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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell Dev. Biol.</journal-id>
<journal-title>Frontiers in Cell and Developmental Biology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell Dev. Biol.</abbrev-journal-title>
<issn pub-type="epub">2296-634X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">886136</article-id>
<article-id pub-id-type="doi">10.3389/fcell.2022.886136</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cell and Developmental Biology</subject>
<subj-group>
<subject>Brief Research Report</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Effects of Triiodothyronine on Human Osteoblast-Like Cells: Novel Insights From a Global Transcriptome Analysis</article-title>
<alt-title alt-title-type="left-running-head">Rodrigues et al.</alt-title>
<alt-title alt-title-type="right-running-head">T3-Treated Osteoblasts&#x2014;RNAseq Data</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Rodrigues</surname>
<given-names>Bruna Moretto</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mathias</surname>
<given-names>Lucas Solla</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1702247/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Depr&#xe1;</surname>
<given-names>Igor de Carvalho</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1132940/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cury</surname>
<given-names>Sarah Santiloni</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/932637/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>de Oliveira</surname>
<given-names>Miriane</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/408333/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Olimpio</surname>
<given-names>Regiane Marques Castro</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>De Sibio</surname>
<given-names>Maria Teresa</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gon&#xe7;alves</surname>
<given-names>Bianca Mariani</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Nogueira</surname>
<given-names>C&#xe9;lia Regina</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Internal Medicine</institution>, <institution>Medical School Botucatu</institution>, <institution>S&#xe3;o Paulo State University (UNESP)</institution>, <addr-line>Botucatu</addr-line>, <country>Brazil</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Structural and Functional Biology</institution>, <institution>Institute of Biosciences</institution>, <institution>S&#xe3;o Paulo State University (UNESP)</institution>, <addr-line>Botucatu</addr-line>, <country>Brazil</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/923450/overview">Zo&#xeb; D. Burke</ext-link>, University of Bath, United Kingdom</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/864705/overview">Antonio Casado D&#xed;az</ext-link>, Centro de Investigaci&#xf3;n Biom&#xe9;dica en Red sobre Fragilidad y Envejecimiento Saludable (CIBERFES), Spain</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/301969/overview">Carmen Gri&#xf1;an Lison</ext-link>,</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: C&#xe9;lia Regina Nogueira, <email>celia.nogueira@unesp.br</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Molecular and Cellular Pathology, a section of the journal Frontiers in Cell and Developmental Biology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>17</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>10</volume>
<elocation-id>886136</elocation-id>
<history>
<date date-type="received">
<day>28</day>
<month>02</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>06</day>
<month>05</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Rodrigues, Mathias, Depr&#xe1;, Cury, de Oliveira, Olimpio, De Sibio, Gon&#xe7;alves and Nogueira.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Rodrigues, Mathias, Depr&#xe1;, Cury, de Oliveira, Olimpio, De Sibio, Gon&#xe7;alves and Nogueira</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>
<bold>Background:</bold> Thyroid hormones play a significant role in bone development and maintenance, with triiodothyronine (T3) particularly being an important modulator of osteoblast differentiation, proliferation, and maintenance. However, details of the biological processes (BPs) and molecular pathways affected by T3 in osteoblasts remain unclear.</p>
<p>
<bold>Methods:</bold> To address this issue, primary cultures of human adipose-derived mesenchymal stem cells were subjected to our previously established osteoinduction protocol, and the resultant osteoblast-like cells were treated with 1&#xa0;nm or 10&#xa0;nm T3 for 72&#xa0;h. RNA sequencing (RNA-Seq) was performed using the Illumina platform, and differentially expressed genes (DEGs) were identified from the raw data using Kallisto and DESeq2. Enrichment analysis of DEGs was performed against the Gene Ontology Consortium database for BP terms using the R package clusterProfiler and protein network analysis by STRING.</p>
<p>
<bold>Results:</bold> Approximately 16,300 genes were analyzed by RNA-Seq, with 343 DEGs regulated in the 1&#xa0;nm T3 group and 467 upregulated in the 10&#xa0;nm T3 group. Several independent BP terms related to bone metabolism were significantly enriched, with a number of genes shared among them (FGFR2, WNT5A, WNT3, ROR2, VEGFA, FBLN1, S1PR1, PRKCZ, TGFB3, and OSR1 for 1nM T3; and FZD1, SMAD6, NOG, NEO1, and ENG for 10&#xa0;nm T3). An osteoblast-related search in the literature regarding this set of genes suggests that both T3 doses are unfavorable for osteoblast development, mainly hindering BMP and canonical and non-canonical WNT signaling.</p>
