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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.2017.8264</article-id>
<article-id pub-id-type="publisher-id">mmr-17-02-3372</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>MicroRNA-675 inhibits cell proliferation and invasion in melanoma by directly targeting metadherin</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Liu</surname><given-names>Ke</given-names></name>
<xref rid="af1-mmr-17-02-3372" ref-type="aff">1</xref>
<xref rid="fn1-mmr-17-02-3372" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Jin</surname><given-names>Junjun</given-names></name>
<xref rid="af1-mmr-17-02-3372" ref-type="aff">1</xref>
<xref rid="af2-mmr-17-02-3372" ref-type="aff">2</xref>
<xref rid="fn1-mmr-17-02-3372" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Rong</surname><given-names>Kunjie</given-names></name>
<xref rid="af1-mmr-17-02-3372" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhuo</surname><given-names>Lukai</given-names></name>
<xref rid="af1-mmr-17-02-3372" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Pingsong</given-names></name>
<xref rid="af1-mmr-17-02-3372" ref-type="aff">1</xref>
<xref rid="c1-mmr-17-02-3372" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-mmr-17-02-3372"><label>1</label>Department of Plastic Surgery, Subei People&#x0027;s Hospital of Jiangsu Province, Yangzhou, Jiangsu 225001, P.R. China</aff>
<aff id="af2-mmr-17-02-3372"><label>2</label>Medical College of Yangzhou University, Yangzhou, Jiangsu 225001, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-17-02-3372"><italic>Correspondence to</italic>: Professor Pingsong Li, Department of Plastic Surgery, Subei People&#x0027;s Hospital of Jiangsu Province, 98 Nantong West Road, Yangzhou, Jiangsu 225001, P.R. China, E-mail: <email>pingsong_li@sohu.com</email></corresp>
<fn id="fn1-mmr-17-02-3372"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub"><month>02</month><year>2018</year></pub-date>
<pub-date pub-type="epub"><day>12</day><month>12</month><year>2017</year></pub-date>
<volume>17</volume>
<issue>2</issue>
<fpage>3372</fpage>
<lpage>3379</lpage>
<history>
<date date-type="received"><day>19</day><month>07</month><year>2017</year></date>
<date date-type="accepted"><day>21</day><month>11</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2018, Spandidos Publications</copyright-statement>
<copyright-year>2018</copyright-year>
</permissions>
<abstract>
<p>Melanoma is derived from melanocytes and accounts for ~80&#x0025; of skin cancer-associated fatalities worldwide. The dysregulation of microRNAs (miRNAs/miRs) is involved in the development and progression of melanoma. Therefore, miRNAs may be novel diagnostic or prognostic biomarkers and promising therapeutic targets in the treatment of patients with melanoma. miR-675 is differentially expressed in several types of human cancer and has important roles in the pathogenesis of several diseases. However, the expression levels and the biological roles of miR-675 in melanoma remain unclear. Therefore, the present study aimed to assess the expression of miR-675 in melanoma, explore the effects of miR-675 on melanoma cells and investigate the underlying molecular mechanisms that may be involved in the actions of miR-675. The present study indicated that miR-675 expression was downregulated in melanoma tissues and cell lines. Functional assays demonstrated that the upregulation of miR-675 impaired cell proliferation and invasion in melanoma. Bioinformatics analysis, luciferase reporter assay, reverse transcription-quantitative polymerase chain reaction and western blot analysis demonstrated that metadherin (MTDH) was a direct target of miR-675 in melanoma. The MTDH levels were upregulated in melanoma tissues and inversely correlated with the miR-675 expression. Furthermore, restored MTDH expression rescued the inhibition effects in melanoma cells caused by miR-675 overexpression. Thus, miR-675 may be a potential therapeutic target for melanoma.</p>
</abstract>
<kwd-group>
<kwd>microRNA-675</kwd>
<kwd>metadherin</kwd>
<kwd>melanoma</kwd>
<kwd>proliferation</kwd>
