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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">OL</journal-id>
<journal-title-group>
<journal-title>Oncology Letters</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-1074</issn>
<issn pub-type="epub">1792-1082</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ol.2016.4881</article-id>
<article-id pub-id-type="publisher-id">OL-0-0-4881</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>miR-19a/b modulates lung cancer cells metastasis through suppression of MXD1 expression</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Hu</surname><given-names>Wenxia</given-names></name>
<xref rid="af1-ol-0-0-4881" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Jin</surname><given-names>Pule</given-names></name>
<xref rid="af1-ol-0-0-4881" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Ding</surname><given-names>Cuimin</given-names></name>
<xref rid="af1-ol-0-0-4881" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Liu</surname><given-names>Wei</given-names></name>
<xref rid="af2-ol-0-0-4881" ref-type="aff">2</xref>
<xref rid="c1-ol-0-0-4881" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-ol-0-0-4881"><label>1</label>Department of Respiratory Medicine, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050012, P.R. China</aff>
<aff id="af2-ol-0-0-4881"><label>2</label>Department of Oncology, Hebei Medical University, Shijiazhuang, Hebei 050017, P.R. China</aff>
<author-notes>
<corresp id="c1-ol-0-0-4881"><italic>Correspondence to</italic>: Dr Wei Liu, Department of Oncology, Hebei Medical University, 361 East Zhongshan Road, Shijiazhuang, Hebei 050017, P.R. China, E-mail: <email>wei_liu1212@163.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>09</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>19</day>
<month>07</month>
<year>2016</year></pub-date>
<volume>12</volume>
<issue>3</issue>
<fpage>1901</fpage>
<lpage>1905</lpage>
<history>
<date date-type="received"><day>10</day><month>03</month><year>2016</year></date>
<date date-type="accepted"><day>19</day><month>07</month><year>2016</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Hu et al.</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>Increasing evidence has shown that microRNA (miRNA) is extensively involved in the pathophysiology of lung cancer. Microarray data demonstrated the increasing levels of miR-19a in the peripheral blood from patients suffering from lung cancer, which is closely associated with poor prognosis of lung cancer. However, the underlying molecular mechanism of miR-19a remains to be determined. The results of the present study showed a higher expression of miR-19a compared with normal bronchial epithelial cells. Furthermore, lentivirus vectors were constructed to establish cell lines that overexpressed and knocked out miR-19a in order to study the role of miR-19a on the metastasis and proliferation of lung cancer cells. Investigation into the underlying mechanism of miR-19a, revealed that MXD1 may be the key gene targeting miR-19a, participating in the process of proliferation and metastasis of lung cancer cells.</p>
</abstract>
<kwd-group>
<kwd>lung cancer</kwd>
<kwd>microRNA</kwd>
<kwd>MXD1</kwd>
<kwd>metastasis</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Lung cancer is a leading cause of cancer mortalities worldwide, from which approximately 80&#x0025; of patients have non-small cell lung cancer (NSCLC) with a 5-year-survival rate of &#x003C;15.9&#x0025; (<xref rid="b1-ol-0-0-4881" ref-type="bibr">1</xref>,<xref rid="b2-ol-0-0-4881" ref-type="bibr">2</xref>). The poor prognosis of patients with lung cancer is closely associated with distant metastasis. Once diagnosed with lung cancer, the survival of patients may be &#x003C;1 year (<xref rid="b2-ol-0-0-4881" ref-type="bibr">2</xref>,<xref rid="b3-ol-0-0-4881" ref-type="bibr">3</xref>). MicroRNAs (miRNAs) are a class of 22-nucleotide non-coding RNAs, which are evolutionarily conserved and function as negative regulators of gene expression (<xref rid="b4-ol-0-0-4881" ref-type="bibr">4</xref>). miRNAs are important in the process of individual development, maturation, senility and the pathological process of various types of diseases (<xref rid="b4-ol-0-0-4881" ref-type="bibr">4</xref>). Increasing evidence has shown that miRNAs play crucial roles in the pathological process of NSCLC and its occurrence, development, and metastasis (<xref rid="b5-ol-0-0-4881" ref-type="bibr">5</xref>&#x2013;<xref rid="b7-ol-0-0-4881" ref-type="bibr">7</xref>). The abnormal regulation of miRNAs function as different factors in the process of NSCLC. Some of these miRNAs, including let-7, miR-34, miR-15/16, miR-143/145, miR-449a, miR-212 and miR-494, were identified as inhibitors of NSCLC in proliferation and metastasis. However, others, including miR-21, miR-221/222, miR-196a, miR-31 and miR141, may act as a promoter of NSCLC (<xref rid="b4-ol-0-0-4881" ref-type="bibr">4</xref>,<xref rid="b7-ol-0-0-4881" ref-type="bibr">7</xref>&#x2013;<xref rid="b13-ol-0-0-4881" ref-type="bibr">13</xref>).</p>
<p>miR17-92 cluster is located on the 13th chromosome and is a genome with seven subtypes icluding 17-5p, 17-3p, 18a, 92a, 19b, and 19a. Previuos findings have shown that these subtypes have a close relationship between developments of tumor (<xref rid="b14-ol-0-0-4881" ref-type="bibr">14</xref>). It is well established that the miR-17-92 family is characterized as an oncogene, is upregulated in cancer cells and promotes cancer cell proliferation (<xref rid="b14-ol-0-0-4881" ref-type="bibr">14</xref>,<xref rid="b15-ol-0-0-4881" ref-type="bibr">15</xref>). miR-19a is an important subtype in the miR-17-92 family. miR-19a may play an important role in the regulation of the STST3/IL-6 signaling pathway and inhibit SOCS1, which was regarded as a negative factor of this signaling cascade (<xref rid="b14-ol-0-0-4881" ref-type="bibr">14</xref>,<xref rid="b15-ol-0-0-4881" ref-type="bibr">15</xref>) and a suppressor of cell apoptosis. It was also reported that miR-19a/b may upregulate the expression of Bim, and plays a crucial role in preventing apoptosis and promoting tumor cell proliferation (<xref rid="b14-ol-0-0-4881" ref-type="bibr">14</xref>).</p>
<p>In the present study, we discussed the role of miR-19a in the process of lung cancer and the underlying mechanisms, and demonstrated a close association between miR-19a and lung cancer.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture</title>
<p>Normal human lung epithelial cell line BEAS-2B, and NSCLC cell lines (H1299 and H460) were purchased from the Institute of Biochemistry and Cell Biology, CAS (Shanghai, China). BEAS-2B cells were grown in Dulbecco&#x0027;s modified Eagle&#x0027;s medium (DMEM) and the NSCLC cell lines were grown in RPMI-1640 supplemented with 10&#x0025; fetal bovine serum (Hyclone, Logan, UT, USA) and 100 U/ml penicillin-streptomycin. The cultured cells were maintained at 37&#x00B0;C in a humidified environment with 5&#x0025; CO<sub>2</sub> in air.</p>
</sec>
<sec>
<title>Establishment of stable overexpression and knockdown of miR-19a in cell lines</title>
<p>miR-19a overexpression and knockdown lentiviral vectors were prepared by GenePharma Co., Ltd. (Shanghai, China). H1299 and H460 were cultured in a 12-well plate for a confluence of 60&#x0025;. The previous culture medium was discarded, and the cells were incubated with fresh RPMI-1640 for 2 h. After infecting the cells with lentivirus, the cells with a stable expression or knockdown of miR-19a were screened with puromycin.</p>
</sec>
<sec>
<title>Cell proliferation assay</title>
<p>The cell proliferation level was detected using the CCK-8 method. The cells were cultivated in a 96-well plate at a density of 2&#x00D7;10<sup>3</sup>/well and incubated for 24, 48 and 72 h at 37&#x00B0;C, 5&#x0025; CO<sub>2</sub>. Subsequently, the cells were incubated with CCK-8 for 1 h and then detected at 450 nm with a microplate reader (Bio-Tek Instruments Inc., Winooski, VT, USA).</p>
</sec>
<sec>
