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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJO</journal-id>
<journal-title-group>
<journal-title>International Journal of Oncology</journal-title></journal-title-group>
<issn pub-type="ppub">1019-6439</issn>
<issn pub-type="epub">1791-2423</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijo.2016.3761</article-id>
<article-id pub-id-type="publisher-id">ijo-49-06-2629</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>miR-93 inhibits the invasive potential of triple-negative breast cancer cells <italic>in vitro</italic> via protein kinase WNK1</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Shyamasundar</surname><given-names>Sukanya</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Lim</surname><given-names>Jia Pei</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>Bay</surname><given-names>Boon Huat</given-names></name><xref ref-type="corresp" rid="c1-ijo-49-06-2629"/></contrib>
<aff id="af1-ijo-49-06-2629">Department of Anatomy, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117594, Singapore</aff></contrib-group>
<author-notes>
<corresp id="c1-ijo-49-06-2629">Correspondence to: Dr Boon Huat Bay, Department of Anatomy, Yong Loo Lin School of Medicine, National University of Singapore, 4 Medical Drive, Blk MD10, Singapore 117594, Singapore, E-mail: <email>boon_huat_bay@nuhs.edu.sg</email></corresp></author-notes>
<pub-date pub-type="collection">
<month>12</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>07</day>
<month>11</month>
<year>2016</year></pub-date>
<volume>49</volume>
<issue>6</issue>
<fpage>2629</fpage>
<lpage>2636</lpage>
<history>
<date date-type="received">
<day>16</day>
<month>08</month>
<year>2016</year></date>
<date date-type="accepted">
<day>10</day>
<month>10</month>
<year>2016</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year></permissions>
<abstract>
<p>Despite advances in treatment, the highly metastatic nature of breast tumors has given rise to the urgent need for development of novel therapeutic and prognostic markers. miR-93 is known to regulate the epithelial to mesenchymal transition process and to influence metastatic spread in breast carcinoma, although the exact mechanism(s)/genes involved remain unknown. In the present study, we examined the role of miR-93 in MDA-MB-231 breast cancer cells. Overexpression of mature miR-93-5p in MDA-MB-231 cells decreased cell migratory capability and invasive potential, as well as increased adhesion. In contrast, inhibition of miR-93 induced the opposite effects. miRNA-mRNA target prediction (TargetScan) identified WNK lysine deficient protein kinase 1 (<italic>WNK1</italic>), which is known to interact with diverse signaling pathways and regulate cell proliferation, survival, angiogenesis and metastasis, as one of the potential targets of miR-93. Furthermore, we showed by luciferase assay that <italic>WNK1</italic> is a putative miR-93 target. siRNA mediated silencing of <italic>WNK1</italic> also decreased the invasive ability of the cells, suggesting that the effects of miR-93 may be attributed at least in part to decreased WNK1 expression. Further <italic>in vivo</italic> studies are required to ascertain the miR-93-WNK1-metastasis cascade, that has potential implications in breast cancer therapy.</p></abstract>
<kwd-group>
<kwd>miRNA-93</kwd>
<kwd>WNK1</kwd>
<kwd>migration</kwd>
<kwd>invasion</kwd>
<kwd>metastasis</kwd>
<kwd>breast cancer</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Breast carcinoma is the predominant cancer in women worldwide (<xref rid="b1-ijo-49-06-2629" ref-type="bibr">1</xref>). Despite advances in treatment, metastasis, tumor recurrence and drug resistance are currently the main challenges in breast cancer management (<xref rid="b2-ijo-49-06-2629" ref-type="bibr">2</xref>), with metastasis occurring in almost 50&#x00025; of the patients post-therapy (<xref rid="b3-ijo-49-06-2629" ref-type="bibr">3</xref>).</p>
<p>miRNAs are 18&#x02013;25 nucleotide non-coding RNAs that control gene expression by degradation of mRNA or inhibiting the translation of transcribed RNA into proteins (<xref rid="b4-ijo-49-06-2629" ref-type="bibr">4</xref>,<xref rid="b5-ijo-49-06-2629" ref-type="bibr">5</xref>). Aberrant miRNA expression has been found to underlie several cancers, including breast cancer (reviewed in ref. <xref rid="b6-ijo-49-06-2629" ref-type="bibr">6</xref>). miRNAs are known to regulate breast cancer progression, by acting as promoters or inhibitors of specific processes, including epithelial-mesenchymal transition (EMT), angiogenesis, stemness of cancer stem cells, invasion, metastasis and chemoresistance (<xref rid="b3-ijo-49-06-2629" ref-type="bibr">3</xref>,<xref rid="b6-ijo-49-06-2629" ref-type="bibr">6</xref>).</p>
