Zhi-Jian Wei , Bao-You Fan , Yang Liu , Han Ding Hao-Shuai Tang Da-Yu Pan Jia-Xiao Shi Peng-Yuan Zheng Hong-Yu ShiHeng Wu, Ang Li, Shi-Qing Feng
1 Department of Orthopedics, Tianjin Medical University General Hospital, Tianjin, China
2 Tianjin Key Laboratory of Lung Cancer Metastasis and Tumor Microenvironment, Tianjin Lung Cancer Institute, Tianjin Medical University General Hospital, Tianjin, China
3 Department of Orthopedics, Henan Provincial People's Hospital, Zhengzhou, Henan Province, China
Abstract Bone marrow-derived mesenchymal stem cells differentiate into neurons under the induction of Schwann cells. However, key microRNAs and related pathways for differentiation remain unclear. This study screened and identified differentially expressed microRNAs in bone marrow-derived mesenchymal stem cells induced by Schwann cell-conditioned medium, and explored targets and related pathways involved in their differentiation into neuronal-like cells. Primary bone marrow-derived mesenchymal stem cells were isolated from femoral and tibial bones, while primary Schwann cells were isolated from bilateral saphenous nerves. Bone marrow-derived mesenchymal stem cells were cultured in unconditioned (control group) and Schwann cell-conditioned medium (bone marrow-derived mesenchymal stem cell + Schwann cell group). Neuronal differentiation of bone marrow-derived mesenchymal stem cells induced by Schwann cell-conditioned medium was observed by time-lapse imaging. Upon induction, the morphology of bone marrow-derived mesenchymal stem cells changed into a neural shape with neurites. Results of quantitative reverse transcription-polymerase chain reaction revealed that nestin mRNA expression was upregulated from 1 to 3 days and downregulated from 3 to 7 days in the bone marrow-derived mesenchymal stem cell + Schwann cell group. Compared with the control group, microtubule-associated protein 2 mRNA expression gradually increased from 1 to 7 days in the bone marrow-derived mesenchymal stem cell + Schwann cell group. After 7 days of induction, microRNA analysis identified 83 significantly differentially expressed microRNAs between the two groups. Gene Ontology analysis indicated enrichment of microRNA target genes for neuronal projection development, regulation of axonogenesis, and positive regulation of cell proliferation. Kyoto Encyclopedia of Genes and Genomes pathway analysis demonstrated that Hippo, Wnt, transforming growth factor-beta, and Hedgehog signaling pathways were potentially associated with neural differentiation of bone marrow-derived mesenchymal stem cells. This study, which carried out successful microRNA analysis of neuronal-like cells differentiated from bone marrow-derived mesenchymal stem cells by Schwann cell induction, revealed key microRNAs and pathways involved in neural differentiation of bone marrow-derived mesenchymal stem cells. All protocols were approved by the Animal Ethics Committee of Institute of Radiation Medicine, Chinese Academy of Medical Sciences on March 12, 2017 (approval number: DWLI-20170311).
Key Words: nerve regeneration; microRNA analysis; bone marrow-derived mesenchymal stem cells; Schwann cells; neuronal-like cells; neuronal differentiation; Gene Ontology analysis; Hippo signaling pathway; Wnt signaling pathway; transforming growth factor-beta signaling pathway;Hedgehog signaling pathway; neural regeneration
Schwann cell (SC) conditioned medium induces bone marrow-derived mesenchymal stem cells(BMSCs) to differentiate into neuronal-like cells
Bone marrow-derived mesenchymal stem cells (BMSCs), one source of mesenchymal stem cells (MSCs), have been applied medically for diverse indications ranging from bone regeneration to cardiac repair (Vaquero and Zurita, 2011; Garg et al.,2017). BMSCs have been documented as capable of differentiating into multiple cell types, such as osteoblasts, chondrocytes, myocytes, and adipocytes (Robey, 2017). Despite ongoing debates about the genuine functionality of these differentiated cells, interest in the neuronal differentiation or transdifferentiation (because they span different germinal layers) capacity of BMSCs has persisted (Venkatesh and Sen,2016). Several studies have reported that neuron-like cells derived from BMSCs shared similar electrophysiological and functional characteristics with normal neurons (Song et al.,2007; Seo et al., 2018; Yang et al., 2018). Therefore, a proper induction strategy seems to be more important for specifying cell fate, regardless if it is a morphological mimic or bona fide neuron.
