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<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.2016.4797</article-id>
<article-id pub-id-type="publisher-id">or-36-01-0376</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Downregulation of miR-195 promotes prostate cancer progression by targeting HMGA1</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>ZHANG</surname><given-names>XIAOWEN</given-names></name><xref rid="af1-or-36-01-0376" ref-type="aff">1</xref><xref rid="af2-or-36-01-0376" ref-type="aff">2</xref><xref rid="fn1-or-36-01-0376" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>TAO</surname><given-names>TAO</given-names></name><xref rid="af1-or-36-01-0376" ref-type="aff">1</xref><xref rid="af2-or-36-01-0376" ref-type="aff">2</xref><xref rid="fn1-or-36-01-0376" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>LIU</surname><given-names>CHUNHUI</given-names></name><xref rid="af1-or-36-01-0376" ref-type="aff">1</xref><xref rid="af2-or-36-01-0376" ref-type="aff">2</xref><xref rid="fn1-or-36-01-0376" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>GUAN</surname><given-names>HAN</given-names></name><xref rid="af1-or-36-01-0376" ref-type="aff">1</xref><xref rid="af2-or-36-01-0376" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>HUANG</surname><given-names>YEQING</given-names></name><xref rid="af1-or-36-01-0376" ref-type="aff">1</xref><xref rid="af2-or-36-01-0376" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>XU</surname><given-names>BIN</given-names></name><xref rid="af1-or-36-01-0376" ref-type="aff">1</xref><xref rid="af2-or-36-01-0376" ref-type="aff">2</xref><xref rid="af3-or-36-01-0376" ref-type="aff">3</xref><xref ref-type="corresp" rid="c1-or-36-01-0376"/></contrib>
<contrib contrib-type="author">
<name><surname>CHEN</surname><given-names>MING</given-names></name><xref rid="af1-or-36-01-0376" ref-type="aff">1</xref><xref rid="af2-or-36-01-0376" ref-type="aff">2</xref><xref rid="af3-or-36-01-0376" ref-type="aff">3</xref><xref ref-type="corresp" rid="c1-or-36-01-0376"/></contrib></contrib-group>
<aff id="af1-or-36-01-0376">
<label>1</label>Department of Urology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu 210009, P.R. China</aff>
<aff id="af2-or-36-01-0376">
<label>2</label>Institute of Urology, Southeast University, Nanjing, Jiangsu 210009, P.R. China</aff>
<aff id="af3-or-36-01-0376">
<label>3</label>Surgical Research Center, Medical School, Southeast University, Nanjing, Jiangsu 210009, P.R. China</aff>
<author-notes>
<corresp id="c1-or-36-01-0376">Correspondence to: Dr Bin Xu or Dr Ming Chen, Department of Urology, Affiliated Zhongda Hospital of Southeast University, 87 Dingjia Bridge Hunan Road, Nanjing, Jiangsu 210009, P.R. China, E-mail: <email>xb15896450810@126.com</email>, E-mail: <email>mingchenseu@126.com</email></corresp><fn id="fn1-or-36-01-0376">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>07</month>
<year>2016</year></pub-date>
<pub-date pub-type="epub">
<day>09</day>
<month>05</month>
<year>2016</year></pub-date>
<volume>36</volume>
<issue>1</issue>
<fpage>376</fpage>
<lpage>382</lpage>
<history>
<date date-type="received">
<day>28</day>
<month>12</month>
<year>2015</year></date>
<date date-type="accepted">
<day>11</day>
<month>02</month>
<year>2016</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year></permissions>
<abstract>
<p>Aberrant deregulation of microRNA-195 (miR-195) is associated with tumorigenesis and the development of cancer. However, its expression and function in prostate cancer (PCa) remain to be elucidated. In the present study, we found that miR-195 expression levels were decreased in human PCa samples and were correlated with patient prognosis. miR-195 overexpression inhibited cell proliferation, cell cycle progression and tumorigenesis via directly targeting HMGA1. Downregulation of HMGA1 expression had an effect similar to miR-195 in the PCa cells. In clinical specimens, HMGA1 was overexpressed in castration-resistant prostate cancer when compared with its levels in benign prostate hyperplasia and androgen-dependent prostate cancer, and its expression levels were inversely correlated with overall survival and biochemical relapse-free survival. In summary, our study suggests that miR-195 functions as a tumor-suppressor gene by downregulating HMGA1 and can be used as a potential target in the treatment of PCa.</p></abstract>
