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Down-regulation of long noncoding RNA HOXA11-AS nullifies the impact of microRNA-506–3p on chondrocytes proliferation and apoptosis in osteoarthritis
Ziyang Zhanga, Renhao Guob, Chengfa Caic, Pengcheng Guod,
Corresponding author
guopengcheng231@163.com

Corresponding author.
a Department of Gdansk University of Physical Education and Sport, Start for Ph.D. in Sport & Fitness Science, Gdansk, Poland
b Department of Olympic Sports Training Theory, National University of Ukraine on Physical Education and Sport, Start for PhD. St. 1, Ukraine
c Department of Exercise Physiology and Biochemistry, Shandong Institute of Sport Science, Shandong, China
d Department of Key Lab of Aquatic Sports Training Monitoring and Intervention of General Administration of Sport of China, Faculty of Physical Education, Jiangxi Normal University, Jiangxi, China
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0001" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0008">Introduction</span><p id="para0008" class="elsevierStylePara elsevierViewall">Osteoarthritis &#40;OA&#41; is a disorder relevant to articular cartilage degeneration and secondary hyperostosis&#46; It has been reported that OA symptoms occur in 8&#46;1 &#37; of Chinese people over the age of 45 and severely affect their quality of life&#44; which necessitates joint replacement or osteotomy&#46;<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a> Moreover&#44; chondrocytes proliferation and apoptosis assume essential roles in maintaining equilibrium between the synthesis and catabolism of cartilages&#46; Inflammation&#44; apoptosis&#44; and death of chondrocytes directly cause cartilage hypertrophy and further induce OA&#44; in which abnormally expressed genes are involved&#46; In this regard&#44; it&#39;s pretty valuable to understand the OA molecular mechanism&#46;</p><p id="para0009" class="elsevierStylePara elsevierViewall">As transcripts with lengths exceeding 200 nucleotides&#44; lncRNAs are extensively associated with biological processes like cell proliferation&#44; apoptosis&#44; inflammation&#44; and tumorigenesis&#44; and also play an essential part in OA pathogenesis&#46; Li Y et al&#46; found that lncRNA PVT1 functioned as a microRNA &#40;miR&#41;&#8722;488&#8211;3p sponge to orchestrate chondrocyte apoptosis in OA&#44; which suggested lncRNA PVT1 as a novel treatment target for OA&#46;<a class="elsevierStyleCrossRef" href="#bib0002"><span class="elsevierStyleSup">2</span></a> HOXA11-AS is a recently discovered lncRNA&#44; which shows high expression in gastric cancer&#44; colorectal cancer&#44; cervical cancer&#44; and other tumors&#44;<a class="elsevierStyleCrossRef" href="#bib0003"><span class="elsevierStyleSup">3</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0004"><span class="elsevierStyleSup">4</span></a> thus affecting the occurrence and development of tumors&#46; Cao K et al&#46; displayed that HOXA11-AS expression in osteosarcoma cells and tissues exceeded that in adjacent tissue of osteosarcoma and human osteoblast cell lines&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">5</span></a> However&#44; there has hitherto been little research about the impact of HOXA11-AS on articular chondrocytes&#46; This study was conducted to ascertain whether HOXA11-AS manipulated articular chondrocytes proliferation and apoptosis&#46; miRs are a kind of small non-coding RNAs composed of around 22 nucleotides&#44; which can bind to specific mRNA to repress the expression of post-transcriptional genes&#44; thereby taking part in biological processes like cell proliferation&#44; migration as well as apoptosis&#46; miR-506&#8211;3p is a recently discovered miR&#46; Dinesh P et al&#46; indicated that miR-506&#8211;3p possesses a high binding affinity to NFATc1 to control the generation of osteoclasts mediated by RANKL&#47;NFATc1 and modulate the metabolism of bone tissues&#46;<a class="elsevierStyleCrossRef" href="#bib0006"><span class="elsevierStyleSup">6</span></a> However&#44; it is little known about its part in OA chondrocytes proliferation and apoptosis&#46; It has been documented that lncRNAs can specifically bind to miRNAs to regulate cells&#46; Accumulating evidence has indicated targeting relationships of miR-506&#8211;3p with the catalytic subunit alpha of phosphoinositide-3-kinase &#40;PIK3CA&#41;<a class="elsevierStyleCrossRef" href="#bib0007"><span class="elsevierStyleSup">7</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0008"><span class="elsevierStyleSup">8</span></a> and HOXA11-AS<a class="elsevierStyleCrossRef" href="#bib0009"><span class="elsevierStyleSup">9</span></a> that miR-506&#8211;3p might target PIK3CA&#44; while HOXA11-AS might target miR-506&#8211;3p to sponge miR-506&#8211;3p&#46; However&#44; it remains enigmatic about the role of the genetic network aforementioned in chondrocyte proliferation or apoptosis during OA&#46; Therefore&#44; this study intended to examine the specific mechanism of HOXA11-AS on OA chondrocyte proliferation and apoptosis with the involvement of miR-506&#8211;3p&#44; thereby providing novel evidence in theory for OA treatment&#46;</p></span><span id="sec0002" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0009">Materials and methods</span><span id="sec0003" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0010">Patients and tissue samples</span><p