OL Oncology Letters 1792-1074 1792-1082 D.A. Spandidos 10.3892/ol.2021.12647 OL-0-0-12647 Articles MicroRNA-217 inhibits the proliferation and invasion, and promotes apoptosis of non-small cell lung cancer cells by targeting sirtuin 1 LiGuangshun ZhongShouping Department of Thoracic, Xi'an Central Hospital, Xi'an, Shaanxi 710003, P.R. China Correspondence to: Dr Shouping Zhong, Department of Thoracic, Xi'an Central Hospital, 161 Xiwu Road, Xi'an, Shaanxi 710003, P.R. China, E-mail: zhongshoupingxazh@163.com 05 2021 17 03 2021 21 5 386 04122019 22102020 Copyright: © Li et al. 2021 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Non-small cell lung cancer (NSCLC) is a common malignancy worldwide. MicroRNA (miR)-217 and sirtuin 1 (SIRT1) have been reported to play significant roles in different types of cancer, such as osteosarcoma and prostate cancer; however, the association between miR-217 and SIRT1 in the cell proliferation, apoptosis and invasion of NSCLC remain unknown. Thus, the present study aimed to investigate the roles of miR-217 and SIRT1 in NSCLC. The expression levels of miR-217 and SIRT1 were detected via reverse transcription-quantitative (RT-q)PCR and western blot analyses. The effect of miR-217 on A549 and H1299 cell proliferation, apoptosis and invasion was assessed via the Cell Counting Kit-8, flow cytometry and Transwell assays, respectively. In addition, the association between SIRT1 and miR-217 was predicted using the TargetScan database, and verified via the dual-luciferase reporter assay, and RT-qPCR and western blot analyses. The results demonstrated that miR-217 expression was significantly downregulated, while SIRT1 expression was significantly upregulated in A549 and H1299 cells compared with the human bronchial epithelial cells. Furthermore, transfection with miR-217 mimic significantly inhibited A549 and H1299 cell proliferation and invasion, and induced A549 and H1299 cell apoptosis. The results of the dual-luciferase reporter assay and western blot analysis confirmed that SIRT1 is a target gene of miR-217. In addition, miR-217 inhibited the activation of AMP-activated protein kinase (AMPK) and mTOR signaling. Taken together, the results of the present study suggest that miR-217 inhibits A549 and H1299 cell proliferation and invasion, and induces A549 and H1299 cell apoptosis by targeting SIRT1 and inactivating the SIRT1-mediated AMPK/mTOR signaling pathway. Thus, miR-217 may be used as a potential therapeutic target for the treatment of patients with NSCLC.

 miR-217 non-small cell lung cancer sirtuin 1 Introduction

Non-small cell lung cancer (NSCLC) is an aggressive malignancy worldwide (1,2), with an incidence rate of ~0.02% (3). Surgery in combination with chemotherapy and/or radiotherapy is the primary therapeutic regimen for patients with NSCLC in the clinic (4); however, the 5-year survival rate for these patients remains low at ~15% (5), which is due to the aggressive nature of NSCLC (6). Thus, further investigations into factors which may be involved in the process of metastasis remain a priority to determine novel therapies for patients with NSCLC.

MicroRNAs (miRNAs/miRs) are a group of endogenous and non-coding RNAs, ~22 nucleotides in length, which control the translation of target genes post-transcriptionally (7). During the initiation and development of different types of cancer, including lung cancer and gastric cancer, miRNAs have been reported to play crucial roles in downregulating oncogenes or tumor suppressors, thus regulating the cell proliferation, apoptosis and metastasis of cancer cells (8,9). Notably, miR-217 has been identified to act as a tumor suppressor in lung cancer cells (10). In addition, miR-217 expression is downregulated by cigarette smoke extract (CSE) in human bronchial epithelial (HBE) cells (11).

As a NAD+-dependent histone deacetylase, sirtuin 1 (SIRT1) is universally expressed in the intracellular and extracellular matrix (12). Notably, SIRT1 expression is associated with a poor prognosis in patients with NSCLC (13). In addition, SIRT1 expression is upregulated in the brain tissues of patients with metastatic NSCLC, which subsequently promotes NSCLC cell migration (14). miR-217 has been demonstrated to decrease the development of osteosarcoma through SIRT1 (15). However, whether miR-217 inhibits the progression of NSCLC by targeting SIRT1 remains unknown. Taken together, the results of the present study demonstrated that miR-217 inhibited cell proliferation and invasion, and induced cell apoptosis of NSCLC cell lines by targeting SIRT1.

