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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.2016.5250</article-id>
<article-id pub-id-type="publisher-id">or-37-01-0241</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>miR-3619-5p inhibits prostate cancer cell growth by activating <italic>CDKN1A</italic> expression</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Senmao</given-names></name>
<xref rid="af1-or-37-01-0241" ref-type="aff">1</xref>
<xref rid="fn1-or-37-01-0241" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Wang</surname><given-names>Chenghe</given-names></name>
<xref rid="af2-or-37-01-0241" ref-type="aff">2</xref>
<xref rid="fn1-or-37-01-0241" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Yu</surname><given-names>Xiao</given-names></name>
<xref rid="af1-or-37-01-0241" ref-type="aff">1</xref>
<xref rid="fn1-or-37-01-0241" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Wu</surname><given-names>Huanlei</given-names></name>
<xref rid="af3-or-37-01-0241" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Hu</surname><given-names>Jia</given-names></name>
<xref rid="af1-or-37-01-0241" ref-type="aff">1</xref>
<xref rid="c1-or-37-01-0241" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Wang</surname><given-names>Shaogang</given-names></name>
<xref rid="af1-or-37-01-0241" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Ye</surname><given-names>Zhangqun</given-names></name>
<xref rid="af1-or-37-01-0241" ref-type="aff">1</xref></contrib>
</contrib-group>
<aff id="af1-or-37-01-0241"><label>1</label>Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China</aff>
<aff id="af2-or-37-01-0241"><label>2</label>Department of Urology, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200025, P.R. China</aff>
<aff id="af3-or-37-01-0241"><label>3</label>Department of Geriatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, P.R. China</aff>
<author-notes>
<corresp id="c1-or-37-01-0241"><italic>Correspondence to</italic>: Dr Jia Hu, Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 1095 Jie Fang Avenue, Wuhan, Hubei 430030, P.R. China, E-mail: <email>jiahutjm@163.com</email></corresp>
<fn id="fn1-or-37-01-0241"><label>&#x002A;</label><p>Contributed equally</p></fn>
</author-notes>
<pub-date pub-type="ppub"><month>01</month><year>2017</year></pub-date>
<pub-date pub-type="epub"><day>16</day><month>11</month><year>2016</year></pub-date>
<volume>37</volume>
<issue>1</issue>
<fpage>241</fpage>
<lpage>248</lpage>
<history>
<date date-type="received"><day>25</day><month>04</month><year>2016</year></date>
<date date-type="accepted"><day>24</day><month>10</month><year>2016</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2016, Spandidos Publications</copyright-statement>
<copyright-year>2016</copyright-year>
</permissions>
<abstract>
<p>Recent studies have shown that miRNAs have potent abilities to activate gene expression by targeting promoter elements, a phenomenon known as RNA activation (RNAa). In the present study, we identified a new endogenous miR-3619-5p which was decreased in prostate cancer tissues and cells compared to corresponding normal controls. Moreover, overexpression of miR-3619-5p readily induced <italic>CDKN1A</italic> gene expression by directly targeting the putative site in the promoter. Besides, miR-3619-5p possessed considerable capacity to inhibit prostate cancer DU145 and PC3 cell growth, and downregulate several <italic>CDKN1A</italic> downstream genes, such as cyclin D1, CDK4 and CDK6. Notably, this antitumor function of miR-3619-5p was mainly achieved by stimulating <italic>CDKN1A</italic> expression.</p>
</abstract>
<kwd-group>
<kwd>RNA activation</kwd>
<kwd>miRNA</kwd>
<kwd><italic>CDKN1A</italic></kwd>
<kwd>prostate cancer</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Prostate cancer is the most prevalent cancer among men in the United States, with an estimated annual incidence of 180,890 new cases and 26,120 deaths as reported in 2016 (<xref rid="b1-or-37-01-0241" ref-type="bibr">1</xref>). Likewise, the incidence and mortality rate of prostate cancer have sharply increased in China over the past few decades (<xref rid="b2-or-37-01-0241" ref-type="bibr">2</xref>). Androgen deprivation is the mainstay of therapy for advanced prostate cancer. Unfortunately, most androgen-dependent prostate cancer patients progressed to a castration-resistant state after a median time of 18&#x2013;24 months (<xref rid="b3-or-37-01-0241" ref-type="bibr">3</xref>). Therefore, effective new therapies are needed to improve clinical care of prostate cancer patients.</p>
