Chitosan oligosaccharide suppresses osteosarcoma malignancy by inhibiting CEMIP via the PI3K/AKT/mTOR pathway

Osteosarcoma is a malignant bone tumor that is prone to metastasize early and primarily affects children and adolescents. Cell migration-inducing protein (CEMIP) plays a crucial role in the progression and malignancy of various tumor diseases, including osteosarcoma. Chitosan oligosaccharide (COS), an oligomer isolated from chitin, has been found to have significant anti-tumor activity in various cancers. This study investigates the effects of COS on CEMIP expression in osteosarcoma and explores the underlying mechanism. In present study, in vitro experiments were conducted to confirm the inhibitory activity of COS on human osteosarcoma cells. Our results demonstrate that COS possesses inhibitory effects against human osteosarcoma cells and significantly suppresses CEMIP expression in vitro. Next, we studied the inhibition of the expression of CEMIP by COS and then performed bioinformatics analysis to explore the potential inhibitory mechanism of COS against signaling pathways involved in regulating CEMIP expression. Bioinformatics analysis predicted a close association between the PI3K signaling pathway and CEMIP expression and that the inhibitory effect of COS on CEMIP expression may be related to PI3K signaling pathway regulation. The results of this study show that COS treatment significantly inhibits CEMIP expression and the PI3K/AKT/mTOR signaling pathway, as observed both in vitro and in vivo. This study demonstrates that COS could inhibit the expression of CEMIP, which is closely related to osteosarcoma malignancy. This inhibitory effect may be attributed to the inhibition of the PI3K/AKT/mTOR signaling pathway in vitro and in vivo.


Introduction
Osteosarcoma is the most common primary malignant bone tumor in children and adolescents.Long tubular bones, such as the femur and tibia, are the most common sites of osteosarcoma [1,2].Although treatment methods, including surgery and chemotherapy, have been established, and multiple clinical trials have been conducted to improve treatment outcomes, the overall survival rate remains unimproved due to the rapid growth rate and early metastasis of this tumor [2].
294 Page 2 of 16 Cell migration-inducing protein (CEMIP or KIAA1199), located on chromosome 15q25.1,can be detected in the nucleus and the cytoplasm [3,4].It was first identified as a gene associated with hearing loss [5], but further research found that CEMIP is closely related to the progression and malignancy of various tumors, including pancreatic cancer and colorectal cancer [6,7].Studies have found that overexpression of CEMIP leads to resistance to cell immortalization and carcinogenesis in normal human cells and is also involved in cell death [8].In breast and pancreatic cancers, CEMIP has been found to promote the proliferation, invasion, and metastasis of cancer cells [9,10].Moreover, increased expression of CEMIP has been found to promote the progression and metastasis of osteosarcoma and has been associated with poor prognosis of osteosarcoma [11].Therefore, CEMIP has emerged as a potential therapeutic target to suppress tumor malignancy.However, research on the use of natural bioactive complexes to inhibit CEMIP expression is limited.
Chitosan oligosaccharide (COS) is a chitosan-derived oligomer with an average molecular weight < 10,000 kDa.Compared with chitosan, COS has a small molecular weight, better water solubility, and a higher absorption rate.Therefore, it has attracted considerable attention as a potential treatment for various diseases [12,13].In recent years, numerous studies have demonstrated significant anti-tumor activity of COS against various cancers [12,14,15].COS exerts anti-tumor effects by direct inhibition of tumor cell activity and stimulation of the host immune system [16,17].
The PI3K/AKT/mTOR pathway is one of the main pathways involved in regulating the expression of various target genes and is often mutated in tumor diseases.Abnormal activation of this pathway is closely related to various functional abnormalities and mechanisms of cells and tissues, including abnormal cell proliferation and apoptosis, tumor occurrence and progression, and drug resistance [18,19].Recent studies have demonstrated the association between the PI3K/AKT/ mTOR signaling pathway and the regulation of CEMIP expression [20,21].These associations suggest that COS, a natural active anticancer compound shown to interfere with various signaling pathways, may have favorable effects on the expression of CEMIP.Therefore, the aim of the present study is to investigate the effects and underlying mechanisms of COS on CEMIP expression in osteosarcoma.

Cell lines and culture
The two human osteosarcoma cell lines (MG63 and U2OS) and murine OS cell line (K7M2) used in the present study were purchased from the American type culture collection (ATCC).

