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<journal-id journal-id-type="publisher-id">Front. Endocrinol.</journal-id>
<journal-title-group>
<journal-title>Frontiers in Endocrinology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Endocrinol.</abbrev-journal-title>
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<issn pub-type="epub">1664-2392</issn>
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<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-meta>
<article-id pub-id-type="doi">10.3389/fendo.2025.1729649</article-id>
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<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Research</subject>
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</article-categories>
<title-group>
<article-title>Stc2a inhibits IGF-stimulated somatic growth in favor of organismal survival under hypoxic stress</article-title>
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<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Wang</surname><given-names>Zhengyi</given-names></name>
<xref ref-type="author-notes" rid="fn003"><sup>&#x2020;</sup></xref>
<xref ref-type="author-notes" rid="fn004"><sup>&#x2021;</sup></xref>
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<name><surname>Shah</surname><given-names>Jinay</given-names></name>
<xref ref-type="author-notes" rid="fn003"><sup>&#x2020;</sup></xref>
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<contrib contrib-type="author">
<name><surname>Li</surname><given-names>Shuang</given-names></name>
<xref ref-type="author-notes" rid="fn004"><sup>&#x2021;</sup></xref>
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<name><surname>Jaggi</surname><given-names>Shriya</given-names></name>
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<name><surname>Xu</surname><given-names>Hui</given-names></name>
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<contrib contrib-type="author" corresp="yes">
<name><surname>Duan</surname><given-names>Cunming</given-names></name>
<xref ref-type="corresp" rid="c001"><sup>*</sup></xref>
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<aff id="aff1"><institution>Department of Molecular, Cellular, and Developmental Biology, University of Michigan</institution>, <city>Ann Arbor</city>, <state>MI</state>, <country country="us">United States</country></aff>
<author-notes>
<corresp id="c001"><label>*</label>Correspondence: Cunming Duan, <email xlink:href="mailto:cduan@umich.edu">cduan@umich.edu</email></corresp>
<fn fn-type="equal" id="fn003">
<label>&#x2020;</label>
<p>These authors have contributed equally to this work and share first authorship</p></fn>
<fn fn-type="present-address" id="fn004">
<label>&#x2021;</label>
<p>Present address: Zhengyi Wang, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States Shuang Li, National and Provincial Joint Engineering Research Centre for Marine Germplasm Resources Exploration and Utilization, School of Marine Science and Technology, Zhejiang Ocean University, Lincheng, Zhoushan, China</p></fn>
</author-notes>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2026-01-07">
<day>07</day>
<month>01</month>
<year>2026</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2025</year>
</pub-date>
<volume>16</volume>
<elocation-id>1729649</elocation-id>
<history>
<date date-type="received">
<day>21</day>
<month>10</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>11</day>
<month>12</month>
<year>2025</year>
</date>
<date date-type="rev-recd">
<day>09</day>
<month>12</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2026 Wang, Shah, Li, Jaggi, Xu and Duan.</copyright-statement>
<copyright-year>2026</copyright-year>
<copyright-holder>Wang, Shah, Li, Jaggi, Xu and Duan</copyright-holder>
<license>
<ali:license_ref start_date="2026-01-07">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. 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.</license-p>
</license>
</permissions>
<abstract>
<p>In response to hypoxia, animals reduce somatic growth to shift energy resources toward the maintenance of vital functions and organismal survival. Although this phenomenon is widespread, the systemic factors and mechanisms involved remain poorly understood. Here we report that hypoxia causes major changes in zebrafish transcriptomic landscapes with hormonal activity or hormonal signaling identified as most prominently up-regulated GO term and KEGG pathway. Among the top in this group is Stanniocalcin 2a (Stc2a), a secreted glycoprotein that inhibits insulin-like growth factor (IGF) signaling by binding to pappalysin metalloproteinases and inhibiting their activities. The hypoxic induction of <italic>stc2a</italic> expression is attenuated in Hif2-deficient fish. Genetic deletion of Stc2a increased the developmental speed and growth rate, resulting in enlarged adult organ and body size. Under hypoxia, <italic>stc2a</italic><sup>-/-</sup> fish grew faster than wild-type fish but showed reduced survival rate. These phenotypes were reversed by inhibiting pappalysin metalloproteinase activity and by blocking IGF signaling. These findings suggest that Stc2a limits IGF-mediated somatic growth in favor of survival and that the induction of Stc2a is part of a conserved mechanism regulating the trade-off between somatic growth and organismal survival under hypoxic stress.</p>
</abstract>
<kwd-group>
<kwd>hypoxia-inducible factor</kwd>
<kwd>IGF1 receptor</kwd>
<kwd>insulin-like growth factor</kwd>
<kwd>PAPP-A</kwd>
<kwd>stanniocalcin 2</kwd>
<kwd>zebrafish</kwd>
</kwd-group>
<funding-group>
<award-group id="gs1">
<funding-source id="sp1">
<institution-wrap>
<institution>National Science Foundation</institution>
<institution-id institution-id-type="doi" vocab="open-funder-registry" vocab-identifier="10.13039/open_funder_registry">10.13039/100000001</institution-id>
</institution-wrap>
</funding-source>
</award-group>
<funding-statement>The author(s) declared that financial support was received for this work and/or its publication. This work was supported by National Science Foundation grant IOS-2402404 to CD.</funding-statement>
</funding-group>
<counts>
<fig-count count="6"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="73"/>
<page-count count="13"/>
<word-count count="6774"/>
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<custom-meta-group>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Experimental Endocrinology</meta-value>
</custom-meta>
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</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Hypoxia poses a fundamental bioenergetic challenge to animals and their cells. Hypoxia has been linked to human diseases, such as ischemia, inflammation, tumorigenesis, and intrauterine growth restriction. In response to low oxygen levels, cells shift their metabolism toward glycolysis and reduce overall metabolic demands by altering gene expression, primarily through the actions of hypoxia-inducible factors (HIFs) (<xref ref-type="bibr" rid="B1">1</xref>). HIFs, including HIF1, HIF2, and HIF3, are dimeric proteins composed of an oxygen-regulated &#x3b1; subunit and a constitutive &#x3b2; subunit (<xref ref-type="bibr" rid="B1">1</xref>, <xref ref-type="bibr" rid="B2">2</xref>). Under normoxic conditions, HIF-&#x3b1; subunits are hydroxylated by prolyl hydroxylase domain proteins (PHDs) and targeted for degradation by the von Hippel&#x2013;Lindau (VHL) E3 ubiquitin ligase complex (<xref ref-type="bibr" rid="B3">3</xref>). During hypoxia, hydroxylation is inhibited, resulting in the stabilization and accumulation of HIF-&#x3b1; subunits, which then translocate to the nucleus, dimerize with HIF-&#x3b2;, and bind to hypoxia response elements (HREs) in target genes, thereby enhancing their transcription (<xref ref-type="bibr" rid="B4">4</xref>&#x2013;<xref ref-type="bibr" rid="B6">6</xref>). At the whole-organism level, animals further prioritize energy expenditure by reallocating resources to sustain essential functions, such as those of the brain and heart, while reducing investment in non-essential activities like growth and reproduction. This phenomenon, observed across diverse taxa, suggests the existence of evolutionarily conserved regulatory mechanisms (<xref ref-type="bibr" rid="B7">7</xref>). Despite this, the systemic factors and molecular mechanisms that orchestrate organism-wide responses to hypoxia remain poorly understood.</p>
