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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">OL</journal-id>
<journal-title-group>
<journal-title>Oncology Letters</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-1074</issn>
<issn pub-type="epub">1792-1082</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ol.2018.9487</article-id>
<article-id pub-id-type="publisher-id">OL-0-0-9487</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>A potential common role of the Jumonji C domain-containing 1A histone demethylase and chromatin remodeler ATRX in promoting colon cancer</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Xiaomeng</given-names></name>
<xref rid="af1-ol-0-0-9487" ref-type="aff">1</xref>
<xref rid="af2-ol-0-0-9487" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Oh</surname><given-names>Sangphil</given-names></name>
<xref rid="af2-ol-0-0-9487" ref-type="aff">2</xref>
<xref rid="af3-ol-0-0-9487" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Song</surname><given-names>Hoogeun</given-names></name>
<xref rid="af2-ol-0-0-9487" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Shin</surname><given-names>Sook</given-names></name>
<xref rid="af2-ol-0-0-9487" ref-type="aff">2</xref>
<xref rid="af3-ol-0-0-9487" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Bin</given-names></name>
<xref rid="af1-ol-0-0-9487" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Freeman</surname><given-names>Willard M.</given-names></name>
<xref rid="af3-ol-0-0-9487" ref-type="aff">3</xref>
<xref rid="af4-ol-0-0-9487" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>Janknecht</surname><given-names>Ralf</given-names></name>
<xref rid="af2-ol-0-0-9487" ref-type="aff">2</xref>
<xref rid="af3-ol-0-0-9487" ref-type="aff">3</xref>
<xref rid="c1-ol-0-0-9487" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-ol-0-0-9487"><label>1</label>Department of Endoscopy and Gastrointestinal Medicine, China-Japan Union Hospital of Jilin University, Changchun, Jilin 130033, P.R. China</aff>
<aff id="af2-ol-0-0-9487"><label>2</label>Department of Cell Biology, University of Oklahoma Health Sciences Center, Oklahoma, OK 73104, USA</aff>
<aff id="af3-ol-0-0-9487"><label>3</label>Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma, OK 73104, USA</aff>
<aff id="af4-ol-0-0-9487"><label>4</label>Department of Physiology, University of Oklahoma Health Sciences Center, Oklahoma, OK 73104, USA</aff>
<author-notes>
<corresp id="c1-ol-0-0-9487"><italic>Correspondence to</italic>: Dr Ralf Janknecht, Department of Cell Biology, University of Oklahoma Health Sciences Center, 975 NE 10th Street, BRC-1464, Oklahoma, OK 73104, USA, E-mail: <email>ralf-janknecht@ouhsc.edu</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>11</month>
<year>2018</year></pub-date>
<pub-date pub-type="epub">
<day>24</day>
<month>09</month>
<year>2018</year></pub-date>
<volume>16</volume>
<issue>5</issue>
<fpage>6652</fpage>
<lpage>6662</lpage>
<history>
<date date-type="received"><day>10</day><month>05</month><year>2018</year></date>
<date date-type="accepted"><day>17</day><month>09</month><year>2018</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Li et al.</copyright-statement>
<copyright-year>2018</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>Jumonji C domain-containing 1A (JMJD1A) is a histone demethylase and epigenetic regulator that has been implicated in cancer development. In the current study, its mRNA and protein expression was analyzed in human colorectal tumors. It was demonstrated that JMJD1A levels were increased and correlated with a more aggressive phenotype. Downregulation of JMJD1A in human HCT116 colorectal cancer cells caused negligible growth defects, but robustly decreased clonogenic activity. Transcriptome analysis revealed that JMJD1A downregulation led to multiple changes in HCT116 cells, including inhibition of MYC- and MYCN-regulated pathways and stimulation of the TP53 tumor suppressor response. One gene identified to be stimulated by JMJD1A was &#x03B1;-thalassemia/mental retardation syndrome X-linked (ATRX), which encodes for a chromatin remodeler. The JMJD1A protein, but not a catalytically inactive mutant, activated the ATRX gene promoter and JMJD1A also affected levels of dimethylation on lysine 9 of histone H3. Similar to JMJD1A, ATRX was significantly overexpressed in human colorectal tumors and correlated with increased disease recurrence and lethality. Furthermore, ATRX downregulation in HCT116 cells reduced their growth and clonogenic activity. Accordingly, upregulation of ATRX may represent one mechanism by which JMJD1A promotes colorectal cancer. In addition, the data presented in this study suggest that the current notion of ATRX as a tumor suppressor is incomplete and that ATRX might context dependently also function as a tumor promoter.</p>
</abstract>
<kwd-group>
<kwd>ATRX</kwd>
<kwd>colon cancer</kwd>
<kwd>histone demethylase</kwd>
<kwd>JMJD1A</kwd>
<kwd>KDM3A</kwd>
<kwd>transcription</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Jumonji C domain-containing 1A (JMJD1A), also called lysine demethylase 3A (KDM3A), is an enzyme that converts dimethylated lysine 9 on histone H3 progressively into its mono- and unmethylated form (<xref rid="b1-ol-0-0-9487" ref-type="bibr">1</xref>). Depending on the degree of this demethylation process and where throughout a gene body it occurs, this affects gene expression in different ways (<xref rid="b2-ol-0-0-9487" ref-type="bibr">2</xref>). Accordingly, in different contexts, JMJD1A was shown to activate or repress gene transcription (<xref rid="b1-ol-0-0-9487" ref-type="bibr">1</xref>,<xref rid="b3-ol-0-0-9487" ref-type="bibr">3</xref>&#x2013;<xref rid="b7-ol-0-0-9487" ref-type="bibr">7</xref>). Further, JMJD1A may act independently of its enzymatic activity through binding to nucleosome remodeling complexes, thereby modulating long-range chromatin interactions (<xref rid="b8-ol-0-0-9487" ref-type="bibr">8</xref>).</p>