<kwd-group>
<kwd>microRNA</kwd>
<kwd>miR-195</kwd>
<kwd>prostate cancer</kwd>
<kwd>HMGA1</kwd>
<kwd>cell cycle</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Prostate cancer (PCa) is the most commonly diagnosed solid organ malignancy in the United States and remains the second leading cause of cancer-related death among American men. Approximately 29,480 deaths due to prostate cancer were recorded in the US in 2014 (<xref rid="b1-or-36-01-0376" ref-type="bibr">1</xref>). Prostate cancer deaths are typically the result of metastatic castration-resistant prostate cancer (mCRPC), and historically the median survival for men with mCRPC is less than 2 years. Similar to other human diseases, PCa is associated with a wide spectrum of genetic aberrations. However, the mechanisms implicated in the initiation and progression of PCa remain unclear (<xref rid="b2-or-36-01-0376" ref-type="bibr">2</xref>).</p>
<p>MicroRNAs (miRNAs) are small (18 to 24 nucleotides in length), single-stranded, endogenous non-coding RNAs that regulate gene expression post-transcriptionally. The aberrant expression of miRNAs is closely associated with the proliferation, cell cycle, apoptosis, differentiation, migration, metabolism and prognosis of various types of cancers, including PCa (<xref rid="b3-or-36-01-0376" ref-type="bibr">3</xref>&#x02013;<xref rid="b6-or-36-01-0376" ref-type="bibr">6</xref>). miR-195 is a member of the miR-15/16 family, which consists of a group of miRNAs (miR-195, miR-15a, miR-15b, miR-16-1 and miR-16-2) that share a similar seed sequence (<xref rid="b7-or-36-01-0376" ref-type="bibr">7</xref>). The sequence of mature miR-195 is conserved across mammalian species (<xref rid="b8-or-36-01-0376" ref-type="bibr">8</xref>). miR-195 has been reported to be deregulated in certain types of cancer, including upregulation in chronic and acute lymphocytic leukemia (<xref rid="b9-or-36-01-0376" ref-type="bibr">9</xref>) and metastatic melanoma (<xref rid="b10-or-36-01-0376" ref-type="bibr">10</xref>) but is downregulated in adrenocortical, hepatocellular carcinoma and squamous cell carcinoma (<xref rid="b11-or-36-01-0376" ref-type="bibr">11</xref>&#x02013;<xref rid="b13-or-36-01-0376" ref-type="bibr">13</xref>). However, the exact role of miR-195 in PCa remains elusive.</p>
<p>In this study, we found that miR-195 expression levels were decreased in human PCa samples and positively correlated with prognosis. Next, we used RNA sequence and bioinformation to screen the biological effect of miR-195 in PCa cells and found miR-195 may influence cell cycle. Further study showed that overexpression of miR-195 inhibited cell proliferation, cell cycle progression, and tumorigenesis <italic>in vitro</italic> and <italic>in vivo</italic>. In addition, HMGA1 was identified as the target gene of miR-195 in PCa and its high expression was inversely correlated with the prognosis of PCa patients. Downregulation of the expression of HMGA1 had an effect similar to that of miR-195 in the PCa cells. All of these results indicate that miR-195 and its downstream target gene HMGA1 can be used to predict the prognosis or even suppress the development of PCa.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Data mining and bioinformation analysis</title>
