRPB is involved in PTC progression. In accord with previous evidence, the results from this study revealed the overexpression of SNRPB in PTC tissues. Additionally, bioinformatics analysis presented that SNRPB is differentially expressed in different stages of THCA patients, with a higher level in stage III/IV. These indicated that high expression of SNRPB has a strong correlation with the aggravation of PTC. To validate this, loss-of-function assays were implemented to examine the detailed function of SNRPB in PTC. It was shown that depleted SNRPB markedly restrained cell cycle progression of PTC cells. Additionally, a positive correlation between SNRPB expression and cell cycle-associated gene expression in THCA tumors is presented by data from GEPIA database, further confirming SNRPB effect on PTC cell cycle. Consistently, in vivo experiments demonstrated that SNRPB silencing suppressed tumor growth in mice. Overall, these results revealed that SNRPB can promote PTC progression in vitro as well as in vivo.

Tumor suppressor p53 is activated in response to various cellular stresses including oncogenic signaling and works as a transcription factor to modulate target gene expression, consequently inducing cell cycle arrest, DNA repair, apoptosis or metabolic changes [23,24]. p53 is considered as one of the most vital genes in protecting against human cancers [25]. Importantly, a previous study demonstrated that p53 expression is inhibited by SNRPB in cervical cancer [17]. Here, to probe the potential mechanism of SNRPB in PTC, we tested its effect on p53 expression in PTC cells. The results displayed that SNRPB directly interacted with p53 and knocking down SNRPB enhanced p53 expression, indicating that SNRPB suppressed p53 expression in PTC cells. Furthermore, it has been reported that the Wnt/β-catenin pathway is a major target of p53, and the β-catenin pathway promotes the proliferation and metastasis of PTC cells [26,27]. This indicates that the Wnt/β-catenin signaling pathway might be involved in SNRPB/p53-mediated PTC, which needs to be further investigated in the future.

In conclusion, we probed the function of SNRPB as well as its underlying mechanism in PTC. The results displayed that SNRPB is highly expressed in PTC tissues and SNRPB silencing restrains cell cycle progression of PTC cells and inhibits tumor growth in mice largely by suppressing p53 expression. The findings might develop a novel biomarker for PTC diagnosis and a new clue for PTC treatment. Additionally, the potential role and mechanism mediated by SNRPB/p53 in PTC need further investigation in the future.


# These authors contributed equally to the work.


Acknowledgment

Not applicable.

  1. Funding information: No funding was received.

  2. Author contributions: All authors were the main designers of this study. Y.D., X.L. and W.L.J. performed the experiments and analyzed the data. J.D.T. drafted the manuscript. All authors read and approved the final manuscript.

  3. Conflict of interest: The authors have no conflict of interest to declare.

  4. Data availability statement: The dataset used or analyzed during the current study are available from the corresponding author on reasonable request.

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Received: 2022-03-30
Revised: 2022-06-16
Accepted: 2022-07-11
Published Online: 2022-10-18

© 2022 Yan Deng et al., published by De Gruyter

This work is licensed under the Creative Commons Attribution 4.0 International License.