CCK-8 assay
CCK8 assay was carried out according to the manufacturer's protocol to confirm the cytotoxicity of COS on human osteosarcoma cells.MG63 and U2OS cells (5 × 10 3 /well) were seeded onto 96 well plates.After adhering to the wall, the cells were treated with different doses of COS for 24 h, 48 h, and 72 h.At indicated times, CCK8 solution (10 μL) was added to each well and incubated for 2 h at 37 °C.The absorbance at 450 nm and 620 nm was measured using a microplate reader (SpectraMax® ABS, Shanghai, China).

Cell colony formation assay
Two human osteosarcoma cell lines were seeded and cultured in 6 well plates (1.5 × 10 3 cells/well).After adhering to the wall, the cells were treated with various concentrations of COS (0, 7, 14, and 21 mg/mL) for 10 days.4% polyformaldehyde (POM) was used to fix the colonies at room temperature.Then, the colonies were stained with 1% crystal violet solution for 20 min at room temperature.The colonies were observed and counted using a microscope (OLYMPUS, Japan).

Wound healing assay
MG63 and U2OS cells were seeded into 6 well plates.After 24 h, a pipette tip (100 μL) was used to create a scratch across the cell layers to form a wound line.After washing 3 times with PBS, the cells were treated with different doses of COS (0, 7, 14 and 21 mg/mL) for 24 h.The cells were observed and photographed using a microscope, and the migration rates were analyzed using ImageJ 1.52.

Transwell cell invasion assay
Transwell cell invasion assay was performed to analyze the effects of COS on the invasiveness of the osteosarcoma cells.The transwell chambers (8 μm filter) were pre-coated with 30 μL Matrigel (BD Bioscience, San Jose, CA, USA).The cells (5 × 10 4 /well) resuspended in 200 μL of serumfree DMEM medium were added to the upper chamber.The lower chambers were filled with 600 μL of DMEM medium with 10% FBS containing various concentrations of COS (0, 7, 14, and 21 mg/mL).After incubation for 24 h, cells on the upper surface of the membrane were gently removed with a cotton swab.The cells that invaded the lower surface of the membrane were washed with PBS and fixed with 4% POM for 20 min.After staining with crystal violet, the cells were photographed using a microscope.

Flow cytometry assay
Following 48 treatments with MG63 and U2OS cells with COS (0, 7, 14, and 21 mg/mL), a flow cytometry assay was performed according to the manufacturer's protocol.The apoptosis rate was measured with FAC Scan Flow Cytometer (Becton-Dickinson, USA) followed by staining with AnnexinV-FITC/PI Apoptosis kit.

Network pharmacology and molecular docking of COS
To investigate the inhibitory mechanism of COS on signaling pathways involved in regulating CEMIP expression, we conducted bioinformatics analyses, including prediction of potential target genes, construction of a protein-protein interaction (PPI) network, Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis, and molecular docking.The 3D chemical structural data of COS was obtained from PubChem (https:// pubch em.ncbi.nlm.nih.gov/) [22][23][24] and then loaded into PharmMapper (http:// www.lilabecust.cn/ pharm mapper/) to predict potential target proteins through reverse screening [22,24].The PPI network was constructed using the STRING database (https:// string-db.org/) to select target proteins arranged in order of fit score.Cytoscape (v3.9.1) was used to construct visualizations of the PPI network results and the interaction of targets.Human osteosarcoma-related gene data from the DisGeNET database (https:///www.disge net.org/) was cross-matched with the Cytoscape analysis results.The obtained results were then uploaded to the KEGG database (https:// www.kegg.jp/) for analysis and screening of signaling pathways and potential target proteins associated with COS.The 3D structure data of 6 target proteins (AKT1, EGFR, HRAS, HSP90AA1, PTK2, and IGF1R) were downloaded from the RCSB PDB database (http:// www.rcsb.org/).Finally, Autodock and PyMOL were used to analyze and visualize COStarget protein docking.