<kwd>invasion</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Melanoma, one of the most aggressive forms of skin cancer, is derived from melanocytes and accounts for approximately 80&#x0025; of skin cancer-related deaths worldwide (<xref rid="b1-mmr-17-02-3372" ref-type="bibr">1</xref>). The incidence of melanoma has increased considerably compared with that of other malignancies around the world (<xref rid="b2-mmr-17-02-3372" ref-type="bibr">2</xref>). Approximately 200,000 new cases and 46,000 deaths due to melanoma are reported worldwide (<xref rid="b3-mmr-17-02-3372" ref-type="bibr">3</xref>). Currently, the major therapies for patients with melanoma include surgical resection, biotherapy, radiotherapy and chemotherapy (<xref rid="b4-mmr-17-02-3372" ref-type="bibr">4</xref>). Despite the advancements in cancer therapy, melanoma is still considered to be therapy resistant with a 5-year survival rate of less than 15&#x0025; (<xref rid="b5-mmr-17-02-3372" ref-type="bibr">5</xref>,<xref rid="b6-mmr-17-02-3372" ref-type="bibr">6</xref>). The poor prognosis of melanoma is mainly caused by the melanocytes showing aberrant proliferation, resistance to apoptosis and highly invasive potential and motility capacity, which are important biological characteristics in the aggressive clinical course of the metastatic disease (<xref rid="b6-mmr-17-02-3372" ref-type="bibr">6</xref>,<xref rid="b7-mmr-17-02-3372" ref-type="bibr">7</xref>). Therefore, further investigation on the molecular mechanism underlying the formation and progression of melanoma is needed to develop novel therapeutic targets for melanoma treatment.</p>
<p>MicroRNA (miRNA/miR) is a type of non-coding, single-strand, endogenous and short RNA molecules consisting of 19&#x2013;22 nucleotides (<xref rid="b8-mmr-17-02-3372" ref-type="bibr">8</xref>). miRNAs play crucial roles in gene regulation through interaction with the 3&#x2032;-untranslational regions (3&#x2032;-UTRs) of their target genes in a base-pairing manner, resulting in cleaving or repressing the translation of their target mRNAs at the posttranscriptional level (<xref rid="b9-mmr-17-02-3372" ref-type="bibr">9</xref>). At present, over one thousand miRNAs have been identified in the human genome, which may regulate the expression of approximately 30&#x0025; of all protein-coding genes (<xref rid="b10-mmr-17-02-3372" ref-type="bibr">10</xref>). Thus, miRNAs are found to be involved in the regulation of diverse physiological and pathological processes, such as cell proliferation, cycle, apoptosis, differentiation, migration, invasion, metastasis, motility and angiogenesis (<xref rid="b11-mmr-17-02-3372" ref-type="bibr">11</xref>&#x2013;<xref rid="b13-mmr-17-02-3372" ref-type="bibr">13</xref>). Many studies have reported that the aberrant expression of miRNAs is associated with many disorders, particularly cancers such as melanoma (<xref rid="b14-mmr-17-02-3372" ref-type="bibr">14</xref>&#x2013;<xref rid="b16-mmr-17-02-3372" ref-type="bibr">16</xref>). A large number of miRNAs have been identified as tumour suppressors or oncogenes in different types of human malignancy, as a result of a change in the expression level of their target genes (<xref rid="b17-mmr-17-02-3372" ref-type="bibr">17</xref>&#x2013;<xref rid="b19-mmr-17-02-3372" ref-type="bibr">19</xref>). These findings provide a strong basis for the importance of miRNAs in the tumorigenesis and tumour development and emphasise the implications of miRNAs as potential therapeutic targets for cancer diagnosis, treatment and prognosis.</p>
<p>miR-675 is differentially expressed in several types of human cancer and plays important roles in the pathogenesis of several diseases (<xref rid="b20-mmr-17-02-3372" ref-type="bibr">20</xref>&#x2013;<xref rid="b22-mmr-17-02-3372" ref-type="bibr">22</xref>), However, the expression levels and the biological roles of miR-675 in melanoma remain unclear. Therefore, the present study aimed to assess the expression of miR-675 in melanoma, explore the effects of miR-675 on melanoma cells and investigate the underlying molecular mechanisms that may be involved in the actions of miR-675.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Tissue samples and cell lines</title>