 Materials and methods <sec> <title>Cell culture

HBE cells and the four NSCLC cell lines (H23, H292, H1299 and A549) were purchased from the American Type Culture Collection. All cells were maintained in RPMI-1640 medium supplemented with 10% fetal bovine serum (FBS) and 1% penicillin/streptomycin (all purchased from Invitrogen; Thermo Fisher Scientific, Inc.), at 37°C with 5% CO2.

 Cell transfection

pcDNA3.1 or pcDNA3.1-SIRT1 reconstructed vectors (Guangzhou RiboBio Co., Ltd.) were transfected into H1299 and A549 cells using Lipofectamine® 2000 reagent (Invitrogen; Thermo Fisher Scientific, Inc.), according to the manufacturer's protocol.

For the mimic transfections, cells were seeded into 6-well plates at a density of 1×105 cells/well and cultured in complete culture medium (Thermo Fisher Scientific, Inc.) overnight at 37°C with 5% CO2. Following incubation, 50 nM miR-217 mimic or miR-negative control (NC) mimic (Shanghai GenePharma Co., Ltd.) were transfected into H1299 and A549 cells using Lipofectamine® 2000 reagent, according to the manufacturer's protocol. Following incubation for 24 h at 37°C, cells were harvested for subsequent experimentation.

 Cell Counting Kit-8 (CCK-8) assay

Cell proliferation was assessed via the CCK-8 assay (Dojindo Molecular Technologies, Inc.), according to the manufacturer's protocol. Briefly, H1299 and A549 cells were seeded into a 96-well plate at a density of 5×103 cells/well and 10 µl CCK-8 solution was added to each well for 3, 0, 24 and 48 h post-transfection. Cell proliferation was measured at a wavelength of 450 nm, using a microplate reader (Bio-Rad Laboratories, Inc.).

 Apoptosis analysis

H1299 and A549 cells (1×106 cells/ml) were resuspended in 100 µl binding buffer provided in the FITC-Annexin V apoptosis detection kit (cat. no. 556570; BD Biosciences), and subsequently treated with 5 µl FITC-Annexin V or propidium iodide for 15 min at room temperature in the dark. The reaction was terminated following addition of 400 µl binding buffer, and apoptotic cells were subsequently analyzed using a FACSCalibur cytometer (BD Biosciences) and CellQuest software (version 5.1; Becton, Dickinson and Company).

 Cell invasion assay

Cell invasion was determined using Transwell chambers (8-µm pore; BD Biosciences). Briefly, 5×104 H1299 and A549 cells were plated in the Matrigel-coated (at 37°C for 5 h) upper chambers, in serum-free RPMI-1640 medium. RPMI-1640 medium (500 µl) supplemented with 10% FBS was plated in the lower chambers. Following incubation for 24 h at 37°C, the non-invasive cells were removed from the upper chambers using cotton swabs, while the invasive cells in the lower chambers were fixed with 100% methanol for 1 min at room temperature and stained with 0.1% crystal violet for 15 min at room temperature. Stained cells were counted in five randomly selected fields using a light microscope (magnification, ×100).

 Dual-luciferase reporter assay

The binding site between miR-217 and the 3′-untranslated region (UTR) of SIRT1 was predicted using the online TargetScan database (www.targetscan.org). The 3′-UTRs of wild-type (WT) and mutant (MT) SIRT1 were reconstructed into the XbaI site of the pGL3 vector (Promega Corporation). Subsequently, cells were seeded into a 24-well plate at a density of 1×104 cells/well and co-transfected with 0.4 mg pGL3-WT-SIRT1 or pGL3-MT-SIRT1 and/or 20 nM miR-217 or miR-NC, using Lipofectamine® 2000 reagent, according to the manufacturer's protocol. Following incubation for 48 h at 37°C, cells were harvested and luciferase activities were detected using the Dual-Luciferase® Reporter Assay kit (cat. no. E1910; Promega Corporation). Firefly luciferase activity was normalized to Renilla luciferase activity.

