<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<?release-delay 0|0?>
<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.2014.1931</article-id>
<article-id pub-id-type="publisher-id">ol-07-05-1689</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Tumor suppressor microRNA-34a inhibits cell proliferation by targeting Notch1 in renal cell carcinoma</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>ZHANG</surname><given-names>CHANGCUN</given-names></name><xref rid="fn1-ol-07-05-1689" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>MO</surname><given-names>REN</given-names></name><xref rid="fn1-ol-07-05-1689" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>YIN</surname><given-names>BINDE</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>ZHOU</surname><given-names>LIBIN</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>LIU</surname><given-names>YONGCHAO</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>FAN</surname><given-names>JIE</given-names></name><xref ref-type="corresp" rid="c1-ol-07-05-1689"/></contrib>
<aff id="af1-ol-07-05-1689">Department of Urology, Shanghai First People&#x02019;s Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200080, P.R. China</aff></contrib-group>
<author-notes>
<corresp id="c1-ol-07-05-1689">Correspondence to: Dr Jie Fan, Department of Urology, Shanghai First People&#x02019;s Hospital, School of Medicine, Shanghai Jiaotong University, 85 Wujin Road, Shanghai 200080, P.R. China, E-mail: <email>jief67@sina.com</email></corresp><fn id="fn1-ol-07-05-1689">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>5</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>04</day>
<month>03</month>
<year>2014</year></pub-date>
<volume>7</volume>
<issue>5</issue>
<fpage>1689</fpage>
<lpage>1694</lpage>
<history>
<date date-type="received">
<day>28</day>
<month>03</month>
<year>2013</year></date>
<date date-type="accepted">
<day>24</day>
<month>01</month>
<year>2014</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014, Spandidos Publications</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>MicroRNA-34a (miR-34a) is a tumor suppressive microRNA, which induces G1 arrest, apoptosis and senescence by repressing the expression of multiple oncogenes. This study aimed to investigate the biological function and molecular mechanisms of miR-34a in human renal cell carcinoma (RCC) cells. Quantitative polymerase chain reaction (qPCR) revealed that miR-34a expression was significantly downregulated in eight of the 10 (80&#x00025;) RCC tissues compared with adjacent normal tissues. In RCC cell lines, several other target genes of miR-34a were dysregulated at the mRNA level when the expression of miR-34a was elevated. In addition, western blot analysis and qPCR revealed that forced expression of miR-34a downregulated the expression of Notch1 at the protein and mRNA level. The Cell Counting Kit-8 identified that transient forced expression of miR-34a inhibited cell growth and resulted in cell cycle arrest, which was evaluated by flow cytometry. Our data demonstrated that miR-34a inhibits cell proliferation by downregulating Notch1 in RCC cell lines.</p></abstract>
<kwd-group>
<kwd>notch1</kwd>
<kwd>microRNA-34a</kwd>
<kwd>renal cell carcinoma</kwd>
<kwd>target oncogenes</kwd>
<kwd>cell proliferation</kwd>
<kwd>cell cycle</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>MicroRNAs (miRNAs), which are a conserved class of short, non-coding, endogenous RNAs comprising ~22 nucleotides, are involved in post-transcriptional gene regulation by inhibiting translation or cleaving specific target mRNAs (<xref rid="b1-ol-07-05-1689" ref-type="bibr">1</xref>). It has been indicated that miRNAs play important regulatory roles in various biological processes, such as cell proliferation, developmental timing, apoptosis, metabolism and carcinogenesis (<xref rid="b2-ol-07-05-1689" ref-type="bibr">2</xref>). miRNAs have been classified as oncogenes or tumor suppressor genes according to their function in carcinogenesis and ectopic expression in tumors (<xref rid="b3-ol-07-05-1689" ref-type="bibr">3</xref>). For example, miR-27a is overexpressed and functions as an oncogene in the development of renal cell carcinoma (RCC) (<xref rid="b4-ol-07-05-1689" ref-type="bibr">4</xref>), and Let-7a may inhibit cell growth by targeting c-myc in RCC (<xref rid="b5-ol-07-05-1689" ref-type="bibr">5</xref>).</p>
<p>MicroRNA-34a (miR-34a) is a direct target of p53 (<xref rid="b6-ol-07-05-1689" ref-type="bibr">6</xref>) and is commonly downregulated in several types of cancer. For example, miR-34a was downregulated in 10 out of 10 prostate cancer tissues (<xref rid="b7-ol-07-05-1689" ref-type="bibr">7</xref>). Gallardo <italic>et al</italic> (<xref rid="b8-ol-07-05-1689" ref-type="bibr">8</xref>) demonstrated that miR-34a expression was significantly reduced in non-small-cell lung cancer compared with normal tissues. The ectopic expression of miR-34a may induce G1 arrest (<xref rid="b9-ol-07-05-1689" ref-type="bibr">9</xref>&#x02013;<xref rid="b11-ol-07-05-1689" ref-type="bibr">11</xref>), apoptosis and senescence in tumors (<xref rid="b6-ol-07-05-1689" ref-type="bibr">6</xref>,<xref rid="b12-ol-07-05-1689" ref-type="bibr">12</xref>,<xref rid="b13-ol-07-05-1689" ref-type="bibr">13</xref>). Moreover, miR-34a directly regulates numerous target genes that mediate its diverse antitumor effects, and several target genes of miR-34a have been reported, including Notch1 (<xref rid="b14-ol-07-05-1689" ref-type="bibr">14</xref>,<xref rid="b15-ol-07-05-1689" ref-type="bibr">15</xref>), cyclin-dependent kinase 6 (CDK6) (<xref rid="b11-ol-07-05-1689" ref-type="bibr">11</xref>), E2F transcription factor 3 (E2F3) (<xref rid="b12-ol-07-05-1689" ref-type="bibr">12</xref>), cyclin E2 (CCNE2) (<xref rid="b16-ol-07-05-1689" ref-type="bibr">16</xref>) and silent information regulator 1 (SIRT1) (<xref rid="b17-ol-07-05-1689" ref-type="bibr">17</xref>).</p>