id="para0011" class="elsevierStylePara elsevierViewall">Articular cartilage was harvested from 28 OA patients &#40;15 males and 13 females&#44; aged 51&#46;9 &#177; 12&#46;9&#41; who underwent total knee arthroplasty at the Gdansk University of Physical Education and Sport&#46; The following were inclusion criteria&#58; 1&#41; Patients who met OA diagnosis criteria specified by the American College of Rheumatology&#59; 2&#41; Patients who received no other relevant treatment before admission&#59; 3&#41; Patients with detailed clinical data&#46; Besides&#44; the following were exclusion criteria&#58; 1&#41; Patients with rheumatic&#44; rheumatoid&#44; or secondary OA&#59; 2&#41; Patients with major diseases such as abnormal renal or liver function or cardiac insufficiency&#59; 3&#41; Patients with mental disorders or dysautonomia&#46; Meanwhile&#44; normal cartilages were provided by 16 patients &#40;7 males and 9 females&#44; aged 49&#46;6 &#177; 10&#46;9&#41; without OA or rheumatoid arthritis that went through amputation&#46; This work has gotten the approval of the medical ethics committee of the Gdansk University of Physical Education and Sport &#40;approval number IRB-JXNU-KLAMI-GASC-2&#44;023&#44;015&#41;&#46; The study followed the STROBE statement&#46;</p></span><span id="sec0004" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0011">Cell cultivation</span><p id="para0012" class="elsevierStylePara elsevierViewall">Both human chondrocytes &#40;HC&#44; CCTCC No&#46;&#58; GPC0134&#59; species&#58; human&#59; source&#58; surgical specimen&#59; purchased from China Center for Type Culture Collection&#41; and Human Chondrocytes &#8211; Osteoarthritis &#40;HC<span class="elsevierStyleGlyphsbnd"></span>OA&#44; adult&#59; purity specification&#58; 1 &#215; 10<span class="elsevierStyleSup">6</span>&#47;T25&#59; Art&#46; No&#46;&#58; C7001&#59; purchased from Shanghai Yaji Biotechnology Co&#46;&#44; Ltd&#46;&#41; were cultivated at 37 &#176;C with 5 &#37; CO<span class="elsevierStyleInf">2</span> in DMEM supplemented 10 &#37; FBS and 1 &#37; penicillin&#47;streptomycin&#46; Cells were trypsinized and passed 2&#8210;3 times&#46; Follow-up experiments were conducted when the cell confluence reached 95 &#37;&#8210;100 &#37;&#46;</p></span><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0012">Cell transfection</span><p id="para0013" class="elsevierStylePara elsevierViewall">When reached 95 &#37;&#8210;100 &#37; confluence&#44; cells were inoculated into 6-well plates &#40;5 &#215; 10<span class="elsevierStyleSup">4</span> cells&#47;well&#41;&#46; After the cell confluence got to 90 &#37;&#44; the medium was renewed with an FBS-free medium&#46; Cells were randomly divided into the siNC group &#40;transfected with siRNA-NC&#41;&#44; si-HOXA11-AS group &#40;transfected with HOXA11-AS-siRNA&#41;&#44; pcDNA group &#40;transfected with pcDNA3&#46;1 empty vector&#41;&#44; pcDNA-HOXA11-AS group &#40;transfected with pcDNA3&#46;1-HOXA11-AS&#41;&#44; miR-NC group &#40;transfected with miR-NC&#41;&#44; miR-506&#8211;3p group &#40;transfected with anti-miR-506&#8211;3p&#41;&#44; si-HOXA11-AS &#43; anti-miR-NC group &#40;co-transfected with HOXA11-AS-siRNA and anti-miR-NC&#41;&#44; si-HOXA11-AS &#43;anti-miR-506&#8211;3p group &#40;co-transfected with HOXA11-AS-siRNA and anti-miR-506&#8211;3p&#41;&#46; Strictly as per the protocols of Lipofectamine 2000 &#40;Invitrogen&#44; Carlsbad&#44; California&#44; USA&#41;&#44; miR-506&#8211;3p mimic and inhibitor&#44; si-HOXA11-AS&#44; pc-HOXA11-AS&#44; and their respective Negative Controls &#40;NCs&#41; were transfected into human HC<span class="elsevierStyleGlyphsbnd"></span>OA cell lines&#46; Cells were spread with 40&#215;50&#215;10<span class="elsevierStyleSup">4</span> cells&#47;well 24 h before transfection&#46; The fresh medium was changed about 1 h before transfection&#46; Plasmid DNA &#40;4 ug&#41; and DMEM solution &#40;250 uL&#41; were added to a centrifuge tube&#44; mixed well&#44; and placed at room temperature for about 5 min&#46; A sterile centrifuge tube was taken and added with 250 UL of DMEM medium and then added with 5&#8210;10 UL of LIP2000 transfection reagent to mix and let stand at room temperature for 5 min&#46; Excessive incubation should be avoided to prevent compromising cell viability&#46; The mixed diluted DNA and the mixed diluted Lip2000 were mixed well and incubated at room temperature for 20 min&#46; The solution might become turbid during the mixing process&#44; yet typically&#44; it did not affect the transfection efficiency&#46; The incubated complex was added evenly to the culture plate&#44; gently lifted&#44; and shaken well&#46; After that&#44; it was incubated again for 6&#8210;12 h at 37 &#176;C in a 5 &#37; CO<span class="elsevierStyleInf">2</span> incubation environment&#44; and the fresh medium was replaced&#59; 0&#46;5d after transfection&#44; cells were cultivated in a renewed medium for 2d for the subsequent experiments&#46; qPCR was implemented to detect miR-506&#8211;3p and HOXA11-AS expressions to verify transfection efficiency&#46; The miR-506&#8211;3p mimic&#44; miR-506&#8211;3p inhibitor&#44; sh-HOXA11-AS&#44; pc-HOXA11-AS&#44; and their respective negative controls were purchased from Suzhou Genepharma Co&#46;&#44; Ltd&#46;</p></span><span id="sec0006" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0013">qPCR</span><p