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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMM</journal-id>
<journal-title-group>
<journal-title>International Journal of Molecular Medicine</journal-title></journal-title-group>
<issn pub-type="ppub">1107-3756</issn>
<issn pub-type="epub">1791-244X</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijmm.2014.1749</article-id>
<article-id pub-id-type="publisher-id">ijmm-34-01-0237</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>miR-219 inhibits the proliferation, migration and invasion of medulloblastoma cells by targeting CD164</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>SHI</surname><given-names>JIA-ANG</given-names></name><xref rid="af1-ijmm-34-01-0237" ref-type="aff">1</xref><xref rid="fn1-ijmm-34-01-0237" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>LU</surname><given-names>DA-LIN</given-names></name><xref rid="af2-ijmm-34-01-0237" ref-type="aff">2</xref><xref rid="fn1-ijmm-34-01-0237" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>HUANG</surname><given-names>XUAN</given-names></name><xref rid="af3-ijmm-34-01-0237" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>TAN</surname><given-names>WEI</given-names></name><xref rid="af2-ijmm-34-01-0237" ref-type="aff">2</xref><xref ref-type="corresp" rid="c1-ijmm-34-01-0237"/></contrib></contrib-group>
<aff id="af1-ijmm-34-01-0237">
<label>1</label>Department of Psychiatry, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R. China</aff>
<aff id="af2-ijmm-34-01-0237">
<label>2</label>Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, Hubei 430081, P.R. China</aff>
<aff id="af3-ijmm-34-01-0237">
<label>3</label>Medical College, Nanchang University, Nanchang, Jiangxi 330000, P.R. China</aff>
<author-notes>
<corresp id="c1-ijmm-34-01-0237">Correspondence to: Professor Wei Tan, Tianyou Hospital Affiliated to Wuhan University of Science and Technology, Wuhan, Hubei 430081, P.R. China, E-mail: <email>tanwei63317@163.com</email>. Dr Xuan Huang, Medical College, Nanchang University, Nanchang, Jiangxi 330000, P.R. China, E-mail: <email>xuanhuang0403@gmail.com</email></corresp><fn id="fn1-ijmm-34-01-0237">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>7</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>22</day>
<month>04</month>
<year>2014</year></pub-date>
<volume>34</volume>
<issue>1</issue>
<fpage>237</fpage>
<lpage>243</lpage>
<history>
<date date-type="received">
<day>28</day>
<month>11</month>
<year>2013</year></date>
<date date-type="accepted">
<day>01</day>
<month>04</month>
<year>2014</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014, Spandidos Publications</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>It is known that microRNA-219 (miR-219) expression is downregulated in medulloblastoma. In the present study, we investigated the expression, targets and functional effects of miR-219 in D283-MED medulloblastoma cells. We first demonstrated that miR-219 not only inhibits proliferation, but also suppresses the invasion and migration of D283-MED cells. Moreover, the knockdown of miR-219 promoted the proliferation, migration and invasion of the D283-MED cells. Secondly, we predicted that miR-219 targets the 3&#x02032; untranslated region (3&#x02032;UTR) of CD164 and orthodenticle homeobox 2 (OTX2) and then confirmed that it significantly downregulated the protein expression of CD164 and OTX2 in D283-MED cells. Finally, we demonstrated that the proliferation, invasion and migration of D283-MED cells were promoted by theectopic expression of CD164. These results indicate that miR-219 suppresses the proliferation, migration and invasion of medulloblastoma cells by targeting CD164. The results also suggest that miR-219 may serve as a potential therapeutic agent for medulloblastoma.</p></abstract>
<kwd-group>
<kwd>medulloblastoma</kwd>
<kwd>microRNA-219</kwd>
<kwd>CD164</kwd>
