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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.2017.6029</article-id>
<article-id pub-id-type="publisher-id">or-38-06-3447</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Suppressive role of miR-592 in breast cancer by repressing TGF-&#x03B2;2</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Hou</surname><given-names>Wenli</given-names></name>
<xref rid="af1-or-38-06-3447" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname><given-names>Haipeng</given-names></name>
<xref rid="af2-or-38-06-3447" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Bai</surname><given-names>Xiaoxue</given-names></name>
<xref rid="af1-or-38-06-3447" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Liu</surname><given-names>Xiaofeng</given-names></name>
<xref rid="af3-or-38-06-3447" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Yu</surname><given-names>Yunhe</given-names></name>
<xref rid="af4-or-38-06-3447" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>Song</surname><given-names>Lelian</given-names></name>
<xref rid="af4-or-38-06-3447" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author"><name><surname>Du</surname><given-names>Ye</given-names></name>
<xref rid="af4-or-38-06-3447" ref-type="aff">4</xref>
<xref rid="c1-or-38-06-3447" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-or-38-06-3447"><label>1</label>Department of Cadre Ward, The First Hospital of Jilin University, Chaoyang, Changchun, Jilin 130021, P.R. China</aff>
<aff id="af2-or-38-06-3447"><label>2</label>Department of Gynecology, The First Hospital of Jilin University, Chaoyang, Changchun, Jilin 130021, P.R. China</aff>
<aff id="af3-or-38-06-3447"><label>3</label>Tanslational Medicine Research Institute, The First Hospital of Jilin University, Chaoyang, Changchun, Jilin 130021, P.R. China</aff>
<aff id="af4-or-38-06-3447"><label>4</label>Department of Breast Surgery, The First Hospital of Jilin University, Chaoyang, Changchun, Jilin 130021, P.R. China</aff>
<author-notes>
<corresp id="c1-or-38-06-3447"><italic>Correspondence to</italic>: Dr Ye Du, Department of Breast Surgery, The First Hospital of Jilin University, 71 Xinmin Street, Chaoyang, Changchun, Jilin 130021, P.R. China, E-mail: <email>duye2134@126.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub"><month>12</month><year>2017</year></pub-date>
<pub-date pub-type="epub"><day>12</day><month>10</month><year>2017</year></pub-date>
<volume>38</volume>
<issue>6</issue>
<fpage>3447</fpage>
<lpage>3454</lpage>
<history>
<date date-type="received"><day>16</day><month>02</month><year>2017</year></date>
<date date-type="accepted"><day>21</day><month>07</month><year>2017</year></date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2017, Spandidos Publications</copyright-statement>
<copyright-year>2017</copyright-year>
</permissions>
<abstract>
<p>The function of miR-592 has been investigated in many types of cancer, however its roles in breast cancer remain unclear. We therefore investigated the biological function and underlying mechanism of miR-592 in breast cancer. In the present study, a marked downregulation of miR-592 was observed in breast cancer tissues and cell lines compared to the matched adjacent non-tumor tissues and normal breast cell line. Statistical analysis revealed that decreased miR-592 was negatively associated with advanced clinical stage, distant metastasis and lymph node metastases. Function analysis demonstrated that overexpression of miR-592 significantly inhibited cell proliferation, clone formation, migration and invasion in breast cancer cells <italic>in vitro</italic>, as well as suppressed tumor growth <italic>in vivo</italic>. Furthermore, transforming growth factor &#x03B2;-2 (TGF&#x03B2;-2), a known oncogene, was identified as a direct target of miR-592, and its mRNA expression level was inversely correlated with the expression level of miR-592 in human breast cancer specimens. Restoration of TGF&#x03B2;-2 expression rescued the inhibitory effect in breast cancer cells caused by miR-592. Collectively, these data suggest that miR-592 may exert it suppressive role in breast cancer, at least in part, by targeting TGF&#x03B2;-2, and that miR-592 may be a novel target for breast cancer treatment.</p>
</abstract>
<kwd-group>
<kwd>breast cancer</kwd>
<kwd>miR-592</kwd>
<kwd>TGF&#x03B2;-2</kwd>
<kwd>proliferation</kwd>
<kwd>invasion</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Breast cancer (BC) is the most common malignant tumor among women worldwide in the last decade (<xref rid="b1-or-38-06-3447" ref-type="bibr">1</xref>). Although a large number of molecules have been identified as indicators in BC with the development of modern technology, the precise molecular mechanism and pathological process underlying growth and metastasis are poorly understood (<xref rid="b2-or-38-06-3447" ref-type="bibr">2</xref>,<xref rid="b3-or-38-06-3447" ref-type="bibr">3</xref>). Therefore, there is a continuing need to explore and understand the mechanism regulating BC initiation and progression to gain more effective and efficient therapeutic results for this disease.</p>
<p>MicroRNAs (miRNAs) are a group of small, endogenous, non-coding RNAs which function as the regulators of gene expression by binding to the 3&#x2032;-untranslated region (3&#x2032;-UTR) of their target genes (<xref rid="b4-or-38-06-3447" ref-type="bibr">4</xref>). It has been demonstrated that miRNAs are involved in many biological processes, such as cell growth and survival, apoptosis, autophagy, migration, stem cell self-renewal and drug sensitivity (<xref rid="b5-or-38-06-3447" ref-type="bibr">5</xref>). Experimental and clinical studies have shown that aberrations in miRNA expression are associated with tumorigenesis and cancer metastasis as tumor suppressors or oncogenes (<xref rid="b6-or-38-06-3447" ref-type="bibr">6</xref>,<xref rid="b7-or-38-06-3447" ref-type="bibr">7</xref>). Numerous miRNAs have been identified to play crucial roles in BC initiation and development (<xref rid="b8-or-38-06-3447" ref-type="bibr">8</xref>,<xref rid="b9-or-38-06-3447" ref-type="bibr">9</xref>).</p>
<p>In the present study, we focused our research on miRNA, miR-592, since it was identified as an important regulator in tumorigenesis and it may act as a tumor suppressor or an oncogene in different types of cancer (<xref rid="b10-or-38-06-3447" ref-type="bibr">10</xref>&#x2013;<xref rid="b16-or-38-06-3447" ref-type="bibr">16</xref>). Previous studies have revealed that miR-592 was dysregulated in BC (<xref rid="b17-or-38-06-3447" ref-type="bibr">17</xref>). However, the biological roles and underlying mechanism of miR-592 in BC remain unclear. Therefore, the aim of the present study was to investigate the biological function and the potential mechanisms of miR-592 in BC. We demonstrated that miR-592 was downregulated in both BC tissues and cell lines, and that miR-592 inhibited proliferation, migration and invasion <italic>in vitro</italic>, and suppressed tumor growth <italic>in vivo</italic> through targeting of TGF&#x03B2;-2. These findings contribute to elucidate the functions of miR-592 and its underling mechanism in BC progression.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Patients and tissue samples</title>