<p>The Notch signaling pathway is highly conserved and regulates the biological processes involved in cell fate specification, differentiation, proliferation, apoptosis, adhesion, migration and angiogenesis (<xref rid="b18-ol-07-05-1689" ref-type="bibr">18</xref>). Abnormal Notch signaling has been found in the tumorigenesis of cancers (<xref rid="b19-ol-07-05-1689" ref-type="bibr">19</xref>&#x02013;<xref rid="b21-ol-07-05-1689" ref-type="bibr">21</xref>) and ectopic expression of Notch signaling is also involved in the carcinogenesis of RCC (<xref rid="b22-ol-07-05-1689" ref-type="bibr">22</xref>,<xref rid="b23-ol-07-05-1689" ref-type="bibr">23</xref>). Previous studies have shown that miR-34a regulates the expression of Notch1 in a number of human cancers (<xref rid="b14-ol-07-05-1689" ref-type="bibr">14</xref>,<xref rid="b15-ol-07-05-1689" ref-type="bibr">15</xref>). Thus, this study hypothesized that there is a significant correlation between antineoplastic miR-34a and oncogenic Notch1 in the development of RCC. This study aimed to investigate the biological function and molecular mechanisms of miR-34a in human renal cell carcinoma cells.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Tissue samples</title>
<p>Patient-matched RCC (10 pairs) and normal renal tissues were obtained from patients who underwent radical nephrectomy at the Department of Urology, Shanghai First People&#x02019;s Hospital, School of Medicine, Shanghai Jiaotong University (Shanghai, China) between 2006 and 2010. The normal renal tissues were obtained from a distance of &#x02265;5 cm from the tumor tissues. Paired tissue specimens (n&#x0003D;10) were identified as clear cell RCCs with four, five and one specimen classified as stages I, II and III, respectively, according to clinical tumor-node-metastasis staging (American Joint Committee on Cancer); whereas one, seven and two RCCs were classified as grades I, II and III, respectively, according to their differentiation status. The clinical and pathological characteristics of the renal samples are presented in <xref rid="tI-ol-07-05-1689" ref-type="table">Table I</xref>. All the specimens were snap-frozen in liquid nitrogen immediately and stored at &#x02212;80&#x000B0;C following surgery, until RNA extraction. The histological diagnosis was confirmed by examining hematoxylin and eosin-stained original sections simultaneously by two pathologists. The The Research and Ethics Committees of Shanghai First People&#x02019;s Hospital (Shanghai, China) approved the study, and patient consent was obtained prior to tissue collection.</p></sec>
<sec>
<title>Cell culture</title>
<p>The 786-O and Caki-1 human RCC cell lines were obtained from the Cell Resource Center of Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences (Shanghai, China). The 786-O cells were cultured in RPMI-1640 medium (Gibco-BRL, Rockville, MD, USA) supplemented with 10&#x00025; fetal bovine serum (FBS; Gibco-BRL) and 100 U/ml penicillin/streptomycin (Invitrogen Life Technologies, Carlsbad, CA, USA). The Caki-1 cells were cultured in McCoy&#x02019;s 5A medium (Gibco-BRL) supplemented with 10&#x00025; FBS and 100 U/ml penicillin/streptomycin. The cells were cultured in a humidified incubator in an atmosphere of 5&#x00025; CO<sub>2</sub> at 37&#x000B0;C.</p></sec>
<sec>
<title>Cell transfection</title>
<p>The 786-O and Caki-1 cells were seeded at 1&#x000D7;10<sup>5</sup> cells per well in 6-well plates and transfected with 50 nM of miR-34a mimics or the negative control (GenePharma, Co., Ltd., Shanghai, China) using Lipofectamine<sup>&#x000AE;</sup> RNAiMAX (Invitrogen Life Technologies) according to the manufacturer&#x02019;s instructions. The cells were then harvested 48 h after transfection.</p></sec>
<sec>
<title>RNA extraction</title>
<p>Total RNA from cultured cells and tissues was extracted using the TRIzol reagent (Invitrogen Life Technologies) according to the manufacturer&#x02019;s instructions. RNA quantity and quality were determined by spectrophotometry at 260 nm (SmartSpec Plus, Bio-Rad, Hercules, CA, USA) and agarose gel electrophoresis (SantaiBio, Shanghai, China).</p></sec>
<sec>
<title>Quantitative polymerase chain reaction (qPCR)</title>
<p>Reverse transcription for miRNAs was performed using the TaqMan MicroRNA Reverse Transcription kit (Applied Biosystems, Foster City, CA, USA). TaqMan MicroRNA expression assays (Applied Biosystems) were used to provide specific primers for the reverse transcription and quantitation of mature miR-34a and RNU6B. Thermal cycling conditions for qPCR were as follows: 95&#x000B0;C for 10 min, followed by 40 cycles of 95&#x000B0;C for 15 sec and 60&#x000B0;C for 60 sec. RNU6B expression was used as an internal control for miR-34a expression. In order to detect mRNA, 500 ng of RNA was reverse-transcribed using a PrimeScript Reverse Transcriptase reagent kit (Takara, Dalian, China) according to the manufacturer&#x02019;s instructions, and was amplified by qPCR using specific primers (<xref rid="tII-ol-07-05-1689" ref-type="table">Table II</xref>). Glyceraldehyde-3-phosphate-dehydrogenase (GAPDH) was used as an internal control to normalize for differences in the input RNA. The PCR conditions were as follows: One cycle at 95&#x000B0;C for 1 min and 34 cycles at 94&#x000B0;C for 10 sec, 60&#x000B0;C for 30 sec and 72&#x000B0;C for 15 sec. All the measurements were performed in triplicate. Amplification was analyzed using the &#x00394;&#x00394;Ct method (<xref rid="b24-ol-07-05-1689" ref-type="bibr">24</xref>).</p></sec>
<sec>
<title>Cell proliferation analysis by Cell Counting Kit-8 (CCK-8)</title>
<p>The cells were seeded into 96-well plates at 1,000 cells per well 24 h after transfection. The effects of miR-34a on cell proliferation were detected 0, 24 and 48 h after seeding using CCK-8 (Dojindo Molecular Technologies, Inc., Kumamoto, Japan) according to the manufacturer&#x02019;s instructions. Each assay was performed in five replicates on three independent experiments.</p></sec>
<sec>
<title>Cell cycle analysis by flow cytometry</title>
