Oxidative Medicine and Cellular Longevity

Oxidative Medicine and Cellular Longevity / 2016 / Article
Special Issue

Oxidative Stress and Diseases: Clinical Trials and Approaches

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Research Article | Open Access

Volume 2016 |Article ID 6967396 | 13 pages | https://doi.org/10.1155/2016/6967396

Genome-Wide Transcriptional Analysis Reveals the Protection against Hypoxia-Induced Oxidative Injury in the Intestine of Tibetans via the Inhibition of GRB2/EGFR/PTPN11 Pathways

Academic Editor: Serafina Perrone
Received20 Mar 2016
Revised15 Jun 2016
Accepted28 Jun 2016
Published09 Aug 2016

Abstract

The molecular mechanisms for hypoxic environment causing the injury of intestinal mucosal barrier (IMB) are widely unknown. To address the issue, Han Chinese from 100 m altitude and Tibetans from high altitude (more than 3650 m) were recruited. Histological and transcriptome analyses were performed. The results showed intestinal villi were reduced and appeared irregular, and glandular epithelium was destroyed in the IMB of Tibetans when compared with Han Chinese. Transcriptome analysis revealed 2573 genes with altered expression. The levels of 1137 genes increased and 1436 genes decreased in Tibetans when compared with Han Chinese. Gene ontology (GO) analysis indicated most immunological responses were reduced in the IMB of Tibetans when compared with Han Chinese. Gene microarray showed that there were 25-, 22-, and 18-fold downregulation for growth factor receptor-bound protein 2 (GRB2), epidermal growth factor receptor (EGFR), and tyrosine-protein phosphatase nonreceptor type 11 (PTPN11) in the IMB of Tibetans when compared with Han Chinese. The downregulation of EGFR, GRB2, and PTPN11 will reduce the production of reactive oxygen species and protect against oxidative stress-induced injury for intestine. Thus, the transcriptome analysis showed the protecting functions of IMB patients against hypoxia-induced oxidative injury in the intestine of Tibetans via affecting GRB2/EGFR/PTPN11 pathways.

1. Introduction

Intestinal mucosa is more likely to be damaged if the person is living in an altitude above 3000 meters. Animal experiment showed that high-altitude hypoxia induced impaired intestinal mucosal barrier (IMB) [1, 2]. The incidence of digestive system disease has been reported to be increased in the residents who live at high-altitude environments [3]. Impaired IMB threaten the residents living at high places. The therapy for impaired IMB complicated. The main problem is that the mechanism for high-altitude inducing IMB injury remains widely unknown and no practical therapeutic method can be used yet.

The intestinal tract is an important barrier for preventing bacterial translocation and endotoxin entering human organs. It is well known that intestinal mucosal injury may decrease the function of IMB. The most significant changes in oxygen level in living environments, such as from normobaric normoxia to hypobaric hypoxia (3450 m terrestrial altitude), will result in the increase of reactive oxygen species (ROS) when the balance between prooxidant and antioxidant activity is impaired following exposure to terrestrial hypobaric hypoxia [4]. ROS play an important role in chronic intestinal inflammatory diseases production by increasing the permeability of the endothelium and the mucosa and allowing infiltration of inflammatory leukocytes into intestinal area. Scavenging of ROS is beneficial for intestinal disease [5]. Most Tibetans live at high-altitude plateaus with hypoxic environments [6]. In the environment, many tissues produce ROS, which may arise under the conditions of hypoxia [7]. On the other hand, it has been reported that high-level ROS induces intestinal cell apoptosis [8]. Thus, it almost seems like that ROS levels are aberrant in the intestinal mucosal barrier of Tibetans. ROS has been well known to be associated with oxidative stress [912] by damaging lipids, proteins, and DNA [13]. Oxidative stress is an important contributor to the damage of vascular cells [14] and the pathogenesis of hypoxia/reoxygenation injury [15]. Intestinal oxidative stress also is a main factor contributing to intestinal injury, resulting in endotoxin translocation [16]. Dysfunction of the intestinal barrier has been reported to be associated with high-level intestinal oxidative stress [17]. High altitude often induces oxidative stress by affecting biochemical metabolisms, such as lipid metabolism dysfunction [10]. Thus, impaired IMB in the people living at high altitude may be linked to altered control of oxidative stress.

Oxidative stress causes the injury of intestinal tissues via multiple signaling pathways. For example, increased oxidative stress induces the damage in the small intestine of male Sprague-Dawley rats by activating the pathway of p38 mitogen-activated protein kinase [18]. Another example, ischemia/reperfusion results in oxidative injury in animal’s intestine. Chinese jujube polysaccharides showed good enzyme activities and ameliorated the injury of the small intestine in rabbits with ischemia/reperfusion [19]. However, most experiments on oxidative stress-induced injury for intestine have been performed in animals and the molecular mechanisms remain unclear for hypobaric hypoxia promotes intestinal barrier dysfunction in the residents at high altitude. Additionally, the molecular mechanisms for hypobaric hypoxia causing the dysfunction of intestinal barrier and development of impaired IMB remain unknown.

The oxidative stress-induced intestinal injury may be associated with many signaling pathways. It is impossible to resolve such complex issues using a single signaling pathway. Transcriptome has been widely used to explore the related pathways in human various diseases [2022]. To comprehensively understand the effects of hypoxia on IMB in the residents at high altitude, transcriptome experiment was performed here. These gene expression differences were analyzed using DNA microarray. The work will provide important information for hypoxia inducing impaired IMB of the patients at high altitude and basic knowledge for causing IMB injury. The gene expressing profiles of intestinal mucosa from the Tibetans at high altitude more than 3650 m and Han Chinese at 100 m altitude were analyzed to investigate the potential molecules involved in the pathophysiology of IMB injury caused by hypoxic environments. The database for gene ontology (GO) or Kyoto Encyclopedia of Genes and Genomes (KEGG) was referred to predict the genes involving important functions and signaling transduction. Meanwhile, we observed the microstructure of intestine mucosa of Tibetans at high altitude and Han Chinese from plain area with a normal and an electron microscope.

2. Material and Methods

2.1. Materials

The Trizol reagent was purchased from Life Technologies (Carlsbad, CA, USA). All primers were synthesized by Takara Biotechnology (Dalian) Co., Ltd. (Dalian, China). The cDNA reverse transcription kit and Takara Bio SYBR Premix Ex Taq were from Takara too. Hematoxylin and eosin (H&E) dyes were purchased from Sigma (St. Louis, MO, USA).

