Current traditional treatment options have little impact on the long-term survival of patients with ovarian cancer due to a lack of understanding of the molecular transformations that occur in ovarian carcinoma. Transfer RNAs (tRNAs) perform a key role in protein translational fidelity. Enzymes involved in tRNA modification may function as regulators of cancer progression. Human tRNA methyltransferase 9-like (hTRM9L) catalyzes tRNA wobble base modifications, which regulate ovarian cancer growth and apoptosis via the retinoblastoma protein (pRB) and p53 signaling pathways. The aim of the present study was to confirm the role of hTRM9L in the proliferation and apoptosis of ovarian cancer. Immunohistochemistry was performed to investigate the expression of hTRM9L and LIN9 in 70 ovarian tissues. hTRM9L was amplified by polymerase chain reaction (PCR) and inserted into the Ubi-multiple cloning site-enhanced green fluorescent protein (EGFP)-internal ribosome entry site-puromycin lentiviral expression vector to create the Ubi-KIAA1456-EGFP-puromycin (LV-KIAA1456) vector. The lentiviruses were subsequently compounded and transduced into HO8910PM cells. hTRM9L, LIN9 and B-cell lymphoma 2 (Bcl-2)/Bcl-2 associated X protein (Bax) expression levels were examined by PCR and western blot analysis. Apoptosis was verified by flow cytometry, and cell proliferation was evaluated using Cell Counting Kit-8. hTRM9L and LIN9 expression were reduced in the ovarian cancer group, and there was a positive correlation between hTRM9L and LIN9 expression according to Pearson's correlation coefficient (r=0.406; P<0.05). hTRM9L was increased by 2-3-foldin HO8910PM cells following LV-hTRM9L transduction. The expression of hTRM9L at the mRNA and protein levels in HO8910PM cells that were transfected with LV-hTRM9L was significantly increased compared with the negative control, as confirmed by reverse transcription-quantitative PCR and western blot analysis, respectively (P<0.05). The same was observed for LIN9 and Bax (P<0.05). By contrast, Bcl-2 was downregulated in LV-hTRM9L (P<0.05). Furthermore, cell growth was inhibited (P<0.05) and apoptosis increased (P<0.05). In the present study, hTRM9L was shown to prevent tumor growth and promote apoptosis by regulating LIN9, which is associated with the pRB and p53 signaling pathways. This maybe a novel breakthrough in the treatment of ovarian cancer.
Current traditional treatment options have little impact on the long-term survival of patients with ovarian cancer due to a lack of understanding of the molecular transformations that occur in ovarian carcinoma. Transfer RNAs (tRNAs) perform a key role in protein translational fidelity. Enzymes involved in tRNA modification may function as regulators of cancer progression. HumantRNA methyltransferase 9-like (hTRM9L) catalyzes tRNA wobble base modifications, which regulate ovarian cancer growth and apoptosis via the retinoblastoma protein (pRB) and p53 signaling pathways. The aim of the present study was to confirm the role of hTRM9L in the proliferation and apoptosis of ovarian cancer. Immunohistochemistry was performed to investigate the expression of hTRM9L and LIN9 in 70 ovarian tissues. hTRM9L was amplified by polymerase chain reaction (PCR) and inserted into the Ubi-multiple cloning site-enhanced green fluorescent protein (EGFP)-internal ribosome entry site-puromycin lentiviral expression vector to create the Ubi-KIAA1456-EGFP-puromycin (LV-KIAA1456) vector. The lentiviruses were subsequently compounded and transduced into HO8910PM cells. hTRM9L, LIN9 and B-cell lymphoma 2 (Bcl-2)/Bcl-2 associated X protein (Bax) expression levels were examined by PCR and western blot analysis. Apoptosis was verified by flow cytometry, and cell proliferation was evaluated using Cell Counting Kit-8. hTRM9L and LIN9 expression were reduced in the ovarian cancer group, and there was a positive correlation between hTRM9L and LIN9 expression according to Pearson's correlation coefficient (r=0.406; P<0.05). hTRM9L was increased by 2-3-foldin HO8910PM cells following LV-hTRM9L transduction. The expression of hTRM9L at the mRNA and protein levels in HO8910PM cells that were transfected with LV-hTRM9L was significantly increased compared with the negative control, as confirmed by reverse transcription-quantitative PCR and western blot analysis, respectively (P<0.05). The same was observed for LIN9 and Bax (P<0.05). By contrast, Bcl-2 was downregulated in LV-hTRM9L (P<0.05). Furthermore, cell growth was inhibited (P<0.05) and apoptosis increased (P<0.05). In the present study, hTRM9L was shown to prevent tumor growth and promote apoptosis by regulating LIN9, which is associated with the pRB and p53 signaling pathways. This maybe a novel breakthrough in the treatment of ovarian cancer.
