Hypoxia-induced activation of NDR2 underlies brain metastases from Non-Small Cell Lung Cancer

The molecular mechanisms induced by hypoxia are misunderstood in non-small cell lung cancer (NSCLC), and above all the hypoxia and RASSF1A/Hippo signaling relationship. We confirmed that human NSCLC (n = 45) as their brain metastases (BM) counterpart are hypoxic since positive with CAIX-antibody (target gene of Hypoxia-inducible factor (HIF)). A severe and prolonged hypoxia (0.2% O2, 48 h) activated YAP (but not TAZ) in Human Bronchial Epithelial Cells (HBEC) lines by downregulating RASSF1A/kinases Hippo (except for NDR2) regardless their promoter methylation status. Subsequently, the NDR2-overactived HBEC cells exacerbated a HIF-1A, YAP and C-Jun-dependent-amoeboid migration, and mainly, support BM formation. Indeed, NDR2 is more expressed in human tumor of metastatic NSCLC than in human localized NSCLC while NDR2 silencing in HBEC lines (by shRNA) prevented the xenograft formation and growth in a lung cancer-derived BM model in mice. Collectively, our results indicated that NDR2 kinase is over-active in NSCLC by hypoxia and supports BM formation. NDR2 expression is thus a useful biomarker to predict the metastases risk in patients with NSCLC, easily measurable routinely by immunohistochemistry on tumor specimens.


