Long non-coding RNA TUG1 recruits miR‑29c‑3p from its target gene RGS1 to promote proliferation and metastasis of melanoma cells
- Authors:
- Published online on: January 28, 2019 https://doi.org/10.3892/ijo.2019.4699
- Pages: 1317-1326
Abstract
Introduction
Melanoma is a skin malignancy with a high mortality rate (1) and an increasing incidence worldwide (2-4). Therefore, the development of novel antineoplastic agents and the investigation of their underlying mechanisms are imperative in the treatment of this malignant tumor.
Long non-coding RNAs (lncRNAs) generally consist of >200 nucleotides and do not encode proteins (5). XIST was the first documented functional lncRNA identified in the early 1990s (6). Initially, lncRNAs were generally considered as transcriptional noise or useless sequences (7). However, recent studies have demonstrated that lncRNAs play important roles in several biological processes, including dosage compensation, regulation of gene expression, genomic imprinting, nuclear organization and compartmentalization. Changes in the expression of lncRNAs are associated with the occurrence of several diseases, including psoriasis, Alzheimer’s disease, heart disease and cancer. A growing body of evidence indicates that lncRNAs play an important role in the diagnosis and prognosis of various malignancies, including clear cell renal cell carcinoma (8), glioma (9) and osteosarcoma (10). Recently, accumulating evidence suggests that lncRNAs are also implicated in the progression and prognosis of melanoma (11-14). Of note, the expression and distribution of lncRNAs differ according to the cell type to match their possible regulatory role.
Taurine upregulated 1 (TUG1) is a novel lncRNA located on chromosome 22q12, which is composed of 6.7-kb nucleotides (15). Previous reports have demonstrated that TUG1 lncRNA is largely overexpressed and positively regulates oncogenesis in various types of cancer, such as glioma (16), esophageal squamous cell carcinoma (17), endometrial and colorectal cancer (18,19), hepatocellular carcinoma (20) and osteosarcoma (21). However, in certain cancers, such as non-small-cell lung cancer, TUG1 has been reported to be expressed at a relatively low level and acts as a tumor suppressor (22). These reports indicate that TUG1 may play different roles in different types of cancer cells, and TUG1 activity may change under different tumor microenvironment conditions.
The data of the present study demonstrated that TUG1 was highly expressed in human melanoma tissues and cell lines. Moreover, TUG1 facilitated cell proliferation and invasion and suppressed cell apoptosis by sequestering miR-29c-3p from its target gene regulator of G-protein signaling 1 (RGS1) in melanoma cells. The results indicate that TUG1 may be promising as a potential diagnostic marker and therapeutic target for melanoma.
Materials and methods
Ethics statement
The present study was approved by the Ethics Committee of the Xinxiang Central Hospital (Xinxiang, China). The sample collection and surgical procedures were not harmful to the patients. Written informed consent was obtained from all patients. The research protocol conformed to the principles outlined in the Declaration of Helsinki.
Clinical samples
Between March 2014 and November 2017, a total of 40 melanoma tissues, 30 benign nevi and 15 metastatic melanoma tissues were obtained from patients who presented at the Xinxiang Central Hospital (Xinxiang, China). The patients had never received chemotherapy or radiotherapy prior to surgery. All the samples were immediately snap- frozen in liquid nitrogen and stored at −80°C prior to RNA extraction.
RNA extraction and reverse transcription-quantitative polymerase chain reaction (RT-qPCR) analysis
TRIzol reagent (Thermo Fisher Scientific, Inc., Waltham, MA, USA) was used to extract total RNA from the cells or the tissue samples. The RNA purity was confirmed by the A260/A280 ratio. cDNA was synthesized by reverse transcription using the TaqMan® MicroRNA Reverse Transcription kit (Thermo Fisher Scientific, Inc.) in accordance with the manufacturer’s instructions. TaqMan® Universal PCR Master Mix Kit (Thermo Fisher Scientific, Inc.) was used to amplify the products by PCR. The relative levels were calculated using the 2-ΔΔCq method. The primers were purchased from RiboBio Co. Ltd. (Guangzhou, China). The primer sequences were as follows: TUG1 forward: 5′-AACTACCTGGACCGCTTCCT-3′ and reverse: 5′-CCAC TTGAGCTTGTTCACCA-3′. miR-29c levels were detected by TaqMan microRNA assay (Applied Biosystems; Thermo Fisher Scientific, Foster City, CA, USA).