Entities:
Keywords:
HO8910PM cells; apoptosis; human transfer RNA methyl transferase 9-like; ovarian cancer
Ovarian cancer is one of the three most common malignant tumors in the female reproductive system, and its incidence is second only to endometrial cancer (1). Various factors, including chemical, physical and biological carcinogenic factors, genetic factors, immune factors and poor lifestyle choices contribute to the etiology of this disease (2). Although surgical resection and chemoradiotherapy have gradually improved, the survival rates for ovarian cancer remain poor (3), and current traditional treatments have little impact on long-term survival. This may be due to the lack of understanding of the molecular transformations that occur.Transfer RNAs (tRNAs) are key to protein translation fidelity. Growing evidence indicates that aberrant regulation of translation is a trigger for cell transformation in cancer, and tRNA modification enzymes may function as regulators of cancer progression. HumantRNA methyltransferase 9-like (hTRM9L) catalyzes tRNA wobble base modifications. TRM9 forms a complex with Trm112 and uses the methyl donorS-adenosylmethionine to catalyze the formation of 5-methoxycarbonylmethyluridine [a precursor for 5-methoxycarbonylmethyl-2-thiouridine (mcm5s2U) (4) and mcm5s2U, which serve important roles in the formation of tRNAArg and tRNAGlu (5), respectively. In the absence of tRNAArg and tRNAGlu (6), the resulting translational infidelity promotes protein errors and triggers a cascade in the retinoblastoma protein (pRB) and p53 signaling pathways (7).In humans, the hTRM9L gene maps to the end of human chromosome 8, a region that is commonly silenced or lost in numerous types of cancer (8). In a previous study by Begley et al (9), the level of hTRM9L in humancancer was detected by a panel tissue array, which demonstrated significant downregulation of hTRM9L in ovarian cancer, with an average change of 1.5-fold; the downregulation of hTRM9L was most pronounced in stage IV cancer (10). Therefore, in the present study, it was hypothesized that hTRM9L may serve a role in controlling ovarian cancer development. In the present study, low hTRM9L expression was observed in ovarian cancer tissues, as well as slowed growth of HO8910PM cells with stable transduction of hTRM9L. By contrast, apoptosis was increased. The mechanism of action may involve the activation of the pRB signaling pathway by hTRM9L via LIN9, thereby inhibiting cell proliferation and driving the p53 pathway to promote apoptosis.
Materials and methods
Patients
The present study consisted of 70 ovarian cancerpatients who had not undergone chemotherapy, radiotherapy or hormonal therapy in the 3 months prior to surgery, between December 2013 and June 2014. The ovarian cancer specimens were obtained from the Department of Gynecologic Surgery, University-Town Hospital of Chongqing Medical University (Chongqing, China). Department of Gynecologic Surgery at University-Town Hospital of Chongqing Medical University (Chongqing, China). The use of the tissue specimens was approved by the Medical Ethics Review Committee at the University-Town Hospital of Chongqing Medical University and written informed consent was obtained from all patients.
Reagents and antibodies
The human ovarian epithelial cell line HO8910PM was purchased from American Type Culture Collection (Manassas, VA, USA). The following antibodies were purchased for use in the SP-9000IHCkit (Zhongshan Chemical, Beijing, China): Rabbit anti-hTRM9L (1:100; cat. no. bs-17007RS; Beijing Biosynthesis Biotechnology Co., Ltd., Beijing, China); mouse anti-LIN9 (1:200; cat. no. sc-130571; SantaCruz Biotechnology, Inc., Dallas, TX, USA); rabbitanti-B cell lymphoma 2 (Bcl-2; 1:100; cat. no. bs-0032R; Beijing Biosynthesis Biotechnology Co., Ltd.)/Bcl-2 associated X protein (Bax; 1:100; cat. no. bs-0127R; Beijing Biosynthesis Biotechnology Co., Ltd.); HRP-conjugated goat anti-rabbit immunoglobulin (IgG; cat. no. ZB-230; OriGene Technologies, Inc., Beijing, China); β-actin (1:5,000; cat. no. BC007330; Wuhan Sanying Biotechnology, Wuhan, China); anti-rabbit IgG (1:1,000; cat. no. 0007-2; Wuhan Sanying Biotechnology) and anti-mouse IgG (1:1,000; cat. no. 00007-1; Wuhan Sanying Biotechnology).
