Abstract
Mitogen-activated protein kinases (MAPKs) are a family of protein kinases that link extracellular stimuli with intracellular responses and participate in numerous cellular processes such as growth, proliferation, differentiation, inflammation and apoptosis. Persistent activation of signal transducer and activator of transcription 3 (STAT3), which is accompanied by increases in STAT3 tyrosine phosphorylation, is associated with cell proliferation, differentiation and apoptosis in oral squamous cell carcinoma (OSCC). The role and significance of the activation of MAPKs, particularly of c-Jun N-terminal kinase (JNK), on STAT3 signaling in OSCC have not been thoroughly investigated. The present study examines the effects of JNK1/2 modulation on STAT3 signaling and cellular activities in OSCC cells. The expression levels of STAT3 [total, tyrosine phosphorylated (p-Tyr) and serine phosphorylated (p-Ser)], JNK, c-Jun and cyclin D1 were assessed in the OSCC cell lines SCC25 and SCC9. Inhibition of JNK1/2 was achieved by pharmacological agents (SP600125) and by small interfering RNA (siRNA) silencing, while JNK1/2 was induced by active MAPK kinase 7. Cell proliferation and viability rates were also evaluated. Inhibition of JNK1/2 with either SP600125 treatment or specific siRNA silencing resulted in decreased levels of p-Ser STAT3 and increased levels of p-Tyr STAT3 and cyclin D1 in both cell lines. Furthermore, JNK1/2 inhibition resulted in a dose-dependent increase in cell growth and viability in both cell lines. Opposite results were observed with JNK1/2 induction in both cell lines. The present results are supportive of a potential tumor suppressive role of JNK1/2 signaling in OSCC, which may be mediated through negative crosstalk with the oncogenic STAT3 signaling pathway. The possible therapeutic implications of JNK1/2 inhibition for patients with OSCC require to be investigated.
Keywords: STAT3, JNK1/2, crosstalk, signaling, oral, squamous carcinoma
Introduction
Head and neck squamous cell carcinoma (HNSCC) is the sixth most common type of cancer, and is associated with a low 5-year survival rate, despite recent improvements in the understanding of its molecular basis (1). It is known that HNSCC development and progression depends on several aberrations in signaling molecular pathways, including epidermal growth factor receptor (EGFR), Ras, nuclear factor-κB, signal transducer and activator of transcription (STAT), Wnt/β-catenin, transforming growth factor (TGF)-β and phosphoinositide 3-kinase-AKT-mammalian target of rapamycin (mTOR) (2). Understanding the role of these pathways will provide valuable information on the mechanisms controlling oral cancer, thus providing clinically useful therapeutic targets.
STAT signaling has been involved in oncogenesis (3,4). A number of previous findings strongly suggest that persistent activation of STAT3 in HNSCC, accompanied by increases in STAT3 tyrosine phosphorylation, is linked to cell proliferation, differentiation and apoptosis (5,6). Aberrant activation of upstream signaling pathways, particularly TGF-α/EGFR, has been associated with constitutive activation of STAT3 molecules in HNSCC (3,7). STAT3 is also activated through other pathways such as the alpha-7-nicotinic receptor, interleukin (IL)-6, IL-10 and IL-22 receptor, and erythropoietin receptor pathways in several types of cells, including HNSCC (8,10). In general, ligand binding leads to the phosphorylation of tyrosine residues within the receptor, resulting in STAT3 tyrosine phosphorylation, dimer formation, nuclear translocation, DNA binding and transcriptional activity (3,11–13).
STATs could also become phosphorylated at the Ser727 residue in response to growth factor and cytokine stimulation (14). However, the role of STAT3 serine phosphorylation remains controversial (14). Previous studies have proposed a negative impact of Ser727 phosporylation on STAT3 activity (13,15–17), while others have indicated that STAT3 serine phosphorylation by several kinases may upregulate the transcriptional activity and nuclear translocation of STAT3 in cancer (18,19).
