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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">OR</journal-id>
<journal-title-group>
<journal-title>Oncology Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1021-335X</issn>
<issn pub-type="epub">1791-2431</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/or.2016.4568</article-id>
<article-id pub-id-type="publisher-id">or-35-04-2107</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>The tumor suppressor role of miR-4782-3p in hepatocellular carcinoma</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>BO</surname><given-names>WENTAO</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>HU</surname><given-names>YONG</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>FENG</surname><given-names>XIELIN</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>ZHANG</surname><given-names>HUI</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>TIAN</surname><given-names>LANG</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>LIU</surname><given-names>AIXIANG</given-names></name><xref ref-type="corresp" rid="c1-or-35-04-2107"/></contrib>
<aff id="af1-or-35-04-2107">Department of Hepatobiliary and Gastrointestinal Surgery, Sichuan Provincial Cancer Hospital, Chengdu, Sichuan 610041, P.R. China</aff></contrib-group>
<author-notes>
<corresp id="c1-or-35-04-2107">Correspondence to: Dr Aixiang Liu, Department of Hepatobiliary and Gastrointestinal Surgery, Sichuan Provincial Cancer Hospital, 55 People's South Road 4th Section, Chengdu, Sichuan 610041, P.R. China, E-mail: <email>aixiangliucancer@163.com</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>04</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>18</day>
<month>01</month>
<year>2016</year></pub-date>
<volume>35</volume>
<issue>4</issue>
<fpage>2107</fpage>
<lpage>2112</lpage>
<history>
<date date-type="received">
<day>01</day>
<month>11</month>
<year>2015</year></date>
<date date-type="accepted">
<day>15</day>
<month>12</month>
<year>2015</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year></permissions>
<abstract>
<p>Hepatocellular carcinoma (HCC) is the second leading cause of cancer-related mortalities in China. Although advances have been made in treatments, the prognosis of HCC patients has not improved significantly. MicroRNAs (miRNA) play important roles in all stage of the progress of HCC. miR-4782-3p takes part in the pathogenesis of non-small cell lung cancer (NSCLC). However, the role of miR-4782-3p in HCC remains unknown. In the present study, we found that miR-4782-3p had low expression in HCC tissues. The low expression of miR-4782-3p indicated shorter survival of HCC patients. Moreover, the low expression of miR-4782-3p promoted HCC cells growth and inhibited cell apoptosis. We confirmed that USP14 was targeted by miR-4782-3p in HCC cells.</p></abstract>
<kwd-group>
<kwd>miR-4782-3p</kwd>
<kwd>cell growth</kwd>
<kwd>apoptosis</kwd>
<kwd>patient survival</kwd>
<kwd>USP14</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>HCC accounts for 70 to 90% of primary liver cancer of the world, and is the third major cause of cancer-related mortality worldwide (<xref rid="b1-or-35-04-2107" ref-type="bibr">1</xref>,<xref rid="b2-or-35-04-2107" ref-type="bibr">2</xref>). In China, HCC is the second leading cause of cancer-related mortalities (<xref rid="b3-or-35-04-2107" ref-type="bibr">3</xref>,<xref rid="b4-or-35-04-2107" ref-type="bibr">4</xref>). Recently, progress has been made in HCC treatment; however, the prognosis of HCC patients has not improved significantly. There are so many challenges remaining. Moreover, it is difficult to diagnose HCC in the early stage, and many patients develop cancer recurrence after liver resection (<xref rid="b5-or-35-04-2107" ref-type="bibr">5</xref>). Therefore, the development of novel therapeutic molecular targets is urgently needed.</p>
