Small interfering RNA targeting receptor for advanced glycation end products suppresses the generation of proinflammatory cytokines

  • Authors:
    • Xiao‑Wei Wang
    • Wei‑Dong Li
    • Jin‑Rong Xia
    • Zhan Li
    • Xiao‑Gang Cai
  • View Affiliations

  • Published online on: June 11, 2015     https://doi.org/10.3892/etm.2015.2569
  • Pages: 584-590
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Abstract

The aim of the present study was to investigate the effect of receptor for advanced glycation end products (RAGE)‑specific small interfering (si)RNA on the generation of proinflammatory cytokines in primary rat hepatic stellate cells (HSCs) and hepatic fibrotic (HF) rats. The RAGE‑specific siRNA expression vector pAKD‑GR126 was constructed, and then transfected into primary rat HSCs. Reverse transcription‑quantitative polymerase chain reaction and western blot analyses were conducted to determine the mRNA and protein expression levels, respectively, of RAGE, tumor necrosis factor (TNF)‑α and interleukin (IL)‑6 in the primary HSCs. In addition, a CCl4‑induced Sprague Dawley (SD) rat model of hepatic fibrosis was established, and pAKD‑GR126 was injected into the SD rats via the tail vein. Serum TNF‑α and IL‑6 concentrations were determined using radioimmunoassay. The mRNA and protein expression levels of RAGE (mRNA, F=7.791; protein, F=36.513), TNF‑α (mRNA, F=474.568; protein, F=123.500) and IL‑6 (mRNA, F=203.463; protein, F=320.555) in the pAKD‑GR126‑transfected primary HSCs were significantly reduced compared with those in the control and pAKD‑NC groups (P<0.05). Serum TNF‑α and IL‑6 levels in the low‑, medium‑ and high‑dose pAKD‑GR126 treatment groups were reduced compared with those in the fibrotic model group (TNF‑α, F=416.397; IL‑6, F=1,716.659; P<0.05). In summary, the RAGE‑specific siRNA was able to effectively suppress the generation of the proinflammatory cytokines TNF‑α and IL‑6 in primary rat HSCs and HF rats.

Introduction

Liver cirrhosis (LC) is a common global disease, which causes serious damage to human health, and is the fifth main cause of mortality in humans. Late-stage LC, with the exception of liver transplantation, still lacks effective treatments. Hepatic fibrosis (HF) is a variety of chronic liver disease which may progress to an LC-inevitable stage although treatment of HF can reverse the degradation of the liver (1,2). Since effective prevention and control of HF may reduce the risk of LC occurring, investigating the molecular mechanisms associated with the condition and exploring effective methods for the treatment of HF is an urgent requirement to solve the problem.

The receptor for advanced glycation end products (RAGE) is widely present on a variety of cell surfaces, and is closely associated with numerous diseases, including diabetes and atherosclerosis (3,4). Previous studies have demonstrated that RAGE-specific small interfering (si)RNA is able to inhibit the expression of the RAGE gene in primary rat hepatic stellate cells (HSCs), and may be able to inhibit the generation of profibrogenic cytokines (57). Furthermore, high expression levels of RAGE mRNA and protein have been observed in activated HSCs and CCl4-induced HF rats. Transfection of a RAGE-specific siRNA expression vector into the HSC-T6 cells or fibrotic rat liver via the tail vein significantly inhibited the expression levels of RAGE mRNA and protein, and reduced the activity of liver nuclear factor-κB, the degree of hepatic fibrosis (8) and the levels of serum procollagen type III, hyaluronic acid and laminin (911). To the best of our knowledge, however, there are no studies concerning the effect of RAGE-specific siRNA on the generation of proinflammatory cytokines. Therefore, the present study aimed to investigate the effect of RAGE-specific siRNA on the mRNA and protein expression levels of the inflammatory cytokines tumor necrosis factor (TNF)-α and interleukin (IL)-6 in primary HSCs and HF rats.

Materials and methods

Vector construction

The RAGE-specific and non-specific siRNA recombinant adeno-associated viral expression vectors (pAKD-GR126 and pAKD-NC, respectively) were constructed by the Research Center of Pharmaceutical Engineering and Process Chemistry, School of Pharmacy, East China University of Science and Technology (Shanghai, China).