<title>Flow cytometry assay for apoptosis</title>
<p>The cells were collected and washed with cold PBS, then stained with PI (BD Biosciences, San Diego, CA, USA) according to the production manuals. Cells were analyzed using flow cytometry (Coulter, Luton, UK).</p>
</sec>
<sec>
<title>Transwell assay</title>
<p>The cells were incubated with the culture medium containing FBS at a density of 1&#x00D7;10<sup>5</sup>/ml, and 200 &#x00B5;l was added in the upper chamber. RPMI-1640 supplemented with 20&#x0025; FBS was added in the lower chamber with 400 &#x00B5;l. After incubation for 24 h at 37&#x00B0;C, 5&#x0025; CO<sub>2</sub>, cells on the upper surface of the filters were removed and cells adhering to the undersurface of the filter membrane were stained with 0.5&#x0025; crystal violet for 30 min. The crystal violet was washed with PBS three times. The cells in the lower chamber were counted under a microscope for four fields randomly, and the mean cell numbers were recorded and analyzed.</p>
</sec>
<sec>
<title>Reverse transcription quantitative PCR</title>
<p>Total RNA was extracted from the cells at a density of 75&#x0025; confluence using TRIzol total RNA isolation reagent (Gibco, Waltham, MA, USA) as per the manufacturers instructions. Total RNA (2 &#x00B5;g) was transcribed with stem-loop RT primers. The primer sequences used were: miR-19a (5-GTCGTATCCAGTGCAGGGTCCGAGGTATTCGCACTGGATACGACGCGGAAC-3); U6 (5-GTCGTATCCAGTGCAGGGTCCGAGGTATTCGCACTGGATACGACAAAATATGGAAC-3).</p>
<p>The produced cDNA was quantified by SYBR Premix Ex Taq (Takara Bio, Inc., Otsu, Japan). The primer sequences used were: miR-19a, 5-TGCGGTTCACAGTGGCTAAG-3; U6 forward, 5-TGCGGGTGCTCGCTTCGGCAGC-3 and reverse, 5-CCAGTGCAGGGTCCGAGGT-3. The reactions were incubated at 95&#x00B0;C for 5 min (95&#x00B0;C for 30 sec, 56&#x00B0;C for 30 sec and 72&#x00B0;C for 30 sec) for 40 cycles and maintained at 10&#x00B0;C. The expression of mRNA was quantified by 2<sup>&#x2212;&#x0394;&#x0394;CT</sup>.</p>
</sec>
<sec>
<title>Western blotting</title>
<p>The cells were harvested (1.5&#x00D7;10<sup>5</sup>/ml) and lysed by RIPA with PMSF. After incubation for 20 min, the cell lysate was centrifuged for 10 min at 2,580 &#x00D7; g and later separated on 10&#x0025; SDS-PAGE (50 &#x00B5;g/lane) and transferred onto nitrocellulose membranes. After blocking with 5&#x0025; BSA, the target proteins were probed with the primary antibodies at 4&#x00B0;C overnight. After three 5-min washes with TBST, the bound antibodies were detected using HRP-conjugated secondary antibodies and were visualized using the enhanced chemiluminescent reagent. The relative levels of each protein were determined by densitometric scanning (Amersham WB System, GE Healthcare Bio-Sciences, Pittsburgh, PA, USA). The antibodies used for the study were: MXD1 antibody (rabbit polyclonal, IgG, dilution 1:1000, Proteintech, Rosemont, IL, USA; catalog no.: 17888-1-AP), GAPDH antibody (rabbit polyclonal, IgG, dilution 1:20000, Proteintech, Rosemont, IL, USA; catalog no.: 10494-1-AP). The secondary antibody was goat F(ab&#x0027;)2 anti-rabbit IgG (Fab&#x0027;)2 (HRP) preadsorbed (Abcam, Cambridge, MA, USA; catalog no.: ab6112).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Data were analyzed using SPSS 19.0 software (IBM, Armonk, NY, USA). Data were presented as means &#x00B1; standard deviation. Comparisons were conducted using one-way ANOVA followed by the post-hoc (LSD) test. P&#x003C;0.05 indicated a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>miR-19a expression is significantly higher in H460 and H1299 compared with the normal cell line BEAS-2B</title>
<p>RT-PCR was used to detect the expression of miR-19a in lung cancer and normal cells to determine the association between miR-19a and lung cancer. The results showed a significant difference between the normal and lung cancer cells (<xref rid="f1-ol-0-0-4881" ref-type="fig">Fig. 1</xref>).</p>
</sec>
<sec>
<title>miR-19a plays a key role in lung cancer cell proliferation</title>
