Inhibition of human cervical cancer cell invasion by IL-37 involving runt related transcription factor 2 suppression
Original Article

Inhibition of human cervical cancer cell invasion by IL-37 involving runt related transcription factor 2 suppression

Ping Ouyang1#, Kun Wu1, 2#, Liudan Su1,2#, Weifang An2, Yanhong Bie2, He Zhang3, Haixian Kang2, Enping Jiang1, Wei Zhu1, Yunhong Yao1, Xinrong Hu1, Zhangquan Chen1, Sen Wang1,2

1Guangdong Provincial Key Laboratory of Medical Molecular Diagnostics, Dongguan Scientific Research Center, Guangdong Medical University, Dongguan 523808, China; 2Department of Histology and Embryology, Basic Medical College, Guangdong Medical University, Dongguan 523808, China; 3Department of Preventive Medicine, School of Public Health, Guangdong Medical University, Dongguan 523808, China

Contributions: (I) Conception and design: S Wang; (II) Administrative support: All authors; (III) Provision of study materials or patients: S Wang, Y Bie, Z Chen; (IV) Collection and assembly of data: P Ouyang, K Wu, L Su, W An; (V) Data analysis and interpretation: All authors; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.

#These authors contributed equally to this work.

Correspondence to: Sen Wang. Guangdong Provincial Key Laboratory of Medical Molecular Diagnostics, Basic Medical College, Guangdong Medical University, #1 Xincheng Road, Songshan Lake Science and Technology Industry Park, Dongguan 523808, China. Email: wangsen@gdmu.edu.cn; wangsenmol@163.com.

Background: IL-37 is a newly anti-inflammatory cytokine whose function is largely unknown in cancer. Our preliminary experiment found IL-37 could inhibit the invasion of human cervical cancer (CC) cells and influence the expression of RUNX family whose function was also unclear in CC. The present study aims to further investigate the effects of IL-37 on cell invasion and runt related transcription factor 2 (RUNX2) expression in CC cell lines.

Methods: Firstly, plasmid overexpressing IL-37 or RUNX2 was transfected into Siha and C33A cells by Hilymax. Then, the effects of IL-37 on the mRNA expression of RUNX1, RUNX2 and RUNX3 gene were detected by quantitative real-time polymerase chain reaction. Protein expression was measured by Western blot and the grayscale scanning analysis. Finally, the effects of IL-37 or RUNX2 on cell invasion were tested by transwell assay.

Results: IL-37 inhibited the mRNA expression of RUNX1 and RUNX2, and increased that of RUNX3 in CC cells. Among the three RUNX genes, RUNX2 showed the most significant change in mRNA expression (decreased by78.5% in Siha cells and by 61.5% in C33A cells) and thus was chosen for the following study. Overexpressed IL-37 inhibited cell invasion by 36.23% in Siha cells (P<0.05) and 26.21% in C33A cells (P<0.01). Overexpression of RUNX2 promoted cell invasion. Up-regulation of IL-37 suppressed markedly the mRNA and protein expression of RUNX2. Furthermore, overexpressed RUNX2 partially restored the inhibited cell invasion by IL-37 to 86.62% in Siha cells (P<0.01) and 87.08% in C33A cells (P<0.01).

Conclusions: IL-37 can significantly inhibit the cell invasion of Siha and C33A cells, which involves the suppression of RUNX2.

Keywords: IL-37; runt related transcription factor 2 (RUNX2); cervical cancer (CC); cell invasion; cytokine; tumor


Submitted Jun 20, 2019. Accepted for publication Aug 26, 2019.

