MicroRNA-492 expression promotes the progression of hepatic cancer by targeting PTEN
© Jiang et al.; licensee BioMed Central Ltd. 2014
Received: 28 February 2014
Accepted: 9 September 2014
Published: 20 September 2014
Aberrant microRNA (miRNA) expression plays an essential role in the pathogenesis of Hepatocellular Carcinoma (HCC). However, specific involvement of miRNAs in HCC remains incompletely understood. The aim of this study was to explore the relevant microRNAs involved in the development of HCC.
MicroRNA microarray was used to screen for the differentially expressed miRNAs in cancerous tissue and adjacent non-cancerous control tissue from patients with HCC (n = 3). Quantitative PCR was subsequently used to verify the results of microarray. Based on the findings, we investigated the role of miR-492 in the pathogenesis of HCC in vitro and in vivo using three tumor cells lines. Furthermore, we analyzed the clinical correlation of miR-492 expression with patient survival (n = 28).
We showed that microRNA-492 (miR-492) was elevated in HCC samples from patients with hepatic cancer. Knockdown of miR-492 attenuated the proliferation of cancer cell lines in vitro and inhibited primary tumor growth in vivo in SCID mice. We identified PTEN as a functional target for miR-492. Overexpression of miR-492 resulted in decreased PTEN expression and was associated with increased AKT activation in cancer cell lines. Moreover, miR-492-mediated increase of the proliferation of cancer cells was able to be suppressed by a PI3K inhibitor and an AKT inhibitor. The HCC patients with high miR-492/low PTEN had poorer survival.
miR-492 is implicated in the regulation of HCC progression through PTEN and AKT pathway. The data suggest that miR-492 is a biomarker of HCC and a potential therapeutic target for hepatocellular carcinoma.
KeywordsmicroRNA Hepatocellular carcinoma PTEN AKT
Hepatocellular carcinoma (HCC) is one of the most common cancers and the leading causes of cancer-associated death. Chronic inflammation and cirrhosis as a result of viral hepatitis B and C, fatty liver and alcohol abuse are usually considered the culprits of HCC which usually has a very poor prognosis. Clinically only a very limited number of patients are eligible for potentially curative treatment options such as surgical resection followed by orthotopic liver transplantation. Therefore, there is an urgent need to develop effective therapeutic approaches for the large number of HCC patients with advanced disease. For a long time, hepatocarcinogenesis has been considered to be the result of different genetic alterations that ultimately lead to malignant transformation. Nowadays, cancer development is no longer thought to be induced only by genetic and genomic alterations, but also should be considered as a result of epigenetic alterations.
MicroRNAs (miRNAs), an abundant class of endogenous, small, noncoding RNAs of ∼ 22 nucleotides in length, are post-transcriptional regulators that bind to specific cognate sequences in the 3′-untranslated region (3′-UTR) of target transcripts, usually resulting in translational repression and gene silencing. They are expressed in a tissue-specific manner and play an important role in cell proliferation, apoptosis, and differentiation. It has been shown that miRNAs play crucial roles in the regulation of diverse biological processes, such as development, inflammation, and tumorigenesis . It has become evident that the expression level of miRs globally altered in cancer. MiR-21 has recently been found to be closely associated with the progression of pancreatic cancer. In vivo, miR-21 depletion stopped the progression of a very aggressive model of pancreatic ductal adenocarcinoma . MiR-200 is a powerful marker and determining factor of the epithelial phenotype of cancer cells . MiR-183 is dysregulated in breast cancer and its expression correlates with estrogen receptor and HER2/neu receptor expression. Induced overexpression of miR-183 inhibited migration of breast cancer cells . It was recently found that miR-122 was downregulated in HCC. The oncogene c-Myc repressed miR-122 gene expression by associating with its promoter and by down-regulating Hnf-3′ expression, whereas miR-122 indirectly inhibited c-Myc transcription by targeting Tfdp2 and E2f1 . Furthermore, it was reported that miR-101, an important tumor-suppressive miRNA in human hepatocarcinomas, was epigenetically repressed by PRC2 complex in a c-Myc-mediated manner . Therefore, micro RNA-mediated regulation plays a critical role in the development of hepatocarcinomas.
In this study, we investigated the possible involvement of microRNAs governing the expansion and functions of hepatic cells. We compared the expression of miRs in HCC specimens derived from patients with hepatic cancer and found that miR-492 is elevated in HCC. Further in vitro and in vivo experiments were performed to demonstrate the critical role of miR-492 in regulating cancer cell growth and promotion of tumor progression. We also investigated the mechanism which underlies the regulation of tumor cells by miR-492 and showed that miR-492 activated the PI3K/AKT pathway through targeting phosphatase and tensin homolog (PTEN). These findings provide new insights into the molecular mechanisms that regulate the expansion and functions of hepatic cancer cells and the exploration of potential targets for therapeutic intervention.