<p>Primary human BC and their matched normal adjacent tissues were obtained from 56 BC patients who underwent surgery at The First Hospital of Jilin University (Changchun, China) from July 2014 to July 2016. Patients with incomplete clinical data collection or lack of clinical data or patients who had undergone chemotherapy, radiotherapy or any other treatment before surgery were excluded in the present study. All samples were immediately snap-frozen following surgery in liquid nitrogen and stored at &#x2212;80&#x00B0;C until RNA extraction. All of the samples and clinical information were harvested after the patients provided written informed consent which was approved by the Institutional Ethics Committees of Jilin University.</p>
</sec>
<sec>
<title>Cell culture</title>
<p>The non-cancerous human mammary epithelial cell line: MCF-10A, and 4 human BC cell lines (MCF-7, MDA-MB-231, BT-549 and MDA-MB-453) were obtained from the American Type Culture Collection (ATCC; Manassas, VA, USA). MCF-10A cells were cultured in Dulbeccos modified Eagles medium (DMEM)-F12 (Invitrogen Corp., Carlsbad, CA, USA) with 10&#x0025; fetal bovine serum (FBS; Gibco-BRL, Gaithersburg, MD, USA) and antibiotics (100 U/ml penicillin or 100 &#x00B5;g/ml streptomycin sulfate) and 20 ng/ml epidermal growth factor (EGF), 0.1 mg/ml cholera toxin (CT), and 10 mg/ml insulin. The BC cell lines were all incubated in DMEM which contained 10&#x0025; FBS, 100 U/ml penicillin plus 100 mg/ml streptomycin. All cells were grown under a humidified incubator with 5&#x0025; CO<sub>2</sub> at 37&#x00B0;C. Other media supplies were obtained from Sigma-Aldrich (St. Louis, MO, USA).</p>
</sec>
<sec>
<title>miRNAs, plasmids and transfection</title>
<p>The miR-592 mimic and its negative control (miR-NC) oligonucleotides were obtained from GenePharma Co., Ltd. (Shanghai, China). TGF-&#x03B2;2-overexpressed plasmid was granted from Dr Tao Peng (Jilin University). Transfection was performed using Lipofectamine 3000 reagent (Invitrogen) according to the manufacturers instructions. At 48 h post-transfection, the transfection efficiencies were determined using qRT-PCR or western blotting.</p>
</sec>
<sec>
<title>Quantitative reverse transcription polymerase chain reaction (qRT-PCR)</title>
<p>Total RNA including miRNAs were extracted from tissues and cultured cells using miRNeasy Mini kit (Qiagen, Hilden, Germany) according to the manufacturer&#x0027;s instructions. The concentrations of RNA were detected by NanoDrop 2000 (hermo Fisher Scientific, Inc., Waltham, MA, USA). The miRNA reverse transcription was performed according to the instructions of the OneStep PrimeScript<sup>&#x00AE;</sup> miRNA cDNA Synthesis kit, and then was quantified using SYBR Premix Ex Taq (both from Takara Biotechnology Ltd., Dalian, China) on an ABI 7900 Sequence Detection System (Life Technologies, Grand Island, NY, USA) following the manufacturer&#x0027;s protocol. The primers of miR-592 and U6 were obtained from Applied Biosystems (Foster City, CA, USA). The real-time PCR for detection of <italic>TGF-&#x03B2;2 mRNA</italic> was performed according to the instructions of the OneStep SYBR<sup>&#x00AE;</sup> PrimeScript<sup>&#x00AE;</sup> PLUS RT-PCR kit (Takara Biotechnology Ltd.). The primers for TGF-&#x03B2;2 and GAPDH used in the present study were previously described (<xref rid="b18-or-38-06-3447" ref-type="bibr">18</xref>). <italic>GAPDH/U6</italic> were used as internal controls, and the relative expression of the target genes were calculated using the 2<sup>&#x2212;&#x0394;&#x0394;Ct</sup> method.</p>
</sec>
<sec>
<title>MTT assay</title>
<p>Transfected BC cells were placed into a 96-well plate, at a density of 5&#x00D7;10<sup>3</sup> cells/well. After 24, 48, 72 and 96 h of culture in a CO<sub>2</sub> incubator at 37&#x00B0;C, the proliferation of BC cells was detected by MTT assay as previously described (<xref rid="b18-or-38-06-3447" ref-type="bibr">18</xref>). The optical density (OD) at 570 nm of each well was assessed using a microplate reader (Bio-Rad Laboratories Inc., Hercules, CA, USA).</p>
</sec>
<sec>
<title>Colony formation assay</title>
<p>The clonogenic survival assay was used to investigate the colony formation ability. Briefly, the transfected cells (1&#x00D7;10<sup>3</sup> cells/well) were plated into 6-well plates, and allowed to attach for 24 h. After being washed with phosphate-buffered saline (PBS), the cells were incubated for 10 days at 37&#x00B0;C in a humidified incubator. Finally, the images of the produced colonies were captured and counted under a light microscope (Olympus, Tokyo, Japan) after being fixed with 10&#x0025; formaldehyde for 30 min and staining in 0.1&#x0025; crystal violet solution (both from Sigma-Aldrich) for 10 min.</p>
</sec>
<sec>
<title>Wound healing assay</title>
<p>Transfected cells were incubated into a 6-well plate at 37&#x00B0;C. When the cells fully covered the plate bottom, the confluent monolayer in each well was created with a sterilized tip, ensuring that the width of each line was same. Following a 24-h incubation at 37&#x00B0;C, the cells were washed 3 times with PBS to remove any cell debris caused by the scratches. Images were captured at 0 and 24 h with an Olympus Inverted Microscope at 6 visual fields. The healing rate was calculated with the ImageTool software (Bechtel Nevada, Los Alamos Operations, USA).</p>
</sec>
<sec>
<title>Transwell assay</title>
<p>A cell invasion assay was performed using 24-well Transwell chambers (8-&#x00B5;m pores; BD Biosciences, San Jose, CA, USA). In short, transfected cells (1&#x00D7;10<sup>5</sup>) were seeded onto Transwell chambers with Matrigel in serum-free medium. DMEM containing 10&#x0025; FBS was added to the lower chamber as the chemoattractant. After incubation at 37&#x00B0;C for 48 h, the noninvading cells were removed with cotton swabs, whereas the invasive cells at the bottom of the membrane were fixed with 90&#x0025; alcohol and stained with 0.1&#x0025; crystal violet for 5 min. The invaded cells were counted and photographed using an Olympus Inverted Microscope in at least 5 randomly selected fields.</p>
</sec>
<sec>
<title>Dual-luciferase assay</title>
<p>A wild-type TGF-&#x03B2;2-3&#x2032;-UTR, containing the miR-592 binding sites in the 3&#x2032;-UTR region and a mutant-type-TGF-&#x03B2;2 with a mutant sequence on the miR-592 binding site were amplified from human breast cDNA using PCR, and incorporated into the downstream of the firefly luciferase gene of a the pGL3-control vector (Promega, Madison, WI, USA). For luciferase assays, 1&#x00D7;10<sup>5</sup> cells were plated in 24-well plates and cultured for 24 h, then the cells were contransfected with 100 ng wild-type or mutant-type reporter constructs, and 50 nM miR-592 mimic or the miR-NC with Lipofectamine 3000 transfection reagent according to the manufacturer&#x0027;s instructions. The luciferase activity was assessed 48 h after transfection with the Dual-Luciferase Reporter Assay System (Promega). Firefly luciferase activity was then normalized to the corresponding <italic>Renilla</italic> luciferase activity.</p>
</sec>
<sec>
<title>Western blotting</title>
