Next Article in Journal
Long-Term Outcome after Hemithyroidectomy for Papillary Thyroid Cancer: A Comparative Study and Review of the Literature
Previous Article in Journal
Effects of SAHA and EGCG on Growth Potentiation of Triple-Negative Breast Cancer Cells
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Cancers
Volume 11
Issue 1
10.3390/cancers11010025
cancers-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles thumb_up
...
Endorse textsms
...
Comment
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Stemness, Pluripotentiality, and Wnt Antagonism: sFRP4, a Wnt antagonist Mediates Pluripotency and Stemness in Glioblastoma

by
Gurubharathi Bhuvanalakshmi
1,
Naisarg Gamit
1,
Manasi Patil
1,
Frank Arfuso
2,3,
Gautam Sethi
4,
Arun Dharmarajan
2,3,
Alan Prem Kumar
4,5,6,7,* and
Sudha Warrier
1,7,8,*
1
Division of Cancer Stem Cells and Cardiovascular and Neuronal Regeneration, School of Regenerative Medicine, Manipal Academy of Higher Education (MAHE), Bangalore 560 065, India
2
Stem Cell and Cancer Biology Laboratory, School of Pharmacy and Biomedical Sciences, Curtin Health Innovation Research Institute, Curtin University, Perth, WA 6102, Australia
3
School of Human Sciences, The University of Western Australia, Perth, WA 6009, Australia
4
Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117600, Singapore
5
Cancer Science Institute of Singapore, National University of Singapore, Singapore 117599, Singapore
6
Cancer Program, Medical Science Cluster, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore
7
Curtin Medical School, Curtin University, Perth, WA 6102, Australia
8
Cuor Stem Cellutions Pvt Ltd., School of Regenerative Medicine, Manipal Academy of Higher Education (MAHE), Bangalore 560 065, India
*
Authors to whom correspondence should be addressed.
Cancers 2019, 11(1), 25; https://0-doi-org.brum.beds.ac.uk/10.3390/cancers11010025
Submission received: 12 November 2018 / Revised: 17 December 2018 / Accepted: 21 December 2018 / Published: 27 December 2018
Browse Figures
Versions Notes

Abstract

:
Background: Chemotherapeutic resistance of glioblastoma has been attributed to a self-renewing subpopulation, the glioma stem cells (GSCs), which is known to be maintained by the Wnt β−catenin pathway. Our previous findings demonstrated that exogeneous addition of the Wnt antagonist, secreted fizzled-related protein 4 (sFRP4) hampered stem cell properties in GSCs. Methods: To understand the molecular mechanism of sFRP4, we overexpressed sFRP4 (sFRP4 OE) in three human glioblastoma cell lines U87MG, U138MG, and U373MG. We also performed chromatin immunoprecipitation (ChIP) sequencing of sFRP4 OE and RNA sequencing of sFRP4 OE and sFRP4 knocked down U87 cells. Results: We observed nuclear localization of sFRP4, suggesting an unknown nuclear role. ChIP-sequencing of sFRP4 pulldown DNA revealed a homeobox Cphx1, related to the senescence regulator ETS proto-oncogene 2 (ETS2). Furthermore, miRNA885, a p53-mediated apoptosis inducer, was upregulated in sFRP4 OE cells. RNA sequencing analysis suggested that sFRP4-mediated apoptosis is via the Fas-p53 pathway by activating the Wnt calcium and reactive oxygen species pathways. Interestingly, sFRP4 OE cells had decreased stemness, but when knocked down in multipotent mesenchymal stem cells, pluripotentiality was induced and the Wnt β-catenin pathway was upregulated. Conclusions: This study unveils a novel nuclear role for sFRP4 to promote apoptosis by a possible activation of DNA damage machinery in glioblastoma.

1. Introduction

Glioblastoma multiforme (GBM) is one of the most aggressive and devastating types of brain tumor in adults. Although the standard mode of treatment is surgical resection, followed by radiation and chemotherapy with temozolomide, the prognosis remains poor with a median survival range of 12–15 months. The properties of GBM such as high proliferation, resistance to chemo and radiotherapy, and infiltrative nature are the primary reasons for its highly malignant and aggressive nature. These properties are the inherent and defining feature of cancer stem cells (CSCs), and CSCs from glioblastoma were first identified in 2003 by Singh et al. [1]. This population of cells, by virtue of their differential regulation, are able to self-renew, aberrantly differentiate, initiate tumorigenesis, are resistant to drugs, have active DNA repair capacity, express ABC transporters, are capable of de novo tumor formation when implanted to xenograft models, and express CD133 and nestin, which gave them the capacity to form neurospheres [2,3]. One of the major challenges in GBM treatment remains tumor recurrence, which is initiated by the drug resistant glioma stem cells.
The unique properties of CSCs are determined by their aberrant cellular signaling mechanisms. Specifically, dysregulation of the key developmental pathways, namely Wnt, Notch, and Sonic hedgehog pathways, has been implicated in modulation of CSCs. Aberrant activation of Wnt β-catenin was observed in multiple tumor types and correlated with increased proliferative, migrative, and invasive properties, and hence has been identified as a hallmark signaling pathway of cancers. The Wnt β-catenin pathway has been found to promote symmetric cell division self-renewal in prostate CSCs [4]. Additionally, in breast CSCs, Wnt β-catenin mediators increased the migratory and metastatic potential [5]. Wnt β-catenin signaling plays an important role in the maintenance of chemoresistance in cancer cells by modulating the transcription of multidrug resistance genes ABCB1/MDR-1, which are also expressed in normal somatic stem cells [6].
Therefore, targeting CSCs by employing inhibitors of the Wnt pathways would help in effective destruction of the tumor-initiating cell types, which would further mitigate recurrence and relapse, a malevolent after-effect of currently used chemotherapeutics. Pathway-specific antagonism using molecular target agents such as Wnt antagonist proteins will help in targeting CSCs whilst causing no damage to normal tissue cells. Among the Wnt antagonists, the secreted frizzled-related protein (sFRP) family of sFRP1-5 inhibitors has a far reaching effect across the Wnt pathways, being able to bind both the Wnt ligand and frizzled receptor. Silencing of sFRP genes via hypermethylation at the promoter region has been reported in hepatocarcinoma [7,8] and glioblastoma [9]. Previously, we have reported the ability of sFRP4 to chemosensitize CSCs from glioma and head and neck cancers and improve the response to drugs [10,11,12]. In breast CSCs, sFRP4 overexpression resulted in improved response to drugs and decreased CSC population and stemness [13]. Although this Wnt antagonist clearly has an ability to target and kill CSCs, its specific mechanism of action in inducing apoptosis and targeting the stem-like phenotype has not yet been elucidated.
In this study we focus on the molecular mechanisms of sFRP4 in inducing apoptosis. Transcriptome analysis revealed that sFRP4 promotes apoptosis by possible activation of p53-mediated Fas-FasL cascade, Wnt calcium pathway, and senescence in addition to the conventional inhibition of the Wnt β-catenin pathway. Interestingly, sFRP4 also has a possible direct role in regulating stemness and pluripotentiality.

2. Materials and Methods

2.1. Cell Culture

U87MG, U373MG, and U138MG glioblastoma cell lines were obtained from NCCS, Pune and were cultured and maintained as described earlier [11]. Human Wharton’s jelly mesenchymal stem cells (WJMSCs) were obtained from human placenta after approval from the Institutional Ethical Committee (IEC) of Manipal Hospital, Bangalore, India, and isolated and cultured as described previously [14]. The human embryonic stem cell (hESC) line, HUES-7 was obtained as a generous gift from Harvard University Stem Cell Institute (Prof Douglas Melton) and were cultured in embryonic stem cell (ESC) medium on mitomycin-C inactivated mouse embryonic fibroblast (MEF)-coated dishes at 37 °C in a 5% CO2 incubator.

2.2. sFRP4 Overexpression

U87MG, U373MG, and U138MG cells were transfected with 1 µg/µL of pEGFP N1 plasmid (Clontech, Palo Alto, CA, USA) with the sFRP4 gene insert mediated by Lipofectamine 3000 (Invitrogen, Carlsbad, CA, USA) in Opti-MEM reduced serum medium for 24–48 h. The transfection rate was confirmed by green fluorescent protein (GFP) expression under an Eclipse TE2000-U fluorescence microscope (Nikon, Tokyo, Japan) equipped with Qimaging- QICAM-fast 1394 (Surrey, BC, Canada) to determine sFRP4 gene expression [13].

2.3. sFRP4 siRNA Silencing

Upon reaching ~80% confluency, U87MG, U373MG, and U138MG cells were transfected with 2 nM sFRP4 SiRNA (Qiagen-Xeragon, Germantown, MD, USA) by using Lipofectamine 3000 (Invitrogen) with Opti-MEM reduced serum medium for 24 h without antibiotic supplement. sFRP4-SiRNA efficiency was assessed by gene expression analysis. The primer details are provided in the Table S1.

2.4. Cell Viability, Proliferation, Reactive Oxygen Species (ROS), and Caspase Assays

The cell viability, proliferation, reactive oxygen species (ROS), and caspase assays were performed on U87, U373, and U138 cells after sFRP4 overexpression and silencing as previously described [12].

2.5. Secondary Sphere Forming Assay

To observe the secondary sphere forming ability of the cells after treatment, the spheroids were quantified using anchorage-independent culturing on soft agar as described previously [13].

