Possible tumor suppressive role of the miR-144/451 cluster in esophageal carcinoma as determined by principal component regression analysis
- Authors:
- Published online on: August 30, 2016 https://doi.org/10.3892/mmr.2016.5691
- Pages: 3805-3813
Abstract
Introduction
Esophageal carcinoma is a common type of cancer of the digestive system, with an estimated 456,000 new cases and 400,000 cases of mortality worldwide during 2012, and with 50% of all cases occurring in China alone (1,2). In patients receiving early comprehensive treatment, the 5-year relative survival rate of esophageal carcinoma approaches 90%. However, the overall 5-year survival rate of patients with esophageal carcinoma remains poor as it is most commonly diagnosed at an advanced stage (with lymph node metastases) and only few symptoms appear at an early stage (3,4). Therefore, there is an urgent requirement for novel and reliable biomarkers that facilitate the detection of preneoplastic esophageal carcinoma lesions.
Typically, microRNA (miRNA) genes are transcribed under the regulation of a promoter and an operon. Certain miRNAs are positioned proximal to each other on the chromosome and form a cluster (5–7). These clusters are considered to be transcribed simultaneously, but may mediate synergistic or antagonistic regulatory functions (8,9). An increasing number of studies have demonstrated that miRNA clusters serve important roles in certain biological processes and during oncogenesis (10–13). A few well-studied miRNA clusters include the miR-17/92, miR-221/222 and miR-1/133a clusters (14–16). Additional studies have demonstrated that miRNA clusters function more efficiently compared with individual miRNAs alone. For instance, Li et al (17) demonstrated that miR-424 and miR-503, forming the miR-424-503 cluster, cooperate to inhibit the expression of Smad7 and Smurf2, thus increasing the transforming growth factor-β signaling and the metastatic potential of breast cancer cells. In addition, Wystub et al (18) observed that miR-1 and miR-133a, forming the miR-1/133a cluster, cooperate to modulate the cardiomyogenic lineage by suppressing the expression levels of MYOCD and KCNMB1 genes, respectively. Previous miRNA profiling data demonstrated that two members of the miR-144/451 cluster, namely miR-144-3p and miR-451a, were significantly downregulated in tumor tissues (P=0.039 and 0.005, respectively) compared with adjacent non-tumor tissues (19). Furthermore, studies have provided evidence to suggest that miR-144-3p and miR-451a may serve tumor suppressive or oncogenic roles in different tissues (16,20,21).
The majority of studies investigating the miR-144/451 cluster have focused on elucidating the function of the individual miRNAs, but not the cluster as a whole. In addition, there is currently no detailed information about the miR-144/451 cluster in esophageal carcinoma (22–24). It is possible that individual miRNAs within the miR-144/451 cluster may mediate opposing or similar functions as part of complex regulatory networks. Clustered miRNAs appear to be more stable and reliable than individual miRNAs as diagnostic biomarkers (18,19,25). In addition, detailed information on the expression levels and functional roles of the miR-144/451 cluster may facilitate an improved understanding of the mechanisms involved in tumor development and maintenance, which may also be beneficial for therapy. Promoting or suppressing the expression of miRNAs in the miR-144/451 cluster may be a promising therapeutic strategy, with high efficiency and low treatment resistance, for patients with esophageal carcinoma.
In the present study, the expression levels of miR-144/451 cluster members in esophageal carcinoma tissues were examined, and the correlation between the expression levels of individual miRNAs were determined. To the best of our knowledge, this is the first study that has reported the expression levels of hsa-miR-144-3p, hsa-miR-144-5p, hsa-miR-451a, hsa-miR-4732-3p and hsa-miR-4732-5p, which comprise the miR-144/451 cluster, in esophageal carcinoma. Pearson correlation analyses were performed to evaluate the association between the expression levels of all five miRNAs. The association between abnormal expression of the miR-144-451 cluster and the risk of esophageal carcinoma was further analyzed using principal component regression analysis. The possible targets and functions of the miR-144-451 cluster were analyzed by bioinformatics. The results of the present study may advance our understanding of the expression pattern and functional role of the miR-144/451 cluster in esophageal carcinoma.
