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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJO</journal-id>
<journal-title-group>
<journal-title>International Journal of Oncology</journal-title></journal-title-group>
<issn pub-type="ppub">1019-6439</issn>
<issn pub-type="epub">1791-2423</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijo.2024.5644</article-id>
<article-id pub-id-type="publisher-id">ijo-64-05-05644</article-id>
<article-categories>
<subj-group>
<subject>Review</subject></subj-group></article-categories>
<title-group>
<article-title>Nuclear miRNAs as transcriptional regulators in processes related to various cancers (Review)</article-title></title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes" corresp="yes">
<name><surname>Wang</surname><given-names>Ziqiang</given-names></name><xref rid="af1-ijo-64-05-05644" ref-type="aff">1</xref><xref rid="af2-ijo-64-05-05644" ref-type="aff">2</xref><xref rid="fn1-ijo-64-05-05644" ref-type="author-notes">&#x0002A;</xref><xref ref-type="corresp" rid="c1-ijo-64-05-05644"/></contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name><surname>Zhang</surname><given-names>Yu</given-names></name><xref rid="af2-ijo-64-05-05644" ref-type="aff">2</xref><xref rid="fn1-ijo-64-05-05644" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Li</surname><given-names>Kun</given-names></name><xref rid="af1-ijo-64-05-05644" ref-type="aff">1</xref><xref ref-type="corresp" rid="c2-ijo-64-05-05644"/></contrib></contrib-group>
<aff id="af1-ijo-64-05-05644">
<label>1</label>Department of Nuclear Medicine, The First Affiliated Hospital of Shandong First Medical University &amp; Shandong Provincial Qianfoshan Hospital, Jinan, Shandong 250014, P.R. China</aff>
<aff id="af2-ijo-64-05-05644">
<label>2</label>Biomedical Sciences College &amp; Shandong Medicinal Biotechnology Centre, Shandong First Medical University &amp; Shandong Academy of Medical Sciences, Jinan, Shandong 250117, P.R. China</aff>
<author-notes>
<corresp id="c1-ijo-64-05-05644">Correspondence to: Dr Ziqiang Wang, Biomedical Sciences College &amp; Shandong Medicinal Biotechnology Centre, Shandong First Medical University &amp; Shandong Academy of Medical Sciences, 6699 Qingdao Road, Huaiyin, Jinan, Shandong 250117, P.R. China, E-mail: <email>wangziqiang@sdfmu.edu.cn</email></corresp>
<corresp id="c2-ijo-64-05-05644">Dr Kun Li, Department of Nuclear Medicine, The First Affiliated Hospital of Shandong First Medical University &amp; Shandong Provincial Qianfoshan Hospital, 16766 Jingshi Road, Lixia, Jinan, Shandong 250014, P.R. China, E-mail: <email>2143@sdhospital.com.cn</email></corresp><fn id="fn1-ijo-64-05-05644" fn-type="equal">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="collection">
<month>05</month>
<year>2024</year></pub-date>
<pub-date pub-type="epub">
<day>09</day>
<month>04</month>
<year>2024</year></pub-date>
<volume>64</volume>
<issue>5</issue>
<elocation-id>56</elocation-id>
<history>
<date date-type="received">
<day>13</day>
<month>12</month>
<year>2023</year></date>
<date date-type="accepted">
<day>29</day>
<month>03</month>
<year>2024</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; 2024 Wang et al.</copyright-statement>
<copyright-year>2024</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/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license></permissions>
<abstract>
<p>MicroRNAs (miRNAs) are noncoding small nucleic acids that contain ~22 nucleotides and are considered to promote the degradation or inhibit the translation of mRNA by targeting its 3&#x02032;-untranslated region. However, growing evidence has revealed that nuclear miRNAs, combined with gene promoters or enhancers, are able to directly mediate gene transcription. These miRNAs exert a critical influence on cancer progression by affecting cell growth, migration and invasion. In this review, the direct regulation of gene expression by nuclear miRNAs at the transcriptional level was discussed and summarized, and their mechanisms of action in cancers were highlighted with reference to the various body systems.</p></abstract>
<kwd-group>
<kwd>cancer</kwd>
<kwd>nuclear miRNA</kwd>
<kwd>transcription</kwd>
<kwd>promoter</kwd>
<kwd>enhancer</kwd>
<kwd>therapeutic target</kwd></kwd-group>
<funding-group>
<award-group>
<funding-source>Shandong Provincial Natural Science Foundation</funding-source>
<award-id>ZR2020LZL008</award-id>
<award-id>ZR2021LSW017</award-id></award-group>
<funding-statement>This work was supported by the Shandong Provincial Natural Science Foundation (grant nos. ZR2020LZL008 and ZR2021LSW017).</funding-statement></funding-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>1. Introduction</title>
<p>MicroRNAs (miRNAs/miRs) are small, single-stranded, non-coding RNAs comprising ~22 nucleotides. miRNAs typically bind to the 3&#x02032;-untranslated region (UTR) of genes by recruiting Argonaute (AGO) protein complexes of messenger RNA (mRNA), resulting in the downregulation of gene expression (<xref rid="b1-ijo-64-05-05644" ref-type="bibr">1</xref>-<xref rid="b3-ijo-64-05-05644" ref-type="bibr">3</xref>). Growing evidence indicates that miRNAs have critical roles in the progression of various disorders, such as viral infections, cancers and neurodegenerative diseases (<xref rid="b4-ijo-64-05-05644" ref-type="bibr">4</xref>-<xref rid="b10-ijo-64-05-05644" ref-type="bibr">10</xref>).</p>