2.6. Chromatin Immunoprecipitation (ChIP) Sequencing

sFRP4 overexpressing (sFRP4 OE) U87 cells were used for the ChIP pull-down against rabbit sFRP4 monoclonal antibody (Abcam, Cambridge, MA, USA) along with normal U87 control. sFRP4 OE pull-down DNA samples were taken for whole-genome ChIP sequencing with input DNA control from U87 cells using Illumina HiSeq 2500 System (Illumina Inc., San Diego, CA, USA).

2.7. MicroRNA 885 Analysis

Total RNA was isolated from U87 treated cells by using the Trizol method. miRCURY LNATM Universal RT microRNA PCR kit (Exiqon, Woburn, MA, USA), hsa-miR-885-5p (Accession ID: MIMAT0004947; Sequence-UCCAUUACACUACCCUGCCUCU) and hsa-miR-885-3p (Accession ID: MIMAT0004948; Sequence-AGGCAGCGGGGUGUAGUGGAUA) were used in the miRNA885 analysis. miRCURY LNA miRNA Detection probe (hsa-miR-885-3p; Exiqon) was used to localize mature miRNA activity in treated U87 cells by using in situ hybridization as previously described [15].

2.8. RNA Sequencing

Total RNA from U87 cells subjected to either sFRP4 OE or sFRP4 silencing and untreated cells was isolated and sequenced with Illumina HiSeq 2500 System (Illumina Inc.) for the whole transcriptome analysis.

2.9. Bioinformatics Analysis

DNA binding prediction: sFRP4-specific DNA binding competence was identified using a DNA Binding Protein prediction software, DNABIND (http://dnabind.szialab.org/) [16].
Mapping and Binding Site Prediction of ChIP-Seq Data: ChIP sequencing from sFRP4 OE pull-down DNA and input DNA results were mapped using Burrows-Wheeler Aligner mapping software (http://bio-bwa.sourceforge.net/) with Maximal Exact Matches (BWA-MEM) alignment algorithm by comparison with the reference genome hg19 [17]. Model-based Analysis of ChIP-Seq (MACS) software (http://liulab.dfci.harvard.edu/MACS/) was used to analyse the ChIP-sequencing data aligned for binding sites prediction. MACS-Peak calling option was applied to retrieve the enriched peak region from ChIP-Seq with input DNA sequence control [18].
Motif Analysis of ChIP-Seq Data: Hypergeometric Optimization of Motif EnRichment (HOMER) software (http://homer.ucsd.edu/homer/motif/index.html) was used to identify unknown motifs binding sFRP4 from the ChIP-Seq aligned data. In addition, Gene Cloud software (http://genecloud.org/) was used to predict cPHX1 specific co-functionality genes retrieved from available genomics database.
Gene cluster Analysis: Cluster 3.0 software (http://bonsai.hgc.jp/~mdehoon/software/cluster/) was used to identify interlinking genes of USP9X, FOXK1, and sFRP4 by using functional genomics database.
Generation of heatmap from RNA-Seq data: HeatmapGenerator5 software (https://github.com/Bohdan-Khomtchouk/HeatmapGenerator) was used to describe the quantitative analysis of the gene expression pattern from the whole transcriptome sequencing data [19].

2.10. sFRP4 RNA Interference

Total RNA from sFRP4-overexpressing U87 cells was isolated using the Trizol method and converted into cDNA using a Verso cDNA Synthesis kit (Invitrogen). Double stranded RNA (dsRNA) was synthesized using MEGAscript® RNAi Kit (Ambion, Austin, TX, USA) as described previously [13].

2.11. Conversion of WJMSCs into ESC-Like Cells

sFRP4 silenced WJMSCs were cultured in ESC medium containing knockout-DMEM supplemented with 15% knockout serum replacement (KOSR), 2 mM l-glutamine, 0.1 mM non-essential amino acid (NEAA; Gibco, Grand Island, NY, USA), 0.1 mM β-mercaptoethanol, and 4 ng/mL basic fibroblast growth factor (bFGF; BioVison, Milpitas, CA, USA).

2.12. Real-Time Quantitative PCR

Total RNA extraction and cDNA synthesis were carried out using RNeasy Plus Mini kit (Qiagen, Hilden, Germany) and Verso cDNA Synthesis kit (Invitrogen) respectively. Real-time quantitative PCR was performed as described previously [13]. All the primers were purchased from Sigma Aldrich (Bengaluru, India; Table S2).

2.13. Immunocytochemistry

Cells were subjected to treatment and immunocytochemistry was performed as previously described using sFRP4 (Abcam, Cambridge, MA, USA), H2AX (Cell Signaling Technology, Beverly, MA, USA), and β-catenin (BioLegend, San Diego, CA, USA) [11].

2.14. Western Blotting

Protein expression levels of sFRP4 (Invitrogen), β-catenin (BioLegend), GSK-3β (Cell Signaling Technology), and APAF1 (R&D Systems, Minneapolis, MN, USA) were analyzed by Western blotting as previously described by Warrier et al. [12].

2.15. Statistical Analysis

Statistical analysis was performed by unpaired Student’s t-test and one-way analysis of variance (ANOVA), followed by Dunnett’s post-test analysis and using GraphPad Prism software (v 5.03, GraphPad Software Inc., San Diego, CA, USA). Data are represented as Mean ± SD and all the experiments were done in triplicates. p < 0.05 was considered to be statistically significant (* p value < 0.05, # p value < 0.01, ## p value < 0.001).

3. Results

3.1. sFRP4 Overexpression has an Anti-Proliferative Effect in Glioma Cell Lines

We observed that in the glioma cell lines, U87MG, U138MG, and U373MG, overexpression of sFRP4 resulted in inhibition of viability and proliferation as measured by MTT and BrdU assays respectively (Figure S1A,B). Also, apoptosis was increased in sFRP4 OE cells, as measured by ROS and caspase assays (Figure S1C,D), this effect was reversed by knocking down sFRP4 by specific siRNA (Figure S1A–D). As the cell line U87MG was the most aggressive and rapidly proliferating of all the lines studied, U87MG was used for further studies.

3.2. sFRP4 OE Cells Induces Apoptosis, Inhibits Cancer Stemness

The U87MG cells were transfected with either an empty or an sFRP4 expressing EGFP tagged plasmid, and EGFP expressing cells were confirmed under fluorescent microscopy (Figure S2A). Treatment with sFRP4 siRNA (sFRP4 SI) induced proliferation when compared to control U87 cells, as observed in phase-contrast microscopy (Figure S2B). Apoptotic activity was confirmed by the caspase assay, which showed a significant increase in caspase activity in sFRP4 OE cells. Caspase activity was measured colorimetrically and quantified using flow cytometry (Figure S2C). The inherent cancer stemness property of sphere formation was studied by neurosphere formation assay. The OE cells could not form proper spheres, whereas sFRP4 SI cells formed prominent large spheres compared to untreated control (Figure S2D). Protein levels of sFRP4 increased in sFRP4 OE and was reduced in sFRP4 SI as demonstrated in Figure S2E. Next, gene expression of sFRP4 was analyzed in sFRP4 OE and sFRP4 SI cells, which confirmed a four- fold increase in sFRP4 expression in sFRP4 OE and a two-fold decrease in sFRP4 SI cells. In sFRP4 OE cells, the expression of CycD1, a cell cycle regulator, was downregulated with the upregulation of pro-apoptotic Bax, with a decrease in sFRP4 SI cells but CycD1 was enhanced in sFRP4 SI cells compared to untreated control (Figure S2F), suggesting that sFRP4 is correlated with cell cycle progression and apoptosis. These cells were used for further experiments.

3.3. sFRP4 Localized in the Nucleus with a DNA Binding Ability

Immunolocalization of sFRP4 in U87 sFRP4 OE cells surprisingly showed sFRP4 nuclear localization, which was not detected in control and SI U87 cells (Figure S3A). The property of nuclear localization was extrapolated by examining the DNA binding property of sFRP4 using DNABIND software. This analysis clearly indicated a DNA binding ability of sFRP4 sequences (Figure S3B).

3.4. Senescence Related Genes were Identified in sFRP4 ChIP Sequencing Analysis of sFRP4 OE Cells

When sFRP4 OE cells were subjected to ChIP pull-down with sFRP4 antibody, a 150 bp DNA was observed that was absent in control U87 cells (Figure 1A). The pulled down DNA sample was then subjected to whole-genome ChIP sequencing with input DNA control from U87 cells.
ChIP sequencing data from sFRP4 OE DNA and input control DNA were mapped by using Burrows-Wheeler Aligner-maximal exact matches (MEMs algorithm) mapping software by comparing with the reference genome HG19. Mapping analysis resulted in total reads of 5,581,398 in sFRP4 OE DNA and 9,054,588 in input DNA (Figure 1B). Peak caller software, MACS2, was used to identify enriched peaks in comparison with the untreated input DNA sequence in which 34,711 enriched genes peaks were identified and categorized based on their chromosomal location (Figure 1C).

3.4.1. UTR Analysis

In the peak-calling annotation, we observed 11 gene peaks at 5’UTR- RUNX3, miR885, MTRNR2L6, CLIP2, TMEM74B, ZNF592, GPER1, NCK2, PTK2, SAMD3, and NHSL1 (Figure 1C). Further, the RNA sequencing data revealed that among all genes, SAMD3, TMEM74B, and MTRNR2L6 genes were highly expressed in sFRP4 OE cells but downregulated in sFRP4 SI cells (Figure 1D), of which SAMD3 (Sterile alpha motif domain-containing protein 3) has been reported to be a cell cycle inhibitor expressed in differentiating cells [20], whereas PTK2 coding for Focal adhesion kinase (FAK) has a role in apoptosis in human endothelial cells [21].