Materials and methods
Study subjects
Samples from 102 patients with esophageal carcinoma, diagnosed by pathological analyses (26) and recruited from the First People's Hospital of Huaian (Huaian, China), were used in the present study. Among these patients, 73 (71.6%) cases were male and 29 (28.4%) were female, with an age range of 44–78 years and a mean age of 63.17±7.25 years. Esophageal carcinoma tissues and their corresponding normal non-tumor tissues were collected surgically between 2011 and 2012, and stored in tubes at −80°C. Written informed consent was obtained from all subjects prior to recruitment to the study. Ethical approval was provided by the Institutional Review Board of the Southeast University-Affiliated Zhongda Hospital (Nanjing, China).
RNA isolation and analysis
Total RNA was extracted from the tissue samples using the TRIzol reagent (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA) according to the manufacturer's instructions. The quality and concentration of the extracted RNA was assessed with the 260/280 absorbance ratio using the NanoDrop ND-1000 spectrophotometer (Thermo Fisher Scientific, Inc.).
Reverse transcription-quantitative polymerase chain reaction (RT-qPCR)
Bulge-Loop™ miRNA RT-qPCR Primer kits (catalog nos. MQP-0101 and MQP-0201) were obtained from Guangzhou RiboBio Co., Ltd. (Guangzhou, China). A total of 0.5 µg RNA template, 1 µl miRNA-specific stem-loop RT-primers and RNase-free water (Tiangen Biotech, Co., Ltd., Beijing, China) were combined. Next, 5.5 µl mixtures were incubated at 70°C for 10 min, and then immediately placed on ice for 2 min. Reverse transcription of RNA into cDNA was subsequently performed by addition of 2.5 µl 5X RT buffer (Promega Corp., Madison, WI, USA), 1 µl dNTPs (2.5 mM; Tiangen Biotech, Co., Ltd.), 0.25 µl M-MLV reverse transcriptase (200 U/µl; Promega Corp.), 0.25 µl ribonuclease inhibitor (40 U/µl; Fermentas; Thermo Fisher Scientific, Inc.) and 3 µl RNase-free water. The sample was subsequently incubated for 1 h at 42°C, followed by 70°C for 10 min and then held at 4°C. qPCR was performed using the StepOnePlus system (Applied Biosystems; Thermo Fisher Scientific, Inc.), and U6 expression (Guangzhou RiboBio Co., Ltd.) was selected to normalize the RNA input. cDNA (1 µl) was added to a mixture containing 4.5 µl SYBR Green PCR Master Mix (Toyobo Co., Ltd., Osaka, Japan), 0.8 µl forward primer, 0.8 µl reverse primer and 3.7 µl RNase-free water to a total volume of 10 µl. The thermal cycling conditions consisted of an initial denaturation step at 95°C for 5 min, followed by 40 cycles of 95°C for 15 sec, 60°C for 30 sec and 72°C for 30 sec. Fluorescence data were collected at 60°C during each cycle, while melting curve analysis was conducted from 60 to 95°C. The ΔΔCq formula was used to quantify the relative target miRNA expression levels (the fold change in target gene expression was equal to 2−ΔΔCq) (27).
Bioinformatics analysis
TargetScan (www.targetscan.org/), miRDB (www.mirdb.org/), PicTar (pictar.mdc-berlin.de/) and miRanda (www.microrna.org/) software were used to predict the potential targets of hsa-miR-144-3p, hsa-miR-144-5p and hsa-miR-451a. The Database for Annotation, Visualization and Integrated Discovery (DAVID) Bioinformatics Resources 6.7 (david.abcc.ncifcrf.gov/) was used for functional enrichment analysis. In addition, the Kyoto Encyclopedia of Genes and Genomes (KEGG) database (www.kegg.jp/kegg/pathway.html) was used for pathway analysis.
Statistical analysis
Statistical analysis of the data was performed using SAS version 9.2 software (SAS Institute, Cary, NC, USA). Any data records with missing values were excluded from the analysis. The following statistical tests were used to analyze the data: Conditional logistic regression, Pearson correlation, principal component analysis, multiple logistic regression and paired t-test. P<0.05 was considered to indicate a statistically significant difference.