INTRODUCTION
Hypoxia (oxygen deprivation) supports genomic instability, aggressiveness of tumor cells, formation of metastases, and resistance to treatment by non-small-cell lung cancers (NSCLC) [1][2][3] by incompletely established mechanisms.One can hypothesize that hypoxia disrupts the RASSF1A (Ras association domain family 1 isoform A)/Hippo signaling pathway [4][5][6][7][8][9] since YAP is active in several hypoxic tumors [10] and interact either with (i) hypoxia-inducible factor-1α (HIF-1A) to promote pancreatic ductal adenocarcinoma invasion [9] or hepatocellular carcinoma cell glycolysis under hypoxic stress [11], or with (ii) HIF-2A to promote the progression of colon cancer [12].Regarding NSCLC, that hypoxia could disrupt the RASSF1A/Hippo signaling pathway, is of particular interest since Hippo pathway is already known to be altered following the loss of expression of RASSF1A in 25% of patient with NSCLC [13], leading to aberrant activation of both the Hippo kinase, NDR2 and the Hippo effector, YAP [14] and supporting the subsequent initiation and dissemination of NSCLC [14,15].Only one paper reports the role of RASSF1A-HIF-1A loop, in a subset of NSCLC still expressing RASSF1A and the primary cancer cells isolated from the same tumors, independent of Hippo signaling [16].Here, we decipher the HIF-1A/YAP/TAZ relationship in presence or absence of RASSF1A in Human Bronchial Epithelial Cells (HBEC) lines grown under severe (0.2% O 2 ) and prolonged (48 h) hypoxia (i.e. as conditions present in the core/bulk of lung tumor [17][18][19]).We seek to determine whether NDR2 is hyperactivated early (following epigenetic dysregulation) or late (by hypoxia) during the natural history of NSCLC and could be a useful tool to diagnose metastatic tumors in view of these promigratory properties.
Control HBEC-3 cells (siNeg), grown in hypoxia (0.2% O 2 , 48 h), adopt an individual migration mode while their migration is collective in normoxia (Fig. 4A).This migration is of amoeboid type for the "control" cells (Fig. 4B) while mesenchymal for RASSF1Adepleted HBEC-3 cells (Fig. 4B).Since the type of migration (individual versus collective) influences the cell velocity [26], we measured the average velocity using the TrackMate module of the Fiji® software.These analyzes demonstrate that hypoxia (0.2% O 2 , 48 h), like the inactivation of RASSF1A, significantly increases the migration speed of HBEC-3 cells without additive effect (Fig. 4A).We evaluate the route of these cells using the MtrackJ® module of the Fiji® software, and show that compared to HBEC-3 cells in normoxia, HBEC-3 cells in hypoxia move randomly above all when depleted for RASSF1A (Fig. 4C).
Hypoxia and/or RASSF1A and/or YAP depletion activates the hypoxia factor HIF-1A.Indeed, the presence of nuclear HIF-1A in HBEC-3 cells at high cell density is reported whether cultured in normoxia or hypoxia (Fig. 5A).RASSF1A and/or YAP silencing enhances the nuclear intensity of HIF-1A but not in the absence of NDR2 (Fig. 5B).In line, hypoxia (0.2% O 2 , 48 h) increases the expression of CAIX (target gene of HIF-1A [28]) mRNA in HBEC-3 cells (Fig. S9) all the more so when cells are depleted for RASSF1A and/or YAP (Fig. S9).
In normoxia, the RASSF1A depletion increases phospho-c-Jun in HBEC-3 cells, while YAP and/or NDR2 silencing decreases phospho-c-Jun/c-Jun ratio and abrogates effect of RASSF1A depletion (Fig. 6A).In hypoxia, none of these effects are observed as, when cells were pre-treated with SP600125, a repressor of c-Jun activation.RASSF1A depletion significantly increases the HBEC-3 cells velocity (Fig. 6B) and 3D-migration (Fig. 6C) while hypoxia increases HBEC-3 cells velocity but decreases 3Dmigration.YAP as NDR2 increases the velocity and migration induced by RASSF1A depletion in normoxia (Fig. 6B).In hypoxia, the increase of cell velocity and the decrease of 3D migration is still observed in the absence of RASSF1A and/or YAP expression but not in the absence of NDR2 (Fig. 6B).The inhibition of c-Jun activation abrogates or reduces the effects of RASSF1A depletion or hypoxia on HBEC-3 cell velocity (Fig. 6B) and 3D (Fig. 6C) migration respectively (NDR2 and/or RASSF1A depletion are confirmed by NDR2 (Fig. S10A) and/or RASSF1A (Fig. S10B) expression assay).athymic mice (n = 10 per condition).At day 18, BM were observed in 6/10 and 7/10 animals in shControl and shNDR1 group respectively but not in shNDR2 group (Fig. 7D).At day 24, BM reached 36.22 ± 5.8 mm 3 in shNDR1 group and 18.73 ± 4.5 mm 3 in the shControl one (Table 1).In shNDR2 group, 6 animals started to developed BM at day 24, with significantly lower average volume (2.84 ± 0.9 mm 3 ) compared to shControl and shNDR1 group (Representative image: Fig. 7D, all mice brain: Fig. S11).
Immunostaining confirmed the lower expression of NDR1 and of NDR2 in BM of respective experimental groups (Fig. 7E).
Comparable responses were obtained with the A549 xenograft (Table 1).Furthermore, we observed a reduction of the nuclear staining of phospho-C-Jun and YAP in BM of shNDR2 group (Fig. 7F).In these cells, expression of YAP target genes (ANKRD1/CTGF) was reduced in comparison to the shControl or shNDR1 cell expression (Fig. 7G).
NDR2 is more expressed in metastatic than in localized NSCLC We assay NDR2, YAP and phospho-c-Jun expression in 25 patients with localized cancer and 20 patients with metastatic cancer (Fig. 8A-C).NDR2 is more expressed in tumor of metastatic NSCLC (Hscore: 193.2 ± 5.8) than in localized NSCLC (136,4 ± 10,7).There was no difference in the expression of NDR2 between the primary and BM tumors of the same patients with NSCLC.