<p>Mature miRNAs are thought to localize in multiple subcellular sites in the cytoplasm, such as the mitochondria, rough endoplasmic reticulum, lysosomes and endosomes, and are secreted outside cells via vesicles, such as exosomes (<xref rid="b11-ijo-64-05-05644" ref-type="bibr">11</xref>). Furthermore, miRNAs have been found in the nucleus, where they exert biological functions in regulating gene transcription (<xref rid="b12-ijo-64-05-05644" ref-type="bibr">12</xref>). Molecular mechanisms underlying miRNA-mediated transcriptional gene silencing or activation are complex. Gene activation requires an intact transcript for recognition and a small RNA with complementary pairing to its own sequence, which is capable of recruiting AGO2 to the target (<xref rid="b13-ijo-64-05-05644" ref-type="bibr">13</xref>). In addition, miRNAs and their premature hairpins promote gene transcription by targeting specific sites that are highly complementary to miRNAs in their promoters (<xref rid="b14-ijo-64-05-05644" ref-type="bibr">14</xref>). Nuclear activating miRNAs facilitate gene transcription by binding and activating targeted enhancers (<xref rid="b15-ijo-64-05-05644" ref-type="bibr">15</xref>).</p>
<p>In the present review, the roles of nuclear miRNAs in the progression of different types of tumor were discussed. It focused on the function of these nuclear miRNAs as transcriptional regulators through targeting promoters or enhancers, which results in the alteration of tumor cell proliferation, invasion, metastasis, migration, apoptosis and angiogenesis. This review provides insight into the potential clinical utility of nuclear miRNAs in cancer treatment.</p></sec>
<sec sec-type="other">
<title>2. miRNAs in urinary system cancers</title>
<p>In this section, the roles of nuclear miRNAs that influence gene transcription in cancers of the urinary system, including prostate cancer (PCa), bladder cancer (BCa), renal cell carcinoma (RCC) and Wilms' tumor (WT), are discussed (<xref rid="tI-ijo-64-05-05644" ref-type="table">Table I</xref>).</p>
<sec>
<title>PCa</title>
<p>PCa is the most common malignancy in males and one of the leading causes of cancer-related mortality worldwide (<xref rid="b16-ijo-64-05-05644" ref-type="bibr">16</xref>). In a study investigating the underlying mechanisms of miRNAs in the development of PCa, miRNAs were found to affect the viability, migration and invasiveness of PCa cells by downregulating and potentially upregulating target genes. Cyclin B1 (CCNB1) overexpression is associated with an aggressive phenotype and functions as an independent prognostic factor in various cancers (<xref rid="b17-ijo-64-05-05644" ref-type="bibr">17</xref>,<xref rid="b18-ijo-64-05-05644" ref-type="bibr">18</xref>). miRNA target prediction analysis and chromatin immunoprecipitation (ChIP) assay revealed that miRNAs, including miR-744 and miR-1186, regulate the transcription of CCNB1 by interacting with distinct binding sites in the CCNB1 promoter and increasing the enrichment of RNA polymerase II (PolII) and trimethylation of histone 3 at lysine 4, thus enhancing the proliferation of PCa cells (<xref rid="b19-ijo-64-05-05644" ref-type="bibr">19</xref>). However, prolonged overexpression of miR-744 and miR-1186 negatively regulates tumor growth in PCa cells as the chromosome composition is altered, consequently leading to chromosomal instability (<xref rid="b19-ijo-64-05-05644" ref-type="bibr">19</xref>). Majid <italic>et al</italic> (<xref rid="b20-ijo-64-05-05644" ref-type="bibr">20</xref>) reported that miR-205 inhibited PCa cell proliferation and impaired cell viability, at least in part by binding to the promoters of interleukin (IL)24 and IL32 and inducing their gene expression, as determined through sequence scanning analysis and luciferase reporter assay. Furthermore, a ChIP assay with biotinylated miRNA confirmed that miR-3619-5p enhanced cyclin-dependent kinase (CDK) inhibitor 1A transcription by interacting with its promoter, suppressing the growth of PCa cells (<xref rid="b21-ijo-64-05-05644" ref-type="bibr">21</xref>). In addition, Zhang <italic>et al</italic> (<xref rid="b22-ijo-64-05-05644" ref-type="bibr">22</xref>) reported that miR-1236-3p activates the expression of P21, a tumor suppressor or oncogene, by interacting with the promoter region, as determined with a sequence scanning analysis, consequently inhibiting the proliferation and metastasis of PCa cells.</p></sec>
<sec>
<title>BCa</title>