<kwd>OTX2</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>microRNAs (miRNAs or miRs) have emerged as one of the important regulators of the interaction network that controls various cellular processes. They are short non-coding RNAs which regulate target mRNAs by binding mostly in the 3&#x02032; untranslated region (3&#x02032;UTR), leading to either translational repression or degradation of the target. The aberrant expression of miRNAs has been reported in multiple human cancer types. miRNAs are known to play an oncogenic or tumor suppressor role and they have been shown to play key roles in cell survival, proliferation, apoptosis, migration and invasion; miRNAs also have various other characteristics which become altered in human cancers (<xref ref-type="bibr" rid="b1-ijmm-34-01-0237">1</xref>,<xref ref-type="bibr" rid="b2-ijmm-34-01-0237">2</xref>).</p>
<p>Medulloblastoma is a malignant tumor of the cerebellum. The median age at diagnosis is 5 years, with the age range extending into young adulthood. Primary management consists of surgical resection followed by radiation therapy and chemotherapy. Current therapies have serious short-term and long-term adverse effects, including post-operative mutism, neurocognitive deficits, endocrinopathies, sterility and the risk of secondary high-grade glioma or meningioma (<xref ref-type="bibr" rid="b3-ijmm-34-01-0237">3</xref>). Patients with recurrent disease after primary therapy have a particularly poor prognosis, with a median survival of &lt;6 months; the 2-year survival rate among these patients is approximately 9&#x00025; (<xref ref-type="bibr" rid="b4-ijmm-34-01-0237">4</xref>). Thus, this necessitates the indepth elucidation of the regulation of pathways for the better understanding of the disease, which may lead to the development of personalized, more targeted therapies.</p>
<p>CD164 (endolyn) is a sialomucin, which has been shown to play roles in regulating the proliferation, adhesion and differentiation of hematopoietic stem cells (<xref ref-type="bibr" rid="b5-ijmm-34-01-0237">5</xref>). In addition, CD164 is highly expressed in colon cancer sites, and it promotes colon cancer cell proliferation and metastasis both <italic>in vitro</italic> and <italic>in vivo</italic> (<xref ref-type="bibr" rid="b6-ijmm-34-01-0237">6</xref>). It has also been suggested that CD164 plays a key role in prostate cancer metastasis (<xref ref-type="bibr" rid="b7-ijmm-34-01-0237">7</xref>). The reduction of the CD164 expression level has become a focus of research in colon cancer. However, to the best of our knowledge, its role in medulloblastoma has not been reported to date. Moreover, orthodenticle homeobox 2 (OTX2) is a known oncogene for medulloblastoma, and its aberrant overexpression has been shown to correlate with a poorer survival in patients with medulloblastoma (<xref ref-type="bibr" rid="b8-ijmm-34-01-0237">8</xref>).</p>
<p>In this study, we first demonstrate that miR-219 not only inhibits proliferation, but also suppresses the invasion and migration of D283-MED medulloblastoma cells. Moreover, the knockdown of miR-219 promotes the proliferation, migration and invasion of D283-MED cells. Secondly, we predicted that miR-219 targets the 3&#x02032;UTR of CD164 and OTX2 and then confirmed that it significantly downregulated the protein expression of CD164 and OTX2 in D283-MED cells. Finally, we demonstrated that the proliferation, invasion and migration of D283-MED cells were promoted by the ectopic expression of CD164.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Cell line and transfection</title>
<p>The D283-MED medulloblastoma cell line was obtained from the American Type Culture Collection (ATCC; Manassas, VA, USA). D283-MED cells were cultured in Improved-MEM (Zn Option) supplemented with 10&#x00025; FBS, 2 mmol/l L-glutamine, 2 mmol/l sodiumpyruvate, 100 U/ml penicillin and 100 mg/ml streptomycin. The cells were maintained in a humidified atmosphere containing 5&#x00025; CO<sub>2</sub> at 37&#x000B0;C.</p>
<p>Transfection was performed using Lipofectamine 2000 reagent (Invitrogen, Carlsbad, CA, USA) according to the manufacturer&#x02019;s instructions. miR-219 mimics, mimic negative controls (m-NCs), miR-219 inhibitor and inhibitor negative controls (i-NCs) were purchased from RiboBio Co., Ltd. (Guangzhou, China).</p>
<p>A final concentration of 50 nM of mimics or 100 nM of inhibitor and their respective negative controls were used for each transfection in MTT assay, BrdU incorporation, invasion and migration expreriments. CD164 expressiion plasmids and empty vector (pcDNA3.1) were purchased from the National RNAi Core Facility in Academic Sinica, Taipei, Taiwan. The concentration of the CD164 expression plasmids or the empty vector (pcDNA3.1) used for each transfection was 10 &#x003BC;g.</p></sec>