id="para0014" class="elsevierStylePara elsevierViewall">After being isolated from cells and tissues via TRIzol reagent&#44; RNA concentration and purity were measured via a low-volume spectrometer&#44; and pure RNA had an A260 nm&#47;A280 nm ratio of 1&#46;8&#8210;2&#46;0&#46; The extracted RNA was reversely transcribed to cDNA through a TaqMan MicroRNA qPCR kit &#40;GeneCopoeia&#44; Rockville&#44; MD&#44; USA&#41;&#46; The cDNA served as a template amplified with the SYBR&#174;Green to assess HOXA11-AS expression&#46; iQTM5 Multicolor Real-Time PCR Detection System was utilized for analyzing miR-506&#8211;3p and PIK3CA expressions&#46; The relative target gene expressions were obtained via the formula&#58; 2<span class="elsevierStyleSup">&#8722;&#9651;&#9651;Ct</span> with GAPDH as HOXA11-AS and PIK3CA normalizer&#44; and U6 as miR-506&#8211;3p normalizer&#46;</p></span><span id="sec0007" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0014">MTT assay</span><p id="para0015" class="elsevierStylePara elsevierViewall">A single-cell suspension &#40;3 &#215; 10<span class="elsevierStyleSup">4</span> cells&#47;mL&#41; was obtained using cells at the logarithmic growth phase and inoculated in a 96-well plate for corresponding treatment&#46; Each group had three wells and cells were cultivated for 3d at 37 &#176;C containing 5 &#37; CO<span class="elsevierStyleInf">2</span>&#46; Serum-free medium encompassing MTT solution &#40;5 mg&#47;mL&#44; 10 &#181;L&#41; was supplemented at the 24th&#44; 48th&#44; and 72th hour&#44; respectively&#46; Following 4-hour incubation at 37 &#176;C&#44; the supernatant was removed from the culture well&#44; and DMSO &#40;150 &#956;L&#41; was then added&#46; A microplate reader was utilized for demonstrating OD<span class="elsevierStyleInf">450 nm</span> &#40;Optical Density&#41;&#46;</p></span><span id="sec0008" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0015">Flow cytometry &#40;FC&#41;</span><p id="para0016" class="elsevierStylePara elsevierViewall">A single-cell suspension &#40;2 &#215; 10<span class="elsevierStyleSup">5</span> cells&#47;mL&#41; was obtained&#44; and 1 mL suspension was centrifugated for 5 min at 1000 r&#47;min&#46; The supernatant was deserted&#44; and cells were rinsed three times using phosphate buffer saline&#46; Then&#44; the buffer solution was added at the ratio of 1&#58;1 to resuspend the cells&#44; which were supplemented Annexin V-fluoresceinisothiocyanate &#40;5 &#956;L&#41; and propidium iodide &#40;10 &#956;L&#41;&#44; respectively&#44; and reacted at rt for 10 min away from lights&#46; The apoptosis rate was detected through a flow cytometer &#40;Beckman Coulter Company&#44; Brea&#44; CA&#44; USA&#41;&#46; The sum of the early and late apoptosis rates was considered the total apoptosis rate &#40;&#37;&#41;&#46;</p></span><span id="sec0009" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0016">Western blotting &#40;WB&#41;</span><p id="para0017" class="elsevierStylePara elsevierViewall">After being extracted from cells&#44; the protein was subjected to concentration measurement through the BCA method&#46; Next&#44; the protein was degraded and loaded&#44; isolated through SDS-PAGE&#44; and electrically added to PVDF membranes&#44; which were subsequently blocked-in buffer encompassing 5 &#37; skimmed milk powder for 60 min&#44; followed by overnight probing with primary rabbit anti-human antibodies to Bcl-2&#44; Bax&#44; Caspase-3&#44; PIK3CA&#44; and GAPDH &#40;manufacturer&#44; cat&#46;&#44; 1&#58;500&#41;&#46; After washed three times containing Tris-buffered saline added Tween 20&#44; the membrane was subjected to incubation using goat anti-rabbit Immunoglobulin G secondary antibody &#40;manufacturer&#44; cat&#46;&#44; 1&#58;2000&#41; conjugated to horseradish peroxidase at 37 &#176;C for 60 min&#46; The protein bands were observed through electrogenerated chemiluminescence&#44; followed by OD analysis of the bands&#46; The relative protein expression was displayed as the grayscale values of target bands versus those of the internal control band&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0017">Dual-luciferase reporter gene assay &#40;DLRA&#41;</span><p id="para0018" class="elsevierStylePara elsevierViewall">The bioinformatics online predictor software Starbase &#40;http&#58;&#47;&#47;starbase&#46;sysu&#46;edu&#46;cn&#41; was utilized for predicting the binding sites between HOXA11-AS and miR-506&#8211;3p&#46; The plasmids containing the HOXA11-AS 3&#8242;Untranslated Region &#40;UTR&#41;&#44; Wild Type &#40;WT&#41; fragment&#44; and the HOXA11-AS 3&#8242;UTR Mutant &#40;MUT&#41; fragment were designed and synthesized by GenePharma &#40;Shanghai&#44; Chian&#41;&#44; and cloned into psiCHECK2&#46; Luciferase reporter vectors HOXA11-AS 3&#8242;UTR-WT and HOXA11-AS 3&#8242;UTR-MUT were constructed and co-transfected into 293T with miR-506&#8211;3p mimic and miR-NC&#44; respectively&#46; Cells were attained 1d after transfection&#46; DLRA kit was applied to assess luciferase activity&#46;</p></span><span id="sec0011" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0018">Data analysis</span><p id="para0019" class="elsevierStylePara elsevierViewall">Data were analyzed through SPSS 22&#46;0 and measurement results were shown as mean &#177; SD&#46; <span class="elsevierStyleItalic">t</span>-test&#44; one-way ANOVA and Least Significant Difference test were