| Literature DB >> 36016863 |
Ionara Rodrigues Siqueira1,2,3, Andressa de Souza Rodrigues1, Marina Siqueira Flores3, Eduarda Letícia Vieira Cunha3, Madeleine Goldberg4, Brennan Harmon4, Rachael Batabyal4, Robert J Freishtat4, Laura Reck Cechinel1,2,4.
Abstract
Aging is associated with adipose tissue dysfunction and is recognized as a risk factor for shortened life span. Considering that in vitro findings have shown the involvement of microRNA in extracellular vesicles and particles (EVPs) on senescence, we hypothesized that circulating EVPs derived from adipocytes can be involved in the aging process via their microRNA cargo. We aimed to determine the microRNA profiles of circulating EVPs derived from adipocytes (FABP4+) from aged and young adult animals and to perform in silico prediction of their downstream signaling effects. Plasma was obtained from Wistar rats (3 and 21 months old), and adipocyte-derived EVPs were isolated using the commercially available kit. Fatty acid-binding protein 4 (FABP4) was used for adipocyte-derived EVPs isolation; microRNA isolation and microarray expression analysis were performed. The analysis revealed 728 miRNAs, 32 were differentially between groups (p < 0.05; fold change ≥ |1.1|), of which 15 miRNAs were upregulated and 17 were downregulated in circulating EVPs from aged animals compared to young adults. A conservative filter was applied, and 18 microRNAs had experimentally validated and highly conserved predicted mRNA targets, with a total of 2,228 mRNAs. Canonical pathways, disease and functions, and upstream regulator analyses were performed using IPA-QIAGEN, allowing a global and interconnected evaluation. IPA categories impacted negatively were cell cycle, cellular development, cellular growth and proliferation, and tissue development, while those impacted positively were "digestive system cancer" and "endocrine gland tumor." Interestingly, the upregulated miR-15-5p targets several cyclins, such as CCND1 and CCND2, and miR-24-3p seems to target CDK4 (cyclin-dependent kinase 4); then potentially inhibiting their expression, both miRNAs can induce a negative regulation of cell cycle progression. In contrast, silencing of negative cell cycle checkpoint regulators, such as p21 and p16, can be predicted, which can induce impairment in response to genotoxic stressors. In addition, predicted targets, such as SMAD family members, seem to be involved in the positive control of digestive and endocrine tumors. Taken together, this exploratory study indicates that miRNA signature in circulating adipocyte-derived EVPs may be involved with the double-edged sword of cellular senescence, including irreversible proliferation arrest and tissue-dependent cancer, and seems to be suitable for further validation and confirmatory studies.Entities:
Keywords: adipocyte-derived exosomes; adipose tissue dysfunctions; aging; cell cycle; cellular senescence; microRNA; obesity; tumors
Year: 2022 PMID: 36016863 PMCID: PMC9395989 DOI: 10.3389/fragi.2022.867100
Source DB: PubMed Journal: Front Aging ISSN: 2673-6217
FIGURE 1MicroRNAs (miRNAs) content in circulating adipocyte-derived EVPs obtained from aged Wistar rats differs from those of young adult ones. (A) Heatmap showing z-score and hierarchical clustering of the 32 miRNAs impacted in circulating adipocyte-derived EVPs by aging process. The microRNAs significantly expressed are shown on the bottom. Color gradation shows the relative microRNA content in circulating adipocyte-derived EVPs obtained from aged Wistar rats compared with those from young adult ones: green, downregulation; red, upregulation. (B) The fold change of miRNAs altered in circulating adipocyte-derived EVPs obtained from aged compared with young adult rats (One-way ANOVA, p < 0.05; fold change ≥ |1.1|). (C) Principal coordinates analysis (PCA) plot comparing differently miRNAs content in circulating adipocyte-derived EVPs from aged and young-adult animals. Each dot represents the overall miRNA expression in each animal. The distance between dots indicates their dissimilarity. PCA and hierarchical clustering were performed with Partek Genomics Suite (version 6.6; Partek, St. Louis, MO, United States).