<p>Total protein was extracted from cultured cells or tissues with RIPA lysis buffer containing a proteinase inhibitor (Wuhan Boster Biotechnology Co., Ltd., Wuhan, China) on ice for 30 min. Total protein concentrations were assessed using a bicinchoninic acid (BCA) kit (Wuhan Boster Biotechnology Co., Ltd.). After the addition of the loading buffer, the extracted proteins were heated at 95&#x00B0;C for 10 min. A total of 30 &#x00B5;g loading buffer were separated using 10&#x0025; SDS polyacrylamide gels (SDS-PAGE), and then were transferred to polyvinylidene fluoride (PVDF) membranes (Bio-Rad, Laboratories Inc.). The membranes were blocked with 5&#x0025; bovine serum albumin (BSA) for 1 h at room temperature, following incubation with a primary antibody against TGF-&#x03B2;2 (diluted at 1:1,000) or GAPDH (diluted at 1:5,000) (both from Santa Cruz Biotechnology, Inc., Cruz CA, USA) at 4&#x00B0;C overnight. The membranes were incubated with horseradish peroxidase (HRP)-conjugated corresponding second antibodies (diluted at 1:6,000; Santa Cruz Biotechnology, Inc.) for 1 h at room temperature. The protein bands were detected using the SuperSignal West Pico ECL chemiluminescence kit (Thermo Scientific, Rockford, IL, USA) and exposed on an X-ray film. The protein levels were normalized to GAPDH.</p>
</sec>
<sec>
<title>Xenograft assays in nude mice</title>
<p>Four-week-old BALB/c female nude mice were purchased from the Experiments Animal Center of Changchun Biological Institute (Changchun, China), and kept under specific pathogen-free (SPF) conditions. To establish the BC xenografts, ~2&#x00D7;10<sup>6</sup> MCF-7 cells were subcutaneously inoculated into the right flank of each nude mouse, respectively. On day 10, when tumors reached ~100 mm<sup>3</sup>, mice were randomly divided into control and treatment groups (n=10/group). Then, the mice were intratumorally injected with miR-592 mimic or miR-NC 3 times/week for 4 weeks. The tumor width and length were assessed every 7 days using a caliper. The tumor volume was monitored and calculated according to the formula: V (volume) = 1/2 &#x00D7; length &#x00D7; width<sup>2</sup>. The mice were sacrificed at 28 days post-implantation. Xenograft tumors were excised, photographed, weighed and stored at &#x2212;80&#x00B0;C until use.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>All data were analyzed using SPSS version 16.0 (SPSS, Inc., Chicago, IL, USA) and were expressed as the mean &#x00B1; standard deviation (SD) from at least 3 independent experiments. The t-test was used for comparisons between 2 groups. One-way ANOVA was applied for comparisons between multiple groups. The correlations between miR-592 and TGF-&#x03B2;2 were analyzed in BC tissues using Pearson&#x0027;s correlation analysis. P&#x003C;0.05 was considered to indicate a statistically significant result.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>Expression level of miR-592 in BC tissues and cell lines</title>
<p>To investigate the expression of miR-592 in BC, firstly, 56-paired BC and adjacent normal breast tissues were detected in the present study. As shown in <xref rid="f1-or-38-06-3447" ref-type="fig">Fig. 1A</xref>, the expression of miR-592 was significantly downregulated in BC samples compared to matched adjacent normal tissues (P&#x003C;0.01). The correlation between the expression levels of miR-592 and the clinico-pathological characteristics were also investigated. As shown in <xref rid="tI-or-38-06-3447" ref-type="table">Table I</xref>, decreased miR-592 was significantly associated with clinical stage, distant and lymph node metastases (P&#x003C;0.01; <xref rid="tI-or-38-06-3447" ref-type="table">Table I</xref>), whereas no statistical difference was found in the correlation between miR-592 expression and age, and tumorsize (P&#x003E;0.05). Furthermore, we assessed miR-592 expression levels in 4 BC cell lines (MCF-7, MDA-MB-231, BT-549 and MDA-MB-453) by quantitative real-time PCR (qPCR). As shown in <xref rid="f1-or-38-06-3447" ref-type="fig">Fig. 1B</xref>, the expression of miR-592 was found to be downregulated in all BC cell lines in contrast to the expression level of the non-malignant breast epithelial cell line, MCF-10A. Additionally, compared with the other BC cell lines, miR-592 was expressed the lowest in the MCF-7 cell line (<xref rid="f1-or-38-06-3447" ref-type="fig">Fig. 1B</xref>), and was selected for subsequent study.</p>
</sec>
<sec>
<title>miR-592 inhibits the proliferation and colony formation of BC cells</title>
<p>In order to explore the involvement of miR-592 in BC development and progression, miR-592 mimic or miR-NC were transfected into MCF-7 cells to restore its expression level as assessed by qPCR (<xref rid="f2-or-38-06-3447" ref-type="fig">Fig. 2A</xref>). The effect of miR-592 on cell proliferation was analyzed using an MTT assay. As shown in <xref rid="f2-or-38-06-3447" ref-type="fig">Fig. 2B</xref>, the cells transfected with the miR-592 mimic significantly inhibited cell proliferation compared to cells transfected with miR-NC from day 2 until 4, in a time-dependent manner. Consistent with these results, restored expression of miR-592 also significantly inhibited colony formation in MCF-7 cells (<xref rid="f2-or-38-06-3447" ref-type="fig">Fig. 2C</xref>).</p>
</sec>
<sec>
<title>miR-592 inhibits the migration and invasion of BC cells</title>
<p>To investigate the effect of miR-592 on the migration and invasion ability of BC cells, wound healing and Transwell invasion assays were performed, respectively. It was found that restoration of miR-592 expression significantly inhibited cell migration and invasion capabilities in MCF-7 cells (<xref rid="f3-or-38-06-3447" ref-type="fig">Fig. 3A and B</xref>), suggesting that miR-592 was able to inhibit the migration and invasion of BC cells <italic>in vitro</italic>.</p>
</sec>
<sec>
<title>TGF-&#x03B2;2 as the target gene of miR-592 in BC cells</title>
<p>TargetScan Human (<uri xlink:href="http://www.targetscan.org">http://www.targetscan.org</uri>) predicted that TGF-&#x03B2;2 is the target gene of the miR-592 (<xref rid="f4-or-38-06-3447" ref-type="fig">Fig. 4A</xref>). To investigate whether TGF-&#x03B2;2 is the target gene of miR-592, we transfected the miR-592 mimic and miR-NC into MCF-7 cells. Consequently, TGF-&#x03B2;2 expression at both the mRNA level and protein level was significantly suppressed in cells transfected with the miR-592 mimic compared to cells transfected with miR-NC (<xref rid="f4-or-38-06-3447" ref-type="fig">Fig. 4B and C</xref>). Meanwhile, luciferase reporter assay further revealed that MCF-7 cells transfected with the miR-592 mimic significantly inhibited the wild-type-TGF-&#x03B2;2-3&#x2032;-UTR reporter activity (P&#x003C;0.01; <xref rid="f4-or-38-06-3447" ref-type="fig">Fig. 4D</xref>), while it had no inhibitory effect on the mutant-type-TGF-&#x03B2;2-3&#x2032;-UTR reporter activity (<xref rid="f4-or-38-06-3447" ref-type="fig">Fig. 4D</xref>). These data revealed that TGF-&#x03B2;2 was a target of miR-592 in BC.</p>
</sec>
<sec>
<title>TGF-&#x03B2;2 is upregulated, and is inversely correlated with miR-592 expression in BC tissues</title>