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  23. circ_AKT3 knockdown suppresses cisplatin resistance in gastric cancer
  24. Prognostic value of nicotinamide N-methyltransferase in human cancers: Evidence from a meta-analysis and database validation
  25. GPC2 deficiency inhibits cell growth and metastasis in colon adenocarcinoma
  26. A pan-cancer analysis of the oncogenic role of Holliday junction recognition protein in human tumors
  27. Radiation increases COL1A1, COL3A1, and COL1A2 expression in breast cancer
  28. Association between preventable risk factors and metabolic syndrome
  29. miR-29c-5p knockdown reduces inflammation and blood–brain barrier disruption by upregulating LRP6
  30. Cardiac contractility modulation ameliorates myocardial metabolic remodeling in a rabbit model of chronic heart failure through activation of AMPK and PPAR-α pathway
  31. Quercitrin protects human bronchial epithelial cells from oxidative damage
  32. Smurf2 suppresses the metastasis of hepatocellular carcinoma via ubiquitin degradation of Smad2
  33. circRNA_0001679/miR-338-3p/DUSP16 axis aggravates acute lung injury
  34. Sonoclot’s usefulness in prediction of cardiopulmonary arrest prognosis: A proof of concept study
  35. Four drug metabolism-related subgroups of pancreatic adenocarcinoma in prognosis, immune infiltration, and gene mutation
  36. Decreased expression of miR-195 mediated by hypermethylation promotes osteosarcoma
  37. LMO3 promotes proliferation and metastasis of papillary thyroid carcinoma cells by regulating LIMK1-mediated cofilin and the β-catenin pathway
  38. Cx43 upregulation in HUVECs under stretch via TGF-β1 and cytoskeletal network
  39. Evaluation of menstrual irregularities after COVID-19 vaccination: Results of the MECOVAC survey
  40. Histopathologic findings on removed stomach after sleeve gastrectomy. Do they influence the outcome?
  41. Analysis of the expression and prognostic value of MT1-MMP, β1-integrin and YAP1 in glioma
  42. Optimal diagnosis of the skin cancer using a hybrid deep neural network and grasshopper optimization algorithm
  43. miR-223-3p alleviates TGF-β-induced epithelial-mesenchymal transition and extracellular matrix deposition by targeting SP3 in endometrial epithelial cells
  44. Clinical value of SIRT1 as a prognostic biomarker in esophageal squamous cell carcinoma, a systematic meta-analysis
  45. circ_0020123 promotes cell proliferation and migration in lung adenocarcinoma via PDZD8
  46. miR-22-5p regulates the self-renewal of spermatogonial stem cells by targeting EZH2
  47. hsa-miR-340-5p inhibits epithelial–mesenchymal transition in endometriosis by targeting MAP3K2 and inactivating MAPK/ERK signaling
  48. circ_0085296 inhibits the biological functions of trophoblast cells to promote the progression of preeclampsia via the miR-942-5p/THBS2 network
  49. TCD hemodynamics findings in the subacute phase of anterior circulation stroke patients treated with mechanical thrombectomy
  50. Development of a risk-stratification scoring system for predicting risk of breast cancer based on non-alcoholic fatty liver disease, non-alcoholic fatty pancreas disease, and uric acid
  51. Tollip promotes hepatocellular carcinoma progression via PI3K/AKT pathway
  52. circ_0062491 alleviates periodontitis via the miR-142-5p/IGF1 axis
  53. Human amniotic fluid as a source of stem cells
  54. lncRNA NONRATT013819.2 promotes transforming growth factor-β1-induced myofibroblastic transition of hepatic stellate cells by miR24-3p/lox
  55. NORAD modulates miR-30c-5p-LDHA to protect lung endothelial cells damage
  56. Idiopathic pulmonary fibrosis telemedicine management during COVID-19 outbreak
  57. Risk factors for adverse drug reactions associated with clopidogrel therapy
  58. Serum zinc associated with immunity and inflammatory markers in Covid-19
  59. The relationship between night shift work and breast cancer incidence: A systematic review and meta-analysis of observational studies
  60. LncRNA expression in idiopathic achalasia: New insight and preliminary exploration into pathogenesis
  61. Notoginsenoside R1 alleviates spinal cord injury through the miR-301a/KLF7 axis to activate Wnt/β-catenin pathway
  62. Moscatilin suppresses the inflammation from macrophages and T cells