<p>This study was approved by the Ethics Committee of Subei People&#x0027;s Hospital of Jiangsu province. Written informed consent was provided by all of these patients participated in this research. From May 2014 to February 2016, a total of 21 pairs of melanoma tissues and corresponding adjacent normal tissues were gathered from melanoma patients who suffered a surgical resection at Subei People&#x0027;s Hospital of Jiangsu province. None patients had been treated with chemotherapy, radiotherapy or other treatment prior to surgery. All tissue samples were immediately frozen in liquid nitrogen and stored in &#x2212;80&#x00B0;C until further use.</p>
<p>Melanoma cell lines, including A375, A2058, HT144 and SK-MEL-28, were obtained from the American Type Culture Collection (Manassas, VA, USA), and cultured in Dulbecco&#x0027;s modified Eagle&#x0027;s medium (DMEM) supplemented with 10&#x0025; foetal bovine serum (FBS), 100 mg/ml penicillin and 100 mg/ml streptomycin (all from Gibco; Thermo Fisher Scientific, Inc., Waltham, MA, USA). Human epidermal melanocytes (HEM) were acquired from ScienCell Research Laboratories, Inc. (San Diego, CA, USA) and maintained in melanocyte medium (ScienCell Research Laboratories, Inc.) according to the manufacturer&#x0027;s protocol. All the cell lines were grown in a humid incubator at 37&#x00B0;C with 5&#x0025; CO<sub>2</sub>.</p>
</sec>
<sec>
<title>RNA extraction and reverse transcription-quantitative polymerase chain reaction (RT-qPCR)</title>
<p>Total RNA was isolated from tissue samples or cells using TRIzol reagent (Invitrogen; Thermo Fisher Scientific, Inc.), according to the manufacturer&#x0027;s protocol. To detect the levels of miR-675, complementary DNA (cDNA) was synthesized from total RNA using TaqMan MicroRNA Reverse Transcription Kit (Applied Biosystems; Thermo Fisher Scientific, Inc.), according to the manufacturer&#x0027;s instructions. Quantitative PCR was performed using TaqMan MicroRNA PCR Kit (Applied Biosystems; Thermo Fisher Scientific, Inc.) on an ABI Prism 7500 Real-Time PCR System (Applied Biosystems; Thermo Fisher Scientific, Inc.). To quantify metadherin (MTDH) mRNA expression level, reverse transcription was carried out with PrimeScript RT Reagent kit (Takara Biotechnology Co., Ltd., Dalian, China). SYBR Premix Ex Taq&#x2122; (Takara Biotechnology Co., Ltd.) was used to detect MTDH mRNA expression. U6 and glyceraldehyde-3-phosphate dehydrogenase (GAPDH) were used as normalization for miR-675 and MTDH mRNA expression, respectively. Each experiment was performed in triplicate and repeated three times. The relative levels of miRNA and mRNA were analysed via the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method (<xref rid="b23-mmr-17-02-3372" ref-type="bibr">23</xref>).</p>
</sec>
<sec>
<title>Oligonucleotides, plasmids and cell transfection</title>
<p>The miR-675 mimics and miRNA negative control mimics (miR-NC) were chemically synthesized by GenePharma (Shanghai, China). MTDH overexpression plasmid (pcDNA3.1-MTDH) and empty pcDNA3.1 plasmid were acquired from GeneCopoeia (Guangzhou, China). Cells were seeded into 6-well plates at a density of 5&#x00D7;105 cells per well. Cell transfection was performed using Lipofectamine 2000 (Invitrogen; Thermo Fisher Scientific, Inc.) as recommended by the manufacturer&#x0027;s instructions. The medium was replaced with fresh DMEM medium containing 10&#x0025; FBS at 8 h following transfection.</p>
</sec>
<sec>
<title>3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay</title>
<p>MTT assays were employed to evaluate the proliferative ability of the melanoma cells. Transfected cells were collected at 24 h following transfection, and plated into 96-well plates at a density of 3,000 cells/well. At the indicated time (0, 24, 48, or 72 h incubation), MTT assay was performed according to the manufacturer&#x0027;s instructions. Briefly, 20 &#x00B5;l of MTT (5 mg/ml; Sigma-Aldrich; Merck KGaA, Darmstadt, Germany) reagent was added into each well. After incubation at 37&#x00B0;C with 5&#x0025; CO<sub>2</sub> for 4 h, the medium was removed followed by addition of 150 &#x00B5;l of DMSO (Sigma-Aldrich; Merck KGaA). Finally, the absorbance was measured using a microplate reader (Omega Bio-Tek, Inc., Norcross, GA, USA) at a wavelength of 490 nm. Experiments were independently repeated in triplicate.</p>