utilized for analyzing the comparisons between two groups&#44; among multiple groups and pairwise comparisons&#44; respectively&#59; <span class="elsevierStyleItalic">p</span> &#60; 0&#46;05 meant a considerable distinction in statistics&#46;</p></span></span><span id="sec0012" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0019">Results</span><span id="sec0013" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0020">HOXA11-AS showed high level and miR-506&#8211;3p showed low level in OA articular cartilages</span><p id="para0020" class="elsevierStylePara elsevierViewall">Initially&#44; qPCR was applied to assess the HOXA11-AS and miR-506&#8211;3p expressions in OA patients&#8217; articular cartilages to figure out their parts in OA&#44; which showed that HOXA11-AS expression showed significantly higher expression but miR-506&#8211;3p showed obviously poorer expression in OA articular cartilages relative to in healthy cartilages &#40;<span class="elsevierStyleItalic">p</span> &#60; 0&#46;001&#59; <a class="elsevierStyleCrossRef" href="#fig0001">Fig&#46; 1</a>A&#8210;B&#41;&#46; The authors further measured the miR-506&#8211;3p and HOXA11-AS expressions in HC<span class="elsevierStyleGlyphsbnd"></span>OA&#44; which displayed that HOXA11-AS showed remarkably upregulated expression whereas miR-506&#8211;3p showed considerably reduced expression in HC<span class="elsevierStyleGlyphsbnd"></span>OA in contrast to HC &#40;<span class="elsevierStyleItalic">p</span> &#60; 0&#46;001&#59; <a class="elsevierStyleCrossRef" href="#fig0001">Fig&#46; 1</a>C&#8210;D&#41;&#46; Correlation analysis revealed the inverse relationship of miR-506&#8211;3p and HOXA11-AS expressions in OA patients&#8217; articular cartilages &#40;<span class="elsevierStyleItalic">r</span> &#61; &#8722;0&#46;496&#44; <span class="elsevierStyleItalic">p</span> &#60; 0&#46;001&#59; <a class="elsevierStyleCrossRef" href="#fig0001">Fig&#46; 1</a>E&#41;&#46; These findings displayed HOXA11-AS increase and miR-506&#8211;3p decrease in OA articular cartilages&#46;</p><elsevierMultimedia ident="fig0001"></elsevierMultimedia></span><span id="sec0014" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0021">HOXA11-AS down-regulation suppressed HC-OA cell proliferation and induced apoptosis</span><p id="para0021" class="elsevierStylePara elsevierViewall">To further ascertain the influence of HOXA11-AS&#44; siRNAs were transfected into HC<span class="elsevierStyleGlyphsbnd"></span>OA cells to reduce HOXA11-AS expression&#46; In contrast to si-NC group&#44; HOXA11-AS level in si-HOXA11-AS group was potently reduced &#40;<span class="elsevierStyleItalic">p</span> &#60; 0&#46;001&#59; <a class="elsevierStyleCrossRef" href="#fig0002">Fig&#46; 2</a>A&#41;&#46; MTT assay displayed that relative to si-NC group&#44; the HC<span class="elsevierStyleGlyphsbnd"></span>OA cell viability in si-HOXA11-AS group diminished conspicuously after 48- and 72-hour cell culture &#40;<span class="elsevierStyleItalic">p</span> &#60; 0&#46;001&#59; <a class="elsevierStyleCrossRef" href="#fig0002">Fig&#46; 2</a>B&#41;&#46; FC indicated that the HC<span class="elsevierStyleGlyphsbnd"></span>OA cell apoptosis rate in si-HOXA11-AS group was substantially higher over that in si-NC group &#40;<span class="elsevierStyleItalic">p</span> &#60; 0&#46;001&#59; <a class="elsevierStyleCrossRef" href="#fig0002">Fig&#46; 2</a>C&#41;&#46; WB documented that anti-apoptotic protein Bcl-2 expression was lowered&#44; whereas si-HOXA11-AS group exhibited elevated Caspase-3 and Bax expressions than si-NC group &#40;<span class="elsevierStyleItalic">p</span> &#60; 0&#46;001&#44; <a class="elsevierStyleCrossRef" href="#fig0002">Fig&#46; 2</a>D&#41;&#46; Conclusively&#44; HOXA11-AS silencing restrained HC<span class="elsevierStyleGlyphsbnd"></span>OA cell proliferation and accelerated their apoptosis&#46;</p><elsevierMultimedia ident="fig0002"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0022">HOXA11-AS was capable of binding to miR-506&#8211;3p to increase PIK3CA</span><p id="para0022" class="elsevierStylePara elsevierViewall">It&#39;s been reported that OA occurrence and progression are associated with miR-506&#8211;3p and HOXA11-AS&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">5</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0006"><span class="elsevierStyleSup">6</span></a> Therefore&#44; the authors further probed the relationships among miR-506&#8211;3p&#44; HOXA11-AS and downstream gene PIK3CA&#46; The target genes were predicted through the Starbase website&#44; which displayed that miR-506&#8211;3p was capable of binding to HOXA11-AS 3&#8242;UTR and PIK3CA 3&#8242;UTR &#40;<a class="elsevierStyleCrossRef" href="#fig0003">Fig&#46; 3</a>A&#41;&#46;</p><elsevierMultimedia ident="fig0003"></elsevierMultimedia><p id="para0023" class="elsevierStylePara elsevierViewall">Therefore&#44; the authors predicted that HOXA11-AS might orchestrate PIK3CA through binding to miR-506&#8211;3p&#46; DLRA illustrated that miR-506&#8211;3p mimic was capable of decreasing HOXA11-AS-WT luciferase activity while not of HOXA11-AS-MUT&#46; Subsequent to si-HOXA11-AS transfection into cells&#44; miR-506&#8211;3p expression was clearly augmented &#40;<a class="elsevierStyleCrossRef" href="#fig0003">Fig&#46; 3</a>B&#41;&#46; Also&#44; miR-506&#8211;3p mimic was capable of triggering the decline in PIK3CA-WT luciferase