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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="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2015.4032</article-id>
<article-id pub-id-type="publisher-id">mmr-12-04-5443</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>MicroRNA-7 inhibits the malignant phenotypes of non-small cell lung cancer <italic>in vitro</italic> by targeting Pax6</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>LUO</surname><given-names>JIASHUN</given-names></name><xref rid="af1-mmr-12-04-5443" ref-type="aff">1</xref><xref rid="af2-mmr-12-04-5443" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>LI</surname><given-names>HUI</given-names></name><xref rid="af1-mmr-12-04-5443" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHANG</surname><given-names>CHUNFANG</given-names></name><xref rid="af2-mmr-12-04-5443" ref-type="aff">2</xref><xref ref-type="corresp" rid="c1-mmr-12-04-5443"/></contrib></contrib-group>
<aff id="af1-mmr-12-04-5443">
<label>1</label>Institute of Medical Research, Jishou University College of Medicine, Jishou, Hunan 416000, P.R. China</aff>
<aff id="af2-mmr-12-04-5443">
<label>2</label>Department of Cardiothoracic Surgery, Xiangya Hospital of Central South University, Changsha, Hunan 410008, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-12-04-5443">Correspondence to: Professor Chunfang Zhang, Department of Cardiothoracic Surgery, Xiangya Hospital of Central South University, 87 Xiangya Road, Changsha, Hunan 410008, P.R. China, E-mail: <email>csuzhangchunfang@163.com</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>10</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>02</day>
<month>07</month>
<year>2015</year></pub-date>
<volume>12</volume>
<issue>4</issue>
<fpage>5443</fpage>
<lpage>5448</lpage>
<history>
<date date-type="received">
<day>25</day>
<month>06</month>
<year>2014</year></date>
<date date-type="accepted">
<day>15</day>
<month>06</month>
<year>2015</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Luo.</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0">
<license-p>This is an open access article distributed under the terms of a Creative Commons Attribution License</license-p></license></permissions>
<abstract>
<p>MicroRNA (miR)-7 has been reported to act as a suppressor in several types of cancer, including non-small cell lung cancer (NSCLC). In addition, paired box 6 (Pax6), a highly conserved transcriptional factor, has been implicated in NSCLC. However, the exact role of miR-7, and the association between miR-7 and Pax6 in NSCLC cells remain to be fully elucidated. The present study demonstrated that miR-7 was downregulated and Pax6 was upregulated in NSCLC cell lines. Subsequently, it was demonstrated that overexpression of miR-7 notably inhibited the protein expression of Pax6, while inhibition of miR-7 enhanced the protein expression of Pax6 in NSCLC A549 cells. Further investigation identified Pax6 as a target of miR-7 in A549 NSCLC cells. Ina ddition, the overexpression of miR-7 significantly inhibited A549 cell proliferation and invasion, which was reversed by upregulation of Pax6. Investigation of the underlying molecular mechanism revealed that the extracellular signal-regulated kinase (ERK) and p38 mitogen-activated protein kinase (MAPK) signaling pathways were downregulated in the miR-7-overexpressed A549 cells, but were activated in the Pax6-overexpressed A549 cells. Based on these findings, it was suggested that miR-7 negatively regulates the protein level of Pax6, which can promote the proliferation and invasion of NSCLC cells via activation of the ERK and MAPK signaling pathways. Therefore, miR-7/Pax6 may offer potential for use as a target for the treatment of NSCLC.</p></abstract>
<kwd-group>
<kwd>non small cell lung cancer</kwd>
<kwd>microRNA-7</kwd>
<kwd>paired box 6</kwd>
<kwd>proliferation</kwd>