doi: 10.21037/atm.2019.09.38


Introduction

Growing evidence indicates that IL-37, a new inhibitor of both innate and adaptive immunity, plays a role in tumor (1). As the 7th member of the IL-1 family (IL1F7), IL-37 is produced as a precursor and then cleaved into mature form in the cytoplasm. IL-37 has five isoforms, IL-37a, b, c, d and e, which encodes 157 to 218 residues. IL-37b is the biggest isoform and has been identified as a functional gene to inhibit inflammation in many studies (2,3). In the present study, IL-37 means IL-37b isoform. IL-37 can be widely expressed in lymph node, thymus, bone marrow, and other tissues (3). Recent studies suggested an important role of IL-37 in tumor, such as fibrosarcoma (4), liver cancer (5,6), renal cancer (7), lung cancer (8,9). Gao et al. found the development of tumor was significantly inhibited by a single injection of Ad IL-37b, and many injections could completely inhibit fibrosarcoma development (4). Zhao et al. reported IL-37 had lower expression in hepatic cancer and was related to the infiltrating density with CD57 + NK cells (6). In non-small lung cancer tissues, the expression of IL-37 was significantly reduced, and the IL-37 expression levels were associated with cancer status, TNM phase, and poor prognosis (9). Jiang et al. identified IL-37 significantly inhibited the renal cancer cell invasion and proliferation, and promoted cell apoptosis (7). In our previous study, IL-37 inhibited cervical cancer (CC) cell proliferation, invasion and apoptosis, but molecules involved in these processes were less well understood (10,11). Thus, this study aimed to investigate the effects of IL-37 on CC cell invasion and the relevant genes.

CC is the fifth leading cause of cancer death in women (12). About 266,000 women die of it every year (13). Understanding the molecular pathways and genes which affect the CC progression will help improve the treatment and reduce the mortality. Runt related transcription factor 2 (RUNX2) is a member of the RUNX family whose function in CC is still not clear. RUNX2 is a key regulator of normal bone development, homeostasis and remodeling (14-16). Further, mounting evidence showed that RUNX2 activated genes associated with tumor genesis and metastasis, and promote tumor cell invasion in cancers, such as breast cancer (17-19), prostate cancer (20,21), thyroid cancers (22), osteosarcoma (23-25), and melanoma (26). Our preliminary study experiment found that IL-37 could inhibit human CC cell invasion and influence the expression of RUNX family. In the present study, we aim to investigate the role of IL-37 and the correlation of IL-37 and RUNX2 in CC cells. To the best of our knowledge, it is the first time to report the correlation of IL-37 and RUNX2 expression in CC. The results will be helpful to understand the biological function of IL-37 and to provide new potential molecule for CC therapy.


Methods

Cell lines and transfection

Human CC cell lines, Siha and C33A were purchased from the China Center for Type Culture Collection (CCTCC) (Wuhan, China) as previously described (10,26). The cells were maintained in DMEM medium containing 10% fetal bovine serum (FBS) purchased from Invitrogen, supplementary with 2.0 mmol/L L-glutamine, 50 U penicillin and 50 µg/mL streptomycin. All cells were routinely cultured in a 5% CO2 atmosphere at 37 °C. The empty vector pIRES2-EGFP was purchased from Shanghai Geneary Biotech Co., Ltd. (Shanghai, China). The expression plasmid pIRES2-EGFP/IL-37 which expressed IL-37 (NM_014439) in eukaryotic cells had been described in our previous study (10). The expression plasmid pGV230-RUNX2 which expressed RUNX2 (NM_001015051) in eukaryotic cells was cloned into XhoI/KpnI clone sites and sequenced by Genechem Co., Ltd, China.

For transfection, cells were plated onto 6-well plates (Corning, USA) at a density of 2.5×105 cells per well. Cells were transfected with Hilymax (Dojindo, Shanghai, China) reagents in serum- and antibiotic-free OptiMEM (Gibco-BRL, USA) according to the manufacturer’s instructions. The ratio of Hilymax (µL) to DNA (µg) was 15:3.

