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<front>
<journal-meta>
<journal-id journal-id-type="pmc">biocell</journal-id>
<journal-id journal-id-type="nlm-ta">biocell</journal-id>
<journal-id journal-id-type="publisher-id">biocell</journal-id>
<journal-title-group>
<journal-title>Biocell</journal-title>
</journal-title-group>
<issn pub-type="epub">1667-5746</issn><issn pub-type="ppub">0327-9545</issn>
<publisher>
<publisher-name>Tech Science Press</publisher-name>
<publisher-loc>USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">13612</article-id>
<article-id pub-id-type="doi">10.32604/biocell.2021.013612</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>RPA3 is transcriptionally activated by YY1 and its depletion enhances radiosensitivity of triple-negative and HER2-positive breast cancer</article-title><alt-title alt-title-type="left-running-head">RPA3 is transcriptionally activated by YY1 and its depletion enhances radiosensitivity of triple-negative and HER2-positive breast cancer</alt-title><alt-title alt-title-type="right-running-head">RPA3 is transcriptionally activated by YY1 and its depletion enhances radiosensitivity of triple-negative and HER2-positive breast cancer</alt-title>
</title-group>
<contrib-group content-type="authors">
<contrib id="author-1" contrib-type="author">
<name name-style="western">
<surname>Li</surname>
<given-names>Yanfei</given-names>
</name>
<xref ref-type="aff" rid="aff-1">1</xref>
</contrib>
<contrib id="author-2" contrib-type="author">
<name name-style="western">
<surname>Dai</surname>
<given-names>Lulu</given-names>
</name>
<xref ref-type="aff" rid="aff-2">2</xref>
</contrib>
<contrib id="author-3" contrib-type="author">
<name name-style="western">
<surname>Cai</surname>
<given-names>Ke</given-names>
</name>
<xref ref-type="aff" rid="aff-2">2</xref>
</contrib>
<contrib id="author-4" contrib-type="author">
<name name-style="western">
<surname>Song</surname>
<given-names>Yingkui</given-names>
</name>
<xref ref-type="aff" rid="aff-2">2</xref>
</contrib>
<contrib id="author-5" contrib-type="author" corresp="yes">
<name name-style="western">
<surname>Liu</surname>
<given-names>Xiqing</given-names>
</name>
<xref ref-type="aff" rid="aff-3">3</xref>
<email>lxqsjrlfs2008@163.com</email>
</contrib>
<aff id="aff-1">
<label>1</label><institution>Clinical Laboratory, Laiyang Central Hospital of Yantai</institution>, <addr-line>Laiyang, 265200</addr-line>, <country>China</country></aff>
<aff id="aff-2">
<label>2</label><institution>Department of General Surgery, The Eighth People&#x2019;s Hospital of Qindao</institution>, <addr-line>Qingdao, 266000</addr-line>, <country>China</country></aff>
<aff id="aff-3">
<label>3</label><institution>Hepatobiliary Surgery, Anqiu People&#x2019;s Hospital</institution>, <addr-line>Anqiu, 262100</addr-line>, <country>China</country></aff>
</contrib-group><author-notes><corresp id="cor1">&#x002A;Address correspondence to: Xiqing Liu, <email>lxqsjrlfs2008@163.com</email></corresp></author-notes>
<pub-date pub-type="epub" date-type="pub" iso-8601-date="2021-02-27">
<day>27</day>
<month>2</month>
<year>2021</year>
</pub-date>
<volume>45</volume>
<issue>3</issue>
<fpage>685</fpage>
<lpage>694</lpage>
<history>
<date date-type="received">
<day>13</day>
<month>8</month>
<year>2020</year>
</date>
<date date-type="accepted">
<day>03</day>
<month>12</month>
<year>2020</year>
</date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2021 Li et al.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Li et al.</copyright-holder>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This work is licensed under a <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:href="TSP_BIOCELL_13612.pdf"></self-uri>
<abstract>
<p>RPA3 (Replication Protein A3) (14 kD) is a part of the canonical heterotrimeric replication protein A complex (RPA/RP-A). This study aimed to explore the functional role of RPA3 and the mechanisms of its dysregulation in breast cancer. Data from the Cancer Genome Atlas (TCGA)-breast cancer patients and GSE75688 were utilized for gene expression and survival analysis. Breast cancer cell lines MDA-MB-231 and SK-BR-3 were used for in-vitro cell studies. Clonogenic assay and immunofluorescent staining of &#x03B3;-H2AX were performed to examine radiation-induced cytotoxicity. Systemic correlation analysis was performed to identify potential transcription factors (TFs) regulating RPA3 expression. ChIP-qPCR and dual-luciferase assay were conducted to verify the transcriptional activating effect of YY1 on RPA3 expression. Bioinformatic analysis showed that RPA3 expression was upregulated in breast cancer. Its upregulation was associated with poor survival of basal-like and HER2&#x002B; cases. RPA3 inhibition by siRNA reduced colony formation and increased &#x03B3;-H2AX foci formation after irradiation in MDA-MB-231 and SK-BR-3 cells. RPA3 expression was transcriptionally activated by YY1 via promoter binding in the two cell lines. Both RPA3 and YY1 expression were positively correlated with their gene-level copy numbers. RPA3 might serve as a potential target for radio-sensitization in basal-like and HER2&#x002B; breast cancer.</p>
</abstract>
<kwd-group kwd-group-type="author">
<kwd>RPA3</kwd>
<kwd>YY1</kwd>
<kwd>Breast cancer</kwd>
