Abstract
Plexiform neurofibromas commonly found in patients with Neurofibromatosis type I (NF1) have a 5% risk of being transformed into malignant peripheral nerve sheath tumors (MPNST). Germline mutations in the NF1 gene coding for neurofibromin, which is a Ras GTPase activating protein (RasGAP) and a negative regulator of Ras, result in an upregulation of the Ras pathway. We established a direct connection between neurofibromin deficiency and downstream effectors of Ras in cell lines from MPNST patients by demonstrating that knockdown of NF1 expression using siRNA in a NF1 wild type MPNST cell line, STS-26T, activates the Ras/ERK1,2 pathway and increases AP-1 binding and activity. We believe this is the first time the transactivation of AP-1 has been linked directly to neurofibromin deficiency in a disease relevant MPNST cell line. Previously, we have shown that N-Ras is constitutively activated in cell lines derived from independent MPNSTs from NF1 patients. We therefore sought to analyze the role of the N-Ras pathway in deregulating AP-1 transcriptional activity. We show that STS-26T clones conditionally expressing oncogenic N-Ras show increased phosphorylated ERK1,2 and phosphorylated JNK expression concomitant with increased AP-1 activity. MAP kinase pathways (ERK1,2 and JNK) were further examined in ST88-14, a neurofibromin-deficient MPNST cell line. The basal activity of ERK1,2 but not JNK was found to increase AP-1 activity. These experiments further confirmed the link between the loss of neurofibromin and increased activity of Ras/MAP kinase pathways and the activation of downstream transcriptional mechanisms in MPNSTs from NF1 patients.
Keywords: Neurofibromin (NF1), Activating protien 1 (AP-1), N-Ras oncogene, Extracellular signal-regulated kinase (ERK), c-Jun N-terminal kinase (JNK)
Introduction
A common clinical feature of Neurofibromatosis type I (NF1) is the plexiform neurofibroma that grows along the length of a segment of nerve and infiltrates the surrounding tissue. In about 5% of NF1 patients, plexiform neurofibromas transform into MPNSTs [1]. Critical to cell transformation is Ras activation [2] which is increased by tenfold in NF1-deficient compared to NF1-wild type cell lines [3]. Wild type neurofibromin negatively regulates Ras signaling via its functioning as a Ras GTPase activating protein (RasGAP) [4]. When this regulation is lost through mutation, the result is an overactive Ras/Raf/MEK1,2/ERK1,2 pathway. Ras, a component of the multistep process of carcinogenesis, together with its effector molecules exhibits multiple transforming properties [5]. As an example, uncontrolled proliferation, which precedes full tumorigenesis, is promoted by the deregulated Ras/Raf signaling pathway [6]. During normal growth, early in the G1 phase of cell cycle, Ras/Raf/MEK1,2/ERK1,2 signaling results in TCF/ELK-1 phosphorylation, followed by activation of the transcription factor AP-1 and increased expression of its target gene cyclin D1. Transcriptional induction of cyclin D1 enables expression of genes whose proteins are needed for S phase (reviewed in [7]). Oncogenic Ras, however, increases cyclin D1 expression through transactivation of its promoter by AP-1, shortens the G1 phase of the cell cycle, and accelerates cell growth [8]. Other Ras transforming properties include the suppression of cell cycle inhibitors, rearrangement of the cytoskeleton, and induction of angiogenesis [7].
Oncogenic Ras proteins do not transform cells in the absence of c-Jun, a component of the heterodimeric transcription factor complex AP-1 [9–11]. The absence of c-Jun or the presence of a dominant negative c-Jun results in transformation resistance in murine cells. Similarly, the in vivo expression of a dominant negative c-Jun [9, 12] in mouse skin blocks chemically induced carcinogenesis in transgenic mice [13]. Rather than a single protein, AP-1 is a hetero- or homodimeric complex made up of various combinations of members of the JUN, FOS, ATF and MAF protein families. In addition to c-Jun, other proteins that make up the AP-1 dimer such as c-Fos and FosB can transform cells in culture and induce tumors in transgenic mice (reviewed in [14]). AP-1 target genes include cell cycle regulators such as D cyclins, cyclin A, cyclin E [15], migration and invasion related genes such as matrix metalloproteinases [16–18], and angiogenesis related genes such as angioprotein-2 [19]. The key role of AP-1 in tumorigenesis and its contribution to cancer progression make it a prime target for drug development in cancer therapy [20].