<p>miRNA-93 (miR-93), a member of the pro-oncogenic miR-106b-25 cluster (comprising miR-106b, miR-93 and miR-25) is overexpressed in several cancers including breast cancer (<xref rid="b7-ijo-49-06-2629" ref-type="bibr">7</xref>), and belongs to the miR-17 family of miRNAs based on sequence similarity (<xref rid="b8-ijo-49-06-2629" ref-type="bibr">8</xref>). The expression of miR-93 was shown to be significantly increased in triple-negative breast cancer (TNBC) patients when compared to normal tissues or non-TNBC tissues, and associated with lymph node metastasis, TNM grade and Ki-67 staining (<xref rid="b9-ijo-49-06-2629" ref-type="bibr">9</xref>), suggesting that miR-93 controls proliferation and metastasis. Furthermore, the expression of miR-93 was found to be increased in ER- or PR- breast cancer patients when compared to hormonal receptor-positive breast cancer patients (<xref rid="b10-ijo-49-06-2629" ref-type="bibr">10</xref>). However, studies have also revealed that miR-93 has contradictory roles in inhibiting breast cancer metastasis, by regulating the proliferation and differentiation of breast cancer stem cells (<xref rid="b11-ijo-49-06-2629" ref-type="bibr">11</xref>). Nonetheless, the exact mechanism of miR-93 or its gene targets that mediate breast cancer metastasis remain largely unknown.</p>
<p>We examined the role of miR-93 in MDA-MB-231 breast cancer cells, a TNBC cell line. Overexpression of miR-93 decreased cell migration and invasion, while, inhibition of miR-93 elicited the opposite effects in MDA-MB-231 cells. WNK lysine deficient protein kinase 1 (<italic>WNK1</italic>), one of the targets of miR-93 identified by TargetScan prediction, was verified as a putative target by the luciferase assay. Furthermore, we show that siRNA-mediated silencing of <italic>WNK1</italic>, resulted in decreased invasive ability of these cells, suggesting that miR-93 mediated changes in cell invasion was possibly via WNK1. Taken together, our results unravel a novel relationship between miR-93, WNK1 and metastasis that have potential implications in breast carcinogenesis.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture</title>
<p>MDA-MB-231 cells (HTB-26) were purchased from the American Type Culture Collection (ATCC; Manassas, VA, USA) and were grown in RPMI medium containing 10&#x00025; fetal bovine serum (FBS).</p></sec>
<sec>
<title>Transfection of siRNA</title>
<p>MDA-MB-231 cells were seeded at a density of 2.5&#x000D7;10<sup>5</sup> or 3&#x000D7;10<sup>4</sup> cells/well in 6-well plates or 24-well plates, respectively. Cells were subsequently transfected with ON-TARGETplus SMARTpool siRNA targeting WNK1 and non-targeting siRNA using DharmaFECT (GE Dharmacon. Pittsburgh, PA, USA). The siRNA complexes were prepared in serum-free RPMI and made up to a final concentration of 20 nM. The medium was replaced 24 h post-transfection, and the transfected cells were cultured for 48 or 72 h as indicated.</p></sec>
<sec>
<title>Transfection of miRNA</title>
<p>Cells seeded at the same density as above, were reverse transfected with hsa-miR-93-5p mimic/negative control (Ambion, Austin, TX, USA) or LNA-hsa-miR-93-5p/scramble (Exiqon, Vedbaek, Denmark) and Lipofectamine RNAiMAX (mimics) or Lipofectamine 2000 (inhibitor). The miRNA complexes were prepared in Opti-MEM and made up to a final concentration of 30 nM. The medium was replaced with RPMI containing 10&#x00025; FBS 6 h post-transfection, and grown for 48 or 72 h as indicated.</p></sec>
<sec>
<title>RNA isolation and cDNA conversion</title>
<p>Total RNA 48 h post-transfection was isolated using either RNAeasy kit or miRNAeasy kit (which included miRNA) (Qiagen, Hilden, Germany). The isolated RNA was quantified on a spectrophotometer (NanoDrop) and converted into cDNA. Briefly, 1 &#x003BC;g of RNA was converted into cDNA using the SuperScript III first-strand synthesis system (Invitrogen, Carlsbad, CA, USA) for gene expression analysis. For analyzing miRNA expression, 20 ng of RNA was converted to cDNA using the Universal cDNA synthesis kit (Exiqon).</p></sec>