<kwd>Radiotherapy</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Breast cancer is a group of heterogeneous diseases with distinct genetic features, epigenetic alterations, pathobiological behaviors, responses to therapy, and clinical prognosis (<xref ref-type="bibr" rid="ref-4">Chung <italic>et al</italic>., 2017</xref>; <xref ref-type="bibr" rid="ref-30">Vlashi <italic>et al</italic>., 2014</xref>). The 50-gene qPCR assay (PAM50) revealed that breast cancers can be classified into five molecular groups, namely luminal A, luminal B, human epidermal growth factor receptor 2 (HER2)-positive (HER2<sup>&#x002B;</sup>), basal-like, and normal-like (<xref ref-type="bibr" rid="ref-23">Nielsen <italic>et al</italic>., 2014</xref>). Although the molecular subtyping provided valuable information for chemotherapy, endocrine therapy and targeted therapy, the value of PAM50 subtypes in radiotherapy has not been well-characterized in clinical practice (<xref ref-type="bibr" rid="ref-12">He <italic>et al</italic>., 2018</xref>). Currently, radiotherapy is still an important tool with multiple utilizations in breast cancer therapy, including radiation after breast-conserving surgery; prophylactic irradiation for high-risk patients after mastectomy; radiation for advanced cancers when surgery is not feasible; radiation for local recurrence, and palliative radiotherapy for distant metastases (<xref ref-type="bibr" rid="ref-12">He <italic>et al</italic>., 2018</xref>). However, some patients may not benefit from this treatment due to individual variations in radiosensitivity (<xref ref-type="bibr" rid="ref-14">Langlands <italic>et al</italic>., 2013</xref>). Therefore, it is necessary to understand the mechanisms leading to chemoresistance for the future development of radio-sensitizers.</p>
<p>RPA3 (Replication Protein A3) (14 kD) is one of the components of the canonical heterotrimeric replication protein A complex (RPA/RP-A), together with RPA1 (70 kD) and RPA2 (32kD) (<xref ref-type="bibr" rid="ref-15">Lin <italic>et al</italic>., 1998</xref>). This complex binds to and stabilizes single-stranded DNA (ssDNA) intermediates during DNA replication or in response to DNA damage. It also recruits and activates a series of protein complexes for homologous recombination (HR) repair, such as ataxia-telangiectasia mutated- and Rad3-related interacting protein (ATRIP) (<xref ref-type="bibr" rid="ref-21">Marechal <italic>et al</italic>., 2014</xref>; <xref ref-type="bibr" rid="ref-36">Zou and Elledge, 2003</xref>), DNA repair protein RAD51 and RAD52 (<xref ref-type="bibr" rid="ref-1">Aboussekhra <italic>et al</italic>., 1995</xref>) and HepA-related protein (HARP) (<xref ref-type="bibr" rid="ref-35">Yusufzai <italic>et al</italic>., 2009</xref>). DNA repair capability of tumor cells is negatively correlated with their radiosensitivity (<xref ref-type="bibr" rid="ref-8">Glanzer <italic>et al</italic>., 2014</xref>). Targeting HR repair has been considered a strategy for chemo/radiotherapy sensitization (<xref ref-type="bibr" rid="ref-24">Peng <italic>et al</italic>., 2014</xref>). Aberrant <italic>RPA3</italic> expression was observed in gastric cancer, hepatocellular carcinoma, nasopharyngeal carcinoma, and also might serve as a prognostic biomarker (<xref ref-type="bibr" rid="ref-5">Dai <italic>et al</italic>., 2017</xref>; <xref ref-type="bibr" rid="ref-26">Qu <italic>et al</italic>., 2017</xref>; <xref ref-type="bibr" rid="ref-32">Xiao <italic>et al</italic>., 2018</xref>). Inhibiting <italic>RPA3</italic> expression can enhance the radiosensitivity of hepatocellular carcinoma (<xref ref-type="bibr" rid="ref-19">Luo <italic>et al</italic>., 2019</xref>) and nasopharyngeal carcinoma (<xref ref-type="bibr" rid="ref-26">Qu <italic>et al</italic>., 2017</xref>). However, the expression profile of <italic>RPA3</italic> and its functional role in the radiosensitivity of breast cancer have not been identified yet.</p>
<p>In this study, we aimed to explore the expression profiles of <italic>RPA3</italic> and its prognostic value in breast cancer. Then, we studied its functional role in regulating the radiosensitivity of basal-like and HER2<sup>&#x002B;</sup> breast tumor cells. Systemic screening of transcription factors identified YY1 as a high potential regulator of <italic>RPA3</italic> expression. YY1 has been characterized as an important TF upregulated in breast cancer and regulates the malignant transformation of breast cancer (<xref ref-type="bibr" rid="ref-18">Lu <italic>et al</italic>., 2019</xref>). Therefore, we further explored whether YY1 regulates <italic>RPA3</italic> transcription.</p>
</sec>
<sec id="s2">
<title>Materials and Methods</title>
<sec id="s2_1">
<title>Data extraction from Genotype-Tissue Expression (GTEx) and The Cancer Genome Atlas-Breast Cancer (TCGA-BRCA)</title>
<p>The RNA-seq data from normal mammary tissues were acquired from the GTEx (<xref ref-type="bibr" rid="ref-3">Consortium, 2013</xref>), while RNA-seq data from breast cancer and adjacent (adj.) normal tissues were obtained from TCGA-BRCA. Data acquisition was performed using the UCSC Xena (<uri xlink:href="http://xena.ucsc.edu/">http://xena.ucsc.edu/</uri>) (<xref ref-type="bibr" rid="ref-9">Goldman <italic>et al</italic>., 2020</xref>). PAM50 subtypes (determined by RNA-seq data), tumor gene-level copy number alterations (CNAs, delete germline copy number variation), survival data, including progression-free survival (PFS), and disease-specific survival (DSS), were also extracted.</p>
</sec>
<sec id="s2_2">
<title>Survival analysis using Kaplan-Meier Plotter</title>
<p>Kaplan-Meier Plotter (<uri xlink:href="http://kmplot.com">http://kmplot.com</uri>) was used to check recurrence-free survival (RFS) data integrated from microarray data of 1809 breast cancer patients (<xref ref-type="bibr" rid="ref-11">Gyorffy <italic>et al</italic>., 2010</xref>). Kaplan-Meier survival curves were generated by the median or optimal cutoff of <italic>RPA3</italic> expression.</p>
