ARL2 overexpression inhibits glioma proliferation and tumorigenicity via down-regulating AXL

Background Glioma is the most common primary brain tumor in adults with a poor prognosis. As a member of ARF subfamily GTPase, ARL2 plays a key role in regulating the dynamics of microtubules and mitochondrial functions. Recently, ARL2 has been identified as a prognostic and therapeutic target in a variety range of malignant tumors. However, the biological functional role of ARL2 in glioma still remains unknown. The aim of this study was to explore the expression and functional role of ARL2 in glioma. Methods In this study, we investigated the expression of ARL2 in glioma samples by using RT-PCR, immunohistochemistry and western blot. The correlation between ARL2 expression and the outcomes of glioma patients was evaluated with survival data from TCGA, CGGA and Rembrandt dataset. Lentiviral technique was used for ARL2 overexpression in U87 and U251 cells. CCK8 assay, colony formation assay, wound healing test, transwell invasion assay and in vivo subcutaneous xenograft model were performed to investigated the biological functions of ARL2. Results ARL2 expression was down-regulated in glioma, and was inversely associated with poor prognosis in glioma patients. Furthermore, exogenous ARL2 overexpression attenuated the growth and colony-formation abilities of glioma cells, as well as their migration and invasive capabilities. Moreover, elevated expression of ARL2 inhibited in vivo tumorigenicity of glioma cells. Mechanistically, ARL2 regulated AXL expression, which was known as an important functional regulator of proliferation and tumorigenicity in glioma cells. Conclusion Our study suggests that ARL2 inhibits the proliferation, migration and tumorigenicity of glioma cells by regulating the expression of AXL and may conduct as a new prognostic and therapeutic target for glioma. Electronic supplementary material The online version of this article (10.1186/s12885-018-4517-0) contains supplementary material, which is available to authorized users.


Background
Glioma is the most common primary brain tumor in adults [1]. Although a standard treatment including extensive surgical resection followed by radiation and temozolomide chemotherapy has been adopted, the outcomes for glioma patients are still poor [1]. Median survival of glioblastoma multiforme (GBM), the most common and aggressive form of glioma, is 14-15 months and median progression-free survival (FPS) is approximately 6 months [1,2]. Due to this dismal situation, great efforts have been made to find out effective approaches to halt the progression of this aggressive cancer. Besides this, recent studies have showed a tremendous understanding of the genetic and molecular mechanisms of glioma, leading to a renewed understanding about potential new therapeutic strategies, including oncogenic signal transduction inhibition/targeted therapy, anti-angiogenesis treatment, therapy targeting glioma stem cells, and immunotherapy [3].
Small G-proteins also known as the Ras superfamily structurally classified into 5 families: Ras, Rho, Rab, Sar/ Arf, and Ran, which are involved in multiple cell signaling pathways and various cellular functions, including differentiation, proliferation, vesicle transport, nuclear assembly, and regulation of the cytoskeleton [4,5]. Recent studies have identified Ras mutations in some human carcinomas [6][7][8]. It has been reported that activating mutations of KRAS-4B, within the mutated Ras family, occurs in approximately 21% of all human cancers, and accounts for approximately 90% of pancreatic cancers, 45% of colon cancers, and 30% of lung cancers, respectively [6]. The mutated forms of KRAS-4B not only activate their downstream signaling cascades, but also interact with each other and subsequently promote the proliferation of cancer cells and induce resistance to standard cancer therapies [6].
As a member of the ADP-ribosylation factor (ARF) subfamily, ADP ribosylation factor-like GTPase 2 (ARL2) is highly conserved and ubiquitously expressed in eukaryotes [9]. Previous studies show that ARL2 regulates microtubule dynamics through the interaction with tubulin-folding cofactor D (TBC-D), which is required for multiple mitochondrial functions including mitochondrial morphology, motility, asymmetric division, and maintenance of ATP levels [10][11][12]. Similarly, the trimer consisting of ARL2, tubulin-specific chaperone D and beta-tubulin is required for the maintenance of microtubule network [13][14][15]. In addition, ARL2 has been proved to be a fundamental regulator of farnesylated cargo and mitochondrial fusion [16,17]. ARL2 is also involved in regulating nuclear retention of STAT3 with binder of ADP-ribosylation factor-like two (BART) [18][19][20]. Furthermore, ARL2 inhibition induces the apoptosis of neural progenitor cells derived from human embryonic stem cells [21]. However, the function role of ARL2 in cancer is still controversial. It has been reported that ARL2 expression level modifies cell morphology and influences mitotic and cytokinetic progression in breast cancer [22]. Recent study demonstrates that ARL2 expression is dramatically elevated in hepatocellular carcinoma and might be potentially utilizable as a prognostic marker [23]. Similarly, another study reports that ARL2 functions as an oncogene in cervical cancer [24]. Nevertheless, there is a study showing that breast tumor cells with increased ARL2 content present reduced aggressivity, both in vitro and in vivo [25]. Decreased ARL2 expression is associated with the regulation of p53 localization and results in a chemoresistant phenotype in breast cancer via a protein phosphatase 2A (PP2A) mediated mechanism [26]. Moreover, the pathophysiologic role of ARL2 in glioma remains unclear.
In this study, we investigated the expression and functional role of ARL2 in glioma. We firstly proved that decreased ARL2 expression level was clinically correlated to the higher grades and poorer outcomes of glioma patients. Secondly, we found that ARL2 overexpression attenuated the proliferation, clone formation, migration, invasive and tumorigenic capabilities of glioma cells by regulating the expression of receptor tyrosine kinase AXL.