Cell grouping and intervention

Three healthy male, 8-week-old, clean-grade Sprague Dawley (SD) rats, weighing 400–500 g, were purchased from the Experimental Animal Center of Nanjing Medical University (license no. SCDK Su 2008-0004; Nanjing, China). Mouse desmin antibody and a streptavidin peroxidase kit were purchased from Zymed Life Technologies (Carlsbad, CA, USA) and used in the identification of HSCs. Following the separation and cultivation of primary rat HSCs, they were identified using inverted phase contrast microscopy (TS100; Nikon, Tokyo, Japan) to observe the refraction in the cell and the change of cell morphology in different training periods. It was observed that the newly separated live primitive HSCs did not stick to the wall, were spherical or round, bright, with a strong refractive index, and they contained more fat droplets in the cytoplasm. The primary HSCs were separated into the control, pAKD-GR126 and pAKD-NC groups after five days of culture. Prior to transfection, serum-free medium was used for the cell culture of each group. All groups received 200 mg/l AGE-bovine serum albumin (BioVision, Inc., Milpitas, CA, USA) for stimulation. The pAKD-GR126 group was subsequently directly transfected with the RAGE-specific siRNA expression vector pAKD-GR126, and the pAKD-NC group with the non-specific siRNA expression vector pAKD-NC.

Preparation and treatment of the animal model

In total, 108 male, 6-week-old SD rats, weighing 250–300 g, were purchased from the SIPPR-BK Laboratory Animal Co., Ltd. (license no. SCXK Hu 2008-0016; Shanghai, China). The rats were separated at random into the normal control (n=18) or model (n=90) groups. Rats in the normal control group were intraperitoneally injected with refined olive oil (2 ml/kg), twice a week for six weeks. Rats in the model group were intraperitoneally injected with 50% CCl4 (2 ml/kg) mixed with olive oil at a ratio of 1:1, twice a week for six weeks, to establish the model of hepatic fibrosis. Once the model was established, the rats were separated at random into the fibrotic model (FM), pAKD-GR126 low-dose (LT), pAKD-GR126 medium-dose (MT), pAKD-GR126 high-dose (HT) and pAKD-NC (NS) groups, with 18 rats per group. The original normal control (NC) group was maintained as a blank control group. The NC and FM group rats were high-power injected with phosphate-buffered saline (2 ml/kg) via the tail vein with a 1-ml syringe, as this is a fast method of introducing material. Rats in the LT, MT and HT groups were high-power injected with recombinant virus pAKD-GR126 at a dose of 6×1010, 3×1011 or 1×1012 particles, respectively, via the tail vein. Rats in the NS group were high-power injected with recombinant virus pAKD-NC at a dose of 1×1012 particles via the tail vein, twice a week for a total of six weeks. For all groups, blood was extracted from the heart chamber three days after the final tail vein injection, and the liver tissues were also sampled for detection. The present study was conducted in accordance with the recommendations of the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health. The animal use protocol was approved by the Institutional Animal Care and Use Committee of Southeast University (Nanjing, China).

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

Type IV collagenase, pronase E and Nycodenz® were purchased from Sigma-Aldrich (St. Louis, MO, USA). TRIzol® reagent was purchased from Invitrogen Life Technologies (Carlsbad, CA, USA). DNA enzyme I was purchased from Gibco Life Technologies (Carlsbad, CA, USA). The total RNA of each group was extracted using TRIzol according to the manufacturer's instructions, prior to the purity and concentration of the RNA being calculated: Samples of RNA (1.0 µl) with RNase-free diethyl pyrocarbonate water (1,000 µl) were blended together and the RNA concentration was measured using a GeneQuant spectrophotometer (GE Healthcare Life Sciences, Shanghai, China). The RNA was reverse transcribed into cDNA for the qPCR analysis. The qPCR protocol was as follows: 94°C for 3 min; 40 cycles of 94°C for 1 min, 55°C for 1 min and 72°C for 1 min; and finally 72°C for 5 min. The 2−ΔΔCt method was used to calculate the relative inhibition rates. The gene primers for RAGE, TNF-α, IL-6 and β-actin were synthesized by Sangon Biotech Co., Ltd. (Shanghai, China), and the specific sequences are presented in Table I.