<p>Zebrafish (<italic>Danio rerio</italic>) is a valuable vertebrate model for dissecting systemic factors and mechanisms underlying somatic growth and body size regulation, owing to its small size, rapid development, and short generation time. Previous studies in zebrafish have demonstrated that hypoxia retards developmental and growth rates by attenuating insulin-like growth factor (IGF) signaling (<xref ref-type="bibr" rid="B8">8</xref>&#x2013;<xref ref-type="bibr" rid="B12">12</xref>). IGFs are evolutionarily ancient polypeptides structurally related to insulin. The actions of IGFs are mediated through the IGF-1 receptor (IGF-1R), a receptor tyrosine kinase. Ligand binding induces IGF-1R tyrosine phosphorylation, activating major intracellular signaling cascades such as PI3K-AKT-mTOR and RAS-MEK-ERK pathways, which drive cell proliferation, growth, differentiation, and survival (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B14">14</xref>). The IGF system further comprises six types of high-affinity IGF binding proteins (IGFBP1&#x2013;6), which sequester IGFs and inhibit their interaction with IGF-1R, thereby modulating IGF signaling (<xref ref-type="bibr" rid="B15">15</xref>) (<xref ref-type="bibr" rid="B16">16</xref>). Some IGFBPs also possess IGF-independent biological activities (<xref ref-type="bibr" rid="B17">17</xref>&#x2013;<xref ref-type="bibr" rid="B19">19</xref>). The bioavailability of IGFs is tightly regulated by IGFBP proteases such as the pappalysin family members, including pregnancy-associated plasma protein-A (PAPP-A) and PAPP-A2. These enzymes cleave IGFBPs and release IGFs from the IGFBP complexes and make them available for receptor binding (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B21">21</xref>). Recent findings have shown that PAPP-A-mediated IGFBP proteolysis is further modulated by stanniocalcin-1 (STC1) and stanniocalcin-2 (STC2) (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B23">23</xref>), both of which are potent PAPP-A and PAPP-A2 inhibitors (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B21">21</xref>). While STC1 binds PAPP-A non-covalently, STC2 interacts covalently and irreversibly to PAPP-A/A2, leading to decreased IGF bioavailability and reduced IGF-1R signaling (<xref ref-type="bibr" rid="B22">22</xref>). Notably, human loss-of-function mutations in STC2 have been associated with increased adult height and enhanced local IGF signaling (<xref ref-type="bibr" rid="B22">22</xref>&#x2013;<xref ref-type="bibr" rid="B24">24</xref>).</p>
<p>The objective of this study is to investigate hypoxia-induced transcriptomic changes using zebrafish and to identify novel systemic factors and mechanisms regulating the trade-off between somatic growth and organismal survival under hypoxic stress. We found that hypoxia caused major changes in the transcriptome landscapes and the most prominently up-regulated pathway is hormonal activity, with <italic>stc2a</italic> among the top. Our genetic, physiological, and pharmacological evidence indicates that hypoxic induction of Stc2a represents an adaptive mechanism that restricts IGF-stimulated somatic growth, redirecting energy toward critical survival processes in hypoxia.</p>
</sec>
<sec id="s2" sec-type="results">
<title>Results</title>
<sec id="s2_1">
<title>Hypoxia results in major changes in hormonal signaling and metabolism</title>
<p>RNA-seq analysis of hypoxia-treated and control zebrafish larvae detected a total of 2411 differentially expressed genes (DEGs), including 703 up-regulated and 1708 down-regulated DEGs (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1A</bold></xref>). The two groups are distinctly clustered in hierarchical clustering (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1B</bold></xref>) and principal component analysis (<xref ref-type="supplementary-material" rid="SM1"><bold>Supplementary Figure S1A</bold></xref>). The RNA-seq results were confirmed by qRT-PCR assays using a different set of biological samples (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1C</bold></xref>) and similar changes were detected in 18 out of 20 genes tested (<xref ref-type="supplementary-material" rid="SM1"><bold>Supplementary Figure S1B</bold></xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>RNA-seq analysis of hypoxia-treated and normoxia control zebrafish. <bold>(A)</bold> Volcano plot of differentially expressed genes (DEGs) between hypoxia and normoxia groups. Significance on y-axis as -log<sub>10</sub> (p-value) and effect size on x-axis as log<sub>2</sub> (fold change). Dotted lines represent cutoffs of adjusted p-value &lt; 0.05 and |log2(fold change)| &gt; 0.6. Up-regulated genes under hypoxia are shown in red, down-regulated in blue, and non-significant change genes in gray. <bold>(B)</bold> Hierarchical clustering of the DEGs in the normoxia (N) and hypoxia (H) groups. Rows represent individual genes, and columns represent biological replicates from hypoxia and normoxia groups. Gene expression values were normalized and scaled by row (z-scores), with red indicating higher expression and blue indicating lower expression relative to the mean. <bold>(C)</bold> qRT-PCR confirmation of RNA-seq data. Changes (log2) in the mRNA levels of the 20 genes measured by RNA-seq were plotted against those detected by qPCR. The line indicates the linear correlation between the results of RNA-seq and qPCR. <bold>(D, F)</bold> KEGG pathway enrichment for up-regulated <bold>(D)</bold> and down-regulated <bold>(F)</bold> DEGs. <bold>(E, G)</bold> GO molecular function enrichment analysis for up-regulated <bold>(E)</bold> and down-regulated <bold>(G)</bold> DEGs. Dot size indicates the number of genes mapped to each term, and dot color reflects the statistical significance (adjusted p-value).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fendo-16-1729649-g001.tif">
<alt-text content-type="machine-generated">A series of biological data visualizations:   A) A volcano plot showing log2 fold change versus negative log10 p-value, with points colored to indicate up-regulation and down-regulation.   B) A heatmap depicting expression levels across different samples, ranging from blue to red.   C) A scatter plot showing correlation between RNA-Seq and qPCR results with a trend line (r = 0.9355).  D, E, F, G) Dot plots detailing various biological processes and pathways with gene ratio on the x-axis, point size representing count, and color indicating p-value adjustment.</alt-text>
</graphic></fig>
<p>KEGG analysis indicated that the up-regulated DEGs are highly enriched in the glycolysis/gluconeogenesis pathway, followed by carbon metabolism, amino acid synthesis etc. (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1D</bold></xref>). The topmost enriched pathways, however, are &#x201c;neuroactive ligand signaling&#x201d; and &#x201c;hormonal signaling&#x201d; (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1D</bold></xref>). In addition, &#x201c;calcium signaling&#x201d;, &#x201c;FoxO signaling&#x201d;, and &#x201c;insulin signaling&#x201d; pathways are also enriched (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1D</bold></xref>). In agreement, GO (Molecular Function) analysis identified &#x201c;signaling receptor regulator activity&#x201d; as the top enriched term in the up-regulated DEGs (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1E</bold></xref>). &#x201c;Hormone activity&#x201d;, largely overlapping with &#x201c;signaling receptor regulator activity &#x201c;, is also enriched (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1E</bold></xref>). Other enriched GO terms are oxidoreductase activity, iron ion binding, dioxygenase activity, FAD binding etc. (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1E</bold></xref>). The enriched down-regulated KEGG pathways include biosynthesis of co-factor, cornified envelope formation, cytoskeleton in muscle cells, focal adhesion etc. (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1F</bold></xref>). The top enriched down-regulated GO terms are endopeptidase activity, glycosyltransferase activity, peptidase regulator activity, iron ion binding, enzyme inhibitor activity etc. (<xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1G</bold></xref>). GO CNET plot of the up-regulated DEGs revealed the top five most significantly enriched molecular function terms are dioxygenase activity, 2-oxoglutarate-dependent dioxygenase activity, hormone activity, oxidoreductase activity acting on paired donors with incorporation or reduction of oxygen, and FAD binding. Correspondingly, the top five enriched terms among down-regulated DEGs were endopeptidase activity, peptidase regulator activity, endopeptidase regulator activity, peptidase inhibitor activity, and monooxygenase activity (<xref ref-type="supplementary-material" rid="SM1"><bold>Supplementary Figures S1C, D</bold></xref>).</p>