activity while not of PIK3CA-MUT&#46; Besides&#44; miR-506&#8211;3p mimic transfection contributed to remarkable reduction in PIK3CA protein expression in cells &#40;<a class="elsevierStyleCrossRef" href="#fig0003">Fig&#46; 3</a>C&#41;&#46; Besides&#44; down-regulate miR-506&#8211;3p caused by miR-506&#8211;3p inhibitor was nullified by further si-HOXA11-AS treatment &#40;<a class="elsevierStyleCrossRef" href="#fig0003">Fig&#46; 3</a>D&#41;&#44; and down-regulated PIK3CA induced by si-PIK3CA was negated by further miR-506&#8211;3p inhibitor treatment &#40;<a class="elsevierStyleCrossRef" href="#fig0003">Fig&#46; 3</a>E&#41;&#46; In summary&#44; HOXA11-AS overexpression increased PIK3CA expression through binding to miR-506&#8211;3p&#46;</p></span><span id="sec0016" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0023">HOXA11-AS silencing suppressed HC-OA cell proliferation and facilitated their apoptosis through reducing PIK3CA expression via miR-506&#8211;3p up-regulation</span><p id="para0024" class="elsevierStylePara elsevierViewall">Then&#44; the focus shifted to the impacts of HOXA11-AS&#47;miR-506&#8211;3p&#47;PIK3CA axis on OA by transfecting HC<span class="elsevierStyleGlyphsbnd"></span>OA cells with miR-506&#8211;3p inhibitor in combination with si-PIK3CA or si-HOXA11-AS&#46; The results manifested an elevation in the viability and a decline in the apoptosis of HC<span class="elsevierStyleGlyphsbnd"></span>OA cells after miR-506&#8211;3p inhibitor treatment&#44; accompanied by reduced Caspase-3 and Bax and increased Bcl-2&#44; which was counterweighed by further si-HOXA11-AS treatment &#40;<a class="elsevierStyleCrossRef" href="#fig0004">Fig&#46; 4</a>A&#8210;C&#41;&#46; When si-PIK3CA was transfected into HC<span class="elsevierStyleGlyphsbnd"></span>OA cells alone or in combination with miR-NC inhibitor&#44; cell viability was obviously diminished&#44; and cell apoptosis rate was augmented evidently&#44; accompanied by enhanced Caspase-3 and Bax and decreased Bcl-2&#46; These trends were annulled by further miR-506&#8211;3p inhibitor treatment &#40;<a class="elsevierStyleCrossRef" href="#fig0004">Fig&#46; 4</a>D&#8210;F&#41;&#46; Collectively&#44; HOXA11-AS silencing restricted HC<span class="elsevierStyleGlyphsbnd"></span>OA cell proliferation and facilitated apoptosis through miR-506&#8211;3p&#47;PIK3CA axis&#46;</p><elsevierMultimedia ident="fig0004"></elsevierMultimedia></span><span id="sec0017" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0024">HOXA11-AS silencing suppressed PI3K&#47;AKT&#47;mTOR pathway through increasing miR-506&#8211;3p</span><p id="para0025" class="elsevierStylePara elsevierViewall">Prior research has reported that the PI3K&#47;AKT&#47;mTOR pathway is tightly linked to OA pathogenesis&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">10</span></a> To deeply study the regulation of HOXA11-AS on miR-506&#8211;3p downstream pathway&#44; WB was utilized for determining the level of PI3K&#47;AKT&#47;mTOR pathway-relevant proteins in miR-506&#8211;3p downstream&#46; The results depicted that HOXA11-AS silencing diminished the level of PIK3CA and mTOR proteins as well as AKT and mTOR phosphorylation levels&#44; but did not change AKT expression&#44; which was offset by further miR-506&#8211;3p inhibitor treatment &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 5</a>&#41;&#46; These findings displayed that HOXA11-AS downregulation blocked PI3K&#47;AKT&#47;mTOR pathway by increasing miR-506&#8211;3p expression&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span></span><span id="sec0018" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0025">Discussion</span><p id="para0026" class="elsevierStylePara elsevierViewall">The OA pathogenesis is linked to the interaction of multiple factors&#44;<a class="elsevierStyleCrossRef" href="#bib0011"><span class="elsevierStyleSup">11</span></a> among which lncRNAs are critical&#46; It has been manifested that lncRNAs&#44; such as GAS5&#44; PCGEM1&#44; lncRNA CIR&#44; and HOTAIR&#44; can effectively promote OA&#46; The data obtained from the present work elucidated that HOXA11-AS expression in OA cartilage was upregulated&#44; which facilitated chondrocytes proliferation and disease development by activating the PI3K&#47;AKT&#47;mTOR pathway via miR-506&#8211;3p downregulation&#46;</p><p id="para0027" class="elsevierStylePara elsevierViewall">Kun Cao et al&#46; displayed that HOXA11-AS might manipulate osteosarcoma occurrence and development&#46; Chen JH et al&#46; indicated that HOXA11-AS overexpression was capable of suppressing cell proliferation and facilitating apoptosis&#44;<a class="elsevierStyleCrossRef" href="#bib0012"><span class="elsevierStyleSup">12</span></a> which contribute to fracture healing&#46; However&#44; its impact on articular chondrocytes remains poorly identified&#46; the present study elaborated that HOXA11-AS in OA cartilages and chondrocytes was increased and that HOXA11-AS down-regulation suppressed HC<span class="elsevierStyleGlyphsbnd"></span>OA cell proliferation and accelerated their apoptosis&#46; Meanwhile&#44; the Bcl-2 level was decreased and the Caspase-3 and Bax expressions were increased&#44; suggesting that HOXA11-AS down-regulation was capable of inhibiting OA chondrocytes proliferation and induce apoptosis&#46;</p><p id="para0028" class="elsevierStylePara elsevierViewall">Previous research has