PMCID
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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PDE3A protein expression was investigated with immunohistochemistry in 181 LPS samples, and PDE3A and SLFN12 mRNA expression with RT-qPCR were investigated in 63 LPS samples.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Immunoblotting and cell viability assays were used to study LPS cell lines and their sensitivity to PDE3A modulators.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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We identified 97, 247, and 37 subtype-specific, highly expressed genes in dedifferentiated, myxoid, and pleomorphic LPS subtypes, respectively.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Signaling pathway analysis revealed a highly activated hedgehog signaling pathway in dedifferentiated LPS, phospholipase c mediated cascade and insulin signaling in myxoid LPS, and pathways associated with cell proliferation in pleomorphic LPS.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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We discovered a strong association between high PDE3A expression and myxoid LPS, particularly in high-grade tumors.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Moreover, myxoid LPS samples showed elevated expression levels of SLFN12 mRNA.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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In addition, PDE3A- and SLFN12-coexpressing LPS cell lines SA4 and GOT3 were sensitive to PDE3A modulators.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Our results indicate that PDE3A modulators are promising drugs to treat myxoid LPS.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Further studies are required to develop these drugs for clinical use.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Soft-tissue sarcomas (STSs) are malignancies of mesenchymal origin that comprise approximately 1% of all cancer cases worldwide.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Among the most common STS types are liposarcomas (LPSs), which arise from adipose tissue .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Due to their distinct histology and genetic background, LPSs are divided into the following four subtypes: well-differentiated LPS (WDLPS), low- and high-grade dedifferentiated LPS (DDLPS), myxoid LPS (MLPS), and pleomorphic LPS (PLPS) .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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The 5-year overall survival rates range from 21% in high-grade DDLPS to 100% in WDLPS .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Despite varying outcomes, all LPS subtypes are usually treated similarly, with surgery combined with (neo-)adjuvant chemotherapy, radiation, or both.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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First-line chemotherapies used for LPS treatment include doxorubicin, which is frequently combined with ifosfamide .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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A combination of docetaxel and gemcitabine is another treatment option, with survival outcomes that are similar to those resulting from doxorubicin treatment .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Two other chemotherapeutics, eribulin and trabectedin, have been approved to treat unresectable pretreated STS .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Eribulin treatment has shown an increased survival benefit that is greater than that of dacarbazine treatment ; it is somewhat more effective in DDLPS and PLPS than in MLPS .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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In contrast, treatment with trabectedin increases progression-free survival more effectively than dacarbazine treatment, specifically in MLPS .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Histologically divided LPS subtypes have distinct genetic characteristics.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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WDLPS is a low-grade tumor that can differentiate over time into more aggressive DDLPS.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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However, 90% of DDLPS tumors arise de novo.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Most WDLPS/DDLPS tumors have increased MDM2/CDK4 expression, due to an amplification in the chromosome 12q13-15 region .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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MDM2, CDK4/6, and exportin 1 (XPO1) inhibitors are currently undergoing clinical trials for treating WD-/DDLPS .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Like WDLPS and DDLPS tumors, low-grade MLPS tumors can progress to a high-grade phenotype that is characterized by the presence of round tumor cells.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Over 90% of MLPS tumors contain a fusion gene (FUS-DDIT3 or EWSR1-DDIT3) that drives tumorigenesis .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Moreover, MLPS tumors frequently have upregulation of the IGF1R/PI3K/Akt signaling pathway, driven by the fusion protein; targeting these pathway alterations with PI3K and mTOR inhibitors is being investigated .
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PMC10669966
|
PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Highly aggressive PLPS is the rarest LPS subtype and accounts for approximately 5% of all LPSs.
