Background
Colorectal cancer (CRC) threatens human health as the third most common cancer worldwide [
1]. In recent years, the incidence of colorectal cancer has increased annually [
2]. With the continuous improvement of diagnosis and treatment, the five-year survival rate of colorectal cancer has increased, but the five-year survival prognosis is highly correlated with the stage of the disease. Patients with advanced colorectal cancer are typically accompanied by tumor metastasis, and the five-year survival rate is very low [
3]. Therefore, it is urgent to further study the pathogenesis of colorectal cancer and the unknown molecular mechanism involved in tumor metastasis.
There is a large amount of noncoding RNA in the human genome, and the relationship between the existence of noncoding RNA and human diseases has always been a research hotspot, especially in malignant tumors. Circular RNAs (circRNAs) are important members of the noncoding RNA family along with microRNAs and lncRNAs. CircRNAs are characterized by their covalently closed loop structures and the absence of 3′ and 5′ ends. Based on this closed structure, circRNAs are highly stable and not easily degraded [
4]. Researchers have discovered the presence of circRNAs in multiple organisms, such as yeast, mitochondria and eukaryotes, and detected more than 20,000 circRNAs in eukaryotes [
5,
6]. One study reported that exon rearranged circulating transcripts were first discovered in leukemia cells, HeLa cell lines and normal human primary blood cells, and approximately 80 circRNAs were identified [
7]. Since then, an increasing number of circRNAs have been identified in different tissues using high-throughput sequencing technology. The role of circRNA in the development of diseases, such as encephalopathy and tumors, has also been gradually revealed [
8,
9]. The mechanism of circRNA as a competitive endogenous RNA has become a focus of cancer research. CircRNA adsorbs miRNA through the sponge action of miRNA to regulate the expression of its target genes [
10,
11]. With the continuous expansion of studies on circRNAs, circRNAs have been shown to be involved in the development of almost all types of cancers [
12‐
17]. All the studies on the relationship between circRNAs and cancer suggest that circRNAs may be novel potential biomarkers and therapeutic targets. However, since most circRNAs are still not fully characterized and the roles of circRNAs in CRC progression are still largely unknown, further research is needed to identify the circRNAs associated with CRC tumorigenesis and to elucidate their functions.
In this study, we first explored the expression profiles of circRNAs in 6 paired CRC tissues and adjacent normal tissues by using high-throughput RNA sequencing. A total of 66,855 circRNAs were detected, among which 1687 circRNAs with significant differential expression were identified after CRC tissues were compared with adjacent normal tissues. After verifying some candidate circRNAs by qRT-PCR, we found that circRNA_0000392, which originates from exons 2 to 4 of the YAF2 gene, was significantly upregulated in CRC tissues. The high expression of circRNA_0000392 was associated with pathological stage and metastasis in CRC. We then focused on circRNA_0000392 and demonstrated that inhibition of its expression could significantly attenuate the proliferation and invasion of CRC cells. More importantly, we explored the mechanism of circRNA_0000392 in the progression of colorectal cancer and found that it could act as a sponge of miR-193a-5p, thereby releasing the inhibition of PIK3R3 by miR-193a-5p and promoting the phosphorylation of the AKT/mTOR signaling pathway. Our findings illustrate a new mechanism of CRC progression and provide new insights for the treatment and diagnosis of CRC.
Materials and methods
Patient population and clinical data
Forty pairs of CRC tissues and adjacent normal tissues were collected from patients who were diagnosed with CRC at the Longhua Hospital affiliated with Shanghai University of Traditional Chinese Medicine (Shanghai, China). Tumor and normal adjacent tissue samples were obtained during surgical treatment at the Department of General Surgery. The samples were isolated, immediately snap frozen in liquid nitrogen and stored at − 80 °C before use. All patients signed informed consent forms prior to surgery and did not receive preoperative chemotherapy or radiotherapy. This study was approved by the Ethics Committee of Longhua Hospital.
RNA sequencing, identification and quantification of human circRNAs
Total RNA was isolated from the tissue samples using TRIzol reagent (Life Technologies, Carlsbad, CA) according to the manufacturer’s instructions. Then, we assessed the RNA integrity and DNA contamination by using electrophoresis on a denaturing agarose gel. After confirming that the RNA was intact and pure, we used the Ribo-Zero rRNA Removal Kit (Illumina, San Diego, CA, USA) and the CircRNA Enrichment Kit (Cloud-seq, USA) to remove the rRNA and enrich the circRNAs, respectively. The RNA-seq libraries were constructed using pretreated RNAs with the TruSeq Stranded Total RNA Library Prep Kit (Illumina, San Diego, CA, USA) according to the manufacturer’s instructions. The libraries were denatured as single-stranded DNA molecules, captured on Illumina flow cells, amplified in situ as clusters and finally sequenced for 150 cycles on an Illumina HiSeq™ 4000 Sequencer (Illumina, San Diego, CA, USA) according to the manufacturer’s instructions. Paired-end reads were harvested from an Illumina HiSeq™ 4000 sequencer and were quality controlled by Q30. The reads were aligned to the reference genome/transcriptome with STAR software, and circRNAs were detected and annotated with DCC software. The circBase database and circ2Trait disease database were used to annotate the identified circRNAs. The differentially expressed circRNAs between the two groups were identified using T test statistical methods.
