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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">OR</journal-id>
<journal-title-group>
<journal-title>Oncology Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">1021-335X</issn>
<issn pub-type="epub">1791-2431</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/or.2021.8209</article-id>
<article-id pub-id-type="publisher-id">OR-46-06-08209</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>MicroRNA-149 inhibits cancer cell malignant phenotype by regulating Akt1 in C4-2 CRPC cell line</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Zhao</surname><given-names>Jiahui</given-names></name>
<xref rid="af1-or-46-06-08209" ref-type="aff"/>
<xref rid="fn1-or-46-06-08209" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Qiankun</given-names></name>
<xref rid="af1-or-46-06-08209" ref-type="aff"/>
<xref rid="fn1-or-46-06-08209" ref-type="author-notes">&#x002A;</xref></contrib>
<contrib contrib-type="author"><name><surname>Feng</surname><given-names>Bingfu</given-names></name>
<xref rid="af1-or-46-06-08209" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Wei</surname><given-names>Dechao</given-names></name>
<xref rid="af1-or-46-06-08209" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Han</surname><given-names>Yili</given-names></name>
<xref rid="af1-or-46-06-08209" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Li</surname><given-names>Mingchuan</given-names></name>
<xref rid="af1-or-46-06-08209" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Wang</surname><given-names>Yongxing</given-names></name>
<xref rid="af1-or-46-06-08209" ref-type="aff"/></contrib>
<contrib contrib-type="author"><name><surname>Luo</surname><given-names>Yong</given-names></name>
<xref rid="af1-or-46-06-08209" ref-type="aff"/>
<xref rid="c1-or-46-06-08209" ref-type="corresp"/></contrib>
<contrib contrib-type="author"><name><surname>Jiang</surname><given-names>Yongguang</given-names></name>
<xref rid="af1-or-46-06-08209" ref-type="aff"/>
<xref rid="c1-or-46-06-08209" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-or-46-06-08209">Department of Urology, Beijing Anzhen Hospital, Capital Medical University, Chaoyang, Beijing 100029, P.R. China</aff>
<author-notes>
<corresp id="c1-or-46-06-08209"><italic>Correspondence to</italic>: Dr Yong Luo or Dr Yongguang Jiang, Department of Urology, Beijing Anzhen Hospital, Capital Medical University, 2 Anzhen Lu Road, Anzhenli, Chaoyang, Beijing 100029, P.R. China, E-mail: <email>luoyonganzhen@163.com</email>, E-mail: <email>yongguangjiang@126.com</email></corresp>
<fn id="fn1-or-46-06-08209"><label>&#x002A;</label><p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>12</month>
<year>2021</year></pub-date>
<pub-date pub-type="epub">
<day>25</day>
<month>10</month>
<year>2021</year></pub-date>
<volume>46</volume>
<issue>6</issue>
<elocation-id>258</elocation-id>
<history>
<date date-type="received"><day>06</day><month>01</month><year>2021</year></date>
<date date-type="accepted"><day>31</day><month>08</month><year>2021</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Zhao et al.</copyright-statement>
<copyright-year>2021</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, 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.</license-p></license>
</permissions>
<abstract>
<p>Prostate cancer (PCa) is an androgen-dependent disease. Androgen receptor (AR) has a crucial role in the development and progression of PCa. Recently, several microRNAs (miRNAs/miRs) involved in AR regulation have been associated with castration-resistant prostate cancer (CRPC), the terminal stage of PCa. Nevertheless, the precise mechanism remains unclear. The present study aimed to identify a novel miR-149 regulatory network and potential therapeutic target for CRPC. It was found that ectopic expression of miR-149 mimic could inhibit AR expression, repress epithelial-mesenchymal transition, induce cell cycle arrest and apoptosis in CRPC cell line C4-2, whereas the miR-149 inhibitor exerted the opposite effects. Furthermore, it was also revealed that miR-149 could reduce the functional activity of the PI3K/Akt1 signaling pathway by targeting Akt1 protein, the key regulatory factor of the PI3K/Akt1 signaling pathway. Knockdown of Akt1 by short hairpin RNA increased apoptosis, reduced proliferation, and restrained migration and invasion in CRPC cells, with the effect of AR inhibition. In conclusion, these results revealed that miR-149 acts as a tumor suppressor in CRPC cell line C4-2 and restrains its progression through the AR signaling pathway by targeting Akt1. The miR-149/Akt1/AR regulatory pathway may represent a novel PCa therapeutic target.</p>
</abstract>
<kwd-group>
<kwd>castration-resistant prostate cancer</kwd>
<kwd>microRNA-149</kwd>
<kwd>PI3K/Akt signaling pathway</kwd>
<kwd>microRNAs</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source>National Natural Science Foundation of Beijing</funding-source>
<award-id>7192053</award-id>
</award-group>
<funding-statement>The present study was supported by the National Natural Science Foundation of Beijing (grant no. 7192053).</funding-statement>