<sec>
<title>miRNA detection</title>
<p>Total RNA from the cultured cells, with efficient recovery of small RNAs, was isolated using the mirVana miRNA Isolation kit (Ambion, Austin, TX, USA). The detection of the mature form of miRNAs was performed using the mirVana qRT-PCR miRNA Detection kit and qRT-PCR Primer Sets, according to the manufacturer&#x02019;s instructions (Ambion). The U6 small nuclear RNA was used as an internal control.</p></sec>
<sec>
<title>Examination of cell proliferation by MTT assay</title>
<p>The examination of cell proliferation by MTT assay was performed as described in a previous study (<xref ref-type="bibr" rid="b9-ijmm-34-01-0237">9</xref>). The effects of miR-219 on cell proliferation were assessed by 3-(4, 5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium (MTT) assay (Sigma, St. Louis, MO, USA) assay. The absorbance was directly proportional to the number of surviving cells. The inhibition rate was calculated as follows: inhibition rate &#x0003D; (1 &#x02212; A experiment/A control) &#x000D7;100&#x00025;.</p></sec>
<sec>
<title>Analysis of cell proliferation by BrdU incorporation</title>
<p>Cell proliferation was assessed using a colorimetric BrdU cell proliferation kit according to the manufacturer&#x02019;s instructions (Cat. no. 11647229001; Roche, Indianapolis, IN, USA). The transfected cells were labeled with BrdU for 3 to 4 h. The genomic DNA was fixed and denatured, followed by incubation with peroxidase-conjugated anti-BrdU antibody for 90 min. A substrate for the conjugated peroxidase was then added and the reaction product was quantified by measuring the absorbance. The results were then normalized by the number of total viable cells.</p></sec>
<sec>
<title>Migration and invasion assay</title>
<p>For Transwell migration assays, 2.5&#x000D7;10<sup>4</sup> to 5&#x000D7;10<sup>4</sup> cells were plated in the top chamber with the non-coated membrane (24-well insert; pore size, 8 mm; BD Biosciences, San Jose, CA, USA). For invasion assays, 1.25&#x000D7;10<sup>5</sup> cells were plated in the top chamber with Matrigel-coated membrane (24-well insert; pore size, 8 mm; BD Biosciences). For both assays, the cells were plated in medium without serum, and medium supplemented with serum was used as a chemo-attractant in the lower chamber. The cells were incubated for 24 h and cells that did not migrate or invade through the pores were removed by a cotton swab. Cells on the lower surface of the membrane were stained with the Diff-Quick Stain Set (Dade Behring, Inc., Newark, DE, USA) and counted.</p></sec>
<sec>
<title>Reverse transcription-polymerase chain reaction</title>
<p>Total RNA was isolated from the cells using TRIzol reagent (Invitrogen). cDNA was synthesized from 1 &#x003BC;g of total RNA in a 20 &#x003BC;l reverse transcription (RT) system followed by PCR amplification in a 50-&#x003BC;l PCR system performed using an RT-PCR kit (Promega, Madison, WI, USA). The housekeeping gene, glyceraldehyde-3-phosphate dehydrogenase (GAPDH), was used as an RNA loading control. The PCR primer sequences were as follows: CD164 forward, 5&#x02032;-GTGCTGTCCGCGG ACAAGAAC-3&#x02032; and reverse, 5&#x02032;-TGTGAACAATAGCTCTCATC-3&#x02032;; OTX2 forward, 5&#x02032;-TCTTATCTAAAGCAACCGCCTTACGCAGTC-3&#x02032; and reverse, 5&#x02032;-GCACCCTGGATTCTGGCAAGTTGATTTTCA-3&#x02032;; and GAPDH forward, 5&#x02032;-TGTCATCAACGGGAAGCCCA-3&#x02032; and reverse, 5&#x02032;-TTGTCATGGATGACCTTGGC-3&#x02032;.</p>
<p>PCR was conducted according to manufacturer&#x02019;s instructions and the PCR products were analyzed by agarose gel electrophoresis. Gels were photographed and the densities of the bands were determined using a computerized image analysis system (Alpha Innotech, San Leandro, CA, USA). The area of each band was calculated as the integrated density value (IDV). Mean values were calculated from 3 separate experiments. The IDV ratios of CD164 to GAPDH and OTX2 to GAPDH were calculated for each sample.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Western blot analysis was performed as previously described (<xref ref-type="bibr" rid="b9-ijmm-34-01-0237">9</xref>). The antibodies used are listed in <xref rid="tI-ijmm-34-01-0237" ref-type="table">Table I</xref>. Briefly, following incubation with the primary antibody (<xref rid="tI-ijmm-34-01-0237" ref-type="table">Table I</xref>) overnight at 4&#x000B0;C, IRDye&#x02122;-800-conjugated anti-rabbit secondary antibodies (Li-COR Biosciences, Lincoln, NE, USA) were used for 30 min at room temperature. The specific proteins were visualized using an Odyssey&#x02122; Infrared Imaging System (Gene Company).</p></sec>