<p>BCa is the most common urinary tract malignancy and has a high incidence worldwide (<xref rid="b23-ijo-64-05-05644" ref-type="bibr">23</xref>,<xref rid="b24-ijo-64-05-05644" ref-type="bibr">24</xref>). Li <italic>et al</italic> (<xref rid="b25-ijo-64-05-05644" ref-type="bibr">25</xref>) performed a luciferase reporter assay and revealed that miR-877-3p increased the expression of P16 by binding to its promoter and significantly suppressing the proliferation and tumorigenicity of BCa cells via inducing G1-phase arrest. This process was mediated by the inhibition of CDKs, such as CDK4 and CDK6 (<xref rid="b26-ijo-64-05-05644" ref-type="bibr">26</xref>). Wang <italic>et al</italic> (<xref rid="b27-ijo-64-05-05644" ref-type="bibr">27</xref>) performed a ChIP assay via biotinylated miRNAs and found that P21 was inhibited by three miRNAs (miR-370-5p, miR-1180-5p and miR-1236-3p) at diverse sites on its promoter to inhibit BCa cell migration and invasion and induce apoptosis. As a subclass of the cadherin family, epithelial cadherin (E-cadherin) has an essential role in maintaining epithelial cell-cell adhesion and intercellular junctions (<xref rid="b28-ijo-64-05-05644" ref-type="bibr">28</xref>). In a ChIP assay with biotinylated miR-373, miR-373 was revealed to facilitate E-cadherin expression by interacting with its gene promoter, with the effect of inhibiting BCa cell proliferation (<xref rid="b29-ijo-64-05-05644" ref-type="bibr">29</xref>). Taken together, these findings support the development of novel therapies based on potentially targeted genes for BCa.</p></sec>
<sec>
<title>RCC</title>
<p>RCC is a common kidney cancer and the most frequent renal neoplasm (<xref rid="b30-ijo-64-05-05644" ref-type="bibr">30</xref>,<xref rid="b31-ijo-64-05-05644" ref-type="bibr">31</xref>). Wang <italic>et al</italic> (<xref rid="b32-ijo-64-05-05644" ref-type="bibr">32</xref>) investigated the mechanisms underlying the role of miR-1236-3p in RCC progression and found that miR-1236-3p directly targets the P21 promoter to regulate its gene expression by using a ChIP assay with biotinylated miR-1236-3p, with the ultimate effect to inhibit its function and leading to the suppression of RCC cell proliferation. The result of a luciferase reporter assay showed that miR-24-1 overexpression enhanced fructose-1,6-bisphosphatase transcription by increasing its enhancer activity to attenuate RCC proliferation and metastasis (<xref rid="b33-ijo-64-05-05644" ref-type="bibr">33</xref>).</p></sec>
<sec>
<title>WT</title>
<p>WT is the most common pediatric renal tumor and is associated with nephrogenesis, which may lead to malformations or overgrowth (<xref rid="b34-ijo-64-05-05644" ref-type="bibr">34</xref>). Liu <italic>et al</italic> (<xref rid="b35-ijo-64-05-05644" ref-type="bibr">35</xref>) showed that nuclear miR-483, which is overexpressed in WT, enhanced insulin-like growth factor 2 (IGF2) transcription through interaction with the 5&#x02032;-UTR of IGF2, as indicated using a biotinylated miRNA-RNA affinity pulldown assay.</p></sec></sec>
<sec sec-type="other">
<title>3. miRNAs in reproductive system cancers</title>
<p>In this section, the roles of miRNAs via their nuclear functions to influence gene transcription in diseases of the reproductive system were summarized, including breast cancer (BC) and ovarian cancer (OC) (<xref rid="tII-ijo-64-05-05644" ref-type="table">Table II</xref>).</p>
<sec>
<title>BC</title>
<p>BC is one of the most lethal and widespread cancers among females worldwide. It occurs in the epithelial tissue of the mammary gland and comprises diverse morphological characteristics (<xref rid="b36-ijo-64-05-05644" ref-type="bibr">36</xref>,<xref rid="b37-ijo-64-05-05644" ref-type="bibr">37</xref>). In three studies on the role of miRNAs in human BC, the authors performed a luciferase assay to investigate the roles of nuclear miRNAs in gene transcription. Tan <italic>et al</italic> (<xref rid="b38-ijo-64-05-05644" ref-type="bibr">38</xref>) revealed that miRNA-10a mediates the repression of target promoters on homeobox D4 by interfering with promoter-associated transcripts to impact the development of BC. Liang <italic>et al</italic> (<xref rid="b39-ijo-64-05-05644" ref-type="bibr">39</xref>) demonstrated that miR-339 represses the proliferation of BC cells, leading to the upregulation of tumor suppressor gene G protein-coupled estrogen receptor 1 expression by enhancer switching, indicating that miR-339 is a potential target and novel approach for the treatment of BC, particularly for triple-negative BC. In addition, Seviour <italic>et al</italic> (<xref rid="b40-ijo-64-05-05644" ref-type="bibr">40</xref>) verified that, by binding to the P27 promoter, miR-124 induced the transcription of the P27 gene, leading to a subsequent G1-phase arrest. As a tumor suppressor, miR-124 was able to impair the growth of BC and OC cells and sensitize cells to etoposide.</p></sec>
<sec>
<title>OC</title>
<p>OC is associated with the highest mortality rate among gynecological malignancies (<xref rid="b41-ijo-64-05-05644" ref-type="bibr">41</xref>). Forkhead box (Fox)o3 regulates ovarian follicular development and atresia (<xref rid="b42-ijo-64-05-05644" ref-type="bibr">42</xref>). A luciferase reporter assay and a ChIP assay indicated that the interaction between miR-195-5p and the Foxo3 promoter may be associated with AGO2 recruitment and histone modification, which affect follicular development (<xref rid="b43-ijo-64-05-05644" ref-type="bibr">43</xref>). In addition, Chaluvally-Raghavan <italic>et al</italic> (<xref rid="b44-ijo-64-05-05644" ref-type="bibr">44</xref>) found that miR-551b-3p interacted directly with a complementary sequence within the signal transducer and activator 3 (STAT3) promoter by recruiting PolII, thus facilitating STAT3 transcription. By contrast, silencing miR-551b-3p inhibited the growth of OC cells, as shown using luciferase reporter and DNA pull-down assays.</p></sec></sec>
<sec sec-type="other">