</funding-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Prostate cancer (PCa) is the fifth most common cancer globally and the leading cause of cancer in men (<xref rid="b1-or-46-06-08209" ref-type="bibr">1</xref>). More than 80&#x0025; of patients with PCa die due to bone metastases (<xref rid="b2-or-46-06-08209" ref-type="bibr">2</xref>). Androgen deprivation therapy (ADT) is the primary treatment for advanced PCa. However, most patients with PCa with metastasis receiving ADT develop castration-resistant prostate cancer (CRPC) within 1&#x2013;3 years (<xref rid="b3-or-46-06-08209" ref-type="bibr">3</xref>,<xref rid="b4-or-46-06-08209" ref-type="bibr">4</xref>).</p>
<p>Despite the lack of circulating androgens in patients with CRPC, the androgen receptor (AR) signal is considered the driving force of cancer growth and invasion (<xref rid="b3-or-46-06-08209" ref-type="bibr">3</xref>). Thus, drugs reducing the level of androgen (abiraterone) and inhibiting AR (enzalutamide) activity have been recommended for CRPC treatment. Unfortunately, acquired drug resistance targeting the AR ligand-binding domain is a common clinical problem (<xref rid="b5-or-46-06-08209" ref-type="bibr">5</xref>,<xref rid="b6-or-46-06-08209" ref-type="bibr">6</xref>). Recently, several studies have revealed a fundamental relationship between the AR and PI3K/Akt signaling pathway in CRPC development and progression (<xref rid="b6-or-46-06-08209" ref-type="bibr">6</xref>,<xref rid="b7-or-46-06-08209" ref-type="bibr">7</xref>). It has been revealed that loss of PTEN, the key regulator of the PI3K/Akt signaling pathway, may decrease transcription of AR target genes by inhibiting the negative regulators of AR activity in PCa (<xref rid="b8-or-46-06-08209" ref-type="bibr">8</xref>). Treatment with the AR inhibitor enzalutamide in a PTEN loss mouse model enhanced PI3K/Akt signaling activity by reducing the expression of peptidyl-prolyl cis-trans isomerase FKBP5 (FKBP5) (<xref rid="b9-or-46-06-08209" ref-type="bibr">9</xref>).</p>
<p>Several clinical reports have also revealed that the AR and PI3K/Akt1 signaling pathways could compensate for each other in inhibition of either pathway alone in patients with CRPC (<xref rid="b6-or-46-06-08209" ref-type="bibr">6</xref>,<xref rid="b10-or-46-06-08209" ref-type="bibr">10</xref>). It is speculated that the PI3K/Akt signaling pathway that participates in the mechanism of resistance to ADT is also involved in the AR signaling pathway in CRPC (<xref rid="b10-or-46-06-08209" ref-type="bibr">10</xref>). MicroRNAs (miRNAs/miRs) are small non-coding RNA molecules that regulate the expression of target mRNA at a post-transcriptional level by binding to the complementary sites within the 3&#x2032; untranslated region. miR-149 has been found to serve as a tumor suppressor in various cancers, such as gastric, lung, breast and renal cell carcinoma (<xref rid="b11-or-46-06-08209" ref-type="bibr">11</xref>,<xref rid="b12-or-46-06-08209" ref-type="bibr">12</xref>). Loss of miR-149 has been associated with the development of renal cell carcinoma, while elevated expression of miR-149 has been reported to be important in the development of nasopharyngeal carcinoma (<xref rid="b13-or-46-06-08209" ref-type="bibr">13</xref>). Recently, several studies have also revealed that miR-149 is involved in the development and progression of CRPC (<xref rid="b14-or-46-06-08209" ref-type="bibr">14</xref>,<xref rid="b15-or-46-06-08209" ref-type="bibr">15</xref>). Fujii <italic>et al</italic> (<xref rid="b16-or-46-06-08209" ref-type="bibr">16</xref>) reported that miR-149 targets syndecan-1 to control cell proliferation and invasion by regulating the expression of Oct4 and SOX2 in PCa.</p>
<p>In our previous study, we revealed that PCa cells contain a small subset of cells, called side population (SP). These cells possess a much greater capacity of colony formation and tumorigenic potential than non-SP (<xref rid="b17-or-46-06-08209" ref-type="bibr">17</xref>). Furthermore, we also revealed that the expression of miR-149 was significantly different in SP cells and non-SP cells of the TSU CRPC cell line (<xref rid="b17-or-46-06-08209" ref-type="bibr">17</xref>). Yet, the precise mechanism through which miR-149 regulates PCa progression still remains unclear.</p>
<p>The androgen-independent Lymph Node Carcinoma of the Prostate (LNCaP) subline, C4-2 cells, were obtained from LNCaP tumors maintained in castrated hosts. This tumor subline has been found to acquire metastatic potential targeting the bone when orthotopically inoculated into both castrated and intact athymic male nude mice (<xref rid="b18-or-46-06-08209" ref-type="bibr">18</xref>). In the current study, the role of miR-149 in the malignant phenotype and its molecular mechanism were further investigated in CRPC cell line C4-2.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title/>
<sec>
<title>Cell culture, transfection and reagent</title>