Immunohistochemistry (IHC)
Staining was performed with the IHC SP-9000 kit (cat. no. SPN-9001; OriGene Technologies, Inc.) to detect hTRM9L and LIN9 expression levels. Slides were deparaffinized, and antigens were retrieved by heating in a microwave oven for 10 min at 100°C in citrate buffer, followed by incubation in 3% hydrogen peroxide for 10 min and blocking with normal goat serum (cat. no. SPN-9001; OriGene Technologies, Inc.) for 20 min at 20°C. Slides were incubated with primary antibody targeting hTRM9L (1:100; cat. no. bs-17007RS; BIOSS, Beijing, China) overnight at 4°C, rewarmed for 30 min at 37°C and then incubated with anti-rabbit IgG secondary antibodies (1:100; cat. no. SPN-9001; OriGene Technologies, Inc.) at 37°C for 30 min. The slides were then incubated with streptavidin-horseradish-peroxidase (HRP) for 20 min at 37°C, rinsed with PBS, incubated for 15 min with 3,3-diaminobenzidine (Bopei Biotech Co., Ltd., Chongqing, China) and counterstained with hematoxylin. The staining results of the targeted proteins were observed under a transmission light microscope (magnifications, ×200 and ×400). Negative controls were prepared using PBS in place of the primary antibody.
Cell culture
The cells were cultured in RPMI-1640 (HyClone; GE Healthcare Life Sciences, Logan, UT, USA) containing 10% fetal bovine serum (FBS, HyClone; GE Healthcare Life Sciences) in a humidified 5% CO2 atmosphere at 37°C. Cell growth was observed using an inverted microscope at a magnification of ×10. Once the cells were grown to 80–90% confluence, they were digested with 0.125% trypsin. The medium was replaced every day, and cells were passaged every 2–3 days. Cells in the logarithmic phase were selected for subsequent testing.
Lentiviral overexpression of hTRM9L in HO8910PM cells
The cDNA for hTRM9L (NM_020844) was cloned into pIRES2 by polymerase chain reaction (PCR; Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA) via homologous recombination between pIRES2 and Ubi-multiple cloning site-enhanced green fluorescent protein (EGFP; GeneChem Co., Ltd., Shanghai, China). Lentiviral vector plasmids for overexpressing hTRM9L were obtained and lentivirus particles were subsequently packaged according to the manufacturer's protocol (Invitrogen; Thermo Fisher Scientific, Inc.). An empty vector lentivirus gene delivery system was used as a negative control. HO8910PM cells were seeded onto 24-well plates at a concentration of 1×105 perwell (50–60% confluence) on the day prior to transfection. LV-hTRM9L was transduced into cells at a multiplicity of infection of 50 using polybrene (10 µg/ml) and enhanced infection solution (GeneChem Co., Ltd.). A non-target virus LV-EGFP (GeneChem Co., Ltd.) was transduced into cells as a negative control. The enhanced infection solution was replaced with RPMI-1640 medium supplemented with 10% FBS following incubation for 12 h. The transfection validity was detected 72 h following transfection.
Reverse transcription-quantitative PCR (RT-qPCR)
Total RNA was extracted from the cultured cells using TRIzol (Invitrogen; Thermo Fisher Scientific, Inc.), according to the manufacturer's protocol. The concentration and purity of RNA were quantified using a UV spectrophotometer (UltroSPec2100Pro; GE Healthcare Life Sciences). Total RNA was reverse transcribed using the PrimeScript RT reagent kit (Takara Biotechnology Co., Ltd., Dalian, China) in a total volume of 20 µl, according to the manufacturer's protocol. RT-qPCR was performed using SYBR Premix Ex Taq II (Takara Biotechnology Co., Ltd.) as follows: 1 cycle at 95°C for 30 sec; 40 cycles at 95°C for 5 sec and 60°C for 20 sec; 1 cycle at 65°C for 15 sec. GAPDH was used as an internal control. Relative mRNA expression levels were analyzed using the 2−ΔΔCq method (11). The primer sequences are listed in Table I.
