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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Oncol.</journal-id>
<journal-title>Frontiers in Oncology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Oncol.</abbrev-journal-title>
<issn pub-type="epub">2234-943X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fonc.2024.1481266</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Oncology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>MicroRNA-582-5p inhibits the progression of gastric cancer cells and their resistance to oxaliplatin by suppressing ATG7 expression</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Chang</surname>
<given-names>Yu</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2619029"/>
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<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hao</surname>
<given-names>Yaqin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Su</surname>
<given-names>Yani</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Guo</surname>
<given-names>Jin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liu</surname>
<given-names>Yu</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sun</surname>
<given-names>Ruixue</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Feng</surname>
<given-names>Bei</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/software/"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Ma</surname>
<given-names>Junwei</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<role content-type="https://credit.niso.org/contributor-roles/data-curation/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Hu</surname>
<given-names>Yunfeng</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2683118"/>
<role content-type="https://credit.niso.org/contributor-roles/funding-acquisition/"/>
<role content-type="https://credit.niso.org/contributor-roles/project-administration/"/>
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</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Radiation Oncology, The First Affiliated Hospital of Yan&#x2019;an University</institution>, <addr-line>Yan&#x2019;an, Shanxi</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Clinical Laboratory Medicine, Cancer Hospital of Shantou University Medical College</institution>, <addr-line>Shantou</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Oncology, The First Affiliated Hospital of Yan&#x2019;an University</institution>, <addr-line>Yan&#x2019;an, Shanxi</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Parvez Khan, University of Nebraska Medical Center, United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Sadia Iqrar, Jamia Hamdard University, India</p>
<p>Md Arafat Khan, University of Nebraska Medical Center, United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Yunfeng Hu, <email xlink:href="mailto:88136095@qq.com">88136095@qq.com</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>11</day>
<month>10</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>14</volume>
<elocation-id>1481266</elocation-id>
<history>
<date date-type="received">
<day>15</day>
<month>08</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>25</day>
<month>09</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2024 Chang, Hao, Su, Guo, Liu, Sun, Feng, Ma and Hu</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Chang, Hao, Su, Guo, Liu, Sun, Feng, Ma and Hu</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>
<sec>
<title>Background</title>
<p>Gastric cancer (GC) is one of the most common malignant tumors of the digestive tract worldwide. Both environmental and genetic factors contribute to the occurrence and development of GC. Surgery and chemotherapy are the main treatment modalities for gastric cancer; however, some patients show insensitivity to chemotherapeutic agents. Chemotherapy resistance is one of the primary reasons for poor treatment outcomes and the high likelihood of recurrence and metastasis in gastric cancer patients. Numerous studies have confirmed a correlation between the dysregulation of microRNA expression and the development of various malignant tumors, as well as their resistance to chemotherapeutic agents. However, the role of microRNA-582-3p in gastric cancer cells and its mechanism in the resistance of gastric cancer cells to oxaliplatin have not been studied.</p>
</sec>
<sec>
<title>Methods</title>
<p>We first used q-PCR, CCK8, transwell, and scratch assays to validate the expression of microRNA-582-3p in gastric cancer tissues and cells, while also analyzing the relationship between its expression levels and the clinical pathological data of patients. Additionally, we further confirmed the impact of microRNA-582-3p on gastric cancer cell progression and oxaliplatin resistance through knockdown and overexpression experiments. Subsequently, to explore the specific mechanisms of microRNA-582-3p in gastric cancer, we verified the downstream target of microRNA-582-3p, ATG7, using dual-luciferase reporter assays and examined the effect of ATG7 on gastric cancer cell functions. Moreover, we conducted rescue experiments to further validate the interaction between microRNA-582-3p and ATG7.</p>
</sec>
<sec>
<title>Results</title>
<p>Our experimental results confirmed that microRNA-582-3p is lowly expressed in gastric cancer tissues and cells, and the expression level of miR-582-5p is correlated with the T stage of patients, while showing no correlation with the patients' gender, age, tumor size, degree of differentiation, or N stage. Additionally, we found that microRNA-582-3p functions as a tumor suppressor in gastric cancer cells, as its overexpression inhibits the biological functions of gastric cancer cells and increases their sensitivity to oxaliplatin. Furthermore, we identified binding sites between microRNA-582-3p and the autophagy-related gene ATG7, observing that knockdown of microRNA-582-3p increases ATG7 expression, while its overexpression reduces ATG7 levels. Moreover, ATG7 is overexpressed in gastric cancer cells; knockdown of ATG7 inhibits the biological functions of gastric cancer cells and increases their sensitivity to oxaliplatin, whereas overexpression of ATG7 reverses the inhibitory effect of miR-582-5p on gastric cancer.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Our study confirms that microRNA-582-3p acts as a tumor suppressor in gastric cancer cells, and its role may be mediated through the regulation of ATG7 expression levels. MicroRNA-582-3p may serve as a potential target for gastric cancer treatment and a predictive biomarker.</p>
</sec>
</abstract>
<kwd-group>
<kwd>gastric cancer</kwd>
<kwd>microRNA</kwd>
<kwd>chemotherapy resistance</kwd>
<kwd>ATG7</kwd>
<kwd>autophagy</kwd>
</kwd-group>
<counts>
<fig-count count="7"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="29"/>
<page-count count="11"/>
<word-count count="3980"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Gastrointestinal Cancers: Gastric and Esophageal Cancers</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>Gastric cancer (GC) is one of the most common malignant tumors globally and a leading cause of cancer-related deaths (<xref ref-type="bibr" rid="B1">1</xref>). Approximately one million people worldwide are diagnosed with gastric cancer annually, resulting in about 738,000 deaths (<xref ref-type="bibr" rid="B2">2</xref>). Current primary treatments for gastric cancer patients include chemotherapy, targeted therapy, and immunotherapy, with chemotherapy being the main approach for postoperative and advanced-stage patients (<xref ref-type="bibr" rid="B3">3</xref>). Currently, oxaliplatin (L-OHP) is predominantly used in chemotherapy regimens for gastric cancer patients in clinical practice (<xref ref-type="bibr" rid="B4">4</xref>).</p>