<title>4. miRNAs in nervous system cancers</title>
<p>In this section, the roles of miRNAs in nervous system diseases, including glioma and neuroblastoma (NB), were summarized (<xref rid="tIII-ijo-64-05-05644" ref-type="table">Table III</xref>).</p>
<sec>
<title>Glioma</title>
<p>Gliomas account for the majority of primary malignant and central nervous system tumors and are associated with high morbidity and mortality (<xref rid="b45-ijo-64-05-05644" ref-type="bibr">45</xref>,<xref rid="b46-ijo-64-05-05644" ref-type="bibr">46</xref>). Wang <italic>et al</italic> (<xref rid="b47-ijo-64-05-05644" ref-type="bibr">47</xref>) reported that miR-215-5p increases the development of aggressive phenotypes, facilitates cell proliferation and migration, and represses apoptosis in gliomas at least in part by negatively regulating the expression of protocadherin 9 via targeting both its promoter and 3&#x02032;-UTR, as determined by sequence scanning analysis and a luciferase reporter assay.</p></sec>
<sec>
<title>NB</title>
<p>NB is a common extracranial solid tumor in children, mostly under the age of 10 years (<xref rid="b48-ijo-64-05-05644" ref-type="bibr">48</xref>), and is an embryonal neoplasm of the sympathetic nervous system (<xref rid="b49-ijo-64-05-05644" ref-type="bibr">49</xref>,<xref rid="b50-ijo-64-05-05644" ref-type="bibr">50</xref>). NB exhibits clinical heterogeneity in response to current monotherapies (<xref rid="b51-ijo-64-05-05644" ref-type="bibr">51</xref>,<xref rid="b52-ijo-64-05-05644" ref-type="bibr">52</xref>). Researchers have studied the mechanisms underlying the role of miRNAs in NB. Luciferase reporter and ChIP assays demonstrated that miR-584-5p (<xref rid="b53-ijo-64-05-05644" ref-type="bibr">53</xref>) and miR-337-3p (<xref rid="b54-ijo-64-05-05644" ref-type="bibr">54</xref>) are involved in repressing the transcription of matrix metalloproteinase (MMP-14) by binding to different binding sites of its promoter, recruiting AGO2 and attenuating the proliferation, invasion, metastasis and angiogenesis of NB (<xref rid="b55-ijo-64-05-05644" ref-type="bibr">55</xref>). By contrast, using a sequence scanning analysis and luciferase reporter assay, Qu <italic>et al</italic> (<xref rid="b56-ijo-64-05-05644" ref-type="bibr">56</xref>) found that miR-558 facilitates the transcription of heparinase (HPSE) by binding to the MMP-14 promoter, recruiting AGO1 to promote the proliferation, invasion, metastasis and angiogenesis of NB.</p></sec></sec>
<sec sec-type="other">
<title>5. miRNAs in digestive system cancers</title>
<p>In this section, the roles of miRNAs via their nuclear functions that influence gene transcription in digestive system diseases, including colon cancer and gastric cancer (GC), were summarized (<xref rid="tIV-ijo-64-05-05644" ref-type="table">Table IV</xref>).</p>
<sec>
<title>Colon cancer</title>
<p>Colon cancer is a malignant tumor and a common cause of cancer-related death worldwide, which may spread to organs such as the lymph nodes, liver, lungs and ovaries (<xref rid="b57-ijo-64-05-05644" ref-type="bibr">57</xref>). P21 is a CDK inhibitor that is frequently deregulated in cancers, depending on the cellular context (<xref rid="b58-ijo-64-05-05644" ref-type="bibr">58</xref>). Kang <italic>et al</italic> (<xref rid="b59-ijo-64-05-05644" ref-type="bibr">59</xref>) performed a ChIP assay and found that miR-6734 induced the transcription of P21 and attenuated the proliferation and survival of HCT-116 cells by facilitating cell cycle arrest and apoptosis.</p></sec>
<sec>
<title>GC</title>
<p>GC is a heterogeneous disease and the fifth most common cancer type worldwide (<xref rid="b37-ijo-64-05-05644" ref-type="bibr">37</xref>). The pathogenesis of GC is multifactorial and is associated with smoking and <italic>Helicobacter pylori</italic> infection (<xref rid="b60-ijo-64-05-05644" ref-type="bibr">60</xref>). MMP-14 has a pivotal role in activating MMP-2 and is elevated in most human cancers, including GC (<xref rid="b61-ijo-64-05-05644" ref-type="bibr">61</xref>), where it promotes tumor invasion and metastasis (<xref rid="b62-ijo-64-05-05644" ref-type="bibr">62</xref>). A luciferase reporter assay indicated that miR-337-3p interacts directly with the MMP-14 promoter within the -90 to -71 bp region to repress myeloid zinc finger 1-facilitated MMP-14 expression through inducing repressive chromatin remodeling and recruiting AGO2, thus suppressing the growth, metastasis, invasion and angiogenesis of GC cells (<xref rid="b63-ijo-64-05-05644" ref-type="bibr">63</xref>).</p>
<p>HPSE is amplified and overexpressed in GC specimens (<xref rid="b64-ijo-64-05-05644" ref-type="bibr">64</xref>). HSPE exerts a crucial role in extracellular matrix degradation, facilitating the growth, invasiveness, metastasis and angiogenesis of tumors (<xref rid="b65-ijo-64-05-05644" ref-type="bibr">65</xref>). Luciferase reporter and ChIP assays found that miR-558, which is upregulated in GC, targets the complementary site within the HPSE promoter to induce its expression, facilitating GC progression, metastasis and angiogenesis (<xref rid="b66-ijo-64-05-05644" ref-type="bibr">66</xref>).</p></sec></sec>
<sec sec-type="other">
<title>6. miRNAs in respiratory system cancers</title>
