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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.2017.6054</article-id>
<article-id pub-id-type="publisher-id">or-38-06-3545</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Upregulation of miR-542-3p inhibits the growth and invasion of human colon cancer cells through PI3K/AKT/survivin signaling</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Yang</surname><given-names>Chuang</given-names></name>
<xref rid="af1-or-38-06-3545" ref-type="aff"/>
<xref rid="c1-or-38-06-3545" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Wang</surname><given-names>Ming-Huan</given-names></name>
<xref rid="af1-or-38-06-3545" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Zhou</surname><given-names>Jun-De</given-names></name>
<xref rid="af1-or-38-06-3545" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Chi</surname><given-names>Qiang</given-names></name>
<xref rid="af1-or-38-06-3545" ref-type="aff"/>
<xref rid="c1-or-38-06-3545" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-or-38-06-3545">Department of General Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150086, P.R. China</aff>
<author-notes>
<corresp id="c1-or-38-06-3545"><italic>Correspondence to</italic>: Dr Chuang Yang or Dr Qiang Chi, Department of General Surgery, The Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Harbin, Heilongjiang 150086, P.R. China, E-mail: <email>phdych@163.com</email>, E-mail: <email>tjwoy939474@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>23</day><month>10</month><year>2017</year></pub-date>
<volume>38</volume>
<issue>6</issue>
<fpage>3545</fpage>
<lpage>3553</lpage>
<history>
<date date-type="received"><day>25</day><month>05</month><year>2017</year></date>
<date date-type="accepted"><day>27</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 present study was designed to assess the expression of microRNA-542-3p (miR-542-3p) in human colon cancer and investigate the possible molecular mechanisms underlying the effect of miR-542-3p on the growth and invasion of colon cancer cells. We found that miR-542-3p expression was downregulated in colon cancer patient tissues, compared with that observed in the control group. Silencing of miR-542-3p expression significantly promoted cell viability and inhibited apoptosis. In addition, overexpression of miR-542-3p significantly reduced cell viability and promoted apoptosis in colon cancer cells. Meanwhile, silencing of miR-542-3p expression significantly suppressed PI3K and p-AKT and survivin protein expression, while overexpression of miR-542-3p significantly induced PI3K and p-AKT and survivin protein expression in colon cancer cells. PI3K inhibitor (LY294002) or survivin inhibitor (YM155) suppressed PI3K/AKT/survivin signaling and increased the anticancer effects of miR-542-3p on the apoptosis in colon cancer. The present study demonstrated that upregulation of miR-542-3p inhibited the growth and invasion of colon cancer cells through PI3K/AKT/survivin signaling, highlighting a novel therapeutic approach for the treatment of colon cancer.</p>
</abstract>
<kwd-group>
<kwd>miR-542-3p</kwd>
<kwd>colon cancer</kwd>
<kwd>PI3K</kwd>
<kwd>AKT</kwd>
<kwd>survivin</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Modern lifestyle trends, such as a high-fat diet, have rendered colon cancer as one of the most highly fatal tumors worldwide (<xref rid="b1-or-38-06-3545" ref-type="bibr">1</xref>). The multi-gene and multi-step carcinogenic pathway, which is the traditional adenoma-adenocarcinoma pathway, has been widely accepted. This pathway has the morphological manifestations of intestinal epithelial hyperplasia, adenoma and invasive carcinoma in succession. It manifests as gradual superposition of staged oncogene mutation activation and tumor-suppressor gene inactivation at the molecular biological level. Key steps during colon cancer genesis, such as transformation and evolution, are associated with oncogene