DISCUSSION
We hypothesized that a hypoxic tumor microenvironment could contribute to the inactivation of the RASSF1A/Hippo pathway during bronchial tumor growth and underlies brain metastases formation.We first confirm that human primitive NSCLC as their brain metastases are hypoxic [20,[36][37][38][39][40].Then, we report the ability of human bronchial epithelial cell (HBEC) lines expressing (HBEC-3, BEAS-2B) or not RASSF1A (A549, H1299, H1915, H2030-BRM3) to survive severe hypoxia at 0.2% oxygen which is consistent with the work having maintained cultures of HBEC in hypoxia (1% oxygen) for up to 28 days in an air-liquid interface [41].
We discovered that hypoxia inactivates TAZ in HBEC-3 cells but leads to the accumulation of active (dephosphorylated) nuclear YAP.Such results were recovered for the other HBEC lines with a few exceptions for BEAS-2B, H1299, and H1915 cell lines.For the BEAS-2B, this can be explained by the high basal level of YAP expression, probably due to their immortalization by SV40, an inhibitor of p53 which leads to the activation of YAP [42] which may not further increase.Under hypoxia, YAP is active in HBEC lines.That hypoxia act differently on YAP and TAZ was already described in ovarian cancer (5.The activation of YAP by hypoxia is supported by the silencing of its negative regulators: RASSF1A and Hippo kinases but not NDR2.That hypoxia inhibits Hippo kinases and promotes the nuclear localization of YAP as well as its transcriptional activity had already been reported in breast cancer [12], the liver [11], the colon [43], the pancreas [9], or the ovary [5] but not yet in lung cancer.Since hypoxia could influence the Hippo pathway through epigenetic modifications [8], we determined the methylation status of promoters of genes encoding members of the RASSF1A/Hippo pathway.We show that hypoxia does not induce methylation of the promoters from Hippo kinases or ANKRD1 genes (ANKRD1 was studied since [22] reported frequent methylation of the promoter of this gene in bronchial tumors and that we observed a very strong transcription of this gene following hypoxia) nor does it demethylate the RASSF1A promoter in A549 cells.The decrease in expression of RASSF1A and of the kinases of the Hippo pathway induced by hypoxia does not therefore imply a modification of the methylation status of the promoters of the genes encoding these proteins.The mechanism of action remains to be determined but could involve ubiquitindependent regulations, as described in the breast cancer model in which SIAH2 directs the LATS2 kinase to the proteasome [7].Indeed, all the members of the Hippo pathway are subject to regulation by ubiquitinylation [44].
YAP is described to transcribe genes involved in TEM and cell movement [15].We evaluated the effect of hypoxia on the cytoarchitecture of HBEC-3 cells, their TEM and their 2D motility).The immunostaining of the actin and tubulin filaments confirmed that the RASSF1A depletion alters the cells morphology which become large or stretched in normoxia [15].Here, we report in an original way that the alteration in cell morphology is enhanced when cells are grown under severe hypoxia.Again, that hypoxia alters the morphology of bronchial cells is in agreement with the work which reports that hypoxia affects the differentiation of HBEC in vitro: HBEC cells cultured at an air-liquid interface do not more succeed in forming cilia at their apex, and adopt a mucoid phenotype [41].This change in morphology is in line with (i) the T (EM that we report in parallel in these cells, (ii) the fact that they undo their cell junctions (adherent and communicating), and (iii) the fact that they strongly express fascin, molecule known for its involvement in the formation of filopodia (fine cytoplasmic extensions) but also in the extensibility of cells [25] as well as cell migration [45].This morphological/phenotypic change explains why HBEC adopt an individual type of migration when cultured in hypoxia and when they are brought to fill a mechanical wound made on their cell layer while in normoxia, their migration is collective.The hypoxia-induced amoeboid migration has only been described once to date and to our knowledge in a head and neck cancer model and is linked to HIF-1A [46].We also observe that the HBEC grown in hypoxia do not efficiently repair the wound: HBEC move faster in hypoxia than in normoxia, but do not only migrate toward the other bank, particularly RASSF1Adepleted HBEC.This disorganized migration could be explained by the fact HBEC-3 cells grown in hypoxia and depleted for RASSF1A that strongly express the fascin which, as mentioned above, controls cell movement and elasticity.An increase in fascin has already been described in many cancers, in particular in Fig. 4 Severe and prolonged (0.2% O 2 , 48 h) hypoxia leads to elasticity increase of HBEC-3 cells and thus to increase in individual type migration.A, B Illustrations of the wound healing assay with HBEC-3 expressing or not RASSF1A, taken by inverted phase-contrast microscope (×10 magnification) in normoxia/hypoxia, at T0, T6 and T15h after scraping (A), zooming in on cell migration for conditions siNeghypoxia (B, upper panel) and siRASSF1A-hyopoxia (B, lower panel).A The average cell velocity (in µm/h) was measured