Introduction
Breast cancer (BC) is a frequent type of cancer with high incidence and mortality worldwide, especially in high-income countries [
1,
2]. In recent years, with the improvement of treatment strategy and early detection for BC, the five-year survival of women with BC has improved [
3]. However, due to the high incidence and unclear pathogenesis, the survival rate of BC patients is still not high [
4]. Therefore, it is necessary to further study the molecular mechanism underlying BC and explore new targets for BC treatment.
Circular RNAs (circRNAs) are special non-coding RNAs (ncRNAs) that extensively expressed in eukaryotic cells [
5]. It has been reported that circRNAs take part in many physiological and pathological processes [
6]. Accumulating studies have demonstrated that the dysregulation of circRNAs participate in the regulation of malignant tumours through competitive endogenous RNAs (ceRNAs) mechanism [
7]. For example, circSMARCA5 could inhibit tumor growth and metastasis in hepatocellular carcinoma by sponging miR-17-3p and miR-181b-5p [
8]. CircLARP4 was demonstrated to inhibit gastric cancer cell growth and invasion through regulating the miR-424-5p/LATS1 axis [
9]. CircMTO1 could decelerate hepatocellular carcinoma progression via miR-9/p21 axis [
10]. All these reports indicated that circRNAs play vital roles in the carcinogenesis of human cancers. More importantly, circKIF4A regulated cell growth and motility by sponging miR-375 in triple-negative breast cancer (TNBC) [
11]. Nevertheless, the functions and underlying mechanisms of circKIF4A in BC are not fully clear.
It is widely accepted that circRNAs can serve as microRNAs (miRNAs) sponges to participate in many physiological and pathophysiological processes [
12]. MiRNAs are a group of small endogenous ncRNAs with about 22 nucleotides which can recognize the 3′-untranslated region (3′ UTR) of target gene to alter gene expression [
13,
14]. It has been documented that multiple miRNAs are associated with the development of BC [
15]. A previous study disclosed that miR-152 repressed BC cell growth and metastasis [
16]. However, our understandings on the roles of miR-152 and its underlying mechanism in BC are still not enough.
Zinc finger E-box binding homeobox 1 (ZEB1) belongs to the ZEB family, and it is closely related to epithelial-to-mesenchymal transition (EMT), which is important for cell metastasis [
17‐
19]. ZEB1 was abnormally expressed in several cancers and served as a target of miRNAs, affecting the development of cancers, including BC [
20‐
22]. Nevertheless, the roles of ZEB1 in BC still need further investigation.
Here, the expression patterns of circKIF4A, miR-152 and ZEB1 in BC were detected. Furthermore, functional and mechanism analysis determined the exact roles and mechanisms of circKIF4A on BC cell progression.
Materials and methods
Tissues collection
A total of 41 BC tissues and normal tissues were harvested from patients who were diagnosed with BC at College of Nursing and Health of Henan University. All tissues were immediately placed in liquid nitrogen after removing from patients and saved at − 80 °C prior to use. The research was permitted by the Ethics Committee of College of Nursing and Health of Henan University and written informed consents were signed by all patients before surgery. None of the experimental subjects had received treatment before operation. The clinical and pathological characteristics of 41 patients with BC were shown in Table
1.
Table 1Relationship between expression of circKIF4A and clinicopathological features of breast cancer patients
Age (years) | P > 0.05 |
≥ 50 | 16 (66.7) | 8 (33.3) | |
< 50 | 7 (41.2) | 10 (58.8) | |
Tumor size (cm) | P < 0.05 |
≥ 2 | 17 (77.3) | 5 (22.7) | |
< 2 | 6 (31.6) | 13 (68.4) | |
TNM stage | P < 0.05 |
I/II | 8 (33.3) | 16 (66.7) | |
III | 15 (88.2) | 2 (11.8) | |
ER | P > 0.05 |
Positive | 7 (50) | 7 (50) | |
Negative | 16 (59.3) | 11 (40.7) | |
PR | P > 0.05 |
Positive | 10 (55.6) | 8 (44.4) | |
Negative | 13 (56.5) | 10 (43.5) | |
Cell culture and cell transfection
Human BC cells (MCF-7 and MDA-MB-231) and human mammary gland epithelial cells (MCF-10A) were bought from the American Type Culture Collection (ATCC, Manassas, VA, USA). MCF-7 and MDA-MB-231 cells were kept in Dulbecco’s Modified Eagle Medium (DMEM; Gibco, Carlsbad, CA, USA) including 10% fetal bovine serum (FBS; Gibco) and 1% penicillin/streptomycin (Gibco). MCF-10A cells were kept in DMEM: Nutrient Mixture F-12 (DMEM/F12; Gibco) including 5% Horse Serum (Gibco), 10 μg/mL insulin (Gibco), 20 ng/mL epidermal growth factor (Gibco) and 0.5 μg/mL hydrocortisone (Gibco) and 1% penicillin/streptomycin (Gibco). These cells were maintained in an incubator containing 5% CO2 at 37 °C.