activation or tumor-suppressor gene inactivation (<xref rid="b2-or-38-06-3545" ref-type="bibr">2</xref>). The former refers to the process where normal cells transform into cancer cells under oncogene induction. The latter represents cellular hyperplasia with gene instability and the acquisition of all malignant heterogeneities of tumor cells. As well known, early diagnosis is of crucial significance to the therapeutic effectiveness in colon cancer. Therefore, determining early lesions as well as the biomarkers during all evolutionary stages of colon cancer is of vital importance (<xref rid="b3-or-38-06-3545" ref-type="bibr">3</xref>).</p>
<p>MicroRNAs (miRNAs) are non-coding RNA molecules with a length of 18&#x2013;22 nt. They regulate gene expression through targeted binding of the 3 untranslated region (3&#x2032;UTR) terminal of mRNA molecules (<xref rid="b4-or-38-06-3545" ref-type="bibr">4</xref>). In recent years, numerous scholars have confirmed that miRNA molecules in tumor tissue are novel markers for clinical tumor diagnosis. Research has indicated that miRNAs can stably exist in serum (<xref rid="b5-or-38-06-3545" ref-type="bibr">5</xref>). Therefore, circulatory miRNAs have attracted extensive attention as novel biomarkers (<xref rid="b5-or-38-06-3545" ref-type="bibr">5</xref>). Moreover, their potential to serve as disease diagnostic markers has been recognized (<xref rid="b6-or-38-06-3545" ref-type="bibr">6</xref>).</p>
<p>The PI3K/Akt signal transduction pathway includes PI3K, Akt and their downstream effector molecules (<xref rid="b7-or-38-06-3545" ref-type="bibr">7</xref>). PI3K is an important intracellular kinase, the excessive activation of which plays an important role in tumor genesis. Akt is highly homologous to v-Akt, the virus oncogene inducing leukemia in mice (<xref rid="b8-or-38-06-3545" ref-type="bibr">8</xref>). It is a major effector molecule of PI3K, the excessive activation of which can inhibit or activate its downstream target proteins (<xref rid="b8-or-38-06-3545" ref-type="bibr">8</xref>). In this way, it may induce infinite cell proliferation through multiple pathways (<xref rid="b8-or-38-06-3545" ref-type="bibr">8</xref>). PI3K can be activated through various pathways, thus producing an important product, PI-3,4,5-P3 (PIP3). PIP3 thereby serves as an intracellular second messenger to bind with Akt. Moreover, it can phosphorylate Akt and changes its conformation (<xref rid="b9-or-38-06-3545" ref-type="bibr">9</xref>). In the meantime, it prompts the translocation of Akt from the cytoplasm to the cell membrane. This can activate its downstream target protein and promote cell survival by mediating growth factors and insulin (<xref rid="b9-or-38-06-3545" ref-type="bibr">9</xref>).</p>
<p>Survivin is a new member of the anti-apoptosis protein family discovered in 1997. It is specifically expressed in human and mouse embryonic development tissues and most human tumor cells (<xref rid="b10-or-38-06-3545" ref-type="bibr">10</xref>). However, it can only be observed in thymus, testicle and secretory endometrium in normal adult tissue (<xref rid="b10-or-38-06-3545" ref-type="bibr">10</xref>). Its major function is to inhibit tumor cell apoptosis and promote tumor cell proliferation (<xref rid="b11-or-38-06-3545" ref-type="bibr">11</xref>). Moreover, it is also related to tumor sensitivity to chemotherapy drugs and prognosis (<xref rid="b11-or-38-06-3545" ref-type="bibr">11</xref>). The tissue specificity and function diversity of survivin has rendered it a new &#x2018;hotspot&#x2019; in the field of tumor research (<xref rid="b12-or-38-06-3545" ref-type="bibr">12</xref>). The present study was designed to assess the expression of miR-542-3p in human colon cancer and investigate the possible molecular mechanisms underlying the effects of miR-542-3p on the growth and invasion of colon cancer cells.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Patients with colon cancer</title>