<p>MiRNAs play important roles in the pathogenesis of HCC (<xref rid="b6-or-35-04-2107" ref-type="bibr">6</xref>&#x02013;<xref rid="b22-or-35-04-2107" ref-type="bibr">22</xref>). For example, miR-940 levels in HCC tissues were lower than normal liver tissues, lower miR-940 expression in HCC tissues significantly correlated with the reduced patient survival rate, low level of miR-940 promoted HCC cell growth and inhibited cell apoptosis (<xref rid="b23-or-35-04-2107" ref-type="bibr">23</xref>). Another study showed that miR-99a was an independent predictor for the prognosis of HCC patients (<xref rid="b24-or-35-04-2107" ref-type="bibr">24</xref>).</p>
<p>A previous study showed that miR-4782-3p level in NSCLC tissues is lower than in normal lung tissues. High expression of miR-4782-3p indicated the favorable prognosis of NSCLC patients. The targeted genes were USP14, ZEB2 and XIAP (<xref rid="b25-or-35-04-2107" ref-type="bibr">25</xref>). Another study showed that USP14 activation promoted tumor progression in HCC (<xref rid="b26-or-35-04-2107" ref-type="bibr">26</xref>). Thus we considered that miR-4782-3p may also play an important role in HCC via USP14.</p>
<p>In this study, we assayed miR-4782-3p expression in HCC tissues and tested the function of miR-4782-3p in HCC cells. Our data elucidated the function of miR-4782-3p in HCC.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Patients</title>
<p>Twenty-seven HCC specimens were collected from the Department of Hepatobiliary and Gastrointestinal Surgery, Sichuan Provincial Cancer Hospital (Chengdu, China). Tissue samples were immediately frozen in liquid nitrogen after isolation. Informed consent was obtained from each patient. The Ethics Commitment of Sichuan Provincial Cancer Hospital and the Ethic Commitment of Sichuan University approved this study. The senior pathologists of Sichuan Provincial Cancer Hospital evaluated the histological features of the specimens.</p></sec>
<sec>
<title>Cell culture</title>
<p>HCC cell lines HepG2 and SMMC-7721 and, L-02 cells were purchased from the American Type Culture Collection (ATCC; Rockville, MD, USA). Human HCC HepG2, SMMC-7721 and L-02 cells were maintained in Dulbecco's modified Eagle's medium (DMEM) with 10% fetal bovine serum (FBS; Invitrogen Corporation, Grand Island, NY, USA).</p></sec>
<sec>
<title>Detection of miR-4782-3p level in HCC tissues or cells</title>
<p>Total RNAs of HCC tissues and cells were extracted by TRIzol reagent (Invitrogen Corporation) according the manufacturer's instruction. The total RNAs was reverse-transcribed to cDNA by using All-in-One&#x02122; miRNA First-Strand cDNA Synthesis kit (Invitrogen Corporation). The primers were designed and synthesized by Shengong Company (Shengong, Shanghai, China). Real-time PCR assay was performed as described previously (<xref rid="b24-or-35-04-2107" ref-type="bibr">24</xref>,<xref rid="b27-or-35-04-2107" ref-type="bibr">27</xref>).</p></sec>
<sec>
<title>Oligonucleotides and cell transfection</title>
<p>miR-4782-3p antisense oligonucleotides (miR-4782-3p ASO), miR-4782-3p mimics and negative control miRNA were purchased from RiboBio (Guangdong, China). miR-4782-3p ASO or miR-4782-3p mimics were transfected into cells by using Lipofectamine (Invitrogen, Shanghai, China), according to the manufacturer's instruction (<xref rid="b27-or-35-04-2107" ref-type="bibr">27</xref>).</p></sec>
<sec>
<title>Cell proliferation by MTT analysis</title>
<p>HepG-2 and SMMC-7721 cells (5&#x000D7;10<sup>3</sup>/well) were seeded into 96-well plates. Then MTT experiments were performed as previously described (<xref rid="b28-or-35-04-2107" ref-type="bibr">28</xref>,<xref rid="b29-or-35-04-2107" ref-type="bibr">29</xref>). Absorbance in each well was measured by using a microplate reader set at 570 nm.</p></sec>
<sec>
<title>Apoptosis analysis</title>
<p>The apoptosis of HepG-2 and SMMC-7721 cells transfected with miR-4782-3p ASO or miR-4782-3p mimics were analyzed by using PI/Annexin V staining and fluorescence-activated cell-sorting (FACS) flow cytometer (Biosciences, Beijing, China). Details in brief, HepG2 and SMMC-7721 cells were seeded into 12-well plates. Twelve hours after transfection, cells were cultured with serum-depleted medium for 12 h. Then cells were suspended in binding buffer followed by staining with PI/Annexin V-FITC for 15 min. The apoptotic rates were calculated on a flow cytometer (<xref rid="b30-or-35-04-2107" ref-type="bibr">30</xref>).</p></sec>