<p>It is known that exogenous small activating RNAs (saRNAs) are able to stimulate gene expression at the transcriptional level by targeting specific promoter regions, termed as RNA activation (RNAa) (<xref rid="b4-or-37-01-0241" ref-type="bibr">4</xref>). Besides, the endogenous microRNAs (miRNAs) have also been implicated in induction of gene expression via the same mechanism (<xref rid="b5-or-37-01-0241" ref-type="bibr">5</xref>). As a class of small non-coding RNA molecules, miRNAs play important roles in prostate cancer proliferation and apoptosis (<xref rid="b6-or-37-01-0241" ref-type="bibr">6</xref>,<xref rid="b7-or-37-01-0241" ref-type="bibr">7</xref>). In addition, downregulation of specific miRNAs in tumor tissues can lead to aberrant expression of their targeted genes, which are often involved in prostate cancer initiation, development and progression (<xref rid="b8-or-37-01-0241" ref-type="bibr">8</xref>). Hereby, restoration of the specific miRNA in prostate tumors could be considered as a promising therapeutic strategy for prostate cancer.</p>
<p>Increased proliferative activity, often caused by impaired regulation of cell cycle, is the main characteristic of cancer cells. The <italic>CDKN1A</italic> gene is a broad-acting cyclin-dependent kinase inhibitor and encodes the p21 protein (<xref rid="b9-or-37-01-0241" ref-type="bibr">9</xref>). Upregulated expression of <italic>CDKN1A</italic> by adenoviral vectors has been shown to inhibit prostate cancer growth both <italic>in vitro</italic> and <italic>in vivo</italic> (<xref rid="b10-or-37-01-0241" ref-type="bibr">10</xref>). Thus, the <italic>CDKN1A</italic> gene is an ideal target for gain-of-function manipulation to suppress prostate cancer cells growth.</p>
<p>In the present study, a new miRNA (miR-3619-5p) was selected and transfected into prostate cancer cell lines DU145 and PC3. Our findings showed that miR-3619-5p had potent ability to induce <italic>CDKN1A</italic> expression by directly targeting its promoter region, and inhibiting prostate cancer cell proliferation.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Tissue samples and cell culture</title>
<p>Prostate cancer tumor specimens and tumor normal adjacent tissues were obtained from Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (Wuhan, China) after informed consent and ethics committee approval. After surgical removal, fresh samples were fixed in 4&#x0025; paraformaldehyde immediately and then paraffin-embedded for immunohistochemistry.</p>
<p>Human prostate cancer cell lines DU145, PC3 and LNcaP (ATCC) were maintained in RPMI-1640 medium (Hyclone, Logan, UT, USA) and normal prostate epithelial cells RWPE-1 (ATCC) were maintained in Keratinocyte-SFM (Gibco, Grand Island, NY, USA), respectively. The medium was supplemented with 10&#x0025; fetal bovine serum (FBS) (Gibco) and cells were cultured in a humidified atmosphere of 5&#x0025; CO<sub>2</sub> at 37&#x00B0;C.</p>
</sec>
<sec>
<title>Prediction and transfection of Target miRNAs</title>
<p>A candidate miRNA complementary to <italic>CDKN1A</italic> promoter was predicted by the miRanda program on the Linux operating system (<xref rid="b11-or-37-01-0241" ref-type="bibr">11</xref>). In addition, the selected miRNA possessed no putative target sites in 3&#x2032; or 5&#x2032; untranslated regions (UTR) of the p21 transcript.</p>
<p>RNAs and 5&#x2032;- or 3&#x2032;-biotin covalently linked RNAs were manufactured by Shanghai GenePharma Co., Ltd. (Shanghai, China). A dsControl lacking significant homology to all known human sequences was used as a non-specific control and dsP21-322 was used as the positive control (<xref rid="tI-or-37-01-0241" ref-type="table">Table I</xref>). Cells were plated in growth medium at a density of 50&#x2013;60&#x0025;. The transfection was carried out by using Lipofectamine RNAiMax (Invitrogen, Carlsbad, CA, USA) 24 h later according to the manufacturer&#x0027;s protocol. The final concentration of RNAs was 50 nM for each well.</p>
</sec>
<sec>
<title>RNA extraction, real-time PCR and miRNA analysis</title>
<p>Total RNA from cells was extracted by using TRIzol reagent (Invitrogen). Total RNA (500 ng) was reverse transcribed and real-time quantitative PCR was performed on the Mx3000P system (Stratagene, Santa Clara, CA, USA) according to the manufacturer&#x0027;s instructions. Mature miRNA were reverse transcribed and then quantitated by using All-in-one&#x2122; miRNA qPCR kit (GeneCopoeia, Guangdong, China). GAPDH and U6 snRNA were used as internal controls. The primers were provided by Invitrogen or GeneCopoeia. Some primer sequences used are available in <xref rid="tII-or-37-01-0241" ref-type="table">Table II</xref>.</p>