observed that lncRNAs can bind to specific miRs&#44; leading to diseases&#46;<a class="elsevierStyleCrossRef" href="#bib0013"><span class="elsevierStyleSup">13</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0014"><span class="elsevierStyleSup">14</span></a> According to Wang G et al&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">15</span></a> lncRNA UCA1 could enhance MMP-13 level through repressing miR-204&#8211;5p in chondrocytes&#46; Chen K et al&#46; reported that lncRNA MEG3 could restrain the chondro-extracellular matrix degradation in OA by acting on the miR-93&#47;TGFBR2 axis&#46;<a class="elsevierStyleCrossRef" href="#bib0016"><span class="elsevierStyleSup">16</span></a> The authors observed that miR-506&#8211;3p expression in OA cartilages and chondrocytes was reduced and inversely linked to HOXA11-AS expression&#46; DLRA demonstrated that HOXA11-AS was able to target miR-506&#8211;3p&#46; Additionally&#44; miR-506&#8211;3p overexpression could restrict OA chondrocytes proliferation and accelerate apoptosis&#44; contrary to the effect of HOXA11-AS&#46;</p><p id="para0029" class="elsevierStylePara elsevierViewall">PI3K&#47;AKT&#47;mTOR pathway is a key pathway in OA occurrence and progression&#44;<a class="elsevierStyleCrossRefs" href="#bib0017"><span class="elsevierStyleSup">17-21</span></a> whose activation promotes the proliferation and cell cycle progression of chondrocytes&#46;<a class="elsevierStyleCrossRef" href="#bib0022"><span class="elsevierStyleSup">22</span></a><span class="elsevierStyleSup">&#44;</span><a class="elsevierStyleCrossRef" href="#bib0023"><span class="elsevierStyleSup">23</span></a> The study discovered that miR-506&#8211;3p was able to target PIK3CA and PIK3CA silencing also repressed OA chondrocytes proliferation and facilitated their apoptosis&#46;</p><p id="para0030" class="elsevierStylePara elsevierViewall">Besides&#44; the authors also uncovered that miR-506&#8211;3p down-regulation could counteract the influence of HOXA11-AS silencing on OA chondrocytes&#46; The si-PIK3CA transfection could suppress OA chondrocytes proliferation and promote apoptosis&#44; which was negated by inhibiting miR-506&#8211;3p&#46; Thus&#44; the authors believed that down-regulated HOXA11-AS could enhance miR-506&#8211;3p expression to repress PIK3CA&#46; To further understand whether HOXA11-AS modulates the PI3K&#47;AKT&#47;mTOR pathway&#44; WB was utilized for assessing the levels of pathway-relevant proteins&#46; The authors unraveled that HOXA11-AS silencing led to the repression of PIK3CA and mTOR expressions as well as AKT and mTOR phosphorylation levels&#46; The miR-506&#8211;3p inhibitor restored the diminished expression of proteins induced by si-HOXA11-AS&#46; These results suggest that HOXA11-AS modifies the phosphorylation of AKT&#44; an upstream protein of mTOR&#44; by mediating PIK3CA&#46; However&#44; the network of other interactions among miRs and their target genes is more complex and is yet to be elucidated&#46;</p><p id="para0031" class="elsevierStylePara elsevierViewall">In conclusion&#44; HOXA11-AS overexpression represses the PI3K&#47;AKT&#47;mTOR pathway through miR-506&#8211;3p down-regulation&#44; which accelerates chondrocyte proliferation and then promotes the development of OA&#46;</p></span><span id="sec0018a" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0025a">CRediT authorship contribution statement</span><p id="para0031a" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleBold">Ziyang Zhang&#58;</span> Data curation&#44; Investigation&#44; Resources&#44; Writing &#8211; original draft&#44; Writing &#8211; review &#38; editing&#46; <span class="elsevierStyleBold">Renhao Guo&#58;</span> Formal analysis&#44; Methodology&#46; <span class="elsevierStyleBold">Chengfa Cai&#58;</span> Data curation&#44; Project administration&#46; <span class="elsevierStyleBold">Pengcheng Guo&#58;</span> Conceptualization&#44; Methodology&#44; Software&#44; Writing &#8211; original draft&#44; Writing &#8211; review &#38; editing&#46;</p></span></span>"
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          "titulo" => "Abstract"
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              "titulo" => "Objectives"
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          "titulo" => "Introduction"
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          "titulo" => "Materials and methods"
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            0 => array:2 [
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              "titulo" => "Patients and tissue samples"
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            4 => array:2 [
              "identificador" => "sec0007"
              "titulo" => "MTT assay"
            ]
            5 => array:2 [
              "identificador" => "sec0008"
              "titulo" => "Flow cytometry &#40;FC&#41;"
            ]
            6 => array:2 [
              "identificador" => "sec0009"
              "titulo" => "Western blotting &#40;WB&#41;"
            ]
            7 => array:2 [
              "identificador" => "sec0010"
              "titulo" => "Dual-luciferase reporter gene assay &#40;DLRA&#41;"
            ]
            8 => array:2 [
              "identificador" => "sec0011"
              "titulo" => "Data analysis"
            ]
          ]
        ]
        5 => array:3 [
