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ReklamaGolgi reassembly and stacking protein 65 downregulation is required for the anti-cancer effect of dihydromyricetin on human ovarian cancer cells
Authors: Fengjie Wang aff001; Xianbing Chen aff002; Depei Yuan aff002; Yongfen Yi aff001; Yi Luo aff001
Authors place of work: Department of Pathology, College of Basic Medicine, Chongqing Medical University, Chongqing, China aff001; Minda Hospital of Hubei Minzu University, Enshi, Hubei, China aff002; Department of Gynecology and Obstetrics, The First Affiliated Hospital Of Chongqing Medical University, Chongqing, China aff003
Published in the journal: PLoS ONE 14(11)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0225450Summary
Golgi reassembly and stacking protein 65 (GRASP65), which has been involved in cancer progression, is associated with tumor growth and cell apoptosis. Dihydromyricetin (DHM) has demonstrated antitumor activity in different types of human cancers. However, the pharmacological effects of DHM on ovarian cancer (OC) and the molecular mechanisms that underlie these effects are largely unknown. The present study showed that DHM reduced cell migration and invasion in a concentration - and time-dependent manner and induced cell apoptosis primarily through upregulation of Cleaved-caspase-3 and the Bax/Bcl-2 ratio in OCs. To further clarify the cancer therapeutic target, we assessed the effect of DHM on the expression of GRASP65, which is overexpressed in human ovarian cancer tissues. DHM activated caspase-3 and decreased GRASP65 expression to promote cell apoptosis, implying that downregulation of GRASP65 was related to DHM-induced cell apoptosis. Additionally, the knockdown of GRASP65 by siRNA resulted in increased apoptosis after DHM treatment, while western blot and flow cytometry analysis demonstrated that overexpression of GRASP65 attenuated DHM-mediated apoptosis. In addition, the JNK/ERK pathway may be involved in DHM-mediated caspase-3 activation and GRASP65 downregulation. Taken together, these findings provide novel evidence of the anti-cancer properties of DHM in OCs, indicating that DHM is a potential therapeutic agent for ovarian cancer through the inhibition of GRASP65 expression and the regulation of JNK/ERK pathway.
Keywords:
Small interfering RNAs – Cancer treatment – Flow cytometry – Transfection – apoptosis – ovarian cancer – Cancer cell migration – Golgi apparatus
Introduction
Electron microscopy has been used to demonstrate Golgi fragmentation (GF) in tumor cells [1], and we have only just begun to understand the significance of GF in tumor biology. GF serves as a catalyst for the cell signaling pathways that drive cancer progression and metastasis. However, the causal relationship between GF and cancer pathogenesis remains largely unexplored. For example, swainsonine, an inhibitor of Golgi alpha-mannosidase II, has been shown to have antitumor activity in gastric carcinoma [2]. Another anti-Golgi agent, Brefeldin A, showed antiproliferative effects in vitro and inhibition of tumor growth in vivo [3]. Golgi reassembly and stacking proteins (GRASPs) are Golgi membrane proteins involved in cell migration, division, and apoptosis. Specifically, GRASP65, a target of polo-like kinases (PLK1) and Cdc2 during mitosis [4,5], mediates Golgi morphological changes to fulfill physiological functions [6–8]. In addition, the upregulation of Golgi proteins has been observed in many types of tumors, including ovarian cancer (OC). Golgi phosphoprotein3L (GOLPH3L) was overexpressed in epithelial ovarian cancer (EOC) tissues and cell lines [9] and associated with poor prognosis of patients with EOC [10]. GOLPH3 may promote EMT progression through the activation of Wnt/β-catenin pathway and act as a novel and independent prognostic factor of EOC [11]. Furthermore, silencing GM130 decreased angiogenesis and cell invasion in vitro and in a lung cancer mouse model, suggesting that it may be a potential therapeutic target for lung cancer [12]. Restoration of compact Golgi morphology in advanced prostate cancer may increase the susceptibility to Galectin-1-induced apoptosis [13], strengthening the notion of the “oncological Golgi” and its role in cancer progression and metastasis [1]. Therefore, targeting the Golgi proteins may be a potential therapeutic intervention for multiple cancers [14].
OC is one of the most common gynecological malignancies with high rates of metastasis and disease relapse worldwide. The invasion and progression of OC cells are presumed to be a multistep process involving multiple genetic changes. Consequently, numerous studies have focused on the identification of specific molecular markers that may serve as reliable prognostic biomarkers for ovarian cancer. Additionally, the current standard of care treatment for patients with ovarian cancer is surgery coupled with platinum and/or Taxane-based chemotherapy. While most patients are initially responsive to chemotherapy, the 5-year survival rate of OC patients is approximately 15–30% [15]. Therefore, there is an urgent need to improve the techniques employed for early disease detection, and to identify effective therapies to improve clinical outcomes for OC patients.
Recently, researchers have turned their attention to natural active compounds extracted from medicinal plants for the treatment of cancer patients [16]. Most natural compounds have shown cytotoxicity only in cancerous cells and are therefore potential therapeutic agents for future clinical development [17]. In addition, several studies have demonstrated that these components can substantially inhibit tumor formation and induce apoptosis [18,19]. Dihydromyricetin (DHM), a 2,3-dihydroflavonol compound, is the main bioactive component extracted from Ampelopsis grossedentata [20] and has attracted considerable attention in cancer research for its antitumor effects [21–23]. DHM has been shown to be an effective anticancer agent in various cancers and is also considered to have great antitumor potential for the treatment of OC [24]. However, the mechanism underlying the antitumor effect of DHM needs to be investigated.
In response to stress, the transcription of Golgi-associated genes can be upregulated to restore homeostasis or induce apoptosis, which gave rise to the term Golgi stress response (GSR) [25,26]. The role of GSR and cell apoptosis in chemotherapy can be quite complex [27] and their connection has made them an intriguing target that may improve anti-cancer treatment. Furthermore, morphological studies have shown that the Golgi complex is fragmented during apoptosis [28], and GF in apoptotic cells may be attributed to GRASP65 cleavage [29]. GRASP65 is phosphorylated by Cdc2 and PLK-1 during cell mitosis, which leads to GRASP65 deoligomerization and then Golgi unstacking [5,30]. Additionally, as a potential small molecular inhibitor of PLK-1, DHM may prevent cancer progression by inhibiting PLK-1 enzymes [31]. Therefore, we hypothesized that DHM possesses anti-tumor activity by regulating GRASP65 function. We also investigated the mechanisms and effects of DHM on OCs in order to provide preliminary evidence for future clinical applications.
Materials and methods
Reagents
Dihydromyricetin (CAS No. 27200-12-0, Bellancom) was ordered from Beijing Universal Materials Co., Ltd. (Beijing, China), with purity >98%, as detected by high performance liquid chromatography. DHM was dissolved in 100% dimethyl sulfoxide (DMSO) to prepare a 50 mM stock solution and was stored at −20°C. DHM solutions used in cell cultures were freshly prepared daily and the final concentration of DMSO did not exceed 0.1% throughout the study.
Apoptotic cells were quantified using an Annexin V-FITC/PI cell apoptosis detection kit from Becton Dickinson and Company (Franklin Lakes, NJ, USA) and monitored using flow cytometry (FACSCalibur, BD, Franklin Lakes, NJ, USA).
JNK inhibitor SP600125, ERK inhibitor U0126, and Caspase-3 inhibitor Ac-DEVD-CHO were purchased from Beyotime (Shanghai, China) and dissolved in DMSO at concentrations of 20, 10 and 30 μM, respectively.
Antibodies for p-JNK/JNK, p-ERK/ERK, and GRASP65 were bought from Abcam (Cambridge, MA, USA), antibody for Actin from Beyotime (Shanghai, China), and antibodies for p-p38/p38MAPK, cleaved-caspase-3, Bcl-2, and Bax from Cell Signaling Technology (Danvers, MA, USA).
Cell culture
The human ovarian cancer SKOV3 cell line was purchased from Boster Biological Technology Co., Ltd. (Wuhan, China). The A2780 cell line was obtained from the Molecular Medicine and Cancer Research Center of Chongqing (Chongqing, China) and cultured in DMEM (Hyclone, Logan, Utah, USA), and supplemented with 10% FBS (Gibco, Invitrogen Life Technologies, Carlsbad, USA), 100 unit/mL penicillin, and 100 mg/mL streptomycin (Beyotime, Shanghai, China) in a humidified chamber containing 5% CO2 at 37°C.
In vitro cell viability assay (CCK8)
SKOV3 and A2780 cells were seeded in 96-well microtiter plates (Corning, NY, USA) with 1×104 cells per well and pretreated with various concentrations of DHM for 24 h and 48 h to select the most effective concentration and time point for the assessment of cell viability using the Cell Counting Kit-8 (Beyotime, Shanghai, China) following the manufacturer’s recommendations. Six reduplicate wells were used for each treatment and the experiments were performed three times. At each time point, the absorbance (A) was measured at 450 nm using a microplate reader (BioTek synergy HT, VT, USA). The concentration required to inhibit cell growth by 50% (IC50, half maximal inhibitory concentration) was calculated using GraphPad Prism (San Diego, CA, USA).
The percentage of viable cells was calculated as follows:
Wound healing assay
Wound healing assay was performed and the closure of the scratched area was calculated as previously described [32]. Cells were seeded at a high density (1 × 106 cells/mL) in each well of a 6-well culture plate and allowed to adhere. Confluent cells were scratched with a 200 μL pipette tip and treated with the various concentrations of DHM diluted by serum-free DMEM medium and were cultured for the indicated time points. Cells were then photographed with a digital camera (IX70, Olympus) and the wound width was measured using an image analysis software (ImagePro Premier). Three fields were randomly selected from each wound.
Migration/Invasion assay
Cell migration assay was performed and determined using Corning Transwell insert chambers (Cat No. 3422, Corning, NY, USA). Thaw the Matrigel® Matrix (Becton Dickinson, Oxford, UK; Cat No. 354234) overnight at 4°C and mix Matrigel with serum-free cold DMEM. 0.1ml of the diluted Matrigel was pre-coated directly onto each 24-well Transwell insert at 37°C for at least 1h for invasion assay [33].
Apoptosis assay
Apoptotic cells were assessed using an Annexin V-FITC/PI kit (BD Pharmingen, Franklin Lakes, NJ, USA) according to the manufacturer’s instructions. Apoptotic cells were detected by flow cytometry (FACSCalibur, Becton Dickinson, San Jose, CA, USA) and analyzed using FlowJo cell analysis software (FlowJo, Ashland, OR, USA).
Caspase-3/9 activity assay
Caspase-3/9 activity was measured using a commercial kit (Beyotime, Shanghai, China) according to the manufacturer’s instructions. After treatment with different concentrations of DHM, cells were lysed and then incubated with the caspase reagent and its substrates, Ac-DEVD-pNA (caspase-3) and Ac-LEHD-pNA (caspase-9), for 1–2 h at 37°C. Absorbance (A) at 405 nm was measured using a microplate reader. The caspase activity (Unit) = Atreated / Acontrol × 100%.