<sec>
<title>Target prediction</title>
<p>Bioinformatics methods were applied for the prediction of the targeted genes of miR-4782-3p. Moreover, the bioinformatic algorithms from TargetScanHuman were used (<xref rid="b31-or-35-04-2107" ref-type="bibr">31</xref>&#x02013;<xref rid="b34-or-35-04-2107" ref-type="bibr">34</xref>).</p></sec>
<sec>
<title>Dual-luciferase assays</title>
<p>To assess and confirm whether miR-4782-3p binds USP14 directly, a dual-luciferase assay was performed (<xref rid="b25-or-35-04-2107" ref-type="bibr">25</xref>,<xref rid="b30-or-35-04-2107" ref-type="bibr">30</xref>). The 3&#x02032;UTR of USP14 was amplified by using PCR from genomic DNA. The production was inserted downstream of USP14 3&#x02032;UTR reporter plasmids (pRL-USP14; Biotech, Chengdu, China), and mutants of USP14 3&#x02032;UTR were generated by Site-Directed Mutagenesis kit (Shanghai, China). Then the whole plasmid was confirmed by sequencing. Mutation in the miR-4782-3p binding site of the USP14 3&#x02032;UTR was constructed by Shengong Company (Shengong, Chengdu, China). The luciferase reporter containing mutant was also constructed. For luciferase assays, HepG2 cells were transfected with luciferase reporter plasmid along with miR-4782-3p mimics or negative control by using Lipofectamine 2000 (Invitrogen). Twenty-four hours after transfection, these cells were analyzed by using a Luciferase assay kit (Promega, Madison, WI, USA) (<xref rid="b35-or-35-04-2107" ref-type="bibr">35</xref>).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Two-tailed Student's t-test was used to analyze the difference between two groups. ANOVA was used to analyze the difference of three groups. Kaplan-Meier analysis was employed to evaluate the overall survival of HCC patients. The correlation between miR-4782-3p and USP14 was performed by Spearman's correlation analysis. All statistical analysis was performed by SPSS version 19. Values are expressed as the mean &#x000B1; SD from three tests. All values of P&lt;0.05 are marked with an asterisk in the figures, and was considered statistically significantly different.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>The low expression of miR-4782-3p in HCC tissues and its role in the survival of HCC</title>
<p>We first examined the miR-4782-3p level in HCC cell lines; the miR-4782-3p level in normal liver tissue was treated as a negative control. We found that the miR-4782-3p levels in HepG2 and SMMC-7721 cells were lower than in normal liver tissue and L-02 cells (<xref rid="f1-or-35-04-2107" ref-type="fig">Fig. 1A</xref>). Then we assayed the miR-4782-3p levels in 27 HCC tissues and adjacent normal liver tissues. We found that the mean value of miR-4782-3p levels in tumor tissues is lower than the mean value of adjacent normal tissues (<xref rid="f1-or-35-04-2107" ref-type="fig">Fig. 1B</xref>). The relative expression of miR-4782-3p in each HCC tissue and the matched adjacent normal liver tissue are shown in <xref rid="f1-or-35-04-2107" ref-type="fig">Fig. 1C</xref>. There were only 4 pairs, in which HCC tissues showed higher levels of miR-4782-3p. Next, the 27 HCC patients were separated into two groups by the median of the miR-4782-3p expression, and their progress was followed for about 100 weeks. We found that HCC patients with higher miR-4782-3p level had a longer survival period (<xref rid="f1-or-35-04-2107" ref-type="fig">Fig. 1D</xref>).</p></sec>
<sec>
<title>The effect of miR-4782-3p mimics on cells growth and apoptosis</title>