2.2. Participants

All the protocols in present study were specially approved by Human Research Ethical Committee from the People’s Hospital from the Tibet (Tibet, China). All experiments were in compliance with the World Medical Association Declaration of Helsinki regarding ethical conduct of research involving human subjects. From June 2013 and August 2013, 3 Han Chinese from plain area were recruited at Guangzhou First People’s Hospital (Guangzhou, China), and 3 Tibetans at high altitude more than 3650 m were recruited at People’s Hospital from Tibet (Tibet, China). Each patient had the similar parameter to a healthy participant on gender, birthplace, work intensity, and so on. Research objects were native Tibetans at Lhasa with the age of 40–45. Each participant would sign a consent form before his intestinal mucosa could be taken.

2.3. Sample Extraction

The biopsies of mucosa were taken at People’s Hospital of the Tibet (Tibet, China) and the Guangzhou First People’s Hospital (Guangzhou, China), respectively. Six intestinal biopsies were obtained from the IMB of 10 Tibetans at high altitude more than 3650 m as an experimental group and 10 Han Chinese at 100 m altitude as a control group. All the participants were with underlining normal mucosa. The samples were frozen using liquid nitrogen and kept at −80°C.

2.4. The Observation of Intestinal Mucosa by Scanning Electron Microscope

Specimens of sigmoid colon mucosa were obtained at colonoscopy examination from all participants. Twenty samples were used in present work. The samples were fixed with formalin. Ten mm pieces of samples were washed and fixed using osmium tetroxide. All the blocks were made for subsequent histological analysis. Thirty sections were made from one block, dewaxed, dried, and coated using gold palladium by a vacuum evaporator. The microstructure of final samples was observed by a FEI Quanta 400 scanning electron microscope (FEI Company, Hillsboro, OR, USA).

2.5. Histological Analysis

All intestinal samples were rinsed with saline solution, fixed in ten percent formaldehyde at 4°C for one day, and washed with PBS. The treated samples were made as four μm species and dyed using H&E stain (hematoxylin and eosin). The microstructure of samples was observed under a microscope. The amounts of villi were calculated within one visual place. IMB was assessed in a double-blind way. The mucosae were injured if intestinal surface was discontinuous, gland was dilated, or superficial cells were damaged [12].

2.6. RNA Extraction

Intestinal samples from 10 Tibetans and 10 Han Chinese were collected. All samples were digested in three mL Trizol and ground using a homomixer. Chloroform was added, and RNAs were collected by addition of ethanol. Final RNA samples were resuspended in a buffer with ten mM tris hydrochloride, pH 8.0, one mM EDTA. The quantity of RNA verified by a NanoDrop 1000 Spectrophotometer V3.7 (NanoDrop Technologies, Inc. Wilmington, DE).

2.7. RNA Microarray

Genome Oligo Microarray represents the genes and transcripts, which are determined by genome sequencing. RNA microarrays are often regarded as cDNA database after the reverse transcription. All the sequences were obtained from six participants (3 Han Chinese and 3 Tibetans) and verified by aligning these sequences from all known mRNA sequences.

2.8. RNA Amplified, Labeled, and Hybridized with Agilent Microarrays

Sample labeling and hybridization was conducted based on the protocols for Microarray-Based Gene Expression. All RNAs were increased and marked by Cy3-UTP. The amount and cRNAs activity were identified using NanoDrop 1000 Spectrophotometer V3.7 (NanoDrop Technologies, Inc., Wilmington, DE). One μg labeled cRNAs were disrupted and then incubated at 60°C within half an hour. Subsequently, cRNA was diluted by GE Hybridization buffer. RNA microarray was assembled by adding 100 μL hybridization solution to the slide. The final sample was heated at 65°C and measured by using Agilent Microarray Scanner.

We used the software for Agilent Feature Extraction to assess all the final data. DEGs (differently expressed genes) were confirmed by a Volcano Plot. Hierarchical Cluster analysis was conducted by the software Agilent GeneSpring GX. Signaling transduction was analyzed and the enrichment in the microarray was calculated.

2.9. Enrichment Analysis of Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG)

The GO work offers control vocabularies to indicate the DEGs functions. GO has 3 parts: biology processing (BP), cell components (CC), and molecules functions (MF). values showed the richness of DEGs. There were significantly statistical differences if . EASE scores, values of Fisher, or hypergeometer presents the significance for the correlated pathways.

2.10. Real-Time Quantitative PCR (qRT-PCR)

To further confirm above RNA microarray data, qRT-PCR was used to analyze the top DEGs in 10 Han Chinese at 100 m altitude and 10 Tibetans at high altitude more than 3480 m, including epidermal growth factor receptor (EGFR), growth factor receptor-bound protein 2 (GRB2), and tyrosine-protein phosphatase nonreceptor type 11 (PTPN11). The RNAs were extracted using above intestinal mucosa by Trizol. Five μg RNA was reversely transcribed using reverse transcription kits. All the primers were given as Table 2 showed, and qRT-PCR was conducted by SYBR® Green RT-PCR Kit on the real-time PCR system. The amplification situation was given as follows: 94°C for 5 min, 45 cycles of 95°C for 20 s, 65°C for 30 s, and 65°C for 40 s.

2.11. Western Blot Analysis

Rabbit anti-human polyclonal EGFR antibody (Cat. number ab2430), rabbit anti-human polyclonal GRB2 antibody (ab32037), rabbit anti-human monoclonal PTPN11 antibody (Cat. number ab32083), and rabbit anti-human beta-actin antibody (Cat. number ab8227) and goat anti-rabbit HRP (IgG H&L) (Cat. number ab6721) were purchased from Abcam Shanghai office launch (Shanghai, China). The intestinal samples were taken from all participants by a noninvasive method using endoscopic techniques. All tissues were ground by using a sterile mortar and pestle. Sample proteins were collected by centrifugation and separated by SDS-PAGE and then electrophoretically transferred onto PVNF membranes. After blocking the membranes with free-fat milk, they were then incubated with primary antibody. The members were washed three times and incubated with HRP-linked secondary antibody. The protein expression level was normalized by beta-actin expression. The immunoreactive result was visualized by using an enhanced chemiluminescence system (Amersham Pharmacia Biotech, Stockholm, Sweden).

2.12. The Locations of DEGs on Human Chromosomes

The locations of DEGs on human chromosomes were marked on the human chromosomes using the data from RNA microarray results. Messenger RNA expression profiles were analyzed at genome level using the above results. About 400 significantly differently expressed genes were marked on 24 human chromosomes. The fold changes were marked with different colors.