Cell culture and cell transfection
The human melanoma cell lines A375 and SK-MEL-2 were obtained from the American Type Culture Collection (Manassas, VA, USA). The cells were routinely cultured in complete Dulbecco’s modified Eagle’s medium (Gibco; Thermo Fisher Scientific, Grand Island, NY, USA) with 10% fetal bovine serum (FBS; Gibco; Thermo Fisher Scientific), 100 U/ml penicillin and 100 µg/ml streptomycin (Sigma-Aldrich; Merck KGaA, St. Louis, MO, USA). The cultured cells were routinely passaged every 2-3 days. All cell lines used were between passages 3 and 8 during the experiments.
According to the manufacturer’s instructions, the cells were cultured in 6-well plates and transfected with 2 µg of each plasmid in each well alone in the presence of 4 µl Lipofectamine 200 (Invitrogen; Thermo Fisher Scientific, Carlsbad, CA, USA). TUG1, control RNA sequences and TUG1 siRNA (si-TUG1) were purchased from GenePharma (Shanghai, China). miR-29c-3p mimics, inhibitors, and the respective negative control (NC) were purchased from RiboBio (Guangzhou, China). The si-TUG1 sequence was GGTGGTTGAAAGGAATCCT. The TUG1 cDNA was amplified and subcloned into a pcDNA3.1 vector (Invitrogen; Thermo Fisher Scientific) in order to produce the TUG1 over-expression vector.
Cell Counting Kit-8 (CCK-8) assay
Cell proliferation was evaluated using CCK-8 (Dojindo, Kumamoto, Japan). After 48 h of transfection, 3,000 cells (100 µl/well) were seeded in 96-well plates. The cells were grown for 24, 48 and 72 h and 10 µl of CCK-8 were added to each well. The samples were subsequently incubated at 37°C for 4 h. A scanning multi- well spectrophotometer (Thermo Scientific, Inc.) was used to measure the absorbance at 450 nm.
Flow cytometric analysis
After 48 h of transfection, the cells were detached using trypsin for 2 min at 37°C, collected and rinsed twice with phosphate-buffered saline (PBS). The cells were counted and diluted to a density of 106 cells/ml. The apoptotic cells were verified by an Annexin V/FITC kit (KGA108, Nanking, China) according to the manufacturer’s instructions. The collected cells were then centrifuged and the supernatants were discarded. The cells were resuspended in 200 µl binding buffer. A total of 2 µl of Annexin V-FITC solution and 5 µl of 1 µg/ml propidium iodide were subsequently added to the cells. The cells were incubated in the dark at 37°C for 30 min. The population of cells was then defined. FITC−and PI− cells were designated as viable, FITC+ and PI+ cells were designated as late apoptotic or necrotic, and FITC+ and PI− cells were designated as apoptotic. The results are representative of three independent experiments and each sample was run in triplicate.
Transwell invasion assays
The invasive ability of the cells was assessed by Transwell invasion assays (Corning Inc., Corning, NY, USA). Briefly, 8-µm Transwell filter inserts were coated with Matrigel (10 mg/l, BD Biosciences, San Jose, CA, USA). Approximately 3×104 transfected cells were resuspended in 200 µl serum-free medium and added onto 8-µm Transwell filter inserts. A total of 500 µl medium containing 20% fetal bovine serum were added to the lower chamber as a chemoattractant. Following incubation for 24 h, the cells in the upper chamber were removed with a cotton swab. The cells invading to the lower surface of the membrane were fixed with methanol and then stained with 0.1% crystal violet solution for 10-20 min and the number of invading cells was counted. Each experiment was performed in triplicate.
Western blot analysis
Cells (~1×107) were collected and lysed in RIPA buffer (Beyotime Biotech, Nantong, China). This buffer was supplemented with protease (PMSF) and phosphatase inhibitors (Na-ortho-vanadate, NaF). Equal amounts of total protein were extracted from the cultured cells or tissues and separated by 8-10% SDS-PAGE. The samples were transferred onto polyvinylidene difluoride (PVDF) membranes. The PVDF membranes were incubated with primary antibodies overnight at 4°C: RGS1 (1:1,000, ab117077), Bcl-2 (1:1,000, ab196495) and MMP2 (1:1,000, ab37150). After washing, the PVDF membrane was incubated with horseradish peroxidase-conjugated secondary antibodies (1:5,000, ab150077) at room temperature for 1 h. Antibodies were purchased from Abcam (Cambridge, MA, USA). The secondary antibodies bound on the PVDF membrane reacted with ECL substrate (Pierce Chemical Co, Rockford, IL, USA) and the protein bands were exposed to X-ray films. The results were normalized to the expression of the internal control β-actin.