<p>To investigate the effect of miR-4782-3p in cell growth and apoptosis, HepG2 and SMMC-7721 cells were transiently transfected with miR-4782-3p mimics, and then the cell growth and apoptosis were evaluated. Forty-eight hours after transfection of the miR-4782-3p mimic, the miR-4782-3p level in HepG2 and SMMC-7721 cells was tested by qRT-PCR. It showed that the miR-4782-3p levels in both cell types were increased (<xref rid="f2-or-35-04-2107" ref-type="fig">Fig. 2A</xref>). We then detected the effect of miR-4782-3p on cell growth by MTT. With transfection of miR-4782-3p mimic, HepG2 and SMMC-7721 cells showed significant decrease in cellular growth (<xref rid="f2-or-35-04-2107" ref-type="fig">Fig. 2B</xref>). To verify whether miR-4782-3p could influence HCC cells apoptosis, PI/Annexin V double staining were performed to evaluate apoptosis. The results showed that miR-4782-3p mimic transfection increased apoptosis about 3&#x02013;5% (<xref rid="f2-or-35-04-2107" ref-type="fig">Fig. 2C</xref>).</p></sec>
<sec>
<title>The effect of miR-4782-3p ASO on cell growth and apoptosis</title>
<p>Additionally, HepG2 and SMMC-7721 cells were transfected with miR-4782-3p ASO to downregulate the miR-4782-3p levels. Then the miR-4782-3p ASO transfection was tested by qRT-PCR. The miR-4782-3p levels in both cell lines decreased following the transfection (<xref rid="f3-or-35-04-2107" ref-type="fig">Fig. 3A</xref>). With miR-4782-3p ASO transfection, HepG2 and SMMC-7721 cells showed significant increase in cellular growth (<xref rid="f3-or-35-04-2107" ref-type="fig">Fig. 3B</xref>). However, the miR-4782-3p ASO showed no significant effect on cell apoptosis (<xref rid="f3-or-35-04-2107" ref-type="fig">Fig. 3C</xref>).</p></sec>
<sec>
<title>miR-4782-3p targets USP14</title>
<p>The gene targets of miR-4782-3p were predicted by TargetScanHuman, this prediction showed that USP14 could be targeted by miR-4782-3p. Then we mutated the binding site of miR-4782-3p in USP14 (<xref rid="f4-or-35-04-2107" ref-type="fig">Fig. 4A</xref>). The effect of miR-4782-3p on USP14 translation was tested by a luciferase reporter assay. The luciferase reporter plasmid with wild-type 3&#x02032;UTR of USP14 or the mutated version as indicated in <xref rid="f4-or-35-04-2107" ref-type="fig">Fig. 4A</xref> showed that upregulation of miR-4782-3p reduced the luciferase activity of the reporter gene with wild-type, but not with the mutant (<xref rid="f4-or-35-04-2107" ref-type="fig">Fig. 4B</xref>). Next the USP14 mRNA expressions in 10 HCC tissues were examined by qRT-PCR. We found that the miR-4782-3p level and the USP14 mRNA level were negatively correlated (<xref rid="f4-or-35-04-2107" ref-type="fig">Fig. 4C</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>miR-4782-3p has shown its important role in the pathogenesis of NSCLC. miR-4782-3p in NSCLC tissues was relatively low. High expression of miR-4782-3p indicated favorable prognosis of NSCLC patients. The targeted genes were USP14, ZEB2 and XIAP (<xref rid="b25-or-35-04-2107" ref-type="bibr">25</xref>). In this study, the role of miR-4782-3p in HCC was studied. We demonstrated miR-4782-3p also showed a low level in HCC tissues. Importantly, HCC patients with higher miR-4782-3p level had longer survival period. The underlying mechanism may be that the level of miR-4782-3p in HCC promoted cell growth and inhibited apoptosis. To the best of our knowledge, this is the first report on the role of miR-4782-3p in HCC.</p>
<p>USP14 has been proven to be the target gene of miR-4782-3p, and another study showed that USP14 activation promotes tumor progression in HCC (<xref rid="b26-or-35-04-2107" ref-type="bibr">26</xref>). Thus our study has established a connection between miR-4782-3p and USP14 in HCC.</p>
<p>USP14 plays important roles in different types of cancers. For example, overexpression of USP14 in NSCLC was associated with shorter overall survival of patients (<xref rid="b36-or-35-04-2107" ref-type="bibr">36</xref>). High expression of USP14 was related to poor prognosis of epithelial ovarian cancer patients (<xref rid="b37-or-35-04-2107" ref-type="bibr">37</xref>). Thus an inhibitor of USP14, like miR-4782-3p, may have a potential therapeutic effect.</p>