<sec>
<title>Microarray analysis</title>
<p>The preparation of RNA from the cells and analysis of the Affymetrix GeneChip microarray data (Affymetrix, Santa Clara, CA, USA) were carried out as previously described (<xref ref-type="bibr" rid="b10-ijmm-34-01-0237">10</xref>). Total RNA was prepared using TRIzol reagent (Invitrogen) according to the manufacturer&#x02019;s instructions. RNA was further purified using RNeasy columns and treatment with RNase-free DNase I (Qiagen, Chatsworth, CA, USA). Total RNA was used to generate cRNA, which was labeled with biotin as recommended by Affymetrix. cRNA was then hybridized to Affymetrix Hu95A GeneChips, which contain approximately 12,000 human oligonucleotide probe sets. After washing, the chips were scanned and analyzed using MicroArray Suite 5.0 (Affymetrix). The average intensities for each GeneChip were globally scaled to a target intensity of 150. Further analysis was performed using GeneSpring software version 5.0.1 to obtain expression level information, fold change, and P-values for each gene relative to the control, as previously described (<xref ref-type="bibr" rid="b10-ijmm-34-01-0237">10</xref>). Genes with similar expression profiles were grouped together using hierarchical clustering and the resulting gene tree is shown. The magnitude of fold-induction or -repression for each miRNA (relative to the median of its expression across all experimental samples) is indicated by the colour bar. Data shown are based on 3 replicate studies.</p></sec>
<sec>
<title>Bioinformatics analysis</title>
<p>The analysis of potential microRNA target sites was carried out using 3 commonly used prediction algorithms: miRanda (<ext-link xlink:href="http://www.microrna.org/" ext-link-type="uri">http://www.microrna.org/</ext-link>), TargetScan (<ext-link xlink:href="http://www.targetscan.org" ext-link-type="uri">http://www.targetscan.org</ext-link>) and PicTar (<ext-link xlink:href="http://pictar.bio.nyu.edu" ext-link-type="uri">http://pictar.bio.nyu.edu</ext-link>), as previously described (<xref ref-type="bibr" rid="b11-ijmm-34-01-0237">11</xref>).</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Overexpression of miR-219 inhibits the proliferation, migration and invasion of D283-MED cells</title>
<p>In an attempt to identify the role of miR-219 in regulating the proliferation of medulloblastoma cells, D283-MED cells were transfected with miR-219 mimics. Following stable transfection, miR-219 expression was detected by RT-PCR and the proliferation rates of the D283-MED cells were determined by MTT assay. The results revealed that the exogenous miR-219 stably increased its expression in D283-MED cells (<xref rid="f1-ijmm-34-01-0237" ref-type="fig">Fig. 1A</xref>). The overexpression of miR-219 significantly reduced the proliferation rate of the D283-MED cells after 48 and 72 h of transfection and the inhibition of cell proliferation was time-dependent (<xref rid="f1-ijmm-34-01-0237" ref-type="fig">Fig. 1B</xref>). This was further revealed by BrdU incorporation assay, showing that transfection with miR-219 resulted in reduced DNA synthesis activity per viable cell in the D283-MED cells (<xref rid="f1-ijmm-34-01-0237" ref-type="fig">Fig. 1C</xref>).</p>
<p>Given that miR-219 markedly inhibited D283-MED cell proliferation, we then sought to determine whether miR-219 has an effect on the migration and invasion of D283-MED cells. The cell migration and invasion assay of D283-MED cells revealed that the overexpression of miR-219 not only inhibited the migration of D283-MED cells, but also suppressed their invasion (<xref rid="f1-ijmm-34-01-0237" ref-type="fig">Fig. 1D</xref>).</p></sec>
<sec>
<title>Knockdown of miR-219 promotes the proliferation, migration and invasion of D283-MED cells</title>
