Literature DB >> 22481869

STGC3 inhibits xenograft tumor growth of nasopharyngeal carcinoma cells by altering the expression of proteins associated with apoptosis.

Qing-Chao Qiu1, Bo Hu, Xiu-Pei He, Qiao Luo, Guo-Hua Tang, Zhi-Feng Long, Zhu-Chu Chen, Xiu-Sheng He.   

Abstract

STGC3 is a potential tumor suppressor that inhibits the growth of the nasopharyngeal carcinoma cell line CNE2; the expression of this protein is reduced in nasopharyngeal carcinoma compared with normal nasopharyngeal tissue. In this study, we investigated the tumor-suppressing activity of STGC3 in nude mice injected subcutaneously with Tet/pTRE-STGC3/CNE2 cells. STGC3 expression was induced by the intraperitoneal injection of doxycycline (Dox). The volume mean of Tet/pTRE-STGC3/CNE2+Dox xenografts was smaller than that of Tet/pTRE/CNE2+Dox xenografts. In addition, Tet/pTRE-STGC3/CNE2+Dox xenografts showed an increase in the percentage of apoptotic cells, a decrease in Bcl-2 protein expression and an increase in Bax protein expression. A proteomic approach was used to assess the protein expression profile associated with STGC3-mediated apoptosis. Western blotting confirmed the differential up-regulation of prohibitin seen in proteomic analysis. These results indicate that overexpression of STGC3 inhibits xenograft growth in nude mice by enhancing apoptotic cell death through altered expression of apoptosis-related proteins such as Bcl-2, Bax and prohibitin. These data contribute to our understanding of the function of STGC3 in human nasopharyngeal carcinoma and provide new clues for investigating other STGC3-associated tumors.

Entities:  

Keywords:  CNE2 cell line; STGC3; Tet-on; nasopharyngeal carcinoma; nude mouse; two-dimensional electrophoresis

Year:  2012        PMID: 22481869      PMCID: PMC3313509          DOI: 10.1590/s1415-47572012005000009

Source DB:  PubMed          Journal:  Genet Mol Biol        ISSN: 1415-4757            Impact factor:   1.771


Introduction

Nasopharyngeal carcinoma (NPC) is a squamous-cell carcinoma that occurs in the epithelial lining of the nasopharynx (Wei and Sham, 2005). This neoplasm has an unusual ethnic and geographic distribution, with a high prevalence in southern China, southeastern Asia, northern Africa and Alaska. The annual incidence is as high as 25 cases per 100,000 people in endemic regions, which is about 25-fold higher than in the rest of the world (Yu and Yuan, 2002; Xiong ; Bei ). This remarkable geographic and racial distribution of NPC indicates that the development of this cancer may be related to genetic and environmental factors (McDermott ; Yu and Yuan, 2002). Current evidence suggests that multi-step genetic alterations, including the activation of oncogenes and/or inactivation of tumor suppressor genes, may underlie NPC tumorigenesis (Chen ). The tumor suppressor genes p16/MTS1, DLC1, CDH4, IGFBP-6 and DAB2 show homozygous deletions or reduced expression in NPC tissue (Lo ; Sun ; Kuo ; Tong ; Du ; Low ). Over-expression of the MYC, RAS, EZH2, FGF8b oncogenes has also been detected in some NPC tumors (Porter ; Lu ; Lui ). Furthermore, loss of heterozygosity (LOH) studies have shown that NPC tumors contain deletions on chromosomal arms that include 3p, 9p and 11q (Huang ; Hu ; Hui ). A common region of allelic loss in NPC involves chromosome 3p21.31-3p21.2 (Zeng ). Using cDNA cloning and RACE procedures, we cloned a novel gene known as STGC3 (GenBank accession no. AY078383) related to NPC from the common minimal deletion region in 3p21 (He ). The full-length cDNA of STGC3 contains 1271 bp with a 438 bp open reading frame that encodes a protein with a molecular mass of ~16 kDa. STGC3 protein expression in NPC samples is significantly lower than that in normal nasopharyngeal epithelium. STGC3 inhibits the growth of nasopharyngeal carcinoma CNE2 cells in vitro (He ), although the tumor suppressor function of this protein is still unclear. In this work, we used a Tet-on regulated mouse model and proteomic analysis to examine the potential tumor suppressor roles of STGC3.