Luciferase reporter assay
The human melanoma cell lines A375 and SK-MEL-2 were co-transfected with miR-29c-3p mimics or miR-control, pmiR-reporter luciferase vector containing a specific sequence of wild-type and/or a mutant TUG1 fragment. The transfection was achieved using Lipofectamine 2000 (Invitrogen; Thermo Fisher Scientific, Inc.). Following transfection and incubation for 48 h, the Dual-luciferase Reporter Assay System (Promega Corporation, Madison, WI, USA) was employed to evaluate the luciferase activities. The relative luciferase activity was normalized against the Renilla luciferase activity. Each experiment was performed in triplicate.
Pull-down assay
Pull-down assay was performed according to the manufacturer’s instructions (Thermo Fisher Scientific, Inc.). Briefly, the biotinylated TUG1 probe or control probe were incubated with Dynabeads M-280 Streptavidin (Thermo Fisher Scientific, Inc.) after being dissolved in binding and washing buffer for 10 min at 25°C, followed by generation of the probe-coated beads. Subsequently, the probe-coated beads were incubated with A375 or SK-MEL-2 cell lysates. Finally, the enriched RNA complexes in the beads were purified using TRIzol (Sigma-Aldrich; Merck KGaA) and detected using RT-qPCR. The TUG1 probe sequence was as follows: 5′-AAGA CTGAATCGGACTGCGTTAGA-3′; The negative control sequence was as follows: 5′-AAGACTGACCCAGACTTCA CAGCA-3′.
Immunohistochemical (IHC) staining
Standardized and automated IHC was used to detect the expression of RGS1 in benign nevi and melanoma tissues. Briefly, human benign nevi and melanoma tissues were fixed in 3% formaldehyde and embedded in paraffin. 0.3% H2O2 was applied to block endogenous peroxidase activity. Subsequently, the sections were deparaffinized in a series of graded alcohols and microwaved in EDTA buffer for 10 min at 450 W. Later on, the sections were washed with PBS and incubated with anti-RGS1 primary antibodies at 37°C for 30 min. Horseradish peroxidase and diaminobenzidine were used as substrates to assess RGS1 expression.
Animal tumor model
BALB/c nude mice 7-8 weeks old were obtained from the Shanghai Laboratory Animal Center (Shanghai, China) and housed in barrier facilities with a 12-h light/dark cycle. TUG1-transfected A375 cells were subcutaneously injected into the right flank of the nude mice. The tumors were measured weekly and their volumes were calculated according to the equation: V = (length × width2)/2. All animals were euthanized using CO2 after 4 weeks. The animal experiments were fully approved by the Ethics Committee of Animal Experiments of the Xinxiang Central Hospital. In addition, the present study was strictly performed in accordance with the recommendations in the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health.
Statistical analysis
All the data are expressed as mean ± standard deviation. The comparison between two groups was analyzed by Student’s t-test. The comparisons among multiple groups were performed with one-way analysis of variance followed by Dunnett’s test. A P-value <0.05 was considered to indicate statistically significant differences. The survival analysis was performed using Kaplan-Meier plots and log-rank tests. A P-value <0.05 was considered to indicate statistically significant differences.
Results
TUG1 expression in melanoma tissues and its association with overall survival
Recently, various studies indicated that overexpression of TUG1 may predict poor prognosis in cancer patients (23,24). Therefore, the expression levels of TUG1 in melanoma tissues, benign nevi, primary melanoma tissues and metastatic melanoma tissues were detected by RT-qPCR assays. TUG1 was found to be overexpressed in melanomas compared with benign nevi (Fig. 1A). Moreover, the expression of TUG1 was upregulated in metastatic melanoma compared with primary melanoma tissues. Kaplan-Meier survival analysis and the log-rank test demonstrated that patients with high TUG1 expression exhibited significantly decreased overall survival (Fig. 1B, 27.3 vs. 57.9%, respectively; hazard ratio = 2.44; 95% confidence interval: 1.57-3.78; P<0.05). The data revealed that the expression levels of TUG1 in melanoma tissues was upregulated, which was in accordance with previous reports (25,26). Furthermore, TUG1 expression was found to be positively associated with patient survival and cancer metastasis.
