Skip to main content

Advertisement

Log in

Secreted frizzled-related protein 4 and its implications in cancer and apoptosis

  • Review
  • Published:
Tumor Biology

Abstract

Secreted frizzled-related protein 4 (SFRP4) is a glycoprotein that acts as an antagonist of Wnt ligands, causing inhibition of the canonical Wnt signalling pathway. First noticed due to high expression levels during times of increased apoptosis, SFRP4 has been implicated in cell proliferation and differentiation and plays an important role in carcinogenesis. Many tumours such as endometrial, cervical, ovarian, prostate, bladder, colorectal, mesothelioma, pancreatic, renal, and oesophageal tumours are characterised by aberrant promoter hypermethylation, which causes variations in the expression level of SFRP4 when compared to normal cells. Combined experimental data appear to confirm the suggested role of SFRP4 as a local initiator of apoptosis; however, increased SFRP4 expression may not always correlate with an increase in apoptosis, possibly due to the complex interactions between different signalling pathways. SFRP4 can be explored for its use in novel therapeutic modalities as well as being a potential diagnostic biomarker.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Miller JR. The Wnts. Genome biology 2002;3:REVIEWS3001.

  2. Longman D, Arfuso F, Viola HM, Hool LC, Dharmarajan AM. The role of the cysteine-rich domain and netrin-like domain of secreted frizzled-related protein 4 in angiogenesis inhibition in vitro. Oncol Res. 2012;20:1–6.

    Article  PubMed  Google Scholar 

  3. Constantinou T, Baumann F, Lacher MD, Saurer S, Friis R, Dharmarajan A. SFRP-4 abrogates Wnt-3a-induced beta-catenin and Akt/PKB signalling and reverses a Wnt-3a-imposed inhibition of in vitro mammary differentiation. J Mol Signal. 2008;3:10.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Malbon CC. Frizzleds: new members of the superfamily of G-protein-coupled receptors. Front Biosci. 2004;9:1048–58.

    Article  CAS  PubMed  Google Scholar 

  5. Surana R, Sikka S, Cai W, Shin EM, Warrier SR, Tan HJ, et al. Secreted frizzled related proteins: implications in cancers. Biochim Biophys Acta. 1845;2014:53–65.

    Google Scholar 

  6. He B, Lee AY, Dadfarmay S, You L, Xu Z, Reguart N, et al. Secreted frizzled-related protein 4 is silenced by hypermethylation and induces apoptosis in beta-catenin-deficient human mesothelioma cells. Cancer Res. 2005;65:743–8.

    CAS  PubMed  Google Scholar 

  7. Cruciat CM, Niehrs C. Secreted and transmembrane WNT inhibitors and activators. Cold Spring Harb Perspect Biol. 2013;5:a015081.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Jones SE, Jomary C. Secreted Frizzled-related proteins: searching for relationships and patterns. BioEssays. 2002;24:811–20.

    Article  CAS  PubMed  Google Scholar 

  9. Chong JM, Uren A, Rubin JS, Speicher DW. Disulfide bond assignments of secreted Frizzled-related protein-1 provide insights about Frizzled homology and netrin modules. J Biol Chem. 2002;277:5134–44.

    Article  CAS  PubMed  Google Scholar 

  10. Yang Y. Wnt signaling in development and disease. Cell Biosci. 2012;2:14.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Rao TP, Kuhl M. An updated overview on Wnt signaling pathways: a prelude for more. Circ Res. 2010;106:1798–806.

    Article  CAS  PubMed  Google Scholar 

  12. Habas R, Dawid IB. Dishevelled and Wnt signaling: is the nucleus the final frontier? J Biol. 2005;4:2.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Gordon MD, Nusse R. Wnt signaling: multiple pathways, multiple receptors, and multiple transcription factors. J Biol Chem. 2006;281:22429–33.

    Article  CAS  PubMed  Google Scholar 

  14. Daniels DL, Weis WI. Beta-catenin directly displaces Groucho/TLE repressors from Tcf/Lef in Wnt-mediated transcription activation. Nat Struct Mol Biol. 2005;12:364–71.

