ARHGEF10L Promotes Cervical Tumorigenesis via RhoA-Mediated Signaling

Background Rho guanine nucleotide exchange factor 10-like protein (ARHGEF10L) is a member of the guanine nucleotide exchange factor family, which regulates Rho GTPase activities, thus contributing to tumorigenesis. Our previous study demonstrated a strong association between the ARHGEF10L gene and the risk of cervical carcinoma. This study investigated the pathogenic role and mechanism of ARHGEF10L in cervical tumors. Methods The HeLa cell line, which was derived from cervical carcinoma, was transfected with ARHGEF10L-overexpressing plasmids or anti-ARHGEF10L siRNA. Cell counting kit-8 assays, wound-healing assays, and cell apoptosis assays were performed to investigate the effects of ARHGEF10L on cell activities. A Rho pull-down assay and RNA-sequencing analysis were performed to investigate the pathogenic pathway of ARHGEF10L involvement in cervical tumors. Results ARHGEF10L overexpression promoted cell proliferation and migration, reduced cell apoptosis, and induced epithelial-to-mesenchymal transition (EMT) via downregulation of E-cadherin and upregulation of N-cadherin and Slug in transfected HeLa cells. The overexpression of ARHGEF10L also upregulated GTP-RhoA, ROCK1, and phospho-ezrin/radixin/moesin (ERM) expression in HeLa cells. RNA-sequencing analysis detected altered transcription of 31 genes in HeLa cells with ARHGEF10L overexpression. Kyoto Encyclopedia of Genes and Genomes (KEGG) and gene ontology (GO) pathway analyses identified significant differences in cyclin-dependent protein serine/threonine kinase activity, cell responses to vitamin A, and Toll-like receptor signaling pathways. Both real-time PCR and Western blotting verified the increased expression of heat shock 70 kDa protein 6 (HSPA6) in ARHGEF10L-overexpressing HeLa cells. Since we reported that ARHGEF10L played a role through RhoA-ROCK1-ERM signaling, an important pathway in tumorigenesis, and stimulated EMT and HSPA6 expression in liver tumors and gastric tumor cells, we suggest that ARHGEF10L is a novel oncogene in many tumors.


Introduction
Rho GTPases are a family of approximately 20 small G proteins that are key regulators of diverse cellular functions, such as cell growth, survival, motility, morphogenesis, and differentiation [1]. e most well-characterized members are Cdc42, Rac1, and RhoA. e active GTP-bound state and the inactive GDP-bound state are the two different Rho GTPase conformations. Proteins in the GTP-bound conformation GTPases. e structure of ARHGEF10L has the typical Dbl homology domain, a putative WD40-like domain, and two predicted transmembrane helices [5]. In a genome-wide single nucleotide polymorphism (SNP) association study, Stacey et al. showed that the SNP rs7538876 conferred a risk of cutaneous basal cell carcinoma and that the region surrounding rs7538876 contains the encoding ARHGEF10L [6]. Earp et al. showed that SNPs rs2256787 and rs10788679 in the ARHGEF10L gene were closely associated with epithelial ovarian cancer [7]. Recently, we used the Illumina GoldenGate Assay, Sequenom MassARRAY, and TaqMan polymerase to analyze the possible correlations between tag SNPs in the ARHGEF10L locus and various tumor risks. e genotyping analyses demonstrated a strong association of rs2244444 and rs12732894 in ARHGEF10L with liver cancer.
at study also detected increased expression of ARHGEF10L in hepatocellular carcinoma tissues and demonstrated that this increased expression stimulates hepatocellular carcinoma cell proliferation and migration by activating the RhoA-ROCK1-phospho-ERM pathway and epithelial-to-mesenchymal transition (EMT) in two liver tumor cell lines and in tumor-bearing mice. is finding suggests that increased expression of ARHGEF10L plays an important role in hepatocellular tumorigenesis [8]. Furthermore, this study demonstrated that rs10788678, rs10888045, rs74059378, and rs12562076 had significant differences in allelic frequency and/or genotypic frequency between the cervical carcinoma cohort (n � 197) and the controls (n � 384) [8]. To verify the Illumina microarray genotyping results, seven SNPs within the ARHGEF10L locus were genotyped in an independent case-control study using Sequenom MassARRAY. e case-control analysis showed a significant difference in genotypic frequency for rs12067869 between the cervical carcinoma cohort (n � 258) and healthy controls (n � 760). Following multiple-test correction, these SNPs remained significantly different in their allelic frequency and genotypic frequency. e genotyping analysis suggests that the ARHGEF10L gene is also genetically correlated with the risk of cervical tumor risk.
us, the present study aimed to investigate whether and how the ARHGEF10L gene is involved in cervical tumorigenesis.