</sec>
<sec>
<title>Transwell invasion assay</title>
<p>The invasiveness of melanoma cells was determined using Transwell chambers (24-well plate, 8 &#x00B5;m pore; Corning Incorporated, Corning, NY, USA) coated with Matrigel (BD Bioscience, San Jose, CA, USA). Transfected cells were collected after 48 h of incubation. 5&#x00D7;10<sup>4</sup> transfected cells in 200 &#x00B5;l FBS-free DMEM medium were seeded in the upper chambers. The lower chambers were filled with DMEM with 20&#x0025; FBS as a chemoattractant. Following incubation at 37&#x00B0;C for 24 h, the cells remaining on the upper chambers were removed using cotton swabs. The invasive cells were fixed with 4&#x0025; paraformaldehyde, stained with 0.5&#x0025; crystal violet and dried in air. A total of five randomly selected fields were then examined under an inverted microscope (IX73; Olympus Corporation, Tokyo, Japan) at a magnification of 200x. Each assay was performed in triplicate and repeated at least three times.</p>
</sec>
<sec>
<title>Bioinformatics analysis</title>
<p>To predict the potential targets of miR-675, bioinformatics analysis was performed using TargetScan (<uri xlink:href="http://www.targetscan.org">www.targetscan.org</uri>) and miRBase (<uri xlink:href="http://www.mirbase.org/">http://www.mirbase.org/</uri>).</p>
</sec>
<sec>
<title>Luciferase reporter assay</title>
<p>MTDH was identified as a candidate target of miR-675 using bioinformatics analysis. A wild-type (Wt) MTDH 3&#x2032;-UTR containing the binding sequences of miR-675 (pGL3-MTDH-3&#x2032;-UTR Wt) and a mutant type (Mut) MTDH 3&#x2032;-UTR lacking the binding sequences of miR-675 (pGL3-MTDH-3&#x2032;-UTR Mut) were chemically synthesized by GenePharma. Cells were plated into 24-well plates at a density of 1.5&#x00D7;10<sup>5</sup> cells/well. After incubation overnight, cells were cotransfected with miR-675 mimics or miR-NC, and pGL3-MTDH-3&#x2032;-UTR Wt or pGL3-MTDH-3&#x2032;-UTR Mut, using Lipofectamine 2000 in accordance with the manufacturer&#x0027;s instructions. Luciferase activities were measured 48 h after transfection using a Dual-Luciferase<sup>&#x00AE;</sup> Reporter Assay System (Promega Corporation, Madison, WI, USA), according to the manufacturer&#x0027;s instructions. Renilla luciferase activity served as an internal reference.</p>
</sec>
<sec>
<title>Western blotting analysis</title>
<p>Total protein was extracted from tissues or cells using cold radioimmunoprecipitation assay lysis buffer (Beyotime Institute of Biotechnology, Haimen, China). The concentration of total protein was examined using a bicinchoninic acid (BCA) Protein Assay kit (Beyotime Institute of Biotechnology), according to the manufacturer&#x0027;s instructions. Equal quantity of total protein was separated by 10&#x0025; sodium dodecyl sulfate (SDS)-polyacrylamide gel electrophoresis (PAGE) and transferred onto polyvinylidene difluoride membranes (EMD Millipore, Billerica, MA, USA). Subsequently, the membranes were blocked with 5&#x0025; skimmed milk in TBS/0.1&#x0025; Tween (TBST) at room temperature for 1 h and incubated overnight at 4&#x00B0;C with primary antibodies: mouse anti-human monoclonal MTDH (sc-517220; 1:1,000 dilution; Santa Cruz Biotechnology, Inc., Dallas, TX, USA) and mouse anti-human monoclonal GAPDH (sc-66163; 1:1,000 dilution; Santa Cruz Biotechnology, Inc.). Following three washes with TBST, the membranes were incubated with corresponding horseradish peroxidase-conjugated secondary antibodies (sc-2005; 1:1,000 dilution; Santa Cruz Biotechnology, Inc.) at room temperature for 1 h. Finally, the protein bands were visualized with enhanced chemiluminescence (ECL) reagents (Bio-Rad Laboratories, Hercules, CA, USA), and analyzed with ImageJ 1.49 (National Institutes of Health, Bethesda, MD). GAPDH served as a loading control.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Data were expressed as mean &#x00B1; standard deviation. All statistical analyses were performed via Student&#x0027;s t-test or one-way ANOVA with SPSS 18.0 software (SPSS, Inc., Chicago, IL, USA). Student-Newman-Keuls test was used as a post hoc test following ANOVA. 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>miR-675 expression is downregulated in melanoma tissues and cell lines</title>
