To explore the expression of miR-186 in OS, a cohort of 40 OS cases was adopted into the experiment. The detailed information of these patients are displayed in Table I. All patients had not followed any therapy before their recruitment to this study with written consents for their participation in this study. The present study was approved by The Institutional Ethics Committee of Chongqing Medical University. Adjacent normal tissues were collected from the patients as negative controls.

Human OS cell lines, U2 and HOS, were adopted for further biological function assays. The cell lines were both purchased from the Cell Bank of the Chinese Academy of Medical Sciences (Shanghai, China). The cells were all cultured in RPMI-1640 medium (Gibco, Grand Island, NY, USA) with 10% fetal bovine serum (FBS; Gibco) and incubated in a humidified atmosphere of 5% CO₂ at 37°C.

MicroRNA-186 and relative scramble mimic oligonucleotides were all purchased from Dharmacon (Lafayette, CO, USA). A final concentration of 50 nM mimics was transfected into OS cells using the DhamaFECT 1 transfection reagents according to the manufacturer's instructions. After 6-h transfection, the medium was changed and the cells were cultured for 48 h and harvested for further experiments.

To assess the expression level of miR-186, quantitative real-time PCR (qRT-PCR) was performed using SYBR Green (TransGen Biotech, Beijing, China) in the Bio-Rad real-time PCR system. Total RNA was extracted from the cells and tissues using TRIzol (Invitrogen Life Technologies, Carlsbad, CA, USA) according to the manufacturer's instructions. The data of miR-186 and PTTG1 expression were normalized to endogenous U6 snRNA and GAPDH, respectively. The primer for reverse transcription was used as follows: 5′-GTCGTATCCAGTGCAGGGTCCGAGGTATTCGCACTGGAGCCCAA-3′. The forward and reverse primers for miR-186 RT-PCR were 5′-CGCGGCAAAGAATTCTCCTT-3′ and 5′-GCCGCAGTGGTTTTACCCT-3′, respectively. The forward and reverse primers for PTTG1 were 5′-TTTGACCTGCCTGAAGAGC-3′ and 5′-CGACAGAATGCTTGAAGGAG-3′ respectively. The forward and reverse primers for U6 and GAPDH were used as follows: For U6 5′-CTCGCTTCGGCAGCACATATACT-3′ and 5-ACGCTTCACGAATTTGCGTGTC-3′, respectively and for GAPDH, 5′-CTCGCTTCGGCAGCACATATACT-3′ and 5′-ACGCTTCACGAATTTGCGTGTC-3′, respectively. Subsequently, the PCR data were analyzed using the 2^−ΔΔCT method.

To identify the direct target role of PTTG1 on miR-186 by connecting with its 3′-UTR, the Dual-Luciferase Reporter assays were adopted. The full-length 3′-UTR of the PTTG1 mRNA was amplified from genomic DNA and then cloned into the pGL-3 vector (Promega, Madison, WI, USA). Mutations of PTTG1 3′-UTR sequence were created through the QuickChange Site-Directed Mutagenesis kit according to the manufacturer's instructions (Stratagene; Agilent Technologies, Inc., Santa Clara, CA, USA). Before transfection, about 1×10⁵ cells/well were seeded into 24-well plates for 24 h. The cells were transfected with 10 ng pRL-TK Renilla Luciferase reporter, 50 ng pGL-3 firefly Luciferase reporter and 50 nM miRNA-186/scramble mimic. The pRL-TK vector served as internal control and the luciferase reporter construct containing the miRNA-186 consensus target sequence served as positive control. All transfections were carried out with Lipofectamine 2000 (Invitrogen Life Technologies). At 48 h after transfection, the cells were collected and lysed using the Passive Lysis Buffer (Promega). Finally, the Luciferase activity was assessed using the Dual-Luciferase Reporter assay (Promega). The results were normalized to the Renilla Luciferase.

The effects of miR-186 on the cell proliferation rate of OS cells were assessed using Cell Counting Kit-8 (CCK-8) assays. At 24 h after transfection 0.5×10⁴ HOS or U2 cells were seeded into the 96-well plates. The cells were incubated in 10% CCK-8 (Dojindo Molecular Technologies, Inc., Kumamoto, Japan) and diluted in normal culture medium at 37°C until visual color conversion occurred. The proliferation rate was determined at 0, 24, 48 and 72 h after the cells were seeded into 96-well plates and quantification was performed on a microtiter plate reader according to the manufacturer's instructions. All experiments were performed in triplicate.