</sec>
<sec id="s2_2">
<title>Hypoxic induction of stc2a expression</title>
<p>We further analyzed the RNA-seq dataset by ranking the up-regulated DEGs in hormone activity according to their mRNA abundance (<xref ref-type="fig" rid="f2"><bold>Figure&#xa0;2A</bold></xref>). Among the top on the list is <italic>stc2a</italic>, which has been implicated in human body height regulation and IGF signaling (<xref ref-type="bibr" rid="B22">22</xref>&#x2013;<xref ref-type="bibr" rid="B24">24</xref>) During early development, <italic>stc2a</italic> mRNA levels increased gradually and reached the plateau at 4 days post fertilization (dpf) (<xref ref-type="fig" rid="f2"><bold>Figure&#xa0;2B</bold></xref>). Data mining from the Zebrahub scRNA-seq database (<xref ref-type="bibr" rid="B25">25</xref>), indicated that <italic>stc2a</italic> mRNA is detected in multiple tissues from 0 somite stages to 10 dpf, and is particularly abundant in the central nervous system, periderm, neural crest, paraxial mesoderm (<xref ref-type="fig" rid="f2"><bold>Figure&#xa0;2C</bold></xref>). In the adult stage, the highest <italic>stc2a</italic> mRNA levels were detected in the brain, followed by kidney, eyes, and fin. (<xref ref-type="fig" rid="f2"><bold>Figure&#xa0;2D</bold></xref>). Importantly, hypoxia increased <italic>stc2a</italic> mRNA levels at multiple developmental stages (<xref ref-type="fig" rid="f2"><bold>Figure&#xa0;2E</bold></xref>). The hypoxia-induced <italic>stc2a</italic> mRNA expression was attenuated in <italic>hif2a</italic><sup>-/-</sup> deficient fish (<xref ref-type="fig" rid="f2"><bold>Figure&#xa0;2E</bold></xref>), suggesting that <italic>stc2a</italic> expression is induced by hypoxia, likely through the action of Hif2.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Identification of <italic>stc2a</italic> as a hypoxia-inducible gene. <bold>(A)</bold> List of genes enriched in the GO term hormone activity. mRNA abundance is ranked by mean transcripts per million (TPM) in the hypoxia group. <bold>(B)</bold> qRT-PCR analysis results of <italic>stc2a</italic> mRNA expression at the indicated developmental stages. hpf, hour post fertilization. Data are shown as mean &#xb1; SEM. n = 10-15. <bold>(C)</bold> Relative <italic>stc2a</italic> mRNA expression extracted from Zebrahub scRNA-seq database. <bold>(D)</bold> Levels of <italic>stc2a</italic> mRNA in the indicated adult tissues. RNA was extracted from the indicated tissues and analyzed by RT-qPCR analysis and normalized by 18s rRNA. Data are shown as mean &#xb1; SEM. n = 3. <bold>(E)</bold> qPCR analysis result of <italic>stc2a</italic> mRNA expression. Fish were subjected to hypoxia at the indicated air O<sub>2</sub> levels and periods. RNA was isolated and <italic>stc2a</italic> mRNA levels examined by RT-qPCR and normalized by &#x3b2;-actin mRNA levels. Note: Because 3% O<sub>2</sub> is lethal for advanced larvae, 7% O<sub>2</sub> was used in the 96&#x2013;120 hpf group. Data are shown as mean &#xb1; SEM. *p &lt; 0.05, **p &lt; 0.01, ***p &lt; 0.001, t-test. n = 3-4. <bold>(F)</bold> Hypoxia-induced <italic>stc2a</italic> mRNA expression in Hif2a-deficient and wild-type (WT) fish. RNA was isolated and <italic>stc2a</italic> mRNA levels examined by RT-qPCR, normalized by &#x3b2;-actin mRNA levels.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fendo-16-1729649-g002.tif">
<alt-text content-type="machine-generated">Panel A shows a table listing gene IDs, symbols, descriptions, and Mean_H_TPM values. Panel B presents a bar graph of stc2a mRNA levels at different hours post-fertilization. Panel C is a heat map showing expression levels of stc2a across various developmental stages and tissues. Panel D displays a bar chart of stc2a mRNA levels in different organs. Panel E is a bar graph comparing relative mRNA levels under various oxygen conditions at different time points. Panel F shows relative stc2a mRNA levels in different genotypes and conditions.</alt-text>
</graphic></fig>
</sec>
<sec id="s2_3">
<title>Loss of Stc2a increases growth of adult organ and body size</title>
<p>Using CRISPR-Cas9, two mutant zebrafish lines, <italic>stc2a(&#x394;2 + 4)<sup>-/-</sup></italic> and <italic>stc2a(&#x394;5)<sup>-/-</sup></italic>, were generated for functional analysis. Both are predicted to be null mutations. In both mutant lines, there was a significant reduction in the <italic>stc2a</italic> mRNA levels, whereas no such changes were found with the mRNA levels of the closely related <italic>stc2b</italic> (<xref ref-type="supplementary-material" rid="SM1"><bold>Supplementary Figure S2B</bold></xref>). Both mutant fish lines survived to adulthood and reproduced well under standard conditions. The gross morphology of these <italic>stc2a<sup>-/-</sup></italic> fish was indistinguishable from their siblings (<xref ref-type="fig" rid="f3"><bold>Figure&#xa0;3A</bold></xref>). Compared with wild-type fish, however, the body length of <italic>stc2a(&#x394;2 + 4)<sup>-/-</sup></italic> and <italic>stc2a(&#x394;5)<sup>-/-</sup></italic> larvae was significantly greater (<xref ref-type="fig" rid="f3"><bold>Figure&#xa0;3B</bold></xref>). Likewise, the head-trunk angle (HTA) and somite number, two parameters of zebrafish developmental speed (<xref ref-type="bibr" rid="B73">73</xref>), were significantly greater (<xref ref-type="fig" rid="f3"><bold>Figures&#xa0;3C, D</bold></xref>), suggesting these mutant fish develop more rapidly and grow faster. Next, <italic>stc2a(&#x394;2 + 4)<sup>+/-</sup></italic> fish were intercrossed and the offsprings were grew under the same conditions for 6 months. Compared with their wild-type and heterozygous siblings, <italic>stc2a(&#x394;2 + 4)<sup>-/-</sup></italic> fish had greater body length and body weight (<xref ref-type="fig" rid="f3"><bold>Figures&#xa0;3E, F</bold></xref>). Likewise, the lengths of the pelvic and dorsal spines in 1 year-old <italic>stc2a(&#x394;2 + 4)<sup>-/-</sup></italic> fish were greater than those of the siblings (<xref ref-type="fig" rid="f3"><bold>Figures&#xa0;3G, H</bold></xref>). These results suggest that Stc2a negatively regulates somatic growth, organ size, and body size in adult fish.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Loss of Stc2a increases developmental speed and growth rate, resulting in enlarged adult organ and body size. <bold>(A)</bold> Gross morphology of fish of the indicated genotypes at the indicated stages. Lateral views with anterior to the left and dorsal up. Scale bar = 0.2mm. dpf, day post fertilization. (<bold>B, C</bold>). Body length <bold>(B)</bold> and head-trunk angle (HTA) <bold>(C)</bold> of the indicated mutant fish and wild-type (WT) zebrafish at 51 hpf. WT, n = 76, <italic>stc2a(&#x394;2 + 4)</italic><sup>-/-</sup>, n = 73, and <italic>stc2a(&#x394;5)</italic><sup>-/-</sup>, n = 10. ****p &lt; 0.0001 by one-way ANOVA followed by Tukey&#x2019;s multiple comparisons test. <bold>(D)</bold> The somite number of the indicated fish line at 26 hpf. WT, n = 40, <italic>stc2a(&#x394;2 + 4)</italic><sup>-/-</sup>, n = 25, and <italic>stc2a(&#x394;5)</italic><sup>-/-</sup>, n = 14. ****p &lt; 0.0001 by one-way ANOVA followed by Tukey&#x2019;s multiple comparisons test. <bold>(E, F)</bold> Body length <bold>(E)</bold> and body weight <bold>(F)</bold> of the indicated genotype of 6 month-old. WT, n = 16, <italic>stc2a(&#x394;2 + 4)<sup>+/-</sup></italic>, n = 14, and <italic>stc2a(&#x394;5)<sup>-/-</sup></italic>, n = 15. **p &lt; 0.01, ****p &lt; 0.0001 by one-way ANOVA followed by Tukey&#x2019;s multiple comparisons test. <bold>(G&#x2013;H)</bold> Dorsal spine length <bold>(G)</bold> and pelvic spine length <bold>(H)</bold> of the indicated genotypes of 1 year-old. Fish were stained by alizarin red and a representative image is shown on the left and quantitative results on the right. *p &lt; 0.05 by unpaired two-tailed t-test. <italic>stc2a(&#x394;2 + 4)<sup>+/-</sup></italic> n = 6, and <italic>stc2a(&#x394;5)<sup>-/-</sup></italic>, n = 8. In all above panels, data shown are mean &#xb1; SEM.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fendo-16-1729649-g003.tif">