2.13. Data Analysis

All data were showed using average values ± S.D. An ANOVA analysis was performed to compare the difference between different groups and the statistical significance was verified. There were significantly statistical differences if .

2.14. Construction of Gene Networks Based on Microarray Data

The significantly differentially expressed genes from microarray data were used. String software was used to retrieve the interacting genes (http://string-db.org/). Up- or downregulated genes from the microarray were visualized on this network. According to experimental results and computational prediction, a confidence score was used to confirm the interaction between miRNA and DEGs. The confidence score > 0.5 is regarded as statistically significant.

3. Results

3.1. Baseline Characteristics of Participants

The baseline and physical characteristics of the study population were listed in Table 1. There were significant differences for the distribution of living altitude () but no difference for years at their locations () between Tibetans and Han Chinese. In contrast, no significant difference was found for other parameters including age, cigarette smoking, alcohol drinking, and BMI (, Table 1). In contrast, there were statistically significant differences for Hb and diastolic pressures (, Table 1). The levels of oxygen saturation were lower in the residents from high altitude than at low altitude (), although heart rates in Tibetans were faster than in Han Chinese.


CharacteristicHan ChineseTibetans-ratio value
Group IGroup IIGroup IGroup II

Age (years)41–4540–4940–4539–480.380.77
Smoking (no/yes)1/23/41/22/51.770.29
Drinking (no/yes)1/23/41/22/51.770.29
Gender (male/female)2/15/22/14/31.770.29
BMI29–3428–3530–3327–360.260.29
Food calorie intake (kcal/d)2545.4–2089.32435.6–2132.72533.8–2134.72510.6–2184.10.850.36
Frequency of food (per day)3 times3 times3 times3 times01
HabitRuralRuralRuralRural
Marital statusMarriedMarriedMarriedMarried
Physical activityRoutine workRoutine workRoutine workRoutine work
Emotional makeupNormalNormalNormalNormal
Sleep habitsDayDayDayDay
Mental stressSocialSocialSocialSocial
Water intakeDuring mealDuring mealDuring mealDuring meal
Diet and sleep timingsRegularRegularRegularRegular
Living at altitude (meters)1001003650–36903650–3690297.3160<0.0001
Time at plain area or high altitude (years)41–4540–4640–4542–441.540.28
Hb (g/L)144–156140–160166–175165–1802.560.04
Systolic pressure (mmHg)112–124108–129125–130122–1382.200.03
Diastolic pressure (mmHg)68–7865–8082–8980–923.620.01
Blood oxygen saturation (%)98-9998-9982–8580–865.360.01
Heart rate (time/mini)64–7860–8078–8778–902.040.06

Note: BMI, body mass index; Hb, hemoglobin. There is a significant difference if < 0.05.
Group I, the participants underwent genome-wide transcriptional analysis, real-time PCR, and Western Blot analysis. Group II, the participants underwent real-time PCR and Western Blot analysis.

GenesGenBank accession numberPrimers (5′-3′)Size (bp)

EGFRBC094761.1Forwardaccatccaggaggtggctgg440
Reverseggatcacacttttgtccctg

GBR2JX512444.1Forwardaagacggcttcattcccaag134
Reversectctctcggataagaaaggc

PTPN11NM_002834.3Forwardttcacactttccgttagaag162
Reverseattgcccgtgatgttccatg

Note: epidermal growth factor receptor (EGFR), growth factor receptor-bound protein 2 (GRB2), and tyrosine-protein phosphatase nonreceptor type 11 (PTPN11).
3.2. Hematoxylin-Eosin Staining Analysis of Intestinal Tissues

Hematoxylin-eosin stained results showed cylindric and cup cells were mostly destroyed as arrow indicated in Tibetans (Figure 1(a)) while cylindric and cup cells had normal structures in Han Chinese (Figure 1(b)). There were more capillary microvessels in the intestinal mucosa in antrum region of the Tibetans than in Han Chinese (Figure 1(c)) while there were no more capillary microvessels in the intestinal mucosa in antrum region of Han Chinese (Figure 1(d)).

3.3. Scanning Electron Microscope (SEM) Analysis of Intestinal Mucosa

SEM of the intestinal mucosa from jejunum was shown in Figure 2, revealing the basic characteristics of the intestinal tissues. The features of intestinal symptoms were seen in these specimens. Electromicroscopy showed that Tibetans had intestinal mucosa injury while Han Chinese had normal intestinal mucosa. Intestinal villi were usually reduced and appeared irregular in the IMB of Tibetans (Figure 2(a)) while intestinal villi were usually rich and in regular form in the IMB of Han Chinese (Figure 2(b)). Glandular epithelium was destroyed in the IMB of Tibetans (Figure 2(c)) while the glandular epithelium was in a fine situation in the IMB of Han Chinese (Figure 2(d)).

3.4. Screening of Differentially Expressed Genes

Hierarchical cluster analysis was conducted as Figure 3 showed. Three Han Chinese and three high-altitude Tibetans showed different gene expressing patterns. The levels of 1237 genes increased and 1336 genes decreased in the intestinal tissues from Tibetans when compared with Han Chinese. There were 25-, 22-, and 18-fold downregulation for GRB2, EGFR, and PTPN11 in the IMB from Tibetans when compared with Han Chinese.

3.5. qRT-PCR

We measured the levels of three significantly changed genes using real-time PCR. GRB2, EGFR, and PTPN11 had similar expressing profiles with those obtained from the RNA transcriptomes analysis. GRB2, EGFR, and PTPN11 were more than 20-fold downregulated in Tibetans when comparing to Han Chinese () (Figure 4). The results showed the similar changing trend with that from microarray analysis while their baseline characters were also similar with patients analyzed by microarray method (Table 1).

3.6. Protein Expression of GRB2, EGFR, and PTPN11

The protein levels of GRB2, EGFR, and PTPN11 had similar changing trends with those obtained from qRT-PCR analysis. GRB2, EGFR, and PTPN11 were significantly downregulated in Tibetans when comparing to Han Chinese () (Figure 5). The results showed the similar changing trend with those from microarray analysis.