</sec>
<sec>
<title>Immunohistochemistry (IHC)</title>
<p>Formalin-fixed, paraffin-embedded tissue sections (5 &#x00B5;m) were deparaffinized in xylene and rehydrated with gradient concentrations of ethanol. The tissue sections were stained with specific antibodies against p21 (Cell Signaling Technology, Danvers, MA, USA) (1:400). The sections incubated with secondary antibodies in the absence of primary antibodies were used as negative control. Hematoxylin was used for counterstaining. Slides were viewed and photographed under a light microscope.</p>
</sec>
<sec>
<title>Fluorescence in situ hybridization (FISH)</title>
<p>FISH was determined as described previously (<xref rid="b12-or-37-01-0241" ref-type="bibr">12</xref>). Briefly, a 5&#x2032; and 3&#x2032;-digoxin-conjugated miR-3619-5p probe (Exiqon, Vedbaek, Denmark) was used for miRNA <italic>in situ</italic> hybridization of miR-3619-5p. Sections were first blocked with prehybridization buffer for 20 min at 22&#x2013;25&#x00B0;C below the predicted probe melting temperature in a humidified chamber, and then the miR-3619-5p probe (10 ng/ml) in the hybridization buffer was hybridized with the tissue sections overnight at the same temperature. After washing the slides with washing buffer, the sections were stained with anti-digoxin rhodamine conjugate (1:100, Exon Biotech Inc., China) at 37&#x00B0;C for 1 h away from light. Then, the sections were stained with DAPI for nuclear staining. All fluorescence images were captured on a fluorescence microscope (Leica, Mannheim, Germany).</p>
</sec>
<sec>
<title>Western blot analysis</title>
<p>Cells were harvested at 72 h following transfection. Protein were separated by 10&#x0025; SDS/PAGE and transferred on to PVDF membranes (Millipore, Billerica, MA, USA). After blocking the membranes were incubated overnight at 4&#x00B0;C with appropriate dilutions of specific primary antibodies as follows: p21 (1/2000) (Cell Signaling Technology), cyclin D1 (1/2000) (Affinity, USA), CDK4 (1/1000) (Affinity), CDK6 (1/2000) (Affinity), GAPDH (1/500) (Boster, Wuhan, China) and &#x03B1;-tubulin (1/500) (Boster). Then membranes were incubated with corresponding second antibody and detected by enhanced chemiluminescence (ECL) assay kit (Millipore).</p>
</sec>
<sec>
<title>Chromatin immunoprecipitation (ChIP) assay</title>
<p>Cells transfected with biotin-labelled RNAs were processed for ChIP assay (Millipore) at 72 h according to the manufacturer&#x0027;s instructions with further modifications. Approximate 3&#x00D7;10<sup>6</sup> cells were used for one immunoprecipitation. Degradation of RNAs was avoided by RNase inhibitor (Thermo Fisher Scientific, Waltham, MA, USA) with a final concentration of 50 U/ml. An antibody against biotin (Santa Cruz Biotechnology, Santa Cruz, CA USA) and negative control normal rabbit IgG (Millipore) were used for immunoprecipitation. Primers are available in <xref rid="tII-or-37-01-0241" ref-type="table">Table II</xref>.</p>
</sec>
<sec>
<title>Cell cycle analysis</title>
<p>At 72 h after transfection, cells were fixed by 70&#x0025; cold ethanol, incubated with RNase A (Sigma, St. Louis, MO, USA) and stained by propidium iodide (PI) (Nanjing KeyGen Biotech Co., Ltd., Nanjing, China) staining solution. After staining, the cells were analyzed on a FACSort flow cytometer (BD Biosciences, San Diego, CA, USA). The data were processed by CELL Quest software (BD Biosciences).</p>
</sec>
<sec>
<title>Clonogenic survival assay</title>
<p>After transfection for 24 h, cells were trypsinized, counted and reseeded in 6-well plates at the density of 1000 cells/well for 10 days. The colonies were fixed and stained with 0.5&#x0025; crystal violet (Sigma). The colony formation rate = number of colonies/number of seeded cells &#x00D7; 100&#x0025;.</p>
</sec>
<sec>
<title>Cell proliferation assay</title>