<alt-text content-type="machine-generated">Images of fish larvae at different stages, with graphs showing body length, HTA, and somite number among genotypes. Additional graphs depict body weight, dorsal spine length, and pelvic spine length, with significant differences indicated.</alt-text>
</graphic></fig>
<p>Since genetic deletion of <italic>stc1a</italic>, a structurally related gene, resulted in increased ionocyte cell number, ectopic calcium deposits, kidney stone-like calcium deposits, and reduced bone mineralization (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B27">27</xref>), we crossed <italic>stc2a(&#x394;5)<sup>-/-</sup></italic> fish with <italic>Tg</italic> (<italic>igfbp5a</italic>:GFP) fish, a stable transgenic line expressing EGFP in calcium transporting ionocytes or NaR cells (<xref ref-type="bibr" rid="B28">28</xref>), and measured the NaR cell number. There were no differences among the different genotypes (<xref ref-type="supplementary-material" rid="SM1"><bold>Supplementary Figures S3A, B</bold></xref>). Alizarin red staining of the juvenile and adult <italic>stc2a(&#x394;2 + 4)<sup>-/-</sup></italic> fish did not detect notable differences in calcified tissues (<xref ref-type="supplementary-material" rid="SM1"><bold>Supplementary Figures S3C, D</bold></xref>), suggesting that Stc2a does not play an indispensable role in regulating ionocyte proliferation, calcium balance, bone mineralization nor kidney development or function.</p>
</sec>
<sec id="s2_4">
<title>Stc2a regulates somatic growth via the Pappalysin-Igfbp-Igf signaling axis</title>
<p>We postulated that Stc2a may regulate somatic growth by inhibiting the pappalysin family metalloproteinase (including PAPP-A and PAPP-A2) and IGF signaling activity. In zebrafish, there are 3 pappalysin family members, including Papp-aa, Papp-ab, and Papp-a2 (<xref ref-type="bibr" rid="B29">29</xref>, <xref ref-type="bibr" rid="B30">30</xref>). Currently, there is no specific antibodies against any of these proteins. qRT-PCT analysis showed the levels of <italic>papp-aa</italic> and <italic>papp-a2</italic> mRNA levels were similar between wild-type fish and <italic>stc2a</italic><sup>-/-</sup> fish (<xref ref-type="supplementary-material" rid="SM1"><bold>Supplementary Figure S4A</bold></xref>). Although there was a markedly increase in <italic>papp-ab</italic> mRNA levels, this change was not statistically different (<xref ref-type="supplementary-material" rid="SM1"><bold>Supplementary Figure S4</bold></xref>). Hypoxia did not alter their mRNA levels of <italic>papp-aa</italic> and <italic>papp-ab</italic>, while it caused a modest but statistically significant decrease in <italic>papp-a2</italic> mRNA levels. (<xref ref-type="supplementary-material" rid="SM1"><bold>Supplementary Figure S4</bold></xref>). Commercially antibodies against mammalian phospho-IGF1 receptor did not yield specific signal in zebrafish larvae. Western blotting of the whole body lysates did not detect major differences in phospho-Akt and phospho-Erk levels between <italic>stc2a(&#x394;2 + 4)<sup>-/-</sup></italic> and wild-type fish (<xref ref-type="fig" rid="f4"><bold>Figures&#xa0;4A, B</bold></xref>). The low sensitivity of the assay and the lack of tissue/cell resolution may obscure the results.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Stc2a regulates somatic growth in an IGF signaling-dependent manner. <bold>(A)</bold> Whole body phospho-Akt levels. Lysates of pooled wild-type (WT) and <italic>stc2a(&#x394;2 + 4)</italic><sup>-/-</sup> larvae (3 dpf) were analyzed by Western blotting using antibodies against phospho-Akt, total Akt, and GAPDH. Representative images are shown in the left panel; quantified results are shown in the middle and right panels. n = 7, ns, no significant, t -test. <bold>(B)</bold> The same samples described in <bold>(A)</bold> were analyzed using phospho-ERK, total ERK levels, and GAPDH. n = 7, ns, no significant, t-test. <bold>(C)</bold> Fish of the indicated genotypes were treated with 1.5 &#x3bc;M BMS-754807 or vehicle from 6&#x2013;51 hpf. Body length was measured individually. Percent decrease caused by BMS treatment was calculated and shown. n = 58~68. ****, P &lt; 0.001, t-test. <bold>(D)</bold> Fish of the indicated genotypes were treated with 8 &#x3bc;M ZnCl<sub>2</sub> from 6&#x2013;51 hpf. Body length was measured individually. Percent decrease caused by ZnCl<sub>2</sub> was calculated and shown. n = 36~43. **, P &lt;0.01, t-test. <bold>(E, F)</bold> Fish of the indicated genotypes were treated with 0.3 &#x3bc;M wortmannin <bold>(E)</bold> or 8 &#x3bc;M U0126 or vehicle from 6&#x2013;51 hpf. Body length was measured individually. Percent decrease caused by each drug was calculated and shown. n = 37-72. ****p &lt; 0.0001, t-test. In all above panels, data shown are mean &#xb1; SEM.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fendo-16-1729649-g004.tif">
<alt-text content-type="machine-generated">Western blot results and bar graphs illustrating protein expression and body length decrease in wild type (WT) and stc2a mutant (&#x394;2+4)/- mice. Graph A shows no significant difference in pAkt/GAPDH and pAkt/tAkt ratios. Graph B shows no significant difference in pERK/GAPDH and pERK/tERK ratios. Graphs C to F depict a significant increase in body length decrease with BMS, ZnCl2, Wortmannin, and U0126 treatments in stc2a mutants compared to WT, indicated by asterisks for significance levels.</alt-text>
</graphic></fig>
<p>We therefore tested the possible role of IGF signaling using BMS-754807, a potent IGF1R inhibitor that has been previously tested in zebrafish (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B31">31</xref>&#x2013;<xref ref-type="bibr" rid="B33">33</xref>). If Stc2a regulates somatic growth by inhibiting IGF signaling, then inhibition of IGF signaling should reverse these phenotypes. Treatment with BMS-754807 decreased body lengths in both <italic>stc2a(&#x394;2 + 4)<sup>-/-</sup></italic> fish and wild-type control fish. The magnitude of decrease, however, was significantly greater in the <italic>stc2a</italic>(<italic>(&#x394;2 + 4</italic>)<sup>-/-</sup> fish (<xref ref-type="fig" rid="f4"><bold>Figure&#xa0;4C</bold></xref>). Likewise, ZnCl<sub>2</sub>, which inhibits pappalysin-mediated Igfbp degradation in human cells and in zebrafish (<xref ref-type="bibr" rid="B34">34</xref>), caused a greater percent decrease in body length in the <italic>stc2a</italic>(<italic>(&#x394;2 + 4</italic>)<sup>-/-</sup> larvae compared to wild-type siblings (<xref ref-type="fig" rid="f4"><bold>Figure&#xa0;4D</bold></xref>). To further test the role of IGF signaling, the mutant fish were treated with wortmannin, a PI3K inhibitor (<xref ref-type="bibr" rid="B35">35</xref>), and U0126, a MAPK inhibitor (<xref ref-type="bibr" rid="B36">36</xref>). Both inhibitors decreased body length in the wild-type as well as <italic>stc2a(&#x394;2 + 4)<sup>-/-</sup></italic> fish. Again, the magnitude of decrease was significantly more pronounced in the <italic>stc2a</italic>(<italic>(&#x394;2 + 4</italic>)<sup>-/-</sup> fish (<xref ref-type="fig" rid="f4"><bold>Figures&#xa0;4E, F</bold></xref>).</p>
</sec>
<sec id="s2_5">
<title><italic>stc2a</italic><sup>-/-</sup> fish grew faster but had low survival rate under hypoxia</title>
