lncRNA H19 miR148a3p.docx
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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