3.4.2. MicroRNA885 Upregulation in sFRP4 OE

Among the UTR peaks identified from the ChIP sequencing data, we observed the presence of miR885, which is closely linked to p53 [22] which we further probed. Interestingly, miR885 was localized in the cytoplasm using 5′ miR885 antisense fluorescent probes by in situ hybridization (Figure 1E). Also, the miR885 expression level was determined by qRT-PCR, and the result indicated that the expression of miR885 in sFRP4 OE cells was four-fold higher than the control U87 cells. miR885 expression was decreased in sFRP4 SI cells (Figure 1F). The role of miRNA885p is possibly via activating p53 by targeting CDK2 and MCM5 as previously reported [22]. This possible mode of action of miR885p in inhibiting proliferation has been represented in schematic 2.

3.5. Motif Analysis

De novo motif analysis was done by using HOMER software for sFRP4-ChIP pull-down of sFRP4 OE cells. The top five ranked genes obtained in the analysis represented in the LOGOS diagram were Cphx1, FOXK1, Zfp105, FOXD3, and THAP1 (Figure 1G). Cphx1 (cytoplasmic polyadenylated homeobox 1), the first gene listed in the motif analysis, is a homeobox gene expressed highly in early embryonic stages [23]. However, a literature search of Cphx1 suggested that an elaborate functional status of this gene has not yet been studied. Therefore, we examined the co-functional genes of Cphx1 by using the software genecloud.org, which is a tool to study gene-gene associations based on reported literature (Figure 1H). This analysis revealed that Cphx1 has a co-functioning gene, the ETS2 gene, which is a transcription factor regulating genes involved in stem cell development, cell senescence and death, and tumorigenesis [24]. When we examined the expression of this gene in RNA-sequencing data, we found interestingly that ETS2 was indeed overexpressed in sFRP4 OE cells when compared to control and sFRP4 SI cells (Figure 1I).

3.6. Interlinking Analysis of sFRP4 with ChIP Motifs

The first gene identified in the motif analysis, Cphx1, has been reported to activate downstream genes Bcap31 and USP9X during development [23], and therefore we analyzed the expression of these genes in the RNA sequencing data. We observed that USP9X gene expression was highly upregulated in sFRP4 OE cells. Further, we used USP9X and FOXK1 (which was ranked second in the motif analysis) and sFRP4 to identify the gene network interlinking pattern using Cluster 3.0 software. The gene cluster analysis displayed that SMAD4 and TP53 genes were interlinked with sFRP4, USP9X, and FOXK1 (Figure 2A). RNA sequencing data revealed that expression of SMAD4 and TP53 genes was upregulated in sFRP4 OE cells along with FOXK1 and USP9X (Figure 2B). Additionally, p53 pathway activation was confirmed by the upregulation of H2AX protein expression in sFRP4 OE cells using immunofluorescence analysis (Figure 2C), which correlated with earlier reports showing that the H2AX Arf/p53 pathway induces apoptosis in cancer cells [25].

3.7. Whole Transcriptome Analysis of sFRP4 OE and sFRP4 SI

Whole transcriptome sequencing was performed to understand the molecular changes occurring during sFRP4 gene overexpression and silencing. The results have been organized as pathway- and function-specific gene expression patterns. We focused on genes which indicated that the expression was inversely regulated in sFRP4 OE and sFRP4 SI cells, thereby being relevant for sFRP4-specific gene activation and suppression.

3.7.1. Cell Cycle Pathway Genes

The overall analysis showed a differential gene expression level among treatment conditions. sFRP4 OE cells showed upregulation of Casp14, FASLG, DAPK1, TNFSF8, and TNFRSF10B genes, which were downregulated in sFRP4 SI cells (Figure 3A). All these gene functions are correlated to cell apoptosis in sFRP4 OE cells, leading to apoptosis in U87 cells. However, the expression pattern of mitochondrial genes BAX, BCL, and BAD was not affected significantly.

3.7.2. Wnt Canonical Pathway

sFRP4 OE cells showed downregulation of CTNNB1 and CCND1, and upregulation of GSK3β and FOXN1 genes. CTNNB1 (β-catenin) and CCND1 (Cyclin D1) are the two central genes of the Wnt canonical pathway maintaining cells’ self-renewal property [26], whereas GSK3β and FOXN1 function as suppressors of β-catenin [27,28]. These patterns of gene expression clearly suggested that overexpression of sFRP4 was inhibiting the Wnt canonical pathway (Figure 3B).

3.7.3. Wnt Non-Canonical Pathways

(a) Wnt calcium pathway:
sFRP4 OE cells displayed an elevation in ITPR1 gene expression, which encodes for inositol 1,4,5-triphosphate receptor protein activity. The ITPR1 gene is responsible for maintaining the intracellular IP3-gated calcium channel in Wnt calcium signaling [29,30]. Further, the expression of NFATC2 and CREBBP genes (which are non-canonical pathway-specific transcription factor genes) was upregulated in sFRP4 OE cells, suggesting activation of the Wnt-calcium signaling pathway (Figure 3C).
(b) Wnt-planar cell polarity pathway
The planar cell polarity (PCP) pathway primarily promotes migration of cells with the activation of RHO and RAC genes, but these genes were shown to be downregulated in sFRP4 OE cells. DAAM, another mediator of the PCP pathway, was seen to be upregulated in sFRP4 OE cells (Figure 3D).

3.7.4. Wnt Antagonists

sFRP4 gene expression was increased with complete downregulation of Dickkopf 1 (DKK1) in sFRP4 OE cells (Figure 3E), indicating a possible role of sFRP4 in the regulation of the expression of other Wnt antagonists. In addition to sFRP4, Wnt inhibitory factor 1 (WIF1) expression was also increased in sFRP4 OE cells.

3.7.5. Wnt Receptors and Co-Receptors

The frizzled (FZD) family of Wnt receptor genes showed differential regulation among treatments. sFRP4 OE cells exhibited upregulation of FZD5 and downregulation of FZD2 when compared to control U87 and sFRP4 SI cells (Figure 3F). The low-density-lipoprotein receptor proteins LRP5 and LRP6 were differentially expressed in sFRP4 OE treated cells, with downregulation of LRP5 and upregulation of LRP6 (Figure 3G). Although LRP5 and LRP6 are co-receptors for the Wnt canonical pathway [31], some reports suggest that LRP6 may be associated with the Wnt non-canonical pathway, especially in neuronal development [32,33].

3.7.6. Stemness and Epithelial-Mesenchymal Transition (EMT) Markers

Expression of cancer stemness-specific genes NANOG and POU5F1 was inhibited in sFRP4 OE cells, whereas sFRP4 SI cells showed elevation in NANOG and POU5F1 gene expression that was much higher than in the untreated U87 control (Figure 3H). With reference to EMT-specific genes, the mesenchymal marker gene, COL1A2, was substantially decreased in sFRP4 OE cells whereas the epithelial specific marker, CDH1, was seen to increase in sFRP4 OE cells (Figure 3I).

3.7.7. Sonic Hedgehog (Shh), pI3K-AKT, and ROS Pathways

Expression of SHH was upregulated and GLI1 genes were downregulated in sFRP4 OE cells (Figure 3J). AKT1 gene expression was downregulated in sFRP4 OE cells, indicating the inhibition of this cell survival pathway (Figure 3K). ROS pathway genes SOD2, NOS2, and FOXO1 were upregulated in sFRP4 OE cells, with a decrease of IKBKG gene expression (Figure 3L).

3.8. Quantification of Wnt Pathway Proteins and Functional Activity

The β-catenin accumulation in the cytoplasm was decreased in sFRP4 OE cells, whereas in sFRP4 SI cells it was increased when compared to untreated U87 cells (Figure 4A). Western blotting analysis showed a decrease in β-catenin level with an increase of GSK3β level in SFRP4 OE cells. Additionally, upregulation of apoptotic protease activating factor 1 (APAF1), involved in mitochondrial apoptotic pathways, was observed in SFRP4 OE cells confirming the activation of apoptosis in sFRP4 OE cells (Figure 4B). Intracellular Ca2+, quantified using flow cytometry, showed a 75–80% increase in calcium levels in sFRP4 OE cells (Figure 4C).

3.9. sFRP4 Silencing Increases Pluripotent Property by Activating Wnt Canonical Pathway in Human Wharton’s Jelly Mesenchymal Stem Cells

RNA interference (RNAi)-mediated sFRP4 knockdown in human Wharton’s jelly mesenchymal stem cells (WJMSCs) was used to study the effect of sFRP4. We observed that sFRP4 downregulation resulted in excessive proliferation when compared to untreated WJMSCs control (Figure 5A). After sFRP4 silencing, expression of stemness specific-genes NANOG and OCT4 was upregulated two-folds more than untreated WJMSCs control, and KI67 and CYCLIN D1 gene expression was increased significantly in sFRP4 silenced cells (Figure 5B). Further, expression of Wnt canonical genes β-catenin, TCF4, LRP6, Dsh, and Dkk1 increased, whereas GSK3β and AXIN expression decreased, and that of non-canonical genes NFAT, CalN, JNK, and CREB was also seen to decrease in sFRP4 silenced cells (Figure 5C).

3.10. sFRP4 Knockdown Elicits Embryonic Stem Cell-Like Traits

To understand the effect of sFRP4 knockdown on pluripotentiality, sFRP4 silenced WJMSCs were grown in embryonic stem cells (ESCs) growth medium. This led to the appearance of ESC-like morphology (Figure 5D). Further analysis revealed that these cells express a higher level of genes related to stemness and pluripotentiality, such as Oct4, SOX2, and NANOG as compared to HUES-7 (Figure 5E). This suggests that sFRP4-based Wnt antagonism may be involved in the maintenance of stemness of ESCs.