<p>To investigate the roles of miR-675 in the progression of melanoma, RT-qPCR was performed to measure miR-675 expression in 21 paired melanoma tissues and corresponding adjacent normal tissues. As shown in <xref rid="f1-mmr-17-02-3372" ref-type="fig">Fig. 1A</xref>, miR-675 was significantly downregulated in melanoma tissues compared with that in corresponding adjacent normal tissues (P&#x003C;0.05). In addition, the analysis of miR-675 expression in four human melanoma cell lines (A375, A2058, HT144 and SK-MEL-28) and the human epidermal melanocytes (HEMs) indicated that expression levels of miR-675 were lower in melanoma cell lines (<xref rid="f1-mmr-17-02-3372" ref-type="fig">Fig. 1B</xref>; P&#x003C;0.05). These results suggested that miR-675 may serve important roles in melanoma formation and progression.</p>
</sec>
<sec>
<title>miR-675 inhibits melanoma cell proliferation and invasion in vitro</title>
<p>miR-675 is lowly expressed in melanoma and thus might serve as a tumour suppressor. Therefore, we determined whether the deregulation of miR-675 in malignant melanoma cells affects biological behaviours of melanoma. A375 and HT144 cells, which exhibited relatively low miR-675 expression, were chosen for subsequent functional assays and transfected with miR-675 mimics or miR-NC. The data from RT-qPCR analysis confirmed that miR-675 was markedly upregulated in A375 and HT144 cells after transfection with miR-675 mimics (<xref rid="f2-mmr-17-02-3372" ref-type="fig">Fig. 2A</xref>; P&#x003C;0.05).</p>
<p>An MTT assay was conducted to explore effect of miR-675 overexpression on melanoma cell proliferation. Restoration expression of miR-675 suppressed the proliferation of A375 and HT144 compared with the miR-NC group (<xref rid="f2-mmr-17-02-3372" ref-type="fig">Fig. 2B</xref>; P&#x003C;0.05), indicating that miR-675 may serve a suppressive role in the proliferation of melanoma cells. To further characterise the effect of miR-675 on cell invasion ability, Transwell invasion assays were performed. As depicted in <xref rid="f2-mmr-17-02-3372" ref-type="fig">Fig. 2C</xref>, the upregulation of miR-675 decreased the invasion capacities of A375 and HT144 cells, relative to the miR-NC group (P&#x003C;0.05). Collectively, these data suggested that miR-675 may play tumour-suppressing roles in melanoma.</p>
</sec>
<sec>
<title>MTDH is a direct target of miR-675 in melanoma</title>
<p>To investigate the underlying mechanism responsible for miR-675-mediated tumour-suppressing roles in melanoma, bioinformatics analysis was performed to predict the potential targets of miR-675. Among these potential target genes, MTDH (<xref rid="f3-mmr-17-02-3372" ref-type="fig">Fig. 3A</xref>) caught our attention because it is upregulated in melanoma and participated in the regulation of biological behaviours of melanoma (<xref rid="b24-mmr-17-02-3372" ref-type="bibr">24</xref>&#x2013;<xref rid="b26-mmr-17-02-3372" ref-type="bibr">26</xref>). Luciferase reporter assays were used to verify a direct interaction between miR-675 and the 3&#x2032;-UTR of MTDH. miR-675 mimics or miR-NC was transfected into A375 and HT144 cells, together with pGL3-MTDH-3&#x2032;-UTR Wt or pGL3-MTDH-3&#x2032;-UTR Mut. As shown in <xref rid="f3-mmr-17-02-3372" ref-type="fig">Fig. 3B</xref>, miR-675 overexpression decreased the luciferase activities of the MTDH with a wild-type 3&#x2032;-UTR vector (P&#x003C;0.05) but not the mutant vector, implying that miR-675 directly binds the 3&#x2032;-UTR of MTDH. To further confirm whether miR-675 has regulation effect on MTDH endogenous in melanoma, we detected MTDH mRNA and protein expression in A375 and HT144 cells after transfection with miR-675 mimics or miR-NC. The results revealed that MTDH mRNA (<xref rid="f3-mmr-17-02-3372" ref-type="fig">Fig. 3C</xref>; P&#x003C;0.05) and protein (<xref rid="f3-mmr-17-02-3372" ref-type="fig">Fig. 3D</xref>; P&#x003C;0.05) expressions were significantly suppressed by miR-675 overexpression in A375 and HT144 cells. Overall, these results suggested that MTDH is a direct target gene of miR-675 in melanoma.</p>
