Given a context passage, generate a question from the passage such that its answer is shortest continous span from the passage.

[Q]: Riociguat (Adempas(®)), an oral first-in-class soluble guanylate cyclase (sGC) stimulator, is under global development by Bayer Healthcare Pharmaceuticals Inc. for the treatment of adult patients with inoperable or chronic/persistent chronic thromboembolic pulmonary hypertension (CTEPH) and for the treatment of adult patients with pulmonary arterial hypertension (PAH). The drug directly stimulates sGC in a nitric oxide independent manner, thereby increasing the sensitivity of sGC to nitric oxide, leading to increased cyclic guanosine monophosphate generation (a key signalling molecule involved in regulating vascular tone, proliferation, fibrosis and inflammation). Riociguat is the world's first approved pharmacotherapy for CTEPH, with its first global approval in this indication occurring in Canada. It has subsequently been approved in the USA for the treatment of patients with CTEPH and also received its first global approval in patients with PAH in the USA. It is undergoing regulatory review for these indications in Europe and for use in patients with CTEPH in Japan. This article summarizes the milestones in the development of riociguat, leading to its first global approvals in patients with CTEPH and PAH.
[A]: What is generic name of drug Adempas?


[Q]: In the 1950s, a family that owned a farm near Beulah, Michigan kept a bull chained to an elm . The bull paced around the tree, dragging the heavy iron chain, which led to a groove in the bark . The groove deepened over the years. Though for whatever reason, it did not kill the tree. After some years, the family took their bull away. They cut the chain, leaving the loop around the tree and one link hanging down. Then one year, agricultural disaster struck Michigan in the form of Dutch Elm Disease. All of the elms lining the road leading to the farm became infected and died. Everyone thought that the old elm would be the next. The farm owners considered doing the safe thing: pulling it out and cutting it up into firewood before it died. But they simply could not bring themselves to do it. It was as if the old tree had become a family friend. So they decided to let nature take its course. Amazingly, the tree did not die. Nobody could understand why it was the only elm still standing in the county! Plant experts from Michigan State University came out to observe the tree. They observed the scar left by the iron chain, now almost completely covered by bark. The experts decided that it was the chain that saved the elm's life. They reasoned that the tree must have absorbed so much iron from the chain that it became immune to the virus. It's said that what doesn't kill you will make you stronger. Or, as Earnest Hemingway put it, "Life breaks us all, but afterwards, many of us are strongest at the broken places."
[A]: What actually saved the elm?


[Q]: Metastasis is the major factor affecting patient survival in ovarian cancer. However, its molecular mechanisms remain unclear. Our study used isogenic pairs of low- and high-invasive ovarian cancer cell lines to demonstrate the downregulation of miRNA-138 in the highly invasive cells, and its functioning as an inhibitor of cell migration and invasion. An orthotopic xenograft mouse model further demonstrated that the expression of miRNA-138 inhibited ovarian cancer metastasis to other organs. Results indicated that miR-138 directly targeted SRY-related high mobility group box 4 (SOX4) and hypoxia-inducible factor-1 (HIF-1), and overexpression of SOX4 and HIF-1 effectively reversed the miR-138-mediated suppression of cell invasion. Epidermal growth factor receptor acted as the downstream molecule of SOX4 by way of direct transcriptional control, whereas Slug was the downstream molecule of HIF-1 by way of proteasome-mediated degradation. Analysis of human ovarian tumors further revealed downregulation of miR-138 and upregulation of SOX4 in late-stage tumors. Patients with miR-138(low)/SOX(high) signature are predominant in late stage and tend to have malignant phenotypes including lymph nodes metastasis, larger ascites volume and higher tumor grade. Our study demonstrates the role and clinical relevance of miR-138 in ovarian cancer cell invasion and metastasis, providing a potential therapeutic strategy for suppression of ovarian cancer metastasis by targeting SOX4 and HIF-1 pathways.
[A]:
Which miRNA is targeted by SRY/Sox9?