3.7. Comprehensive Peptidome Profiling of DEGs

All DEGs were explained using GO terms by peptidome profiling analysis. All the events were elucidated in intestinal mucosa from the IMB of Tibetans when compared to those from Han Chinese. In the GO, the upregulated DE genes were involved in the reactive oxygen species activity, oxygen ions and peroxides, lipid peroxidation and so on; the downregulated DE genes were involved in the decrease of immunological ability. All the changes can be caused by oxidative stress, such as cancer suppressor [23], cell normal functions [24], special responses for pathogens [25], maximal actions, and antigen presentation [26] (Figure 6). Pathway analysis revealed that, in intestinal mucosa tissues of participants from high altitude, many pathway genes had aberrant expression and may be also related with oxidative stress, especially in inflammatory bowel diseases [27, 28], myeloperoxidase [29], ROS production [10], apoptotic cell death [30], tissue damage [31], interleukin-1 [32], oxidative modification [33], cystic fibrosis [34], natural killer cells activity [35], lymphocytes [36], fibrinolysis [37] and so on (Figure 7).

3.8. Clusters of Differently Expressed Genes on Human Chromosomes

Just as Figure 8 showed, four hundred DEGs are mapped on using human chromosomes. The differently expressed genes on chromosomes thirteen, fourteen, fifteen, eighteen, twenty, twenty-one, twenty-two, and Y had fewer DEGs locations involved with reactive oxygen species activities. The high density of DEGs gathered on chromosomes one, six, seven, eleven, fourteen, seventeen, and nineteen. The most significantly expressed genes with more than 10-fold were all located on three different chromosomes: epidermal growth factor receptor (EGFR), chromosome 7p12.3-p12.1; growth factor receptor-bound protein 2 (GRB2), chromosome 17q24-q25; and tyrosine-protein phosphatase nonreceptor type 11 (PTPN11), chromosome 12q22-qter (Figure 8).

3.9. Visualization of Microarray Data by Using DEGs Networks

The microarray data mainly showed the up- and downregulated genes and were visualized on the network (Figure 9), which was created around mainly interesting proteins relating to the protecting functions for oxidative stresses and significantly differently expressed between Tibetans and Han Chinese. On the network, genes that were downregulated were shown as green circles and genes that upregulated were shown as red circles (Figure 9). In Tibetans, three main signaling pathways associated with GRB2, EGFR, and PTPN11 were shown on a network to be significantly downregulated when compared with Han Chinese (Figure 9).

4. Discussion

Many factors can result in the injury of intestinal mucosa and hypoxia is an important risk for causing the injury of intestinal tissues [1, 3842]. Firstly, hypoxic pressure affects basic metabolic processes [43], resulting in the changes for many biological functions. Secondly, hypoxia-caused carbonic anhydrase, which constitutes an acidic microenvironment [44], is harmful to the residents at high altitude. Thirdly, hypoxia environment disturbs the gut flora imbalance in the residents at high altitude causing the intestinal injury [45]. Hypobaric hypoxia will inhibit the secretion of IgG, which is an important immune-related molecule in intestine [46, 47]. Furthermore, hypobaric hypoxia also inhibits bile secretion and decreases enterohepatic circulation, resulting in intestinal dysfunction and bacterial overproliferation and increasing the damage of intestinal biological barriers [48]. Especially for the first point, hypoxic pressure affects basic metabolic processes and produces high-level ROS, which lead to the increase of oxidative stress [49, 50]. Oxidative stress is an important contributor for tissue injuries, including intestine injury [18, 51].

Homo sapiens Genome Oligo Microarray has most well-known genes for human being. All data can be compared with the resourceful sequences with clear functions [5254]. We use the data to explore the expressing profiles of intestinal tissues from Tibetans at high altitude. Meanwhile, the data compared with those from Han Chinese at plain area were analyzed using genome microarrays, in which 1137 DEGs increased while 1436 DEGs decreased with more than two-fold changes in the Tibetans. Based on those data, we then studied differentially expressed genes function. Our results indicated that IMB involves the oxidant responses.

Present findings indicated that GRB2/EGFR/PTPN11-associated pathways were significantly downregulated (fold change = 25, 22, and 18). As reported in previous studies, GRB2 was related with formation of reactive and oxidative products [55, 56]. ROS are directly involved in gastrointestinal injury. High concentration of ROS in intestinal mucosa possibly decreases mucosal organ-protective efficacy. Many factors, such as intestinal food, are more likely to destroy the mucosal structure when intestinal mucosa is in a fragile condition [57]. Meanwhile, ROS increase the permeability of small intestinal epithelial cells and lead to intestinal mucosal injury at an early stage [58].

The inhibition of GRB2 can significantly reduce fat accumulation, improve glucose metabolism, ameliorate oxidative stress [55], and activate mitogen-activated protein kinase pathways [59]. Additionally, GRB2 deficiency reduces cell apoptosis by inactivating caspase-3. The decrease in GRB2 improves hepatic steatosis and glucose metabolism and reduces oxidative stress. All these activities will improve the intestinal injury induced by hypoxia-induced oxidative stress.

Despite the important role of EGFR in intestinal epithelial cells [60], the study on the effects of EGFR on the intestinal injury is very limited. According to a previous report, the overexpression of EGFR increases the levels of ROS, accumulates DNA strand damage, and makes genome unstable. The levels of EGFR activation are associated with oxidative stress [61]. Therefore, inactivation of EGFR pathway will decrease the level of ROS and reduce the oxidative stress. The downregulation EGFR pathway will improve the protecting functions for intestinal injury.

The role of PTPN11 pathway is seldom reported in intestinal tissues. From the network, PTPN11 is closely associated with the JAK and STAT signaling pathways (Figure 9), which are activated by protein tyrosine kinases and phosphatases, and is necessary in regulating cellular activities responding various cytokines. Dysregulation of the JAK and STAT pathways will lead to hematopoietic and immune diseases. PTPN11 plays an important regulatory role in JAK and STAT signaling pathways [62]. The JAK2 and STAT pathways have been reported in cell protection and injury. The JAK2 inhibitor and overexpression of its dominant negative JAK2 protein improve endothelial cells against peroxide and superoxide anion. Inactivation of JAK2 has been proved to be a potential method for endothelial cells against oxidative stress-induced death [63]. Parthenolide has been reported to inhibit JAK1 and STAT3 activity. ROS product will inhibit STAT3 signaling pathway by targeting JAK1 [64]. From the network, PTPN11 can regulate JAK and STAT pathways, and its inhibition will contribute to prevent oxidative-induced injury for the intestine of Tibetans. On the other hand, there is also different report for PTPN11. Gain of function mutations of PTPN11 in hematopoietic cells caused cytokine hypersensitivity by enhancing the levels of ROS. PTPN11 mutations will improve mitochondrial aerobic metabolism via the interaction with a new molecule. The mutation of PTPN11 has a therapeutic benefit by improving antioxidant activities [65].