Results
Expression levels of miR-144/451 cluster members in esophageal carcinoma
The paired sample t-test was used to compare the mean miRNA expression levels between esophageal tumor and adjacent non-tumor tissues (Table I). The results indicated that hsa-miR-144-3p, hsa-miR-144-5p and hsa-miR-451a were significantly downregulated in tumor tissues compared with the adjacent non-tumor tissues (P<0.001 for all three miRNAs) and the fold-change (2−ΔΔCq) was found to be 0.376, 0.463 and 0.443, respectively. By contrast, no statistically significant differences in hsa-miR-4732-5p and hsa-miR-4732-3p expression levels were observed between esophageal carcinoma and adjacent non-tumor tissues.
![]() | Table IExpression levels of miRNA members of the miR-144/451 cluster in esophageal carcinoma and adjacent non-tumor tissue samples. |
Correlation analysis of the expression levels of miR-144/451 cluster members
Pearson correlation analysis was performed to estimate the degree of association between the members of the miR-144/451 cluster. A significant correlation was observed among the relative expression levels (ΔCq) of the majority of miRNA members. Notably, strong correlations were observed among the expression levels of hsa-miR-144-5p, hsa-miR-4732-5p and hsa-miR-451a, with the correlation coefficients of two canonical pairs (miR-144-5p and miR-451a; miR-4732-5p and miR-451a) being 0.729 (P<0.001) and 0.608 (P<0.001), respectively (Fig. 1). However, no significant correlation was detected between the expression levels of hsa-miR-144-3p and hsa-miR-4732-3p.
Association between the expression levels of miR-144/451 cluster members and the risk of esophageal carcinoma
Conditional logistic regression models that coped with 1:1 case-control matching were used to analyze the association between the abnormal expression levels of miR-144/451 cluster members and the risk for esophageal carcinoma (Table II). The results demonstrated that reduced hsa-miR-144-5p, hsa-miR-144-3p and hsa-miR-451a expression levels were significantly associated with an increased risk for esophageal cancer [odds ratio (OR), 0.494, 0.370 and 0.474, respectively]; however, no association was observed for hsa-miR-4732-5p and hsa-miR-4732-3p. Therefore, hsa-miR-144-5p, hsa-miR-144-3p and hsa-miR-451a may serve important roles in the progression of esophageal carcinoma, which requires further validation in future studies.
![]() | Table IIConditional logistic regression analysis to determine the association between the expression levels of miR-144/451 cluster members and esophageal carcinoma risk. |
Principal component analysis
In order to eliminate multi-collinearity of individual miRNAs in the miR-144/451 cluster, principal component analysis was performed to select the principal components of clustered miRNAs (Table III). Two principal components were extracted, and their cumulative contribution of variance accounted for 70%, which is sufficient to reflect the original factor's information of the cluster. The results demonstrated that hsa-miR-4732-5p, hsa-miR-451a and hsa-miR-144-5p primarily contributed to the F1 value, with scoring coefficients of 0.788, 0.801 and 0.891, respectively (Table IV).
Multiple logistic regression analysis
Considering the strong correlation among the expression levels of hsa-miR-4732-5p, hsa-miR-451a and hsa-miR-144-5p, these miRNAs were grouped together and represented as F-miRNAs. Multiple logistic regression analysis was conducted on F-miRNAs, as well as hsa-miR-144-3p, in order to verify the previous findings (Table V). The OR values for hsa-miR-144-3p and F-miRNAs were 0.85 and 0.84, respectively, while the downregulation of hsa-miR-144-3p and F-miRNA expression levels was found to be associated with an increased risk of esophageal carcinoma development. These results suggest that the miR-144/451 cluster may serve as a biomarker for the early detection of esophageal carcinoma.
Target prediction for selected miRNAs
The TargetScan, miRDB, PicTar and miRanda algorithms were used to predict the potential targets of hsa-miR-144-3p, hsa-miR-144-5p and hsa-miR-451a, which were abnormally expressed in esophageal carcinoma tissues. Targets identified by more than two prediction tools were selected for further analysis. For hsa-miR-144-3p, hsa-miR-144-5p and hsa-miR-451a, a total of 88, 149 and 56 potential targets were selected, respectively. The analysis did not identify any common potential targets of all three miRNAs or more than two common potential targets between each pair of miRNAs (Fig. 2).