          "identificador" => "sec0012"
          "titulo" => "Results"
          "secciones" => array:5 [
            0 => array:2 [
              "identificador" => "sec0013"
              "titulo" => "HOXA11-AS showed high level and miR-506&#8211;3p showed low level in OA articular cartilages"
            ]
            1 => array:2 [
              "identificador" => "sec0014"
              "titulo" => "HOXA11-AS down-regulation suppressed HC-OA cell proliferation and induced apoptosis"
            ]
            2 => array:2 [
              "identificador" => "sec0015"
              "titulo" => "HOXA11-AS was capable of binding to miR-506&#8211;3p to increase PIK3CA"
            ]
            3 => array:2 [
              "identificador" => "sec0016"
              "titulo" => "HOXA11-AS silencing suppressed HC-OA cell proliferation and facilitated their apoptosis through reducing PIK3CA expression via miR-506&#8211;3p up-regulation"
            ]
            4 => array:2 [
              "identificador" => "sec0017"
              "titulo" => "HOXA11-AS silencing suppressed PI3K&#47;AKT&#47;mTOR pathway through increasing miR-506&#8211;3p"
            ]
          ]
        ]
        6 => array:2 [
          "identificador" => "sec0018"
          "titulo" => "Discussion"
        ]
        7 => array:2 [
          "identificador" => "sec0018a"
          "titulo" => "CRediT authorship contribution statement"
        ]
        8 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2023-09-13"
    "fechaAceptado" => "2024-05-13"
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1903345"
          "palabras" => array:6 [
            0 => "Osteoarthritis"
            1 => "Chondrocytes"
            2 => "Long noncoding rna hoxa11-as"
            3 => "Microrna-506&#8211;3p"
            4 => "PI3K&#47;AKT&#47;mTOR pathway"
            5 => "Proliferation"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "highlights" => array:2 [
      "titulo" => "Highlights"
      "resumen" => "<span id="abss0001" class="elsevierStyleSection elsevierViewall"><p id="spara006" class="elsevierStyleSimplePara elsevierViewall"><ul class="elsevierStyleList" id="celist0001"><li class="elsevierStyleListItem" id="celistitem0001"><span class="elsevierStyleLabel">&#8226;</span><p id="para0001" class="elsevierStylePara elsevierViewall">HOXA11-AS silencing restrained HC<span class="elsevierStyleGlyphsbnd"></span>OA cell proliferation and accelerated their apoptosis&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0002"><span class="elsevierStyleLabel">&#8226;</span><p id="para0002" class="elsevierStylePara elsevierViewall">HOXA11-AS overexpression increased PIK3CA expression through binding to miR-506&#8211;3p&#46;</p></li><li class="elsevierStyleListItem" id="celistitem0003"><span class="elsevierStyleLabel">&#8226;</span><p id="para0003" class="elsevierStylePara elsevierViewall">HOXA11-AS overexpression represses PI3K&#47;AKT&#47;mTOR pathway through miR-506&#8211;3p down-regulation&#46;</p></li></ul></p></span>"
    ]
    "resumen" => array:1 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abss0002" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0003">Objectives</span><p id="spara007" class="elsevierStyleSimplePara elsevierViewall">This study was directed towards exploring the impacts of lncRNA HOXA11-AS-mediated microRNA &#40;miR&#41;-506&#8211;3p on chondrocytes proliferation and apoptosis in osteoarthritis &#40;OA&#41;&#46;</p></span> <span id="abss0003" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0004">Methods</span><p id="spara008" class="elsevierStyleSimplePara elsevierViewall">The articular cartilages were provided by OA patients who received total knee arthroplasty&#44; and Human Chondrocyte &#40;HC&#41;-OA &#40;HC<span class="elsevierStyleGlyphsbnd"></span>OA&#41; was also attained&#46; The miR-506&#8211;3p and HOXA11-AS expressions in articular cartilages from OA patients and HC<span class="elsevierStyleGlyphsbnd"></span>OA cells were analyzed via qPCR&#46; After gain- and loss-of-function assays in HC<span class="elsevierStyleGlyphsbnd"></span>OA cells&#44; MTT assay and flow cytometry &#40;FC&#41; were used for assessing cell viability and apoptosis&#44; accordingly&#46; The levels of PIK3CA&#44; AKT&#44; and mTOR as well as AKT and mTOR phosphorylation levels assessed using western blotting &#40;WB&#41;&#46; The targeting correlation of HOXA11-AS and miR-506&#8211;3p as well as miR-506&#8211;3p and PIK3CA was assessed through Dual-Luciferase Reporter gene Assay &#40;DLRA&#41;&#46;</p></span> <span id="abss0004" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0005">Result</span><p id="spara009" class="elsevierStyleSimplePara elsevierViewall">The articular cartilages from OA patients and Human Chondrocyte &#40;HC&#41;-OA &#40;HC<span class="elsevierStyleGlyphsbnd"></span>OA&#41; cells showed increased HOXA11-AS and decreased miR-506&#8211;3p&#46; Mechanistically&#44; HOXA11-AS was capable of binding to miR-506&#8211;3p to increase PIK3CA&#44; the target gene of miR-506&#8211;3p&#46; miR-506&#8211;3p suppression facilitated HC<span class="elsevierStyleGlyphsbnd"></span>OA cell proliferation and reduced their apoptosis&#44; which was nullified by further silencing HOXA11-AS or silencing PIK3CA&#46; The down-regulation of HOXA11-AS disrupted the PI3K&#47;AKT&#47;mTOR pathway&#44; which was counteracted by further miR-506&#8211;3p inhibition&#46;</p></span> <span id="abss0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0006">Conclusion</span><p id="spara010" class="elsevierStyleSimplePara elsevierViewall">The silencing of HOXA11-AS might block the PI3K&#47;AKT&#47;mTOR pathway through miR-506&#8211;3p up-regulation&#44; thereby restricting HC<span class="elsevierStyleGlyphsbnd"></span>OA cell proliferation and provoking apoptosis&#46;</p></span>"