One question should be paid here. There were 1336 downregulated genes but only three downregulated genes GRB2/EGFR/PTPN11 were selected. Three top-changed genes were analyzed because all of them were more than 20-fold downregulated while the left is less than 10-fold downregulated. Furthermore, the three genes were closed associated with the ROS production. The generation of ROS is tightly regulated by GRB2 in colorectal tumorigenesis [56]. ROS production will be beneficial to EGFR activation [66]. A conditionally deleted allele of PTPN11 will result in lower ROS levels [67]. Thus, the three genes were analyzed in the work.

From above results, it is easy to find that the three pathways have similar functions for controlling ROS levels and inhibiting oxidative-induced injury for human tissues or cells. Furthermore, our network also shows the close relationship among GRB2, EGFR, and PTPN11 pathways (Figure 9), which is accordant with previous reports [68, 69] except of PTPN11 pathway. Further work is needed to confirm the detailed relation among the three pathways.

There are some limitations for present study: (1) we only recruited a few participants from each group (living at altitude versus not). This is not remotely representative of the larger human population living within this region. To avoid the values bias caused by small sample size, the results were confirmed by using qRT-PCR in 10 Han Chinese at 100 m altitude and 10 Tibetans at high altitude more than 3480 m and were stable when compared with those of microarray analysis (Figure 4). (2) Present results only reflect one aspect for the differences noted in the study. There are still other molecular mechanisms existed, such as phenotype differences between Tibetans and Han Chinese or fundamentally different lifestyles. It would have been more relevant to study the same individuals moving from the plains into Tibet and vice versa. To address this issue, we tried such work for many times and always failed finally. The main reason was caused by the fact that most persons from plain cannot stay longer at high-altitude places. Furthermore, to reduce the disturbance, the lifestyle (similar daily activity, food calorie intake, and so on) and occupation (office workers) are similar between groups. Actually, Tibetan and Han Chinese populations diverged less than 3,000 years [70], suggesting that most genes are stable.

5. Conclusions

Present findings are obtained by comparing the gene expressing profiles of the participants from high altitude and plain area, providing clues to the molecular pathogenesis of this condition. Genome-wide transcriptional analysis suggests that hypoxia-induced oxidative stress leads to the intestinal injury of Tibetans via the inhibition of GRB2/EGFR/PTPN11 pathways. The study provides important information for the molecular mechanism causing IMB injury at high altitude and lays a foundation for subsequent gene validation and functional researches.

Competing Interests

The authors declare that they have no competing interests.

Authors’ Contributions

All authors designed and interpreted this study and analyzed the data and reviewed the full text. Kang Li performed the experiments and wrote the paper. Kang Li and Luobu Gesang equally contributed to the work.

Acknowledgments

Present work is granted by National “12th 5-Year” Plan for Science and Technology Support of China (2013BAI05B04), the Natural Science Foundation of Guangdong Province, China (2014A030313679), and the Key Project for Natural Science Foundation in Tibet Autonomous Region, China (2012).

