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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.2017.8063</article-id>
<article-id pub-id-type="publisher-id">mmr-17-01-1926</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>miR-218 inhibits the proliferation of human glioma cells through downregulation of Yin Yang 1</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Gao</surname><given-names>Yong</given-names></name>
<xref rid="af1-mmr-17-01-1926" ref-type="aff">1</xref>
<xref rid="af2-mmr-17-01-1926" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Sun</surname><given-names>Laisheng</given-names></name>
<xref rid="af1-mmr-17-01-1926" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Wu</surname><given-names>Zicheng</given-names></name>
<xref rid="af1-mmr-17-01-1926" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Xuan</surname><given-names>Chengmin</given-names></name>
<xref rid="af3-mmr-17-01-1926" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Junxia</given-names></name>
<xref rid="af2-mmr-17-01-1926" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>You</surname><given-names>Yongping</given-names></name>
<xref rid="af2-mmr-17-01-1926" ref-type="aff">2</xref>
<xref rid="c2-mmr-17-01-1926" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Chen</surname><given-names>Xincheng</given-names></name>
<xref rid="af1-mmr-17-01-1926" ref-type="aff">1</xref>
<xref rid="af2-mmr-17-01-1926" ref-type="aff">2</xref>
<xref rid="c1-mmr-17-01-1926" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-17-01-1926"><label>1</label>Department of Neurosurgery, Xinyi People&#x0027;s Hospital, Xinyi, Jiangsu 221400, P.R. China</aff>
<aff id="af2-mmr-17-01-1926"><label>2</label>Department of Neurosurgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, P.R. China</aff>
<aff id="af3-mmr-17-01-1926"><label>3</label>Department of Hematology, Xuzhou Children&#x0027;s Hospital, Xuzhou, Jiangsu 221006, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-17-01-1926"><italic>Correspondence to</italic>: Dr Xincheng Chen, Department of Neurosurgery, Xinyi People&#x0027;s Hospital, 16 Renmin Road, Xinyi, Jiangsu 221400, P.R. China, E-mail: <email>drxinchengchen@126.com</email></corresp>
<corresp id="c2-mmr-17-01-1926">Professor Yongping You, Department of Neurosurgery, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, Jiangsu 210029, P.R. China, E-mail: <email>dryongpingyou@126.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>01</month><year>2018</year></pub-date>
<pub-date pub-type="epub"><day>15</day><month>11</month><year>2017</year></pub-date>
<volume>17</volume>
<issue>1</issue>
<fpage>1926</fpage>
<lpage>1932</lpage>
<history>
<date date-type="received"><day>31</day><month>08</month><year>2016</year></date>
<date date-type="accepted"><day>18</day><month>05</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2018, Spandidos Publications</copyright-statement>
<copyright-year>2018</copyright-year>
</permissions>
<abstract>
<p>Malignant glioma is the most common cancer type of the nervous system and the mechanisms driving the occurrence and development remain unclear, preventing effective treatment of this disease. Therefore, novel and efficient therapies for glioma are required. MicroRNAs (miRNAs) are small non-coding RNAs that act as oncogenes or tumor suppressors in human cancer. In the present study, it was confirmed that Yin Yang-1 (YY1), a transcription factor that is part of the polycomb group protein (PcG) family, is a direct target of miR-218 in human glioma cells. It was demonstrated that YY1 promoted glioma cell proliferation and miR-218 could inhibit glioma cell proliferation by targeting YY1, and indirectly reduced the degradation of p53. Together the results indicate that miR-218 functions as a tumor suppressor in human glioma and suggest that overexpression of miR-218 may be a potential strategy for the treatment of human glioma in the future.</p>