Reverse transcription-quantitative polymerase chain reaction (RT-qPCR) analysis

RT-qPCR was performed for detecting the mRNA levels of IL-37, GAPDH, RUNX1, RUNX2, and RUNX3. Total RNAs were extracted from the cells using TRIzol (Invitrogen, Carlsbad, CA, USA) according to the manufacturer’s instructions. QPCR was performed on Prism 7500 (ABI, Foster City, CA, USA) by using standard SYBR green assay protocol. Primers were as follows: IL-37-F, 5'-GATCACAAAGTACTGGTCCTGG-3'; IL-37-R, 5'-TCCTTTATCCTTGTCACAGTAG-3'. RUNX1-F, 5'- CACCTACCACAGAGCCATCA-3'; RUNX1-R, 5'- CTCGGAAAAGGACAAGCTCC-3'. RUNX2-F, 5'-TCTTCACAAATCCTCCCC-3'; RUNX2-R, 5'-TGGATTAAAAGGACTTGGTG-3'. RUNX3-F, 5'- TTATGAGGGGTGGTTGTATGTGGG-3'; RUNX3-R, 5'- AAACAACCAACACAAACACCTCC-3’. GAPDH was used as a normalization control, and the primers were 5'-TGACTTCAACAGCGACACCCA-3' (forward) and 5'-CACCCTGTTGCTGTAGCCAAA-3' (reverse). PCR was performed in triplicate in a 20 µL reaction volume containing 10 µL Platinum®SYBR®Green (Invitrogen, Guangzhou, China), 0.8 µL forward primer (10 µM), 0.8 µL reverse primer (10 µM), 1 µL cDNA and 7.4 µL ddH2O. The reaction conditions were 95 °C for 10 min, 40 cycles of 95 °C for 15 s and 60 °C for 1 min. Data were analyzed using the sequence detection software (version 1.6.3) supplied by Applied Biosystems (ABI). Each experiment was performed in triplicate. The relative mRNA levels were calculated and normalized using the 2-ΔΔCt method relative to GAPDH (27).

Western blotting

Cells were lysed in RIPA buffer (Beyotime, Shanghai, China) and the lysates were collected into tubes and centrifuged at 12,000 g for 20 min at 4 °C. The supernatants were collected and protein concentration was quantified with BCA Protein Quantitative Kit (Beyotime, Shanghai, China). Then, western blotting was performed according to the manuals. Equal amount of protein (200 µg) was separated on 10% SDS-PAGE and transferred to PVDF membranes (Millipore, Billerica, MA, USA). The membrane were then blocked with 5% non-fat milk for 1 h and incubated overnight at 4 °C with rabbit anti-human antibodies against IL-37 (Abcam, Cambridge, MA, USA, ab116282; diluted 1:1,000), RUNX2 (Abcam, Cambridge, MA, USA, ab23981; diluted 1:1,000), and GAPDH (Goodhere Technology, Hangzhou, China; AB-P-R001; diluted 1:500), respectively. In the next day, the membrane was-incubated with HRP-conjugated secondary antibody (Beyotime, Shanghai, China; diluted 1:1,000) for 1 h and detected by enhanced chemiluminescence (ECL). Reactive bands were revealed with Immobilon Western Chemiluminescent kit (WBKLS0100, Millipore, USA) by Cobas e601 automatic chemiluminescence image analysis system (Roche, USA). Each experiment was performed in triplicate.

Cell invasion assay

Cell invasion ability was detected by transwell assay as described previously (10). The upper chambers were pre-coated with Matrigel (BD Bioscience, San Jose, CA, USA). Cells (6.0×104 cells /well) were placed into the upper chambers (BD Bioscience, San Jose, CA, USA) containing 10% FBS. The lower chambers were filled with RPMI-1640 with 20% FBS. After incubation for 48 h for Siha or C33A cells at 37 °C, cells on the lower surface of the membranes were fixed and stained with 0.1% crystal violet, and five random fields of vision were selected to be counted under a light microscope (Olympus, 200×). Each experiment was performed in triplicate.

Statistical analysis

Statistical analyses were performed using SPSS 15.0 (http://spss.en.softonic.com/). Independent sample t-test was used for analyzing two groups and one-way analysis of variance (ANOVA) was used for examining multiple groups. Rates were compared using the Chi-square test. The level of statistical significance was set at P<0.05 or P<0.01.


Results

IL-37 overexpression inhibited cell invasion in both of the two CC cell lines

The protein encoded by IL-37b contains 218 amino acids with the molecular weight of ~24 kDa. Protein bands of IL-37 in normal Siha and C33A cells were hardly detected. Plasmid pIRES2-EGFP/IL-37 was transfected into CC cells to overexpress IL-37 (Siha-IL-37 group and C33A-IL-37 group, respectively). In Siha cells, compared with that of the control group (Siha-NC), the mRNA level of IL-37 in Siha-IL-37 group was 5,691.67-fold (P<0.001, Figure 1A). The results of Western Blotting showed the protein expression level of IL-37 in Siha-IL-37 group achieved 7.47-fold (P<0.01, Figure 1B). Compared with that of the Siha-NC group, the cell invasion ability of Siha-IL-37 group reduced significantly, and the invasion rate was down-regulated by 36.23% (P<0.05, Figure 1C). While in C33A cells, compared with that of the control group (C33A-NC), the mRNA level of C33A-IL-37 group obtained 2425.67-fold (P<0.01, Figure 1D). The results of Western Blotting showed the protein expression of IL-37 increased about 2.18-fold (P<0.05, Figure 1E). Compared with that of the C33A-NC group, the cell invasion ability of C33A-IL-37 group reduced significantly, and the invasion rate was down-regulated by 26.21% (P<0.01, Figure 1F). These results suggested IL-37 inhibited cell invasion in both Siha and C33A cells.