References

  1. C. Xu, R. Sun, X. Qiao et al., “Effect of Vitamin e supplementation on intestinal barrier function in rats exposed to high altitude hypoxia environment,” Korean Journal of Physiology and Pharmacology, vol. 18, no. 4, pp. 313–320, 2014. View at: Publisher Site | Google Scholar
  2. H. Luo, P. Guo, and Q. Zhou, “Role of TLR4/NF-κB in damage to intestinal mucosa barrier function and bacterial translocation in rats exposed to hypoxia,” PLoS ONE, vol. 7, no. 10, Article ID e46291, 2012. View at: Publisher Site | Google Scholar
  3. A. Anand, V. Sashindran, and L. Mohan, “Gastrointestinal problems at high altitude,” Tropical Gastroenterology, vol. 27, no. 4, pp. 147–153, 2005. View at: Google Scholar
  4. A. Ribon, V. Pialoux, J. J. Saugy et al., “Exposure to hypobaric hypoxia results in higher oxidative stress compared to normobaric hypoxia,” Respiratory Physiology and Neurobiology, vol. 223, pp. 23–27, 2016. View at: Publisher Site | Google Scholar
  5. A. van der Vliet and A. Bast, “Role of reactive oxygen species in intestinal diseases,” Free Radical Biology and Medicine, vol. 12, no. 6, pp. 499–513, 1992. View at: Publisher Site | Google Scholar
  6. C. M. Beall, “Tibetan, and Ethiopian patterns of adaptation to high-altitude hypoxia,” Integrative and Comparative Biology, vol. 46, no. 1, pp. 18–24, 2006. View at: Publisher Site | Google Scholar
  7. E. W. Askew, “Work at high altitude and oxidative stress: antioxidant nutrients,” Toxicology, vol. 180, no. 2, pp. 107–119, 2002. View at: Publisher Site | Google Scholar
  8. N. Baregamian, J. Song, M. G. Jeschke, B. M. Evers, and D. H. Chung, “IGF-1 protects intestinal epithelial cells from oxidative stress-induced apoptosis,” Journal of Surgical Research, vol. 136, no. 1, pp. 31–37, 2006. View at: Publisher Site | Google Scholar
  9. X. Lin, S. Wu, Q. Wang et al., “Saikosaponin-D reduces H2O2-induced PC12 cell apoptosis by removing ROS and blocking MAPK-dependent oxidative damage,” Cellular and Molecular Neurobiology, 2016. View at: Publisher Site | Google Scholar
  10. C. Xu, F. Tang, M. Lu et al., “Astragaloside IV improves the isoproterenol-induced vascular dysfunction via attenuating eNOS uncoupling-mediated oxidative stress and inhibiting ROS-NF-κB pathways,” International Immunopharmacology, vol. 33, pp. 119–127, 2016. View at: Publisher Site | Google Scholar
  11. A. U. H. Khan, M. G. Rathore, N. Allende-Vega et al., “Human leukemic cells performing Oxidative Phosphorylation (OXPHOS) generate an antioxidant response independently of Reactive Oxygen species (ROS) production,” EBioMedicine, vol. 3, pp. 43–53, 2016. View at: Publisher Site | Google Scholar
  12. A. Daiber, F. Di Lisa, and S. Lamas, “Virtual issue by COST action BM1203 (EU-ROS) ‘emerging concepts in redox biology and oxidative stress’,” Redox Biology, vol. 8, pp. 439–441, 2016. View at: Publisher Site | Google Scholar
  13. C. E. Cross, B. Halliwell, E. T. Borish et al., “Oxygen radicals and human disease. Davis conference,” Annals of Internal Medicine, vol. 107, no. 4, pp. 526–545, 1987. View at: Google Scholar
  14. S. M. Tan, D. Deliyanti, W. A. Figgett, D. M. Talia, J. B. de Haan, and J. L. Wilkinson-Berka, “Ebselen by modulating oxidative stress improves hypoxia-induced macroglial müller cell and vascular injury in the retina,” Experimental Eye Research, vol. 136, pp. 1–8, 2015. View at: Publisher Site | Google Scholar
  15. S.-F. Liou, J.-H. Hsu, J.-C. Liang et al., “San-Huang-Xie-Xin-Tang protects cardiomyocytes against hypoxia/reoxygenation injury via inhibition of oxidative stress-induced apoptosis,” Journal of Natural Medicines, vol. 66, no. 2, pp. 311–320, 2012. View at: Publisher Site | Google Scholar
  16. S. F. Assimakopoulos, C. E. Vagianos, N. Patsoukis, C. Georgiou, V. Nikolopoulou, and C. D. Scopa, “Evidence for intestinal oxidative stress in obstructive jaundice-induced gut barrier dysfunction in rats,” Acta Physiologica Scandinavica, vol. 180, no. 2, pp. 177–185, 2004. View at: Publisher Site | Google Scholar
  17. S. F. Assimakopoulos, K. C. Thomopoulos, N. Patsoukis et al., “Evidence for intestinal oxidative stress in patients with obstructive jaundice,” European Journal of Clinical Investigation, vol. 36, no. 3, pp. 181–187, 2006. View at: Publisher Site | Google Scholar
  18. J. Yu, F. Liu, P. Yin et al., “Involvement of oxidative stress and mitogen-activated protein kinase signaling pathways in heat stress-induced injury in the rat small intestine,” Stress, vol. 16, no. 1, pp. 99–113, 2013. View at: Publisher Site | Google Scholar
  19. B. Wang, “Chemical characterization and Ameliorating effect of polysaccharide from Chinese jujube on intestine oxidative injury by ischemia and reperfusion,” International Journal of Biological Macromolecules, vol. 48, no. 3, pp. 386–391, 2011. View at: Publisher Site | Google Scholar
  20. S. N. Furlan, B. Watkins, V. Tkachev et al., “Transcriptome analysis of GVHD reveals aurora kinase a as a targetable pathway for disease prevention,” Science Translational Medicine, vol. 7, no. 315, Article ID 315ra191, 2015. View at: Publisher Site | Google Scholar
  21. J.-Y. Yu, B. Zhang, L. Peng et al., “Repositioning of memantine as a potential novel therapeutic agent against meningitic E. coli—induced pathogenicities through disease-associated alpha7 cholinergic pathway and RNA sequencing-based transcriptome analysis of host inflammatory responses,” PLoS ONE, vol. 10, no. 5, Article ID e0121911, 2015. View at: Publisher Site | Google Scholar
  22. E. Glaab and R. Schneider, “Comparative pathway and network analysis of brain transcriptome changes during adult aging and in Parkinson's disease,” Neurobiology of Disease, vol. 74, pp. 1–13, 2015. View at: Publisher Site | Google Scholar
  23. K. A. Kang, R. Zhang, G. Y. Kim, S. C. Bae, and J. W. Hyun, “Epigenetic changes induced by oxidative stress in colorectal cancer cells: methylation of tumor suppressor RUNX3,” Tumor Biology, vol. 33, no. 2, pp. 403–412, 2012. View at: Publisher Site | Google Scholar
  24. A. Chakraborty, J. Mandal, C. Mondal, S. Sinha, and A. K. Chandra, “Effect of excess iodine on oxidative stress markers, steroidogenic-enzyme activities, testicular morphology, and functions in adult male rats,” Biological Trace Element Research, vol. 172, no. 2, pp. 380–394, 2016. View at: Publisher Site | Google Scholar