<p>The human prostate cells C4-2 were purchased from the Tongpai (Shanghai) Biotechnology Co., Ltd., and cultured in RPMI-1640 (Cytiva) medium supplemented with 10&#x0025; FBS (Thermo Fisher Scientific, Inc.), 100 &#x00B5;g/ml streptomycin (Sigma-Aldrich; Merck KGaA) and 100 U/ml penicillin (Sigma-Aldrich; Merck KGaA) in a humidified atmosphere containing 5&#x0025;CO<sub>2</sub>/95&#x0025; air at 37&#x00B0;C. All the miRNAs, including mimics control, inhibitor control, miR-149-5p mimic and miR-149-5p inhibitor, were acquired from Tongpai Biotechnology Co., Ltd. (Shanghai, China). The 50 nM mimic (miR-149-5p mimic and mimics control) and 100 nM inhibitor (miR-149-5p inhibitor and inhibitor control) were transfected into C4-2 cells using Lipofectamine<sup>&#x00AE;</sup> 2000 (Invitrogen; Thermo Fisher Scientific, Inc.) according to the manufacturer&#x0027;s protocol. The sequences were as follows: miR-149-5p mimic, 5&#x2032;-UCUGGCUCCGUGUCUUCACUCCC-3&#x2032;; mimics control, 5&#x2032;-UUCUCCGAACGUGUCACGUTT&#x2212;3&#x2032;; miR-149-5p inhibitor, 5&#x2032;-GGGAGUGAAGACACGGAGCCAGA-3&#x2032;; and inhibitor control, 5&#x2032;-CAGUACUUUUGUGUAGUACAA&#x2212;3&#x2032;. Akt1 specific short hairpin (sh)RNA against Akt1 and the corresponding negative control were constructed in the pSUPER vector (provided by Professor He Dalin, Xi&#x0027;an Jiaotong University, Xi&#x0027;an, China), and the sequences for Akt1 shRNA were as follows: 5&#x2032;-TCGCGTGACCATGAACGAGTTTTTCAAGAGAAAACTCGTTCATGGTCACGCTTTTTTCTCGAG-3&#x2032;. Akt1 shRNA (4 &#x00B5;g) was transfected into C4-2 cells using Lipofectamine<sup>&#x00AE;</sup> 2000 (Invitrogen; Thermo Fisher Scientific, Inc.) according to the manufacturer&#x0027;s protocol. After 72 h of transfection, cells were subjected to reverse transcription-quantitative polymerase chain reaction PCR (RT-qPCR), western blotting and Cell Counting Kit-8 (CCK-8) assay, as described below.</p>
</sec>
<sec>
<title>RT-qPCR</title>
<p>Total RNA of PCa cells was extracted by TRIzol (Invitrogen; Thermo Fisher Scientific, Inc.) according to the manufacturer&#x0027;s instructions. To measure the Akt1 and AR mRNA expression, cDNA synthesis was conducted with the PrimeScript RT Master Mix (Takara Biotechnology Co., Ltd.), according to the manufacturer&#x0027;s protocol. The cDNA product of PCa cells was then subjected to qPCR with SYBR Premix Ex Taq (Takara Biotechnology Co., Ltd.) and GAPDH served as the control. The qPCR conditions were as follows: 35&#x2013;45 cycles of 94&#x00B0;C for 30 sec, followed by 55&#x2013;63&#x00B0;C for 30 sec. Primer sequences used for qPCR are shown in <xref rid="tI-or-46-06-08209" ref-type="table">Table I</xref>. The data were analyzed using the 2<sup>&#x2212;&#x0394;&#x0394;Cq</sup> method (<xref rid="b19-or-46-06-08209" ref-type="bibr">19</xref>).</p>
</sec>
<sec>
<title>Western blotting</title>
<p>Total protein was obtained from cultured cells using ice-cold lysis buffer containing 0.1&#x0025; sodium dodecyl sulfate, 1&#x0025; NP-40, 0.1&#x0025; sodium dodecyl sulfate and 200 &#x00B5;g/ml phenylmethanesulfonyl fluoride. Insoluble materials were removed by ultracentrifugation at 15,000 &#x00D7; g for 30 min at 4&#x00B0;C. The concentration of the extracted protein was measured spectrophotometrically with Coomassie G-250. Total protein (50 &#x00B5;g) was loaded in each lane and resolved on a 12&#x0025; SDS-PAGE gel. The proteins were transferred onto PVDF membranes using a wet transfer method following polyacrylamide gel electrophoresis, and then blocked with 3&#x0025; bovine serum albumin (Santa Cruz Biotechnology, Inc.) for 1 h at room temperature and washed with Tris-buffered saline and 0.1&#x0025; Tween-20 three times. Samples were incubated at 4&#x00B0;C overnight with the following primary antibodies: Akt1 (1:1,000; cat. no. 2938S; Cell Signaling Technology, Inc.), p-Akt1 S473 (1:1,000; cat. no. 9018S; Cell Signaling Technology, Inc.), AR (1:1,000; cat. no. 5153S; Cell Signaling Technology, Inc.), PTEN (1:1,000; cat. no. 9559S; Cell Signaling Technology, Inc.), p-PI3K (1:1,000; cat. no. 3821S; Cell Signaling Technology, Inc.), total PI3K (1:1,000; cat. no. 4249S; Cell Signaling Technology, Inc.), mTOR (1:1,000; cat. no. 2983S; Cell Signaling Technology, Inc.), p-mTOR (1:1,000; cat. no. 2974S; Cell Signaling Technology, Inc.), PSA (1:1,000; cat. no. 5365; Cell Signaling Technology, Inc.), FKBP5 (1:1,000; cat. no. 12210; Cell Signaling Technology, Inc.), E-cadherin (1:1,000; cat. no. sc-8426; Santa Cruz Biotechnology, Inc.), Snail (1:1,000; cat. no. sc-271977; Santa Cruz Biotechnology, Inc.), Vimentin (1:4,000; cat. no. sc-6260; Santa Cruz Biotechnology, Inc.) and &#x03B2;-actin (1:4,000; cat. no. sc-47778; Santa Cruz Biotechnology, Inc.). Then, membranes were incubated with horseradish peroxidase-conjugated secondary antibodies (1:4,000; cat. nos. A0208 and A0216; Beyotime Institute of Biotechnology) at room temperature for 2 h. The western bands were visualized using ECL detection reagent (Pierce; Thermo Fisher Scientific, Inc.). For semi-quantification of band intensity, appropriate films were scanned and band densities were determined using Quantity One software (version 4.6.6; Bio-Rad Laboratories, Inc.), normalized against GAPDH, and presented as a ratio of control.</p>
</sec>
<sec>
<title>CCK-8 assay</title>
<p>The PCa cells were incubated for 24 h and then collected for the preparation of a cell suspension. Cells were then transferred into a 96-well plate (2,000 cells/well); group contained three replicate wells. The proliferation potency of PCa was evaluated at four time points: 0, 1, 2 and 3 days after the implantation. After each time point, cells were treated with the CCK-8 solution (Dojindo Molecular Technologies, Inc.) for 2 h. The absorbance at 450 nm wavelength was determined using a Multilabel Reader (Thermo Fisher Scientific, Inc.).</p>