4. Discussion

Wnt signaling is one of the key operational pathways regulating embryonic development from the undifferentiated state but is also tightly involved in tumorigenesis. Being an ubiquitous pathway controlling multitude development and disease processes, the Wnt pathway itself is managed by several inducers and inhibitors functioning at various levels of the signaling network. Among the inhibitors of Wnt signaling, the sFRPs are one of the most versatile antagonists of Wnt. We have previously reported that sFRP4 chemosensitizes glioma stem cells to commonly used chemotherapeutics by decreasing the stemness properties, decreasing drug resistance, and reversing EMT [10,11]. Despite the clear role of sFRP4 in inhibiting the Wnt pathway and inducing apoptosis via downregulating Wnt effectors, its precise molecular role and targets have not been identified. Therefore, in this study a gain or loss of function of sFRP4 was attempted in glioma cells to have a deeper understanding of its mechanism of action.
The direct role of sFRP4 in regulating apoptosis was observed in the sFRP4 overexpressing and silenced models by virtue of cell death in sFRP4 OE and hyperproliferation in silenced glioma cells. Specific and concurrent epigenetic silencing of the canonical Wnt pathway by Wnt inhibitors, sFRPs, DKKs, and WIF has been shown to increase proliferation in chronic lymphocytic leukemia [34]. However, no specific study has demonstrated that suppressing an extracellular Wnt antagonist can induce proliferation in tumors. The reflection of a significant increase of a pro-proliferative marker CycD1, a β-catenin effector gene, demonstrated the specificity of the proliferative surge in sFRP4 SI cells. As the gain of expression of sFRP4 resulted in prominent apoptosis in glioma cell lines, we analyzed whether there was a role of sFRP4 in apoptosis in the intracellular context and beyond acting via the Wnt pathway.
sFRP4 is a secreted protein predicted to be localized on the cell membrane, intracellularly, and sporadically in the nucleus of various tissues [35]. In our study, we observed that sFRP4 was localized in the nucleus of sFRP4 OE U87 cells but not expressed in control and sFRP4 SI treated U87 cells. The unexpected finding of nuclear localization of sFRP4 was corroborated by DNABIND prediction studies indicating a high probability of DNA interactions. So far there are no reports on the localization of sFRP4 in the nucleus or its affinity to DNA. Based on the structure of sFRPs, it can be hypothesized that the heparin binding sites that have been reported in sFRPs [36,37,38] are involved in the affinity to DNA we observed in this study. In fact, sFRP1was first isolated and identified from the heparin binding fraction of the conditioned medium of fibroblasts from human embryonic lung [36]. Heparin itself mimics the polyanionic structure of DNA, a property which is well exploited commercially [39], and by extension, heparin binding regions in the C-terminal region of sFRP1 [40] could possibly bind DNA.
ChIP sequencing results of sFRP4 OE cells revealed the various genes that could be regulated by sFRP4. Peak-calling analysis revealed the presence of 34,711 peaks and they were categorized based on their sequence annotated in the chromosome. Major peaks were on Long Interspersed Element-1 (LINE-1) and non-autonomous Short Interspersed Elements (SINE) regions which are involved in carving the structure and function of mammalian genomes [41,42]. We concentrated on the 5′UTR region involved in transcriptional regulation of genes. Our analysis report showed 11 gene peaks at 5′UTR- RUNX3, miR885, MTRNR2L6, CLIP2, TMEM74B, ZNF592, GPER1, NCK2, PTK2, SAMD3, and NHSL1, and all their gene activities were upregulated in sFRP4 OE treated cells. Among all genes, SAMD3, TMEM74B, and MTRNR2L6 genes were highly expressed in OE cells but downregulated in SI cells. The SAMD3 gene and its phosphorylated form of protein function as a cell cycle inhibitor and are involved in cell differentiation [43]. The SAMD3 function is similar to TGF-β [44] and SMAD2 [20] whereas TMEM may be involved in autophagosome formation [45]. The MTRNR2L6 gene coding for humanin-like 6 (HN6), is identified as a neuroprotectant and anti-apoptotic factor [46]. In our study, SAMD3 and TMEM74B genes were upregulated in sFRP4 OE, indicating an activation of apoptosis.
miR885, another gene of 5’UTR peaks, has been well studied in neuroblastoma cells, where it was identified to act as a tumor suppressor via TP53-dependent pathway activation leading to cell death [22]. In our study, we have localized miR885 by in situ hybridization using miR885 probes and found that the active form of miR885 was highly expressed in sFRP4 OE U87 cells. Further, the overexpression of miR885 gene was confirmed in sFRP4 OE cells in comparison to control U87 cells. Therefore, it is possible to hypothesize that the apoptotic process in sFRP4 OE U87 cells could be by miR885 activation, which is involved in TP53-dependent cell death.
The motif binding analysis from the ChIP sequencing data using homer software indicated Cphx1, a homeobox gene implicated during early embryonic development [23], as the first motif. To delve into a possible connection of Cphx1 in tumorigenesis and senescence, we performed a gene co-function study using the software Gene Cloud, and identified that Cphx1 co-functions with the ETS2 gene. ETS2 is a well-studied transcription factor regulating numerous genes involved in embryonic development, stem cell maintenance, cell senescence, and tumorigenesis [47], and was seen to be overexpressed in OE cells in our study.
To correlate further the significance of Cphx1, a previous report indicated that this homeobox gene could function as an activator for BCAP31 and USP9X genes [23]. BCAP31 did not appear in our RNASeq analysis but USP9X, another homeobox gene, was observed to be upregulated in sFRP4 OE U87 cells. By using Cytoscape version 3.4.0 software, we examined the gene network cluster pattern between USP9X, FOXO1 (ranked second in motif site prediction), and sFRP4 genes, which displayed the interlinking genes such as SMAD4 and TP53 genes. Gene expression of SMAD4 and TP53 genes was upregulated in sFRP4 OE U87 cells, again indicating apoptotic activation. This to our knowledge is the first study correlating the Wnt antagonist, sFRP4, directly to the master apoptotic molecular handle, p53.
Our ChIP pull-down analyses indicated that sFRP4 overexpression in the U87 cells activates numerous apoptosis related events; hence, we pursued a whole transcriptome sequencing to understand sFRP4-specific gene expressional changes. These data revealed an activation of TNF-death receptor TNFRSF 10B gene with the upregulation of downstream genes FASLG and caspase 14. TP53 activation in cells induces DNA damage and leads to cell death [48]. Owen-Schaub et al., (1995) reported that TP53 regulates apoptosis by upregulation of the Fas/APO-1 gene [49]. The Fas/APO-1 gene codes for the TNF receptor superfamily member 6 protein, which is known to be a signal inducer for programmed cell death [49]. It supports our finding that sFRP4 OE cells overexpress TP53 and FASLG, which have been correlated with cas14 activation. An activation of the FASLG in connection to Wnt antagonism has not yet been clearly elucidated. The induction of p53-mediated apoptosis via Nutlin-3 activation occurs through overexpression of FASLG and initiation of the Fas death receptor pathway in testicular carcinoma [50]. There is a possibility that the intense apoptosis observed upon sFRP4 overexpression could be mediated by a hitherto unexplored mode of action via the p53- FASLG apoptotic axis.
Expectedly, the classic Wnt canonical pathway was downregulated, as determined by the repression of marker genes CTNNB1 (β-catenin) and CCND1 (Cyclin D1) in sFRP4 OE U87 cells, which was further confirmed by quantification of β-catenin activity by immunolocalization. However, very interestingly, there was a surge in the Wnt calcium pathway with a significant overexpression of the ITPR1 gene and release of intracellular calcium, as observed in the Fura-2AM assay. Wozniak et al., reported that Fas receptor-mediated apoptosis activates the accumulation of endoplasmic reticulum calcium through upregulation of the inositol 1,4,5-trisphosphate receptor (IP3R) gene [51]. The Fas receptor is involved in activating caspase 8/10 that causes mitochondrial sensitization and releases cytochrome c into the cytoplasm. Cytochrome c binds to IP3R resulting in intracellular calcium release and mitochondrial calcium overload, leading to cell death [52]. Based on this supporting evidence it is possible to hypothesize that ITPR1 could induce sFRP4-mediated apoptosis by acting via the Fas receptor-mediated apoptosis. The downregulation of the Wnt PCP pathway genes Rho and Rac in sFRP4 OE cells suggests an inhibition of the cells’ migratory property by sFRP4.
In addition, the ROS pathway genes SOD2, NOS2, and FOXO1 were upregulated in sFRP4 OE cells, which again indicates and supports initiation of apoptosis. An increase in intracellular ROS level causes damage in cell organelles, but cancer cells maintain a high ROS level when compared to normal cells, which helps to maintain CSCs in a limited nutrient environment [53]. However, ROS regulation can be a double-edged sword because excessive ROS accumulation in cells releases more cytochrome c in the cytoplasm and stimulates programmed cell death [54]. Thus, the action of the ROS relies upon its concentration. In our study, the expression of SOD2 was determined to be two-folds higher in sFRP4 OE cells when compared to control, thereby causing mitochondrial damage. This effect has been supported by a study by Pias et al., which stated that overexpression of SOD induces ROS in mitochondria, leading to apoptosis in PC-21 undifferentiated pheochromocytoma cells [55].
Additionally, the downregulation of the PI3K-AKT pathway genes AKT1 and PIK3CA suggested a dysregulation of this survival pathway. The active state of the PI3K/Akt pathway in cancer has been widely reported in regulating proliferation, metastasis-migration, invasion, and chemo and radioresistance [56,57]. In our study, the expression of survival pathway genes was decreased in sFRP4 OE cells, which indicates the activation of a mechanism promoting apoptosis or growth arrest.
In our studies on the properties of CSCs, the expression of highly specific genes NANOG and POU5F1 were inhibited in sFRP4 OE cells, whereas in sFRP4 SI cells the expression of these genes were elevated more than the untreated control. Furthermore, the expression of drug transporter genes ABCC2 and ABCC4 was also upregulated in sFRP4 OE cells. These results indicated that sFRP4 overexpression in U87 cells suppresses cancer chemoresistance via activation of transporter genes. Stemness is closely related to EMT, and in our study, the sFRP4 OE treated cells expressed epithelial marker gene E-cad but the expression of mesenchymal marker gene COLA1 was significantly decreased. Thus, suppression of mesenchymal gene expression supports the reversal of EMT to mesenchymal-epithelial transition.
sFRP4 SI treatment on U87 cells showed an increase in stem cell gene activation. Therefore, we designed RNAi specific for sFRP4 to increase the silencing rate. RNAi treatment resulted in a high proliferation rate in U87 cells as compared to untreated U87 cells. The gene expression study revealed the activation of pluripotent genes NANOG and OCT4 with the upregulation of the Wnt canonical pathway specific genes, suggesting that sFRP4 silencing correlates with stemness increase. These studies point to a direct role of sFRP4 in suppressing stemness. To further analyze if sFRP4 is truly involved in regulating stemness and pluripotentiality, we chose to study the effect of sFRP4 suppression in a non-cancer context. We asked the question if sFRP4 suppression could convert a multipotent stem cell into a pluripotent state. The data showed that it did indeed and sFRP4 RNAi treatment of multipotent mesenchymal stem cells resulted in a pluripotent stem-like state. An early report on human embryonic germ cell-derived cells has shown the downregulation of sFRP1 in inducing the proliferation of human ESCs [58]. In Oct4-induced embryonic stem cells, transcriptome analysis revealed that sFRP1 is downregulated [59]. Our data suggest that knockdown of sFRP4 alone is sufficient to induce a true pluripotent stem-like phenotype.