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          "en" => "<p id="spara001" class="elsevierStyleSimplePara elsevierViewall">HOXA11-AS increase and miR-506&#8211;3p decrease are observed in OA articular cartilages&#46; &#40;A&#41; qPCR detection of the HOXA11-AS expression in OA patients&#8217; articular cartilages&#46; &#40;B&#41; The miR-506&#8211;3p expression in OA patients&#8217; articular cartilages measured using qPCR&#46; &#40;C&#41; The HOXA11-AS expression in HC<span class="elsevierStyleGlyphsbnd"></span>OA and HC cells assessed by qPCR&#46; &#40;D&#41; qPCR to evaluate the miR-506&#8211;3p expression in HC<span class="elsevierStyleGlyphsbnd"></span>OA and HC cells&#46; &#40;E&#41; Correlation analysis between miR-506&#8211;3p and HOXA11-A expression in OA patients&#8217; articular cartilages&#46; &#42;&#42;&#42; <span class="elsevierStyleItalic">p</span> &#60; 0&#46;001 vs&#46; normal cartilages or HC cells&#46;</p>"
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          "en" => "<p id="spara002" class="elsevierStyleSimplePara elsevierViewall">HOXA11-AS silencing causes repressed HC<span class="elsevierStyleGlyphsbnd"></span>OA cell proliferation and enhanced apoptosis&#46; &#40;A&#41; HOXA11-AS expression in HC<span class="elsevierStyleGlyphsbnd"></span>OA cells after HOXA11-AS silencing measured using qPCR&#46; &#40;B&#41; HC<span class="elsevierStyleGlyphsbnd"></span>OA cell viability after HOXA11-AS silencing detected using MTT assay&#46; &#40;C&#41; HC<span class="elsevierStyleGlyphsbnd"></span>OA cell apoptosis rate after HOXA11-AS silencing measured using FC&#46; &#40;D&#41; WB of the expression of apoptosis-relevant proteins in HC<span class="elsevierStyleGlyphsbnd"></span>OA cells after HOXA11-AS silencing&#46; &#42;&#42;&#42; <span class="elsevierStyleItalic">p</span> &#60; 0&#46;001 vs&#46; the si-NC group&#46;</p>"
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          "en" => "<p id="spara003" class="elsevierStyleSimplePara elsevierViewall">HOXA11-AS was capable of binding to miR-506&#8211;3p that inversely targets PIK3CA&#46; &#40;A&#41; The predicted binding sites between HOXA11-AS and miR-506&#8211;3p as well as miR-506&#8211;3p and PIK3CA&#46; &#40;B&#41; The binding correlation evaluated by DLRA and miR-506&#8211;3p expression in cells after HOXA11-AS silencing measured by qPCR&#46; &#40;C&#41; DLRA to evaluate the targeting correlation of PIK3CA and miR-506&#8211;3p and PIK3CA expression in cells after miR-506&#8211;3p mimic transfection&#46; &#40;D&#41; miR-506&#8211;3p level following miR-506&#8211;3p mimic and&#47;or si-HOXA11-AS transfection assessed using qPCR&#46; &#40;E&#41; PIK3CA expression in cells following si-PIK3CA and&#47;or miR-506&#8211;3p inhibitor transfection&#46; a&#58; miR-NC inhibitor&#59; b&#58; si-PIK3CA&#59; c&#58; si-PIK3CA &#43; miR-NC inhibitor&#59; d&#58; si-PIK3CA &#43; miR-506&#8211;3p inhibitor&#46; &#42; <span class="elsevierStyleItalic">p</span> &#60; 0&#46;05&#46;</p>"
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          "en" => "<p id="spara004" class="elsevierStyleSimplePara elsevierViewall">HOXA11-AS down-regulation inhibits HC<span class="elsevierStyleGlyphsbnd"></span>OA cell proliferation and induces apoptosis through orchestrating miR-506&#8211;3p&#47;PIK3CA axis&#46; &#40;A&#41; MTT assay to detect HC<span class="elsevierStyleGlyphsbnd"></span>OA cell viability after si-HOXA11-AS and miR-506&#8211;3p inhibitor transfection&#46; &#40;B&#41; FC of HC<span class="elsevierStyleGlyphsbnd"></span>OA cell apoptosis rate after transfection&#46; &#40;C&#41; WB of the expression of apoptosis-relevant proteins in HC<span class="elsevierStyleGlyphsbnd"></span>OA cells after transfection&#46; &#40;D&#41; HC<span class="elsevierStyleGlyphsbnd"></span>OA cell viability after transfection measured by MTT assay&#46; &#40;E&#41; FC to assess HC<span class="elsevierStyleGlyphsbnd"></span>OA cell apoptosis rate after transfection&#46; &#40;F&#41; The expression of apoptosis-relevant proteins in HC<span class="elsevierStyleGlyphsbnd"></span>OA cells after transfection evaluated by WB&#46; &#42;<span class="elsevierStyleItalic">p</span> &#60; 0&#46;05&#46;</p>"
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          "en" => "<p id="spara005" class="elsevierStyleSimplePara elsevierViewall">HOXA11-AS down-regulation inactivates PI3K&#47;AKT&#47;mTOR pathway through miR-506&#8211;3p&#46; &#40;A&#41; PI3K&#47;AKT&#47;mTOR western blot band images&#46; B&#58; Bar graphs of PI3K&#47;AKT&#47;mTOR pathway-related protein expression&#46; 1&#46; The si-NC group&#59; 2&#46; The si-HOXA11-AS group&#59; 3&#46; The si-HOXA11-AS &#43; miR-NC inhibitor group&#59; 4&#46; si-HOXA11-AS &#43; miR-506&#8211;3p inhibitor&#46; &#42; <span class="elsevierStyleItalic">p</span> &#60; 0&#46;05&#46;</p>"
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      "titulo" => "References"
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