lncRNA H19 miR148a3p.docx

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lncRNA H19 miR148a3p.docx

lncRNAH19miR148a3p

RegulationoflaryngealsquamouscellcancerprogressionbythelncRNAH19/miR-148a-3p/DNMT1axis

ABSTRACT

Laryngealsquamouscellcarcinoma(LSCC)isahighlyaggressivemalignantcancer.TheregulationofLSCCprogressionbylongnon-codingRNA(lncRNA)wasnotwellunderstood.Inthisstudy,wereportedthatthelncRNAH19wasupregulatedinLSCC.TheexpressionlevelsofH19wereinverselycorrelatedwiththesurvivalrateofLSCCpatients.KnockdownofH19expressioninhibitedLSCCcellmigration,invasionandproliferation.WeidentifiedmicroRNAmiR-148a-3pasaninhibitorytargetforH19.OverexpressionofmiR-148a-3preducedLSCCmigration,invasionandproliferationcell,whileinhibitionofmiR-148a-3pdidtheopposite.TheinhibitionofLSCCprogressioninducedbyH19knockdownrequiredtheactivityofmiR-148a-3p.WealsoidentifiedDNAmethyltransferaseenzymeDNMT1asatargetofmiR-148a-3p.CellularDNAmethylationlevelswereinhibitedbybothmiR-148a-3poverexpressionandH19knockdown.Insummary,ourstudydemonstratedthatthelncRNAH19promotedLSCCprogressionviamiR-148a-3pandDNMT1.

INTRODUCTION

Headandnecksquamouscellcarcinomaisthesixthmostcommoncancerintheworld,amongwhichthelaryngealsquamouscellcarcinoma(LSCC)isahighlyaggressivemalignancy[1].AlthoughencouragingprogressinthediagnosisandtreatmentforLSCChasbeenachievedinthepast20years,theoverallsurvivalrateremainsunfavorable.Arecentstudyhasshownthattheoverall1-and2-yearsurvivalratesforLSCCpatientswithouttreatmentareonly56.4%and26.5%,respectively[2].RecurrenceandmetastasisarebelievedtobethemajorfactorsthattolimitthesuccessfultreatmentofLSCC[3].InordertodevelopeffectivetherapyforLSCC,theeffortstowardsunderstandingtheunderlyingpathologicalmechanismsofLSCChavebeenintensifiedrecently.

NoncodingRNAsaresubdividedintosmallncRNAs(<200nt)andlongncRNAs(>200nt)basedontheirsize.SmallncRNAshavebeenshowntoactprimarilyasnegativeregulatorsofgeneexpression.AnumberofmicroRNAs,whichbelongtothesmallncRNAfamily,havebeendemonstratedtofunctionasoncogenesortumorsuppressorgenesforLSCCinourpreviousstudies[4–8].LongncRNAs(lncRNAs)arepoorlyconservedamongspecies[9, 10],butaccumulatingevidencesindicatethatlncRNAscouldplayimportantrolesinavarietyofbiologicalprocessesandmaywellbealsoinvolvedinthedevelopmentofcancerandotherhumandiseases[11, 12].Specifically,ourpreviousstudieshavesuggestedtheinvolvementoflncRNAHOTAIRinLSCC[13, 14].TheoverallpathophysiologicalcontributionoflncRNAstoLSCC,however,islargelyunknown.

ThelncRNAH19istranscribedfromamaternallyexpressedimprintedgenelocusonhumanchromosome11.TheH19geneencodesa2,600ntcapped,spliced,andpolyadenylatednoncodingRNAthatispredominantlycytoplasmic[15, 16].AlthoughH19hasbeenintensivelystudiedinthefieldofgenomicimprinting,thebiologicalfunctionofH19asanon-codingRNAhasonlyrecentlybeguntobeelucidated.AccumulatingevidenceinrecentstudieshasconsistentlydemonstratedthattheexpressionlevelsofH19areupregulatedinavarietyofcancertypes,includinggastriccancer[17],esophagealcancer[18]colorectalcancer[19–21],breastcancer[22, 23],bladdercancer[24, 25],andhepatocellularcarcinoma[26, 27].TheupregulationofH19incancertissuessuggestsitspossibletumorigenicproperties,althoughthedetailedmolecularmechanismremainstobeinvestigated.