 Reverse transcription-quantitative (RT-q)PCR

Total RNA was extracted from HBE, H23, H292, H1299 and A549 cells using TRIzol® reagent (Invitrogen; Thermo Fisher Scientific, Inc.). Total RNA was reverse transcribed into cDNA using the cDNA Reverse Transcription kit (cat. no. 4368813, Applied Biosystems; Thermo Fisher Scientific, Inc.), according to the manufacturer's protocol. miR-217 expression was detected using the mirVana™ qRT-PCR miRNA Detection kit (cat. no. AM1558, Ambion; Thermo Fisher Scientific, Inc.), and normalized to the internal reference gene U6. PCNA, E-cadherin, vimentin and SIRT1 expression levels were detected using the SYBR Premix Ex Taq™ kit (cat. no. DRR041A, Takara Bio, Inc.), and normalized to the internal reference gene β-actin. qPCR was performed using the Applied Biosystems 7900 Fast Real-Time PCR system (Thermo Fisher Scientific, Inc.) The following thermocycling conditions were used for qPCR: Initial denaturation at 95°C for 5 min; followed by 40 cycles of 95°C for 15 sec, 60°C for 15 sec and 72°C for 32 sec. The following primer sequences were used for qPCR: miR-217 forward, 5′-AGGTTAGTCAAGGACTAGCTCA-3, and reverse, 5′-TGAGCTAGTCCTTGACTAACCT-3′; SIRT1 forward, 5′-TAGCCTTGTCAGATAAGGAAGGA-3′ and reverse, 5′-ACAGCTTCACAGTCAACTTTGT-3′; proliferating cell nuclear antigen (PCNA) forward, 5′-TCAAGAAAATAAAACTAAGCTCT-3′ and reverse, 5′-CTTCTAGGTTAACTAACCACA−3′; E-cadherin forward, 5′-TGTAACTTGCAATGGGCAGC-3′ and reverse, 5′-CAAGCTCTCCTGCCATCTCC-3′; vimentin forward, 5′-ACGTCTTGACCTTGAACGCA-3′ and reverse, 5′-TCTTGGCAGCCACACTTTCA-3′; U6 forward, 5′-CTCGCTTCGGCAGCACA-3′ and reverse, 5′-AACGCTTCACGAATTTGCGT-3′; and β-actin forward, 5′-CATGTACGTTGCTATCCAGGC−3′ and reverse, 5′-CTCCTTAATGTCACGCACGAT−3′. Relative expression levels were quantified using the 2−ΔΔCq method (16).

 Western blotting

Total protein was extracted from HBE, H1299 and A549 cells using RIPA lysis buffer (Beyotime Institute of Biotechnology). Protein concentration was determined using the BCA method (Beyotime Institute of Biotechnology). Protein samples (15 µg/lane) were separated via 10% SDS-PAGE, transferred onto PVDF membranes and subsequently blocked with 5% non-fat milk for 1 h at room temperature. The membranes were incubated with primary antibodies against: SIRT1 (1:1,000; cat. no. 9475), PCNA (1:1,000; cat. no. 13110), E-cadherin (1:1,000; cat. no. 3195), vimentin (1:1,000; cat. no. 5741), p-AMPKα (1:1,000; cat. no. 2537), p-mTOR (1:1,000; cat. no. 5536), AMPKα (1:1,000; cat. no. 5832), mTOR (1:1,000; cat. no. 2983) and β-actin (1:2,000; cat. no. 4970) overnight at 4°C (all purchased from Cell Signaling Technology, Inc.). Following the primary incubation, membranes were incubated with anti-rabbit IgG, HRP-linked secondary antibodies (1:3,000; cat. no. 7074; Cell Signaling Technology, Inc.) for 2 h at room temperature. Protein bands were visualized using enhanced chemiluminescence (Amersham; Cytiva).

 Statistical analysis

Statistical analysis was performed using SPSS 15.0 software (SPSS, Inc.). All experiments were performed in triplicate and data are presented as the mean ± standard deviation. Student's t-test was used to compare differences between two groups, while one-way ANOVA and Tukey's post hoc test were used to compare differences between multiple groups. P<0.05 was considered to indicate a statistically significant difference.

 Results <sec> <title>miR-217 expression in the NSCLC cell lines

The results demonstrated that miR-217 expression was significantly downregulated in the NSCLC cells (H23, H292, H1299 and A549) compared with HBE cells (P<0.05 and P<0.01; Fig. 1). Among the four NSCLC cell lines, H1299 and A549 cells had the lowest miR-217 expression levels; thus, these cell lines were selected for subsequent experimentation.