Quantitative real-time PCR (qRT-PCR) assay
TRIzol reagent (Invitrogen, CA, USA) was used to extract total RNA.The extracted RNA was reverse transcribed using the PrimeScript RT Reagent Kit (Takara Bio, Japan) according to the manufacturer's instructions.Quantitative PCR was performed using the StepOnePlus Real-Time PCR system (Thermo Fisher Scientific).Thermocycling parameters were as follows: 95 °C for 20 s, 58 °C for 20 s, and 72 °C for 15 s, repeated for a total of 40 cycles.The primer sequences used in the present study were as follows: β-actin (human) forward CAT GTA CGT TGC TAT CCA GGC and reverse CTC CTT AAT GTC ACG CAC GAT; CEMIP (human) froward CAC GGT CTA TTC CAT CCA CATC and reverse GGT TCG CAA AAC AAT CGG CT.The expression of these genes was analyzed using the 2 -ΔΔCT method.

Western blot analysis
After treating cells with COS for 48 h, total protein was extracted with radioimmunoprecipitation assay (RIPA) lysis buffer containing protease and phosphatase inhibitor (Solarbio, Beijing, China).
After determining protein concentration using the BCA Protein Assay Kit, the proteins were separated using Sodium Dodecyl Sulfate Polyacrylamide Gels.The proteins were blocked with 5% bovine serum albumin (BSA) for 1 h at room temperature, followed by transfer onto polyvinylidene difluoride membranes.

Animal experiments
To confirm the inhibitory effect on CEMIP expression in vivo, we conducted animal experiments using Balb/C mice.The mice used in the in vivo experiments were purchased from the Shanghai Laboratory Animal Center of the Chinese Academy of Science and were acclimatized to predetermined conditions (12 h light/dark cycle, constant room temperature, and humidity) for 7 days.
K7M2 cells (5 × 10 6 cells) were inoculated subcutaneously in the right axillary region of the mice.After 6 days of inoculating osteosarcoma cells, the mice were randomly divided into two groups: negative control group (200 μL saline, intraperitoneal injection) and COS group (1 mg COS in 200 μL sterile PBS, intraperitoneal injection).Subsequently, intraperitoneal injections were given every 2 days for 22 days, after which the mice were euthanized, and the tumor tissues were removed for subsequent studies.Tumor volume were calculated as following formula: Tumor volume = length × (width) 2 /2.

Immunohistochemistry
The expression of CEMIP and related pathway proteins in tumor tissue was examined using immunohistochemistry assays.The tumor samples were rehydrated in a graded series of ethanol (100%, 90%, 80%, 70%) and then deparaffinization with xylene.After blocking with 5% BSA, the slides were incubated with primary antibodies (CEMIP, p-AKT, p-mTOR, and p-PI3K) at 4 °C overnight.Then, the slides were stained with 3,3′-Diaminobenzidine tetrahydrochloride (DAB, BOSTER, China) and Hematoxylin, followed by incubation with secondary antibodies.The staining intensity and the percentage of stained cells were measured using Image J.

Statistical analysis
SPSS 22.0 and Graph Pad Prism 8.0 were used for all statistical analyses.The data from the groups were compared using Analysis of Variance (ANOVA) and student's t-tests.All results are expressed as mean ± standard deviation (SD).Each experiment was repeated 3 times independently.P < 0.05 was considered to indicate statistical significance (P < 0.05: *, P < 0.01: **, P < 0.001: ***, P < 0.0001: ****).
The results of the cell colony formation assay also confirmed the inhibitory effect of COS on the proliferation of osteosarcoma cells (Fig. 1B).Furthermore, flow cytometry was conducted to confirm the relationship between this inhibitory effect and apoptosis induction.Our results showed that COS significantly induced apoptosis in osteosarcoma cells (Fig. 1C).Moreover, we analyzed the expression of apoptosis-related proteins (BAX, Bcl-2, and C-Cas3), and the results showed that the expression of pro-apoptotic proteins (BAX and C-Cas3) was significantly increased in the COS treatment groups, while the expression of anti-apoptotic protein (Bcl-2) was decreased (Fig. 1D).These results suggest that COS exhibits an inhibitory effect on human osteosarcoma cells in vitro.
Fig. 1 COS inhibited the proliferation of osteosarcoma cellsn A Human osteosarcoma cells (MG63 and U2OS) were treated with different concentrations of COS for 24 h, 48 h, and 72 h, respectively, and IC50 was calculated using Graph Pad Prism 8.0.B The colony formation of MG63 and U2OS cells was evaluated after COS treatment (0, 7, 14 and, 21 mg/mL).C Flow cytometry assay was performed to analyze apoptosis rates induced by COS treatment.Apoptosis rates in COS treatment groups were significantly higher than that in the NC group.D Western blot was conducted to evaluate proapoptotic proteins (BAX and C-Cas3) and anti-apoptotic protein (Bcl-2).All data are represented as mean ± SD; *p < 0.05, **p < 0.01, and ***p < 0.001.The experiments were repeated 3 times independently.Abbreviations: GAPDH, glyceraldehyde 3-phosphate dehydrogenase; Bcl-2, B-cell lymphoma-2; BAX, BCL2-Associated X; C-CAS3, cleaved caspase 3; NC, negative control; COS, Chitosan oligosaccharide ◂ 294 Page 6 of 16