  63. Zoledronate promotes ECM degradation and apoptosis via Wnt/β-catenin
  64. Epithelial-mesenchymal transition-related genes in coronary artery disease
  65. The effect evaluation of traditional vaginal surgery and transvaginal mesh surgery for severe pelvic organ prolapse: 5 years follow-up
  66. Repeated partial splenic artery embolization for hypersplenism improves platelet count
  67. Low expression of miR-27b in serum exosomes of non-small cell lung cancer facilitates its progression by affecting EGFR
  68. Exosomal hsa_circ_0000519 modulates the NSCLC cell growth and metastasis via miR-1258/RHOV axis
  69. miR-455-5p enhances 5-fluorouracil sensitivity in colorectal cancer cells by targeting PIK3R1 and DEPDC1
  70. The effect of tranexamic acid on the reduction of intraoperative and postoperative blood loss and thromboembolic risk in patients with hip fracture
  71. Isocitrate dehydrogenase 1 mutation in cholangiocarcinoma impairs tumor progression by sensitizing cells to ferroptosis
  72. Artemisinin protects against cerebral ischemia and reperfusion injury via inhibiting the NF-κB pathway
  73. A 16-gene signature associated with homologous recombination deficiency for prognosis prediction in patients with triple-negative breast cancer
  74. Lidocaine ameliorates chronic constriction injury-induced neuropathic pain through regulating M1/M2 microglia polarization
  75. MicroRNA 322-5p reduced neuronal inflammation via the TLR4/TRAF6/NF-κB axis in a rat epilepsy model
  76. miR-1273h-5p suppresses CXCL12 expression and inhibits gastric cancer cell invasion and metastasis
  77. Clinical characteristics of pneumonia patients of long course of illness infected with SARS-CoV-2
  78. circRNF20 aggravates the malignancy of retinoblastoma depending on the regulation of miR-132-3p/PAX6 axis
  79. Linezolid for resistant Gram-positive bacterial infections in children under 12 years: A meta-analysis
  80. Rack1 regulates pro-inflammatory cytokines by NF-κB in diabetic nephropathy
  81. Comprehensive analysis of molecular mechanism and a novel prognostic signature based on small nuclear RNA biomarkers in gastric cancer patients
  82. Smog and risk of maternal and fetal birth outcomes: A retrospective study in Baoding, China
  83. Let-7i-3p inhibits the cell cycle, proliferation, invasion, and migration of colorectal cancer cells via downregulating CCND1
  84. β2-Adrenergic receptor expression in subchondral bone of patients with varus knee osteoarthritis
  85. Possible impact of COVID-19 pandemic and lockdown on suicide behavior among patients in Southeast Serbia
  86. In vitro antimicrobial activity of ozonated oil in liposome eyedrop against multidrug-resistant bacteria
  87. Potential biomarkers for inflammatory response in acute lung injury
  88. A low serum uric acid concentration predicts a poor prognosis in adult patients with candidemia
  89. Antitumor activity of recombinant oncolytic vaccinia virus with human IL2
  90. ALKBH5 inhibits TNF-α-induced apoptosis of HUVECs through Bcl-2 pathway
  91. Risk prediction of cardiovascular disease using machine learning classifiers
  92. Value of ultrasonography parameters in diagnosing polycystic ovary syndrome
  93. Bioinformatics analysis reveals three key genes and four survival genes associated with youth-onset NSCLC
  94. Identification of autophagy-related biomarkers in patients with pulmonary arterial hypertension based on bioinformatics analysis
  95. Protective effects of glaucocalyxin A on the airway of asthmatic mice
  96. Overexpression of miR-100-5p inhibits papillary thyroid cancer progression via targeting FZD8
  97. Bioinformatics-based analysis of SUMOylation-related genes in hepatocellular carcinoma reveals a role of upregulated SAE1 in promoting cell proliferation
  98. Effectiveness and clinical benefits of new anti-diabetic drugs: A real life experience
  99. Identification of osteoporosis based on gene biomarkers using support vector machine
  100. Tanshinone IIA reverses oxaliplatin resistance in colorectal cancer through microRNA-30b-5p/AVEN axis
  101. miR-212-5p inhibits nasopharyngeal carcinoma progression by targeting METTL3
  102. Association of ST-T changes with all-cause mortality among patients with peripheral T-cell lymphomas
  103. LINC00665/miRNAs axis-mediated collagen type XI alpha 1 correlates with immune infiltration and malignant phenotypes in lung adenocarcinoma