<p>We also evaluated the expression of TGF-&#x03B2;2 in 56-paired BC and adjacent normal breast tissues by qRT-PCR. The data revealed that the average level of TGF-&#x03B2;2 mRNA was significantly increased in BC tissues when compared with adjacent normal tissues. Moreover, TGF-&#x03B2;2 mRNA levels in BC cases were inversely correlated with miR-592 expression (r=&#x2212;0.529; P&#x003C;0.0001). In addition, TGF-&#x03B2;2 expression was upregulated at the mRNA level and protein level in 4 BC cell lines compared to non-malignant breast epithelial cell line, MCF-10A (<xref rid="f5-or-38-06-3447" ref-type="fig">Fig. 5C and D</xref>).</p>
</sec>
<sec>
<title>Tumor-suppressing function of miR-592 rescued by TGF-&#x03B2;2</title>
<p>To investigate the functional relevance of TGF-&#x03B2;2 targeting by miR-592 in BC, we assessed whether TGF-&#x03B2;2 overexpression rescued the inhibitory effects of miR-592 on BC cell proliferation, migration and invasion. We restored TGF-&#x03B2;2 expression by transfection with TGF-&#x03B2;2 overexpression plasmid in miR-592 mimic transfected MCF-7 cells (<xref rid="f6-or-38-06-3447" ref-type="fig">Fig. 6A and B</xref>). In addition, we also found that the forced expression of TGF-&#x03B2;2 rescued the inhibition of cell proliferation, colony formation, migration and invasion in the presence of the miR-592 mimic in MCF-7 cells (<xref rid="f6-or-38-06-3447" ref-type="fig">Fig. 6C-F</xref>). These findings inferred that miR-592 exerted it suppressive roles in BC by repressing TGF-&#x03B2;2.</p>
</sec>
<sec>
<title>miR-592 suppresses tumor growth in vivo</title>
<p>Finally, BC nude mice were set-up to investigate the role of miR-592 on cell growth <italic>in vivo</italic>. It was found that the tumor growth was slower in the MCF-7/miR-592 group compared to the MCF-7/miR-NC group (<xref rid="f7-or-38-06-3447" ref-type="fig">Fig. 7A</xref>). The mice were sacrificed at 28 days post-implantation, and the tumor tissues were stripped and weighed. We found that the size and weight of the tumors of the MCF-7/miR-592 group were significantly decreased compared to the MCF-7/miR-NC group (<xref rid="f7-or-38-06-3447" ref-type="fig">Fig. 7B and C</xref>). Furthermore, increased expression of miR-592 (<xref rid="f7-or-38-06-3447" ref-type="fig">Fig. 7D</xref>), and decreased TGF-&#x03B2;2 expression (<xref rid="f7-or-38-06-3447" ref-type="fig">Fig. 7E</xref>) were found in tumor tissues in the MCF-7/miR-592 group relative to the MCF-7/miR-NC group. These data implied that miR-592 suppressed tumor growth <italic>in vivo</italic>.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Accumulating studies have revealed that miRNAs plays negative or positive roles in the development and progression of breast cancer (BC) as tumor suppressors or oncogenes by inhibiting the expressions of genes related to tumorigenesis or metastatic dissemination (<xref rid="b8-or-38-06-3447" ref-type="bibr">8</xref>,<xref rid="b9-or-38-06-3447" ref-type="bibr">9</xref>). For example, Xu <italic>et al</italic> found that restoration of miR-154 significantly suppressed BC cell proliferation, migration and invasion, and increased cell arrest at the G1/G0 stage by suppressing E2F5 (<xref rid="b19-or-38-06-3447" ref-type="bibr">19</xref>). Xia <italic>et al</italic> reported that miR-32 promoted proliferation and migration and suppressed apoptosis of BC cells by targeting FBXW7 (<xref rid="b20-or-38-06-3447" ref-type="bibr">20</xref>). Kong <italic>et al</italic> demonstrated that miR-27a promoted the proliferation, migration and invasion of BC cells by targeting of the <italic>SFRP1</italic> gene via Wnt/&#x03B2;-catenin signaling pathway (<xref rid="b21-or-38-06-3447" ref-type="bibr">21</xref>). In the present study, we aimed to explore the role and underlying molecular mechanism of miR-592 in BC cells. We found that the expression of miR-592 in BC tissues and cell lines was significantly decreased, and its expression was associated with advanced clinical stage, distant and lymph node metastases. In addition, we also found that restoration of miR-592 significantly suppressed BC cell proliferation, colony formation migration, and invasion <italic>in vitro</italic>, as well as slowed down tumor growth <italic>in vivo</italic> by targeting <italic>TGF-&#x03B2;2</italic>. To the best of our knowledge, this is the first study to investigate the biological role and underlying mechanism of miR-592 in BC.</p>
<p>miR-592 has been demonstrated to be upregulated in colorectal and prostate cancer, and function as an oncogenic miRNA (<xref rid="b10-or-38-06-3447" ref-type="bibr">10</xref>,<xref rid="b14-or-38-06-3447" ref-type="bibr">14</xref>&#x2013;<xref rid="b16-or-38-06-3447" ref-type="bibr">16</xref>). On the contrary, in non-small lung cancer (<xref rid="b13-or-38-06-3447" ref-type="bibr">13</xref>) and hepatocellular carcinoma (<xref rid="b11-or-38-06-3447" ref-type="bibr">11</xref>,<xref rid="b12-or-38-06-3447" ref-type="bibr">12</xref>), miR-592 expression was downregulated and acted as a tumor suppressor. Thus the biological role of miR-592 in carcinogenesis appears to be complicated and highly tissue-specific. In the present study, we revealed that the expression level of miR-592 was downregulated in BC tissues and cell lines. Further function analysis demonstrated that restoration of miR-592 significantly suppressed cell proliferation, colony formation, migration and invasion <italic>in vitro</italic>, as well as retarded tumor growth <italic>in vivo</italic>. These results indicated that miR-592 functioned as a tumor suppressor in BC.</p>
<p>TGF-&#x03B2;2 belongs to the transforming growth factor &#x03B2; (TGFB) family which regulates a wide range of biological behaviors, such as embryogenesis, wound healing and tumorigenesis (<xref rid="b22-or-38-06-3447" ref-type="bibr">22</xref>,<xref rid="b23-or-38-06-3447" ref-type="bibr">23</xref>). In advanced stages of carcinogenesis, TGF-&#x03B2; can act as an oncogenic factor, and promote cancer cell proliferation, angiogenesis, invasion and metastasis (<xref rid="b24-or-38-06-3447" ref-type="bibr">24</xref>,<xref rid="b25-or-38-06-3447" ref-type="bibr">25</xref>). In BC, it has been demonstrated that TGF-&#x03B2;2 expression was upregulated in BC tissues compared to benign breast tissues (<xref rid="b26-or-38-06-3447" ref-type="bibr">26</xref>), and that increased TGF-&#x03B2;2 expression promoted BC cell invasion and migration through the epithelial-mesenchymal transition (EMT) process (<xref rid="b27-or-38-06-3447" ref-type="bibr">27</xref>). These data suggested that TGF-&#x03B2;2 may serve as an oncogene in BC. In the present study, through dual-luciferase reporter assay, qRT-PCR and western blot assays, TGF-&#x03B2;2 was identified as a direct target gene of miR-592 in BC. TGF-&#x03B2;2 expression was upregulated in BC tissues, and was negatively correlated with the expression level of miR-592. In addition, TGF-&#x03B2;2 overexpression reversed the inhibitory effect in BC cells induced by miR-592 overexpression. <italic>In vivo</italic>, miR-592 also exhibited an inhibited function to BC by repressing TGF-&#x03B2;2. These findings revealed that miR-592 inhibited BC development, at least in part, via inhibition of TGF-&#x03B2;2.</p>