<p>Cell proliferation was assessed by using the CellTiter 96 AQ<sub>ueous</sub> One Solution Cell Proliferation Assay kit (Promega, Madison, WI, USA) as previously described (<xref rid="b13-or-37-01-0241" ref-type="bibr">13</xref>). Briefly, RNA transfected cells were grown in 96-well plates at a density of 1000 cells/well. Cell growth was measured daily for 4 days. At each time point, 20 &#x00B5;l of CellTiter 96 AQ<sub>ueous</sub> One Solution was added and incubated. Absorbance was detected by a microplate reader (Bio-Rad, Berkeley, CA, USA) at 490 nm.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>The data are expressed as the mean &#x00B1; standard deviation (SD) for three independent experiments. Differences between groups were analyzed by t-tests using SPSS version 13.0 software (SPSS Inc., Chicago, IL, USA). P-value &#x003C;0.05 was considered to be statistically significant.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Expression patterns of miR-3619-5p and CDKN1A in prostate cancer cell lines and tissues</title>
<p>Firstly, we scanned 1 kb of <italic>CDKN1A</italic> promoter for sites complementary to known human miRNAs from miRBase database. A candidate miRNA (miR-3619-5p) was identified with a higher sequence complementarity score (171) and a lower minimum free energy (MFE) (&#x2212;33.24 kcal/mol) through the miRanda algorithm. In addition, the putative target of <italic>CDKN1A</italic> promoter position &#x2212;193/&#x2212;176 relative to the transcription start site (<xref rid="f1-or-37-01-0241" ref-type="fig">Fig. 1A</xref>).</p>
<p>Then we performed quantitative real-time PCR to analyze the miR-3619-5p and <italic>CDKN1A</italic> expression patterns in prostate cancer cell lines. As shown in <xref rid="f1-or-37-01-0241" ref-type="fig">Fig. 1B</xref>, compared with normal prostate epithelial cells RWPE-1, prostate cancer cell lines DU145 and PC3 had significant lower levels of miR-3619-5p expression). However, the prostate cancer LNcaP cells exhibited higher expression of miR-3619-5p than RWPE-1. Furthermore, <italic>CDKN1A</italic> mRNA expression was downregulated in the 3 prostate cancer cell lines compared to RWPE-1.</p>
<p>Moreover, we evaluated the p21 protein levels in prostate tissues and we found that p21 was lower expressed in prostate cancer than the corresponding adjacent control (<xref rid="f1-or-37-01-0241" ref-type="fig">Fig. 1C</xref>). Additionally, the FISH assay was conducted to determine miR-3619-5p expression in tissues and indicated that miR-3619-5p expression level in tumor tissues was lower compared to adjacent non-tumor tissues (<xref rid="f1-or-37-01-0241" ref-type="fig">Fig. 1D</xref>). Based on these results, miR-3619-5p may act as a tumor suppressor in prostate cancer cells.</p>
</sec>
<sec>
<title>miR-3619-5p activates CDKN1A expression by directly interacting the promoter</title>
<p>To identify candidate miR-3619-5p that may be involved in positively regulating <italic>CDKN1A</italic> expression, synthetic miR-3619-5p mimics or controls (dsP21-322 and dsControl) were transfected into DU145 and PC3 cells. Compared to mock and control treatment, dsP21-322 and miR-3619-5p led to a significant induction of p21 mRNA levels in both cell lines at 72 h after transfection (<xref rid="f2-or-37-01-0241" ref-type="fig">Fig. 2A and B</xref>). Moreover, this induction was further confirmed by immunoblot analysis (<xref rid="f2-or-37-01-0241" ref-type="fig">Fig. 2C</xref>).</p>
<p>We and other researchers have reported that the binding of miRNAs to the promoter is one of the possible mechanisms to promoter-targeted specific gene activation (<xref rid="b11-or-37-01-0241" ref-type="bibr">11</xref>,<xref rid="b14-or-37-01-0241" ref-type="bibr">14</xref>). To explore whether miR-3619-5p interact directly with <italic>CDKN1A</italic> promoter, we performed ChIP assay via biotinylated RNAs. Biotin was covalently linked to either 5&#x2032;-end or 3&#x2032;-end of miR-3619-5p and dsControl antisense strand. After 72 h with individual transfection, the target promoter DNA was pulled down by using a well-characterized biotin antibody and then amplified by real-time PCR. Two sets of primers were used to amplify promoter DNA sequences at different locations, in which one primer set amplifying sequences from &#x2212;1309 bp to &#x2212;1150 bp relative to the TSS served as a negative control (<xref rid="f3-or-37-01-0241" ref-type="fig">Fig. 3A</xref>).</p>
<p>Finally, miR-3619-5p pulled down promoter DNA more effectively than the dsControl RNA both in DU145 and PC3 cells (<xref rid="f3-or-37-01-0241" ref-type="fig">Fig. 3B-E</xref>). In contrast, there was no difference in the binding of miR-3619-5p and dsControl to DNA upstream of the <italic>CDKN1A</italic> promoter (&#x2212;1309 to &#x2212;1150). These results indicate that the miR-3619-5p interacts directly with <italic>CDKN1A</italic> promoter and enhances its expression.</p>