<p>
<bold>Conclusions:</bold> Therefore, this study provides new directions toward the elucidation of the mechanisms of T3 action on osteoblast metabolism, with potential future implications for the treatment of endocrine-related bone pathologies.</p>
</abstract>
<kwd-group>
<kwd>osteobalst</kwd>
<kwd>triiodothyronine</kwd>
<kwd>BMP&#x2014;smad signaling pathway</kwd>
<kwd>RNA-seq</kwd>
<kwd>TGF-beta signaling pathway</kwd>
</kwd-group>
<contract-num rid="cn001">2014/16406-9 2015/26747-0</contract-num>
<contract-sponsor id="cn001">Funda&#xe7;&#xe3;o de Amparo &#xe0; Pesquisa do Estado de S&#xe3;o Paulo<named-content content-type="fundref-id">10.13039/501100001807</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>The skeletal system undergoes intense metabolic activity, maintaining a continuous process of bone remodeling through the action of bone cells. Osteoblasts originate from mesenchymal stem cells and are responsible for the synthesis of the bone extracellular matrix, deposition and mineralization of new bone, thereby promoting bone formation (<xref ref-type="bibr" rid="B30">Hadjidakis and Androulakis, 2006</xref>; <xref ref-type="bibr" rid="B11">Cawthray et al., 2017</xref>). Additionally, osteoblasts control bone remodeling by modulating osteoclastogenesis and bone resorption by the osteoclasts (<xref ref-type="bibr" rid="B30">Hadjidakis and Androulakis, 2006</xref>; <xref ref-type="bibr" rid="B24">Feng and McDonald, 2011</xref>; <xref ref-type="bibr" rid="B9">Boyce et al., 2012</xref>; <xref ref-type="bibr" rid="B34">Hayden et al., 2014</xref>).</p>
<p>Thyroid hormones (THs) act as regulators of the bone remodeling process and influence formation of the skeletal system (<xref ref-type="bibr" rid="B30">Hadjidakis and Androulakis, 2006</xref>; <xref ref-type="bibr" rid="B9">Boyce et al., 2012</xref>; <xref ref-type="bibr" rid="B11">Cawthray et al., 2017</xref>). Osteoblasts are known to express nuclear receptors for THs, namely, thyroid hormone receptor beta (<italic>THRB</italic>) and alpha (<italic>THRA</italic>) (<xref ref-type="bibr" rid="B2">Abu et al., 1997</xref>; <xref ref-type="bibr" rid="B43">Kim and Mohan, 2013</xref>). The THs triiodothyronine (T3) and thyroxine (T4) are especially essential for bone development and maintenance (<xref ref-type="bibr" rid="B4">Bassett et al., 2003</xref>; <xref ref-type="bibr" rid="B68">Straub, 2014</xref>), as changes in their levels may affect bone metabolism and cause abnormalities, such as changes in the bone mineral density (<xref ref-type="bibr" rid="B75">Waung et al., 2012</xref>; <xref ref-type="bibr" rid="B43">Kim and Mohan, 2013</xref>; <xref ref-type="bibr" rid="B78">Wojcicka et al., 2013</xref>).</p>
<p>Although T3 in particular is known to play an important role in osteoblastogenesis (<xref ref-type="bibr" rid="B45">Klaushofer et al., 1995</xref>; <xref ref-type="bibr" rid="B75">Waung et al., 2012</xref>; <xref ref-type="bibr" rid="B43">Kim and Mohan, 2013</xref>; <xref ref-type="bibr" rid="B78">Wojcicka et al., 2013</xref>; <xref ref-type="bibr" rid="B53">Ol&#xed;mpio et al., 2019</xref>), its exact biological and molecular mechanisms of action have not been fully elucidated (<xref ref-type="bibr" rid="B33">Harvey et al., 2002</xref>; <xref ref-type="bibr" rid="B75">Waung et al., 2012</xref>; <xref ref-type="bibr" rid="B43">Kim and Mohan, 2013</xref>; <xref ref-type="bibr" rid="B54">Pascual and Aranda, 2013</xref>). Therefore, in this study, we aimed to evaluate the effects of different T3 doses on gene expression in osteoblast-like cells, differentiated from human adipose-derived mesenchymal stem cells (hASCs), through a global transcriptome analysis, using RNA sequencing (RNA-Seq) techniques. Overall, our data provide innovative information that adds to existing knowledge about bone development and will help toward clarifying the role that T3 plays in the pathophysiological mechanisms of bone diseases.</p>
</sec>
<sec id="s2">
<title>Materials and Methods</title>
<sec id="s2-1">
<title>Cell Culture</title>
<p>This study was approved by the Ethics Committee of the Botucatu Medical School, S&#xe3;o Paulo State University (UNESP; Approval No.3216-2009). Primary cultures of the previously characterized model of hASCs (<xref ref-type="bibr" rid="B52">Olimpio et al., 2018</xref>) from three donors were provided by the Experimental Research Unit (Unipex) cell bank of UNESP. The methods used to culture the hASCs and to induce their differentiation into osteoblast-like cells were carried out as previously described (for details, see <xref ref-type="bibr" rid="B52">Olimpio et al., 2018</xref>). In brief, hASCs were isolated from subcutaneous adipose tissue obtained from three patients undergoing abdominoplasty, up to 50&#xa0;years of age with normal erythrocyte sedimentation rate (ESR). Subcutaneous adipose tissue samples were then submitted to enzymatic digestion. The isolated hASCs were plated at a density of 2 &#xd7; 10<sup>5</sup> in a T25 flask, and grown in a complete medium, defined as Dulbecco&#x2019;s modified Eagle medium (DMEM), containing 10% fetal bovine serum (FBS) with 1% penicillin-streptomycin and 0.1% gentamicin (10&#xa0;mg/ml; Invitrogen). Upon reaching 70% confluency, cells were trypsinized and transferred to a T75 flask for cell expansion. All cell cultures were maintained at 37&#xb0;C in a humidified atmosphere with 5% CO<sub>2</sub>. For hASC differentiation into osteoblasts, cells were kept in complete DMEM supplemented with 0.1&#xa0;&#x3bc;M dexamethasone (Sigma-Aldrich), 50&#xa0;&#x3bc;M ascorbic acid (Sigma-Aldrich), and 10&#xa0;mm &#x3b2;-glycerophosphate (Sigma-Aldrich) for 16&#xa0;days. The resulting osteoblast-like cells were then treated with either 1&#xa0;nm or 10&#xa0;nm T3 for 72&#xa0;h. Osteoblast-like cells grown in the absence of T3 were used as controls.</p>