<p>Platinum-based chemotherapy drugs are currently the most widely used chemotherapeutic agents in clinical practice, and they exhibit significant anticancer efficacy (<xref ref-type="bibr" rid="B5">5</xref>). Oxaliplatin is a third-generation platinum-based chemotherapy drug that primarily functions by forming complexes with DNA <italic>in vivo</italic>, disrupting DNA replication, and inhibiting cell division in tumor cells to achieve its anticancer effects (<xref ref-type="bibr" rid="B6">6</xref>). Oxaliplatin is also employed in adjuvant chemotherapy regimens for gastric cancer, and developing resistance to oxaliplatin is a major reason for poor treatment outcomes, worse prognosis, and recurrence and metastasis in gastric cancer patients (<xref ref-type="bibr" rid="B7">7</xref>). Therefore, studying the molecular mechanisms influencing oxaliplatin resistance in gastric cancer patients is crucial.</p>
<p>Autophagy is an evolutionarily conserved catabolic process whereby damaged or defective cellular components are degraded by lysosomes to provide energy for cellular metabolism. It plays a crucial role in maintaining cellular homeostasis and regulating growth processes (<xref ref-type="bibr" rid="B8">8</xref>). The initiation and formation of autophagosomes are mediated by autophagy-related genes (ATGs), with over 30 ATGs currently identified (<xref ref-type="bibr" rid="B9">9</xref>). Research has shown that autophagy plays a dual role in gastric cancer regarding chemotherapy drug resistance,it can both promote resistance of gastric cancer cells to chemotherapy drugs and enhance sensitivity to these drugs (<xref ref-type="bibr" rid="B10">10</xref>). ATG7 is a crucial effector enzyme in autophagy, damage to ATG7 can lead to defects in autophagy within tissues and cells (<xref ref-type="bibr" rid="B11">11</xref>). ATG7 also plays a role in the resistance of malignant tumors to chemotherapy drugs. for instance, studies have demonstrated that MiR-7-5p enhances bladder cancer resistance to cisplatin by downregulating ATG7 (<xref ref-type="bibr" rid="B12">12</xref>). CD13 induces autophagy via the P38/Hsp27/CREB/ATG7 pathway to promote resistance of liver cancer cells to chemotherapy drugs (<xref ref-type="bibr" rid="B13">13</xref>). Thus, ATG7 plays a significant role in cancer resistance to chemotherapy drugs.</p>
<p>MicroRNAs are a class of small non-coding RNAs approximately 18-22 nucleotides in length, primarily exerting their effects by binding to the 3&#x2019;UTR of target messenger RNAs (mRNAs) to inhibit the expression of associated proteins (<xref ref-type="bibr" rid="B14">14</xref>, <xref ref-type="bibr" rid="B15">15</xref>). Extensive research has demonstrated that MicroRNAs play crucial roles in the pathogenesis of human cancers. For example, Mir-375 has been identified as a tumor suppressor in various malignant tumor cells, regulating processes such as proliferation, migration, invasion, and apoptosis by binding to its target genes (<xref ref-type="bibr" rid="B16">16</xref>). Mir-7 also plays significant roles in multiple cancers, participating not only in signaling pathway regulation but also serving as a biomarker and modulating the expression of target proteins (<xref ref-type="bibr" rid="B17">17</xref>). Current studies have revealed that Mir-582-5p has regulatory effects on the biological functions of malignancies such as bladder cancer (<xref ref-type="bibr" rid="B18">18</xref>), colorectal cancer (<xref ref-type="bibr" rid="B19">19</xref>), prostate cancer (<xref ref-type="bibr" rid="B20">20</xref>), and non-small cell lung cancer (<xref ref-type="bibr" rid="B21">21</xref>). However, there is no reported research on whether Mir-582-5p influences the malignant biological functions of gastric cancer cells and their resistance to oxaliplatin through the regulation of autophagy.</p>
<p>In this study, we found that Micro-582-5p is downregulated in gastric cancer tissues and cells. Overexpression of Micro-582-5p inhibited the proliferation, migration, and invasion of gastric cancer cells, and increased their sensitivity to oxaliplatin. Additionally, we observed high expression of ATG7 in gastric cancer tissues and cells. Knockdown of ATG7 suppressed the malignant biological functions of gastric cancer cells and enhanced their sensitivity to oxaliplatin. Subsequently, co-overexpression of Micro-582-5p and ATG7 resulted in enhanced biological functions compared to overexpression of Micro-582-5p alone, but decreased sensitivity to oxaliplatin. Therefore, we suggest that Micro-582-5p may enhance resistance of gastric cancer cells to oxaliplatin by inhibiting ATG7.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Source of patient tissue samples</title>
<p>Fresh gastric cancer tissue samples were obtained from patients diagnosed with gastric cancer at the Affiliated Hospital of Yan&#x2019;an University. Immediately following surgical resection, pathological samples were collected and promptly preserved in liquid nitrogen. Additionally, paraffin-embedded tissue samples from gastric cancer patients with confirmed pathological diagnoses were also acquired from the same hospital.</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Cell lines and culture</title>
<p>Human gastric cancer cell lines HGC 27,MKN 28, and AGS, as well as the human normal gastric mucosal cell line GES-1, were provided by the Medical Translational Center of Yan&#x2019;an University School of Medicine. HCG27 and MKN28 cells were cultured in RPMI-1640 medium supplemented with 10% fetal bovine serum (FBS). AGS and GES cells were cultured in DMEM medium supplemented with 10% FBS. All cells were maintained in a cell culture incubator at 37&#xb0;C with 5% CO2.</p>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>qRT-PCR</title>
<p>Total RNA was extracted from gastric cancer cell lines and normal/tumor paired tissues using TRIzol reagent (AG) according to the manufacturer&#x2019;s instructions. RNA was reverse transcribed into cDNA using the RT-PCR reverse transcription kit (Aikerui Biosciences, China, AG11711). qRT-PCR was performed using SYBR Green Pro Taq HS premix qPCR kit (Aikerui Biosciences, China, AG11701) on a Roche Cobas Z480, with U6 and GAPDH as internal references. Relative expression levels were calculated using the 2^-&#x394;&#x394;CT method. Primer sequences are listed in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;1</bold>
</xref>.</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>Cell transfection</title>
<p>MiR-582-5p mimic, mimic control (mimic-NC), MiR-582-5p inhibitor,(inhibitor-NC) small interfering RNA targeting ATG7 (si-ATG7), and its negative control (si-NC) were purchased from Aikerui Biosciences. Transfection was performed using jetPRIME<sup>&#xae;</sup> transfection reagent (Polyplus) following the manufacturer&#x2019;s protocol. Cells were collected for subsequent studies 48 hours post-transfection. Sequences for small interfering RNA, MiR-582-5p mimic, MiR-582-5p, and mimic control (miR-NC) are detailed in <xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Table&#xa0;1</bold>
</xref>.</p>
</sec>
<sec id="s2_5">
<label>2.5</label>
<title>CCK-8 assay</title>
<p>Cells (2 &#xd7; 103) were seeded in 96-well plates and cultured until specific time points. Each well was treated with 10 &#x3bc;L CCK-8 reagent and incubated for 2 hours in the culture incubator. Optical density (OD) at 450 nm was measured using a microplate reader.</p>
</sec>
<sec id="s2_6">
<label>2.6</label>
<title>Scratch assay</title>
<p>Cells in logarithmic growth phase were evenly seeded in 6-well plates (approximately 4 &#xd7; 10<sup>5</sup> cells per well) and cultured in the incubator. After 24 hours, cells were transfected according to the Polyplus transfection reagent instructions, with culture medium without antibiotics added. After 6 hours of transfection, scratches were made using a 100 &#xb5;l pipette tip. Images were taken under a microscope as 0-hour controls, and wound healing was observed and quantified at 24 and 48 hours post-scratch. Cell migration rate was calculated using the formula: Cell migration rate = [(initial blank area - blank area at specific time point)/initial blank area] &#xd7; 100%.</p>