Table I.
Primer sequences.
Gene name
Primer sequence
hTRM9L
Forward
5′-CCGGAGGCCAACTGATGATTT-3′
Reverse
5′-CAGAACAGCTACACTCAGAGC-3′
LIN9
Forward
5′-GGAACGAAAGTTACAGCACGA-3′
Reverse
5′-CAAGCCCTGTCCTATCAAAAGT-3′
Bax
Forward
5′-TTGCTTCAGGGTTTCATCC-3′
Reverse
5′-GACACTCGCTCAGCTTCTTG-3′
Bcl-2
Forward
5′-GGCCTCTGTTTGATTTCTCC-3′
Reverse
5′-GCAGGCATGTTGACTTCACT-3′
GAPDH
Forward
5′-ACCACAGTCCATGCCATCCA-3′
Reverse
5′-TCCACCACCCTGTTGCTGTA-3′
hTRM9L, human transfer RNA methyltransferase 9-like; Bcl-2, B-cell lymphoma 2; Bax, Bcl-2 associated X protein.
Western blot analysis
Cells in the logarithmic growth phase were harvested. Total protein was then extracted from the cells using radio immuno precipitation assay lysis buffer according to the manufacturer's protocol (KeyGen Biotech Co., Ltd., Nanjing, China). Following centrifugation at 16,099 × g at 4°C for 15 min, the supernatants of the lysates were collected for use. The protein concentration was quantified using a bicinchoninic acid protein assay kit (Beyotime Institute of Biotechnology, Haimen, China). The indicated protein amounts (50 µg/well) were separated by 10% SDS-PAGE and transferred to polyvinylidene difluoride membranes (EMD Millipore, Billerica, MA, USA). The membranes were blocked with 5% bovineserum albumin (Beyotime Institute of Biotechnology) for 2.5 h at room temperature and subsequently incubated with the following primary antibodies overnight at 4°C: Rabbit anti-hTRM9L (dilution, 1:500); rabbit anti-LIN9 (dilution, 1:100); rabbit anti-Bcl-2/Bax (dilution, 1:500); and rabbit anti-β-actin (dilution, 1:5,000). Subsequent to washing with TBS and 0.1% Tween (TBST) for 15 min, the membranes were incubated with anti-rabbit IgG secondary antibodies (dilution, 1:5,000) at 37°C for 1. 2 h. Subsequent to washing with TBST for 15 min, detection was performed using an enhanced chemiluminescence kit (KeyGen Biotech Co., Ltd.). Specific bands were quantified using Quantity One 4. 6. 2 (Bio-Rad Laboratories, Inc., Hercules, CA, USA) software. Each experiment was performed in triplicate.
Cell proliferation assay
Cells were incubated in 96-well plates at a density of 1×103 cells per well for 24 h at 37°C. Cell proliferation was examined on days 1, 2, 3, 4 and 5. Cell Counting Kit-8 (CCK-8) reagent (~10 µl; Dojindo Molecular Technologies, Inc., Kumamoto, Japan) and 90 µl of complete medium were added and incubated for an additional 2 h at 37°C. Spectrophotometric absorbance at 490 nm was determined with a microplate reader (Bio-Rad Laboratories, Inc.). There were three replicates for each sample.
Flow cytometric analysis
To detect apoptosis, cells were incubated in 6-well plates at a density of 1×105 cells per well for 36 h and subsequentlyre-suspended in 1,000 µl PBS. Annexin V-fluorescein isothiocyanate and 7-amion-actinomyclin D (KeyGen Biotech Co., Ltd., Nanjing, China) dye were added, and samples were incubated at room temperature in the dark for 15 min. Subsequent to passing the cells through a mesh filter, apoptosis was detected using flow cytometry (BD Biosciences, Franklin Lakes, NJ, USA). The cells were counted using CellQuest software FCS2.0 (BD Biosciences), and the data were analyzed using Macquit software FCS 2.0 (BD Biosciences).For cell cycle analysis, cells were incubated in 6-well plates at a density of 1×105 cells per well for 36 h at 37°C, and were subsequently re-suspended in 1,000 µl of 75% alcohol overnight at −20°C. Subsequent to adding RNAase and PI dye, the cells were incubated at room temperature in the dark for 15 min. Finally, cell cycle analysis was performed using flow cytometry.