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PMC10669966
|
PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Due to its rarity, collecting large sample series has been challenging and no definite genetic aberrations or specific therapy targets of PLPS have been identified .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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In summary, LPSs are a group of molecularly, histologically, and clinically heterogeneous tumors, and there is an unmet clinical need for targeting LPS subtype-specific highly expressed genes.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Phosphodiesterases (PDEs) constitute a superfamily of enzymes (PDE1–PDE11) whose main function is to regulate the signaling of secondary messengers cAMP and cGMP by hydrolyzing 3′,5′-cyclic nucleotides to their 5′-monophosphate form.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Tissue-specific expression of various PDE isoforms enables cellular function regulation in a cell-type specific manner.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Aberrant expression of PDE isoforms is linked to many diseases .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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PDE3A-targeting compounds have recently been described as inhibiting tumor growth in mice inoculated with PDE3A-expressing cervical cancer HeLa , neuroglioma H4 , and melanoma SK-MEL-3 cells , and in patient-derived gastrointestinal stromal tumor (GIST) xenograft models .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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These compounds act like a molecular glue and form a complex between PDE3A and Schlafen 12 (SLFN12), leading to cell-cycle arrest or cell death .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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While the precise downstream signaling pathways remain unclear, the formed complex stabilizes SLFN12 and its RNase activity, resulting in protein synthesis inhibition .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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We sought to discover novel LPS-subtype-specific oncogenes that could serve as precision medicine targets.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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RNA-Seq transcriptome analysis of LPS patient tissue samples were first compared to transcriptomes of other cancerous and healthy tissue samples, resulting in ranked lists of highly expressed genes in three LPS subtypes and their enrichment in biological signaling pathways.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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PDE3A expression was high in MLPS, and its expression frequency in other STS subtypes and its potential role as a therapy target in LPS were further investigated.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Patients who were diagnosed with LPS from 1987 to 2017 in the Helsinki University Hospital (HUH) were identified.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Clinical data were extracted from the patient registry, and hematoxylin and eosin-stained tissue slides and corresponding formalin-fixed, paraffin-embedded (FFPE) tissue blocks were extracted from the archives of the Department of Pathology.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Histological classifications of tumors were reviewed by Mika Sampo, one of the authors, based on the 2020 WHO classification of soft-tissue tumors .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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A total of 190 patients with primary tumor samples were identified for the retrospective study series.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Two samples were excluded due to missing clinical data (MLPSs), four samples were excluded due to a paucity of tumor tissue, and three samples were excluded due to technical problems in immunohistochemistry (WDLPS, DDLPS, MLPS).
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
Thus, a total of 181 samples were included in the series.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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The median follow-up time for survival in the series was 4.7 years (the range was from 0.3 to 20.3).
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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RNA was extracted from 186 LPS FFPE tissue samples, including samples that were excluded from immunohistochemistry (IHC) analysis and two samples for which histology was reviewed but clinical data were not available.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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The RNA samples were subjected to RNA sequencing, resulting in sequences from 152 samples.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Of these, 131 transcriptomes passed the quality control analysis and were further investigated for LPS-subtype-specifically overexpressed genes.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Of note, all WDLPS samples (n = 10) were excluded from the analyses, due to low RNA yield from sequencing.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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In addition, a previously collected series of 543 STS samples were investigated by using IHC and tissue microarray (TMA) from the following subtypes: fibrosarcoma, GIST, LPS, leiomyosarcoma, malignant peripheral nerve sheath tumor, myxofibrosarcoma, sarcoma with unspecified histotype, and synovial sarcoma .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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TMA blocks included two to three 1-mm diameter core punches from each tumor sample.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Tissue samples were retrieved from the archives of the Department of Pathology, HUH.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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TMAs were generated with an automated tissue microarrayer (TMA Grand Master, 3DHISTECH Ltd., Budapest, Hungary) in the Biobank Helsinki.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Tissue sections (2 × 10 µm) were collected in 2-mL microfuge tubes (Cat.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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No. 72.693.005, Sarstedt, NRW, Nümbrecht, Germany) and deparaffinized with 160 µL of deparaffinization solution (Cat.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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No. 939018, QIAGEN, NRW, Hilden, Germany).
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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If tumor cells were estimated to present >50% of all cells in a tissue section, a representative tumor area was scraped to the tube from the slide.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
Samples were mixed by vortexing and, subsequently, centrifuged and incubated at 56 °C for 3 min.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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One hundred and twenty µL of buffer PKD (Cat.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
No. 1034963, QIAGEN) was added, mixed by vortexing, and centrifuged for 13,000× g for 1 min.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Ten µL of proteinase K (Cat.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
No. 19133, QIAGEN) was added to the lower liquid phase of the samples.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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After a 1 h incubation at 56 °C in a tube shaker, samples were centrifuged and RNA was extracted with QIAsymphony RNA Kit (Cat.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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No. 931636, QIAGEN) using a QIAsymphony SP instrument (QIAGEN).
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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RNA quality and concentration were measured with a 2100 Bioanalyzer instrument (Agilent, Santa Clara, CA, USA).
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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RNA sequencing was conducted, as described earlier .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Shortly after adding 1 µL of ERCC RNA spike-in control (1:1000) to each sample, an RNA sequencing library was prepared with a QuantSeq 3′ mRNA Library kit (Lexogen, Vienna, Austria) following the manufacturer’s instructions, as previously described.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Sequencing was performed with a HiSeq 2500 System (Illumina, San Diego, CA, USA) using a high-throughput mode and v4 chemistry in three batches that included samples from different LPS subtypes.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Sequences were processed with the data analysis pipeline, the BlueBee Genomics platform (BlueBee Holding BV, NB, Rijswijk, The Netherlands), following the manufacturer’s instructions.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
Htseq-count files from the Bluebee sequencing process were read into R (version 4.1.2) and matched to clinical data per sample.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Gene annotation was retrieved from AnnotationHub (snapshotDate: 20 October 2021).
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Data were imported into a DGEList object by using edgeR package (version 3.36.0).