Patients and samples
Twenty-three patient samples were collected at the First Hospital of China Medical University from February to June in 2016, including 20 glioma samples (grade II, 3 cases; grade III, 9 cases; grade IV, 8 cases) and 3 non-tumor brain tissue samples (from partial lobectomy in patients with epilepsy). Nine glioma tissues (grade II-IV, 3 cases for each grade) and 3 non-tumor brain tissue samples were used for qPCR and western blot. To further confirm the data of qPCR and western blot, IHC staining were performed with these 12 samples and other 11 glioma samples (grade III 6 cases and grade IV 5 cases). All glioma patients underwent surgical resection and the histological diagnosis was verified by 2 neuropathologists according to 2016 World Health Organization (WHO) guidelines. All of the samples used for this study were primary tumor samples, except 3 recurrent samples used for IHC staining. This study was approved by the Medical Ethics Committee of the First Hospital of China Medical University, and written informed consent was obtained from each patient. The clinical characteristics of 20 glioma patients were listed in Table 1.

Protein extraction and western blot analysis
Total proteins from tissue and cells were extracted by whole cell lysis buffer (Wanleibio) and quantified using the bicinchoninic acid (BCA) method. 30 μg of protein from each sample was electrophoresed by 12% SDS-PAGE and transferred to PVDF membranes (0.45 μm, Millipore). After being blocked with 5% skimmed milk or 5% BSA (used for phosphorylated protein), the PVDF membranes were incubated overnight at 4°C with the primary antibody. Membranes were then washed three times with TBST (5 min each), and incubated with peroxidase-conjugated affinipure goat anti-rabbit (1:5000; Proteintech) or anti-mouse (1:10000; Proteintech) IgG at 37°C for 1 h. Protein expression was visualized with a chemiluminescence ECL kit (Tanon, 5500). GAPDH served as a loading control, and band intensity was quantified using Image J software.

Immunohistochemistry and immunocytochemistry
For immunohistochemistry, all samples were fixed in 10% neutral formalin and embedded in paraffin. Sections (4 μm thick) were cut from paraffin blocks and mounted on Poly-L-Lysine-coated glass slides. The sections were deparaffinized in xylene and rehydrated in gradient ethanol. Antigen retrieval was performed in 0.01 mol/L citrate buffer (pH 6.0) by microwave oven for 15 min at 95°C. Endogenous peroxidase activity was blocked with 3% hydrogen peroxide for 10 min and the sections were incubated with normal goat serum to reduce nonspecific binding for 15 min. Sections were incubated with primary antibody in blocking solution at 4°C overnight in a humidified chamber. After washing three times with PBS, sections were incubated with biotinylated goat anti-rabbit IgG (SP-9001, ZSGB-BIO) for 15 min at room temperature. After washing in PBS, 3, 3′-diaminobenzidine (DAB) was used for developing. Slides were counterstained with hematoxylin for 3 min. Then the sections were dehydrated and mounted with coverslips. German immunohistochemical score (GIS) was applied to evaluate the expression of ARL2 [30]. Percentage of positive cells was classified as 0 (negative), 1 (up to 10%), 2 (11-50%), 3 (51-80%), or 4 (> 80% positive cells), staining intensity was classified as 0 (no staining), 1 (weak), 2 (moderate), or 3 (strong). The final immunoreactive GIS were defined as the multiplication of both grading results (percentage of positive cells × staining intensity). The IHC expression value of ARL2 and related sample information were listed in Table 2.