<p>To determine the effects of miR-19a on proliferation in the different cell lines, we constructed the lentivirus vectors to establish the cells lines with overexpressed and knocked down miR-19a. The results of RT-PCR indicated that the cells lines infected by lentivirus were successfully established (<xref rid="f2-ol-0-0-4881" ref-type="fig">Fig. 2</xref>). Subsequently, we detected cell proliferation using CCK-8 to determine the effects of miR-19a on proliferation. The cells were cultivated in a 96-well plate at a density of 2&#x00D7;10<sup>3</sup>/well and incubated for 24, 48 and 72 h. There were no significant differences in proliferation at 24 and 48 h, whereas a significant difference was detected by 72 h, as observed by the inhibition of proliferation of the miR-19a knockdown cell lines, compared with the related control cell line and the overexpressed one (<xref rid="f3-ol-0-0-4881" ref-type="fig">Fig. 3</xref>).</p>
</sec>
<sec>
<title>miR-19a stimulates the lung cancer cell migration</title>
<p>In addition to the proliferative function of miR-19a, the migratory influence of miR-19a was examined using an invasion assay. As shown in <xref rid="f4-ol-0-0-4881" ref-type="fig">Fig. 4</xref>, miR-19a overexpressed cells had a significant increasing number of cells in the lower chamber compared with the non-transfected control cells. The invasion data indicated that miR-19a likely played an important role in promoting lung cancer metastasis.</p>
</sec>
<sec>
<title>Effect of miR-19a on the cell cycle in lung cancer cells</title>
<p>The aforementioned results identified the upregulation of miR-19a in lung cancer cells and a higher expression of miR-19a may function as a promoter in cell proliferation and migration. Thus, the effect of miR-19a on the cell cycle was assessed. Using flow cytometry and PI staining, G2/M arrest in cell lines with miR-19a knockdown was identified, compared with the non-transfected control. However, the cell lines with miR-19a overexpression did not show any significant difference between the non-transfected control (<xref rid="f5-ol-0-0-4881" ref-type="fig">Fig. 5</xref>).</p>
</sec>
<sec>
<title>miR-19a inhibits MXD1 expression at the gene and protein level</title>
<p>MXD1 was capable of binding with MAX competitively, which inhibited the formation of the c-Myc/MAX heterodimers, and the transcriptional activity of c-Myc was downregulated (<xref rid="b16-ol-0-0-4881" ref-type="bibr">16</xref>). Our results found that following the overexpression of miR-19a in cancer cells, MXD1 expression was significantly downregulated, which indicated that miR-19a may regulate MXD1 expression negatively, and thus promote the formation of c-myc/max heterodimers indirectly, thereby enhancing cell proliferation. (<xref rid="f6-ol-0-0-4881" ref-type="fig">Fig. 6</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In the present study, we found that the expression of miR-19a was significantly higher in the lung cancer cell lines compared to the normal human lung epithelial cell line. In addition, we demonstrated that the high expression of miR-19a may act as a promoter in lung cancer cell proliferation and migration. To examine the underlying mechanisms of miR-19a in lung cancer cell lines, we identified the expression of MXD1, which was regaredd as an obligate partner to prevent the c-Myc/Max was negatively associated with the expression of miR-19a. Additionally, in miR-19a knockdown cell lines, we demonstrated the arrest of cell cycle at G2/M phase, indicating the miR-19a may target protein associated with the cell cycle.</p>