Figure 1 IL-37 inhibited cell invasion of Siha and C33A cells. Expression of IL-37 was up-regulated by IL-37 gene transfection in Siha and C33A cells. (A) The relative mRNA level and (B) protein level of IL-37 in Siha-NC (transfecting pIRES2-EGFP empty vector) and Siha-IL-37 groups (transfecting pIRES2-EGFP/IL-37); (C) representative photomicrographs of invaded Siha cells in Siha-NC and Siha-IL-37 groups, and the quantified numbers in the two groups; (D) the relative mRNA level and (E) protein level of IL-37 in C33A-NC (transfecting pIRES2-EGFP empty vector) and C33A-IL-37 (transfecting pIRES2-EGFP/IL-37) groups; (F) representative photomicrographs of invaded C33A cells in C33A-NC and C33A-IL-37 groups, and the quantified numbers in the two groups. Crystal violet staining (20×). *, P<0.05; **, P<0.01; ***, P<0.001.

IL-37 inhibited the expression of RUNX2 in both of the two CC cell lines

In our preliminary study, we found in Siha and C33A cells, the expression of RUNX family members changed in varying degrees. IL-37 inhibited the mRNA expression of RUNX1 and RUNX2, and increased the mRNA expression of RUNX3 (Figure 2A,B), among which, RUNX2 showed the most significant change in mRNA expression (decreased by 78.5% in Siha cells and by 61.5% in C33A cells). Thus, the experiments were performed using RUNX2 gene in next study.

Figure 2 IL-37 suppressed RUNX2 expression in both cells. Up-regulation of IL-37 influenced the mRNA expression of RUNX family members. (A) the relative mRNA levels of RUNX1, RUNX2 and RUNX3 in Siha-NC (transfecting pIRES2-EGFP empty vector) and Siha-IL-37 (transfecting pIRES2-EGFP/IL-37) groups; and (B) in C33A-NC (transfecting pIRES2-EGFP empty vector) and C33A-IL-37 (transfecting pIRES2-EGFP/IL-37) groups; (C) the relative mRNA level and (D) protein level of RUNX2 in Siha-NC and Siha-IL-37 groups; (E) the relative mRNA level and (F) protein level of RUNX2 in C33A-NC and C33A-IL-37 groups. *, P<0.05; **, P<0.01. RUNX2, runt related transcription factor 2.

To identify the relationship between IL-37 and RUNX2, we detected the mRNA and protein expression levels of RUNX2 after transfecting pIRES2-EGFP/IL-37 in Siha and C33A cells. RUNX2 encodes a protein of 521 amino acids with the molecular weight of ~56.6 Kda (28). Compared with that of the Siha-NC group, the mRNA of RUNX2 in Siha-IL-37 reduced by 76.10% (P<0.05, Figure 2C), and the protein level reduced by 43.75% (P<0.05, Figure 2D). While in C33A cells, compared with that of the C33A-NC group, the mRNA reduced by 59.08% (P<0.05, Figure 2E), and the protein reduced by 54.93% (P<0.05, Figure 2F), respectively.

RUNX2 overexpression promoted cell invasion

To determine the role of RUNX2 in cell invasion, RUNX2 was overexpressed in cancer cells. In Siha cells transfected with RUNX2, compared with that of the Siha-NC group, the mRNA expression level of RUNX2 was 2.57-fold (P<0.05, Figure 3A) and the protein of RUNX2 increased about 3.00-fold (P<0.01, Figure 3B). Compared with that of the Siha-NC group, the cell invasion ability of Siha-RUNX2 group increased significantly, and the invasion rate was 1.52-fold (P<0.01, Figure 3C). While in C33A cells, the mRNA of RUNX2 increased by 55.00% (P<0.05, Figure 3D), and the protein level increased by 32.13% (P<0.05, Figure 3E), respectively. Compared with that of the C33A-NC group, the cell invasion ability of C33A-RUNX2 group increased significantly, and the invasion rate was 1.41-fold (P<0.01, Figure 3F). These results suggested RUNX2 promoted cell invasion in both Siha and C33A cells.