The AP-1 regulatory system includes both translational and post-translational activation of AP-1 proteins in response to mitogen stimulation as well as AP-1 protein interaction with other transcription factors and co-factors. Other regulatory mechanisms include stability of AP-1 component mRNAs and protein turnover [21]. The mitogen-activated protein kinase (MAP kinase) super-family is the main mediator of mitogen stimulation of AP-1 (for review [22]). The MAP kinase pathways are responsive to Ras activation and singly or in combination may increase AP-1 protein expression or transactivation [23–26]. Previous work by the authors has shown that N-Ras as well as ERK1,2 is constitutively activated in two NF1-deficient MPNST cell lines [27]. One of these cell lines, ST88-14, has been used as a model to study the effectiveness of drugs with the potential of inhibiting tumor growth in NF1 patients [27–31].
In this study, we employed three complimentary systems to examine the regulation of AP-1 by neurofibromin deficiency through the Ras/MAP kinase pathways. These systems included: (1) the NF1-deficient MPNST ST88-14 cell line; (2) the NF1-wild type MPNST cell line STS-26T; and (3) a Tet-off cell line derived from STS-26T that conditionally expresses oncogenic N-Ras (G12V mutant). We demonstrate here that ERK1,2 pathways positively regulate AP-1 activity in ST88-14 cells. We also show that siRNA knockdown of neurofibromin expression in STS-26T cells upregulates the activity of Ras, which results in the transcriptional activation of AP-1. This is the first example of AP-1 activation in a disease-relevant MPNST cell line being directly linked to neurofibromin deficiency.
Materials and methods
Cell lines and cell culture
Human MPNST ST88-14 (a generous gift from T. Glover, University of Michigan, Ann Arbor, MI, USA) and STS-26T (a generous gift from D. Scoles, Cedars-Sinai Medical Center, Los Angeles, CA, USA) were maintained in RPMI medium 1640 (Invitrogen, Carlsbad, CA, USA) with 5% fetal bovine serum (Hyclone Laboratories, Logan, UT, USA). Cell lines were checked periodically for mycoplasma with Venor GeM Mycoplasma Detection Kit (Sigma, St. Louis, MO, USA). Cultures were propagated for no more than 3 months.
Cytogenetic characterization of ST88-14 has shown that the NF1 locus has been deleted from one allele on chromosome 17 while the gene on the remaining allele resulted in greatly reduced transcription or message instability [32]. Neurofibromin is undetectable when analyzed by western blot using a C-terminal probe for the protein [27], confirming the neurofibromin-deficient phenotype.
Construction of Tet-off gene expression cell lines
Tet-off (Clontech Laboratories Inc., Madison, WI, USA), cell lines conditionally expressing oncogenic N-Ras G12V, were established using the cell line STS-26T (NF1wt/wt). Cells were transfected with the Tet-off regulatory plasmid pRevTet-off (BD Biosciences Clontech) using Lipofectamine and Plus Reagent (Invitrogen) according to the manufacturer’s instructions. Transfected cells were selected in 400 µg/ml G418 and resistant clones were screened for expression of the reporter gene by a transient transfection with the firefly and Renilla luciferase reporter plasmids, pLP-RevTRE-luc and pRL-TK (Clontech). Expression of the luciferase reporter gene was evaluated by the Dual-Luciferase Reporter Assay System (Promega Corp., Madison, WI, USA), and two single stable parent cell lines were chosen on the basis of moderate to high activation of the reporter. These two cell lines were then transfected with pLP-RevTRE (Clontech) into which the cDNA for N-terminal 3x-hemagglutinin tagged human N-Ras G12V mutant was inserted. Double transfected clones were selected with 400 µg/ml G418 and 200 µg/ml hygromycin B in the presence of doxycycline (Invitrogen). Transgene expression was confirmed by western blotting for the hemagglutinin tag.