Transfection of ARHGEF10L-Expressing Plasmids into HeLa Cells.
e HeLa cervical carcinoma cell line was cultured in high-glucose Dulbecco's modified Eagle's medium (DMEM, Gibco, USA) supplemented with 10% fetal bovine serum (FBS, Gibco, USA) and 1% penicillin/streptomycin (Gibco, USA). Cells were cultured in a humidified atmosphere containing 5% CO 2 at 37°C. HeLa cells (6 × 10 5 ) were transfected with ARHGEF10L-encoding plasmids (2 µg) using PolyJet TM DNA In Vitro Transfection Reagent (SignaGen, USA) according to the manufacturer's protocol. e construction of the ARHGEF10L-expressing plasmids was described in a previous study [8]. e pcDNA 3.1 (+)-RFP expression vector was used as the control plasmid. At 48 h and 72 h after transfection, ARHGEF10L expression was analyzed using real-time PCR and Western blotting to verify the transfection efficiency. All experiments were repeated at least three times.

Transfection of Interfering siRNA into HeLa Cells.
SiRNA oligonucleotides targeting the ARHGEF10 L gene (target sequence: 5′-CCGCGTGAAGGAGATCCTG CA-3′) were designed and synthesized by QIAGEN (Germany). Cultured HeLa cells (6 × 10 5 ) were transfected with 150 ng of siRNA using HiPerFect Transfection Reagent (QIAGEN, Germany) according to the manufacturer's protocol. All-Stars siRNA, which does not correspond to the target sequence in the human genome, was used as a control. ARHGEF10L expression was analyzed using real-time PCR and Western blotting to verify the transfection efficiency. All experiments were repeated at least three times.

Quantitative Real-Time Polymerase Chain Reaction (qRT-PCR).
After transfection, total RNA was extracted from HeLa cells using the RNAprep Pure Cell Kit (TIANGEN, China) and then reverse-transcribed into cDNA using the RNA PCR Kit (TOYOBO, Japan) according to the manufacturer's instructions. Real-time PCR was conducted using a ViiA7 DX Instrument (Life Technologies, USA). e reactions were completed in a total volume of 10 µl containing 5 µl of SYBR Green Real-Time PCR Master Mix (TOYOBO, Japan), 2 µl of ddH 2 O, 1 µl of cDNA, and 1 µl of each primer. PCR amplification was performed using the following conditions: 10 s at 95°C and 45 cycles of 15 s at 95°C and 60 s at 60°C. e relative mRNA expression level was analyzed using the 2 −ΔΔCT calculation method. e glyceraldehyde-3-phosphate dehydrogenase (GAPDH) mRNA expression level was used as an endogenous control. e forward primers and reverse primers were obtained from Sangon Biotech (Shanghai, China), and their respective sequences were as follows: ARHGEF10L: 5′AGTGCCAGGTGGTGTTCTTC3′ and 5′AAGAGGT-CCCCGATCTTCTC3'; GAPDH: 5′CAGAACATC-ATCCCTGCCTCTAC3′ and 5′TTGAAGTCAGAGGAG ACCACCTG3'; HSPA6: 5′ ACTTTCACCACCTACTCGGA 3′ and 5′ CCCTCTCA CCCTCATACAC3'. All experiments were repeated at least three times.

CCK-8 Assays of Cell Proliferation.
To assess cell proliferation, cell counting kit-8 assays (CCK-8, Dojindo, Japan) were performed according to the manufacturer's protocol. Transfected HeLa cells (5 × 10 3 cells per well) were seeded into 96-well plates and cultured for 72 h. CCK-8 solution (10 µl) was added and incubated for 1-3 h at 37°C. e OD value was determined at an absorbance wavelength of 450 nm using a spectrophotometer (SpectraMax 190, Molecular Devices). All experiments were repeated at least three times.

Wound-Healing Assay of Cell Migration.
A woundhealing assay was performed to assess cell migration. HeLa cells (10 × 10 5 ) were cultured on a six-well plate for 24 h after transfection, and a wound was scratched through the cells using a micropipette tip. e cells were cultured for 24-48 h. Images of cell migration were obtained under a light microscope. All experiments were repeated at least three times.