    Article  CAS  PubMed  Google Scholar 

  15. Komiya Y, Habas R. Wnt signal transduction pathways. Organogenesis. 2008;4:68–75.

    Article  PubMed  PubMed Central  Google Scholar 

  16. MacDonald BT, Tamai K, He X. Wnt/beta-catenin signaling: components, mechanisms, and diseases. Dev Cell. 2009;17:9–26.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Giles RH, van Es JH, Clevers H. Caught up in a Wnt storm: Wnt signaling in cancer. Biochim Biophys Acta. 2003;1653:1–24.

    CAS  PubMed  Google Scholar 

  18. Wallingford JB, Habas R. The developmental biology of Dishevelled: an enigmatic protein governing cell fate and cell polarity. Development. 2005;132:4421–36.

    Article  CAS  PubMed  Google Scholar 

  19. Sheldahl LC, Slusarski DC, Pandur P, Miller JR, Kuhl M, Moon RT. Dishevelled activates Ca2+ flux, PKC, and CamKII in vertebrate embryos. J Cell Biol. 2003;161:769–77.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Kohn AD, Moon RT. Wnt and calcium signaling: beta-catenin-independent pathways. Cell Calcium. 2005;38:439–46.

    Article  CAS  PubMed  Google Scholar 

  21. Kuhl M, Sheldahl LC, Park M, Miller JR, Moon RT. The Wnt/Ca2+ pathway: a new vertebrate Wnt signaling pathway takes shape. Trends Genet. 2000;16:279–83.

    Article  CAS  PubMed  Google Scholar 

  22. Winklbauer R, Medina A, Swain RK, Steinbeisser H. Frizzled-7 signalling controls tissue separation during Xenopus gastrulation. Nature. 2001;413:856–60.

    Article  CAS  PubMed  Google Scholar 

  23. Muley A, Majumder S, Kolluru GK, Parkinson S, Viola H, Hool L, et al. Secreted frizzled-related protein 4: an angiogenesis inhibitor. Am J Pathol. 2010;176:1505–16.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Kawano Y, Kypta R. Secreted antagonists of the Wnt signalling pathway. J Cell Sci. 2003;116:2627–34.

    Article  CAS  PubMed  Google Scholar 

  25. Kurihara S, Oda Y, Ohishi Y, Kaneki E, Kobayashi H, Wake N, et al. Coincident expression of beta-catenin and cyclin D1 in endometrial stromal tumors and related high-grade sarcomas. Mod Pathol. 2010;23:225–34.

    Article  CAS  PubMed  Google Scholar 

  26. Carmon KS, Loose DS. Secreted frizzled-related protein 4 regulates two Wnt7a signaling pathways and inhibits proliferation in endometrial cancer cells. Mol Cancer Res. 2008;6:1017–28.

    Article  CAS  PubMed  Google Scholar 

  27. Hrzenjak A, Tippl M, Kremser ML, Strohmeier B, Guelly C, Neumeister D, et al. Inverse correlation of secreted frizzled-related protein 4 and beta-catenin expression in endometrial stromal sarcomas. J Pathol. 2004;204:19–27.

    Article  CAS  PubMed  Google Scholar 

  28. van der Meide WF, Snellenberg S, Meijer CJ, Baalbergen A, Helmerhorst TJ, van der Sluis WB, et al. Promoter methylation analysis of WNT/beta-catenin signaling pathway regulators to detect adenocarcinoma or its precursor lesion of the cervix. Gynecol Oncol. 2011;123:116–22.

    Article  PubMed  Google Scholar 

  29. Lin YW, Chung MT, Lai HC, De Yan M, Shih YL, Chang CC, et al. Methylation analysis of SFRP genes family in cervical adenocarcinoma. J Cancer Res Clin Oncol. 2009;135:1665–74.