FIGURE 2Aging-induced predicted effects of miRNAs content in circulating adipocyte-derived EVPs on Cell Cycle. (A) Heat map of the “Cell Cycle” among the top “molecular and cellular functions” categories. Each box represents one molecular and cellular function, its size represents gene enrichment. The heatmap is according to z-score values, where the color indicates the predicted increase or decrease status; higher z-scores would be represented by orange indicating activation, and lower z-scores was represented by blue indicating inhibition. (B) Annotations of the “Cell Cycle” category are impacted significantly by aging process, their z score, number of affected molecules, and p values. (C) mRNA Targets of microRNAs impacted by aging in circulating adipocyte-derived EVPs related with cell cycle canonical pathway. Green color indicates a predicted negative effect on mRNA targets, such as enzymes and transcription factors. miRNA-15b-5p targets cyclins (CCNs), CCND1, CCND2, CCND3, CCNE1, cyclin-dependent kinases (CDK) CDK6; miR-24-3p targets CCNA2, CDK1, and CDK4, while miR-92b-3p targets CCNE2. miR-15b-5p targets transcription factors, such as E2Fs isoforms, namely E2F3 and E2F7, while miR-24-3p targets E2F2. E2F is activated when retinoblastoma proteins (pRb) are phosphorylated and it dissociates from E2F (Table 1).
Predicted targets involved with cell cycle regulation (and its expr fold change) of miRNAs in adipocyte-derived EVPs impacted by aging.
| Target | Predicted targets expression fold change | miRNA | |
|---|---|---|---|
| BMI1 | BMI1 proto-oncogene, polycomb ring finger | −1.37 | rno-miR-15b-5p |
| BRCA1 | BRCA1 DNA repair associated | −1.324 | rno-miR-24-3p |
| BTRC | beta-transducin repeat containing E3 ubiquitin protein ligase | −1.37 | rno-miR-15b-5p |
| CCNA2 | Cyclin A2 | −1.324 | rno-miR-24-3p |
| CCND1 | Cyclin D1 | −1.37 | rno-miR-15b-5p |
| CCND2 | Cyclin D2 | −1.37 | rno-miR-15b-5p |
| CCND3 | Cyclin D3 | −1.37 | rno-miR-15b-5p |
| CCNE1 | Cyclin E1 | −1.37 | rno-miR-15b-5p |
| CCNE2 | Cyclin E2 | −1.208 | rno-miR-92b-3p |
| CDC25A | Cell division cycle 25A | −1.37 | rno-miR-15b-5p |
| CDK1 | Cyclin-dependent kinase 1 | −1.324 | rno-miR-24-3p |
| CDK4 | Cyclin-dependent kinase 4 | −1.324 | rno-miR-24-3p |
| CDK6 | Cyclin-dependent kinase 6 | −1.37 | rno-miR-15b-5p |
| CDKN1A | Cyclin-dependent kinase inhibitor 1A (p21) | −1.208 | rno-miR-92b-3p |
| CDKN1B | Cyclin-dependent kinase inhibitor 1B (p27) | −1.324 | rno-miR-24-3p |
| CDKN2A | Cyclin-dependent kinase inhibitor 2A (p16) | −1.324 | rno-miR-24-3p |
| CHEK1 | Checkpoint kinase 1 (=chk1) | −1.37 | rno-miR-15b-5p |
| E2F2 | E2F transcription factor 2 | −1.324 | rno-miR-24-3p |
| E2F3 | E2F transcription factor 3 | −1.37 | rno-miR-15b-5p |
| E2F7 | E2F transcription factor 7 | −1.37 | rno-miR-15b-5p |
| FOXO1 | Forkhead box O1 | −1.256 | rno-miR-27a-3p |
| KAT2B | Lysine acetyltransferase 2B | −1.208 | rno-miR-92b-3p |
| MYC | MYC proto-oncogene, bHLH transcription factor | −1.324 (and −1.308) | rno-miR-24-3p (and rno-miR-377-5p) |
| PKMYT1 | Protein kinase, membrane-associated tyrosinethreonine 1 | −1.256 | rno-miR-27a-3p |
| PLK1 | Polo-like kinase 1 | −1.37 | rno-miR-15b-5p |
| PPM1D | Protein phosphatase, Mg2+Mn2+-dependent 1D | −1.37 | rno-miR-15b-5p |
| PPP2R5C | Protein phosphatase 2 regulatory subunit B'gamma | −1.37 | rno-miR-15b-5p |
| RAF1 | Raf-1 proto-oncogene, serinethreonine kinase | −1.37 | rno-miR-15b-5p |
| RPRM | Reprimo, TP53-dependent G2 arrest mediator homolog | −1.115 | rno-miR-1249 |
| SMAD3 | SMAD family member 3 | −1.324 | rno-miR-24-3p |
| SMAD4 | SMAD family member 4 | −1.324 | rno-miR-24-3p |
| WEE1 | WEE1 G2 checkpoint kinase | −1.37 (and −1.256) | rno-miR-15b-5p (and rno-miR-27a-3p) |
| YWHAH | Tyrosine 3-monooxygenasetryptophan 5- monooxygenase activation protein eta | −1.37 | rno-miR-15b-5p |
| YWHAQ | Tyrosine 3-monooxygenasetryptophan 5-monooxygenase activation protein theta | −1.256 | rno-miR-27a-3p |
Disease or function annotations significantly altered in the “tissue development” category.