<kwd>invasion</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Lung cancer is the leading cause of cancer-associated mortality, with an increasing incidence worldwide (<xref rid="b1-mmr-12-04-5443" ref-type="bibr">1</xref>). Despite improvements in diagnostic imaging, surgery, radiotherapy and chemotherapy, the overall survival rate of patients with lung cancer remains poor, with only 14% of patients surviving 5 years from the date of diagnosis (<xref rid="b1-mmr-12-04-5443" ref-type="bibr">1</xref>). As non-small cell lung cancer (NSCLC) is the most common type of lung cancer, the development of effective therapeutic targets for NSCLC is urgently required (<xref rid="b1-mmr-12-04-5443" ref-type="bibr">1</xref>).</p>
<p>The development and progression of NSCLC are associated with the dysregulation of oncogenes or tumor suppressors, including microRNAs (miRNAs) (<xref rid="b2-mmr-12-04-5443" ref-type="bibr">2</xref>). miRNAs are 18&#x02013;25 nucleotide, non-coding RNAs, which can result in the inhibition of gene expression at the post-transcriptional level, through direct binding to the 3&#x02032;-untranslational region (UTR) of mRNAs (<xref rid="b3-mmr-12-04-5443" ref-type="bibr">3</xref>). In addition, the dysregulation of miRNAs has been reported to be associated with the development and progression of NSCLC, including miRNA (miR)-7 (<xref rid="b4-mmr-12-04-5443" ref-type="bibr">4</xref>,<xref rid="b5-mmr-12-04-5443" ref-type="bibr">5</xref>). miR-7 has been demonstrated to act as a tumor suppressor in NSCLC, through targeting B-cell lymphoma (BCL)-2 and PA28&#x003B3; (<xref rid="b6-mmr-12-04-5443" ref-type="bibr">6</xref>,<xref rid="b7-mmr-12-04-5443" ref-type="bibr">7</xref>). As one miRNA can directly bind to several target mRNAs, whether other target genes of miR-7 exist in NSCLC remains to be fully elucidate.</p>
<p>Paired box 6 (Pax6) has been demonstrated as a highly conserved transcription factor during embryogenesis, and is involved in the development and function of the central nervous system, endocrine glands, eyes and pancreas (<xref rid="b8-mmr-12-04-5443" ref-type="bibr">8</xref>&#x02013;<xref rid="b12-mmr-12-04-5443" ref-type="bibr">12</xref>). The role of Pax6 in the development and progression of cancer been gradually revealed (<xref rid="b13-mmr-12-04-5443" ref-type="bibr">13</xref>,<xref rid="b14-mmr-12-04-5443" ref-type="bibr">14</xref>). Zhao <italic>et al</italic> reported that shRNA-induced PAX6 downregulation notably suppressed proliferation and cell cycle progression in NCSLC cells. They further demonstrated that the extracellular signal-regulated kinase (ERK) and p38 mitogen-activated protein kinase (MAPK) signaling pathways are involved in Pax6-mediated cell cycle progression in NCSLC cells (<xref rid="b15-mmr-12-04-5443" ref-type="bibr">15</xref>).</p>
<p>The present study aimed to examine the role of miR-7 in the regulation of NSCLC <italic>in vitro</italic>. In addition, as a previous study demonstrated a target association between miR-7 and Pax6 in colon cancer (<xref rid="b16-mmr-12-04-5443" ref-type="bibr">16</xref>), the present study also investigated whether Pax6 is involved in the regulatory effect of miR-7 on NSCLC cells.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Agents</title>
<p>TRIzol reagent, fetal bovine serum (FBS) Lipofectamine 2000 and the mirVana&#x02122; qRT-PCR miRNA Detection kit were purchased from Invitrogen Life Technologies (Carlsbad, CA, USA). Mouse anti-Pax6, -total ERK, -phosphorylated (p)-ERK, -p38 MAPK and -GAPDH primary antibodies, and rabbit anti-mouse secondary antibody were purchased from Abcam (Cambridge, UK). Bioinformatics analysis was conducted to predicate the putative target genes of miR-7 using the Targetscan online software (<ext-link xlink:href="http://www.targetscan.org/" ext-link-type="uri">http://www.targetscan.org/</ext-link>). The Quick-Change Site-Directed Mutagenesis kit was purchased from Stratagene (La Jolla, CA, USA). The PsiCHECK&#x02122;2 vector was purchased from Promega Corporation (Madison, WI, USA). The enhanced chemiluminescence (ECL) kit was purchased from Pierce Biotechnology, Inc. (Rockford, IL, USA).</p></sec>
<sec>
<title>Cell lines and cell culture</title>
<p>The A549, H460, SK-MES-1 and SPC-A1 human NSCLC cell lines, and normal BEAS-2B human lung epithelial cell line were purchased from the Cell bank of Central South University (Changsha, China). All cells were cultured in Dulbecco's modified Eagle's medium (DMEM; Invitrogen Life Technologies) supplemented with 10% FBS at 37&#x000B0;C with 5% CO<sub>2</sub>.</p></sec>