<p>After transfection (48 h) and prior to cell counting, the cells were collected, washed with cold phosphate-buffered saline (PBS), fixed in cold 70&#x00025; ethanol in PBS for at least 24 h and labeled with propidium iodide. After staining, cells were counted on FACSCalibur using CellQuest Pro software (BD Biosciences, Franklin Lakes, NJ, USA). The cell cycle fractions were analyzed using ModFit software, version 3.0 (BD Biosciences).</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Total protein was extracted from the cells using whole cell lysates (Beyotime, Jiangsu, China). The protein concentrations of individual samples were assessed using a standard bicinchoninic acid assay (Beyotime). For each sample, 60 &#x003BC;g of protein was separated on 10&#x00025; SDS-PAGE gel (Bio-Rad), transferred onto a polyvinylidene difluoride membrane (catalogue number: 3010040001; Roche Applied Science, Mannheim, Germany)and blocked with 5&#x00025; skimmed milk and 0.1&#x00025; Tris-buffered saline-Tween 20 (TBST) at room temperature for 1.5 h. The membranes were washed in TBST three times and incubated overnight at 4&#x000B0;C with monoclonal rabbit anti-Notch1 antibody (1/1,000 dilution) and monoclonal rabbit anti-GAPDH antibody (1/8,000 dilution). The primary antibodies recognize human protein and were purchased from Cell Signaling Technology, Inc. (Beverly, MA, USA). The membranes were then washed with 1X TBST (Jiuzhou Tech, Beijing, China) and incubated with anti-rabbit IgG horseradish peroxidase-conjugated secondary antibody (Cell Signaling Technology, Inc.). The protein expression was evaluated using chemiluminescence and exposure to Kodak film.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Data are presented as the means &#x000B1; standard deviation from at least three separate experiments and significance was analyzed using the Student&#x02019;s t-test. All the analyses were performed using SPSS software, version 17.0 (SPSS Inc., Chicago, IL, USA). P&lt;0.05 is considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>miR-34a expression is downregulated in renal tumors</title>
<p>To investigate the underlying mechanisms of miR-34a in the development of RCC, the expression levels of miR-34a in human RCC tissues and adjacent normal tissues were examined by qPCR. miR-34a was significantly downregulated in eight of the 10 (80&#x00025;) human RCC tissues compared with the adjacent normal tissues (<xref rid="f1-ol-07-05-1689" ref-type="fig">Fig. 1</xref>). These findings suggest that the downregulation of miR-34a may be involved in human RCC carcinogenesis.</p></sec>
<sec>
<title>Functional effects of miR-34a on proliferation and cell cycle progression in RCC cell lines</title>
<p>The effects of miR-34a on cell proliferation in two RCC cell lines was investigated. To validate the antiproliferative function of miR-34a in RCCs, the RCC cell lines were transfected with miR-34a mimics and the negative control. The proliferation rate of each RCC cell line 24 h after transfection and over the following three days was examined using CCK-8. Our findings suggested that the overexpression of miR-34a significantly inhibited the cell proliferation rate compared with the negative control in the two RCC cell lines (<xref rid="f2-ol-07-05-1689" ref-type="fig">Fig. 2A and B</xref>). Flow cytometry examined the functional effects of miR-34a on cell cycle progression. Different alterations in the cell cycle were observed in the two RCC cell lines (<xref rid="f2-ol-07-05-1689" ref-type="fig">Fig. 2C and D</xref>). A significant decrease in the percentage of cells in S phase and a significant arrest in the G0&#x02013;G1 phase was observed in the 786-O cells (<xref rid="f2-ol-07-05-1689" ref-type="fig">Fig. 2C</xref>); whereas no significant decrease in the percentage of cells in S phase was observed in Caki-1 cells, but a significant arrest in the G0&#x02013;G1 phase was identified (<xref rid="f2-ol-07-05-1689" ref-type="fig">Fig. 2D</xref>).</p></sec>
<sec>
<title>Relative mRNA expression levels of putative target genes of miR-34a in RCC cell lines</title>
<p>The molecular mechanisms of miR-34a in the development of RCC were further investigated. miR-34a exerts its diverse inhibitory effects by regulating a number of target genes. According to the bioinformatic analysis on TargetScan (<ext-link xlink:href="http://www.targetscan.org/" ext-link-type="uri">http://www.targetscan.org/</ext-link>), SIRT1, Notch1, CDK6, E2F3 and CCNE2 are putative target genes of miR-34a and have been found in different tumors. In the present study, the mRNA expression levels of these genes following transfection were examined by qPCR. Our data showed that the mRNA expression levels of SIRT1, Notch1, CDK6, E2F3 and CCNE2 in the 786-O cell line were significantly reduced in the miR-34a mimics group compared with the negative control group (<xref rid="f3-ol-07-05-1689" ref-type="fig">Fig. 3A</xref>). In the Caki-1 cell line, Notch1 and CCNE2 were downregulated and miR-34a exerted almost no significant effects on the mRNA levels of SIRT1, CDK6 and E2F3 (<xref rid="f3-ol-07-05-1689" ref-type="fig">Fig. 3B</xref>).</p></sec>
<sec>
<title>Notch1 is downregulated by miR-34a in the RCC cell lines</title>
<p>Among all the putative and reported genes in the current study, we found that miR-34a significantly reduced the mRNA expression of Notch1 in the 786-O and Caki-1 RCC cell lines. Thus, our study focused on Notch1 and investigated whether the forced expression of miR-34a could downregulate the expression of Notch1 in RCC. The RCC cell lines were transfected with miR-34a mimics and the negative control; after 48 h, the cells transfected with miR-34a mimics displayed decreased Notch1 protein and mRNA levels in comparison to those transfected with the negative control (<xref rid="f4-ol-07-05-1689" ref-type="fig">Fig. 4A and B</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>A number of studies have reported a relatively low expression level of miR-34a in human tumors and cancer cell lines (<xref rid="b12-ol-07-05-1689" ref-type="bibr">12</xref>,<xref rid="b18-ol-07-05-1689" ref-type="bibr">18</xref>). In accordance with these observations, qPCR examination revealed that the expression of miR-34a was reduced in eight of the 10 (80&#x00025;) human RCC tissues compared with the adjacent normal tissues (<xref rid="f1-ol-07-05-1689" ref-type="fig">Fig. 1</xref>), which suggested that dysregulation of miR-34a may be involved in the development of human RCC. However, a limitation of the present study was the small number