5. Conclusions

The key findings of this study indicate that sFRP4 is a powerful apoptotic inducer that could act via p53-FASLG axis, and the apoptotic cascade can be fuelled through calcium-based apoptosis acting either through the Wnt calcium pathway or in conjunction with an unknown pathway in which calcium is a key player. Interestingly, the induction of pluripotentiality by sFRP4 knockdown suggests that this antagonist could on its own suppress a highly pluripotent state of stemness.

Supplementary Materials

The following are available online at https://0-www-mdpi-com.brum.beds.ac.uk/2072-6694/11/1/25/s1, Figure S1: Viability, proliferation, and apoptosis analysis of glioma cell lines after sFRP4 overexpression (OE) and silencing (SI), Figure S2: sFRP4 SI initiates proliferation and sFRP4 OE induces apoptotic genes, Figure S3: sFRP4 overexpression (OE) showed functionally active sFRP4 in the nucleus, Table S1: Primers used in siRNA synthesis, Table S2: Primers used in Real-Time PCR.

Author Contributions

G.B. Performing experiments, preparation of manuscript; N.G. Performing experiments, preparation of manuscript; M.P. Performing experiments, preparation of manuscript; F.A. Preparation of manuscript; G.S.: Partial funding of the work, preparation of manuscript; A.D. Partial funding of the work, preparation of manuscript; A.P.K. Partial funding of the manuscript, preparation of manuscript; S.W. Conceptualization of the study, funding for the study, experimental design, preparation of manuscript.

Funding

This work was supported partly by funding from the Department of Biotechnology, India (No. BT/PR9235/MED/31/258/2014) and DBT-BIRAC (No. BT/SPARSH0236/04/16) for S.W. A.P.K. was supported by grants from National Medical Research Council of Singapore; Medical Science Cluster, Yong Loo Lin School of Medicine, National University of Singapore and by the National Research Foundation Singapore and the Singapore Ministry of Education under its Research Centers of Excellence initiative to Cancer Science Institute of Singapore, National University of Singapore. B.G. and N.G. are thankful for the support in the form of scholarships from Manipal Academy of Higher Education, India. The APC was funded by A.P.K.

Conflicts of Interest

The authors declare no conflict of interest.