<p>In conclusion, to the best of our knowledge, the present study first provides evidence that the expression level of miR-592 was downregulated in BC tissues and cell lines, and that restoration of the expression of miR-592 in BC cells inhibited the proliferation, colony formation, migration and invasion <italic>in vitro</italic>, as well as retarded tumor growth <italic>in vivo</italic>, at least in part, by targeting TGF-&#x03B2;2. These findings implied that miR-592 may be a novel potential therapeutic target for BC.</p>
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<ref-list>
<title>References</title>
<ref id="b1-or-38-06-3447"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>DeSantis</surname><given-names>C</given-names></name><name><surname>Siegel</surname><given-names>R</given-names></name><name><surname>Bandi</surname><given-names>P</given-names></name><name><surname>Jemal</surname><given-names>A</given-names></name></person-group><article-title>Breast cancer statistics, 2011</article-title><source>CA Cancer J Clin</source><volume>61</volume><fpage>409</fpage><lpage>418</lpage><year>2011</year><pub-id pub-id-type="doi">10.3322/caac.20134</pub-id><pub-id pub-id-type="pmid">21969133</pub-id></element-citation></ref>
<ref id="b2-or-38-06-3447"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chen</surname><given-names>W</given-names></name><name><surname>Zheng</surname><given-names>R</given-names></name><name><surname>Baade</surname><given-names>PD</given-names></name><name><surname>Zhang</surname><given-names>S</given-names></name><name><surname>Zeng</surname><given-names>H</given-names></name><name><surname>Bray</surname><given-names>F</given-names></name><name><surname>Jemal</surname><given-names>A</given-names></name><name><surname>Yu</surname><given-names>XQ</given-names></name><name><surname>He</surname><given-names>J</given-names></name></person-group><article-title>Cancer statistics in China, 2015</article-title><source>CA Cancer J Clin</source><volume>66</volume><fpage>115</fpage><lpage>132</lpage><year>2016</year><pub-id pub-id-type="doi">10.3322/caac.21338</pub-id><pub-id pub-id-type="pmid">26808342</pub-id></element-citation></ref>
<ref id="b3-or-38-06-3447"><label>3</label><element-citation publication-type="journal"><collab collab-type="corp-author">EBCTCG (Early Breast Cancer Trialists&#x0027; Collaborative Group)</collab><person-group person-group-type="author"><name><surname>McGale</surname><given-names>P</given-names></name><name><surname>Taylor</surname><given-names>C</given-names></name><name><surname>Correa</surname><given-names>C</given-names></name><name><surname>Cutter</surname><given-names>D</given-names></name><name><surname>Duane</surname><given-names>F</given-names></name><name><surname>Ewertz</surname><given-names>M</given-names></name><name><surname>Gray</surname><given-names>R</given-names></name><name><surname>Mannu</surname><given-names>G</given-names></name><name><surname>Peto</surname><given-names>R</given-names></name><name><surname>Whelan</surname><given-names>T</given-names></name><etal/></person-group><article-title>Effect of radiotherapy after mastectomy and axillary surgery on 10-year recurrence and 20-year breast cancer mortality: Meta-analysis of individual patient data for 8135 women in 22 randomised trials</article-title><source>Lancet</source><volume>383</volume><fpage>2127</fpage><lpage>2135</lpage><year>2014</year><pub-id pub-id-type="doi">10.1016/S0140-6736(14)60488-8</pub-id><pub-id pub-id-type="pmid">24656685</pub-id><pub-id pub-id-type="pmcid">5015598</pub-id></element-citation></ref>
<ref id="b4-or-38-06-3447"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Guo</surname><given-names>H</given-names></name><name><surname>Ingolia</surname><given-names>NT</given-names></name><name><surname>Weissman</surname><given-names>JS</given-names></name><name><surname>Bartel</surname><given-names>DP</given-names></name></person-group><article-title>Mammalian microRNAs predominantly act to decrease target mRNA levels</article-title><source>Nature</source><volume>466</volume><fpage>835</fpage><lpage>840</lpage><year>2010</year><pub-id pub-id-type="doi">10.1038/nature09267</pub-id><pub-id pub-id-type="pmid">20703300</pub-id><pub-id pub-id-type="pmcid">2990499</pub-id></element-citation></ref>
<ref id="b5-or-38-06-3447"><label>5</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><pub-id pub-id-type="doi">10.1016/S0092-8674(04)00045-5</pub-id><pub-id pub-id-type="pmid">14744438</pub-id></element-citation></ref>
<ref id="b6-or-38-06-3447"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Almeida</surname><given-names>MI</given-names></name><name><surname>Reis</surname><given-names>RM</given-names></name><name><surname>Calin</surname><given-names>GA</given-names></name></person-group><article-title>MicroRNA history: Discovery, recent applications, and next frontiers</article-title><source>Mutat Res</source><volume>717</volume><fpage>1</fpage><lpage>8</lpage><year>2011</year><pub-id pub-id-type="doi">10.1016/j.mrfmmm.2011.03.009</pub-id><pub-id pub-id-type="pmid">21458467</pub-id></element-citation></ref>
<ref id="b7-or-38-06-3447"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Farazi</surname><given-names>TA</given-names></name><name><surname>Spitzer</surname><given-names>JI</given-names></name><name><surname>Morozov</surname><given-names>P</given-names></name><name><surname>Tuschl</surname><given-names>T</given-names></name></person-group><article-title>miRNAs in human cancer</article-title><source>J Pathol</source><volume>223</volume><fpage>102</fpage><lpage>115</lpage><year>2011</year><pub-id pub-id-type="doi">10.1002/path.2806</pub-id><pub-id pub-id-type="pmid">21125669</pub-id></element-citation></ref>
<ref id="b8-or-38-06-3447"><label>8</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hemmatzadeh</surname><given-names>M</given-names></name><name><surname>Mohammadi</surname><given-names>H</given-names></name><name><surname>Jadidi-Niaragh</surname><given-names>F</given-names></name><name><surname>Asghari</surname><given-names>F</given-names></name><name><surname>Yousefi</surname><given-names>M</given-names></name></person-group><article-title>The role of oncomirs in the pathogenesis and treatment of breast cancer</article-title><source>Biomed Pharmacother</source><volume>78</volume><fpage>129</fpage><lpage>139</lpage><year>2016</year><pub-id pub-id-type="doi">10.1016/j.biopha.2016.01.026</pub-id><pub-id pub-id-type="pmid">26898434</pub-id></element-citation></ref>
<ref id="b9-or-38-06-3447"><label>9</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shimono</surname><given-names>Y</given-names></name><name><surname>Mukohyama</surname><given-names>J</given-names></name><name><surname>Nakamura</surname><given-names>S</given-names></name><name><surname>Minami</surname><given-names>H</given-names></name></person-group><article-title>MicroRNA regulation of human breast cancer stem cells</article-title><source>J Clin Med</source><volume>5</volume><fpage>5</fpage><year>2015</year><pub-id pub-id-type="doi">10.3390/jcm5010002</pub-id></element-citation></ref>
