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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<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.2016.2661</article-id>
<article-id pub-id-type="publisher-id">ijmm-38-03-0919</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>A single nucleotide polymorphism in the 3&#x02032;-untranslated region of the KRAS gene disrupts the interaction with let-7a and enhances the metastatic potential of osteosarcoma cells</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Zhang</surname><given-names>Shiqian</given-names></name><xref rid="af1-ijmm-38-03-0919" ref-type="aff">1</xref><xref rid="fn1-ijmm-38-03-0919" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>Hou</surname><given-names>Chunying</given-names></name><xref rid="af1-ijmm-38-03-0919" ref-type="aff">1</xref><xref rid="fn1-ijmm-38-03-0919" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>Li</surname><given-names>Guojun</given-names></name><xref rid="af1-ijmm-38-03-0919" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Zhong</surname><given-names>Yang</given-names></name><xref rid="af1-ijmm-38-03-0919" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Zhang</surname><given-names>Jie</given-names></name><xref rid="af1-ijmm-38-03-0919" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Guo</surname><given-names>Xinzhen</given-names></name><xref rid="af1-ijmm-38-03-0919" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Li</surname><given-names>Baoxin</given-names></name><xref rid="af2-ijmm-38-03-0919" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>Bi</surname><given-names>Zhenggang</given-names></name><xref rid="af1-ijmm-38-03-0919" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-ijmm-38-03-0919"/></contrib>
<contrib contrib-type="author">
<name><surname>Shao</surname><given-names>Ming</given-names></name><xref rid="af1-ijmm-38-03-0919" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-ijmm-38-03-0919"/></contrib></contrib-group>
<aff id="af1-ijmm-38-03-0919">
<label>1</label>Department of Orthopedic Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001</aff>
<aff id="af2-ijmm-38-03-0919">
<label>2</label>Department of Pharmacology, Harbin Medical University, Harbin, Heilongjiang 150081, P.R. China</aff>
<author-notes>
<corresp id="c1-ijmm-38-03-0919">Correspondence to: Dr Ming Shao or Dr Zhenggang Bi, Department of Orthopedic Surgery, The First Affiliated Hospital of Harbin Medical University, 23 Youzheng Street, Nangang, Harbin, Heilongjiang 150001, P.R. China, Email: <email>krasos@126.com</email>, Email: <email>liao843485@163.com</email></corresp><fn id="fn1-ijmm-38-03-0919">
<label>&#x0002A;</label>
<p>Contibuted equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>09</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>04</day>
<month>07</month>
<year>2016</year></pub-date>
<volume>38</volume>
<issue>3</issue>
<fpage>919</fpage>
<lpage>926</lpage>
<history>
<date date-type="received">
<day>25</day>
<month>10</month>
<year>2015</year></date>
<date date-type="accepted">
<day>20</day>
<month>05</month>
<year>2016</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year></permissions>
<abstract>
<p>The objective of the present study was to explore the molecular mechanism with which a single nucleotide polymorphism (rs61764370) interferes with the interaction between the 3&#x02032;-untranslated region (3&#x02032;-UTR) of Kirsten rat sarcoma viral oncogene homolog (KRAS) and let-7a, and its association with the metastasis of osteosarcoma (OS). In this study, we confirmed that KRAS is a target of let-7a in OS cells, and the introduction of rs61764370 minor allele into KRAS 3&#x02032;-UTR significantly compromised the microRNA (miRNA)/mRNA interaction using a luciferase reporter system. Additionally, a total of 36 OS tissue samples of three different genotypes (TT,22; TG,10; GG,4) were obtained, and the expression of let-7a and KRAS was determined. We showed that let-7a mRNA expression was similar between each group whereas the mRNA and protein expression of KRAS in the TT genotype group was significantly lower than that in the GT or GG genotype groups. Moreover, we identified a negative regulatory relationship between let-7a and KRAS. Furthermore, we demonstrated that let-7a and KRAS interfered with the viability, invasiveness and migration of OS cells genotyped as TT. In the OS cells genotyped as TG, let-7a exerted minimal effects, and the effect of KRAS siRNA remained. Taken together, the findings of the present study demonstrated that the KRAS 3&#x02032;-UTR rs61764370 polymorphism interfered with miRNA/mRNA interaction, and showed that the minor allele was associated with an elevated risk of developing metastatic disease in OS.</p></abstract>