</sec>
<sec id="s2_7">
<label>2.7</label>
<title>Transwell assay</title>
<p>Transwell chambers were used to evaluate the migration and invasion capabilities of cancer cells. Transfected gastric cancer cells were seeded in the chambers. For invasion assays, matrix gel was coated on the upper chamber, while for migration assays, cells were directly seeded on the upper chamber. The lower chamber was filled with medium containing 20% FBS. After 48 hours of incubation, cells were fixed with 4% paraformaldehyde for 30 minutes and stained with 0.25% crystal violet.</p>
</sec>
<sec id="s2_8">
<label>2.8</label>
<title>Dual-luciferase reporter assay</title>
<p>The wild-type (WT) fragment of ATG7 3&#x2032;-UTR containing the binding sequence of miR-582-5p was cloned into pmirGLO vector to construct ATG7-WT. Mutant (MUT) fragment (ATG7-MUT) with mutated binding sequence was also cloned into pmirGLO vector. Gastric cancer cells were co-transfected with ATG7-WT or ATG7-MUT and miR-582-5p mimic or miR-NC using Polyplus reagent. After 48 hours, firefly and Renilla luciferase activities were measured using the dual-luciferase reporter gene assay system.</p>
</sec>
<sec id="s2_9">
<label>2.9</label>
<title>Western blotting</title>
<p>Total protein from cells and tissues was extracted using RIPA buffer. Protein samples were separated by 10% SDS-PAGE and transferred onto PVDF membranes. Membranes were blocked with 5% skim milk at room temperature for 2 hours, followed by overnight incubation with primary antibodies (GAPDH, P62, ATG7, Beclin1) at 4&#xb0;C. After washing, membranes were incubated with HRP-conjugated secondary antibodies (goat anti-rabbit IgG) at room temperature for 2 hours. Protein bands were visualized using ECL exposure strips.</p>
</sec>
<sec id="s2_10">
<label>2.10</label>
<title>Statistical Analysis</title>
<p>All experiments were repeated three times, and data are presented as mean &#xb1; SD (standard deviation). Student&#x2019;s t-test was used for statistical analysis. P&lt; 0.05 was assumed to be statistically significant.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<label>3</label>
<title>Results</title>
<sec id="s3_1">
<label>3.1</label>
<title>The expression and clinical significance of miR-582-5p in gastric cancer</title>
<p>To investigate the expression of miR-582-5p in gastric cancer and its relationship with clinical pathological parameters, we first identified low expression of miR-582-5p in gastric cancer using the UALCAN database (<ext-link ext-link-type="uri" xlink:href="https://ualcan.path.uab.edu/">https://ualcan.path.uab.edu/</ext-link>) (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). We further examined miR-582-5p expression in 41 pairs of gastric cancer and normal tissue samples by qPCR, confirming low expression in gastric cancer tissues (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). Additionally, we assessed miR-582-5p expression in gastric cancer cell lines and normal gastric epithelial cells, demonstrating consistently low expression in gastric cancer cell lines (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1C</bold>
</xref>). Analysis of the correlation between miR-582-5p expression and clinical pathological parameters in patients indicated a significant association with T stage, while no correlation was observed with gender, age, tumor size, differentiation grade, or N stage (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>).</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Expression of MiR-582-5p in gastric cancer and its association with patient prognosis. <bold>(A)</bold> Expression of MiR-582-5p in gastric cancer tissues from UALCAN database. <bold>(B)</bold> Expression of MiR-582-5p in GC tissues and normal tissues detected by qRT-PCR. <bold>(C)</bold> Expression of MiR-582-5p in gastric cancer cells and GES-1 cells detected by qRT-PCR. (***P &lt; 0.001).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-14-1481266-g001.tif"/>
</fig>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Correlation between MiR-582-5p expression and clinical pathological parameters in patients.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" rowspan="2" align="left">Clinical features</th>
<th valign="top" rowspan="2" align="center">Number of cases<break/>n=41</th>
<th valign="top" colspan="2" align="center">MiR-582-5p</th>
<th valign="middle" rowspan="2" align="center">
<italic>P</italic>
</th>
</tr>
<tr>
<th valign="top" align="center">High (n=11)</th>
<th valign="top" align="center">Low(n=30)</th>
</tr>
</thead>
<tbody>
<tr>
<th valign="top" colspan="5" align="left">Gender</th>
</tr>
<tr>
<td valign="top" align="left">Male</td>
<td valign="top" align="center">35</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">25</td>
<td valign="middle" rowspan="2" align="left">1.00</td>
</tr>
<tr>
<td valign="top" align="left">Female</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">5</td>
</tr>
<tr>
<th valign="top" colspan="5" align="left">Age</th>
</tr>
<tr>
<td valign="top" align="left">&#x2264;60 years old</td>
<td valign="top" align="center">14</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">9</td>
<td valign="middle" rowspan="2" align="left">0.463</td>
</tr>
<tr>
<td valign="top" align="left">&gt;60 years old</td>
<td valign="top" align="center">27</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">21</td>
</tr>
<tr>
<th valign="top" colspan="5" align="left">Tumor size</th>
</tr>
<tr>
<td valign="top" align="left">&#x2264;5cm</td>
<td valign="top" align="center">23</td>
<td valign="top" align="center">6</td>
<td valign="top" align="center">17</td>
<td valign="middle" rowspan="2" align="left">1.00</td>
</tr>
<tr>
<td valign="top" align="left">&gt;5cm</td>
<td valign="top" align="center">18</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">13</td>
</tr>
<tr>
<th valign="top" colspan="5" align="left">Differentiation grade</th>
</tr>
<tr>
<td valign="top" align="left">Poorly/Moderately differentiated</td>
<td valign="top" align="center">34</td>
<td valign="top" align="center">10</td>
<td valign="top" align="center">24</td>
<td valign="middle" rowspan="2" align="left">0.651</td>
</tr>
<tr>
<td valign="top" align="left">Moderately/Well differentiated</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">6</td>
</tr>
<tr>
<th valign="top" colspan="5" align="left">T stage</th>
</tr>
<tr>
<td valign="top" align="left">T1+T2</td>
<td valign="top" align="center">5</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">1</td>
<td valign="middle" rowspan="2" align="left">0.014<bold>
<sup>*</sup>
</bold>
</td>
</tr>
<tr>
<td valign="top" align="left">T3+T4</td>
<td valign="top" align="center">36</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">29</td>
</tr>
<tr>
<th valign="top" colspan="5" align="left">N stage</th>
</tr>
<tr>
<td valign="top" align="left">N0</td>
<td valign="top" align="center">11</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">7</td>
<td valign="middle" rowspan="2" align="left">0.445</td>
</tr>
<tr>
<td valign="top" align="left">N1-3</td>
<td valign="top" align="center">30</td>
<td valign="top" align="center">7</td>
<td valign="top" align="center">23</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>(*p&lt;0.05).</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Overexpression of MiR-582-5p inhibits proliferation, migration, invasion, and resistance to oxaliplatin in gastric cancer cells</title>