To assess AP-1 activity in clones that express N-Ras G12V, cells were co-transfected with pGL3 and pRL-TK (see next section), harvested over a 3 day period and quantified for luciferase activity. Results are shown for 15N clonal cell line (Fig. 3), with similar results demonstrated in an experiment with a second independent clonal cell line, 10N (data not shown).
Plasmids and luciferase gene reporter assay
Luciferase reporter gene assays were used to determine AP-1 transcriptional activity. Cells were seeded into 6-well plates 24 or 48 h prior to transfection. Cells were co-transfected with 0.5 µg pGL3 promoter vector (Promega, Madison, WI, USA) into which had been cloned the DNA consensus sequence AP-1 3XTRE (CGCTTGATGACTCAGCCGGAA) and 0.05 µg pRL-TK (Promega). 32 h after transfection, kinase inhibitors were added if appropriate. Cells were harvested 48 h post-transfection. Firefly and Renilla luciferase were quantified using the Dual-Luciferase Reporter Assay System (Promega) and a single sample luminometer.
Activated Ras protein pull down assay
Ras pull down assays were performed using glutathione–Sepharose beads prebound to glutathione-S-transferase (GST) fused to the Raf-RBD (Ras binding domain) [33]. Briefly, experimental and control cells were lysed in magnesium containing lysis buffer (25 mM HEPES, pH 7.5, 150 mM NaCl, 1% NP-40, 0.25% sodium deoxycholate, 10% glycerol, 10 mM MgCl2, 1 mM EDTA, 1 mM Na3VO4, 25 mM NaF). One-third of the samples were reserved for determining total Ras protein by western blotting. The remaining two-thirds of the lysates were incubated with GST–Raf-RBD beads at 4°C on a rocking platform for 90 min. Beads were centrifuged, washed 3 times with PBS and supernatant discarded. Laemmli sample buffer was added to the beads followed by boiling for 5 min. Beads were then pelleted by centrifugation and supernatants for each sample were resolved by sodium dodecyl sulfate (SDS)-polyacrylamide gel electrophoresis (PAGE), transferred to nitrocellulose and probed for active Ras. The remaining lysates were probed for total Ras. Total Ras was used to normalize active Ras data.
Electromobility shift assay (EMSA)
Nuclear extract preparation
Extracts were prepared according to a method adapted from that described by Dignam et al. [34]. Cells (107) were grown from 60 to 90% confluence in 100-mm plates. All the remaining procedures were carried out on ice. Cells were washed with ice-cold PBS followed by a wash with ice-cold Buffer A [10 mM Hepes (pH 7.9), 1.5 mM MgCl2, 10 mM KCl, 0.5 mM dithiothreitol (DTT), 0.1% Igepal CA-630, 1% protease inhibitor cocktail (Sigma, St. Louis, MO, USA), 1 mM Na3VO4, 1 mM Na4P2O7.10H2O, 1 mM NaF]. After 10 min incubation in 1.5 ml Buffer A, cells were scraped into glass homogenizer (Kontes Glass Co., Vineland, NJ, USA; 15 ml) and gently homogenized for 10 strokes, pestle B. Pellet was collected by centrifugation at 5800 RCF, 4°C, 10 min and resuspended after the removal of supernatant in 150 µl Buffer C [10 mM Hepes (pH 7), 25% gylcerol, 0.42 M NaCl, 1.5 mM MgCl2, 0.2 mM EDTA, 1% protease inhibitor cocktail, 1 mM Na3VO4, 1 mM Na4P2O7·10H2O, 1 mM NaF, 0.5 mM phenylmethanesulfonyl fluoride (PMSF, 0.1 M stock in methanol) and 1 mM DTT]. The suspension was transferred to a microfuge tube embedded horizontally on ice and rocked for 2 h on a rocking platform at 200 rpm. The suspension was centrifuged at maximum speed for 5 min at 4°C. The supernatant was collected, aliquoted and stored at −80°C.