in normoxia and hypoxia for the control conditions, in the absence of RASSF1A.P-value *p < 0.05, **p < 0.01 (SEM n ≥ 3).C Diagram representing the migration and the change of direction of HBEC-3, with in red the cells of the right edge of the wound and in blue those of the left edge (>300 cells) using the MtrackJ® module of the Fiji® software.Histograms represent directional rate change (i.e.change of angle between two coordinates (x, y) of the same cell at two different times) evaluated by TrackMATE® module of the Fiji® software for near 1000 cells per movie (SEM n ≥ 3).Pvalue *p < 0.05, **p < 0.01.NSCLC, where it predicts a poorer prognosis [47] because it promotes cell migration and invasion of NSCLC [48].An increase in fascin has also already been described when cells are in hypoxia [49].However, fascin is not a suitable therapeutic target since we observed that its inhibition by siRNA caused major cytonuclear abnormalities in HBEC (data not shown).
YAP is responsible for the increased collective migration rate induced by the RASSF1A depleted-HBEC cells cultured in normoxia [15].We show here that, the migration velocity induced by the RASSF1A depletion is independent of YAP but could be dependent of NDR2 and HIF-1A which is stabilized by RASSF1A and/or YAP silencing in hypoxia.This result is unexpected since it was shown that RASSF1A stabilized HIF-1A in NSCLC cells [16] or that YAP stabilized HIF-1A [11].It is therefore probable that the mechanisms allowing the stabilization of HIF-1A in the absence of RASSF1A or YAP are different, and could, for example, involve the transcription factor ETS-1 (v-ets erythroblastosis virus E26 oncogene homolog 1), which governs the gene expression of HIF-1A [50] and is itself activated by JNK signaling [51], which is repressed by RASSF1A [35].Hypoxia experiments were carried out in percentage of O2 and for a duration different than that used by Dabral et al. [16], which suggests that the mechanisms are specific to a level of hypoxia (moderate, severe, chronic).
YAP activity in hypoxia coincides with the Hippo kinases decreases in hypoxia, except the NDR2 kinase, which appears to be stabilized, consistently with YAP nuclear localization in HBEC lines and YAP target genes expression.Indeed, NDR2 leads the YAP nuclear translocation in a GTPase RhoB pathway mechanism [14].It would then be interesting to study the Rho protein pathway within the different lines to further understand how NDR2 promotes the YAP activation in hypoxia, hypoxia being also involved in cancer cell migration via the RhoA pathway [52].
We subsequently studied the expression of NDR2 and YAP on samples from patients with NSCLC.We show that NDR2 kinase expression is higher in metastatic than in localized NSCLC suggesting a link between the metastatic process and NDR2 expression.In addition, YAP is more frequently expressed higher in metastatic than in localized NSCLC.These observations highlight its potential role in the development of metastases, by inducing the expression of pro-metastatic target genes as has already been shown in breast cancer and melanoma cells [53].The results also show that the expression of YAP at the nuclear level is higher in higher in metastatic than in localized NSCLC, which again suggests that the metastases take place in a YAP-dependent manner although this remains to be proven in an in-vivo study by carrying out an extinction of the expression of YAP or else by preventing its nuclear translocation.
Regarding the expression of YAP, the results did not reveal a significant difference in expression between the metastatic or non-metastatic NSCLC.Such comparison was not previously done by others to our knowledge but does not call into question the role of YAP in the formation of carcinoma metastases, in particular from lung, since independently of the quantity of YAP, the important thing is its activation.
We finally used a model of lung cancer-derived BM and show that silencing NDR2 kinase (but not NDR1) reduces the number of metastases and the overall volume and rate of lesion progression.Collectively, these results are therefore in favor of an effect of metastatic promotion of NDR2 and consistent with the role of the kinase NDR2 involved in the control of cell movement via the regulation of YAP demonstrating a pro-metastatic effect of the latter [15].
In conclusion, our results demonstrate that hypoxia is an aggravating factor in bronchial carcinogenesis by silencing the RASSF1A/Hippo pathway (except NDR2) in HBEC lines.These new data improve our understanding of the relationship between the tumor microenvironment, the Hippo signaling pathway, and the adaptation of bronchial tumor cells.Our results shed light on HIF1 as a potential therapeutic target in patients with NSCLC with inactivation of the RASSF1A gene, but also YAP.Thus, the pharmacological targeting of these new targets could be effective in preventing the spread of cancer and in improving the vital prognosis of patients with NSCLC.Our results also indicated that NDR2 kinase is over-active in NSCLC in part by hypoxia and supports BM formation (Fig. 9).NDR2 expression is thus a useful biomarker to predict the metastases risk in patients with NSCLC, easily measurable routinely by immunohistochemistry on tumor specimens.