</sec>
<sec>
<title>Transwell migration and invasion assays</title>
<p>The PCa cells were resuspended in DMEM (Gibco; Thermo Fisher Scientific, Inc.) without FBS, and the cell suspension containing 1&#x00D7;10<sup>5</sup> cells was transferred into the upper compartment of Transwell inserts (Costar; Corning, Inc.) in 24-well plates, while the lower compartment was covered with DMEM that was supplemented with 10&#x0025; FBS. After incubation at 37&#x00B0;C for 24 h, non-migratory cells were removed by cotton swab, while the migratory cells were fixed in 4&#x0025; paraformaldehyde and stained with 0.5&#x0025; crystal violet at room temperature for 10 min. Cell migration was analyzed by counting the migratory cells in five random visual fields per plate using a light microscope (Olympus Corporation). The Transwell invasion assay was performed using the same procedures as those for the migration assay, except the 24-well plates were precoated with Matrigel (37&#x00B0;C for 30 min).</p>
</sec>
<sec>
<title>Cell cycle assay</title>
<p>Cells were collected 36 h after transfection and then centrifuged at 160 &#x00D7; g for 5 min. Subsequently, cells were fixed with 500 &#x00B5;l 70&#x0025; cold ethanol for 4&#x00B0;C at 2 h, stained with 500 &#x00B5;l PI/RNase staining solution, and incubated at 37&#x00B0;C for 30 min in the dark. The cell samples were analyzed by flow cytometry using a FACScan flow cytometer (BD Biosciences). All the results were analyzed using FlowJo software (version 10; FlowJo LLC).</p>
</sec>
<sec>
<title>Apoptosis assay</title>
<p>The early apoptosis assay of the PCa cells was performed using an Annexin V-FITC/PI staining kit (Nanjing Jiancheng Bioengineering Research Institute), according to the manufacturer&#x0027;s instructions. The PCa cells were cultured in 12-well plates and then resuspended in binding buffer 36 h after transfection, followed by staining with Annexin V-FITC/PI in the dark at room temperature for 15 min.</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>All experiments were independently performed in triplicate. Data are presented as the mean &#x00B1; standard deviation. Data analysis was performed using SPSS software version 13.0 for Windows (SPSS, Inc.). Results were compared by one-way ANOVA followed by post hoc Tukey&#x0027;s tests. 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>Akt1 is regulated by miR-149 in CRPC cell line C4-2</title>
<p>To clarify the biological role of miR-149 in PCa, miR-149 mimic and miR-149 inhibitor were transfected into C4-2 cells, after which the transfection efficiency was confirmed by RT-qPCR (<xref rid="f1-or-46-06-08209" ref-type="fig">Fig. 1A</xref>). The results showed that miR-149 mimic significantly increased the expression levels of miR-149, while miR-149 inhibitor significantly decreased the expression levels of miR-149 (P&#x003C;0.05). Furthermore, RT-qPCR assay was carried out to investigate the influence of miR-149 on the expression of Akt1 and mTOR in C4-2 cells. As shown in <xref rid="f1-or-46-06-08209" ref-type="fig">Fig. 1B and C</xref>, transfection of miR-149 mimics significantly reduced the mRNA expression levels of Akt1 and mTOR in C4-2 cells, while the miR-149 inhibitor exerted the opposite effect (P&#x003C;0.05). The effect of miR-149 mimic and miR-149 inhibitor on the protein expression levels of Akt1, p-Akt1, p-PI3K, PI3K, p-mTOR, mTOR and PTEN were also investigated by western blotting (<xref rid="f1-or-46-06-08209" ref-type="fig">Fig. 1G</xref>). As a result, the expression levels of Akt1, p-Akt1 and p-mTOR were significantly decreased in C4-2 CRPC cells transfected with miR-149 mimic, while miR-149 inhibitor exerted the opposite effects compared with the NC groups (P&#x003C;0.05; <xref rid="f1-or-46-06-08209" ref-type="fig">Fig. 1D-F</xref>). In addition, while p-Akt and p-mTOR expression was altered when compared with &#x03B2;-actin, p-PI3K, p-Akt and p-mTOR expression did not differ when compared with total protein in these groups (P&#x003E;0.05; <xref rid="f1-or-46-06-08209" ref-type="fig">Fig. 1H-J</xref>). Moreover, the expression of PI3K, p-PI3K and PTEN did not significantly differ in these groups. The present results revealed that miR-149 overexpression did not affect the protein expression of PI3K, p-PI3K and PTEN, which regulate Akt1 expression in the PI3K/Akt signaling pathway (data not shown). Collectively, these results suggested that miR-149 targeted Akt1 and negatively regulated the PI3K/AKT signaling pathway in PCa cells.</p>
</sec>
<sec>
<title>AR is regulated by Akt1 in CRPC cell line C4-2</title>
<p>As AR has an important role in PCa initiation and progress (<xref rid="b3-or-46-06-08209" ref-type="bibr">3</xref>), it was examined whether Akt1 participates in the AR signaling pathway and thereby regulates carcinogenesis, including cancer progression. Initially, Akt1 was knocked down in C4-2 cells using RNA interference and proof of transfection was confirmed (<xref rid="SD1-or-46-06-08209" ref-type="supplementary-material">Fig. S1</xref>). Western blotting results indicated that the protein expression of p-Akt1 was significantly decreased in the Akt1 KD &#x002B; miR-149 mimic NC group compared with the Akr1 NC &#x002B; miR-149 mimic NC group (P&#x003C;0.01). Furthermore, the effects of Akt1 shRNA and miR-149 mimics on the expression levels of AR and AR-driven proteins were investigated. As a result, the protein expression levels of AR, PSA and FKBP5 were significantly decreased in the Akt1 KD &#x002B; miR-149 mimic NC, Akt1 NC &#x002B; miR-149 mimic and Akt1 KD &#x002B; miR-149 mimic groups compared with the Akt1 NC &#x002B; miR-149 mimic NC group (P&#x003C;0.01; <xref rid="f2-or-46-06-08209" ref-type="fig">Fig. 2A and B</xref>). Collectively, these results suggested that miR-149 targeted Akt1 and negatively regulated the AR signaling pathway in PCa cells.</p>