COS suppressed the migration and invasion of osteosarcoma cells
Further experiments were conducted to evaluate the effect of COS on the migration and invasion ability of osteosarcoma cells.The results of the wound healing assay demonstrated significant inhibition of osteosarcoma cell migration in the presence of COS (Fig. 2A).Similarly, in the transwell cell invasion test, COS also effectively inhibited the invasion of osteosarcoma cells in a dose-dependent manner (Fig. 2B).
These findings demonstrate that COS could effectively inhibit the proliferation and metastasis of osteosarcoma cells in vitro.

COS inhibited the expression of CEMIP in osteosarcoma cells
Based on the observed inhibitory effect of COS on osteosarcoma cells, we investigated whether COS could affect the expression of CEMIP in osteosarcoma cells.Our Fig. 2 COS suppressed the migration and invasion of osteosarcoma cells.A Human osteosarcoma cells (MG63 and U2OS) were treated with various concentrations (0, 7, 14, and 21 mg/mL) of COS for 24 h, and migration ability was evaluated using wound healing assay.B Transwell cell invasion assay was performed after treating osteosar-coma cells with COS for 24 h.All data are represented as mean ± SD; *p < 0.05, **p < 0.01, and ***p < 0.001.The experiments were repeated 3 times independently.Abbreviations: NC, negative control; COS, Chitosan oligosaccharide findings revealed significant inhibition of CEMIP mRNA expression after COS treatment (Fig. 3A).Similarly, at the protein level, CEMIP expression was also inhibited in a dose-dependent manner (Fig. 3B).These results further support the findings that COS modulates CEMIP expression in osteosarcoma cells.Therefore, we conducted bioinformatics analysis to further explore the interrelationships between COS and CEMIP expression-related signaling pathways.

Bioinformatics prediction for possible CEMIP expression-related signaling pathways of COS in osteosarcoma
In the bioinformatics analysis, 299 potential target genes of COS were identified using PharmMapper and arranged in fit score order.A PPI network was constructed for these target genes, and 2161 possible edges were obtained using the STRING database (Fig. 4B).Through further analysis using Cytoscape, 104 possible target genes with a degree score higher than the average (> 15.948) were selected (Fig. 4C).To establish their relevance in osteosarcoma, the 104 obtained COS target genes were compared with 2283 osteosarcomarelated genes obtained from the DisGeNET database (Fig. 4D-F).Relationship networks between 56 target points (Table 1) identified from the above analysis were constructed using the STRING database and Cytoscape.A total of 59 related genes were annotated using the Uni-Prot database, and their functions and related signaling pathways were analyzed using the KEGG database.The KEGG analysis results showed that these target genes were involved in 212 diseases, biological processes, and signaling pathways, with 28 pathways being directly associated with cancer (13.21%), and 16 (7.55%)being involved in the PI3K signaling pathway (Fig. 4G and Fig. 5).From this analysis, it was found that many target signaling pathways of COS are related to cancer occurrence, with the PI3K signaling pathway having the highest proportion, suggesting that the PI3K signaling pathway may be the primary target of COS among several important cancerrelated signaling pathways (Fig. 4G).Through KEGG and Cytoscape analysis, six key proteins (AKT1, EGFR, HRAS, HSP90AA1, IGFR1, and PTK2) were identified in the network.The 3D structure data of the key proteins were obtained from the PDB database, and the candidate target proteins were preprocessed and docked with COS molecules (Fig. 4A) using Autodock vina (Fig. 6).
Based on the bioinformatics analysis, we predicted that COS has a strong regulatory effect on six major signaling pathway-related proteins (AKT1, EGFR, HRAS, HSP90AA1, IGFR1, and PTK2), having the highest affinity for the PI3K signaling pathway-related protein AKT1 (Table 2).Previous studies have also reported that CEMIP expression was influenced by the PI3K signaling pathway [20,21].
Therefore, we hypothesize that the PI3K signaling pathway may be closely related to CEMIP expression, and the inhibitory effect of COS on CEMIP expression may also be associated with the regulation of PI3K signaling pathway activity.To validate this theory, we further investigated the impact of COS on PI3K signaling pathway activity.