Enrichment analysis for selected miRNAs
Enrichment analysis of gene ontology terms for potential targets of hsa-miR-144-3p, hsa-miR-144-5p and hsa-miR-451a was performed using the DAVID Bioinformatics Resources 6.7 database, and the Benjamini-Hochberg test indicated a false discovery rate value of 0.01. The enriched functions were ranked according to the number of predicted targets of the selected miRNAs. The most enriched function associated with hsa-miR-144-3p and hsa-miR-144-5p was the regulation of transcription, whereas cell proliferation was the most enriched function for hsa-miR-451a (Table VI).
Pathway of potential targets of selected miRNAs
Pathway analysis was performed using the KEGG pathway database, and the Benjamini-Hochberg test indicated a false discovery rate value of 0.2. Notably, a number of cell cycle regulators, including SFRP1, SFRP4, YWHAZ, YWHAB, CDKN2B, CDKN2D and STAG1, were found to be targeted by miR-451a, miR-144-5p and miR-144-3p (Fig. 3).
Discussion
The vast majority of identified miRNA clusters are intragenic and commonly derived from polycistronic mRNA sequences, which are considered to be transcribed as independent units (28–30). The miR-144/451 cluster gene is located on chromosome 17q11.2 and encodes hsa-miR-144-3p, hsa-miR-144-5p, hsa-miR-451a, hsa-miR-4732-3p and hsa-miR-4732-5p, as identified in the miRBase database (www.mirbase.org/cgi-bin/mirna_entry.pl?acc=MI0000460). This miRNA cluster is highly conserved across different types of species (http://genome.ucsc.edu/). In addition, members of the miR-144/451 cluster are located in the same intronic region between FLOT2 and FAM222B, which is 361 base pairs in length; therefore, these miRNA sequences may share common promoters. A study by Jiang et al (25) reported that the overexpression of miR-144-3p, miR-144-5p and miR-451a promoted pancreatic cell proliferation by targeting the PTEN/AKT signaling pathway. In addition, Wang et al (21) demonstrated that absence of the miR-144/451 cluster activated Rac-1-mediated oxidative stress signaling in cardiovascular cells, which impaired ischemic preconditioning-mediated cardioprotection. Zhang et al (31) demonstrated that miR-144 and miR-451 individually augmented cardiomyocyte survival and mediated cooperative functions by promoting the expression of GATA-4 protein. Furthermore, reduced levels of miR-144 and miR-451 have been shown to be inversely correlated with increased expression and phosphorylation of protein kinase AMPK (32). Considering the aforementioned studies, members of the miR-144/451 cluster may serve important roles in numerous biological pathways and may potentially be used as biomarkers for diagnosis or therapy of cancer. However, to date, the majority of studies involving the miR-144/451 cluster have focused on investigating the functional roles of individual miRNA members (33–45).
Aberrant expression of miR-451a has been observed in lung, stomach and breast cancer, in addition to glioma and leukemia (33–36). Fukumoto et al (33) reported that miR-451a inhibits the invasion and migration of hypopharyngeal squamous cell carcinoma cells by activating ESDN and DCBLD2. In addition, circulating miR-451a was demonstrated to be a potential biomarker for the diagnosis of papillary thyroid carcinoma (37). Through MIF signaling pathway, miR-451a enhanced tamoxifen sensitivity and inhibited the proliferation of breast cancer cells (38). Furthermore, miR-144-3p and miR-144-5p, encoded by the miR-144 gene, were down-regulated in a variety of tumor tissues and cells, and their overexpression was correlated with poor outcome in several human cancer types (39–41). miR-144-3p has been shown to inhibit the expression of ZEB1 and ZEB2, thereby promoting the expression of cadherin and inhibiting cell invasion (42). Guo et al (43) demonstrated that miR-144 inhibits the expression of E2H2, thus affecting the Wnt/β-catenin signaling pathway and cell proliferation. A study by Matsushita et al (44) demonstrated that miR-144-5p targets CCNE1/2 directly to suppress the proliferation of bladder cancer cells. The miR-4732-3p and miR-4732-5p members of the miR-144/451 cluster were identified after the other members, and therefore, few studies currently exist about these miRNAs (45,46). Omura et al (45) suggested that miR-4732-5p may facilitate the prediction of disease recurrence following S-1 chemotherapy treatment through mutational analysis and sequence similarity. Furthermore, Pouladi et al (46) demonstrated that, by binding with the 5′-untranslated region of WRAP53, hsa-miR-4732-5p promoted breast cancer progression. Ultimately, these studies provide evidence demonstrating that members of the miR-144/451 cluster appear to serve important roles in multiple biological pathways, and that individual miRNAs of the miR-144/451 cluster may function as part of different biological pathways in different types of tissues.