Table I.

Polymerase chain reaction primer sequences.

Table I.

Polymerase chain reaction primer sequences.

PrimerPrimer sequenceAmplified length (bp)
RAGEForward: 5′-CCTCTGATTCCTGATGGCAA-3′158
Reverse: 5′-CTCCTACTCATGCCCTACCT-3′
TNF-αForward: 5′-CACGCTCTTCTGTCTACTGA-3′543
Reverse: 5′-GGACTCCGTGATGTCTAAGT-3′
IL-6Forward: 5′-GAAAGTCAACTCCATCTGCC-3′681
Reverse: 5′-CATAGCACACTAGGTTTGCC-3′
β-actinForward: 5′-TGTTACCAACTGGGACGACA-3′130
Reverse: 5′-CTTTTCACGGTTGGCCTTAG-3′

[i] RAGE, receptor for advanced glycation end products; TNF-α, tumor necrosis factor-α; IL-6, interleukin-6.

Western blot analysis

The HSC lysate of each group was collected to extract the proteins, and a bicinchoninic acid assay kit (Nanjing KeyGen Biotech Co. Ltd., Nanjing, China) was used to detect the concentrations of the protein samples. The protein samples were then subjected to SDS-PAGE (10%), followed by transferal onto polyvinylidene difluoride membranes. The membranes were blocked with skimmed milk for 1 h, and then incubated overnight with a rabbit monoclonal primary antibody to RAGE (cat. no, EPR12206; Abcam, Cambridge, UK), which was diluted with Tris-buffered saline and Tween 20 according to the manufacturer's instructions, at 4°C. Following repeated washing, the membranes were incubated with a horseradish peroxidase-labeled secondary antibody (Beijing ComWin Biotech Co. Ltd., Beijing, China) at room temperature for 1 h and washed again. An electrochemiluminescence assay was then performed for sample visualization, and gel electrophoresis was performed for scanning and optical density analysis. β-actin was used as a control and the ratio of stripe density between experimental and control groups was determined.

Liver tissue sampling

Following the sacrifice of the rats, the livers were removed and rapidly frozen. Fluorescence microscopy was then used to observe the green fluorescent protein (GFP)-labeled pAKD-GR126 and pAKD-NC expression in the liver sections. The remaining liver tissues were fixed with 4% paraformaldehyde, paraffin-embedded and processed into sections, followed by hematoxylin and eosin (HE) and Masson's trichrome collagen staining. Two pathologists assessed the images under double-blind conditions, and performed inflammatory-activity grading and fibrosis staging of the liver samples using the Scheuer modified scoring system (12).

Radioimmunoassay

Rats were anesthetized with ether, and then subjected to cardiac chamber puncture to obtain sample blood, which was centrifuged at 12,683 × g for 8 min at 4°C. The upper part of the stratified serum was collected for the determination of TNF-α and IL-6 concentrations in the HF rats by radioimmunoassay, in accordance with the manufacturer's instructions. The TNF-α and IL-6 radioimmunoassay kits were obtained from the Naval Medical Research Institute (Shanghai, China).

Statistical analysis

SPSS software, version 18.0 (SPSS, Inc., Chicago, IL, USA) was used for the statistical analysis. Measurement data met the normality and homogeneity of variance, and are expressed as the mean ± standard deviation. Multiple data were compared using analysis of variance, while pairwise comparisons used the Student-Newman-Keuls method. Grading group data used the rank sum test, with P<0.05 considered to indicate a statistically significant difference.

Results

mRNA expression levels of RAGE, TNF-α and IL-6

In the primary HSCs transfected with the RAGE-specific siRNA expression vector pAKD-GR126, the RAGE mRNA expression levels were reduced to 42.32±6.16 and 43.24±7.50% of the values in the control and pAKD-NC groups, respectively (F=7.791; P<0.05). The TNF-α mRNA expression levels were also reduced, to 38.68±4.11 and 39.50±3.29% of the values in the control and pAKD-NC groups, respectively (F=474.568; P<0.05). Similarly, the IL-6 mRNA expression levels were reduced to 47.46±5.52 and 45.94±4.55% of the values in the control and pAKD-NC groups, respectively (F=203.463; P<0.05). The differences between the pAKD-GR126 and control/pAKD-NC groups were statistically significant (P<0.05), while no statistically significant difference was found between the control and pAKD-NC groups (P>0.05). These results indicate that the RAGE-specific siRNA expressed by pAKD-GR126 was able to inhibit the mRNA expression of RAGE, TNF-α and IL-6 (Table II).