Materials and Methods

Cell culture

CNE2 is a poorly differentiated NPC cell line. CNE2/Tet/pTRE and CNE2/Tet/ pTRE/STGC3 cells generated as described elsewhere (He ) were cultured in PRIM1640 medium (Invitrogen, USA) supplemented with 10% fetal calf serum at 37 °C in a humidified atmosphere of 95% air - 5% CO2.

Experiments with nude mice

Three-week-old male BALB/c nude mice were acquired from the Animal Centre of the Academia Sinica in Shanghai, China. All animal experiments were approved by the National Animal Care and Use Committee of China and done within one week after arrival of the mice. Twenty-four nude mice were randomly allocated into four groups (n = 6 mice/group) for treatment with different cells: CNE2+Dox, CNE2/Tet/pTRE+Dox (Vector+Dox), CNE2/Tet/pTRE/STGC3+Dox (STGC3+Dox) and CNE2/Tet/pTRE/STGC3+PBS (STGC3+PBS). The cells were trypsinized, suspended in phosphate-buffered saline (PBS) and 0.2 mL containing 2×106 cells was inoculated under the right armpit of each mouse. The mice were also injected intraperitoneally with either doxycycline (Dox, 20 mg/kg; Roche, Switzerland) or an equal volume of PBS every day for 28 days (Zeng ). Tumor growth was monitored by measuring two perpendicular diameters with vernier calipers every three days, and tumor volume was calculated using the formula W2xLx0.52, where L is the length and W is the width of the tumor. The mean tumor size was plotted for each group and the ratio of inhibition (expressed in %) was calculated as (Mean of the vector group – Mean of the transfected group)/(Mean of the vector group) x100.

Histological examination

Subcutaneous tumors derived from the cells indicated in the previous section were excised from nude mice under ether anesthesia. The tumors were rinsed twice in normal saline then fixed in 4% neutral buffered formalin and embedded in paraffin. The sections were mounted on slides, deparaffinized with xylene, rehydrated through graded alcohols, stained with hematoxylin and eosin (H&E) and observed by light microscopy.

RNA extraction and RT-PCR

Total RNA was isolated from xenograft tissues using Trizol reagent (Invitrogen) according to the manufacturer’s instructions. Single-stranded cDNA was generated from 2 μg of total RNA using a first-strand cDNA synthesis kit (Promega, USA) according to the manufacturer’s instructions. STGC3 mRNA was amplified with the following specific primers: forward, 5’-CGG GAT CCA TGG TTC TTG TTT CTT AT-3’ and reverse, 5’-GCC CCA AGC TTT AGA GTA ATA AAA GAT TC-3’. PCR was done for 30 cycles, each consisting of denaturation at 94 °C for 1 min, annealing at 56 °C for 50 s, extension at 72 °C for 1 min. β-Actin (forward primer, 5’-GGA CCT GAC TGA CTA CCT C-3’, reverse primer, 5’-CAT ACT CCT GCT TGC TGA T-3’) was used as an endogenous control gene to confirm that equal amounts of sample mRNA were applied to the gels; this gene was also used to normalize the results.

Protein extraction and western blotting

Xenograft tissues were extracted in lysis buffer (0.5% Nonidet P-40/5% sodium deoxycholate/150 mM NaCl/10 mM Tris/HCl, pH 7.5/1% BSA) and centrifuged at 4 °C for 15 min. The samples were separated by SDS-PAGE in 10% polyacrylamide gels and transferred to PVDF membranes (Millipore, USA). The membranes were incubated with 5% fat-free milk at room temperature for 1 h, blotted with anti-STGC3 (1:1000) (He ), anti-prohibitin (1:2000; Abcam, USA) and anti-β-actin (1:5000; Santa Cruz Biotechnology, Santa Cruz, CA, USA) antibodies at room temperature for 2 h, washed, and then incubated with peroxidase-conjugate secondary antibody (1:3000; Santa Cruz Biotechnology). Immunoreactive bands were detected by enhanced chemiluminescence (Amersham Biosciences, Sweden).