</sec>
<sec id="s2_3">
<title>Single-cell transcriptional data and functional states in breast cancer cells</title>
<p>The association between <italic>RPA3</italic> expression and the functional states of breast cancer cells at the single-cell level was assessed using the CancerSEA platform (<uri xlink:href="http://biocc.hrbmu.edu.cn/CancerSEA/home.jsp">http://biocc.hrbmu.edu.cn/CancerSEA/home.jsp</uri>), which provides an analytic strategy to determine the correlation between gene expression and 14 functional states of cancer cells (<xref ref-type="bibr" rid="ref-34">Yuan <italic>et al</italic>., 2019</xref>). These states were estimated according to the gene-expression profile at the single-cell level, using the signatures from Gene Ontology, MSigDB, Cyclebase, HCMDB and StemMapper. The state activity scores were calculated using the Gene Set Variation Analysis (GSVA) (<xref ref-type="bibr" rid="ref-34">Yuan <italic>et al</italic>., 2019</xref>). The tumor cell data from basal-like (N &#x003D; 130) and HER2<sup>&#x002B;</sup> (N &#x003D; 89) cases in one previous single-cell RNA-seq dataset (GSE75688) (<xref ref-type="bibr" rid="ref-4">Chung <italic>et al</italic>., 2017</xref>) were retrieved for analysis.</p>
</sec>
<sec id="s2_4">
<title>Transcription factor (TF) data retrieved from JASPAR</title>
<p>TF gene list was collected from the JASPAR database (<uri xlink:href="http://jaspar.genereg.net/">http://jaspar.genereg.net/</uri>) (<xref ref-type="bibr" rid="ref-28">Stormo, 2013</xref>). The promoter segment of <italic>RPA3</italic> was acquired by checking the promoter clone of human <italic>RPA3</italic> (#HPRM44615, Genome &#x003D; hg38; chr7-:7719949-7718330; TSS &#x003D; 7718607) in Genecopoeia. The promoter segment was scanned in JASPAR to identify potential YY1 binding sites by setting the relative profile score threshold to 90%.</p>
</sec>
<sec id="s2_5">
<title>Cell culture and treatment</title>
<p>Basal-like representative MDA-MB-231 and HER2<sup>&#x002B;</sup> representative SK-BR-3 human breast cancer cell lines were purchased from the Cell Resource Center, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences (Beijing, China). These two cell lines were maintained in Dulbecco&#x2019;s modified eagle medium (DMEM) (Lonza, Walkersville, MD, USA) at 37&#x00B0;C in a 90% humidified incubator, with 5% CO<sub>2</sub>.</p>
</sec>
<sec id="s2_6">
<title>Gene knockdown</title>
<p>Small interfering RNA (siRNA) and scramble controls were synthesized by General Biosystem (Chuzhou, Anhui, China), with the following sequences: <italic>RPA3</italic> siRNA (#1, 5&#x2019;-CCGGCAUGCUAGCUCAAUUTT-3&#x2019;; #2, 5&#x2019;-GCAUGCUAGCUCAAUUCAUTT-3&#x2019;, #3, 5&#x2019;-GCCACCAUCUUGUGUACAUTT-3&#x2019;) and scramble: 5&#x2019;-GCUAUGCUCGCAUAUCACUTT-3&#x2019;; <italic>YY1</italic> siRNA (#1, 5&#x2019;-CCAAACAACUGGCAGAAUUTT-3&#x2019;; #2, 5&#x2019;-GCUCCAAGAACAAUAGCUUTT-3&#x2019;, #3, 5&#x2019;-CCCAAACAACUGGCAGAAUTT-3&#x2019;) and scramble: 5&#x2019;-CACACGACUGACAAGCAUATT-3&#x2019;. Traditional forward transfection was conducted. Briefly, cells were seeded into a six-well plate at a density of 1 &#x00D7; 10<sup>6</sup> cells per well for 24 h at 37&#x00B0;C. Then, the cells were transfected with the siRNAs (50 nM), using Lipofectamine 2000 (Thermo Fisher Scientific, Waltham, MA, USA) according to the manufacturer&#x2019;s instructions.</p>
</sec>
<sec id="s2_7">
<title>Real-time quantitative RT-PCR (RT-qPCR)</title>
<p>Total RNA was extracted from cells using the High Pure RNA Isolation Kit (Roche Applied Science, Mannheim, Germany). Then, total RNA was reversely transcribed into cDNA using the first-strand cDNA synthesis kit (Roche Applied Science) according to the manufacturer&#x2019;s instructions. Real-time qPCR was then performed as described previously (<xref ref-type="bibr" rid="ref-29">Tuo <italic>et al</italic>., 2015</xref>). The sense and antisense primers for gene amplification were: <italic>RPA3</italic>, 5&#x2019;-AAGCCTGTCTGCTTCGTAGGGA-3&#x2019; and 5&#x2019;-CGGTTACTCTTCCAACCACTTCC-3&#x2019;, <italic>YY1</italic>, 5&#x2019;-GGAGGAATACCTGGCATTGACC-3&#x2019; and 5&#x2019;-CCCTGAACATCTTTGTGCAGCC-3&#x2019;. The relative expression level of mRNA was evaluated by using the 2<sup>&#x2212;&#x0394;&#x0394;Ct</sup> method. Gene expression levels were normalized to <italic>ACTB</italic>.</p>
</sec>
<sec id="s2_8">
<title>Western blotting analysis</title>
<p>Total proteins were extracted using RIPA lysis buffer (Beyotime, China) with protease inhibitors cocktail (Roche Diagnostics, Basel, Switzerland). Then, equal amounts of protein lysates were run on 10% SDS-PAGE, and the separated bands were transferred to polyvinylidene fluoride membrane (PVDF; EMD Millipore, Billerica, MA, USA). The membranes were blocked with 5% non-fat dried milk for 1 h at room temperature, and then were incubated with primary antibodies against RPA3 (1:1000, ab97436, Abcam, Cambridge, MA, USA), YY1 (1:5000, ab245365, Abcam), &#x03B3;-H2AX (1:5000, ab11174, Abcam) and &#x03B2;-Actin (1:5000, ab179467, Abcam) overnight at 4&#x00B0;C, followed by incubation with horseradish peroxidase (HRP)-conjugated secondary antibody for 1 h at room temperature. The protein bands were visualized using ECL detection reagent (Millipore, Billerica, MA, USA).</p>
</sec>
<sec id="s2_9">
<title>Clonogenic assay</title>