<p>Knockout of JMJD1A in mice has revealed multiple physiological functions of this histone demethylase. Complete JMJD1A knockout caused male-to-female sex reversal, most likely due to deficient transcription of the sex-determining region Y gene that is required to trigger the differentiation of the bipotential gonads into testes (<xref rid="b9-ol-0-0-9487" ref-type="bibr">9</xref>). Moreover, in a hypomorphic JMJD1A knockout mouse model, males were infertile and displayed defective spermatogenesis, indicating that JMJD1A plays an important role in adult testes, too (<xref rid="b10-ol-0-0-9487" ref-type="bibr">10</xref>). Unrelated to its reproductive role, JMJD1A is also critical for normal homeostasis because JMJD1A knockout mice became obese and developed metabolic syndrome (<xref rid="b11-ol-0-0-9487" ref-type="bibr">11</xref>,<xref rid="b12-ol-0-0-9487" ref-type="bibr">12</xref>). In addition, JMJD1A is required for the adaptation to cold stress by promoting thermogenesis (<xref rid="b8-ol-0-0-9487" ref-type="bibr">8</xref>,<xref rid="b13-ol-0-0-9487" ref-type="bibr">13</xref>).</p>
<p>Interestingly, the stem cell factor OCT4 appears to upregulate JMJD1A gene transcription and depletion of JMJD1A can lead to the differentiation of embryonic stem cells (<xref rid="b14-ol-0-0-9487" ref-type="bibr">14</xref>), suggesting that JMJD1A exerts more, yet-to-be-discovered tasks in development, wound repair or tissue regeneration that are all dependent on stem cell function. In addition, JMJD1A promoted stemness in breast and ovarian cancer cells that could enhance chemoresistance (<xref rid="b15-ol-0-0-9487" ref-type="bibr">15</xref>,<xref rid="b16-ol-0-0-9487" ref-type="bibr">16</xref>). In HCT116 colon cancer cells, JMJD1A was needed for efficient tumor growth in a xenograft model (<xref rid="b17-ol-0-0-9487" ref-type="bibr">17</xref>,<xref rid="b18-ol-0-0-9487" ref-type="bibr">18</xref>), possibly because of its ability to stimulate stem cells (<xref rid="b19-ol-0-0-9487" ref-type="bibr">19</xref>). Despite these findings, the role of JMJD1A in colorectal cancer that is the second leading cause of cancer death in the Western hemisphere (<xref rid="b20-ol-0-0-9487" ref-type="bibr">20</xref>) has not been fully elucidated. In the present study, we set out to analyze JMJD1A expression in colorectal tumors, gain mechanistic insights by determining genes that are regulated by JMJD1A, and explore the role of one of these genes, &#x03B1;-thalassemia/mental retardation syndrome X-linked (ATRX), in colon cancer.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Analysis of databases</title>
<p>Microarray experiments were analyzed with Oncomine (<xref rid="b21-ol-0-0-9487" ref-type="bibr">21</xref>) and respective data downloaded from <uri xlink:href="http://www.oncomine.org">www.oncomine.org</uri>. The Human Protein Atlas (<xref rid="b22-ol-0-0-9487" ref-type="bibr">22</xref>) served as a source for survival data (<uri xlink:href="http://www.proteinatlas.org">www.proteinatlas.org</uri>) with the corresponding RNA sequencing data originating from &#x2018;The Cancer Genome Atlas&#x2019; (TCGA). To assess coexpression of ATRX and JMJD1A in colorectal adenocarcinomas, provisional TCGA RNA sequencing data were analyzed with cbioportal (<uri xlink:href="http://www.bioportal.org">www.bioportal.org</uri>).</p>
</sec>
<sec>
<title>Cloning of shRNA</title>
<p>The retroviral vector pSIREN-RetroQ (Clontech, Palo Alto, CA, USA) was linearized with the restriction enzymes <italic>Bam</italic>HI and <italic>Eco</italic>RI and ligated with double-stranded oligonucleotides encoding shRNAs (<xref rid="b23-ol-0-0-9487" ref-type="bibr">23</xref>). Correct cloning was verified by DNA sequencing. The control shRNA targets the sequence 5&#x2032;-CAACAAGATGAAGAGCACCAA-3&#x2032;, which displays at least four mismatches to any known human gene. The human JMJD1A shRNAs target the sequences 5&#x2032;-GCAGGTGTCAATAGTGATA-3&#x2032; (#1 shRNA) and 5&#x2032;-GTAGACCTAGTTAATTGTA-3&#x2032; (#2 shRNA), while the human ATRX shRNAs target the sequences 5&#x2032;-GGTGTTATGATCATAGGCTAT-3&#x2032; (#1 shRNA) and 5&#x2032;-GGATTCAACCTCTTGAGGATA-3&#x2032; (#3 shRNA).</p>
</sec>
<sec>
<title>Cell culture and analyses</title>
<p>Human colorectal carcinoma cells HCT116 (CCL-247), SW480 (CCL-228), DLD-1 (CCL-221) and HT-29 (HTB-38) as well as human embryonic kidney 293T cells (CRL-3216; all American Type Culture Collection, Manassas, VA, USA) were grown in a humidified, 5&#x0025; CO<sub>2</sub>-containing atmosphere in Dulbecco&#x0027;s modified Eagle&#x0027;s medium (10-013-CV; Mediatech; Corning Inc., Corning, NY, USA) that was supplemented with 10&#x0025; fetal bovine serum (S11150; Atlanta Biologicals, Flowery Branch, GA, USA) as previously described (<xref rid="b24-ol-0-0-9487" ref-type="bibr">24</xref>,<xref rid="b25-ol-0-0-9487" ref-type="bibr">25</xref>). Transfection of 293T cells was done by the calcium phosphate coprecipitation method (<xref rid="b26-ol-0-0-9487" ref-type="bibr">26</xref>,<xref rid="b27-ol-0-0-9487" ref-type="bibr">27</xref>), the precipitate washed off with phosphate-buffered saline (<xref rid="b28-ol-0-0-9487" ref-type="bibr">28</xref>), retrovirus