<p>To provide further evidence that miR-219 is involved in D283-MED cell proliferation, migration and invasion, we examined the effects of an inhibitor of miR-219. Following transfection, miR-219 expression was detected by RT-PCR and the proliferation rates of the D283-MED cells were examined by MTT assay. The results revealed that miR-219 inhibitior decreased miR-219 expression in the D283-MED cells. In addition, the proliferation of D283-MED cells transfected with miR-219 inhibitor was found to be higher than that of the cells transfected with i-NCs (<xref rid="f2-ijmm-34-01-0237" ref-type="fig">Fig. 2A and B</xref>). Consistent with the results of MTT assay, BrdU incorporation assay demonstrated that DNA synthesis was increased by miR-219 inhibitor in the cells (<xref rid="f2-ijmm-34-01-0237" ref-type="fig">Fig. 2C</xref>). Finally, we found that miR-219 inhibitor also markedly increased the migration and invasion of the D283-MED cells (<xref rid="f2-ijmm-34-01-0237" ref-type="fig">Fig. 2D</xref>). miR-219 inhibitors play an opposite role to miR-219 in regulating the proliferation, migration and invasion of D283-MED cells.</p></sec>
<sec>
<title>CD164 and OTX2 protein but not mRNA expression is suppressed by miR-219 in D283-MED cells</title>
<p>We then performed an analysis of potential microRNA target sites using 3 commonly used prediction algorithms, miRanda (<ext-link xlink:href="http://www.microrna.org/" ext-link-type="uri">http://www.microrna.org/</ext-link>), TargetScan (<ext-link xlink:href="http://www.targetscan.org" ext-link-type="uri">http://www.targetscan.org</ext-link>) and PicTar (<ext-link xlink:href="http://pictar.bio.nyu.edu" ext-link-type="uri">http://pictar.bio.nyu.edu</ext-link>) (<xref ref-type="bibr" rid="b11-ijmm-34-01-0237">11</xref>). All 3 algorithms predicted the CD164, eyes absent homolog 1 (<italic>Drosophila</italic>) (EYA1), ISL LIM homeobox 1 (ISL1), lysosomal protein transmembrane 4 alpha (LAPTM4A), OTX2, reversion-inducing-cysteine-rich protein with kazal motifs (RECK), T, Brachyury homolog (mouse) (T), thyrotropin-releasing hormone degrading enzyme (TRHDE) and ubiquitin-conjugating enzyme E2N (UBE2N) genes to be targets of miR-219 (<xref rid="f3-ijmm-34-01-0237" ref-type="fig">Fig. 3A</xref>).</p>
<p>In an attempt to further identify the role of miR-219 in regulating gene expression in medulloblastoma cells, the D283-MED cells were transfected with miR-219, and then western blot analysis was performed. Due to the lack of LAPTM4A, T and TRHDE antibodies, we only detected CD164, OTX2, ISL1, EYA1, RECK and UBE2N protein expression. We found that miR-219 markedly inhibited the expression of 2 out of the 6 genes, CD164 and OXT2 in the D283-MED cells (<xref rid="f3-ijmm-34-01-0237" ref-type="fig">Fig. 3B</xref>). A total of 2 miR-219 target sites (<xref rid="f3-ijmm-34-01-0237" ref-type="fig">Fig. 3C</xref>) were found in the 3&#x02032;UTR of CD164 and 1 target site (<xref rid="f3-ijmm-34-01-0237" ref-type="fig">Fig. 3D</xref>) was found in the 3&#x02032;UTR of OTX2 by miRanda, TargetScan and PicTar. Furthermore, RT-PCR revealed that the mRNA levels of CD164 and OTX2 were not significantly affected by miR-219 in the D283-MED cells (<xref rid="f3-ijmm-34-01-0237" ref-type="fig">Fig. 3E and F</xref>).</p></sec>
<sec>
<title>Overexpression of CD164 promotes the proliferation, migration and invasion of D283-MED cells</title>
<p>We confirmed that miR-219 inhibited proliferation, migration and invasion, and reduced CD164 expression in D283-MED cells. We hypothesized that CD164 plays an opposite role to miR-219 in D283-MED cells. Firstly, the D283-MED cells were transfected with CD164 expression plasmids. Following transfection, CD164 expression was detected by western blot analysis and the results revealed that the CD164 expression plasmids markedly increased CD164 protein expression in the D283-MED cells (<xref rid="f4-ijmm-34-01-0237" ref-type="fig">Fig. 4A</xref>). After 24, 48 and 72 h of stable transfection, the proliferation rates of the D283-MED cells were determined by MTT assay. The results revealed that the overexpression of CD164 markedly increased the proliferation rate of the D283-MED cells by approximately 25&#x02013;150&#x00025; and the promotion of cell growth was time-dependent (<xref rid="f4-ijmm-34-01-0237" ref-type="fig">Fig. 4B</xref>). This was further revealed by BrdU incorporation assay, showing that transfection with CD164 resulted in increased DNA synthesis activity per viable cell and the promotion of cell growth was time-dependent in the D283-MED cells (<xref rid="f4-ijmm-34-01-0237" ref-type="fig">Fig. 4C</xref>).</p>