</abstract>
<kwd-group>
<kwd>miR-218</kwd>
<kwd>proliferation</kwd>
<kwd>YY1</kwd>
<kwd>glioma</kwd>
<kwd>p53</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Gliomas are the most frequent types of primary tumor observed in the central nervous system (<xref rid="b1-mmr-17-01-1926" ref-type="bibr">1</xref>). Despite progress in treatments, including surgery, radiation therapy, and chemotherapy (<xref rid="b2-mmr-17-01-1926" ref-type="bibr">2</xref>,<xref rid="b3-mmr-17-01-1926" ref-type="bibr">3</xref>), the overall survival rate for patients suffering from glioma is among the lowest of all the main types of cancer and has not improved during recent decades (<xref rid="b4-mmr-17-01-1926" ref-type="bibr">4</xref>). Thus, it is vitally important to discover an effective marker for early detection and as a target molecule for the development of glioma treatments.</p>
<p>MicroRNAs (miRNAs) are small, endogenous, noncoding RNAs that regulate gene transcription by complementary base pairing to specific mRNAs. miRNAs regulate a wide variety of biological processes including cell migration, invasion, proliferation, apoptosis, tumorigenesis and tissue morphogenesis (<xref rid="b5-mmr-17-01-1926" ref-type="bibr">5</xref>&#x2013;<xref rid="b8-mmr-17-01-1926" ref-type="bibr">8</xref>). Numerous miRNAs have been reported to function in glioma development, including miR-132 (<xref rid="b9-mmr-17-01-1926" ref-type="bibr">9</xref>), miR-503 (<xref rid="b10-mmr-17-01-1926" ref-type="bibr">10</xref>), miR-661 (<xref rid="b11-mmr-17-01-1926" ref-type="bibr">11</xref>), miR-16 (<xref rid="b12-mmr-17-01-1926" ref-type="bibr">12</xref>), miR-21 (<xref rid="b13-mmr-17-01-1926" ref-type="bibr">13</xref>), and miR-218 (<xref rid="b14-mmr-17-01-1926" ref-type="bibr">14</xref>,<xref rid="b15-mmr-17-01-1926" ref-type="bibr">15</xref>). Among these miRNA molecules, miR-218 has been demonstrated to be downregulated in low-grade glioma tissues and glioma cells compared with normal brain tissues (<xref rid="b16-mmr-17-01-1926" ref-type="bibr">16</xref>). Previous studies have demonstrated that the overexpression of miR-218 contributes to not only the inhibition of proliferation, invasion and migration of glioma cells, however additionally the induction of apoptosis by downregulating transcription of miR-218 target genes, including inhibitor of nuclear factor &#x03BA;B (NF-&#x03BA;B) kinase subunit &#x03B2; (IKK-&#x03B2;), lymphoid enhancer binding factor 1, NF-&#x03BA;B and cyclin-dependent kinase 6 (CDK6) (<xref rid="b14-mmr-17-01-1926" ref-type="bibr">14</xref>,<xref rid="b17-mmr-17-01-1926" ref-type="bibr">17</xref>&#x2013;<xref rid="b19-mmr-17-01-1926" ref-type="bibr">19</xref>). However, the role of miR-218 in the regulation of glioma cell proliferation through targeting a transcription factor called Yin Yang-1 (YY1) remains to be fully elucidated.</p>
<p>YY1 is a universal and multifunctional zinc-finger transcription factor that can activate or repress a variety of genes (<xref rid="b20-mmr-17-01-1926" ref-type="bibr">20</xref>). Increased expression of YY1 has been reported in prostate cancer, colon cancer, ovarian cancer and in breast cancer (<xref rid="b21-mmr-17-01-1926" ref-type="bibr">21</xref>). By contrast, reduced expression of YY1 has been reported in types of melanoma, urothelial carcinomas and osteosarcomas (<xref rid="b21-mmr-17-01-1926" ref-type="bibr">21</xref>). YY1 is constitutively elevated during the progression of brain gliomas compared with that of normal brain tissues, which shows a positive correlation with the progression of gliomas and meningiomas (<xref rid="b22-mmr-17-01-1926" ref-type="bibr">22</xref>). However, at present there is no clear explanation about the role and regulated miRNAs of YY1 in gliomas. The current study aimed to elucidate the role of YY1 and miR-218 in human glioma cells and determine their regulatory association. It was demonstrated that YY1 was a promoting factor in glioma cell proliferation and miR-218 could inhibit glioma cell proliferation by targeting YY1.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Antibodies</title>