<sec>
<title>RNA extraction and reverse transcription-quantitative polymerase chain reaction (RT-qPCR)</title>
<p>Total RNA was extracted from the cells using TRIzol reagent, according to the manufacturer's instructions. The relative expression level of miR-7 was determined by RT-qPCR using a mirVana&#x02122; qRT-PCR miRNA Detection kit, according to the manufacturer's instruction. Specific primer sets for miR-7 and U6 (internal reference) were obtained from GeneCopoeia, Inc. (Maryland Rockville, MD, USA). The PCR cycling conditions were as follows: 95&#x000B0;C for 10 min, denaturation at 95&#x000B0;C for 15 sec and an annealing/elongation step at 60&#x000B0;C for 1 min for 40 cycles. The data were analyzed with SDS relative quantification software version 2.2.2 (Applied Biosystems, Foster City, CA, USA). The 2-&#x00394;&#x00394;Ct method was used for the relative quantification of the differences in expression levels of each target.</p></sec>
<sec>
<title>Western blotting</title>
<p>The cells (10<sup>7</sup>) were solubilized in cold radioimmunoprecipitation assay lysis buffer (Beyotime Institute of Biotechnology, Shanghai, China). The proteins (60 <italic>&#x000B5;</italic>g) were separated with 12% SDS-PAGE (Beijing Biolab Science and Technology Co., Ltd., Beijing, China), and transferred onto a polyvinylidene difluoride (PVDF) membrane (Invitrogen Life Technologies), which was then incubated with Tris-buffered saline with Tween 20 (TBST; Fanke Biotech Co., Ltd., Shanghai, China) containing 5% milk at room temperature for 3 h. The PVDF membrane was then incubated with primary antibodies at room temperature for 3 h. The primary antibodies were as follows: Monoclonal mouse anti-human PAX6 (1:100, cat. no. ab78545), monoclonal mouse anti-human ERK (1:100, cat. no. ab119933), polyclonal rabbit anti-human p-ERK (1:200, cat. no. ab131438), monoclonal mouse anti-human p38 MAPK, (1:100, cat. no. ab31828) and monoclonal rabbit anti-human p-p38 MAPK, (1:100, cat. no. EPR16587). This was followed by incubation with rabbit anti-mouse IgG, (cat. no. ab46540) and mouse anti-rabbit IgG (cat. no. ab99700) secondary antibodies at room temperature for 40 min. All antibodies were purchased from Abcam. Chemiluminescent detection was performed using an ECL kit. The relative protein expression was analyzed using Image-Pro plus software 6.0 (Media Cybernetics, Inc., Rockville, MD, USA), and presented as the density ratio, vs. GAPDH.</p></sec>
<sec>
<title>Transfection</title>
<p>The plasmid of Pax6, scramble miRNA mimics, miR-7 mimics and miR-7 inhibitor were constructed by Nlunbio (Changsha, China). Lipofectamine 2000 was used to perform transfection, according to the manufacture's instruction. Briefly, the plasmid or miRNA mimics and Lipofectamine 2000 were diluted with 100 nM serum-free medium, respectively. The diluted Lipofectamine 2000 was added into the diluted plasmid or miRNA mimics, respectively, and incubated for 20 min at room temperature, following which they were added to the cell suspension. The cells (10<sup>5</sup> cells/ml), which were suspended in DMEM were then incubated at 37&#x000B0;C, 5% CO<sub>2</sub> for 6 h. Following incubation, the medium in each well was replaced with normal serum-containing medium, and the cells were cultured for 24 h prior to performing the subsequent assays. The successful transfection was confirmed by detecting the expression levels of PAX6 or miR-7, respectively.</p></sec>
<sec>
<title>Dual luciferase reporter assays</title>
<p>A Quick-Change Site-Directed Mutagenesis kit was used to generate a mutant 3&#x02032;-UTR of Pax6, according to the manufacturer's instructions. The wild-type or mutant 3&#x02032;-UTR of Pax6 were inserted into the psiCHECK&#x02122;2 vector, respectively. A549 cells (10<sup>5</sup> cells/well), which were cultured to ~70% confluence, were the transfected with either the psiCHECK&#x02122;2-Pax6-3&#x02032;-UTR or psiCHECK&#x02122;2-mutant Pax6 -3&#x02032;-UTR vector, with or without 100 nM miR-7 mimic, respectively. Following transfection for 48 h, the luciferase activities were determined using an LD400 luminometer (Beckman Coulter, Fullerton, CA, USA). The activity of Renilla luciferase was normalized to that of firefly luciferase.</p></sec>