Inthepresentstudy,wefoundthatthelncRNAH19wasupregulatedinLSCCandthattheexpressionlevelsofH19wereinverselycorrelatedwiththesurvivalrateofLSCCpatients.Consistently,wefoundthatknockdownofH19expressioninhibitedLSCCcellproliferation,migrationandinvasion.WeidentifiedmicroRNAmiR-148a-3pasatargetforH19.TheexpressionofmiR-148a-3pwasinhibitedbyH19,andtheoverexpressionandtheinhibitionofmiR-148a-3pwererespectivelyassociatedwithreducedandelevatedLSCCproliferation,migrationandinvasion.Importantly,theinhibitionofLSCCprogressioninducedbyH19knockdownrequiredtheactivityofmiR-148a-3p.WealsodeterminedthatDNAmethyltransferaseenzymeDNMT1asaninhibitorytargetofmiR-148a-3p.CellularDNAmethylationwasinhibitedbybothmiR-148a-3poverexpressionandH19knockdown.Takentogether,ourstudydemonstratedthatthelncRNAH19couldpromoteLSCCprogressionviamiR-148a-3pandDNMT1,andthatDNAmethylationwasinvolvedintheregulatorymechanism.

RESULTS

H19wasupregulatedinLSCCandwasinverselycorrelatedwithpatientsurvivalrate

SincelncRNAshavebeenimplicatedinthedevelopmentofcancers,wefirstsoughttoexaminethelandscapeoflncRNAgeneexpressioninLSCCwithahybridizationmicroarraydesignedforlncRNAs.WefoundthattheexpressionlevelsofH19weresignificantlyupregulatedinLSCCtissuesamplescomparedtothoseinnormaltissues(p <0.001, Figure1A).WithprimersspecifictoH19,wevalidatedourfindingsbyqPCRanalysis,andfoundthatH19levelsweresignificantlyhigher(5.54-fold)inLSCCtumortissuesthanthoseinadjacentnon-neoplastictissues(3.342±1.436versus0.596±0.259)(p <0.01, Figure1B).Furthermore,wedeterminedthattheexpressionlevelsofH19weresignificantlycorrelatedwiththeprogressionofLSCC,includingtumorgrade,differentiation,necknodalmetastasis,andclinicalstage(Table1).BasedonthelevelsofH19expression,wecategorized82LSCCpatientsintohigh(n =41)andlow(n =41)H19expressiongroups.WithKaplan-Meieranalysis,wefoundthatpatientswithhighH19expressionhadsignificantlypooreroverallsurvivalratecomparedtothosewithlowH19expression(χ2 =8.704, p =0.003)(Figure1C).Takentogether,theseresultsindicatedthatH19wasupregulatedinLSCCandwaspositivelycorrelatedwithLSCCprogression.

Figure1:

H19isupregulatedinLSCCandisinverselycorrelatedwithpatientsurvivalrate.(A)BoxplotofH19expressionlevelsinLSCCtissuesandadjacentnon-neoplasticnormaltissuesasdeterminedbylncRNA-specificmicroarrayanalysis(p<0.001).(B)RealtimePCRanalysisofH19expressionlevelsinLSCCtissuesandadjacentnon-neoplasticnormaltissues(**p<0.01).(C)TheKaplan-MeieroverallsurvivalratecurveforLSCCpatients(n=82)withhighandlowH19expressionlevels(p=0.003).