collected from the supernatant over the next 48 h (<xref rid="b29-ol-0-0-9487" ref-type="bibr">29</xref>) and in some cases concentrated by precipitation with poly (ethylene glycol)-8000 (<xref rid="b30-ol-0-0-9487" ref-type="bibr">30</xref>). HCT116 cells were infected with retrovirus three times (<xref rid="b31-ol-0-0-9487" ref-type="bibr">31</xref>) and then selected with 1.5 &#x00B5;g/ml puromycin for 3&#x2013;4 days (<xref rid="b32-ol-0-0-9487" ref-type="bibr">32</xref>). To measure growth, 2,000 or 2,500 cells were seeded in 96-wells and growth determined essentially as described (<xref rid="b33-ol-0-0-9487" ref-type="bibr">33</xref>,<xref rid="b34-ol-0-0-9487" ref-type="bibr">34</xref>). For clonogenic assays, 1,000 or 3,750 cells were seeded into 6-wells and colony formation assayed as described (<xref rid="b30-ol-0-0-9487" ref-type="bibr">30</xref>).</p>
</sec>
<sec>
<title>Analysis of protein expression</title>
<p>To generate whole cell protein extracts, cells were lysed in Laemmli sample buffer and boiled for ~10 min (<xref rid="b35-ol-0-0-9487" ref-type="bibr">35</xref>). For biochemical fractionation of cells, the NE-PER nuclear and cytoplasmic extraction kit (78833; Pierce Biotechnology, Rockford, IL, USA) was employed as described (<xref rid="b36-ol-0-0-9487" ref-type="bibr">36</xref>). Proteins were then electrophoretically separated on SDS polyacrylamide gels (<xref rid="b37-ol-0-0-9487" ref-type="bibr">37</xref>), transferred to polyvinylidene difluoride membrane (<xref rid="b38-ol-0-0-9487" ref-type="bibr">38</xref>) and incubated with primary antibodies as described (<xref rid="b39-ol-0-0-9487" ref-type="bibr">39</xref>,<xref rid="b40-ol-0-0-9487" ref-type="bibr">40</xref>). Signals on blots were revealed utilizing appropriate secondary antibodies (<xref rid="b41-ol-0-0-9487" ref-type="bibr">41</xref>) followed by detection with chemiluminescence (<xref rid="b42-ol-0-0-9487" ref-type="bibr">42</xref>). Staining of a human colon cancer tissue microarray (AccuMax A303 I, slide #40; Isu Abxis, Seongnam, South Korea) was performed employing 20 min of antigen retrieval with method 2 and a 1:100 dilution of anti-JMJD1A antibody as described (<xref rid="b43-ol-0-0-9487" ref-type="bibr">43</xref>). The stained slide was digitized and the digital image extracted with Aperio ImageScope software (Leica, Wetzlar, Germany). Diaminobenzidine staining was obtained by color deconvolution from this image, intensity of light transmission was measured with Fiji version of ImageJ software (<uri xlink:href="http://fiji.sc">http://fiji.sc</uri>) and the strength of JMJD1A staining was defined as 100&#x00D7; (log maximum intensity-log intensity). The following rabbit polyclonal antibodies were utilized: Anti-Actin (A2066; Sigma-Aldrich; Merck KGaA, Darmstadt, Germany); anti-ATRX (NBP1-83077); anti-JMJD1A (NB100-77282; both Novus Biologicals, Littleton, CO, USA); and anti-H3K27me<sub>1</sub> (07&#x2013;448; Upstate Biotechnology, Lake Placid, NY, USA). Also used was a goat polyclonal anti-Lamin B antibody (sc-6216; Santa Cruz Biotechnology, Santa Cruz, CA, USA).</p>
</sec>
<sec>
<title>RNA sequencing</title>
<p>Total RNA from HCT116 cells was isolated employing TRIzol (<xref rid="b44-ol-0-0-9487" ref-type="bibr">44</xref>) following standard procedures (<xref rid="b45-ol-0-0-9487" ref-type="bibr">45</xref>). RNA was further purified with the RNeasy Mini kit (74104; Qiagen, Hilden, Germany) and sequenced in the Targeted DNA Methylation and Mitochondrial Heteroplasmy Core at the Oklahoma Nathan Shock Center of Excellence in the Biology of Aging (Oklahoma City, OK, USA). Reads were aligned in Strand NGS (Agilent Technologies, Inc., Santa Clara, CA, USA) against the hg38 human genome build (December 2013) with Ensemble gene annotations (v87, January 2017). Three bases were trimmed from 3&#x2032; and 5&#x2032; ends of reads and read quality &#x003C;Q20 was discarded prior to alignment. Alignment was to the full genome build to detect novel genes and splice variants and required 90 percent identity, minimum read length of 25, and reads with multiple matches were eliminated. A screening database for Illumina adapter sequences was used to remove adapter sequences. Reads counts were normalized by DESeq and a z-test was used to determine differential expression between samples. Ingenuity Pathway Analysis (Qiagen) was performed on genes whose mRNA levels were at least 1.5-fold different upon JMJD1A downregulation compared to the control shRNA treated cells.</p>
</sec>
<sec>
<title>Luciferase assays</title>
<p>The human ATRX promoter spanning from &#x2212;600 to &#x002B;100 (the ATRX transcription start site was based on the human transcript variant 1: NCBI reference sequence NM_000489.4) was cloned into pGL2-Basic (Promega Corp., Madison, WI, USA). Human 293T and HCT116 cells, which were grown in 12-wells, were transiently transfected with 100 ng of this luciferase reporter construct, 900 ng pBluescript KS<sup>&#x002B;</sup>, and 60 ng of Flag-JMJD1A expression plasmid or empty vector pEV3S utilizing 2 &#x00B5;g polyethylenimine (<xref rid="b43-ol-0-0-9487" ref-type="bibr">43</xref>). Approximately 42 h after transfection, cells were lysed as described (<xref rid="b46-ol-0-0-9487" ref-type="bibr">46</xref>) and luciferase activities determined in a luminometer (<xref rid="b47-ol-0-0-9487" ref-type="bibr">47</xref>).</p>
</sec>
<sec>
<title>Chromatin immunoprecipitation</title>