  104. The perinatal factors that influence the excretion of fecal calprotectin in premature-born children
  105. Effect of femoral head necrosis cystic area on femoral head collapse and stress distribution in femoral head: A clinical and finite element study
  106. Does the use of 3D-printed cones give a chance to postpone the use of megaprostheses in patients with large bone defects in the knee joint?
  107. lncRNA HAGLR modulates myocardial ischemia–reperfusion injury in mice through regulating miR-133a-3p/MAPK1 axis
  108. Protective effect of ghrelin on intestinal I/R injury in rats
  109. In vivo knee kinematics of an innovative prosthesis design
  110. Relationship between the height of fibular head and the incidence and severity of knee osteoarthritis
  111. lncRNA WT1-AS attenuates hypoxia/ischemia-induced neuronal injury during cerebral ischemic stroke via miR-186-5p/XIAP axis
  112. Correlation of cardiac troponin T and APACHE III score with all-cause in-hospital mortality in critically ill patients with acute pulmonary embolism
  113. LncRNA LINC01857 reduces metastasis and angiogenesis in breast cancer cells via regulating miR-2052/CENPQ axis
  114. Endothelial cell-specific molecule 1 (ESM1) promoted by transcription factor SPI1 acts as an oncogene to modulate the malignant phenotype of endometrial cancer
  115. SELENBP1 inhibits progression of colorectal cancer by suppressing epithelial–mesenchymal transition
  116. Visfatin is negatively associated with coronary artery lesions in subjects with impaired fasting glucose
  117. Treatment and outcomes of mechanical complications of acute myocardial infarction during the Covid-19 era: A comparison with the pre-Covid-19 period. A systematic review and meta-analysis
  118. Neonatal stroke surveillance study protocol in the United Kingdom and Republic of Ireland
  119. Oncogenic role of TWF2 in human tumors: A pan-cancer analysis
  120. Mean corpuscular hemoglobin predicts the length of hospital stay independent of severity classification in patients with acute pancreatitis
  121. Association of gallstone and polymorphisms of UGT1A1*27 and UGT1A1*28 in patients with hepatitis B virus-related liver failure
  122. TGF-β1 upregulates Sar1a expression and induces procollagen-I secretion in hypertrophic scarring fibroblasts
  123. Antisense lncRNA PCNA-AS1 promotes esophageal squamous cell carcinoma progression through the miR-2467-3p/PCNA axis
  124. NK-cell dysfunction of acute myeloid leukemia in relation to the renin–angiotensin system and neurotransmitter genes
  125. The effect of dilution with glucose and prolonged injection time on dexamethasone-induced perineal irritation – A randomized controlled trial
  126. miR-146-5p restrains calcification of vascular smooth muscle cells by suppressing TRAF6
  127. Role of lncRNA MIAT/miR-361-3p/CCAR2 in prostate cancer cells
  128. lncRNA NORAD promotes lung cancer progression by competitively binding to miR-28-3p with E2F2
  129. Noninvasive diagnosis of AIH/PBC overlap syndrome based on prediction models
  130. lncRNA FAM230B is highly expressed in colorectal cancer and suppresses the maturation of miR-1182 to increase cell proliferation
  131. circ-LIMK1 regulates cisplatin resistance in lung adenocarcinoma by targeting miR-512-5p/HMGA1 axis
  132. LncRNA SNHG3 promoted cell proliferation, migration, and metastasis of esophageal squamous cell carcinoma via regulating miR-151a-3p/PFN2 axis
  133. Risk perception and affective state on work exhaustion in obstetrics during the COVID-19 pandemic
  134. lncRNA-AC130710/miR-129-5p/mGluR1 axis promote migration and invasion by activating PKCα-MAPK signal pathway in melanoma
  135. SNRPB promotes cell cycle progression in thyroid carcinoma via inhibiting p53
  136. Xylooligosaccharides and aerobic training regulate metabolism and behavior in rats with streptozotocin-induced type 1 diabetes
  137. Serpin family A member 1 is an oncogene in glioma and its translation is enhanced by NAD(P)H quinone dehydrogenase 1 through RNA-binding activity
  138. Silencing of CPSF7 inhibits the proliferation, migration, and invasion of lung adenocarcinoma cells by blocking the AKT/mTOR signaling pathway