<p>Hypoxia caused growth retardation and developmental delays in wild-type zebrafish embryos (<xref ref-type="fig" rid="f5"><bold>Figure&#xa0;5A</bold></xref>) (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B11">11</xref>). Although hypoxia reduced the body length and HTA in <italic>stc2a(&#x394;2 + 4)<sup>-/-</sup></italic> (<xref ref-type="fig" rid="f5"><bold>Figure&#xa0;5A</bold></xref>), the mutant fish still grew bigger compared to wild-type siblings under hypoxia (<xref ref-type="fig" rid="f5"><bold>Figure&#xa0;5A</bold></xref>). Likewise, while hypoxia lowered HTA values in both genotypes (<xref ref-type="fig" rid="f6"><bold>Figure&#xa0;6B</bold></xref>), the mutant fish developed faster (<xref ref-type="fig" rid="f5"><bold>Figure&#xa0;5B</bold></xref>). Treatment of mutant fish with ZnCl<sub>2</sub> reduced the body length and HTA value to the levels of wild-type fish (<xref ref-type="fig" rid="f5"><bold>Figures&#xa0;5C, D</bold></xref>). We noted that mutant fish were prone to die under hypoxia and quantified their survival rate under hypoxia. They were significantly lower compared to the wild-type fish (<xref ref-type="fig" rid="f5"><bold>Figure&#xa0;5E</bold></xref>, <xref ref-type="supplementary-material" rid="SM1"><bold>Supplementary Table S1</bold></xref>). Addition of ZnCl<sub>2</sub> restored the survival rate to the levels of wild-type control groups (<xref ref-type="fig" rid="f5"><bold>Figure&#xa0;5F</bold></xref>, <xref ref-type="supplementary-material" rid="SM1"><bold>Supplementary Table S1</bold></xref>), suggesting that pappalysin enzyme activity is required in the elevated growth and mortality in <italic>stc2a<sup>-/-</sup></italic> mutant fish under hypoxic stress.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Stc2a regulates the growth-survival trade-off under hypoxia. <bold>(A, B)</bold> Loss of Stc2a attenuates hypoxia-induced growth retardation and developmental delay. Fish of the indicated genotypes were subjected to hypoxia (filled bar) or normoxia (open bar) from 25&#x2013;51 hpf. Body length <bold>(A)</bold> and head-trunk angle (HTA) <bold>(B)</bold> were measured and shown as mean &#xb1; SEM. n = 10~20. *p &lt; 0.05, **p &lt; 0.01, ***p &lt; 0.001, ****p &lt; 0.0001, t-test. <bold>(C, D)</bold> Fish of the indicated genotypes were subjected to hypoxia treatment from 25&#x2013;51 hpf in the presence or absence of 8 &#x3bc;M ZnCl<sub>2</sub>. Body length <bold>(C)</bold> and HTA <bold>(D)</bold> was measured and shown as mean &#xb1; SEM. n = 58~73. ***p &lt; 0.001, ****p &lt; 0.0001, One-way ANOVA with multiple comparisons. <bold>(E)</bold> Fish (5 dpf) of the indicated genotypes were exposed to hypoxia (3% O<sub>2</sub>) and survival rates were assessed and shown. ****p &lt; 0.0001, Mantel-Cox log rank test. n = 42-100. <bold>(F)</bold> Fish (5 dpf) of the indicated genotypes were exposed to hypoxia (3% O<sub>2</sub>) in the presence or absence of 8 &#x3bc;M ZnCl<sub>2</sub>. The number of survival fish were assessed at the indicated time. **p &lt; 0.01, ns, not significant. Mantel-Cox log rank test, n = 45-90.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fendo-16-1729649-g005.tif">
<alt-text content-type="machine-generated">Graphs A to D display bar charts comparing body length and heart tube angle (HTA) in various conditions, highlighting significant differences with asterisks. Graphs E and F show line charts of percentage survival over time under 3% oxygen treatment. Various mutations and treatments are compared, with statistical significance indicated by asterisks.</alt-text>
</graphic></fig>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Proposed model. Hypoxia activates Hif-dependent gene expression, leading to metabolic shift towards glycolysis, protein breakdown, gluconeogenesis, and increases in hormonal signaling. An important hypoxia-induced hormonal factor is Stc2a. The increased Stc2a restricts growth and redirects toward critical survival processes by modulation of pappalysin metalloproteinase activity and IGF signaling. Created with <ext-link ext-link-type="uri" xlink:href="https://www.BioRender.com">BioRender.com</ext-link>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fendo-16-1729649-g006.tif">
<alt-text content-type="machine-generated">Diagram illustrating a metabolic pathway in aquatic life under hypoxia. The image shows an internal view with labeled components: metabolic shift, Hif target gene expression, and IGF signaling. Elements include Igf-Igfbp complex, proteolysis, Free Igf, Igf1r, Pappalysin, and Stc2a, affecting growth and survival. Oxygen molecules indicate hypoxic conditions at the top.</alt-text>
</graphic></fig>
</sec>
</sec>
<sec id="s3" sec-type="discussion">
<title>Discussion</title>
<p>The findings made in this study suggest that Stc2a functions as an important regulator of the somatic growth and organismal survival trade-off under hypoxic stress. We provided <italic>in vivo</italic> data showing that <italic>stc2a</italic> expression is induced by hypoxia. Loss of Stc2a increases the growth rate and developmental speed, leading to enlarged adult body size. When exposed to hypoxia, <italic>stc2a</italic><sup>-/-</sup> null animals exhibit accelerated growth but reduced survival. These phenotypes were reversed by inhibiting pappalysin metalloproteinase activity and by blocking IGF signaling, suggesting that these functions are mediated by pappalysin metalloproteinase and IGF signaling (<xref ref-type="fig" rid="f6"><bold>Figure&#xa0;6</bold></xref>).</p>
<p>Stc2a is a member of the STC/Stc glycoprotein family. The first Stc protein was discovered from the Corpuscles of Stannius (CS), an endocrine organ in bony fish (<xref ref-type="bibr" rid="B37">37</xref>&#x2013;<xref ref-type="bibr" rid="B39">39</xref>). Subsequent studies indicate that STC proteins are found in a wide range of species ranging from humans to eukaryotes such as Fungi, cnidarians, sponges, nematodes, and that most species have multiple STC genes (<xref ref-type="bibr" rid="B40">40</xref>). Humans, for example, have STC1 and STC2, while many teleost fish including zebrafish have 4, including <italic>stc1a</italic>, <italic>stc1b</italic>, <italic>stc2a</italic>, and <italic>stc2b</italic> (<xref ref-type="bibr" rid="B40">40</xref>). Previous studies have shown that loss of Stc1a, while had no effect on zebrafish somatic growth, increased the proliferation of calcium transporting ionocytes, resulting in abnormal calcium uptake, kidney stone formation, cardiac and body edema, and premature death (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B27">27</xref>). The effect of Stc1a in ionocytes is mediated through its action on Papp-aa-mediated Igfbp5a proteolysis (<xref ref-type="bibr" rid="B26">26</xref>, <xref ref-type="bibr" rid="B34">34</xref>). The functions of Stc2a and other Stc proteins, however, have not been previously reported. In this study, we show that genetic deletion of Stc2a increased growth rate and adult body and organ size. This finding agrees with published genetic studies in mice and humans. Stc2 knockout mice exhibit increased body growth (<xref ref-type="bibr" rid="B41">41</xref>), while mice overexpressing human STC2 are smaller (<xref ref-type="bibr" rid="B42">42</xref>). Human carriers of STC2 loss-of-functional mutation are taller than non-carriers (<xref ref-type="bibr" rid="B24">24</xref>). In a genome wide association study, STC2 and its binding partners (i.e., PAPP-A and PAPP-A2) are found in loci associated with human heights (<xref ref-type="bibr" rid="B43">43</xref>). Likewise, freshwater stickleback with different alleles with either increased or decreased <italic>stc2a</italic> expression are associated with decreasing or increasing spine length (<xref ref-type="bibr" rid="B44">44</xref>). Together, these findings suggest that STC2/Stc2a functions as a negative growth regulator in a wide range of species.</p>
<p>It has been suggested that STC2 inhibits somatic growth by inhibiting PAPP-A/A2-mediated IGFBP proteolysis and by reducing local IGF signaling (<xref ref-type="bibr" rid="B23">23</xref>). While this notion is well supported by <italic>in vitro</italic> biochemical evidence and clinical observation, there is little direct evidence <italic>in vivo</italic>. Taking advantage of zebrafish larvae and the availability of <italic>stc2a</italic><sup>-/-</sup> fish lines, we tested the importance of Stc2a-Papp-a-IGF signaling axis on somatic growth <italic>in vivo</italic>. Our results indicate that the elevated growth observed in Stc2a deficient fish was abolished by ZnCl<sub>2</sub> treatment and by pharmacological blockade of the Igf1 receptor-mediated signaling. Likewise, inhibition of PI3 kinase and MAP kinase signaling reduced the growth rate of <italic>stc2a</italic><sup>-/-</sup> fish to the wild-type levels. These data have provided strong <italic>in vivo</italic> evidence that Stc2a inhibits somatic growth by negatively inhibiting pappalysin family metalloprotease activity and IGF signaling under normoxic conditions.</p>