Mitogen-activated protein kinases (MAPKs) are a family of protein kinases that link extracellular stimuli with intracellular responses through phosphorylation of specific downstream target molecules in serine and threonine residues (20). MAPKs have been implicated in various cellular processes, including growth, proliferation, differentiation, inflammation and apoptosis (21,22). In HNSCC, MAPKs constitute downstream targets of several molecules, including EGFR, Raf kinase and reactive oxygen species, whose aberrant regulation has been studied in this type of cancer (21,23,24).
c-Jun N-terminal kinases (JNKs) are members of the MAPK family, and become activated by a stressful cellular environment, including ultraviolet irradiation, oxidative stress, changes in osmolarity or metabolism, DNA damage, heat shock and inflammatory cytokine signaling (25). JNK signaling has been studied in HNSCC with controversial findings; thus, while certain studies support a pro-oncogenic function of JNK, others provide evidence that JNKs act as tumor suppressors in HNSCC (26–28).
Previous studies have supported an association between the activation of specific members of the MAPK family and negative regulation of STAT3 signaling (29–34). For example, inhibition of STAT3 activities through extracellular signal-regulated kinase (ERK) and p38-dependent pathways in human lung adenocarcinoma has been observed (35). Lim and Cao (15) have reported that activation of JNK by various stresses or by its upstream kinase MAPK kinase 7 (MKK7) may be linked to STAT3 inhibition, but the knowledge about the association between STAT3 and JNK remains insufficient and requires further investigation. Overall, there is evidence to suggest that MAPKs may modulate the activation status of STAT3 in various cell types, including cancer cells (15, 29–34). The role of MAPKs in cancer and STAT3 regulation may vary according to the type and status of the studied cells, indicating the requirement to investigate this association in a cell-specific manner.
The aim of the present study is to evaluate the activation status of JNK and STAT3 in HNSCC cell lines and to assess the effects of JNK modulation on STAT3 expression, as well as on cell proliferation and viability. Understanding the role of these molecules and their potential crosstalk in oral cancer cells may pave the way for the development of alternative treatment strategies for patients with HNSCC.
Materials and methods
Cell lines and cell culture
Experiments were performed using established cell lines of human OSCC (SCC9 and SCC25), which were obtained from the American Type Culture Collection (Manassas, VA, USA). Cells were cultured in a 1:1 mixture of Ham's F-12 and Dulbecco's modified Eagle's medium containing 10% fetal bovine serum, 100 U penicillin and 400 ng/ml hydrocortisone (Sigma-Aldrich, St. Louis, MO, USA) at 37°C in a 5% CO2 air atmosphere. Cells were subcultured by disaggregation with trypsin (0.1%) and ethylenediaminetetraacetic acid (0.01%) in phosphate-buffered saline (PBS) at pH 7.5.
Selective inhibition of JNK1/2
Cells were plated in 6-well plates at a density of 5×104 cells/well and were allowed to grow to 80% confluency. Then, cells were either treated with vehicle alone [dimethyl sulfoxide (DMSO) at a maximum concentration of 0.1%] or with the selective JNK1/2 inhibitor SP600125 (Calbiochem; EMD Millipore, Billerica, MA, USA) at concentrations of 20–40 µM for 24 h.
Selective induction of JNK1/2 MAPK
Cells were plated in 6-well plates at a density of 2×105 cells/well and were allowed to grow to 80% confluency. Cells were then either treated with vehicle alone (DMSO at a maximum concentration of 0.1%) or with the selective JNK1/2 inducer (active MKK7; Sigma-Aldrich) at concentrations of 5 and 10 µM for 48 h.
Small interfering RNA (siRNA) transfection
JNK1 and JNK2 siRNA and scrambled control siRNA were purchased from Qiagen, Inc. (Valencia, CA, USA). All siRNA transfections were performed using Lipofectamine 2000 (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA), according to the manufacturer's protocol, with a final siRNA concentration of 2 and 7 µM. OSCC cells were grown to mid-logarithmic phase and transiently transfected (2×106 cells) with 50 µg siRNA control or siRNA against JNK1/2 using Nucleofector™ reagent (Amaxa Biosystems; Lonza Group AG, Basel, Switzerland). Cells were collected at 48 h and whole lysates were analyzed by western blotting.