<sec>
<title>Cell proliferation assay</title>
<p>An MTT assay was performed to measure cell proliferation. Cells in the exponential growth were plated, at a final concentration of 2,000 cells per well, into 96-well plates. The viability of the cells were evaluated using an MTT assay (20 <italic>&#x000B5;</italic>l MTT) 24, 48, 72 and 96 h after seeding. The optical density (OD) at 570 nm of each well was measured using an ELISA reader (ELX-800; BioTek Instruments, Inc., Winooski, VT, USA).</p></sec>
<sec>
<title>Cell invasion assay</title>
<p>The invasive abilities of the A549 cells were determined using 24-well Transwell chambers (Chemicon, Temecula, CA, USA), which contained a layer of Matrigel. For each group, the cell suspension was added to the upper chamber, and DMEM, containing 10% FBS, was added to the lower chamber. Following incubation for 24 h at 37&#x000B0;C, the non-invading cells and the matrix gel on the interior of the inserts were removed using a cotton-tipped swab. The invasive cells on the lower surface of the membrane were stained with gentian violet, followed by rinsing with water and air drying. Subsequently, the number of cells were counted in five randomly-selected fields under an inverted microscope (IX71; Olympus, Tokyo, Japan).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The results are expressed as the mean &#x000B1; standard deviation of at least three independent experiments. Statistical analysis was performed using SPSS 17 software (SPSS, Inc., Chicago, IL, USA). Statistical analysis of differences was performed using one-way analysis of variance. P&lt;0.01 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>miR-7 is downregulated, while Pax6 is upregulated in NSCLC cell lines</title>
<p>To determine the role of miR-7 in NSCLC, the present study first examined the expression level of miR-7 in the A549, H460, SK-MES-1 and SPC-A1 human NSCLC cell lines, and BEAS-2B normal human lung epithelial cell line. As shown in <xref rid="f1-mmr-12-04-5443" ref-type="fig">Fig. 1A</xref>, the expression level of miR-133a was significantly reduced in the NSCLC cell lines, compared with the BEAS-2B normal human lung epithelial cells. Subsequently, the expression level of Pax6 was determined by performing RT-qPCR. As shown in <xref rid="f1-mmr-12-04-5443" ref-type="fig">Fig. 1B</xref>, the mRNA level of Pax6 was upregulated in the NSCLC cell lines, compared with the BEAS-2B normal human lung epithelial cells. Accordingly, these data demonstrated that miR-7 was downregulated, while Pax6 was upregulated in the NSCLC cell lines.</p>
<p>As the A549 cells exhibited the most marked changes in expression levels of miR-7 and Pax6 among the four NSCLC cell lines, when compared with the BEAS-2B normal human lung epithelial cells (<xref rid="f1-mmr-12-04-5443" ref-type="fig">Fig. 1B</xref>), the A549 cell line was selected for examination in the subsequent experiments.</p></sec>
<sec>
<title>miR-7 negatively regulates the protein expression of its target, Pax6, in A549 NSCLC cells</title>
<p>Based on the above data, the regulatory association between miR-7 and Pax6 in A549 NSCLC cells were further investigated. Following transfection with miR-7 mimics or inhibitor, the level of miR-7 in the A549 NSCLC cells was examined, and the data revealed that the transfection had been successful (<xref rid="f2-mmr-12-04-5443" ref-type="fig">Fig. 2A</xref>). The protein level of Pax6 in each group was then determined by performing western blotting, which demonstrated that, in the A549 NSCLC cells transfected with miR-7 mimics, the protein level of Pax6 was reduced (<xref rid="f2-mmr-12-04-5443" ref-type="fig">Fig. 2B</xref>). By contrast, inhibition of miR-7 led to an increase in the protein expression of Pax6 in the A549 NSCLC cells (<xref rid="f2-mmr-12-04-5443" ref-type="fig">Fig. 2B</xref>). Based on the bioinformatical prediction that the putative seed sequences for miR-7 at the 3&#x02032;UTR of Pax6 is conserved (<xref rid="f2-mmr-12-04-5443" ref-type="fig">Fig. 2C</xref>), the present study performed a luciferase reporter assay to determine whether Pax6 was a target of miR-7. The resulting data indicated that the luciferase activity was reduced only in the A549 NSCLC cells that were co-transfected with the miR-7 mimics and wild-type Pax6 3&#x02032;UTR. In the remaining groups, the luciferase activity was unchanged (<xref rid="f2-mmr-12-04-5443" ref-type="fig">Fig. 2D</xref>). These findings indicated that Pax6 was a direct target of miR-7 in the A549 NSCLC cells.</p></sec>