<p>Our data showed that overexpression of miR-4782-3p could increase the apoptosis rate of HepG-2 and SMMC-7721 cells, however, apoptosis of these cell lines did not decrease significantly after downregulation of miR-4782-3p. We considered the reason to be that the apoptosis rate of HepG-2 and SMMC-7721 is very low, thus it is hard to reduce it to even lower apoptosis rate.</p>
<p>In conclusion, this study revealed the role of miR-4782-3p in HCC. Our study contributes to finding a new target for HCC therapy.</p></sec></body>
<back>
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<floats-group>
<fig id="f1-or-35-04-2107" position="float">
<label>Figure 1</label>
<caption>
<p>The lower expression of miR-4782-3p in HCC tissues and its' role in the survival of HCC. The expression of miR-4782-3p in normal liver tissues, and L-02, HepG2 and SMMC-7721 cells were revealed by qRT-PCR. U6 snRNA was used as a negative control (A). The level of miR-4782-3p in 27 pairs of human HCC tissues and matched adjacent normal liver tissues were tested by qRT-PCR, the mean level of 27 normal liver tissues were arbitrarily defined as 100% (B). After evaluation of the miR-4782-3p expression, data are shown as log2 of fold change of HCC tissues relative to adjacent normal liver tissues. U6 snRNA was used as negative control (C). The median miR-4782-3p expression value separated the 27 HCC patients into two groups: miR-4782-3p high level group and miR-4782-3p low level group. Kaplan-Meier survival test indicates that patients with higher miR-4782-3p levels had significantly longer survival (D). The qRT-PCR experiments were performed three times. Data are mean &#x000B1; SD. <sup>&#x0002A;</sup>P&lt;0.05.</p></caption>
<graphic xlink:href="OR-35-04-2107-g00.jpg"/></fig>
<fig id="f2-or-35-04-2107" position="float">
<label>Figure 2</label>
<caption>
<p>The effect of overexpression of miR-4782-3p on cell growth and apoptosis <italic>in vitro</italic>. After transfection of miR-4782-3p mimics, the level of miR-4782-3p in HepG-2 and SMMC-7721 cells were examined. The miR-4782-3p level in miR-NC mimics transfected cells was considered as 100% (A). The cell growth was assayed by MTT analysis at the indicated time-point (B). Following miR-4782-3p mimic transfection, cells were washed for PI/Annexin V staining, the apoptosis rate was examined by FACS (C). All data are mean &#x000B1; SD of three separate experiments. <sup>&#x0002A;</sup>P&lt;0.05.</p></caption>
<graphic xlink:href="OR-35-04-2107-g01.jpg"/></fig>
<fig id="f3-or-35-04-2107" position="float">
<label>Figure 3</label>
<caption>
<p>The effect of suppression of miR-4782-3p on cell growth and apoptosis <italic>in vitro</italic>. qRT-PCR analysis of miR-4782-3p in HepG-2 and SMMC-7721 cells upon transfection of miR-4782-3p ASO. U6 snRNA was used as negative control (A). MTT analysis showed that suppression of miR-4782-3p level <italic>in vitro</italic> promoted HepG-2 and SMMC-7721 cell growth (B). After miR-4782-3p ASO transfection into HepG-2 and SMMC-7721 cells, the cells were stained with PI/Annexin V for FACS analysis (C). All data are mean &#x000B1; SD of three separate experiments. <sup>&#x0002A;</sup>P&lt;0.05.</p></caption>
<graphic xlink:href="OR-35-04-2107-g02.jpg"/></fig>
<fig id="f4-or-35-04-2107" position="float">
<label>Figure 4</label>
<caption>
<p>USP14 is targeted by miR-4782-3p. TargetScanHuman (<ext-link xlink:href="http://www.targetscan.org" ext-link-type="uri">www.targetscan.org</ext-link>) showed that USP14 was a direct target of miR-4782-3p (A). HepG-2 cells were co-transfected with miR-4782-3p mimics or control and reporter plasmid or the mutant 3&#x02032;UTR of USP14, together with the controls. Thirty-six hours after transfection, the luciferase activity was measured (B). <italic>USP14</italic> mRNA expressions in 10 HCC tissues were examined by qRT-PCR. The levels of miR-4782-3p and USP14 in HCC tissues were negatively correlated (C). All value are mean &#x000B1; SD of three separate experiments. <sup>&#x0002A;</sup>P&lt;0.05.</p></caption>
<graphic xlink:href="OR-35-04-2107-g03.jpg"/></fig></floats-group></article>