</sec>
<sec>
<title>MTDH is upregulated in melanoma tissues and negatively correlated with miR-675 expression</title>
<p>To further explore the relationship between miR-675 and MTDH, we measured MTDH mRNA expression in melanoma tissues and corresponding adjacent normal tissues. The data from RT-qPCR analysis revealed that that levels of MTDH mRNA were significantly upregulated in melanoma tissues compared with those in adjacent normal tissues (<xref rid="f4-mmr-17-02-3372" ref-type="fig">Fig. 4A</xref>; P&#x003C;0.05). In addition, Western blotting analysis indicated that MTDH protein was increased in melanoma tissues than adjacent normal tissues (<xref rid="f4-mmr-17-02-3372" ref-type="fig">Fig. 4B</xref>). Furthermore, Spearman&#x0027;s correlation analysis demonstrated an inverse association between MTDH mRNA and miR-675 expression levels in melanoma tissues (<xref rid="f4-mmr-17-02-3372" ref-type="fig">Fig. 4C</xref>; r=&#x2212;0.7251; P=0.0002). These results suggested that increased levels of MTDH in melanoma, at least in part, may be attributed to a downregulation in miR-675.</p>
</sec>
<sec>
<title>Restoration of MTDH expression reverses the antitumor effects of miR-675 in melanoma</title>
<p>To further determine whether MTDH is a functional target of miR-675 in melanoma, we performed a rescue experiment involving the transfection of MTDH overexpression plasmids into miR-675-expressing A375 and HT144 cells. As shown in <xref rid="f5-mmr-17-02-3372" ref-type="fig">Fig. 5A</xref>, the decreased expression of MTDH protein was markedly restored by the transfection of pcDNA3.1-MTDH in A375 and HT144 cells (P&#x003C;0.05). Functional experiments demonstrated that the upregulation of MTDH could effectively reverse the tumour-suppressing effects on cell proliferation (<xref rid="f5-mmr-17-02-3372" ref-type="fig">Fig. 5B</xref>; P&#x003C;0.05) and invasion (<xref rid="f5-mmr-17-02-3372" ref-type="fig">Fig. 5C</xref>; P&#x003C;0.05) induced by miR-675 overexpression in A375 and HT144 cells. These results suggested that miR-675 exerted its suppressive effects in melanoma, at least partially, by repressing MTDH.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The dysregulation of miRNAs is involved in the development and progression of melanoma (<xref rid="b27-mmr-17-02-3372" ref-type="bibr">27</xref>&#x2013;<xref rid="b29-mmr-17-02-3372" ref-type="bibr">29</xref>). Therefore, miRNAs may be investigated as novel diagnostic or prognostic biomarkers and promising therapeutic targets in the treatment of patients with melanoma. In the present study, the expression of miR-675 was significantly downregulated in melanoma tissues and cell lines. In addition, we illustrated that miR-675 overexpression inhibited cell proliferation and invasion of melanoma <italic>in vitro</italic>. Importantly, this is the first study to identify MTDH as a direct target gene of miR-675 in melanoma. MTDH is highly expressed in melanoma tissues and negatively correlated with miR-675 expression level. The upregulation of MTDH rescued the antitumor effects of miR-675 in melanoma. Thus, miR-675 may play tumour-suppressing roles in melanoma by targeting MTDH in pathophysiologic process of melanoma.</p>