<sec>
<title>Overexpression of miR-7 inhibits NSCLC A549 cell proliferation by targeting Pax6</title>
<p>To further investigate the effect of Pax6 and miR-7 on NSCLC cell proliferation, an MTT assay was performed. As shown in <xref rid="f3-mmr-12-04-5443" ref-type="fig">Fig. 3</xref>, in the miR-7-overexpressed A549 cells, the cell proliferation was downregulated, whereas in the Pax6-overexpressed A549 cells, the cell proliferation rate was upregulated. In addition, upregulation of Pax6 attenuated the inhibitory effect of miR-7 overexpression on A549 cell proliferation. These data suggested that overexpression of miR-7 inhibited A549 cell proliferation by targeting Pax6.</p></sec>
<sec>
<title>Overexpression of miR-7 inhibits NSCLC A549 cell invasion through inhibition of Pax6</title>
<p>The present study subsequently further investigated the roles of miR-7 and Pax6 in the regulation of A549 NSCLC cell invasion. The findings demonstrated that upregulation of miR-7 inhibited A549 NSCLC cell invasion, whereas in the Pax6-overexpressed A549 NSCLC cells, cell invasion was upregulated. Furthermore, restoration of the expression of Pax6 reversed the suppressive effect of miR-7 overexpression on NSCLC A549 cell proliferation. These data suggested that overexpression of miR-7 inhibited NSCLC cell invasion through the inhibition of Pax6 (<xref rid="f4-mmr-12-04-5443" ref-type="fig">Fig. 4</xref>).</p></sec>
<sec>
<title>Activities of the ERK and p38 MAPK pathways are mediated by miR-7 and Pax6 in A549 NSCLC cells</title>
<p>The activities of the ERK and p38 MAPK signaling pathways were determined following the overexpression of Pax6 or miR-7 in the A549 human NSCLC cells. As shown in <xref rid="f5-mmr-12-04-5443" ref-type="fig">Fig. 5</xref>, the phosphorylated protein levels of ERK and p38 MAPK were suppressed in the miR-7-overexpressed A549 cells, but were increased in the Pax6-overexpressed A549 cells. These data indicated that the activities of the ERK and p38 MAPK signalingpathways were downregulated by the overexpression of miR-7, but upregulated by the overexpression of Pax6 in A549 NSCLC cells.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In the present study, the roles of miR-7 and Pax6, as well as their associations, were investigated in NSCLC cells. The results demonstrated that miR-7 was downregulated, while Pax6 upregulated in the NSCLC cell lines. Further investigation identified Pax6 as a target of miR-7 in the A549 NSCLC cells, and the protein expression of Pax6 was negatively mediated by miR-7. Overexpression of miR-7 significantly inhibited A549 cell proliferation and invasion, which was reversed by the upregulation of Pax6. In addition, the ERK and p38 MAPK signaling pathways were downregulated in miR-7-overexpressed A549 cells, but activated in Pax6-overexpressed A549 cells.</p>
<p>It has been demonstrated that miR-7 acts as a tumor suppressor in various types of cancer. Reduced levels of miR-7 have been linked to the development of cancer and metastasis (<xref rid="b17-mmr-12-04-5443" ref-type="bibr">17</xref>). Zhou <italic>et al</italic> reported that miR-7 inhibits tumor metastasis and reverses epithelial-mesenchymal transition through inhibition of AKT and ERK signaling in epithelial ovarian cancer (<xref rid="b18-mmr-12-04-5443" ref-type="bibr">18</xref>). Xie <italic>et al</italic> demonstrated that miR-7 inhibits gastric cancer cell invasion and metastasis by suppressing the expression of epidermal growth factor receptor (<xref rid="b19-mmr-12-04-5443" ref-type="bibr">19</xref>). In adddition, miR-7 has been reported to inhibit colorectal cancer cell proliferation and induce apoptosis (<xref rid="b20-mmr-12-04-5443" ref-type="bibr">20</xref>). The role of miR-7 in NSCLC has also been reported. Xiong <italic>et al</italic> revealed that miR-7 has a suppressive effect in NSCLC by targeting PA28&#x003B3; (<xref rid="b6-mmr-12-04-5443" ref-type="bibr">6</xref>). In addition miR-7 has been observed to inhibit the growth of A549 NSCLC cells through targeting BCL-2 (<xref rid="b7-mmr-12-04-5443" ref-type="bibr">7</xref>). As a single miRNA has multiple targets, and one gene can be regulated by various miRNAs (<xref rid="b21-mmr-12-04-5443" ref-type="bibr">21</xref>), the presents study aimed to identify other targets of miR-7 in NSCLC cells, and demonstrated that the inhibition of Pax6 was involved in miR-7-overexpression-induced downregulation of A549 NSCLC cell proliferation and invasion.