</sec>
<sec>
<title>miR-3619-5p inhibits prostate cancer cell growth mainly by activating p21 expression</title>
<p>Next, we investigated whether p21 was mainly responsible for tumor suppression after miR-3619-5p transfection. To address this, a small interfering RNA (siP21) was used to silence the p21 expression in DU145 and PC3 cells (<xref rid="f6-or-37-01-0241" ref-type="fig">Fig. 6A and B</xref>). Then we performed flow cytometry to measure cell cycle distribution. In both tested cell types, transfection with miR-3619-5p led to a significant increase in the G0/G1 population compared with dsControl group (<xref rid="f4-or-37-01-0241" ref-type="fig">Fig. 4A-C</xref>). Moreover, knockout of p21 expression markedly attenuated G0/G1 cycle arrest mediated by miR-3619-5p in DU145 (<xref rid="f4-or-37-01-0241" ref-type="fig">Fig. 4A and C</xref>) and PC3 cells (<xref rid="f4-or-37-01-0241" ref-type="fig">Fig. 4B and C</xref>).</p>
<p>In order to assess the cell growth mode after p21 upregulation activated by miR-3619-5p, the colony formation assay was applied and showed miR-3619-5p transfected cells formed significantly fewer colonies in number and smaller in size (<xref rid="f5-or-37-01-0241" ref-type="fig">Fig. 5A</xref>). Additionally, the colony formation rates of miR-3619-5p transfected cells were remarkably lower than dsControl treatment in both cell lines (<xref rid="f5-or-37-01-0241" ref-type="fig">Fig. 5B</xref>). Moreover, the colony formation ability of the prostate cancer cells was restored after co-treatment of siP21 (<xref rid="f5-or-37-01-0241" ref-type="fig">Fig. 5A and B</xref>).</p>
<p>CellTiter 96 AQ<sub>ueous</sub> One Solution Cell Proliferation Assay indicated that compared to dsControl group, both DU145 and PC3 cells transfected with miR-3619-5p exhibited progressive retarded growth from the next day following transfection (<xref rid="f5-or-37-01-0241" ref-type="fig">Fig. 5C</xref>). Then we verified whether depletion of p21 could affect the inhibitory function of miR-3619-5p in prostate cancer cells. As illustrated in <xref rid="f5-or-37-01-0241" ref-type="fig">Fig. 5C</xref>, silencing of p21 evidently attenuated the anti-proliferative effect mediated by miR-3619-5p in both cell types. Taken together, these results suggest that miR-3619-5p possesses the capacity to inhibit prostate cancer cell growth through activating <italic>CDKN1A</italic> expression.</p>
</sec>
<sec>
<title>miR-3619-5p regulates prostate cancer cell cycle-associated genes mainly by enhancing CDKN1A</title>
<p>Subsequently, we determined the effects of miR-3619-5p transfection on the expression of downstream genes associated with cell cycle in prostate cancer cells. As shown in <xref rid="f6-or-37-01-0241" ref-type="fig">Fig. 6C</xref>, transfection of miR-3619-5p caused a significant decrease of mRNA levels of cyclin D1, CDK4 and CDK6 in both DU145 and PC3 cells. The suppression effects on protein levels of these genes were further verified by western blot analysis (<xref rid="f6-or-37-01-0241" ref-type="fig">Fig. 6D</xref>). We also blocked p21 expression by cotransfecting the siP21 in both cell lines. Real-time PCR revealed that miR-3619-5p failed to downregulate cyclin D1, CDK4 and CDK6 mRNA levels after siP21 cotreatment (<xref rid="f6-or-37-01-0241" ref-type="fig">Fig. 6C</xref>). The protein analysis of immunoblotting further proved this (<xref rid="f6-or-37-01-0241" ref-type="fig">Fig. 6D</xref>). These findings manifested that miR-3619-5p manipulated prostate cancer cell cycle-associated genes largely by upregulating <italic>CDKN1A</italic> expression.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In the present study, we identified an endogenous miR-3619-5p with lower expression in prostate cancer tissues and cells than corresponding normal controls. Moreover, overexpression of miR-3619-5p readily induces <italic>CDKN1A</italic> gene expression by targeting the putative site in the promoter. Mechanistically, this gene activation depends on miR-3619-5p directly interacting with the <italic>CDKN1A</italic> promoter sequences. Besides, miR-3619-5p holds considerable ability to inhibit prostate cancer DU145 and PC3 cell growth, and downregulate several <italic>CDKN1A</italic> downstream genes, such as cyclin D1, CDK4 and CDK6. Notably, this antitumor function of miR-3619-5p is primarily achieved by activating <italic>CDKN1A</italic> gene expression.</p>