Hoechst Staining of Cell Apoptosis.
Hoechst staining was performed to evaluate apoptosis in the transfected cells. HeLa cells were seeded in 24-well plates on sterile cover glasses. A total of 5 × 10 5 cells were fixed with 0.5 ml of fixing solution for 20 min and washed twice with PBS. e cells were stained with 0.5 ml Hoechst 33258 from a Hoechst staining kit (Beyotime Biotechnology, China) for 5 min at room temperature and washed twice with PBS according to the manufacturer's protocol. e cells were immediately imaged using a fluorescence microscope (Olympus FSX100). All experiments were repeated at least three times.

Rho Activation Assay.
e Rho Activation Assay kit (Cytoskeleton, Denver, USA) was used according to the manufacturer's instructions to assess the activity of Rho GTPases. After transfection, 5 × 10 6 HeLa cells were washed twice in ice-cold PBS and harvested with ice-cold cell lysis buffer supplemented with 1 × protease inhibitor cocktail. en, the lysates were immediately clarified by centrifugation at 10,000 g at 4°C for 1 min, after which the cell supernatant was incubated with 15 µl rhotekin-RBD beads for 1 h at 4°C using gentle rotation. Total protein from HeLa cells was mixed with a GST-tagged fusion protein corresponding to residues 7-89 of rhotekin. e beads were washed with cold washing buffer and collected by centrifugation. GTP-Rho complexed with rhotekin-RBD beads was pulled down. en, the beads were resuspended in 2 × Laemmli buffer and boiled. Western blot analysis was performed with a specific RhoA antibody in the kit. e GTP-Rho proteins were immunoblotted with an anti-RhoA antibody in the kit. e total protein from the cells that were transfected with the blank plasmids was used as a control. All experiments were repeated at least three times. We performed this experiment in our previous study [8]. Differentially expressed mRNAs were defined as mRNAs with a fold change >2 and a P value < 0.05. Each group comprised three duplicate samples.

Statistical Analysis.
We performed a statistical analysis with collective data from three or more replicates of each experiment. Student's t-test was applied to analyze the statistical significance using SPSS software. Data are expressed as the mean ± standard deviation (SD). P < 0.05 was considered statistically significant.

Effect of ARHGEF10L Expression on the Proliferation, Migration, and Apoptosis of HeLa Cells.
e ARHGEF10Lexpressing plasmids and the mock expression vectors were transfected into HeLa cells. e expression of exogenous ARHGEF10L was detected by qRT-PCR and Western blotting. e qRT-PCR results showed increased mRNA levels of ARHGEF10L in the transfected HeLa cells compared with the cells transfected with blank expression plasmids (mock) (Figure 1(a)). e Western blotting results showed increased protein levels of ARHGEF10L in the transfected HeLa cells compared with the mock-transfected cells (Figure 1(b)). Since recombinant ARHGEF10L protein with an RFP tag was overexpressed, the molecular weight of the immune signal in the transfected cells was higher than that in the mock sample without the RFP tag. At the same time, anti-ARHGEF10L and AllStars siRNA were transfected into HeLa cells. qRT-PCR results showed decreased mRNA levels of ARHGEF10L in the cells that were transfected with AllStars siRNA (Figure 1(c)). Western blotting showed decreased protein levels of ARHGEF10L in the Evidence-Based Complementary and Alternative Medicine siRNA-transfected cells compared with the control cells ( Figure 1(d)).
CCK-8 assays were used to determine the effect of ARHGEF10L expression on cell proliferation. Compared to HeLa cells transfected with blank expression vectors (mock), HeLa cells transfected with the ARHGEF10L-expressing plasmids showed significantly increased cell proliferation following transfection for 48 h and 72 h (Figure 2(a)). In contrast, decreased cell proliferation was detected in HeLa cells transfected with anti-ARHGEF10L siRNA for 48 h and 72 h compared with cells that were transfected with AllStars siRNA (Figure 2(b)). Because the wound-healing assay did not detect a significant change in migration at 72 h after scratching, we did not show the migration data at 72 h. e effect of ARHGEF10L expression on cell migration was determined using wound-healing assays. Compared to HeLa cells transfected with the blank expression vectors, HeLa cells transfected with ARHGEF10L-expressing plasmids showed increased migration ability following transfection for 48 h (Figures 2(c) and 2(d)). HeLa cells transfected with anti-ARHGEF10L siRNA showed decreased migration ability compared with cells transfected with AllStars siRNA (Figures 2(e) and 2(f)).
e effect of ARHGEF10L expression on cell apoptosis was detected by Hoechst staining assays and by measuring the protein expression of Bcl-2 and Bax using Western blotting. Compared with that in the control cells transfected with blank expression vectors (mock), a decrease in the fluorescence signals of Hoechst 33258 was observed in HeLa cells transfected with the ARH-GEF10L plasmids (Figure 3(a)), which indicates a low number of apoptotic cells following transfection of the expressing plasmids. Bcl-2, an antiapoptotic protein, showed increased expression. Bax, a proapoptotic protein, showed decreased expression in ARHGEF10L-expressing HeLa cells (Figures 3(b) and 3(c)). Following the silencing of ARHGEF10L expression with siRNA, HeLa cells showed increased fluorescence signals of Hoechst 33258 compared with the cells transfected with AllStars siRNA (Figure 3(d)), which indicates a high number of apoptotic cells following siRNA transfection. Bcl-2 showed decreased expression, and Bax showed increased expression in ARHGEF10Lsilenced HeLa cells (Figures 3(e) and 3(f)).
e above results indicated that ARHGEF10L overexpression elevated migration and proliferation and reduced apoptosis in HeLa cells. In contrast, silencing ARHGEF10L expression in HeLa cells suppressed migration and proliferation and promoted apoptosis in HeLa cells.