<p>Human embryonic kidney 293T cells were grown in 10 cm dishes and transfected by the calcium phosphate coprecipitation method with 3 &#x00B5;g ATRX luciferase reporter plasmid, 21 &#x00B5;g pBluescript KS<sup>&#x002B;</sup>, and 6 &#x00B5;g Flag-JMJD1A expression plasmid or empty vector pEV3S. Cells were treated with formaldehyde and processed for chromatin preparation and immunoprecipitation as described (<xref rid="b48-ol-0-0-9487" ref-type="bibr">48</xref>,<xref rid="b49-ol-0-0-9487" ref-type="bibr">49</xref>). The following antibodies were used: Normal mouse IgG (sc-2025; Santa Cruz Biotechnology); anti-H3K9me<sub>2</sub> mouse monoclonal antibody (ab1220); and anti- H3K36me<sub>2</sub> rabbit polyclonal antibody (ab9049; both Abcam, Cambridge, MA, USA). Resultant DNA was then amplified by PCR, which was performed with the GoTaq DNA polymerase kit (M3008; Promega Corp.) and the following temperature program: 97&#x00B0;C for 2 min; 8 cycles of 97&#x00B0;C for 25 sec, 65&#x00B0;C (&#x2212;1&#x00B0;C per cycle) for 25 sec, 72&#x00B0;C for 35 sec; 26 cycles of 97&#x00B0;C for 25 sec, 57&#x00B0;C for 25 sec, 72&#x00B0;C for 35 sec (&#x002B;1 sec per cycle); 72&#x00B0;C for 4 min followed by cooling down to 4&#x00B0;C. Primers used were ATRX-for2 (5&#x2032;-GTAGGTTTGTCTACCTCAGAGAGTG-3&#x2032;; spanning the ATRX promoter from &#x2212;332 to &#x2212;308) and ATRX-rev2 (5&#x2032;-ACAGCTCAAAGGCCGCTACCACTGC-3&#x2032;; spanning the ATRX promoter from &#x002B;117 to &#x002B;141). The PCR products were electrophoresed in agarose gels and revealed by ethidium bromide staining (<xref rid="b50-ol-0-0-9487" ref-type="bibr">50</xref>).</p>
</sec>
<sec>
<title>Statistics</title>
<p>Statistical significance was assessed with one- or two-way analysis of variance (ANOVA) with post hoc Dunnett&#x0027;s or Tukey&#x0027;s multiple comparisons test, an unpaired Student&#x0027;s t-test, or a log-rank test. P&#x003C;0.05 was deemed to show a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>JMJD1A expression in colorectal cancer</title>
<p>To examine the expression of JMJD1A mRNA in colorectal tumors, we first interrogated publicly available databases. In a study from TCGA (<xref rid="b51-ol-0-0-9487" ref-type="bibr">51</xref>), we found significant overexpression of JMJD1A in cecum, colon and rectal adenocarcinomas and a trend towards overexpression in mucinous tumors of the colon and rectum (<xref rid="f1-ol-0-0-9487" ref-type="fig">Fig. 1A</xref>). Importantly, high JMJD1A mRNA levels were significantly correlated with reduced survival (<xref rid="f1-ol-0-0-9487" ref-type="fig">Fig. 1B</xref>). Further, we discovered that JMJD1A was more highly expressed in patients with recurrent disease [<xref rid="f1-ol-0-0-9487" ref-type="fig">Fig. 1C</xref>; microarray data retrieved from reference (<xref rid="b52-ol-0-0-9487" ref-type="bibr">52</xref>)] and at metastatic sites compared to the primary colorectal tumors [<xref rid="f1-ol-0-0-9487" ref-type="fig">Fig. 1D</xref>; microarray data retrieved from reference (<xref rid="b53-ol-0-0-9487" ref-type="bibr">53</xref>)]. Altogether, these data indicate that JMJD1A mRNA is overexpressed in many colorectal tumors and associated with a more aggressive phenotype.</p>
<p>We then wanted to assess JMJD1A protein expression in colorectal cancer. Expression of JMJD1A protein was confirmed in all of the four tested human colorectal cancer cell lines by western blotting (<xref rid="f2-ol-0-0-9487" ref-type="fig">Fig. 2A</xref>). Further, we biochemically fractionated HCT116 and DLD-1 colorectal cancer cells and found that JMJD1A was present in both the cytoplasm and nucleus, while very little JMJD1A was detectable in the insoluble fraction that primarily consists of the nuclear matrix and heterochromatin (<xref rid="f2-ol-0-0-9487" ref-type="fig">Fig. 2B</xref>). Then, we stained a human tissue microarray consisting of 32 matching normal and cancerous colorectal tissues. Consistent with our biochemical fractionation experiments, JMJD1A staining was present in both the cytoplasm and nucleus. Importantly, a significant overexpression of JMJD1A was observed in the tumors (<xref rid="f2-ol-0-0-9487" ref-type="fig">Fig. 2C and D</xref>), further implicating that JMJD1A overexpression may contribute to the development of colorectal cancer.</p>
</sec>
<sec>
<title>Impact of JMJD1A on HCT116 cells</title>
<p>To assess a potential physiological role of JMJD1A, we downregulated JMJD1A with two different shRNAs in HCT116 colorectal cancer cells. Both shRNAs induced a large reduction of JMJD1A protein levels (<xref rid="f3-ol-0-0-9487" ref-type="fig">Fig. 3A</xref>). While JMJD1A shRNA#1 did not cause any change in HCT116 cell growth, shRNA#2 displayed a significant, yet very small reduction in cell growth (<xref rid="f3-ol-0-0-9487" ref-type="fig">Fig. 3B</xref>). This indicates that JMJD1A downregulation has only negligible effects on HCT116 cell growth. In contrast, clonogenic activity of HCT116 colorectal cancer cells was robustly reduced upon JMJD1A downregulation with either of the two shRNAs (<xref rid="f3-ol-0-0-9487" ref-type="fig">Fig. 3C</xref>). The latter data indicate that JMJD1A can influence the physiology of HCT116 cells in a manner that is predicted to be tumor promoting.</p>
</sec>
<sec>
<title>Transcriptome analysis</title>