<p>A new and important finding made in this study is that while loss of Stc2a increases somatic growth, it decreases organismal survival under hypoxic stress. Both actions are mediated by IGF signaling. This conclusion is supported by several lines of evidence. First, zebrafish <italic>stc2a</italic> is transcriptionally upregulated by hypoxia <italic>in vivo</italic>. Second, while hypoxia slows down the growth rate, the mutant fish still grew faster than the wild-type fish, suggesting that Stc2a deficient fish have an advantage in somatic growth under low oxygen conditions. Meanwhile, <italic>stc2a<sup>-/-</sup></italic> mutants exhibited increased mortality under hypoxia. Both of these phenotypes were reversed by inhibiting pappalysin metalloproteinase activity. Hypoxia strongly induces the expression of <italic>igfbp1a</italic> and <italic>igfbp1b</italic> in zebrafish (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B45">45</xref>). Morpholino-based knockdown of <italic>Igfbp1a</italic> partially alleviates hypoxia-induced growth retardation by binding to IGF ligands and inhibiting their interaction with the Igf1 receptor (<xref ref-type="bibr" rid="B8">8</xref>). Likewise, the loss of <italic>irs2b</italic>, but not its paralog <italic>irs2a</italic>, blunts MAPK-activation and catch-up growth in hypoxia-treated and reoxygenated zebrafish embryos (<xref ref-type="bibr" rid="B46">46</xref>). The findings made in this study reveal yet another layer of the hypoxia adaptive response, showing that a specific physiological mechanism (Stc2a-Papp-a-Igfbp) is engaged in lowering IGF signaling to prioritize energy for organismal survival over somatic growth under hypoxic stress (<xref ref-type="fig" rid="f6"><bold>Figure&#xa0;6</bold></xref>). Previous studies have shown that hypoxia causes developmental delay in rapidly developing zebrafish embryos (<xref ref-type="bibr" rid="B8">8</xref>). In the present study, larval zebrafish were used and the hypoxia treatment period was shorter and less severe. Therefore, developmental delay is unlikely to have a significant impact in the role of Stc2a found in the present study.</p>
<p>The notion that hypoxic induction of Stc2a inhibits IGF-stimulated somatic growth to divert resources away from growth for survival is in line with our transcriptomic analysis results. Among the top up-regulated KEGG pathways in hypoxia-treated fish is &#x201c;neuroactive ligand signaling&#x201d;. This finding, together with the high expression of Stc2a in the adult brain, is consistent with the idea of prioritization of brain function. Hypoxia also caused a metabolic shift towards glycolysis and gluconeogenesis, as indicated by KEGG analysis results. Among the enriched genes are <italic>pfkpb3, hk1, pkma</italic>, and <italic>gpia</italic>. Pfkfb3 is a key regulator of glycolysis and plays a crucial role for the metabolic changes seen in rapidly proliferating cancer cells, a phenomenon known as the Warburg effect (<xref ref-type="bibr" rid="B47">47</xref>, <xref ref-type="bibr" rid="B48">48</xref>). The hk1 gene encodes hexokinase 1, which catalyzes the first step of glycolysis. There was also a significant upregulation of <italic>ucp3</italic> (uncoupling protein 3), which is involved in uncoupling substrate oxidation from the ATP synthesis and reducing oxygen-dependent ATP production (<xref ref-type="bibr" rid="B49">49</xref>). Pkma or pyruvate kinase enzyme catalyzes the last step of glycolysis. The gpia gene encodes glucose phosphate isomerase a, which is critical in gluconeogenesis. Hypoxia treatment also resulted in a significant downregulation of <italic>gck</italic> (glucokinase) and <italic>ppp1r3c2a</italic> (protein phosphatase 1 regulatory subunit 3C), indicating a shift away from glycogen synthesis (<xref ref-type="bibr" rid="B50">50</xref>) One of the most enriched groups of down-regulated DEGs are peptidases-endopeptidases and their regulators/inhibitors. This together with the up-regulation of gluconeogenesis and amino acid synthesis is indicative of change in protein breakdown in these animals to meet the energy demand to a level that can be met by the limited oxygen supply. We speculate these changes help to divert energy from growth to vital function and survival. Future functional studies are needed to test whether these metabolic changes are causal to the observed increase in mortality in <italic>stc2a</italic><sup>-/-</sup> mutant fish.</p>
<p>In conclusion, our results suggest that Stc2a limits IGF-mediated growth in favor of survival under hypoxic stress. STC2 gene has been reported to be up-regulated by hypoxia in culture human cells and mouse retina (<xref ref-type="bibr" rid="B43">43</xref>, <xref ref-type="bibr" rid="B51">51</xref>, <xref ref-type="bibr" rid="B52">52</xref>). A meta-analysis of 128 hypoxia-related human RNA-seq datasets found human STC2 upregulated in 73 datasets across varying tissue types and hypoxia severities (<xref ref-type="bibr" rid="B53">53</xref>). Therefore, the hypoxic induction of STC2/Stc2a is likely conserved across species. Future studies will be needed to elucidate the functional role of STC2 in the hypoxia response in mammals and humans. There may also be species differences in the HIF isoform(s) involved in the hypoxic regulation of STC2/Stc2 expression. While previous studies in human cell culture systems suggest a possible role of HIF1 in regulating STC2, we found that the hypoxic induction of <italic>stc2a</italic> expression is impaired in Hif2a-deficient zebrafish, suggesting that the hypoxic induction of <italic>stc2a</italic> expression may be mediated by Hif2 in zebrafish.</p>
<sec id="s3_1">
<title>Limitations of the study</title>
<p>Because zebrafish larvae are tiny, several dozen were pooled for Western blotting analysis of phospho-Akt and phospho-Erk levels. No difference was detected between <italic>stc2a<sup>-/-</sup></italic> and wild-type fish. This was likely due to low sensitivity of Western blotting and the lack of resolution. Future studies are needed to develop more sensitive and quantitative assays to detect local IGF signaling activities. In this study, ZnCl<sub>2</sub> was used as a generic pappalysin metalloproteinase inhibitor. The specific pappalysin metalloproteinase isoform(s) involved with the reported Stc2a action is unclear. qRT-PCR analysis did not detect major changes in <italic>papp-aa</italic> and <italic>papp-a2</italic> mRNA levels in stc2a-/- mutant fish. While there was a trend of increase in <italic>papp-ab</italic> mRNA levels, it was not statistically significant. The actual protein levels and their activities are currently unclear. Among the 3 zebrafish pappalysin members, Papp-aa could cleave human IGFBP5 and IGFBP4 <italic>in vitro</italic>, whereas it did not cleave other 4 human IGFBPs (<xref ref-type="bibr" rid="B34">34</xref>). Zebrafish Papp-ab has been shown to cleave human IGFBP4 and IGFBP5 but not the other four IGFBPs (<xref ref-type="bibr" rid="B29">29</xref>). Zebrafish Papp-a2 can cleave human IGFBP3 and IGFBP5, but not other IGFBPs (<xref ref-type="bibr" rid="B30">30</xref>). Zebrafish has a total of 9 <italic>igfbp</italic> genes, including igfbp1a, 1b, 2a, 2b, 3, 5a, 5b, 6a, and 6b (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B54">54</xref>&#x2013;<xref ref-type="bibr" rid="B56">56</xref>). The specific Igfbp(s) involved in the Stc2a action reported in this study remains unknown. Future studies will be needed to develop reagents and tools to measure these pappalysin metalloproteinase activities, identify their substrates, and develop conditional knockout and isoform-specific inhibitors to dissect their role(s) in somatic growth and survival trade-off under hypoxia stress.</p>
</sec>
</sec>
<sec id="s4" sec-type="materials|methods">
<title>Materials and methods</title>
<p>Unless noted otherwise, chemical and molecular reagents were purchased from Fisher Scientific (Pittsburgh, PA, United States). Restriction enzymes were purchased from New England Biolabs (Ipswich, MA, United States) or Promega (Madison, WI, United States). TRIzol were purchased from Life Technologies (Carlsbad, CA, United States). Oligo primers were ordered from Integrated DNA Technologies (Coralville, IA, United States). PureLink RNA Mini Kit, PureLink DNase Set, DTT, RNaseOUT Recombinant Ribonuclease Inhibitor, and M-MLV reverse transcriptase were purchased from Invitrogen (Waltham, MA, United States). Anti-GAPDH primary antibody purchased from Proteintech (Rosemont, Illinois, United States). All other primary antibodies purchased from Cell Signaling Technology (Danvers, MA, United States). Secondary antibodies purchased from LI-COR Biosciences (Lincoln, Nebraska, United States). BMS-754807 was purchased from JiHe Pharmaceutica (Beijing, China). Alizarin Red and ZnCl<sub>2</sub> were purchased from Sigma (St. Louis, MO, USA). Wortmannin was purchased from Calbiochem (Gibbstown, NJ). U0126 was purchased from Selleck Chemicals (Houston, Texas).</p>
<sec id="s4_1">