    Article  CAS  PubMed  Google Scholar 

  30. Chung MT, Sytwu HK, Yan MD, Shih YL, Chang CC, Yu MH, et al. Promoter methylation of SFRPs gene family in cervical cancer. Gynecol Oncol. 2009;112:301–6.

    Article  CAS  PubMed  Google Scholar 

  31. Perez-Plasencia C, Duenas-Gonzalez A, Alatorre-Tavera B. Second hit in cervical carcinogenesis process: involvement of Wnt/beta catenin pathway. Int Arch Med. 2008;1:10.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Drake J, Shearwood AM, White J, Friis R, Zeps N, Charles A, et al. Expression of secreted frizzled-related protein 4 (SFRP4) in primary serous ovarian tumours. Eur J Gynaecol Oncol. 2009;30:133–41.

    CAS  PubMed  Google Scholar 

  33. Su HY, Lai HC, Lin YW, Chou YC, Liu CY, Yu MH. An epigenetic marker panel for screening and prognostic prediction of ovarian cancer. Int J Cancer. 2009;124:387–93.

    Article  CAS  PubMed  Google Scholar 

  34. Jacob F, Ukegjini K, Nixdorf S, Ford CE, Olivier J, Caduff R, et al. Loss of secreted frizzled-related protein 4 correlates with an aggressive phenotype and predicts poor outcome in ovarian cancer patients. PLoS One. 2012;7:e31885.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Saran U, Arfuso F, Zeps N, Dharmarajan A. Secreted frizzled-related protein 4 expression is positively associated with responsiveness to cisplatin of ovarian cancer cell lines in vitro and with lower tumour grade in mucinous ovarian cancers. BMC Cell Biol. 2012;13:25.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Horvath LG, Henshall SM, Kench JG, Saunders DN, Lee CS, Golovsky D, et al. Membranous expression of secreted frizzled-related protein 4 predicts for good prognosis in localized prostate cancer and inhibits PC3 cellular proliferation in vitro. Clin Cancer Res. 2004;10:615–25.

    Article  CAS  PubMed  Google Scholar 

  37. Horvath LG, Lelliott JE, Kench JG, Lee CS, Williams ED, Saunders DN, et al. Secreted frizzled-related protein 4 inhibits proliferation and metastatic potential in prostate cancer. Prostate. 2007;67:1081–90.

    Article  CAS  PubMed  Google Scholar 

  38. Urakami S, Shiina H, Enokida H, Kawakami T, Kawamoto K, Hirata H, et al. Combination analysis of hypermethylated Wnt-antagonist family genes as a novel epigenetic biomarker panel for bladder cancer detection. Clin Cancer Res. 2006;12:2109–16.

    Article  CAS  PubMed  Google Scholar 

  39. Kim WJ, Kim YJ. Epigenetics of bladder cancer. Methods Mol Biol. 2012;863:111–8.

    Article  CAS  PubMed  Google Scholar 

  40. Enokida H, Nakagawa M. Epigenetics in bladder cancer. Int J Clin Oncol. 2008;13:298–307.

    Article  CAS  PubMed  Google Scholar 

  41. Feng Han Q, Zhao W, Bentel J, Shearwood AM, Zeps N, Joseph D, et al. Expression of sFRP-4 and beta-catenin in human colorectal carcinoma. Cancer Lett. 2006;231:129–37.

    Article  PubMed  Google Scholar 

  42. Suzuki H, Watkins DN, Jair KW, Schuebel KE, Markowitz SD, Chen WD, et al. Epigenetic inactivation of SFRP genes allows constitutive WNT signaling in colorectal cancer. Nat Genet. 2004;36:417–22.

    Article  CAS  PubMed  Google Scholar 

  43. Huang D, Yu B, Deng Y, Sheng W, Peng Z, Qin W, et al. SFRP4 was overexpressed in colorectal carcinoma. J Cancer Res Clin Oncol. 2010;136:395–401.