Cellular immunofluorescence (IF)
Cells were seeded on slides in a 24-well plate and allowed to attach for 24 h. The cells were subsequently treated with different concentrations of DHM. For IF analysis, the samples were fixed with 4% paraformaldehyde and permeabilized with 0.5% Triton X-100 for 10 min. After being blocked with 10% goat serum albumin for 60 min at 37°C, the slides were incubated with primary antibodies against Caspase-3 (1 : 500, Rabbit mAb), Actin (1 : 400, mouse mAb) and GRASP65 (1 : 300, Rabbit mAb) overnight at 4 °C. The following day, the slides were washed three times with PBS and then incubated with FITC-labeled Goat anti-mouse or Cy3-labeled Goat anti-rabbit secondary antibodies for 1 h at 37°C before being labelled with DAPI for 1 min at room temperature. Finally, three fields per slide were randomly selected for observation under a fluorescence microscope (Olympus Inc., Tokyo, Japan). Staining intensities were measured by observers blinded to the experimental groups using Image-Pro Plus 6.0 (Media Cybernetics, Rockville, MD, USA).
Gene knockdown using siRNA and transient transfection
Two GRASP65 siRNAs (siRNA1: GGUUGGUUCGGACCAGAUUTT; siRNA2: GGAACCAUCUUCACCUGCUTT) and one overexpression plasmid (NCBI Reference Sequences of GRASP65/GORASP1(human): NM_031899.3), as well as the corresponding negative control plasmids, were all designed and synthesized by Shanghai GenePharma Co., Ltd. Cells were transiently transfected with siRNAs or plasmid using the Lipofectamine® 2000 Reagent kit (Invitrogen; Thermo Fisher Scientific, Inc., MA, USA) according to the manufacturer’s protocol.
Following a 6 h transfection, the cell culture solution was changed to a normal medium. After transfection for 24–48 h, cells were processed for further analysis and subsequent experiments, and non-transfected cells served as blank controls. Transfection efficiency was verified using western blot analysis.
Preparation of total cell extracts and western blot analysis
The cells were lysed with lysis buffer containing protease inhibitors. The soluble cell lysates were collected after centrifugation at 14000 g for 15 min. Equal amounts of protein (20–30μg) were subjected to 10 or 12% sodium dodecylsulfate polyacrylamide gel electrophoresis (SDS-PAGE) and transferred onto polyvinylidene fluoride (PVDF) membranes (Millipore, Belford, MA). After blocking with 5% skim milk in PBS containing 0.1% Tween20 (TBST), membranes were incubated with primary antibodies at 4 °C overnight. After washing with TBST three times for 10 min, the membranes were incubated at room temperature for 2 h with secondary antibodies. An enhanced chemiluminescent substrate (ECL, Thermo fisher, MA, USA) was added to the membranes, which were photographed using a protein analysis system (Tanon 5200, Shanghai, China).
Statistical analysis
All data are presented as the mean ± standard deviation (SD). The statistical significance of differences between groups was analyzed by one-way Analysis of Variance (ANOVA) followed by Dunnett’s or Tukey’s post hoc tests using SPSS 17.0 software (SPPS Software, Inc., Chicago, IL, USA). A value of P<0.05 was considered statistically significant.
Results
DHM reduced cell migration and invasion in SKOV3 and A2780 cells
The inhibitory effects of DHM on A2780 and SKOV3 ovarian cancer cells were assessed using CCK8, wound healing, and Transwell assays. A previous study showed that DHM had no significant cytotoxicity in human ovarian surface epithelial cells [24]. Firstly, the cell viability was detected by CCK-8 assay after treatment with DHM. DHM treatment significantly decreased the cell viability of SKOV3 and A2780 cells in a time - and dose-dependent manner. The IC50 values of DHM for SKOV3 and A2780 cells were 213.4 and 157.2 μM, respectively, after DHM treatment for 24 h. The IC50 values were 132.3 and 98.2 μM, respectively, after DHM treatment for 48 h. We selected 120 and 80 μM of DHM for 48 h in SKOV3 and A2780 cells based on the determined IC50 values for subsequent studies, respectively.
Next, to examine whether DHM inhibited the migration of ovarian cancer cells, wound healing assays were performed using non-cytotoxic concentrations of DHM. The closure of the wound in the DHM-treated group was calculated and normalized to that of the control. As shown in Fig 1A and 1B, 40 μM DHM suppressed approximately 50% of wound closure in A2780 cells, and significantly reduced the closure of the wound after DHM treatment at both 80 μM and 120 μM in SKOV3 cells.
Fig. 1. DHM reduces cell migration and invasion. A/B. Wound healing and Transwell assay were conducted in. SKOV3 cells (A) treated with DMSO (control), 80, and 120 μM of DHM, and A2780 cells (B) with DMSO (control), 40, and 80 μM for 48 h. Each experiment was repeated at least three times. * p < 0.05, **p < 0.01 vs the DMSO (control) group. Additionally, Transwell assays were carried out to confirm the inhibitory effect of DHM on cell migration. The number of migratory DHM-treated cells was calculated and then normalized to that of the control cells. As shown in Fig 1A and 1B, DHM dose-dependently inhibited the migration of both ovarian cancer cell lines. Transwell assays were also performed to explore the effect of DHM on the invasion of cancer cells. Our results clearly showed that DHM significantly attenuated the invasion of SKOV3 and A2780 cells.
These results suggest that DHM could decrease cell viability and reduce the migration and invasion of different ovarian cancer cells at non-cytotoxic doses, implying that DHM may be a potent therapeutic agent for ovarian cancer.
DHM induced cell apoptosis in A2780 and SKOV3 cells
The apoptotic process is executed by a member of the highly conserved caspases, and modulation of the mechanisms of caspase activation and suppression is a critical molecular target in chemoprevention, since these processes lead to apoptosis [34]. To identify the mechanisms, cell nuclei were evaluated after DHM treatment by DAPI and Caspase-3 (Red) and Actin (Green) double staining was observed using fluorescence microscopy. Activation of Caspase-3/9 was also detected.
A2780 and SKOV3 cells were treated with 80 and 120 μM DHM, respectively, for 48 h to test the effects of DHM on cell apoptosis. DHM treatment resulted in an increase in nuclear disassembly, chromatin condensation, and the expression of Caspase-3 using IF double staining (Fig 2A), and the activation of caspases (Caspase-3 and -9) (Fig 2B), indicating apoptotic cell death in SKOV3 and A2780 cells.
Fig. 2. DHM induces apoptosis in SKOV3 and A2780 cells. A. SKOV3 cells were treated with 120 μM DHM and A2780 with 80 μM for 48 h. Caspase-3 (Red) and Actin (Green) double staining were characterized by IF staining and observed under fluorescent microscopy. B. Caspase-3/9 activity was determined after exposure to DHM for 48 h. C. Expression of Bcl-2, cleaved-caspase-3, and Bax was determined by western blot analysis. Scale bar equals 50 μm. Each experiment was repeated at least three times. * p < 0.05, **p < 0.01 vs the control group. Upon further investigation, we performed western blot analysis to evaluate the expression of apoptosis-related proteins following DHM treatment. As shown in Fig 2C, exposure to 80 μM DHM for 48 h resulted in an increase in Bax and cleaved-caspase-3 protein levels, and a decrease in the expression of Bcl-2 in A2780 cells. Similar DHM-induced apoptotic effects were also observed in SKOV3 cells (Fig 2C).
These results suggest that DHM can induce apoptosis in ovarian cancer cells.
DHM downregulated GRASP65 expression in SKOV3 and A2780 cells
We examined the expression of GRASP65 to determine its role in the inhibitory effect of DHM in ovarian cancer cells. SKOV3 and A2780 cells were treated with DHM for 48 h, and the expression of GRASP65 was detected by IF staining and western blot. In comparison to the control group, DHM induced cell apoptosis as shown in Fig 2, followed by the downregulation of GRASP65 expression in a concentration-dependent manner in Fig 3C and 3D. This finding was further supported by IF analysis (Fig 3A and 3B), indicating that DHM might downregulate the expression of GRASP65 during DHM-induced apoptosis.
Fig. 3. DHM downregulates GRASP65 expression in SKOV3 and A2780 cells. A. IF analysis of GRASP65 expression in DHM-treated SKOV3 cells. B. IF analysis of GRASP65 expression in DHM-treated A2780 cells. C. Western blot analysis of GRASP65 expression in DHM-treated SKOV3 cells. D. Western blot analysis of GRASP65 expression in DHM-treated A2780 cells. Scale bar equals 50 μm. Each experiment was repeated at least three times. * p < 0.05, **p < 0.01 vs the control group. DHM-induced caspase-3 activation was crucial for suppression of GRASP65 expression in SKOV3 and A2780 cells
Morphological studies have shown that the Golgi complex is fragmented and GRASP65 is cleaved by caspase-3 during apoptosis [29]. Additionally, the expression of a caspase-resistant form of GRASP65 partially preserved cisternal stacking and inhibited the breakdown of the Golgi ribbon in apoptotic cells [29]. To further explore the significance of caspase-3 activation and the relationship between caspase-3 activation and GRASP65 suppression in DHM-induced cell apoptosis, OCs were pre-treated with a specific caspase-3 inhibitor, Ac-DEVD-CHO, for 30 min to suppress the activity of caspase-3 to evaluate the contribution of caspase-3 in the effects of DHM. As shown in Fig 4A, Ac-DEVD-CHO dramatically attenuated DHM-induced increases in cleaved caspase-3, subsequently resulting in an increase in GRASP65 in SKOV3 and A2780 cells. This finding was further supported by flow cytometry analysis (Fig 4B).
Fig. 4. Caspase-3 activation is crucial for suppression of GRASP65 expression in SKOV3 and A2780 cells. A. Western blot analysis showed that the caspase-3 inhibitor Ac-DEVD-CHO dramatically attenuated DHM-induced effects in SKOV3 and A2780 cells. B. SKOV3 and A2780 cells were treated with 120 and 80 μM DHM for 48 h with or without pretreatment with Ac-DEVD-CHO for 30 min and analyzed by flow cytometry after Annexin V-FITC/PI staining. Annexin-V-FITC−/PI− populations in Q4 were living cells, while Annexin-V-FITC+/PI−cells in Q3 were undergoing necrosis, and Annexin-V-FITC+/PI+ cells in Q2 were either in the end stage of apoptosis or were already dead. The total populations in Q2 and Q3 were considered as apoptotic cells. Quantitative analysis of total apoptotic cells is shown. Each experiment was repeated at least three times. * p < 0.05, **p < 0.01 vs the control group. #p < 0.05, ##p < 0.01 vs the DHM group. The present results revealed that activated caspase-3 was crucial for suppression of GRASP65 in DHM-induced cell apoptosis. Therefore, we speculated that suppression of GRASP65 might be related to caspase-3 cleavage during DHM-mediated cell apoptosis.
Effects of GRASP65 on DHM-induced cell apoptosis in A2780 cells
Previous studies have reported that GRASP65 is involved in cancer cell migration [35], polarity, and apoptosis [36]. To further determine whether DHM triggered cell apoptosis by decreasing GRASP65 expression, we silenced or overexpressed GRASP65 in A2780 cells to determine the role of GRASP65 in DHM-induced cell apoptosis. The efficacy of transfection was confirmed by western blot analysis as shown in Fig 5A. Therefore, we selected the most effective siRNA2 to silence and OE plasmid to overexpress GRASP65 in the following experiments.