<p>Serum samples of patients with colon cancer (n=12) and healthy volunteers (n=6) were collected after centrifugation at 2,000 &#x00D7; g for 10 min at 4&#x00B0;C, and saved at &#x2212;80&#x00B0;C. The study was approved by the institutional medical Ethics Committee of The Second Affiliated Hospital of Harbin Medical University.</p>
</sec>
<sec>
<title>RNA extraction and real-time PCR</title>
<p>TRIzol reagent (Life Technologies, Carlsbad, CA, USA) was used to isolate total RNA from cultured cells or samples. The PrimeScript&#x2122; RT Master Mix (Takara, Dalian, China) was used to synthesize first-strand cDNA using 100 ng total RNA. miRNA expression was determined by RT-PCR using Power SYBR-Green PCR Master Mix (Carlsbad, CA, USA). The reactions were incubated at 95&#x00B0;C for 10 min, followed by 40 cycles of 95&#x00B0;C for 30 sec and 60&#x00B0;C for 30 sec.</p>
</sec>
<sec>
<title>Cell culture and treatments</title>
<p>Human SW620 cells were purchased from the American Type Culture Collection (ATCC; Manassas, VA, USA) and were maintained in Dulbecco&#x0027;s modified Eagle&#x0027;s medium (DMEM) containing 10&#x0025; fetal bovine serum (FBS) (both from Invitrogen, Carlsbad, CA, USA) at 37&#x00B0;C with 5&#x0025; CO<sub>2</sub>. miR-542-3p, anti-miR-542-3p and negative mimics were synthesized by GenePharma (Shanghai, China). SW620 cells were transfected with miR-542-3p, anti-miR-542-3p and negative mimics using Lipofectamine 2000 (Invitrogen).</p>
</sec>
<sec>
<title>Cell viability assay</title>
<p>After transfection for 24, 48 and 72 h, SW620 cells were stained using Cell Counting Kit-8 (Beyotime, Shanghai, China) at 37&#x00B0;C for 1&#x2013;2 h. Cell viability was examined by measuring absorbance at 450 nm (Tecan Group Ltd., M&#x00E4;nnedorf, Switzerland).</p>
</sec>
<sec>
<title>Apoptosis assay and caspase-3/&#x2212;9 activity</title>
<p>After transfection for 48 h, SW620 cells were harvested and stained with Annexin V-PE and propidium iodide using an apoptosis kit (BD Pharmingen, Franklin Lakes, NJ) for 15 min in darkness. The apoptotic rate was determined by a flow cytometer (Beckman Coulter, Inc., Miami, FL, USA). Proteins were isolated from cultured cells after transfection using lysis buffer and measured using BCA assay (both from Beyotime). Proteins (5 &#x00B5;g) were used to determine caspase-3/&#x2212;9 activity using caspase-3/&#x2212;9 activity kits. Caspase-3/&#x2212;9 activity were examined by measuring absorbance at 405 nm (Tecan Group Ltd.).</p>
</sec>
<sec>
<title>Transwell invasion assay</title>
<p>After transfection for 24 h, SW620 cells (2&#x00D7;10<sup>5</sup> cells/ml) were seeded in 24-well Transwells coated with Matrigel (8-&#x00B5;m pore size; BD Biosciences, San Jose, CA, USA) using DMEM containing 1&#x0025; FBS. The cells remaining in the upper chamber were removed by cotton swabs following 24 h of incubation and cells in the lower surface were stained with hematoxylin after the cells were fixed with formaldehyde solution.</p>
</sec>
<sec>
<title>Western blotting</title>
<p>Proteins were isolated from cultured cells after transfection using lysis buffer (and measured using BCA (both from Beyotime). Proteins (30&#x2013;50 &#x00B5;g) were then subjected to sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) for separation before being transferred onto a polyvinylidene difluoride (PVDF) membrane (Millipore, Billerica, MA, USA). The membrane was blocked with 5&#x0025; milk-in Tris-buffered saline with Tween-20 (TBST) for 1 h at 37&#x00B0;C and protein were detected by incubation with Bax, PI3K and p-AKT, survivin and GAPDH (Cell Signaling Technology, Inc., Danvers, MA, USA) antibodies overnight at 37&#x00B0;C. The membranes were subsequently incubated with a goat anti-rabbit horseradish peroxidase secondary antibody (1:5,000; Cell Signaling Technology, Inc.) at 37&#x00B0;C for 1 h. Protein blots were visualized with enhanced chemiluminescent substrate (Thermo Fisher Scientific, Inc., Waltham, MA, USA).</p>