COS inhibited CEMIP expression via suppressing of PI3K/AKT/mTOR pathway in osteosarcoma cells
Osteosarcoma cells (MG63 and U2OS) were seeded and cultured in 6-well plates and treated with various concentrations of COS for 48 h.The proteins in question were isolated, and their expression was analyzed at specified time points.Western Blot analysis revealed that when MG63 cells were treated with COS, the expression of p-PI3K, p-AKT, and p-mTOR was significantly reduced (Fig. 7A and B).The PI3K/AKT/mTOR pathway activity of U2OS cells was also significantly inhibited by COS treatment (Fig. 7A and  B).These results indicated that COS could indeed interfere with the expression of CEMIP by inhibiting the PI3K/AKT/ mTOR pathway.

COS suppressed the progression of osteosarcoma and inhibited CEMIP expression in vivo
To confirm whether COS also has the same effect in vivo, we inoculated mice with osteosarcoma cells and treated them with COS.Treatment with COS significantly inhibited osteosarcoma growth.The tumors' size, volume, weight, and the ratio of tumor weight to body weight were notably lower in the COS treatment group compared to the control group (Fig. 8A-D).There was no significant difference in body weight between the COS treatment group and the control group (Fig. 8E).We further analyzed the expression of CEMIP in tumor tissue with IHC assay and found that the expression of CEMIP in the COS-treated group was significantly lower than in the control group.Additionally, the expression of related signaling pathway proteins was significantly reduced in the COS-treated group compared to the control group (Fig. 8F).These results indicate that, like the effects observed in in vitro experiments, COS can also inhibit CEMIP expression in vivo.