Immunohistochemistry

Immunohistochemistry was done in formalin-fixed, paraffin-embedded tissue sections using a standard immunohistochemical technique. The sections were incubated with anti-STGC3 (1:100), anti-Bcl-2 (1:200) and anti-Bax (1:200) antibodies (Santa Cruz Biotechnology) overnight at 4 °C and then incubated with a biotin-conjugated secondary antibody (1:500; Santa Cruz Bio-technology) for 60 min at room temperature. Finally, the tissue sections were incubated with diaminobenzidine (DAB, Santa Cruz Biotechnology) until a brown color developed, after which the sections were counterstained with Harris’ modified hematoxylin. Sections incubated with PBS instead of the corresponding primary antibody were used as negative controls. The integral optical densities (IOD) were calculated using PIPS-2020 image analysis software.

Flow cytometry

Cell suspensions were prepared from xenograft tumor tissue from each of the four groups of mice. After centrifugation and dilution to 1×106 cells/mL, the cells were fixed in 70% ethanol and stored in fixative at −20 °C until analyzed for apoptosis. Fixed cells were washed with PBS and incubated with propidium iodide (50 μg/mL in PBS) for 30 min at room temperature in the dark prior to analysis by flow cytometry.

Two-dimensional (2D) electrophoresis

The tissue samples were suspended in lysis buffer (7 M urea, 2 M thiourea, 2% NP-40, 1% Triton X-100, 100 mM DTT, 5 mM PMSF, 4% CHAPS, 0.5 mM EDTA, 40 mM Tris and 2% pharmalyte) at 4 °C for 1 h, and then centrifuged (12,000 rpm, 30 min, 4 °C). The supernatants were collected and the concentration of total proteins was assayed with a 2D-electrophoresis quantification kit (Amersham Biosciences). Isoelectric focusing was done with an IPGphor system using IPG strips (pH 3–10 L, 24 cm; Amersham Biosciences) followed by SDS-PAGE in an Ettan DALT II system (Amersham Biosciences). After SDS-PAGE, analytical 2D gels were used for 2D western blotting and preparative 2D gels were used for protein identification by mass spectrometry following staining with Coomassie blue G-250.

Image analysis

Coomassie blue-stained 2D gels were scanned with MagicScan software on an Image scanner and analyzed with a PD-Quest system (Bio-Rad Laboratories, USA) according to protocols provided by the manufacturer. The criterion for determining differential protein spot expression was a two-fold increase or decrease in spot intensity between the groups being compared.

MALDI-TOF-MS and database analysis

Protein spots that showed changes in the intensity of staining were excised from 2D gels and destained with 100 mM NH4HCO3 in 50% acetonitrile. The tryptic peptides were extracted with 50% acetonitrile/2.5% trifluo-roacetic acid, purified on ZipTip C18 columns (Millipore) and mixed with a 4-hydroxy-α-cyanocinnamic-acid (HCCA) solution followed by analysis with a Voyager System 4307 MALDI-TOF mass spectrometer (ABI). A trypsin-fragment peak served as the internal standard for mass calibration. A list of the corrected masses was used for peptide mass fingerprinting and proteins were identified by database searches for each peptide mass (http://www.matrixscience.com).

Statistical analysis

All assays were done at least three times and the results were expressed as the mean ± SD unless otherwise stated. Statistical analyses were done using Student’s t-test or one-way analysis of variance (ANOVA) followed by Tukey’s multiple comparisons test. Values of p < 0.05 indicated statistical significance.

Results

Overexpression of STGC3 inhibits tumor growth of CNE2 cells increase the differentiation in vivo

We have previously described a CNE2 cell line with inducible STGC3 expression (He ). This cell line, referred to as Tet/pTRE-STGC3/CNE2, was originally transfected with the pRevTet-on regulator plasmid and the pRevTRE-STGC3 expression plasmid. Basal (uninduced) STGC3 expression in this cell line is normally undetectable but can be markedly enhanced (induced) by exposure to doxycyclin (1 μg/mL). We speculated that Tet/pTRE-STGC3/CNE2 could also be induced in vivo. To test this hypothesis, Tet/pTRE-STGC3/CNE2 cells were injected subcutaneously into nude mice and STGC3 expression was induced by daily intraperitoneal injections of doxycyclin (20 mg/kg; Figure 1A). RT-PCR, western blotting and immunohistochemical analysis showed that STGC3 was highly expressed in Tet/pTRE-STGC3/CNE2+Dox xeno-grafts (Figure 2).
Figure 1

Over-expression of STGC3 inhibits tumor growth and decreases malignancy in nude mice. (A) Comparison of subcutaneously injected xenografts of nude mice. (B) Time-volume curves for the xenografts. *p < 0.05 compared with the Vector+Dox group. (C) STGC3 decreases malignancy in xenograft tissue. Sections were stained with H&E.