Fig. 5. Effects of GRASP65 on DHM-induced apoptosis in A2780 cells. A. Transient transfection of GRASP65 siRNA and overexpression plasmid was confirmed by western blot. B/C. The expression of GRASP65and cleaved-caspase-3 were assessed by western blotting, and apoptosis was determined using flow cytometry after transfection following treatment with 80 μΜ of DHM for 48 h. Quantitative analysis of total apoptotic cells is shown. GRASP65 siRNA transfection results are shown in 5B, and overexpression plasmid is shown in 5C. Each experiment was repeated at least three times. * p < 0.05, **p < 0.01 vs the control group. #p < 0.05, ##p < 0.01 vs the DHM group. As shown in Fig 5B, cells transfected with siGRASP65 showed a lower expression of GRASP65 and a higher level of cleaved caspase-3 than those in the control group, implying that GRASP65 depletion might lead to apoptosis in A2780 cells. Meanwhile, the expression of GRASP65 in cells transfected with siGRASP65 was lower than that in the control group when treated with 80 μM of DHM and the expression of cleaved caspase-3 was higher. The results of Annexin V-FITC/PI dual staining showed that there was more apoptosis in cells transfected with GRASP65 siRNA in comparison to controls when treated with 80 μM of DHM (Fig 5B). The finding suggests that combination of DHM and GRASP65 depletion could further promote apoptosis.
On the contrary, the level of cleaved caspase-3 decreased in the DHM-treated OE-GRASP65 group in comparison to the DHM-treated group (Fig 5C). Interestingly, the percentage of apoptotic cells was reduced to 8.59% in GRASP65-overexpressing cells after DHM treatment for 48 h, which was 5.94% lower than that observed in DHM group (Fig 5C). The above result revealed that overexpression of GRASP65 attenuated DHM-mediated apoptosis.
Effects of GRASP65 on DHM-mediated cell viability and migration in A2780 cells
Additionally, we also tested the effects of GRASP65 on cell viability and migration by CCK8 assay and wound healing assay, respectively, using GRASP65 siRNA and OE-GRASP65 transfection in A2780 cells. As shown in Fig 6A, the cell viability of A2780 cells transfected with GRASP65 siRNA was lower than that in the control group with or without treatment with 80 μM of DHM. In comparison to the DHM-treated group, DHM suppressed wound closure in A2780 cells after transfected with GRASP65 siRNA (Fig 6B).
Fig. 6. Effects of GRASP65 on DHM-induced cell viability and migration in A2780 cells. A. Cell viability was tested by CCK8 assay and B. cell migration was tested by wound healing assay after transfection following treatment with 80 μM of DHM for 48 h. Statistical analysis of cell viability and migration is shown. Each experiment was repeated at least three times. * p < 0.05, **p < 0.01 vs the control group. #p < 0.05, ##p < 0.01 vs the DHM group. On the contrary, overexpression of GRASP65 could improve DHM-induced inhibition of cell viability (Fig 6A) and induce cell migration when treated with 80 μM of DHM (Fig 6B).
These results suggested that GRASP65 depletion using siRNA combined with DHM treatment had an additive effect on DHM-induced inhibition of cell viability and cell migration.
JNK/ERK pathway participated in DHM-mediated apoptosis in A2780 cells
Previous studies have shown that the MAPK signaling pathway plays an important role in chemotherapy-induced apoptosis [37]. Three major MAPKs, namely ERK, JNK, and p38 MAPK, are activated by various stresses, including reactive oxygen species (ROS) [38] and can influence apoptosis either positively or negatively. Therefore, we first determined whether MAPKs were activated in DHM-treated A2780 cells. Western blot analysis showed that DHM induced activation of JNK and ERK in a dose-dependent manner, but no obvious changes in p38 level (Fig 7A).
Fig. 7. ERK/JNK pathway participated in DHM-mediated apoptosis in A2780 cells. A. A2780 cells were treated with various concentrations of DHM for 48 h, and the expressions of p-JNK/JNK, p-p38/p38MAPK and p-ERK/ERK were evaluated using western blot. B. p-JNK, p-p38 and p-ERK levels were detected by western blot after siGRASP65 transfection, following treatment with 80 μM of DHM for 48 h. Each experiment was repeated at least three times. * p < 0.05, **p < 0.01 vs the control group. #p < 0.05, ##p < 0.01 vs the DHM group. We also found that there was no significant difference in p-JNK/ERK levels between the siGRASP65 group and the control group (Fig 7B), additionally, no difference between the DHM group and the DHM+siGRASP65 group (Fig 7B).
These results suggested that ERK/JNK signaling pathway involved in DHM-mediated cell apoptosis in A2780 cells, however, GRASP65 depletion had no effects on the p-JNK/ERK levels in A2780 cells.
Suppression of the ERK/JNK pathway attenuated DHM-induced apoptosis in A2780 cells
To make the mechanism involved in inhibiting GRASP65 further clear, protein expression of GRASP65 and apoptosis-related proteins in A2780 cells were examined with the use of JNK and ERK inhibitors, respectively.
A2780 cells were pre-treated with 20 μM SP600125 (a JNK inhibitor) or 10 μM U0126 (an ERK inhibitor) for 2 h, followed by 80 μM DHM treatment for another 48 h and then were analyzed by western blot. Compared with the Control group, DHM increased the p-JNK/ERK levels and the caspase-3 cleavage and downregulated the expression of GRASP65 simultaneously. Interestingly, in comparison to the DHM group, SP600125 and U0126 significantly inhibited DHM-induced caspase-3 activation and increased GRASP65 levels after treatment with 80 μM DHM, followed by the inhibition of p-JNK/ERK levels (Fig 8A and 8B).
Fig. 8. Suppression of the ERK/JNK pathway attenuated DHM-induced apoptosis in A2780 Cells. A/B. GRASP65, p-JNK/ERK and cleaved-caspase-3 levels were analyzed by western blot, following treatment with 80 μM of DHM in combination with SP600125 (8A) and U0126 (8B). Each experiment was repeated at least three times. * p < 0.05, **p < 0.01 vs the control group. #p < 0.05, ##p < 0.01 vs the DHM group. Taken together, these findings showed that the JNK/ERK pathway might be involved in DHM-mediated caspase-3 activation and GRASP65 inhibition in A2780 cells and suppression the ERK/JNK pathway could attenuate DHM-induced apoptosis, followed by an increase of GRASP65 expression.
Discussion
The Golgi complex has been demonstrated to undergo fragmentation during apoptosis in several cancers. Due to the role of ER and Golgi during induction/execution of apoptosis, Golgi proteins have garnered significant interest as novel targets for selective anti-cancer therapies [3]. Cleavage of GRASP65 by caspase-3 correlates with Golgi fragmentation [7], and the fragmentation partially prevented by the expression of a caspase-resistant form of GRASP65 during apoptosis [29, 39]. GRASP65 also seems to be the important target of signaling events leading to Golgi breakdown during apoptosis [35]. Furthermore, GRASP65 and GRASP55 have been recently used as tools to disrupt the Golgi structure and thereby determine the functional consequence of Golgi structural disruption [40], which prompt numerous researchers to explore the underlying mechanisms of Golgi structure formation and function. Additionally, the Golgi-localized caspase-2 and -3 are generally accepted as central players in the execution phase of apoptosis, as they mediate cleavage of several golgins and GRASPs, including GM130 [41] and GRASP65 [29]. Therefore, these studies indicated that Golgi proteins are potential therapeutic targets, as Golgi disruptive agents may facilitate Golgi fragmentation and induce apoptosis. In the present study, we mainly focused on the potential effects of GRASP65 in DHM-mediated ovarian cancer cell apoptosis.
DHM, a natural flavonoid derived from Ampelopsis grossedentata, has received considerable interest as a potential candidate for cancer therapy. Many studies have demonstrated that DHM has functions in cancer prevention and development [21–23]. Interestingly, an inverse relationship between the intake of dietary flavonoid and cancer risk has been observed in different studies [42]. Therefore, we sought to further investigate the antitumor activity of DHM. Cell apoptosis is an active process of endogenous programmed cell death, which is a standard benchmark for the selection of anticancer drugs [43], and its deregulation is a fundamental hallmark of cancer development and progression [44]. The results of our study showed that DHM treatment significantly promoted cell apoptosis by upregulating the proportion of Bax/Bcl-2 and activating caspase-3 in SKOV3 and A2780 cells. Similarly, many chemotherapies, such as cisplatin and paclitaxel, aim to cure or control cancer by inducing apoptosis of human carcinoma cells [45].
To further determine the effects of GRASP65 on DHM-induced cell apoptosis, we first examine GRASP65 expression using immunoblotting analysis. GRASP65 is a specific substrate of caspase-3[36], and cleavage of GRASP65 correlates with Golgi fragmentation, which can be inhibited by the expression of a caspase-resistant form of GRASP65[29]. And caspase cleavage of Golgi structural proteins may be the downstream result of effector caspase activation, allowing the packaging of Golgi remnants into apoptotic blebs for disposal [29]. Our findings showed that GRASP65 expression decreased during DHM-induced apoptosis, likely due to caspase-3 cleavage according to the reports that showed caspase-3 cleavage of GRASP65 is necessary for apoptotic Golgi fragmentation [29,36]. Furthermore, we found inhibition of caspase-3 activity by Ac-DEVD-CHO could mitigate DHM-induced cell apoptosis to delay or reduce cell death, followed by an increase of GRASP65 level. Therefore, we speculated that DHM might activate caspase-3, which is closely related to the suppression of GRASP65 expression during DHM-induced apoptosis. However, the significance of GRASP65 suppression and its relationship with DHM-mediated effects remain obscure.
Then, we performed GRASP65 siRNA and overexpression plasmid transfections to further detect the potential role of GRASP65 in DHM-induced cell apoptosis. Previous research reported that pharmacological intervention or overexpression of the C-terminal fragment of GRASP65 inhibits GF and decreases or delays neuronal cell death [46]. Depletion of GRASP65 by siRNA reduced the number of cisternae in the Golgi stacks, which can be rescued by expressing exogenous GRASP65 [47]. In addition, depletion of GRASP65 reduced cell attachment and migration [48], even resulted in cell death [36,49]. Numerous researches have indicated that the Golgi apparatus and GA fragmentation play important roles in apoptosis [28, 50] and GA is a sensor and common downstream effector of stress signals in cell death pathways [51]. Similarly, flow cytometry and western blot analysis in our study showed that overexpression of GRASP65 reduced cell apoptosis and inhibition of GRASP65 by siRNA induced apoptosis in A2780 cells. On the other hand, overexpression of GRASP65 mitigated DHM-mediated cell apoptosis. Conversely, GRASP65 depletion combined with DHM treatment could further promoted cell apoptosis, suggesting that DHM combined with GRASP65 intervention may elicit an antitumor response in ovarian cancer cells. Therefore, GRASP65 downregulation may have a critical role in DHM-induced apoptosis in OCs, while its role in DHM-induced Golgi morphological changes may be complex.