MATERIALS AND METHODS Patients
We selected a retrospective population of 45 patients operated on a nonmetastatic NSCLC (n = 25) or metastatic NSCLC (n = 20) for whom both the primitive tumor and the brain metastasis (BM) were available, at Caen University Hospital between December 2009 and December 2019.Among the 25 patients with localized NSCLC, 17 were men and 8 were women with an average age of 71 years [54 -86 years].Among the 20 patients with metastatic NSCLC, 15 were men and 5 were women with an average age of 67 years [40-82 years].As required by French laws, all patients provided informed consent, and the study was approved by the institutional ethics committee (North-West-Committee-for-Persons-Protection-III N°DC-2008-588).

Mice brain metastasis model
All animal investigations were performed under the current European directive (2010/63/EU) following ARRIVE guidelines, in the housing and laboratories #F14118001/#G14118001 and with the permission of the regional committee on animal ethics (C2EA-54 CENOMEXA, project #23280).Nude athymic mice (20-25 g, 8 weeks, male) were maintained in specific pathogen-free housing.Mice were manipulated under general anesthesia (5% isoflurane for induction, 2% for maintenance in a 1 l/min of 70%N 2 O/30%O 2 ).Body temperature was monitored and maintained at 37.5 ± 0.5 °C throughout the experiments.Mice were placed in a stereotaxic head holder a scalp incision was performed along the sagittal suture.H2030-BrM3 cells (10 5 cells in 3-μl-PBS supplemented by glutamine (2 mM)) were injected over 5 min (0.6 min) via a (30 G) connected to a Hamilton syringe.The injection sites were the right caudate putamen at a depth of 4 mm and lateralization on the right of 2.5 mm.Mice were randomly selected, and injected with H2030-BrM3 cells (shControl, shNDR1 or shNDR2).Animals were followed twice a week by anatomical MRI over a 21 days' period to follow BM development.The endpoints of the protocol to limit pain of animals are described in the project authorization number#23280 (C2EA-54 CENOMEXA).The number of animals (n = 10/lot) was calculated to be as low as possible while allowing robust measurements (the distribution is Gaussian and parametric tests are applicable).

Acquisition of magnetic resonance imaging and sequence analysis
The development of the lesions was monitored twice a week using magnetic resonance imaging (MRI) on a 7 Tesla magnet (Pharmascan, Bruker, Ettlingen, Germany).All experiments were performed under isoflurane anesthesia: 5% and during induction and 2.5% during the procedure in a 1 L/min mixture N20 and 02 (70 and 30%).The mouse is placed in a cradle allowing the head to be held by ear and tooth bars.Breathing is monitored in real time using a pressure balloon under the abdomen.
Tumor delineation was performed using ImageJ software (NIH, Wayne Rasband, Maryland, USA) on all adjacent T2w slices and tumor volume was achieved by multiplication of the sum of contiguous tumor surface areas with the slice thickness.
To note, the acquisition of MRI and sequence analysis were performed without knowing the group the animals belonged to (shControl, shNDR1 or shNDR2).

Preparation of RNA and RT-PCR
The extraction of total RNA from cells was carried out using the illustra RNAspin mini® column (GE Healthcare, Bio-Sciences, Pittsburgh, PA, USA), according to the manufacturer's instructions.Total RNA (250 ng) was reverse-transcribed with random primers and 200 IU M-MLV reverse transcriptase (37 °C, 90 min), followed by dissociation (70 °C, 5 min) with Mastercycler Eppendorf®.The resulting cDNAs were diluted (1/10) and used as templates.Polymerase chain reaction (PCR) was performed in a Mx3005P QPCR system (Agilent Technology, Les Ulis, France) with 5 pmol of each primer set (Table S2) and iQTM SYBR Green Supermix (Bio-Rad, Hercules, CA, USA).S16 was used as an internal control.Positive standards and reaction mixtures lacking the reverse transcriptase were employed routinely as controls for each RNA sample.Relative quantification was calculated using the ΔΔCt method.
Preparation of DNA and methylation-specific PCR assay DNA samples were obtained from cells using the QIAamp DNA Tissue kit (Qiagen, Les Ulis, France).Genomic DNA bisulfite modification was performed using the Epitect kit (Qiagen, Les Ulis, France), according the manufacturer's instructions and previously described [54].PCR was conducted with specific primers for either the methylated or unmethylated alleles (Table S3) in standard conditions.
For immunoblotting, whole-cell protein extracts were prepared [15], and proteins were detected by immunoblotting with the primary antibody diluted to 1:1 000 in Tween (0.1%)-TBS buffer and horseradish peroxidase (HRP)-conjugated secondary antibody, then revealed by enhanced chemiluminescence using the ECL kit (Promega™, Charbonnières-les-Bains,

NDR2 CAIX NDR2
Others NSCLC paƟent with hypoxic tumour due to their growth  France).Densitometry results of western blot were analyzed with Image J software.