of tissue samples. Our study measured the expression of miR-34a in RCC tissue to investigate whether miR-34a is involved in the development of RCC; although, the main purpose of the study was to explore the biological function and molecular mechanism of miR-34a in RCC cell lines. The decreased expression of miR-34a in tumors may be correlated with the loss of chromosome 1p36, p53 mutations and CpG methylation of the miR-34a promoters in cancer. The 1p36 genomic region is frequently deleted in a number of tumors (<xref rid="b25-ol-07-05-1689" ref-type="bibr">25</xref>) and miR-34a was reported to be located within chromosome 1p36 (<xref rid="b12-ol-07-05-1689" ref-type="bibr">12</xref>,<xref rid="b26-ol-07-05-1689" ref-type="bibr">26</xref>). Furthermore, previous studies have reported that miR-34a is the target of p53 tumor suppressor gene, underlying the downregulation of miR-34a in tumors (<xref rid="b6-ol-07-05-1689" ref-type="bibr">6</xref>,<xref rid="b9-ol-07-05-1689" ref-type="bibr">9</xref>), and p53 mutation is involved in the development of RCC (<xref rid="b27-ol-07-05-1689" ref-type="bibr">27</xref>). In addition, miR-34a was inactivated by aberrant CpG methylation in various types of cancer, including RCC (<xref rid="b28-ol-07-05-1689" ref-type="bibr">28</xref>). Thus, the downregulation of miR-34a may be a common event involved in the tumorigenesis of RCC.</p>
<p>Our study focused on the antiproliferative effects of miR-34a in RCC. Forced expression of miR-34a was observed to reduce the proliferation rate of the RCC cell lines (<xref rid="f2-ol-07-05-1689" ref-type="fig">Fig. 2A and B</xref>) compared with the negative control. In addition, Notch signaling plays important roles in the carcinogenesis of RCC. Xu <italic>et al</italic> (<xref rid="b29-ol-07-05-1689" ref-type="bibr">29</xref>) showed that Notch1 functions as an oncogene, promoting the growth of RCC. It has also been reported that Notch1 is associated with the metastasis of RCC (<xref rid="b22-ol-07-05-1689" ref-type="bibr">22</xref>,<xref rid="b23-ol-07-05-1689" ref-type="bibr">23</xref>). Previous studies have shown that Notch1 is the target of miR-34a in a number of tumors (<xref rid="b14-ol-07-05-1689" ref-type="bibr">14</xref>,<xref rid="b15-ol-07-05-1689" ref-type="bibr">15</xref>,<xref rid="b30-ol-07-05-1689" ref-type="bibr">30</xref>). However, to the best of our knowledge, it had not previously been demonstrated that miR-34a downregulates the expression of Notch1 in RCC. Our findings suggested that miR-34a repressed the expression of Notch1 at the protein and mRNA level (<xref rid="f4-ol-07-05-1689" ref-type="fig">Fig. 4</xref>). Thus, the suppressive function of miR-34a on the proliferation of RCC cells may be partly due to the regulation of Notch1 and miR-34a may affect the Notch signaling pathway.</p>
<p>Previous studies have reported that miR-34a induces cell cycle arrest in tumors (<xref rid="b11-ol-07-05-1689" ref-type="bibr">11</xref>,<xref rid="b14-ol-07-05-1689" ref-type="bibr">14</xref>,<xref rid="b15-ol-07-05-1689" ref-type="bibr">15</xref>); however, in our study, a significant decrease in the percentage of cells in S phase and a significant G0&#x02013;G1 arrest was observed in 786-O cells, while no significant decrease in the percentage of cells in S phase, but a significant G0&#x02013;G1 arrest was identified in Caki-1 cells (<xref rid="f2-ol-07-05-1689" ref-type="fig">Fig. 2C and D</xref>). Therefore, there may be alternative mechanisms involved in cell cycle distribution in the Caki-1 RCC cell line, which require further investigation. The control of cell proliferation by miRNAs may be via the regulation of critical cell cycle regulators (<xref rid="b31-ol-07-05-1689" ref-type="bibr">31</xref>). Our data suggested that miR-34a may, in part, act through additive or synergistic effects of multiple cell-cycle-related proteins, such as CDK6, E2F3 and CCNE2, mediating the dysregulation of cell growth and proliferation in RCCs (<xref rid="f3-ol-07-05-1689" ref-type="fig">Fig. 3</xref>).</p>
<p>In conclusion, the expression of miR-34a was lower in RCC tumors compared with the adjacent normal tissues. Several putative target genes of miR-34a were also dysregulated at the mRNA level when the expression of miR-34a was elevated in the RCC cell lines. Our findings suggest that miR-34a could suppress carcinogenesis by modulating the expression of Notch1 at the mRNA and protein level, thus inhibiting cell proliferation and inducing cell cycle arrest at G0 phase in the RCC cell lines. In conclusion, miR-34a expression is associated with the malignant behavior of RCC cells and, therefore, may be a candidate molecular therapeutic target for RCC in the future (<xref rid="b32-ol-07-05-1689" ref-type="bibr">32</xref>).</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by grants from the National Natural Science Foundation of China (no. 81372753) and the Program of Science and Technology Commission of Shanghai Municipality (no. 124119a2200). The authors would like to thank Youyi Lu for assistance with the study.</p></ack>
<glossary>
<title>Abbreviations</title>
<def-list>
<def-item>
<term id="G1">RCC</term>
<def>
<p>renal cell carcinoma</p></def></def-item>
<def-item>
<term id="G2">miR-34a</term>
<def>
<p>microRNA-34a</p></def></def-item>
<def-item>
<term id="G3">CCK-8</term>
<def>
<p>Cell Counting Kit-8</p></def></def-item>
<def-item>
<term id="G4">qPCR</term>
<def>
<p>quantitative polymerase chain reaction</p></def></def-item>
<def-item>
<term id="G5">GAPDH</term>
<def>
<p>glyceraldehyde-3-phosphate-dehydrogenase</p></def></def-item>
<def-item>
<term id="G6">SIRT1</term>
<def>
<p>silent information regulator 1</p></def></def-item>
<def-item>
<term id="G7">CDK6</term>
<def>
<p>cyclin-dependent kinase 6</p></def></def-item>
<def-item>
<term id="G8">CCNE2</term>
<def>
<p>cyclin E2</p></def></def-item></def-list></glossary>
<ref-list>
<title>References</title>
<ref id="b1-ol-07-05-1689"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bartel</surname><given-names>DP</given-names></name></person-group><article-title>MicroRNAs: genomics, biogenesis, mechanism, and function</article-title><source>Cell</source><volume>116</volume><fpage>281</fpage><lpage>297</lpage><year>2004</year></element-citation></ref>