<p>It is recognized that sustained proliferative activity is a distinct feature of cancer cells, therefore blockade of cell cycle is regarded as an promising strategy for treatment of prostate cancer (<xref rid="b15-or-37-01-0241" ref-type="bibr">15</xref>). Cell cycle is mainly controlled by cyclin/cyclin-dependent kinase (CDK) complexes (<xref rid="b16-or-37-01-0241" ref-type="bibr">16</xref>). Accumulation of cyclin D1 promotes its binding to CDK4/6 and activation of the complexes, and resulting in the progression of cell cycle from G0/G1 to S phase (<xref rid="b17-or-37-01-0241" ref-type="bibr">17</xref>). The well-known CDK inhibitor p21 can negatively regulate cell cycle progression by inhibiting the activity of the cyclin D1 and CDK4/6 (<xref rid="b18-or-37-01-0241" ref-type="bibr">18</xref>). Place <italic>et al</italic> have reported that induction of p21 through RNAa inhibited prostate cancer cells growth both <italic>in vitro</italic> and <italic>in vivo</italic> (<xref rid="b19-or-37-01-0241" ref-type="bibr">19</xref>). In this study, we demonstrated that overexpression of endogenous miR-3619-5p induced <italic>CDKN1A</italic> expression via RNAa and downregulated cyclin D1-CDK4/6 levels, and consequently inhibited prostate cancer cell proliferation.</p>
<p>Different from RNA interference, RNAa is a positive gene regulation phenomenon. It is disappointing that the exact molecular mechanism involved remains poorly understood. However, based on current knowledge, the saRNA-mediated RNAa process requires both transcriptional and epigenetic changes (<xref rid="b20-or-37-01-0241" ref-type="bibr">20</xref>,<xref rid="b21-or-37-01-0241" ref-type="bibr">21</xref>). For miRNA-mediated RNAa, a simple model is that miRNA directly binds to complementary DNA within gene promoter and triggers gene expression. In this regard, miRNA may act as a transcription factor and targets complementary motifs in the gene promoter. Alternatively, cells may produce RNA copies of the target promoter region. Complementary miRNA would directly interact with the transcripts and finally lead to downstream gene expression (<xref rid="b5-or-37-01-0241" ref-type="bibr">5</xref>,<xref rid="b11-or-37-01-0241" ref-type="bibr">11</xref>). However, further research is needed to explore the molecular components required in miRNA mediated gene activation.</p>
<p>High complementarity of sequences between candidate miRNA and the target promoter DNA is necessary for RNAa, and some natural mismatches are quite common and tolerable (<xref rid="b14-or-37-01-0241" ref-type="bibr">14</xref>,<xref rid="b22-or-37-01-0241" ref-type="bibr">22</xref>). Herein, we selected miR-3619-5p as the research candidate, which had a sequence complementarity score of 171 and an MFE value of &#x2212;33.24 kcal/mol. The MFE of hybridization between miRNA and its predicted target site have been successfully used to predict miRNA target sites within 3&#x2032; UTR (<xref rid="b23-or-37-01-0241" ref-type="bibr">23</xref>). Therefore, the MFE values may also be beneficial for predicting miRNA targets within gene promoter (<xref rid="b24-or-37-01-0241" ref-type="bibr">24</xref>). Another important criterion applied in miRNA target prediction is sequence complementarity, which was used to predict miRNA target sites within 3&#x2032; UTRs successfully (<xref rid="b25-or-37-01-0241" ref-type="bibr">25</xref>). These algorithms were included in the miRanda program and facilitated to assess the degree of sequence complementarity between the miR-3619-5p and predicted target sites within <italic>CDKN1A</italic> promoter (<xref rid="b25-or-37-01-0241" ref-type="bibr">25</xref>).</p>
<p>Prostate cancer development contains numerous genetic alternations, such as inactivation of some critical tumor suppressor genes (<xref rid="b26-or-37-01-0241" ref-type="bibr">26</xref>,<xref rid="b27-or-37-01-0241" ref-type="bibr">27</xref>). Therefore, reactivation of specific tumor suppressor <italic>CDKN1A</italic> will provide a promising alternative for prostate cancer therapeutics. Additionally, RNAa is a safe method for manipulating certain gene expression as it does not alter the expression profile of other non-specific genes (<xref rid="b22-or-37-01-0241" ref-type="bibr">22</xref>).</p>
<p>Taken together, our results provide evidence that an endogenous miR-3619-5p stimulated <italic>CDKN1A</italic> expression by directly targeting promoter sequences. Moreover, miR-3619-5p also has the capacity to induce cell cycle arrest and inhibits proliferation of prostate cancer cells. Our study identified a new miRNA which both mediate endogenous <italic>CDKN1A</italic> overexpression and suppress prostate cancer.</p>