<kwd-group>
<kwd>rs61764370</kwd>
<kwd>Kirsten rat sarcoma viral oncogene homolog</kwd>
<kwd>3&#x02032;-untranslated region</kwd>
<kwd>metastasis</kwd>
<kwd>let-7a</kwd>
<kwd>osteosarcoma</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Osteosarcoma (OS), which commonly occurs in the developing bones of adolescents and children, is ranked as the most frequent primary bone malignancy (<xref rid="b1-ijmm-38-03-0919" ref-type="bibr">1</xref>). At present, adjuvant chemotherapy, radiotherapy and surgery are the principal treatments for OS (<xref rid="b2-ijmm-38-03-0919" ref-type="bibr">2</xref>). The overall survival rate and 5 year survival rate are approximately 60% despite the fact that remarkable advances have been achieved with chemotherapy (<xref rid="b2-ijmm-38-03-0919" ref-type="bibr">2</xref>,<xref rid="b3-ijmm-38-03-0919" ref-type="bibr">3</xref>). Furthermore, drug resistance frequently develops in OS and the use of chemotherapeutic drugs is restricted by dose-limiting toxicity (<xref rid="b3-ijmm-38-03-0919" ref-type="bibr">3</xref>). Despite the administration of combination therapy (surgery combined with chemotherapy regimens using multiple agents), nearly one third of patients with OS characterized by localized lesions at the time of diagnosis suffered relapse (<xref rid="b4-ijmm-38-03-0919" ref-type="bibr">4</xref>) and lung metastases contributed to 90% of relapses. Sixty to seventy percent of patients with non-metastatic OS receiving conventional therapy have achieved 5-year survival and some individuals have reached two decades (<xref rid="b5-ijmm-38-03-0919" ref-type="bibr">5</xref>) whereas the long-term survival rate of patients with recurrent or metastatic malignancy is &lt;20% (<xref rid="b6-ijmm-38-03-0919" ref-type="bibr">6</xref>).</p>
<p>MicroRNAs (miRNAs) are a class of small, non-coding RNAs, which bind to the 3&#x02032;-untranslated region (3&#x02032;-UTR) of target mRNAs in order to suppress the expression of genes. Alterations in miRNA expression have been associated with the metastasis, progression and initiation of malignancy. Previous findings have demonstrated that miRNAs may serve as oncogenes or tumor suppressors during the development of cancer (<xref rid="b7-ijmm-38-03-0919" ref-type="bibr">7</xref>,<xref rid="b8-ijmm-38-03-0919" ref-type="bibr">8</xref>). Previous findings have indicated that miRNAs play an essential role in the progression and pathogenesis of OS (<xref rid="b9-ijmm-38-03-0919" ref-type="bibr">9</xref>).</p>
<p>Non-coding polymorphisms associated with treatment response, prognosis and cancer risk which involve common dysregulated signaling pathways, such as the phosphoinositide 3-kinase (PI3K)/AKT pathways or the mitogen-activated protein kinase (MAPK) pathway, may serve as critical starting points for the functional validation and assessment of such polymorphisms in understanding the initiation, progression and metastasis of various malignancies (<xref rid="b10-ijmm-38-03-0919" ref-type="bibr">10</xref>). Researchers have explored the involvement of a silent polymorphism rs61764370, which is situated in the 3&#x02032;-UTR of Kirsten rat sarcoma viral oncogene homolog (KRAS), one of the most commonly mutated oncogenes in the development of malignancy (<xref rid="b11-ijmm-38-03-0919" ref-type="bibr">11</xref>). Tentative bioinformatic and biochemical analysis indicated that the miRNA let-7 binding site was weakened by rs61764370 T&gt;G variant, which led to the increased expression of KRAS (<xref rid="b12-ijmm-38-03-0919" ref-type="bibr">12</xref>). Previous studies have reported that let-7g, another member of the