Statistical analysis
SPSS 19.0 (IBM SPSS, Armonk, NY, USA) was used for statistical analyses. P<0.05 was considered to indicate a statistically significant difference. Differences in quantitative data between groups were analyzed using Student's t-test, and enumeration data was analyzed using the χ2 test. Associations between the expression levels of hTRM9L and LIN9 were analyzed using Pearson's correlation coefficient.
Results
Expression of hTRM9L and LIN9 in ovarian cancer tissues
hTRM9L expression was examined in ovarian cancer tissues by IHC. Positive staining of hTRM9L and LIN9 in ovarian cancer tissues was identified in 38.57% (27/70) and 41.43% (29/70) of the samples, respectively. However, the rate of positive staining of hTRM9L and LIN9 in ovarian tumor tissues was 61.42% (43/70; P<0.05) and 58.57% (41/70; P<0.05), respectively. The results are shown in Fig. 1 and Table II. A positive correlation was observed between hTRM9L and LIN9 expression, according to the Pearson's correlation coefficient (r=0. 406; P<0.05; Table III). The results indicated that hTRM9L expression is associated with LIN9 expression in ovarian cancer.
Figure 1.
Immunohistochemical staining of hTRM9L and LIN9 in ovarian cancer and normal tissues. hTRM9L, human transfer RNA methyltransferase 9-like.
Table II.
Expression of hTRM9L and LIN9 in 70 paired samples of ovarian cancer and ovarian tumor tissues (χ2-test).
Protein
Ovarian cancer tissues
Ovarian tumor tissues
P-value
hTRM9L
0.002
Positive
27
45
Negative
43
25
LIN9
0.028
Positive
29
42
Negative
41
28
hTRM9L, human transfer RNA methyltransferase 9-like.
Table III.
Correlation between hTRM9L and LIN9 expression in ovarian cancer tissues.
hTRM9L
LIN9
Positive (n=27)
Negative (n=43)
Pearson's correlation
P-value
Positive (n=29)
18
11
0. 406
0.001
Negative (n=41)
9
32
hTRM9L promotes LIN9 and Bax expression and inhibits Bcl-2 expression in ovarian cancer cells
Ectopic hTRM9L-expressing ovarian cancer cells (HO8910PM) were used to examine whether hTRM9L promotes LIN9 and Bax expression and inhibits Bcl-2 expression in ovarian cancer cells. hTRM9L expression was induced in HO8910PM cells using a lentivirus (LV-hTRM9L). The expression of hTRM9L at them RNA and protein levels in cells transfected with the LV-hTRM9L was significantly increased compared with the negative control (LV-con), as confirmed by RT-qPCR and western blot analysis, respectively (P<0.05; Fig. 2). The LIN9 axis performs a critical role in hTRM9L regulation of ovarian cancer cell proliferation and apoptosis. As a result, the increase in LIN9 expression triggered upregulation of pro-apoptotic Bax expression and downregulation of anti-apoptotic Bcl-2 expression. The results indicated that hTRM9L over expression accelerate sovarian cancer cell apoptosis. The LIN9 and Bax/Bcl-2 expression levels were assayed by RT-qPCR and western blot analysis (P<0.05; Fig. 3).
Figure 2.
LV-hTRM9L increases hTRM9L expression in HO8910PM cells. (A) hTRM9L mRNA expression in HO8910PM cells transfected with LV-hTRM9L was significantly increased compared with the negative control, as determined by reverse transcription-quantitative polymerase chain reaction. (B) hTRM9L protein expression was increased in cells transfected with LV-hTRM9L compared with cells transfected with the negative control, as shown by western blot analysis and (C) quantification. *P<0.05. hTRM9L, human transfer RNA methyltransferase 9-like; LV, lentiviral; LV-con, negative control group.
Figure 3.
LIN9 and Bax/Bcl-2 expression in LV-hTRM9L-HO8910PM cells. (A) LIN9 and Bax/Bcl-2 mRNA expressionin LV-hTRM9L-HO8910PM cells, as determined by reverse transcription-quantitative polymerase chain reaction. (B) LV-hTRM9L-HO8910PM protein expression in LV-hTRM9L-HO8910PM cells, as shown by western blot analysis and (C) quantification. *P<0.05. hTRM9L, human transfer RNA methyltransferase 9-like; Bcl-2, B-cell lymphoma 2; Bax, Bcl-2 associated X protein; LV, lentiviral; LV-con, negative control group.