However, the molecular mechanism of DHM-mediated suppression of GRASP65 expression is unclear. Several studies have shown that the mitogen-activated protein kinase (MAPK) signaling pathway plays an important role in chemotherapy-induced apoptosis [36,52–53]. JNK can function as pro-apoptotic and anti-apoptotic kinases in different cell types [54]. Accumulating evidence suggests that phosphorylation of GRASP65 by kinases, such as ERK [55, 56], JNK2[57], Cdk1 and PLK1, or cleavage by caspase, is required for mitotic or apoptotic Golgi fragmentation [8,58]. JNK2–GRASP65 signaling has a prominent role in the identification of novel anti-cancer agents that block cell cycle progression [57]. Once activated, JNKs in turn phosphorylate several transcription factors and cellular proteins that are associated with apoptosis, including Bcl2[53], capase-3[59], and others. In the present study, DHM could activate JNK/ERK signaling pathway in a concentration-dependent manner. On the other hand, inhibition of JNK and ERK signaling suppressed the cleavage of caspase-3 as well as increased the expression of GRASP65 in A2780 cells treated with DHM, indicating that DHM might activate JNK/ERK-caspase-3 pathway and the activation of caspase-3 was crucial for the downregulation of GRASP65. Moreover, we found DHM combined with GRASP65 siRNA intervention couldn’t further affect the p-JNK and p-ERK levels, only induce apoptosis. Increasing evidence suggests that the GA is a crucial downstream effector [51], even as a downstream target organelle of endoplasmic reticulum and mitochondria associated with GRASP65 phosphorylation when oxidative stress occurs [60,61]. Based on the findings, we speculated that GRASP65 suppression might be the downstream effector during DHM-mediated apoptosis in ovarian cancer cells, which was at least partially due to the activation of the JNK/ERK pathway.
Taken together, the present study demonstrated that DHM treatment promoted JNK/ERK activation and the cleavage of Caspase-3, which was crucial for the suppression of GRASP65 in ovarian cancer cells. Furthermore, DHM treatment combined with GRASP65 depletion had an additive role in DHM-mediated anticancer effects. However, the role of GRASP65 in DHM-induced Golgi distribution and morphology remains unclear. In the long term, future studies employing techniques, such as electron microscopy and confocal scanning microscopy, are needed to further reveal the structure-function relationships of the GA in DHM-induced cell apoptosis.
Supporting information
Zdroje
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- Raising the bar: Recovery ambition for species at risk in Canada and the US
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- Assessing reliability of intra-tumor heterogeneity estimates from single sample whole exome sequencing data
- Dispersion of Legionella bacteria in atmosphere: A practical source location estimation method
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- Barriers to implementation of emergency obstetric and neonatal care in rural Pakistan
- Testosterone supplementation improves insulin responsiveness in HFD fed male T2DM mice and potentiates insulin signaling in the skeletal muscle and C2C12 myocyte cell line
- Ang-(1-7)/ MAS1 receptor axis inhibits allergic airway inflammation via blockade of Src-mediated EGFR transactivation in a murine model of asthma
- Factors influencing bird-building collisions in the downtown area of a major North American city
- Collembola laterally move biochar particles
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- Results from a World Health Organization pilot of the Basic Emergency Care Course in Sub Saharan Africa
- Scientists’ opinions and attitudes towards citizens’ understanding of science and their role in public engagement activities
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- Morphology, phylogeny, and taxonomy of two species of colonial volvocine green algae from Lake Victoria, Tanzania
- Metabolomics profiles associated with HbA1c levels in patients with type 2 diabetes
- Exploring local realities: Perceptions and experiences of healthcare workers on the management and control of drug-resistant tuberculosis in Addis Ababa, Ethiopia
- Sex differences in the treatment and outcome of emergency general surgery
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- Barriers to integration of bioinformatics into undergraduate life sciences education: A national study of US life sciences faculty uncover significant barriers to integrating bioinformatics into undergraduate instruction
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- Insertional mutagenesis in the zoonotic pathogen Chlamydia caviae
- Being there: A scoping review of grief support training in medical education
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- Effect of self-rated health status on functioning difficulties among older adults in Ghana: Coarsened exact matching method of analysis of the World Health Organization’s study on global AGEing and adult health, Wave 2
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- Correlates of leisure-time sedentary behavior among 181,793 adolescents aged 12-15 years from 66 low- and middle-income countries
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- Spatiotemporal analysis of historical records (2001–2012) on dengue fever in Vietnam and development of a statistical model for forecasting risk
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- Effect of community based health education on knowledge and attitude towards iron and folic acid supplementation among pregnant women in Kiambu County, Kenya: A quasi experimental study
- Implementation and effectiveness of non-specialist mediated interventions for children with Autism Spectrum Disorder: A systematic review and meta-analysis
- A tailored cognitive behavioral program for juvenile justice-referred females at risk of substance use and delinquency: A pilot quasi-experimental trial
- Impact of adjusted kidney volume measured in the bench surgery on one-year renal function in kidney transplantation
- Machine learning algorithm validation with a limited sample size
- The magnitude of suicidal ideation, attempts and associated factors of HIV positive youth attending ART follow ups at St. Paul’s hospital Millennium Medical College and St. Peter’s specialized hospital, Addis Ababa, Ethiopia, 2018
- The nonlinear effect of financial and fiscal policies on poverty alleviation in China—An empirical analysis of Chinese 382 impoverished counties with PSTR models
- Impacts of risk and competition on the profitability of banks: Empirical evidence from Pakistan
- Molecular characterization of lung adenocarcinoma from Korean patients using next generation sequencing
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- Joint image compression and encryption based on sparse Bayesian learning and bit-level 3D Arnold cat maps
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- Live observation of the oviposition process in Daphnia magna
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- Differences in clinical features of cluster headache between drinkers and nondrinkers in Japan
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- The prognostic significance of tumor-infiltrating lymphocytes assessment with hematoxylin and eosin sections in resected primary lung adenocarcinoma
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- Psychological and physiological effects of applying self-control to the mobile phone
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- Modulating transcription through development of semi-synthetic yeast core promoters
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- The impact of hepatic steatosis on portal hypertension
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- Methods for the identification of farm escapees in feral mink (Neovison vison) populations
- Transcriptional analysis of amino acid, metal ion, vitamin and carbohydrate uptake in butanol-producing Clostridium beijerinckii NRRL B-598
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- Pan-caspase inhibitor F573 mitigates liver ischemia reperfusion injury in a murine model
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- Incidence patterns of orofacial clefts in purebred dogs
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- Prevention of suicidal behaviour: Results of a controlled community-based intervention study in four European countries
- An assessment of khat consumption habit and its linkage to household economies and work culture: The case of Harar city
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- The role of stigma in the acceptance and disclosure of HIV among recently diagnosed men who have sex with men in Australia: A qualitative study
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- Questioning the lasting effect of galvanic vestibular stimulation on postural control
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- The mutational landscape of quinolone resistance in Escherichia coli
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- Development of a novel automatable fabrication method based on electrospinning co electrospraying for rotator cuff augmentation patches
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- Molecular epidemiological characteristics of dengue virus carried by 34 patients in Guangzhou in 2018
- Heteroplasmy in the complete chicken mitochondrial genome
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- Appropriate management of acute gastroenteritis in Australian children: A population-based study
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- Effectiveness of four types of neuraminidase inhibitors approved in Japan for the treatment of influenza
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- Propofol-based total intravenous anesthesia did not improve survival compared to desflurane anesthesia in breast cancer surgery
- Association between ossification of the posterior longitudinal ligament and ossification of the nuchal ligament in the cervical spine
- Effects of Debaryomyces hansenii treatment on intestinal mucosa microecology in mice with antibiotic-associated diarrhea
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- Evolution of high tooth replacement rates in theropod dinosaurs
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- Effects of an incremental theory of personality intervention on the reciprocity between bullying and cyberbullying victimization and perpetration in adolescents
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- Identifying resurrection genes through the differentially expressed genes between Selaginella tamariscina (Beauv.) spring and Selaginella moellendorffii Hieron under drought stress
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- Mathematical modeling reveals the factors involved in the phenomena of cancer stem cells stabilization
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- Magnitude and associated factors of postpartum depression among women in Nekemte town, East Wollega zone, west Ethiopia, 2019: A community-based study
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- The household economic costs associated with depression symptoms: A cross-sectional household study conducted in the North West province of South Africa
- Increased cell size, structural complexity and migration of cancer cells acquiring fibroblast organelles by cell-projection pumping
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- Characterization of two thermophilic cellulases from Talaromyces leycettanus JCM12802 and their synergistic action on cellulose hydrolysis
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- Highly accurate prediction of flammability limits of chemical compounds using novel integrated hybrid models
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- Yeasts affect tolerance of Drosophila melanogaster to food substrate with high NaCl concentration
- The effect of climate change on cholera disease: The road ahead using artificial neural network
- Grit (effortful persistence) can be measured with a short scale, shows little variation across socio-demographic subgroups, and is associated with career success and career engagement
- Micro-dislodgement during transcatheter aortic valve implantation with a contemporary self-expandable prosthesis
- Improving the antimicrobial efficacy against resistant Staphylococcus aureus by a combined use of conjugated oligoelectrolytes
- Kin discrimination and outer membrane exchange in Myxococcus xanthus: Experimental analysis of a natural population
- Inflammatory cell infiltrates, hypoxia, vascularization, pentraxin 3 and osteoprotegerin in abdominal aortic aneurysms – A quantitative histological study
- Effects of virtual reality rehabilitation training on gait and balance in patients with Parkinson's disease: A systematic review
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- Association between housing tenure and self-rated health in Japan: Findings from a nationwide cross-sectional survey
- Investigation of biochemical and physiological parameters of the newborn Saiga antelope (Saiga tatarica) in Gansu Province, China
- One-year follow-up of changes in refraction and aberrations induced by corneal incision
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- An assessment of the Dutch experience with health insurers acting as healthcare advisors
- Perception of potential harm and benefits of HIV vaccine trial participation: A qualitative study from urban Tanzania
- Veterans with Gulf War Illness exhibit distinct respiratory patterns during maximal cardiopulmonary exercise
- Deep brain stimulation restores the glutamatergic and GABAergic synaptic transmission and plasticity to normal levels in kindled rats
- Metformin strongly affects transcriptome of peripheral blood cells in healthy individuals
- Cranberry extracts promote growth of Bacteroidaceae and decrease abundance of Enterobacteriaceae in a human gut simulator model
- Long-term retention on antiretroviral therapy among infants, children, adolescents and adults in Malawi: A cohort study
- Histochemical quantification of collagen content in articular cartilage
- Optogenetically transduced human ES cell-derived neural progenitors and their neuronal progenies: Phenotypic characterization and responses to optical stimulation
- Ion torrent high throughput mitochondrial genome sequencing (HTMGS)
- Outpatient antibiotic prescription rate and pattern in the private sector in India: Evidence from medical audit data
- Acute Influenza A virus outbreak in an enzootic infected sow herd: Impact on viral dynamics, genetic and antigenic variability and effect of maternally derived antibodies and vaccination
- Prevalence and correlates of low serum calcium in late pregnancy: A cross sectional study in the Nkongsamba Regional Hospital; Littoral Region of Cameroon
- Home-cage monitoring ascertains signatures of ictal and interictal behavior in mouse models of generalized seizures
- CRISPR/Cas9 gene editing in the West Nile Virus vector, Culex quinquefasciatus Say
- Genetic susceptibility to angiotensin-converting enzyme-inhibitor induced angioedema: A systematic review and evaluation of methodological approaches
- Proton pump inhibitor use increases the risk of peritonitis in peritoneal dialysis patients
- Comparative distribution of extended-spectrum beta-lactamase–producing Escherichia coli from urine infections and environmental waters
- Sex differences in thigh muscle volumes, sprint performance and mechanical properties in national-level sprinters
- Maternal serum and cord blood leptin concentrations at delivery
- Winter nitrification in ice-covered lakes
- Intolerance of uncertainty fuels depressive symptoms through rumination: Cross-sectional and longitudinal studies
- Monitoring exercise-induced muscle damage indicators and myoelectric activity during two weeks of knee extensor exercise training in young and old men
- Can adoption of pollution prevention techniques reduce pollution substitution?