    Article  CAS  PubMed  Google Scholar 

  44. Qi J, Zhu YQ, Luo J, Tao WH. Hypermethylation and expression regulation of secreted frizzled-related protein genes in colorectal tumor. World J Gastroenterol. 2006;12:7113–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Frank B, Hoffmeister M, Klopp N, Illig T, Chang-Claude J, Brenner H. Single nucleotide polymorphisms in Wnt signaling and cell death pathway genes and susceptibility to colorectal cancer. Carcinogenesis. 2010;31:1381–6.

    Article  CAS  PubMed  Google Scholar 

  46. Lee AY, He B, You L, Dadfarmay S, Xu Z, Mazieres J, et al. Expression of the secreted frizzled-related protein gene family is downregulated in human mesothelioma. Oncogene. 2004;23:6672–6.

    Article  CAS  PubMed  Google Scholar 

  47. Fox S, Dharmarajan A. WNT signaling in malignant mesothelioma. Front Biosci. 2006;11:2106–12.

    Article  CAS  PubMed  Google Scholar 

  48. Kohno H, Amatya VJ, Takeshima Y, Kushitani K, Hattori N, Kohno N, et al. Aberrant promoter methylation of WIF-1 and SFRP1, 2, 4 genes in mesothelioma. Oncol Rep. 2010;24:423–31.

    CAS  PubMed  Google Scholar 

  49. Bu XM, Zhao CH, Zhang N, Gao F, Lin S, Dai XW. Hypermethylation and aberrant expression of secreted frizzled-related protein genes in pancreatic cancer. World J Gastroenterol. 2008;14:3421–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Urakami S, Shiina H, Enokida H, Hirata H, Kawamoto K, Kawakami T, et al. Wnt antagonist family genes as biomarkers for diagnosis, staging, and prognosis of renal cell carcinoma using tumor and serum DNA. Clin Cancer Res. 2006;12:6989–97.

    Article  CAS  PubMed  Google Scholar 

  51. Zou H, Molina JR, Harrington JJ, Osborn NK, Klatt KK, Romero Y, et al. Aberrant methylation of secreted frizzled-related protein genes in esophageal adenocarcinoma and Barrett’s esophagus. Int J Cancer. 2005;116:584–91.

    Article  CAS  PubMed  Google Scholar 

  52. Warrier S, Balu SK, Kumar AP, Millward M, Dharmarajan A. Wnt antagonist, secreted frizzled-related protein 4 (sFRP4), increases chemotherapeutic response of glioma stem-like cells. Oncol Res. 2013;21:93–102.

    Article  PubMed  Google Scholar 

  53. Schiefer L, Visweswaran M, Perumal V, Arfuso F, Groth D, Newsholme P, et al. Epigenetic regulation of the secreted frizzled-related protein family in human glioblastoma multiforme. Cancer Gene Ther. 2014;21:297–303.

    Article  CAS  PubMed  Google Scholar 

  54. Wu Y, Bai J, Li Z, Wang F, Cao L, Liu C, et al. Low expression of secreted frizzled-related protein 4 in aggressive pituitary adenoma. Pituitary 2014.

  55. Denning DP, Hatch V, Horvitz HR. Both the caspase CSP-1 and a caspase-independent pathway promote programmed cell death in parallel to the canonical pathway for apoptosis in Caenorhabditis elegans. PLoS Genet. 2013;9:e1003341.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  56. Kerr JF, Wyllie AH, Currie AR. Apoptosis: a basic biological phenomenon with wide-ranging implications in tissue kinetics. Br J Cancer. 1972;26:239–57.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  57. Nunez G, Benedict MA, Hu Y, Inohara N. Caspases: the proteases of the apoptotic pathway. Oncogene. 1998;17:3237–45.

    Article  PubMed  Google Scholar 

  58. Watson AJ. Apoptosis and colorectal cancer. Gut. 2004;53:1701–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Thornberry NA, Lazebnik Y. Caspases: enemies within. Science. 1998;281:1312–6.