<p>In this section, the roles of miRNAs in respiratory system diseases were summarized, including non-small-cell lung cancer (NSCLC) and nasopharyngeal carcinoma (NPC) (<xref rid="tV-ijo-64-05-05644" ref-type="table">Table V</xref>).</p>
<sec>
<title>NSCLC</title>
<p>Lung cancer is the leading cause of cancer-related morbidity and mortality in China, and NSCLC accounts for the overwhelming majority of lung cancer cases (<xref rid="b67-ijo-64-05-05644" ref-type="bibr">67</xref>). miR-1236-3p and miR-370-5p negatively regulate the proliferation, migration and invasiveness of NSCLC cells at least in part by targeting the promoter of the P21 gene to upregulate its expression, as indicated using sequence scanning analysis (<xref rid="b68-ijo-64-05-05644" ref-type="bibr">68</xref>). As a major component of the activator protein-1 complex, c-Fos has been implicated in cell differentiation, proliferation, motility, cancer growth, angiogenesis, invasion and metastasis (<xref rid="b69-ijo-64-05-05644" ref-type="bibr">69</xref>). The results of a luciferase reporter assay indicated that miR-744 acts as an oncogene in NSCLC cell growth and metastasis at least in part by directly binding to the promoter of c-Fos (<xref rid="b70-ijo-64-05-05644" ref-type="bibr">70</xref>). Li <italic>et al</italic> (<xref rid="b71-ijo-64-05-05644" ref-type="bibr">71</xref>) found that miR-26A1 is decreased in NSCLC and used luciferase reporter and ChIP assays to demonstrate that miR-26A1 acts as a key regulator in reactivating villin 1-like protein by targeting its enhancer, leading to the inhibition of the proliferation and metastasis of NSCLC cells.</p></sec>
<sec>
<title>NPC</title>
<p>NPC is a malignant tumor associated with a specific geographical distribution in Southeast Asia and North Africa (<xref rid="b72-ijo-64-05-05644" ref-type="bibr">72</xref>,<xref rid="b73-ijo-64-05-05644" ref-type="bibr">73</xref>). Rho GTPase activating protein 5 (ARHGAP5), a proto-oncogene, is a direct target of miR-744. Using a luciferase reporter assay, Fang <italic>et al</italic> (<xref rid="b74-ijo-64-05-05644" ref-type="bibr">74</xref>) found that miR-744 facilitates expression at the transcriptional level by directly targeting the ARHGAP5 promoter, consequently enhancing the progression and metastasis of NPC.</p></sec></sec>
<sec sec-type="other">
<title>7. Conclusion and perspectives</title>
<p>Cancers are devastating to all physiological systems. Growth, invasion, metastasis and angiogenesis of cancer cells affect all organ systems and subsequently, morbidity and mortality (<xref rid="b75-ijo-64-05-05644" ref-type="bibr">75</xref>). The effects of miRNAs in cancer through their action on the 3&#x02032;-UTRs of relevant genes at the post-transcriptional level have been well-established. However, nuclear miRNAs have been reported to be aberrantly expressed in various cancers and other diseases. The present review outlines the current understanding of the contribution of nuclear miRNAs to cancer progression of different organs at the transcriptional level, as they mostly interact with gene promoters or enhancers (<xref ref-type="fig" rid="f1-ijo-64-05-05644">Fig. 1</xref>), suggesting that nuclear miRNAs may serve as promising candidate biomarkers for predicting prognosis and enhancing therapeutic strategies for patients with cancer.</p>
<p>Over the past decade, non-coding RNAs, including long non-coding RNAs and miRNAs, have emerged as powerful regulatory molecules in human diseases (<xref rid="b76-ijo-64-05-05644" ref-type="bibr">76</xref>-<xref rid="b84-ijo-64-05-05644" ref-type="bibr">84</xref>). Among them, nuclear miRNAs have been reported to be upregulated or downregulated in cancers and promote or inhibit the transcription of cancer progression-related genes. However, the roles and underlying molecular mechanisms of a specific nuclear miRNA vary greatly from cancer to cancer. For instance, miR-744 expression has been shown to be upregulated in PCa, NSCLC and NPC. In PCa, miR-744 targets the <italic>CCNB1</italic> gene promoter to initiate gene transcription by increasing the enrichment of PolII and trimethylation of histone 3 at lysine 4 at the <italic>CCNB1</italic> gene transcription start site (<xref rid="b19-ijo-64-05-05644" ref-type="bibr">19</xref>). In NSCLC, miR-744 promoted the growth, invasion and metastasis of NSCLC cells at least in part by binding to the <italic>c-FOS</italic> gene promoter and induce gene transcription (<xref rid="b70-ijo-64-05-05644" ref-type="bibr">70</xref>). In NPC, miR-744 was observed to be associated with TNM stage, cancer progression and metastasis at least in part by targeting the <italic>ARHGAP5</italic> gene and activating gene transcription (<xref rid="b74-ijo-64-05-05644" ref-type="bibr">74</xref>).</p>