</sec>
<sec>
<title>Effects of miR-149 and Akt1-shRNA on cell proliferation and apoptosis in CRPC cell line C4-2</title>
<p>To confirm the tumor-suppressive role of miR-149, ectopic expression assays were carried out by miRNA and shRNA transfection into PCa cells. The CRPC cell line C4-2 was transfected with miR-149 mimic and Akt1-shRNA. CCK-8 assay was performed to determine the influence of miR-149 and Akt1-shRNA on CRPC cell proliferation. As a result, the CCK-8 assay showed that proliferation was significantly decreased in the Akt1 KD &#x002B; miR-149 mimic NC, Akt1 NC &#x002B; miR-149 mimic and Akt1 KD &#x002B; miR-149 mimic groups compared with the Akt1 NC &#x002B; miR-149 mimic NC group (P&#x003C;0.01; <xref rid="f3-or-46-06-08209" ref-type="fig">Fig. 3</xref>). FACS analysis was also performed to evaluate the effect of miR-149 mimic and Akt1-shRNA transfection on the apoptosis of CRPC cells. The data indicated that apoptosis of C4-2 cells was significantly enhanced in the Akt1 KD &#x002B; miR-149 mimic NC, Akt1 NC &#x002B; miR-149 mimic and Akt1 KD &#x002B; miR-149 mimic groups compared with the Akt1 NC &#x002B; miR-149 mimic NC group (P&#x003C;0.01; <xref rid="f4-or-46-06-08209" ref-type="fig">Fig. 4A and B</xref>). In addition, with the cell cycle assay results, there was a significant increase of the G1 cell proportion in the Akt1 KD &#x002B; miR-149 mimic NC, Akt1 NC &#x002B; miR-149 mimic and Akt1 KD &#x002B; miR-149 mimic groups compared with the Akt1 NC &#x002B; miR-149 mimic NC group (P&#x003C;0.01; <xref rid="f4-or-46-06-08209" ref-type="fig">Fig. 4C-F</xref>).</p>
</sec>
<sec>
<title>Effects of miR-149 and Akt1-shRNA on cell migration and invasion in CRPC cell line C4-2</title>
<p>To investigate the biological function of miR-149 on the aggressiveness of CRPC cells, Transwell assays were performed to investigate the effect of miR-149 and Akt1-shRNA on CRPC cell migration and invasion. Results of the Transwell assay with or without Matrigel showed that migration and invasion of C4-2 cells were significantly inhibited in the Akt1 KD &#x002B; miR-149 mimic NC, Akt1 NC &#x002B; miR-149 mimic and Akt1 KD &#x002B; miR-149 mimic groups compared with the Akt1 NC &#x002B; miR-149 mimic NC group (P&#x003C;0.05; <xref rid="f5-or-46-06-08209" ref-type="fig">Fig. 5A-D</xref>).</p>
<p>EMT has an important role during tumor cell invasion (<xref rid="b20-or-46-06-08209" ref-type="bibr">20</xref>). To assess the effect of miR-149 on EMT, E-cadherin (epithelial marker), Snail and Vimentin (mesenchymal markers) expression levels were analyzed in C4-2 cells. Significantly elevated expression of E-cadherin, and significantly reduced expression levels of Vimentin and Snail were observed in the Akt1 KD &#x002B; miR-149 mimic NC, Akt1 NC &#x002B; miR-149 mimic and Akt1 KD &#x002B; miR-149 mimic groups compared with the Akt1 NC &#x002B; miR-149 mimic NC group (P&#x003C;0.05, <xref rid="f6-or-46-06-08209" ref-type="fig">Fig. 6A-D</xref>), which indicated that transfection with miR-149 mimics and Akt1-shRNA inhibited the migratory and invasive abilities of C4-2 cells by repressing EMT.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>miR-149 has been implicated in tumor progression by regulating cell proliferation, migration, invasion and chemoresistance (<xref rid="b21-or-46-06-08209" ref-type="bibr">21</xref>). It has been reported that downregulation of miR-149 is associated with advanced tumor progression and poor prognosis of human hepatocellular carcinoma (HCC). Furthermore, a multivariate analysis performed in a previous study found that miR-149 expression was an independent prognostic factor for poor 5-year disease-free survival and 5-year overall survival in HCC (<xref rid="b22-or-46-06-08209" ref-type="bibr">22</xref>). In addition, miR-149-3p has a high capacity to discriminate between patients with melanoma and healthy controls, making it suitable to be used in early melanoma diagnosis (<xref rid="b23-or-46-06-08209" ref-type="bibr">23</xref>).</p>