Analyses of circRNA-miRNA-mRNA interactions in CRC
CircRNA-miRNA interactions were predicted by popular target prediction software, including Circular RNA Interactome and RegRNA. Specific predictions for the target genes of miRNAs were based on the miRanda, miRDB, miRWalk, RNA22 and TargetScan databases. All circRNA-miRNA-mRNA networks were constructed using Cytoscape software.
Cell culture
Human CRC cell lines (HT29, HCT116, SW480, SW837, SW48, SW620 and RKO) were purchased from American Type Culture Collection (ATCC) (Manassas, VA, USA). A normal human colon mucosal epithelial cell line (NCM460) and the 293 T cell line was obtained and preserved in our lab. HT29 and HCT116 cells were cultured in McCoy’s 5A (Gibco, Carlsbad, CA, USA), while SW480, SW620, SW48, SW837 and 293 T cells were cultured in DMEM (Gibco, Carlsbad, CA, USA). NCM460 cells were cultured in M3:10 media (INCELL, San Antonio, TX), and RKO cells were cultured with MEM (Gibco, Carlsbad, CA, USA). All culture media contained 10% fetal bovine serum and 1% penicillin. All these cell lines were maintained in a humidified atmosphere of 5% CO2 at 37 °C.
Antibodies and reagents
Anti-PIK3R3 antibody (ab97862, 1:1000 dilution for immunoblotting and 1:200 for IHC) was purchased from Abcam. Anti-AKT1 antibody (#2938), anti-phospho-Akt (Ser473) antibody (#4058), anti-mTOR antibody (#2972), and anti-phospho-mTOR (Ser2448) antibody (#2971) were obtained from Cell Signaling Technology, and all antibodies were diluted 1:1000 for immunoblotting. Anti-actin (sc-1616, 1:5000 dilution), HRP-conjugated anti-mouse IgG (sc-2055, 1:5000 dilution) and HRP-conjugated anti-rabbit IgG (sc-2054, 1:5000 dilution) were purchased from Santa Cruz. Actinomycin D and crystal violet were purchased from Sigma-Aldrich (St Louis, MO, USA). RNase R was purchased from Epicentre Technologies (Madison, WI, USA).
RNA extraction and qRT-PCR
Total RNA was extracted by using TRIzol reagent (Life Technologies, Carlsbad, CA) and then reverse-transcribed into cDNA using the SuperScript First-Strand Synthesis System (Invitrogen, Carlsbad, CA, USA). cDNA was used for qPCR performed with the SYBR Green PCR Master Mix (Applied Biosystems, Foster City, CA, USA) and gene-specific primers, and the results were normalized using β-actin or U6 as a control. PCR primers are listed in Additional file
1: Table S1.
CircRNA RNase R resistance analysis and actinomycin D assay
SW620 and RKO cells were treated with 3 U/mg RNase R (Epicentre, WI, USA) or 2 mg/L actinomycin D (Sigma, USA) and then cultured at 37 °C. The cells were harvested at the indicated time points, and the stability of circRNA_0000392 and YAF2 mRNA was detected by quantitative real-time PCR (qRT-PCR) assay.
Fluorescence in situ hybridization (FISH)
SW620 and RKO cells were seeded in dishes and cultured until 70–80% confluence. Then, the cells were fixed at room temperature with 4% paraformaldehyde and treated with protease K. Then, the cells were overlaid with FITC-labeled circRNA_0000392 probe (Gefanbio, China) at 65 °C for 48 h. The signals of the probe were detected by a Fluorescent In Situ Hybridization Kit (Gefanbio, China) according to the manufacturer’s protocol. Nuclei were counterstained with DAPI.
Luciferase reporter assay
The sequences of circRNA_0000392 and the PIK3R3 3′ UTR and their corresponding mutant versions without miR-193a-5p binding sites were synthesized and subcloned into the luciferase reporter vector pmirGLO (Promega, Madison, WI, USA), and the resulting constructs were named circRNA_0000392 -WT, circRNA_0000392-Mut, PIK3R3 3′ UTR-WT and PIK3R3 3′ UTR-Mut, respectively. The plasmids were validated by sequencing and then cotransfected with the miRNA mimics or inhibitor or the corresponding negative controls. The relative luciferase activity was measured using a Dual Luciferase Assay Kit (Promega, Madison, WI, USA).