<p>At present, several miRNA-targeted therapeutics are in clinical development for the treatment of diseases, including keloids, hepatitis C virus infection, nonalcoholic fatty liver disease, type II diabetes, Huntington's disease and cancer; however, none has been approved by the Food and Drug Administration or the European Medicines Agency to treat cancers (<xref rid="b85-ijo-64-05-05644" ref-type="bibr">85</xref>). Key challenges faced by miRNA-based therapeutics are the hurdles of specific delivery, immune responses and low specificity. Therefore, technical advancements in pharmacology, molecular biology, immunology and nanotechnology are needed to improve specificity, tolerance and delivery. In addition, more studies are required to reveal the underlying mechanisms by which nuclear miRNAs regulate gene transcription, such as the mechanisms by which nuclear miRNAs can be recruited to and retained in the nucleus, whether AGO proteins are required to the effects of nuclear miRNAs on gene transcription, and whether the interaction between nuclear miRNAs and promoters or enhancers influences the transcription of surrounding genes.</p>
<p>In summary, the present review summarizes and discusses nuclear miRNAs' centric regulation of gene transcription and their roles in cancer of various bodily systems, indicating that nuclear miRNAs may be potent targets for the treatment of cancers and other pathological disorders.</p></sec></body>
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<sec sec-type="data-availability">
<title>Availability of data and materials</title>
<p>Not applicable.</p></sec>
<sec sec-type="other">
<title>Authors' contributions</title>
<p>ZW: Conceptualization, writing-original draft, supervision, writing-review &amp; editing. YZ: Writing-original draft. KL: Conceptualization, supervision, writing-review &amp; editing. All authors have read and approved the final version of the manuscript. Data authentication is not applicable.</p></sec>
<sec sec-type="other">
<title>Ethics approval and consent to participate</title>
<p>Not applicable.</p></sec>
<sec sec-type="other">
<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>
<ack>
<title>Acknowledgments</title>
<p>Not applicable.</p></ack>
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<floats-group>
<fig id="f1-ijo-64-05-05644" position="float">
<label>Figure 1</label>
<caption>
<p>Schematic model showing the roles of nuclear miRs in the cancer progression of different organs. miR, microRNA.</p></caption>
<graphic xlink:href="ijo-64-05-05644-g00.tiff"/></fig>
<table-wrap id="tI-ijo-64-05-05644" position="float">
<label>Table I</label>
<caption>
<p>Roles of miRNAs in urinary system diseases.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">miRNA</th>
<th valign="bottom" align="center">Target</th>
<th valign="bottom" align="center">Binding site</th>
<th valign="bottom" align="center">Transcriptional role</th>
<th valign="bottom" align="center">Cellular function</th>
<th valign="bottom" align="center">(Refs.)</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">miR-1186</td>
<td valign="top" align="left">CCNB1</td>
<td valign="top" align="left">Promoter (-699 to -678)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Affecting the growth of prostate cancer cells</td>
<td valign="top" align="center">(<xref rid="b19-ijo-64-05-05644" ref-type="bibr">19</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-744</td>
<td valign="top" align="left">CCNB1</td>
<td valign="top" align="left">Promoter (-192 to -171)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left"/>
<td valign="top" align="center"/></tr>
<tr>
<td valign="top" align="left">miR-205</td>
<td valign="top" align="left">IL24</td>
<td valign="top" align="left">Promoter (-127 to -107)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Inhibiting the progression of prostate cancer cells</td>
<td valign="top" align="center">(<xref rid="b20-ijo-64-05-05644" ref-type="bibr">20</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-205</td>
<td valign="top" align="left">IL32</td>
<td valign="top" align="left">Promoter (-631 to -610)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left"/>
<td valign="top" align="center"/></tr>
<tr>
<td valign="top" align="left">miR-3619-5p</td>
<td valign="top" align="left">CDKN1A</td>
<td valign="top" align="left">promoter (-193 to -176)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Inhibiting the growth of prostate cancer cells</td>
<td valign="top" align="center">(<xref rid="b21-ijo-64-05-05644" ref-type="bibr">21</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-1236-3p</td>
<td valign="top" align="left">P21</td>
<td valign="top" align="left">Promoter (-243 to -226)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Inhibiting the proliferation and metastasis of prostate cancer cells</td>
<td valign="top" align="center">(<xref rid="b22-ijo-64-05-05644" ref-type="bibr">22</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-877-3p</td>
<td valign="top" align="left">P16</td>
<td valign="top" align="left">Promoter (-320 to -299)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Inhibiting the proliferation and tumorigenicity of bladder cancer</td>
<td valign="top" align="center">(<xref rid="b25-ijo-64-05-05644" ref-type="bibr">25</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-370-5p</td>
<td valign="top" align="left">P21</td>
<td valign="top" align="left">Promoter (-552 to -537)</td>
<td valign="top" align="left">Inhibition</td>
<td valign="top" align="left">Inhibiting the proliferation, migration and invasion of bladder cancer cells</td>
<td valign="top" align="center">(<xref rid="b27-ijo-64-05-05644" ref-type="bibr">27</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-1180-5p</td>
<td valign="top" align="left">P21</td>