<ref id="b10-or-38-06-3447"><label>10</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fu</surname><given-names>Q</given-names></name><name><surname>Du</surname><given-names>Y</given-names></name><name><surname>Yang</surname><given-names>C</given-names></name><name><surname>Zhang</surname><given-names>D</given-names></name><name><surname>Zhang</surname><given-names>N</given-names></name><name><surname>Liu</surname><given-names>X</given-names></name><name><surname>Cho</surname><given-names>WC</given-names></name><name><surname>Yang</surname><given-names>Y</given-names></name></person-group><article-title>An oncogenic role of miR-592 in tumorigenesis of human colorectal cancer by targeting Forkhead Box O3A (FoxO3A)</article-title><source>Expert Opin Ther Targets</source><volume>20</volume><fpage>771</fpage><lpage>782</lpage><year>2016</year><pub-id pub-id-type="doi">10.1080/14728222.2016.1181753</pub-id><pub-id pub-id-type="pmid">27167185</pub-id></element-citation></ref>
<ref id="b11-or-38-06-3447"><label>11</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Jia</surname><given-names>YY</given-names></name><name><surname>Zhao</surname><given-names>JY</given-names></name><name><surname>Li</surname><given-names>BL</given-names></name><name><surname>Gao</surname><given-names>K</given-names></name><name><surname>Song</surname><given-names>Y</given-names></name><name><surname>Liu</surname><given-names>MY</given-names></name><name><surname>Yang</surname><given-names>XJ</given-names></name><name><surname>Xue</surname><given-names>Y</given-names></name><name><surname>Wen</surname><given-names>AD</given-names></name><name><surname>Shi</surname><given-names>L</given-names></name></person-group><article-title>miR-592/WSB1/HIF-1&#x03B1; axis inhibits glycolytic metabolism to decrease hepatocellular carcinoma growth</article-title><source>Oncotarget</source><volume>7</volume><fpage>35257</fpage><lpage>35269</lpage><year>2016</year><pub-id pub-id-type="doi">10.18632/oncotarget.9135</pub-id><pub-id pub-id-type="pmid">27153552</pub-id><pub-id pub-id-type="pmcid">5085226</pub-id></element-citation></ref>
<ref id="b12-or-38-06-3447"><label>12</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>X</given-names></name><name><surname>Zhang</surname><given-names>W</given-names></name><name><surname>Zhou</surname><given-names>L</given-names></name><name><surname>Yue</surname><given-names>D</given-names></name><name><surname>Su</surname><given-names>X</given-names></name></person-group><article-title>MicroRNA-592 targets DEK oncogene and suppresses cell growth in the hepatocellular carcinoma cell line HepG2</article-title><source>Int J Clin Exp Pathol</source><volume>8</volume><fpage>12455</fpage><lpage>12463</lpage><year>2015</year><pub-id pub-id-type="pmid">26722432</pub-id><pub-id pub-id-type="pmcid">4680377</pub-id></element-citation></ref>
<ref id="b13-or-38-06-3447"><label>13</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>Z</given-names></name><name><surname>Li</surname><given-names>B</given-names></name><name><surname>Niu</surname><given-names>L</given-names></name><name><surname>Ge</surname><given-names>L</given-names></name></person-group><article-title>miR-592 functions as a tumor suppressor in human non-small cell lung cancer by targeting SOX9</article-title><source>Oncol Rep</source><volume>37</volume><fpage>297</fpage><lpage>304</lpage><year>2017</year><pub-id pub-id-type="doi">10.3892/or.2016.5275</pub-id><pub-id pub-id-type="pmid">28004116</pub-id></element-citation></ref>
<ref id="b14-or-38-06-3447"><label>14</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>M</given-names></name><name><surname>Zhi</surname><given-names>Q</given-names></name><name><surname>Wang</surname><given-names>W</given-names></name><name><surname>Zhang</surname><given-names>Q</given-names></name><name><surname>Fang</surname><given-names>T</given-names></name><name><surname>Ma</surname><given-names>Q</given-names></name></person-group><article-title>Up-regulation of miR-592 correlates with tumor progression and poor prognosis in patients with colorectal cancer</article-title><source>Biomed Pharmacother</source><volume>69</volume><fpage>214</fpage><lpage>220</lpage><year>2015</year><pub-id pub-id-type="doi">10.1016/j.biopha.2014.12.001</pub-id><pub-id pub-id-type="pmid">25661360</pub-id></element-citation></ref>
<ref id="b15-or-38-06-3447"><label>15</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>Z</given-names></name><name><surname>Wu</surname><given-names>R</given-names></name><name><surname>Li</surname><given-names>G</given-names></name><name><surname>Sun</surname><given-names>P</given-names></name><name><surname>Xu</surname><given-names>Q</given-names></name><name><surname>Liu</surname><given-names>Z</given-names></name></person-group><article-title>MiR-592 inhibited cell proliferation of human colorectal cancer cells by suppressing of CCND3 expression</article-title><source>Int J Clin Exp Med</source><volume>8</volume><fpage>3490</fpage><lpage>3497</lpage><year>2015</year><pub-id pub-id-type="pmid">26064240</pub-id><pub-id pub-id-type="pmcid">4443074</pub-id></element-citation></ref>
<ref id="b16-or-38-06-3447"><label>16</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lv</surname><given-names>Z</given-names></name><name><surname>Rao</surname><given-names>P</given-names></name><name><surname>Li</surname><given-names>W</given-names></name></person-group><article-title>MiR-592 represses FOXO3 expression and promotes the proliferation of prostate cancer cells</article-title><source>Int J Clin Exp Med</source><volume>8</volume><fpage>15246</fpage><lpage>15253</lpage><year>2015</year><pub-id pub-id-type="pmid">26629010</pub-id><pub-id pub-id-type="pmcid">4658899</pub-id></element-citation></ref>
<ref id="b17-or-38-06-3447"><label>17</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname><given-names>Y</given-names></name><name><surname>Xing</surname><given-names>Y</given-names></name><name><surname>Liang</surname><given-names>C</given-names></name><name><surname>Hu</surname><given-names>L</given-names></name><name><surname>Xu</surname><given-names>F</given-names></name><name><surname>Chen</surname><given-names>Y</given-names></name></person-group><article-title>Crucial microRNAs and genes of human primary breast cancer explored by microRNA-mRNA integrated analysis</article-title><source>Tumour Biol</source><volume>36</volume><fpage>5571</fpage><lpage>5579</lpage><year>2015</year><pub-id pub-id-type="doi">10.1007/s13277-015-3227-3</pub-id><pub-id pub-id-type="pmid">25680412</pub-id></element-citation></ref>
<ref id="b18-or-38-06-3447"><label>18</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>W</given-names></name><name><surname>Li</surname><given-names>Y</given-names></name></person-group><article-title>miR-148a downregulates the expression of transforming growth factor-&#x03B2;2 and SMAD2 in gastric cancer</article-title><source>Int J Oncol</source><volume>48</volume><fpage>1877</fpage><lpage>1885</lpage><year>2016</year><pub-id pub-id-type="doi">10.3892/ijo.2016.3437</pub-id><pub-id pub-id-type="pmid">26983401</pub-id><pub-id pub-id-type="pmcid">4809655</pub-id></element-citation></ref>