<p>To date, only a limited number of studies have reported on the effect of miR-149 on the malignant characteristics of PCa. In our previous study, it was revealed that the ectopic expression of miR-149 mimic could significantly decrease the capacity of proliferation and colony formation in TSU-derived SP cells, promote apoptosis and inhibit the growth rate of tumors <italic>in vitro</italic> (<xref rid="b17-or-46-06-08209" ref-type="bibr">17</xref>). In the current study, the potential role and functional mechanism of miR-149 in the development of CRPC was further investigated. These results revealed that ectopic expression of miR-149 mimic could induce cell cycle arrest and apoptosis of CRPC cells. As malignancies are associated with increased cancer cell proliferation and invasion, the present study also demonstrated that ectopic miR-149 mimic resulted in an inhibition of PCa proliferation and invasion. EMT is an essential process in cancer progression and metastasis, characterized by changes in epithelial and mesenchymal marker gene expression and changes in cell morphology (<xref rid="b20-or-46-06-08209" ref-type="bibr">20</xref>). Emerging evidence has indicated that miRNAs have a vital role in the regulation of progression and EMT in numerous types of cancer cells (<xref rid="b24-or-46-06-08209" ref-type="bibr">24</xref>). In the current study, it was observed that transfection with the miR-149 mimic could increase the expression of epithelial markers and decrease the expression of mesenchymal markers, which suggested that miR-149 regulated migration and invasion by repressing EMT. The present results suggested that miR-149 attenuates the aggressiveness of C4-2 cells and acts as a tumor suppressor gene in CRPC cells.</p>
<p>The PI3K/Akt signaling pathway is one of the most commonly dysregulated pathways in malignant cells. Aberrant activity of the PI3K/Akt signaling pathway has been found at early and advanced stages of PCa (<xref rid="b25-or-46-06-08209" ref-type="bibr">25</xref>). Akt1, a serine/threonine-protein kinase, phosphorylates the key molecules, leading to increased cellular growth and survival (<xref rid="b26-or-46-06-08209" ref-type="bibr">26</xref>). Over previous years, several studies have indicated that the PI3K/Akt signaling pathway is regulated by miRNAs in various types of cancer (<xref rid="b27-or-46-06-08209" ref-type="bibr">27</xref>&#x2013;<xref rid="b29-or-46-06-08209" ref-type="bibr">29</xref>). It has been reported that miR-26a can activate the PI3K/Akt signaling pathway by inhibiting the expression of PTEN, thus suggesting that miR-26a may be a potential therapeutic target for lung cancer (<xref rid="b30-or-46-06-08209" ref-type="bibr">30</xref>). Furthermore, a number of previous studies have reported that miR-149 can suppress cancer cell malignant phenotypes by regulation of Akt1 in a number of different types of human cancers (<xref rid="b22-or-46-06-08209" ref-type="bibr">22</xref>,<xref rid="b31-or-46-06-08209" ref-type="bibr">31</xref>,<xref rid="b32-or-46-06-08209" ref-type="bibr">32</xref>). Zhang <italic>et al</italic> (<xref rid="b22-or-46-06-08209" ref-type="bibr">22</xref>) also reported that miR-149 plays a tumor-suppressive role by targeting Akt1 expression in human HCC. This study also identified that the increased expression of miR-149 significantly inhibited HCC cell proliferation and invasion by regulating the PI3K/Akt signaling pathway (<xref rid="b22-or-46-06-08209" ref-type="bibr">22</xref>).</p>
<p>Consistent with our previous study, the current study found that the PI3K/Akt signaling pathway is regulated by miR-149 in CRPC cells. Mechanistically, miR-149 could inhibit the expression of Akt1 at the mRNA level, reducing the expression of total Akt1 and p-Akt1 protein, thus inhibiting the expression of mTOR, the target gene of the PI3K/Akt signaling pathway. PTEN is a critical regulator of PI3K/Akt signaling, which can inhibit the phosphorylation of Akt1 protein, thus inhibiting the functional activity of the PI3K/Akt signal pathway (<xref rid="b29-or-46-06-08209" ref-type="bibr">29</xref>). These results indicated that miR-149 regulated Akt1 expression via targeting Akt1 mRNA rather than regulating PI3K, p-PI3K and PTEN expression.</p>
<p>In addition, Akt1-shRNA was also used to investigate the effect of the PI3K/Akt signaling pathway on the aggressiveness of CRPC cells. As a result, it was found that knockdown of Akt1 had a similar tumor suppressive effect as miR-149 mimics, which could inhibit cell invasion and proliferation, and induce cell cycle arrest and apoptosis of CRPC cells.</p>
<p>AR belongs to the steroid hormone subfamily of nuclear hormone receptors and mediates the signaling of androgens (<xref rid="b3-or-46-06-08209" ref-type="bibr">3</xref>). Despite failures in treating recurrent CRPC, it is widely accepted that AR signaling is a driving force in CRPC progression; thus, drugs reducing AR levels and AR activity are likely to be effective in CRPC treatment (<xref rid="b33-or-46-06-08209" ref-type="bibr">33</xref>,<xref rid="b34-or-46-06-08209" ref-type="bibr">34</xref>). Unfortunately, acquired drug resistance is an increasing clinical problem, so novel biomarkers and treatments for PCa and CRPC are urgently needed (<xref rid="b35-or-46-06-08209" ref-type="bibr">35</xref>). The PI3K/Akt and AR signaling pathways have been shown to cross-regulate through reciprocal inhibitory activity (<xref rid="b8-or-46-06-08209" ref-type="bibr">8</xref>). Consequently, the PI3K/Akt signaling pathway can be activated in response to androgen or AR blockade therapy in human PCa, facilitating CRPC growth; vice versa, inhibition of the PI3K/Akt signaling pathway can augment AR signaling, thus leading to therapeutic resistance (<xref rid="b6-or-46-06-08209" ref-type="bibr">6</xref>,<xref rid="b8-or-46-06-08209" ref-type="bibr">8</xref>). In addition, it has also been reported that AR is an additional substrate for Akt, which can phosphorylate AR and inhibit AR target genes from inducing CRPC apoptosis (<xref rid="b36-or-46-06-08209" ref-type="bibr">36</xref>).</p>