<sec>
<title>qPCR</title>
<p>The gene primers used in this study are summarized in <xref rid="tI-ijo-49-06-2629" ref-type="table">Table I</xref>. Gene expression levels were quantified by real-time RT-PCR using the Fast SYBR-Green Master Mix (Applied Biosystems, Foster City, CA, USA) in 96-well MicroAmp Fast Optical plates (Applied Biosystems) on a 7900HT Fast real-time PCR system (Applied Biosystems). Relative gene expression was determined by the 2<sup>&#x02212;&#x00394;&#x00394;Ct</sup> method using <italic>GAPDH</italic> as the control (<xref rid="b12-ijo-49-06-2629" ref-type="bibr">12</xref>).</p>
<p>miRNA expression was quantified by real-time RT-PCR with miRNA primer hsa-miR-93-5p or control primer U6 (Exiqon) and ExiLENT&#x02122; SYBR-Green Master Mix (Exiqon). The rest of the procedure was as described above.</p></sec>
<sec>
<title>Growth curve analysis using Alamar blue</title>
<p>Growth of transfected cells was monitored using the Alamar blue assay. Briefly, addition of the Alamar blue reagent (Invitrogen) to culture medium at a ratio of 1:10 was carried out 24 h post-transfection. Cells were then incubated for 3 h at 37&#x000B0;C and 5&#x00025; CO<sub>2</sub>. Fluorescence intensity was then measured at 570 nm (excitation) and 585 nm (emission) wavelengths on a microplate reader (SpectraMax; Molecular Devices, Sunnyvale, CA, USA). Subsequently, cells were replenished with fresh medium and the assay was repeated at 48 and 72 h.</p></sec>
<sec>
<title>Migration and invasion assays</title>
<p>Cells were harvested 48 h post-transfection. Cells (2&#x000D7;10<sup>4</sup>) were then seeded in 200 &#x003BC;l of serum-free RPMI medium into the upper chamber of hydrated polycarbonate membrane insets with 8 &#x003BC;m pores (Corning, Corning, NY, USA) for migration assay (18 h) or into hydrated matrigel invasion chambers (BD Biosciences, San Jose, CA, USA) for the invasion assay (20 h). Subsequently, cells were fixed with 100&#x00025; methanol followed by staining with crystal violet (0.5&#x00025; w/v). To determine the number of cells that had migrated or invaded, images from the center and four peripheral fields on the membrane were captured using a Nikon SMZ1500 stereomicroscope at &#x000D7;10 magnification and counted.</p></sec>
<sec>
<title>Cell adhesion assay</title>
<p>96-well plates were coated with 20 &#x003BC;g/ml collagen type 1 (Invitrogen) overnight at 4&#x000B0;C. Subsequently, wells were blocked with 1&#x00025; BSA for 1 h after washing in phosphate buffered saline (PBS). Cells (5&#x000D7;10<sup>4</sup>) (48 h post-transfection) were then seeded/well (in duplicates) in 100 &#x003BC;l of RPMI with 10&#x00025; FBS, and allowed to adhere for 40 min at 37&#x000B0;C with 5&#x00025; CO<sub>2</sub>. Following incubation, non-adherent cells in only one replicate were removed by washing with PBS. MTS reagent was then mixed with serum-free RPMI at a ratio of 1:5, and the wells were replaced with this MTS reagent mixture and incubated for a further 2 h. Following incubation, the OD (absorbance) was read at 590 nm and the percentage of adherent cells was calculated by the formula: &#x0005B;OD of washed well/OD of non-washed well&#x0005D; &#x000D7; 100.</p></sec>
<sec>
<title>TargetScan prediction</title>
<p>miR-93 gene targets were predicted by the TargetScan human database (release 7.1) using default parameters (<ext-link xlink:href="http://www.targetscan.org" ext-link-type="uri">http://www.targetscan.org</ext-link>).</p></sec>
<sec>
<title>3&#x02032;UTR plasmid luciferase assay</title>
<p>Cells (3&#x000D7;10<sup>4</sup>) were plated in 24-well plates and incubated overnight. The next day, 30 nM of negative control mimic or miR-93-5p mimic was co-transfected with 0.3 &#x003BC;g of WNK1 plasmid (GeneCopoeia, Rockville, MD, USA) using Lipofectamine 2000. After 24 h, transfected cells were segregated and re-seeded. After another 24 h post-incubation, the luciferase assay was performed using the Luc-Pair duo luciferase assay kit (GeneCopoeia). The luminescence was read using a spectrophotometer and firefly luciferase was normalized to <italic>Renilla</italic> luciferase.