Effect of ARHGEF10L Overexpression on Rho Pathway
Activation in HeLa Cells. We used the Rho activation assay to measure the effects of ARHGEF10L on GTP/GDP-Rho GTPases in HeLa cells. Total protein from HeLa cells was mixed with a GST-tagged fusion protein corresponding to residues 7-89 of rhotekin. GTP-Rho complexed with rhotekin-

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RBD beads was pulled down and immunoblotted with an anti-RhoA antibody. Compared with the cells that were transfected with blank plasmids, the immunosignals of activated GTP-RhoA were significantly increased in the cells overexpressing ARHGEF10L (Figure 4(a)).
is result indicates that recombinant ARHGEF10L protein in HeLa cells possesses GEF activity and can specifically activate GTP-RhoA.
We also investigated the protein expression of ROCK1 and phospho-ERM (phospho-ezrin/radixin/moesin), two other key effectors in the Rho pathway. Western blot analysis detected the increased expression of ROCK1 and phospho-ERM in HeLa cells overexpressing ARHGEF10L (Figures 4(b)-4(d)). e above results suggested that overexpression of ARHGEF10L activated the GTP-RhoA-ROCK1-pERM pathway in HeLa cells.

Effect of ARHGEF10L Overexpression on EMT in HeLa
Cells. Since EMT is the primary process involved in cancer invasion and metastasis, we examined the important role of ARHGEF10L in EMT. We investigated the expression of E-cadherin, N-cadherin, and Slug, three important markers of EMT, in HeLa cells overexpressing ARHGEF10L. Western blotting detected increased expression of N-cadherin and Slug and decreased expression of the epithelial marker E-cadherin in HeLa cells overexpressing ARH-GEF10L (Figures 5(a) and 5(b)). e results indicated that the upregulation of ARHGEF10L resulted in the induction of EMT in HeLa cells.

RNA Sequencing Analysis of ARHGEF10L-Overexpressing
HeLa Cells. RNA sequencing assays were performed in HeLa cells transfected with ARHGEF10L-expressing plasmids or mock plasmids. Differentially expressed mRNAs with a fold change >2 and P < 0.05 were identified. Of all the differentially expressed genes identified, the mRNA expression levels of 22 genes were upregulated, and those of 9 genes were downregulated. e results are shown in Figure Supplement  To confirm the differential expression of genes, we performed qRT-PCR and Western blotting analyses to verify the expression of heat shock 70 kDa protein 6 (HSPA6) because our RNA-sequencing assay also detected an increased expression of HSPA6 in SGC7901 cells overexpressing ARHGEF10L [9]. e qRT-PCR results showed an increase in the mRNA expression of HSPA6 in the cells overexpressing ARHGEF10L compared with the cells transfected with blank plasmids (Figure 6(a)). Western blotting also detected increased protein expression of HSPA6 in the cells overexpressing ARHGEF10L (Figures 6(b) and 6(c)). e present study did not verify any significant differential expression of the other 30 genes that were determined to have alternative expression by RNA sequencing analysis.