<ref id="b2-ol-07-05-1689"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kloosterman</surname><given-names>WP</given-names></name><name><surname>Plasterk</surname><given-names>RH</given-names></name></person-group><article-title>The diverse functions of microRNAs in animal development and disease</article-title><source>Dev Cell</source><volume>11</volume><fpage>441</fpage><lpage>450</lpage><year>2006</year></element-citation></ref>
<ref id="b3-ol-07-05-1689"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Croce</surname><given-names>CM</given-names></name></person-group><article-title>Causes and consequences of microRNA dysregulation in cancer</article-title><source>Nat Rev Genet</source><volume>10</volume><fpage>704</fpage><lpage>714</lpage><year>2009</year></element-citation></ref>
<ref id="b4-ol-07-05-1689"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhou</surname><given-names>L</given-names></name><name><surname>Yin</surname><given-names>B</given-names></name><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Hong</surname><given-names>Y</given-names></name><name><surname>Zhang</surname><given-names>C</given-names></name><name><surname>Fan</surname><given-names>J</given-names></name></person-group><article-title>Mechanism and function of decreased FOXO1 in renal cell carcinoma</article-title><source>J Surg Oncol</source><volume>105</volume><fpage>841</fpage><lpage>847</lpage><year>2012</year></element-citation></ref>
<ref id="b5-ol-07-05-1689"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Yin</surname><given-names>B</given-names></name><name><surname>Zhang</surname><given-names>C</given-names></name><name><surname>Zhou</surname><given-names>L</given-names></name><name><surname>Fan</surname><given-names>J</given-names></name></person-group><article-title>Hsa-let-7a functions as a tumor suppressor in renal cell carcinoma cell lines by targeting c-myc</article-title><source>Biochem Biophys Res Commun</source><volume>417</volume><fpage>371</fpage><lpage>375</lpage><year>2012</year></element-citation></ref>
<ref id="b6-ol-07-05-1689"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chang</surname><given-names>TC</given-names></name><name><surname>Wentzel</surname><given-names>EA</given-names></name><name><surname>Kent</surname><given-names>OA</given-names></name><etal/></person-group><article-title>Transactivation of miR-34a by p53 broadly influences gene expression and promotes apoptosis</article-title><source>Mol Cell</source><volume>26</volume><fpage>745</fpage><lpage>752</lpage><year>2007</year></element-citation></ref>
<ref id="b7-ol-07-05-1689"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yamamura</surname><given-names>S</given-names></name><name><surname>Saini</surname><given-names>S</given-names></name><name><surname>Majid</surname><given-names>S</given-names></name><etal/></person-group><article-title>MicroRNA-34a modulates c-Myc transcriptional complexes to suppress malignancy in human prostate cancer cells</article-title><source>PLoS One</source><volume>7</volume><fpage>e29722</fpage><year>2012</year></element-citation></ref>
<ref id="b8-ol-07-05-1689"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gallardo</surname><given-names>E</given-names></name><name><surname>Navarro</surname><given-names>A</given-names></name><name><surname>Vi&#x000F1;olas</surname><given-names>N</given-names></name><etal/></person-group><article-title>miR-34a as a prognostic marker of relapse in surgically resected non-small-cell lung cancer</article-title><source>Carcinogenesis</source><volume>30</volume><fpage>1903</fpage><lpage>1909</lpage><year>2009</year></element-citation></ref>
<ref id="b9-ol-07-05-1689"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>He</surname><given-names>L</given-names></name><name><surname>He</surname><given-names>X</given-names></name><name><surname>Lim</surname><given-names>LP</given-names></name><etal/></person-group><article-title>A microRNA component of the p53 tumour suppressor network</article-title><source>Nature</source><volume>447</volume><fpage>1130</fpage><lpage>1134</lpage><year>2007</year></element-citation></ref>
<ref id="b10-ol-07-05-1689"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hermeking</surname><given-names>H</given-names></name></person-group><article-title>p53 enters the microRNA world</article-title><source>Cancer Cell</source><volume>12</volume><fpage>414</fpage><lpage>418</lpage><year>2007</year></element-citation></ref>
<ref id="b11-ol-07-05-1689"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sun</surname><given-names>F</given-names></name><name><surname>Fu</surname><given-names>H</given-names></name><name><surname>Liu</surname><given-names>Q</given-names></name><etal/></person-group><article-title>Downregulation of CCND1 and CDK6 by miR-34a induces cell cycle arrest</article-title><source>FEBS Lett</source><volume>582</volume><fpage>1564</fpage><lpage>1568</lpage><year>2008</year></element-citation></ref>
<ref id="b12-ol-07-05-1689"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Welch</surname><given-names>C</given-names></name><name><surname>Chen</surname><given-names>Y</given-names></name><name><surname>Stallings</surname><given-names>RL</given-names></name></person-group><article-title>MicroRNA-34a functions as a potential tumor suppressor by inducing apoptosis in neuroblastoma cells</article-title><source>Oncogene</source><volume>26</volume><fpage>5017</fpage><lpage>5022</lpage><year>2007</year></element-citation></ref>
<ref id="b13-ol-07-05-1689"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tazawa</surname><given-names>H</given-names></name><name><surname>Tsuchiya</surname><given-names>N</given-names></name><name><surname>Izumiya</surname><given-names>M</given-names></name><name><surname>Nakagama</surname><given-names>H</given-names></name></person-group><article-title>Tumor-suppressive miR-34a induces senescence-like growth arrest through modulation of the E2F pathway in human colon cancer cells</article-title><source>Proc Natl Acad Sci USA</source><volume>104</volume><fpage>15472</fpage><lpage>15477</lpage><year>2007</year></element-citation></ref>