Figure 3 RUNX2 promoted cell invasion in both cells. Plasmid overexpressing RUNX2 was transfected into Siha and C33Acells. (A) The relative mRNA level and (B) protein level of RUNX2 in Siha-NC (transfecting pGV230 empty vector) and Siha-RUNX2 groups (transfecting pGV230-RUNX2); (C) representative photomicrographs of invaded Siha cells in Siha-NC and Siha-RUNX2 groups, and the quantified numbers in the two groups; (D) the relative mRNA level and (E) protein level of RUNX2 in C33A-NC (transfecting pGV230 empty vector) and C33A-RUNX2 (transfecting pGV230-RUNX2) groups; (F) representative photomicrographs of invaded C33A cells in C33A-NC and C33A-RUNX2 groups, and the quantified numbers in the two groups. Crystal violet staining (20×). *, P<0.05; **, P<0.01. RUNX2, runt related transcription factor 2.

Up-regulation of RUNX2 partially restored the cell invasion ability down-regulated by IL-37

In Siha cells, the cell invasion ability of Siha-IL-37 group was 66.56% of that of the Siha-NC group (Figure 4A). Then, up-regulation of RUNX2 by gene transfection restored the cell invasion rate to 86.62% (Figure 4B). Similar results were shown in C33A cells. The cell invasion ability of C33A-IL-37 group was 78.01% of that of the C33A-NC group (Figure 4C). Then, up-regulation of RUNX2 partially restored the cell invasion rate to 87.08% (Figure 4D). These results suggested RUNX2 could partially restore the cell invasion ability of Siha and C33A cells, and RUNX2 took part in the invasion inhibition by IL-37.

Figure 4 RUNX2 partially restored the inhibited cell invasion ability by IL-37, crystal violet staining (20×). IL-37 was firstly up-regulated in CC cells by gene transfection. Then, RUNX2 plasmid was transfected into cells. (A) Representative photomicrographs of invaded Siha cells transfected with pIRES2-EGFP + pGV230 empty vectors, pIRES2-EGFP/IL-37 and pIRES2-EGFP/IL-37 + pGV230-RUNX2, respectively; and (B) quantified numbers of invaded Siha cells in the three groups; (C) representative photomicrographs of invaded C33A cells transfected with pGV230 + pIRES2-EGFP empty vectors, pIRES2-EGFP/IL-37 and pIRES2-EGFP/IL-37 + pGV230-RUNX2, respectively; and (D) quantified numbers of invaded C33A cells in the three groups. **, P<0.01. RUNX2, runt related transcription factor 2.

Discussion

In this study, the effect of IL-37 on cell invasion was investigated. We found IL-37 played an inhibitory role in CC cell invasion, which suggested IL-37 might work as an anti-tumor molecule in Siha and C33A cells. This result was consistent with many previous studies. In fibrosarcoma, IL-37 showed significant tumor suppression in mice (4). In renal cell carcinoma, IL-37 expression was observed to inhibit cancer cell proliferation and invasion through IL-6/Stat3 pathway (7). In colon cancer cells, overexpression of IL-37 inhibited cell migration and invasion by suppressing β-catenin (29). These studies implicated the inhibition ability of IL-37 on tumor cells.

Additionally, IL-37 also had inhibition ability on tumor microenvironment. In hepatocellular carcinoma, IL-37 expression was decreased, but increased intratumoral expression of IL-37 proportionally positively correlated with the overall survival and disease-free survival (6). The mechanism of the antitumor effect of IL-37 is activating immunity in the tumor microenvironment through the regulation of NK cells. In breast cancer, IL-37 was up-regulated and showed the antitumor effects by influencing the tumor microenvironment (30). In non-small lung cancer, Ge et al. found IL-37 expression was up-regulated in non-tumor tissues but down-regulated in lung cancer tissues, they further suggested IL-37 repression of the development of lung cancer may be through tumor angiogenesis inhibition (9). However, in ovarian cancer, the authors found high serum IL-37 levels were associated with an unfavorable prognosis of human epithelial ovarian cancer (EOC) patients (31). More data is needed and the relationship between IL-37 and CC microenvironments may be a good direction in future studies.