</sec>
<sec id="s2-2">
<title>RNA Sequencing and Bioinformatics</title>
<p>Total RNA was extracted from the osteoblast-like cells using the TRIzol reagent method (Invitrogen, Carlsbad, CA, United States). The cDNA library preparation, RNA sequencing, and bioinformatics analysis were carried out using previously described methods (<xref ref-type="bibr" rid="B18">de Oliveira et al., 2020</xref>). DEGs were classified as being upregulated or downregulated on the basis of fold-change (FC) values &#x3e; 1.5, with <italic>p</italic> &#x3c; 0.05. The Gene Ontology (GO) enrichment analysis for biological process (BP) terms was performed with the clusterProfiler R package, using a p-value-adjusted false discovery rate and a <italic>p</italic>-value of &#x3c; 0.05. Pre-analysis of the GO data was performed, and terms distant from the area of interest were excluded. For the enriched GO terms grouped by similarity (0.7) representation, interactive graphs and TreeMaps were created using REVIGO (<ext-link ext-link-type="uri" xlink:href="http://revigo.irb.hr/">http://revigo.irb.hr/</ext-link>) (<xref ref-type="bibr" rid="B69">Supek et al., 2011</xref>). DEGs were also analyzed with respect to their protein-protein interactions (PPI) using STRING. Interaction maps were generated considering the following levels of evidence: homology, coexpression, experimentally determined interactions, database-annotated interactions, and text mining. Enriched GO terms were assessed by having an FDR &#x3c; 0.05.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec id="s3-1">
<title>Characterization of Osteoblast-Like Cells</title>
<p>The RNA-Seq analysis revealed the expression patterns of 16,296 genes in the two groups of T3-treated osteoblast-like cells. Of the 10 most expressed genes from this data set, four encoded bone markers: fibronectin 1 (<italic>FN1</italic>), osteonectin (<italic>SPARC</italic>), and collagen type I alpha 1 and 2 chains (<italic>COL1A1</italic> and <italic>COL1A2</italic>). In agreement with other published results, the presence of the nuclear receptors <italic>THRA</italic> and <italic>THRB</italic> was also noted, with the former being more abundant in these cells. Additionally, in a previous study conducted by our research group (<xref ref-type="bibr" rid="B53">Ol&#xed;mpio et al., 2019</xref>), the presence of genes encoding other bone markers was observed: osteocalcin and alkaline phosphatase proteins, matrix proteins for bone mineralization, and receptor activator of nuclear factor kappa-&#x392; ligand (<italic>RANKL</italic>).</p>
</sec>
<sec id="s3-2">
<title>Transcriptional Regulation by the T3 Treatments</title>
<p>Differential gene expression was analyzed between the T3-treated and control (non-treated) groups (<xref ref-type="fig" rid="F1">Figures 1</xref>, <xref ref-type="fig" rid="F2">2</xref>, and Supplementary Material). For the 1&#xa0;nM T3 group, 343 differentially expressed genes (DEGs) were identified, of which 200 were upregulated (58%) and 143 were downregulated (42%). For the 10&#xa0;nm T3 group, 467 DEGs were identified, of which 272 genes were upregulated and 195 were downregulated (also 58 and 42%, respectively). There was an overlap of roughly 20% among genes regulated by both doses (<xref ref-type="fig" rid="F3">Figure 3</xref>) and, importantly, no gene was altered in opposite directions by one T3 dose compared to the other (not shown).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Volcano plots representing gene expression log2 fold change (FC; x axis) and <italic>p</italic>-value (y axis) for <bold>(A)</bold> 1&#xa0;nm T3 and <bold>(B)</bold> 10&#xa0;nm T3. Grey dots represent genes with non-significant FC; up- and downregulated genes are represented as red and blue dots, respectively.</p>
</caption>
<graphic xlink:href="fcell-10-886136-g001.tif"/>
</fig>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Heatmaps showing the 20 most upregulated (upper half) and 20 most downregulated (lower half) genes for <bold>(A)</bold> 1&#xa0;nm T3 and <bold>(B)</bold> 10&#xa0;nm T3. Samples (columns) and genes (rows) are hierarchically clustered by mean Euclidean distance.</p>
</caption>
<graphic xlink:href="fcell-10-886136-g002.tif"/>
</fig>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Venn diagrams summarizing similarities between 1 and 10&#xa0;nm T3 expression profiles, relative to the Control group; <bold>(A)</bold>, dowregulated genes, <bold>(B)</bold> upregulated genes.</p>
</caption>
<graphic xlink:href="fcell-10-886136-g003.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>Gene Ontology Analysis&#x2014;ClusterProfiler</title>