<p>Gene expression data were downloaded from the GSE35988 (<ext-link xlink:href="http://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE35988" ext-link-type="uri">http://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE35988</ext-link>) (<xref rid="b14-or-36-01-0376" ref-type="bibr">14</xref>) and GSE21034 (<ext-link xlink:href="http://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE21034" ext-link-type="uri">http://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE21034</ext-link>) (<xref rid="b15-or-36-01-0376" ref-type="bibr">15</xref>). Detailed information on patients can be obtained from the Oncomine database (<ext-link xlink:href="https://www.oncomine.org/resource/main.html" ext-link-type="uri">https://www.oncomine.org/resource/main.html</ext-link>). Gene set enrichment analysis (GSEA) was used to identify pathway gene sets that were correlated with the miR-195 expression profile (<ext-link xlink:href="http://www.broadinstitute.org/gsea/index.jsp" ext-link-type="uri">http://www.broadinstitute.org/gsea/index.jsp</ext-link>). The gene sets were derived from the Molecular Signatures Database. The normalized ES was used to compare the analysis results across the various gene sets.</p></sec>
<sec>
<title>Cell culture</title>
<p>Human prostate cancer cells, DU-145 and PC-3, were purchased from Shanghai Cell Bank, Chinese Academy of Sciences. DU-145 cells were cultured in Dulbecco's modified Eagle's medium (DMEM; Hyclone, Beijing, China) plus 10% fetal bovine serum (FBS; Hyclone, Gaithersburg, MD, USA), 100 mg/ml streptomycin and 100 U/ml penicillin (Hyclone, Beijing, China). PC-3 cells were cultured in DMEM/F12 (Hyclone, Beijing, China) medium supplemented with 10% FBS and antibiotics. Cells were incubated at 37&#x000B0;C in a humidified atmosphere of 5% CO<sub>2</sub> in air.</p></sec>
<sec>
<title>miRNA/siRNA transfections</title>
<p>Cells were plated in 6-well plates in their normal growth medium without antibiotics for 24 h before transfections. Transient transfections of miRNA mimics/siRNA (both from GenePharma) were carried out using Lipofectamine 2000 (Invitrogen, Carlsbad, CA, USA) according to the manufacturer's instructions, when cells reached 50&#x02013;70% confluency. miR-195 mimics, the negative control (miR-NC), HMGA1 siRNA or the universal scrambled negative control (NC siRNA) were purchased from GenePharma (Shanghai, China).</p></sec>
<sec>
<title>MTT assay</title>
<p>The transfected cells were plated at 3,000/well in 96-well plates. Every 24 h after plating, respectively, 20 <italic>&#x000B5;</italic>l of 5 mg/ml MTT in PBS was added per well; cells were lysed after 4 h by addition of 200 <italic>&#x000B5;</italic>l dimethyl sulfoxide (DMSO; Sigma). Absorbance was measured at 570 nm.</p></sec>
<sec>
<title>Colony formation assay</title>
<p>After transfection, the cells were seeded in 6-well plates at a density of 3,000 cells/well and cultured for 9&#x02013;14 days until visible colonies appeared. Then the cells were stained with crystal violet. The number of colonies was counted only if they contained more than 50 cells.</p></sec>
<sec>
<title>Cell cycle assays</title>
<p>Cell cycle distribution was detected by flow cytometry (FCM). After 48 h of transient transfections, the cells were harvested by trypsinisation and fixed in 70% ice-cold ethanol the overnight. Then cells were washed with cold PBS and resuspended in propidium iodide (PI) nuclear staining for cell cycle analysis.</p></sec>
<sec>
<title>Western blotting</title>
<p>Whole cell extracts were prepared in RIPA buffer containing protease inhibitor PMSF (both from Beyotime, Shanghai, China). Protein concentration was measured using the BCA assay (Beyotime) according to the manufacturer's instructions. Total protein was electrophoresed by SDS-PAGE. Then the proteins were transferred to a polyvinylidene fluoride membrane (Millipore, Billerica, MA, USA) and blocked for 1 h with 5% skim milk at room temperature. Incubation with primary antibodies was conducted overnight at 4&#x000B0;C. The blots were incubated with horseradish peroxidase labelled secondary antibodies and the signal was detected using ECL (Beyotime). The following antibodies were used for western blotting: rabbit anti-GAPDH (1:500; Xianzhi Biotechnology, Hangzhou, China), rabbit anti-HMGA1 (1:500; Cell Signaling Technology, USA), HRP-labelled goat anti-rabbit secondary antibody (1:3,000; Zhongshan Golden Bridge Biotechnology, Beijing, China).</p></sec>