| Disease or function annotation |
| z-score | # Molecules |
|---|---|---|---|
| Growth of connective tissue | 2,15E-20 | −5,87 | 171 |
| Proliferation of connective tissue cells | 2,67E-19 | −4,983 | 157 |
| Proliferation of epithelial cells | 9,47E-16 | −3,224 | 127 |
| Growth of epithelial tissue | 4,09E-15 | −3,24 | 164 |
| Differentiation of connective tissue cells | 1,17E-14 | −2,228 | 149 |
| Growth of muscle tissue | 5,37E-13 | −2,381 | 97 |
| Leukopoiesis | 7,91E-13 | −3,593 | 177 |
| Development of mononuclear leukocytes | 9,26E-13 | −3,911 | 158 |
| Hematopoiesis of mononuclear leukocytes | 1,46E-12 | −3,827 | 157 |
| Proliferation of muscle cells | 2,08E-12 | −2,381 | 95 |
| Differentiation of embryonic tissue | 2,14E-12 | −3,589 | 73 |
| Differentiation of bone cells | 5,5E-11 | −2 | 91 |
| Cell proliferation of fibroblasts | 5,6E-11 | −4,366 | 86 |
| Growth of embryonic tissue | 6,72E-11 | −2,926 | 70 |
| Growth of neurites | 6,77E-11 | −2,686 | 109 |
| Lymphopoiesis | 9,58E-11 | −3,852 | 144 |
| Development of connective tissue cells | 2,08E-10 | −2,713 | 67 |
| Proliferation of neuronal cells | 2,29E-10 | −3,524 | 122 |
| T cell development | 1E-09 | −4,01 | 117 |
| Proliferation of mesenchymal cells | 4,55E-09 | −2,809 | 29 |
| Development of epithelial tissue | 5,54E-09 | −3,217 | 114 |
| Formation of gland | 1,26E-08 | −2,429 | 58 |
| Differentiation of osteoblastic-lineage cells | 1,5E-08 | −2,296 | 60 |
| Differentiation of osteoblasts | 2,61E-08 | −2,454 | 59 |
| Formation of lymphoid tissue | 3,48E-08 | −2,004 | 76 |
| Fibrogenesis | 1,23E-07 | −3,975 | 100 |
| Proliferation of bone cells | 1,23E-07 | −2,281 | 27 |
| Outgrowth of neurites | 1,24E-07 | −3,001 | 84 |
| Growth of thymus gland | 1,4E-07 | −2,967 | 28 |
| Proliferation of osteoblasts | 1,41E-07 | −2,288 | 24 |
| Growth of bone tissue | 1,88E-07 | −2,286 | 27 |
| Formation of muscle | 1,91E-07 | −2,692 | 82 |
| Proliferation of thymocytes | 3,11E-07 | −2,554 | 26 |
| Cartilage development | 3,11E-07 | −2,07 | 39 |
| Cardiogenesis | 4,55E-07 | −3,082 | 107 |
| Development of cardiovascular tissue | 5,57E-07 | −2,564 | 81 |
FIGURE 3Aging-induced predicted effects of miRNAs content in circulating adipocyte-derived EVPs on Tissue Development. (A) Heat map of the “Tissue Development,” among the top “molecular and cellular functions” categories. Each box represents one molecular and cellular function, its size represents gene enrichment. The heatmap is according to z-score values, where the color indicates the predicted increase or decrease status; higher z-scores would be represented by orange indicating activation, and lower z-scores was represented by blue indicating inhibition. (B) Translational control canonical pathways, regulation of eukaryotic translation initiation factor 4 (eIF4) and p70S6K Signaling; mRNA Targets of microRNAs impacted by aging in circulating adipocyte-derived EVPs. Green color indicates predicted negative effect on mRNA targets, EIF3I (miR-24-3p), EIF4E (miR-15b-5p), EIF4G2 (miR-92b-3p), EIF4G2 (miR-210-5p and miR-377-5p), MAP2K1 and MAPK3 (miR-15b-5p). (C) Phosphoinositide-3-kinase (PI3K)/AKT Signaling Canonical Pathway impacting protein synthesis, proliferation, and survival. miR-92b-3p and miR-15b-5p target PIK3R3 and AKT3, respectively, and miR-503-3p targets the mammalian target of rapamycin (mTOR).