<p>YY1 antibodies were obtained from Santa Cruz (Santa Cruz Biotechnology, Inc., Dallas, TX, USA). Antibodies specific for p53 (cat. no. 2524) and &#x03B2;-actin (cat. no. 3700) were obtained from Cell Signaling Technology, Inc. (Danvers, MA, USA). Goat anti-mouse IgG (cat. no. AP124B) and goat anti-rabbit IgG (cat. no. AP307P) were purchased from EMD Millipore (Billerica, MA, USA).</p>
</sec>
<sec>
<title>Cell culture</title>
<p>Human glioma cells U251MG and 293T cells were obtained from the Cell Bank of Shanghai Institutes of Chinese Academy of Sciences (Shanghai, China). Cells were grown at 37&#x00B0;C with 5&#x0025; CO<sub>2</sub> in DMEM medium (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA) containing 10&#x0025; heat-inactivated fetal bovine serum (Evergreen Biological Engineering, Hangzhou, China).</p>
</sec>
<sec>
<title>miR-218 target prediction</title>
<p>The miR-218 target prediction was performed using bioinformatics algorithms from TargetScan (<uri xlink:href="http://www.targetscan.org/">http://www.targetscan.org/</uri>) and PicTar (<uri xlink:href="http://pictar.mdc-berlin.de/">http://pictar.mdc-berlin.de/</uri>).</p>
</sec>
<sec>
<title>Constructs and production of lentivirus</title>
<p>For overexpression of miR-218, the miR-218 cDNA was inserted into the pGlV3/H1 plasmid (Shanghai GenePharma Co., Ltd., Shanghai, China) using <italic>Bam</italic>HI and <italic>Mlu</italic>I sites. For silencing of miR-218, the short-hairpin RNA (shRNA) oligomer (target sequence: GAT CCA CAT GGT TAG ATC AAG CAC AAC GAT ACA TGG TTA GAT CAA GCA CAA ACC GGT ACA TGG TTA GAT CAA GCA CAA TCA CAC ATG GTT AGA TCA A GC ACA ATT TTT TG) was annealed and then subcloned into the pGLV3/H1 plasmid by <italic>Bam</italic>HI and <italic>Mlu</italic>I cloning sites. For knockdown of endogenous YY1, a specific shRNA oligomer (target sequence: CCT CCT GAT TAT TCA GAA TAT) was annealed and then introduced into the pLV-shRNA plasmid by <italic>Bam</italic>HI and <italic>Eco</italic>RI cloning sites (<xref rid="b23-mmr-17-01-1926" ref-type="bibr">23</xref>). For overexpression of YY1, the YY1 cDNA was inserted into the 3X Flag plasmid using <italic>Eco</italic>RI and <italic>Xba</italic>I sites. 3X Flag-p53 were obtained from Addgene, Inc. (Cambridge, MA, USA). Cells were transfected with Polyjet (SignaGen Laboratories, Gaithersburg, MD, USA) according to the manufacturer&#x0027;s protocol. The viruses were packaged in 293T cells by cotransfecting the corresponding plasmids with the helper plasmids using Polyjet transfection reagent.</p>
</sec>
<sec>
<title>Reverse transcription-quantitative polymerase chain reaction (RT-qPCR)</title>
<p>RNA was extracted from stable lines using TRIzol reagent (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA) following manufacturers&#x0027; instructions and 1 &#x00B5;g total RNA was subjected for cDNA production using reverse transcription reagents (Roche Diagnostics GmbH, Basel, Switzerland) according to the manufacturer&#x0027;s protocol. RT-qPCR reactions were performed with 3 &#x00B5;l template from each reaction with an ABI 7300 Real-Time PCR instrument (Applied Biosystems; Thermo Fisher Scientific, Inc.) using SYBR Green (Roche, Diagnostics GmbH). Primers for the amplification of YY1 and &#x03B2;-actin were as follows: YY1, forward CCT GGC ATT GAC CTC TCA GAT CCA and reverse GGG CAA GCT ATT GTT CTT GGA GCA; &#x03B2;-actin, forward CAT GTA CGT TGC TAT CCA GGC and reverse CGC TCG GTG AGG ATC TTC ATG. The