AP-1 binding assay
An EMSA gel shift kit (Panomics, Inc., Fremont, CA, USA) was used containing a biotin-labeled probe with the AP-1 binding sequence (5′–3′): CGCTTGATGACTCAGCCGGAA. 1–5 µg of nuclear extract was combined with labeled or unlabeled (competition reactions) probes according to the manufacturer’s instructions. Transcription factor–DNA complexes were separated on a 6% non-denaturing polyacrylamide gel and transferred to a nylon membrane. For signal detection, a chemiluminescent substrate was added to the biotin–streptavidin–horseradish peroxidase complex and the membrane was exposed to X-ray film (Pierce Biotechnology, Thermo Fisher Scientific Inc., Rockford, IL, USA).
siRNA knockdown of gene expression
Neurofibromin siRNA, control siRNA and siRNA Transfection Reagent (Santa Cruz Biotechnology Inc., Santa Cruz, CA, USA) were used according to the manufacturer’s instructions. STS-26T (wt-NF1) cells were plated at 1.5 × 105 cells/10 cm plate 24 h prior to transfection. 12 µl of siRNA (50 µM) and 12 µl of siRNA Transfection Reagent, each diluted in 400 µl of Optimem (Invitrogen), were combined and after a 30 min incubation added to the 3.2 ml of Optimem in each plate. Following a 6 h incubation of cells with transfection solution, medium was replaced by growth medium. Cells were harvested 48–72 h later.
Western blot analysis
Cultures at 30 to 80% confluence were washed 3 times with ice-cold PBS, scraped and pelleted at 1,000 rpm for 5 min. Cell pellets were lysed with RIPA buffer (150 mM NaCl, 1%Triton X-100, 0.5% deoxycholic acid, 0.1% SDS, 50 mM Tris–Cl, pH 8.0) supplemented with 2% protease inhibitor cocktail, 1% PMSF (stock 10 mg/ml methanol), 1 mM Na3VO4, 1 mM Na4P2O7·10H2O, and 1 mM NaF. Secondary antibodies were conjugated to IRdye infrared dyes (Rockland Inc., Gilbersville, PA, USA). Signal was detected and the bands were quantified using the Odyssey infrared imaging system and software (Licor Biosciences, Lincoln, NE, USA).
Antibodies used in these experiments were rabbit polyclonal anti-neurofibromin [35] (#sc-67, Santa Cruz Biotechnology Inc.), mouse monoclonal anti-ras [36] (#610001, BD Biosciences), mouse monoclonal anti-phospho-ERK1,2 [37] (#9106, Cell Signaling), rabbit polyclonal anti-ERK1,2 [38] (#06-182, Upstate Cell Signaling Solutions), rabbit polyclonal anti-phospho-JNK [39] (#9251, Cell Signaling), and mouse monoclonal anti-α-tubulin [40] (T5168, Sigma–Aldrich).
Statistical analysis
A paired t test was used to determine significance when analyzing two means. One-way analysis of variance was used for multiple comparisons with post-hoc Tukey HSD tests to determine significance within the group. P < 0.05 was considered statistically significant. Results are expressed as means ± SEM.
Results
siRNA reduction of neurofibromin expression upregulates active Ras and AP-1 transcriptional activity in MPNST cells
Neurofibromin RasGAP activity accelerates the hydrolysis of GTP bound to Ras resulting in decreased Ras activity. Cell lines developed from neurofibrosarcomas surgically removed from NF1 patients express reduced neurofibromin and abnormally high Ras-GTP. To establish a system to test the link between reduced neurofibromin expression and Ras pathway activation, we used an siRNA knockdown approach in the MPNST NF1wt/wt cell line STS-26T. Three siRNA-NF1 duplexes were tested for efficacy in increasing p-ERK1,2 expression (Fig. 1a). STS-26T cells were transfected with siB and analyzed for neurofibromin expression, as well as active and total Ras expression by western blotting (Fig. 1b). Neurofibromin was reduced by 89 ± 1% while active ERK1,2 and active Ras were increased by 2.2 ± 0.4-fold and 1.6 ± 0.1-fold, respectively.