<sec>
<title>Construction of the plasmid vectors</title>
<p>HMGA1 3&#x02032;UTR-luciferase reporter vectors were cloned into psiCHECK-2&#x02122; vectors. In brief, wide and mutant 3&#x02032;UTR regions were chemically synthesised and cloned into the <italic>Xho</italic>I and <italic>Not</italic>I sites of the psiCHECK-2&#x02122; vector (Promega, Madison, WI, USA).</p></sec>
<sec>
<title>Luciferase assay</title>
<p>For the luciferase reporter assay, the cells were cultured in 24-well plates and transiently co-transfected with 50 nM miRNA (miR-195 mimics or scrambled miR-195 negative control) and 250 ng reporter vectors (wild-type reporter vectors or mutant-type reporter vectors), using Lipofectamine&#x02122; 2000. Luciferase activities were measured using a Dual-Luciferase assay kit (Promega) according to the manufacturer's instructions at 48 h post-transfection</p></sec>
<sec>
<title>Lentiviral packaging and establishment of stable cell lines</title>
<p>The lentiviral packaging kit was purchased from Open Biosystems (Huntsville, AL, USA). The lentivirus carrying hsa-miR-195 or hsa-miR-negative control (NC) was packaged following the manufacturer's manual. Stable cell lines were established by infecting the lentivirus into PC-3 cells and selection by puromycin.</p></sec>
<sec>
<title>Tumor growth assay in mice and immunohistochemical staining</title>
<p>Nude mice (female BALB/c-nu, 4-weeks old) were purchased from the Shanghai Experimental Animal Center (Chinese Academy of Sciences, Shanghai, China), and maintained under special pathogen-free (SPF) conditions. Six mice were randomly divided into two groups. PC-3 cells stably expressing miR-195 were injected subcutaneously into the flank of nude mice (4&#x000D7;10<sup>6</sup> cells in 100 <italic>&#x000B5;</italic>l). PC-3 cells stably expressing miR-NC were used as the negative control. Tumor size was measured using a vernier caliper every week, and tumor volume was calculated according to the formula: Volume = 0.5 &#x000D7; length &#x000D7; width<sup>2</sup>. Immunohistochemical staining assay was performed as previously described (<xref rid="b2-or-36-01-0376" ref-type="bibr">2</xref>).</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>High level of miR-195 is associated with a good prognosis of PCa</title>
<p>In the GSE21304 data, we analyzed the miR-195 expression pattern in different pathological grade PCa tissues and found that miR-195 expression was downregulated in high grade PCa tissues compared to low grade tissues (<xref rid="f1-or-36-01-0376" ref-type="fig">Fig. 1A</xref>). Next, the relationship between miR-195 expression and patient prognosis was investigated. The result indicated that a high level of miR-195 was associated with longer disease-free survival (<xref rid="f1-or-36-01-0376" ref-type="fig">Fig. 1B</xref>).</p></sec>
<sec>
<title>miR-195 overexpression inhibits proliferation and induces cell cycle arrest in prostate cancer cells</title>
<p>To assess the role of miR-195, we overexpressed miR-195 in prostate cancer cell lines (DU145 and PC3) followed by RNA sequence and bioinformational analysis. GSEA analysis showed that there was negatively enriched expression of gene sets involved in cell cycle progression in the miR-195-transfected cells (<xref rid="f2-or-36-01-0376" ref-type="fig">Fig. 2A</xref>). Consistent with the GSEA analysis, miR-195 overexpression inhibited DU145 and PC3 cell proliferation in the MTT assay (<xref rid="f2-or-36-01-0376" ref-type="fig">Fig. 2B</xref>). miR-195 overexpression also decreased clonogenicity of the DU145 and PC3 cells compared to that noted in the miR-NC (<xref rid="f2-or-36-01-0376" ref-type="fig">Fig. 2C</xref>). FCM analysis showed that overexpression of miR-195 led to a significant increase in the percentage of G0/G1 phase DU145 and PC3 cells (<xref rid="f2-or-36-01-0376" ref-type="fig">Fig. 2D</xref>). This indicated that miR-195 overexpression suppressed the growth of prostate cancer cells.</p></sec>