 SIRT1 is the target gene of miR-217

TargetScan analysis demonstrated that miR-217 was complementary to the 3′-UTR of SIRT1 (Fig. 2A). The results of the dual-luciferase reporter assay further validated that co-transfection with miR-217 mimic decreased the relative luciferase activity of cells transfected with WT-SIRT1 (P<0.05); however, no significant changes were observed following transfection with MT-SIRT1 (Fig. 2B).

 SIRT1 expression in the NSCLC cell lines

The results demonstrated that both SIRT1 mRNA (Fig. 3A) and protein (Fig. 3B and C) expression levels were significantly upregulated in H1299 and A549 cells compared with HBE cells (P<0.01).

 Transfection with miR-217 mimic in NSCLC cells

No significant differences in miR-217 expression were observed between the control (un-transfected group) and miR-NC mimic groups; however, miR-217 expression significantly increased following transfection with miR-217 mimic (P<0.01; Fig. 4A). In addition, no significant differences in SIRT1 mRNA and protein expression were observed between the control and miR-NC mimic groups; however, SIRT1 mRNA and protein expression significantly decreased following transfection with miR-217 mimic (P<0.01; Fig. 4B-D).

 Transfection with pcDNA3.1-SIRT1 in NSCLC cells

No significant differences in SIRT1 mRNA or protein expression were observed between the control (un-transfected group) and pcDNA3.1 groups; however, SIRT1 mRNA and protein expression significantly increased following transfection with pcDNA3.1-SIRT1 (P<0.01 and P<0.001; Fig. 5A-C).

 SIRT1 reverses the miR-217 mimic-induced inhibition of NSCLC cell proliferation and invasion

To further determine whether the effects of miR-217 on NSCLC cell proliferation and invasion were mediated by SIRT1, miR-217 mimic and pcDNA3.1-SIRT1 were co-transfected into H1299 and A549 cells. The results demonstrated that miR-217 mimic significantly decreased (P<0.01) cell proliferation (Fig. 6A and B), and PCNA mRNA (Fig. 6C) and protein expression levels of H1299 and A549 cells (Fig. 6D and E), the effects of which were partially rescued following overexpression of SIRT1 (P<0.05).

miR-217 mimic significantly decreased (P<0.01) cell invasion (Fig. 7A) and downregulated vimentin mRNA levels (Fig. 7B), while significantly upregulating E-cadherin mRNA levels (Fig. 7C) of H1299 and A549 cells. These effects were partially rescued following overexpression of SIRT1 (P<0.05). The protein profiles of vimentin and E-cadherin were similar to that of their mRNA levels (Fig. 7D-F).

 SIRT1 reverses the miR-217 mimic-induced NSCLC cell apoptosis

To further determine whether the effects of miR-217 on NSCLC cell apoptosis were mediated by SIRT1, miR-217 mimic and pcDNA3.1-SIRT1 were co-transfected into H1299 and A549 cells. The results demonstrated that miR-217 mimic significantly increased (P<0.01) cell apoptosis in H1299 (Fig. 8A and B) and A549 (Fig. 8C and D) cells, the effects of which were partially rescued following overexpression of SIRT1 (P<0.01).

 SIRT1 reverses the miR-217 mimic-induced decrease of phosphorylated (p)-AMPKα and increase of p-mTOR in NSCLC cells

To further determine whether the effects of miR-217 and SIRT1 on NSCLC progression involve the p-AMPKα and p-mTOR signaling pathways, miR-217 mimic and pcDNA3.1-SIRT1 were co-transfected into H1299 and A549 cells. The results demonstrated that miR-217 mimic significantly downregulated (P<0.01) p-AMPKα protein expression (Fig. 9A and B) and upregulated p-mTOR protein expression (Fig. 9A and C) in H1299 and A549 cells. These effects were partially rescued following overexpression of SIRT1 (P<0.05).