Discussion
In the present study, we investigated cell proliferation using CCK-8 assays, cell migration using wound-healing assays, and cell apoptosis using Hoechst staining assays in HeLa cells. ese results showed that ARHGEF10L overexpression promoted cell proliferation, enhanced cell migration, and suppressed cell apoptosis in HeLa cells. Meanwhile, the protein level of Bcl-2 was upregulated, and the protein level of Bax was downregulated. e Bcl-2 protein family, which includes both antiapoptotic proteins (such as Bcl-2, Bcl-xl, and Bcl-w) and proapoptotic proteins (such as Bax, Bak and Bad), regulates all major types of cell death, including apoptosis, necrosis, and autophagy [10][11][12]. e above results suggest that ARHGEF10L expression stimulated cervical tumorigenesis by promoting cell proliferation and migration and inhibiting cell apoptosis.
We determined the role of ARHGEF10L during EMT in cervical tumors. EMT is a process of cell dedifferentiation involving the adaptation of cellular morphology and behavior. Activating EMT could promote tumor metastasis by inducing cell migration and invasion [13]. During EMT progression, the downregulation of E-cadherin is balanced by the increased expression of N-cadherin, resulting in a "cadherin switch" that alters cell adhesion [14,15]. Many transcription factors play important roles in the regulation of EMT, such as the zinc finger proteins SNAI1 (Snail) and SNAI2 (Slug), zinc finger E-box-binding homeobox 1 and 2 (ZEB1 and ZEB2), and Twist-related proteins 1 and 2 (TWIST1 and TWIST2). ese factors activate specific molecular programs that repress the expression of epithelial markers (E-cadherin) and activate the expression of mesenchymal markers (vimentin) [16].
e RhoA-ROCK pathway has been found to promote cell migration and EMT in many tumors [17][18][19]. In this study, we found that the overexpression of ARHGEF10L upregulated the expression of the mesenchymal markers N-cadherin and Slug and downregulated the expression of the epithelial marker E-cadherin, which indicates that ARHGEF10L expression stimulated cervical tumorigenesis by promoting EMT.
e Rho-associated coiled-coil protein kinase (ROCK) family, including ROCK1 and ROCK2, has been shown to  [20,21]. RhoA acts upon Rho-associated protein kinase (ROCK) [22]. ERM family proteins are thought to function as general cross-linkers between the plasma membrane and actin filaments, and the phosphorylation of ERM is mainly mediated by ROCK, which has been reported to play a critical role in mediating the effects of RhoA [23][24][25]. Rho and ROCK-dependent ERM phosphorylation regulates Fas-mediated apoptosis in Jurkat cells [26]. Ezrin phosphorylation regulates the invasion and metastasis of breast cancer cells [27] and pancreatic cancer cells [28], and radixin regulates cell migration and cell-cell adhesion in prostate cancer [29]. During EMT, actin filament remodeling depends on the increased expression of the ERM protein moesin [30]; moesin, as an EMT marker, supports the association of moesin, Snail, and EMTand thereby affects the prognosis of breast cancer [31]. In the present study, we detected activation of GTP-RhoA in HeLa cells overexpressing ARHGEF10L using a Rho activation assay. We also detected increased protein expression of ROCK1 and pERM in transfected HeLa cells. e above results support the finding that ARHGEF10L activates the GTP-RhoA-ROCK-pERM pathway in HeLa cells to activate tumor cells during tumorigenesis.
In this study, we assessed the RNA sequence expression profile in ARHGEF10L-overexpressing HeLa cells. We detected changes in the transcriptional expression of 31 genes in the transfected cells, including increased transcription of HSPA6. Compared with the mock-transfected cells, differentially expressed mRNAs (fold change >2, P < 0.05) were detected in the cells overexpressing ARHGEF10 L. Among those mRNAs, 22 genes were significantly upregulated and 9 genes were downregulated. We investigated the downstream pathway of ARHGEF10L by RNA sequencing analysis in SGC7901 cells that originated from gastric tumors. Interestingly, the analysis also detected an increased expression of HSPA6 in that study [9]. It is highly probable that HSPA6 is a key factor in the ARHGEF10L downstream pathway. us, in the present study, we used Western blot and real-time PCR analyses to verify the increased transcription and translation of HSPA6. We planned to examine the differential expression of the other 30 genes in a future study.