<p>Given that CD164 markedly increased the proliferation of D283-MED cells, we then sought to determine whether CD164 has any effect on the migration and invasion of D283-MED cells. Of note, the results of cell migration and invasion assay revealed that the overexpression of CD164 not only increased the migration of D283-MED cells, but also promoted their invasion (<xref rid="f4-ijmm-34-01-0237" ref-type="fig">Fig. 4D</xref>).</p></sec>
<sec>
<title>CD164 regulates cell cycle-associated gene expression in D283-MED cells</title>
<p>To identify the cell cycle-associated genes that may be involved in the CD164-mediated regulation of the proliferation of D283-MED cells, we used Affymetrix GeneChip DNA microarrays to compare the gene expression profiles in the D283-MED cells transfected with CD164 expression plasmids or the empty vector.</p>
<p>RNA was isolated from the D283-MED cells transfected with CD164 expression plasmids or the empty vector (mock). Total RNA was used to generate cRNA, which was labeled with biotin as recommended by Affymetrix. cRNA was then hybridized to Affymetrix Hu95A GeneChips, which contain approximately 12,000 human oligonucleotide probe sets. Analysis of the significantly regulated genes, as described in Materials and methods, identified 99 genes which were regulated by &gt;2-fold (i.e.,either upregulated or downregulated) by CD164 in the D283-MED cells. We identified 6 genes, c-myc, PCNA, CDK6, CK19, Ki67 and CDK1, that were commonly associated with cell cycle regulation (<xref rid="f5-ijmm-34-01-0237" ref-type="fig">Fig. 5</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The role of miRNAs in medulloblastoma has only recently been addressed and more recently, studies have implicated miRNAs as important regulators of medulloblastoma cell survival, proliferation and migration. For example, miR-128a increases the intracellular reactive oxygen species (ROS) level by targeting Bmi-1 and inhibits medulloblastoma cell growth by promoting senescence (<xref ref-type="bibr" rid="b12-ijmm-34-01-0237">12</xref>); the pleiotropic effects of miR-183-96-182 converge to regulate the cell survival, proliferation and migration of medulloblastoma (<xref ref-type="bibr" rid="b13-ijmm-34-01-0237">13</xref>); miR-199b-5p can impair cancer stem cell growth through the negative regulation of HES1 in medulloblastoma (<xref ref-type="bibr" rid="b14-ijmm-34-01-0237">14</xref>); miR-182 promotes the leptomeningeal spread of non-sonic hedgehog-medulloblastoma (<xref ref-type="bibr" rid="b15-ijmm-34-01-0237">15</xref>); miR-218 acts as a tumor suppressor by targeting multiple cancer phenotype-associated genes in medulloblastoma (<xref ref-type="bibr" rid="b16-ijmm-34-01-0237">16</xref>); miR-21 suppression impedes medulloblastoma cell migration (<xref ref-type="bibr" rid="b17-ijmm-34-01-0237">17</xref>); the ectopic expression of miR-383 in medulloblastoma cells leads to the suppression of cell growth (<xref ref-type="bibr" rid="b18-ijmm-34-01-0237">18</xref>); miR-124 inhibits cell proliferation in medulloblastoma cells (<xref ref-type="bibr" rid="b19-ijmm-34-01-0237">19</xref>). Recent studies have reported that miR-219 is required for normal oligodendrocyte differentiation/myelination and inhibits hepatocellular carcinoma cell proliferation (<xref ref-type="bibr" rid="b20-ijmm-34-01-0237">20</xref>,<xref ref-type="bibr" rid="b21-ijmm-34-01-0237">21</xref>). Although the downregulation of miR-219 expression is known to be involved in the development of medulloblastoma, the functional role of miR-219 in medulloblastoma has not been previously described (<xref ref-type="bibr" rid="b22-ijmm-34-01-0237">22</xref>).</p>