Lentivirus mediated ARL2 and AXL over-expression
Lentiviruses carrying overexpressing ARL2, AXL and control vectors were purchased from GeneChem (Shanghai, China). The lentivirus transduction was performed according to the protocol provided by the company. In brief, after the cells (10 5 cells/well in 1 ml high-glucose DMEM medium supplemented with 10% FBS) were seeded in a 6-well plate for 24 h, 20 μl of lentivirus solution (10 7 IU/mL) were added to each well and the cells were incubated at 37°C with 5% CO 2 for 12 h. The medium was replaced with fresh DMEM medium containing 10% FBS. After 48 h of transduction, the cells were selected with puromycin (10 μg/mL). Medium was changed every 3 days. Real-time PCR and western blot were performed to assess the transfected efficiency.
In vitro cell proliferation assays 5 × 10 3 cells in 100 μl medium were seeded into 96-well plates per well and incubated at 37°C with 5% CO 2 for 6 days. The cell proliferation was measured at day 0, 2, 4 and 6 by adding 10 μl CCK8 (DojinDo) into the wells and following 4 h incubation at 37°C. Then OD values of each well were measured by microplate reader (BIO-RAD 15033) at the absorbance of 450 nm. Growth curves were plotted according to the OD value of each well.

Colony formation assay
After transduced with ARL2, AXL overexpression or control lentiviruses for 72 h, the cells were collected and resuspended as single cells. Cells were seeded into the wells of a six-well plate and incubated at 37°C with 5% CO 2 . After 2 weeks, the cells were washed with PBS twice and stained with crystal violet staining solution. The number of colonies (more than 50 cells) was counted under a microscope (Leica, 090-135.001).

Wound healing test
The cells (5 × 10 5 per well) were seeded into six-well plates. After 24 h, the cells overspread the bottom and were scratched by a 200 μl pipette tip. PBS was used to wash out cell debris and suspension cells. Fresh serum-free medium was added, and the cells incubated at 37°C with 5% CO 2 to allow the wound to heal. Photographs of the wound were taken at 0 and 24 h at the same position. The percentage of wound closure was measured according to previous reports [37,38]. In brief, the wound areas were evaluated by image J software and the percentage of wound closure were calculated via the formula as follow: (original wound areaactual wound area)/area of the original wound × 100.

Transwell invasion assay
Transwell chambers with a pore size of 8 μm filter membrane (Corning, 3422) were used to perform invasion assay. 100 μl Matrigel (Corning, 356,234) (diluted with serum-free DMEM by 1:8) was plated in transwell chamber, and preserved in an incubator. Four hours later, 200 μl of serum-free medium containing 10 5 cells was added into top chambers of transwell inserts, and 750 μl DMEM containing 10% FBS was added into bottom chambers. The cells were incubated at 37°C in 5% CO 2 for 16 h. Matrigel and cells in top chambers were removed by cotton swab. After fixation with 4% paraformaldehyde, the cells traversing the membrane were stained with crystal violet staining solution and counted under five different high-power microscope fields per well. The experiment was performed in triplicate.

In vivo subcutaneous tumor transplantation
All animal procedures were conformed to protocols approved by the Animal Care Committee of China Medical University. For xenograft subcutaneous transplantation, 6-week-old male immune-deficient nude mice (BALB/ C-Null) were purchased from Beijing Vital River Laboratory Animal Technology Company. Mice were raised in laminar flow cabinets under specific pathogen free (SPF) conditions and were fed ad libitum. U87 cells (transduced with ARL2 overexpression or control vector) were injected into the back flanks of nude mice at a density of 10 7 cells per 0.3 ml as previous described [39,40]. The tumor size was measured using a Vernier caliper per 4 days, and the tumor volume was calculated using the formula: V = (length x width 2 ) / 2 [41]. The mice were sacrificed at day 28 after implantation, and the tumors were weighed and photographed.

Statistical analysis
Data are presented as mean ± SD. The number of replicates for each experiment is stated in the figure legend. Statistical differences between and among groups were determined by two tailed t-test or one-way analysis of variance (ANOVA) followed by Dunnett's post-test, respectively. Statistical analysis was performed by Microsoft Excel 2013 and Graphpad Prism 6.0, unless mentioned otherwise in the figure legend. P < 0.05 was considered as statistically significant.