<p>An increasing number of studies reported that miR-675 is upregulated and plays an oncogenic role in the development and progression of multiple kinds of human cancer. For example, miR-675 was upregulated in breast cancer tissues and correlated with tumour grade (<xref rid="b20-mmr-17-02-3372" ref-type="bibr">20</xref>). miR-675 overexpression increased the aggressive phenotype of breast cancer cells including promoted cell proliferation and migration <italic>in vitro</italic> and increased tumour growth and metastasis <italic>in vivo</italic> (<xref rid="b21-mmr-17-02-3372" ref-type="bibr">21</xref>). miR-675 was also identified as an oncogene in bladder cancer (<xref rid="b22-mmr-17-02-3372" ref-type="bibr">22</xref>), head and neck squamous cell carcinoma (<xref rid="b30-mmr-17-02-3372" ref-type="bibr">30</xref>) and hepatocellular carcinoma (<xref rid="b31-mmr-17-02-3372" ref-type="bibr">31</xref>,<xref rid="b32-mmr-17-02-3372" ref-type="bibr">32</xref>). However, miR-675 was found to be lowly expressed in non-small cell lung cancer. Low miR-675 expression was correlated with lymph node metastasis and TNM stage (<xref rid="b33-mmr-17-02-3372" ref-type="bibr">33</xref>). Resumption expression of miR-675 suppressed non-small cell lung cancer growth, colony formation and metastasis <italic>in vitro</italic> and decreased the tumorigenicity graft growth of nude mice <italic>in vivo</italic> (<xref rid="b33-mmr-17-02-3372" ref-type="bibr">33</xref>). The downregulation of miR-675 was also observed in pancreatic cancer (<xref rid="b34-mmr-17-02-3372" ref-type="bibr">34</xref>), adrenocortical adenomas (<xref rid="b35-mmr-17-02-3372" ref-type="bibr">35</xref>), prostate cancer (<xref rid="b36-mmr-17-02-3372" ref-type="bibr">36</xref>) and glioma (<xref rid="b37-mmr-17-02-3372" ref-type="bibr">37</xref>). These findings suggested that miR-675 expression and roles exhibits tissue specificity and may be a prognostic marker and promising molecular therapeutic target in these specific types of cancer.</p>
<p>The identification of the miRNA target genes is important for understanding its roles in carcinogenesis and progression (<xref rid="b38-mmr-17-02-3372" ref-type="bibr">38</xref>). Multiple targets of miR-675 have been identified, including c-Cbl(21), Cbl-b(21) in breast cancer, ZEB1(34) in pancreatic cancer, GPR55(33) in non-small cell lung cancer, TGFBI(36) in prostate cancer, CDK6(37) in glioma, p53(22) in bladder cancer, AKT(32) and Cdc25A(31) in hepatocellular carcinoma. In the current study, MTDH, also known as astrocyte elevated gene-1, was identified as a direct target of miR-675 in melanoma. It was first discovered in human foetal astrocytes in 2002 (<xref rid="b39-mmr-17-02-3372" ref-type="bibr">39</xref>) and was found to be overexpressed in several types of human cancer, such as colorectal cancer (<xref rid="b40-mmr-17-02-3372" ref-type="bibr">40</xref>), breast cancer (<xref rid="b41-mmr-17-02-3372" ref-type="bibr">41</xref>), cervical cancer (<xref rid="b42-mmr-17-02-3372" ref-type="bibr">42</xref>), gastric cancer (<xref rid="b43-mmr-17-02-3372" ref-type="bibr">43</xref>) and bladder cancer (<xref rid="b44-mmr-17-02-3372" ref-type="bibr">44</xref>). Increasing evidence indicated that MTDH is participated in the regulation of tumorigenesis and tumour development by regulating cell proliferation, cell cycle, apoptosis, migration, invasion, metastasis, epithelial-to-mesenchymal transition and angiogenesis (<xref rid="b45-mmr-17-02-3372" ref-type="bibr">45</xref>&#x2013;<xref rid="b47-mmr-17-02-3372" ref-type="bibr">47</xref>). In melanoma, MTDH expression level increased in tumour tissues and is significantly associated with metastatic rate (<xref rid="b24-mmr-17-02-3372" ref-type="bibr">24</xref>,<xref rid="b48-mmr-17-02-3372" ref-type="bibr">48</xref>). Functional study indicated that MTDH underexpression inhibited the proliferation, migration and invasion and induced cell cycle arrest and apoptosis in melanoma. Additionally, <italic>in vivo</italic> experiments revealed that the downregulation of MTDH reduced the growth of melanoma xenografts in nude mice (<xref rid="b26-mmr-17-02-3372" ref-type="bibr">26</xref>). Combined with the present findings, miR-675/MTDH axis may present a potentially effective therapeutic strategy for the treatments of patients with melanoma.</p>
<p>In conclusion, the results of the present study provide evidence suggesting that miR-675 may play a tumour-suppressing role in melanoma, partly by targeting MTDH. The miR-675/MTDH pathway may provide novel insights into the pathogenesis of melanoma and could be investigated as a novel potential therapeutic target for the treatment of this disease. Future work is needed to explore whether the potential of miR-675 may be fully realised in melanoma.</p>