Transwell migration and Matrigel invasion assays
A Transwell chamber (Corning, Kennebunk, ME, USA) was used for the migration assays, and a transwell chamber precoated with Matrigel was used for the invasion assays. According to the protocol, single-cell suspensions were added to the upper chambers and incubated for 24 h. Then, the cells were washed, fixed, and stained with crystal violet. Based on the crystal violet staining data, we calculated the migration and invasion rates by counting the cells in at least five random fields.
RNA immunoprecipitation (RIP)
RIP assays were performed in SW620 and RKO cells. A total of 1 × 107 cells were completely lysed by RNA lysis buffer and then incubated with RIP immunoprecipitation buffer containing magnetic beads conjugated with human anti-Argonaute2 (AGO2) antibody (Millipore, USA) or negative control mouse IgG (Millipore, USA). Proteinase K was added to the RIP sample and incubated at 55 °C for 30 min. Then, immunoprecipitated RNA was isolated and analyzed by qRT-PCR to quantify the enrichment of circRNA_0000392.
RNA pull-down
Biotin-labeled circRNA_0000392 probe or oligo probe (GenePharma, China) were synthesized. SW620 and RKO cells were lysed with lysis buffer and incubated with specific circRNA_0000392 probes. Then, SW620 and RKO cells were lysed with lysis buffer and incubated with probe-coated beads at 4 °C overnight. The beads were washed, the RNA complexes were extracted with TRIzol (Life Technologies, Carlsbad, CA) and detected by qRT-PCR.
Immunohistochemistry
Detection of the expression level of PIK3R3 by immunohistochemistry was performed on 5-μm thick paraffin sections of patient tissue samples. Briefly, the sections were deparaffinized and rehydrated followed by antigen retrieval using 0.01 M sodium citrate buffer (pH 6.0) at a boiling temperature for 10 min. Then, the sections were incubated with 3% hydrogen peroxide for 10 min, 5% bovine serum albumin for 1 h and primary antibodies at 4 °C overnight. The sections were incubated with secondary antibodies after washing three times with PBS. Finally, the DAB system was used to visualize the signal, and hematoxylin was used to stain the nucleus. The immunostaining images were captured using an Olympus FSX100 microscope (Olympus, Japan).
Xenograft tumor model
BALB/c nude mice (male, 3- to 4-week-old) were injected subcutaneously with 5 × 106 SW620 cells. Tumor volumes were measured with a caliper every 3 days and calculated from the length (a) and the width (b) by using the following formula: volume (mm3) = ab2/2. Thirty days after injection, the animals were sacrificed, and the excised tumor tissues were removed to further assess tumor weight and pathological staining.
Statistical analysis
Statistical analyses were performed using GraphPad Prism 7.0 (GraphPad Software Inc., CA, USA). Student’s t-test and one-way ANOVA were used to compare differences between groups as appropriate. The correlation between groups was analyzed by Pearson correlation. ROC curve analysis was performed to evaluate the diagnostic value. Data are presented as the mean ± standard deviation (SD), and p < 0.05 was considered statistically significant.
Additional methods
The cell transfection, western blot, cell proliferation, and apoptosis assays are described as the Supplementary Methods in Additional file
2.
Discussion
Colorectal cancer is one of the most common malignant tumors, and its incidence has increased yearly. In terms of treatment, early CRC can be treated by endoscopic minimally invasive surgery and surgical eradication. However, given that most CRC cases have no obvious clinical symptoms in the early stage, approximately 60% of CRC patients have progressed into the middle and late stages at the time of diagnosis with lymph node and distant metastases [
3]. For colorectal cancer, early detection and treatment can achieve a better prognosis, so it is important to search for effective new biomarkers and to explore CRC pathogenesis-related signaling pathways.
CircRNAs are noncoding RNAs that form a closed continuous loop by covalent attachment of the 3′ and 5′ ends [
4,
18]. As early as the 1970s, Sanger et al. [
19] discovered the presence of single-stranded circular RNA in plant viruses. However, due to the limitations of detection, circRNA was considered to be a phenomenon of incorrect splicing during exon transcription [
20]; thus, its existence did not receive sufficient attention during that period. In recent years, with the development of high-throughput sequencing technology and bioanalysis, circRNAs have become a research hotspot in the field of biomedicine [
21,
22]. CircRNAs are widely expressed in human cells and are tissue specific with varying levels of expression in different types of tissues [
23]. Due to their unique characteristics, circRNAs have become promising diagnostic markers and therapeutic targets for cancer. To date, many studies have identified circRNAs as diagnostic and prognostic biomarkers in distinct human cancers [
24‐
26] and have reported the role of circRNAs in the progression of cancers [
27‐
30].