Figure 2

Dox induces a high level of STGC3 expression in Tet/pTRE-STGC3/CNE2 cells. (A) RT-PCR of STGC3 mRNA expression in xenograft tissue. (B) Detection of STGC3 protein by western blotting with an anti-STGC3 antibody. These results agreed with the RT-PCR data. (C) Immunohistochemical staining for STGC3 in xenograft tissue.

To determine whether STGC3 inhibits tumor growth, we measured the tumor masses and volumes. Tumors derived from Tet/pTRE-STGC3/CNE2 cells exposed to Dox (STGC3+Dox group) were smaller (1.74 ± 0.66 g) than those in the other three groups [CNE2+Dox: 2.86 ± 0.83 g, Tet/pTRE/CNE2+Dox (Vector+Dox): 2.76 ± 0.73 g, Tet/pTRE-STGC3/CNE2+PBS (STGC3+PBS): 2.72 ± 0.73 g]. The maximum suppression of tumor growth by Tet/pTRE-STGC3/CNE2+Dox cells compared to Tet/pTRE/CNE2+Dox cells was 37% (Figure 1A). Time-volume curves for the xenografts showed that tumors in the Tet/pTRE-STGC3/CNE2+Dox group had a slower growth rate than those in the other three groups (p < 0.05; Figure 1B). Previous work with CNE2 cells in vitro showed that STGC3 suppressed anchorage-independent cell growth in soft agar, indicating a tumor-suppressor role for this protein (He ). Based on this observation, we used xenograft tissue to assess whether STGC3 affected tumor malignancy in vivo. Histological analysis of sections stained with H&E showed that xenografts with high STGC3 expression were more differentiated than those in the other three groups. In cells overexpressing STGC3, the nuclei were smaller and more regular in size and shape, the nucleoli were less prominent and the cytoplasm was more abundant (Figure 1C). These results indicate that overexpression of STGC3 decreases the malignancy of CNE2 cells in vivo.

STGC3 increases the percentage of apoptotic cells and affects the expression of Bcl-2 and Bax associated with apoptosis

To determine the molecular mechanism by which the overexpression of STGC3 causes tumor inhibition in vivo, we used flow cytometry to examine apoptosis in cells from xenograft tumors. Compared to Tet/pTRE/CNE2+DOX xenografts, Tet/pTRE-STGC3/CNE2+Dox xenografts showed a significant increase in the percentage of apoptotic cells (11.4 ± 1.2% vs. 1.5 ± 0.6%; p < 0.01; Figure 3A). To confirm these results, we examined expression of the apoptosis regulatory protein Bax and the anti-apoptotic protein Bcl-2. In agreement with the flow cytometry results, Bax protein expression was up-regulated and Bcl-2 protein expression was down-regulated in Tet/pTRE-STGC3/CNE2+Dox xenografts (Figure 3B,C). The Bcl-2/Bax ratio in the Tet/pTRE-STGC3/CNE2+Dox group was significantly lower than in the other three groups (Table 1 and Figure 3C). These findings suggest that STGC3 increases the percentage of apoptotic cells by down-regulating Bcl-2 expression and up-regulating that of Bax.
Figure 3

STGC3 inhibits the tumor growth of CNE2 cells in nude mice by increasing the percentage of apoptotic cells and modulating the expression of the apoptosis-related proteins Bcl-2 and Bax. (A) The percentage of apoptotic cells was increased in Tet/pTRE-STGC3/CNE2+Dox xenografts. *p < 0.01 compared with the Vector+Dox group. (B) Immunohistochemical staining for Bcl-2 and Bax in xenograft tissue. (C) (a) Bcl-2 and Bax protein expression in xenograft tissue assessed by western blotting. (b) Protein levels normalized to β-actin. *p < 0.05 compared with the Vector+Dox group.

Table 1

Effect of STGC3 on Bcl-2 and Bax expression in tumor sections.