<p>To explore the biological function of MiR-582-5p in gastric cancer cells, we constructed a MiR-582-5p overexpression gastric cancer cell line. We verified the transfection efficiency using q-PCR (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). Next, we assessed the effect of MiR-582-5p overexpression on the proliferation ability of gastric cancer cells using the CCK8 assay, which showed that overexpression of MiR-582-5p significantly inhibited the proliferation of gastric cancer cells (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>). Meanwhile, wound healing assays demonstrated that overexpression of MiR-582-5p suppressed the invasion and migration capabilities of gastric cancer cell lines (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>). These experimental results confirm that MiR-582-5p acts as a tumor suppressor gene, effectively inhibiting the malignant biological functions of gastric cancer cells. Subsequently, we investigated whether MiR-582-5p affects the sensitivity of gastric cancer cells to oxaliplatin. We demonstrated through CCK8 and transwell assays that MiR-582-5p can enhance the sensitivity of gastric cancer cells to oxaliplatin (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2D, E</bold>
</xref>).</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Overexpression of MiR-582-5p Inhibits Proliferation, Migration, Invasion, and Resistance to Oxaliplatin in Gastric Cancer Cells. <bold>(A)</bold> Transfection efficiency was verified by q-PCR; <bold>(B)</bold> Overexpression of MiR-582-5p inhibited the proliferation ability of gastric cancer cells; <bold>(C)</bold> Overexpression of MiR-582-5p suppressed the migration ability of gastric cancer cells; <bold>(D)</bold> Overexpression of MiR-582-5p significantly inhibited the migration and invasion capabilities of gastric cancer cells; <bold>(E)</bold> Overexpression of MiR-582-5p increased the sensitivity of gastric cancer cells to oxaliplatin. (**P &lt; 0.01, ***P &lt; 0.001).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-14-1481266-g002.tif"/>
</fig>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Knockdown of MiR-582-5p promotes proliferation, migration, invasion, and resistance to oxaliplatin in gastric cancer cells</title>
<p>To further confirm the biological function of MiR-582-5p in gastric cancer cells, we constructed a MiR-582-5p knockdown gastric cancer cell line. The transfection efficiency was verified by q-PCR (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). The CCK8 assay assessed the effect of MiR-582-5p knockdown on the proliferation ability of gastric cancer cells, revealing that knockdown of MiR-582-5p significantly promoted the proliferation of gastric cancer cells (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). Meanwhile, wound healing assays demonstrated that knockdown of MiR-582-5p enhanced the invasion and migration capabilities of gastric cancer cells (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3C</bold>
</xref>). Next, we investigated the effect of MiR-582-5p knockdown on the sensitivity of gastric cancer cells to oxaliplatin. CCK8 and transwell assays confirmed that knockdown of MiR-582-5p can reduce the sensitivity of gastric cancer cells to oxaliplatin (<xref ref-type="fig" rid="f3">
<bold>Figures&#xa0;3D, E</bold>
</xref>).</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Knockdown of MiR-582-5p Promotes Proliferation, Migration, Invasion, and Resistance to Oxaliplatin in Gastric Cancer Cells <bold>(A)</bold> Transfection efficiency was verified by q-PCR; <bold>(B)</bold> Knockdown of MiR-582-5p promoted the proliferation ability of gastric cancer cells; <bold>(C)</bold> Knockdown of MiR-582-5p enhanced the migration ability of gastric cancer cells; <bold>(D)</bold> Knockdown of MiR-582-5p significantly promoted the migration and invasion capabilities of gastric cancer cells; <bold>(E)</bold> Knockdown of MiR-582-5p reduced the sensitivity of gastric cancer cells to oxaliplatin. (ns P &gt; 0.05, *P &lt; 0.05, **P &lt; 0.01, ***P &lt; 0.001).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-14-1481266-g003.tif"/>
</fig>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>ATG7 is a target of MiR-582-5p</title>
<p>To further investigate the mechanism by which MiR-582-5p affects gastric cancer cell biological functions and sensitivity to oxaliplatin, we assessed the expression of ATG7 at both the RNA and protein levels following MiR-582-5p overexpression and knockdown using q-PCR and western blotting. The results showed that overexpression of MiR-582-5p led to low expression of ATG7, while knockdown of MiR-582-5p resulted in high expression of ATG7 (<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4A, B</bold>
</xref>). This suggests that ATG7 might be a potential downstream target of MiR-582-5p and that MiR-582-5p could exert its effects by targeting ATG7. To confirm this, we performed a dual-luciferase reporter assay to verify the binding sites. The results indicated that MiR-582-5p has binding sites in the 3&#x2032;-UTR of ATG7 mRNA (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>).</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>ATG7 is a target of MiR-582-5p. <bold>(A)</bold> Western blotting demonstrated changes in ATG7 protein expression following MiR-582-5p overexpression and knockdown. <bold>(B)</bold> q-PCR showed changes in ATG7 RNA expression after MiR-582-5p overexpression and knockdown. <bold>(C)</bold> Dual-luciferase reporter assay confirmed the interaction between MiR-582-5p and ATG7. (*P &lt; 0.05, **P &lt; 0.01, ***P &lt; 0.001).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-14-1481266-g004.tif"/>
</fig>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>Expression and clinical significance of ATG7 in gastric cancer</title>
<p>Next, we further explored the impact of ATG7 on the biological functions of gastric cancer cell lines. First, using the GEPIA database, we found that ATG7 is highly expressed in gastric cancer (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>), and that patients with high ATG7 expression have a lower overall survival (OS) compared to those with low expression (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>). We used the normal gastric mucosal epithelial cell line GES-1 as the control group and selected three gastric cancer cell lines (HGC27, MKN28, AGS) as the experimental group. Total RNA and protein were extracted from each group of cells, and the expression levels of ATG7 were measured using RT-qPCR and western blotting. The results showed that ATG7 expression levels were significantly upregulated in the three gastric cancer cell lines (HGC27, MKN28, AGS) compared to the normal gastric mucosal epithelial cell line GES-1 (<xref ref-type="fig" rid="f5">
<bold>Figures&#xa0;5C</bold>
</xref>, <xref ref-type="fig" rid="f5">
<bold>D</bold>
</xref>) (*p&lt;0.05, **p&lt;0.01, ***p&lt;0.001).</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Expression and Clinical Significance of ATG7 in Gastric Cancer <bold>(A)</bold> Expression of ATG7 in gastric cancer. <bold>(B)</bold> Relationship between ATG7 expression and prognosis of gastric cancer patients. <bold>(C)</bold> Expression of ATG7 RNA in gastric cancer cells and normal cells detected by qRT-PCR. <bold>(D)</bold> Expression of ATG7 protein in gastric cancer cells and normal cells detected by Western blotting. (*P &lt; 0.05, **P &lt; 0.01).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-14-1481266-g005.tif"/>
</fig>
</sec>
<sec id="s3_6">
<label>3.6</label>
<title>Knockdown of ATG7 suppresses proliferation, invasion, migration, and oxaliplatin resistance of gastric cancer cells</title>
<p>By examining ATG7 expression in gastric cancer cells, we observed high levels of ATG7 expression. To investigate whether its overexpression affects the biological functions of gastric cancer, we designed two siRNAs targeting ATG7 and established transiently transfected gastric cancer cell lines with reduced ATG7 expression. We validated the knockdown efficiency through RT-qPCR and Western blotting (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6A</bold>