</sec>
<sec>
<title>Statistical analyses</title>
<p>Data are presented as mean &#x00B1; SD. Statistical comparisons were performed by one-way ANOVA followed by Dunnett&#x0027;s t-test. p&#x003C;0.05 was considered to indicate a statistically significant difference.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title/>
<sec>
<title>miR-542-3p expression</title>
<p>To determine the expression of miR-542-3p in clinical serum samples, we collected 6 pairs of human colon cancer samples and healthy controls. Our results showed that the expression levels of miR-542-3p were downregulated in the serum samples of the patients with colon cancer, compared with the levels in the control group (<xref rid="f1-or-38-06-3545" ref-type="fig">Fig. 1</xref>).</p>
</sec>
<sec>
<title>Silencing of miR-542-3p expression promotes cell viability of colon cancer</title>
<p>Due to the downregulated expression of miR-542-3p in human colon cancer serum samples, we speculated that miR-542-3p may act as a tumor-suppressor in the development of colon cancer. The expression of miR-542-3p in the anti-miR-542-3p-transfected cells was lower than that in the control group (<xref rid="f2-or-38-06-3545" ref-type="fig">Fig. 2A</xref>). Silencing of miR-542-3p expression significantly promoted cell viability (<xref rid="f2-or-38-06-3545" ref-type="fig">Fig. 2B</xref>) and invasion of colon cancer cells compared with the control group (<xref rid="f2-or-38-06-3545" ref-type="fig">Fig. 2C and D</xref>).</p>
</sec>
<sec>
<title>Silencing of miR-542-3p expression inhibits the apoptosis of colon cancer cells</title>
<p>We demonstrated that the silencing of miR-542-3p expression significantly inhibited apoptosis, caspase-3/&#x2212;9 activities and Bax protein expression in the colon cancer cells compared with the control group (<xref rid="f3-or-38-06-3545" ref-type="fig">Fig. 3</xref>).</p>
</sec>
<sec>
<title>Silencing of miR-542-3p expression induces PI3K/AKT/survivin signaling in colon cancer cells</title>
<p>Moreover, we explored the mechanism underlying the miR-542-3p-mediated apoptosis of colon cancer cells. We analyzed PI3K/AKT/survivin signaling. Silencing of miR-542-3p expression significantly induced PI3K/AKT/survivin signaling in the colon cancer cells, compared with the control group (<xref rid="f4-or-38-06-3545" ref-type="fig">Fig. 4</xref>).</p>
</sec>
<sec>
<title>Overexpression of miR-542-3p inhibits the viability of colon cancer cells</title>
<p>Next, we induced miR-542-3p expression to explore the effect of miR-542-3p on the apoptosis of colon cancer cells. As shown in <xref rid="f5-or-38-06-3545" ref-type="fig">Fig. 5A</xref>, miR-542-3p expression in the cells transfected with miR-542-3p was higher than that of the control group. Cell viability and invasion of the colon cancer cells were significantly reduced by overexpression of miR-542-3p, compared with the control group (<xref rid="f5-or-38-06-3545" ref-type="fig">Fig. 5B-D</xref>).</p>
</sec>
<sec>
<title>Overexpression of miR-542-3p promotes the apoptosis of colon cancer cells</title>
<p>Overexpression of miR-542-3p significantly induced apoptosis, caspase-3/&#x2212;9 activity and Bax protein expression in the colon cancer cells, compared with the control group (<xref rid="f6-or-38-06-3545" ref-type="fig">Fig. 6</xref>).</p>
</sec>
<sec>
<title>Overexpression of miR-542-3p suppresses PI3K/AKT/survivin signaling in the colon cancer cells</title>
<p>Overexpression of miR-542-3p significantly suppressed PI3K/AKT/survivin signaling in the colon cancer cells, compared with the control group (<xref rid="f7-or-38-06-3545" ref-type="fig">Fig. 7</xref>). There results showed that miR-542-3p regulates PI3K/AKT/survivin signaling to affect the growth of colon cancer cells.</p>
</sec>
<sec>
<title>Inhibition of PI3K suppresses PI3K/AKT/survivin signaling in the colon cancer cells following miR-542-3p transfection</title>