GroupsOptical density

Bcl-2BaxBcl-2/Bax
CNE2+Dox48.6 ± 7.616.2 ± 3.63.00
Vector +Dox47.4 ± 6.114.2 ± 1.53.34
STGC3+PBS49.4 ± 6.415.6 ± 2.43.17
STGC3+Dox19.2 ± 3.751.4 ± 11.50.37*

The values are the mean ±SD of six sections per group.

p < 0.05 compared with the Vector+Dox group.

Differential expression of proteins associated with overexpression of STGC3

The nuclear location of STGC3 (Figure 2C) suggests that this protein probably has an important role in regulating nuclear gene transcription. To test this hypothesis, we undertook a comparative proteomic analysis of Tet/pTRE/CNE2+Dox and Tet/pTRE-STGC3/CNE2+Dox xenograft tissues. Figure 4A shows representative examples of the xenograft tissue proteins separated by 2D electrophoresis. A total of 781 ± 57 (n = 3 runs) and 749 ± 46 (n = 3 runs) protein spots were detected in Tet/pTRE/CNE2+Dox and Tet/pTRE-STGC3/CNE2+Dox xenograft tissues, respectively. Proteins that consistently showed a greater than two-fold change in expression were included in the analysis (Figure 4B).
Figure 4

Comparative proteomic analysis of Tet/pTRE/CNE2+Dox and Tet/pTRE-STGC3/CNE2+Dox xenograft tissues by 2D electrophoresis, mass spectrometry and western blotting. (A) 2D electrophoretic maps of Tet/pTRE/CNE2+Dox and Tet/pTRE-STGC3/CNE2+Dox xenograft tissue proteins. (B) A close-up of the 2D gel showing the marked overexpression of protein spot 4 in Tet/pTRE-STGC3/CNE2+Dox tissue compared with Tet/pTRE/CNE2+Dox tissue. (C) MALDI – TOF mass spectrometric analysis of differential protein spot 4. (D) (a) Western blotting of prohibitin expression in Tet/pTRE/CNE2+Dox and Tet/pTRE-STGC3/CNE2+Dox xenograft tissues. (b) Protein levels normalized to β-actin. *p < 0.05 compared with the Vector group.

The differentially expressed protein spots were excised from Coomassie blue-stained gels and subjected to in-gel digestion with trypsin. An aliquot of the supernatant containing tryptic peptides was analyzed by MALDI-TOF-MS (Figure 4C). Only proteins with a significant score in the Mascot database were identified as being differentially expressed. Figure 4A shows that 11 differentially expressed proteins were identified in Tet/pTRE/CNE2+Dox and Tet/pTRE-STGC3/CNE2+Dox xenograft tissues. Detailed information for eight of the 11 proteins identified is provided in Table 2; three proteins not included in this table were classified as unknown by the Swiss-Prot website.
Table 2

Up-regulated and down-regulated spots in the Tet/pTRE-STGC3/CNE2+Dox group.

SpotAccession numberExpressed in STGC3+DoxPeptide matchespIMWSequence coverage (%)Protein identity
1P629389/267.8213,09858Peptidyl-prolyl cis-trans isomerase A
3P235285/178.2618,58853Cofilin-1
4A461177/285.5729,84336Prohibitin
5P6324319/387.5635,38051Guanine nucleotide-binding protein subunit β2-like 1
6A461603/96.513,80583Serine/threonine-protein kinase WNK1
7Q0795515/777.7222,56070Splicing factor arginine/serine-rich 1
8Q53HF214/575.6253,58065Heat shock 70 protein 8 isoform 2 variant
11P1364610/228.2722,32467Triosephosphate isomerase

Note that of the 11 proteins with altered expression, three (proteins 2, 9 and 10; not shown in the Table) were identified as ‘unknown’ in database searches. ‘Peptide matches’ indicates the number of matches found in database searches compared to the total number of peptides generated by tryptic digestion.

Searches of the Swiss-Prot and PubMed databases were used to determine the functions of the identified proteins related to STGC3. Proteins involved in apoptosis were either up-regulated, e.g., prohibitin, or down-regulated, e.g., heat shock 70 protein 8 isoform 2 variant (Powers ; Zhu ), as were those involved in cell proliferation, e.g., petidyl-prolyl cis-trans isomerase A (up-regulated) and splicing factor arginine/serine-rich 1 (down-regulated) (Colgan ; Karni ), the cytoskeleton, e.g., cofilin-1 (up-regulated) (Chae ), and signal pathways, e.g., serine/threonine-protein kinase WNK1 (down-regulated) and guanine nucleotide-binding protein subunit beta 2-like 1 (up-regulated), when STGC3 was highly expressed in xenograft tissues (Moniz and Jordan, 2010; Zhang ).