<p>Clonogenic survival assay was conducted following one previous protocol (<xref ref-type="bibr" rid="ref-7">Franken <italic>et al</italic>., 2006</xref>). Cells transfected with RPA3 siRNA or scrambled control were seeded into 6-well plates. After adhesion, they were irradiated at defined doses (0, 2, 4, 6, or 8 Gy), using a Rad Source R2000 X-ray irradiator (1.1 Gy/min., 160 kV, 25 mA, 0.3 mm copper filters, Rad Source Tech, Suwanee, GA, USA). After 7&#x2013;14 days of incubation, the cultures were fixed with 100% methanol and then stained with 1% crystal violet. Colonies containing &#x003E;50 cells were counted by microscopic inspection. The plating efficiency (PE) of un-irradiated cells (0 Gy) was calculated by the formula: PE &#x003D; number of colonies counted/number of cells plated. The surviving fraction (SF) of the irradiated cells was calculated using the formula: SF &#x003D; number of colonies formed after treatment/number of cells seeded &#x00D7; PE. A linear-quadratic model was utilized to generate survival curves using the following equation (<xref ref-type="bibr" rid="ref-2">Bodgi and Foray, 2016</xref>): <italic>Y</italic> &#x003D; <italic>e</italic><sup>(&#x2212;1</sup> <sup>&#x00D7;</sup> <sup>(A&#x00D7;<italic>X</italic>&#x002B;B&#x00D7;<italic>X</italic>2))</sup>, in which <italic>Y</italic> is the fraction survival, and <italic>X</italic> is the dose. A equals (&#x2212;1)-times the initial slope, and the initial value of B equals (&#x2212;0.1)-times the initial slope.</p>
</sec>
<sec id="s2_10">
<title>Immunofluorescence assay</title>
<p>MDA-MB-231 and SK-BR-3 cells with or without inhibition of endogenous <italic>RPA3</italic> were seeded in 24-well plates and exposed to 6 Gy of irradiation. 24 h later, the cells were fixed in 4% paraformaldehyde, permeabilized in 0.1% Triton X-100 and blocked using 10% goat serum. Then, the cells were incubated with the primary antibody against &#x03B3;-H2AX (ab11174, Abcam). After that, the cells were incubated with a secondary antibody conjugated to fluorescein isothiocyanate. DAPI was used for nuclear staining. &#x03B3;-H2AX foci were visualized under a fluorescence microscope (Olympus IX71, Tokyo, Japan). Five random fields were examined to estimate the number of foci per cell for each coverslip.</p>
</sec>
<sec id="s2_11">
<title>Chromatin immunoprecipitation (ChIP)-qPCR</title>
<p>ChIP was performed using the Chromatin Immunoprecipitation Kit (17-295, Merck Millipore, Boston, MA, USA) according to the recommended protocol. Briefly, formaldehyde was used to cross-link the proteins to the DNA. The lysates of MDA-MB-231 and SK-BR-3 cells were sonicated to shear DNA to an average fragment size of 200&#x2013;1000 bp. Then, samples were pre-cleaned with Protein A Agarose/Salmon Sperm DNA (50% Slurry) (Catalog #16-157C) and subsequently incubated with anti-YY1 (ab245365, Abcam) or IgG antibodies overnight at 4&#x00B0;C with rotation. Immunoprecipitated DNA was collected by adding the previously mentioned Protein A beads. Then, the samples were washed, and DNA levels were measured by qPCR. Three primer sets were designed (<xref ref-type="table" rid="table-1">Tab. 1</xref>), among which two sets covered potential YY1 binding sites (&#x2212;998 &#x007E; &#x2212;882/&#x2212;884 &#x007E; &#x2212;808) (primer set 1 and 2, <xref ref-type="table" rid="table-1">Tab. 1</xref>) and one set of primers not covering YY1 binding site (&#x2212;22 &#x007E; &#x002B;73) (set 3, <xref ref-type="table" rid="table-1">Tab. 1</xref>).</p>

<table-wrap id="table-1">
<label>Table 1</label>
<caption>
<title>Primers for ChIP-qPCR assay</title>
</caption>
<table>
<colgroup>
<col/>
<col/>
<col/>
<col/>
<col/>
</colgroup>
<thead>
<tr>
<th>Primer set</th>
<th>Type</th>
<th>Sequence</th>
<th>Start</th>
<th>Amplicon length</th>
</tr>
</thead>
<tbody>
<tr>
<td>Set 1</td>
<td>Forward Primer</td>
<td>CCTAGCATCATCAGATCCACAG</td>
<td>&#x2212;22</td>
<td rowspan="2">96</td>
</tr>
<tr>
<td>Set 1</td>
<td>Reverse Primer</td>
<td>ATGTGTGTTGTCCTCCTTCTC</td>
<td>73</td>
</tr>
<tr>
<td>Set 2</td>
<td>Forward Primer</td>
<td>GCTCAGAGGCAAGTTGAAGA</td>
<td>&#x2212;884</td>
<td rowspan="2">77</td>
</tr>
<tr>
<td>Set 2</td>
<td>Reverse Primer</td>
<td>CAAGCCCACATGAGAGTGTAG</td>
<td>&#x2212;808</td>
</tr>
<tr>
<td>Set 3</td>
<td>Forward Primer</td>
<td>GAAATCCCTTGTGAGACTCTACTG</td>
<td>&#x2212;966</td>
<td rowspan="2">85</td>
</tr>
<tr>
<td>Set 3</td>
<td>Reverse Primer</td>
<td>AGCAGGTGATGGTGATGATG</td>
<td>&#x2212;882</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2_12">
<title>Dual-luciferase assay</title>
<p>Full length and truncated 5&#x2019; flanking sequences of <italic>RPA3</italic> promoter, including &#x2212;900/&#x002B;277, &#x2212;800/&#x002B;277, and &#x2212;150/&#x002B;277, were cloned into the pGL3-basic plasmid (Promega, Madison, WI, USA). MDA-MB-231 cells were seeded in 24-well plates (2 &#x00D7; 10<sup>5</sup> cells per well). 24 h later, the cells were transfected with either 1 &#x03BC;g recombinant vectors with different fragments of <italic>RPA3</italic> promoter together with 50 nM YY1 siRNA or scramble control, using Lipofectamine 2000 (Invitrogen). 0.05 &#x03BC;g of the pRL-CMV vector was co-transfected to normalize the transfection efficiency. 24 h later, the cells were lysed for measuring luciferase activity, using a dual-specific luciferase assay kit (#E1910, Promega).</p>
</sec>
<sec id="s2_13">
<title>Statistical analysis</title>
<p>Welch&#x2019;s unequal variances <italic>t</italic>-test was performed for two-group comparison. A Log-rank test was performed for comparing Kaplan-Meier survival curves. Pearson&#x2019;s correlation <italic>r</italic> was calculated for correlation assessment. <italic>p</italic> &#x003C; 0.05 was considered statistically significant.</p>