</xref>, <xref ref-type="fig" rid="f6">
<bold>B</bold>
</xref>). Functional assays were performed on HGC27, MKN28, and AGS cells with transient ATG7 knockdown. The results showed that compared to the negative control (NC) group, proliferation capacity was decreased in HGC27 and AGS cells in the CCK8 proliferation assay (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>). Scratch and Transwell assays demonstrated reduced migration and invasion capabilities of cells following ATG7 knockdown (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6D</bold>
</xref>, <xref ref-type="fig" rid="f6">
<bold>E</bold>
</xref>). Additionally, using Transwell and CCK8 assays, we evaluated the impact of ATG7 knockdown on gastric cancer cell resistance to oxaliplatin, revealing suppressed proliferation, invasion, migration, and oxaliplatin resistance after ATG7 knockdown (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6F, G</bold>
</xref>) (*P &lt; 0.05, **P &lt; 0.01, ***P &lt; 0.001).</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Knockdown of ATG7 suppresses proliferation, invasion, migration, and oxaliplatin resistance of gastric cancer cells <bold>(A)</bold> qRT-PCR analysis showing reduced RNA expression levels of ATG7 after ATG7 knockdown. <bold>(B)</bold> Western blotting analysis demonstrating decreased protein expression levels of ATG7 after ATG7 knockdown. <bold>(C)</bold> CCK8 assay showing the impact of ATG7 knockdown on proliferation capacity of gastric cancer cells. <bold>(D)</bold> Scratch assay demonstrating the effect of ATG7 knockdown on migration capacity of gastric cancer cells. <bold>(E)</bold> Transwell assay showing the effect of ATG7 knockdown on invasion and migration of gastric cancer cells. <bold>(F)</bold> Transwell assay evaluating the effect of ATG7 knockdown on chemotherapeutic drug resistance of gastric cancer cells. <bold>(G)</bold> CCK8 assay evaluating the effect of ATG7 knockdown on sensitivity of gastric cancer cells to oxaliplatin. (*P &lt; 0.05, **P &lt; 0.01, ***P &lt; 0.001).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-14-1481266-g006.tif"/>
</fig>
</sec>
<sec id="s3_7">
<label>3.7</label>
<title>Overexpression of ATG7 reverses the inhibitory effect of MiR-582-5p on gastric cancer</title>
<p>To further demonstrate that MiR-582-5p exerts its effects by targeting ATG7, we conducted rescue experiments by co-overexpressing ATG7 and MiR-582-5p in gastric cancer cell lines. Western blotting confirmed that overexpression of MiR-582-5p reduced ATG7 expression, which was reversed upon simultaneous overexpression with ATG7 (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>). Subsequent functional assays and assessments of oxaliplatin sensitivity showed that co-overexpression of ATG7 reversed MiR-582-5p-induced inhibition of cell proliferation, as demonstrated by CCK8 assays (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>). Transwell assays further validated that co-overexpression of ATG7 reversed the phenotypic changes induced by MiR-582-5p overexpression in gastric cancer cells, including their sensitivity to oxaliplatin (<xref ref-type="fig" rid="f7">
<bold>Figures&#xa0;7C&#x2013;E</bold>
</xref>).</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>Overexpression of ATG7 reverses the inhibitory effect of MiR-582-5p on gastric cancer. <bold>(A)</bold> Expression levels of ATG7 in gastric cancer cells overexpressing MiR-582-5p alone and in combination with ATG7 overexpression. <bold>(B)</bold> Effects of overexpression of MiR-582-5p alone and in combination with ATG7 overexpression on the proliferative capacity of gastric cancer cells. <bold>(C)</bold> Effects of overexpression of MiR-582-5p alone and in combination with ATG7 overexpression on the migration and invasion abilities of gastric cancer cells. <bold>(D, E)</bold> Effects of overexpression of MiR-582-5p alone and in combination with ATG7 overexpression on the resistance of gastric cancer cells to oxaliplatin. (***P &lt; 0.001).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-14-1481266-g007.tif"/>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>Gastric cancer is a malignant tumor originating from the epithelium of the stomach. The pathogenesis of gastric cancer is complex, influenced by various factors including gender, age, race, as well as modifiable factors such as Helicobacter pylori infection, obesity, unhealthy dietary habits, and lifestyle. Despite a general decline in the incidence and mortality rates of gastric cancer in recent years, it still ranks among the top five malignancies (<xref ref-type="bibr" rid="B22">22</xref>). Approximately 40%-60% of gastric cancer patients experience recurrence and metastasis, with two-thirds developing unresectable new lesions. The recurrence rate after surgery alone is high, with a 5-year overall survival (OS) of 23%-49%. Perioperative chemotherapy and adjuvant chemotherapy significantly improve patient survival and enhance quality of life (<xref ref-type="bibr" rid="B23">23</xref>). Chemotherapy has become a crucial treatment modality for gastric cancer patients. Current chemotherapy strategies include neoadjuvant triplet regimens like docetaxel, oxaliplatin, and S-1 (DOS), or epirubicin, cisplatin, and 5-fluorouracil (ECF), as well as doublet regimens such as capecitabine and oxaliplatin (XELOX), tegafur and cisplatin (SP), or 5-fluorouracil and oxaliplatin (FOLFOX). Despite significantly improving survival, chemotherapy tolerance and toxicity remain major challenges in the treatment of gastric cancer patients.</p>
<p>MicroRNAs have been demonstrated to play crucial roles in the development and progression of various cancers, particularly influencing cancer cell functions and sensitivity to treatment (<xref ref-type="bibr" rid="B24">24</xref>). MicroRNAs can act as oncogenes or tumor suppressors to regulate tumor cell growth (<xref ref-type="bibr" rid="B25">25</xref>). Their mechanisms of action include modulating the expression of target genes, acting as sponges for LncRNAs or CircRNAs, and participating in tumor-related signaling pathways. miR-582-5p has been found to modulate bladder cancer (<xref ref-type="bibr" rid="B18">18</xref>), colorectal cancer (<xref ref-type="bibr" rid="B19">19</xref>), prostate cancer (<xref ref-type="bibr" rid="B20">20</xref>), and non-small cell lung cancer (<xref ref-type="bibr" rid="B21">21</xref>). Recent studies have shown that LINC00641 targets miR-582-5p to activate autophagy levels in gastric cancer cells, thereby regulating their resistance to oxaliplatin (<xref ref-type="bibr" rid="B26">26</xref>). miR-582-5p can target AKT3 to inhibit proliferation of gastric cancer cells (<xref ref-type="bibr" rid="B27">27</xref>). However, whether miR-582-5p affects gastric cancer cell biological functions and sensitivity to oxaliplatin through targeting ATG7 has not been reported. Our study found that miR-582-5p is downregulated in gastric cancer and that overexpression of miR-582-5p inhibits proliferation, migration, invasion, and oxaliplatin resistance in gastric cancer cells. To further explore the potential mechanisms by which miR-582-5p exerts these functions, we validated the targeting relationship between miR-582-5p and ATG7, confirming the existence of potential binding sites.</p>
<p>ATG7 is an autophagy-related protein whose aberrant expression and its relationship with cancer are not yet fully understood. However, theoretically, inhibiting autophagy levels in cancer cells can suppress proliferation, migration, invasion, and resistance to anticancer treatments (<xref ref-type="bibr" rid="B11">11</xref>). Previous studies have demonstrated significant impacts of ATG7 on the invasive behavior of bladder cancer cells (<xref ref-type="bibr" rid="B28">28</xref>). Additionally, the long non-coding RNA NNT-AS1 regulates cisplatin resistance in lung cancer cells through the miR-1236-3p/ATG7 axis (<xref ref-type="bibr" rid="B29">29</xref>), indicating the critical role of ATG7-mediated autophagy in the biological functions and therapeutic resistance of malignant tumors.</p>