HSPA6, a member of the large HSP70 family, was significantly upregulated and has been targeted as a biomarker of cellular stress. e HSP70 family of heat shock proteins consists of molecular chaperones of approximately 70 kDa in size, which are thought to serve as a potent buffering system against cellular stress caused by physiological, viral, environmental, replication-induced, or oncogenic stimuli [32,33]. HSP70 overexpression is a marker of undifferentiated ovarian cancer [34] and was found to be correlated with increased proliferation and tumor size in uterine cervical cancer and colorectal carcinoma [35,36]. Overexpression of the HSPA6 gene was related to the proliferation, migration, and invasiveness of bladder cancer cells [37]. Based on the studies of others, we considered that detection of increased expression of HSPA6 is reasonable in ARHGEF10L-overexpressing HeLa cells. Most likely, ARHGEF10L overexpression promoted tumor cell proliferation, migration, and invasiveness to stimulate HSPA6 expression, although the exact function of HSPA6 in tumorigenesis is not well known. HSPA6 is considered an important tumor-related gene under the control of ARHGEF10L.
RNA sequencing analysis also identified significant changes in cyclin-dependent protein serine/threonine kinase activity, cell response to vitamin A, and Toll-like receptor signaling pathways using KEGG and GO pathway analyses in HeLa cells overexpressing ARHGEF10L. Cyclins and cyclin-dependent protein kinases (CDKs) are important proteins that are required for the regulation and expression of a large number of components necessary for cell cycle progression. Increased cyclin or CDK expression or decreased levels of endogenous CDK modulators/inhibitors have been observed in a wide variety of tumors. us, CDKs represent natural targets for anticancer therapies [38]. Alltrans retinoic acid (ATRA) is an active metabolite of vitamin A within the retinoid family. Retinoids, through their cognate nuclear receptors, exert potent effects on cell growth, differentiation, and apoptosis and have significant promise for cancer therapy and chemoprevention. ATRA has been increasingly included in antitumor therapeutic schemes for the treatment of various tumor types [39]. Tolllike receptors (TLRs), which are mainly expressed by innate immune cells, are involved in inducing and regulating adaptive immune responses. e expression of TLRs has been detected in many tumors, and stimulation of these receptors results in tumor progression or regression, depending on the TLR and tumor type [40].
We reported that ARHGEF10L played a role through RhoA-ROCK1-ERM signaling, an important pathway in tumorigenesis, and stimulated EMT in liver tumors and gastric tumor cells [8,9]. We also found that ARHGEF10L expression stimulated HSPA6 expression in SGC7901 cells that were derived from gastric tumors [9]. e current study and a study with gastric tumor cells used RNA sequencing to investigate the downstream mechanism of ARHGEF10L and found increased HSPA6 expression in ARHGEF10Lexpressing HeLa cells. Combined with the results of the present study, we suggest that ARHGEF10L plays a tumorigenic role through the RhoA-ROCK1-ERM pathway, activates EMT, and elevates HSPA6 expression in many tumors. ARHGEF10L is novel oncogene in many tumors. e mechanism of human papillomavirus (HPV) chronic infection resulting in cervical tumors has been recognized. us far, we do not understand the relationship between ARHGEF10L expression and HPV infection. Most likely, HPV infection stimulates ARHGEF10L expression during carcinogenesis. e current study detected increased expression of HSPA6, and HSPA6 was detected in hepatoma carcinoma cells. Upregulation of this heat shock protein was associated with poor outcomes in hepatitis B virus-(HBV-) related early-stage hepatocellular carcinoma [41,42].

Conclusions
e present study demonstrated that the increased expression of ARHGEF10L promotes cervical cell proliferation Evidence-Based Complementary and Alternative Medicine 9 and migration and suppresses cell apoptosis. is study also found that ARHGEF10L expression stimulates GTP-RhoA, ROCK1, and phospho-ERM expression and induces EMT in HeLa cells. Additionally, our study detected the increased expression of HSPA6 in the cells that overexpressed ARHGEF10L. ese results provide important data to support the crucial role of ARHGEF10L in the tumorigenesis of cervical carcinoma. ARHGEF10L is thus a novel tumorrelated gene that plays an important role in tumorigenesis.

Data Availability
e data used and/or investigated during the present study are available from the corresponding author upon reasonable request.

Conflicts of Interest
e authors declare that they have no conflicts of interest.

Authors' Contributions
Junyi Tang and Kehua Fang equally contributed to this study.

Acknowledgments
is study was supported by the Shandong Provincial Key R&D program (GG2017 03080038 and 2017CXGC1202).