STGC3 increases the expression of prohibitin, a protein associated with apoptosis

To confirm the differential expression of the proteins identified by proteomic analysis, western blotting was used to compare the expression of prohibitin in Tet/pTRE-STGC3/CNE2+Dox xenograft tissue with that in Tet/pTRE/CNE2+Dox xenograft tissue. Figure 4D shows representative western blotting of prohibitin expression in Tet/pTRE/CNE2+Dox and Tet/pTRE-STGC3/CNE2+Dox xenograft tissues. Prohibitin expression in Tet/pTRE-STGC3/CNE2+Dox tissue was 4.5-fold greater than in Tet/pTRE/CNE2+Dox tissue. These results were identical to those obtained with 2D electrophoresis.

Discussion

In this study, mice received subcutaneous injections of Tet/pTRE-STGC3/CNE2 cells and STGC3 expression was induced by the intraperitoneal injection of Dox. The Tet-on gene system was developed by Gossen and Bujard (1992), who found that gene expression can be easily modulated via the administration of Dox, which is minimally toxic and targets specific genes. As shown here, the intra-peritoneal injection of Dox in mice is highly effective in stimulating overexpression of the STGC3 gene. In vitro, STGC3 inhibits the growth of CNE2 cells and suppresses the anchorage-independent growth of these cells in soft agar, implying a tumor-suppressor role for this protein in the development of NPC (He ). The results described here indicate that the overexpression of STGC3 inhibits xenograft growth in nude mice, thus confirming the tumor suppressor role of STGC3 in the development of NPC. The increase in the percentage of apoptotic cells when STGC3 was overexpressed indicates that this protein inhibits tumor growth by enhancing apoptosis. This finding was related to the ratio of pro-apoptotic and anti-apoptotic proteins in the cell. Bcl-2 is an important suppressor of apoptosis while Bax is a key apoptosis inducer. Cells with a low Bcl-2:Bax ratio are more likely to undergo apoptosis than those with a high Bcl-2:Bax ratio (Xie ; Qin ). As shown here, Bcl-2 protein expression was down-regulated and Bax protein expression was up-regulated in Tet/pTRE-STGC3/CNE2+Dox xeno-grafts. These data suggest that STGC3 inhibited the growth of CNE2 cells by altering the ratio of pro-apoptotic and anti-apoptotic proteins. Proteomic analysis is a powerful tool for the global evaluation of protein expression and has been widely applied in the study of diseases, especially in cancer research. Differential protein expression profiling by 2D electrophoresis is a crucial part of proteomics that can provide accurate, reproducible results on protein expression in two or more biological samples. In the present study, we detected 11 proteins that were differentially expressed in response to the overexpression of STGC3. Among these proteins, we focused on prohibitin, which is involved in the regulation of cell apoptosis. Zhu reported that prohibitin is an intracellular mediator in the signaling pathway of transforming growth factor β, a potent apoptosis inducer. The induction of prohibitin is also an indicator of mitochondrial destabilization during apoptosis-related events (Thompson ). Many apoptotic signals converge at the level of the mitochondria and release mitochondrial proteins that promote apoptosis. Prohibitin stabilizes mitochondrial membrane proteins such as Bcl-2 and Bax (Manjeshwar ). The tumor suppressor role of STGC3 may be associated with the up-regulation of prohibitin and result in increased apoptosis by affecting the mitochondrial-associated proteins Bcl-2 and Bax. In conclusion, STGC3 inhibits xenograft growth by increasing the percentage of apoptotic cells through alterations in the expression of various genes involved in apoptosis, including the down-regulation of Bcl-2 and up-regulation of Bax. STGC3 also affects the expression of genes related to proliferation, the cytoskeleton and cell signaling. The putative tumor suppressor prohibitin was identified as an important candidate protein affected by STGC3. Together, these findings indicate that STGC3 probably has an important role in suppressing NPC tumorgenesis. They also provide a foundation for future investigations of the molecular mechanisms involved in STGC3-mediated tumor suppression.
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