<ref id="b19-or-38-06-3447"><label>19</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname><given-names>H</given-names></name><name><surname>Fei</surname><given-names>D</given-names></name><name><surname>Zong</surname><given-names>S</given-names></name><name><surname>Fan</surname><given-names>Z</given-names></name></person-group><article-title>MicroRNA-154 inhibits growth and invasion of breast cancer cells through targeting E2F5</article-title><source>Am J Transl Res</source><volume>8</volume><fpage>2620</fpage><lpage>2630</lpage><year>2016</year><pub-id pub-id-type="pmid">27398145</pub-id><pub-id pub-id-type="pmcid">4931156</pub-id></element-citation></ref>
<ref id="b20-or-38-06-3447"><label>20</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xia</surname><given-names>W</given-names></name><name><surname>Zhou</surname><given-names>J</given-names></name><name><surname>Luo</surname><given-names>H</given-names></name><name><surname>Liu</surname><given-names>Y</given-names></name><name><surname>Peng</surname><given-names>C</given-names></name><name><surname>Zheng</surname><given-names>W</given-names></name><name><surname>Ma</surname><given-names>W</given-names></name></person-group><article-title>MicroRNA-32 promotes cell proliferation, migration and suppresses apoptosis in breast cancer cells by targeting FBXW7</article-title><source>Cancer Cell Int</source><volume>17</volume><fpage>14</fpage><year>2017</year><pub-id pub-id-type="doi">10.1186/s12935-017-0383-0</pub-id><pub-id pub-id-type="pmid">28149200</pub-id><pub-id pub-id-type="pmcid">5267379</pub-id></element-citation></ref>
<ref id="b21-or-38-06-3447"><label>21</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kong</surname><given-names>LY</given-names></name><name><surname>Xue</surname><given-names>M</given-names></name><name><surname>Zhang</surname><given-names>QC</given-names></name><name><surname>Su</surname><given-names>CF</given-names></name></person-group><article-title>In vivo and in vitro effects of microRNA-27a on proliferation, migration and invasion of breast cancer cells through targeting of SFRP1 gene via Wnt/&#x03B2;-catenin signaling pathway</article-title><source>Oncotarget</source><volume>8</volume><fpage>15507</fpage><lpage>15519</lpage><year>2017</year><pub-id pub-id-type="doi">10.18632/oncotarget.14662</pub-id><pub-id pub-id-type="pmid">28099945</pub-id><pub-id pub-id-type="pmcid">5362502</pub-id></element-citation></ref>
<ref id="b22-or-38-06-3447"><label>22</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Blobe</surname><given-names>GC</given-names></name><name><surname>Schiemann</surname><given-names>WP</given-names></name><name><surname>Lodish</surname><given-names>HF</given-names></name></person-group><article-title>Role of transforming growth factor beta in human disease</article-title><source>N Engl J Med</source><volume>342</volume><fpage>1350</fpage><lpage>1358</lpage><year>2000</year><pub-id pub-id-type="doi">10.1056/NEJM200005043421807</pub-id><pub-id pub-id-type="pmid">10793168</pub-id></element-citation></ref>
<ref id="b23-or-38-06-3447"><label>23</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gordon</surname><given-names>KJ</given-names></name><name><surname>Blobe</surname><given-names>GC</given-names></name></person-group><article-title>Role of transforming growth factor-beta superfamily signaling pathways in human disease</article-title><source>Biochim Biophys Acta</source><volume>1782</volume><fpage>197</fpage><lpage>228</lpage><year>2008</year><pub-id pub-id-type="doi">10.1016/j.bbadis.2008.01.006</pub-id><pub-id pub-id-type="pmid">18313409</pub-id></element-citation></ref>
<ref id="b24-or-38-06-3447"><label>24</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname><given-names>Y</given-names></name><name><surname>Alexander</surname><given-names>PB</given-names></name><name><surname>Wang</surname><given-names>XF</given-names></name></person-group><article-title>TGF-&#x03B2; family signaling in the control of cell proliferation and survival</article-title><source>Cold Spring Harb Perspect Biol</source><volume>9</volume><comment>pii: a022145</comment><year>2017</year><pub-id pub-id-type="doi">10.1101/cshperspect.a022145</pub-id></element-citation></ref>
<ref id="b25-or-38-06-3447"><label>25</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lin</surname><given-names>RL</given-names></name><name><surname>Zhao</surname><given-names>LJ</given-names></name></person-group><article-title>Mechanistic basis and clinical relevance of the role of transforming growth factor-&#x03B2; in cancer</article-title><source>Cancer Biol Med</source><volume>12</volume><fpage>385</fpage><lpage>393</lpage><year>2015</year><pub-id pub-id-type="pmid">26779375</pub-id><pub-id pub-id-type="pmcid">4706525</pub-id></element-citation></ref>
<ref id="b26-or-38-06-3447"><label>26</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zheng</surname><given-names>R</given-names></name><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Wu</surname><given-names>Q</given-names></name><name><surname>Wang</surname><given-names>Z</given-names></name><name><surname>Ou</surname><given-names>Y</given-names></name><name><surname>Ma</surname><given-names>L</given-names></name><name><surname>Wang</surname><given-names>M</given-names></name><name><surname>Wang</surname><given-names>J</given-names></name><name><surname>Yang</surname><given-names>Y</given-names></name></person-group><article-title>Expression of ALDH1 and TGF&#x03B2;2 in benign and malignant breast tumors and their prognostic implications</article-title><source>Int J Clin Exp Pathol</source><volume>7</volume><fpage>4173</fpage><lpage>4183</lpage><year>2014</year><pub-id pub-id-type="pmid">25120797</pub-id><pub-id pub-id-type="pmcid">4129032</pub-id></element-citation></ref>
<ref id="b27-or-38-06-3447"><label>27</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kim</surname><given-names>S</given-names></name><name><surname>Lee</surname><given-names>J</given-names></name><name><surname>Jeon</surname><given-names>M</given-names></name><name><surname>Nam</surname><given-names>SJ</given-names></name><name><surname>Lee</surname><given-names>JE</given-names></name></person-group><article-title>Elevated TGF-&#x03B2;1 and -&#x03B2;2 expression accelerates the epithelial to mesenchymal transition in triple-negative breast cancer cells</article-title><source>Cytokine</source><volume>75</volume><fpage>151</fpage><lpage>158</lpage><year>2015</year><pub-id pub-id-type="doi">10.1016/j.cyto.2015.05.020</pub-id><pub-id pub-id-type="pmid">26088755</pub-id></element-citation></ref>
</ref-list>
</back>
<floats-group>
<fig id="f1-or-38-06-3447" position="float">
<label>Figure 1.</label>
<caption><p>miR-592 is downregulated in breast cancer (BC) samples and cell lines. (A) The expression levels of miR-592 were downregulated in 56 BC tissues when compared with adjacent normal tissues. (B) The expression levels of miR-592 were downregulated in 4 BC cell lines (MCF-7, MDA-MB-231, BT-549 and MDA-MB-453) when compared with MCF-10A cells; &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01.</p></caption>
<graphic xlink:href="OR-38-06-3447-g00.tif"/>
</fig>
<fig id="f2-or-38-06-3447" position="float">
<label>Figure 2.</label>