<ref id="b14-ol-07-05-1689"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pang</surname><given-names>RT</given-names></name><name><surname>Leung</surname><given-names>CO</given-names></name><name><surname>Ye</surname><given-names>TM</given-names></name><etal/></person-group><article-title>MicroRNA-34a suppresses invasion through downregulation of Notch1 and Jagged1 in cervical carcinoma and choriocarcinoma cells</article-title><source>Carcinogenesis</source><volume>31</volume><fpage>1037</fpage><lpage>1044</lpage><year>2010</year></element-citation></ref>
<ref id="b15-ol-07-05-1689"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>WB</given-names></name><name><surname>Ma</surname><given-names>MW</given-names></name><name><surname>Dong</surname><given-names>LJ</given-names></name><name><surname>Wang</surname><given-names>F</given-names></name><name><surname>Chen</surname><given-names>LX</given-names></name><name><surname>Li</surname><given-names>XR</given-names></name></person-group><article-title>MicroRNA-34a targets notch1 and inhibits cell proliferation in glioblastoma multiforme</article-title><source>Cancer Biol Ther</source><volume>12</volume><fpage>477</fpage><lpage>483</lpage><year>2011</year></element-citation></ref>
<ref id="b16-ol-07-05-1689"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lewis</surname><given-names>BP</given-names></name><name><surname>Burge</surname><given-names>CB</given-names></name><name><surname>Bartel</surname><given-names>DP</given-names></name></person-group><article-title>Conserved seed pairing, often flanked by adenosines, indicates that thousands of human genes are microRNA targets</article-title><source>Cell</source><volume>120</volume><fpage>15</fpage><lpage>20</lpage><year>2005</year></element-citation></ref>
<ref id="b17-ol-07-05-1689"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yamakuchi</surname><given-names>M</given-names></name><name><surname>Ferlito</surname><given-names>M</given-names></name><name><surname>Lowenstein</surname><given-names>CJ</given-names></name></person-group><article-title>miR-34a repression of SIRT1 regulates apoptosis</article-title><source>Proc Natl Acad Sci USA</source><volume>105</volume><fpage>13421</fpage><lpage>13426</lpage><year>2008</year></element-citation></ref>
<ref id="b18-ol-07-05-1689"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bol&#x000F3;s</surname><given-names>V</given-names></name><name><surname>Grego-Bessa</surname><given-names>J</given-names></name><name><surname>de la Pompa</surname><given-names>JL</given-names></name></person-group><article-title>Notch signaling in development and cancer</article-title><source>Endocr Rev</source><volume>28</volume><fpage>339</fpage><lpage>363</lpage><year>2007</year></element-citation></ref>
<ref id="b19-ol-07-05-1689"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tohda</surname><given-names>S</given-names></name><name><surname>Nara</surname><given-names>N</given-names></name></person-group><article-title>Expression of Notch1 and Jagged1 proteins in acute myeloid leukemia cells</article-title><source>Leuk Lymphoma</source><volume>42</volume><fpage>467</fpage><lpage>472</lpage><year>2001</year></element-citation></ref>
<ref id="b20-ol-07-05-1689"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Reedijk</surname><given-names>M</given-names></name><name><surname>Odorcic</surname><given-names>S</given-names></name><name><surname>Chang</surname><given-names>L</given-names></name><etal/></person-group><article-title>High-level coexpression of JAG1 and NOTCH1 is observed in human breast cancer and is associated with poor overall survival</article-title><source>Cancer Res</source><volume>65</volume><fpage>8530</fpage><lpage>8537</lpage><year>2005</year></element-citation></ref>
<ref id="b21-ol-07-05-1689"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>Z</given-names></name><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name><name><surname>Banerjee</surname><given-names>S</given-names></name><name><surname>Liao</surname><given-names>J</given-names></name><name><surname>Sarkar</surname><given-names>FH</given-names></name></person-group><article-title>Down-regulation of Notch-1 contributes to cell growth inhibition and apoptosis in pancreatic cancer cells</article-title><source>Mol Cancer Ther</source><volume>5</volume><fpage>483</fpage><lpage>493</lpage><year>2006</year></element-citation></ref>
<ref id="b22-ol-07-05-1689"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ai</surname><given-names>Q</given-names></name><name><surname>Ma</surname><given-names>X</given-names></name><name><surname>Huang</surname><given-names>Q</given-names></name><etal/></person-group><article-title>High-level expression of Notch1 increased the risk of metastasis in T1 stage clear cell renal cell carcinoma</article-title><source>PLoS One</source><volume>7</volume><fpage>e35022</fpage><year>2012</year></element-citation></ref>
<ref id="b23-ol-07-05-1689"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sj&#x000F6;lund</surname><given-names>J</given-names></name><name><surname>Bostr&#x000F6;m</surname><given-names>AK</given-names></name><name><surname>Lindgren</surname><given-names>D</given-names></name><etal/></person-group><article-title>The notch and TGF-&#x003B2; signaling pathways contribute to the aggressiveness of clear cell renal cell carcinoma</article-title><source>PLoS One</source><volume>6</volume><fpage>e23057</fpage><year>2011</year></element-citation></ref>
<ref id="b24-ol-07-05-1689"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Livak</surname><given-names>KJ</given-names></name><name><surname>Schmittgen</surname><given-names>TD</given-names></name></person-group><article-title>Analysis of relative gene expression data using real-time quantitative PCR and the 2(&#x02212;Delta Delta C(T)) Method</article-title><source>Methods</source><volume>25</volume><fpage>402</fpage><lpage>408</lpage><year>2001</year></element-citation></ref>