<p>Our current results indicate that ATG7 is a downstream target of miR-582-5p, and there is a negative correlation between ATG7 and miR-582-5p. miR-582-5p inhibits the expression of ATG7 in gastric cancer cells, thereby suppressing autophagy levels and influencing proliferation, migration, invasion, and resistance to oxaliplatin in gastric cancer cells.</p>
<p>In summary, we found that miR-582-5p is under-expressed in gastric cancer and can inhibit proliferation, migration, invasion, and oxaliplatin resistance of gastric cancer cells. Furthermore, we further confirmed that miR-582-5p suppresses cancer cell autophagy levels and epithelial-mesenchymal transition (EMT) by targeting ATG7 expression, thereby influencing the malignant biological functions and oxaliplatin resistance of gastric cancer cells.</p>
</sec>
<sec id="s5" sec-type="conclusions">
<label>5</label>
<title>Conclusion</title>
<p>We identified miR-582-5p as a novel tumor suppressor gene in gastric cancer. MiR-582-5p promotes invasion and metastasis of gastric cancer cells by negatively regulating ATG7 expression. We propose that miR-582-5p could serve as a potential therapeutic target in gastric cancer treatment.</p>
</sec>
</body>
<back>
<sec id="s8" sec-type="data-availability">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="SM1">
<bold>Supplementary Material</bold>
</xref>. Further inquiries can be directed to the corresponding author.</p>
</sec>
<sec id="s9" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>Ethical approval was not required for the studies on humans in accordance with the local legislation and institutional requirements because only commercially available established cell lines were used. Ethical approval was not required for the studies on animals in accordance with the local legislation and institutional requirements because only commercially available established cell lines were used.</p>
</sec>
<sec id="s10" sec-type="author-contributions">
<title>Author contributions</title>
<p>YC: Data curation, Writing &#x2013; original draft. YH: Software, Writing &#x2013; original draft. YS: Methodology, Writing &#x2013; original draft. JG: Supervision, Writing &#x2013; review &amp; editing. YL: Methodology, Writing &#x2013; original draft. RS: Visualization, Writing &#x2013; original draft. BF: Software, Writing &#x2013; review &amp; editing. JM: Data curation, Writing &#x2013; review &amp; editing. YFH: Funding acquisition, Project administration, Writing &#x2013; review &amp; editing.</p>
</sec>
<sec id="s11" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was financially supported by the National Natural Science Foundation of China (No. 82060452)</p>
</sec>
<sec id="s12" sec-type="COI-statement">
<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 id="s13" 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="S14" 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/fonc.2024.1481266/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fonc.2024.1481266/full#supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="Table1.docx" id="SM1" mimetype="application/vnd.openxmlformats-officedocument.wordprocessingml.document"/>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Thrift</surname> <given-names>AP</given-names>
</name>
<name>
<surname>El-Serag</surname> <given-names>HB</given-names>
</name>
</person-group>. <article-title>Burden of gastric cancer</article-title>. <source>Clin Gastroenterol Hepatol</source>. (<year>2020</year>) <volume>18</volume>:<page-range>534&#x2013;42</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cgh.2019.07.045</pub-id>
</citation>
</ref>
<ref id="B2">
<label>2</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Machlowska</surname> <given-names>J</given-names>
</name>
<name>
<surname>Baj</surname> <given-names>J</given-names>
</name>
<name>
<surname>Sitarz</surname> <given-names>M</given-names>
</name>
<name>
<surname>Maciejewski</surname> <given-names>R</given-names>
</name>
<name>
<surname>Sitarz</surname> <given-names>R</given-names>
</name>
</person-group>. <article-title>Gastric cancer: epidemiology, risk factors, classification, genomic characteristics and treatment strategies</article-title>. <source>Int J Mol Sci</source>. (<year>2020</year>) <volume>21</volume>:<elocation-id>4012</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ijms21114012</pub-id>
</citation>
</ref>
<ref id="B3">
<label>3</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Luo</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Zheng</surname> <given-names>S</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>Q</given-names>
</name>
<name>
<surname>Wu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Zhou</surname> <given-names>R</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>C</given-names>
</name>
<etal/>
</person-group>. <article-title>Long noncoding RNA (lncRNA) EIF3J-DT induces chemoresistance of gastric cancer via autophagy activation</article-title>. <source>Autophagy</source>. (<year>2021</year>) <volume>17</volume>:<page-range>4083&#x2013;101</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/15548627.2021.1901204</pub-id>
</citation>
</ref>
<ref id="B4">
<label>4</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Takayama</surname> <given-names>T</given-names>
</name>
<name>
<surname>Tsuji</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>Updated adjuvant chemotherapy for gastric cancer</article-title>. <source>J Clin Med</source>. (<year>2023</year>) <volume>12</volume>:<elocation-id>6727</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/jcm12216727</pub-id>
</citation>
</ref>
<ref id="B5">
<label>5</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhang</surname> <given-names>C</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>C</given-names>
</name>
<name>
<surname>Gao</surname> <given-names>X</given-names>
</name>
<name>
<surname>Yao</surname> <given-names>Q</given-names>
</name>
</person-group>. <article-title>Platinum-based drugs for cancer therapy and anti-tumor strategies</article-title>. <source>Theranostics</source>. (<year>2022</year>) <volume>12</volume>:<page-range>2115&#x2013;32</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.7150/thno.69424</pub-id>
</citation>
</ref>
<ref id="B6">
<label>6</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Branca</surname> <given-names>JJV</given-names>
</name>
<name>
<surname>Carrino</surname> <given-names>D</given-names>
</name>
<name>
<surname>Gulisano</surname> <given-names>M</given-names>
</name>
<name>
<surname>Ghelardini</surname> <given-names>C</given-names>
</name>
<name>
<surname>Di Cesare Mannelli</surname> <given-names>L</given-names>
</name>
<name>
<surname>Pacini</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>Oxaliplatin-induced neuropathy: genetic and epigenetic profile to better understand how to ameliorate this side effect</article-title>. <source>Front Mol Biosci</source>. (<year>2021</year>) <volume>8</volume>:<elocation-id>643824</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fmolb.2021.643824</pub-id>
</citation>
</ref>
<ref id="B7">
<label>7</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jing</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Liang</surname> <given-names>W</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>L</given-names>
</name>
<name>
<surname>Wei</surname> <given-names>J</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>Autophagy-mediating microRNAs in cancer chemoresistance</article-title>. <source>Cell Biol Toxicol</source>. (<year>2020</year>) <volume>36</volume>:<page-range>517&#x2013;36</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1007/s10565-020-09553-1</pub-id>