<p>The present study demonstrated that AR expression was regulated by miR-149 and the PI3K/Akt signaling pathway. Silencing of Akt1 by Akt1-shRNA inhibited the expression of AR, attenuated the proliferation and invasion, and induced apoptosis of CRPC cells. These results furthered the understanding of the roles of the PI3K/Akt1 signaling pathway involved in AR-regulated PCa progression and the classic roles of AR in PI3K/Akt-mediated cancer cell apoptosis. The association between the PI3K/Akt and AR signaling pathways could provide another perspective for investigating cancer cell growth and apoptosis.</p>
<p>The present study has several limitations. First, only one type of CRPC cell was used for the <italic>in vitro</italic> cell assay. In addition, the effect of miR-149 on the malignant phenotypes in CRPC was not investigated <italic>in vivo</italic> in this study. Further experiments are still required to explore the role of the miR-149/Akt1 signaling pathway in the progression of CRPC.</p>
<p>In conclusion, it was demonstrated that ectopic miR-149 could inhibit the expression levels of AR, PSA and AR-driven genes in C4-2 cells in association with a blockade of Akt1 inactivation, thus leading to alterations of gene expression involved in cell cycle progression, migration, invasion and apoptosis. These findings uncovered the potential role of the miR-149/Akt1 signaling pathway in the progression of CRPC, which indicated that inhibition of Akt1 expression via miR-149 overexpression could be a novel therapeutic target for the treatment of CRPC. Inhibition of oncogenic miRNAs or delivery of tumor-suppressive miRNAs could become a novel treatment strategy for PCa.</p>
</sec>
<sec sec-type="supplementary-material">
<title>Supplementary Material</title>
<supplementary-material id="SD1-or-46-06-08209" content-type="local-data">
<caption>
<title>Supporting Data</title>
</caption>
<media mimetype="application" mime-subtype="pdf" xlink:href="Supplementary_Data.pdf"/>
</supplementary-material>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>Not applicable.</p>
</ack>
<sec>
<title>Funding</title>
<p>The present study was supported by the National Natural Science Foundation of Beijing (grant no. 7192053).</p>
</sec>
<sec sec-type="data-availability">
<title>Availability of data and materials</title>
<p>The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>YJ and YL made substantial contributions to the conception and design of the present study. QL, JZ, BF, DW, YH, YW and ML conducted data acquisition, analysis and interpretation. JZ and QL drafted the article and critically revised it for important intellectual content. All authors have read and approved the final manuscript. YL, JZ and QL agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of the work are appropriately investigated and resolved. All authors provided critical feedback and helped shape the research, analysis, and manuscript. JZ, QL, YJ and YL confirm the authenticity of all the raw data.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec sec-type="COI-statement">
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
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</back>
<floats-group>
<fig id="f1-or-46-06-08209" position="float">
<label>Figure 1.</label>
<caption><p>Akt1 is regulated by miR-149 in castration-resistant prostate cancer cells. Reverse transcription-quantitative PCR analysis of (A) miR-149, (B) Akt1 and (C) mTOR mRNA expression levels in C4-2 cells transfected with miR-149 mimic and miR-149 inhibitor. Semi-quantification of western blotting results demonstrated the expression of (D) p-Akt1/&#x03B2;-actin, (E) Akt1/&#x03B2;-actin and (F) p-mTOR/&#x03B2;-actin. (G) Western blot analysis of Akt, p-Akt, PI3K, p-PI3K, p-mTOR, mTOR and PTEN expression in C4-2 cells transfected with miR-149 mimic and miR-149 inhibitor. Semi-quantification of western blotting results demonstrated the expression of (H) p-PI3K/PI3K, (I) p-Akt1/Akt1 and (J) p-mTOR/mTOR. Data are expressed as the mean &#x00B1; standard deviation (n=3); each bar represents the mean of three independent experiments carried out in triplicate. &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01 vs. NC group. miR, microRNA; p-, phosphorylated; NC, negative control.</p></caption>
<graphic xlink:href="or-46-06-08209-g00.tif"/>
</fig>
<fig id="f2-or-46-06-08209" position="float">
<label>Figure 2.</label>
<caption><p>AR is regulated by Akt1 in the castration-resistant prostate cancer cell line. (A) Western blot analysis of p-Akt1, total Akt1, AR, PSA and FKBP5 expression in C4-2 cells transfected with miR-149 mimic and miR-149 inhibitor. (B) Semi-quantification of western blotting results demonstrated the expression of p-Akt1/total Akt1, AR/&#x03B2;-actin, PSA/&#x03B2;-actin and FKBP5/&#x03B2;-actin. Data are expressed as the mean &#x00B1; standard deviation (n=3). &#x002A;&#x002A;P&#x003C;0.01 vs. Akt1 NC &#x002B; miR-149 mimic NC group. AR, androgen receptor; miR, microRNA; p-, phosphorylated; NC, negative control; FKBP5, peptidyl-prolyl cis-trans isomerase FKBP5; KD, knockdown.</p></caption>
<graphic xlink:href="or-46-06-08209-g01.tif"/>
</fig>
<fig id="f3-or-46-06-08209" position="float">
<label>Figure 3.</label>