Materials and methods
Cell lines, animals and patient samples
HCT116, HuH-6 and HepG2 cells were cultured in Dulbecco's Modified Eagle Medium supplemented with 10% fetal calf serum, L-glutamine, antibiotic and antimycotic cocktail (Life Technologies, USA). The cells were incubated at 37°C in a humidified atmosphere with 5% CO2. SCID mice were purchased from Shanghai Slac animal center (Shanghai, China). The animal protocol was approved by the institutional animal care committee of Guiyang Medical College, China. A total of 28 human primary liver cancer samples and their paired adjacent non-cancerous tissue samples were obtained with informed consent from patients of the Affiliated Hospital of Guiyang Medical College, China. Clear hepatocellular carcinoma was diagnosed histopathologically. Of these samples, two-third of patients were with cirrhosis. Twenty-two percent of patients were positive for HbsAg and Seventeen percent of patients were positive for anti-hepatitis C (HCV) antibody. The tumor sizes of 8 patients were less than 2 cm while that of 13 patients were between 2 cm and 3 cm. The tumor sizes of 7 patients were greater than 3 cm.
Total RNA was isolated using Trizol reagent (Invitrogen) and RNeasy Mini Kit (Qiagen), and the samples were then labeled using the miRCURY Hy3/Hy5 Power labeling kit and hybridized on the miRCURY LNA™ Array (v.11.0). Scanning was performed with the Axon GenePix 4000B microarray scanner. The intensity of green signal was calculated after background subtraction, and replicated spots on the same slide were averaged by getting a median intensity. We used the median normalization method to obtain "normalized data": normalized data = (foreground-background)/median; the median represents the 50% quantile of miRNA intensity which is >50 in all samples after background correction. Significance of results was determined via fold change and t test. The threshold value we used to screen differentially expressed miRNAs was fold change > =1.5 or fold change = <0.8 and p value <0.05.
Transfection of siRNA
Cells were transfected with Lipofectamine RNAiMax reagent (Invitrogen) according to the manufacturer's guidelines. In brief, at the day 6 of culture, 5 × 105 cells were plated in antibiotic-free culture medium and transfected with 100 p mol/well siRNAs. After overnight incubation, the medium was supplemented with antibiotics and the cells were used for further experiments.
Gene expression analysis
Total RNA was isolated from cell lines with Trizol reagent (Invitrogen) according to manufacturer's instructions and the RNA concentration was measured with the ND-1000 NanoDrop spectrophotometer (Nanodrop). miRNAs were quantified from 1 μg total RNA using the miScript PCR System (Qiagen). U6 and 5S RNAs were used as internal controls. cDNA samples were diluted 1 into 100 for miRNA detection or U6 and 1 into 10,000 for 5S RNA detection.
Recombinant HIV-1-derived lentiviral vector was produced following transfection of HEK293 T cells (2 × 105) with plasmids using per 10 cm dish: 5 ug of pLenti-shRNA construct, 6 ug of packaging plasmids using MegaTran transfection reagent with Opti-MEM16 according to manufacturer's instructions (Origen, China). Medium was changed the day following transfection and collected 24 hours later to harvest the produced viral particles which were purified by centrifugation. Lentiviral vectors were titered by physical titers measuring P24 and reverse transcriptase (RT) levels by ELISA. There were 10 SCID mice (5 in each group) that received an injection in the right flank using 5 × 106 of HCT116 cell line infected with lentiviral scramble or anti-miR-492 (day 0). Tumors were found in all these mice and were palpable 14 d later. On day 30, all mice were sacrificed and the tumors were isolated for evaluation of the volume (volume = length × width2 × π/6).
2 × 103 resuspended cells were placed in methylcellulose media and the vial was vigorously vortexed to thoroughly mix cells with the media. After approximately 20 minutes, 1.1 mL of the final cell mixture was added to a 35 mm culture plate using a 3 mL syringe fitted with a 16 gauge needle with gently rotating the plate to allow the media spread evenly. Two sample plates and an uncovered plate containing 3-4 mL sterile water were placed in a 100 mm culture plate with cover. The sterile water plate served to maintain the humidity necessary for colony development. The cells were incubated for 5-10 days at 37°C and 5% CO2 without disturbing the plates during the incubation period to prevent shifting of the colonies. Individual colonies representing cell growth were counted as previously described .
3'-UTR luciferase reporter assay
The PTEN 3'-UTR luciferase reporter construct was made by amplifying the PTEN mRNA 3'-UTR sequence and cloning it downstream of the CMV-driven firefly luciferase cassette in the pMIR-REPORT vector (Ambion). HEK-293 cells were co-transfected with 80 ng luciferase reporter plasmid, 40 ng pRL-TK-Renilla-luciferase plasmid, and miR-492 (final concentration, 20 nM). Luciferase activities were measured using the Dual-Luciferase Reporter Assay System (Promega).
MTT cell proliferation assay
Briefly, cells were seeded at 5 × 103 cells per well in a 96-well dish and grown in 10% FCS DMEM medium. After 24 h, cells were infected with lentivirus (miR-492 or control). The proliferation of cells was determined using MTT Cell Proliferation Assay (Promega) according to manufacturer's instructions at different time points following infection.