  25. M. O. Suraju, S. Lalinde-Barnes, S. Sanamvenkata, M. Esmaeili, S. Shishodia, and J. A. Rosenzweig, “The effects of indoor and outdoor dust exposure on the growth, sensitivity to oxidative-stress, and biofilm production of three opportunistic bacterial pathogens,” Science of the Total Environment, vol. 538, pp. 949–958, 2015. View at: Publisher Site | Google Scholar
  26. H. W. Choi and B. K. Hwang, “The pepper extracellular peroxidase CaPO2 is required for salt, drought and oxidative stress tolerance as well as resistance to fungal pathogens,” Planta, vol. 235, no. 6, pp. 1369–1382, 2012. View at: Publisher Site | Google Scholar
  27. I. M. Balmus, A. Ciobica, A. Trifan, and C. Stanciu, “The implications of oxidative stress and antioxidant therapies in inflammatory bowel disease: clinical aspects and animal models,” Saudi Journal of Gastroenterology, vol. 22, no. 1, pp. 3–17, 2016. View at: Publisher Site | Google Scholar
  28. M. Martin-Subero, G. Anderson, B. Kanchanatawan, M. Berk, and M. Maes, “Comorbidity between depression and inflammatory bowel disease explained by immune-inflammatory, oxidative, and nitrosative stress; tryptophan catabolite; and gut-brain pathways,” CNS Spectrums, vol. 21, no. 2, pp. 184–198, 2016. View at: Publisher Site | Google Scholar
  29. J. Crespo-Sanjuán, M. D. Calvo-Nieves, B. Aguirre-Gervás et al., “Early detection of high oxidative activity in patients with adenomatous intestinal polyps and colorectal adenocarcinoma: myeloperoxidase and oxidized low-density lipoprotein in serum as new markers of oxidative stress in colorectal cancer,” Laboratory Medicine, vol. 46, no. 2, pp. 123–135, 2015. View at: Publisher Site | Google Scholar
  30. X.-R. Liu, Y.-Q. Li, C. Hua et al., “Oxidative stress inhibits growth and induces apoptotic cell death in human U251 glioma cells via the caspase-3-dependent pathway,” European Review for Medical and Pharmacological Sciences, vol. 19, no. 21, pp. 4068–4075, 2015. View at: Google Scholar
  31. C.-Y. Ke, F.-L. Yang, W.-T. Wu et al., “Vitamin D3 reduces tissue damage and oxidative stress caused by exhaustive exercise,” International Journal of Medical Sciences, vol. 13, no. 2, pp. 147–153, 2016. View at: Publisher Site | Google Scholar
  32. H. Ohtaki, A. Takaki, L. Yin et al., “Suppression of oxidative stress after transient focal ischemia in interleukin-1 knock out mice,” Acta Neurochirurgica, Supplementum, vol. 86, pp. 191–194, 2003. View at: Google Scholar
  33. L. Wang, Y. Yuan, J. Li et al., “MicroRNA-1 aggravates cardiac oxidative stress by post-transcriptional modification of the antioxidant network,” Cell Stress and Chaperones, vol. 20, no. 3, pp. 411–420, 2015. View at: Publisher Site | Google Scholar
  34. J. B. Turowski, R. A. Pietrofesa, J. A. Lawson, M. Christofidou-Solomidou, and D. Hadjiliadis, “Flaxseed modulates inflammatory and oxidative stress biomarkers in cystic fibrosis: a pilot study,” BMC Complementary and Alternative Medicine, vol. 15, no. 1, article 148, 2015. View at: Publisher Site | Google Scholar
  35. M. Hansson, S. Hermodsson, M. Brune et al., “Histamine protects T cells and natural killer cells against oxidative stress,” Journal of Interferon and Cytokine Research, vol. 19, no. 10, pp. 1135–1144, 1999. View at: Publisher Site | Google Scholar
  36. K. S. De Bona, G. Bonfanti, P. E. R. Bitencourt et al., “Protective effect of gallic acid and Syzygium cumini extract against oxidative stress-induced cellular injury in human lymphocytes,” Drug and Chemical Toxicology, vol. 39, no. 3, pp. 256–263, 2016. View at: Publisher Site | Google Scholar
  37. A. Undas, A. MacHnik, D. P. Potaczek, E. Wypasek, K. Zmudka, and W. Tracz, “Ezetimibe combined with simvastatin compared with simvastatin alone results in a greater suppression of oxidative stress and enhanced fibrinolysis in patients after acute coronary events,” Journal of Cardiovascular Pharmacology, vol. 58, no. 2, pp. 167–172, 2011. View at: Publisher Site | Google Scholar
  38. L. Sun, C. Xu, G. Chen et al., “A novel role of OS-9 in the maintenance of intestinal barrier function from hypoxia-induced injury via p38-dependent pathway,” International Journal of Biological Sciences, vol. 11, no. 6, pp. 664–671, 2015. View at: Publisher Site | Google Scholar
  39. K. L. Howe, R. J. Lorentz, A. Assa, L. J. Pinnell, K. C. Johnson-Henry, and P. M. Sherman, “Transforming growth factor-β1 protects against intestinal epithelial barrier dysfunction caused by hypoxia-reoxygenation,” Shock, vol. 43, no. 5, pp. 483–489, 2015. View at: Publisher Site | Google Scholar
  40. A. Adak and K. C. Ghosh, “Modulation of small intestinal homeostasis along with its microflora during acclimatization at simulated hypobaric hypoxia,” Indian Journal of Experimental Biology, vol. 52, no. 11, pp. 1098–1105, 2014. View at: Google Scholar
  41. Q. Lei, F. Qiang, D. Chao et al., “Amelioration of hypoxia and LPS-induced intestinal epithelial barrier dysfunction by emodin through the suppression of the NF-κB and HIF-1α signaling pathways,” International Journal of Molecular Medicine, vol. 34, no. 6, pp. 1629–1639, 2014. View at: Google Scholar
  42. K. Bakirtzi, G. West, C. Fiocchi, I. K. M. Law, D. Iliopoulos, and C. Pothoulakis, “The neurotensin-HIF-1α-VEGFα axis orchestrates hypoxia, colonic inflammation, and intestinal angiogenesis,” American Journal of Pathology, vol. 184, no. 12, pp. 3405–3414, 2014. View at: Publisher Site | Google Scholar
  43. D. Zhao, Z. Zhang, A. Cease, J. Harrison, and L. Kang, “Efficient utilization of aerobic metabolism helps Tibetan locusts conquer hypoxia,” BMC Genomics, vol. 14, no. 1, article 631, 2013. View at: Publisher Site | Google Scholar
  44. J. Doyen, S. K. Parks, S. Marcié, J. Pouysségur, and J. Chiche, “Knock-down of hypoxia-induced carbonic anhydrases IX and XII radiosensitizes tumor cells by increasing intracellular acidosis,” Frontiers in Oncology, vol. 2, article 199, 2013. View at: Publisher Site | Google Scholar
  45. C.-L. Xu, R. Sun, X.-J. Qiao, C.-C. Xu, X.-Y. Shang, and W.-N. Niu, “Protective effect of glutamine on intestinal injury and bacterial community in rats exposed to hypobaric hypoxia environment,” World Journal of Gastroenterology, vol. 20, no. 16, pp. 4662–4674, 2014. View at: Publisher Site | Google Scholar
  46. L. Ciccoli, V. Rossi, S. Leoncini et al., “Iron release, superoxide production and binding of autologous IgG to band 3 dimers in newborn and adult erythrocytes exposed to hypoxia and hypoxia-reoxygenation,” Biochimica et Biophysica Acta (BBA)—General Subjects, vol. 1672, no. 3, pp. 203–213, 2004. View at: Publisher Site | Google Scholar