In our study, we performed high-throughput circRNA sequencing in cancer tissues and adjacent normal tissues of 6 colorectal cancer patients and obtained the expression profile of 66,855 circRNAs in colorectal cancer. Then, the circRNAs differentially expressed between colorectal cancer tissues and normal tissues were identified by bioinformatics analysis. These circRNAs may become potential biomarkers and therapeutic targets for the diagnosis of colorectal cancer. Based on our data, we selected some circRNAs exhibiting significant differences in expression and validated them in additional samples. We found that circRNA_0000392 was significantly upregulated in colorectal cancer tissues and cell lines. The expression level of circRNA_0000392 in colorectal cancer was markedly associated with clinical stage and malignant progression. ROC curve analysis showed the diagnostic value of circRNA_0000392 in CRC, revealing that it may be a promising prognostic biomarker. Next, a series of functional experiments demonstrated that knockdown of circRNA_0000392 significantly inhibited the proliferation and invasion of CRC cells, revealing its function as an oncogene. In particular, in the results verified by clinical samples, the expression level of circRNA_0000392 was significantly increased in the CRC lymph node and distal metastasis group. Combined with its effect on the invasion of CRC cells in vitro, it can be speculated that circRNA_0000392 plays a key role in the malignant progression of CRC.
In the research on circRNAs to date, the miRNA sponge mechanism has been one of the foundations for exploring the biological functions of circRNAs. Since Hansen [
10] discovered that circRNA could function as a miRNA sponge and demonstrated that ciRS-7 acted as a miRNA sponge, numerous circRNAs with miRNA sponge function have been revealed in human cancers [
15,
31,
32]. The RIP assay was used to confirm that circRNA_0000392 has can adsorb miRNA. Based on circRNA_0000392, we first predicted circRNA-miRNA-mRNA interactions through target prediction software and constructed relevant networks. We further confirmed that circRNA_0000392 could directly interact with miR-193a-5p, one of the predicted targets, by using RNA pull-down and dual luciferase reporter assays. The results of rescue experiments showed that the effect of decreased CRC cell proliferation and invasion caused by circRNA_0000392 knockdown was offset by inhibition of miR-193a-5p. It has been reported that miR-193a-5p mainly contributes as a tumor suppressor in a variety of cancers [
33‐
35], and the interaction of circRNA_0000392 with miR-193a-5p attenuates the tumor suppressor efficiency of miR-193a-5p. Our results demonstrated that circRNA_0000392 acts as an oncogene by sponging miR-193a-5p in CRC.
As noncoding RNAs, miRNAs exert biological effects by modulating their target genes. The circRNAs with miRNA sponge function can adsorb miRNAs and indirectly release the inhibitory effects of miRNAs on their targeted genes. After we determined that miR-193a-5p could be adsorbed by circRNA_0000392, our next focus was to search for its effector target genes. Similarly, from the prediction analysis, we selected several of the most likely potential target genes and experimentally determined that miR-193a-5p could specifically bind to the 3′ UTR of PIK3R3 and regulate its expression level.
PI3K signaling is widely activated in human cancers, and its role in tumor development and metastasis has been well investigated. PIK3R3 is one of the mammalian genes from Class IA PI3Ks and encodes the p85a, p85b and p55g regulatory subunits [
36]. The PIK3R3 regulatory subunit is important for cell proliferation and tumorigenesis [
37]. Additionally, PIK3R3 is overexpressed in some cancers and has been reported to act as an oncogene. Our data showed that PIK3R3 mRNA and protein expression levels in CRC tissues were elevated compared with those in adjacent normal tissues and had a significant positive correlation with the expression level of circRNA_0000392. Studies have shown that PIK3R3 expression levels in CRC and ovarian cancer tissues exhibit the same trend, which is consistent with our results [
38,
39]. Our in vitro results showed that knocking down the expression of circRNA_0000392 inhibited CRC cell proliferation and invasion, whereas the expression level of PIK3R3 and phosphorylation levels of AKT1 and mTOR were also inhibited. Subsequently, rescue experiments also showed that the miR-193a-5p inhibitor restored the inhibitory effect of knocking down circRNA_0000392 on cell proliferation and restored the inhibition of this pathway by downregulation of circRNA_0000392. Abnormal activation of AKT-mTOR signaling pathway plays an important role in the malignant progression of CRC [
40‐
42]. Consistently, our results showed that downregulation of circRNA_0000392 significantly inhibit the phosphorylation level of AKT (Ser473). CircRNA_0000392 serves as a regulator of AKT/mTOR signaling in CRC cells. Thus, the circRNA_0000392/miR-193a-5p/PIK3R3/AKT axis plays an important role in CRC.
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