<p>In this study, we report the novel regulation of proliferation, migration and invasion by miR-219 through the specific inhibition of CD164 in medulloblastoma cells. Our data are in line with those of previous studies, showing that miR-219 is downregulated in medulloblastoma samples, suggesting a tumor growth-inhibitory function (<xref ref-type="bibr" rid="b22-ijmm-34-01-0237">22</xref>), suggesting that the overexpression of miR-219 inhibits proliferation, migration and invasion and that the knockdown of miR-219 promotes the proliferation, migration and invasion of D283-MED cells. This further confirms that miR-219 is a tumor suppressor gene in medulloblastoma.</p>
<p>Further analysis of the possible mechanisms involved revealed that CD164 is a putative target of miR-219. We demonstrated that CD164 protein, but not mRNA expression was downregulated by miR-219 in the D283-MED cells. Consistent with the results of previous studies on CD164 in prostate and colon cancer, our results demonstrated that CD164 promoted the proliferation, migration and invasion of D283-MED cells (<xref ref-type="bibr" rid="b4-ijmm-34-01-0237">4</xref>,<xref ref-type="bibr" rid="b6-ijmm-34-01-0237">6</xref>). In addition, the regulation of CD164 by miR-219 was further supported by the results that CD164 played an opposite role to miR-219 in regulating the proliferation, migration and invasion of medulloblastoma cells. OTX2 is known as an oncogene for medulloblastoma, and its aberrant overexpression has been shown to correlate with a poorer survival in patients with medulloblastoma (<xref ref-type="bibr" rid="b8-ijmm-34-01-0237">8</xref>). As prevoiusly demonstrated, the ectopic OTX2 expression enhanced the proliferation and tumorigenicity of immortalized primary cells, whereas OTX2 knockdown in medulloblastoma cells prolonged the survival of animals bearing tumor xenografts (<xref ref-type="bibr" rid="b8-ijmm-34-01-0237">8</xref>). In this study, we demonstrated that miR-219 inhibited OTX2 protein expression in D283-MED cells.</p>
<p>In conclusion, in this study, we describe the functional roles of miR-219 in D283-MED cells, and demonstrate that miR-219 decreases D238-MED cell proliferation, migration and invasion by downregulating CD164. It is more meaningful to demonstrate whether CD164 expression is downregulated in medulloblastoma and that miR-219 and CD164 are inversely expressed in medulloblastoma. Moreover, the modulation of miR-219 in <italic>in vivo</italic> studies using medulloblastoma models may shed light on the utility of the restoration of the expression of the tumor suppressor, miR-219, as a therapeutic modality for medulloblastoma.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was financially supported by grants from the National Natural Science Foundation of China (nos. 31071126, 31000343, 31171303, 31171297 and 31070694).</p></ack>
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<floats-group>
<fig id="f1-ijmm-34-01-0237" position="float">
<label>Figure 1</label>
<caption>
<p>microRNA-219 (miR-219) inhibits the proliferation, migration and invasion of D283-MED cells. (A) RT-PCR of miR-219 in D283-MED cells infected with the miR-219 mimics or mimic negative controls (m-NCs; mock). Forty-eight hours after transfection, the cells were harvested for RT-PCR, n&#x0003D;3. (B) D283-MED cells were transfected with miR-219 mimics or m-NCs (mock) and then cell viability was measured at the indicated time points by MTT assay, n&#x0003D;3. (C) D283-MED cells were transfected with miR-219 mimics or m-NCs (mock) and then BrdU incorporation assay was performed at the indicated time points, n&#x0003D;3. (D) Invasion and migration assays using D283-MED cells transfected with the miR-219 mimics or m-NCs (mock). Forty-eight hours after transfection, the cells were plated for invasion and migration assays, n&#x0003D;3.</p></caption>
<graphic xlink:href="IJMM-34-01-0237-g00.gif"/></fig>
<fig id="f2-ijmm-34-01-0237" position="float">
<label>Figure 2</label>
<caption>
<p>microRNA-219 (miR-219) inhibitor promotes the proliferation, migration and invasion of D283-MED cells. (A) RT-PCR of miR-219 in D283-MED cells infected with the miR-219 inhibitor or inhibitor negative controls (i-NCs) (mock). Forty-eight hours after transfection, the cells were harvested for RT-PCR, n&#x0003D;3. (B) D283-MED cells were transfected with miR-219 inhibitor or i-NCs (mock) and then cell viability was measured at the indicated time points by MTT assay, n&#x0003D;3. (C) D283-MED cells were transfected with miR-219 inhibitor or i-NCs (mock) and then BrdU incorporation assay was performed at the indicated time points, n&#x0003D;3. (D) Invasion and migration assays using D283-MED cells transfected with the miR-219 inhibitor or i-NCs (mock). Forty-eight hours after transfection, the cells were plated for invasion and migration assays, n&#x0003D;3.</p></caption>