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Protein was extracted at 72 h post-transfection using the RIPA buffer (Pierce, Waltham, MA, USA) and quantified by the Bradford method (Bio-Rad Laboratories, Hercules, CA, USA). Each sample containing 30 &#x003BC;g of protein was denatured at 95&#x000B0;C for 5 min and separated on a 4&#x02013;20&#x00025; Mini-Protean TGX precast gel (Bio-Rad Laboratories). Proteins were transferred onto a PVDF membrane, which was blocked with 5&#x00025; non-fat milk for 1 h at room temperature and washed well, before incubation with rabbit polyclonal anti-WNK1 antibody (1:1000; Abcam, Cambridge, UK) overnight at 4&#x000B0;C. The next day, secondary anti-rabbit HRP conjugated antibody (Pierce) was added to the blots and incubated for 1 h at room temperature. Subsequently, development of the blot was carried out using the SuperSignal West Pico chemiluminescence susbtrate (Thermo Fisher Scientific, Waltham, MA, USA) on an automatic film processor. The bands were quantified on a densitometer (Bio-Rad Laboratories) using Quantity One software. To ensure that equal amounts of protein were loaded into each well, the blot was stripped and re-probed with anti-&#x003B2;-actin antibody (Sigma-Aldrich, St. Louis, MO, USA) to detect &#x003B2;-actin, the housekeeping protein.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The statistical analysis was performed with GraphPad Prism5 software. Experiments were carried out in triplicates and repeated at least two independent times. Unpaired, two tailed Student&#x02019;s t-test was used for analysis of data except the growth curves which were analysed by two-way ANOVA. Results are represented as mean &#x000B1; SD and were considered significant at P&lt;0.05.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Overexpression of miR-93 alters cell migration, invasion and adhesion</title>
<p>Metastasis involves spread of cancer cells from the primary tumor site to distant organs by invading adjacent tissues and extravasating into the circulation (<xref rid="b13-ijo-49-06-2629" ref-type="bibr">13</xref>). We evaluated the effect of miR-93 overexpression on migration, invasion and adhesion, since they are major factors that define the metastatic nature of the cancer cells. We also assessed the cell proliferation as it is a hallmark of cancer.</p>
<p>We first overexpressed miR-93 in MDA-MB-231 using miR-93-5p mimics. The expression of miR-93-5p following transfection was found to be increased by 60-fold (<xref rid="f1-ijo-49-06-2629" ref-type="fig">Fig. 1A</xref>). Although overexpression of miR-93-5p in MDA-MB-231 cells did not alter cell proliferation (<xref rid="f1-ijo-49-06-2629" ref-type="fig">Fig. 1B</xref>), decreased cell migration (<xref rid="f1-ijo-49-06-2629" ref-type="fig">Fig. 1C</xref>) and cell invasion (<xref rid="f1-ijo-49-06-2629" ref-type="fig">Fig. 1D</xref>), with increased adhesion of cells to collagen type 1 (<xref rid="f1-ijo-49-06-2629" ref-type="fig">Fig. 1E</xref>) was observed. In addition, overexpression of miR-93 decreased the expression of stem cell genes, <italic>JAK1</italic> and <italic>STAT3</italic> and <italic>TGFBR2</italic>, but increased the <italic>CLDN1</italic>, <italic>CLDN3</italic> and <italic>CDH1</italic> mRNA expression (<xref rid="f2-ijo-49-06-2629" ref-type="fig">Fig. 2</xref>).</p></sec>
<sec>
<title>miR-93 knockdown enhances cell migration and invasion</title>
<p>Given that overexpression of miR-93 decreased cell migration and invasion, we inhibited miR-93-5p in MDA-MB-231 cells in order to assess whether this effect could be reversed. Knockdown of miR-93-5p was achieved by transfection of LNA-miR-93-5p inhibitor into the cells and the knockdown efficiency was estimated by qPCR to be ~68&#x00025; (<xref rid="f3-ijo-49-06-2629" ref-type="fig">Fig. 3A</xref>). As expected, inhibition of miR-93 had no effect on cell growth (<xref rid="f3-ijo-49-06-2629" ref-type="fig">Fig. 3B</xref>), but increased cell migration (<xref rid="f3-ijo-49-06-2629" ref-type="fig">Fig. 3C</xref>) and invasion (<xref rid="f3-ijo-49-06-2629" ref-type="fig">Fig. 3D</xref>) compared to scrambled transfected cells (controls).</p></sec>
<sec>
<title>WNK1 is a target of miR-93-5p</title>