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<floats-group>
<fig id="f1-mmr-17-02-3372" position="float">
<label>Figure 1.</label>
<caption><p>miR-675 expression is downregulated in melanoma tissues and cell lines. (A) Relative miR-675 expression levels in 21 paired melanoma tissues and corresponding adjacent normal tissues were detected by RT-qPCR analysis. &#x002A;P&#x003C;0.05 compared with adjacent normal tissues. (B) RT-qPCR analysis of miR-675 expression in four human melanoma cell lines (A375, A2058, HT144 and SK-MEL-28) and the HEM. &#x002A;P&#x003C;0.05 compared with HEM. HEM, human epidermal melanocytes.</p></caption>
<graphic xlink:href="MMR-17-02-3372-g00.tif"/>
</fig>
<fig id="f2-mmr-17-02-3372" position="float">
<label>Figure 2.</label>
<caption><p>miR-675 overexpression inhibits cell proliferation and invasion in melanoma. A375 and HT144 cells were transfected with miR-675 mimics or miR-NC. (A) After transfection, RT-qPCR was used to evaluate the transfection efficiency. &#x002A;P&#x003C;0.05 compared with miR-NC. (B) MTT assays were performed to determine the proliferative ability in indicated cells. &#x002A;P&#x003C;0.05 compared with miR-NC. (C) Cell invasion abilities in indicated cells were examined using Transwell invasion assays. &#x002A;P&#x003C;0.05 compared with miR-NC. NC, negative control.</p></caption>
<graphic xlink:href="MMR-17-02-3372-g01.tif"/>
</fig>
<fig id="f3-mmr-17-02-3372" position="float">
<label>Figure 3.</label>
<caption><p>MTDH is a direct target of miR-675 in melanoma. (A) Wild-type (Wt) and mutant (Mut) of putative miR-675 binding sequences in the 3&#x2032;-UTR of MTDH. (B) A375 and HT144 cells were cotransfected with miR-675 mimics or miR-NC and pGL3-MTDH-3&#x2032;-UTR Wt or pGL3-MTDH-3&#x2032;-UTR Mut. After 48 h of incubation, the luciferase activities were detected using the Dual-Luciferase<sup>&#x00AE;</sup> Reporter Assay System. &#x002A;P&#x003C;0.05 compared with miR-NC. (C) RT-qPCR analysis of MTDH mRNA expression in A375 and HT144 cells after transfection with miR-675 mimics or miR-NC. &#x002A;P&#x003C;0.05 compared with miR-NC. (D) Western blotting analysis was utilised to measure MTDH protein in A375 and HT144 cells after transfection with miR-675 mimics or miR-NC. &#x002A;P&#x003C;0.05 compared with miR-NC. NC, negative control; MTDH, metadherin.</p></caption>
<graphic xlink:href="MMR-17-02-3372-g02.tif"/>
</fig>
<fig id="f4-mmr-17-02-3372" position="float">
<label>Figure 4.</label>
<caption><p>MTDH is highly expressed in melanoma tissues and inversely correlated with miR-675 expression. (A) The MTDH mRNA levels in melanoma tissues and corresponding adjacent normal tissues were determined by RT-qPCR. &#x002A;P&#x003C;0.05 compared with adjacent normal tissues. (B) MTDH protein expression was determined in melanoma tissues and corresponding adjacent normal tissues. (C) The association between miR-675 and MTDH mRNA was analysed in melanoma tissues by Spearman&#x0027;s correlation analysis. r=&#x2212;0.7251, P=0.0002. MTDH, metadherin.</p></caption>
<graphic xlink:href="MMR-17-02-3372-g03.tif"/>
</fig>
<fig id="f5-mmr-17-02-3372" position="float">
<label>Figure 5.</label>
<caption><p>The upregulation of MTDH partially reverses the inhibition effects induced by miR-675 in melanoma. (A) MTDH protein expression was analysed in A375 and HT144 cells transfected with miR-675 mimics, with/without the MTDH-overexpressing plasmid. &#x002A;P&#x003C;0.05 compared with miR-NC. <sup>#</sup>P&#x003C;0.05 compared with miR-675 mimics&#x002B;pcDNA3.1-MTDH. Cell proliferation (B) and invasion (C) were determined in A375 and HT144 cells transfected with miR-675 mimics with or without pcDNA3.1-MTDH. &#x002A;P&#x003C;0.05 compared with miR-NC. <sup>#</sup>P&#x003C;0.05 compared with miR-675 mimics&#x002B;pcDNA3.1-MTDH. NC, negative control; MTDH, metadherin.</p></caption>
<graphic xlink:href="MMR-17-02-3372-g04.tif"/>
</fig>
</floats-group>
</article>