FIGURE 4Aging-induced predicted effects of miRNAs content in circulating adipocyte-derived EVPs on Cell Death and Survival. (A) Heat map of the “Cell Death and Survival,” among the top “molecular and cellular functions” categories. Each box represents one molecular and cellular function, its size represents gene enrichment. The heatmap is according to z-score values, where the color indicates the predicted increase or decrease status; higher Z-scores were represented by orange indicating activation, and lower z-scores were represented by blue indicating inhibition. (B) Top Cell Death and Survival annotations; z score, number of affected molecules, and p values. (C) Apoptosis signaling canonical pathway. FAS/TNFR and CAPN8 are upregulated by miR-210-5p changes, miR-219a-5p promotes upregulation of FASLG, and miR-24-3p can be able to downregulate BCL-2, an anti-apoptotic molecule, bring evidence that extrinsic and intrinsic apoptotic pathways can be regulated by adipocyte-derived EVPs miRNAs in aging process.
Top canonical pathways as predicted targets for aging-induced miRNAs content changes in circulating adipocyte-derived EVPs from aged animals compared to young adult (−log (p-value) ≥3; z-score ≥2 or ≤−2).
| Ingenuity Canonical Pathways | −log(p-value) | z-score |
|---|---|---|
| Molecular Mechanisms of Cancer | 10.1 | #NÚM! |
| Glioblastoma Multiforme Signaling | 9.5 | −2.611 |
| Glioma Signaling | 8.14 | −3.13 |
| Cardiac Hypertrophy Signaling (Enhanced) | 8 | −5.658 |
| Pancreatic Adenocarcinoma Signaling | 7.63 | −3.838 |
| Estrogen-mediated S-phase Entry | 7.34 | −2.496 |
| Ovarian Cancer Signaling | 7.26 | −3.153 |
| PTEN Signaling | 7.24 | 3.528 |
| GADD45 Signaling | 7.15 | #NÚM! |
| PI3K/AKT Signaling | 6.75 | −2.887 |
| Role of Osteoblasts. Osteoclasts and Chondrocytes in Rheumatoid Arthritis | 6.61 | #NÚM! |
FIGURE 5Aging-induced predicted effects of miRNAs content in circulating adipocyte-derived EVPs on endocrine and gastrointestinal tumors. (A) Heat map of the “gastrointestinal disease,” among the “ disease and functions” categories. Each box represents one molecular and cellular function, its size represents gene enrichment. The heatmap is according to z-score values, where the color indicates the predicted increase or decrease status; higher z-scores are represented by orange indicating activation, and lower z-scores would be represented by blue indicating inhibition. (B) Gastrointestinal disease annotations are impacted significantly by aging process; z score, number of affected molecules, and p values. (C) Heat map of the “ endocrine system disorders” annotation. (D) Endocrine system disorders annotations impacted significantly by aging-induced miRNAs changes in adipocytes-derived EVPs; z score, the number of affected molecules, and p values.
Similar and different predicted targets of different top “canonical pathways” and “disease and functions” categories related to cancer.