Neuronal induction methods for BMSCs include chemical agents such as butylated hydroxyanisole and dimethyl sulfoxide (Woodbury et al., 2000, 2002; Schultz and Lucas, 2006);or isobutylmethylxanthine, 5-azacytidine, β-mercaptoethanol,and retinoic acid (Deng et al., 2001; Hung et al., 2002); neurotrophic factors such as brain-derived neurotrophic factor,basic fibroblast growth factor, epidermal growth factor, or a combination of these factors (Tohill et al., 2004; Tzeng et al.,2004); and cell co-culture systems (Xu et al., 2017). However,others have argued that these methods only result in morphological changes that can also be elicited by other chemical stressors (Neuhuber et al., 2004; Bertani et al., 2005), and are a short-term phenomenon that will be reversed upon the withdrawal of agents (Zurita et al., 2008). An alternative differentiation strategy involves the use of co-culture or mixed culture conditions. Several neural cells, such as astrocytes,cerebellar granule neurons, neural stem cells and Schwann cells (SCs), have been proposed to convert BMSCs to a more committed neural fate (Song et al., 2002; Wisletgendebien et al., 2005; Zurita et al., 2005; Chen et al., 2006). Our group has shown that SCs can induce BMSCs to differentiate into neurons in vitro, and co-transplantation of both cells can promote functional recovery after spinal cord injury in vivo (Ban et al., 2011). Thus, it is necessary to explore potential mechanisms underlying this process of differentiation.
Signaling pathways for BMSC differentiation towards neuronal phenotypes include Wnt (Jing et al., 2015), PI3K(Kumar et al., 2015), HIF-1, and ROCK pathways (Pacary et al., 2007). In addition, recent studies have revealed that microRNAs (miRNAs) play key roles in the regulation of neuronal development and differentiation (Eda and Tamura,2009; Perruisseaucarrier et al., 2011; Liu et al., 2012a). For example, increasing miR-124 expression can promote proliferation and differentiation of neuronal stem cells by inactivating the Notch pathway (Jiao et al., 2017). For BMSCs,miR-29a, miR-9, and miRNA let-7f-5p were shown to act as key regulators for neuronal differentiation (Jing et al., 2011;Duan et al., 2014; Han et al., 2018). However, no comprehensive miRNA analysis of BMSC neuronal differentiation under SC induction has been performed.
This study explored changes in miRNAs of BMSCs induced with SC-conditioned medium. The results will be helpful to establish a deeper understanding of underlying mechanisms and find novel strategies for cell therapy.
Twenty female Wistar rats aged 4-weeks-old and weighing 100 ± 10 g were obtained from Experimental Animal Center of the Academy of Military Medical Sciences, Beijing, China[License No. SYXK (Jin) 2014-0002]. Rats were kept in a humidity- and temperature-controlled environment with a 12-hour light-dark cycle. All protocols were approved by the Animal Ethics Committee of Institute of Radiation Medicine, Chinese Academy of Medical Sciences on March 12,2017 (approval number: DWLI-20170311).
BMSCs were isolated from femoral and tibia bones in adult Wistar rats as previously described. Briefly, after anesthesia,bilateral femoral and tibia bones were carefully removed,both ends of bones were cut off, and the medullary cavity was rinsed with Dulbecco's Modified Eagle's Medium (DMEM;Gibco, Carlsbad, CA, USA) using a syringe. The flushed solution was collected and centrifuged at 300 × g for 3 minutes.Afterwards, resuspended cells were seeded in culture dishes containing complete medium [DMEM supplemented with 10% fetal bovine serum, 100 U/mL penicillin, and 100 μg/mL streptomycin (all from Gibco)]. After 48 hours of incubation,hematopoietic and other non-adherent cells were removed.Cells were digested with 0.25% trypsin (Sigma, Shanghai,China), collected, centrifuged, and expanded until passage 3 for characterization and differentiation experiments. BMSCs were characterized using flow cytometry with antibodies against CD34 (ab187284, mouse monoclonal; Abcam, Cambridge, UK), CD45 (202214, mouse monoclonal; BioLegend,San Diego, CA, USA), CD29 (102216, Armenian hamster monoclonal; BioLegend), and CD90 (206105, mouse monoclonal; BioLegend). Flow cytometry analysis was performed using a fluorescence-activated cell sorter (FACSCalibur; Becton Dickinson, San Jose, CA, USA) with the CELL Quest program (Becton Dickinson). A CytoFLEX instrument (Beckman Coulter, Shanghai, China) was used for flow cytometry.
SCs were isolated and cultured according to previously modified protocols (Fan et al., 2017). The bilateral saphenous nerves of rats were removed after anesthesia. The epineurium was carefully stripped and the nerve tissue was cut into pieces, which were placed in pre-warmed trypsin (0.3%)for 30 minutes. Digested tissue was seeded in culture dishes containing complete medium (described above). Cells were incubated at 37°C in 5% CO2for 72 hours. Upon reaching 85% confluence, cells were passaged, and differential adherence was used for cell purification. Cells were passaged to passage 5 for further study. For identification of SCs, cells were seeded on cover slips for 48 hours and then fixed by 4%paraformaldehyde for 15 minutes. After cells were permeabilized using Triton X-100 and blocked with 5% goat serum albumin for 1 hour, they were incubated with a primary S100 antibody (rabbit polyclonal, 1:100; Abcam) at 4°C overnight.After excess antibody was removed by rinsing with phosphate-buffered saline containing Tween 20, a secondary antibody (goat anti-rabbit IgG/FITC; 1:100; Sigma, St. Louis, MO,USA) was added and incubated for 2 hours at room temperature. Cell nuclei were stained by 4′,6-diamidine-2′-phenylindole dihydrochloride (DAPI, Abcam). Images were acquired with a fluorescence microscope (IX71, Olympus, Tokyo,Japan). Three slides were randomly selected, and ten fields were randomly selected from the three slides. Number of SCs was equal to (the number of S100-positive cells/the number of DAPI-positive cells) × 100%. Finally, the mean of S100 immunopositive ratios was calculated.
For induction of BMSC neuronal differentiation, BMSCs were cultured in SC-conditioned medium. BMSCs at P3-5 were used for experiments. Before induction, BMSCs were implanted onto coverslips at 3 × 104cells per cm2. SCs were cultured in other culture flasks at 1 × 105cells/cm2. SC-conditioned medium was collected and BMSCs medium was half-changed with SC-conditioned medium every day. The medium of control BMSCs was half-changed with complete medium. Changes in BMSC morphology were observed using time-lapse video microscopy (BioStation, Nikon, Japan)for 3 days.
To analyze relative mRNA expression associated with neural markers in BMSCs, RT-PCR was employed. Expression levels of nestin, microtubule-associated protein 2 (MAP2) (Hashemi et al., 2017), tafazzin (Zhou et al., 2016), and protein phosphatase 1 (PP1C) (Fang et al., 2018) were normalized to the expression level of β-actin (Brett et al., 2011) (Table 1). Total RNA was isolated using a RiboPure? RNA purification kit (AM1924; Thermo Fisher Scientific, Waltham, MA,USA), and 2.0 μg of total RNA was reverse-transcribed into cDNA using a high-capacity cDNA reverse transcription kit (4368814, Thermo Fisher Scientific). Fast Start Universal SYBR Green Master (Rox) was used for PCR reactions (7 μL ddH2O, 1 μL cDNA, 1 μL forward primer, 1 μL reverse primer, and 10 μL SYBR qPCR Mix). All PCR reactions had three replicates. PCR reactions were performed as follows: 95°C for 30 seconds, then 40 cycles of 95°C for 5 seconds and 60°C for 30 seconds. All data were analyzed with the 2-ΔΔCtmethod(Livak and Schmittgen, 2001). P < 0.05 was considered to indicate a statistically significant difference.
Total RNA from different groups was isolated for microRNA analyses using an RNeasy Mini kit (Qiagen, Hilden, Germany). Total RNA was quantified with a NanoDrop ND-2000(Thermo Scientific), while an Agilent Bioanalyzer 2100 (Agilent Technologies, Santa Clara, CA, USA) was used to detect RNA integrity. An Agilent Rat miRNA (Release 21.0) chip was used in this study. According to the standard workflow for the chip, sample labeling, chip hybridization, and elution were conducted. An Agilent Scanner G2505C (Agilent Technologies) was used to scan the original image. Original data were processed using Feature Extraction software (version 10.7.1.1, Agilent Technologies). Genespring software (version 13.1, Agilent Technologies) was utilized to finish the quantile standardization and for subsequent processing. Differentially expressed miRNAs (DE-miRNAs) were screened via foldchange and P value of the applied t-test. Criteria applied in selected DE-miRNA were fold-change ≥ 2.0 and P ≤ 0.05.
Table 1 Primers for reverse transcription-polymerase chain reaction
Targetscan (http://www.targetscan.org), microRNA.org, and PITA (https://omictools.com/pita-tool) were used to predict target genes of DE-miRNAs. Gene Ontology (GO; http://geneontology.org) and Kyoto Encyclopedia of Genes and Genomes(KEGG; https://www.genome.jp/kegg/) pathway analyses were applied to determine roles of miRNA target genes with Cytoscape software 3.5.1 (http://www.cytoscape.org/). Hierarchical clustering was performed to show distinguishable miRNA expression patterns among samples. According to P values,the 15 most significant GO terms were selected for biological processes, cellular components, and molecular functions.
Data are expressed as the mean ± SD, and were analyzed using SPSS 13.0 software (SPSS Inc., Chicago, IL, USA). Statistical analysis was performed using two-sample t test and one-way analysis of variance followed by Tukey's post hoc test. All experiments were conducted at least three times. P< 0.05 was considered statistically significant.
BMSCs were isolated from femoral and tibial bones of adult Wistar rats, and undifferentiated cells at P3-5 were examined by flow cytometry for expression of surface markers (CD34,CD45, CD29, and CD90). BMSCs showed positive expression for CD29 and CD90 (Figure 1A). In contrast, BMSCs were clearly negative for hematopoietic markers CD34 and CD45(Figure 1B). The bilateral saphenous nerves of rats were used to isolate SCs, and P3 cells were examined for SC identity using S-100/DAPI immunofluorescence staining. As shown in Figure 1C, the morphology of cells was almost spindle type,and 95.7 ± 0.8% of cells were positive for S100.
SC-conditioned medium was used to induce differentiation of BMSCs into neuronal-like cells. The effect of SC-conditioned medium on BMSC differentiation was observed by time-lapse imaging (Figure 1D-I). The shape of BMSCs changed into neuronal-like cells, as the cell bodies of BMSCs gradually shrank and became bright, and several neurites formed. Furthermore, the inductive effects of SC-conditioned medium were detected by an increase in neuronal markers nestin and MAP2 (Figure 1J). Although nestin expression was present at 1, 3, 5, and 7 days in BMSCs with or without SC-conditioned medium, the results showed a notably higher amount of nestin in BMSCs induced with SC-conditioned medium compared with the BMSC control group at 3 days. However, nestin expression was reduced from 3 to 7 days. In contrast, expression of MAP2 was increased in BMSCs induced by SC-conditioned medium from 1 to 7 days compared with BMSCs without SC-conditioned medium (Figure 1J). Therefore, SC-medium promoted differentiation of BMSCs into neuronal-like cells.
MiRNA microarray was utilized to detect differentially expressed miRNAs (DE-miRNAs) in BMSCs cultured in unconditioned medium or with neural induction by SC-conditioned medium. DE-miRNAs were recognized according to the following criteria: upregulated or downregulated in the BMSC + SC group compared with the BMSC control group under the condition of “P < 0.05 and fold-change >2.0”. A total of 83 miRNAs were significantly differentially expressed, including 77 upregulated and 6 downregulated miRNAs. These DE-miRNAs were used to analyze target genes for further bioinformatic analyses (Figure 2).
The target genes of 83 DE-miRNAs were predicted using Targetscan, microRNA.org, and PITA. Subsequently, biological processes, cellular components, and molecular functions of DE-miRNA targets were analyzed through GO (Figure 3).With regard to biological processes, target genes for neuron projection development, regulation of axonogenesis, and positive regulation of cell proliferation were enriched (Additional Table 1). For cellular components, cytoplasm, plasma membrane, and membrane genes were enriched (Additional Table 2). For molecular functions, genes involved in protein binding, calcium ion binding, and ubiquitin protein ligase binding were enriched (Additional Table 3).
KEGG pathway analysis was used to investigate potential pathways associated with neural differentiation (Additional Table 4). The results of pathway analysis showed that target genes were enriched in Hippo, Wnt, tumor growth factor-beta, and Hedgehog signaling pathways, which were potential acting pathways in neural differentiation of BMSCs(Figure 4).
To validate the expression of DE-miRNA targets, RT-qPCR was utilized to detect the expression of tafazzin and PP1C.Tafazzin is involved in the Hippo signaling pathway, while PP1C is involved in the tumor growth factor-beta signaling pathway. After co-culture of BMSCs with SC-conditioned medium for 7 days, expression of tafazzin (P < 0.0001) and PP1C (P < 0.001) was downregulated in the BMSC + SC group compared with the BMSC control group (Figure 5).
Neuronal differentiation of BMSCs has great potential for the treatment of various neurodegenerative disorders, such as Alzheimer's disease, Parkinson's disease, and brain/spinal cord injury (Shichinohe et al., 2015). Adoption of a co-culture strategy for clinical use avoids limitations associated with repeated exposure to chemical agents or neurotrophic factor injections. Paracrine factors secreted by supporting cells can modify not only the viability of transplanted cells,but also the rate of their neuronal differentiation. Numerous studies have shown that miRNAs play an important role in modulating neuronal differentiation of stem cells (Brett et al., 2011; Crobu et al., 2012; Stappert et al., 2013). In the current study, SCs induced BMSC differentiation into neuronal-like cells. Upon investigating the expression profile of miRNAs in BMSCs induced to differentiate into neuronal-like cells, and 83 DE-miRNAs were identified. The target genes of 15 DE-miRNAs were predicated, and potential acting pathways were examined.
KEGG analysis results showed that significantly changed miRNA targets were enriched in several neuronal differentiation pathways, including Hippo, Wnt, tumor growth factor-beta, and Hedgehog signaling pathways, which are described in more detail below.
Hippo signaling is the key regulator in maintaining the self-renewal ability of stem cells, especially in the nervous system (Xiaomei et al., 2017). Yes-associated protein and its paralog tafazzin (transcriptional co-activator with PDZ-binding motif, also known as WW domain-containing transcription regulator 1, or Wwtr1) are the main downstream effectors of the Hippo signaling pathway (Guo and Teng, 2015). It has been demonstrated that Yes-associated protein/tafazzin-mediated nuclear accumulation of phosphoSmads is required for human embryonic stem cell plu-ripotency (Varelas et al., 2008). Conversely, silencing of the Hippo signaling pathway results in neuroectoderm differentiation (Sun et al., 2014). Moreover, hypermethylation of Salvador/Warts/Hippo pathway genes can induce neuronal differentiation of BMSCs (Tzeng et al., 2015). In the current study, SC-induced neuronal differentiation of BMSCs led to obvious increases of miRNAs such as miR-17-5p, miR-20b-5p, and miR-503-5p, which all target tafazzin.
Figure 2 Heat map of miRNA expression levels in BMSCs.miRNA microarray results from three replicates of two groups: BMSCs induced with SC-conditioned medium and BMSCs cultured in unconditioned medium. miRNA microarray results shown used hierarchal clustering of differentially expressed miRNA under the condition“P < 0.05 and fold change > 2.0”. The rightmost legend represents fold-change. BMSCs: Bone marrow-derived mesenchymal stem cells; SC: Schwann cells.
Figure 3 Gene Ontology (GO) analysis of biological process, cellular component, and molecular function.The top 15 significant GO terms were listed for (A) biological processes, (B) cellular components, and (C) molecular functions. Blue column shows the number of genes, while red column shows the P value (-log10).
Figure 4 Pathway analysis of differentially expressed miRNA targets.(A) KEGG pathway analysis results.Blue column shows the number of genes, while red column shows the P value (-log10). (B) Result generated by Cytoscape software 3.5.1. Circles representing TGF-beta, Hippo, Wnt, and Hedgehog signaling pathways are related to stem cell differentiation, while circles with different colors and the remaining yellow circles are not related. KEGG: Kyoto Encyclopedia of Genes and Genomes; TGF:transforming growth factor.
Figure 5 Validation of differentially expressed miRNA target genes.Results of RT-PCR for TAZ and PP1C expression levels in BMSCs cultured with or without SC-conditioned medium (mean ± SD, n = 3; two-sample t test). ***P < 0.001. BMSCs: Bone marrow-derived mesenchymal stem cells; PP1C: protein phosphatase 1; SC: Schwann cell; TAZ: tafazzin.
Wnt signaling has an essential role in neuronal differentiation, nervous system development, synaptic maintenance,and neuronal functions (Arrázola et al., 2015; Inestrosa and Varelanallar, 2015). Multiple lines of evidence show that different stimuli can induce stem cells to differentiate into neuronal phenotypes by activating the Wnt signaling pathway (Liu et al., 2014; Chen et al., 2018; Grünblatt et al.,2018). miR-128-3p, which was upregulated in BMSCs induced by co-culture with SCs, is firmly associated with the Wnt signaling pathway. miR-128 can synergize with miR-124 and miR-137 to promote differentiation of neural stem cells (Santos et al., 2016). Moreover, miR-218 serves as a crucial constituent regulator of neuronal differentiation of adipose stem cells through the Wnt signaling pathway (Hu et al., 2017). miR-128 has also been used to induce neural differentiation of induced pluripotent stem cells (Zare et al.,2015).
The tumor growth factor-beta signaling pathway plays an important role in forming the neural tube and patterning the spinal cord, with tumor growth factor-beta family members exerting both positive and negative regulation of neuronal differentiation (Meyers and Kessler, 2017). Smad2, an important component of the tumor growth factor-beta signaling pathway, was shown to be a potential target of miR-455-3p in Alzheimer's disease postmortem brain (Kumar and Reddy, 2018). miR-10a and miR-195 also exhibited a relationship with tumor growth factor-beta signaling via different biological processes (Sun et al., 2015; Duan and Chen,2016). Moreover, engrafted peripheral blood-derived MSCs could differentiate into central nervous system cells via increased expression of tumor growth factor-beta, which promoted locomotive recovery in adult rats after spinal cord injury (Fu et al., 2017).
Sonic hedgehog (Shh) and its downstream signaling regulate the early induction and expansion of progenitors during central nervous system development (Feuerstein et al., 2017). In addition, Shh is one of the main motor neuron differentiation inducers in human pluripotent stem cells(Sun et al., 2014). miR-128, miR-195, and miR-503, which participate in Hippo, Wnt, and tumor growth factor-beta signaling pathways, were also enriched for the Shh signaling pathway. Numerous studies have implicated miRNAs as cellular switches that modulate cellular outcomes in response to regulation of signaling networks during stem cell differentiation, which is consistent with our current results (Aval et al., 2017).
The results of this study provide a miRNA profile of BMSCs differentiated into neuronal-like cells upon induction with SC-conditioned medium. Microarray and subsequent pathway analyses revealed key miRNAs and signaling pathways for neuronal differentiation of BMSCs. Although this experiment validated the expression of some genetic targets,it is still necessary to verify the function of target genes and implicated signaling pathways in future experiments.
Acknowledgments:We are grateful for Professor Xiaohong Kong and Chang Liu from 221 Laboratory, School of Medicine, Nankai University,Tianjin, China for their valuable suggestions.
Author contributions: Study conception and design: SQF, ZJW, BYF ,YL; experimental implementation: ZJW, BYF, YL; provision of critical reagents and scientific input: HD, HST, DYP; caring for rats: JXS, PYZ,HYS; data analysis: HW, AL, SQF; manuscript preparation: ZJW, BYF,YL. All authors approved the final version of the paper.
Conflicts of interest:The authors declare that there are no conflicts of interest associated with this manuscript.
Financial support:The present study was supported by the National Natural Science Foundation of China, No. 81330042, 81620108018,and 81702147 (both to ZJW). The funding sources had no role in study conception and design, data analysis or interpretation, paper writing or deciding to submit this paper for publication.
Institutional review board statement:All procedures were approved by the Animal Ethics Committee of Chinese Academy of Medical Sciences Institute of Radiation Medicine, China on March 12, 2017 (approval No.DWLI-20170311). All experimental procedures described here were in accordance with the National Institutes of Health (NIH) guidelines for the Care and Use of Laboratory Animals.
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Data sharing statement: Datasets analyzed during the current study are available from the corresponding author on reasonable request.
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Additional files:
Additional Table 1:Biological process.
Additional Table 2:Cellular component.
Additional Table 3:Molecular function.
Additional Table 4:Kyoto Encyclopedia of Genes and Genomes.
中國(guó)神經(jīng)再生研究(英文版)2019年8期