Proteins were extracted from cell lines, resolved by SDS-PAGE and transferred to PVDF membrane. After blocking for 1 h at room temperature, blots were incubated overnight at 4°C with antibodies to PTEN, P-AKT, T-AKT, β-actin (Cell Signaling Technology) diluted according to the manufacturer's recommendations. After wash, secondary HRP-conjugated antibodies (dilution 1:10,000; Pierce) were added and blots were incubated at room temperature for 1 h. The protein bands were visualized using ECL chemiluminescence (Pierce).
Numerical data were expressed as mean ± SD. ANOVA and Student's t tests were done to determine the differences in the means among the various treatment groups. p <0.05 was considered statistically significant. The SPSS 10.0.2 software package (SPSS, Inc.) was used for analysis. The Kaplan-Meier survival curve was plotted with Graphpad Prism 5.0 software (Graphpad Software, Inc.).
miR-492 is elevated in HCC tissues from patients
Knockdown of miR-492 inhibits cancer cell proliferation in vitro
Knockdown of miR-492 attenuates tumor growth in vivo
PTEN is a functional target of miR-492
miR-492-PTEN is a clinically relevant pathway in HCC
Although extensive efforts have been devoted to understanding the molecular pathogenesis of HCC, few effective treatments currently exist. Systemic chemotherapy and radiotherapy, two conventional cancer therapies, exhibited low response rates and no demonstrated survival benefits in HCC . Treatment with Sorafenib, an approved multikinase inhibitor, resulted in only modestly prolonged survival . Development of novel therapeutics for the prevention and treatment of HCC is therefore urgently needed. Despite the general lack of activity of conventional therapeutics in HCC, hepatocytes have been shown to readily take up antisense oligonucleotides , raising the hope that small nucleic acid-based molecules may have utility against HCC. MicroRNAs (miRNAs) are small, endogenous RNAs that regulate gene expression through messenger RNA (mRNA) degradation or inhibition of translation . Aberrant miRNA expression plays an essential role in HCC pathogenesis, and miRNA replacement or inhibition therapies have been suggested as potential therapeutics for HCC . As proof of principle, recombinant adeno-associated virus (AAV)-mediated overexpression of miR-26a was recently shown to attenuate primary MYC-driven tumor formation in a transgenic (Tg) mouse model . Despite the safety concerns on using adenovirus, the development of new therapies based on miRNA manipulation is a current research focus and believed to be the next generation of therapy for various cancers.
Not only deregulated gene expression but also the alteration of post-transcriptional gene silencing mediated by microRNA were demonstrated to influence pathogenesis of human cancers by either acting as tumor suppressor or as oncogene . MiRNAs originated from introns of protein and nonprotein coding genes or even rarely from exons . Of note, distinct miRNA signatures have already been used for the classification and prognosis of various cancers, including HCC -. Previous studies showed both consistent and inconsistent results regarding the correlation between miR-492 and the development of gastrointestinal cancers. It was reported that miR-492 could originate from the coding sequence of the hepatoblastoma marker gene keratin 19 (KRT19) and miR-492 along with its associated targets might serve as new hepatoblastoma biomarkers of clinical utility and could assist to explore targeted therapies, especially in metastatic hepatoblastoma with a poor prognosis . However, there was an inconsistent report describing that the gene polymorphisms of miR-27a, miR-146a, miR-196a-2, miR-492, miR-492a and miR-608 were not associated with the presence of colon cancer in European subjects . It should be noted the upregulation of miR-492 was not limited to a specific type of liver cancer as it was also considered a biomarker for hepatoblastoma besides HCC. In addition to miR-492, other miRs such as miR-494 and miR-449 were also reported to be associated with various cancers -. miR-145 potently suppressed growth of three different colon carcinoma cell line . However, the exact functional role of miRNAs in the development, progression as well as its regulatory pathway remains unclear. Our findings suggested a novel miR-492-PTEN pathway implicated in the progression of HCC. It is conceivable that PTEN is not exclusively regulated by a specific miRNA; other miRNAs such as miR-494 likely regulates PTEN too. This brings up the question whether the increase of miR-492 is relevant to a particular cancer stage. In our study, the expressions of other miRNAs such as miR-224, miR-148a has been found to either increase or decrease in HCC. The role of those miRNAs in the pathogenesis of HCC might be worth exploration.
Given that PTEN acts as a major negative regulator of the PI3K/AKT signaling pathway, the repression of PTEN by miR-492 might play an important role in proliferation of other types of cell too. It was reported that the activity of MDSC was regulated by miR-494 through PTEN/AKT. The downregulation of PTEN by miR-494 enhanced the activity of AKT and its downstream pathways, promoted the accumulation of MDSCs in tumor tissues . Thus, tissue specific regulation of PI3K/AKT pathway should also be addressed in this regard. In conclusion, this study described the upregulation of miR-492 in cancerous tissue of hepatocellular carcinoma and depicted a new miR-492-PTEN-AKT pathway in the progression of hepatocellular carcinoma. It also showed that miR-492 upregulation/PTEN downregulation correlated with the survival outlook of patients with HCC.
This work is supported partially by the national natural science foundation of China, No. 81160311.
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