products for YY1 and &#x03B2;-actin were 101 and 195 bp, respectively. PCR reaction mixture (10 &#x00B5;M forward and reverse primers, 10 &#x00B5;l of LightCycler 480 SYBR Green I Master (Roche, Diagnostics GmbH), 3 &#x00B5;l of cDNA template and 6 &#x00B5;l of RNA-free water) was added into the reaction plate, and then run by PCR instrument. The following thermocycling conditions were used for the PCR: Initial denaturation at 95&#x00B0;C for 5 min; followed by 40 cycles of 95&#x00B0;C for 15 sec and 65&#x00B0;C for 35 sec. For each sample, the C<sub>quantification</sub> cycle (Cq) was determined and normalized to the average of the housekeeping gene (&#x0394;Cq=Cq Unknown-Cq Housekeeping gene). The determination of gene transcript levels in each sample was performed using the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method (<xref rid="b24-mmr-17-01-1926" ref-type="bibr">24</xref>).</p>
</sec>
<sec>
<title>Luciferase reporter assay</title>
<p>The YY1 3&#x2032;untranslated region (UTR)-Luc reporter was created by ligation of the YY1 3&#x2032;UTR PCR product into the <italic>Sac</italic>I and <italic>Xba</italic>I site of the pmirGLO control vector (Shanghai GenePharma Co., Ltd., Shanghai, China). The mutant reporter was generated from pmirGLO-wild-type (WT)-YY1 3&#x2032;UTR-Luc by deleting the binding site for miR-218 &#x2018;UGAAUGU&#x2019;. miR-21 promoter-containing (miPPR-21-containing) pmirGLO-basic plasmids were constructed (Shanghai GenePharma Co., Ltd.). Luciferase activity was measured using the Dual-Luciferase Reporter Assay System (Promega Corporation, Madison, WI, USA).</p>
</sec>
<sec>
<title>EdU assay</title>
<p>The proliferation of cells was evaluated by 5-ethynyl-2&#x2032;-deoxyuridine (EdU) incorporation assay using an EdU assay kit (Guangzhou RiboBio Co., Ltd., China) according to the manufacturer&#x0027;s protocol. U251MG cell (1&#x00D7;10<sup>4</sup> cells per well) were incubated in triplicate in a 96-well plate for 48 h and then exposed to 50 &#x00B5;M EdU for additional 2 h at 37&#x00B0;C. Cells were fixed with 4&#x0025; formaldehyde for 30 min at 25&#x00B0;C and 2 mg/ml glycine was added to neutralize the formaldehyde. Cells were then incubated with 0.5&#x0025; Triton X-100 for 15 min at 25&#x00B0;C for permeabilization. After washing with PBS three times, the cells were treated with 100 &#x00B5;l 1X Apollo Reaction Cocktail (Guangzhou RiboBio Co., Ltd.) for 30 min. DNA was stained by Hoechst staining for 30 min to determine total number of cells and calculate percentage proliferation. The images were photographed under the Olympus IX-71 inverted microscope (Olympus Corporation, Tokyo, Japan).</p>
</sec>
<sec>
<title>Cell Counting Kit-8 (CCK-8) assay</title>
<p>A total of 5,000 cells in 100 &#x00B5;l DMEM medium were plated in 96-well plates and grown under normal conditions. After cells had adhered to the plates, 2-(2-methoxy-4-nitrophenyl)-3-(4-nitrophenyl)-5-(2,4-benzene disulfonate)-2H-tetrazolium monosodium salt (AAT Bioquest, Inc., Sunnyvale, CA, USA) was added into the medium and cells were incubated for 4 h at 37&#x00B0;C. Living cells were counted daily by reading the absorbance at 450 nm using SynergyMx Multi-Mode Microplate Reader (Biotek Instruments, Inc., Winooski, VT, USA).</p>
</sec>
<sec>
<title>Colony formation assays</title>
<p>A total of 200 cells were plated in a 6-cm dish and incubated under normal conditions for 10 days. The cells were fixed with methanol and dyed with 0.05&#x0025; crystal violet to assess colony staining. Following repeated washing with PBS, images were taken with a camera. Colonies containing more than 50 cells were counted.</p>
</sec>
<sec>
<title>Western blotting</title>