<p>We performed bioinformatic analysis to identify the role of PI3K in the function of miR-542-3p on the apoptosis of colon cancer cells. As shown in <xref rid="f8-or-38-06-3545" ref-type="fig">Fig. 8</xref>, PI3K inhibitor (100 nM, LY294002), significantly suppressed PI3K/AKT/survivin signaling in the colon cancer cells following miR-542-3p transfection, when compared with the miR-542-3p group (<xref rid="f8-or-38-06-3545" ref-type="fig">Fig. 8</xref>).</p>
</sec>
<sec>
<title>Inhibition of PI3K inhibits the growth of colon cancer cells following miR-542-3p transfection</title>
<p>Cell viability and invasion of colon cancer cells were significantly reduced by overexpression of miR-542-3p and inhibition of PI3K, compared with the miR-542-3p group (<xref rid="f9-or-38-06-3545" ref-type="fig">Fig. 9</xref>).</p>
</sec>
<sec>
<title>Inhibition of PI3K promotes the apoptosis of colon cancer cells following miR-542-3p transfection</title>
<p>Apoptosis, caspase-3 activity and Bax protein expression in the colon cancer cells following miR-542-3p transfection were significantly increased by the inhibition of PI3K, compared with the miR-542-3p group (<xref rid="f10-or-38-06-3545" ref-type="fig">Fig. 10</xref>).</p>
</sec>
<sec>
<title>Inhibition of survivin suppresses the survivin expression in the colon cancer cells</title>
<p>To investigate whether knockdown of survivin influences the anticancer effects of miR-542-3p in colon cancer cells, survivin inhibitor (YM155) was used to reduce survivin expression in the colon cancer cells. As shown in <xref rid="f11-or-38-06-3545" ref-type="fig">Fig. 11</xref>, survivin inhibitor significantly suppressed survivin signaling in the colon cancer cells transfected with miR-542-3p, compared with the miR-542-3p group.</p>
</sec>
<sec>
<title>Inhibition of survivin suppresses the growth and invasion of colon cancer cells following miR-542-3p transfection</title>
<p><xref rid="f12-or-38-06-3545" ref-type="fig">Fig. 12</xref> shows that inhibition of survivin significantly suppressed cell growth and invasion of colon cancer cells following miR-542-3p transfection, compared with the miR-542-3p group.</p>
</sec>
<sec>
<title>Inhibition of survivin promotes the apoptosis of colon cancer cells following miR-542-3p transfection</title>
<p>Finally, the inhibition of survivin significantly promoted cell apoptosis, caspase-3/&#x2212;9 activity and Bax protein expression in the colon cancer cells following miR-542-3p transfection (<xref rid="f13-or-38-06-3545" ref-type="fig">Fig. 13</xref>).</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Colon cancer is one of the most common digestive system neoplasms (<xref rid="b13-or-38-06-3545" ref-type="bibr">13</xref>). The gold standard for the clinical diagnosis of colon cancer is electronic colonoscopy diagnostic technology (<xref rid="b14-or-38-06-3545" ref-type="bibr">14</xref>). Such technology requires specific equipment, technical support, and high proficiency in the operation of operators (<xref rid="b1-or-38-06-3545" ref-type="bibr">1</xref>). Furthermore, at the time of diagnosis it may have invaded into the human body. Thus, it is associated with risks of complications of hemorrhage and perforation (<xref rid="b14-or-38-06-3545" ref-type="bibr">14</xref>). Therefore, developing novel diagnostic methods is necessary to alleviate patient suffering and reduce the risk of mortality (<xref rid="b14-or-38-06-3545" ref-type="bibr">14</xref>). In the present study, we found that expression levels of miR-542-3p in serum were downregulated in patients with colon cancer.</p>