<sec>
<title>miR-195 targets HMGA1 in prostate cancer cells</title>
<p>To find the target of miR-195, bioinformatic analysis was performed using TargetScan Human 6.2 and miRanda. HMGA1 was found to possess potential miR-195 target sites within its 3&#x02032;UTR (<xref rid="f3-or-36-01-0376" ref-type="fig">Fig. 3A</xref>). Guided by this finding, we performed western blot analysis in the DU145 and PC3 cells that were transfected with miR-195 or miR-NC. The results showed that overexpression of miR-195 inhibited HMGA1 expression (<xref rid="f3-or-36-01-0376" ref-type="fig">Fig. 3B</xref>). In order to investigate HMGA1 as a direct target of miR-195, transient transfection of the HMGA1 3&#x02032;UTR plasmid along with miR-195/miR-NC was performed in the DU145 and PC3 cells. A significant decrease was observed in luciferase activities when compared with the mutant plasmid (<xref rid="f3-or-36-01-0376" ref-type="fig">Fig. 3C</xref>). These results showed that HMGA1 is a direct target of miR-195.</p></sec>
<sec>
<title>The role of HMGA1 in PCa</title>
<p>In the GSE35988 dataset, we initially analyzed the HMGA1 expression pattern in benign prostate hyperplasia (BPH) tissues and different PCa tissues and found that HMGA1 expression was elevated in the CRPC tissues compared to the level noted in the BPH tissues. Furthermore, HMGA1 expression was significantly increased in the CRPC tissues when compared with that noted in the androgen-dependent prostate cancer (ADPC) tissues (<xref rid="f4-or-36-01-0376" ref-type="fig">Fig. 4A</xref>). GSEA was used to evaluate the pathways that were differentially expressed between patients with high levels of HMGA1 expression and those with low levels of HMGA1 expression. The data revealed that HMGA1 regulates genes primarily associated with PCa cell cycle progression (<xref rid="f4-or-36-01-0376" ref-type="fig">Fig. 4B</xref>). Next, we investigated the correlation between HMGA1 expression and survival using Kaplan-Meier survival curve analysis with a log-rank comparison. PCa samples expressing higher than median levels of HMGA1 were associated with decreased biochemical relapse-free survival and overall survival relative to those with HMGA1 levels lower than the median (P&lt;0.05) in the Oncomine data (<xref rid="f4-or-36-01-0376" ref-type="fig">Fig. 4C and D</xref>).</p>
<p>Then, HMGA1 was knocked down in the DU145 and PC3 cells by introducing siRNA. The knockdown efficiency was verified through western blot analysis and reduced expression of HMGA1 was observed (<xref rid="f5-or-36-01-0376" ref-type="fig">Fig. 5B</xref>). MTT assay showed that low expression of HMGA1 inhibited the proliferation of the PCa cells (<xref rid="f5-or-36-01-0376" ref-type="fig">Fig. 5A</xref>). FCM analysis also indicated that low expression of HMGA1 induced G0/G1 phase arrest (<xref rid="f5-or-36-01-0376" ref-type="fig">Fig. 5C</xref>).</p></sec>
<sec>
<title>MiR-195 inhibits PCa tumorigenesis and downregulates HMGA1 in vivo</title>
<p>In the previous experiment, miR-195 was found to be downregulated in human PCa tissues and to play an important role in proliferation and cell cycle distribution. We further examined the effect of miR-195 in a nude mouse PCa xenograft model. Overexpression of miR-195 inhibited PCa xenograft growth <italic>in vivo</italic> (<xref rid="f6-or-36-01-0376" ref-type="fig">Fig. 6A</xref>). Immunohistochemical analysis revealed that HMGA1 was markedly decreased following miR-195 treatment (<xref rid="f6-or-36-01-0376" ref-type="fig">Fig. 6B</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>miR-195, derived from the miR-497/miR-195 locus at human chromosome 