Western blot analysis
Cells were washed twice with ice-cold PBS, followed by lysis with radioimmunoprecipation assay buffer (50 mM Tris pH 7.4, 150 mM NaCl, 1% Triton X-100, 1% deoxycholic acid sodium salt, 0.1% sodium dodecyl sulfate, 100 mg/ml phenylmethylsulfonyl fluoride, 1 mg/ml aprotinin, 1 mM dichlorodiphenyltrichloroethane and 1 mM sodium orthovanadate) for 10 min at 4°C. The wells were scraped, and the recovered cell products were centrifuged at 40,000 × g for 15 min at 4°C. The concentration of the recovered proteins was measured and equalized using the Bio-Rad Protein Assay (Bio-Rad Laboratories, Inc., Hercules, CA, USA), according to the manufacturer's protocol.
Proteins in the total cell lysate were separated by SDS-PAGE (10% separation gel and 5% spacer gel) and electrotransferred to polyvinylidene difluoride films (Bio-Rad Laboratories, Inc., Hercules, CA, USA). Blotted films were placed in blocking solution for 1 h at room temperature. Subsequently, they were probed with indicated primary antibodies overnight at 4°C (mouse monoclonal STAT3, diluted 1:250, cat no. 9139; rabbit polyclonal anti-phospho-STAT3 Tyr705, diluted 1:250, cat no. 9131; rabbit polyclonal phospho-STAT3 Ser727, diluted 1:200, cat no. 9134; rabbit polyclonal anti-JNK1/2, diluted 1:250, cat no. 9252; rabbit polyclonal anti-p-c-jun ser63, diluted 1:200, cat no. 9261. and rabbit polyclonal cyclin-D1, diluted 1:250, cat no. 2922. All antibodies were purchased from Cell Signalling, Beverly, MA, USA. The film was washed thoroughly, incubated with goat polyclonal anti-rabbit IgG horse radish peroxidase secondary antibody (1:3.000; Santa Cruz Biotechnology, Santa Cruz, CA, USA, cat no. sc-2301) or anti-mouse IgG antibody (dilution, 1:3.000; Santa Cruz Biotechnology, cat no. sc-2031) with shaking at room temperature for 1 h at 25°C; β-actin was used as control (Santa Cruz Biotechnology, cat no. sc-47778). Proteins were visualized using an enhanced chemiluminescence
Cell proliferation and viability
Cells were counted with a Neubauer hemocytometer under an inverted microscope. Cell viability upon treatment was determined by the Trypan blue dye exclusion test. All assays were performed in quadruplicate and the results are reported as the mean ± standard deviation.
Statistical Analysis
Results of protein expression levels, cell viability and cell number of treated cells were compared with the results of untreated (control) cells respectively. Statistical analysis was performed using statistical Packages for the Social Sciences (SPSS) version 20. Paired groups were compared with the Student's t test and P<0.05 was considered to indicate a statistically significant difference.
Results
Effects of SP600125 inhibitor on JNK1/2 and STAT3 protein expression and activation and cyclin D1 levels
The expression and activation status of JNK1/2 was examined in OSCC cells. According to the western blotting results, total protein levels of JNK1/2 were detected in the two OSCC cell lines tested (SCC9 and SCC25). Protein levels of p-c-Jun (immediate downstream of JNK), total STAT3, tyrosine phosphorylated (p-Tyr) STAT3, serine phosphorylated (p-Ser) STAT3 and cyclin D1 were also observed in both cell lines (Fig. 1).
The effectiveness of JNK1/2 inhibition was next assessed. Treatment of SCC25 cells with the JNK1/2 inhibitor SP600125 for 24 h resulted in a dose-dependent inhibition of c-Jun phosphorylation. Total JNK1/2 protein expression levels remained steady despite SP600125 treatment (Fig. 1).
Next, the effectiveness of JNK1/2 inhibition on STAT3 protein expression and activation was examined. In SCC25 cells, a significant reduction (P=0.03) of p-Ser STAT3 could be detected following 24 h of SP600125 treatment in a dose-dependent manner. By contrast, an increase in the levels of p-Tyr STAT3 was observed, which was more pronounced at the highest concentration used (40 µM). Treatment of SCC9 cells with SP600125 caused a decrease in p-Ser STAT3 only when a concentration of 40 µM was used, along with a significant increase (P>0.05)in p-Tyr STAT3 levels. In both cell lines, total STAT3 levels were not affected by SP600125 treatment (Fig. 1).
Western blotting demonstrated that inhibition of JNK1/2 was associated with increased expression levels of cyclin D1 in a dose-dependent manner. By contrast, the protein levels of actin remained stable throughout the treatment, indicating that the observed effects on the aforementioned proteins were not caused by a nonspecific reduction of protein expression (Fig. 1).