BrdU incorporation assay
BrdU incorporation assay kit (Millipore, Billerica, MA, USA) was used in accordance with the manufacturer's instructions.Spectrophotometric detection was performed at 450 nm wavelength.

Wound-healing assay
Transfected cells were grown in complete medium onto 24-well Collagen IV coated plates (BD Biocoat™, Heidelberg, Germany).They were pretreated with mitomycin C at non-cytotoxic concentrations (1 ug/ml) for 12 h before an artificial "wound" carefully created at 0 h, using a P-20 pipette tip.Photographs were taken (X10) at 0 h and 6 h.The average velocity of cell migration was measured by subtracting distances across the wound at 0 h and 6 h and expressed as μm/h.

3D migration assay
In all, 25 × 10 3 cells in 250 μl serum-free medium were added to the top chambers of 24-well Transwell plates containing a cell culture inserted with 8 μm pore size (Greiner Bio-One, Courtaboeuf, France).The lower chamber was filled with 700 μl complete media.After 48 h of incubation, the nonmigrating cells (on the top) were removed and the migrating cells (on filter's lower surface) were stained using crystal violet then counted under an inverted microscope at x20 magnification.

Statistical analysis
Data are means ± SEM of three independent experiments.The data were analyzed using a two-tailed Student's t-test (single comparison) or one-way ANOVA followed by Dunnett's (multiple comparison analysis, GraphPad Prism 4, a GraphPad Software program (San Diego, CA, USA), the variance was similar between the groups that are being statistically compared).Differences are significant at p < 0.05.

Fig. 1
Fig. 1 Severe and prolonged hypoxia activates YAP and downregulates TAZ in HBEC-3 cells.A Western blot of members of the Hippo pathway on HBEC-3, expressing or not RASSF1A, after 48 h of normoxia/hypoxia and associated quantification (right panel).B Immunostaining of YAP on HBEC-3 expressing or not RASSF1A and YAP, after 48 h of normoxia/hypoxia and Graphic representation of YAP nuclear intensity.C, D Representations of the mRNAs expression of the target genes of YAP: CTGF (C) and ANKRD1 (D).P-value *p < 0.05, **p < 0.01 and ***p < 0.001 (SEM n ≥ 3).
NDR2 silencing strongly inhibits the xenograft formation and growth in a mice brain metastases modelWe use a lung cancer-derived brain metastases (BM) model in mice, and inoculated H2030-BrM3 cells (shControl, shNDR1 or shNDR2 (Fig.7A-C)), in the right caudate putamen of Nude

Fig. 6 Fig. 7
Fig.6Hypoxia exacerbates the ability of HBEC cells with overactive NDR2 to migrate in a YAP and c-Jun-dependent mechanism.A Expression of c-Jun and phospho-c-Jun (p-c-Jun) proteins evaluated by western blot in HBEC-3 cells transfected with siNeg, siRASSF1A, siYAP, siNDR2, or both and cultivated for 48 h in normoxia or hypoxia (0.2% O 2 ).Upper panels are representative experiments and lower panel is densitometric analysis of p-c-Jun/c-Jun ratio expressed in base 1 using siNeg in normoxia condition without SP600125.B Cells velocity and 3D migration (C) of HBEC-3 cells transfected with siNeg, siRASSF1A, siYAP, siNDR2 or both and cultivated for 48 h in normoxia or hypoxia (0.2% O 2 ).The values are the mean ± SEM of three independent determinations.ANOVA was followed by a post-hoc Dunnett test, *p < 0.05, **p < 0.01 or #p < 0.05, ##p <using t-test by comparing (−) SP600125 vs (+) SP600125 in the same culture conditions.

Fig. 9
Fig.9NDR2 underlies brain metastases from Non-Small Cell Lung Cancer.Hypoxia-induced activation of NDR2 underlies brain metastases from Non-Small Cell Lung Cancer (Graphical abstract).

Table 1 .
NDR2 silencing decreases formation and growth rate of BM from HBEC.