<title>Experimental animals</title>
<p>Zebrafish were maintained following standard zebrafish husbandry guidelines (<xref ref-type="bibr" rid="B57">57</xref>). All experiments using zebrafish were conducted in line with guidelines approved by the Institutional Animal Care &amp; Use Committee, University of Michigan. Embryos and larvae were raised in standard E3 medium as reported previously (<xref ref-type="bibr" rid="B58">58</xref>). 0.003% (w/v) N-phenylthiourea (PTU) was added to the E3 medium to prevent pigmentation when required. Modified low calcium media was prepared following a previously reported protocol (<xref ref-type="bibr" rid="B32">32</xref>). In addition to wild-type (WT) fish, <italic>Tg(igfbp5a:</italic>GFP<italic>)</italic> fish (<xref ref-type="bibr" rid="B28">28</xref>), <italic>hif2&#x3b1;b&#x394;10<sup>-/-</sup></italic> (e.g., epas1b.2, (<xref ref-type="bibr" rid="B59">59</xref>)), <italic>stc1a<sup>-/-</sup></italic> (<xref ref-type="bibr" rid="B26">26</xref>), <italic>stc2a(&#x394;2 + 4)<sup>-/-</sup></italic> and <italic>stc2a(&#x394;5)<sup>-/-</sup></italic> (this study) were used.</p>
</sec>
<sec id="s4_2">
<title>RNA sequencing and differential expression analysis</title>
<p>Zebrafish larvae were subjected to hypoxia (6% O<sub>2</sub>) or normoxia (20.9% O<sub>2</sub>, atmospheric level) from 81 to 96 hours post-fertilization (hpf). Each group comprised three to four biological replicates, with 30 larvae pooled per replicate. Total RNA was extracted using the PureLink&#x2122; RNA Mini Kit (Invitrogen) and treated with DNase using the PureLink&#x2122; DNase Set (Invitrogen). Independent RNA sample sets (n = 3~4) were submitted for library preparation and sequencing at the Advanced Genomics Core, University of Michigan. Poly(A) RNA libraries were constructed using the NEBNext Poly(A) mRNA Magnetic Isolation Module and NEBNext UltraExpress RNA Library Prep Kit (New England Biolabs). Sequencing was performed on the Illumina NovaSeq X Plus platform, generating 89.5&#x2013;104.6 million paired-end reads (151 bp) per sample. Raw sequencing reads were processed to remove low-quality bases and adapter sequences using Trimmomatic (v0.39) (<xref ref-type="bibr" rid="B60">60</xref>), and read quality was evaluated before and after trimming using FastQC (v0.12.1) (<xref ref-type="bibr" rid="B61">61</xref>). Trimmed reads were then aligned to the zebrafish reference genome (GRCz11, Ensembl release 113) using STAR (v2.7.10) (<xref ref-type="bibr" rid="B62">62</xref>), with gene annotations obtained from Ensembl (<xref ref-type="bibr" rid="B63">63</xref>). Read counts were obtained using featureCounts (v2.0.7) within the Subread package (<xref ref-type="bibr" rid="B64">64</xref>). DEseq2 (v1.46.0) was used to analyze the differential expression between the groups (<xref ref-type="bibr" rid="B65">65</xref>). Genes with adjusted p-value (padj) &lt; 0.05 and |log<sub>2</sub> fold change| &gt; 0.6 were considered differentially expressed genes (DEGs). Gene Ontology (GO) and KEGG pathway enrichment analyses of DEGs were performed using the org.Dr.eg.db annotation database (v3.20.0) (Carlson) and the clusterProfiler R package (v4.14.4) (<xref ref-type="bibr" rid="B66">66</xref>). Enriched terms with p-value and q-value &lt; 0.05 were considered statistically significant. Top GO terms and KEGG pathways were visualized using the dot plot function, and gene-concept networks (CNETs) were generated using the cnetplot function, both implemented in the clusterProfiler R package. All statistical analyses were conducted using R software (v4.4.1).</p>
</sec>
<sec id="s4_3">
<title>Gene expression analysis by Real-time RT-qPCR and data mining</title>
<p>RNA was isolated from a pool of 15~30 zebrafish larvae or from adult zebrafish tissue as reported (<xref ref-type="bibr" rid="B67">67</xref>). RNA was reverse-transcribed to cDNA using oligo-dT primers and M-MLV reverse transcriptase (Invitrogen). qPCR was performed using SYBR Green (Bio-Rad) on a StepONE PLUS real-time thermocycler (Applied Biosystems) as previously reported (<xref ref-type="bibr" rid="B68">68</xref>). The expression level of a target gene transcript was normalized by 18s rRNA or &#x3b2;-actin mRNA levels. PCR primers were designed based on sequences as described in previous studies, the NCBI Gene database, and by NCBI Primer Blast (<xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B69">69</xref>) and are listed in <xref ref-type="supplementary-material" rid="SM1"><bold>Supplementary Table S2</bold></xref>. The spatial expression information of stc2a mRNA was extracted from the Single-cell RNA-seq dataset from ZebraHub (<ext-link ext-link-type="uri" xlink:href="https://zebrahub.org">https://zebrahub.org</ext-link>) using Scanpy (v1.11.1) (<xref ref-type="bibr" rid="B25">25</xref>). Expression of <italic>stc2a</italic> mRNA was extracted and averaged across tissue categories defined by annotation. Mean expression values were computed per tissue, and relative expression was calculated by normalizing to the sum of expression across all tissues. Visualization and downstream analysis were performed using Seaborn and Matplotlib.</p>
</sec>
<sec id="s4_4">
<title>Generation of <italic>stc2a<sup>-/-</sup></italic> lines by CRISPR/Cas9</title>
<p>Two sgRNAs targeting the <italic>stc2a</italic> gene were designed using CHOPCHOP (<ext-link ext-link-type="uri" xlink:href="http://chopchop.cbu.uib.no/">http://chopchop.cbu.uib.no/</ext-link>). Their sequences are: <italic>stc2a</italic>-gRNA1-oligo1: 5&#x2019;- GCTGCTGCTCTCCGTATTGG-3&#x2019; and <italic>stc2a</italic>-gRNA3-oligo3: 5&#x2019;-GGGTGACTCTCGTGCACATC-3&#x2019;. sgRNA(30&#x2013;40 ng/ul) mixed with Cas9 mRNA (200&#x2013;400 ng/ul) were injected into <italic>Tg</italic>(<italic>igfbp5a:</italic>GFP) at the 1-cell stage (<xref ref-type="bibr" rid="B70">70</xref>). The injected F0 fish were raised to adulthood and crossed with <italic>Tg</italic>(<italic>igfbp5a:</italic>GFP<italic>)</italic> fish (<xref ref-type="bibr" rid="B28">28</xref>). The DNA of the F1 fish were extracted by fin clipping and analyzed by sanger sequencing. Heterozygous F1 male and female fish were crossed to generate the F2 fish.</p>
</sec>
<sec id="s4_5">
<title>Genotyping</title>
<p>Genomic DNA, isolated from adult fin or whole larval lysate, were digested with proteinase K (60 &#x3bc;g/mL) in SZL buffer (50 mM KCl, 2.5 mM MgCl<sub>2</sub>, 10 mM Tris-HCl (pH 8.3), 0.45% NP-40, 0.45% Tween 20, 0.01% gelatine). Samples were digested at 60&#xb0;C for 2 hours and at 95&#xb0;C for 15 minutes. The <italic>stc2a<sup>-/-</sup></italic> fish genotyping was performed by PCR and by direct DNA sequencing as previously reported (<xref ref-type="bibr" rid="B71">71</xref>).</p>
</sec>
<sec id="s4_6">
<title>Morphology and developmental tracking</title>
<p>The bright-field images of larvae zebrafish were acquired using a stereomicroscope (Leica MZ16F, Leica, Wetzlar, Germany) equipped with a QImaging QICAM camera (QImaging, Surrey, BC, Canada). Head-trunk-angle, adult zebrafish body length, body weight, and brain weight was measured following published protocols (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B11">11</xref>). Larval body length measured from inner ear stone to tail end. Image J was used for image analysis and data quantification.</p>
</sec>
<sec id="s4_7">
<title>Alizarin red staining</title>
<p>Alizarin red staining was performed as described previously (<xref ref-type="bibr" rid="B72">72</xref>). The bright-field images were acquired as described above. The whole-body images were joined together with Adobe Photoshop. Dorsal and pelvic spine lengths measured by ImageJ.</p>
</sec>
<sec id="s4_8">
<title>Drug treatment</title>
<p>All drugs used in this study, except ZnCl<sub>2</sub>, were dissolved in DMSO and further diluted to desired concentrations. ZnCl<sub>2</sub> was dissolved in distilled water. Zebrafish larvae were treated with drugs and vehicle as described previously (<xref ref-type="bibr" rid="B28">28</xref>). Drug solutions were changed daily.</p>
</sec>
<sec id="s4_9">
<title>Hypoxia treatment and survival curves</title>