In summary, inhibition of JNK1/2 activity by SP600125 treatment was detected in both cell lines and was associated with increased levels of p-Tyr STAT3 and cyclin D1, and decreased levels of p-Ser STAT3, particularly at the highest concentration used.
Effects of SP600125 inhibitor on cell growth and viability
Treatment with SP600125 for 24 h resulted in a dose-dependent increase in cell growth (total number of cells) and cell viability (number of viable cells) in the two cell lines tested. The increase appeared to be more prominent in the SCC25 cell line than in the SCC9 cell lines. However, the observed changes were not significant (Fig. 2).
Effects of JNK1/2 siRNA silencing on JNK and STAT3 protein expression and activation and cyclin D1 levels
In order to corroborate the results from the pharmacological inhibition of JNK1/2, specific inhibition was performed by siRNA-targeting of JNK1/2 in SCC25 and SCC9 cell lines. Following 48 h of transfection with a specific siRNA against JNK1/2, western blot analysis revealed that JNK1/2 was efficiently silenced, which was accompanied by a dose-dependent decrease in the protein levels of p-c-Jun compared with the control in both cell lines (Fig. 3).
Decreases in JNK1/2 protein expression and c-Jun phosphorylation following 48 h of treatment with 2 and 7 µΜ specific siRNA against JNK1/2 correlated with a decrease in the levels of p-Ser STAT3 in both cell lines. More prominent was this decrease at higher concentration (7 µM). Regarding STAT3 tyrosine phosphorylation, an upregulation in the levels of p-Tyr STAT3 was detected, particularly at the highest concentration tested. Total STAT3 protein levels remained steady in both cell lines (Fig. 3).
Furthermore, western blot analysis demonstrated that silencing of JNK1/2 was associated with markedly increased levels of cyclin D1 protein expression in a dose-dependent manner in both cell lines, while the protein levels of β-actin remained stable (Fig. 3).
In summary, specific silencing of JNK1/2 resulted in decreases in p-Ser STAT3 and cyclin D1 levels and increases in p-Tyr-STAT3 levels in both cell lines.
Effects of silencing JNK1/2 on cell growth and viability
Similar to the effects of the chemical inhibitor SP600125, siRNA treatment against JNK1/2 for 48 h resulted in a dose-dependent increase in cell growth and viability in both cell lines, although it was not significant (Fig. 4).
Effects of JNK1/2 induction on JNK1/2 and STAT3 protein expression and activation and cyclin D1 levels
To further investigate the significance of JNK1/2 in the modulation of STAT3, pharmacological induction of JNK/2 was performed using active MKK7 to further induce JNK1/2 expression. Treatment of cells with selective MKK7 inducer efficiently upregulated the levels of p-c-Jun in a dose-dependent manner in both cell lines without affecting the total JNK1/2 levels (Fig. 5).
Treatment of both cell lines with JNK1/2 inducer for 48 h resulted in induced phosphorylation of STAT3 at Ser727 at the two concentrations tested in SCC25 cells, and particularly at the highest concentration assayed in SCC9 cells. By contrast, p-Tyr STAT3 levels appeared to decrease following treatment with active MKK7, particularly at the highest concentration tested. Total STAT3 levels were not affected by JNK1/2 induction in either cell line (Fig. 5).
With regards to cyclin D1, active MKK7 treatment of both cell lines for 48 h caused a downregulation in cyclin D1 expression levels in a dose-dependent manner. The levels of β-actin protein remained stable despite the treatment (Fig. 5).
In summary, JNK/2 induction caused an upregulation of p-Ser STAT3 levels in the two cell lines analyzed, as well as decreases in the levels of p-Tyr-STAT3 and cyclin D1.
Effects of JNK1/2 induction on cell growth and viability
Active MKK7 treatment at the highest concentration tested for 48 h resulted in a significant dose-dependent decrease in cell growth and viability, which were more prominent in the SCC25 cell line than in the SCC9 cell line. Cell growth changes were significant at the highest concentration assayed in both cell lines (SCC25 P=0.039; SCC9 P=0.044), compared with the control, while cell viability changes were significant at the two concentrations tested in the SCC25 cell line, compared with the control (5 µM P=0.041; 10 µM P=0.03 (Fig. 6).