- The association between self-efficacy and self-management behaviors among Chinese patients with type 2 diabetes
- Poly-arginine-18 peptides do not exacerbate bleeding, or improve functional outcomes following collagenase-induced intracerebral hemorrhage in the rat
- Affective disorders in the elderly in different European countries: Results from the MentDis_ICF65+ study
- Evaluation of forearm vascular resistance during orthostatic stress: Velocity is proportional to flow and size doesn’t matter
- Proton pencil minibeam irradiation of an in-vivo mouse ear model spares healthy tissue dependent on beam size
- Maternal stress in Shank3ex4-9 mice increases pup-directed care and alters brain white matter in male offspring
- Aspartate aminotransferase-to-platelet ratio index (APRI): A potential marker for diagnosis in patients at risk of severe malaria caused by Plasmodium vivax
- Exploiting open source 3D printer architecture for laboratory robotics to automate high-throughput time-lapse imaging for analytical microbiology
- Long non-coding RNAs and latent HIV – A search for novel targets for latency reversal
- Clinical characteristics of neonatal fulminant necrotizing enterocolitis in a tertiary Children's hospital in the last 10 years
- Effects of neuromuscular electrical stimulation training on muscle size in collegiate track and field athletes
- Adaptive fuzzy flow rate control considering multifractal traffic modeling and 5G communications
- Evaluation of four commercial tests for detecting ceftiofur in waste milk bulk tank samples
- A smart tele-cytology point-of-care platform for oral cancer screening
- Vasopressin SNP pain factors and stress in sickle cell disease
- Carbonate production of Micronesian reefs suppressed by thermal anomalies and Acanthaster as sea-level rises
- Microbial metabolisms in an abyssal ferromanganese crust from the Takuyo-Daigo Seamount as revealed by metagenomics
- Incidence of chronic kidney disease hospitalisations and mortality in Espírito Santo between 1996 to 2017
- The impact of short-term machine perfusion on the risk of cancer recurrence after rat liver transplantation with donors after circulatory death
- Proteomic profiling of the thrombin-activated canine platelet secretome (CAPS)
- Blood metal levels and serum testosterone concentrations in male and female children and adolescents: NHANES 2011–2012
- The effects of prolonged single night session of videogaming on sleep and declarative memory
- Diversity, distribution and dynamics of large trees across an old-growth lowland tropical rain forest landscape
- Mapping developmental QTL for plant height in soybean [Glycine max (L.) Merr.] using a four-way recombinant inbred line population
- Vaginal ring acceptability and related preferences among women in low- and middle-income countries: A systematic review and narrative synthesis
- UM171 induces a homeostatic inflammatory-detoxification response supporting human HSC self-renewal
- Positive selection and precipitation effects on the mitochondrial NADH dehydrogenase subunit 6 gene in brown hares (Lepus europaeus) under a phylogeographic perspective
- Evaluation of Minimum Inhibitory Concentrations for 154 Mycoplasma synoviae isolates from Italy collected during 2012-2017
- Enhancement of antibiotics antimicrobial activity due to the silver nanoparticles impact on the cell membrane
- Correction: Smoking, alcohol use disorder and tuberculosis treatment outcomes: A dual co-morbidity burden that cannot be ignored
- Correction: Effect of corruption on perceived difficulties in healthcare access in sub-Saharan Africa
- Knowledge-based best of breed approach for automated detection of clinical events based on German free text digital hospital discharge letters
- Importance of thorough tissue and cellular level characterization of targeted drugs in the evaluation of pharmacodynamic effects
- Integrated value-chain and risk assessment of Pig-Related Zoonoses in Ghana
- Failed sperm retrieval from severely oligospermic or non-obstructive azoospermic patients on oocyte retrieval day: Emergent oocyte cryopreservation is a feasible strategy
- Cassava yield traits predicted by genomic selection methods
- Verification of hub genes in the expression profile of aortic dissection
- Pig farmers’ willingness to pay for management strategies to reduce aggression between pigs
- Metabolomic response of Euglena gracilis and its bleached mutant strain to light
- Diagnostic value of ASVS for insulinoma localization: A systematic review and meta-analysis
- Newly educated care managers’ experiences of providing care for persons with stress-related mental disorders in the clinical primary care context
- Real-time telemetry monitoring of oxygen in the central complex of freely-walking Gromphadorhina portentosa
- Qualification programmes for immigrant health professionals: A systematic review
- An analytical model to minimize the latency in healthcare internet-of-things in fog computing environment
- Grain filling of early-season rice cultivars grown under mechanical transplanting
- Intercalation of small molecules into DNA in chromatin is primarily controlled by superhelical constraint
- Correlative evidence for co-regulation of phosphorus and carbon exchanges with symbiotic fungus in the arbuscular mycorrhizal Medicago truncatula
- How to design a dose-finding study on combined agents: Choice of design and development of R functions
- Altered expression of Notch1 in Alzheimer's disease
- The ZJU index is a powerful surrogate marker for NAFLD in severely obese North American women
- Trunk velocity-dependent Light Touch reduces postural sway during standing
- Evaluation of cytological diagnostic accuracy for canine splenic neoplasms: An investigation in 78 cases using STARD guidelines
- Trade-offs in motivating volunteer effort: Experimental evidence on voluntary contributions to science
- Does caching strategy vary with microclimate in endangered Mt. Graham red squirrels?
- Assessment of energy expenditure during high intensity cycling and running using a heart rate and activity monitor in young active adults
- Evaluating rectal swab collection method for gut microbiome analysis in the common marmoset (Callithrix jacchus)
- Implementation of a screening, brief intervention and referral to treatment programme for risky substance use in South African emergency centres: A mixed methods evaluation study
- Can the CalproQuest predict a positive Calprotectin test? A prospective diagnostic study
- The calcium sensor OsCBL1 modulates nitrate signaling to regulate seedling growth in rice
- Acceptability of and treatment preferences for recurrent bacterial vaginosis—Topical lactic acid gel or oral metronidazole antibiotic: Qualitative findings from the VITA trial
- Mathematical determination of the HIV-1 matrix shell structure and its impact on the biology of HIV-1
- Contingent negative variation during a modified cueing task in simulated driving
- CAMDI interacts with the human memory-associated protein KIBRA and regulates AMPAR cell surface expression and cognition
- Effect of feeding patterns on growth and nutritional status of children aged 0-24 months: A Chinese cohort study
- A fecal sequel: Testing the limits of a genetic assay for bat species identification
- Measuring the impact of chronic conditions and associated multimorbidity on health-related quality of life in the general population in Hong Kong SAR, China: A cross-sectional study
- Short and long-term clinical effectiveness and cost-effectiveness of a late-phase community-based balance and gait exercise program following hip fracture. The EVA-Hip Randomised Controlled Trial
- Vaccine cold chain in general practices: A prospective study in 75 refrigerators (Keep Cool study)
- Brazilian norms for the Bank of Standardized Stimuli (BOSS)
- Distinct varieties of aesthetic chills in response to multimedia
- Interaction between apolipoprotein E genotype and hypertension on cognitive function in older women in the Nurses’ Health Study
- Correction: Resistance profile of the HIV-1 maturation inhibitor GSK3532795 in vitro and in a clinical study
- New formulation of the Gompertz equation to describe the kinetics of untreated tumors
- Development of visual perception of others’ actions: Children’s judgment of lifted weight
- Retrospective comparative analysis of intraocular lens calculation formulas after hyperopic refractive surgery
- Human vitreous concentrations of citicoline following topical application of citicoline 2% ophthalmic solution
- Development and validation of exhaled breath condensate microRNAs to identify and endotype asthma in children
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- Risk factors affecting dairy cattle protective grouping behavior, commonly known as bunching, against Stomoxys calcitrans (L.) on California dairies
- Acceleration of chemical shift encoding-based water fat MRI for liver proton density fat fraction and T2* mapping using compressed sensing
- Characterisation and microbial community analysis of lipid utilising microorganisms for biogas formation
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- Exploring optimization strategies for improving explicit water models: Rigid n-point model and polarizable model based on Drude oscillator
- Artificial insemination with fresh, liquid stored and frozen thawed semen in dromedary camels
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- Numerical study on the start and unstart phenomena in a scramjet inlet-isolator model
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- Urban growth simulation in different scenarios using the SLEUTH model: A case study of Hefei, East China
- Chronic bronchitis without airflow obstruction, asthma and rhinitis are differently associated with cardiovascular risk factors and diseases
- Factors associated with medication adherence among people with diabetes mellitus in poor urban areas of Cambodia: A cross-sectional study
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- Force field generalization and the internal representation of motor learning
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- Minimal genetic differentiation of the malaria vector Nyssorhynchus darlingi associated with forest cover level in Amazonian Brazil
- The impact of leisure activities on older adults’ cognitive function, physical function, and mental health
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- Association of serum leptin and adiponectin concentrations with echocardiographic parameters and pathophysiological states in patients with cardiovascular disease receiving cardiovascular surgery
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- Influences on surgical antimicrobial prophylaxis decision making by surgical craft groups, anaesthetists, pharmacists and nurses in public and private hospitals
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- Transgenerational deep sequencing revealed hypermethylation of hippocampal mGluR1 gene with altered mRNA expression of mGluR5 and mGluR3 associated with behavioral changes in Sprague Dawley rats with history of prolonged febrile seizure
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- Prognostic significance of non-sustained ventricular tachycardia on stored electrograms in pacemaker recipients
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- Real-world evidence of the effectiveness of ombitasvir-paritaprevir/r ± dasabuvir ± ribavirin in patients monoinfected with chronic hepatitis C or coinfected with human immunodeficiency virus-1 in Spain
- Unique transcriptomic landscapes identified in idiopathic spontaneous and infection related preterm births compared to normal term births
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- Autophagy deficiency exacerbates colitis through excessive oxidative stress and MAPK signaling pathway activation
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- Unravelling travellers’ route choice behaviour at full-scale urban network by focusing on representative OD pairs in computer experiments
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- Increasing knowledge of HIV status in a country with high HIV testing coverage: Results from the Botswana Combination Prevention Project
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- Comparison of the fecal, cecal, and mucus microbiome in male and female mice after TNBS-induced colitis
- Identifying candidate diagnostic markers for early stage of non-small cell lung cancer