Table II.

Effect of specific siRNA on the mRNA expression levels of RAGE, TNF-α and IL-6 in the primary HSCs (2−ΔΔCt).

Table II.

Effect of specific siRNA on the mRNA expression levels of RAGE, TNF-α and IL-6 in the primary HSCs (2−ΔΔCt).

Group (n)

IndexControl (3)pAKD-GR126 (3)pAKD-NC (3)FP-value
RAGE2.58±0.63 1.07±0.09a2.55±0.68   7.791<0.05
TNF-α2.95±0.04 1.14±0.12a2.88±0.06474.568<0.05
IL-61.97±0.06 0.93±0.10a2.03±0.05203.463<0.05

a P<0.05 vs. control and pAKD-NC groups. siRNA, small interfering RNA; HSC, hepatic stellate cell; RAGE, receptor for advanced glycation end products; TNF-α, tumor necrosis factor-α; IL-6, interleukin-6.

Protein expression levels of RAGE, TNF-α and IL-6

Western blot analysis results revealed that, following the transfection of the specific siRNA expression vector, the protein expression levels of RAGE, TNF-α and IL-6 in the HSCs were significantly reduced. RAGE protein expression levels were reduced to 51.06±13.79 and 47.94±5.36% of the values in the control and pAKD-NC groups, respectively (F=36.513; P<0.05); TNF-α protein expression levels were reduced to 57.00±6.07 and 56.01±5.27% of the values in the control and pAKD-NC groups, respectively (F=123.500; P<0.05); and IL-6 protein expression levels were reduced to 48.30±3.26 and 50.50±3.61% of the values in the control and pAKD-NC groups, respectively (F=320.555; P<0.05). No statistically significant difference was found between the control and pAKD-NC groups (P>0.05). These results indicate that the RAGE-specific siRNA expressed by pAKD-GR126 was able to inhibit the protein expression of RAGE, TNF-α and IL-6 (Table III and Fig. 1).

Table III.

Effect of specific siRNA on the protein expression levels of RAGE, TNF-α and IL-6 in the primary HSCs (/β-actin).

Table III.

Effect of specific siRNA on the protein expression levels of RAGE, TNF-α and IL-6 in the primary HSCs (/β-actin).

Group (n)

IndexControl (3)pAKD-GR126 (3)pAKD-NC (3)FP-value
RAGE2.25±0.29 1.12±0.15a2.34±0.07   36.513<0.05
TNF-α2.35±0.10 1.34±0.10a2.39±0.08123.500<0.05
IL-62.35±0.06 1.13±0.05a2.25±0.08320.555<0.05

a P<0.05 vs. control and pAKD-NC groups. siRNA, small interfering RNA; HSC, hepatic stellate cell; RAGE, receptor for advanced glycation end products; TNF-α, tumor necrosis factor-α; IL-6, interleukin-6.

GFP expression

The expression vector pAKD-GR126 simultaneously expressed the specific siRNA and GFP; therefore, observation of GFP expression was used to determine the transfection efficiency of the expression vector, in addition to the expression of specific siRNA. Green fluorescence was observed in the LT, MT, HT and NS groups, while the NC and FM groups exhibited no fluorescence. The results therefore showed that the expression vector pAKD-GR126 was successfully transfected into the rat liver cells and was able to express the RAGE-specific siRNA (Fig. 2).

Serum TNF-α and IL-6 concentrations

Compared with the NC group, the serum TNF-α and IL-6 levels of the FM group were significantly increased by 175.27±5.48 and 292.32±1.62%, respectively (P<0.05); however, after six weeks of treatment with RAGE-specific siRNA, the serum TNF-α levels of the LT, MT and HT groups were reduced to 76.68±1.83, 69.00±2.36 and 62.29±2.44%, respectively, of the level in the FM group (F=416.397; P<0.05), while the IL-6 levels were reduced to 81.23±1.38, 65.32±2.03 and 48.87±1.13%, respectively, of the level in the FM group (F=1,716.659; P<0.05). The serum TNF-α and IL-6 levels in the FM and NS groups exhibited no significant difference (P>0.05). These results indicate that the RAGE-specific siRNA was able to effectively inhibit the generation of TNF-α and IL-6 in the HF rats (Table IV).