For the analysis of the cell cycle, HOS or U2 cells were harvested, diluted to a concentration of 5×10⁵ cells/ml and washed twice with ice-cold PBS 48 h after transfection. Then the cells were fixed in ice-cold 70% ethanol and incubated with propidium iodide (PI) and RNase A. For the analysis of apoptosis, the cells were incubated with PE Annexin V and 7-AAD according to the PE Annexin V Apoptosis Detection kit I (BD Biosciences, San Jose, CA, USA) protocol. All cells in both assays were then analyzed by fluorescence-activated cell sorting (FACS). Cells that bound to PE Annexin V underwent early apoptosis, while cells that bound to both PE Annexin V and 7-AAD were either in the late stages of apoptosis or already dead. All experiments were run in triplicate.

For analyzing the effects of miR-186 on cell migration and invasion, the Matrigel chamber assays were adopted. After a 24-h transfection, 2×10⁵ HOS or U2 cells suspended in serum-free medium were added to the upper chamber (8-µm pore filter). Medium containing 20% FBS was added to the lower chamber as a chemoattractant. For the invasion assays, the Transwell chambers were coated with Matrigel (BD Biosciences) and then incubated at 37°C for 4 h and inserted in 2×4-well plates. After incubation for 24 h, the non-invasive cells on the upper surface of the chamber were gently removed with a cotton swab. The cells passing through the chambers and located on the lower surface were stained with 0.05% crystal violet, air dried and photographed. All experiments were performed in triplicate.

After 48 h transfection, HOS and U2 cells were harvested in PBS at 4°C and lysed on ice in cold-modified radioimmunoprecipitation buffer supplemented with protease inhibitors. Protein concentration was assessed using the BCA Protein Assay kit (Beyotime Institute of Biotechnology, Haimen, China) and equal amounts of protein were analyzed by SDS-PAGE. The gels were electroblotted onto nitrocellulose membranes (EMD Millipore, Billerica, MA, USA). The membranes were blocked for 1 h with 5% fat-free dry milk in Tris-buffered saline containing 0.1% Tween-20 and incubated at 4°C overnight with primary antibody. Detection was assessed using peroxidase-conjugated secondary antibodies (1:1,000; anti-rabbit IgG; cat. no. 7054; Cell Signaling Technology, Inc., Danvers, MA, USA) and the enhanced chemiluminescence system (ECL; EMD Millipore). The primary antibodies used were PTTG1 (1:1,000; rabbit, monoclonal; cat. no. 13445S), HIF-1 (1:1,000; rabbit, polyclonal; cat. no. 3716S) and GAPDH (1:1,000; rabbit, monoclonal; cat. no. 5174S; Cell Signaling Technology). The experiments were performed three times.

For the analysis of the glucose uptake, the Glucose Test kit (BioVision, Milpitas, CA, USA) was used. After transfection, HOS and U2 cells were seeded into 6-well plates at a density of 10⁶ cells/well at 37°C for 48 h. The medium at 0 h was collected as background glucose concentration. The glucose concentration reduction of the medium was considered as cellular glucose uptake. Thus, glucose uptake was calculated as follows: glucose uptake=(background concentration-reading concentration)/protein concentration. For assessing the extracellular lactic acid production, the culture medium of cells was explored using the Lactate Assay kit (BioVision) according to the manufacturer's instructions. The values were normalized to the protein concentration.

All data were derived from no less than three independent experiments, and are presented as the mean ± SD. Statistical analysis was carried out using SPSS 18.0 software (IBM, New York, NY, USA). The Student's t-test was used for comparisons between two groups. P≤0.05 was considered to indicate a statistically significant difference.

To explore the effects of miR-186 in OS, the expression level of miR-186 was detected in a cohort of 40 OS tissues and adjacent normal tissues through quantitative RT-PCR assays. Compared to the adjacent normal tissues, 30 out of 40 (75%) OS tissues exhibited lower level of miR-186 expression (Fig. 1A). To further identify the expression tendency of miR-186 in OS, we analyzed its average level between OS tissues and normal tissues. As expected, the average level of miR-186 was significantly attenuated in OS tissues (Fig. 1B). The suppression of miR-186 in OS indicated its tumor-suppressive role in OS.

To identify the biological function of miR-186 in OS, the overexpression model of OS cells was established through transiently transfecting miR-186 mimic into the OS cell lines, HOS and U2. The cells transfected with scramble mimic were used as negative control. Upon transfection, the expression of miR-186 was ~15-fold higher in HOS cells (designed as HOS/186) and 18-fold higher in U2 cells (designed as U2/186) compared with control groups (Fig. 2A).