</sec>
</sec>
<sec id="s3">
<title>Results</title>
<sec id="s3_1">
<title>In silico analysis of RPA3 expression profile and prognostic value in breast cancer</title>
<p>RNA-seq data from GTEx-normal mammary tissue and TCGA-BRCA showed that normal mammary tissue owned the lowest <italic>RPA3</italic> expression (<xref ref-type="fig" rid="fig-1">Fig. 1A</xref>). Tumor adj. normal and all PAM50 subtypes of breast tumors presented elevated <italic>RPA3</italic> expression (<xref ref-type="fig" rid="fig-1">Fig. 1A</xref>). IHC staining in the HPA confirmed RPA3 expression at the protein level in breast cancer tissues (<xref ref-type="fig" rid="fig-1">Fig. 1B</xref>). Then, we assessed the survival difference between patients with high (top 50%) and low (bottom 50%) <italic>RPA3</italic> expression in luminal A, luminal B, HER2<sup>&#x002B;</sup>, and basal-like subgroups, respectively, using survival data from TCGA-BRCA. The log-rank test indicated that in patients with HER2<sup>&#x002B;</sup> tumors, the high <italic>RPA3</italic> expression group had significantly worse PFS and DSS (<italic>p</italic> &#x003C; 0.05, <xref ref-type="fig" rid="fig-1">Figs. 1E</xref> and <xref ref-type="fig" rid="fig-1">1I</xref>). The high <italic>RPA3</italic> expression basal-like tumor group was also associated with significantly shorter PFS (<italic>p</italic> &#x003D; 0.024) and tended to have worse DSS (<italic>p</italic> &#x003D; 0.057) (<xref ref-type="fig" rid="fig-1">Figs. 1F</xref> and <xref ref-type="fig" rid="fig-1">1J</xref>). However, no survival difference was observed in luminal A and B cases by median <italic>RPA3</italic> stratification (<xref ref-type="fig" rid="fig-1">Figs. 1C</xref>, <xref ref-type="fig" rid="fig-1">1D</xref>, <xref ref-type="fig" rid="fig-1">1G</xref> and <xref ref-type="fig" rid="fig-1">1H</xref>).</p>
<p>To validate the survival difference, we also checked survival data in the Kaplan-Meier Plotter. Under both median and optimal <italic>RPA3</italic> expression cutoff models, high <italic>RPA3</italic> expression HER2<sup>&#x002B;</sup> cases had significantly worse RFS (<xref ref-type="fig" rid="fig-5">Suppl. Figs. 1A</xref> and <xref ref-type="fig" rid="fig-5">1B</xref>). In basal-like cases, high <italic>RPA3</italic> expression-associated worse RFS was confirmed under the optimal cutoff model (<xref ref-type="fig" rid="fig-5">Suppl. Fig. 1D</xref>), but not in the median expression model (<xref ref-type="fig" rid="fig-5">Suppl. Fig. 1C</xref>).</p>
<fig id="fig-1">
<label>Figure 1</label>
<caption>
<title>High <italic>RPA3</italic> expression was associated with poor survival of basal-like and HER2<sup>&#x002B;</sup> breast cancer.</title>
<p><bold>(A)</bold> Comparison of RPA3 expression in normal mammary tissue in GTEx (N &#x003D; 179), breast cancer adj. normal tissues (N &#x003D; 113) and the four major PAM50 subtypes in TCGA-BRCA. <bold>(B)</bold> IHC staining of RPA3 expression in breast cancer tissues. Image credit: Human Protein Atlas, from: <uri xlink:href="https://www.proteinatlas.org/ENSG00000106399-RPA3/pathology/breast+cancer#img">https://www.proteinatlas.org/ENSG00000106399-RPA3/pathology/breast&#x002B;cancer#img</uri>. <bold>(C&#x2013;J)</bold> Kaplan-Meier survival analysis of PFS (C&#x2013;F) and DSS (G&#x2013;J) in patients with luminal A (C and G), luminal B (D and H), HER2<sup>&#x002B;</sup> (E and I) and basal-like (F&#x2013;J) tumors in TCGA-BRCA. Patients were grouped by median <italic>RPA3</italic> expression. &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001, compared to GTE-normal mammary tissue group; <sup>###</sup><italic>p</italic> &#x003C; 0.001, compared to tumor adj. normal group.</p>
</caption>
<graphic mimetype="image" mime-subtype="png" xlink:href="fig-1.png"/>
</fig>
</sec>
<sec id="s3_2">
<title>In silico analysis of the correlation between RPA3 expression and functional states of basal-like and HER2<sup>&#x002B;</sup> tumor cells</title>
<p>Using cellular functional states assessed by the CancerSea, we analyzed the correlation between <italic>RPA3</italic> expression and 14 functional states of basal-like (N &#x003D; 89) and HER2<sup>&#x002B;</sup> tumor cells (N &#x003D; 130) in GSE75688. Correlation analysis indicated that <italic>RPA3</italic> expression was positively correlated with cell cycle progression, DNA damage, and DNA repair in both basal-like and HER2<sup>&#x002B;</sup> tumor cells (Pearson&#x2019;s r &#x2265; 0.2, <xref ref-type="fig" rid="fig-2">Fig. 2A</xref>).</p>
</sec>
<sec id="s3_3">
<title>RPA3 inhibition increased the radiosensitivity of basal-like and HER2<sup>&#x002B;</sup> breast cancer cells</title>
<p>MDA-MB-231 and SK-BR-3 cells were transfected with <italic>RPA3</italic> siRNA (<xref ref-type="fig" rid="fig-2">Figs. 2B</xref> and <xref ref-type="fig" rid="fig-2">2C</xref>). Compared with the scramble group, the survival fractions of siRPA3 transfected MDA-MB-231 (<xref ref-type="fig" rid="fig-2">Fig. 2D</xref>) and SK-BR-3 (<xref ref-type="fig" rid="fig-2">Fig. 2E</xref>) cells were dramatically decreased after irradiation. Besides, siRPA3 treatment also increased the number of &#x03B3;-H2AX foci (<xref ref-type="fig" rid="fig-2">Figs. 2F</xref>&#x2013;<xref ref-type="fig" rid="fig-2">2H</xref>) and &#x03B3;-H2AX expression 24 h after irradiation in both MDA-MB-231 and SK-BR-3 cells (<xref ref-type="fig" rid="fig-2">Figs. 2I</xref> and <xref ref-type="fig" rid="fig-2">2J</xref>). These results suggested that <italic>RPA3</italic> inhibition enhanced the radiosensitivity of basal-like and HER2<sup>&#x002B;</sup> breast cancer cells.</p>