<td valign="top" align="left">Promoter (-397 to -379)</td>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
<td valign="top" align="center"/></tr>
<tr>
<td valign="top" align="left">miR-1236-3p</td>
<td valign="top" align="left">P21</td>
<td valign="top" align="left">Promoter (-243 to -226)</td>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
<td valign="top" align="center"/></tr>
<tr>
<td valign="top" align="left">miR-373</td>
<td valign="top" align="left">E-cadherin</td>
<td valign="top" align="left">Promoter (-644 to -622)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Inhibiting the proliferation, migration and invasion of bladder cancer cells</td>
<td valign="top" align="center">(<xref rid="b29-ijo-64-05-05644" ref-type="bibr">29</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-1236-3p</td>
<td valign="top" align="left">P21</td>
<td valign="top" align="left">Promoter (-243 to -226)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Inhibiting RCC cell proliferation</td>
<td valign="top" align="center">(<xref rid="b32-ijo-64-05-05644" ref-type="bibr">32</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-24-1</td>
<td valign="top" align="left">FBP1</td>
<td valign="top" align="left">Enhancer</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Inhibiting the proliferation and migration of RCC cells</td>
<td valign="top" align="center">(<xref rid="b33-ijo-64-05-05644" ref-type="bibr">33</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-483-5p</td>
<td valign="top" align="left">IGF2</td>
<td valign="top" align="left">/</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Promoting tumorigenesis of Wilms' tumor</td>
<td valign="top" align="center">(<xref rid="b35-ijo-64-05-05644" ref-type="bibr">35</xref>)</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-ijo-64-05-05644">
<p>miRNA/miR, microRNA; RCC, renal cell carcinoma; CCNB1, cyclin B1; CDKN1A, cyclin-dependent kinase inhibitor 1A; FBP1, fructose-1,6-bisphosphatase; IGF, insulin-like growth factor.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tII-ijo-64-05-05644" position="float">
<label>Table II</label>
<caption>
<p>miRNAs in reproductive system cancers.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">miRNA</th>
<th valign="bottom" align="center">Target</th>
<th valign="bottom" align="center">Binding site</th>
<th valign="bottom" align="center">Transcriptional role</th>
<th valign="bottom" align="center">Cellular function</th>
<th valign="bottom" align="center">(Refs.)</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">miR-10a</td>
<td valign="top" align="left">HOXD4</td>
<td valign="top" align="left">Promoter</td>
<td valign="top" align="left">Inhibition</td>
<td valign="top" align="left">Affecting human breast cancer cell development</td>
<td valign="top" align="center">(<xref rid="b38-ijo-64-05-05644" ref-type="bibr">38</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-339</td>
<td valign="top" align="left">GPER1</td>
<td valign="top" align="left">Enhancer</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Inhibiting the proliferation of breast cancer cells</td>
<td valign="top" align="center">(<xref rid="b39-ijo-64-05-05644" ref-type="bibr">39</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-124</td>
<td valign="top" align="left">P27</td>
<td valign="top" align="left">Promoter (-545 to -533)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Inhibiting breast and ovarian cancer growth</td>
<td valign="top" align="center">(<xref rid="b40-ijo-64-05-05644" ref-type="bibr">40</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-551b-3p</td>
<td valign="top" align="left">STAT3</td>
<td valign="top" align="left">Promoter (-530 to -503)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Promoting the growth of ovarian cancer cells</td>
<td valign="top" align="center">(<xref rid="b44-ijo-64-05-05644" ref-type="bibr">44</xref>)</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn2-ijo-64-05-05644">
<p>miRNA/miR, microRNA; HOX, homeobox; GPER1, G protein-coupled estrogen receptor 1.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tIII-ijo-64-05-05644" position="float">
<label>Table III</label>
<caption>
<p>Role of miRNAs in nervous system cancers.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">miRNA</th>
<th valign="bottom" align="center">Target</th>
<th valign="bottom" align="center">Binding site</th>
<th valign="bottom" align="center">Transcriptional role</th>
<th valign="bottom" align="center">Cellular function</th>
<th valign="bottom" align="center">(Refs.)</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">miR-215-5p</td>
<td valign="top" align="left">PCDH9</td>
<td valign="top" align="left">Promoter</td>
<td valign="top" align="left">Inhibition</td>
<td valign="top" align="left">Promoting glioma cell proliferation</td>
<td valign="top" align="center">(<xref rid="b47-ijo-64-05-05644" ref-type="bibr">47</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-584-5p</td>
<td valign="top" align="left">MMP-14</td>
<td valign="top" align="left">Promoter (-167 to -150)</td>
<td valign="top" align="left">Inhibition</td>
<td valign="top" align="left">Inhibiting the growth, metastasis, invasion and angiogenesis of NB cells</td>