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
Genes were further filtered by the filterByExpr function (default parameters) from edgeR. log2 counts per million were calculated with the cpm function (default parameters) from edgeR. Additional sample quality control was performed by excluding samples with a median logcount, with deviation >10% from the median logcount over all samples (21 samples were excluded, resulting in 131 samples for downstream analysis).
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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The final analysis included RNA sequence data from 53 DDLPS samples, 54 MLPS samples, and 24 PLPS samples.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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QC metrics for the BAM files produced by Bluebee pipeline were additionally calculated by parallel run of RNA-SeQC 2 with summarising results with MultiQC .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Genome annotation file and version used in the QC calculations was Homo_sapiens.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
GRCh38.104.genes.gtf (collapsed to gene level), also available from project Github page.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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The sequencing coverage and quality statistics of each sample are presented in Table S1.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
Data from the newest version of in silico transcriptomic (IST; ) database (MediSapiens Ltd., Helsinki, Finland) were fetched into R by using Dplyr extension for SQlite.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
We calculated the mean expression for each gene (excluding genes with <6 datapoints) per each healthy anatomical tissue type (n = 95) and per each cancerous tissue type (n = 106).
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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For each tissue type (healthy and cancerous), we then chose the top 500 expressing genes.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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The final IST reference gene list was calculated by choosing a unique list of genes, in which each gene did not appear in more than one of the healthy-tissue top 500 lists and in more than three of the cancer-tissue top 500 lists.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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This final IST reference list contained a total of 2754 genes and was used as an exclusion list, to eliminate non-LPS-specific genes from the LPS-subtype differential-gene-expression analyses.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
A differential expression test of genes for the LPS subtypes was performed, using the estimateDisp and exactTest functions from edgeR, with default parameters.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
Differential-expression genes (DEGs) were defined as genes with a positive logFC > 1.5 (with p value < 0.05) between one subtype and all other subtypes, resulting in three lists of DEGs.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
Altogether, we identified 97 DEGs between the DDLPS subtype and the other two subtypes, 247 DEGs between the MLPS subtype and the other two subtypes, and 37 DEGs between the PLPS subtype and the other two subtypes, after using the IST-derived exclusion lists (see above).
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Upregulated signaling pathways in the three LPS subtypes were described with all of the identified subtype-specific DEGs, using Enrichr and the NCATS BioPlanet 2019 library .
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
The scatter plots and the bar charts with their related genes were visualized via Appyters (https://appyters.maayanlab.cloud/#/).
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PMC10669966
|
PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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The pathway search was conducted on 30 June 2023.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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PDE3A and SLFN12 mRNA levels were measured from 63 randomly selected FFPE LPS samples, excluding WDLPS samples.
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PMC10669966
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PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
RNA extracted from the FFPE block derived from the GIST882 cell line was used as a reference sample for PDE3A and SLFN12 expression levels.
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PMC10669966
|
PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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cDNA was synthesized from RNA with SuperScript™ IV VILO™ Master Mix (Cat.
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PMC10669966
|
PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
No. 11756500, Invitrogen™, Thermo Fisher Scientific, Waltham, MA, USA).
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PMC10669966
|
PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
Primers and hybridization probes (Universal ProbeLibrary Set, Human Probes #1–#90, Cat.
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PMC10669966
|
PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
No. 04683633001 Roche, Basel, Switzerland) were designed using ProbeFinder version 2.53 for Human.
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PMC10669966
|
PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
The primers were as follows: PDE3A, F: 5′-AAA GAC AAG CTT GCT ATT CCA AA-3′, R: 5′-GTG GAA GAA ACT CGT CTC AAC A-3′; SLFN12, F: 5′-CTT TGT TCA ACA CGC CAA GA-3′, R: 5′-ATG CAG TGT CCA AGC AGA AA-3′; and YWHAZ, F: 5′-CGT TAC TTG GCT GAG GTT GC-3′, R: 5′-TGC TTG TTG TGA CTG ATC GAC-3′. Real-time qPCR was performed with the LightCycler 480 Probes Master Kit (Cat.
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PMC10669966
|
PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
No. 04887301001, Roche) and the CFX96 Touch Real-Time PCR detection system (Bio-Rad, Hercules, CA, USA), under the following conditions: 95 °C for 10 min; 45 cycles of 95 °C for 30 s, 60°C for 30 s, and 72 °C for 45 s with plate read (amplification); 72 °C for 7 min; 65 °C to 95 °C (increment 0.01 °C s, melt curve).
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PMC10669966
|
PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
|
PCR was performed in triplicate for each sample.
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PMC10669966
|
PDE3A Is a Highly Expressed Therapy Target in Myxoid Liposarcoma
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Relative PDE3A and SLFN12 mRNA expression were calculated using the ΔΔCt method and normalized to YWHAZ expression.
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