</p>
<p>As a transcription factor, Pax6 mediates the expression of various genes. In addition, the expression of Pax6 has been reported to be upregulated in pancreatic cancer and retinoblastoma, but downregulated in glioma and prostate cancer, suggesting that Pax6 may have different roles in different types of cancer (<xref rid="b13-mmr-12-04-5443" ref-type="bibr">13</xref>,<xref rid="b22-mmr-12-04-5443" ref-type="bibr">22</xref>&#x02013;<xref rid="b24-mmr-12-04-5443" ref-type="bibr">24</xref>). In the present study, the results suggested that, as a target of miR-7, Pax6 acts as an oncogene in NSCLC through promoting NSCLC cell proliferation and invasion. Previously, Zhao <italic>et al</italic> investigated the role of Pax6 in NSCLC cell proliferation and reported that inhibition of the expression of Pax6 suppresses cell growth and colony formation in A549 and H1299 NSCLC cells (<xref rid="b15-mmr-12-04-5443" ref-type="bibr">15</xref>). In addition, the percentage of NSCLC cells in the G1-phase is increased following a reduction in the expression of Pax6, indicating that the inhibition of Pax6 induces cell cycle arrest at the G1 phase (<xref rid="b15-mmr-12-04-5443" ref-type="bibr">15</xref>). It was also demonstrated that the activitites of the ERK and p38 MAPK signaling pathways were suppressed in Pax6 knockdown cells (<xref rid="b15-mmr-12-04-5443" ref-type="bibr">15</xref>), consistent with the data obtained the present study, that overexpression of Pax6 induced upregulation in the activity of ERK and p38 MAPK signaling. It has been well established that the ERK and p38 MAPK signaling pathways are involved in the development and progression of various types of cancer, including NSCLC, and targeting components of the ERK and MAPK signaling pathways offers an attractive strategy in the development of novel therapeutic approaches to treat NSCLC (<xref rid="b25-mmr-12-04-5443" ref-type="bibr">25</xref>,<xref rid="b26-mmr-12-04-5443" ref-type="bibr">26</xref>).</p>
<p>In addition, the present study demonstrated for the first time, to the best of our knowledge, that miR-7/Pax6 is involved in the regulation of NSCLC cell invasion. The role of Pax6 in cancer cell invasion has also been demonstrated in several other types of cancers, including glioma and colon cancer (<xref rid="b27-mmr-12-04-5443" ref-type="bibr">27</xref>). Cheng <italic>et al</italic> reported that Pax6 inhibits cell proliferation and invasion in glioma cells (<xref rid="b27-mmr-12-04-5443" ref-type="bibr">27</xref>), and, Liu <italic>et al</italic> suggested that brain fatty acid-binding protein 7 is a target gene of Pax6, and is involved in the regulation of glioma cell invasion (<xref rid="b28-mmr-12-04-5443" ref-type="bibr">28</xref>). In glioblastoma cells, Pax6 has been reported to suppress cell invasion, at least in part, through inhibiting the protein expression of matrix metalloproteinase (MMP) 2 (<xref rid="b29-mmr-12-04-5443" ref-type="bibr">29</xref>). Huang <italic>et al</italic> also demonstrated that MMP2 and MMP9 are downstream effectors of Pax7 in the regulation of glioblastoma cell invasion (<xref rid="b13-mmr-12-04-5443" ref-type="bibr">13</xref>).</p>
<p>In conclusion, the present study demonstrated that miR-7 inhibited NSCLC cell proliferation and invasion through the direct targeting of Pax6, suggesting that Pax6 and miR-7 may serve as potential therapeutic targets in the treatment of NSCLC.</p></sec></body>
<back>
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<floats-group>
<fig id="f1-mmr-12-04-5443" position="float">
<label>Figure 1</label>
<caption>