ARL2 expression is decreased in glioma
The expression of ARL family members in TCGA were studied through GlioVis, and ARL2 was significantly differentially expressed between glioma and non-tumor samples (Additional file 1: Figure S1). To further investigate ARL2 expression in glioma, we assessed mRNA and protein levels in a series of clinical glioma specimens and cell lines. Twelve human clinical specimens were collected including 9 glioma tissues (grade II-IV, 3 cases separately) and 3 non-tumor brain tissue samples. Quantitative PCR was performed on these specimens. The result showed that ARL2 mRNA levels decreased with the increase in grade of tumor tissues (Fig. 1a, P < 0.01), as well as U87 and U251 glioma cells (Additional file 2: Figure S2A, P < 0.0001). Similarly, ARL2 protein expression levels were down-regulated in grade IV glioma samples (Fig. 1b, P < 0.05), as well as U251 and U87 cells than non-tumor samples (Additional file 2: Figure S2B, P < 0.001). We then examined ARL2 expression in 20 gliomas tissue samples (grade II, 3 cases; grade III, 9 cases; grade IV, 8 cases) and 3 non-tumor brain tissue samples by immunohistochemistry. The data showed that ARL2 protein expression was reduced in high grade glioma samples (Fig. 1c, grade III, P < 0.01; grade IV, P < 0.0001). We also collected ARL2 expression data from CGGA, Rembrandt database and TCGA. The results confirmed that ARL2 expression level significantly decreased in GBM (grade IV) (CGGA, Fig. 1d, P < 0.0001; Rembrandt database, Fig. 1e, P < 0.0001). In TCGA, a decreased ARL2 expression could be observed in all subtypes (Proneural, Mesenchymal, Neural and Classical) of GBM, compared to non-tumor samples (Fig. 1f, P < 0.05). Data from Sun (Additional file 2: Figure S2C, P < 0.001) and Griesinger dataset (Additional file 2: Figure S2D, P < 0.05) also demonstrated the consistent results. Taken together, these results demonstrated that ARL2 expression significantly decreased in glioma.

ARL2 expression is clinical relevant with the poor prognosis of glioma patients
Recently, ARL2 has been identified as a potential prognosis marker for hepatocellular carcinoma [23]. To examine whether ARL2 expression is associated with glioma patient outcomes, we analyzed the data from CGGA, Rembrandt database, and TCGA to investigate the clinical relevance of ARL2. The data from CGGA showed decreased ARL2 expression was clinical relevant to the poor prognosis of glioma patients (Fig. 1g, P = 0.0003). Similar results were obtained from Rembrandt, and the patients with a higher ARL2 expression had a favorable survival (Fig. 1h, P = 0.011). Finally, we verified the result in TCGA. The consistent elevated expression of ARL2 was also associated with prolonged survival (Fig. 1i, P = 0.048).

ARL2 attenuated the growth and colony-formation abilities of glioma cells
To investigate the physiological role of ARL2 in glioma, we first overexpressed ARL2 through transducing lentiviral ARL2 vector in glioma cell lines (U87 and U251), and then examined the effects on cell growth. qPCR and Western blotting assay showed that both of ARL2 mRNA and protein expression level were significantly elevated at 48 h after transduction (Fig. 2a, P = 0.0099, and b, P = 0.0316; Additional file 3: Figure S3A P < 0.0001, and S3B, P = 0.0075). As a result, ARL2 overexpression significantly suppressed the proliferation of U251 and U87 cells, compared with cells transduced with the control vector ( Fig. 2c and d). Moreover, the colony formation assay was performed to examine the foci formation ability of these cells. As expected, foci formation abilities of U251 or U87 cells infected with lentiviral ARL2 overexpression vector were dramatically decreased in comparison with control cells (Fig. 2e and f). In addition, we measured the cell cycles in U251 cells transfected with or without ARL2 overexpression vector. The percentage of cells at G0/G1 phase in U251 cells with ARL2 overexpression was increased and the proportion at S and G2/M phase was decreased, oppositely (Additional file 3: Figure S3C, G0/G1 phase P = 0.0014, S phase P = 0.0049, and G2/M phase P = 0.0111). This data indicated ARL2 overexpression induced G0/G1 arrest in glioma cells and inhibited their proliferation. Taken together, these results indicated that ARL2 overexpression inhibited the growth and clonogenicity of glioma cells.