<fig id="fig-2">
<label>Figure 2</label>
<caption>
<title><italic>RPA3</italic> inhibition increased radiosensitivity of basal-like and HER2<sup>&#x002B;</sup> breast cancer cells.</title>
<p><bold>(A)</bold> Heatmap (left) and summary table (right) showing the correlation between <italic>RPA3</italic> expression and 14 cellular states in basal-like and HER2<sup>&#x002B;</sup> subtypes. The states with |Pearson&#x2019;s r| &#x2265; 0.2 with <italic>RPA3</italic> expression in both subtypes were highlighted in bold font. <bold>(B&#x2013;C)</bold> RT-qPCR (B) and western blot (C) analysis of <italic>RPA3</italic> expression in MDA-MB-231 and SK-BR-3 cells 48 h after transfection of 50 nM siRPA3. <bold>(D&#x2013;E)</bold> Colony formation assay was performed to detect survival fraction in transfected MDA-MB-231 (D) and SK-BR-3 (E) cells with indicated doses of irradiation (0, 2, 4, 6, or 8 Gy). <bold>(F&#x2013;H)</bold> Representative image (F) and quantitation (G&#x2013;H) of &#x03B3;-H2AX foci formation assay in transfected MDA-MB-231 (F&#x2013;G) and SK-BR-3 (H) cells with 6 Gy irradiation. <bold>(I&#x2013;J)</bold> Western blotting analysis of &#x03B3;-H2AX expression in MDA-MB-231 (I) and SK-BR-3 (J) cells transfected with siRPA3#1, at the indicated time points after 6 Gy irradiation.</p>
</caption>
<graphic mimetype="image" mime-subtype="png" xlink:href="fig-2.png"/>
</fig>
</sec>
<sec id="s3_4">
<title>RPA3 expression was transcriptionally activated by YY1 in basal-like and HER2<sup>&#x002B;</sup> breast cancer cells</title>
<p>To explore the mechanisms underlying <italic>RPA3</italic> dysregulation, we assessed the correlation between the expression of transcriptional factors (TFs) in the JASPAR database (N &#x003D; 669) and <italic>RPA3</italic> in basal-like and HER2<sup>&#x002B;</sup> tumors, respectively (<xref ref-type="fig" rid="fig-3">Fig. 3A</xref>). Correlation analysis (<xref ref-type="table" rid="table-2">Suppl. Tab. 1</xref>) indicated that among the 669 TFs, only <italic>YY1</italic> was moderately and positively correlated (|Pearson&#x2019;s r| &#x2265; 0.4) with <italic>RPA3</italic> expression in both basal-like and HER2<sup>&#x002B;</sup> tumor tissue (<xref ref-type="table" rid="table-2">Suppl. Tab. 1</xref>, <xref ref-type="fig" rid="fig-3">Figs. 3B</xref> and <xref ref-type="fig" rid="fig-3">3C</xref>). Via scanning the promoter sequence of <italic>RPA3</italic>, we found five high potential YY1 binding sites (<xref ref-type="fig" rid="fig-3">Fig. 3D</xref>). YY1 depletion in MDA-MB-231 and SK-BR-3 cells resulted in significantly decreased <italic>RPA3</italic> expression at the mRNA and protein levels (<xref ref-type="fig" rid="fig-3">Figs. 3E</xref>&#x2013;<xref ref-type="fig" rid="fig-3">3G</xref>). Concerning CHIP-qPCR findings, the two amplicons covering YY1 binding sites, but not of the amplicon without YY1 bind site, were significantly enriched upon anti-YY1 immunoprecipitation in both breast cancer cells (<xref ref-type="fig" rid="fig-3">Figs. 3H</xref>&#x2013;<xref ref-type="fig" rid="fig-3">3I</xref>). Dual-luciferase reporter assay showed that the luciferase construct with the integrated promoter sequence had the strongest luciferase activity (<xref ref-type="fig" rid="fig-3">Fig. 3J</xref>). Truncating the binding sites significantly reduced the luciferase activity (<xref ref-type="fig" rid="fig-3">Fig. 3J</xref>). YY1 inhibition also substantially decreased the intensity of luciferase expression (<xref ref-type="fig" rid="fig-3">Fig. 3J</xref>).</p>
<fig id="fig-3">
<label>Figure 3</label>
<caption>
<title><italic>RPA3</italic> expression is transcriptionally activated by YY1 in basal-like and HER2<sup>&#x002B;</sup> breast cancer cells.</title>
<p><bold>(A)</bold> A Heatmap showing the correlation between <italic>RPA3</italic> expression and TFs in JASPAR database in basal-like and HER2<sup>&#x002B;</sup> subtypes in TCGA. Correlation analysis was conducted to identify the TFs with moderate correlation with RPA3 expression in both subtypes. <bold>(B&#x2013;C)</bold> Plot charts showing the correlation between <italic>RPA3</italic> and <italic>YY1</italic> expression in basal-like (B) and HER2<sup>&#x002B;</sup> (C) subtypes, respectively. <bold>(D)</bold> Predicted binding sites of YY1 in the promoter region of <italic>RPA3</italic>. <bold>(E&#x2013;G)</bold> RT-qPCR (E&#x2013;F) and western blot (G) analysis of <italic>YY1</italic> and <italic>RPA3</italic> expression in MDA-MB-231 and SK-BR-3 cells 48 h after transfection of 50 nM siYY1. <bold>(H&#x2013;I)</bold> ChIP-qPCR assays were performed using anti-YY1 and control IgG antibodies in MDA-MB-231 (H) and SK-BR-3 (I) cells. Fold enrichment of the amplicons in the <italic>RPA3</italic> promoter was calculated. <bold>(J)</bold> MDA-MB-231 cells were transfected with different length of reporter constructs, including pGL3-(&#x2212;1342/&#x002B;277), pGL3-(&#x2212;900/&#x002B;277) (D), and pGL3-(&#x2212;150/&#x002B;277), in combination with siYY1#2 or scramble control. 48 h later, luciferase activity was determined.</p>
</caption>
<graphic mimetype="image" mime-subtype="png" xlink:href="fig-3.png"/>
</fig>
</sec>
<sec id="s3_5">
<title>In silico analysis of RPA3 and YY1 CNAs</title>