let-7 family, is functionally involved in controlling the metastasis of OS (<xref rid="b13-ijmm-38-03-0919" ref-type="bibr">13</xref>); moreover, the dysregulation of the KRAS signaling pathway was believed to be responsible for the metastasis of OS (<xref rid="b14-ijmm-38-03-0919" ref-type="bibr">14</xref>). By contrast, KRAS has been identified as a direct target gene of let-7a in lung cancer cells and colon cancer cells (<xref rid="b15-ijmm-38-03-0919" ref-type="bibr">15</xref>,<xref rid="b16-ijmm-38-03-0919" ref-type="bibr">16</xref>,<xref rid="b17-ijmm-38-03-0919" ref-type="bibr">17</xref>). Based on computational analysis (<ext-link xlink:href="http://mirtarbase.mbc.nctu.edu.tw/" ext-link-type="uri">http://mirtarbase.mbc.nctu.edu.tw/</ext-link>), the rs61764370 polymorphism was found to be located close to the putative binding site of let-7a in the 3&#x02032;-UTR of KRAS, and we therefore hypothesized that the rs61764370 polymorphism may be associated with an increased risk of metastatic disease in OS by disrupting the interaction between let-7a and KRAS mRNA.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Study population and tissue samples</title>
<p>A total of 36 surgically resected OS tissue specimens were obtained (prior to the administration of neoadjuvant chemotherapy) from the Department of Orthopedic Surgery at the First Affiliated Hospital of Harbin Medical University (Harbin, China). Written informed consent was obtained from all patients, and the present study was approved by the Ethics Committee of Harbin Medical University (Harbin, China).</p></sec>
<sec>
<title>DNA extraction and sequence analysis</title>
<p>Genomic DNA was extracted using a DNA extraction kit (Promega, Fitchburg, WI, USA). DNA quality and quantity was assessed using the Nanodrop 1000 (Thermo Fisher Scientific, Waltham, MA, USA). The T&gt;G variant at the single nucleotide polymorphism (SNP) rs61764370 was verified by the purification of the PCR product amplified with forward primer, 5&#x02032;-TTTTGGGGTGGTGGTGTGCCAA-3&#x02032; and reverse primer, 5&#x02032;-AGTCACCACACAAGGCACTG-3&#x02032; and sequenced using the forward primer. Sequencing and mutational analysis was performed.</p></sec>
<sec>
<title>Cell culture and transfection</title>
<p>Two OS cell cultures, which were genotyped as rs61764370 TT (named as OSTT) and TG (named as OSTG), were derived from the biopsies obtained from the Department of Orthopedic Surgery at the First Affiliated Hospital of Harbin Medical University (Harbin, China) in accordance with the protocol approved by the Ethics Committee of Harbin Medical University. The MG-63 cell line was purchased from the American Type Culture Collection (ATCC; Manassas, VA, USA) and maintained in Dulbecco's modified Eagle's medium (DMEM)/F12 (HyClone, Logan, UT, USA) supplemented with 10% fetal bovine serum (Gibco, Grand Island, NY, USA). We obtained scramble RNA, let-7a mimics (5&#x02032;-AGUGGGGAACCCUUCCAUGAGG-3&#x02032;) and KRAS siRNA (5&#x02032;-AGTACTGGCGATTCTCTGA GGC-3&#x02032;) from GenePharma (Shanghai, China). The transfection of cells with blank control (no RNA was transfected), scramble control, let-7a mimics and KRAS siRNA was performed using Lipofectamine 2000 (Invitrogen Life Technologies, Carlsbad, CA, USA).</p></sec>
<sec>
<title>Wound-healing assay</title>
<p>A 6-well plate was used to culture OSTT and OSGG cells. After 24 h, when the cells reached 80&#x02013;90% confluence, we removed the attached cells with a sterile plastic pipette tip to create a single wound in the center of the well. Serum-free medium was used to remove the debris. An inverted microscope (IX83; Olympus, Tokyo, Japan) was employed to visualize and capture images of the cells which had migrated into the wounded area after 24 h of culturing. Each experiment was performed independently at least three times.</p></sec>
<sec>
<title>Dual luciferase assay</title>