<p>For 1nM T3, eight and 56 GO biological process (BP) terms were significantly enriched in the up- and down-regulated gene sets, respectively; after manually filtering the terms, we found 11 terms were relevant to the study, all enriched in the down-regulated gene set (<xref ref-type="table" rid="T1">Table 1</xref>). For the 10&#xa0;nm T3 group, 49 BP terms were enriched for up-regulated genes, but none reached significance for down-regulated genes. Among the significant terms, the majority was related to embryonic development and none has apparent relation to osteoblast biology; the complete overrepresentation analysis results are presented in the Supplementary Material. The REVIGO tool, which summarizes GO terms on the basis of semantic similarity to reduce redundancy, was used to simplify the results from 1&#xa0;nm T3 treatment and to clarify the BPs affected (<xref ref-type="bibr" rid="B69">Supek et al., 2011</xref>); after analyzing the BP terms with REVIGO, TreeMaps was used to group 11 BP terms into six main terms for the downregulated genes of the 1&#xa0;nm T3 (<xref ref-type="table" rid="T1">Table 1</xref>). The main genes involved in the enriched BP terms (<xref ref-type="table" rid="T2">Table 2</xref>) are examined in the Discussion.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>GO terms significantly enriched for genes downregulated after 1&#xa0;nm T3 treatment, manually filtered for relevance to osteoblast biology. The 11 terms were hierarchically grouped under six main terms (bold) using TreeMaps.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Description</th>
<th align="center">GO ID</th>
<th align="center">Gene count</th>
<th align="center">Gene ratio</th>
<th align="center">Bg ratio</th>
<th align="center">Adj. <italic>p</italic>-value</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">
<bold>mesenchymal cell proliferation</bold>
</td>
<td align="center">GO:0010463</td>
<td align="center">4</td>
<td align="char" char="/">4/105</td>
<td align="char" char="/">44/18670</td>
<td align="center">0,027</td>
</tr>
<tr>
<td align="left">&#x2003;stem cell proliferation</td>
<td align="center">GO:0072089</td>
<td align="center">5</td>
<td align="char" char="/">5/105</td>
<td align="char" char="/">120/18670</td>
<td align="center">0,036</td>
</tr>
<tr>
<td align="left">&#x2003;positive regulation of mesenchymal cell proliferation</td>
<td align="center">GO:0002053</td>
<td align="center">3</td>
<td align="char" char="/">3/105</td>
<td align="char" char="/">25/18670</td>
<td align="center">0,031</td>
</tr>
<tr>
<td align="left">
<bold>regulation of cell morphogenesis involved in differentiation</bold>
</td>
<td align="center">GO:0010769</td>
<td align="center">8</td>
<td align="char" char="/">8/105</td>
<td align="char" char="/">301/18670</td>
<td align="center">0,031</td>
</tr>
<tr>
<td align="left">&#x2003;cell fate commitment</td>
<td align="center">GO:0045165</td>
<td align="center">7</td>
<td align="char" char="/">7/105</td>
<td align="char" char="/">271/18670</td>
<td align="center">0,039</td>
</tr>
<tr>
<td align="left">
<bold>ossification</bold>
</td>
<td align="center">GO:0001503</td>
<td align="center">9</td>
<td align="char" char="/">9/105</td>
<td align="char" char="/">398/18670</td>
<td align="center">0,031</td>
</tr>
<tr>
<td align="left">
<bold>cellular response to retinoic acid</bold>
</td>
<td align="center">GO:0071300</td>
<td align="center">4</td>
<td align="char" char="/">4/105</td>
<td align="char" char="/">69/18670</td>
<td align="center">0,036</td>
</tr>
<tr>
<td align="left">&#x2003;positive regulation of Wnt signaling pathway</td>
<td align="center">GO:0030177</td>
<td align="center">6</td>
<td align="char" char="/">6/105</td>
<td align="char" char="/">179/18670</td>
<td align="center">0,036</td>
</tr>
<tr>
<td align="left">&#x2003;positive regulation of chemotaxis</td>
<td align="center">GO:0050921</td>
<td align="center">5</td>
<td align="char" char="/">5/105</td>
<td align="char" char="/">135/18670</td>
<td align="center">0,044</td>
</tr>
<tr>
<td align="left">
<bold>protein kinase C signaling</bold>
</td>
<td align="center">GO:0070528</td>
<td align="center">4</td>
<td align="char" char="/">4/105</td>
<td align="char" char="/">29/18670</td>
<td align="center">0,022</td>
</tr>
<tr>
<td align="left">
<bold>peptidyl-tyrosine phosphorylation</bold>
</td>
<td align="center">GO:0018108</td>
<td align="center">9</td>
<td align="char" char="/">9/105</td>
<td align="char" char="/">363/18670</td>
<td align="center">0,029</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Gene count, number of differentially expressed (DE) genes associated with the GO term; gene ratio, associated genes/total DE genes; Bg ratio, number of associated genes/total background genes (all genes annotated in the Gene Ontology Consortium database); Adj <italic>p</italic>-value, false discovery rate-adjusted <italic>p</italic>-value.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Main downregulated genes contributing to enriched GO terms, in the 1&#xa0;nm T3 group.</p>
</caption>
<table>
<tbody valign="top">
<tr>
<td align="left">FGFR2 fibroblast growth factor receptor 2</td>
</tr>
<tr>
<td align="left">WNT5A Wnt family member 5A</td>
</tr>
<tr>
<td align="left">WNT3 Wnt family member 3</td>
</tr>
<tr>
<td align="left">ROR2 receptor tyrosine kinase like orphan receptor 2</td>
</tr>
<tr>
<td align="left">VEGFA vascular endothelial growth factor A</td>
</tr>
<tr>
<td align="left">FBLN1 fibulin 1</td>
</tr>
<tr>
<td align="left">S1PR1 sphingosine-1-phosphate receptor 1</td>
</tr>
<tr>
<td align="left">PRKCZ protein kinase C zeta</td>
</tr>
<tr>
<td align="left">TGFB3 transforming growth factor beta 3</td>
</tr>
<tr>
<td align="left">OSR1 oxidative stress responsive kinase 1</td>
</tr>
<tr>
<td align="left">AREG amphiregulin</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3-4">
<title>Gene Ontology Analysis&#x2014;STRING</title>