<p>Hypoxia treatments were performed using the Invivo2&#x2013;300 Hypoxia Workstation with an I-CO<sub>2</sub>N<sub>2</sub>IC advanced gas mixing system (Baker Ruskinn, Sanford, ME). Gas tanks were purchased from Cryogenic Gases (Detroit, MI). CO<sub>2</sub> levels were kept constant at 1.4%. In addition to monitoring the gas values shown by this machine, an oxygen meter was utilized for a secondary reading (Sper Scientific, Scottsdale, AZ). The temperature was maintained at ~ 28&#xb0;C. Zebrafish larvae were set up in 6-well plates at a density of 15 larvae per well with 3&#x2013;5 mL of E3 or drug medium. The number of dead larvae was counted hourly based on appearance and motor response to stimulus.</p>
</sec>
<sec id="s4_10">
<title>Western blotting</title>
<p>Zebrafish larvae (30&#x2013;40 per group) were homogenized in RIPA buffer (50 mM Tris-HCl, 150 mM NaCl, 1 mM EGTA, 0.1% Triton X-100, 0.5% sodium deoxycholate, 0.1% SDS, pH 7.4) containing a cocktail of protease inhibitors and phosphatase inhibitors on ice for 30 seconds. Zebrafish homogenates were centrifuged at 13,000 rpm, 4&#xb0;C, for 20 minutes. The protein concentration of the supernatant was measured by Bradford assay (Bio-rad) and normalized. 2X urea loading buffer (150 mM Tris pH 6.8, 6 M Urea, 6% SDS, 40% glycerol, 100 mM DTT, 0.1% Bromophenol blue). Samples were heated at 95&#xb0;C for 5 minutes and subjected to 12% SDS-PAGE gels and transferred to a nitrocellulose membrane for western blot analysis. After incubation with primary and secondary antibodies, membranes were scanned using the Odyssey CLx imaging system (LI-COR). The ratios of phosphorylated to total protein were calculated after the images had been analyzed. The primary antibodies were mouse anti-GAPDH (1:4000, Proteintech), rabbit anti-Akt (1:1000, Cell Signaling Technology), rabbit anti-P-Akt (S473) (D9E) XP<sup>&#xae;</sup> (1:2000, Cell Signaling Technology), rabbit anti-p44/42 MAPK (1:2000, Cell Signaling Technology), rabbit anti-Phospho-p44/42 MAPK (D13.14.4E) XP<sup>&#xae;</sup> (1:2000, CellSignaling Technology). The secondary antibodies, goat anti-mouse IRDye 680LT and goat anti-rabbit IRDye 800CW were purchased from LI-COR Biosciences and used at 1:10,000 dilution.</p>
</sec>
<sec id="s4_11">
<title>Statistical analysis</title>
<p>Statistical analysis was performed using GraphPad Prism 9 software (GraphPad Software, Inc., San Diego, CA). Values are shown as means &#xb1; SEM. Statistical significance between experimental groups was performed using unpaired two-tailed t-test, one-way ANOVA followed by Tukey&#x2019;s multiple comparison test, or two-way ANOVA with multiple comparisons. Differences between the experimental groups in survival curves were analyzed using the Mantel-Cox log-rank test. Statistical significances were accepted at *p &lt; 0.05, **p&lt;0.01, ***p &lt; 0.001, ****p &lt; 0.0001.</p>
</sec>
</sec>
</body>
<back>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The RNA&#x2010;seq datasets generated for this study can be found in the GEO repository under accession number GSE311532. All other data supporting the findings are available in the article or supplementary files.</p></sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal study was approved by the Institutional Animal Care &amp; Use Committee, University of Michigan. The study was conducted in accordance with the local legislation and institutional requirements.</p></sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>ZW: Formal analysis, Investigation, Visualization, Writing &#x2013; original draft. JS: Formal analysis, Investigation, Visualization, Writing &#x2013; original draft. SL: Formal analysis, Investigation, Writing &#x2013; review &amp; editing. SJ: Investigation, Visualization, Writing &#x2013; review &amp; editing. HX: Data curation, Investigation, Writing &#x2013; review &amp; editing. CD: Conceptualization, Formal analysis, Funding acquisition, Project administration, Supervision, Writing &#x2013; original draft.</p></sec>
<ack>
<title>Acknowledgments</title>
<p>We thank Dr. Jing-Ruey Joanna Yeh, Massachusetts General Hospital and Harvard Medical School, for sharing the <italic>hif2&#x3b1;b&#x394;10<sup>-/-</sup></italic> fish line.</p>
</ack>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p></sec>
<sec id="s10" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declared that Generative AI was not used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p></sec>
<sec id="s11" sec-type="disclaimer">
<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="s12" sec-type="supplementary-material">
<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/fendo.2025.1729649/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fendo.2025.1729649/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Image1.tif" id="SF1" mimetype="image/tiff"><label>Supplementary Figure&#xa0;1</label>
<caption>
<p><bold>(A)</bold> Principal component analysis (PCA) plot of normoxia (N) and hypoxia (H) groups. The plot shows the first two principal components (PC1 and PC2) of normalized gene expression data, illustrating the overall variance and separation between normoxia and hypoxia groups. <bold>(B)</bold> The mRNA levels of the indicated genes were measured by qPCR (blue) or RNA-seq (red) and shown as the ratio between the hypoxia groups and the normoxia groups. n = 2-4. <bold>(C, D)</bold> Gene-concept networks (CNETs) of differentially expressed genes. CNETs show the top five significantly enriched GO molecular function terms for <bold>(C)</bold> up-regulated and <bold>(D)</bold> down-regulated DEGs. Small nodes represent genes associated with each GO term, with node color indicating fold change, whereas large cyan nodes represent the GO terms.</p>
</caption></supplementary-material>
<supplementary-material xlink:href="Image2.tif" id="SF2" mimetype="image/tiff"><label>Supplementary Figure&#xa0;2</label>
<caption>
<p><bold>(A)</bold> Schematic diagram of zebrafish <italic>stc2a</italic> gene and the engineered mutants. Boxes represent exons and lines represent introns. Filled boxes represent protein coding regions and open boxes represent untranslated regions. The PAM motif is represented in blue color. Dashed lines indicate conserved cysteine residues. Blue boxes indicate N-glycosylation sites. <bold>(B)</bold> qRT-PCR measurement of <italic>stc2a</italic> mRNA levels in 5 dpf wild-type (WT) and <italic>stc2a(&#x394;5)</italic><sup>-/-</sup> fish. **, <italic>p</italic> &lt; 0.01. <bold>(C)</bold> qRT-PCR measurement of <italic>stc2a</italic> and <italic>stc2b</italic> mRNA levels in 5 dpf wild-type (WT) and <italic>stc2a(&#x394;2 + 4)</italic><sup>-/-</sup> fish. ***<italic>p</italic> &lt; 0.001. <bold>(D)</bold> qRT-PCR measurement of <italic>stc2a</italic> mRNA levels in adult wild-type and <italic>stc2a(&#x394;2 + 4)</italic><sup>-/-</sup> fish.</p>
</caption></supplementary-material>
<supplementary-material xlink:href="Image3.tif" id="SF3" mimetype="image/tiff"><label>Supplementary Figure&#xa0;3</label>
<caption>
<p>Loss of Stc2a does not change ionocyte cell proliferation or bone mineralization. <bold>(A, B)</bold> NaR cell number of the indicated genotype fish in the <italic>Tg</italic>(<italic>igfbp5a</italic>:GFP) background were measured at 5 dpf. Representative images of GFP-expressing NaR cells are shown in <bold>(A)</bold> and quantified results in <bold>(B).</bold> Data are shown as mean &#xb1; SEM. n = 5-18, ns, not statistically significant, one-way ANOVA followed by Tukey&#x2019;s multiple comparisons test. <bold>(C)</bold> Representative images of 7 dpf fish of the indicated genotypes stained by Alizarin red. <bold>(D)</bold> Representative images of 1 year-old adult fish stained by Alizarin red.</p>
</caption></supplementary-material>
<supplementary-material xlink:href="Image4.tif" id="SF4" mimetype="image/tiff"><label>Supplementary Figure&#xa0;4</label>
<caption>
<p><bold>(A)</bold> Loss of Stc2a does not change <italic>papp-aa</italic>, <italic>papp-ab</italic>, and <italic>papp-a2</italic> mRNA levels. qRT-PCR results of 5 dpf fish larvae of the indicated phenotypes. Data are shown as mean &#xb1; SEM. n = 4, No statistical significance was detected. <bold>(B)</bold> Effect of hypoxia on <italic>papp-aa</italic>, <italic>papp-ab</italic>, and <italic>papp-a2</italic> mRNA levels. Relative mRNA abundance is extracted from RNA-seq data set (TPM) and calculated and shown as relative change of the control group. *p &lt;0.05.</p>
</caption></supplementary-material>
<supplementary-material xlink:href="Table1.xlsx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"/>
<supplementary-material xlink:href="Table2.xlsx" id="SM2" mimetype="application/vnd.openxmlformats-officedocument.spreadsheetml.sheet"/></sec>
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