<p>(A) Expression levels of miR-7 were determined using RT-qPCR in the A549, H460, SK-MES-1 and SPC-A1 human NSCLC cell lines, and BEAS-2B normal human lung epithelial cells. <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, vs. BEAS-2B. (B) mRNA expression levels of Pax6 were examined using RT-qPCR in the A549, H460, SK-MES-1 and SPC-A1 human NSCLC cell lines, and BEAS-2B normal human lung epithelial cells. <sup>&#x0002A;</sup>P&lt;0.05, vs. BEAS-2B; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. BEAS-2B. GAPDH was used as an internal control. Data are expressed as the mean &#x000B1; standard deviation. NSCLC, non-small cell lung cancer; RT-qPCR, reverse transcription-quantitative polymerase chain reaction. miR, microRNA.</p></caption>
<graphic xlink:href="MMR-12-04-5443-g00.jpg"/></fig>
<fig id="f2-mmr-12-04-5443" position="float">
<label>Figure 2</label>
<caption>
<p>(A) Expression levels of miR-7 were examined using RT-qPCR in A549 NSCLC cells transfected with miR-7 mimics or inhibitor, respectively. Untreated A549 cells were used as a control (<sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, vs. control). (B) Protein levels of Pax6 were determined using western blotting in A549 NSCLC cells transfected with miR-7 mimics or inhibitor, respectively. Untreated A549 cells were used as a control (<sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, vs. control). (C) Putative seed sequences of miR-7 in the 3&#x02032;-UTR of Pax6 mRNA were indicated from online bioinformatics analysis software (Targetscan; <ext-link xlink:href="http://www.targetscan.org" ext-link-type="uri">http://www.targetscan.org</ext-link>). (D) Data of the luciferase reporter assay demonstrated that the luciferase activity was reduced only in the A549 NSCLC cells co-transfected with the miR-7 mimics and wild-type Pax6 3&#x02032;UTR, and were unchanged in the remaining groups. A549 cells transfected only with wild-type or mutant type Pax6 3&#x02032;-UTR were used as controls (<sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, vs. control). Data are expressed as the mean &#x000B1; standard deviation. NSCLC, non-small cell lung cancer; RT-qPCR, reverse transcription-quantitative polymerase chain reaction. miR, microRNA; UTR, untranslated region.</p></caption>
<graphic xlink:href="MMR-12-04-5443-g01.jpg"/></fig>
<fig id="f3-mmr-12-04-5443" position="float">
<label>Figure 3</label>
<caption>
<p>An MTT assay was used to measure cell proliferation in the A549 NSCLC cells transfected with the miR-7 mimic, Pax6 plasmid, or co-transfected with the miR-7 mimics and Pax6 plasmid, respectively. Untransfected A549 NSCLC cells were used as a control. NSCLC, non-small cell lung cancer; miR, microRNA; OD, optical density.</p></caption>
<graphic xlink:href="MMR-12-04-5443-g02.tif"/></fig>
<fig id="f4-mmr-12-04-5443" position="float">
<label>Figure 4</label>
<caption>
<p>A Transwell assay was used to measure the invasion capacity of A549 NSCLC cells transfected with the miR-7 mimics, the Pax6 plasmid, or co-transfected with the miR-7 mimics and Pax6 plasmid (magnification, x100). Untransfected A549 NSCLC cells were used as a control (<sup>&#x0002A;</sup>P&lt;0.05, vs. control; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, vs. control). Data are expressed as the mean &#x000B1; standard deviation. NSCLC, non-small cell lung cancer; miR, microRNA.</p></caption>
<graphic xlink:href="MMR-12-04-5443-g03.tif"/></fig>
<fig id="f5-mmr-12-04-5443" position="float">
<label>Figure 5</label>
<caption>
<p>Western blot analysis was performed to determine the protein levels of p-ERK and p-p38 MAPK, as well as the total protein levels of ERK and p38 MAPK in the A549 NSCLC cells transfected with miR-7 mimics or the Pax6 plasmid. GAPDH was used as an internal reference. Untransfected A549 NSCLC cells were used as a control (<sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, vs. control). Data are expressed as the mean &#x000B1; standard deviation. NSCLC, non-small cell lung cancer; miR, microRNA; ERK, extracellular signal-regulated kinase; MAPK, mitogen-activated protein kinase; p-phosphorylated.</p></caption>
<graphic xlink:href="MMR-12-04-5443-g04.tif"/></fig></floats-group></article>