  139. Ultrasound-guided lumbar plexus block versus transversus abdominis plane block for analgesia in children with hip dislocation: A double-blind, randomized trial
  140. Relationship of plasma MBP and 8-oxo-dG with brain damage in preterm
  141. Identification of a novel necroptosis-associated miRNA signature for predicting the prognosis in head and neck squamous cell carcinoma
  142. Delayed femoral vein ligation reduces operative time and blood loss during hip disarticulation in patients with extremity tumors
  143. The expression of ASAP3 and NOTCH3 and the clinicopathological characteristics of adult glioma patients
  144. Longitudinal analysis of factors related to Helicobacter pylori infection in Chinese adults
  145. HOXA10 enhances cell proliferation and suppresses apoptosis in esophageal cancer via activating p38/ERK signaling pathway
  146. Meta-analysis of early-life antibiotic use and allergic rhinitis
  147. Marital status and its correlation with age, race, and gender in prognosis of tonsil squamous cell carcinomas
  148. HPV16 E6E7 up-regulates KIF2A expression by activating JNK/c-Jun signal, is beneficial to migration and invasion of cervical cancer cells
  149. Amino acid profiles in the tissue and serum of patients with liver cancer
  150. Pain in critically ill COVID-19 patients: An Italian retrospective study
  151. Immunohistochemical distribution of Bcl-2 and p53 apoptotic markers in acetamiprid-induced nephrotoxicity
  152. Estradiol pretreatment in GnRH antagonist protocol for IVF/ICSI treatment
  153. Long non-coding RNAs LINC00689 inhibits the apoptosis of human nucleus pulposus cells via miR-3127-5p/ATG7 axis-mediated autophagy
  154. The relationship between oxygen therapy, drug therapy, and COVID-19 mortality
  155. Monitoring hypertensive disorders in pregnancy to prevent preeclampsia in pregnant women of advanced maternal age: Trial mimicking with retrospective data
  156. SETD1A promotes the proliferation and glycolysis of nasopharyngeal carcinoma cells by activating the PI3K/Akt pathway
  157. The role of Shunaoxin pills in the treatment of chronic cerebral hypoperfusion and its main pharmacodynamic components
  158. TET3 governs malignant behaviors and unfavorable prognosis of esophageal squamous cell carcinoma by activating the PI3K/AKT/GSK3β/β-catenin pathway
  159. Associations between morphokinetic parameters of temporary-arrest embryos and the clinical prognosis in FET cycles
  160. Long noncoding RNA WT1-AS regulates trophoblast proliferation, migration, and invasion via the microRNA-186-5p/CADM2 axis
  161. The incidence of bronchiectasis in chronic obstructive pulmonary disease
  162. Integrated bioinformatics analysis shows integrin alpha 3 is a prognostic biomarker for pancreatic cancer
  163. Inhibition of miR-21 improves pulmonary vascular responses in bronchopulmonary dysplasia by targeting the DDAH1/ADMA/NO pathway
  164. Comparison of hospitalized patients with severe pneumonia caused by COVID-19 and influenza A (H7N9 and H1N1): A retrospective study from a designated hospital
  165. lncRNA ZFAS1 promotes intervertebral disc degeneration by upregulating AAK1
  166. Pathological characteristics of liver injury induced by N,N-dimethylformamide: From humans to animal models
  167. lncRNA ELFN1-AS1 enhances the progression of colon cancer by targeting miR-4270 to upregulate AURKB
  168. DARS-AS1 modulates cell proliferation and migration of gastric cancer cells by regulating miR-330-3p/NAT10 axis
  169. Dezocine inhibits cell proliferation, migration, and invasion by targeting CRABP2 in ovarian cancer
  170. MGST1 alleviates the oxidative stress of trophoblast cells induced by hypoxia/reoxygenation and promotes cell proliferation, migration, and invasion by activating the PI3K/AKT/mTOR pathway
  171. Bifidobacterium lactis Probio-M8 ameliorated the symptoms of type 2 diabetes mellitus mice by changing ileum FXR-CYP7A1
  172. circRNA DENND1B inhibits tumorigenicity of clear cell renal cell carcinoma via miR-122-5p/TIMP2 axis
  173. EphA3 targeted by miR-3666 contributes to melanoma malignancy via activating ERK1/2 and p38 MAPK pathways
  174. Pacemakers and methylprednisolone pulse therapy in immune-related myocarditis concomitant with complete heart block
  175. miRNA-130a-3p targets sphingosine-1-phosphate receptor 1 to activate the microglial and astrocytes and to promote neural injury under the high glucose condition