<p>Cells were lysed and equal amounts of cell lysates were subjected to 10&#x0025; SDS-PAGE and then transferred onto polyvinylidene difluoride membranes (EMD Millipore, Billerica, MA, USA). Subsequent to blocking with 5&#x0025; skimmed milk, the membrane was incubated with primary antibodies [YY1 (1:1,000), &#x03B2;-actin (1:1,000)] at 4&#x00B0;C overnight and then secondary antibodies (1:5,000) at room temperature for 1 h. Bound antibodies were detected by the enhanced chemiluminescence Q6 system (Amersham Pharmacia Biotech, Piscataway, NJ, USA). Band densities were measured using ImageJ software 1.42q (National Institutes of Health, Bethesda, MD, USA). All examined gene expression levels were determined by normalizing the densitometry value of interest to that of the loading control.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>SPSS software was used to perform statistical analyses. Data were presented as the mean &#x00B1; standard error. Statistical analyses were performed using SPSS, version 13.0 (SPSS, Inc., Chicago, IL, USA). Differences in multiple groups were determined by using one-way analysis of variance followed by Student-Newman-Keuls test. Comparison between two groups was performed by Student&#x0027;s t-test. P&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>YY1 is a direct target of miR-218</title>
<p>Bioinformatics analysis using TargetScan and PicTar algorithms indicated that YY1 is a hypothetical target gene of miR-218 (<xref rid="f1-mmr-17-01-1926" ref-type="fig">Fig. 1A</xref>). To further confirm the direct interaction between miR-218 and YY1 3&#x2032;UTRs, plasmids containing WT (pmirGLO-WT-YY1 3&#x2032;UTR) and mutant (MT)-type (pmirGLO-MT-YY1 3&#x2032;UTR) YY1 3&#x2032;UTRs were constructed. Luciferase reporter assays demonstrated that upregulation of miR-218 led to a notable decrease of luciferase activity of pmirGLO-WT-YY1 3&#x2032;UTR in human glioma cells, without any significant change in luciferase activity of pmirGLO-MT-YY1 3&#x2032;UTR (<xref rid="f1-mmr-17-01-1926" ref-type="fig">Fig. 1B</xref>). These results suggest that YY1 may be a direct target of miR-218 in human glioma cells.</p>
</sec>
<sec>
<title>YY1 promotes the proliferation of glioma cells</title>
<p>Whether YY1 participates in the proliferation of human glioma cells was investigated <italic>in vitro</italic> by overexpressing shRNA against YY1 to downregulate YY1 expression. The YY1-downregulated stable cell line was estabilshed by lentiviral infection and the infection efficiency was verified through the immunofluorescence images (<xref rid="f2-mmr-17-01-1926" ref-type="fig">Fig. 2A</xref>). The western blotting assay indicated that knockdown of YY1 expression could increase the expressions of p53 protein (<xref rid="f2-mmr-17-01-1926" ref-type="fig">Fig. 2B</xref>). Proliferation of glioma cells was examined by EdU, CCK-8 and colony formation experiments. Knocking down YY1 significantly decreased the proportion of EdU positive cells (<xref rid="f2-mmr-17-01-1926" ref-type="fig">Fig. 2C and D</xref>). CCK-8 experiments demonstrated that knocking down YY1 reduced the proliferation of glioma cells (<xref rid="f2-mmr-17-01-1926" ref-type="fig">Fig. 2E</xref>). The number of colonies was also reduced upon downregulating YY1 (<xref rid="f2-mmr-17-01-1926" ref-type="fig">Fig. 2F and G</xref>). Therefore, it was concluded that knocking down YY1 reduces the proliferation of glioma cells.</p>
</sec>
<sec>
<title>Downregulation of miR-218 promotes the proliferation of human glioma cells</title>