TUG1 expression in melanoma cells
To determine the expression of TUG1 in melanoma cells, TUG1 expression levels were initially investigated using RT-qPCR assays. TUG1 was found to be highly expressed in melanoma cell lines (Fig. 2A). Moreover, TUG1 was more highly expressed in SK-MEL-2 cells compared with A375 cells. A TUG1 overexpression plasmid and siRNA sequences against TUG1 were used and transfected to melanoma cell lines in order to investigate the role of this protein in melanoma.
Subsequently, the transfection efficiencies of TUG1 overexpression and knockdown were validated by RT-qPCR analysis. The transfection of TUG1 resulted in marked upregulation of TUG1 expression compared with the negative control (vector) in A375 cells (Fig. 2B). It was also observed that the expression of TUG1 was notably downregulated in SK-MEL-2 cells transfected with si-TUG1 in comparison with the transfection of non-specific siRNA (NC).
TUG1 regulates the proliferation, apoptosis and invasion of melanoma cells
It has been reported that the upregulation of TUG1 may promote the proliferation of cancer cells (27,28), although its potential contribution to the pathogenicity of melanoma remains elusive. Therefore, the proliferation of melanoma cells was assessed using CCK-8 assays at 0, 24, 48 and 72 h following transfection. The overexpression of TUG1 significantly promoted A375 cell proliferation, while TUG1 knockdown significantly suppressed SK-MEL-2 cell proliferation (Fig. 3A). The effect of TUG1 on melanoma cell apoptosis was validated by flow cytometry. Overexpression of TUG1 suppressed the induction of apoptosis in A375 cells, whereas the depletion of TUG1 by si-TUG1 induced the apoptotic cascade in SK-MEL-2 cells (Fig. 3B). Similarly, the Transwell invasion assay indicated that TUG1 upregulation significantly induced the invasion of A375 cells, whereas knockdown of TUG1 significantly reduced the invasive capacity of SK-MEL-2 cells (Fig. 3C). As expected, the overexpression of TUG1 enhanced the proliferation and invasive ability of A375 cells, whereas the depletion of TUG1 suppressed the proliferation and invasive activity of SK-MEL-2 cells.
TUG1 negatively regulates the expression levels of miR-29c-3p and the levels of apoptosis- and invasion-related proteins
Various reports have demonstrated that TUG1 can recruit and modulate miRNAs that compete with the function and expression of competitive endogenous (ce)RNAs (18,29). To investigate the interaction between TUG1 and miR-29c-3p, RT-qPCR assays were performed to determine the levels of the expression of miR-29c-3p. The data indicated that overexpression of TUG1 suppressed the expression of miR-29c-3p in A375 cells, whereas the depletion of TUG1 by si-TUG1 promoted the expression of miR-29c-3p in SK-MEL-2 cells (Fig. 4A, P<0.05). Moreover, the application of miR-29c-3p mimics reversed the suppressive effect of TUG1 in A375 cells, and the miR-29c-3p inhibitor reversed the induction of SK-MEL-2 cells by si-TUG1 (Fig. 4B, P<0.05). The expression levels of the apoptosis-related protein Bcl-2 and the invasion-related protein matrix metalloproteinase (MMP)2 were then examined. The overexpression of TUG1 increased the expression of Bcl-2 and MMP2 in A375 cells (Fig. 4C and D). The depletion of TUG1 by si-TUG1 suppressed the expression levels of Bcl-2 and MMP2 in SK-MEL-2 cells. Moreover, miR-29c-3p mimics reversed the induction of A375 cells by TUG1. The miR-29c-3p inhibitor reversed the suppressive effect of si-TUG1 on SK-MEL-2 cells. These findings indicated that TUG1 negatively regulated the expression of miR-29c-3p and the expression levels of the apoptosis- and invasion-related proteins.
TUG1 promotes growth and invasion of melanoma cells via targeting miR-29c-3p
To further confirm the regulatory effect of miR-29c-3p on TUG1, CCK8 assay was performed to evaluate cell viability. The CCK-8 assay indicated that miR-29c-3p mimics could reverse the inductive effects of TUG1 on A375 cells, and miR-29c-3p inhibitor could reverse the inhibitory effects of si-TUG1 on melanoma cell proliferation (Fig. 5A). In addition, it was demonstrated that miR-29c-3p mimics increased the apoptotic rate of A375 cells compared with the TUG1 group (Fig. 5B). The application of the miR-29c-3p inhibitor reduced the apoptotic rate of SK-MEL-2 cells transfected with si-TUG1. Transwell assays indicated that treatment with miR-29c-3p mimics reduced considerably the number of A375 cells that invaded the lower chamber compared with NC cells (transfected with TUG1 plus miR-29c NC). The application of the miR-29c-3p inhibitor considerably increased the number of SK-MEL-2 cells that invaded the lower chamber compared with the NC cells (transfected with si-TUG1 plus miR-29c NC). Collectively, si-TUG1 exerted its anti-proliferative, anti-invasive and pro-apoptotic effects partly by targeting miR-29c-3p in melanoma cells.