References

  1. Singh, S.K.; Clarke, I.D.; Terasaki, M.; Bonn, V.E.; Hawkins, C.; Squire, J.; Dirks, P.B. Identification of a cancer stem cell in human brain tumors. Cancer Res. 2003, 63, 5821–5828. [Google Scholar] [PubMed]
  2. Altaner, C. Glioblastoma and stem cells. Neoplasma 2008, 55, 369–374. [Google Scholar] [PubMed]
  3. Yuan, X.; Curtin, J.; Xiong, Y.; Liu, G.; Waschsmann-Hogiu, S.; Farkas, D.L.; Black, K.L.; John, S.Y. Isolation of cancer stem cells from adult glioblastoma multiforme. Oncogene 2004, 23, 9392. [Google Scholar] [CrossRef] [PubMed]
  4. Zhang, K.; Guo, Y.; Wang, X.; Zhao, H.; Ji, Z.; Cheng, C.; Li, L.; Fang, Y.; Xu, D.; Zhu, H.H. WNT/β-catenin directs self-renewal symmetric cell division of hTERThigh prostate cancer stem cells. Cancer Res. 2017, 77, 2534–2547. [Google Scholar] [CrossRef] [PubMed]
  5. Jang, G.-B.; Kim, J.-Y.; Cho, S.-D.; Park, K.-S.; Jung, J.-Y.; Lee, H.-Y.; Hong, I.-S.; Nam, J.-S. Blockade of Wnt/β-catenin signaling suppresses breast cancer metastasis by inhibiting CSC-like phenotype. Sci. Rep. 2015, 5, 12465. [Google Scholar] [CrossRef] [PubMed]
  6. Tang, L.; Bergevoet, S.M.; Gilissen, C.; de Witte, T.; Jansen, J.H.; van der Reijden, B.A.; Raymakers, R.A. Hematopoietic stem cells exhibit a specific ABC transporter gene expression profile clearly distinct from other stem cells. BMC Pharmacol. 2010, 10, 12. [Google Scholar] [CrossRef] [PubMed]
  7. Takagi, H.; Sasaki, S.; Suzuki, H.; Toyota, M.; Maruyama, R.; Nojima, M.; Yamamoto, H.; Omata, M.; Tokino, T.; Imai, K. Frequent epigenetic inactivation of SFRP genes in hepatocellular carcinoma. J. Gastroenterol. 2008, 43, 378–389. [Google Scholar] [CrossRef] [Green Version]
  8. Pannone, G.; Bufo, P.; Santoro, A.; Franco, R.; Aquino, G.; Longo, F.; Botti, G.; Serpico, R.; Cafarelli, B.; Abbruzzese, A. WNT pathway in oral cancer: Epigenetic inactivation of WNT-inhibitors. Oncol. Rep. 2010, 24, 1035–1041. [Google Scholar] [Green Version]
  9. Schiefer, L.; Visweswaran, M.; Perumal, V.; Arfuso, F.; Groth, D.; Newsholme, P.; Warrier, S.; Dharmarajan, A. Epigenetic regulation of the secreted frizzled-related protein family in human glioblastoma multiforme. Cancer Gene Ther. 2014, 21, 297. [Google Scholar] [CrossRef]
  10. Warrier, S.; Balu, S.K.; Kumar, A.P.; Millward, M.; Dharmarajan, A. Wnt antagonist, secreted frizzled-related protein 4 (sFRP4), increases chemotherapeutic response of glioma stem-like cells. Oncol. Res. Featur. Preclin. Clin. Cancer Ther. 2014, 21, 93–102. [Google Scholar] [CrossRef]
  11. Bhuvanalakshmi, G.; Arfuso, F.; Millward, M.; Dharmarajan, A.; Warrier, S. Secreted frizzled-related protein 4 inhibits glioma stem-like cells by reversing epithelial to mesenchymal transition, inducing apoptosis and decreasing cancer stem cell properties. PLoS ONE 2015, 10, e0127517. [Google Scholar]
  12. Warrier, S.; Bhuvanalakshmi, G.; Arfuso, F.; Rajan, G.; Millward, M.; Dharmarajan, A. Cancer stem-like cells from head and neck cancers are chemosensitized by the Wnt antagonist, sFRP4, by inducing apoptosis, decreasing stemness, drug resistance and epithelial to mesenchymal transition. Cancer Gene Ther. 2014, 21, 381. [Google Scholar] [CrossRef]
  13. Bhuvanalakshmi, G.; Rangappa, K.S.; Dharmarajan, A.; Sethi, G.; Kumar, A.P.; Warrier, S. Breast Cancer Stem-Like Cells Are Inhibited by Diosgenin, a Steroidal Saponin, by the Attenuation of the Wnt β-Catenin Signaling via the Wnt Antagonist Secreted Frizzled Related Protein-4. Front. Pharmacol. 2017, 8, 124. [Google Scholar] [CrossRef] [PubMed]
  14. Bhuvanalakshmi, G.; Arfuso, F.; Kumar, A.P.; Dharmarajan, A.; Warrier, S. Epigenetic reprogramming converts human Wharton’s jelly mesenchymal stem cells into functional cardiomyocytes by differential regulation of Wnt mediators. Stem Cell Res. Ther. 2017, 8, 185. [Google Scholar] [CrossRef] [PubMed]
  15. Raap, A.K.; van de Rijke, F.M.; Dirks, R.W. mRNA in situ hybridization to in vitro cultured cells. In In Situ Hybridization Protocols; Humana Press: Totowa, NJ, USA, 1994; Volume 33, pp. 293–300. [Google Scholar]
  16. Szilágyi, A.; Skolnick, J. Efficient prediction of nucleic acid binding function from low-resolution protein structures. J. Mol. Biol. 2006, 358, 922–933. [Google Scholar] [CrossRef] [PubMed]
  17. Li, H. Aligning sequence reads, clone sequences and assembly contigs with BWA-MEM. arXiv 2013, arXiv:1303.3997. [Google Scholar]
  18. Zhang, Y.; Liu, T.; Meyer, C.A.; Eeckhoute, J.; Johnson, D.S.; Bernstein, B.E.; Nusbaum, C.; Myers, R.M.; Brown, M.; Li, W. Model-based analysis of ChIP-Seq (MACS). Genome Biol. 2008, 9, R137. [Google Scholar] [CrossRef]
  19. Khomtchouk, B.B.; Van Booven, D.J.; Wahlestedt, C. HeatmapGenerator: High performance RNAseq and microarray visualization software suite to examine differential gene expression levels using an R and C++ hybrid computational pipeline. Source Code Biol. Med. 2014, 9, 30. [Google Scholar] [CrossRef]
  20. Bhaskaran, M.; Kolliputi, N.; Wang, Y.; Gou, D.; Chintagari, N.R.; Liu, L. Trans-differentiation of alveolar epithelial type II cells to type I cells involves autocrine signaling by transforming growth factor β1 through the Smad pathway. J. Biol. Chem. 2007, 282, 3968–3976. [Google Scholar] [CrossRef]
  21. André, E.; Beckerandre, M. Expression of an N-terminally truncated form of human focal adhesion kinase in brain. Biochem. Biophys. Res. Commun. 1993, 190, 140–147. [Google Scholar] [CrossRef] [PubMed]
  22. Afanasyeva, E.A.; Mestdagh, P.; Kumps, C.; Vandesompele, J.; Ehemann, V.; Theissen, J.; Fischer, M.; Zapatka, M.; Brors, B.; Savelyeva, L. MicroRNA miR-885-5p targets CDK2 and MCM5, activates p53 and inhibits proliferation and survival. Cell Death Differ. 2011, 18, 974. [Google Scholar] [CrossRef] [PubMed]
  23. Madissoon, E.; Jouhilahti, E.-M.; Vesterlund, L.; Töhönen, V.; Krjutškov, K.; Petropoulos, S.; Einarsdottir, E.; Linnarsson, S.; Lanner, F.; Månsson, R. Characterization and target genes of nine human PRD-like homeobox domain genes expressed exclusively in early embryos. Sci. Rep. 2016, 6, 28995. [Google Scholar] [CrossRef]
  24. Wolvetang, E.; Bradfield, O.; Hatzistavrou, T.; Crack, P.; Busciglio, J.; Kola, I.; Hertzog, P. Overexpression of the chromosome 21 transcription factor Ets2 induces neuronal apoptosis. Neurobiol. Dis. 2003, 14, 349–356. [Google Scholar] [CrossRef]
  25. Atsumi, Y.; Inase, A.; Osawa, T.; Sugihara, E.; Sakasai, R.; Fujimori, H.; Teraoka, H.; Saya, H.; Kanno, M.; Tashiro, F. The Arf/p53 protein module, which induces apoptosis, down-regulates histone H2AX to allow normal cells to survive in the presence of anti-cancer drugs. J. Biol. Chem. 2013, 288, 13269–13277. [Google Scholar] [CrossRef] [PubMed]
  26. Mohammed, M.K.; Shao, C.; Wang, J.; Wei, Q.; Wang, X.; Collier, Z.; Tang, S.; Liu, H.; Zhang, F.; Huang, J. Wnt/β-catenin signaling plays an ever-expanding role in stem cell self-renewal, tumorigenesis and cancer chemoresistance. Genes Dis. 2016, 3, 11–40. [Google Scholar] [CrossRef]
  27. Trowbridge, J.J.; Xenocostas, A.; Moon, R.T.; Bhatia, M. Glycogen synthase kinase-3 is an in vivo regulator of hematopoietic stem cell repopulation. Nat. Med. 2006, 12, 89. [Google Scholar] [CrossRef] [PubMed]
  28. Balciunaite, G.; Keller, M.P.; Balciunaite, E.; Piali, L.; Zuklys, S.; Mathieu, Y.D.; Gill, J.; Boyd, R.; Sussman, D.J.; Holländer, G.A. Wnt glycoproteins regulate the expression of FoxN1, the gene defective in nude mice. Nat. Immunol. 2002, 3, 1102. [Google Scholar] [CrossRef]
  29. Berridge, M.J. Inositol trisphosphate and calcium signalling. Nature 1993, 361, 315. [Google Scholar] [CrossRef]
  30. Hirota, J.; Hideaki, A.; Hamada, K.; Mikoshiba, K. Carbonic anhydrase-related protein is a novel binding protein for inositol 1, 4, 5-trisphosphate receptor type 1. Biochem. J. 2003, 372, 435–441. [Google Scholar] [CrossRef]
  31. Pinson, K.I.; Brennan, J.; Monkley, S.; Avery, B.J.; Skarnes, W.C. An LDL-receptor-related protein mediates Wnt signalling in mice. Nature 2000, 407, 535. [Google Scholar] [CrossRef]
  32. Gray, J.D.; Kholmanskikh, S.; Castaldo, B.S.; Hansler, A.; Chung, H.; Klotz, B.; Singh, S.; Brown, A.M.; Ross, M.E. LRP6 exerts non-canonical effects on Wnt signaling during neural tube closure. Hum. Mol. Genet. 2013, 22, 4267–4281. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  33. Bryja, V.; Andersson, E.R.; Schambony, A.; Esner, M.; Bryjová, L.; Biris, K.K.; Hall, A.C.; Kraft, B.; Cajanek, L.; Yamaguchi, T.P. The extracellular domain of Lrp5/6 inhibits noncanonical Wnt signaling in vivo. Mol. Biol. Cell 2009, 20, 924–936. [Google Scholar] [CrossRef] [PubMed]
  34. Moskalev, E.A.; Luckert, K.; Vorobjev, I.A.; Mastitsky, S.E.; Gladkikh, A.A.; Stephan, A.; Schrenk, M.; Kaplanov, K.D.; Kalashnikova, O.B.; Pötz, O. Concurrent epigenetic silencing of wnt/β-catenin pathway inhibitor genes in B cell chronic lymphocytic leukaemia. BMC Cancer 2012, 12, 213. [Google Scholar] [CrossRef] [PubMed]
  35. Jacob, F.; Ukegjini, K.; Nixdorf, S.; Ford, C.E.; Olivier, J.; Caduff, R.; Scurry, J.P.; Guertler, R.; Hornung, D.; Mueller, R. Loss of secreted frizzled-related protein 4 correlates with an aggressive phenotype and predicts poor outcome in ovarian cancer patients. PLoS ONE 2012, 7, e31885. [Google Scholar] [CrossRef] [PubMed]
  36. Finch, P.W.; He, X.; Kelley, M.J.; Üren, A.; Schaudies, R.P.; Popescu, N.C.; Rudikoff, S.; Aaronson, S.A.; Varmus, H.E.; Rubin, J.S. Purification and molecular cloning of a secreted, Frizzled-related antagonist of Wnt action. Proc. Natl. Acad. Sci. USA 1997, 94, 6770–6775. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  37. Melkonyan, H.S.; Chang, W.C.; Shapiro, J.P.; Mahadevappa, M.; Fitzpatrick, P.A.; Kiefer, M.C.; Tomei, L.D.; Umansky, S.R. SARPs: A family of secreted apoptosis-related proteins. Proc. Natl. Acad. Sci. USA 1997, 94, 13636–13641. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  38. Wolf, V.; Ke, G.; Dharmarajan, A.; Bielke, W.; Artuso, L.; Saurer, S.; Friis, R. DDC-4, an apoptosis-associated gene, is a secreted frizzled relative. FEBS Lett. 1997, 417, 385–389. [Google Scholar] [CrossRef] [Green Version]
  39. Leyns, L.; Bouwmeester, T.; Kim, S.-H.; Piccolo, S.; De Robertis, E.M. Frzb-1 is a secreted antagonist of Wnt signaling expressed in the Spemann organizer. Cell 1997, 88, 747–756. [Google Scholar] [CrossRef]
  40. Üren, A.; Reichsman, F.; Anest, V.; Taylor, W.G.; Muraiso, K.; Bottaro, D.P.; Cumberledge, S.; Rubin, J.S. Secreted frizzled-related protein-1 binds directly to Wingless and is a biphasic modulator of Wnt signaling. J. Biol. Chem. 2000, 275, 4374–4382. [Google Scholar] [CrossRef]
  41. Waring, M.; Britten, R.J. Nucleotide sequence repetition: A rapidly reassociating fraction of mouse DNA. Science 1966, 154, 791–794. [Google Scholar] [CrossRef]
  42. Britten, R.J.; Kohne, D.E. Repeated sequences in DNA. Science 1968, 161, 529–540. [Google Scholar] [CrossRef] [PubMed]
  43. Zelivianski, S.; Cooley, A.; Kall, R.; Jeruss, J.S. CDK4-Mediated Phosphorylation Inhibits Smad3 Activity in Cyclin D Overexpressing Breast Cancer Cells. Mol. Cancer Res. 2010. [Google Scholar] [CrossRef] [PubMed]
  44. Peng, L.; Jia, X.; Zhao, J.; Cui, R.; Yan, M. Substance P promotes hepatic stellate cell proliferation and activation via the TGF-β1/Smad-3 signaling pathway. Toxicol. Appl. Pharmacol. 2017, 329, 293–300. [Google Scholar] [CrossRef] [PubMed]
  45. He, P.; Peng, Z.; Luo, Y.; Wang, L.; Yu, P.; Deng, W.; An, Y.; Shi, T.; Ma, D. High-throughput functional screening for autophagy-related genes and identification of TM9SF1 as an autophagosome-inducing gene. Autophagy 2009, 5, 52–60. [Google Scholar] [CrossRef] [PubMed]
  46. Bodzioch, M.; Lapicka-Bodzioch, K.; Zapala, B.; Kamysz, W.; Kiec-Wilk, B.; Dembinska-Kiec, A. Evidence for potential functionality of nuclearly-encoded humanin isoforms. Genomics 2009, 94, 247–256. [Google Scholar] [CrossRef] [PubMed]
  47. Li, Y.; Zhou, Q.-L.; Sun, W.; Chandrasekharan, P.; Cheng, H.S.; Ying, Z.; Lakshmanan, M.; Raju, A.; Tenen, D.G.; Cheng, S.-Y. Non-canonical NF-κB signalling and ETS1/2 cooperatively drive C250T mutant TERT promoter activation. Nat. Cell Biol. 2015, 17, 1327. [Google Scholar] [CrossRef] [PubMed]
  48. Capper, D.; Gaiser, T.; Hartmann, C.; Habel, A.; Mueller, W.; Herold-Mende, C.; von Deimling, A.; Siegelin, M.D. Stem-cell-like glioma cells are resistant to TRAIL/Apo2L and exhibit down-regulation of caspase-8 by promoter methylation. Acta Neuropathol. 2009, 117, 445–456. [Google Scholar] [CrossRef] [PubMed]
  49. Owen-Schaub, L.B.; Zhang, W.; Cusack, J.C.; Angelo, L.S.; Santee, S.M.; Fujiwara, T.; Roth, J.A.; Deisseroth, A.B.; Zhang, W.-W.; Kruzel, E. Wild-type human p53 and a temperature-sensitive mutant induce Fas/APO-1 expression. Mol. Cell. Biol. 1995, 15, 3032–3040. [Google Scholar] [CrossRef]
  50. Koster, R.; Timmer-Bosscha, H.; Bischoff, R.; Gietema, J.A.; de Jong, S. Disruption of the MDM2–p53 interaction strongly potentiates p53-dependent apoptosis in cisplatin-resistant human testicular carcinoma cells via the Fas/FasL pathway. Cell Death Dis. 2011, 2, e148. [Google Scholar] [CrossRef]