<p>As a second approach for identifying BPs associated with both T3 treatments, we performed PPI analysis using STRING, which is complemented by a GO term enrichment analysis based on predicted interactions (<xref ref-type="fig" rid="F4">Figure 4</xref> and Supplementary Material). In accordance with ClusterProfiler results, several of the genes downregulated by 1&#xa0;nm T3 (see <xref ref-type="table" rid="T2">Table 2</xref>) were also associated with enriched terms and showed interactions with each other at the protein level (<xref ref-type="fig" rid="F4">Figure 4</xref>). These genes enriched terms such as <italic>positive regulation of Wnt signaling pathway</italic> (GO:0030177), <italic>wound healing</italic> (GO:0042060) and <italic>chemotaxis</italic> (GO:0006935), for instance. Interestingly, also for genes upregulated by 10&#xa0;nm T3, PPI analysis pointed to enriched terms related to osteoblast differentiation, namely, <italic>negative regulation of pathway-restricted SMAD protein phosphorylation</italic> (GO:0060394) and <italic>regulation of BMP signaling pathway</italic> (GO:0030510), which will be discussed below.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Protein-protein interaction network among genes downregulated by 1nM T3, as predicted using STRING. Genes that are central to the network, such as <italic>VEGFA</italic>, <italic>FGFR2</italic> and <italic>TGFB3</italic>, are associated with biological processes enriched by this treatment, as shown in <xref ref-type="table" rid="T2">Table 2</xref>.</p>
</caption>
<graphic xlink:href="fcell-10-886136-g004.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>Given our current knowledge about the importance of THs for bone development and maintenance (<xref ref-type="bibr" rid="B7">Bochukova et al., 2012</xref>; <xref ref-type="bibr" rid="B75">Waung et al., 2012</xref>), several <italic>in vitro</italic> studies have demonstrated the effects of T3 on the expression of osteoblast markers and its modulation of bone cell metabolism (<xref ref-type="bibr" rid="B43">Kim and Mohan, 2013</xref>; <xref ref-type="bibr" rid="B76">Williams, 2013</xref>; <xref ref-type="bibr" rid="B53">Ol&#xed;mpio et al., 2019</xref>). However, the roles played by T3 in osteoblast differentiation, proliferation, development and bone formation remain unclear (<xref ref-type="bibr" rid="B33">Harvey et al., 2002</xref>). Considering the importance of cellular models for the study of osteoblasts, we applied an osteoinduction protocol for the differentiation of hASCs, using the cocktail previously established by our research group (<xref ref-type="bibr" rid="B52">Olimpio et al., 2018</xref>), and then assessed the effects of 1 and 10&#xa0;nm T3 doses on the global transcriptome of osteoblast-like cells.</p>
<p>Our results confirm the responsiveness of hASC-derived osteoblast-like cells to T3. Several osteoblast lineages have been previously shown to respond to T3 (<xref ref-type="bibr" rid="B45">Klaushofer et al., 1995</xref>; <xref ref-type="bibr" rid="B33">Harvey et al., 2002</xref>; <xref ref-type="bibr" rid="B75">Waung et al., 2012</xref>; <xref ref-type="bibr" rid="B43">Kim and Mohan, 2013</xref>; <xref ref-type="bibr" rid="B78">Wojcicka et al., 2013</xref>; <xref ref-type="bibr" rid="B53">Ol&#xed;mpio et al., 2019</xref>), and the present study likewise shows that T3 at both tested doses affected genes related to bone metabolism, in BPs such as <italic>mesenchymal cell proliferation</italic> and <italic>ossification</italic>, thus confirming this human primary cell line as a suitable experimental model. Overall, it was noticeable that both T3 doses had similar effects on a subset of the DEGs, but that was not the case for the biological processes affected, which were markedly different.</p>
<p>The osteoblast differentiation and maintenance processes can be regulated by both mechanical and biochemical pathways (<xref ref-type="bibr" rid="B77">Wittkowske et al., 2016</xref>), and here we show effects of T3 on the latter. With regard to the 1&#xa0;nm T3 effects, the downregulated expression of several genes related to cell differentiation and proliferation, chemotaxis, and ossification, found in this study is in agreement with the decrease of mineralized matrix formation found in our previous work (<xref ref-type="bibr" rid="B53">Ol&#xed;mpio et al., 2019</xref>). For this dose, the genes involved, summarized in <xref ref-type="table" rid="T2">Table 2</xref>, are related to osteoblast differentiation through the BMP and WNT pathways, as discussed below.</p>
<p>Transforming growth factor beta (TGF-&#x3b2;) and members of its superfamily, such as BMPs and growth/differentiation factors (GDFs), exert their effects by activating the serine/threonine kinases type I and II receptor complex, which initiates Smad-dependent or -independent intracellular signaling. Smad-dependent signaling involves the phosphorylation of R-Smads (Smads 2/3 for TGF-&#x3b2; and Smads 1/5/8 for BMPs/GDFs), which form complexes with Co-Smads (Smad4) that then translocate to the nucleus to activate transcription factors. Smad-independent signaling involves molecules of the mitogen-activated protein kinase (MAPK) pathways, such as extracellular signal-regulated kinases (ERKs), c-Jun N-terminal kinases (JNK), and p38. The Smad-dependent BMP pathway is known to be regulated by the inhibitory Smads (I-Smads) Smad 6 and 7, which act to suppress the pathway (<xref ref-type="bibr" rid="B5">Blair et al., 2002</xref>; <xref ref-type="bibr" rid="B37">Huang et al., 2007</xref>; <xref ref-type="bibr" rid="B80">Yan et al., 2009</xref>; <xref ref-type="bibr" rid="B12">Chen et al., 2012</xref>). Moreover, although the structure of Smad 9 (also known as Smad 8) matches that of an R-Smad, recent studies have shown that its inhibition of the BMP pathway occurs through mechanisms distinct from those of the I-Smads (<xref ref-type="bibr" rid="B71">Tsukamoto et al., 2015</xref>; <xref ref-type="bibr" rid="B61">Salazar et al., 2016</xref>).</p>