<p>Next, we assessed how JMJD1A affects the transcriptome of HCT116 cells. To this end, we again downregulated JMJD1A with two different shRNAs (<xref rid="f4-ol-0-0-9487" ref-type="fig">Fig. 4A</xref>) and performed RNA sequencing. Compared to control shRNA, we found that 281 genes were &#x003E;1.5-fold upregulated with both JMJD1A shRNAs and 192 genes were &#x003E;1.5-fold downregulated (<xref rid="f4-ol-0-0-9487" ref-type="fig">Fig. 4B</xref>). Ingenuity Pathway Analysis revealed that multiple metabolic (<xref rid="f4-ol-0-0-9487" ref-type="fig">Fig. 4C</xref>) and upstream regulatory pathways (<xref rid="f4-ol-0-0-9487" ref-type="fig">Fig. 4D</xref>) were affected by JMJD1A downregulation. This indicates that JMJD1A pleiotropically affects the gene expression program of HCT116 colorectal cancer cells and may thereby be a determinant of their oncogenic potential.</p>
</sec>
<sec>
<title>Identification of ATRX as a potential JMJD1A target gene</title>
<p>Since JMJD1A as a histone demethylase modulates chromatin structure, we were especially interested in other proteins involved in chromatin regulation whose genes were found to be affected by JMJD1A in our transcriptome analysis. One such gene was ATRX, which encodes for a chromatin remodeler (<xref rid="b54-ol-0-0-9487" ref-type="bibr">54</xref>). Our RNA sequencing data showed that JMJD1A downregulation by shRNA#1 or shRNA#2 led to a 2.6-fold or 3.5-fold decrease in ATRX mRNA levels, respectively (<xref rid="f5-ol-0-0-9487" ref-type="fig">Fig. 5A</xref>). Accordingly, ATRX protein levels were also reduced in the presence of JMJD1A shRNAs (<xref rid="f5-ol-0-0-9487" ref-type="fig">Fig. 5B</xref>). Please note that ATRX has a calculated molecular weight of 282.6 kDa and that the ATRX gene is composed of 35 exons, giving rise to multiple splice variants. This complex structure, and possibly protein degradation, accounted for the fact that multiple bands were detected with the anti-ATRX antibody in our western blot analyses. In total, these data suggest that JMJD1A can stimulate ATRX gene transcription. This notion is strongly supported by the fact that JMJD1A and ATRX mRNA levels were positively correlated across normal and malignant colorectal tissue specimens (<xref rid="f5-ol-0-0-9487" ref-type="fig">Fig. 5C</xref>) or across adenocarcinomas in another data set (<xref rid="f5-ol-0-0-9487" ref-type="fig">Fig. 5D</xref>).</p>
<p>To provide further evidence for a JMJD1A-ATRX axis, we cloned the human ATRX gene promoter in front of a luciferase reporter gene. As shown in <xref rid="f6-ol-0-0-9487" ref-type="fig">Fig. 6A</xref>, overexpression of JMJD1A in 293T cells slightly stimulated the ATRX promoter. In addition, we also overexpressed JMJD1A-H1120A/D1122G, in which two amino acids within the JMJD1A catalytic center have been mutated rendering it inactive (<xref rid="b1-ol-0-0-9487" ref-type="bibr">1</xref>). This mutant repressed the ATRX luciferase reporter gene, presumably since it prevents endogenous JMJD1A from interacting with and thereby activating the ATRX promoter. Similar results were obtained with wild-type JMJD1A and its H1120A/D1122G mutant in HCT116 colorectal cancer cells (<xref rid="f6-ol-0-0-9487" ref-type="fig">Fig. 6B</xref>). Moreover, we found that JMJD1A overexpression expectedly reduced dimethylation of histone H3 on lysine 9, but not dimethylation on lysine 36 (<xref rid="f6-ol-0-0-9487" ref-type="fig">Fig. 6C</xref>). On the other hand, the H1120A/D1122G mutant predictably elevated levels of dimethylation on lysine 9 of histone H3. Collectively, these data suggest that JMJD1A interacts with the ATRX promoter and induces it by a mechanism that involves reduction of H3K9me<sub>2</sub> levels.</p>
</sec>
<sec>
<title>ATRX in colorectal cancer</title>
<p>The previous findings led to the question of whether ATRX is overexpressed in colorectal cancer. Indeed, similar to JMJD1A, ATRX mRNA was significantly upregulated in cecum, colon and rectal adenocarcinomas, and even mucinous adenocarcinomas of the colon and rectum displayed significant ATRX upregulation [<xref rid="f7-ol-0-0-9487" ref-type="fig">Fig. 7A</xref>; microarray data from reference (<xref rid="b51-ol-0-0-9487" ref-type="bibr">51</xref>)]. Excitingly, high ATRX expression was positively correlated with increased disease recurrence [<xref rid="f7-ol-0-0-9487" ref-type="fig">Fig. 7B</xref>; microarray data from reference (<xref rid="b55-ol-0-0-9487" ref-type="bibr">55</xref>)] and lethality [<xref rid="f7-ol-0-0-9487" ref-type="fig">Fig. 7C</xref>; microarray data from reference (<xref rid="b52-ol-0-0-9487" ref-type="bibr">52</xref>)]. These data suggest that ATRX might promote colorectal cancer.</p>
<p>We then downregulated ATRX with two different shRNAs in HCT116 cells (<xref rid="f8-ol-0-0-9487" ref-type="fig">Fig. 8A</xref>). This led to a significant reduction of HCT116 cell growth (<xref rid="f8-ol-0-0-9487" ref-type="fig">Fig. 8B</xref>). In addition, both ATRX shRNAs caused a reduction in clonogenic activity of HCT116 cells (<xref rid="f8-ol-0-0-9487" ref-type="fig">Fig. 8C</xref>). These data are further supporting the notion that ATRX is a promoter of colorectal cancer.