- Complex alternative splicing of human Endonuclease V mRNA, but evidence for only a single protein isoform
- Correction: KML001 Induces Apoptosis and Autophagic Cell Death in Prostate Cancer Cells via Oxidative Stress Pathway
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- Frequency cluster formation and slow oscillations in neural populations with plasticity
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- Evaluation of various methods of selection of B. subtilis strains capable of secreting surface-active compounds
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- Study on characteristics of fire plume in building facade window under lateral blow
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- Effects of 6-mercaptopurine in pressure overload induced right heart failure
- The association between haemoglobin levels in the first 20 weeks of pregnancy and pregnancy outcomes
- Implementation and evaluation of an antimicrobial stewardship programme in companion animal clinics: A stepped-wedge design intervention study
- Factors associated with persistently high-cost health care utilization for musculoskeletal pain
- Nitrogen and chlorophyll status determination in durum wheat as influenced by fertilization and soil management: Preliminary results
- Effect of repeated in vivo microCT imaging on the properties of the mouse tibia
- Coupling environment and physiology to predict effects of climate change on the taxonomic and functional diversity of fish assemblages in the Murray-Darling Basin, Australia
- Hematology and plasma biochemistries in the Blanding’s turtle (Emydoidea blandingii) in Lake County, Illinois
- CRISPR-Cas influences the acquisition of antibiotic resistance in Klebsiella pneumoniae
- Phosphorylation-dependent activity-based conformational changes in P21-activated kinase family members and screening of novel ATP competitive inhibitors
- Antidepressant prescriptions, discontinuation, depression and perinatal outcomes, including breastfeeding: A population cohort analysis
- Why men with a low-risk prostate cancer select and stay on active surveillance: A qualitative study
- Imported severe malaria and risk factors for intensive care: A single-centre retrospective analysis
- Combined treatment (image-guided thrombectomy and endovascular therapy with open femoral access) for acute lower limb ischemia: Clinical efficacy and outcomes
- Low-latency single channel real-time neural spike sorting system based on template matching
- Quantifying the scale effect in geospatial big data using semi-variograms
- Paper-and-pencil versus computerized administration mode: Comparison of data quality and risk behavior prevalence estimates in the European school Survey Project on Alcohol and other Drugs (ESPAD)
- Regression adjusted colocalisation colour mapping (RACC): A novel biological visual analysis method for qualitative colocalisation analysis of 3D fluorescence micrographs
- Ostrich eggshell bead diameter in the Holocene: Regional variation with the spread of herding in eastern and southern Africa
- Spatial and temporal variations in female size at maturity of a Southern Rock Lobster (Jasus edwardsii) population: A likely response to climate change
- Inactive USP14 and inactive UCHL5 cause accumulation of distinct ubiquitinated proteins in mammalian cells
- Training rhesus macaques to take daily oral antiretroviral therapy for preclinical evaluation of HIV prevention and treatment strategies
- Left ventricular structural and functional changes in Friedreich ataxia – Relationship with body size, sex, age and genetic severity
- Magnitude and factors associated with anemia among pregnant women attending antenatal care in Bench Maji, Keffa and Sheka zones of public hospitals, Southwest, Ethiopia, 2018: A cross -sectional study
- Effectiveness of telerehabilitation in the management of adults with stroke: A systematic review
- Hydrogen sulphide-induced hypometabolism in human-sized porcine kidneys
- Correction: Comparison of the molecular properties of retinitis pigmentosa P23H and N15S amino acid replacements in rhodopsin
- Retraction: Regulation of gastric smooth muscle contraction via Ca2+-dependent and Ca2+-independent actin polymerization
- Evaluation of neutral oral contrast agents for assessment of the small bowel at abdominal staging CT
- Blood type and breed-associated differences in cell marker expression on equine bone marrow-derived mesenchymal stem cells including major histocompatibility complex class II antigen expression
- Induced abortion and future use of IVF treatment; A nationwide register study
- Psychosocial determinants of sustained maternal functional impairment: Longitudinal findings from a pregnancy-birth cohort study in rural Pakistan
- Measurement of finger joint angle using stretchable carbon nanotube strain sensor
- Determinants of mortality among patients with drug-resistant tuberculosis in northern Nigeria
- Drugs modulating stochastic gene expression affect the erythroid differentiation process
- Efficacy of UB0316, a multi-strain probiotic formulation in patients with type 2 diabetes mellitus: A double blind, randomized, placebo controlled study
- Prognostic value of des-γ-carboxy prothrombin in patients with hepatocellular carcinoma treated with transarterial chemotherapy: A systematic review and meta-analysis
- Avermectin induces the oxidative stress, genotoxicity, and immunological responses in the Chinese Mitten Crab, Eriocheir sinensis
- Antibiotic use in mandarin production (Citrus reticulata Blanco) in major mandarin-producing areas in Thailand: A survey assessment
- Application of CPI cutoff value based on parentage testing of duos and trios typed by four autosomal kits
- Correction: Good and Bad in the Hands of Politicians: Spontaneous Gestures during Positive and Negative Speech
- Adolescents with worse levels of oral health literacy have more cavitated carious lesions
- Effective methods for the inactivation of Francisella tularensis
- Detection of early-stage Alzheimer’s pathology using blood-based autoantibody biomarkers in elderly hip fracture repair patients
- Correlation between internal pudendal artery stenosis and erectile dysfunction in patients with suspected coronary artery disease
- Analysis of HER2 genomic binding in breast cancer cells identifies a global role in direct gene regulation
- Population productivity of shovelnose rays: Inferring the potential for recovery
- Correction: Long-term clinical outcomes in a cohort of patients with solitary plasmacytoma treated in the modern era
- Effects of tetracycline on myocardial infarct size in obese rats with chemically-induced colitis
- Mineral absorption is an enriched pathway in a brain region of restless legs syndrome patients with reduced MEIS1 expression
- Changes in weight and body composition across five years at university: A prospective observational study
- Adeno-associated virus-mediated expression of human butyrylcholinesterase to treat organophosphate poisoning
- Effects of insulin signaling on mouse taste cell proliferation
- Patient-level cost of home- and facility-based child pneumonia treatment in Suba Sub County, Kenya
- TAP: A static analysis model for PHP vulnerabilities based on token and deep learning technology
- Cost-effectiveness of QuantiFERON-TB Gold In-Tube versus tuberculin skin test for diagnosis and treatment of Latent Tuberculosis Infection in primary health care workers in Brazil
- Multifaceted intervention for the prevention and management of musculoskeletal pain in nursing staff: Results of a cluster randomized controlled trial
- Changes over time in creatinine clearance and comparison of emergent adverse events for HIV-positive adults receiving standard doses (300 mg/day) of lamivudine-containing antiretroviral therapy with baseline creatinine clearance of 30–49 vs ≥50 mL/min
- Population dynamics of foxes during restricted-area culling in Britain: Advancing understanding through state-space modelling of culling records
- Impacts of experimental advisory exit speed sign on traffic speeds for freeway exit ramp
- In-hospital outcomes and 30-day readmission rates among ischemic and hemorrhagic stroke patients with delirium
- Monitoring quality indicators for the Xpert MTB/RIF molecular assay in Ethiopia
- Delivering genes across the blood-brain barrier: LY6A, a novel cellular receptor for AAV-PHP.B capsids
- Correction: Using remote sensing to detect whale strandings in remote areas: The case of sei whales mass mortality in Chilean Patagonia
- Comparison of the inoculum size effects of antibiotics on IMP-6 β-lactamase-producing Enterobacteriaceae co-harboring plasmid-mediated quinolone resistance genes
- Contrast-enhanced computed tomography findings of canine primary renal tumors including renal cell carcinoma, lymphoma, and hemangiosarcoma
- Non-invasive in vivo imaging of UCP1 expression in live mice via near-infrared fluorescent protein iRFP720
- Overexpression of pink1 or parkin in indirect flight muscles promotes mitochondrial proteostasis and extends lifespan in Drosophila melanogaster
- Fiber stiffness, pore size and adhesion control migratory phenotype of MDA-MB-231 cells in collagen gels
- Comparison of two experimental ARDS models in pigs using electrical impedance tomography
- Are primary school children attending full-day school still engaged in sports clubs?
- Stroke risks in women with dysmenorrhea by age and stroke subtype
- Changes in patterns of mortality rates and years of life lost due to firearms in the United States, 1999 to 2016: A joinpoint analysis
- In vitro modeling of Batrachochytrium dendrobatidis infection of the amphibian skin
- Development and validation of LC-MS/MS method for imatinib and norimatinib monitoring by finger-prick DBS in gastrointestinal stromal tumor patients
- Correction: Habitat disturbance and the organization of bacterial communities in Neotropical hematophagous arthropods
- Characterisation of early metazoan secretion through associated signal peptidase complex subunits, prohormone convertases and carboxypeptidases of the marine sponge (Amphimedon queenslandica)
- Time trends between 2002 and 2017 in correlates of self-reported sitting time in European adults
- Performance of patient acuity rating by rapid response team nurses for predicting short-term prognosis
- Changes in HbA1c during the first six years after the diagnosis of Type 2 diabetes mellitus predict long-term microvascular outcomes
- Correction: Antimicrobial resistance genotypes and phenotypes of Campylobacter jejuni isolated in Italy from humans, birds from wild and urban habitats, and poultry
- Correction: Mental health and quality of life outcomes in family members of patients with chronic critical illness admitted to the intensive care units of two Brazilian hospitals serving the extremes of the socioeconomic spectrum
- Correction: Establishing an infrastructure for collaboration in primate cognition research
- Correction: The impact of public health insurance on health care utilisation, financial protection and health status in low- and middle-income countries: A systematic review
- Health provider and service-user experiences of sensory modulation rooms in an acute inpatient psychiatry setting
- Comparison of potential drug-drug interactions with metabolic syndrome medications detected by two databases
- The Polish version of the Cultural Intelligence Scale: Assessment of its reliability and validity among healthcare professionals and medical faculty students
- Selection of optimal reference genes for qRT-PCR analysis of shoot development and graviresponse in prostrate and erect chrysanthemums
- Metastasis risk prediction model in osteosarcoma using metabolic imaging phenotypes: A multivariable radiomics model
- Defining hospital community benefit activities using Delphi technique: A comparison between China and the United States
- Establishment of the experimental procedure for prediction of conjugation capacity in mutant UGT1A1
- A robust multi-objective optimization framework to capture both cellular and intercellular properties in cardiac cellular model tuning: Analyzing different regions of membrane resistance profile in parameter fitting
- Sea star wasting disease demography and etiology in the brooding sea star Leptasterias spp.
- Diagnostic plasma miRNA-profiles for ovarian cancer in patients with pelvic mass
- Genetic diversity and drug resistance of HIV-1 among infected pregnant women newly diagnosed in Luanda, Angola
- I’ve been robbed! – Can changes in floral traits discourage bee pollination?