<p>Several studies have demonstrated that miR-218 has tumor-suppressive functions in human glioma (<xref rid="b14-mmr-17-01-1926" ref-type="bibr">14</xref>,<xref rid="b15-mmr-17-01-1926" ref-type="bibr">15</xref>,<xref rid="b18-mmr-17-01-1926" ref-type="bibr">18</xref>). However, the role of miR-218 in glioma remains unclear. Thus, the current study aimed to investigate the effects of miR-218 on proliferation by regulating YY1 in human glioma cells. miR-218 expression was first knocked down with an miRNA sponge specific for miR-218 (miR-218 sponge). Stable cell lines expressing the miR-218 sponge were constructed in U251MG cell by lentiviral infection (<xref rid="f3-mmr-17-01-1926" ref-type="fig">Fig. 3A</xref>). The infection efficiency of miR-218 was performed by monitoring the mRNA expression of YY1 (<xref rid="f3-mmr-17-01-1926" ref-type="fig">Fig. 3B</xref>). CCK-8 experiments demonstrated that knocking down miR-218 accelerated cell proliferation (<xref rid="f3-mmr-17-01-1926" ref-type="fig">Fig. 3C</xref>). Furthermore, colony formation ability was increased upon downregulation of miR-218 (<xref rid="f3-mmr-17-01-1926" ref-type="fig">Fig. 3D and E</xref>). Taken together, it was concluded that knocking down miR-218 induced the promotion of proliferation in glioma cells.</p>
</sec>
<sec>
<title>Overexpression of miR-218 inhibits the proliferation of glioma cells</title>
<p>To further explore the biological function of miR-218 in glioma cells, miR-218 was upregulated by lentiviral infection (<xref rid="f4-mmr-17-01-1926" ref-type="fig">Fig. 4A</xref>). The expression of YY1 mRNA was verified through RT-qPCR experiments and was observed to be significantly decreased in response to overexpressed miR-218 (<xref rid="f4-mmr-17-01-1926" ref-type="fig">Fig. 4B</xref>). Overexpression of miR-218 led to inhibition of glioma cell proliferation, as determined by CCK-8 (<xref rid="f4-mmr-17-01-1926" ref-type="fig">Fig. 4C</xref>) and colony formation experiments (<xref rid="f4-mmr-17-01-1926" ref-type="fig">Fig. 4D and E</xref>). Therefore, it was concluded that upregulating miR-218 inhibited the proliferation of human glioma cells.</p>
</sec>
<sec>
<title>miR-218 inhibits the proliferation of glioma cells through the YY1/p53 pathway</title>
<p>To clarify the potential mechanism of miR-218 in glioma cells, the YY1 and p53 expression in sponge cells overexpressing miR-218 were detected. Western blot analysis demonstrated that downregulation of miR-218 upregulated the protein level of YY1, promoted the degradation of p53, and when we cotransfected the pLV-shYY1 and miR-218-sponge plasmids into U251MG, the expression levels of p53 were restored compared to upregulating miR-218-sponge (<xref rid="f5-mmr-17-01-1926" ref-type="fig">Fig. 5A</xref>). The results of EdU experiments and western blot analysis were consistent, and pLV-shYY1 could reverse the effect of miR-218-sponge in cell proliferation (<xref rid="f5-mmr-17-01-1926" ref-type="fig">Fig. 5B and C</xref>). Upregulating 3X Flag-YY1 and miR-218 led to similar results and the same protein expression trend with overexpressing pLV-shYY1 and miR-218-sponge, as determined by western blotting and EdU (<xref rid="f5-mmr-17-01-1926" ref-type="fig">Fig. 5D-F</xref>). However, when 3X Flag-p53 was overexpressed in U251MG cell, the expression of YY1 was not detected to be significantly different (<xref rid="f5-mmr-17-01-1926" ref-type="fig">Fig. 5G</xref>). Therefore, it was inferred that inhibition of glioma cell proliferation by overexpressing miR-218 in glioma cells may be mediated by downregulation of YY1 and upregulation of p53 expression which may be due to the reduction of p53 degradation by YY1.</p>
<p>Together the data indicated that YY1 is a direct target of miR-218 and serves a role in promoting the proliferation of glioma cells. The results suggest that miR-218 suppresses the proliferation of human glioma cells through the YY1/p53 pathway.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The current study demonstrated that YY1 is a direct target of miR-218. To explore the exact role of miR-218 in glioma cells, miR-218 was overexpressed and silenced in human glioma cells by establishing stable cell lines using lentivirus. Silencing of miR-218 significantly promoted glioma cell proliferation by activating the YY1/p53 pathway, whereas overexpression of miR-218 inhibited glioma cell proliferation by suppressing the YY1/p53 pathway. It was concluded that post-transcriptional regulation of YY1 acts via miR-218 and that YY1/p53 signaling is an important mediator of the effects of miR-218 in glioma.</p>
