“…Further analysis of the RNA-seq data showed that genes closely related to the DNA damage repair (Bax, Bcl3, Brac1, Fignl1), DNA replication (Gins3, Mcm3), and cell cycle progression (Ccnb1, Cdk1, Cdc6, and Nek6) were significantly changed with additional hAECs or EXOs treatment (Table 1). TNF-α has been reported to regulate cell cycle progression in different types of cancer cells (Pusztai et al, 1993;Zhang et al, 2018;Jacobson et al, 2019). Recently, studies have shown that combination with low-dose TNF-α could enhance therapeutic effects of chemotherapeutic drugs through the TNF-α/NFκB signaling cascade, driving quiescent cancer cells out of G0/G1 phase to enter treatment sensitive proliferating phases to be killed by chemotherapeutic drugs (Moon et al, 2010;Jayasooriya et al, 2013;Wu et al, 2017).…”