  47. D. R. Collingridge, S. A. Hill, and D. J. Chaplin, “Proportion of infiltrating IgG-binding immune cells predict for tumour hypoxia,” British Journal of Cancer, vol. 84, no. 5, pp. 626–630, 2001. View at: Publisher Site | Google Scholar
  48. Q.-Q. Zhou, D.-Z. Yang, Y.-J. Luo, S.-Z. Li, F.-Y. Liu, and G.-S. Wang, “Over-starvation aggravates intestinal injury and promotes bacterial and endotoxin translocation under high-altitude hypoxic environment,” World Journal of Gastroenterology, vol. 17, no. 12, pp. 1584–1593, 2011. View at: Publisher Site | Google Scholar
  49. K. M. Koczula, C. Ludwig, R. Hayden et al., “Metabolic plasticity in CLL: adaptation to the hypoxic niche,” Leukemia, vol. 30, no. 1, pp. 65–73, 2016. View at: Publisher Site | Google Scholar
  50. M. C. T. Van Patot, A. J. Murray, V. Beckey et al., “Human placental metabolic adaptation to chronic hypoxia, high altitude: hypoxic preconditioning,” American Journal of Physiology—Regulatory Integrative and Comparative Physiology, vol. 298, no. 1, pp. R166–R172, 2010. View at: Publisher Site | Google Scholar
  51. M. Karabeyoglu, B. Ünal, B. Bozkurt et al., “The effect of ethyl pyruvate on oxidative stress in intestine and bacterial translocation after thermal injury,” Journal of Surgical Research, vol. 144, no. 1, pp. 59–63, 2008. View at: Publisher Site | Google Scholar
  52. A. S. Glotov, E. S. Sinitsyna, M. M. Danilova et al., “Detection of human genome mutations associated with pregnancy complications using 3-D microarray based on macroporous polymer monoliths,” Talanta, vol. 147, pp. 537–546, 2016. View at: Publisher Site | Google Scholar
  53. R. Chuquiyauri, D. M. Molina, E. L. Moss et al., “Genome-scale protein microarray comparison of human antibody responses in Plasmodium vivax relapse and reinfection,” The American Journal of Tropical Medicine and Hygiene, vol. 93, no. 4, pp. 801–809, 2015. View at: Publisher Site | Google Scholar
  54. B. Nie, M. Yang, W. Fu, and Z. Liang, “Surface invasive cleavage assay on a maskless light-directed diamond DNA microarray for genome-wide human SNP mapping,” Analyst, vol. 140, no. 13, pp. 4549–4557, 2015. View at: Publisher Site | Google Scholar
  55. X. Shan, Y. Miao, R. Fan et al., “Suppression of Grb2 expression improved hepatic steatosis, oxidative stress, and apoptosis induced by palmitic acid in vitro partly through insulin signaling alteration,” In Vitro Cellular and Developmental Biology—Animal, vol. 49, no. 8, pp. 576–582, 2013. View at: Publisher Site | Google Scholar
  56. J. H. Joo, H. Oh, M. Kim et al., “NADPH oxidase 1 activity and ROS generation are regulated by Grb2/Cbl-mediated proteasomal degradation of NoxO1 in colon cancer cells,” Cancer Research, vol. 76, no. 4, pp. 855–865, 2016. View at: Publisher Site | Google Scholar
  57. T. Tomita, H. Sadakata, M. Tamura, and H. Matsui, “Indomethacin-induced generation of reactive oxygen species leads to epithelial cell injury before the formation of intestinal lesions in mice,” Journal of Physiology and Pharmacology, vol. 65, no. 3, pp. 435–440, 2014. View at: Google Scholar
  58. O. Handa, A. Majima, Y. Onozawa et al., “The role of mitochondria-derived reactive oxygen species in the pathogenesis of non-steroidal anti-inflammatory drug-induced small intestinal injury,” Free Radical Research, vol. 48, no. 9, pp. 1095–1099, 2014. View at: Publisher Site | Google Scholar
  59. S. G. Gosse, C. Bourgin, W. Q. Liu, C. Garbay, and G. Mouchiroud, “M-CSF stimulated differentiation requires persistent MEK activity and MAPK phosphorylation independent of Grb2-Sos association and phosphatidylinositol 3-kinase activity,” Cellular Signalling, vol. 17, no. 11, pp. 1352–1362, 2005. View at: Publisher Site | Google Scholar
  60. W. Hu, L. Zhu, X. Yang et al., “The epidermal growth factor receptor regulates cofilin activity and promotes transmissible gastroenteritis virus entry into intestinal epithelial cells,” Oncotarget, vol. 7, no. 11, pp. 12206–12221, 2016. View at: Google Scholar
  61. M. Nitta, D. Kozono, R. Kennedy et al., “Targeting EGFR induced oxidative stress by PARP1 inhibition in glioblastoma therapy,” PLoS ONE, vol. 5, no. 5, Article ID e10767, 2010. View at: Publisher Site | Google Scholar
  62. D. Xu and C.-K. Qu, “Protein tyrosine phosphatases in the JAK/STAT pathway,” Frontiers in Bioscience, vol. 13, no. 13, pp. 4925–4932, 2008. View at: Publisher Site | Google Scholar
  63. F. Neria, M. A. Castilla, R. F. Sanchez et al., “Inhibition of JAK2 protects renal endothelial and epithelial cells from oxidative stress and cyclosporin A toxicity,” Kidney International, vol. 75, no. 2, pp. 227–234, 2009. View at: Publisher Site | Google Scholar
  64. M. Kurdi and G. W. Booz, “Evidence that IL-6-type cytokine signaling in cardiomyocytes is inhibited by oxidative stress: parthenolide targets JAK1 activation by generating ROS,” Journal of Cellular Physiology, vol. 212, no. 2, pp. 424–431, 2007. View at: Publisher Site | Google Scholar
  65. D. Xu, H. Zheng, W.-M. Yu, and C.-K. Qu, “Activating mutations in protein tyrosine phosphatase Ptpn11 (Shp2) enhance reactive oxygen species production that contributes to myeloproliferative disorder,” PLoS ONE, vol. 8, no. 5, Article ID e63152, 2013. View at: Publisher Site | Google Scholar
  66. J.-E. Park, Y.-K. Seo, H.-H. Yoon, C.-W. Kim, J.-K. Park, and S. Jeon, “Electromagnetic fields induce neural differentiation of human bone marrow derived mesenchymal stem cells via ROS mediated EGFR activation,” Neurochemistry International, vol. 62, no. 4, pp. 418–424, 2013. View at: Publisher Site | Google Scholar
  67. X. J. Li, C. B. G. Oodwin, S. C. Nabinger et al., “Protein-tyrosine phosphatase Shp2 positively regulates macrophage oxidative burst,” Journal of Biological Chemistry, vol. 290, no. 7, pp. 3894–3909, 2015. View at: Publisher Site | Google Scholar
  68. U. Ramirez, A. Nikonova, H. Liu et al., “Compounds identified by virtual docking to a tetrameric EGFR extracellular domain can modulate Grb2 internalization,” BMC Cancer, vol. 15, p. 436, 2015. View at: Publisher Site | Google Scholar
  69. J.-A. B. J. Clark, S. J. Tully, and H. Dawn Marshall, “Sequence analysis of the Ras-MAPK pathway genes SOS1, EGFR & GRB2 in silver foxes (Vulpes vulpes): candidate genes for hereditary hyperplastic gingivitis,” Genetica, vol. 142, no. 6, pp. 517–523, 2014. View at: Publisher Site | Google Scholar
  70. J. B. West, “High-altitude medicine,” American Journal of Respiratory and Critical Care Medicine, vol. 186, no. 12, pp. 1229–1237, 2012. View at: Publisher Site | Google Scholar

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