<td valign="top" align="center">(<xref rid="b53-ijo-64-05-05644" ref-type="bibr">53</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-337-3p</td>
<td valign="top" align="left">MMP-14</td>
<td valign="top" align="left">Promoter (-90 to -71)</td>
<td valign="top" align="left">Inhibition</td>
<td valign="top" align="left">Inhibiting the growth, metastasis, invasion and angiogenesis of NB cells</td>
<td valign="top" align="center">(<xref rid="b54-ijo-64-05-05644" ref-type="bibr">54</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-558</td>
<td valign="top" align="left">HPSE</td>
<td valign="top" align="left">Promoter (-2332 to -2314)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Promoting the growth, metastasis, invasion and angiogenesis of NB cells</td>
<td valign="top" align="center">(<xref rid="b56-ijo-64-05-05644" ref-type="bibr">56</xref>)</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn3-ijo-64-05-05644">
<p>miRNA/miR, microRNA; NB, neuroblastoma; PCDH9, protocadherin 9; MMP, matrix metalloproteinase; HPSE, heparinase.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tIV-ijo-64-05-05644" position="float">
<label>Table IV</label>
<caption>
<p>miRNAs in digestive system cancers.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">miRNA</th>
<th valign="bottom" align="center">Target</th>
<th valign="bottom" align="center">Binding site</th>
<th valign="bottom" align="center">Transcriptional role</th>
<th valign="bottom" align="center">Cellular function</th>
<th valign="bottom" align="center">(Refs.)</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">miR-6734</td>
<td valign="top" align="left">P21</td>
<td valign="top" align="left">Promoter (-322 to -303)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Inhibiting the growth of colon cancer cells</td>
<td valign="top" align="center">(<xref rid="b59-ijo-64-05-05644" ref-type="bibr">59</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-337-3p</td>
<td valign="top" align="left">MMP-14</td>
<td valign="top" align="left">Promoter (-90 to -71)</td>
<td valign="top" align="left">Inhibition</td>
<td valign="top" align="left">Inhibiting the growth, invasion, metastasis and angiogenesis of gastric cancer cells</td>
<td valign="top" align="center">(<xref rid="b63-ijo-64-05-05644" ref-type="bibr">63</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-558</td>
<td valign="top" align="left">HPSE</td>
<td valign="top" align="left">Promoter (-2332 to -2314)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Promoting the tumorigenesis and aggressiveness of gastric cancer cells</td>
<td valign="top" align="center">(<xref rid="b66-ijo-64-05-05644" ref-type="bibr">66</xref>)</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn4-ijo-64-05-05644">
<p>miRNA/miR, microRNA; MMP, matrix metalloproteinase; HPSE, heparinase.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="tV-ijo-64-05-05644" position="float">
<label>Table V</label>
<caption>
<p>miRNAs in respiratory system cancers.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th valign="bottom" align="left">miRNA</th>
<th valign="bottom" align="center">Target</th>
<th valign="bottom" align="center">Binding site</th>
<th valign="bottom" align="center">Transcriptional role</th>
<th valign="bottom" align="center">Cellular function</th>
<th valign="bottom" align="center">(Refs.)</th></tr></thead>
<tbody>
<tr>
<td valign="top" align="left">miR-1236-3p</td>
<td valign="top" align="left">P21</td>
<td valign="top" align="left">Promoter (-243 to -226)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Inhibiting the growth of NSCLC cells</td>
<td valign="top" align="center">(<xref rid="b68-ijo-64-05-05644" ref-type="bibr">68</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-370-5p</td>
<td valign="top" align="left">P21</td>
<td valign="top" align="left">Promoter (-552 to -537)</td>
<td valign="top" align="left"/>
<td valign="top" align="left"/>
<td valign="top" align="center"/></tr>
<tr>
<td valign="top" align="left">miR-744</td>
<td valign="top" align="left">c-Fos</td>
<td valign="top" align="left">Promoter (-1195 to -1227, -298 to -323)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Promoting the growth and metastasis of NSCLC cells</td>
<td valign="top" align="center">(<xref rid="b70-ijo-64-05-05644" ref-type="bibr">70</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-26A1</td>
<td valign="top" align="left">VILL</td>
<td valign="top" align="left">Enhancer</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Inhibiting the proliferation and metastasis of NSCLC cells</td>
<td valign="top" align="center">(<xref rid="b71-ijo-64-05-05644" ref-type="bibr">71</xref>)</td></tr>
<tr>
<td valign="top" align="left">miR-744</td>
<td valign="top" align="left">ARHGAP5</td>
<td valign="top" align="left">Promoter (-508 to -484, -200 to -176)</td>
<td valign="top" align="left">Promotion</td>
<td valign="top" align="left">Promoting nasopharyngeal carcinoma cell invasion and migration</td>
<td valign="top" align="center">(<xref rid="b74-ijo-64-05-05644" ref-type="bibr">74</xref>)</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn5-ijo-64-05-05644">
<p>miRNA/miR, microRNA; NSCLC, non-small cell lung cancer; VILL, villin 1-like; ARHGAP5, Rho GTPase activating protein 5.</p></fn></table-wrap-foot></table-wrap></floats-group></article>