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In the current study, we provided evidence that JMJD1A is overexpressed at the mRNA and protein level in colorectal tumors and is associated with worse clinical outcomes, the latter being consistent with a previous report (<xref rid="b18-ol-0-0-9487" ref-type="bibr">18</xref>). Further, we demonstrated that JMJD1A has no or a minimal, effect on the <italic>in vitro</italic> growth of HCT116 cells. This result is consistent with data published by Krieg <italic>et al</italic> (<xref rid="b17-ol-0-0-9487" ref-type="bibr">17</xref>), but in contrast to Uemura <italic>et al</italic> (<xref rid="b18-ol-0-0-9487" ref-type="bibr">18</xref>) who reported that JMJD1A downregulation led to basically complete loss of <italic>in vitro</italic> HCT116 proliferation. However, it has to be noted that only one JMJD1A siRNA was utilized in the latter study, whose potential off-target effects might have caused the dramatic phenotype observed. Yet, both of our JMJD1A shRNAs caused a robust reduction in HCT116 clonogenic activity, which is the ability of single cells to form colonies that can be associated with the seeding of tumors and which is reliant on cancer stem cell properties. Hence, JMJD1A may be more important for promoting cancer stem cells than for stimulating the growth rate of tumors. Consistent with this concept, JMJD1A has been reported to foster cancer stemness in a variety of different tumors (<xref rid="b15-ol-0-0-9487" ref-type="bibr">15</xref>,<xref rid="b16-ol-0-0-9487" ref-type="bibr">16</xref>,<xref rid="b19-ol-0-0-9487" ref-type="bibr">19</xref>,<xref rid="b56-ol-0-0-9487" ref-type="bibr">56</xref>).</p>
<p>JMJD1A gene transcription is upregulated upon oxygen depletion by the transcription factor HIF-1, the master regulator of hypoxia (<xref rid="b57-ol-0-0-9487" ref-type="bibr">57</xref>&#x2013;<xref rid="b59-ol-0-0-9487" ref-type="bibr">59</xref>). Given that most tumors are in a hypoxic environment, JMJD1A is therefore destined to become overexpressed in cancer cells. Further, JMJD1A can form complexes with the HIF-1 protein, which may particularly be important for the regulation of glycolytic enzymes and adaptation of cancer cells to a hypoxic environment (<xref rid="b60-ol-0-0-9487" ref-type="bibr">60</xref>,<xref rid="b61-ol-0-0-9487" ref-type="bibr">61</xref>). In how far JMJD1A&#x0027;s role in colorectal cancer is related to hypoxia and whether hypoxia is the driving force behind its overexpression remains to be studied.</p>
<p>Previous studies have found a predominantly nuclear localization of JMJD1A (<xref rid="b1-ol-0-0-9487" ref-type="bibr">1</xref>,<xref rid="b3-ol-0-0-9487" ref-type="bibr">3</xref>,<xref rid="b62-ol-0-0-9487" ref-type="bibr">62</xref>). In contrast, our cell fractionation experiments with two different colorectal cancer cell lines indicated that JMJD1A protein levels are comparable in the cytoplasm and cell nucleus. This result suggests that JMJD1A may perform non-nuclear functions that are independent of its histone demethylase activity. Interestingly, hypoxia was reported to reduce cytoplasmic residence of JMJD1A (<xref rid="b62-ol-0-0-9487" ref-type="bibr">62</xref>), implicating that the intracellular localization of JMJD1A and hence its epigenetic nuclear function are likely regulated through environmental cues.</p>
<p>Bioinformatic analyses revealed that JMJD1A downregulation affects multiple pathways in HCT116 colorectal cancer cells, suggesting that JMJD1A may perform pleiotropic functions. Notably, JMJD1A downregulation led to stimulation of TP53- and TGF-&#x03B2;1-regulated and inhibition of MYC- and MYCN-driven pathways (<xref rid="f4-ol-0-0-9487" ref-type="fig">Fig. 4D</xref>). Both TP53 and TGF-&#x03B2;1 are tumor suppressors and mutations in respective pathways are commonly observed upon the progression of colorectal adenomas to early carcinomas (<xref rid="b63-ol-0-0-9487" ref-type="bibr">63</xref>). On the other hand, MYC and MYCN are prominent oncoproteins and transcription factors, whose overexpression is an underlying cause of cancer development in many different tissues (<xref rid="b64-ol-0-0-9487" ref-type="bibr">64</xref>,<xref rid="b65-ol-0-0-9487" ref-type="bibr">65</xref>). Further, the peroxisome proliferator-activated receptor &#x03B1; (PPARA) upstream regulator pathway was the most significantly stimulated pathway upon JMJD1A shRNA expression (<xref rid="f4-ol-0-0-9487" ref-type="fig">Fig. 4D</xref>). While PPARA is known to tissue-specifically act as a tumor promoter or suppressor, current evidence points to PPARA as an inhibitor of colon cancer development, possibly by curtailing inflammation (<xref rid="b66-ol-0-0-9487" ref-type="bibr">66</xref>). Lastly, the estrogen biosynthesis pathway was enhanced upon JMJD1A downregulation (<xref rid="f4-ol-0-0-9487" ref-type="fig">Fig. 4C</xref>). Estrogen in colonic tissue is thought to activate estrogen receptor-&#x03B2;, which seems to prevent colorectal cancer formation and may account for the fact that women have a lower risk for colon cancer than men (<xref rid="b67-ol-0-0-9487" ref-type="bibr">67</xref>). All of the above described transcriptional changes upon JMJD1A downregulation likely reduce the oncogenic potential of HCT116 cells. This conversely outlines potential mechanisms by which JMJD1A overexpression promotes tumorigenesis.</p>
<p>In addition, we discovered that ATRX levels were positively regulated by JMJD1A, which likely entailed activation of the ATRX gene promoter with concurrent removal of dimethylation on histone H3 lysine 9. ATRX has been shown to be a chromatin remodeler, which includes its role in the deposition of histone variant H3.3 at repetitive regions such as telomeres and pericentric heterochromatin, binding to and likely resolving G-quadruplexes, potentially evicting histone variant macroH2A1 and also promoting homologous recombination after DNA double-strand breaks (<xref rid="b54-ol-0-0-9487" ref-type="bibr">54</xref>,<xref rid="b68-ol-0-0-9487" ref-type="bibr">68</xref>). Interestingly, while ATRX was mostly localized to intergenic regions in mouse embryonic stem cells, the majority of ATRX was bound to promoters and gene bodies in neuroepithelial progenitors. Accordingly, knockout of ATRX could result in pleiotropic changes of the gene expression program through altering chromatin accessibility, implying that ATRX can