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<title>Acknowledgements</title>
<p>This work was supported by the National Natural Science Foundation of China (grant number 81302218, China).</p>
</ack>
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<floats-group>
<fig id="f1-or-37-01-0241" position="float">
<label>Figure 1.</label>
<caption><p>Expression pattern of miR-3619-5p in prostate cancer tissues and cell lines. (A) Schematic representation of the <italic>CDKN1A</italic> promoter and miR-3619-5p target site. (B) Expression of miR-3619-5p and p21 mRNA levels in prostate cell lines was assessed by real-time PCR. GAPDH and U6 served as corresponding loading controls. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01 and &#x002A;&#x002A;&#x002A;P&#x003C;0.001 compared to RWPE-1 group. (C) p21 protein expression in prostate tissues was detected by IHC assay. (D) miR-3619-5p expression level in prostate tissues was determined by FISH assay.</p></caption>
<graphic xlink:href="OR-37-01-0241-g00.tif"/>
</fig>
<fig id="f2-or-37-01-0241" position="float">
<label>Figure 2.</label>
<caption><p>miR-3619-5p induced <italic>CDKN1A</italic> gene expression in prostate cancer cells. DU145 and PC3 cells were transfected with 50 nM of the indicated RNAs for 72 h. Mock sample was transfected in the absence of RNAs. (A) Expression of p21 mRNA in DU145 cells was assessed by real-time PCR. GAPDH served as a loading control. (B) Expression of p21 mRNA in PC3 cells was assessed by real-time PCR. GAPDH served as a loading control. (C) Expression of p21 protein was assessed by western blot analysis. GAPDH served as a loading control. &#x002A;P&#x003C;0.01 compared to mock. <sup>#</sup>P&#x003C;0.01 compared to dsControl. <sup>&#x0026;</sup>P&#x003C;0.01 compared to dsP21-322.</p></caption>
<graphic xlink:href="OR-37-01-0241-g01.tif"/>
</fig>
<fig id="f3-or-37-01-0241" position="float">
<label>Figure 3.</label>
<caption><p>Specific binding of biotinylated miR-3619-5p to the <italic>CDKN1A</italic> promoter. Cells were transfected with 50 nM of biotinylated miRNA or dsControl for 72 h. The anti-biotin antibody was used to pull down miRNA associated DNA. The resulted DNA was amplified by real-time PCR with corresponding primer sets and normalized to input levels. IgG was used as a negative antibody. (A) Schematic illustration of the primers capable of amplifying <italic>CDKN1A</italic> promoter at different regions. Locations are shown relative to the TSS. (B and C) ChIP assay verifies miR-3619-5p enrichment at putative target regions of <italic>CDKN1A</italic> promoter in DU145 cells. (D and E) ChIP assay identifies enrichment of miR-3619-5p at putative target regions of <italic>CDKN1A</italic> promoter in PC3 cells. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 compared to corresponding dsControl group.</p></caption>
<graphic xlink:href="OR-37-01-0241-g02.tif"/>
</fig>
<fig id="f4-or-37-01-0241" position="float">
<label>Figure 4.</label>
<caption><p>miR-3619-5p induces prostate cancer cell cycle arrest largely through modulating <italic>CDKN1A</italic> expression. DU145 and PC3 cells were transfected with 50 nM of the indicated RNAs for 72 h. (A) Representative images of cell cycle analysis in DU145 cells. (B) Representative images of cell cycle analysis in PC3 cells. (C) Quantification of cell cycle distribution. &#x002A;P&#x003C;0.05 and &#x002A;&#x002A;P&#x003C;0.01 compared to corresponding dsControl group. <sup>#</sup>P&#x003C;0.01 compared to miR-3619-5p group.</p></caption>
<graphic xlink:href="OR-37-01-0241-g03.tif"/>
</fig>
<fig id="f5-or-37-01-0241" position="float">
<label>Figure 5.</label>
<caption><p>miR-3619-5p inhibits prostate cancer cell proliferation and clonogenesis mainly via upregulating <italic>CDKN1A</italic> expression. DU145 and PC3 cells were transfected with 50 nM of the indicated RNAs for 72 h. (A) Representative photographs of colony formation assay. (B) Quantification of the cell colonies formation. (C) Viable cells were measured from day 1 to 4 following transfection using the CellTiter 96 AQ<sub>ueous</sub> One Solution Cell Proliferation Assay kit. Results were plotted as OD values. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01 and &#x002A;&#x002A;&#x002A;P&#x003C;0.001 compared to dsControl group. <sup>#</sup>P&#x003C;0.05, <sup>##</sup>P&#x003C;0.01 and <sup>###</sup>P&#x003C;0.001 compared to miR-3619-5p group.</p></caption>