To investigate the effect of neurofibromin knockdown on the binding of the AP-1 transcription factor with DNA, EMSAs were performed. Cells were harvested 48 h post-transfection, nuclear extracts were prepared and protein binding to the AP-1 consensus site was determined. As shown in Fig. 1c (representative of 3 independent experiments), when expression of neurofibromin was inhibited by siRNA knockdown, nuclear extracts of the cells exhibited a 1.7 ± 0.2-fold increase in AP-1 binding compared to those from control transfected cells. In addition, NF1 knockdown resulted in greater than twofold increase in AP-1 activity (Fig. 1d).
N-Ras(G12V) increases phosphorylation of ERK1,2 and JNK MAP kinases as well as AP-1 activity
We previously demonstrated that N-Ras was the predominant activated isoform of Ras in two independent MPNST cell lines from NF1 patients [27]. However, N-Ras was not activated in the non NF1 MPNST cell line STS26T [27]. Therefore, in order to assess the role of N-Ras in AP-1 activation we constructed two independent clonal cell lines of STS26T cells (15N and 10N) that conditionally expressed the activated, mutant N-Ras (G12V) oncogene. Removal of doxycycline from the growth media turns on the expression of N-Ras (G12V). To examine changes in downstream N-Ras signaling, cell line 15N was grown in media with or without doxycycline supplementation (Fig. 2a, b) for 5 days. Induction of expression of the activated N-Ras oncogene resulted in a 1.7-fold increase in active ERK and active JNK on day 4 followed by twofold increase in activity for both proteins on day 5, Fig. 2b. To determine AP-1 activity under conditions of an upregulated Ras pathway, 15N cells were transfected with pGL3/AP-1 3XTRE and pRL-TK, dual luciferase plasmids, followed by a media change with or without supplementation of doxycycline. Cells were harvested at the times indicated to evaluate AP-1 activity by the reporter gene assay (Fig. 3). A maximum increase of 1.7-fold in AP-1 activity was observed in 15N cells 72 h after the removal of doxycycline. A similar experiment performed with the clonal cell line 10N resulted in an increase of 1.5-fold AP-1 activity at 96 h (data not shown). These data demonstrate that the induction of an activated N-Ras oncogene can increase AP-1 activity in the MPNST cell type similar to knockdown of NF1 by siRNA.
ERK1,2 and JNK1,2 regulate AP-1 activity in ST88-14 MPNST cells
In response to external stimuli, MAP kinase families respond singly or in combination to activate AP-1 in a cell-specific manner. To determine the role of JNK and ERK MAP kinase pathways in the regulation of AP-1 in the NF1-deficient ST88-14 MPNST cell line, selective kinase inhibitors, SP600125 [41] and U0126 [40], were used. To test the effectiveness of the compounds in inhibiting substrate phosphorylation, cells were exposed to increasing concentrations of SP600125 and U0126 and then harvested to determine levels of phospho-c-Jun and p-ERK1,2, respectively. A dose-dependent response was observed for SP600125 at 3, 10 and 30 µM (Fig. 4a, b), which resulted in a reduction of the levels of both phospho-c-Jun and c-Jun. A dose-dependent response was also observed with U0126 at 1, 3, and 10 µM (Fig. 5a, b) for inhibition of the level of p-ERK1,2. Expression of total ERK1,2 protein levels, however, remained constant.
AP-1 activity in ST88-14 (NF1−/− cells) was then determined using AP-1 reporter gene assay (Fig. 6). U0126 reduced AP-1 transcriptional activity to 60% of solvent-treated controls. Conversely, inhibiting JNK signaling with SP600125 increased AP-1 activity by 25%. These data suggest that under normal growth conditions constitutive ERK1,2 signaling elevates AP-1 activity while JNK represses it.