</citation>
</ref>
<ref id="B8">
<label>8</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Debnath</surname> <given-names>J</given-names>
</name>
<name>
<surname>Gammoh</surname> <given-names>N</given-names>
</name>
<name>
<surname>Ryan</surname> <given-names>KM</given-names>
</name>
</person-group>. <article-title>Autophagy and autophagy-related pathways in cancer</article-title>. <source>Nat Rev Mol Cell Biol</source>. (<year>2023</year>) <volume>24</volume>:<page-range>560&#x2013;75</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41580-023-00585-z</pub-id>
</citation>
</ref>
<ref id="B9">
<label>9</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Verma</surname> <given-names>AK</given-names>
</name>
<name>
<surname>Bharti</surname> <given-names>PS</given-names>
</name>
<name>
<surname>Rafat</surname> <given-names>S</given-names>
</name>
<name>
<surname>Bhatt</surname> <given-names>D</given-names>
</name>
<name>
<surname>Goyal</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Pandey</surname> <given-names>KK</given-names>
</name>
<etal/>
</person-group>. <article-title>Autophagy paradox of cancer: role, regulation, and duality</article-title>. <source>Oxid Med Cell Longev</source>. (<year>2021</year>) <volume>2021</volume>:<elocation-id>8832541</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1155/2021/8832541</pub-id>
</citation>
</ref>
<ref id="B10">
<label>10</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xu</surname> <given-names>JL</given-names>
</name>
<name>
<surname>Yuan</surname> <given-names>L</given-names>
</name>
<name>
<surname>Tang</surname> <given-names>YC</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>ZY</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>HD</given-names>
</name>
<name>
<surname>Cheng</surname> <given-names>XD</given-names>
</name>
<etal/>
</person-group>. <article-title>The role of autophagy in gastric cancer chemoresistance: friend or foe</article-title>? <source>Front Cell Dev Biol</source>. (<year>2020</year>) <volume>8</volume>:<elocation-id>621428</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3389/fcell.2020.621428</pub-id>
</citation>
</ref>
<ref id="B11">
<label>11</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Collier</surname> <given-names>JJ</given-names>
</name>
<name>
<surname>Suomi</surname> <given-names>F</given-names>
</name>
<name>
<surname>Ol&#xe1;hov&#xe1;</surname> <given-names>M</given-names>
</name>
<name>
<surname>McWilliams</surname> <given-names>TG</given-names>
</name>
<name>
<surname>Taylor</surname> <given-names>RW</given-names>
</name>
</person-group>. <article-title>Emerging roles of ATG7 in human health and disease</article-title>. <source>EMBO Mol Med</source>. (<year>2021</year>) <volume>13</volume>:<elocation-id>e14824</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.15252/emmm.202114824</pub-id>
</citation>
</ref>
<ref id="B12">
<label>12</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>C</given-names>
</name>
<name>
<surname>Tang</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>T</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>J</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>H</given-names>
</name>
<etal/>
</person-group>. <article-title>MiR-7-5p suppresses invasion via downregulation of the autophagy-related gene ATG7 and increases chemoresistance to cisplatin in BCa</article-title>. <source>Bioengineered</source>. (<year>2022</year>) <volume>13</volume>:<page-range>7328&#x2013;39</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/21655979.2022.2037323</pub-id>
</citation>
</ref>
<ref id="B13">
<label>13</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jiang</surname> <given-names>W</given-names>
</name>
<name>
<surname>Fang</surname> <given-names>C</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>L</given-names>
</name>
<name>
<surname>Yan</surname> <given-names>F</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>X</given-names>
</name>
</person-group>. <article-title>CD13 induces autophagy to promote hepatocellular carcinoma cell chemoresistance through the P38/Hsp27/CREB/ATG7 pathway</article-title>. <source>J Pharmacol Exp Ther</source>. (<year>2020</year>) <volume>374</volume>:<page-range>512&#x2013;20</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.1124/jpet.120.265637</pub-id>
</citation>
</ref>
<ref id="B14">
<label>14</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Szczepanek</surname> <given-names>J</given-names>
</name>
<name>
<surname>Skorupa</surname> <given-names>M</given-names>
</name>
<name>
<surname>Tretyn</surname> <given-names>A</given-names>
</name>
</person-group>. <article-title>MicroRNA as a potential therapeutic molecule in cancer</article-title>. <source>Cells</source>. (<year>2022</year>) <volume>11</volume>:<elocation-id>1008</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/cells11061008</pub-id>
</citation>
</ref>
<ref id="B15">
<label>15</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ali Syeda</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Langden</surname> <given-names>SSS</given-names>
</name>
<name>
<surname>Munkhzul</surname> <given-names>C</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>M</given-names>
</name>
<name>
<surname>Song</surname> <given-names>SJ</given-names>
</name>
</person-group>. <article-title>Regulatory mechanism of microRNA expression in cancer</article-title>. <source>Int J Mol Sci</source>. (<year>2020</year>) <volume>21</volume>:<elocation-id>1723</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ijms21051723</pub-id>
</citation>
</ref>
<ref id="B16">
<label>16</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wei</surname> <given-names>J</given-names>
</name>
<name>
<surname>Lu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>R</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>X</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>Q</given-names>
</name>
<name>
<surname>He</surname> <given-names>S</given-names>
</name>
<etal/>
</person-group>. <article-title>MicroRNA-375: potential cancer suppressor and therapeutic drug</article-title>. <source>Biosci Rep</source>. (<year>2021</year>) <volume>41</volume>:<elocation-id>BSR20211494</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1042/BSR20211494</pub-id>
</citation>
</ref>
<ref id="B17">
<label>17</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Morales-Mart&#xed;nez</surname> <given-names>M</given-names>
</name>
<name>
<surname>Vega</surname> <given-names>MI</given-names>
</name>
</person-group>. <article-title>Role of microRNA-7 (MiR-7) in cancer physiopathology</article-title>. <source>Int J Mol Sci</source>. (<year>2022</year>) <volume>23</volume>:<elocation-id>9091</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ijms23169091</pub-id>
</citation>
</ref>
<ref id="B18">
<label>18</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Tian</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Guan</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Su</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Luo</surname> <given-names>W</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>G</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>Y</given-names>
</name>
</person-group>. <article-title>MiR-582-5p inhibits bladder cancer-genesis by suppressing TTK expression</article-title>. <source>Cancer Manag Res</source>. (<year>2020</year>) <volume>12</volume>:<page-range>11933&#x2013;44</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.2147/CMAR.S274835</pub-id>
</citation>
</ref>
<ref id="B19">
<label>19</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Huang</surname> <given-names>L</given-names>
</name>
<name>
<surname>Dai</surname> <given-names>G</given-names>
</name>