<graphic xlink:href="OR-37-01-0241-g04.tif"/>
</fig>
<fig id="f6-or-37-01-0241" position="float">
<label>Figure 6.</label>
<caption><p>miR-3619-5p inhibits cell cycle related gene expression primarily by regulating <italic>CDKN1A</italic> expression. DU145 and PC3 cells were transfected with 50 nM of the indicated RNAs for 72 h. (A) Expression of p21 mRNA was assessed by real-time PCR. GAPDH served as a loading control. (B) Induction of p21 protein expression was detected by western blot analysis. GAPDH were also detected and served as a loading control. (C) Expression of cyclin D1, CDK4 and CDK6 mRNA was detected by real-time PCR. GAPDH served as a loading control. (D) Expression of cyclin D1, CDK4 and CDK6 mRNA was determined by western blot analysis. &#x03B1;-Tublin served as a loading control. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01 and &#x002A;&#x002A;&#x002A;P&#x003C;0.001.</p></caption>
<graphic xlink:href="OR-37-01-0241-g05.tif"/>
</fig>
<table-wrap id="tI-or-37-01-0241" position="float">
<label>Table I.</label>
<caption><p>Sequences for RNAs used in present study.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Name</th>
<th align="center" valign="bottom">Sequences (5&#x2032;-3&#x2032;)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">dsControl Sense</td>
<td align="left" valign="top">ACUACUGAGUGACAGUAGA[dT][dT]</td>
</tr>
<tr>
<td align="left" valign="top">dsControl Antisense</td>
<td align="left" valign="top">UCUACUGUCACUCAGUAGU[dT][dT]</td>
</tr>
<tr>
<td align="left" valign="top">dsP21-322 Sense</td>
<td align="left" valign="top">CCAACUCAUUCUCCAAGUA[dT][dT]</td>
</tr>
<tr>
<td align="left" valign="top">dsP21-322 Antisense</td>
<td align="left" valign="top">UACUUGGAGAAUGAGUUGG[dT][dT]</td>
</tr>
<tr>
<td align="left" valign="top">siP21 Sense</td>
<td align="left" valign="top">CUUCGACUUUGUCACCGAG[dT][dT]</td>
</tr>
<tr>
<td align="left" valign="top">siP21 Antisense</td>
<td align="center" valign="top">CUCGGUGACAAAGUCGAAG[dT][dT]</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="tII-or-37-01-0241" position="float">
<label>Table II.</label>
<caption><p>Primers used in this study.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Name</th>
<th align="center" valign="bottom">Sequences (5&#x2032;-3&#x2032;)</th>
<th align="center" valign="bottom">Assay used for</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">p21</td>
<td align="left" valign="top">F: GCCCAGTGGACAGCGAGCAG</td>
<td align="center" valign="top">PCR</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: GCCGGCGTTTGGAGTGGTAGA</td>
<td align="center" valign="top">PCR</td>
</tr>
<tr>
<td align="left" valign="top">GAPDH</td>
<td align="left" valign="top">F: TCCCATCACCATCTTCCA</td>
<td align="center" valign="top">PCR</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: CATCACGCCACAGTTTCC</td>
<td align="center" valign="top">PCR</td>
</tr>
<tr>
<td align="left" valign="top">p21-1309/&#x2212;1150</td>
<td align="left" valign="top">F: GAGCAGCCTGAGATGTCAGTAATT</td>
<td align="center" valign="top">ChIP</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: TCCCCTGGACTTCACCTTTG</td>
<td align="center" valign="top">ChIP</td>
</tr>
<tr>
<td align="left" valign="top">p21-272/&#x2212;27</td>
<td align="left" valign="top">F: GGAAATGTGTCCAGCGCACC</td>
<td align="center" valign="top">ChIP</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: AGCGCGGCCCTGATATACAACC</td>
<td align="center" valign="top">ChIP</td>
</tr>
<tr>
<td align="left" valign="top">Cyclin D1</td>
<td align="left" valign="top">F: GCTGCGAAGTGGAAACCATC</td>
<td align="center" valign="top">PCR</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: CCTCCTTCTGCACACATTTGAA</td>
<td align="center" valign="top">PCR</td>
</tr>
<tr>
<td align="left" valign="top">CDK4</td>
<td align="left" valign="top">F: ATGGCTACCTCTCGATATGAGC</td>
<td align="center" valign="top">PCR</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: CATTGGGGACTCTCACACTCT</td>
<td align="center" valign="top">PCR</td>
</tr>
<tr>
<td align="left" valign="top">CDK6</td>
<td align="left" valign="top">F: TCTTCATTCACACCGAGTAGTGC</td>
<td align="center" valign="top">PCR</td>
</tr>
<tr>
<td/>
<td align="left" valign="top">R: TGAGGTTAGAGCCATCTGGAAA</td>
<td align="center" valign="top">PCR</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-or-37-01-0241"><p>RT, reverse transcription; ChIP, chromatin immunoprecipitation; F, forward; R, reverse.</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>