| miRNA impacted by aging | Target | FC/ targets | Molecular mechanisms of cancer | Glioblastoma multiforme signaling | Endocannabinoid cancer inhibition pathway | Glioma signaling | Digestive system cancer | Endocrine gland tumor | Type(s) |
|---|---|---|---|---|---|---|---|---|---|
| miR-15b-5p | AKT serine/threonine kinase 3 | −1.37 | AKT3 | AKT3 | AKT3 | AKT3 | AKT3 | AKT3 | Kinase |
| miR-24-3p | Rho guanine nucleotide exchange factor | ||||||||
| 15 | -1.324 | ARHGEF15 | ARHGEF15 | ARHGEF1 5 | Other | ||||
| miR-24-3p and miR-27a-3p | BCL2-associated X, apoptosis regulator | −1.324 and −1.256 | BAX | BAX | BAX | Transporter | |||
| miR-24-3p and miR-27a-3p | BCL2 binding component 3 | −1.324 and −1.256 | BBC3 | BBC3 | Other | ||||
| miR-15b-5p and miR-448-3p | BCL2 apoptosis regulator | −1.37 and 1.256 | BCL2 | BCL2 | BCL2 | Transporter | |||
| miR-24-3p and miR-92b-3p | BCL2-like 11 | −1.324 and −1.208 | BCL2L11 | BCL2L11 | BCL2L11 | Other | |||
| miR-92b-3p | Bone morphogenetic protein receptor type 2 | −1.208 | BMPR2 | BMPR2 | BMPR2 | Kinase | |||
| miR-503-3p | B-Raf proto-oncogene, serine/threonine kinase | −1.381 | BRAF | BRAF | BRAF | Kinase | |||
| miR-24-3p | BRCA1 DNA repair associated | −1.324 | BRCA1 | BRCA1 | BRCA1 | Transcription regulator | |||
| miR-15b-5p | Cyclin D1 | −1.37 | CCND1 | CCND1 | CCND1 | CCND1 | CCND1 | CCND1 | Transcription regulator |
| miR-15b-5p | Cyclin E1 | −1.37 | CCNE1 | CCNE1 | CCNE1 | CCNE1 | CCNE1 | Transcription regulator | |
| miR-15b-5p | Cell division cycle 25A | −1.37 | CDC25A | CDC25A | Phosphatase | ||||
| miR-24-3p | Cyclin-dependent kinase 1 | −1.324 | CDK1 | CDK1 | CDK1 | Kinase | |||
| miR-15b-5p | Cyclin-dependent kinase 17 | −1.37 | CDK17 | CDK17 | CDK17 | Kinase | |||
| miR-24-3p | Cyclin-dependent kinase 4 | −1.324 | CDK4 | CDK4 | CDK4 | CDK4 | CDK4 | Kinase | |
| miR-15b-5p | Cyclin-dependent kinase 6 | −1.37 | CDK6 | CDK6 | CDK6 | CDK6 | CDK6 | Kinase | |
| miR-15b-5p | Cyclin-dependent kinase 8 | −1.37 | CDK8 | CDK8 | CDK8 | Kinase | |||
| miR-92b-3p | Cyclin-dependent kinase inhibitor 1A | −1.208 | CDKN1A | CDKN1A | CDKN1A | CDKN1A | CDKN1A | CDKN1A | Kinase |
| miR-24-3p | Cyclin-dependent kinase inhibitor 1B | −1.324 | CDKN1B | CDKN1B | CDKN1B | CDKN1B | CDKN1B | Kinase | |
| miR-24-3p | Cyclin-dependent kinase inhibitor 2A | −1.324 | CDKN2A | CDKN2A | CDKN2A | CDKN2A | CDKN2A | Transcription regulator | |
| miR-15b-5p | Checkpoint kinase 1 | −1.37 | CHEK1 | CHEK1 | CHEK1 | Kinase | |||
| miR-24-3p | E2F transcription factor 2 | −1.324 | E2F2 | E2F2 | E2F2 | E2F2 | E2F2 | Transcription regulator | |
| miR-15b-5p | E2F transcription factor 3 | −1.37 | E2F3 | E2F3 | E2F3 | E2F3 | E2F3 | Transcription regulator | |
| miR-15b-5p | E2F transcription factor 7 | −1.37 | E2F7 | E2F7 | E2F7 | E2F7 | E2F7 | Transcription regulator | |
| miR-27a-3p | GRB2-associated binding protein 1 | −1.256 | GAB1 | GAB1 | GAB1 | Other | |||
| miR-15b-3p and miR-27a-3p | Growth factor receptor bound protein 2 | −1.37 and −1.324 | GRB2 | GRB2 | GRB2 | GRB2 | GRB2 | Other | |