Discussion
The role of JNKs in cancer development is still under investigation. Activation of the JNK signaling pathway in response to several extracellular stimuli has been viewed as a critical event that leads to apoptotic or non-apoptotic cell death in several cells, including bronchial epithelial, human hepatoma, hepatocellular carcinoma and osteosarcoma cells (36–39). By contrast, JNK has also been reported to promote cell transformation and proliferation in cancer stem cells (40). Recent data suggest that the role of JNK1 and JNK2 in cancer is diverse, resulting in either promotion or suppression of tumor formation or size in different types of cancer, which emphasizes the significance of understanding the dual role of JNKs and the molecular background of these distinct functions in different tumors (41). For example, Seki et al (42) highlighted the relevant role of JNK signaling in the initiation and progression of liver cancer, and Leventaki et al (43) reported that JNK activation induces tumor cell proliferation in classical Hodgkin lymphoma. Jia et al (44) reported that the activation of JNK contributes to dihydroartemisinin-induced autophagy in pancreatic cancer cells, and Shi et al (45) suggested that JNK enhances the tumor suppressive role of p53 and promotes apoptosis in several cell cancer lines, including colon, breast carcinoma and osteosarcoma.
The functional role of JNK signaling has also been studied in HNSCC, with conflicting findings. Gross et al (27) observed that inhibition of c-Jun with SP600125 suppresses the growth of HNSCC cells. In addition, Yunoki et al (28) proposed that combined silencing of B-cell lymphoma 2-associated athanogene 3 (a co-chaperone of heat shock protein 70) and inhibition of the JNK signaling pathway may be an option in hyperthermia therapy in OSCC. However, several studies highlighted the role of activated JNK in apoptosis and tumor suppression in HNSCC. For example, Boivin et al (26) demonstrated that JNK mediates radiotherapy-induced apoptosis in human HNSCC cell lines, and Chen et al (46) demonstrated that the apoptotic effect of cisplatin and cordycepin act synergistically through the activation of the JNK/caspase-7/poly (ADP-ribose) polymerase signaling pathway in the human oral cancer cell line OC3. Furthermore, Noutomi et al (47) reported that JNK activation is involved in the molecular mechanism of tumor necrosis factor-related apoptosis-inducing ligand-induced cell death in HNSCC.
The present results appear to support a rather onco-suppressive role of JNK in oral cancer, since JNK1/2 inhibition was associated with a noticeable (although not significant) increase in the number of living OSCC cells in a dose-dependent manner, which was accompanied by a corresponding upregulation in the levels of cyclin D1. Previous studies examined the role of JNK in mediating the apoptotic effect of several pharmacological agents or anticancer drugs in HNSCC cell lines, including N-(4-hydroxyphenyl) retinamide (4HPR), pepsin-digested bovine lactoferrin, 5-aminolevulinic acid, MLN4924, 6-(N, N -dimethylamino)-2-(naphthalene-1-yl) −4-quinazolinone, fomitoside-K, mevastatin and AZD8055 (an mTOR inhibitor), and their biological mechanisms of apoptosis (48–55). Consistent with the present results, an antitumor role of JNK has been proposed upon treatment of HNSCC cells with the JNK inhibitor SP600125, which diminished the aforementioned pharmacological agents-induced apoptosis (47–54). Similarly, Li and Johnson (56) demonstrated that pharmacological inhibition of JNK with SP600125 markedly inhibited bortezomib-induction of autophagy regulatory proteins and autophagosome formation in HNSCC.
In the present study, selective siRNA-mediated JNK inhibition induced similar results to those of JNK pharmacological inhibition in a dose-dependent manner in the two cell lines evaluated, followed by a non-significant increase in the total number of cells and cell viability levels. Using similar siRNA techniques, Kim et al (49) demonstrated that suppression of JNK1 and JNK2 decreased, whereas overexpression of wild-type JNK1 enhanced, 4HPR-induced apoptosis. In addition, Li et al (48) described that JNK inhibition by RNA interference alleviated AZD8055-induced cell death in HNSCC.