17p13.1, has been found to be aberrantly deregulated in tumorigenesis (<xref rid="b11-or-36-01-0376" ref-type="bibr">11</xref>). For example, it is upregulated in metastatic melanoma (<xref rid="b10-or-36-01-0376" ref-type="bibr">10</xref>) and some cases of lung cancer (<xref rid="b16-or-36-01-0376" ref-type="bibr">16</xref>), and hepatocellular carcinoma (<xref rid="b17-or-36-01-0376" ref-type="bibr">17</xref>). By contrast, it is preferentially downregulated in breast cancer (<xref rid="b18-or-36-01-0376" ref-type="bibr">18</xref>), gastric cancer (<xref rid="b17-or-36-01-0376" ref-type="bibr">17</xref>,<xref rid="b19-or-36-01-0376" ref-type="bibr">19</xref>), colorectal cancer (<xref rid="b20-or-36-01-0376" ref-type="bibr">20</xref>&#x02013;<xref rid="b22-or-36-01-0376" ref-type="bibr">22</xref>), and bladder cancer (<xref rid="b23-or-36-01-0376" ref-type="bibr">23</xref>,<xref rid="b24-or-36-01-0376" ref-type="bibr">24</xref>). However, inconsistent and inconclusive results have been reported concerning the expression and function of miR-195 in PCa (<xref rid="b17-or-36-01-0376" ref-type="bibr">17</xref>,<xref rid="b25-or-36-01-0376" ref-type="bibr">25</xref>). These controversial observations indicate the complexity of miR-195 during tumorigenesis and development and also call for further investigation of the role in PCa. In the present study, we found that miR-195 expression levels were decreased in human PCa samples and were positively correlated with prognosis. Overexpression of miR-195 significantly suppressed the cell cycle and proliferation of PCa cells. In addition, our results in PCa cells indicated that miR-195 targets HMGA1 and negatively regulates its expression at the translational level which indicates that miR-195 may suppress PCa malignant progression by downregulating the HMGA1 oncogene.</p>
<p>HMGA proteins are encoded by two genes, HMGA1 and HMGA2, located at chromosome 6p21 and 12q13-15, respectively. Numerous studies have confirmed the association of HMGA, in particular HMGA1 overexpression, with a high malignant phenotype as outlined by chemoresistance, the spread of metastases, and a global poor survival (<xref rid="b26-or-36-01-0376" ref-type="bibr">26</xref>). For example, overexpression of HMGA1 in colon carcinoma was found to be strongly associated with invasive ability, staining being more intense in invasion-positive cases in comparison to invasion-negative ones (<xref rid="b27-or-36-01-0376" ref-type="bibr">27</xref>), in advanced stage (T3 and T4 tumors) and with the presence of distant, but not regional, metastases. Several reports have indicated that HMGA1 is abundantly expressed in pancreas adenocarcinomas, where overexpression of HMGA1 correlates with advanced grade and, though less frequently, in pancreas intraepithelial neoplasias (<xref rid="b28-or-36-01-0376" ref-type="bibr">28</xref>). Moreover, HMGA1 is not expressed in the normal epithelium surface where adenocarcinomas originate, but it was found to be highly expressed in invasive ovarian carcinomas, and weakly expressed in ovarian carcinomas with low invasive potential (<xref rid="b29-or-36-01-0376" ref-type="bibr">29</xref>). To evaluate the expression and role of HMGA1 in PCa, we downloaded mRNA expression and clinical follow-up data from the Oncomine and GSE database. Our analysis showed upregulation of HMGA1 in CRPC samples in comparison to ADPC and BPH tissues. In addition, high HMGA1 expression was associated with the poor prognosis of PCa patients. Moreover, HMGA1 knockdown significantly decreased the potential of cell proliferation and cell cycle progression in the PCa cells <italic>in vitro</italic>, which had effects similar to those for miR-195 overexpression.</p>