    Article  CAS  PubMed  Google Scholar 

  60. Danial NN, Korsmeyer SJ. Cell death: critical control points. Cell. 2004;116:205–19.

    Article  CAS  PubMed  Google Scholar 

  61. Muzio M, Chinnaiyan AM, Kischkel FC, O’Rourke K, Shevchenko A, Ni J, et al. FLICE, a novel FADD-homologous ICE/CED-3-like protease, is recruited to the CD95 (Fas/APO-1) death-inducing signaling complex. Cell. 1996;85:817–27.

    Article  CAS  PubMed  Google Scholar 

  62. Yuan J, Horvitz HR. A first insight into the molecular mechanisms of apoptosis. Cell. 2004;116:S53–6. 1 p following S9.

    Article  CAS  PubMed  Google Scholar 

  63. Elliott MR, Ravichandran KS. Clearance of apoptotic cells: implications in health and disease. J Cell Biol. 2010;189:1059–70.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Wolf V, Ke G, Dharmarajan AM, Bielke W, Artuso L, Saurer S, et al. DDC-4, an apoptosis-associated gene, is a secreted frizzled relative. FEBS Lett. 1997;417:385–9.

    Article  CAS  PubMed  Google Scholar 

  65. Lacher MD, Siegenthaler A, Jager R, Yan X, Hett S, Xuan L, et al. Role of DDC-4/sFRP-4, a secreted frizzled-related protein, at the onset of apoptosis in mammary involution. Cell Death Differ. 2003;10:528–38.

    Article  CAS  PubMed  Google Scholar 

  66. Song G, Ouyang G, Bao S. The activation of Akt/PKB signaling pathway and cell survival. J Cell Mol Med. 2005;9:59–71.

    Article  CAS  PubMed  Google Scholar 

  67. Granados-Principal S, Quiles JL, Ramirez-Tortosa C, Camacho-Corencia P, Sanchez-Rovira P, Vera-Ramirez L, et al. Hydroxytyrosol inhibits growth and cell proliferation and promotes high expression of sfrp4 in rat mammary tumours. Mol Nutr Food Res. 2011;55 Suppl 1:S117–26.

    Article  CAS  PubMed  Google Scholar 

  68. Talbot P, Martin GG, Ashby H. Formation of the rupture site in preovulatory hamster and mouse follicles: loss of the surface epithelium. Gamete Res. 1987;17:287–302.

    Article  CAS  PubMed  Google Scholar 

  69. Hsieh M, Mulders SM, Friis RR, Dharmarajan A, Richards JS. Expression and localization of secreted frizzled-related protein-4 in the rodent ovary: evidence for selective up-regulation in luteinized granulosa cells. Endocrinology. 2003;144:4597–606.

    Article  CAS  PubMed  Google Scholar 

  70. Drake JM, Friis RR, Dharmarajan AM. The role of sFRP4, a secreted frizzled-related protein, in ovulation. Apoptosis. 2003;8:389–97.

    Article  CAS  PubMed  Google Scholar 

  71. Bielke W, Ke G, Feng Z, Buhrer S, Saurer S, Friis RR. Apoptosis in the rat mammary gland and ventral prostate: detection of cell death-associated genes using a coincident-expression cloning approach. Cell Death Differ. 1997;4:114–24.

    Article  CAS  PubMed  Google Scholar 

  72. Guo K, Wolf V, Dharmarajan AM, Feng Z, Bielke W, Saurer S, et al. Apoptosis-associated gene expression in the corpus luteum of the rat. Biol Reprod. 1998;58:739–46.

    Article  CAS  PubMed  Google Scholar 

  73. Schumann H, Holtz J, Zerkowski HR, Hatzfeld M. Expression of secreted frizzled related proteins 3 and 4 in human ventricular myocardium correlates with apoptosis related gene expression. Cardiovasc Res. 2000;45:720–8.

    Article  CAS  PubMed  Google Scholar 

  74. Bing OH. Hypothesis: apoptosis may be a mechanism for the transition to heart failure with chronic pressure overload. J Mol Cell Cardiol. 1994;26:943–8.

    Article  CAS  PubMed  Google Scholar 

  75. Wong SC, Lo SF, Lee KC, Yam JW, Chan JK, Wendy Hsiao WL. Expression of frizzled-related protein and Wnt-signalling molecules in invasive human breast tumours. J Pathol. 2002;196:145–53.