<p>miRNA-mRNA target prediction (TargetScan) revealed that several members of the miR106b~25 and miR-17 family including miR-93, could target two protein kinases, namely <italic>WNK1</italic> and <italic>WNK3</italic>. Since <italic>WNK1</italic> is ubiquitously expressed (<xref rid="b14-ijo-49-06-2629" ref-type="bibr">14</xref>) compared to <italic>WNK3</italic>, we examined the effect of miR-93 on WNK1 expression. Overexpression of miR-93-5p significantly decreased the expression of WNK1 protein (<xref rid="f4-ijo-49-06-2629" ref-type="fig">Fig. 4A</xref>), suggesting that WNK1 may be a direct or indirect target of miR-93. On the contrary, inhibition of miR-93-5p resulted in a modest increase in WNK1 protein expression (<xref rid="f4-ijo-49-06-2629" ref-type="fig">Fig. 4B</xref>). In order to determine if WNK1 is a putative target of miR-93, we performed 3&#x02032;UTR luciferase assay, which confirmed that miR-93 binds directly to the 3&#x02032;UTR of <italic>WNK1</italic> gene and inhibited its expression (<xref rid="f4-ijo-49-06-2629" ref-type="fig">Fig. 4C</xref>).</p></sec>
<sec>
<title>WNK1 knockdown decreased cell migration and invasion</title>
<p>In order to evaluate the effect of WNK1 depletion in MDA-MB-231, we inhibited <italic>WNK1</italic> expression using siRNA and performed cell migration and invasion assays. Although siRNA-mediated silencing of the <italic>WNK1</italic> gene induced no alteration in cell proliferation (<xref rid="f5-ijo-49-06-2629" ref-type="fig">Fig. 5A</xref>) or migration (<xref rid="f5-ijo-49-06-2629" ref-type="fig">Fig. 5B</xref>), a significant reduction in the invasive ability of the cells was observed (<xref rid="f5-ijo-49-06-2629" ref-type="fig">Fig. 5C</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>miRNAs are known to function as tumor suppressors or oncogenes that regulate pathogenesis and progression in several cancers, including breast cancer (<xref rid="b15-ijo-49-06-2629" ref-type="bibr">15</xref>). Thus, miRNAs and/or their targets may serve as novel anticancer targets for therapeutic intervention. In the present study, overexpression of miR-93 was observed to decrease migration, invasion and increase adhesion in parallel, suggesting that miR-93 functions as a tumor suppressor and a negative regulator of metastasis in MDA-MB-231 cells. On the other hand, inhibition of miR-93 in MDA-MB-231 cells increased cell migratory capability and invasive potential, further supporting the notion that miR-93 and its gene targets are involved in inhibiting metastasis. Our results are consistent with Liu <italic>et al</italic> (<xref rid="b11-ijo-49-06-2629" ref-type="bibr">11</xref>), who reported that overexpression of miR-93 inhibited cell invasion while inhibition of miR-93 promoted invasion in SUM159 cells, another claudin low TNBC cell line. In addition, the same authors found that induction of miR-93 in SUM159 cells inhibited metastasis in NOD/SCID mice, while it promoted tumor growth in MCF-7 cells suggesting that the role of miR-93 was both cell line- and differentiation state specific. Nonetheless, the role of miR-93 in MDA-MB-231 breast cancer cells has not been reported previously.</p>
<p>Induction of EMT has been shown to increase characteristics of stem/progenitor cells (<xref rid="b16-ijo-49-06-2629" ref-type="bibr">16</xref>) and high miR-93 (and miR-106b) expression has been found to be associated with stem cell-related genes (<xref rid="b17-ijo-49-06-2629" ref-type="bibr">17</xref>) and EMT-related genes (<xref rid="b18-ijo-49-06-2629" ref-type="bibr">18</xref>) in breast cancer, suggesting that miR-93 and miR-106b regulate these two processes. MDA-MB-231 cells are known to contain a higher percentage of EMT-like CD44<sup>+</sup>/CD24<sup>&#x02212;</sup> cancer stem cells that are associated with their increased malignant and metastatic phenotype (<xref rid="b19-ijo-49-06-2629" ref-type="bibr">19</xref>). However, in the present study, miR-93 overexpression in MDA-MB-231 cells was associated with decreased expression of stem cell-related genes (<italic>JAK1</italic> and <italic>STAT3</italic>) and <italic>TGFBR2</italic> (TGF&#x003B2; signaling), and increased expression of epithelial markers (<italic>CDH1</italic>, <italic>CLDN1</italic> and <italic>CLDN3</italic>), suggesting its involvement in the MET process as reported earlier by Liu <italic>et al</italic> (<xref rid="b11-ijo-49-06-2629" ref-type="bibr">11</xref>). Furthermore, miR-93 is known to regulate MET during re-programming of fibroblasts to IPS cells via downregulation of its target <italic>TGFBR2</italic>, (<xref rid="b20-ijo-49-06-2629" ref-type="bibr">20</xref>) suggesting that miR-93 may be critical for MET in various scenarios. Moreover, miR-93 (and miR-17 family) has been observed to regulate differentiation of stem cells during embryonic development in mice, via downregulating the expression of STAT3 (<xref rid="b21-ijo-49-06-2629" ref-type="bibr">21</xref>), suggesting that miR-93 regulates differentiation of stem cells through STAT3 in different cell types.</p>