By contrast, the present study has demonstrated that pharmacological induction of JNK appears to have the opposite effects to those aforementioned in the pharmacological and selective siRNA-mediated JNK inhibition. Notably, the decrease in the total cell number follows the relative decrease in cyclin D1 levels. In agreement with these results, Schramek et al (57) indicated that MKK7 functions as a major tumor suppressor in lung and mammary cancer in mice, while Tang et al (37) reported that alpinetin decreases proliferation of human hepatoma cells through the activation of MKK7, and Dai et al (58) reported MKK7/JNK1-dependent apoptosis in human acute myeloid leukemia cells.
Regarding a potential crosstalk between STAT3 and JNK, constitutive activation of STAT3, accompanied by increases in STAT3 tyrosine phosphorylation, is known to regulate cell proliferation, differentiation and apoptosis in various types of cancer (5,6). However, the role of serine phosphorylation is less well understood. Although there is significant evidence in favor of the important role of STAT3 in head and neck cancer, the mechanism of STAT3 hyperactivation in this type of cancer remains to be completely understood (59). STAT proteins are important downstream targets of MAPKs, which are involved in the regulation of STAT proteins through crosstalk signaling (12).
The role of specific MAPKs, including JNK, in STAT3 regulation is not completely understood. In a previous study (60), the present authors investigated the role of ERK1/2, and demonstrated that ERK induced the upregulation of STAT3 Ser727 phosphorylation, while phosphorylation of Tyr705 did not appear to experience major changes.
The present study focused on the role of JNK in the regulation of STAT3 signaling, and investigated whether changes in the expression and activation status of JNK1/2 affect STAT3 tyrosine and/or serine phosphorylation and the total protein expression levels of STAT3 in HNSCC cell lines. Chemical inhibition (via SP600125) or selective targeting (via siRNA) of the MAPK JNK1/2 downregulated STAT3 serine phosphorylation, which was accompanied by a moderate increase in p-Tyr STAT3 levels. Induction of JNK had the opposite effects, resulting in upregulation of STAT3 serine phosphorylation and downregulation of STAT3 tyrosine phosphorylation.
Crosstalk between JNK and STATs has been described in several cases. For example, Kim et al (61) indicated that the development of doxorubicin resistance in cancer cell lines is correlated with the activation of STAT3 through the JNK signaling pathway. In addition, Guo et al (62) observed that JNK inhibition leads to reduced STAT3 Ser727 phosphorylation in breast cancer cells, and noticed that the antitumor activity of oncrasin-72 was followed by JNK activation and inhibition of Janus kinase 2/STAT3 phosphorylation. Similar results were obtained in previous studies in human bronchial epithelial cells, where JNK inhibition through SP600125 or JNK silencing reduced Ser727 phosphorylation of STAT3 (39,63). Additionally, Lim and Cao (15) noticed that STAT3 is negatively regulated through JNK-induced serine phosphorylation by JNK in monkey kidney cells. Shirakawa et al (64) studied STAT6, another member of the STAT family, and suggested that JNK phosphorylates Ser707 of STAT6 and leads to deactivation and inhibition of the transcription of STAT6-responsive genes in human HeLa and HEK293 cells.
In summary, the present findings support a potential onco-suppressive role of JNK1/2 in OSCC, as the activation of JNK appears to downregulate cell proliferation and viability, and decreases cyclin D1 expression levels. It appears that oncogenic STAT3 constitutive signaling in OSCC cells is negatively regulated by JNK. The JNK-STAT3 crosstalk is mediated mostly through JNK-induced upregulation of STAT3 phosphorylation at Ser727, and downregulation of STAT3 phosphorylation at Tyr705, which collectively may cause the inhibition of STAT3 activity.
It is possible that the role of JNK in STAT3 modulation varies according to the type and status of the studied cells, indicating the requirement for identifying the role of MAPK activation in relation to STAT3 signaling in specific cell types. Understanding the complexity of the MAPK signaling pathway and the crosstalk between other major molecules such as STAT3 will be helpful to design pharmacological therapies for cancer prevention.
In conclusion, the present results indicate that JNK may be a potential significant molecular target of novel anticancer therapies for patients with OSCC.
Acknowledgements
The present study was co-financed by the European Union [Brussels, Belgium; European Social Fund (ESF), and Greek national funds through the Operational Program ‘Education and Lifelong Learning’ of the National Strategic Reference Framework-Research Funding Program ‘Heracleitus II. Investing in knowledge society through the ESF’ (Athens, Greece) grant no. 388/1/359.
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