<p><italic>RPA3/YY1</italic> expression and their CNAs in basal-like and HER2<sup>&#x002B;</sup> breast cancer cases in TCGA are shown in <xref ref-type="fig" rid="fig-4">Fig. 4A</xref>. Correlation analysis indicated that in basal-like cases, the expression of <italic>RPA3</italic> and <italic>YY1</italic> was moderately correlated (Pearson&#x0027;s r &#x2265; 0.4) with their gene-level copy number (<xref ref-type="fig" rid="fig-4">Figs. 4B</xref> and <xref ref-type="fig" rid="fig-4">4D</xref>). In HER2<sup>&#x002B;</sup> cases, a moderate positive correlation was observed between <italic>YY1</italic> expression and its copy number (<xref ref-type="fig" rid="fig-4">Fig. 4E</xref>). In comparison, no significant correlation was found between <italic>RPA3</italic> expression and its copy number (<xref ref-type="fig" rid="fig-4">Fig. 4C</xref>).</p>
<fig id="fig-4">
<label>Figure 4</label>
<caption>
<title>Both <italic>RPA3</italic> and <italic>YY1</italic> expression was associated with gene-level copy number.</title>
<p><bold>(A)</bold> A Heatmap showing the correlation between gene expression (<italic>RPA3</italic> and <italic>YY1</italic>) and gene-level copy number in basal-like and HER2<sup>&#x002B;</sup> subtypes in TCGA. <bold>(B&#x2013;E)</bold> Plot charts showing the correlation of <italic>RPA3</italic> and <italic>YY1</italic> expression with their copy in basal-like (B and D) and HER2&#x002B; (C and E) subtypes, respectively.</p>
</caption>
<graphic mimetype="image" mime-subtype="png" xlink:href="fig-4.png"/>
</fig>
</sec>
</sec>
<sec id="s4">
<title>Discussion</title>
<p>For patients with basal-like and HER2<sup>&#x002B;</sup> breast tumors, it is now well established that radiation therapy reduces locoregional recurrence rate and provides survival benefits for high-risk patients (<xref ref-type="bibr" rid="ref-12">He <italic>et al</italic>., 2018</xref>; <xref ref-type="bibr" rid="ref-17">Liu <italic>et al</italic>., 2019</xref>). However, local recurrence rate improvement of basal-like and HER2<sup>&#x002B;</sup> tumors after radiotherapy is significantly smaller compared to the luminal subtypes (<xref ref-type="bibr" rid="ref-13">Kyndi <italic>et al</italic>., 2008</xref>), suggesting that these two subtypes are more radioresistant. Therefore, it is meaningful to find new radio-sensitization targets to reduce the inherent and induced radiation-resistance. RPA complex members have been considered as potential targets for radio-sensitization. Previous studies found that silencing <italic>RPA1</italic> reduces the radio-resistance of a hypopharyngeal cancer cell line (<xref ref-type="bibr" rid="ref-16">Liu <italic>et al</italic>., 2020</xref>). <italic>RPA1</italic> or <italic>RPA2</italic> inhibition can induce G2/M arrest and enhance the radiosensitivity of esophageal cancer cells (<xref ref-type="bibr" rid="ref-6">Zhao <italic>et al</italic>., 2014</xref>). Inhibiting <italic>RPA3</italic> expression can sensitize hepatocellular carcinoma (<xref ref-type="bibr" rid="ref-19">Luo <italic>et al</italic>., 2019</xref>) and nasopharyngeal carcinoma (<xref ref-type="bibr" rid="ref-26">Qu <italic>et al</italic>., 2017</xref>) cells to radiation. In this study, we revealed that <italic>RPA3</italic> upregulation was associated with unfavorable survival of basal-like and HER2<sup>&#x002B;</sup> breast cancer. In addition, our <italic>in-vitro</italic> cellular studies demonstrated that inhibiting <italic>RPA3</italic> expression sensitized MDA-MB-231 and SK-BR-3 cells to irradiation. Therefore, <italic>RPA3</italic> might serve as a potential target of radio-sensitization in basal-like and HER2<sup>&#x002B;</sup> breast cancer.</p>
<p>By systemic bioinformatic screening of TFs and <italic>in vitro</italic> studies, we demonstrated that YY1 was an upstream regulator of <italic>RPA3</italic>. YY1 directly bound to the <italic>RPA3</italic> promoter and activated its transcription in MDA-MB-231 and SK-BR-3 cells. A series of studies showed that YY1 acts as an important TF involved in breast cancer development and therapeutic resistance via multiple mechanisms (<xref ref-type="bibr" rid="ref-27">Sarvagalla <italic>et al</italic>., 2019</xref>). YY1 physically interacts with p27 and promotes its ubiquitination, thereby enhancing clonogenicity, migration, invasion, and tumor formation of breast cancer cells (<xref ref-type="bibr" rid="ref-31">Wan <italic>et al</italic>., 2012</xref>). Furthermore, YY1 directly activates heat shock factor 1 (HSF1) transcription to promote transforming growth factor-&#x03B2; (TGF&#x03B2;)-triggered proliferation and migration of MDA-MB-231 cells (<xref ref-type="bibr" rid="ref-33">Yang <italic>et al</italic>., 2019</xref>). It also reduces miR-873-5p expression by recruiting histone deacetylase 4 (HDAC4) and HDAC9 to the miR-873-5p promoter, thereby activating PI3K/AKT and ERK1/2 pathways and increasing the stemness and chemoresistance of breast cancer cells (<xref ref-type="bibr" rid="ref-10">Guo <italic>et al</italic>., 2020</xref>). YY1 binds to the LINC00673 promoter and suppresses its transcription. Subsequently, LINC00673 acts as a competing endogenous RNA for miR-515-5p, leading to upregulated <italic>MARK4</italic> expression and inhibited Hippo signaling pathway (<xref ref-type="bibr" rid="ref-25">Qiao <italic>et al</italic>., 2019</xref>). Findings in the current study help expand our understanding of the downstream molecular mechanism of YY1 in breast cancer.</p>