  51. Wozniak, A.L.; Wang, X.; Stieren, E.S.; Scarbrough, S.G.; Elferink, C.J.; Boehning, D. Requirement of biphasic calcium release from the endoplasmic reticulum for Fas-mediated apoptosis. J. Cell Biol. 2006, 175, 709–714. [Google Scholar] [CrossRef] [PubMed] [Green Version]
  52. Steinmann, C.; Landsverk, M.L.; Barral, J.M.; Boehning, D. Requirement of inositol 1, 4, 5-trisphosphate receptors for tumor-mediated lymphocyte apoptosis. J. Biol. Chem. 2008, 283, 13506–13509. [Google Scholar] [CrossRef] [PubMed]
  53. Lau, S.; Lin, Z.; Leung, P. Role of reactive oxygen species in brucein D-mediated p38-mitogen-activated protein kinase and nuclear factor-κB signalling pathways in human pancreatic adenocarcinoma cells. Br. J. Cancer 2010, 102, 583. [Google Scholar] [CrossRef] [PubMed]
  54. Fruehauf, J.P.; Meyskens, F.L. Reactive oxygen species: A breath of life or death? Clin. Cancer Res. 2007, 13, 789–794. [Google Scholar] [CrossRef] [PubMed]
  55. Pias, E.K.; Ekshyyan, O.Y.; Rhoads, C.A.; Fuseler, J.; Harrison, L.; Aw, T.Y. Differential effects of superoxide dismutase isoform expression on hydroperoxide-induced apoptosis in PC-12 cells. J. Biol. Chem. 2003, 278, 13294–13301. [Google Scholar] [CrossRef] [PubMed]
  56. Vo, B.T.; Morton, D., Jr.; Komaragiri, S.; Millena, A.C.; Leath, C.; Khan, S.A. TGF-β effects on prostate cancer cell migration and invasion are mediated by PGE2 through activation of PI3K/AKT/mTOR pathway. Endocrinology 2013, 154, 1768–1779. [Google Scholar] [CrossRef] [PubMed]
  57. Chang, L.; Graham, P.; Hao, J.; Ni, J.; Bucci, J.; Cozzi, P.; Kearsley, J.; Li, Y. PI3K/Akt/mTOR pathway inhibitors enhance radiosensitivity in radioresistant prostate cancer cells through inducing apoptosis, reducing autophagy, suppressing NHEJ and HR repair pathways. Cell Death Dis. 2014, 5, e1437. [Google Scholar] [CrossRef]
  58. Jones, M.B.; Chu, C.H.; Pendleton, J.C.; Betenbaugh, M.J.; Shiloach, J.; Baljinnyam, B.; Rubin, J.S.; Shamblott, M.J. Proliferation and pluripotency of human embryonic stem cells maintained on type I collagen. Stem Cells Dev. 2010, 19, 1923–1935. [Google Scholar] [CrossRef]
  59. He, R.; Xhabija, B.; Al-Qanber, B.; Kidder, B.L. OCT4 supports extended LIF-independent self-renewal and maintenance of transcriptional and epigenetic networks in embryonic stem cells. Sci. Rep. 2017, 7, 16360. [Google Scholar] [CrossRef]
Cancers 11 00025 g001a 550Cancers 11 00025 g001b 550
Figure 1. (A–F). Apoptosis related genes identified in sFRP4 chromatin immunoprecipitation (ChIP) and pull-down sequencing analysis. Schematic 1 represents the sequence of steps of ChIP and downstream sequencing. ChIP DNA resolved on agarose gel indicated a 150 bp DNA band (A), ChIP mapping statistics by Burrow-Wheeler Aligner software indicated 5,581,398 mapped reads (B); peak calling analysis output using MACS2 software revealed 34,711 peaks related to secreted frizzled-related protein 4 (sFRP4) (C, left panel), categorization of peak identities represented by pie chart and table, analysis gene list present within 5′UTR (enlarged) indicated the presence of miRNA 885 (C, right panel), RNA sequencing data of 5′UTR revealed an upregulation of three 5′UTR genes in sFRP4 OE (OE) and downregulation in sFRP4 SI (SI) cells as indicated in the box (D), upregulation of active miR-885 in sFRP4 OE cells using an miR-885 5′LNA probe was detected as red fluorescence using a fluorescence microscope (scale bar = 10 μm) (E), quantitative RT-PCR indicated an over expression of miR885 in sFRP4 OE and downregulation in sFRP4 SI cells (F). Schematic 2 represents a model indicating the mode of action of miR-885 through its target genes CDK2 and MCM5 in cellular homeostasis via activation of p53. Results are mean ± SD of three independent experiments performed in triplicates (* p value < 0.05, # p value < 0.01, ## p value < 0.001). (G–I) HOMER de novo motif analysis and gene cluster analysis identifies senescence related genes in sFRP4 OE cells. Table representing LOGOS diagram of first five ranking genes motifs obtained by HOMER motif analysis software (G). Gene cluster analysis showing interlinking genes with Cphx1 gene (first ranked motif) using Gene cloud software identified the senescence associated gene, ETS2 (H). Relative mRNA expression analysis revealed ETS2 (Cphx1 co-functioning gene) was overexpressed in sFRP4 OE cells (I). Results are mean ± SD of three independent experiments performed in triplicates (*p value < 0.05, # p value < 0.01, ## p value < 0.001).
Figure 1. (A–F). Apoptosis related genes identified in sFRP4 chromatin immunoprecipitation (ChIP) and pull-down sequencing analysis. Schematic 1 represents the sequence of steps of ChIP and downstream sequencing. ChIP DNA resolved on agarose gel indicated a 150 bp DNA band (A), ChIP mapping statistics by Burrow-Wheeler Aligner software indicated 5,581,398 mapped reads (B); peak calling analysis output using MACS2 software revealed 34,711 peaks related to secreted frizzled-related protein 4 (sFRP4) (C, left panel), categorization of peak identities represented by pie chart and table, analysis gene list present within 5′UTR (enlarged) indicated the presence of miRNA 885 (C, right panel), RNA sequencing data of 5′UTR revealed an upregulation of three 5′UTR genes in sFRP4 OE (OE) and downregulation in sFRP4 SI (SI) cells as indicated in the box (D), upregulation of active miR-885 in sFRP4 OE cells using an miR-885 5′LNA probe was detected as red fluorescence using a fluorescence microscope (scale bar = 10 μm) (E), quantitative RT-PCR indicated an over expression of miR885 in sFRP4 OE and downregulation in sFRP4 SI cells (F). Schematic 2 represents a model indicating the mode of action of miR-885 through its target genes CDK2 and MCM5 in cellular homeostasis via activation of p53. Results are mean ± SD of three independent experiments performed in triplicates (* p value < 0.05, # p value < 0.01, ## p value < 0.001). (G–I) HOMER de novo motif analysis and gene cluster analysis identifies senescence related genes in sFRP4 OE cells. Table representing LOGOS diagram of first five ranking genes motifs obtained by HOMER motif analysis software (G). Gene cluster analysis showing interlinking genes with Cphx1 gene (first ranked motif) using Gene cloud software identified the senescence associated gene, ETS2 (H). Relative mRNA expression analysis revealed ETS2 (Cphx1 co-functioning gene) was overexpressed in sFRP4 OE cells (I). Results are mean ± SD of three independent experiments performed in triplicates (*p value < 0.05, # p value < 0.01, ## p value < 0.001).
Cancers 11 00025 g001aCancers 11 00025 g001b
Cancers 11 00025 g002 550
Figure 2. Apoptotic genes TP53 and SMAD4 were detected in gene cluster analysis of ChIP genes and interlinking study. Schematic 3 represents LOGOS diagram of first rank motif homeobox-Cphx1 and second rank motif FoxK1, and downstream effectors of Cphx1 (i) and a flow chart indicating activation of the Usp9x gene by Cphx1 via the reported role of Usp9x in the regulation of sensitization and apoptosis in cancer cells (ii). Gene cluster analysis using Cluster 3.0 software indicated linking of Usp9x, Foxk1, and sFRP4 via TP53 and SMAD4 (A). Relative mRNA expression showed upregulation of FOXK1, TP53, USP9x, and SMAD4 in sFRP4 OE compared to control and sFRP4 SI cells (B). DNA instability was indicated in sFRP4 OE cells by immunocytochemical staining of H2AX and visualization using fluorescence microscopy (scale bar = 10 µm) (C). Results are mean ± SD of three independent experiments performed in triplicates (* p value < 0.05, # p value < 0.01, ## p value < 0.001).
Figure 2. Apoptotic genes TP53 and SMAD4 were detected in gene cluster analysis of ChIP genes and interlinking study. Schematic 3 represents LOGOS diagram of first rank motif homeobox-Cphx1 and second rank motif FoxK1, and downstream effectors of Cphx1 (i) and a flow chart indicating activation of the Usp9x gene by Cphx1 via the reported role of Usp9x in the regulation of sensitization and apoptosis in cancer cells (ii). Gene cluster analysis using Cluster 3.0 software indicated linking of Usp9x, Foxk1, and sFRP4 via TP53 and SMAD4 (A). Relative mRNA expression showed upregulation of FOXK1, TP53, USP9x, and SMAD4 in sFRP4 OE compared to control and sFRP4 SI cells (B). DNA instability was indicated in sFRP4 OE cells by immunocytochemical staining of H2AX and visualization using fluorescence microscopy (scale bar = 10 µm) (C). Results are mean ± SD of three independent experiments performed in triplicates (* p value < 0.05, # p value < 0.01, ## p value < 0.001).
Cancers 11 00025 g002
Cancers 11 00025 g003a 550Cancers 11 00025 g003b 550
Figure 3. Whole transcriptome analysis of sFRP4 OE, sFRP4 SI, and control indicate variations in expressions between sFRP4 OE and sFRP4 SI. Cell cycle pathway genes (A), Wnt canonical pathway (B), Wnt Ca2+ pathway (C), Wnt PCP pathway (D), Wnt antagonists (E), Wnt receptors (F), Wnt co-receptors (G), Stemness markers (H), EMT genes (I), Shh pathway (J), AKT pathway (K) and ROS genes (L). Upregulation indicated by violet circle and downregulation by green circle.
Figure 3. Whole transcriptome analysis of sFRP4 OE, sFRP4 SI, and control indicate variations in expressions between sFRP4 OE and sFRP4 SI. Cell cycle pathway genes (A), Wnt canonical pathway (B), Wnt Ca2+ pathway (C), Wnt PCP pathway (D), Wnt antagonists (E), Wnt receptors (F), Wnt co-receptors (G), Stemness markers (H), EMT genes (I), Shh pathway (J), AKT pathway (K) and ROS genes (L). Upregulation indicated by violet circle and downregulation by green circle.
Cancers 11 00025 g003aCancers 11 00025 g003b
Cancers 11 00025 g004 550
Figure 4. Analysis of intracellular components of Wnt pathway displayed downregulation of Wnt canonical pathway regulators in sFRP4 OE. There was a decrease in β-catenin as shown by immunocytochemical staining of β-catenin (red) in sFRP4 OE cells while there was an increase in nuclear β-catenin in sFRP4 SI cells (scale bar = 10 μm) (A). Western blot analysis showed a decrease in β-catenin and increase of GSK3β and APAF1 in sFRP4 OE cells (B), FURA-2AM analysis by flow cytometry showed an increase in intracellular calcium level in sFRP4 OE compared to sFRP4 SI cells (C).
Figure 4. Analysis of intracellular components of Wnt pathway displayed downregulation of Wnt canonical pathway regulators in sFRP4 OE. There was a decrease in β-catenin as shown by immunocytochemical staining of β-catenin (red) in sFRP4 OE cells while there was an increase in nuclear β-catenin in sFRP4 SI cells (scale bar = 10 μm) (A). Western blot analysis showed a decrease in β-catenin and increase of GSK3β and APAF1 in sFRP4 OE cells (B), FURA-2AM analysis by flow cytometry showed an increase in intracellular calcium level in sFRP4 OE compared to sFRP4 SI cells (C).
Cancers 11 00025 g004
Cancers 11 00025 g005 550
Figure 5. (A,B). sFRP4 RNAi treatment on WJ-MSCs displayed upregulation of pluripotent genes and increased proliferation. Photomicrograph images of WJMSCs treated with sFRP4 RNAi (scale bar = 100 μm) (A), Relative mRNA expression of sFRP4, KI67, CYCLIN D1, NANOG, SOX2, and OCT 4 in control and sFRP4 RNAi treated WJMSCs (B). Figure 5 (C) Gene expression analyses of Wnt specific genes in control and RNAi treated WJMSCs by qRT-PCR. An upregulation of Wnt canonical and downregulation of Wnt non-canonical genes was seen in sFRP4 RNAi. Figure 5 (D,E) Conversion of sFRP4 RNAi-treated WJMSCs into ESC-like cells and upregulation of pluripotent genes. Photomicrograph images of sFRP4 RNAi-treated WJMSC-derived ESC-like cells (scale bar = 100 μm) (D), Gene expression analysis of pluripotent markers for embryonic stem cell line HUES-7 and RNAi-treated WJMSC-derived ESC-like cells showed upregulation of pluripotent markers (E). Results are mean ± SD of three independent experiments performed in triplicates (* p value < 0.05, # p value < 0.01, ## p value < 0.001).
Figure 5. (A,B). sFRP4 RNAi treatment on WJ-MSCs displayed upregulation of pluripotent genes and increased proliferation. Photomicrograph images of WJMSCs treated with sFRP4 RNAi (scale bar = 100 μm) (A), Relative mRNA expression of sFRP4, KI67, CYCLIN D1, NANOG, SOX2, and OCT 4 in control and sFRP4 RNAi treated WJMSCs (B). Figure 5 (C) Gene expression analyses of Wnt specific genes in control and RNAi treated WJMSCs by qRT-PCR. An upregulation of Wnt canonical and downregulation of Wnt non-canonical genes was seen in sFRP4 RNAi. Figure 5 (D,E) Conversion of sFRP4 RNAi-treated WJMSCs into ESC-like cells and upregulation of pluripotent genes. Photomicrograph images of sFRP4 RNAi-treated WJMSC-derived ESC-like cells (scale bar = 100 μm) (D), Gene expression analysis of pluripotent markers for embryonic stem cell line HUES-7 and RNAi-treated WJMSC-derived ESC-like cells showed upregulation of pluripotent markers (E). Results are mean ± SD of three independent experiments performed in triplicates (* p value < 0.05, # p value < 0.01, ## p value < 0.001).
Cancers 11 00025 g005