<p>In conclusion, the results presented here demonstrate that miR-195 has significant biological effects on PCa development. Overexpression of miR-195 downregulated the expression of HMGA1 protein, suggesting that miR-195 functions as a tumor suppressor probably through downregulation of HMGA1 in PCa. Furthermore, there are other putative miR-195 target genes which could potentially be key players in the malignant progression of PCa cells. miR-195 may prove to be a promising gene therapeutic agent.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>This study was supported by the National Natural Science Foundation of China (81370849, 81300472, and 81572517), the Natural Science Foundation of Jiangsu Province (BL2013032 and BK2012336) and Nanjing City (201201053) and Southeast University (3290002402), Science Foundation of Ministry of Education of China (20120092120071).</p></ack>
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<floats-group>
<fig id="f1-or-36-01-0376" position="float">
<label>Figure 1</label>
<caption>
<p>miR-195 expression is associated with the prognosis of PCa patients. (A) miR-195 expression was found to be downregulated in high grade PCa tissues compared to low grade tissues. (B) A high level of miR-195 was associated with longer disease-free survival.</p></caption>
<graphic xlink:href="OR-36-01-0376-g00.tif"/></fig>
<fig id="f2-or-36-01-0376" position="float">
<label>Figure 2</label>
<caption>
<p>miR-195 is associated with the cell cycle. (A) GSEA analysis showed that there was negatively enriched expression of gene sets involved in cell cycle progression in the miR-195-transfected cells. (B and C) Cell growth ability was determined by MTT assay and colony formation assay. (D) Cells were transfected with the miR-195 mimics, and the distribution of cells within the stages of the cell cycle was determined.</p></caption>
<graphic xlink:href="OR-36-01-0376-g01.tif"/></fig>
<fig id="f3-or-36-01-0376" position="float">
<label>Figure 3</label>
<caption>
<p>miR-195 directly targets HMGA1. (A) Putative binding sites of miR-195 within the HMGA1 3&#x02032;UTR, as predicted by TargetScan Human and miRanda. (B) HMGA1 protein level was measured in PCa cells at 48 h post-transfection. (C) Luciferase reporter assays were performed to detect the regulatory mechanism between miR-195 and its binding site within the HMGA1 mRNA 3&#x02032;UTR.</p></caption>
<graphic xlink:href="OR-36-01-0376-g02.tif"/></fig>
<fig id="f4-or-36-01-0376" position="float">
<label>Figure 4</label>
<caption>
<p>Increased HMGA1 expression confers poor prognosis in PCa patients. (A) The levels of HMGA1 were analyzed in PCa and BPH tissues of the GSE dataset. (B) GSEA analysis showed that there was enriched expression of gene sets involved in PCa cell cycle progression in high-HMGA1 expression samples. (C and D) Kaplan&#x02013;Meier survival curves for HMGA1 expression in PCa tissues of the Oncomine dataset. BPH, benign prostate hyperplasia; ADPC, androgen-dependent prostate cancer; CRPC, castration-resistant prostate cancer.</p></caption>
<graphic xlink:href="OR-36-01-0376-g03.tif"/></fig>
<fig id="f5-or-36-01-0376" position="float">
<label>Figure 5</label>
<caption>
<p>HMGA1-siRNA inhibits PCa progression. (A) Cell proliferation was determined by MTT assay. (B) Western blot analyses were used to determine HMGA1 expression changes following cell transfection with siHMGA1. (C) Cells were transfected with siHMGA1, and the distribution of cells within the stages of the cell cycle was determined.</p></caption>
<graphic xlink:href="OR-36-01-0376-g04.tif"/></fig>
<fig id="f6-or-36-01-0376" position="float">
<label>Figure 6</label>
<caption>
<p>miR-195/HMGA1 axis was confirmed in nude mouse tumor xenograft. (A) Nude mice were injected subcutaneously with PC-3 cells stably expressing miR-195 (miR-195) or miR-negative control (NC). The width and length of tumors were measured every week. <sup>&#x0002A;</sup>P&lt;0.05, significant difference when compared to the NC group. (B) The expression level of HMGA1 was analyzed in tumor tissues by immunohistochemistry.</p></caption>
<graphic xlink:href="OR-36-01-0376-g05.tif"/></fig></floats-group></article>