<caption><p>miR-592 inhibits proliferation and colony formation of breast cancer cells. (A) &#x03A4;he expression levels of miR-592 were assessed in MCF-7 cells transfected with the miR-592 mimic or miR-NC by qPCR. (B) Cell proliferation was determined in the miR-592-mimic-transfected and miR-NC groups by MTT assay. (C) Colony formation was determined in the miR-592-mimic-transfected and miR-NC group; &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01.</p></caption>
<graphic xlink:href="OR-38-06-3447-g01.tif"/>
</fig>
<fig id="f3-or-38-06-3447" position="float">
<label>Figure 3.</label>
<caption><p>miR-592 inhibits migration and invasion of breast cancer cells. (A) Cell migration was determined in the miR-592-mimic-transfected and miR-NC groups by wound healing assay. (B) Cell invasion was analyzed in the miR-592-mimic-transfected and miR-NC groups by Transwell invasion assay; &#x002A;&#x002A;P&#x003C;0.01.</p></caption>
<graphic xlink:href="OR-38-06-3447-g02.tif"/>
</fig>
<fig id="f4-or-38-06-3447" position="float">
<label>Figure 4.</label>
<caption><p>TGF-&#x03B2;2 as the target gene of miR-592 in breast cancer cells. (A) Schematic of the construction of the wild-type or mutant-type TGF-&#x03B2;2-3&#x2032;-UTR vectors is shown. Wt, wild-type; Mut, mutant-type. (B) The relative mRNA expression of TGF-&#x03B2;2 in the miR-592-mimic-transfected and miR-NC groups. (C) Western blot analysis of the TGF-&#x03B2;2 protein expression in the miR-592-mimic-transfected and miR-NC groups. GAPDH served as the loading control. (D) Relative luciferase activities were determined in the MCF-7 cells co-transfected with the (Wt/Mut) TGF-&#x03B2;2 3&#x2032;-UTR reporter plasmid and the miR-592 mimic or miR-NC; &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01.</p></caption>
<graphic xlink:href="OR-38-06-3447-g03.tif"/>
</fig>
<fig id="f5-or-38-06-3447" position="float">
<label>Figure 5.</label>
<caption><p>TGF-&#x03B2;2 is upregulated, and inversely correlated with miR-592 expression in BC tissues. (A) The expression levels of TGF-&#x03B2;2 in 56 pairs of BC and adjacent normal tissues. GAPDH was used as an internal control. (B) The correlation of the expression levels of TGF-&#x03B2;2 and miR-592 were analyzed in BC tissues by Pearson&#x0027;s correlation assay (n=56). (C and D) The TGF-&#x03B2;2 expression at the mRNA and protein levels was determined in 4 BC cell lines (MCF-7, MDA-MB-231, BT-549 and MDA-MB-453) and normal breast cell line MCF-10A. GAPDH was used as an internal control; &#x002A;&#x002A;P&#x003C;0.01.</p></caption>
<graphic xlink:href="OR-38-06-3447-g04.tif"/>
</fig>
<fig id="f6-or-38-06-3447" position="float">
<label>Figure 6.</label>
<caption><p>Tumor-suppressing function of miR-592 rescued by TGF-&#x03B2;2. (A and B) TGF-&#x03B2;2 expression at the mRNA level and protein level was determined in MCF-7 cells transfected with the miR-592 mimic or miR-NC and with/without overexpression of the TGF-&#x03B2;2 plasmid. GAPDH served as the loading control. (C-F) Cell proliferation, colony formation, migration and invasion were analyzed in MCF-7 cells transfected with the miR-592 mimic or miR-NC and with/without overexpression of the TGF-&#x03B2;2 plasmid; &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01.</p></caption>
<graphic xlink:href="OR-38-06-3447-g05.tif"/>
</fig>
<fig id="f7-or-38-06-3447" position="float">
<label>Figure 7.</label>
<caption><p>miR-592 inhibits tumor growth <italic>in vivo</italic>. (A) Growth curves for tumor volumes in xenografts of nude mice from the MCF-7/miR-592 and MCF-7/miR-NC groups. (B) Images of tumor tissues from the MCF-7/miR-592 and MCF-7/miR-NC groups. (C) Weight of tumor tissues from the MCF-7/miR-592 and MCF-7/miR-NC groups. (D) miR-592 expression in tumor tissues from the MCF-7/miR-592 and MCF-7/miR-NC groups. (E) TGF-&#x03B2;2 protein expression in tumor tissues from the MCF-7/miR-592 and MCF-7/miR-NC groups. GAPDH served as a loading control; &#x002A;&#x002A;P&#x003C;0.01.</p></caption>
<graphic xlink:href="OR-38-06-3447-g06.tif"/>
</fig>
<table-wrap id="tI-or-38-06-3447" position="float">
<label>Table I.</label>
<caption><p>Correlation between the clinicopathological features and miR-592 expression in 56 patients with breast cancer.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th/>
<th/>
<th align="center" valign="bottom" colspan="2">miR-592 expression</th>
<th/>
</tr>
<tr>
<th/>
<th/>
<th align="center" valign="bottom" colspan="2"><hr/></th>
<th/>
</tr>
<tr>
<th align="left" valign="bottom">Variables</th>
<th align="center" valign="bottom">No. of cases</th>
<th align="center" valign="bottom">Low (n &#x0025;)</th>
<th align="center" valign="bottom">High (n &#x0025;)</th>
<th align="center" valign="bottom">P-value</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Age (years)</td>
<td/>
<td/>
<td/>
<td align="center" valign="top">&#x003E;0.05</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;&#x003C;60</td>
<td align="center" valign="top">34</td>
<td align="center" valign="top">20 (58.8)</td>
<td align="center" valign="top">14 (41.2)</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;&#x2265;60</td>
<td align="center" valign="top">22</td>
<td align="center" valign="top">13 (59.1)</td>
<td align="center" valign="top">9 (40.1)</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">Distant metastasis</td>
<td/>
<td/>
<td/>
<td align="center" valign="top">&#x003C;0.01</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Yes</td>
<td align="center" valign="top">19</td>
<td align="center" valign="top">18 (94.7)</td>
<td align="center" valign="top">1 (5.3)</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;No</td>
<td align="center" valign="top">37</td>
<td align="center" valign="top">15 (40.5)</td>
<td align="center" valign="top">22 (59.5)</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">Clinical stage</td>
<td/>
<td/>
<td/>
<td align="center" valign="top">&#x003C;0.01</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;I&#x2013;II</td>
<td align="center" valign="top">33</td>
<td align="center" valign="top">12 (36.4)</td>
<td align="center" valign="top">21 (53.6)</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;III&#x2013;IV</td>
<td align="center" valign="top">23</td>
<td align="center" valign="top">21 (91.3)</td>
<td align="center" valign="top">2 (8.7)</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">Tumor size (cm)</td>
<td/>
<td/>
<td/>
<td align="center" valign="top">&#x003E;0.05</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;&#x003C;5</td>
<td align="center" valign="top">31</td>
<td align="center" valign="top">18 (58.1)</td>
<td align="center" valign="top">13 (41.9)</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;&#x2265;5</td>
<td align="center" valign="top">25</td>
<td align="center" valign="top">15 (60.0)</td>
<td align="center" valign="top">10 (40.0)</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">Lymph node metastasis</td>
<td/>
<td/>
<td/>
<td align="center" valign="top">&#x003C;0.01</td>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;Yes</td>
<td align="center" valign="top">20</td>
<td align="center" valign="top">17 (85.0)</td>
<td align="center" valign="top">3 (15.0)</td>
<td/>
</tr>
<tr>
<td align="left" valign="top">&#x00A0;&#x00A0;No</td>
<td align="center" valign="top">36</td>
<td align="center" valign="top">16 (44.4)</td>
<td align="center" valign="top">20 (55.6)</td>
<td/>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</article>