A notable finding of the present study was that the expression levels of all five members of the miR-144/451 cluster were associated with each other, particularly miR-144-5p, miR-4732-5p and miR451a. Thus, it is possible that members of the miR-144/451 cluster are expressed from the same primary transcript. By conducting a search of the NCBI database (http://www.ncbi.nlm.nih.gov/), sequences encoding miR-144-5p, miR-4732-5p and miR-451a were found to be located at the 5′-end of precursors, indicating that they may share the same transcription and regulatory processes, which may enable an improved understanding of the expression patterns of the miR-144/451 cluster. In addition, low expression levels of hsa-miR-144-3p and hsa-miR-144-5p were found to be associated with an increased risk for esophageal carcinoma. Thus, hsa-miR-144-3p and hsa-miR-144-5p may function together and be a more stable and reliable biomarker for the early screening of high-risk populations for early diagnosis.
Previous studies have demonstrated that clustered miRNAs may mediate cooperative functions by targeting the same or multiple genes simultaneously (15,16,47). Using bioinformatics analyses, the potential common or similar molecular functions of miR-144-3p, miR-144-5p and miR-451a, which are aberrantly expressed in tumor tissues, were explored in the current study. KEGG pathway analysis also demonstrated that miR-451a suppresses CDK4/6 by targeting CDKN2D and CDKN2B during G1-phase, which may induce G1 arrest. Notably, Zang et al (22) validated these findings in the EC9706 esophageal carcinoma cell line, whereby miR-451 arrested cells in G1 phase by targeting CDKN2D. The results of the present study suggest that miR-144-3p, miR-144-5p and miR-451a may disrupt the expression of CDK1 by inhibiting the activity of STAG1, YWHAB and YWHAZ, respectively. In addition, miR-144-3p and miR-144-5p participate in the Wnt signaling pathway by inhibiting SFRP1 and SFRP4, respectively, and the G1-phase may be affected through interference with the activity of c-Myc. The members of the miR-144/451 cluster mediate synergistic regulatory effects on the cell cycle during different phases, and therefore may present potential biomarkers for the early diagnosis of esophageal carcinoma. The miR-144/451 cluster appears to be more sensitive than a single miRNA, as it provides more comprehensive information. By promoting the expression of miR-144/451 cluster members, it is hypothesized that relative targets will be regulated together, which will help to eliminate resistance generated by targeting a single miRNA of miR-144/451 cluster. Considering the limitations of bioinformatics prediction and the complexity of biological regulatory networks, further experimental studies should be conducted to validate the regulatory mechanisms of the miR-144/451 cluster in esophageal carcinoma.
In conclusion, the present study provided evidence demonstrating that clustered miRNAs encoded by miR-144/451 gene can interact with a number of tumor-associated factors. The expression levels of miR-144/451 cluster members were downregulated in esophageal carcinoma tissues compared with adjacent non-tumor tissues. Notably, the expression levels of all five miR-144/451 cluster members were found to be associated with each other. In addition, downregulation of hsa-miR-144-3p and hsa-miR-144-5p was a potential risk factor for esophageal carcinoma development. hsa-miR-144-3p and hsa-miR-144-5p, representing the miR-144/451 cluster, may serve as potential biomarkers for the early detection of esophageal carcinoma. Further bioinformatics analyses indicated that members of the miR-144/451 cluster may function together in the progression of esophageal carcinoma. However, these molecular mechanisms remain to be verified by further experimental studies. More detailed understanding of the miR-144/451 cluster may provide new diagnostic and therapeutic approaches for patients with esophageal carcinoma.
Acknowledgments
The present study was supported by the National Natural Science Foundation of China (grant nos. 81172747, 81573108 and 81573191), and the New Century Excellent Talents in University from the Ministry of Education (grant no. NCET-13-0124).
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