<p>In breast cancer, miR-93 has been identified as a basal sub-type specific miRNA by a meta-analysis involving three independent studies (<xref rid="b6-ijo-49-06-2629" ref-type="bibr">6</xref>). However, another recent meta-analysis has also revealed that the miR-17 family of miRNAs that consists of 6 miRNAs (miR-17-5p, miR-20a, miR-20b, miR-106a, miR-106b and miR-93) inhibit metastasis of basal-like tumors by repressing genes involved in EMT (<xref rid="b22-ijo-49-06-2629" ref-type="bibr">22</xref>). The authors showed that overexpression of miR-17-5p suppresses breast cancer metastasis by inhibiting the expression of pro-metastatic genes. In addition, several studies have shown that in breast cancer, miR-17-5p is a tumor suppressor and inhibits proliferation (<xref rid="b23-ijo-49-06-2629" ref-type="bibr">23</xref>), and that miR-17/20 has an anti-invasive role (<xref rid="b24-ijo-49-06-2629" ref-type="bibr">24</xref>). Since miR-93 shares the same seed sequence with miR-17, it is possible that miR-93 inhibits breast cancer metastasis via the same gene targets.</p>
<p>Published literature suggests that miR-93 can act as a tumor suppressor or an oncogene depending on the tumor type, and thus, has contradictory roles in promoting or inhibiting metastasis. In colon cancer, overexpression of miR-93 has been shown to suppress the proliferation and colony forming ability of colon cancer stem cells (<xref rid="b25-ijo-49-06-2629" ref-type="bibr">25</xref>) and also inhibit growth, migration, invasion and recurrence of colorectal cancer (<xref rid="b26-ijo-49-06-2629" ref-type="bibr">26</xref>,<xref rid="b27-ijo-49-06-2629" ref-type="bibr">27</xref>), while miR-93 promotes proliferation, migration and invasion of nasopharyngeal cancer (<xref rid="b28-ijo-49-06-2629" ref-type="bibr">28</xref>). Nevertheless, what remains consistent are that the gene targets of the miRNAs from the miR-106b~25 cluster and miR-17 family across several cancers (for example, E2F1, CCNB1, p21, BIM, TGFBR2 are regulated by miR-93 in breast, colorectal, gastric and nasopharyngeal cancers among others) (<xref rid="b26-ijo-49-06-2629" ref-type="bibr">26</xref>,<xref rid="b29-ijo-49-06-2629" ref-type="bibr">29</xref>&#x02013;<xref rid="b31-ijo-49-06-2629" ref-type="bibr">31</xref>), suggesting that the miRNA expression is differentially regulated (inhibited or overexpressed) in cancer, resulting in upregulation or downregulation of its targets (that are oncogenes or tumor suppressors respectively), which are critical for cancer progression.</p>
<p>Humans contain four different <italic>WNK</italic> genes (<italic>WNK1-4</italic>), among which only <italic>WNK1</italic> is ubiquitously expressed in all tissues (<xref rid="b14-ijo-49-06-2629" ref-type="bibr">14</xref>). Loss of <italic>WNK1</italic> during development has been shown to result in embryonic lethality in mice (<xref rid="b32-ijo-49-06-2629" ref-type="bibr">32</xref>) and zebrafish embryos (<xref rid="b33-ijo-49-06-2629" ref-type="bibr">33</xref>), suggesting that WNK1 is critical for development. Among the WNKs, WNK1 is known to interact with diverse signaling pathways such as Smad/Tgfb (<xref rid="b34-ijo-49-06-2629" ref-type="bibr">34</xref>), Erk5/MAPK (<xref rid="b35-ijo-49-06-2629" ref-type="bibr">35</xref>) and PI-3K pathways (<xref rid="b36-ijo-49-06-2629" ref-type="bibr">36</xref>) to regulate cell proliferation, survival, angiogenesis and metastasis, suggesting that WNK1 has important roles in tumorigenesis. Studies have shown that WNK1, is an important protein kinase that is required for mitosis and abscission (<xref rid="b37-ijo-49-06-2629" ref-type="bibr">37</xref>), migration and invasion of neural tumor cells via ganglioside GD3 (<xref rid="b38-ijo-49-06-2629" ref-type="bibr">38</xref>), migration of glioma cells (<xref rid="b39-ijo-49-06-2629" ref-type="bibr">39</xref>) and migration, angiogenesis and EMT in endothelial cells (<xref rid="b40-ijo-49-06-2629" ref-type="bibr">40</xref>). Furthermore, WNK1 has been shown to regulate Slug, Zeb1 and &#x003B2;-catenin in endothelial cells (<xref rid="b40-ijo-49-06-2629" ref-type="bibr">40</xref>), with the expression levels of Slug increasing in the presence of WNK1. Slug has well-known roles in tumor invasion (<xref rid="b41-ijo-49-06-2629" ref-type="bibr">41</xref>) and thus, provides an important link between WNK1 and metastasis.</p>