<p>The full length of the KRAS 3&#x02032;-UTR was subcloned into the pmirGLO vector (Promega, Madison, WI, USA) to generate the luciferase reporter vector. The MG-63 cells were seeded in 48-well plates at a density of 1&#x000D7;10<sup>4</sup> cells/well. Let-7a mimics and luciferase reporter vectors were co-transfected using Lipofectamine 2000 (Invitrogen Life Technologies). After 48 h, the cells were harvested and assayed for luciferase activity using the Dual-Luciferase Reporter Assay system (Promega) according to the manufacturer's instructions. The firefly luciferase activities were normalized to <italic>Renilla</italic> luciferase activity. Each treatment was performed in triplicate in three independent experiments.</p></sec>
<sec>
<title>3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay</title>
<p>The viability of the cells was measured using an MTT assay according to the manufacturer's instructions (Sigma, St. Louis, MO, USA). Briefly, the cells were seeded at a density of 2,000 cells/well in 96-well plates containing 100 <italic>&#x000B5;</italic>l culture medium and incubated overnight. To each well, 20 <italic>&#x000B5;</italic>l of 5 mg/ml MTT was added and the plates were incubated for an additional 4 h at 37&#x000B0;C. After removing the medium, the formazan complex was solubilized with 100 <italic>&#x000B5;</italic>l dimethyl sulfoxide (DMSO; Sigma). Optical density (OD) was determined by measuring the absorbance at a test wavelength of 490 nm and a reference wavelength of 630 nm. Wells without cells (DMSO alone) were used as blanks. Each group contained six wells; experiments were repeated three times independently and the results are expressed as the means &#x000B1; standard deviation.</p></sec>
<sec>
<title>Reverse transcription-quantitative polymerase chain reaction (RT-qPCR)</title>
<p>Forty-eight hours after transfection, the total RNA (including miRs) was extracted using an miRNANeasy Mini kit (Qiagen, Hilden, Germany) according to the manufacturer's instructions. The concentration of RNA was measured using a Beckman DU-640 spectrophotometer (Beckman Coulter, Inc., Fullerton, CA, USA). The quality of RNA was determined by 1% formaldehyde-agarose gel electrophoresis. PCR amplification for the quantification of let-7a and KRAS mRNA was performed using a TaqMan<sup>&#x000AE;</sup> miRNA reverse transcription kit and TaqMan miRNA assay kits (both from Applied Biosystems, Foster City, CA, USA). The following PCR protocol was used: 40 cycles at 95&#x000B0;C for 15 sec, 60&#x000B0;C for 15 sec and 72&#x000B0;C for 30 sec on a real-time PCR system (Applied Biosystems). RNU48 (Applied Biosystems) was used as the endogenous control. The relative gene expression levels were then normalized to RNU48 and calculated using the 2<sup>&#x02212;&#x00394;&#x00394;CT</sup> method.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Proteins were extracted from the transfected cells or the tissue samples using radioimmunoprecipitation assay (RIPA) lysis buffer (Upstate Biotechnology, Inc., Lake Placid, NY, USA). The protein level was determined using protein assay reagents (Bio-Rad Laboratories, Hercules, CA, USA) according to standard protocols. Briefly, 25 <italic>&#x000B5;</italic>g of total protein was loaded onto a 12% PAGE gel (NuPAGE; Invitrogen Life Technologies) and subjected to electrophoresis. After blotting onto pure nitrocellulose membranes (Bio-Rad Laboratories) the proteins were blocked with Odyssey<sup>&#x000AE;</sup> Blocking Buffer (LI-COR Biosciences, Lincoln, NE, USA) for 2 h. Subsequently, the membranes were incubated in primary antibodies buffer (primary antibodies, Odyssey Blocking Buffer, 0.1% Tween<sup>&#x000AE;</sup>-20) overnight at 4&#x000B0;C. The primary antibodies, KRAS and &#x003B2;-actin were purchased from Cell Signaling Technology, Inc. (Beverly, MA, USA). The following day, the membranes were washed four times for 5 min in Tris-buffered saline and Tween-20 (TBST). Finally, the membranes were incubated with secondary antibodies, goat anti-rabbit lgG (Cell Signaling Technology, Inc.). The blots were then treated with an ECL kit and the relative density of the target bands was calculated using ImageJ software (National Institutes of Health, Bethesda, MD, USA).</p></sec>
<sec>
<title>Transwell migration assay</title>