<p>In this context, the products of the fibroblast growth factor receptor 2 (<italic>FGF2R</italic>), sphingosine-1-phosphate receptor 1 (<italic>SP1R1</italic>), fibulin-1 (<italic>FBLN1</italic>), and oxidative stress responsive kinase 1 (<italic>OSR1</italic>) genes, which were all downregulated by 1nM T3, act synergistically on the BMP pathway to promote cell differentiation and osteoblastic function. <italic>FGF2R</italic> increases the expression of BMP receptor type 1B and, consequently, the effects of BMP-2, which phosphorylates the R-Smads and induces the activity of alkaline phosphatase (<xref ref-type="bibr" rid="B67">Singhatanadgit et al., 2006</xref>). SP1R1 enhances the BMP-2-promoted phosphorylation of ERK 1/2 and R-Smads (<xref ref-type="bibr" rid="B63">Sato et al., 2012</xref>). Fibulin-1, an extracellular matrix glycoprotein encoded by the <italic>FBLN1</italic> gene, interacts physically with BMP-2 and is necessary for the transcriptional activation of the osteogenic lineage marker Osterix and alkaline phosphatase (<xref ref-type="bibr" rid="B16">Cooley et al., 2014</xref>). Finally, the <italic>OSR1</italic> gene encodes a serine/threonine protein kinase which regulates downstream kinases and can increase the expression of BMP-4 and RUNX2 (<xref ref-type="bibr" rid="B42">Karvande et al., 2018</xref>).</p>
<p>The downregulation of vascular endothelial growth factor A (<italic>VEGFA</italic>) gene expression by 1&#xa0;nm T3 also reinforces the conclusion that this TH dose hampers cell differentiation and proliferation, given that literature describes this gene product as being the most abundant member of the VEGF family, stimulating osteogenesis by participating in the final phases of osteoblast differentiation, in addition to acting on cell migration and proliferation (<xref ref-type="bibr" rid="B81">Yang et al., 2012</xref>; <xref ref-type="bibr" rid="B36">Hu and Olsen, 2016</xref>). It is also known that BMPs can stimulate VEGF expression in osteoblasts, promoting bone formation and angiogenesis during bone development (<xref ref-type="bibr" rid="B19">Deckers et al., 2002</xref>; <xref ref-type="bibr" rid="B84">Zhang et al., 2009</xref>).</p>
<p>Aside from being part of the TGF-&#x3b2; family and associated with the BMP pathway and bone formation, TGF-&#x3b2;3 has been demonstrated in a few studies to be involved in bone development as well (<xref ref-type="bibr" rid="B12">Chen et al., 2012</xref>; <xref ref-type="bibr" rid="B79">Wu et al., 2016</xref>). In this study, it was downregulated by 1 nm T3 and was associated, for instance, with the BP term <italic>ossification</italic>.</p>
<p>As mentioned above, 1&#xa0;nm T3 also regulated the WNT canonical and non-canonical signaling pathways. The canonical WNT pathway depends on the activity of &#x3b2;-catenin as a transcription factor and plays an important role in bone metabolism. The binding of WNT proteins to their transmembrane receptor Frizzled and co-receptors lipoprotein receptor-related proteins 5 and 6 (LRP5/6) inhibits the degradation of &#x3b2;-catenin, which then accumulates in the cytoplasm (<xref ref-type="bibr" rid="B3">Baron and Rawadi, 2007</xref>) and translocates to the nucleus where it affects <italic>RUNX2</italic> gene transcription and promotes osteoblast differentiation and bone formation (<xref ref-type="bibr" rid="B27">Gaur et al., 2005</xref>; <xref ref-type="bibr" rid="B47">Li et al., 2005</xref>). By contrast, the non-canonical WNT pathway is independent of &#x3b2;-catenin and involves the activation of JNK (cellular polarity pathway) or nuclear factor of activated T-cells (NFAT) (Wnt/Ca<sup>2&#x2b;</sup> pathway) instead, either of which leads to the transcriptional activation of osteoblastic target genes (<xref ref-type="bibr" rid="B23">Enomoto et al., 2009</xref>; <xref ref-type="bibr" rid="B29">Gregory et al., 2010</xref>; <xref ref-type="bibr" rid="B10">Bret&#xf3;n-Romero et al., 2016</xref>).</p>
<p>The <italic>WNT5A</italic>, <italic>WNT3</italic>, and tyrosine-protein kinase transmembrane receptor ROR2 (<italic>ROR2</italic>) genes, which were downregulated by 1nM T3, play important roles in bone metabolism. WNT5A, a member of the WNT family of soluble ligands, interacts with its receptor ROR2 on the cell surface, triggering the non-canonical WNT cell polarity pathway (WNT/JNK). By contrast, WNT3 activates the canonical WNT pathway by binding to Frizzled and LRP5/6 (<xref ref-type="bibr" rid="B27">Gaur et al., 2005</xref>; <xref ref-type="bibr" rid="B47">Li et al., 2005</xref>). These genes are involved in osteoblast differentiation and proliferation, bone mineralization, and cell migration (<xref ref-type="bibr" rid="B51">Nishita et al., 2006</xref>; <xref ref-type="bibr" rid="B23">Enomoto et al., 2009</xref>; <xref ref-type="bibr" rid="B64">Sebastian et al., 2017</xref>), as previously shown in the pre-osteoblastic cell lines MC3T3 and SaOS-2, differentiated human mesenchymal stem cells, and mouse bone cell cultures (<xref ref-type="bibr" rid="B48">Liu et al., 2007a</xref>; <xref ref-type="bibr" rid="B49">Liu et al., 2007b</xref>).</p>