epigenetically impact on many genes (<xref rid="b69-ol-0-0-9487" ref-type="bibr">69</xref>). <italic>In vivo</italic>, ATRX is essential for development, as respective knockout mice died midway through embryogenesis (<xref rid="b70-ol-0-0-9487" ref-type="bibr">70</xref>). Also, mutations in ATRX can cause &#x03B1;-thalassemia and mental retardation, a syndrome that manifests predominantly in males due to the fact that the ATRX gene is encoded on the X chromosome (<xref rid="b71-ol-0-0-9487" ref-type="bibr">71</xref>). Mutations in the ATRX gene thought to inactivate its function have also been found in various cancers, especially in pancreatic neuroendocrine tumors, pediatric glioblastoma multiforme and adult low-grade gliomas (<xref rid="b72-ol-0-0-9487" ref-type="bibr">72</xref>). This implicated that ATRX is a tumor suppressor. Consistently, ablation of ATRX accelerated tumor growth in a glioblastoma model (<xref rid="b73-ol-0-0-9487" ref-type="bibr">73</xref>).</p>
<p>In contrast, our data are indicative of a tumor-promoting role of ATRX. We demonstrate that ATRX is overexpressed in colorectal cancer, and high ATRX mRNA levels are positively correlated with a worse outcome of this disease. In line with the idea of ATRX stimulating tumorigenesis, ATRX downregulation led to significantly reduced HCT116 cell growth and clonogenic activity. Similar to our results with HCT116 cancer cells, knockout of ATRX in mouse embryonic stem cells disadvantaged their growth (<xref rid="b70-ol-0-0-9487" ref-type="bibr">70</xref>). Please note that JMJD1A knockdown had only a negligible effect on HCT116 cell growth (<xref rid="f3-ol-0-0-9487" ref-type="fig">Fig. 3B</xref>) despite the fact that this concurrently led to a reduction in ATRX expression (<xref rid="f5-ol-0-0-9487" ref-type="fig">Fig. 5A and B</xref>). However, the degree of ATRX downregulation was much lower upon JMJD1A knockdown compared to when we utilized ATRX shRNA (compare <xref rid="f5-ol-0-0-9487" ref-type="fig">Figs. 5B</xref> to <xref rid="f8-ol-0-0-9487" ref-type="fig">8A</xref>), and this relatively weaker degree of ATRX downregulation may have been insufficient to robustly impair cell growth. Another possibility is that JMJD1A knockdown compensated by an unknown mechanism for the reduction of ATRX levels. Finally, it remains to be studied if ATRX has the capability to stimulate cancer cells also in tissues other than the colon and rectum.</p>
<p>Altogether, our data suggest that JMJD1A and ATRX may act in common to promote colon cancer. In addition, to our knowledge, our data for the first time provide considerable evidence that ATRX is a tumor promoter, which challenges the dogma of ATRX solely being a tumor suppressor.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec>
<title>Funding</title>
<p>The present study was in part funded by a Team Science Seed grant from the Stephenson Cancer Center (received by WMF and RJ), a grant from the National Institutes of Health (grant no. P30 AG050911; received by WMF), and also financially supported by the Graduate School of Jilin University and China-Japan Union Hospital of Jilin University (received by XL).</p>
</sec>
<sec>
<title>Availability of data and materials</title>
<p>RNA sequencing data have been deposited in the NCBI BioProject database under accession no. PRJNA453378 and can be freely downloaded from the NCBI Sequence Read Archive (accession nos. SRX3992514, SRX3992513 and SRX3992472).</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>XL, SO, HS and RJ designed and performed experiments. XL, SO, HS, SS, BZ, WMF and RJ analyzed and interpreted data. RJ supervised the whole study and wrote the manuscript with input from all other authors. All authors read and approved the final manuscript.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
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<floats-group>
<fig id="f1-ol-0-0-9487" position="float">
<label>Figure 1.</label>
<caption><p>Overexpression of JMJD1A in colorectal cancer. (A) Levels of JMJD1A mRNA in normal and cancerous colorectal tissues in a TCGA microarray data set (reporter A_23_P258033). Means with standard deviations are indicated. One-way ANOVA with post hoc Dunnett&#x0027;s multiple comparisons test; &#x002A;P&#x003C;0.05; &#x002A;&#x002A;P&#x003C;0.01; NS, not significant compared with healthy colon/rectum tissue. (B) Kaplan-Meier survival plot based on TCGA RNA sequencing data. P=0.0132 (log-rank test). (C) Waterfall plot showing higher expression of JMJD1A mRNA (reporter 212689_s_at) in patients with recurrent disease five years after treatment compared to patients without recurrence; Student&#x0027;s t-test. (D) Similar, higher expression of JMJD1A at metastatic sites compared to the primary colorectal tumors. JMJD1A, Jumonji C domain-containing 1A; TCGA, The Cancer Genome Atlas; ANOVA, analysis of variance.</p></caption>
<graphic xlink:href="ol-16-05-6652-g00.tif"/>
</fig>
<fig id="f2-ol-0-0-9487" position="float">
<label>Figure 2.</label>
<caption><p>JMJD1A protein expression. (A) Western blot showing the expression of JMJD1A in HCT116, SW480, DLD-1 and HT-29 human colorectal cancer cells. (B) Biochemical fractionation of HCT116 and DLD-1 colorectal cancer cells. GAPDH, Lamin B and histone H3 monomethylated on lysine 27 (H3K27me<sub>1</sub>) served as markers for cellular compartments. (C) JMJD1A immunostaining with hematoxylin/eosin counterstaining. Examples of two matching normal and tumor tissues of the colon. Magnification, &#x00D7;5; scale bar, 0.5 mm. (D) Quantitative analysis of JMJD1A immunostaining across 32 matching normal and cancerous colon tissues. Statistical significance was assessed with Student&#x0027;s t-test. JMJD1A, Jumonji C domain-containing 1A; GAPDH, glyceraldehyde-3-phosphate dehydrogenase.</p></caption>