<p>After transfection, the OSTT or OSGG cells (5&#x000D7;10<sup>3</sup>) were suspended in serum-free medium and seeded onto the upper part of the chamber for the cell migration assay. Complete medium with 20% serum was added to the lower chamber as a chemoattractant. After 48 h, the Transwell membrane was fixed with methanol, and the cells that had migrated to the lower surface of the filters were stained with 0.1% crystal violet stain solution (Sigma). Migration was determined by counting the cell number under a microscope (Olympus). The average number of migrating cells in five random fields was taken as the cell migration number of the group.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>All statistical analyses were performed using SPSS 17.0 (SPSS, Inc., Chicago, IL, USA). Comparison of datasets for each cell group was performed using the independent t-test or one-way ANOVA, applying Bonferonni's multiple comparison test. A P-value &lt;0.05 was considered to indicate a statistically significant difference. The values reported correspond to the means &#x000B1; standard deviation.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Effect of rs61764370 polymorphism on the interaction between the KRAS 3&#x02032;-UTR and let-7a in OS cells</title>
<p>It has been previously shown that KRAS was a target of let-7a in human cells (<xref rid="b15-ijmm-38-03-0919" ref-type="bibr">15</xref>&#x02013;<xref rid="b17-ijmm-38-03-0919" ref-type="bibr">17</xref>). Based on computational analysis, the KRAS 3&#x02032;-UTR rs61764370 polymorphism was found to be located in the flanking sequence close to the predicted 'binding site' for let-7a (<xref rid="f1-ijmm-38-03-0919" ref-type="fig">Fig. 1</xref>). To determine whether let-7a targets KRAS 3&#x02032;-UTR in OS cells, we constructed reporter vectors carrying wild-type or mutant KRAS 3&#x02032;-UTR, as described in <xref rid="f1-ijmm-38-03-0919" ref-type="fig">Fig. 1</xref>. Subsequently, we used them for transient transfection of the OS cells with let-7a mimics or scrambled controls. As shown in <xref rid="f2-ijmm-38-03-0919" ref-type="fig">Fig. 2</xref>, only the luciferase activity from the cells cotransfected with wild-type KRAS 3&#x02032;-UTR and let-7a mimics decreased by 50% compared with the control, and all other groups were comparable. The results confirmed that KRAS is a validated target of let-7a in OS cells, and the rs61764370 polymorphism compromised the interaction between let-7a and KRAS 3&#x02032;-UTR, and the nucleotide substitution completely abrogated the miRNA/mRNA interaction in OS cells.</p></sec>
<sec>
<title>Determination of let-7a and KRAS expression in OS tissues of different genotypes</title>
<p>The OS tissues of three different genotypes (TT, n=22, GT, n=10, GG, n=4) were used to further explore the impact of the polymorphism on the interaction between let-7a and KRAS 3&#x02032;-UTR. Using RT-qPCR, we found that let-7a expression was comparable among the TT, GT and GG groups (<xref rid="f3-ijmm-38-03-0919" ref-type="fig">Fig. 3</xref>). Additionally, to characterize the effect of KRAS 3&#x02032;-UTR rs61764370 polymorphism on the miRNA/mRNA interaction in OS cells, which plays a central role in the development of OS, we quantified the expression of KRAS using RT-qPCR as well as western blot analysis. As shown in <xref rid="f3-ijmm-38-03-0919" ref-type="fig">Fig. 3</xref>, the expression of let-7a was similarly distributed among each genotype group, whereas in <xref rid="f4-ijmm-38-03-0919" ref-type="fig">Fig. 4</xref> the mRNA and protein expression of KRAS in the TT genotype group was significantly lower than that in the GT and GG groups. We then analyzed the correlation between the mRNA expression of let-7a and KRAS among the OS tissues (n=36), and found a negative correlation between them (<xref rid="f5-ijmm-38-03-0919" ref-type="fig">Fig. 5</xref>).</p>
<p>To further validate the hypothesis of the negative regulatory relationship between let-7a and KRAS and to explore the effect of the polymorphism in such a relationship, we examined the mRNA/protein expression of KRAS in two primary OS cell cultures which were genotyped as TT (OSTT) and TG (OSTG). We transfected the two OS cell groups with either scrambled control, let-7a mimics or KRAS siRNA. As shown in <xref rid="f6-ijmm-38-03-0919" ref-type="fig">Fig. 6A and C</xref>, the mRNA and protein expression of KRAS in the OSTT cells treated with let-7a mimics and KRAS siRNA was lower than that in the scrambled control. The OSTG cells treated with KRAS siRNA showed substantial downregulation of the mRNA and protein expression of KRAS whereas let-7a mimics exerted minimal effects on the expression of KRAS compared with the control (<xref rid="f6-ijmm-38-03-0919" ref-type="fig">Fig. 6B</xref>).</p></sec>