<p>The regulation of chemotaxis (<italic>via FGFR2</italic>, <italic>S1PR1</italic>, <italic>OSR1</italic>, and <italic>VEGFA</italic>), WNT signaling pathways (<italic>via WNT5A</italic>, <italic>WNT3</italic>, <italic>ROR2</italic>), and cellular responses to retinoic acid by 1&#xa0;nm T3 are corroborated by the literature for <italic>FGFR2</italic> (<xref ref-type="bibr" rid="B44">Kim et al., 2007</xref>), <italic>S1PR1</italic> (<xref ref-type="bibr" rid="B26">Garnero, 2014</xref>), <italic>VEGFA</italic> (<xref ref-type="bibr" rid="B81">Yang et al., 2012</xref>; <xref ref-type="bibr" rid="B36">Hu and Olsen, 2016</xref>), and the WNT pathway (<xref ref-type="bibr" rid="B27">Gaur et al., 2005</xref>; <xref ref-type="bibr" rid="B47">Li et al., 2005</xref>) but not for <italic>OSR1</italic>. Moreover, although previous studies have demonstrated that retinoic acid is involved in osteogenic differentiation, proliferation, and mineralization and is related to the BMP and WNT pathways (<xref ref-type="bibr" rid="B6">Blum and Begemann, 2015</xref>; <xref ref-type="bibr" rid="B21">Draut et al., 2019</xref>; <xref ref-type="bibr" rid="B58">Roa et al., 2019</xref>), there are no published studies on its role in osteoblast migration, which could be a potential target for future study.</p>
<p>The <italic>PRKCZ</italic> gene, also downregulated by 1nM T3, encodes the atypical protein kinase C-zeta (PKC&#x3b6;) from the PKC family. These proteins are described in the literature as being associated with various cell types and cellular processes, with recent studies showing their exact functions and associations with several diseases (<xref ref-type="bibr" rid="B28">Gopalakrishna and Jaken, 2000</xref>; <xref ref-type="bibr" rid="B40">Kang, 2014</xref>). However, there are as yet no studies describing the occurrence of PKC&#x3b6; in osteoblasts, albeit three studies on global data have indicated its association with osteoporosis and osteosarcoma diseases (<xref ref-type="bibr" rid="B22">Du et al., 2014</xref>; <xref ref-type="bibr" rid="B85">Zhang et al., 2019</xref>; <xref ref-type="bibr" rid="B86">Zhou et al., 2020</xref>). Such data suggest that this molecule could be a potential biomarker for bone tissue and bone-related pathologies and is therefore worthy of further study.</p>
<p>In its turn, as shown by STRING Gene Ontology analysis, 10&#xa0;nm T3 enriched the regulation of the BMP signaling pathway (GO: 0030510) by upregulating suppressive genes, such as <italic>SMAD6</italic>, <italic>NOG</italic>, <italic>NEO1</italic>, and <italic>ENG</italic>. This treatment enriched the <italic>negative regulation of pathway-restricted SMAD protein phosphorylation</italic> (GO:0060394), by increased expression of <italic>SMAD6</italic>, <italic>NOG</italic>, and <italic>ENG</italic>. According to the literature, Smad 6, NOG, and NEO1 inhibit the action of BMP. BMP acts by phosphorylation of the Smad proteins and is known to be regulated by the inhibitory Smads (I-Smads) Smad 6 and Smad 7, which act to suppress the pathway. NOG is an antagonist linker that binds to BMP receptors (<xref ref-type="bibr" rid="B37">Huang et al., 2007</xref>; <xref ref-type="bibr" rid="B12">Chen et al., 2012</xref>) and is a critical regulator of BMP activity during skeletogenesis and joint formation (<xref ref-type="bibr" rid="B65">Shi and Massagu&#xe9;, 2003</xref>). Neogenin 1, the protein encoded by <italic>NEO1</italic>, is a netrin receptor, considered to be a suppressor of BMP signaling (<xref ref-type="bibr" rid="B1">Abdullah et al., 2021</xref>). In addition, studies demonstrate that neogenin acts as a receptor for BMPs, and the signal transduction negatively regulates BMP-induced osteoblastic differentiation (<xref ref-type="bibr" rid="B31">Hagihara et al., 2011</xref>).</p>
<p>On the other hand, <italic>ENG</italic> encodes a transmembrane glycoprotein that operates as a co-receptor to the TGF-&#x3b2; receptor family to activate the BMP pathway by as-yet-unknown mechanisms and is involved in BMP-induced osteogenic differentiation (<xref ref-type="bibr" rid="B38">Ishibashi et al., 2010</xref>; <xref ref-type="bibr" rid="B74">Wang et al., 2014</xref>). Our results demonstrate that increased expression of the <italic>ENG</italic> gene enriched the negative regulation of pathway-restricted Smad protein phosphorylation. In this way, <italic>ENG</italic> could participate in the inhibition of an I-Smad to favor the osteogenic differentiation.</p>
<p>Additionaly, 10&#xa0;nm T3 enhanced the expression of BMP/Smad target genes such as the <italic>ID1</italic> gene, which is usually upregulated following BMP-induced osteogenic stimulation and its transcription is downregulated by TGF-&#x3b2; (<xref ref-type="bibr" rid="B41">Kang et al., 2003</xref>). The role of <italic>ID1</italic> in osteoblast differentiation has not yet been clarified. Previous studies showed that during osteogenesis, the expression of <italic>ID1</italic> is initially elevated to support the proliferation of progenitor cells and then is downregulated during terminal osteoblast differentiation (<xref ref-type="bibr" rid="B56">Peng et al., 2004</xref>), and overexpressing <italic>ID1</italic> can stimulate osteoclast differentiation (<xref ref-type="bibr" rid="B83">Yuen et al., 2010</xref>).</p>
<p>Therefore, our results suggest that 10&#xa0;nm T3 affects bone metabolism, by increasing the expression of genes that inhibit the BMP pathway and possibly increasing osteoclastogenesis. These results are in accordance with previous studies by our group and others, in which 10&#xa0;nM T3 induced the expression of RANKL mRNA in (<xref ref-type="bibr" rid="B50">Miura et al., 2002</xref>; <xref ref-type="bibr" rid="B53">Ol&#xed;mpio et al., 2019</xref>) and the levels of <italic>OPG</italic> mRNA and protein decreased, which can favor RANKL binding to its receptor, activating osteoclastogenesis, and has a negative effect on net bone matrix formation. (<xref ref-type="bibr" rid="B46">Li et al., 2000</xref>; <xref ref-type="bibr" rid="B53">Ol&#xed;mpio et al., 2019</xref>).</p>