<p>Using gene-level copy number alteration data in TCGA, we found that both <italic>RPA3</italic> and <italic>YY1</italic> upregulation was positively correlated with their copy numbers in certain PAM50 subtypes. Some recent studies revealed that therapeutic interventions drive both genetic and epigenetic evolutions of breast cancers (<xref ref-type="bibr" rid="ref-20">Magnani <italic>et al</italic>., 2017</xref>; <xref ref-type="bibr" rid="ref-22">Nam <italic>et al</italic>., 2020</xref>). The genetic alterations favoring cancer cell survival under stressful conditions are more likely to be retained (<xref ref-type="bibr" rid="ref-22">Nam <italic>et al</italic>., 2020</xref>). Since <italic>RPA3</italic> and <italic>YY1</italic> upregulation contributes to breast cancer development and therapeutic resistance, the part of tumor cells with elevated <italic>RPA3</italic> and <italic>YY1</italic> expression might have higher chances to overcome chemo/radiotherapy induced cell death. These findings suggest that the mechanisms leading to <italic>RPA3</italic> dysregulation in breast cancer are multifaceted. Therefore, it is necessary to explore other genetic and epigenetic mechanisms associated with its dysregulation in future studies.</p>
</sec>
<sec id="s5">
<title>Conclusion</title>
<p>This study revealed that <italic>RPA3</italic> was upregulated in breast cancer and was associated with poor survival and radio-resistance of basal-like and HER2<sup>&#x002B;</sup> breast tumors. Its expression was transcriptionally activated by YY1. It might serve as a potential target for radio-sensitization in basal-like and HER2<sup>&#x002B;</sup> breast cancer.</p>
</sec>
</body>
<back><fn-group>
<fn fn-type="other">
<p><bold>Availability of data and materials:</bold> The datasets analyzed during the current study are available from the corresponding author on reasonable request.</p>
</fn>
<fn fn-type="other">
<p><bold>Author Contribution:</bold> The authors confirm contribution to the paper as follows: Study conception and design: Yanfei LI, Lulu DAI; data collection: Yanfei LI, Ke CAI; analysis and interpretation of results: Yanfei LI, Yingkui SONG, Xiqing LIU; draft manuscript preparation: Yanfei LI, Xiqing LIU. All authors reviewed the results and approved the final version of the manuscript.</p>
</fn>
<fn fn-type="other">
<p><bold>Ethics Approval:</bold> Ethics approval is required since no primary data were collected from human or animal tissues in the current study.</p>
</fn>
<fn fn-type="other">
<p><bold>Funding Statement:</bold> The authors received no specific funding for this study.</p>
</fn>
<fn fn-type="conflict">
<p><bold>Conflicts of Interest:</bold> The authors declare that they have no conflicts of interest to report regarding the present study.</p>
</fn>
</fn-group>
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<title></title>
<sec id="s6"><title/>

<table-wrap id="table-2">
<label>Supplementary Table 1</label>
<caption>
<title>TF genes positive correlated with RPA3 (Pearson&#x2019;r &#x003E; 0.2) in TCGA-BRCA</title>
</caption>
<table>
<colgroup>
<col/>
<col/>
<col/>
</colgroup>
<thead>
<tr>
<th>Sample type</th><th colspan="2">Correlation with RPA3</th>
</tr>
<tr>
<th>PAM50Call_RNAseq</th>
<th>Basal-like</th>
<th>HER2&#x002B;</th>
</tr>
</thead>
<tbody>
<tr>
<td><italic>ZNF143</italic></td>
<td>0.34</td>
<td>0.21</td>
</tr>
<tr>
<td><italic>YY1</italic></td>
<td>0.44</td>
<td>0.50</td>
</tr>
<tr>
<td><italic>NKX3-1</italic></td>
<td>0.21</td>
<td>0.25</td>
</tr>
<tr>
<td><italic>CTCF</italic></td>
<td>0.40</td>
<td>0.26</td>
</tr>
<tr>
<td><italic>NFE2L2</italic></td>
<td>0.39</td>
<td>0.28</td>
</tr>
<tr>
<td><italic>BHLHE40</italic></td>
<td>0.28</td>
<td>0.21</td>
</tr>
<tr>
<td><italic>CEBPB</italic></td>
<td>0.26</td>
<td>0.27</td>
</tr>
<tr>
<td><italic>E2F6</italic></td>
<td>0.31</td>
<td>0.39</td>
</tr>
<tr>
<td><italic>RFX1</italic></td>
<td>0.38</td>
<td>0.22</td>
</tr>
<tr>
<td><italic>ZNF263</italic></td>
<td>0.32</td>
<td>0.24</td>
</tr>
<tr>
<td><italic>IRF2</italic></td>
<td>0.25</td>
<td>0.31</td>
</tr>
<tr>
<td><italic>TFDP1</italic></td>
<td>0.27</td>
<td>0.31</td>
</tr>
<tr>
<td><italic>PBX3</italic></td>
<td>0.23</td>
<td>0.24</td>
</tr>
<tr>
<td><italic>NFE2L1</italic></td>
<td>0.30</td>
<td>0.33</td>
</tr>
<tr>
<td><italic>NR2F6</italic></td>
<td>0.28</td>
<td>0.38</td>
</tr>
<tr>
<td><italic>SREBF1</italic></td>
<td>0.23</td>
<td>0.22</td>
</tr>
<tr>
<td><italic>ELF4</italic></td>
<td>0.33</td>
<td>0.21</td>
</tr>
<tr>
<td><italic>KLF3</italic></td>
<td>0.26</td>
<td>0.22</td>
</tr>
<tr>
<td><italic>SP3</italic></td>
<td>0.27</td>
<td>0.21</td>
</tr>
<tr>
<td><italic>SP4</italic></td>
<td>0.26</td>
<td>0.28</td>
</tr>
<tr>
<td><italic>TFE3</italic></td>
<td>0.32</td>
<td>0.27</td>
</tr>
<tr>
<td><italic>THAP11</italic></td>
<td>0.43</td>
<td>0.29</td>
</tr>
<tr>
<td><italic>YY2</italic></td>
<td>0.24</td>
<td>0.29</td>
</tr>
<tr>
<td><italic>ZNF140</italic></td>
<td>0.22</td>
<td>0.28</td>
</tr>
<tr>
<td><italic>ZNF282</italic></td>
<td>0.28</td>
<td>0.23</td>
</tr>
<tr>
<td><italic>ZNF75D</italic></td>
<td>0.36</td>
<td>0.28</td>
</tr>
<tr>
<td><italic>ATF2</italic></td>
<td>0.21</td>
<td>0.26</td>
</tr>
<tr>
<td><italic>ZBTB14</italic></td>
<td>0.27</td>
<td>0.24</td>
</tr>
<tr>
<td><italic>ZKSCAN5</italic></td>
<td>0.35</td>
<td>0.24</td>
</tr>
</tbody>
</table>
</table-wrap>
<fig id="fig-5">
<label>SuppleMENTARY Figure 1</label>
<caption>
<title>Kaplan-Meier survival analysis of RFS in Kaplan-Meier Plotter.</title>
<p><bold>(A&#x2013;D)</bold> Kaplan-Meier survival analysis of RFS in patients with HER2<sup>&#x002B;</sup> (A&#x2013;B) and basal-like (C&#x2013;D) tumors in Kaplan-Meier Plotter. Patients were grouped by the median (A&#x2013;B) or the optimal cutoff (C&#x2013;D) of <italic>RPA3</italic> expression.</p>
</caption>
<graphic mimetype="image" mime-subtype="png" xlink:href="fig-5.png"/>
</fig>
</sec></app></app-group>
</back>
</article>