Furthermore, RUNX2 could promote cell invasion in CC cells. Guo et al. found that RUNX2 significantly increased the migration and invasion ability of gastric cancer (GC) cells and enhanced the invasion and metastatic potential in an orthotopic GC model of nude mice (32). In osteosarcoma, Zeng et al. found down-regulating RUNX2 by siRNA could inhibit the invasion of osteosarcoma SAOS-2 cells (25), and Xie et al. found RUNX2 promoted cell invasion of 143B osteosarcoma cells (24). Zhao et al. found up-regulation of RUNX2 resulted in a greater cell invasive capacity in bladder cancer (33). In addition, RUNX2 was able to promote cell invasion in human colorectal cancer (34), breast cancer (18), ovarian cancer (35), prostate cancer (21), lung cancer (36,37), and human glioma (38). However, to our knowledge, the function of RUNX2 in CC was unclear.

RUNX2 was involved in the inhibition of cell invasion by IL-37, no similar report was found before. IL-37 gene was transfected into cancer cells and decreased the expression of mRNA and protein of RUNX2, and RUNX2 overexpression can rescue the cell invasion reduced by IL-37 in CC cells. All these results indicated RUNX2 was involved in the anti-tumor processes of IL-37 induced. Mature IL-37 can translocate into the nucleus and activate many transcriptional factors. Our previous study had proved IL-37 could regulate STAT3 signaling in CC cells HeLa and C33A. Here, we also showed the participation of RUNX2 in the inhibited cell invasion by IL-37. To our knowledge, the interaction between the two proteins was reported for the first time. This result helps to further understand the molecular network associated with IL-37 in CC.

In addition, due to more and more stringent ethical review, we could not collect enough human biopsies to detect the expression of those genes. Thus, the present version of this study focused on the cell invasion in cancer cell lines in vitro and the results did show that RUNX2 promoted cancer cell invasion and was involved in the cell invasion inhibition by IL-37 in vitro. The preliminary results showed that IL-37 up regulated RUNX3 which might be a tumor suppressor for CC (39), suggesting that RUNX3 up regulation might also be related to the function of IL-37. However, RUNX3 was not the mostly changed gene among the RUNX family and was not the main clue for this study, we hope to further research it in next study.

In the present study, C33a cells are HPV-negative and SiHa cells are HPV16-positive which is the most important HPV subtype in HPV infection. The inhibitory ability of IL-37 on SiHa cells seemed a little weaker than that on C33a cells. The data in the HPV-negative and HPV-positive cell lines was different, the difference was not so significant here. HPV16 E6 gene is one of the main oncogene for cervical carcinogenesis which is mainly related to P53 pathway. Two studies speculated that IL-37 might regulate P53 (40,41) which mediated HPV E6-induced carcinogenesis. Thus, IL-37 might play a role in HPV-induced pathological process by regulating P53, which might be a potential idea for the next study.


Conclusions

In conclusion, the present study demonstrates that IL-37 can significantly inhibit cell invasion in CC cells Siha and C33A. RUNX2 has an opposite effect. The anti-tumor effect of IL-37 is, at least in part, via the suppression of RUNX2 in CC cells.


Acknowledgments

Funding: This study is supported by the Natural Science Foundation of Guangdong Province, China (2018A030307026), by Science and Technology Planning Project of Guangdong Province, China (2016A020215147), by Medical Science and Technology Research Fund of Guangdong province, China (A2017605, A2016208), by Students’ innovative experiment program of Guangdong medical university (2016ZYDS001, 2016ZYDS004, 2016ZYDS005, 2017ZZDS005), by student’s platform for innovation and entrepreneurship training program (GDMU2016006, GDMU2016024, GDMU2016037, GDMU2017004, 201710571006, 201710571024, 201710571037), by National Natural Science Foundation of China (81502899, 81302244, 81200082).


Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: This study didn’t include any human tissues or animal experiments; thus, no ethics approval was needed. The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.


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Cite this article as: Ouyang P, Wu K, Su L, An W, Bie Y, Zhang H, Kang H, Jiang E, Zhu W, Yao Y, Hu X, Chen Z, Wang S. Inhibition of human cervical cancer cell invasion by IL-37 involving runt related transcription factor 2 suppression. Ann Transl Med 2019;7(20):568. doi: 10.21037/atm.2019.09.38