<ref id="b25-ol-07-05-1689"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kaghad</surname><given-names>M</given-names></name><name><surname>Bonnet</surname><given-names>H</given-names></name><name><surname>Yang</surname><given-names>A</given-names></name><etal/></person-group><article-title>Monoallelically expressed gene related to p53 at 1p36, a region frequently deleted in neuroblastoma and other human cancers</article-title><source>Cell</source><volume>90</volume><fpage>809</fpage><lpage>819</lpage><year>1997</year></element-citation></ref>
<ref id="b26-ol-07-05-1689"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wei</surname><given-names>JS</given-names></name><name><surname>Song</surname><given-names>YK</given-names></name><name><surname>Durinck</surname><given-names>S</given-names></name><etal/></person-group><article-title>The MYCN oncogene is a direct target of miR-34a</article-title><source>Oncogene</source><volume>27</volume><fpage>5204</fpage><lpage>5213</lpage><year>2008</year></element-citation></ref>
<ref id="b27-ol-07-05-1689"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Reiter</surname><given-names>RE</given-names></name><name><surname>Anglard</surname><given-names>P</given-names></name><name><surname>Liu</surname><given-names>S</given-names></name><name><surname>Gnarra</surname><given-names>JR</given-names></name><name><surname>Linehan</surname><given-names>WM</given-names></name></person-group><article-title>Chromosome 17p deletions and p53 mutations in renal cell carcinoma</article-title><source>Cancer Res</source><volume>53</volume><fpage>3092</fpage><lpage>3097</lpage><year>1993</year></element-citation></ref>
<ref id="b28-ol-07-05-1689"><label>28</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lodygin</surname><given-names>D</given-names></name><name><surname>Tarasov</surname><given-names>V</given-names></name><name><surname>Epanchintsev</surname><given-names>A</given-names></name><etal/></person-group><article-title>Inactivation of miR-34a by aberrant CpG methylation in multiple types of cancer</article-title><source>Cell Cycle</source><volume>7</volume><fpage>2591</fpage><lpage>2600</lpage><year>2008</year></element-citation></ref>
<ref id="b29-ol-07-05-1689"><label>29</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname><given-names>L</given-names></name><name><surname>Zhu</surname><given-names>Y</given-names></name><name><surname>Xu</surname><given-names>J</given-names></name><etal/></person-group><article-title>Notch1 activation promotes renal cell carcinoma growth via PI3K/Akt signaling</article-title><source>Cancer Sci</source><volume>103</volume><fpage>1253</fpage><lpage>1258</lpage><year>2012</year></element-citation></ref>
<ref id="b30-ol-07-05-1689"><label>30</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Du</surname><given-names>R</given-names></name><name><surname>Sun</surname><given-names>W</given-names></name><name><surname>Xia</surname><given-names>L</given-names></name><etal/></person-group><article-title>Hypoxia-induced down-regulation of microRNA-34a promotes EMT by targeting the Notch signaling pathway in tubular epithelial cells</article-title><source>PLoS One</source><volume>7</volume><fpage>e30771</fpage><year>2012</year></element-citation></ref>
<ref id="b31-ol-07-05-1689"><label>31</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bueno</surname><given-names>MJ</given-names></name><name><surname>Malumbres</surname><given-names>M</given-names></name></person-group><article-title>MicroRNAs and the cell cycle</article-title><source>Biochim Biophys Acta</source><volume>1812</volume><fpage>592</fpage><lpage>601</lpage><year>2011</year></element-citation></ref>
<ref id="b32-ol-07-05-1689"><label>32</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nana-Sinkam</surname><given-names>SP</given-names></name><name><surname>Croce</surname><given-names>CM</given-names></name></person-group><article-title>MicroRNAs as therapeutic targets in cancer</article-title><source>Transl Res</source><volume>157</volume><fpage>216</fpage><lpage>225</lpage><year>2011</year></element-citation></ref></ref-list></back>
<floats-group>
<fig id="f1-ol-07-05-1689" position="float">
<label>Figure 1</label>
<caption>
<p>Relative expression of miR-34a in 10 pairs of patient-matched RCCs and normal renal tissues examined by quantitative polymerase chain reaction. Data shows the expression levels of miR-34a in RCC relative to the normal renal samples. The mean and standard deviation of expression levels relative to RNU6B expression levels are shown and are normalized to the expression in the normal tissue of each matched pair. <sup>&#x0002A;</sup>P&lt;0.05 and <sup>&#x0002A;&#x0002A;</sup>P&lt;0.001, compared with paired NT. All the experiments were performed three times independently. miR-34a, microRNA-34a; RCC, renal cell carcinoma; TT, tumor tissue; NT, normal tissue.</p></caption>
<graphic xlink:href="OL-07-05-1689-g00.gif"/></fig>
<fig id="f2-ol-07-05-1689" position="float">
<label>Figure 2</label>
<caption>
<p>Functional effects of miR-34a on growth and cell cycle distribution in RCC cell lines. (A and B) Suppressive effects of miR-34a on the growth of 786-O (A) and Caki-1 (B) cells. After transfection (24 h), cells were seeded into 96-well plates at a density of 1,000 cells per well. The effect of miR-34a on cell proliferation was detected at 0, 24 and 48 h after seeding using Cell Counting Kit-8. (C and D) The cell cycle distribution of 786-O (C) and Caki-1 (D) cells transfected with miR-34a mimics compared with the negative control showed that cell cycle distribution varied between the two RCC cell lines. Data are expressed as the means &#x000B1; SD. <sup>&#x0002A;</sup>P&lt;0.05 and <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, compared with the negative control. All the experiments were performed three times independently. miR-34a, microRNA-34a; RCC, renal cell carcinoma.</p></caption>
<graphic xlink:href="OL-07-05-1689-g01.gif"/></fig>
<fig id="f3-ol-07-05-1689" position="float">
<label>Figure 3</label>
<caption>
<p>Relative mRNA expression of miR-34a on putative target genes in (A) 786-O and (B) Caki-1 cells transfected with miR-34a mimics or the negative control. Data are expressed as the means &#x000B1; SD. <sup>&#x0002A;</sup>P&lt;0.05 and <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01, compared with the negative control. All the experiments were performed three times independently. miR-34a, microRNA-34a; SIRT1, silent information regulator 1; CDK6, cyclin-dependent kinase 6; E2F3, E2F transcription factor 3; CCNE2, cyclin E2.</p></caption>