- Visualising statistical models using dynamic nomograms
- Assessing the capacity of Malawi’s district and central hospitals to manage traumatic diaphyseal femoral fractures in adults
- Diagnostic performance of basal cortisol level at 0900-1300h in adrenal insufficiency
- The Mastery Rubric for Bioinformatics: A tool to support design and evaluation of career-spanning education and training
- Microdissection and whole chromosome painting confirm karyotype transformation in cryptic species of the Lariophagus distinguendus (Förster, 1841) complex (Hymenoptera: Pteromalidae)
- Quality of Kangaroo Mother Care services in Ethiopia: Implications for policy and practice
- Gemcitabine potentiates the anti-tumour effect of radiation on medullary thyroid cancer
- iTRAQ-based high-throughput proteomics analysis reveals alterations of plasma proteins in patients infected with human bocavirus
- The detection of a non-anemophilous plant species using airborne eDNA
- Perception and control of low cable operation forces in voluntary closing body-powered upper-limb prostheses
- Neoadjuvant chemotherapy plus surgery versus concurrent chemoradiotherapy in stage IB2-IIB cervical cancer: A systematic review and meta-analysis
- Randomized methods to characterize large-scale vortical flow networks
- Disentangling the coexistence strategies of mud-daubing wasp species through trophic analysis in oases of Baja California peninsula
- Front-of-pack nutritional labels: Understanding by low- and middle-income Mexican consumers
- Distress in patients with end-stage renal disease: Staff perceptions of barriers to the identification of mild-moderate distress and the provision of emotional support
- Pathways to antibiotics in Bangladesh: A qualitative study investigating how and when households access medicine including antibiotics for humans or animals when they are ill
- DOC export is exceeded by C fixation in May Creek: A late-successional watershed of the Copper River Basin, Alaska
- Behavioral observation of prosocial behavior and social initiative is related to preschoolers’ psychopathological symptoms
- Evaluating the impact of citations of articles based on knowledge flow patterns hidden in the citations
- Correction: Economic sanctions and academia: Overlooked impact and long-term consequences
- Correction: A novel association between relaxin receptor polymorphism and hematopoietic stem cell yield after mobilization
- Expression of Concern: Cooperativity of Oncogenic K-Ras and Downregulated p16/INK4A in Human Pancreatic Tumorigenesis
- Price dispersion of generic medications
- Sex differences in body composition but not neuromuscular function following long-term, doxycycline-induced reduction in circulating levels of myostatin in mice
- The emotion regulation effect of cognitive control is related to depressive state through the mediation of rumination: An ERP study
- Comparison of SMS-EPI and 3D-EPI at 7T in an fMRI localizer study with matched spatiotemporal resolution and homogenized excitation profiles
- Left ventricular mass normalization for body size in children based on an allometrically adjusted ratio is as accurate as normalization based on the centile curves method
- Correction: Combining biophysical parameters, spectral indices and multivariate hyperspectral models for estimating yield and water productivity of spring wheat across different agronomic practices
- Correction: Flowers as viral hot spots: Honey bees (Apis mellifera) unevenly deposit viruses across plant species
- 'Small small quarrels bring about happiness or love in the relationships’: Exploring community perceptions and gendered norms contributing to male perpetrated intimate partner violence in the Central Region of Ghana
- The performance of practitioners conducting facial comparisons on images of children across age
- Increased amounts and stability of telomeric repeat-containing RNA (TERRA) following DNA damage induced by etoposide
- Patients with limitation or withdrawal of life supporting care admitted in a medico-surgical intermediate care unit: Prevalence, description and outcome over a six-month period
- Correction: Diverse radiofrequency sensitivity and radiofrequency effects of mobile or cordless phone near fields exposure in Drosophila melanogaster
- Predicting the performance of TV series through textual and network analysis: The case of Big Bang Theory
- Risk of temperature, humidity and concentrations of air pollutants on the hospitalization of AECOPD
- Mixed methods grant applications in the health sciences: An analysis of reviewer comments
- Renal abnormalities among children with sickle cell conditions in highly resource-limited setting in Ghana
- Size matters: How reaching and vergence movements are influenced by the familiar size of stereoscopically presented objects
- Willingness to receive institutional and community-based eldercare among the rural elderly in China
- An improved deep learning method for predicting DNA-binding proteins based on contextual features in amino acid sequences
- Beyond executive functions, creativity skills benefit academic outcomes: Insights from Montessori education
- A LAMP assay for the rapid and robust assessment of Wolbachia infection in Aedes aegypti under field and laboratory conditions
- Nonarteritic anterior ischemic optic neuropathy is associated with cerebral small vessel disease
- Fiber-tract localized diffusion coefficients highlight patterns of white matter disruption induced by proximity to glioma
- The fight against polio through the NO-DO newsreels during the Francoism period in Spain
- Ocean sound levels in the northeast Pacific recorded from an autonomous underwater glider
- Cost-consequence analysis of influenza vaccination among the staff of a large teaching hospital in Rome, Italy: A pilot study
- The relationship among the progression of inflammation in umbilical cord, fetal inflammatory response, early-onset neonatal sepsis, and chorioamnionitis
- How medical professional students view older people with dementia: Implications for education and practice
- An enhanced nonparametric EWMA sign control chart using sequential mechanism
- Land use change, carbon stocks and tree species diversity in green spaces of a secondary city in Myanmar, Pyin Oo Lwin
- Is there a difference in women’s experiences of care with medication vs. manual vacuum aspiration abortions? Determinants of person-centered care for abortion services
- Maternal complications in pregnancy and childbirth for women with epilepsy: Time trends in a nationwide cohort
- Adsorption of oxytetracycline on kaolinite
- Interdisciplinary stratified care for low back pain: A qualitative study on the acceptability, potential facilitators and barriers to implementation
- The role of resource transfer in positive, non-additive litter decomposition
- The impact of language on the interpretation of resuscitation clinical care plans by doctors. A mixed methods study
- Quantum dots reveal heterogeneous membrane diffusivity and dynamic surface density polarization of dopamine transporter
- Genomic analysis of Shiga toxin-producing Escherichia coli from patients and asymptomatic food handlers in Japan
- The heavy metals lead and cadmium are cytotoxic to human bone osteoblasts via induction of redox stress
- Anatomical, taxonomic, and phylogenetic reappraisal of a poorly known ghost knifefish, Tembeassu marauna (Ostariophysi: Gymnotiformes), using X-ray microcomputed tomography
- Matrix-assisted laser desorption/ionization time of flight mass spectrometry identification of Vibrio (Listonella) anguillarum isolated from sea bass and sea bream
- Recommendations of older adults on how to use the PROM ‘TOPICS-MDS’ in healthcare conversations: A Delphi study
- The winner takes it all—Competitiveness of single nodes in globalized supply networks
- Hamsters in the city: A study on the behaviour of a population of common hamsters (Cricetus cricetus) in urban environment
- Correction: Liquid biopsies for omics-based analysis in sentinel mussels
- Size matters! Association between journal size and longitudinal variability of the Journal Impact Factor
- Drug resistance and epidemiology characteristics of multidrug-resistant tuberculosis patients in 17 provinces of China
- A model-based framework for chronic hepatitis C prevalence estimation
- Adding rewards to regulation: The impacts of watershed conservation on land cover and household wellbeing in Moyobamba, Peru
- Clinical determinants of social media use in individuals with schizophrenia
- Arsenic and nutrient absorption characteristics and antioxidant response in different leaves of two ryegrass (Lolium perenne) species under arsenic stress
- An evolution of socioeconomic related inequality in teenage pregnancy and childbearing in Malawi
- A single plasmid based CRISPR interference in Synechocystis 6803 – A proof of concept
- Structural vulnerability to narcotics-driven firearm violence: An ethnographic and epidemiological study of Philadelphia’s Puerto Rican inner-city
- Temporal trends in intracerebral hemorrhage: Evidence from the Austrian Stroke Unit Registry
- Prevalence and risk factors for multi-drug resistant Escherichia coli among poultry workers in the Federal Capital Territory, Abuja, Nigeria
- Prediction of disease-related metabolites using bi-random walks
- Clinical use, efficacy, and durability of maraviroc for antiretroviral therapy in routine care: A European survey
- Biomarker discovery in inflammatory bowel diseases using network-based feature selection
- The Cinderella Complex: Word embeddings reveal gender stereotypes in movies and books
- Exoproteome profiling of Trypanosoma cruzi during amastigogenesis early stages
- Reproducible phenotype alteration due to prolonged cooling of the pupae of Polyommatus icarus butterflies
- Nutritional treatment with an immune-modulating enteral formula alleviates 5-fluorouracil-induced adverse effects in rats
- Pharmacy-based predictors of non-adherence, non-persistence and reinitiation of antihypertensive drugs among patients on oral diabetes drugs in the Netherlands
- Systematic review of the accuracy of plasma preparation tubes for HIV viral load testing
- Circadian clock regulates the shape and content of dendritic spines in mouse barrel cortex
- “Anybody can make kids; it takes a real man to look after your kids”: Aboriginal men’s discourse on parenting
- Correction: A 1D computer model of the arterial circulation in horses: An important resource for studying global interactions between heart and vessels under normal and pathological conditions
- Maternal interpregnancy weight change and premature birth: Findings from an English population-based cohort study
- Correction: Identifying performance benchmarks and determinants for reproductive performance and calf survival using a longitudinal field study of cow-calf herds in western Canada
- Prognostic value of the model for end-stage liver disease excluding INR score (MELD-XI) in patients with adult congenital heart disease
- Treatment of Urethral Pain Syndrome (UPS) in Sweden
- Migration and political polarization in the U.S.: An analysis of the county-level migration network
- Epidemiology and complications of late-onset sepsis: an Italian area-based study
- The relationship between women’s experience of intimate partner violence and other socio-demographic factors, and under-5 children’s health in South Africa
- Association between trunk and gluteus muscle size and long jump performance
- Multimorbidity and complex multimorbidity in Brazilian rural workers
- Correction: Interspecific Phylogenic Relationships within Genus Melilotus Based on Nuclear and Chloroplast DNA
- Insulin-like growth factor (IGF)-II- mediated fibrosis in pathogenic lung conditions
- Wolf diet and prey selection in the South-Eastern Carpathian Mountains, Romania
- In vitro activity of aryl-thiazole derivatives against Schistosoma mansoni schistosomula and adult worms
- Sample size issues in multilevel logistic regression models
- Seed germination ecology of Ageratum houstonianum: A major invasive weed in Nepal
- Experiences of lifestyle change among women with gestational diabetes mellitus (GDM): A behavioural diagnosis using the COM-B model in a low-income setting
- Pharmacologic management of HCV treatment in patients with HCV monoinfection vs. HIV/HCV coinfection: Does coinfection really matter?