Table1:

RelationshipbetweenH19expressionlevelandclinicopathologicparametersofLSCC

Characteristics(n)

H19level

P

Sex

 

0.638

Male(55) 

3.295±1.580

Female(27) 

3.440±1.142

Age

 

0.122

≥58(41) 

3.590±1.426

 <58(41)

3.095±1.438

Tclassification

 

<0.01

T1–2(49) 

2.890±1.333

T3–4(33) 

4.014±1.357

Differentiation

 

0.017

G1(58) 

3.0681.332

G2(24) 

3.9931.553

Lymphnodemetastasis

 

<0.01

Negative(52) 

2.825±1.281

Positive(30) 

4.240±1.278

Primarylocation

 

0.103

Supraglottic(35) 

3.639±1.357

Glottic(47) 

3.121±1.482

Clinicalstage

 

<0.01

I–II(45) 

2.867±1.356

III–IV(37) 

3.92±1.351

H19knockdowninhibitedLSCCcellmigration,invasionandproliferation

InordertoinvestigatethefunctionofH19inLSCCdevelopment,weknockeddowntheexpressionofH19bytransfectinglentivirusesencodingcontrolshRNAorH19shRNAintoHep-2cells,awell-establishedLSCCcellline.TheH19expressionlevelsweresignificantlyreducedbythistreatmentafter24h(p <0.01, Figure2A).Wethenperformedwoundhealingcellmigrationassayonthesecells.WefoundthatthemigrationofHep-2cellswassignificantlyinhibitedbyH19knockdown(p <0.05, Figure2B).Wealsoperformedtranswellassaytoexaminecellinvasionability,andfoundthatcomparedtoshRNAcontrol,theshRNAtargetingH19ledtosignificantlydecreasednumberoftransmembranecells(p <0.01, Figure2C).Moreover,byMTSassay,wediscoveredthatH19knockdownalsosignificantlyinhibitedcellproliferation(p <0.05, Figure2D).Furthermore,wegeneratedLSCCstemcells(LSCC-SCs)fromLSCCpatientandknockeddownH19expression(Figure2E).TheseLSCC-SCsweresubjectedtosphereformationandMTSassaystoexaminewhetherH19influencesLSCC-SCproliferation.TheresultsrevealedthatdownregulatedofH19significantlysuppressedLSCC-SCgrowth(Figure2F and 2G).Takentogether,decreasedH19expressionledtoimpairedcellmigration,invasionandproliferationinLSCCcells.

Figure2:

H19knockdowninhibitsLSCCcellmigration,invasionandproliferation. (A)H19expressionlevelsinHep-2cellslentivirusesencodingcontrolshRNAorH19shRNA.(B)Woundhealingcellmigrationassay,(C)Transwellcellinvasionassayand(D)MTScellproliferationassayinHep-2cellstransfectedwithlentivirusesencodingcontrolshRNAorH19shRNA.(E)H19expressionlevelsinLSCC-SCstransientlytransfectedwithcontrolsiRNAorH19siRNA.(F)SphereformationinLSCC-SCstransfectedwithcontrolsiRNAorH19siRNA.(G)MTScellproliferationassayinLSCC-SCstransfectedwithcontrolsiRNAorH19siRNA.(H)H19expressionlevelsinsubcutaneousxenograftLSCCtumorstransfectedwithlentivirusesencodingcontrolshRNAorH19shRNA.(I)SubcutaneousxenograftLSCCtumorsdevelopedinnudemicefromHep-2cellstransfectedwithlentivirusesencodingcontrolshRNAorH19shRNA.(J)Weightquantificationoftumortissuesdepictedin(I).(K)ImmunohistochemistrystainingofBrdUintumortissuesdepictedin(I).Scalebar=100μm.(L)QuantificationofBrdUpositivecells.*p <0.05and**p <0.01comparedtothecontrolgroup.

Inadditionto invitro experiments,weusedamousexenograftmodeltostudytheoncogenicroleofH19inLSCCdevelopment invivo.Allmicesubcutane

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