<p>Recent studies have found that deletion of the PTEN gene is observed in malignant tumors, such as lung cancer, endometrial cancer and breast cancer (<xref rid="b15-or-38-06-3545" ref-type="bibr">15</xref>). This may result in the dysfunction of the PI3K/Akt signaling pathway (<xref rid="b15-or-38-06-3545" ref-type="bibr">15</xref>). Consequently, gene expression in this pathway may become one of the important indices for predicting the prognosis of malignant tumors. Meanwhile, small-molecule inhibitors targeting this pathway may effectively suppress malignant tumor cell growth and achieve gene therapy (<xref rid="b16-or-38-06-3545" ref-type="bibr">16</xref>). The present study showed that the silencing of miR-542-3p expression significantly promoted cell viability, and inhibited apoptosis through suppression of PI3K and p-AKT and survivin protein expression in human colon cancer. Kureel <italic>et al</italic> showed that miR-542-3p suppresses osteoblast cell proliferation and differentiation through BMP-7/PI3K-survivin signaling in bone formation (<xref rid="b17-or-38-06-3545" ref-type="bibr">17</xref>). These results support our current findings and suggest a potential mechanism for the tumor-suppressor role of miR-542-3p in human colon cancer mediated through PI3K/AKT/survivin signals.</p>
<p>Excessive activation of PI3K can lead to that of Akt. Thus, it may break the balance of the PI3K/Akt signaling pathway (<xref rid="b18-or-38-06-3545" ref-type="bibr">18</xref>). This may result in excessive cell proliferation and give rise to carcinogenesis (<xref rid="b19-or-38-06-3545" ref-type="bibr">19</xref>). It is known that activated PI3K can induce the genesis of multiple malignant tumors, such as leukemia, prostate cancer and lymphoma (<xref rid="b19-or-38-06-3545" ref-type="bibr">19</xref>). At the same time, it is verified in experiments that excessive activation of PI3K can lead to the genesis of colon cancer (<xref rid="b19-or-38-06-3545" ref-type="bibr">19</xref>). Evolution of PI3K protein in colon cancer shows an increasing trend. In other words, it shows low or even negative expression in normal large colorectal mucosa or polyps. However, it displays significantly elevated expression in colon cancer tissues (<xref rid="b20-or-38-06-3545" ref-type="bibr">20</xref>). The present study showed that PI3K inhibitor (LY294002) suppressed the PI3K/AKT/survivin signal and increased the anticancer effects of miR-542-3p on apoptosis in colon cancer. Cai <italic>et al</italic> found that miR-542-3p suppressed the tumor cell invasion of human astrocytoma via targeting the AKT pathway (<xref rid="b21-or-38-06-3545" ref-type="bibr">21</xref>).</p>
<p>Experiments <italic>in vitro</italic> indicate that survivin can inhibit cell apoptosis by directly or indirectly interfering with caspase function (<xref rid="b22-or-38-06-3545" ref-type="bibr">22</xref>). Direct action of survivin on caspases mainly represents the process of caspase-3 and &#x2212;7 activity suppression and cell apoptosis blocking (<xref rid="b22-or-38-06-3545" ref-type="bibr">22</xref>). Moreover, survivin indirectly inhibits caspase through P21. Its mechanism is that survivin forms the survivin-CDK4 complex with the cell cycle control factor CDK4 (<xref rid="b23-or-38-06-3545" ref-type="bibr">23</xref>). In this way, P21 can be released from the CDK4 complex, which can further bind with mitochondrial caspase-3. As a result, it may inhibit its activity and prevent cell apoptosis. Survivin is expressed in the G2/M phase of the cell cycle (<xref rid="b23-or-38-06-3545" ref-type="bibr">23</xref>). At the early stage of mitosis, survivin develops a specific saturable reaction with mitotic spindle microtubule. However, it is regulated by microtubule dynamics (<xref rid="b24-or-38-06-3545" ref-type="bibr">24</xref>). The interaction between survivin and the microtubule can be interfered with using microtubule inhibitors. This results in the loss of anti-apoptotic activity of survivin and the activation of caspase-3. Thus, it can induce cell apoptosis (<xref rid="b25-or-38-06-3545" ref-type="bibr">25</xref>). This result indicates that survivin partly regulates mitosis through its action on spindle microtubule. Thereby, it can exert an anti-apoptotic effect (<xref rid="b25-or-38-06-3545" ref-type="bibr">25</xref>). In the present study, survivin inhibitor (YM155) suppressed the PI3K/AKT/survivin signal and increased the anticancer effects of miR-542-3p on apoptosis in colon cancer. Zhang <italic>et al</italic> reported that miR-542-3p suppresses cell proliferation by post-transcriptionally regulating survivin in bladder cancer cells (<xref rid="b26-or-38-06-3545" ref-type="bibr">26</xref>).</p>