<graphic xlink:href="IJMM-34-01-0237-g01.gif"/></fig>
<fig id="f3-ijmm-34-01-0237" position="float">
<label>Figure 3</label>
<caption>
<p>microRNA-219 (miR-219) reduces CD164 and OXT2 expression in D283-MED cells. (A) Diagram showing the predicted target genes of miR-219 from databases (miRanda, TargetScan and PicTar). (B) Western blot analysis results of ISL1, EYA1, RECK, OTX2, UBE2N and CD164 protein expression in D283-MED cells transfected with miR-219 mimics or mimic negative controls (m-NCs; mock) at 48 h after transfection, n&#x0003D;3. (C) miRanda, TargetScan and PicTar predicted that miR-219 targets the 3&#x02032;UTR of CD164. (D) miRanda, TargetScan and PicTar predicted that miR-219 targets the 3&#x02032;UTR of OTX2. (E) Expression of miR-219 reduced CD164 protein expression, but not mRNA levels. D283-MED cells were transfected with miR-219 mimics or m-NCs and then subjected to RT-PCR. (F) Expression of miR-219 reduced OTX2 protein expression, but not mRNA levels. D283-MED cells were transfected with miR-219 mimics or m-NCs and then subjected to RT-PCR.</p></caption>
<graphic xlink:href="IJMM-34-01-0237-g02.gif"/></fig>
<fig id="f4-ijmm-34-01-0237" position="float">
<label>Figure 4</label>
<caption>
<p>Proliferation, migration and invasion of D283-MED cells is promoted by CD164. (A) Western blot analysis of CD164 in D283-MED cells infected with CD164 expression plasmids or empry vector (mock). Forty-eight hours after transfection, the cells were harvested for western blot analysis, n&#x0003D;3. (B) D283-MED cells were infected with CD164 expression plasmids or empty vector (mock) and then cell viability was measured at the indicated time points by MTT assay, n&#x0003D;3. (C) D283-MED cells were infected with CD164 expression plasmids or empty vector (mock) and then BrdU incorporation assay was performed at the indicated time points, n&#x0003D;3. (D) Invasion and migration assays using D283-MED cells infected with CD164 expression plasmids or empty vector (mock). Forty-eight hours after transfection, the cells were plated for invasion and migration assays, n&#x0003D;3.</p></caption>
<graphic xlink:href="IJMM-34-01-0237-g03.gif"/></fig>
<fig id="f5-ijmm-34-01-0237" position="float">
<label>Figure 5</label>
<caption>
<p>The contribution of CD164 to gene regulation identified by microarray analysis. Microarray analysis of D283-MED cells transfected with CD164 expression plasmids or empty vector (mock) was performed at 48 h after transfection. Genes with similar expression profiles were grouped together using hierarchical clustering and the resulting gene tree is shown. Color bar at the top indicates the magnitude of gene regulation, with green and red indicating repression and stimulation, respectively. Data shown are based on 3 replicate experiments.</p></caption>
<graphic xlink:href="IJMM-34-01-0237-g04.gif"/></fig>
<table-wrap id="tI-ijmm-34-01-0237" position="float">
<label>Table I</label>
<caption>
<p>Antibodies used in western blot analysis.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Primary antibody</th>
<th align="center" valign="bottom">Secondary antibody</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">Anti-CD164 (1:500; Abcam)</td>
<td align="left" valign="top">Anti-rabbit secondary</td></tr>
<tr>
<td align="left" valign="top">Anti-OTX2 (1:500; Abcam)</td>
<td align="left" valign="top">antibodies (Li-COR)</td></tr>
<tr>
<td align="left" valign="top">Anti-ISL1 (1:500; Abcam)</td>
<td align="left" valign="top"/></tr>
<tr>
<td align="left" valign="top">Anti-EYA1 (1:500; Abcam)</td>
<td align="left" valign="top"/></tr>
<tr>
<td align="left" valign="top">Anti-RECK (1:500; Abcam)</td>
<td align="left" valign="top"/></tr>
<tr>
<td align="left" valign="top">Anti-UBE2N (1:500; Abcam)</td>
<td align="left" valign="top"/></tr>
<tr>
<td align="left" valign="top">Anti-&#x003B2;-actin (1:500; Abcam)</td>
<td align="left" valign="top"/></tr></tbody></table></table-wrap></floats-group></article>