<p>It should be noted that other studies support a stimulating role for T3 on osteoblast differentiation and bone mineralization. Two studies (<xref ref-type="bibr" rid="B8">Boeloni et al., 2009</xref>; <xref ref-type="bibr" rid="B15">Cheng et al., 2016</xref>), found T3 to increase markers of osteoblast differentiation and ossification at doses similar to those we used. However, in the study by Boeloni and co-workers, maximum results were obtained with 10&#xa0;pM T3, while most variables remained unchanged at 1&#xa0;nm, which we consider to be closer to a physiological dose based on previous studies (<xref ref-type="bibr" rid="B62">Saraiva et al., 2008</xref>; <xref ref-type="bibr" rid="B53">Ol&#xed;mpio et al., 2019</xref>). Likewise, in two other studies (<xref ref-type="bibr" rid="B13">Chen et al., 2020</xref>; <xref ref-type="bibr" rid="B82">Yi et al., 2020</xref>), a 100&#xa0;nm T3 dose was used for most experiments, which is well above our maximum 10&#xa0;nm dose. Perhaps more important, these two studies were performed with cells from fetal origins, while we used mesenchymal stem cells obtained from adult donors, which could explain the different responses observed, since thyroid hormones may play different roles in early development and adulthood. Besides, all of these works used mouse or rat-derived cells, while the present study employed cells from human origin. These discrepancies underscore the need to address, in future studies, whether context-dependent shifts in osteoblast response to T3 indeed occur.</p>
<p>It has already been established that T3 stimulates the expression of several differentiation markers (<xref ref-type="bibr" rid="B45">Klaushofer et al., 1995</xref>; <xref ref-type="bibr" rid="B72">Varga et al., 1997</xref>; <xref ref-type="bibr" rid="B33">Harvey et al., 2002</xref>; <xref ref-type="bibr" rid="B75">Waung et al., 2012</xref>; <xref ref-type="bibr" rid="B43">Kim and Mohan, 2013</xref>; <xref ref-type="bibr" rid="B78">Wojcicka et al., 2013</xref>). The technique used in this study was not able to detect some of the genes that are recognized to be expressed in fully differentiated osteoblasts, such as <italic>SP7</italic> (Osterix), <italic>TNFSF11</italic> (RANKL), and <italic>BSP</italic> (bone sialoprotein). However, in a previous study (<xref ref-type="bibr" rid="B52">Olimpio et al., 2018</xref>), we had detected these genes by RT-qPCR, demonstrating that the osteoinduction methodology used ensures osteoblast-like differentiation. We believe that these gene transcripts have remained below the detection limit of the RNA-Seq technique. Nonetheless, to the best of our knowledge, there are no published studies on the activity of T3 in osteoblasts, making the present study an innovative and unique presentation of the biological markers affected by different doses of this TH. Considering that high doses of T3 can modify bone metabolism, causing abnormalities and culminating in pathologies <italic>in vivo</italic>, and given the problems encountered by patients with thyroid cancer receiving thyroid-stimulating hormone suppression therapy post thyroidectomy (<xref ref-type="bibr" rid="B32">Hannoush and Weiss, 2016</xref>).</p>
<p>Our findings on the signaling pathways potentially affected by the two doses of T3 highlight some essential points T3 in osteoblast-like cell metabolism: 1) Both doses of T3 appear to negatively influence terminal cell differentiation by inhibiting signaling pathways that are relevant to osteoblast development; 2) The effects of 10&#xa0;nm T3 were likely due to BMP signaling pathway inhibition through upregulation of the expression of inhibitory genes; 3) The 1&#xa0;nm T3 treatment also seems to affect the BMP signaling pathway by inhibiting the synergistic expression of genes in the pathway as well as inhibiting genes essential to the canonical and non-canonical WNT signaling pathways; 4) Both doses of T3 modulated genes related to cell migration and chemotaxis, suggesting a previously unknown role of this TH in these important biological functions; and 5) Several genes and BPs that have been scarcely studied and described in osteoblasts were revealed.</p>
</sec>
</body>
<back>
<sec id="s5">
<title>Data Availability Statement</title>
<p>The data presented in the study are deposited in GEO DataSets, accession number GSE205678.</p>
</sec>
<sec id="s6">
<title>Author Contributions</title>
<p>BR: Conceptualization, Methodology, Data curation, Writing&#x2014;original draft, and Writing&#x2014;review and editing. LM, ID, MO, RO, MS, and BG: Visualization, Investigation, Data curation, Writing&#x2014;original draft, and Writing&#x2014;review and editing. SC: Methodology. CN: Conceptualization, Methodology, Data curation, Writing&#x2014;original draft, Writing&#x2014;review and editing, and Supervision.</p>
</sec>
<sec id="s7">
<title>Funding</title>
<p>This work was supported by the Funda&#xe7;&#xe3;o de Amparo &#xe0; Pesquisa do Estado de S&#xe3;o Paulo (the S&#xe3;o Paulo Research Foundation) [grant numbers 2014/16406-9 and 2015/26747-0]. The funders had no role in the study design, data collection and analysis, decision to publish, or manuscript preparation processes. This manuscript has been proofread by native English speakers, the edit was performed by professional editors at Editage, a division of Cactus Communications (JOB CODE CENOG_3).</p>
</sec>
<sec sec-type="COI-statement" id="s8">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s9">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s10">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fcell.2022.886136/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fcell.2022.886136/full&#x23;supplementary-material</ext-link>
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