<p>In conclusion, the data in the present study revealed that upregulation of miR-542-3p suppressed the growth and invasion of colon cancer cells through PI3K/AKT/survivin signaling, highlighting a novel therapeutic approach for the treatment of colon cancer.</p>
</sec>
</body>
<back>
<ref-list>
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<floats-group>
<fig id="f1-or-38-06-3545" position="float">
<label>Figure 1.</label>
<caption><p>miR-542-3p expression in the serum of normal healthy controls (nornal) and colon cancer patients (colon cancer); <sup>##</sup>p&#x003C;0.01 vs. the control group.</p></caption>
<graphic xlink:href="OR-38-06-3545-g00.jpg"/>
</fig>
<fig id="f2-or-38-06-3545" position="float">
<label>Figure 2.</label>
<caption><p>Silencing of miR-542-3p expression promotes cell viability and invasion of colon cancer. (A) Relative miRNA-542-3p expression, (B) cell viability and (C) invasion by statistical analysis. (D) Images of the migration assay (magnification, &#x00D7;10). Control, negative control group; anti-miRNA-542-3p, silenced miR-542-3p group; <sup>##</sup>p&#x003C;0.01 vs. the control group.</p></caption>
<graphic xlink:href="OR-38-06-3545-g01.tif"/>
</fig>
<fig id="f3-or-38-06-3545" position="float">
<label>Figure 3.</label>
<caption><p>Silencing of miR-542-3p expression inhibits the apoptosis of colon cancer. (A) Apoptosis rate, (B) caspase-3/&#x2212;9 activity and (C) Bax protein expression as determined by statistical analysis. (D) Western blot analysis. Control, negative control group; anti-miRNA-542-3p, silenced miR-542-3p group; <sup>##</sup>p&#x003C;0.01 vs. the control group.</p></caption>
<graphic xlink:href="OR-38-06-3545-g02.jpg"/>
</fig>
<fig id="f4-or-38-06-3545" position="float">
<label>Figure 4.</label>
<caption><p>Silencing of miR-542-3p expression induces PI3K/AKT/survivin signaling in colon cancer. (A) PI3K, (B) p-AKT and (C) survivin protein expression as determined by statistical analysis. (D) Western blot analysis. Control, negative control group; anti-miRNA-542-3p, silenced miR-542-3p group; <sup>##</sup>p&#x003C;0.01 vs. the control group.</p></caption>
<graphic xlink:href="OR-38-06-3545-g03.jpg"/>
</fig>
<fig id="f5-or-38-06-3545" position="float">
<label>Figure 5.</label>
<caption><p>Overexpression of miR-542-3p inhibits cell viability of colon cancer. (A) Relative miRNA-542-3p expression, (B) cell viability and (C) invasion as determined by statistical analysis. (D) Images of the migration assay (magnification, &#x00D7;10). Control, negative control group; miRNA-542-3p, overexpression miR-542-3p group; <sup>##</sup>p&#x003C;0.01 vs. the control group.</p></caption>
<graphic xlink:href="OR-38-06-3545-g04.jpg"/>
</fig>
<fig id="f6-or-38-06-3545" position="float">
<label>Figure 6.</label>
<caption><p>Overexpression of miR-542-3p promotes the apoptosis of colon cancer. (A) Apoptosis rate, (B) caspase-3/&#x2212;9 activity and (C) Bax protein expression as determined by statistical analysis. (D) Western blot analysis. Control, negative control group; miRNA-542-3p, overexpression miR-542-3p group; <sup>##</sup>p&#x003C;0.01 vs. the control group.</p></caption>
<graphic xlink:href="OR-38-06-3545-g05.jpg"/>
</fig>
<fig id="f7-or-38-06-3545" position="float">
<label>Figure 7.</label>
<caption><p>Overexpression of miR-542-3p suppresses PI3K/AKT/survivin signaling in colon cancer. (A) PI3K, (B) p-AKT and (C) survivin protein expression as determined by statistical analysis. (D) Western blot analysis. Control, negative control group; miRNA-542-3p, overexpression miR-542-3p group; <sup>##</sup>p&#x003C;0.01 vs. the control group.</p></caption>