RGS1 is a target of miR-29C-3p that is regulated by TUG1
In recent years, the majority of studies have demonstrated that lincRNA may modulate miRNAs as a ceRNA or molecular sponge (30). To determine whether TUG1 acts in a similar manner, the online software Starbase 2.0 was used to predict the miRNA target sites. Bioinformatic analysis indicated that miR-29c-3p had putative binding sites with TUG1 (Fig. 6A). Subsequently, dual luciferase reporter assays were performed in order to explore the interaction between miR-29c-3p and TUG1. The data indicated that TUG1 upregulated the luciferase activity of pmirGLO-TUG1. Moreover, miR-29c-3p mimics reversed the inductive effect of pmirGLO-TUG1, and reduced the luciferase activity of pmirGLO-TUG1 (Fig. 6B). In addition, western blot assays were used to identify whether TUG1 overexpression markedly improved RGS1 protein levels, while this effect of TUG1 on RGS1 expression was markedly reduced by miR-29c-3p mimics in A375 cells (Fig. 6C). In contrast to TUG1 overexpression, TUG1 knockdown caused a significant reduction in RGS1 protein expression and the miR-29c-3p inhibitor reversed the inhibitory effect of si-TUG1 on the expression levels of RGS1 in SK-MEL-2 cells (Fig. 6C). Furthermore, the pull-down assay indicated that miR-29c-3p was precipitated by the TUG1 probe (Fig. 6D). These data revealed that TUG1 acted as a ceRNA to regulate the expression of miR-29c-3p and promote the expression of RGS1 in melanoma.
TUG1 regulates RGS1 expression via miR-29C-3p
The crucial role of miRNAs in regulating protein expression via post- transcriptional repression of mRNAs has been extensively investigated (31). In light of the above results, the TargetScan algorithm we used to determine whether RGS1 is the target of miR-29c-3p. RGS1 was found to be a prominent target of miR-29c-3p (Fig. 7A). To confirm that RGS1 is a direct target of miR-29c-3p, the full length 3′-untranslated region (UTR) fragments of RGS1 and corresponding mutant counterparts were cloned directly downstream of the firefly luciferase gene. miR-29c-3p transfection significantly suppressed the luciferase activity of the reporter with RGS1 wild-type 3′-UTR (Fig. 7B). IHC staining indicated that RGS1 was highly expressed in human melanoma tissues compared with benign nevi (Fig. 7C). Additionally, correlation analysis revealed that the TUG1 expression level was positively correlated to that of RGS1 (R2=0.7377, P<0.01) (Fig. 7D).
TUG1 promotes melanoma growth in BALB/c nude mice
To further evaluate the role of TUG1 in vivo, a subcutaneous tumor model was established. A375 cells were transfected with pcDNA3.1-TUG1 and injected into nude mice. pcDNA3.1-TUG1 cell-derived xenograft tumors grew faster compared with pcDNA3.1 cell-derived xenograft tumors (Fig. 8A). The mean tumor weight in the pcDNA3.1-TUG1 group was also signifi-cantly higher compared with that of the pcDNA3.1 cell-derived xenograft tumors (Fig. 8B and C). We further validated that TUG1 expression levels in tumor tissues of the pcDNA3.1-TUG1 group were considerably higher compared with those in the pcDNA3.1 group (Fig. 8D). Moreover, the expression of miR-29c was downregulated in the tumor tissues of the pcDNA3.1-TUG1 group (Fig. 8E), while the level of RGS1 was upregulated by pcDNA3.1-TUG1 group (Fig. 8F and G). Additionally, there was no statistically significant difference in the body weight of mice between the pcDNA3.1 and pcDNA3.1-TUG1 groups (Fig. 8H).
Discussion
Numerous studies have recently demonstrated that lncRNAs play an important therapeutic role in a variety of human diseases, including cancer. Moreover, a number of lncRNAs have been found to be abnormally expressed in melanoma cell lines (11,32). An increasing number of reports have revealed that the expression of lncRNAs is regulated in a tissue-specific manner. lncRNAs play specific roles in several pathological processes, including tumorigenesis, angiogenesis, invasion and metastasis (33). These characteristics make lncRNAs possible candidates as diagnostic or prognostic cancer biomarkers. Over the past few years, a number of lncRNAs have been identified. A total of 77 lncRNAs have been identified as significantly dysregulated in melanoma cell lines and in primary melanoma samples from patients (34).