<graphic xlink:href="OL-07-05-1689-g02.gif"/></fig>
<fig id="f4-ol-07-05-1689" position="float">
<label>Figure 4</label>
<caption>
<p>Downregulation of Notch1 by miR-34a in the RCC cell lines. (A) Quantitative polymerase chain reaction analysis of Notch1 mRNA expression level and (B) western blot analysis of Notch1 protein expression level in the RCC cell lines 48 h after transfection with miR-34a mimics compared with the negative control. Data are expressed as the mean &#x000B1; SD. <sup>&#x0002A;</sup>P&lt;0.05 and <sup>&#x0002A;&#x0002A;</sup>P&lt;0.001, compared with the negative control. All the experiments were performed three times independently. miR-34a, microRNA-34a; RCC, renal cell carcinoma; GAPDH, glyceraldehyde-3-phosphate-dehydrogenase.</p></caption>
<graphic xlink:href="OL-07-05-1689-g03.gif"/></fig>
<table-wrap id="tI-ol-07-05-1689" position="float">
<label>Table I</label>
<caption>
<p>Clinicopathological characteristics and miRNA-34a expression in renal cell carcinoma tissues.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">No.</th>
<th align="center" valign="bottom">Age (years)</th>
<th align="center" valign="bottom">Gender</th>
<th align="center" valign="bottom">Clinical stage</th>
<th align="center" valign="bottom">Pathological grade</th>
<th align="center" valign="bottom">Relative expression of miR-34a</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">1</td>
<td align="center" valign="top">59</td>
<td align="left" valign="top">M</td>
<td align="right" valign="top">II</td>
<td align="center" valign="top">G2</td>
<td align="left" valign="top">Downregulated</td></tr>
<tr>
<td align="left" valign="top">2</td>
<td align="center" valign="top">56</td>
<td align="left" valign="top">M</td>
<td align="right" valign="top">I</td>
<td align="center" valign="top">G2</td>
<td align="left" valign="top">Downregulated</td></tr>
<tr>
<td align="left" valign="top">3</td>
<td align="center" valign="top">71</td>
<td align="left" valign="top">F</td>
<td align="right" valign="top">II</td>
<td align="center" valign="top">G2</td>
<td align="left" valign="top">Upregulated</td></tr>
<tr>
<td align="left" valign="top">4</td>
<td align="center" valign="top">66</td>
<td align="left" valign="top">M</td>
<td align="right" valign="top">I</td>
<td align="center" valign="top">G2</td>
<td align="left" valign="top">Downregulated</td></tr>
<tr>
<td align="left" valign="top">5</td>
<td align="center" valign="top">61</td>
<td align="left" valign="top">F</td>
<td align="right" valign="top">I</td>
<td align="center" valign="top">G1</td>
<td align="left" valign="top">Downregulated</td></tr>
<tr>
<td align="left" valign="top">6</td>
<td align="center" valign="top">64</td>
<td align="left" valign="top">M</td>
<td align="right" valign="top">III</td>
<td align="center" valign="top">G3</td>
<td align="left" valign="top">Upregulated</td></tr>
<tr>
<td align="left" valign="top">7</td>
<td align="center" valign="top">62</td>
<td align="left" valign="top">F</td>
<td align="right" valign="top">II</td>
<td align="center" valign="top">G2</td>
<td align="left" valign="top">Downregulated</td></tr>
<tr>
<td align="left" valign="top">8</td>
<td align="center" valign="top">57</td>
<td align="left" valign="top">M</td>
<td align="right" valign="top">II</td>
<td align="center" valign="top">G2</td>
<td align="left" valign="top">Downregulated</td></tr>
<tr>
<td align="left" valign="top">9</td>
<td align="center" valign="top">57</td>
<td align="left" valign="top">M</td>
<td align="right" valign="top">I</td>
<td align="center" valign="top">G3</td>
<td align="left" valign="top">Downregulated</td></tr>
<tr>
<td align="left" valign="top">10</td>
<td align="center" valign="top">74</td>
<td align="left" valign="top">M</td>
<td align="right" valign="top">II</td>
<td align="center" valign="top">G2</td>
<td align="left" valign="top">Downregulated</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-ol-07-05-1689">
<p>miR-34a, microRNA-34a; M, male; F, female.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tII-ol-07-05-1689" position="float">
<label>Table II</label>
<caption>
<p>Primer sequences of target genes of microRNA-34a.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Target genes</th>
<th align="center" valign="bottom">Forward primer</th>
<th align="center" valign="bottom">Reverse primer</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">SIRT1</td>
<td align="left" valign="top">5&#x02032;-TCCTGGACAATTCCAGCCATCTCT-3&#x02032;</td>
<td align="left" valign="top">5&#x02032;-TCCAGCGTGTCTATGTTCTGGGTA-3&#x02032;</td></tr>
<tr>
<td align="left" valign="top">Notch1</td>
<td align="left" valign="top">5&#x02032;-TGGAGAAGGGAAGTTGAACGAGCA-3&#x02032;</td>
<td align="left" valign="top">5&#x02032;-CAAATTAATCCGCGTGCGGAAGGT-3&#x02032;</td></tr>
<tr>
<td align="left" valign="top">CDK6</td>
<td align="left" valign="top">5&#x02032;-ATTCACTGCCTGGGACACAGTCTT-3&#x02032;</td>
<td align="left" valign="top">5&#x02032;-ACAGGCCACTGTGGTAACTCTCAA-3&#x02032;</td></tr>
<tr>
<td align="left" valign="top">E2F3</td>
<td align="left" valign="top">5&#x02032;-TGCAGTGTTGTCCCTTCCTACCTT-3&#x02032;</td>
<td align="left" valign="top">5&#x02032;-GCCTGCAACTGTGCGTTTAGACAA-3&#x02032;</td></tr>
<tr>
<td align="left" valign="top">CCNE2</td>
<td align="left" valign="top">5&#x02032;-ATGACACCACCGAAGAGCACTGAA-3&#x02032;</td>
<td align="left" valign="top">5&#x02032;-TGGCTAGGGCAATCAATCACAGCA-3&#x02032;</td></tr>
<tr>
<td align="left" valign="top">GAPDH</td>
<td align="left" valign="top">5&#x02032;-TCGACAGTCAGCCGCATCTTCTTT-3&#x02032;</td>
<td align="left" valign="top">5&#x02032;-ACCAAATCCGTTGACTCCGACCTT-3&#x02032;</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn2-ol-07-05-1689">
<p>SIRT1, silent information regulator 1; CDK6, cyclin-dependent kinase 6; E2F3, E2F transcription factor 3; CCNE2, cyclin E2; GAPDH, glyceraldehyde-3-phosphate-dehydrogenase.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