<p>In addition, silencing of WNK1 in a mouse progenitor cell line inhibited differentiation of the cells into neuronal and glial lineage, and upregulated the expression of stem cells/progenitor marker nestin (<xref rid="b42-ijo-49-06-2629" ref-type="bibr">42</xref>). Recently, inhibition of ERK5 or inhibition of genes that phosphorylate and activate ERK5, such as MAP3K2 and WNK1 has been shown to reduce tumor growth and metastasis in prostate cancer <italic>in vivo</italic> (<xref rid="b43-ijo-49-06-2629" ref-type="bibr">43</xref>). Furthermore, depletion of AKT/WNK1 has been shown to revert EMT and inhibit cell migration in lung cancer cells (<xref rid="b44-ijo-49-06-2629" ref-type="bibr">44</xref>). Together, these studies also highlight the importance of WNK1 in the regulation of differentiation, tumor growth and metastasis.</p>
<p>While miR-93 has several gene targets, we postulate that the effects on migration and invasion following miR-93 overexpression were possibly mediated via decreasing WNK1 (identified from target prediction). Hence, we inhibited WNK1 expression using siRNA in the MDA-MB-231 cells and observed decreased invasive ability, but not cell migration, suggesting that the effects of miR-93 overexpression in reducing cell invasion was mediated via decreasing the expression of WNK1 post-transcriptionally (<xref rid="f6-ijo-49-06-2629" ref-type="fig">Fig. 6</xref>). It would appear that decrease in migration observed after miR-93 overexpression was not brought about by WNK1, but possibly through other miR-93 gene targets that remain to be elucidated.</p>
<p>In summary, we have demonstrated that overexpression of miR-93 decrease cell migration and invasion in MDA-MB-231 breast cancer cells <italic>in vitro</italic>. We have identified WNK1 as a novel target of miR-93 that mediates cell invasion. Further <italic>in vivo</italic> studies are required to ascertain the miR-93-WNK1-metastasis cascade that has potential implications in breast cancer therapy.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The present study was supported by the Ministry of Education grant (MOE2013-T2-1-129). Jia Pei Lim is a recipient of the Ong Hin Tiang Scholarship in Cancer Research.</p></ack>
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<floats-group>
<fig id="f1-ijo-49-06-2629" position="float">
<label>Figure 1</label>
<caption>
<p>Overexpression of miR-93 decreases migration and invasion, increasing adhesion in MDA-MB-231 breast cancer cells. (A) miR 93 expression was analysed by qPCR, 48 h post transfection and found to be increased by 60-fold in miR-93-5p mimic transfected cells compared to negative control (NC) transfected cells. Expression of Sno U6 was used for normalization. (B) Alamar blue assay revealed no significant changes in cell proliferation following miR-93 overexpression. (C and D) Transwell migration or invasion assay was used to assess the ability of cells to migrate (C) and invade (D). Representative images of inserts at &#x000D7;100 magnification are shown on the top. Overexpression of miR-93-5p decreased the migratory ability (C, bottom) and invasive ability of the cells (D, bottom) compared to negative control (NC) mimic transfected cells. (E) miR-93-5p overexpression resulted in increased adhesion of cells to collagen type 1. Data are presented as mean &#x000B1; SD, <sup>**</sup>P&lt;0.01, <sup>***</sup>P&lt;0.001.</p></caption>
<graphic xlink:href="IJO-49-06-2629-g00.gif"/></fig>
<fig id="f2-ijo-49-06-2629" position="float">
<label>Figure 2</label>
<caption>
<p>Overexpression of miR-93 altered expression of stem cell and epithelial markers. qPCR analysis revealed decreased expression of <italic>JAK1</italic>, <italic>STAT3</italic> (stem cell markers), and <italic>TGFBR2</italic> concomitantly increased expression of <italic>CLDN1</italic>, <italic>CLDN3</italic> and <italic>CDH1</italic> (epithelial markers) following miR-93-5p overexpression in MDA-MB-231 cells. Data are presented as mean &#x000B1; SD, <sup>*</sup>P&lt;0.05, <sup>**</sup>P&lt;0.01.</p></caption>