</person-group>. <article-title>Long non-coding RNA DCST1-AS1/hsa-miR-582-5p/HMGB1 axis regulates colorectal cancer progression</article-title>. <source>Bioengineered</source>. (<year>2022</year>) <volume>13</volume>:<fpage>12</fpage>&#x2013;<lpage>26</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1080/21655979.2021.1976894</pub-id>
</citation>
</ref>
<ref id="B20">
<label>20</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ren</surname> <given-names>D</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Liao</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>S</given-names>
</name>
<name>
<surname>Zou</surname> <given-names>X</given-names>
</name>
<name>
<surname>Pan</surname> <given-names>J</given-names>
</name>
</person-group>. <article-title>miR-582-3p and miR-582-5p suppress prostate cancer metastasis to bone by repressing TGF-&#x3b2; Signaling</article-title>. <source>Mol Ther Nucleic Acids</source>. (<year>2019</year>) <volume>16</volume>:<fpage>91</fpage>&#x2013;<lpage>104</lpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.omtn.2019.01.004</pub-id>. C.</citation>
</ref>
<ref id="B21">
<label>21</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhu B</surname> <given-names>VM</given-names>
</name>
<name>
<surname>Finch-Edmondson</surname> <given-names>M</given-names>
</name>
<name>
<surname>Lee</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Wan</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Sudol</surname> <given-names>M</given-names>
</name>
<name>
<surname>DasGupta</surname> <given-names>R</given-names>
</name>
</person-group>. <article-title>miR-582-5p is a tumor suppressor microRNA targeting the hippo-YAP/TAZ signaling pathway in non-small cell lung cancer</article-title>. <source>Cancers (Basel)</source>. (<year>2021</year>) <volume>13</volume>:<elocation-id>756</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/cancers13040756</pub-id>
</citation>
</ref>
<ref id="B22">
<label>22</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yang</surname> <given-names>WJ</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>HP</given-names>
</name>
<name>
<surname>Yu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>JH</given-names>
</name>
<name>
<surname>Guo</surname> <given-names>L</given-names>
</name>
<name>
<surname>Liu</surname> <given-names>JY</given-names>
</name>
<etal/>
</person-group>. <article-title>Updates on global epidemiology, risk and prognostic factors of gastric cancer</article-title>. <source>World J Gastroenterol</source>. (<year>2023</year>) <volume>29</volume>:<page-range>2452&#x2013;68</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.3748/wjg.v29.i16.2452</pub-id>
</citation>
</ref>
<ref id="B23">
<label>23</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Salati</surname> <given-names>M</given-names>
</name>
<name>
<surname>Orsi</surname> <given-names>G</given-names>
</name>
<name>
<surname>Smyth</surname> <given-names>E</given-names>
</name>
<name>
<surname>Aprile</surname> <given-names>G</given-names>
</name>
<name>
<surname>Beretta</surname> <given-names>G</given-names>
</name>
<name>
<surname>De Vita</surname> <given-names>F</given-names>
</name>
<etal/>
</person-group>. <article-title>Gastric cancer: Translating novels concepts into clinical practice</article-title>. <source>Cancer Treat Rev</source>. (<year>2019</year>) <volume>79</volume>:<elocation-id>101889</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.ctrv.2019.101889</pub-id>
</citation>
</ref>
<ref id="B24">
<label>24</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname> <given-names>H</given-names>
</name>
</person-group>. <article-title>microRNA-based cancer diagnosis and therapy</article-title>. <source>Int J Mol Sci</source>. (<year>2023</year>) <volume>25</volume>:<elocation-id>230</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.3390/ijms25010230</pub-id>
</citation>
</ref>
<ref id="B25">
<label>25</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Budakoti</surname> <given-names>M</given-names>
</name>
<name>
<surname>Panwar</surname> <given-names>AS</given-names>
</name>
<name>
<surname>Molpa</surname> <given-names>D</given-names>
</name>
<name>
<surname>Singh</surname> <given-names>RK</given-names>
</name>
<name>
<surname>B&#xfc;sselberg</surname> <given-names>D</given-names>
</name>
<name>
<surname>Mishra</surname> <given-names>AP</given-names>
</name>
<etal/>
</person-group>. <article-title>Micro-RNA: The darkhorse of cancer</article-title>. <source>Cell Signal</source>. (<year>2021</year>) <volume>83</volume>:<elocation-id>109995</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1016/j.cellsig.2021.109995</pub-id>
</citation>
</ref>
<ref id="B26">
<label>26</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hu</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Su</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Lei</surname> <given-names>X</given-names>
</name>
<name>
<surname>Zhao</surname> <given-names>H</given-names>
</name>
<name>
<surname>Wang</surname> <given-names>L</given-names>
</name>
<name>
<surname>Xu</surname> <given-names>T</given-names>
</name>
<etal/>
</person-group>. <article-title>LINC00641/miR-582-5p mediate oxaliplatin resistance by activating autophagy in gastric adenocarcinoma</article-title>. <source>Sci Rep</source>. (<year>2020</year>) <volume>10</volume>:<fpage>14981</fpage>. doi:&#xa0;<pub-id pub-id-type="doi">10.1038/s41598-020-70913-2</pub-id>
</citation>
</ref>
<ref id="B27">
<label>27</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jin</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Tao</surname> <given-names>LP</given-names>
</name>
<name>
<surname>Yao</surname> <given-names>SC</given-names>
</name>
<name>
<surname>Huang</surname> <given-names>QK</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>ZF</given-names>
</name>
<name>
<surname>Sun</surname> <given-names>YJ</given-names>
</name>
<etal/>
</person-group>. <article-title>MicroRNA-582-5p suppressed gastric cancer cell proliferation via targeting AKT3</article-title>. <source>Eur Rev Med Pharmacol Sci</source>. (<year>2017</year>) <volume>21</volume>:<page-range>5112&#x2013;20</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.26355/eurrev_201711_13827</pub-id>
</citation>
</ref>
<ref id="B28">
<label>28</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Zhu</surname> <given-names>J</given-names>
</name>
<name>
<surname>Tian</surname> <given-names>Z</given-names>
</name>
<name>
<surname>Li</surname> <given-names>Y</given-names>
</name>
<name>
<surname>Hua</surname> <given-names>X</given-names>
</name>
<name>
<surname>Zhang</surname> <given-names>D</given-names>
</name>
<name>
<surname>Li</surname> <given-names>J</given-names>
</name>
<etal/>
</person-group>. <article-title>ATG7 Promotes Bladder Cancer Invasion via Autophagy-Mediated Increased ARHGDIB mRNA Stability</article-title>. <source>Adv Sci (Weinh)</source>. (<year>2019</year>) <volume>6</volume>:<elocation-id>1801927</elocation-id>. doi:&#xa0;<pub-id pub-id-type="doi">10.1002/advs.201801927</pub-id>
</citation>
</ref>
<ref id="B29">
<label>29</label>
<citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname> <given-names>H</given-names>
</name>
<name>
<surname>Guo</surname> <given-names>M</given-names>
</name>
<name>
<surname>Ding</surname> <given-names>D</given-names>
</name>
<name>
<surname>Yang</surname> <given-names>F</given-names>
</name>
<name>
<surname>Chen</surname> <given-names>Z</given-names>
</name>
</person-group>. <article-title>Long Non-Coding RNA NNT-AS1 Contributes to Cisplatin Resistance via miR-1236-3p/ATG7 Axis in Lung Cancer Cells</article-title>. <source>Onco Targets Ther</source>. (<year>2020</year>) <volume>13</volume>:<page-range>3641&#x2013;52</page-range>. doi:&#xa0;<pub-id pub-id-type="doi">10.2147/OTT.S237576</pub-id>
</citation>
</ref>
</ref-list>
</back>
</article>