<sec>
<title>Let-7a and KRAS <italic>affect the</italic> viability of OS cells</title>
<p>We also examined the relative viability of OS cells following transfection with either scrambled control, let-7a mimics or KRAS siRNA. The OSTT cells transfected with let-7a mimics and KRAS siRNA showed comparably lower viability compared with the scrambled control group. The viability of the OSTG cells was comparable between the scrambled control and the let-7a mimic group, and the viability of both groups was notably higher than that of KRAS siRNA group (<xref rid="f7-ijmm-38-03-0919" ref-type="fig">Fig. 7A and B</xref>).</p></sec>
<sec>
<title>Let-7a and KRAS <italic>interfer w</italic>ith the invasiveness and migratory ability of OS cells</title>
<p>We also examined the relative invasion (<xref rid="f8-ijmm-38-03-0919" ref-type="fig">Fig. 8</xref>) and migration (<xref rid="f9-ijmm-38-03-0919" ref-type="fig">Fig. 9</xref>) of the two primary OS cell cultures following transfection with either scrambled control, let-7a mimics or KRAS siRNA. The invasiveness (<xref rid="f8-ijmm-38-03-0919" ref-type="fig">Fig. 8A</xref>) and migratory ability (<xref rid="f9-ijmm-38-03-0919" ref-type="fig">Fig. 9A&#x02013;C</xref>) of the OSTT cells transfected with KRAS siRNA and let-7a mimics was notably downregulated when compared with the scrambled controls. The OSTG cells transfected with let-7a mimics and scramble controls showed comparable invasiveness and migratory abilities which were markedly higher compared with the OSTG cells treated with KRAS siRNA (<xref rid="f8-ijmm-38-03-0919" ref-type="fig">Fig. 8B</xref> and <xref rid="f9-ijmm-38-03-0919" ref-type="fig">Fig. 9D&#x02013;F</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>As the first member of the miRNA family to be identified, let-7a has been reported to negatively regulate RAS expression (<xref rid="b18-ijmm-38-03-0919" ref-type="bibr">18</xref>). Currently, numerous <italic>in vitro</italic> and <italic>in vivo</italic> studies have identified members of the let-7 family to be suppressors of tumor cell proliferation (<xref rid="b19-ijmm-38-03-0919" ref-type="bibr">19</xref>). There are 12 miRNAs in the let-7 family in humans, including let-7a which has been confirmed to be closely associated with the prognosis of patients with lung cancer; low let-7a miRNA levels usually correlate with low survival rates (<xref rid="b20-ijmm-38-03-0919" ref-type="bibr">20</xref>) implying that let-7a may inhibit the metastasis, invasion and proliferation of lung cancer cells. Target genes of let-7a include c-Myc, the high-mobility group AT-Hook 2 (HMGA2) which takes part in cell differentiation and proliferation, the RAS family, cyclin D2, cyclin-dependent kinase 6 (CDK6) and cell division cycle 25A (CDC25A) (<xref rid="b21-ijmm-38-03-0919" ref-type="bibr">21</xref>). In the present study, we confirmed that KRAS is a target of let-7a in OS cells, and the introduction of rs61764370 minor allele into the 3&#x02032;-UTR of KRAS significantly compromised the miRNA/mRNA interaction using a luciferase reporter system.</p>
<p>The major RAS signaling pathway consists of the mTOR/Akt/PI3K/Ras, p38-MAPK/MEK/Raf/Ras, and ERK/MEK/Raf/Ras pathways. Overactivation of the ERK/MEK/Raf/Ras pathway has been reported to account for the lung metastasis of OS in a mouse model (<xref rid="b22-ijmm-38-03-0919" ref-type="bibr">22</xref>). Some researchers believed that the three Ras signaling pathways function in different ways. Cancer cell differentiation may be promoted by the MEK/p38 pathway. The Ras/PI3K/Akt pathway may protect cells against apoptosis (<xref rid="b23-ijmm-38-03-0919" ref-type="bibr">23</xref>). By contrast, the ERK/MEK/Raf/Ras pathway plays roles in metastasis, tumourigenesis, and