<graphic xlink:href="OR-38-06-3545-g06.jpg"/>
</fig>
<fig id="f8-or-38-06-3545" position="float">
<label>Figure 8.</label>
<caption><p>Inhibition of PI3K suppresses PI3K/AKT/survivin signaling in colon cancer following miR-542-3p. (A) PI3K, (B) p-AKT and (C) survivin protein expression as determined by statistical analysis. (D) Western blot analysis. Control, negative control group; miRNA-542-3p, overexpression miR-542-3p group; PI3K i &#x002B; miRNA-542-3p, overexpression miR-542-3p and PI3K inhibitor group; <sup>##</sup>p&#x003C;0.01 vs. the control group, &#x002A;&#x002A;p&#x003C;0.01 vs. overexpression miR-542-3p group.</p></caption>
<graphic xlink:href="OR-38-06-3545-g07.jpg"/>
</fig>
<fig id="f9-or-38-06-3545" position="float">
<label>Figure 9.</label>
<caption><p>Inhibition of PI3K suppresses cell growth of colon cancer following miR-542-3p transfection. (A) Cell viability and (B) invasion as determined by statistical analysis. (C) Images of the migration assay (magnification, &#x00D7;10). Control, negative control group; miRNA-542-3p, overexpression miR-542-3p group; PI3K i &#x002B; miRNA-542-3p, overexpression miR-542-3p and PI3K inhibitor group; <sup>##</sup>p&#x003C;0.01 vs. the control group, &#x002A;&#x002A;p&#x003C;0.01 vs. overexpression miR-542-3p group.</p></caption>
<graphic xlink:href="OR-38-06-3545-g08.jpg"/>
</fig>
<fig id="f10-or-38-06-3545" position="float">
<label>Figure 10.</label>
<caption><p>Inhibition of PI3K promotes cell apoptosis of colon cancer following miR-542-3p transfection. (A) Apoptosis rate, (B) caspase-3/&#x2212;9 activity and (C) Bax protein expression as determined by statistical analysis. (D) Western blot analysis. Control, negative control group; miRNA-542-3p, overexpression miR-542-3p group; PI3K i &#x002B; miRNA-542-3p, overexpression miR-542-3p and PI3K inhibitor group; <sup>##</sup>p&#x003C;0.01 vs. the control group, &#x002A;&#x002A;p&#x003C;0.01 vs. overexpression miR-542-3p group.</p></caption>
<graphic xlink:href="OR-38-06-3545-g09.jpg"/>
</fig>
<fig id="f11-or-38-06-3545" position="float">
<label>Figure 11.</label>
<caption><p>Inhibition of survivin suppresses survivin signaling in colon cancer following miR-542-3p transfection. (A) Survivin protein expression as determined by statistical analysis. (B) Western blot analysis. Control, negative control group; miRNA-542-3p, overexpression miR-542-3p group; survivin i &#x002B; miRNA-542-3p, overexpression miR-542-3p and survivin inhibitor group; <sup>##</sup>p&#x003C;0.01 vs. the control group, &#x002A;&#x002A;p&#x003C;0.01 vs. overexpression miR-542-3p group.</p></caption>
<graphic xlink:href="OR-38-06-3545-g10.jpg"/>
</fig>
<fig id="f12-or-38-06-3545" position="float">
<label>Figure 12.</label>
<caption><p>Inhibition of survivin suppresses cell growth of colon cancer following miR-542-3p transfection. (A) Cell viability and (B and C) invasion of colon cancer cells. Control, negative control group; miRNA-542-3p, overexpression miR-542-3p group; survivin i &#x002B; miRNA-542-3p, overexpression miR-542-3p and survivin inhibitor group; <sup>##</sup>p&#x003C;0.01 vs. the control group, &#x002A;&#x002A;p&#x003C;0.01 vs. overexpression miR-542-3p group.</p></caption>
<graphic xlink:href="OR-38-06-3545-g11.jpg"/>
</fig>
<fig id="f13-or-38-06-3545" position="float">
<label>Figure 13.</label>
<caption><p>Inhibition of survivin promotes cell apoptosis of colon cancer cells following miR-542-3p transfection. (A) Apoptosis rate, (B) caspase-3/&#x2212;9 activity and (C) Bax protein expression as determined by statistical analysis. (D) Western blot analysis. Control, negative control group; miRNA-542-3p, overexpression miR-542-3p group; survivin i &#x002B; miRNA-542-3p, overexpression miR-542-3p and survivin inhibitor group; <sup>##</sup>p&#x003C;0.01 vs. the control group, &#x002A;&#x002A;p&#x003C;0.01 vs. overexpression miR-542-3p group.</p></caption>
<graphic xlink:href="OR-38-06-3545-g12.jpg"/>
</fig>
</floats-group>
</article>