Table IV.

Effect of specific siRNA on the serum TNF-α and IL-6 concentrations in the HF rats.

Table IV.

Effect of specific siRNA on the serum TNF-α and IL-6 concentrations in the HF rats.

IndexNC groupFM groupLT groupMT groupHT groupNS group
TNF-α (ng/ml)166.67±4.04 292.83±5.74a 224.50±5.05a,b 202.00±6.16a,b 182.33±6.09a,b 291.50±5.24a
IL-6 (ng/ml)173.00±3.61 505.83±5.42a 410.83±6.18a,b 330.33±8.62a,b 247.17±5.42a,b 503.67±6.06a

a P<0.05 vs. blank group

b P<0.05 vs. FM group. siRNA, small interfering RNA; TNF-α, tumor necrosis factor-α; IL-6, interleukin-6; HF, hepatic fibrotic; NC, normal control; FM, fibrotic model; LT, low-dose pAKD-GR126; MT, medium-dose pAKD-GR126; HT, high-dose pAKD-GR126; NS, pAKD-NC.

Liver histology

The HE and Masson's trichrome staining of the liver portal areas of the FM and NS groups revealed numerous regions of spotty, flaky or bridge-like necrosis, inflammatory cell infiltration, fibrous connective tissue proliferation and the formation of false lobules. The NC group exhibited no liver tissue necrosis, inflammatory cell infiltration or fibrosis. Compared with the FM and NS groups, the inflammation and fibrotic proliferation in the LT, MT and HT groups showed various degrees of improvement, with the HT group exhibiting the most evident alleviation. The Scheuer modified scoring system was used for the liver inflammatory-activity grading and fibrosis staging of each group. The liver inflammatory activity grade and fibrosis stage of each treatment group was significantly reduced compared with that in the FM and NS groups (χ2=28.825 and 31.318, respectively; P<0.01). These results indicate that the RAGE-specific siRNA was able to effectively improve the degree of liver inflammation and fibrosis in the HF rats (Fig. 3 and Table V).

Table V.

Effect of specific siRNA on the liver inflammatory activity and fibrosis grading of the HF rats.

Table V.

Effect of specific siRNA on the liver inflammatory activity and fibrosis grading of the HF rats.

Liver inflammatory activity grading Fibrosis grading


Group0IIIIIIIVMean rank0IIIIIIIVMean rank
NC600004.00600003.50
FM0002431.00a0001529.75a
LT0231018.33a,b0132018.58a,b
MT0330015.75a,b0321015.17a,b
HT1320013.08a,b0420013.00a,b
NS0012328.83a0000631.00a

{ label (or @symbol) needed for fn[@id='tfn6-etm-0-0-2569'] } Results of inflammatory activity grading and rank sum test of each group, χ2=28.825 (P<0.01). Results of fibrosis grading and rank sum test of each group, χ2=31.318 (P<0.01).

a P<0.01 vs. NC group

b P<0.01 vs. FM group. siRNA, small interfering RNA; HF, hepatic fibrotic; NC, normal control; FM, fibrotic model; LT, low-dose pAKD-GR126; MT, medium-dose pAKD-GR126; HT, high-dose pAKD-GR126; NS, pAKD-NC.

Discussion

As a signal transduction receptor, RAGE is able to interact with its ligand, AGEs, on the cell surface, thus generating oxidative stress (13) and mediating the transformation of epithelial cells, mesothelial cells and HSCs into myofibroblasts (MFs). This process in turn promotes the release of profibrogenic growth factors and proinflammatory cytokines, thus increasing inflammation, promoting angiogenesis and collagen deposition and ultimately leading to a range of pathologies and fibrosis in various tissues (14,15). Fehrenbach et al (16) confirmed that only HSCs and MFs in the liver are able to specifically express RAGE mRNA. Furthermore, during the transformation of cultured rat HSCs into MFs, the mRNA expression levels of RAGE are upregulated, accompanied by an increase in RAGE protein levels and transforming growth factor-β1 (TGF-β1) synthesis (16). These findings indicate that RAGE may be the primary receptor involved in the activation and transformation of HSCs into MFs during the development of hepatic fibrosis.