<graphic xlink:href="ol-16-05-6652-g01.tif"/>
</fig>
<fig id="f3-ol-0-0-9487" position="float">
<label>Figure 3.</label>
<caption><p>Role of JMJD1A in HCT116 cells. (A) Downregulation of JMJD1A with two different shRNAs. Shown are indicated western blots. (B) Measurement of cell growth. Means with standard deviations are shown (n=3). Statistical significance at day five from two-way ANOVA with post hoc Dunnett&#x0027;s multiple comparisons test. (C) Clonogenic assays. Representative pictures from at least three independent experiments. NS, not significant; JMJD1A, Jumonji C domain-containing 1A; ANOVA, analysis of variance.</p></caption>
<graphic xlink:href="ol-16-05-6652-g02.tif"/>
</fig>
<fig id="f4-ol-0-0-9487" position="float">
<label>Figure 4.</label>
<caption><p>Transcriptome analysis. (A) Downregulation of JMJD1A in HCT116 cells upon expression of two different JMJD1A shRNAs. Western blots for JMJD1A and actin are shown. (B) Venn diagram showing the number of genes &#x003E;1.5-fold up- or downregulated upon expression of two different JMJD1A shRNAs compared to control shRNA. (C) Ingenuity Pathway Analysis for canonical pathways. Red color indicates activation and blue color inhibition in the presence of JMJD1A shRNA. Results shown are limited to an absolute z-score &#x003E;1.5 and -logP &#x003E;3.5. (D) Analogous for upstream regulator pathways. JMJD1A, Jumonji C domain-containing 1A.</p></caption>
<graphic xlink:href="ol-16-05-6652-g03.tif"/>
</fig>
<fig id="f5-ol-0-0-9487" position="float">
<label>Figure 5.</label>
<caption><p>Regulation of ATRX by JMJD1A. (A) Relative ATRX mRNA levels in our RNA sequencing analysis. (B) Downregulation of JMJD1A in HCT116 cells leads to reduced ATRX protein levels as determined by western blot analysis. Arrowhead marks full-length ATRX. (C) Correlation of JMJD1A and ATRX mRNA levels across normal and cancerous colorectal tissue (n=237). Data from TCGA (microarray reporters A_23_P258033 and A_24_P128044). Pearson correlation coefficient=0.17; P=0.0087. (D) Likewise, provisional TCGA RNA sequencing data from colorectal adenocarcinomas. Pearson correlation coefficient=0.33; P&#x003C;0.0001. JMJD1A, Jumonji C domain-containing 1A; ATRX, &#x03B1;-thalassemia/mental retardation syndrome X-linked; TCGA, The Cancer Genome Atlas.</p></caption>
<graphic xlink:href="ol-16-05-6652-g04.tif"/>
</fig>
<fig id="f6-ol-0-0-9487" position="float">
<label>Figure 6.</label>
<caption><p>Role of JMJD1A at the ATRX gene promoter. (A) Human 293T or (B) HCT116 cells were transfected with an ATRX luciferase reporter construct and JMJD1A (wild-type or H1120A/D1122G catalytic mutant). Resultant relative luciferase activity is depicted. Means with standard deviations are shown (n=4). One-way ANOVA with post hoc Tukey&#x0027;s multiple comparisons test; &#x002A;&#x002A;P&#x003C;0.01; &#x002A;&#x002A;&#x002A;&#x002A;P&#x003C;0.0001. (C) Chromatin immunoprecipitation assay with 293T cells transfected with indicated Flag-tagged JMJD1A expression constructs and the ATRX luciferase reporter gene. The left four panels show ethidium bromide-stained agarose gels of amplified DNA promoter fragments after immunoprecipitation with indicated antibodies or input levels of DNA. The right two panels show western blots demonstrating that comparable amounts of wild-type JMJD1A and its H1120A/D1122G mutant were expressed. JMJD1A, Jumonji C domain-containing 1A; ATRX, &#x03B1;-thalassemia/mental retardation syndrome X-linked; ANOVA, analysis of variance.</p></caption>
<graphic xlink:href="ol-16-05-6652-g05.tif"/>
</fig>
<fig id="f7-ol-0-0-9487" position="float">
<label>Figure 7.</label>
<caption><p>ATRX upregulation in colorectal cancer. (A) ATRX mRNA levels in normal and cancerous colorectal tissues in a TCGA microarray data set (reporter A_24_P128044). Means with standard deviations are indicated. One-way ANOVA with post hoc Dunnett&#x0027;s multiple comparisons test; &#x002A;P&#x003C;0.05; &#x002A;&#x002A;P&#x003C;0.01; &#x002A;&#x002A;&#x002A;&#x002A;P&#x003C;0.0001 compared with healthy colon/rectum tissue. (B) ATRX mRNA (reporter 208861_s_at) waterfall plot showing higher ATRX expression in patients with recurrent disease five years after treatment compared to patients without recurrence; Student&#x0027;s t-test. (C) Similar, higher ATRX expression (reporter 208860_s_at) in patients succumbing to the disease compared to patients being alive three years after diagnosis; Student&#x0027;s t-test. ATRX, &#x03B1;-thalassemia/mental retardation syndrome X-linked; TCGA, The Cancer Genome Atlas; ANOVA, analysis of variance.</p></caption>
<graphic xlink:href="ol-16-05-6652-g06.tif"/>
</fig>
<fig id="f8-ol-0-0-9487" position="float">
<label>Figure 8.</label>
<caption><p>Impact of ATRX on HCT116 cells. (A) Western blots showing downregulation of ATRX in HCT116 cells with two different shRNAs. (B) Corresponding cell growth assays. Means with standard deviations are shown (n=3). Two-way ANOVA with post hoc Dunnett&#x0027;s multiple comparisons test; &#x002A;&#x002A;&#x002A;&#x002A;P&#x003C;0.0001 compared with shControl. (C) Representative pictures of clonogenic assays independently performed in three different experiments. ATRX, &#x03B1;-thalassemia/mental retardation syndrome X-linked; ANOVA, analysis of variance.</p></caption>
<graphic xlink:href="ol-16-05-6652-g07.tif"/>
</fig>
</floats-group>
</article>