<p>Previous studies have indicated that miR-218 is dramatically downregulated in human gliomas compared with normal brain tissues (<xref rid="b14-mmr-17-01-1926" ref-type="bibr">14</xref>,<xref rid="b25-mmr-17-01-1926" ref-type="bibr">25</xref>,<xref rid="b26-mmr-17-01-1926" ref-type="bibr">26</xref>). miR-218 has frequently been reported as a direct target of Bmi1 (<xref rid="b15-mmr-17-01-1926" ref-type="bibr">15</xref>), IKK-&#x03B2; (<xref rid="b14-mmr-17-01-1926" ref-type="bibr">14</xref>), RTK (<xref rid="b27-mmr-17-01-1926" ref-type="bibr">27</xref>), and CDK6 (<xref rid="b16-mmr-17-01-1926" ref-type="bibr">16</xref>,<xref rid="b19-mmr-17-01-1926" ref-type="bibr">19</xref>) to prevent the proliferation, migration, invasion of glioma cells. To identify more mRNA targets of miR-218 in glioma cells, bioinformatics analysis was performed and it was identified that YY1 was a potential target of miR-218. The present study identified that miR-218 inhibited glioma cell proliferation by indirectly regulating p53 expression via directly targeting YY1. It is suggested that the miR-218-mediated inhibition of YY1/p53 signaling pathway may be a promising method of treating glioma.</p>
<p>The transcription factor YY1 has been identified as a potential novel prognostic biomarker and therapeutic target. The role of YY1 in cancer is mediated by regulating several proteins in cancer development and progression including c-myc, c-fos, Erb-B2 receptor tyrosine kinase 2, and p53 (<xref rid="b20-mmr-17-01-1926" ref-type="bibr">20</xref>,<xref rid="b28-mmr-17-01-1926" ref-type="bibr">28</xref>). YY1 also interacts with numerous molecules that modulate cell proliferation and apoptosis, including p53, mouse double minute 2 homolog, enhancer of zeste homolog 2, caspases and histone deacetylases (<xref rid="b20-mmr-17-01-1926" ref-type="bibr">20</xref>). YY1 is an important negative regulator of the tumor suppressor gene p53. Because of this, the level of p53 expression was detected. The current study exhibited that downregulation of YY1 inhibits the proliferation of glioma cells by increasing p53 expression. The data indicated that YY1 functions as a growth promoter of glioma cells by inhibiting tumor suppressor p53.</p>
<p>Taken together, the results suggested that miR-218 serves an important role in preventing the proliferation of glioma cells, and the results present a novel mechanism of miR-218-mediated direct suppression of the YY1/p53 pathway in glioma.</p>
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<title>Acknowledgements</title>
<p>The present study was supported by the Foundation of Jiangsu Provincial Health Department (grant no. YG201514).</p>
</ack>
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<floats-group>
<fig id="f1-mmr-17-01-1926" position="float">
<label>Figure 1.</label>
<caption><p>miR-218 directly targets YY1. (A) Putative binding sites of miR-218 within the YY1 3&#x2032;UTR, as predicted by TargetScan and Pictar algorithms. (B) Luciferase reporter assay on the luciferase activity in WT YY1 3&#x2032;UTR or MT-type YY1 3&#x2032;UTR transfected U251MG cell. &#x002A;P&#x003C;0.05 vs. control. miR, microRNA; YY1, Yin Yang-1; UTR, untranslated region; WT, wild-type; MT, mutant.</p></caption>
<graphic xlink:href="MMR-17-01-1926-g00.tif"/>
</fig>
<fig id="f2-mmr-17-01-1926" position="float">
<label>Figure 2.</label>