    Article  CAS  PubMed  Google Scholar 

  76. Bovolenta P, Esteve P, Ruiz JM, Cisneros E, Lopez-Rios J. Beyond Wnt inhibition: new functions of secreted Frizzled-related proteins in development and disease. J Cell Sci. 2008;121:737–46.

    Article  CAS  PubMed  Google Scholar 

  77. Nojima M, Suzuki H, Toyota M, Watanabe Y, Maruyama R, Sasaki S, et al. Frequent epigenetic inactivation of SFRP genes and constitutive activation of Wnt signaling in gastric cancer. Oncogene. 2007;26:4699–713.

    Article  CAS  PubMed  Google Scholar 

  78. Suzuki H, Gabrielson E, Chen W, Anbazhagan R, van Engeland M, Weijenberg MP, et al. A genomic screen for genes upregulated by demethylation and histone deacetylase inhibition in human colorectal cancer. Nat Genet. 2002;31:141–9.

    Article  CAS  PubMed  Google Scholar 

  79. Zhou Z, Wang J, Han X, Zhou J, Linder S. Up-regulation of human secreted frizzled homolog in apoptosis and its down-regulation in breast tumors. Int J Cancer. 1998;78:95–9.

    Article  CAS  PubMed  Google Scholar 

  80. Marsit CJ, Karagas MR, Andrew A, Liu M, Danaee H, Schned AR, et al. Epigenetic inactivation of SFRP genes and TP53 alteration act jointly as markers of invasive bladder cancer. Cancer Res. 2005;65:7081–5.

    Article  CAS  PubMed  Google Scholar 

  81. Maganga R, Giles N, Adcroft K, Unni A, Keeney D, Wood F, et al. Secreted Frizzled related protein-4 (sFRP4) promotes epidermal differentiation and apoptosis. Biochem Biophys Res Commun. 2008;377:606–11.

    Article  CAS  PubMed  Google Scholar 

  82. Cho SW, Her SJ, Sun HJ, Choi OK, Yang JY, Kim SW, et al. Differential effects of secreted frizzled-related proteins (sFRPs) on osteoblastic differentiation of mouse mesenchymal cells and apoptosis of osteoblasts. Biochem Biophys Res Commun. 2008;367:399–405.

    Article  CAS  PubMed  Google Scholar 

  83. Takahashi-Yanaga F, Kahn M. Targeting Wnt signaling: can we safely eradicate cancer stem cells? Clin Cancer Res. 2010;16:3153–62.

    Article  CAS  PubMed  Google Scholar 

  84. Warrier S, Bhuvanalakshmi G, Arfuso F, Rajan G, Millward M, Dharmarajan A. Cancer stem-like cells from head and neck cancers are chemosensitized by the Wnt antagonist, sFRP4, by inducing apoptosis, decreasing stemness, drug resistance and epithelial to mesenchymal transition. Cancer Gene Ther. 2014;21:381–8.

    Article  CAS  PubMed  Google Scholar 

  85. Melkonyan HS, Chang WC, Shapiro JP, Mahadevappa M, Fitzpatrick PA, Kiefer MC, et al. SARPs: a family of secreted apoptosis-related proteins. Proc Natl Acad Sci U S A. 1997;94:13636–41.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgments

AD was supported by a grant from Cancer Council. Raine Medical Foundation. and School of Biomedical Sciences Strategic Research Funds, Curtin University. VP was supported by Curtin University International Postgraduate Research Scholarship.

Conflicts of interest

None

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Arun Dharmarajan.

Additional information

Sebastian Pohl and Ross Scott are equal contributors.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Pohl, S., Scott, R., Arfuso, F. et al. Secreted frizzled-related protein 4 and its implications in cancer and apoptosis. Tumor Biol. 36, 143–152 (2015). https://doi.org/10.1007/s13277-014-2956-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13277-014-2956-z

Keywords

Navigation