 Discussion

miR-217 has been reported to act as a tumor suppressor in several types of diseases. For example, miR-217 represses HeLa cell migration and invasion through MAPK1 in cervical cancer (17); it inhibits M2-like macrophage polarization by decreasing IL-6 in ovarian cancer (18); and it inhibits the proliferation and promotes apoptosis in hepatocytes by targeting NAT2 in liver injury (19). In addition, miR-217 expression is downregulated in lung cancer, while overexpression of miR-217 has been demonstrated to inhibit the proliferation, migration and invasion, and induce apoptosis of the lung cancer cell lines, SPC-A-1 and A549 by targeting KRAS (10). miR-217 expression is also downregulated by CSE in HBE cells, while miR-217 regulation of EZH2/H3K27me3 by MALAT1 is involved in CSE-induced malignant transformation of HBE cells (11). Furthermore, circ_0023404 promotes cell proliferation, migration and invasion of the NSCLC cell lines, A549 and H1299 by targeting the miR-217/ZEB1 axis (20). The inhibitory effects of miR-217 overexpression on proliferation and invasion have been previously reported, along with the promotional effects of miR-217 overexpression on the apoptosis of the NSCLC cell lines, H1299 and A549 (10,20). The present study aimed to investigate other potential mRNA targets of miR-217 in NSCLC.

Increasing evidence has indicated that SIRT1 serves as an oncogene. For example, SIRT1 inactivates p53, thus inhibiting the functions of several tumor suppressors (21), and SIRT1 has also been demonstrated to regulate multiple tumor suppressors epigenetically (22,23). Furthermore, SIRT1 was identified to be overexpressed in mouse and human prostate cancer (24), while inhibition of SIRT1 has been reported to repress the progression of several types of tumors, including colon, prostate and melanoma cancer (25). SIRT1 is associated with the poor prognosis of patients with NSCLC (13), and is overexpressed in metastatic brain tissues of patients with NSCLC, where it promotes migration of A549 cells (14). The results of the present study confirmed that SIRT1 is a target of miR-217, and serves as an oncogene in NSCLC. Overexpression of SIRT1 reversed the inhibitory effects of miR-217 mimic on cell proliferation and migration, and the promotional effects of miR-217 mimic on cell apoptosis in the NCSLC cell lines, H1299 and A549. Notably, during the process of the present study, a newly published study demonstrated the involvement of miR-217 and SIRT1 in lung cancer, suggesting that miR-217 inhibits the proliferation, migration, and invasion of the human pulmonary adenocarcinoma brain metastasis cell line PC-14/B, by targeting SIRT1 and activating the P53/KAI1 signaling pathway (26). Other studies reported that downregulation of miR-217 attenuates atherosclerosis by inhibiting macrophage apoptosis and inflammation via SIRT1 (27), miR-217 decreases proliferation, migration, and invasion of osteosarcoma by targeting SIRT1 (15), and downregulation of miR-217 mitigates inflammation and myocardial injury in children with viral myocarditis by regulating the AMPK/NF-κB signaling pathway via SIRT1 (28). Consistent with previous findings, the results of the present study verified the interaction between miR-217 and SIRT1 in the proliferation, invasion and apoptosis of NSCLC cells. However, the downstream molecules responsible for the aforementioned effects of SIRT1 are yet to be elucidated.

As a downstream effector of SIRT1, AMPK functions as a metabolic stress sensor in HepG2 cells (29). In addition to AMPK-mediated lysosome biogenesis in the tumor growth of lung cancer (30), AMPK is indispensable for the Ginsenoside metabolite compound K induced apoptosis of NSCLC cells (31), as well as downregulation of TUFM induced invasion of NSCLC cells (32). mTOR is an oncogene that mediates cell survival (33) and is indispensable for apoptosis (34), and the MetaLnc9 induced metastasis of NSCLC (35). Activation of AMPK negatively regulates mTOR expression (36). Notably, this association has been previously observed in NSCLC (31,37), suggesting the negative regulation of mTOR via the LKB1-AMPK signaling pathway. Taken together, the results of the present study suggest that miR-217 may inhibit AMPK phosphorylation and promote mTOR phosphorylation by targeting SIRT1. However, further studies are required to assess other key factors involved in mTOR signalization. Also, the present study failed to confirm the function of miR-217 in the in vivo experiments, which will be investigated in the future.

In conclusion, the results of the present study demonstrated that miR-217 inhibited NSCLC cell proliferation and invasion, and induced NCLC cell apoptosis by targeting SIRT1 and inactivating the SIRT1-mediated p-AMPK/p-mTOR signaling pathway.