HSC activation plays a pivotal role in the onset and development of hepatic fibrosis; the activated HSCs are able to synthesize and secrete large quantities of extracellular matrix (ECM), and release various cytokines, including TNF-α, IL-6 and TGF-β1 (1719). In the present study, the mRNA and protein levels of RAGE, TNF-α and IL-6 were reduced in the primary HSCs of the pAKD-GR126 group compared with those in the control and NC groups. Furthermore, the serum TNF-α and IL-6 concentrations, liver inflammatory activities and degree of fibrosis in the LT, MT and HT groups were reduced and alleviated compared with those in the FM and NS groups. These results indicated that the specific siRNA expressed by pAKD-GR126 was able to effectively suppress the generation of TNF-α and IL-6 in vitro and in vivo, and thus improved the degree of liver inflammation and fibrosis in rats.

Various cytokines are known to serve a crucial function in liver cell damage and dysfunction, interacting via autocrine or paracrine signaling to form a cytokine network and co-regulate the onset and development of hepatic fibrosis. TNF-α and IL-6, in particular, are associated with the development of hepatic fibrosis (20,21). TNF-α and IL-6 not only mediate inflammation, but also are able to promote ECM synthesis, thus contributing to the development of hepatic fibrosis (22). TNF-α is able to directly contribute to the proliferation of HSCs and rat hepatocytes by synthesizing collagen and proteoglycans, while IL-6 promotes the proliferation of fibroblasts and the mRNA expression of types I and III collagen. Furthermore, IL-6 can induce the mRNA expression of tissue inhibitor of matrix metalloproteinase-1, promote α2-macroglobulin expression and inhibit collagenase activity, thereby reducing ECM decomposition. In addition, as inflammatory cytokines, TNF-α and IL-6 are able to stimulate Kupffer cells to release increased quantities of cytokines, such as TGF-β1 and platelet-derived growth factor, thus resulting in positive feedback amplification and further ECM production (23).

Hepatic fibrosis is a characteristic feature of the development of various chronic liver diseases, including viral hepatitis, chronic alcoholism, genetic and metabolic disorders, chemical poisoning or drug toxicity, liver congestion, parasites and fatty liver, into cirrhosis. Furthermore, hepatic fibrosis represents a critical stage for the reversible treatment of liver cirrhosis, and the effective prevention of hepatic fibrosis may limit the occurrence of cirrhosis, thus improving the prognosis of patients with chronic liver disease and reducing the risk of cirrhosis. In the present study, a specific siRNA was used to inhibit the generation of TNF-α and IL-6 in vitro and in vivo. The results indicated that the specific siRNA suppressed hepatic fibrosis by inhibiting the expression of TNF-α and IL-6, which could therefore become a novel target for future anti-HF gene therapy.

Acknowledgements

This study was supported by a grant from the Natural Science Foundation of Jiangsu Province (no. BK2009284).

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Wang XW, Li WD, Xia JR, Li Z and Cai XG: Small interfering RNA targeting receptor for advanced glycation end products suppresses the generation of proinflammatory cytokines. Exp Ther Med 10: 584-590, 2015.
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Wang, X., Li, W., Xia, J., Li, Z., & Cai, X. (2015). Small interfering RNA targeting receptor for advanced glycation end products suppresses the generation of proinflammatory cytokines. Experimental and Therapeutic Medicine, 10, 584-590. https://doi.org/10.3892/etm.2015.2569
MLA
Wang, X., Li, W., Xia, J., Li, Z., Cai, X."Small interfering RNA targeting receptor for advanced glycation end products suppresses the generation of proinflammatory cytokines". Experimental and Therapeutic Medicine 10.2 (2015): 584-590.
Chicago
Wang, X., Li, W., Xia, J., Li, Z., Cai, X."Small interfering RNA targeting receptor for advanced glycation end products suppresses the generation of proinflammatory cytokines". Experimental and Therapeutic Medicine 10, no. 2 (2015): 584-590. https://doi.org/10.3892/etm.2015.2569