<p>miRNA are evolutionarily conserved and consist of 20&#x2013;25 nucleotides, which bind to the UTR of mRNA, blocking or degrading the mRNA, indicating that it plays crucial roles in the process of cell-life activities, which have been demonstrated in various diseases, including cancer (<xref rid="b17-ol-0-0-4881" ref-type="bibr">17</xref>). miR-19a is an important member of the miR-17-92 RNA family, is considered an oncogene and is controlled by c-Myc (<xref rid="b18-ol-0-0-4881" ref-type="bibr">18</xref>,<xref rid="b19-ol-0-0-4881" ref-type="bibr">19</xref>). These characteristics of the miR-17-92 RNA family have been identified in various types of cancer, including lung cancer. Thus, miR-19a had common characteristics in promoting the proliferation and migration of cancer cells (<xref rid="b14-ol-0-0-4881" ref-type="bibr">14</xref>). Higher levels of miR-19a in the serum were also detected from the patients suffering from lung cancer (<xref rid="b15-ol-0-0-4881" ref-type="bibr">15</xref>).</p>
<p>There are several genes that miR-19a targets, including <italic>atrogin-1</italic>, <italic>MuRF-1</italic>, <italic>TNF</italic>-&#x03B1;, <italic>SOCS1</italic>, <italic>PTEN</italic> and <italic>CUL5</italic> (<xref rid="b16-ol-0-0-4881" ref-type="bibr">16</xref>,<xref rid="b20-ol-0-0-4881" ref-type="bibr">20</xref>&#x2013;<xref rid="b25-ol-0-0-4881" ref-type="bibr">25</xref>). In addition, a close association between miR-19a and MXD1 has been demonstrated in gastric cancer (<xref rid="b16-ol-0-0-4881" ref-type="bibr">16</xref>). It has been established that MXD1 is an obligate partner involved in the prevention of c-Myc/Max, playing a key role in preventing the process of cancers (<xref rid="b26-ol-0-0-4881" ref-type="bibr">26</xref>,<xref rid="b27-ol-0-0-4881" ref-type="bibr">27</xref>). In the present study, we indicated that miR-19a may function as a promoter in cell proliferation and migration underlying the mechanisms of downregulating the expression of MXD1 in lung cancer cell lines. Apart from the present study, <italic>in vivo</italic> and clinical research of miR-19a and other cancer cell lines should be conducted in future to clarify the important role that miR-19a plays on physiological and pathological processes of cancer cells.</p>
</sec>
</body>
<back>
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<floats-group>
<fig id="f1-ol-0-0-4881" position="float">
<label>Figure 1.</label>
<caption><p>miR-19a expression in the H460, H1299 and BEAS-2B cell lines. &#x002A;&#x002A;&#x002A;P&#x003C;0.05, statistically signifiicant.</p></caption>
<graphic xlink:href="ol-12-03-1901-g00.tif"/>
</fig>
<fig id="f2-ol-0-0-4881" position="float">
<label>Figure 2.</label>
<caption><p>Expression of miR-19a after infection by lentivirus. The suffix of &#x2018;a&#x2019; indicates the overexpression of miR-19a while the suffix of &#x2018;I&#x2019; indicates the knockdown of miR-19a.</p></caption>
<graphic xlink:href="ol-12-03-1901-g01.tif"/>
</fig>
<fig id="f3-ol-0-0-4881" position="float">
<label>Figure 3.</label>
<caption><p>Lung cancer cell lines with overexpressed miR-19a show a significantly higher proliferation while the ones with miR-19a knockdown indicated a lower proliferation compared with the non-transfected control cells (&#x002A;&#x002A;&#x002A;P&#x003C;0.001; &#x002A;P&#x003C;0.05).</p></caption>
<graphic xlink:href="ol-12-03-1901-g02.tif"/>
</fig>
<fig id="f4-ol-0-0-4881" position="float">
<label>Figure 4.</label>
<caption><p>Crystal violet staining for migrated cells of non-transfected controls. (A) H460, (C) H1299 and the overexpressed cell lines, (B) H460 and (D) H1299.</p></caption>
<graphic xlink:href="ol-12-03-1901-g03.tif"/>
</fig>
<fig id="f5-ol-0-0-4881" position="float">
<label>Figure 5.</label>
<caption><p>The cell cycle is detected by flow cytometry. (A) H1299, (B) H1299 with miR-19a overexpression, (C) H1299 with miR-19a knockdown, (D) H460, (E) H460 with miR-19a overexpression and (F) H460 with miR-19a knockdown.</p></caption>
<graphic xlink:href="ol-12-03-1901-g04.tif"/>
</fig>
<fig id="f6-ol-0-0-4881" position="float">
<label>Figure 6.</label>
<caption><p>Expression of MXD1 at the gene and protein level. Suffix of &#x2018;a&#x2019; indicates an overexpression of miR-19a while suffix of &#x2018;I&#x2019; indicating a knockdown of miR-19a (&#x002A;&#x002A;&#x002A;P&#x003C;0.001).</p></caption>
<graphic xlink:href="ol-12-03-1901-g05.tif"/>
<graphic xlink:href="ol-12-03-1901-g06.tif"/>
</fig>
</floats-group>
</article>