Subsequently, we explored the effects of miR-186 on the proliferation, cell cycle progression and apoptosis of OS cells. The rate of cell proliferation was assessed in both cell lines in vitro using the CCK-8 assay. The doubling time of HOS/186 and U2/186 cells was significant lower than that of HOS/Scr and U2/Scr cells, indicating that overexpression of miR-186 inhibited the growth rate of OS cells (Fig. 2B). Further FACS assays revealed that overexpression of miR-186 resulted in a significant upregulation of early apoptotic cells (Fig. 2C), associated with a simultaneous increased amount of cells in the G1-phase and a reduced number of cells in the S-phase of the cell cycle (Fig. 2D), which indicated that overexpression of miR-186 inhibited cell proliferation and induced cell apoptosis of OS cells.

Tumor metastasis is a pivotal reason for the poor clinical outcome of OS. Using neoadjuvant chemotherapy with surgery, the five-year survival rate of patients with non-metastatic OS has increased >50%, while the prognosis of patients with tumor metastasis is still poor (9). Thus, we further explored the effects miR-186 on cell invasion of OS cells using the Matrigel chamber assays. The OS cells transfected with miR-186 (HOS/186 and U2/186 cells) exhibited less cells passing through the chambers coated with Matrigel (Fig. 2E), which means that transfection with miR-186 significantly suppressed the invasive capacity of OS cells.

The aforementioned data strongly indicated that miR-186 functioned as a tumor suppressor in OS cells. To elucidate the putative mechanisms involved in miR-186-mediated tumor suppressive effects in OS, we investigated its target genes using the target prediction software, miRanda (http://www.targetscan.org/vert_71/) and TargetScan (http://34.236.212.39/microrna/microrna/home.do). Both these tools indicated that PTTG1 was a target gene of miR-186 (Fig. 3A). PTTG1 has been reported to function as an oncogene in a cohort of cancers, including OS (10). Inhibition of PTTG1 in MG-63 cells caused cell cycle arrest and subsequent apoptosis (11). To identify the target role of PTTG1 in OS cells, the dual-luciferase reporter assays were adopted. Compared to the cells transfected with scramble mimic, cells treated with miR-186 mimic demonstrated significantly attenuated luciferase activity when co-transfected with the reporter gene containing wild-type 3′-UTR of PTTG1. However, transfection with miR-186 mimic did not affect the luciferase activity when co-transfected with gene containing the mutant 3′-UTR in HOS and U2 cells (Fig. 3B). Furthermore, western blot analysis and qRT-PCR analysis confirmed that the PTTG1 protein as well as mRNA levels were indeed reduced drastically in HOS/186 and U2/186 cells consistently (Fig. 3C and D). Collectively, these data strongly indicated that PTTG1 is a target gene of miR-186 in OS cells.

As aforementioned, PTTG1 functions as an oncogene in a cohort of cancer cells. We hypothesized that PTTG1 may be involved in the miR-186-mediated suppressive effects in OS cells. To validate this hypothesis, rescue assays were performed. The PTTG1/control constructs were transfected to the OS cells which had been previously transfected with miR-186/scramble mimic. As displayed in Fig. 4A, the expression of PTTG1 was partially restored upon transfection with PTTG1 constructs. Notably, accompanied with the restored expression of PTTG1, an increased cell proliferation (Fig. 4B) as well as suppressed cell apoptosis (Fig. 4C) were observed in OS cells transfected with PTTG1 constructs and miR-186 mimic. Furthermore, co-transfected with PTTG1 constructs also partially blocked miR-186-mediated suppression of invasion (Fig. 4D). All these results indicated that PTTG1 was involved in miR-186-mediated tumor suppressive effects in OS.

Aerobic glycolysis is the major method of energy supply and thus, one of the characteristic phenotypes of tumor cells. It was reported that miR-186 significantly inhibited aerobic glycolysis in gastric cancer by suppressing hypoxia inducible factor 1α (HIF-1α) (12), which has been demonstrated to function as an oncogene in OS (6). Thus, we investigated whether HIF-1α-mediated dysregulation of aerobic glycolysis was also involved in the suppressive effects of miR-186. As expected, overexpression of miR-186 significantly suppressed the expression of HIF-1α in HOS and U2 cells (Fig. 5A). Consistently, HOS and U2 cells that were treated with miR-186 had less intracellular glucose and lactate production (Fig. 5B and C). These results indicated that HIF-1α-regulated glycolysis may be involved in the miR-186-mediated suppressive effects on OS cells.