| miR-15b-5p | Indian hedgehog signaling molecule | −1.37 | IHH | IHH | IHH | Enzyme | |||
| miR-15b-5p | Integrin subunit alpha 2 | −1.37 | ITGA2 | ITGA2 | ITGA2 | Transmembrane receptor | |||
| miR-92b-3p | Integrin subunit alpha 5 | −1.208 | ITGA5 | ITGA5 | ITGA5 | Transmembrane receptor | |||
| miR-15b-5p | Jun proto-oncogene, AP-1 transcription factor subunit | −1.37 | JUN | JUN | Transcription regulator | ||||
| miR-15b-5p | Late endosomal/lysoso mal adaptor, MAPK and MTOR activator 3 | −1.37 | LAMTOR3 | LAMTOR3 | Other | ||||
| miR-219a-5p | Lymphoid enhancer binding factor 1 | 1.521 | LEF1 | LEF1 | LEF1 | LEF1 | LEF1 | Transcription regulator | |
| miR-15b-5p | Mitogen-activated protein kinase 1 | −1.37 | MAP2K1 | MAP2K1 | MAP2K1 | MAP2K1 | MAP2K1 | MAP2K1 | Kinase |
| miR-15b-5p, miR-24-3p, miR-92b-3p and miR-27a-3p | Mitogen-activated protein kinase 4 | −1.37, −1.324, −1.208 and −1.256 | MAP2K4 | MAP2K4 | MAP2K4 | MAP2K4 | Kinase | ||
| miR-15b-5p | Mitogen-activated protein kinase 3 | −1.37 | MAPK3 | MAPK3 | MAPK3 | MAPK3 | MAPK3 | MAPK3 | Kinase |
| miR-24-3p and miR-377-5p | MYC proto-oncogene, bHLH | −1.324 and −1.308 | MYC | MYC | MYC | MYC | MYC | Transcription regulator | |
| Transcription factor | |||||||||
| miR-24-3p and miR-27a-3p | Notch receptor 1 | −1.324 and −1.256 | NOTCH1 | NOTCH1 | NOTCH1 | Transcription regulator | |||
| miR-219a-5p | Phosphatidylinosit ol-4-phosphate 3-kinase catalytic subunit type 2 gamma | 1.521 | PIK3C2G | PIK3C2G | PIK3C2G | PIK3C2G | PIK3C2G | PIK3C2G | Kinase |
| miR-92b-3p | Phosphoinositide-3-kinase regulatory subunit 3 | −1.208 | PIK3R3 | PIK3R3 | PIK3R3 | PIK3R3 | PIK3R3 | Kinase | |
| miR-24-3p, miR-377-5p and miR-448-3p | Phorbol-12-myristate-13-acetate-induced protein 1 | −1.324, −1.308 and 1.256 | PMAIP1 | PMAIP1 | Other | ||||
| miR-15b-5p | Raf-1 proto-oncogene, serine/threonine kinase | −1.37 | RAF1 | RAF1 | RAF1 | RAF1 | RAF1 | RAF1 | Kinase |
| miR-24-3p | RAP1A, member of RAS oncogenefamily | −1.324 | RAP1A | RAP1A | RAP1A | RAP1A | RAP1A | Enzyme | |
| miR-24-3p | RAP1B, member of RAS oncogenefamily | −1.324 | RAP1B | RAP1B | RAP1B | RAP1B | Enzyme | ||
| miR-377-5p | RAS p21 protein activator 1 | −1.308 | RASA1 | RASA1 | RASA1 | Transporter | |||
| miR-24-3p | RAS p21 protein activator 2 | −1.324 | RASD2 | RASD2 | RASD2 | RASD2 | Enzyme | ||
| miR-24-3p and miR-27a-3p | SMAD family member 4 | −1.324 and −1.256 | SMAD4 | SMAD4 | SMAD4 | Transcription regulator | |||
| miR-24-3p and miR-27a-3p | SMAD family member 5 | −1.324 and −1.256 | SMAD5 | SMAD5 | Transcription regulator | ||||
| miR-15b-5p | SMAD family member 7 | −1.37 | SMAD7 | SMAD7 | SMAD7 | Transcription regulator | |||
| miR-27a-3p | SMAD family member 9 | −1.256 | SMAD9 | SMAD9 | Transcription regulator |
Molecular mechanisms of cancer had z= #num. Glioblastoma multiforme signaling, endocannabinoid cancer inhibition pathway, and glioma signaling, showed negative z-score, compared with those that IPA indicated positive z-score, digestive system cancer, and endocrine organ tumor.