TUG1 is a critical regulator of cell proliferation in several cancer types, such as glioblastoma (35), osteosarcoma (26), bladder cancer (36) and colorectal cancer (37). TUG1 participates in the proliferation, migration, invasion and apoptosis of cancer cells. However, the role of TUG1 in melanoma cell lines and primary melanomas remains unknown. The function of TUG1 and underlying mechanism of action in melanoma remain largely unknown. Thus, there is an urgent need to investigate the expression levels and elucidate the underlying regulatory mechanism of TUG1 in melanoma.
The data of the present study indicated that the expression of TUG1 was upregulated in melanoma cell lines and primary melanoma samples, and that this expression was correlated with poor overall survival. Moreover, we determined the role of TUG1 in melanoma progression. The findings were consistent with those of previous reports (38) and demonstrated that the knockdown of TUG1 suppressed cell proliferation and invasion and induced cell apoptosis in melanoma. The overexpression of TUG1 promoted the growth and invasion of melanoma cells, and inhibited the induction of apoptosis. The data indicated that TUG1 played an important role in melanoma, suggesting that it may act as an oncogene.
Although a large number of lncRNAs were reported to play critical roles in human malignancies, the underlying mechanisms by which lncRNAs modulate tumor progression remain unclear (39). Recently, lncRNAs have been reported to act as ceRNAs that downregulate the expression and activities of miRNAs. The downregulation of miRNAs can subsequently adjust the suppression of miRNA targets. It was hypothesized that TUG1 targets miRNAs in melanoma. In line with the previous reports, our results indicated that TUG1 acted as an endogenous sponge of miR-29c-3p, suppressing miR-29c-3p expression. Recent reports have revealed that miR-138-5p can suppress cervical (38) and pancreatic cancer (40) progression by targeting SIRT1. The TargetScan algorithm was used to identify whether RGS1 was the target gene of miR-29C-3p. It was observed that miR-29c-3p could reverse the inhibitory effect of TUG1 on melanoma cancer cell progression, which may be involved in the activation of RGS1. Taken together, these data indicated that TUG1 facilitated cell proliferation and invasion and suppressed apoptosis by regulating the miR-29c-3p/RGS1 axis in melanoma, suggesting that lncRNA TUG1 is a promising diagnostic marker for melanoma patients. The results further indicated that the regulation of RGS1 in melanoma by TUG1 required the activity of miR-29C-3p.
In summary, the present study verified that TUG1 plays a key role in melanoma progression as an oncogene by promoting proliferation and invasion of melanoma cells. Mechanistically, the results of the present study revealed that TUG1 facilitated proliferation and invasion and suppressed the induction of apoptosis by regulating the miR-29c-3p/RGS1 axis in melanoma. The results suggest that the lncRNA TUG1 may be a useful prognostic biomarker in melanoma patients, as well as a novel potential therapeutic target for melanoma, which may be further investigated in future experiments.
Funding
No funding was received.
Availability of data and materials
The datasets used and/or analyzed during the present study are available from the corresponding author on reasonable request.
Authors’ contributions
YW, GL and AL are responsible for sample collection, experiment design and execution. LR and KW analyzed and interpreted the experimental data. AL drafted the manuscript, reviewed and approved the final draft of this manuscript prior to submission. All the authors have read and approved the final manuscript.
Ethics approval and consent to participate
The research protocol was approved by the Ethics Committee of Xinxiang Central Hospital (approval no. 2017068801). The sample collection and surgical procedures were not harmful to the patients. Written informed consent was obtained from all patients. The research protocol conformed to the principles outlined in the Declaration of Helsinki. The animal experiments were fully approved by the Ethics Committee of Animal Experiments of the Xinxiang Central Hospital. In addition, the present study was strictly performed in accordance with the recommendations in the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health.
Patient consent for publication
Not applicable.
Competing interests
The authors declare that they have no competing interests to disclose.
Acknowledgments
The authors gratefully acknowledge support from the Ke Wu (Xinxiang Central Hospital) for the valuable suggestions.
Abbreviations:
TUG1 |
taurine upregulated gene 1 |
RGS1 |
regulator of G-protein signaling 1 |
WT |
wild-type |
MT |
mutant |
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