Discussion
Osteosarcoma is a malignant bone tumor that is prone to early metastasis and continues to have an overall survival rate with no significant improvement over the years [2].Surgical therapy, chemotherapy, radiation therapy and other therapies are widely used to treat osteosarcoma, but approximately 30% of local osteosarcoma patients experience recurrence [25].Consequently, active research endeavors explore methods and strategies that may suppress the malignancy of osteosarcoma and improve treatment efficacy.As the efforts to suppress osteosarcoma malignancy intensifies, the various factors related to osteosarcoma malignancy has started to become clearer.Research indicates that CEMIP is frequently overexpressed in various tumors and is closely related to poor prognosis [26][27][28].Similarly, osteosarcoma patients with overexpressed CEMIP have a very poor prognosis [11].Previous studies have demonstrated that CEMIP overexpression promotes tumor cell proliferation and metastasis, leading to enhanced tumor malignancy [3,9,20].Several important signaling pathways, including the PI3K and Notch signaling pathways, have been implicated in the regulation of CEMIP expression [20,21,29].Given the significant role that CEMIP plays in tumor malignancy, it has attracted considerable attention as a promising target for tumor therapy.Although there has been extensive research on the relationship between the overexpression of CEMIP and tumor malignancy, reports on the use of natural active compounds to inhibit its expression are currently limited.
COS is an oligomer isolated from chitin and exhibits good biological activity.This compound has been effectively used in many fields, including medicine, where it is recognized as an effective immune activator and a potential supplement for anti-tumor drugs [12,13].The inhibition of signaling pathway activity has been identified as one of the important mechanisms in the anti-tumor activity of COS [14,30].However, few reports have been done on the analysis of the specific signaling pathway proteins that interact with COS from a bioinformatics perspective.
The available data indicate that COS, as a naturally active compound with strong inhibitory activity against signaling pathways, may affect the expression of CEMIP.Therefore, based on the preliminary evidence of COS's anti-tumor activity in osteosarcoma, we investigated the effect of COS on CEMIP expression.Fig. 4 Bioinformatics prediction for possible target signaling pathways of COS in osteosarcoma.A 2D and 3D structure of COS.B A PPI network for possible target genes of COS was constructed to obtain possible edges by using STRING database.C 104 possible target genes were screened using Cytoscape software.D-F The intersection between COS target genes and human osteosarcomarelated genes was analyzed.G The primary associated pathways were screened from a key network of COS by KEGG pathway analysis.Abbreviations: PPI, protein-protein Interaction; KEGG, Kyoto Encyclopedia of Genes and Genomes; COS, Chitosan oligosaccharide ◂ 294 Page 10 of 16 First, we confirmed the inhibitory activity of COS on human osteosarcoma cells.Our results showed that COS significantly inhibited the proliferation and invasion of human osteosarcoma cells (MG63 and U2OS) and effectively induced apoptosis in vitro (Fig. 1-2).Based on this, we continued to investigate the effect of COS on CEMIP expression and found that COS significantly inhibited the expression of CEMIP in osteosarcoma at both the mRNA and protein levels.
The mechanism by which COS inhibited CEMIP expression was further explored through bioinformatics analysis to predict the relationship between CEMIP expression-related signaling pathways and COS.Although previous studies have reported that COS affects various signaling pathways, its precise target point has yet to be identified using bioinformatics analysis.Therefore, we dedicated considerable effort to this analysis.Bioinformatics is widely recognized as an effective research method for predicting accurate target points and is used to study interactions between small molecule compounds and signaling pathway targets [31][32][33].In this study, bioinformatics analysis was conducted to predict the key signaling pathway target of COS.
104 possible target genes for COS were screened using PharmaMapper, STRING database, and Cytoscape.These genes were cross analyzed with human osteosarcomarelated genes (2283), and 56 potential target genes were obtained.Further analysis using the UniProt and KEGG databases revealed that COS exerts the greatest impact on proteins of the cancer-related PI3K signaling pathway.6 key target proteins with the highest affinity were screened through docking with COS, among which AKT1 had the highest matching score (− 8.2), indicating that is COS most likely to interact with proteins of the PI3K signaling pathway (Table 2).Previous studies have also reported that the PI3K signaling pathway is closely related to the expression of CEMIP in various cancers [20,21].Therefore, based on the abovementioned bioinformatics predictions, further investigations were conducted to confirm whether COS indeed affects the expression of CEMIP by interfering with the PI3K/AKT/mTOR signaling pathway.Our results demonstrated that COS significantly inhibited the PI3K/AKT/ mTOR signaling pathway, with subsequent effective inhibition of CEMIP expression.These results indicate that COS could significantly inhibit CEMIP expression in vitro.To validate these effects in vivo, animal experiments were conducted, and the results showed that the expression of CEMIP in the COS treatment group was significantly lower than that in the control group, with the expression of PI3K/AKT/ mTOR signaling pathway protein also being significantly reduced.This result suggests that COS could also inhibit CEMIP expression in vivo.
The findings of our study collectively indicate that COS, a naturally active compound, may be effective in inhibiting the expression of CEMIP, one of the main factors associated with osteosarcoma malignancy.
The relationship between CEMIP expression and tumor malignancy has gained significant attention, and notable results have been obtained from research on its expression regulation [34][35][36][37][38].The naturally active compound possesses modulatory properties on signaling pathways involved in various biological activities, making it a potential candidate for application, particularly in the medical field, as an effective adjunctive therapeutic agent in the treatment of tumors [39][40][41][42][43][44].Further research is needed to explore the utilization of natural active compounds as complementary therapies for the treatment of osteosarcoma in the future.

Conclusion
This study provides evidence that COS could inhibit the expression of CEMIP in osteosarcoma, which is closely associated with tumor malignancy.The inhibitory effect of COS may involve the inhibition of the PI3K/AKT/mTOR signaling pathway, as demonstrated with in vitro and in vivo experiments.These findings present new perspectives and offer a novel approach to osteosarcoma treatment from different perspectives.

Fig. 3
Fig.3COS inhibited the expression of CEMIP in osteosarcoma cells.A MG63 and U2OS cells were treated with various doses (0, 7, 14 and, 21 mg/mL) of COS for 48 h, and mRNA expression level of CEMIP was evaluated with qRT-PCR.B The expression level of CEMIP protein of osteosarcoma cells was evaluated using Western

Table 1
The list of 56 intersection genes with COS and osteosarcoma

Table 2
Affinity between six target proteins and COS