<caption><p>Survival rate of C4-2 cells following transfection. Cell Counting Kit-8 assay was performed to investigate the cellular proliferation of C4-2 cells following transfection with Akt1 NC &#x002B; miR-149 mimic NC, Akt1 KD &#x002B; miR-149 mimic NC, Akt1 NC &#x002B; miR-149 mimic or Akt1 KD &#x002B; miR-149 mimic. &#x002A;&#x002A;P&#x003C;0.01 vs. Akt1 NC &#x002B; miR-149 mimic NC group. miR, microRNA; NC, negative control; KD, knockdown.</p></caption>
<graphic xlink:href="or-46-06-08209-g02.tif"/>
</fig>
<fig id="f4-or-46-06-08209" position="float">
<label>Figure 4.</label>
<caption><p>Effects of miR-149 on cell proliferation and apoptosis in castration-resistant prostate cancer cell line. (A and B) The apoptosis rate in C4-2 cells transfected with Akt1 NC &#x002B; miR-149 mimic NC, Akt1 KD &#x002B; miR-149 mimic NC, Akt1 NC &#x002B; miR-149 mimic or Akt1 KD &#x002B; miR-149 mimic. (C-F) Flow cytometry analysis of cell cycle distribution in C4-2 cells transfected with Akt1 NC &#x002B; miR-149 mimic NC, Akt1 KD &#x002B; miR-149 mimic NC, Akt1 NC &#x002B; miR-149 mimic or Akt1 KD &#x002B; miR-149 mimic. Data are expressed as the mean &#x00B1; standard deviation (n=3). Results were compared by one-way ANOVA followed by Tukey&#x0027;s post hoc test. &#x002A;&#x002A;P&#x003C;0.01 vs. Akt1 NC &#x002B; miR-149 mimic NC group. miR, microRNA; NC, negative control; KD, knockdown.</p></caption>
<graphic xlink:href="or-46-06-08209-g03.tif"/>
</fig>
<fig id="f5-or-46-06-08209" position="float">
<label>Figure 5.</label>
<caption><p>Effects of miR-149 on cell migration and invasion in CRPC cell line. CRPC cells were seeded onto Matrigel-coated or non-Matrigel-coated Transwell chambers for 48 h. The number of cells on the underside of the filter was determined after 48 h. (A) The effect of transfection with Akt1 NC &#x002B; miR-149 mimic NC, Akt1 KD &#x002B; miR-149 mimic NC, Akt1 NC &#x002B; miR-149 mimic or Akt1 KD &#x002B; miR-149 mimic on cell migration. (B) Transfection with miR-149 mimics or Akt1 shRNA resulted in significant inhibition of C4-2 cell migration. (C) The effect of transfection with Akt1 NC &#x002B; miR-149 mimic NC, Akt1 KD &#x002B; miR-149 mimic NC, Akt1 NC &#x002B; miR-149 mimic or Akt1 KD &#x002B; miR-149 mimic on cell invasion. (D) Transfection with miR-149 mimics or Akt1 shRNA resulted in significant inhibition of C4-2 cell invasion. Scale bar, 200 &#x00B5;m. Data are expressed as the mean &#x00B1; standard deviation (n=3). &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01 vs. Akt1 NC &#x002B; miR-149 mimic NC group. miR, microRNA; NC, negative control; KD, knockdown; CRPC, castration-resistant prostate cancer; shRNA, short hairpin RNA.</p></caption>
<graphic xlink:href="or-46-06-08209-g04.tif"/>
</fig>
<fig id="f6-or-46-06-08209" position="float">
<label>Figure 6.</label>
<caption><p>Effects of miR-149 on the expression of EMT markers in castration-resistant prostate cancer cell line. (A) Western blotting as performed to analyze the effect of transfection with Akt1 NC &#x002B; miR-149 mimic NC, Akt1 KD &#x002B; miR-149 mimic NC, Akt1 NC &#x002B; miR-149 mimic or Akt1 KD &#x002B; miR-149 mimic on the expression of EMT markers in C4-2 cells. (B-D) Semi-quantification of western blot analysis revealed that miR-149 mimics and Akt1-shRNA could increase the expression of epithelial marker E-cadherin and decrease the expression of mesenchymal markers Vimentin and Snail in C4-2 cells. Data are expressed as the mean &#x00B1; standard deviation (n=3). &#x002A;P&#x003C;0.05, &#x002A;&#x002A;P&#x003C;0.01 vs. Akt1 NC &#x002B; miR-149 mimic NC group. miR, microRNA; EMT, epithelial-mesenchymal transition; NC, negative control; KD, knockdown; shRNA, short hairpin RNA.</p></caption>
<graphic xlink:href="or-46-06-08209-g05.tif"/>
</fig>
<table-wrap id="tI-or-46-06-08209" position="float">
<label>Table I.</label>
<caption><p>Primer sequences used for reverse transcription-quantitative PCR.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Gene</th>
<th align="center" valign="bottom">Forward (5&#x2032;&#x2192;3&#x2032;)</th>
<th align="center" valign="bottom">Reverse (5&#x2032;&#x2192;3&#x2032;)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">miR-149</td>
<td align="left" valign="top">GCGCTCTGGCTCCGTGTCTTC</td>
<td align="left" valign="top">GTGCAGGGTCCGAGGT</td>
</tr>
<tr>
<td align="left" valign="top">U6</td>
<td align="left" valign="top">CTCGCTTCGGCAGCACATATACT</td>
<td align="left" valign="top">ACGCTTCACGAATTTGCGTGTC</td>
</tr>
<tr>
<td align="left" valign="top">AR</td>
<td align="left" valign="top">CTTCCCTCCCTATCTAACCCTC</td>
<td align="left" valign="top">TCTAAACTTCCCGTGGCATAA</td>
</tr>
<tr>
<td align="left" valign="top">Akt1</td>
<td align="left" valign="top">TCCTCCTCAAGAATGATGGCA</td>
<td align="left" valign="top">GTGCGTTCGATGACAGTGGT</td>
</tr>
<tr>
<td align="left" valign="top">mTOR</td>
<td align="left" valign="top">GCGAACCTCAGGGCAAGAT</td>
<td align="left" valign="top">TGACTCATCTCTCGGAGTTCCA</td>
</tr>
<tr>
<td align="left" valign="top">GAPDH</td>
<td align="left" valign="top">AAGGTGAAGGTCGGAGTCAAC</td>
<td align="left" valign="top">GGGGTCATTGATGGCAACAATA</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-or-46-06-08209"><p>miR, microRNA; AR, androgen receptor.</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>