Share and Cite

MDPI and ACS Style

Bhuvanalakshmi, G.; Gamit, N.; Patil, M.; Arfuso, F.; Sethi, G.; Dharmarajan, A.; Prem Kumar, A.; Warrier, S. Stemness, Pluripotentiality, and Wnt Antagonism: sFRP4, a Wnt antagonist Mediates Pluripotency and Stemness in Glioblastoma. Cancers 2019, 11, 25. https://0-doi-org.brum.beds.ac.uk/10.3390/cancers11010025

AMA Style

Bhuvanalakshmi G, Gamit N, Patil M, Arfuso F, Sethi G, Dharmarajan A, Prem Kumar A, Warrier S. Stemness, Pluripotentiality, and Wnt Antagonism: sFRP4, a Wnt antagonist Mediates Pluripotency and Stemness in Glioblastoma. Cancers. 2019; 11(1):25. https://0-doi-org.brum.beds.ac.uk/10.3390/cancers11010025

Chicago/Turabian Style

Bhuvanalakshmi, Gurubharathi, Naisarg Gamit, Manasi Patil, Frank Arfuso, Gautam Sethi, Arun Dharmarajan, Alan Prem Kumar, and Sudha Warrier. 2019. "Stemness, Pluripotentiality, and Wnt Antagonism: sFRP4, a Wnt antagonist Mediates Pluripotency and Stemness in Glioblastoma" Cancers 11, no. 1: 25. https://0-doi-org.brum.beds.ac.uk/10.3390/cancers11010025

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop