Article(id=1322954171988718394, tenantId=1146029695717560320, journalId=1319373162502258839, issueId=1322954116858782668, articleNumber=null, orderNo=null, doi=10.16016/j.2097-0927.202510027, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1760371200000, receivedDateStr=2025-10-14, revisedDate=1764259200000, revisedDateStr=2025-11-28, acceptedDate=null, acceptedDateStr=null, onlineDate=1793346453902, onlineDateStr=2026-10-30, pubDate=1767024000000, pubDateStr=2025-12-30, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793346453902, onlineIssueDateStr=2026-10-30, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793346453902, creator=13701087609, updateTime=1793346453902, updator=13701087609, issue=Issue{id=1322954116858782668, tenantId=1146029695717560320, journalId=1319373162502258839, year='2025', volume='47', issue='24', pageStart='3009', pageEnd='3159', issueExtLink='null', onlineDate='null', pubDate='1767024000000', pubDateStr='2025-12-30', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1793346440757, creator='13701087609', updateTime=1793346440757, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext=null, issueFiles=null, downloadFileDto=null}, startPage=3065, endPage=3076, ext={EN=ArticleExt(id=1322954172303291195, articleId=1322954171988718394, tenantId=1146029695717560320, journalId=1319373162502258839, language=EN, title=Effects of LncRNA FGD5-AS1 on migration and invasion of gastric cancer cells by regulating miR-302b-3p/E2F1 axis, columnId=1320434418116837551, journalTitle=Journal of Army Medical University, columnName=Basic Medicine, runingTitle=null, highlight=null, articleAbstract=
Objective To explore the effects of long non coding RNA FGD5-AS1 (LncRNA FGD5-AS1) on the migration and invasion of gastric cancer cells by regulating the microRNA-302b-3p (miR-302b-3p)/E2F transcription factor 1 (E2F1) axis.
Methods Real-time fluorescence quantitative PCR (qRT-PCR) was used to detect the mRNA expression of LncRNA FGD5-AS1, miR-302b-3p, and E2F1 in gastric cancer cell lines (SGC-7901, MKN-45, HGC-27, AGS, BGC-823) and human gastric epithelial cell line GES-1, in order to screen for the best intervention cells. Gastric cancer cells were separated into control group (NC group), sh-NC group, sh-FGD5-AS1 group, sh-FGD5-AS1+anti-miR-NC group, and sh-FGD5-AS1+anti-miR-302b-3p group. qRT-PCR was performed to detect the expression of LncRNA FGD5-AS1, miR-302b-3p, and E2F1 in the cells. MTT assay and flow cytometry were applied to measure cell proliferation and apoptosis, respectively. Scratch and Transwell assays were carried out to measure cell migration and invasion, respectively. Western blotting was carried out to measure the protein levels of E2F1, Ki-67, Bax and Bcl-2. Nude mouse model of transplantable subcutaneous tumor was established to verify the effect of LncRNA FGD5-AS1 on the growth of gastric cancer transplant tumors. Dual luciferase reporter gene and RNA pull-down assays were used to detect the targeting relationship of LncRNA FGD5-AS1 and E2F1 with miR-302b-3p.
Results Compared with the GES-1 cells, the gastric cancer cell lines SGC-7901, MKN-45, HGC-27, AGS and BGC-823 exhibited significantly increased mRNA levels of LncRNA FGD5-AS1 and E2F1, while decreased level of miR-302b-3p (P<0.05). AGS cells were finally selected for the following experiments. Silencing LncRNA FGD5-AS1 prominently up-regulated miR-302b-3p, down-regulated E2F1, and inhibited cell proliferation, migration, and invasion, and promoted cell apoptosis in gastric cancer AGS cells (P<0.05). Inhibition of miR-302b-3p partially weakened the effects of silencing LncRNA FGD5-AS1 on the proliferation, migration, invasion, and apoptosis of gastric cancer cells (P<0.05). In vivo experiments showed that silencing LncRNA FGD5-AS1 could prominently inhibit the growth of transplanted tumors in mice (P<0.05). RNA pull-down and dual luciferase reporter gene assays confirmed the targeted regulatory relationship of LncRNA FGD5-AS1 and E2F1 with miR-302b-3p.
Conclusion LncRNA FGD5-AS1 is up-regulated in gastric cancer cells, and its silencing can inhibit the malignant progression of gastric cancer by regulating the miR-302b-3p/E2F1 axis.
, authors=Na LI
1, Hao LI
1, Kun LIN
2, Yanxin HE
1, Yinglan ZHENG
1, authorsList=Na LI, Hao LI, Kun LIN, Yanxin HE, Yinglan ZHENG, authorCompany=null, correspAuthors=Yinglan ZHENG, authorNote=null, correspAuthorsNote=null, copyrightStatement=© 2025 Journal of Army Medical University, copyrightOwner=Editorial Office of Journal of Army Medical University, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1322954175583236941, articleId=1322954171988718394, tenantId=1146029695717560320, journalId=1319373162502258839, language=CN, title=LncRNA FGD5-AS1通过调节miR-302b-3p/E2F1轴对胃癌细胞迁移及侵袭的影响, columnId=1320434418343329969, journalTitle=陆军军医大学学报, columnName=论著·基础医学, runingTitle=null, highlight=null, articleAbstract=
目的 探讨长链非编码RNA FGD5-AS1(LncRNA FGD5-AS1)调节微小RNA-302b-3p(miR-302b-3p)/E2F转录因子1(E2F1)轴对胃癌细胞迁移及侵袭的影响。
方法 实时荧光定量PCR反应(qRT-PCR)检测胃癌细胞系(SGC-7901、MKN-45、HGC-27、AGS、BGC-823)及人胃粘膜上皮细胞系GES-1中LncRNA FGD5-AS1、miR-302b-3p、E2F1 mRNA表达,筛选最佳干预细胞。将胃癌细胞分为对照组(NC组)、sh-NC组、sh-FGD5-AS1组、sh-FGD5-AS1+anti-miR-NC组、sh-FGD5-AS1+anti-miR-302b-3p组。qRT-PCR检测细胞中LncRNA FGD5-AS1、miR-302b-3p、E2F1 mRNA的表达水平;MTT法及流式细胞仪分别检测细胞增殖与凋亡;划痕实验及Transwell实验分别检测细胞迁移与侵袭;Western blot检测E2F1、Ki-67、Bax、Bcl-2蛋白表达;裸鼠移植瘤实验验证LncRNA FGD5-AS1对胃癌移植瘤生长的影响;双荧光素酶报告基因和RNA pull-down实验检测LncRNA FGD5-AS1、E2F1与miR-302b-3p的靶向关系。
结果 与GES-1相比,胃癌细胞系(SGC-7901、MKN-45、HGC-27、AGS、BGC-823)中LncRNA FGD5-AS1、E2F1 mRNA表达水平升高,miR-302b-3p表达水平降低(P<0.05),选择AGS细胞进行实验;沉默LncRNA FGD5-AS1表达可显著上调miR-302b-3p表达,下调E2F1表达,抑制胃癌细胞增殖、迁移与侵袭,促进细胞凋亡(P<0.05);抑制miR-302b-3p表达可部分减弱沉默LncRNA FGD5-AS1对胃癌细胞增殖、迁移、侵袭及凋亡的作用(P<0.05);体内实验显示,沉默LncRNA FGD5-AS1表达可显著抑制胃癌移植瘤小鼠肿瘤的生长(P<0.05);RNA pull-down实验、双荧光素酶报告基因实验证实LncRNA FGD5-AS1、E2F1与miR-302b-3p存在靶向调控关系。
结论 LncRNA FGD5-AS1在胃癌细胞中上调表达,沉默LncRNA FGD5-AS1表达可通过调节miR-302b-3p/E2F1轴,抑制胃癌恶性进展。
, authors=李娜
1, 李浩
1, 林坤
2, 贺延新
1, 郑英兰
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1Department of Gastroenterology, Qingdao Central Hospital of Rehabilitation University,Qingdao,Shandong,China), AuthorCompanyExt(id=1322954175851672400, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, companyId=1322954175830700878, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
1康复大学青岛中心医院,消化内科,山东 青岛)]), AuthorCompany(id=1322954175931364177, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, xref=2, ext=[AuthorCompanyExt(id=1322954175943947090, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, companyId=1322954175931364177, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
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Comparison of LncRNA FGD5-AS1,miR-302b-3p and E2F1 mRNA expression levels in each group of gastric cancer cells (n=6), figureFileSmall=4ADStmYv9RLXnO3LfLwqQQ==, figureFileBig=EFepo7KNTjkg1O3x5s5IYQ==, tableContent=null), ArticleFig(id=1322954179752375160, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=CN, label=图1, caption=
各组细胞LncRNA FGD5-AS1、miR-302b-3p、E2F1 mRNA表达比较 (n=6)A:Western blotting showing E2F1 protein expression in each group of cells; B:Comparison of LncRNA FGD5-AS1,miR-302b-3p,and E2F1 mRNA levels in different groups of cells. E2F1:E2F transcription factor 1. a:P<0.05,compared with the sh-NC group; b:P<0.05,compared with the sh-FGD5-AS1+anti miR-NC group
, figureFileSmall=4ADStmYv9RLXnO3LfLwqQQ==, figureFileBig=EFepo7KNTjkg1O3x5s5IYQ==, tableContent=null), ArticleFig(id=1322954179928535929, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=EN, label=Figure 2, caption=
Comparison of cell proliferation and apoptosis across different groups of gastric cancer cells (n=6), figureFileSmall=DLMmpDjE3r91BMnKvMC3Rw==, figureFileBig=5R7rcRVI2TibbZCAc7NckA==, tableContent=null), ArticleFig(id=1322954180029199226, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=CN, label=图2, caption=
各组细胞增殖与凋亡比较 (n=6)A:Edu experiment detects cell proliferation; B:Flow cytometry for cell apoptosis; C~E:Statistical analyses of cell vitality (C),proliferation (D) and apoptosis (E). a:P<0.05,compared with the sh-NC group; b:P<0.05,compared with the sh-FGD5-AS1+anti miR-NC group
, figureFileSmall=DLMmpDjE3r91BMnKvMC3Rw==, figureFileBig=5R7rcRVI2TibbZCAc7NckA==, tableContent=null), ArticleFig(id=1322954180092113787, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=EN, label=Figure 3, caption=
Comparison of cell migration and invasion among different groups (n=6), figureFileSmall=2/8nJ5Uf2qxyO2/+ECqYLA==, figureFileBig=q1fZaBIjqt4/ASTJBn6Skw==, tableContent=null), ArticleFig(id=1322954180175999868, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=CN, label=图3, caption=
各组细胞迁移与侵袭比较 (n=6)A:Representative images of cell scratch assay in each group of cells; B:Crystal violet staining showing cell invasion in each group (×200); C,D:Statistical analyses of scratch healing rates (C) and numbers of invasive cells (D) among different groups of cells. a:P<0.05,compared with the sh-NC group; b:P<0.05,compared with the sh-FGD5-AS1+anti miR-NC group
, figureFileSmall=2/8nJ5Uf2qxyO2/+ECqYLA==, figureFileBig=q1fZaBIjqt4/ASTJBn6Skw==, tableContent=null), ArticleFig(id=1322954180268274557, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=EN, label=Figure 4, caption=
Comparison of proliferation- and apoptosis-related protein expression in each group (n=6), figureFileSmall=l03dTn+GtEzCfaZ5fpR0Rw==, figureFileBig=2xepRPrYHMtmLZuwtu1lFA==, tableContent=null), ArticleFig(id=1322954180331189118, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=CN, label=图4, caption=
各组增殖与凋亡相关蛋白表达比较 (n=6)A:Western blot detection showing protein expression of Ki-67,Bax,Bcl-2 in each group of cells; B:Statistical analyses of protein levels of Ki-67,Bax and Bcl-2 in each group of cells. a:P<0.05,compared with the sh-NC group; b:P<0.05,compared with the sh-FGD5-AS1+anti miR-NC group
, figureFileSmall=l03dTn+GtEzCfaZ5fpR0Rw==, figureFileBig=2xepRPrYHMtmLZuwtu1lFA==, tableContent=null), ArticleFig(id=1322954180377326463, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=EN, label=Figure 5, caption=
Comparison of volume and weight of transplanted tumors in nude mice (n=5), figureFileSmall=7ysBJjaeJ/6qGSDJYd+Blw==, figureFileBig=ihv87af52Ki95THWcGhmUQ==, tableContent=null), ArticleFig(id=1322954180436046720, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=CN, label=图5, caption=
裸鼠移植瘤体积及重量比较 (n=5)A:Volume of transplanted tumors in nude mice at different time points; B:Weight of nude mouse transplanted tumor. a:P<0.05,compared with the sh-NC group
, figureFileSmall=7ysBJjaeJ/6qGSDJYd+Blw==, figureFileBig=ihv87af52Ki95THWcGhmUQ==, tableContent=null), ArticleFig(id=1322954180486378369, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=EN, label=Figure 6, caption=
Effect of LncRNA FGD5-AS1 on the growth of gastric cancer xenografts (n=5), figureFileSmall=zv1DM74gZI/xaOvD+afSwg==, figureFileBig=MPRuza+uie/WDM0fATB0cg==, tableContent=null), ArticleFig(id=1322954180557681538, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=CN, label=图6, caption=
LncRNA FGD5-AS1对胃癌移植瘤生长的影响 (n=5)A:Immunohistochemical assay of E2F1 and Ki-67 protein expression in transplanted tumor tissue (×200); B~E:Statistical analyses of positive rates of Ki-67 (B) and E2F1 (E) as well as expression levels of LncRNA FGD5-AS1 (C) and miR-302b-3p (D). a:P<0.05,compared with the sh-NC group
, figureFileSmall=zv1DM74gZI/xaOvD+afSwg==, figureFileBig=MPRuza+uie/WDM0fATB0cg==, tableContent=null), ArticleFig(id=1322954180641567619, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=EN, label=Figure 7, caption=
Prediction of LncRNA FGD5-AS1,E2F1 and miR-302b-3p targets, figureFileSmall=2CwsDRu0PfmdtFRlE5B+HQ==, figureFileBig=HMEAUpFh6Q7h5ShIqAHXfg==, tableContent=null), ArticleFig(id=1322954180712870788, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=CN, label=图7, caption=
LncRNA FGD5-AS1、E2F1与miR-302b-3p靶点预测, figureFileSmall=2CwsDRu0PfmdtFRlE5B+HQ==, figureFileBig=HMEAUpFh6Q7h5ShIqAHXfg==, tableContent=null), ArticleFig(id=1322954180784173957, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=EN, label=Figure 8, caption=
Expression of LncRNA FGD5-AS1 and E2F1 mRNA in gastric cancer tissue and their relationship with prognosis, figureFileSmall=nEjJE5xMr1S7PONP0Qk4Zw==, figureFileBig=fzbbsuy0gt2EOJyFnyRmEA==, tableContent=null), ArticleFig(id=1322954180851282822, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=CN, label=图8, caption=
LncRNA FGD5-AS1与E2F1 mRNA在胃癌组织中的表达情况及其与预后的关系, figureFileSmall=nEjJE5xMr1S7PONP0Qk4Zw==, figureFileBig=fzbbsuy0gt2EOJyFnyRmEA==, tableContent=null), ArticleFig(id=1322954180922585991, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=EN, label=Table 1, caption=
Primer sequence for qRT-PCR
, figureFileSmall=null, figureFileBig=null, tableContent=
| Genes | Upsteam (5'-3') | Downsteam (5'-3') |
|---|
| LncRNA FGD5-AS1 | CCTTGTCCTTCCCTGTTTCA | ACTGGGCACTTGATGCTTTC |
| E2F1 | CACACCAAAGGACAAGAAGG | CAAGACAGACCTTCTCCACA |
| GAPDH | GGAGTCCACTGGTGTCTTCA | GGGAACTGAGCAATTGGTGG |
| miR-302b-3p | GCGTAAGTGCTTCCATGTT | TCCAGGGACCGAGGA |
| U6 | CTCGCTTCGGCAGCACA | AACGCTTCACGAATTTGCGT |
), ArticleFig(id=1322954180985500552, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=CN, label=表1, caption=
引物序列
, figureFileSmall=null, figureFileBig=null, tableContent=
| Genes | Upsteam (5'-3') | Downsteam (5'-3') |
|---|
| LncRNA FGD5-AS1 | CCTTGTCCTTCCCTGTTTCA | ACTGGGCACTTGATGCTTTC |
| E2F1 | CACACCAAAGGACAAGAAGG | CAAGACAGACCTTCTCCACA |
| GAPDH | GGAGTCCACTGGTGTCTTCA | GGGAACTGAGCAATTGGTGG |
| miR-302b-3p | GCGTAAGTGCTTCCATGTT | TCCAGGGACCGAGGA |
| U6 | CTCGCTTCGGCAGCACA | AACGCTTCACGAATTTGCGT |
), ArticleFig(id=1322954181119718281, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=EN, label=Table 2, caption=
Comparison of LncRNA FGD5-AS1,miR-302b-3p,E2F1 mRNA expression in different gastric cancer cell lines
, figureFileSmall=null, figureFileBig=null, tableContent=
| Cell line | LncRNA FGD5-AS1/GAPDH | miR-302b-3p/U6 | E2F1 mRNA/GAPDH |
|---|
| GES-1 | 1.00±0.15 | 0.99±0.10 | 1.02±0.14 |
| SGC-7901 | 1.65±0.13a | 0.85±0.08a | 1.41±0.11a |
| MKN-45 | 2.12±0.15a | 0.61±0.06a | 1.76±0.14a |
| HGC-27 | 1.83±0.17a | 0.74±0.07a | 1.63±0.13a |
| AGS | 3.68±0.25a | 0.31±0.03a | 2.54±0.21a |
| BGC-823 | 2.72±0.31a | 0.45±0.05a | 2.12±0.15a |
), ArticleFig(id=1322954181191021450, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=CN, label=表2, caption=
不同胃癌细胞系中LncRNA FGD5-AS1、miR-302b-3p、E2F1 mRNA表达比较 (n=6, ±s)
, figureFileSmall=null, figureFileBig=null, tableContent=
| Cell line | LncRNA FGD5-AS1/GAPDH | miR-302b-3p/U6 | E2F1 mRNA/GAPDH |
|---|
| GES-1 | 1.00±0.15 | 0.99±0.10 | 1.02±0.14 |
| SGC-7901 | 1.65±0.13a | 0.85±0.08a | 1.41±0.11a |
| MKN-45 | 2.12±0.15a | 0.61±0.06a | 1.76±0.14a |
| HGC-27 | 1.83±0.17a | 0.74±0.07a | 1.63±0.13a |
| AGS | 3.68±0.25a | 0.31±0.03a | 2.54±0.21a |
| BGC-823 | 2.72±0.31a | 0.45±0.05a | 2.12±0.15a |
), ArticleFig(id=1322954181283296139, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=EN, label=Table 3, caption=
RNA pull-down assay for detecting LncRNA FGD5-AS1 and E2F1 mRNA expression (n=6, ±s)
, figureFileSmall=null, figureFileBig=null, tableContent=
| Group | LncRNA FGD5-AS1 | E2F1 mRNA |
|---|
| Bio-NC | 1.01±0.12 | 1.02±0.13 |
| Bio-miR-302b-3p-mut | 1.05±0.14 | 0.98±0.14 |
| Bio-miR-302b-3p-wt | 7.68±0.65a | 5.47±0.46a |
), ArticleFig(id=1322954181367182220, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=CN, label=表3, caption=
RNA pull-down实验检测LncRNA FGD5-AS1、E2F1 mRNA表达 (n=6, ±s)
, figureFileSmall=null, figureFileBig=null, tableContent=
| Group | LncRNA FGD5-AS1 | E2F1 mRNA |
|---|
| Bio-NC | 1.01±0.12 | 1.02±0.13 |
| Bio-miR-302b-3p-mut | 1.05±0.14 | 0.98±0.14 |
| Bio-miR-302b-3p-wt | 7.68±0.65a | 5.47±0.46a |
), ArticleFig(id=1322954181446873997, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=EN, label=Table 4, caption=
Experimental results of dual luciferase reporter gene assay (n=6, ±s)
, figureFileSmall=null, figureFileBig=null, tableContent=
| Group | FGD5-AS1-wt | FGD5-AS1-mut | E2F1-wt | E2F1-mut |
|---|
| miR-NC | 0.98±0.12 | 1.01±0.15 | 1.00±0.15 | 0.98±0.13 |
miR-302b-3p mimics | 0.35±0.04 | 1.03±0.14 | 0.51±0.06 | 1.00±0.14 |
| t | 12.200 | 0.239 | 7.429 | 0.256 |
| P | <0.001 | 0.816 | <0.001 | 0.803 |
), ArticleFig(id=1322954181518177166, tenantId=1146029695717560320, journalId=1319373162502258839, articleId=1322954171988718394, language=CN, label=表4, caption=
双荧光素酶报告基因实验结果 (n=6, ±s)
, figureFileSmall=null, figureFileBig=null, tableContent=
| Group | FGD5-AS1-wt | FGD5-AS1-mut | E2F1-wt | E2F1-mut |
|---|
| miR-NC | 0.98±0.12 | 1.01±0.15 | 1.00±0.15 | 0.98±0.13 |
miR-302b-3p mimics | 0.35±0.04 | 1.03±0.14 | 0.51±0.06 | 1.00±0.14 |
| t | 12.200 | 0.239 | 7.429 | 0.256 |
| P | <0.001 | 0.816 | <0.001 | 0.803 |
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