  176. Review Articles
  177. Current management of cancer pain in Italy: Expert opinion paper
  178. Hearing loss and brain disorders: A review of multiple pathologies
  179. The rationale for using low-molecular weight heparin in the therapy of symptomatic COVID-19 patients
  180. Amyotrophic lateral sclerosis and delayed onset muscle soreness in light of the impaired blink and stretch reflexes – watch out for Piezo2
  181. Interleukin-35 in autoimmune dermatoses: Current concepts
  182. Recent discoveries in microbiota dysbiosis, cholangiocytic factors, and models for studying the pathogenesis of primary sclerosing cholangitis
  183. Advantages of ketamine in pediatric anesthesia
  184. Congenital adrenal hyperplasia. Role of dentist in early diagnosis
  185. Migraine management: Non-pharmacological points for patients and health care professionals
  186. Atherogenic index of plasma and coronary artery disease: A systematic review
  187. Physiological and modulatory role of thioredoxins in the cellular function
  188. Case Reports
  189. Intrauterine Bakri balloon tamponade plus cervical cerclage for the prevention and treatment of postpartum haemorrhage in late pregnancy complicated with acute aortic dissection: Case series
  190. A case of successful pembrolizumab monotherapy in a patient with advanced lung adenocarcinoma: Use of multiple biomarkers in combination for clinical practice
  191. Unusual neurological manifestations of bilateral medial medullary infarction: A case report
  192. Atypical symptoms of malignant hyperthermia: A rare causative mutation in the RYR1 gene
  193. A case report of dermatomyositis with the missed diagnosis of non-small cell lung cancer and concurrence of pulmonary tuberculosis
  194. A rare case of endometrial polyp complicated with uterine inversion: A case report and clinical management
  195. Spontaneous rupturing of splenic artery aneurysm: Another reason for fatal syncope and shock (Case report and literature review)
  196. Fungal infection mimicking COVID-19 infection – A case report
  197. Concurrent aspergillosis and cystic pulmonary metastases in a patient with tongue squamous cell carcinoma
  198. Paraganglioma-induced inverted takotsubo-like cardiomyopathy leading to cardiogenic shock successfully treated with extracorporeal membrane oxygenation
  199. Lineage switch from lymphoma to myeloid neoplasms: First case series from a single institution
  200. Trismus during tracheal extubation as a complication of general anaesthesia – A case report
  201. Simultaneous treatment of a pubovesical fistula and lymph node metastasis secondary to multimodal treatment for prostate cancer: Case report and review of the literature
  202. Two case reports of skin vasculitis following the COVID-19 immunization
  203. Ureteroiliac fistula after oncological surgery: Case report and review of the literature
  204. Synchronous triple primary malignant tumours in the bladder, prostate, and lung harbouring TP53 and MEK1 mutations accompanied with severe cardiovascular diseases: A case report
  205. Huge mucinous cystic neoplasms with adhesion to the left colon: A case report and literature review
  206. Commentary
  207. Commentary on “Clinicopathological features of programmed cell death-ligand 1 expression in patients with oral squamous cell carcinoma”
  208. Rapid Communication
  209. COVID-19 fear, post-traumatic stress, growth, and the role of resilience
  210. Erratum
  211. Erratum to “Tollip promotes hepatocellular carcinoma progression via PI3K/AKT pathway”
  212. Erratum to “Effect of femoral head necrosis cystic area on femoral head collapse and stress distribution in femoral head: A clinical and finite element study”
  213. Erratum to “lncRNA NORAD promotes lung cancer progression by competitively binding to miR-28-3p with E2F2”
  214. Retraction
  215. Expression and role of ABIN1 in sepsis: In vitro and in vivo studies
  216. Retraction to “miR-519d downregulates LEP expression to inhibit preeclampsia development”
  217. Special Issue Computational Intelligence Methodologies Meets Recurrent Cancers - Part II
  218. Usefulness of close surveillance for rectal cancer patients after neoadjuvant chemoradiotherapy
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