the epithelial-mesenchymal transition (EMT) (<xref rid="b24-ijmm-38-03-0919" ref-type="bibr">24</xref>), and it is essential in many stages of cancer metastasis such as the regulation of angiogenesis/endothelial apoptosis (<xref rid="b25-ijmm-38-03-0919" ref-type="bibr">25</xref>), the EMT, the production of proteases such as matrix metallopeptidase 9 (MMP-9) and the expression of integrin receptors binding extracellular matrix proteins (<xref rid="b26-ijmm-38-03-0919" ref-type="bibr">26</xref>). The ERK/MEK/Raf/Ras pathway has been shown to be upregulated in approximately 50% of metastatic tumours (<xref rid="b27-ijmm-38-03-0919" ref-type="bibr">27</xref>). Significant correlations between the presence of lymph node metastases and the expression of activated MEK/ERK were demonstrated by cohort studies of breast carcinomas (<xref rid="b28-ijmm-38-03-0919" ref-type="bibr">28</xref>). In this study, we analyzed the correlation between the mRNA expression of let-7a and KRAS among the OS tissues (n=35), and found a negative correlation between them. In addition, we also showed that let-7a expression was similar among each genotype group whereas the mRNA and protein expression of KRAS in the TT genotype group was significantly lower than that in the GT and GG groups.</p>
<p>Previous studies have noted that the polymorphism acts as a marker for an increased risk of developing various types of malignancies such as ovarian carcinoma (<xref rid="b29-ijmm-38-03-0919" ref-type="bibr">29</xref>), non-small cell lung cancer (NSCLC) (<xref rid="b30-ijmm-38-03-0919" ref-type="bibr">30</xref>) and triple-negative breast cancer (<xref rid="b12-ijmm-38-03-0919" ref-type="bibr">12</xref>). Furthermore, some variants have also been identified as adverse prognostic indicators in some types of cancer (<xref rid="b31-ijmm-38-03-0919" ref-type="bibr">31</xref>). Variants that are associated with miRNA have been reported in both pre-miRNA and 3&#x02032;-UTR of the target gene. The one located in the pre- or pri-miRNA may compromise the generation of mature miRNA by interfering with the mature processing, undermining its secondary structure, or alternating the arm selection during the production of the miRNA (<xref rid="b32-ijmm-38-03-0919" ref-type="bibr">32</xref>). However, the variants in the UTR of the target genes may abolish or attenuate the inhibitory effect of miRNA on mRNA of the target by disrupting the binding or interaction between the miRNA and mRNA (<xref rid="b33-ijmm-38-03-0919" ref-type="bibr">33</xref>). KRAS 3&#x02032;-UTR rs61764370 has been shown to be associated with some cancer phenotypes, such as prognosis in rectal cancer (<xref rid="b34-ijmm-38-03-0919" ref-type="bibr">34</xref>), and response to chemotherapy in colorectal cancer (<xref rid="b35-ijmm-38-03-0919" ref-type="bibr">35</xref>). Its involvement in some other types of cancer has been ruled out (<xref rid="b36-ijmm-38-03-0919" ref-type="bibr">36</xref>). In the present study, we reported that the mRNA and protein expression of KRAS in the OSTT cells treated with let-7a mimics and KRAS siRNA was lower than that in the scrambled control. The OSTG cells treated with KRAS siRNA showed substantial downregulation of the mRNA and protein expression of KRAS whereas let-7a mimics exerted minimal effects on KRAS expression compared with the control. Moreover, the OSTT cells transfected with KRAS siRNA and let-7a mimics exibited a notable decrease in invasiveness (<xref rid="f8-ijmm-38-03-0919" ref-type="fig">fig. 8A</xref>) and migratory ability (<xref rid="f9-ijmm-38-03-0919" ref-type="fig">fig. 9A&#x02013;C</xref>) when compared with the scrambled controls. The OSTG cells transfected with let-7a mimics and scrambled controls exhibited comparable invasiveness and migratory abilitiy, which were markedly higher than that of the OSTG cells treated with KRAS siRNA.</p>
<p>Taken together, these findings suggest that the protein expression of KRAS is markedly affected by variant rs61764370 which may explain its role in controlling the metastasis of OS. Therefore, the rs61764370 polymorphism may function as a predictive biomarker or therapeutic target in the management of OS.</p></sec></body>