Effect of ectopic hTRM9L expression on apoptosis, cell cycle and growth of ovarian cancer cells
As shown by flow cytometry, the number of apoptotic HO8910PM cells transfected with LV-hTRM9L was significantly increased compared with the negative control group (LV-con; P<0.05; Fig. 4A). Therefore, hTRM9L may promote HO8910PM cell apoptosis. As shown by CCK-8, the viability of HO8910PM cells transfected with hTRM9L was significantly reduced compared with the negative control group (LV-con; P<0.05; Fig. 4B). The results indicated that hTRM9L inhibits HO8910PM cell growth. As shown by flow cytometry, the proportion of G1 phase HO8910PM cells transfected with LV-hTRM9L was significantly increased compared with the negative control group (P<0.05; Fig. 4C).
Figure 4.
Effects of the ectopic expression of hTRM9L on apoptosis, cell cycle and growth of ovarian cancer cells. (A) Flow cytometry. The amount of apoptosis in HO8910PM cells transfected with LV-hTRM9L was significantly increased compared with the negative control group. (B) Cell Counting Kit-8 assay. HO8910PM cells transfected with hTRM9L exhibited significantly reduced growth compared with the negative control group. (C) Flow cytometry. The percentage of LV-hTRM9L-HO8910PM cells in the G1 phase was increased compared with the negative control group. *P<0.05. hTRM9L, human transfer RNA methyltransferase 9-like; LV, lentiviral; LV-con, negative control group; OD, optical density; 7-ADD, 7-aminoactinomycin D.
Discussion
Ovarian cancer remains the primary threat to the health of women, and its incidence increases annually (1). Therefore, it is necessary to investigate new molecular pathways to counteract this threat. In the present study, hTRM9L expression was depressed in ovarian cancer tissues and significantly associated with LIN9 (r=0.406; P<0.05). To the best of our knowledge, hTRM9L expression was detected in ovarian cancer tissues for the first time, and it was confirmed that the expression of hTRM9L was low.LIN9, a member of the dimerization partner, RB-like, E2F and multi-vulval class B (DREAM) complex, acts as a tumor suppressor (12). The present study validated that LIN9 transcription and protein levels were upregulated ~2-fold in hTRM9L-expressing HO8910PM cells. The DREAM (or LINC) complex is a master regulator of mitotic gene expression during the cell cycle. RNA interference-mediated knockdown of the DREAM subunits in human cells inhibits their proliferation via inhibition of mitotic gene expression. LIN9 performs an important role in pRB and p53 signaling to achieve cancer suppression (13).DREAM function involves the induction of permanent cell cycle arrest (14,15). Cell cycle arrest in G0/G1 by LIN9 may activate the pRB signaling pathway, as demonstrated by flow cytometry. At the same time, the proliferation of HO8910PM cells transfected with hTRM9L was significantly reduced compared with the negative control group. In the present study, the number of apoptotic HO8910PM cells transfected with LV-hTRM9L was significantly increased compared with the negative control group, based on flow cytometry. Additionally, pro-apoptotic Bax expression was found to be upregulated, while anti-apoptotic Bcl-2 expression was downregulated. Bax and Bcl-2 are important signaling molecules in the p53 signaling pathway (16).It was hypothesized that ectopic hTRM9L-expressing ovarian cancer cells (HO8910PM) activate LIN9 entry into the p53 signaling pathway, thereby increasing apoptosis. Apoptosis is considered an important fail-safe mechanism for the prevention of tumorigenesis (17,18).Rapid tumor cell proliferation and apoptosis inhibition lead to increased malignancy, resulting in an escape from immune regulation. However, hTRM9L may activate LIN9 to enter the p53 signaling pathway, resulting in increased cell apoptosis, as well as the pRB signaling pathway, reducing proliferation (19).In conclusion, the present study demonstrated that hTRM9L may prevent tumor growth and promote apoptosis by regulating LIN9. This may be a novel breakthrough for ovarian cancer treatment, although additional studies investigating the mechanism are required.
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