Discussion
The AP-1 transcription factor controls multiple cell processes that include proliferation, apoptosis, migration, invasion, angiogenesis, and differentiation under both basal and stimulated conditions. AP-1 can be activated by varied external stimuli (cytokines, growth factors, stress, and ultraviolet light) that signal through the MAP kinase cascades [14]. AP-1 can also respond to activated oncogenes such as Ras [42]. Therefore, it is not surprising that deregulation of AP-1 transcriptional activity is linked to tumorigenesis. In this study, we demonstrated for the first time, in a disease-relevant human MPNST cell line, that neurofibromin deficiency is directly linked to the deregulation of AP-1 activity.
We utilized MPNST cell line STS-26T (wt-NF1) to determine the effect of a neurofibromin knockdown on Ras, ERK1,2 and AP-1 activity. Human and animal studies have demonstrated increased Ras/ERK1,2 activity under conditions of neurofibromin deficiency. Murine studies have shown that fetal cells lacking neurofibromin have a high constitutive MAP kinase activity [43, 44]. Analyses of isolated human tumor cells and tissue taken from sarcomas and benign neurofibromas from NF1 patients have revealed elevated Ras-GTP levels [45, 46]. In the current study, suppression of neurofibromin expression induced Ras and ERK1,2 activation. Furthermore, neurofibromin knockdown enhanced both AP-1 consensus sequence binding and transcriptional activity, thus demonstrating a direct effect of neurofibromin deficiency in upregulating the Ras pathway and increasing AP-1 transcriptional activity.
To focus on N-Ras signaling exclusive of any other effects that neurofibromin deficiency may impose, we used STS26T cells conditionally expressing N-Ras (G12V). N-Ras (G12V) activation in 15N cells was found to increase phosphorylation of ERK1,2 and JNK. This supports previous reports that MPNST cell lines with high Ras-GTP had increases in ERK and JNK signaling pathways compared to cells with low Ras-GTP [47]. We also observed that when N-Ras (G12V) was induced in 15N and 10N cells AP-1 transcriptional activity was increased up to 1.7-fold. These experiments illustrate that activation of Ras can result in quantitatively similar levels of AP-1 activation due to neurofibromin deficiency.
Upregulation of the ERK and JNK pathways by Ras activation prompted further examination of these pathways in the NF1-deficient MPNST cell line ST88-14. Cells were treated with U0126 and SP600125, selective inhibitors of MEK1,2 and JNK1,2,3, respectively. Dose response studies demonstrated that both phospho-c-Jun and c-Jun were reduced by approximately the same amount when cells were exposed to SP600125, which suggests that there may be direct involvement of phospho-c-Jun in the reduction of c-Jun expression. The AP-1 consensus binding sequence or TPA response element (TRE) is located in the promotor of c-Jun. This sequence is constitutively occupied by c-Jun and ATF2 in many cell types [48]. Following activation by JNK, both members of the AP-1 dimer are phosphorylated inducing transcriptional activation of c-Jun. Thus, a decrease in phospho-c-Jun could reduce the induction of c-Jun expression. In contrast, the expression of ERK1,2 was maintained following U0126 treatment while p-ERK1,2 levels were reduced by close to 90%.