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<floats-group>
<fig id="f1-ijmm-38-03-0919" position="float">
<label>Figure 1</label>
<caption>
<p>Schematic sequence comparison of Kirsten rat sarcoma viral oncogene homolog (KRAS) 3&#x02032;-untranslated region (3&#x02032;-UTR) and primary let-7a as well as the location of the rs61764370 polymorphism in the 3&#x02032;-UTR of KRAS. WT, wild-type; MUT, mutant.</p></caption>
<graphic xlink:href="IJMM-38-03-0919-g00.tif"/></fig>
<fig id="f2-ijmm-38-03-0919" position="float">
<label>Figure 2</label>
<caption>
<p>Effect of rs61764370 polymorphism on the interaction between let-7a and Kirsten rat sarcoma viral oncogene homolog (KRAS) 3&#x02032;-untranslated region (3&#x02032;-UTR). Relative luciferase activity in let-7a-overexpressing osteosarcoma cells transfected with scrambled control, wild-type KRAS 3&#x02032;-UTR (rs61764370-T 3&#x02032;-UTR) or mutant KRAS 3&#x02032;-UTR (rs61764370-G 3&#x02032;-UTR).</p></caption>
<graphic xlink:href="IJMM-38-03-0919-g01.tif"/></fig>
<fig id="f3-ijmm-38-03-0919" position="float">
<label>Figure 3</label>
<caption>
<p>Let-7a expression is comparable among the TT, GT and GG groups.</p></caption>
<graphic xlink:href="IJMM-38-03-0919-g02.tif"/></fig>
<fig id="f4-ijmm-38-03-0919" position="float">
<label>Figure 4</label>
<caption>
<p>(A) mRNA expression of Kirsten rat sarcoma viral oncogene homolog (KRAS) in osteosarcoma tissues of 3 different genotypes using RT-qPCR. (B) Protein expression of KRAS in osteosarcoma tissues of 3 different genotypes using western blot analysis.</p></caption>
<graphic xlink:href="IJMM-38-03-0919-g03.tif"/></fig>
<fig id="f5-ijmm-38-03-0919" position="float">
<label>Figure 5</label>
<caption>
<p>Negative correlation between the mRNA expression of let-7a and Kirsten rat sarcoma viral oncogene homolog (KRAS) among the osteosarcoma tissues.</p></caption>
<graphic xlink:href="IJMM-38-03-0919-g04.tif"/></fig>
<fig id="f6-ijmm-38-03-0919" position="float">
<label>Figure 6</label>
<caption>
<p>(A) Protein and (B) mRNA expression of Kirsten rat sarcoma viral oncogene homolog (KRAS) in OSTT cells treated with let-7a mimics and KRAS siRNA was reduced compared with that in the scrambled control group. Substantial downregulation of the (D) mRNA and (C) protein expression of KRAS in OSTG cells treated with KRAS siRNA whereas let-7a mimics exerted minimal effects on the expression of KRAS compared with that in the control group.</p></caption>
<graphic xlink:href="IJMM-38-03-0919-g05.tif"/></fig>
<fig id="f7-ijmm-38-03-0919" position="float">
<label>Figure 7</label>
<caption>
<p>(A) Viability of OSTT cells transfected with let-7a mimics or Kirsten rat sarcoma viral oncogene homolog (KRAS) siRNA was reduced compared with the scrambled control. (B) Viability of OSTG cells was comparable between the scrambled control and let-7a mimic group, and the viability of both groups was notably higher than that of the KRAS siRNA group.</p></caption>
<graphic xlink:href="IJMM-38-03-0919-g06.tif"/></fig>
<fig id="f8-ijmm-38-03-0919" position="float">
<label>Figure 8</label>
<caption>
<p>(A) Invasiveness of OSTT cells transfected with Kirsten rat sarcoma viral oncogene homolog (KRAS) siRNA and let-7a mimics was evidently reduced when compared with the scrambled controls. (B) Comparable invasiveness of the OSTG cells transfected with let-7a mimics and scrambled controls which was markedly higher than that of the OSTG cells treated with KRAS siRNA.</p></caption>
<graphic xlink:href="IJMM-38-03-0919-g07.tif"/></fig>
<fig id="f9-ijmm-38-03-0919" position="float">
<label>Figure 9</label>
<caption>
<p>Effects of KRAS siRNA on the migration of (A&#x02013;C) OSTT and (D&#x02013;F) OSTG cells. The OSTT cells transfected with (B) let-7a mimics and (A) Kirsten rat sarcoma viral oncogene homolog (KRAS) siRNA showed clearly reduced migration when compared with the (C) scramble controls. The OSTG cells transfected with (E) let-7a mimics and (F) scramble controls showed comparable migration, which was markedly higher than that of the (D) OSTG cells transfected with KRAS siRNA.</p></caption>
<graphic xlink:href="IJMM-38-03-0919-g08.tif"/></fig></floats-group></article>