ARL2 inhibited the migration and invasive capabilities of glioma cells.
Since microtubule network plays a crucial role in the regulation of cell migration and invasion, wounding healing test and Transwell invasion assay were performed to examine whether ARL2 overexpression inhibited the migration and invasion of glioma cells. As shown in Fig. 2g and h, glioma cells with ARL2 overexpression migrated significantly more slowly than control cells (Fig. 2g, P < 0.05, and H, P < 0.01). Similar results were obtained from Transwell assay, ARL2 overexpressed cells exhibited decreased invasive capabilities (Fig. 2i, P < 0.01, and j, P < 0.01). These data indicated that ARL2 diminished the migration and invasion abilities of glioma cells.

ARL2 suppressed the tumorigenicity of glioma cells in vivo
To determine whether ARL2 is important to the tumorigenicity of glioma cells in vivo, we injected U87 cells infected with ARL2 overexpression vector or control vector into the flank regions of nude mice and measured tumor volumes every 4 days. The results demonstrated that the upregulation of ARL2 expression resulted in a reduction in subcutaneous growth of U87 glioma cells (Fig. 3a). Consistently, after 4 weeks of xenograft transplantation, although ARL2 overexpression didn't alter the tumorigenesis, the mean volume and weight of subcutaneous tumors in ARL2 overexpression group were obviously smaller and lighter than the control group ( Fig. 3b-d). Collectively, these results showed that ARL2 could suppress glioma tumorigenicity in vivo.

ARL2 decreased AXL expression in glioma cells
Due to the functional role of ARL2 in glioma, we investigated the downstream target of ARL2 via Gene Set Enrichment Analysis (GSEA). Adhesion dependent cell spreading signaling pathway were enriched, including 33 genes, such as ILK, ITGA8, and AXL (Fig. 4a). Furthermore, another two signaling pathway were enriched (epidermal growth factor and epidermal growth factor stimulus) (Additional file 4: Figure S4A and S4B). It has been reported that AXL is closely relevant to EGFR signaling pathway and mediates the resistance to EGFR inhibition in lung cancer and GBM [42][43][44]. We then explored the relationship among AXL and enriched genes in these two datasets separately via STRING (https://string-db.org/). The data also confirmed the close relationship between AXL and these enriched genes (Additional file 4: Figure S4C and S4D). Moreover, pathway analysis through pathDIP (http://ophid.utoron to.ca/pathdip/) was performed to inquire the relevant signaling pathways of ARL2 in KEGG and Reactome (Additional file 4: Figure S4E). It was revealed that ARL2 was relevant to several downstream signaling pathways, including PI3K-Akt, ERK/MAPK and EGFR. These pathways were also downstream targets relevant to AXL [42,43]. In addition, previous report and our previous study proved that AXL played a critical role in the functional regulation of glioma cells [29,45]. Based on these observations, we further investigated the effect of ARL2 expression on AXL in glioma cells. Firstly, western blot was applied to examine AXL expression in glioma cells infected with ARL2 overexpression or control vector. The results demonstrated that ARL2 overexpression decreased AXL protein expression (Fig. 4b, P = 0.038, and c P = 0.0053). Secondly, immunocytochemistry confirmed that ARL2 overexpression attenuated AXL expression in U251 cells (Fig. 4d). Thirdly, IHC staining of ARL2 and AXL in U87 xenograft were consistent with the results of western blot and ICC (Fig. 4e). The upregulated ARL2 expression induced a reduced AXL expression. Finally, phospho-AXL (Tyr702) protein expression in U251 cells was also inhibited after ARL2 overexpression (Fig. 4f, P = 0.0018). We also observed that the expression level of phospho-ERK decreased in U251 cells with ARL2 overexpression (Fig. 4g, P < 0.01). In contrast, there was no significant change in total ERK, total AKT and phospho-AKT expression ( Fig. 4f and Additional file 5: Figure S5).

AXL overexpression partially rescued the phenotype induced by ARL2 overexpression in U251 cells
To explore the physiological role of ARL2-AXL axis in glioma cells, we evaluated whether AXL overexpression rescue the phenotype induce by ARL2 overexpression in glioma cells. Therefore, we transduced ARL2 overexpression U251 cells with lentiviral AXL overexpression vector ( Fig. 5a and b). As a result, the reduced in vitro cell growth and clone formation capabilities of U251 cells by ARL2 overexpression were partially restored by AXL overexpression (Fig. 5c and d). Consistently, we found that their inhibited migration and invasive abilities by ARL2 overexpression were also partially rescued by AXL overexpression, yet not completely ( Fig. 5e and f ).