<caption><p>Silencing of YY1 significantly decreases glioma cell proliferation. (A) Control and shYY1 overexpressing lentivirus were packaged in 293T cells and used for infection of U251MG cell. The cells were dyed with DAPI to detect the infection rate. Scale bars, 100 &#x00B5;m. (B) Expression of YY1 in infected cells was analyzed by western blotting. (C) EdU analysis of cell proliferation. (D) Statistical analysis of the EdU experiment. (E) Cell Counting Kit-8 assay of cell viability. (F) Plate colony formation to analyze cell proliferation. (G) Statistics on the colony formation assay. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 vs. control. YY1, Yin Yang-1; sh, short hairpin; DAPI, 4&#x2032;,6-diamidino-2-phenylindole, dihydrochloride; EdU, 5-ethynyl-2&#x2032;-deoxyuridine.</p></caption>
<graphic xlink:href="MMR-17-01-1926-g01.tif"/>
</fig>
<fig id="f3-mmr-17-01-1926" position="float">
<label>Figure 3.</label>
<caption><p>Downregulation of miR-218 promotes the proliferation of human glioma cells. (A) GFP images of stable lines overexpressing control and miR-218-sponge in U251MG cell. Scale bars, 100 &#x00B5;m. (B) YY1 mRNA level in control and miR-218-sponge expressing U251MG cell was quantified by reverse transcription-quantitative polymerase chain reaction. (C) Cell Counting Kit-8 assays on cell viability in control and miR-218-sponge expressing U251MG cell. (D) Plate colony formation assays on colony formation ability of control and miR-218-sponge expressing U251MG cell. (E) Statistical analysis of the colony formation assays. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 vs. control. miR, microRNA; GFP, green fluorescent protein; YYI, Yin Yang-1; DAPI, 4&#x2032;,6-diamidino-2-phenylindole, dihydrochloride.</p></caption>
<graphic xlink:href="MMR-17-01-1926-g02.tif"/>
</fig>
<fig id="f4-mmr-17-01-1926" position="float">
<label>Figure 4.</label>
<caption><p>Overexpression of miR-218 significantly decreases the proliferation ability of glioma cells. (A) GFP images of the stable lines overexpressing control and miR-218 in U251MG cell. Scale bars, 100 &#x00B5;m. (B) YY1 mRNA was quantified by reverse transcription-quantitative polymerase chain reaction in control and miR-218 expressing U251MG cell. (C) Cell Counting Kit-8 assay of cell viability of control and miR-218 expressing U251MG cell. (D) Plate colony formation assays on colony formation ability of control and miR-218 expressing U251MG cell. (E) Statistical analysis of the colony formation assays. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 vs. control. miR, microRNA; GFP, green fluorescent protein; YY1, Yin Yang-1; DAPI, 4&#x2032;,6-diamidino-2-phenylindole, dihydrochloride.</p></caption>
<graphic xlink:href="MMR-17-01-1926-g03.tif"/>
</fig>
<fig id="f5-mmr-17-01-1926" position="float">
<label>Figure 5.</label>
<caption><p>miR-218 mediated the proliferation ability of glioma cells by upregulation of YY1 and downregulation of p53 expression. (A) Western blotting results on the effects of miR-218 knock down and pLV-shYY1 and miR-218-sponge overexpressing on the protein expression level of YY1 and p53. (B) EdU analysis of cell proliferation in control, miR-218-sponge and miR-218-sponge &#x002B; shYY1-expressing U251MG cell. (C) Statistical analysis of the EdU experiments. (D) Western blotting results on the effects of miR-218 upregulating and miR-218 and 3X Flag-YY1 overexpression on the protein expression levels of YY1 and p53. (E) EdU analysis on cell proliferation of control, miR-218 and mR-218 &#x002B; 3X Flag-YY1 expressing U251MG cell. (F) Statistical analysis of the EdU experiments. (G) Western blotting identified YY1 and p53 expression following transfection with 3X Flag-p53 in U251MG cells. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 vs. control. miR, microRNA; YY1, Yin Yang-1; sh, short hairpin; EdU, 5-ethynyl-2&#x2032;-deoxyuridine.</p></caption>
<graphic xlink:href="MMR-17-01-1926-g04.tif"/>
</fig>
</floats-group>
</article>