 Acknowledgements

Not applicable.

 Funding

No funding was received.

 Availability of data and materials

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

 Author's contributions

GL and SZ conceived the present study, performed the experiments, and analyzed the data. SZ supervised and drafted the initial manuscript. Both authors read and approved the final manuscript.

 Ethics approval and consent to participate

Not applicable.

 Patient consent for publication

Not applicable.

 Competing interests

The authors declare that they have no competing interests.

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miR-217 expression in the NSCLC cell lines. miR-217 expression was downregulated in the NSCLC cell lines (H23, H292, H1299 and A549) compared with HBE cells. *P<0.05, **P<0.01 vs. HEB. miR, microRNA; NSCLC, non-small cell lung cancer.

SIRT1 is the target gene of miR-217. (A) TargetScan analysis demonstrated that miR-217 was complementary to the 3′-UTR of SIRT1. (B) The WT plasmid was demonstrated to bind to miR-217, while the MT plasmid did not. *P<0.05 vs. miR-NC mimic. SIRT1, sirtuin 1; miR, microRNA; UTR, untranslated region; WT, wild type; MT, mutant; NC, negative control.

SIRT1 expression in the non-small cell lung cancer cell lines. SIRT1 (A) mRNA and (B and C) protein expression levels were significantly upregulated in H1299 and A549 cells compared with HBE cells. **P<0.01 vs. HEB. SIRT1, sirtuin 1.

Transfection with miR-217 mimic in non-small cell lung cancer cells. (A) miR-217 expression was significantly upregulated in the miR-217 mimic group compared with the miR-NC mimic group. SIRT1 (B) mRNA and (C and D) protein expression levels were significantly downregulated in the miR-217 mimic group compared with the miR-NC mimic group. **P<0.01, ***P<0.001 vs. miR-NC mimic. miR, microRNA; NC, negative control; SIRT1, sirtuin 1.

Transfection with pcDNA3.1-SIRT1 in non-small cell lung cancer cells. SIRT1 (A) mRNA and (B and C) protein expression significantly increased in the pcDNA3.1-SIRT1 group compared with the pcDNA3.1 group. **P<0.01, ***P<0.001 vs. pcDNA3.1. SIRT1, sirtuin 1.

SIRT1 reverses the miR-217 mimic-induced inhibition of non-small cell lung cancer cell proliferation. (A and B) Transfection with miR-217 mimic significantly decreased cell proliferation, and (C) PCNA mRNA and (D and E) protein expression of H1299 and A549 cells, the effects of which were partially rescued following overexpression of SIRT1. **P<0.01 vs. control; #P<0.05 vs. miR-217 mimic. SIRT1, sirtuin 1; miR, microRNA; PCNA, proliferating cell nuclear antigen.

SIRT1 reverses the miR-217 mimic-induced inhibition of non-small cell lung cancer cell invasion. (A) Transfection with miR-217 mimic significantly decreased cell invasion (magnification, ×100) and (B) vimentin mRNA expression, and (C) significantly increased E-cadherin mRNA expression of H1299 and A549 cells, the effects of which were partially rescued following overexpression of SIRT1. (D-F) The protein profiles of vimentin and E-cadherin were similar to that of their mRNA expression levels. **P<0.01 vs. control; #P<0.05 vs. miR-217 mimic. SIRT1, sirtuin 1; miR, microRNA.

SIRT1 reverses the miR-217 mimic-induced apoptosis of non-small cell lung cancer cells. miR-217 mimic significantly increased apoptosis of (A and B) H1299 and (C and D) A549 cells, the effects of which were partially rescued following overexpression of SIRT1. **P<0.01 vs. control; ##P<0.001 vs. miR-217 mimic. SIRT1, sirtuin 1; miR, microRNA; PI, propidium iodide.

SIRT1 reverses the miR-217 mimic-induced decrease of p-AMPKα and increase of p-mTOR in non-small cell lung cancer cells. (A and B) miR-217 mimic significantly decreased p-AMPKα protein expression and (A and C) increased p-mTOR protein expression of H1299 and A549 cells, the effects of which were partially rescued following overexpression of SIRT1. **P<0.01 vs. control; #P<0.05 vs. miR-217 mimic. SIRT1, sirtuin 1; miR, microRNA; p-AMPKα, phosphorylated amp-activated protein kinase α.