<graphic xlink:href="IJO-49-06-2629-g01.gif"/></fig>
<fig id="f3-ijo-49-06-2629" position="float">
<label>Figure 3</label>
<caption>
<p>Knockdown of miR-93 increases cell migration and invasion. (A) qPCR analysis revealed that miR-93 expression was decreased by 68&#x00025; in miR-93-5p inhibitor transfected cells compared to scrambled control (Scr) transfected cells. U6 expression was used for normalization. (B) Alamar blue assay showed no changes in cell proliferation after miR-93 knockdown as analysed by two-way ANOVA. (C and D) Transwell migration and invasion assay was used to assess the ability of cells to migrate (C) and invade (D). Representative images of inserts at &#x000D7;100 magnification are shown on the top. Knockdown of miR-93-5p increased migration (C, bottom panel) and invasion of the cells (D, bottom panel) compared to scrambled control (Scr) transfected cells. Data are presented as mean &#x000B1; SD, <sup>*</sup>P&lt;0.05, <sup>**</sup>P&lt;0.01.</p></caption>
<graphic xlink:href="IJO-49-06-2629-g02.gif"/></fig>
<fig id="f4-ijo-49-06-2629" position="float">
<label>Figure 4</label>
<caption>
<p>WNK1 is a putative target of miR-93. (A) Overexpression of miR-93-5p decreased WNK1 protein expression. (B) Inhibition of miR-93-5p expression resulted in modest increase in WNK1 protein expression (C) Relative luciferase activity in negative control and miR-93-5p transfected cells. Data are presented as mean &#x000B1; SD, <sup>**</sup>P&lt;0.01.</p></caption>
<graphic xlink:href="IJO-49-06-2629-g03.gif"/></fig>
<fig id="f5-ijo-49-06-2629" position="float">
<label>Figure 5</label>
<caption>
<p>Silencing of the WNK1 gene decreases cell invasion. (A) Representative western blot analysis shows that the expression and quantity of WNK1 protein was decreased following WNK1 silencing. (B and C) Transwell migration and invasion assay was used to assess the ability of cells to migrate (B) and invade (C). Representative images of inserts at &#x000D7;100 magnification are shown on the left. Knockdown of WNK1 did not alter cell migration (B) but decreased cell invasion (C) compared to control cells. Data are presented as mean&#x000B1; SD, <sup>*</sup>P&lt;0.05, <sup>***</sup>P&lt;0.001.</p></caption>
<graphic xlink:href="IJO-49-06-2629-g04.gif"/></fig>
<fig id="f6-ijo-49-06-2629" position="float">
<label>Figure 6</label>
<caption>
<p>miR-93 regulates cell invasion via inhibiting its target WNK1 and cell migration via other unknown gene targets.</p></caption>
<graphic xlink:href="IJO-49-06-2629-g05.gif"/></fig>
<table-wrap id="tI-ijo-49-06-2629" position="float">
<label>Table I</label>
<caption>
<p>The primers used for qPCR.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">Gene</th>
<th valign="bottom" align="center">Forward primer</th>
<th valign="bottom" align="center">Reverse primer</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">GAPDH</td>
<td valign="top" align="left">GAAGGTGAAGGTCGGAGTCAACG</td>
<td valign="top" align="left">TGCCATGGGTGGAATCATATTGG</td></tr>
<tr>
<td valign="top" align="left">JAK1</td>
<td valign="top" align="left">ACGAGTGTCTAGGGATGGCT</td>
<td valign="top" align="left">CGCATCCTGGTGAGAAGGTT</td></tr>
<tr>
<td valign="top" align="left">STAT3</td>
<td valign="top" align="left">CTGTGGGAAGAATCACGCCT</td>
<td valign="top" align="left">ACATCCTGAAGGTGCTGCTC</td></tr>
<tr>
<td valign="top" align="left">EZH1</td>
<td valign="top" align="left">TTCCTGCTCCAATGCCTCAG</td>
<td valign="top" align="left">GTGCTTCCACTACGCAGAGT</td></tr>
<tr>
<td valign="top" align="left">HMGA2</td>
<td valign="top" align="left">CAGGAAGCAGCAGCAAGAAC</td>
<td valign="top" align="left">AGGCAACATTGACCTGAGCA</td></tr>
<tr>
<td valign="top" align="left">TGFBR2</td>
<td valign="top" align="left">CTCATGGAGTTCAGCGAGCA</td>
<td valign="top" align="left">GCAGCTCTGTGTTGTGGTTG</td></tr>
<tr>
<td valign="top" align="left">CDH1</td>
<td valign="top" align="left">ACAGCACGTACACAGCCCTA</td>
<td valign="top" align="left">GCAGAAGTGTCCCTGTTCCAG</td></tr>
<tr>
<td valign="top" align="left">CLDN1</td>
<td valign="top" align="left">AAGACGATGAGGTGCAGAAGA</td>
<td valign="top" align="left">ATTCGTACCTGGCATTGACTG</td></tr>
<tr>
<td valign="top" align="left">CLDN3</td>
<td valign="top" align="left">CAACACCATTATCCGGGACT</td>
<td valign="top" align="left">CAACACCATTATCCGGGACT</td></tr></tbody></table></table-wrap></floats-group></article>