- The association between cigarette smoking and serum thyroid stimulating hormone, thyroid peroxidase antibodies and thyroglobulin antibodies levels in Chinese residents: A cross-sectional study in 10 cities
- Mouse movement measures enhance the stop-signal task in adult ADHD assessment
- Ecosystem functioning in urban grasslands: The role of biodiversity, plant invasions and urbanization
- Correction: KETOS: Clinical decision support and machine learning as a service – A training and deployment platform based on Docker, OMOP-CDM, and FHIR Web Services
- Does craniofacial morphology affect third molars impaction? Results from a population-based study in northeastern Germany
- Hyperconnectivity during screen-based stories listening is associated with lower narrative comprehension in preschool children exposed to screens vs dialogic reading: An EEG study
- Weight loss is associated with improved quality of life among rural women completers of a web-based lifestyle intervention
- Long-term high-grain diet altered the ruminal pH, fermentation, and composition and functions of the rumen bacterial community, leading to enhanced lactic acid production in Japanese Black beef cattle during fattening
- Beyond detoxification: Pleiotropic functions of multiple glutathione S-transferase isoforms protect mice against a toxic electrophile
- Golgi reassembly and stacking protein 65 downregulation is required for the anti-cancer effect of dihydromyricetin on human ovarian cancer cells
- SSR marker development in Clerodendrum trichotomum using transcriptome sequencing
- Risk factors for the carriage of Streptococcus infantarius subspecies infantarius isolated from African fermented dairy products
- Development of an intervention tool for precision oral self-care: Personalized and evidence-based practice for patients with periodontal disease
- Personal values in adolescence and psychological distress in adults: A cross-sectional study based on a retrospective recall
- Overactive bladder and bladder pain syndrome/interstitial cystitis in primary Sjögren’s syndrome patients: A nationwide population-based study
- Clinical utility of combined preimplantation genetic testing methods in couples at risk of passing on beta thalassemia/hemoglobin E disease: A retrospective review from a single center
- Hip stress distribution - Predictor of dislocation in hip arthroplasties. A retrospective study of 149 arthroplasties
- Mortality, morbidity, and cardiac surgery in Injection Drug Use (IDU)-associated versus non-IDU infective endocarditis: The need to expand substance use disorder treatment and harm reduction services
- Pup mortality in New Zealand sea lions (Phocarctos hookeri) at Enderby Island, Auckland Islands, 2013-18
- In vitro endothelial cell migration from limbal edge-modified Quarter-DMEK grafts
- Liquid Chromatography/Mass Spectrometry based serum metabolomics study on recurrent abortion women with antiphospholipid syndrome
- Gut carriage of antimicrobial resistance genes among young children in urban Maputo, Mozambique: Associations with enteric pathogen carriage and environmental risk factors
- Prepubertal nutrition alters Leydig cell functional capacity and timing of puberty
- Reliability of the Swedish version of the Evidence-Based Practice Attitude Scale assessing physiotherapist’s attitudes to implementation of evidence-based practice
- Mitochondrial alarmins are tissue mediators of ventilator-induced lung injury and ARDS
- Complete Chloroplast Genomes of Vachellia nilotica and Senegalia senegal: Comparative Genomics and Phylogenomic Placement in a New Generic System
- Retraction: Over-Expression of Superoxide Dismutase Ameliorates Cr(VI) Induced Adverse Effects via Modulating Cellular Immune System of Drosophila melanogaster
- Effect of pre-season training phase on anthropometric, hormonal and fitness parameters in young soccer players
- Exosomes from conditioned media of bone marrow-derived mesenchymal stem cells promote bone regeneration by enhancing angiogenesis
- Outcome of patients with heart failure after transcatheter aortic valve implantation
- Fatty acid profile of Romanian’s common bean (Phaseolus vulgaris L.) lipid fractions and their complexation ability by β-cyclodextrin
- Appropriate empirical antibiotic therapy and mortality: Conflicting data explained by residual confounding
- Treatment of corneal endothelial damage in a rabbit model with a bioengineered graft using human decellularized corneal lamina and cultured human corneal endothelium
- Telbivudine on IgG-associated hypergammaglobulinemia and TGF-β1 hyperactivity in hepatitis B virus-related liver cirrhosis
- Correction: Axial variation of deoxyhemoglobin density as a source of the low-frequency time lag structure in blood oxygenation level-dependent signals
- Correction: Mobile health-based physical activity intervention for individuals with spinal cord injury in the community: A pilot study
- Retraction: Placental expression of CD100, CD72 and CD45 is dysregulated in human miscarriage
- Correction: Use of IoT sensing and occupant surveys for determining the resilience of buildings to forest fire generated PM2.5
- Correction: The modulation of facial mimicry by attachment tendencies and their underlying affiliation motives in 3-year-olds: An EMG study
- Correction: Cognitive impairment in multiple sclerosis: An exploratory analysis of environmental and lifestyle risk factors
- Discovering novel disease comorbidities using electronic medical records
- Glutathione contributes to efficient post-Golgi trafficking of incoming HPV16 genome
- Epidemiology and antimicrobial resistance of methicillin-resistant Staphylococcus aureus isolates colonizing pigs with different exposure to antibiotics
- Social information use in adolescents: The impact of adults, peers and household composition
- Public practices on antibiotic use: A cross-sectional study among Qatar University students and their family members
- Effects of Topper Training on psychosocial problems, self-esteem, and peer victimisation in Dutch children: A randomised trial
- Comparative studies of two generations of NanoString nCounter System
- General practitioners’ perceptions of delayed antibiotic prescription for respiratory tract infections: A phenomenographic study
- Can altered magnetic field affect the foraging behaviour of ants?
- Parasitic infections and medical expenses according to Health Insurance Review Assessment claims data in South Korea, 2011–2018
- A prospective observational study of on-treatment plasma homocysteine levels as a biomarker of toxicity, depression and vitamin supplementation lead-in time pre pemetrexed, in patients with non-small cell lung cancer and malignant mesothelioma
- A strategy to identify protein-N-myristoylation-dependent phosphorylation reactions of cellular proteins by using Phos-tag SDS-PAGE
- Expression profile of sonic hedgehog signaling-related molecules in basal cell carcinoma
- Seasonal alternation of the ontogenetic development of the moon jellyfish Aurelia coerulea in Maizuru Bay, Japan
- Reliability of measurement of active trunk movement in wheelchair basketball players
- Chinese SLE Treatment and Research group (CSTAR) registry: Clinical significance of thrombocytopenia in Chinese patients with systemic lupus erythematosus
- Does source credibility matter for point-of-decision prompts? A quasi-experimental field study to increase stair use
- Male-pattern baldness and incident coronary heart disease and risk factors in the Heinz Nixdorf Recall Study
- Quality and utilization patterns of maternity waiting homes at referral facilities in rural Zambia: A mixed-methods multiple case analysis of intervention and standard of care sites
- Determining an optimal pool size for testing beef herds for Johne’s disease in Australia
- Correction: Change in larval fish assemblage in a USA east coast estuary estimated from twenty-six years of fixed weekly sampling
- APOE-knockout in rabbits causes loss of cells in nucleus pulposus and enhances the levels of inflammatory catabolic cytokines damaging the intervertebral disc matrix
- Testing Species Assignments in Extant Terebratulide Brachiopods: A Three-dimensional Geometric Morphometric Analysis of Long-Looped Brachidia
- A daily diary study on maladaptive daydreaming, mind wandering, and sleep disturbances: Examining within-person and between-persons relations
- Improved chemotherapy modeling with RAG-based immune deficient mice
- Effect of tracheal antimicrobial peptide on the development of Mannheimia haemolytica pneumonia in cattle
- The internal realities of individuals with type 2 diabetes – a functional framework of self-management practices via Grounded Theory approach
- Role of platelet parameters in early detection and prediction of severity of preeclampsia: A comparative cross-sectional study at Ayder comprehensive specialized and Mekelle general hospitals, Mekelle, Tigray, Ethiopia
- eIF4E and 4EBP1 are prognostic markers of head and neck squamous cell carcinoma recurrence after definitive surgery and adjuvant radiotherapy
- Smoking and other determinants of bone turnover
- Oxygen delivery, oxygen consumption and decreased kidney function after cardiopulmonary bypass
- School engagement of children in early grades: Psychometric, and gender comparisons
- Correction: A review of the elusive bicolored iris Snouted Treefrogs (Anura: Hylidae:Scinax uruguayus group)
- Perceived attractiveness of Czech faces across 10 cultures: Associations with sexual shape dimorphism, averageness, fluctuating asymmetry, and eye color
- Discovery of stable and prognostic CT-based radiomic features independent of contrast administration and dimensionality in oesophageal cancer
- Correction: Population-based dementia prediction model using Korean public health examination data: A cohort study
- Location, location, location: Close ties among older continuing care retirement community residents
- Correction: ISED: Constructing a high-resolution elevation road dataset from massive, low-quality in-situ observations derived from geosocial fitness tracking data
- Correction: Use of validated objective methods of locomotion characteristics and weight distribution for evaluating the efficacy of ketoprofen for alleviating pain in cows with limb pathologies
- Monitoring fine root growth to identify optimal fertilization timing in a forest plantation: A case study in Northeast Vietnam
- Metabolic costs of spontaneous swimming in Sprattus sprattus L., at different water temperatures
- Enterovirus 71 vaccine acceptance among parents of children < 5 years old and their knowledge of hand, foot and mouth disease, Chongqing, China, 2017
- Correction: Transcriptome profiling of mouse brain and lung under Dip2a regulation using RNA-sequencing
- Genetic diversity and antiretroviral resistance-associated mutation profile of treated and naive HIV-1 infected patients from the Northwest and Southwest regions of Cameroon
- Maximum parsimony interpretation of chromatin capture experiments
- Multiple innate antibacterial immune defense elements are correlated in diverse ungulate species
- Incidence and characteristics of ventricular tachycardia in patients after percutaneous coronary revascularization of chronic total occlusions
- Estimating measures of latent variables from m-alternative forced choice responses
- Clade F AAVHSCs cross the blood brain barrier and transduce the central nervous system in addition to peripheral tissues following intravenous administration in nonhuman primates
- First evidence of hepatitis E virus infection in a small mammal (yellow-necked mouse) from Croatia
- The inhibitory effects of polypyrrole on the biofilm formation of Streptococcus mutans
- Self-reported adverse drug effects and associated factors among H. pylori infected patients on standard triple therapy: Prospective follow up study
- Upregulation of ERK phosphorylation in rat dorsal root ganglion neurons contributes to oxaliplatin-induced chronic neuropathic pain
- Characterization of the relationship between neutron production and thermal load on a target material in an accelerator-based boron neutron capture therapy system employing a solid-state Li target
- Remote heart rate monitoring - Assessment of the Facereader rPPg by Noldus
- Seroprevalence of rubella virus antibodies among pregnant women in the Center and South-West regions of Cameroon
- Effectiveness of steam sterilization of reusable medical devices in primary and secondary care public hospitals in Nepal and factors associated with ineffective sterilization: A nation-wide cross-sectional study
- Relevance of HTLV-1 proviral load in asymptomatic and symptomatic patients living in endemic and non-endemic areas of Argentina
- Ritualized aggressive behavior reveals distinct social structures in native and introduced range tawny crazy ants
- The value of kinetic glomerular filtration rate estimation on medication dosing in acute kidney injury
- Screening and characterization of long noncoding RNAs involved in the albinism of Ananas comosus var. bracteatus leaves
- Visual attention to emotional faces in adolescents with social anxiety disorder receiving cognitive behavioral therapy
- A Q fever outbreak associated to courier transport of pets
- Antibodies against measles and rubella virus among different age groups in Thailand: A population-based serological survey
- Molecular diet analysis of Anguilliformes leptocephalus larvae collected in the western North Pacific
- Correction: The relationship between context, structure, and processes with outcomes of 6 regional diabetes networks in Europe
- Correction: The C-reactive protein/albumin ratio as an independent predictor of mortality in patients with severe sepsis or septic shock treated with early goal-directed therapy
- Interleukin 21 (IL-21) regulates chronic allograft vasculopathy (CAV) in murine heart allograft rejection
- Semantic computational analysis of anticoagulation use in atrial fibrillation from real world data
- The implementation of HTA in medicine pricing and reimbursement policies in Indonesia: Insights from multiple stakeholders
- International experiences during United States ophthalmology residency training: Current structure of international experiences and perspectives of faculty mentors at United States training institutions
- Questionable utility of digoxin in left-ventricular assist device recipients: A multicenter, retrospective analysis
- Genotyping and outcomes of presumptive second line ART failure cases switched to third line or maintained on second line ART in Mumbai, India
- A mathematical model of honey bee colony dynamics to predict the effect of pollen on colony failure
- Airway microbiome composition correlates with lung function and arterial stiffness in an age-dependent manner
- An odorant receptor from Anopheles gambiae that demonstrates enantioselectivity to the plant volatile, linalool
- Factors associated with full immunization of children 12–23 months of age in Ethiopia: A multilevel analysis using 2016 Ethiopia Demographic and Health Survey
- Additional evidence that the rat renal interstitium contracts in vivo
- Factors affecting acceptance of at-birth point of care HIV testing among providers and parents in Kenya: A qualitative study
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