We found that under normal growth conditions for ST88-14, 40% of AP-1 activity can be attributed to constitutive signaling of ERK1,2. In a previous study, we determined that 10 µM U0126 inhibited cell proliferation by 30% and induced an accumulation of G1-phase cells and the loss of S-phase cells [27]. These data are consistent with the reduction in AP-1 activity observed with U0126 treatment in the current experiments. The ERK signaling pathway is a major pathway mediating cell growth by induction of the expression of D-type cyclins through the activation of AP-1. In this well documented pathway [49–51], ERK-activated ELK-1 stimulates the expression of c-Fos which binds to pre-existing c-Jun proteins leading to the activation of AP-1 and AP-1 target genes [52]. It is likely that this represents the mechanism by which ERK maintains basal AP-1 activity levels. Our data in human MPSNT cells are consistent with earlier work in which increased expression of neurofibromin was able to suppress Ras-induced AP-1 reporter gene activity in rat REF52 cells simultaneously injected with plasmids encoding full-length neurofibromin and H-Ras [53]. In contrast to U0126, where inhibition of p-ERK1,2 decreased AP-1 activation, inhibition by SP600125 results in a 20% increase in AP-1 activity. This implies that an increase of JNK activation from basal levels may be repressing AP-1 activity in these MPNST cells. This seems paradoxical because the link between activated JNK, increased phospho-c-Jun and increased activation of AP-1 is well documented (for review [48]). Our data also shows no significant difference between combined inhibition of U0126 and SP600125 compared to U0126 alone indicating that in the absence of active ERK, SP600125 appears to have no effect on AP-1 activity. This apparent paradox of JNK repression of AP-1 activation needs to be more fully studied.
In summary, in the MPNST line STS-26T containing wild type NF1 gene, the activities of Ras, ERK1,2 and AP-1 were upregulated by siRNA knockdown of neurofibromin, demonstrating the ability of the Ras-GAP protein to regulate the Ras/ERK1,2 pathway as well as downstream transcription factors. We believe this is the first time the transactivation of AP-1 has been linked directly to neurofibromin deficiency in a disease relevant MPNST cell line. STS26T cell lines engineered to constitutively express oncogenic Ras (mutant G12V) also upregulated ERK1,2, and JNK. ERK1,2 and JNK were found to have opposing roles in regulating AP-1, with ERK1,2 being dominant in increasing activity in NF1-deficient MPNST line ST88-14.
Acknowledgments
This study was supported by the Barbara and Fred Erb Endowed Chair in Cancer Genetics to MAT, as well as to the Cancer Center Support Grant of the Karmanos Cancer Institute, Wayne State University (P30CA022453). The authors are grateful for suggestions on statistical analyses provided by Dr. Judith Abrams.
Footnotes
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Contributor Information
Janice M. Kraniak, Programs in Molecular Biology and Genetics, Barbara Ann Karmanos Cancer Institute, 110 East Warren Avenue, Detroit, MI 48201, USA
Daochun Sun, Center for Molecular Medicine and Genetics, Wayne State University School of Medicine, Detroit, MI 48201, USA.
Raymond R. Mattingly, Programs in Molecular Biology and Genetics, Barbara Ann Karmanos Cancer Institute, 110 East Warren Avenue, Detroit, MI 48201, USA Department of Pharmacology, Wayne State University School of Medicine, Detroit, MI 48201, USA; Environmental Health Sciences Center for Molecular and Cellular Toxicology with Human Applications, Wayne State University School of Medicine, Detroit, MI 48201, USA.
John J. Reiners, Jr., Programs in Proteases, Barbara Ann Karmanos Cancer Institute, Detroit, MI 48201, USA Department of Pharmacology, Wayne State University School of Medicine, Detroit, MI 48201, USA; Institute of Environmental Health Sciences, Wayne State University School of Medicine, Detroit, MI 48201, USA; Environmental Health Sciences Center for Molecular and Cellular Toxicology with Human Applications, Wayne State University School of Medicine, Detroit, MI 48201, USA.
Michael A. Tainsky, Email: tainskym@karmanos.org, Programs in Molecular Biology and Genetics, Barbara Ann Karmanos Cancer Institute, 110 East Warren Avenue, Detroit, MI 48201, USA; Center for Molecular Medicine and Genetics, Wayne State University School of Medicine, Detroit, MI 48201, USA; Environmental Health Sciences Center for Molecular and Cellular Toxicology with Human Applications, Wayne State University School of Medicine, Detroit, MI 48201, USA; Department of Pathology, Wayne State University School of Medicine, Detroit, MI 48201, USA.
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