Discussion
Microtubule network dynamics is crucial to the regulation of physiological processes like cell mitosis and migration. As a key regulator of microtubule, ARL2 has been implicated in several malignant tumors, such as breast cancer, cervical cancer, and pancreatic cancer [24,26,46]. But the pathophysiologic role and expression pattern of ARL2 in cancer is still controversial [23,24], and the function of ARL2 in glioma remains unknown. In this study, we identified ARL2 expression pattern and its clinical significance in glioma. The downregulation of ARL2 implies the poor prognosis in glioma patients. Furthermore, our results confirmed that ARL2 reduced the growth, clone formation, migration and invasive abilities of glioma cells, as well as in vivo tumorigenicity. These data indicate a promising potential role of ARL2 in malignant glioma treatment.
Another novel finding in this study is that AXL expression is regulated by ARL2. AXL is a member of the TAM (TYRO3, AXL, MER) subfamily of receptor tyrosine kinases [47]. Earlier report and our previous works have described the function of AXL in regulating cell growth, migration and tumorigenesis of glioma [29,45]. Our study provides the first evidence for the role of ARL2 upregulation in modifying AXL expression. To clarify the mechanism that ARL2 reduced the expression of AXL, qPCR was performed to detect ARL2 and AXL The result showed that ARL2 overexpression didn't lead to significant decrease in AXL mRNA expression. Therefore, we concluded that ARL2 might regulate AXL expression through post-transcriptional mechanism. Previous studies showed that Ras family members like Rab35, Rac1, Cdc42 and Rnd3 mediate ubiquitin modification [48][49][50]. Based on these observations, we used Ubibrowser to analyze the high confidence E3 ligases that interacted with AXL. We also applied TCGA data to explore whether these genes were coexpressed with ARL2. The result showed that STUB1 was not only one d Representative images of immunocytochemistry showed that ARL2 overexpression decreased AXL expression. e The IHC staining of U87 xenograft confirmed that AXL expression decreased after ARL2 overexpression. Scale bar = 100 μm. f ARL2 overexpression decreased phospho-AXL protein expression in U251 cells (P = 0.0018, n = 3, t test). g ARL2 overexpression inhibited phospho-ERK expression (total ERK, P = 0.9975; phospho-ERK, P = 0.0019, n = 4, t test) Fig. 5 AXL overexpression partially restores the phenotype change induced by ARL2 overexpression. a qPCR analyses of AXL in U251 cells transduced with lentiviral ARL2 overexpression vector together with AXL overexpression or control vector. (P < 0.0001, n = 3, t test). b Western blot images and analyses of AXL in U251 glioma cells transduced with lentiviral ARL2 overexpression vector together with AXL overexpression or control vector. (P < 0.0001, n = 3, t test). c In vitro growth assay showed that the inhibition of U251 proliferation induced by ARL overexpression could be partly rescued by AXL overexpression. (Day 2,P = 0.0055;Day 4,P < 0.0001; Day 6, P < 0.0001; n = 6, t test). d Colony formation assay revealed that the inhibition of clone formation capabilities in U251 cells induced by ARL2 overexpression could be partially rescued by AXL overexpression. (1000 cells/well, P < 0.001, n = 3, t test). e Wound healing test showed that the inhibition of migration capabilities in U251 cells induced by ARL2 overexpression could be partially rescued by AXL overexpression. (P < 0.01, n = 3, t test). f Transwell assay confirmed that AXL overexpression can partially rescued the invasion capability inhibition in U251 cells induced by ARL2 overexpression. Scale bar, 100 μm. (P < 0.01, n = 3, t test). g The diagram illustrated that ARL2 up-regulation decreased the capabilities of proliferation, invasion and tumorigenesis via inhibiting the expression of AXL in glioma cells of high confidence E3 ligases that interacted with AXL, but also positively correlated to ARL2 expression. Taken together, these results indicate that ubiquitination and degradation may be a possible mechanism how ARL2 regulate AXL expression. Further studies are needed to fully elucidate the detail mechanism of ARL2-AXL axis. In addition, the restoration of AXL by exogenous expression did not fully rescue the defects in U251 glioma cells caused by ARL2 overexpression, which suggested that there might be additional molecular downstream targets associated with ARL2 overexpression.

Conclusion
In conclusion, this study described the downregulation of ARL2 in clinical glioma samples and its clinical relevance to poor prognosis in glioma patients. Secondly, this study provided the evidence that elevated ARL2 expression in glioma cell lines inhibits the abilities of proliferation, clone formation, migration and invasion. Thirdly, we demonstrated that ARL2 was associated with the regulation of tumorigenicity of glioma cells in vivo. Finally, it was proved in this study that ARL2 regulated