Small interfering RNA (siRNA) against circKIF4A (si-circKIF4A; GCCUGGAUCUAUAACGUAUTT) and its control (si-NC; AAGTCGGGTCAAGAGAAGC), miR-152 mimics (miR-152; 5′-UCAGUGCAUGACAGAACUUGG-3′) and its control (miR-NC; 5′-GGAACUUAGCCACUGUGAAUU-3′), miR-152 inhibitors (anti-miR-152; 5′-CCAAGUUCUGUCAUGCACUGA-3′) and its control (anti-miR-NC; 5′-UCGCUUGGUGCAGGUCGGGAA-3′), pcDNA3.1-circKIF4A overexpression vector (pcDNA-circKIF4A), pcDNA3.1-ZEB1 overexpression vector (pcDNA-ZEB1) and pcDNA were bought from GenePharma (Shanghai, China). Then MCF-7 and MDA-MB-231 cells were plated into 6-well plates at a density of 1.0 × 105 cells/well and transfected with indicated synthetic oligonucleotides or vectors using Lipofectamine 2000 (Invitrogen, Carlsbad, CA, USA) according to the manufacturers’ instructions. After 48 h of transfection, cells were harvested for subsequent experiments.
Quantitative real-time polymerase chain reaction (qRT-PCR)
Total RNA was isolated using TRIzol reagent (Invitrogen). RNA concentration was quantified by NanoDrop2000 spectrophotometer (Thermo Scientific, Waltham, MA, USA). Then cDNA was synthesized by M-MLV Reverse Transcriptase Kit (Promega, Madison, WI, USA) or miRNA 1st Strand cDNA Synthesis Kit (Vazyme, Nanjing, China). QRT-PCR was carried out using an iQ™ SYBR® Green Supermix (Bio-Rad Laboratories, Philadelphia, PA, USA). The expression of circKIF4A, ZEB1, Caspase-3 and miR-152 was analyzed using the 2
-ΔΔCt method with GAPDH or U6 as an internal control [
23]. The primers used in our study were purchased from GeneCopoeia (Guangzhou, China) and primers sequences were: circKIF4A: (F: 5′-GAGGTACCCTGCCTGGATCT-3′ and R: 5′-TGGAATCTCTGTAGGGCACA-3′); ZEB1: (F: 5′-TCCTCGAGGCACCTGAAGAGG-3′ and R: 5′-CAGAGAGGTAAAGCGTTTATAGCC-3′); Caspase-3: (F: 5′-TGGAACGAACGGACCTGTG-3′ and R: 5′-CGGGTGCGGTAGAGTAAGC-3′); miR-152: (F: 5′-GTGCAGGGTCCGAGGT-3′ and R: 5′- TGACAGAACTTGGGTCGT-3′); GAPDH: (F: 5′-TGTTCGTCATGGGTGTGAAC-3′ and R: 5′-ATGGCATGGACTGTGGTCAT-3′); U6: (F: 5′-CGCTTCGGCAGCACATATAC-3′ and R: 5′-TTCACGAATTTGCGTGTCAT-3′).
Transwell assay
BC cells were re-suspended in DMEM (Gibco) at a density of 5.0 × 104 cells. For the detection of cell migration, 300 μL cell suspension was placed into the upper chamber of a transwell (8 μm pore; Corning Incorporated, Corning, NY, USA) and the bottom chamber was filled with 300 μL DMEM (Gibco) including 10% FBS (Gibco). After incubation for 24 h at 37 °C, cells that passed through the membranes were treated with 4% para-formaldehyde (PFA) and stained with 0.1% crystal violet (Solarbio, Beijing, China). Then the migrated cells were counted under a microscope (Olympus, Tokyo, Japan). For the detection of cell invasion, the steps were the same as above, except that the upper chamber was pre-coated Matrigel (Corning Life Sciences, Corning, NY, USA).
Flow-cytometric analysis
Cell apoptosis was evaluated by an Annexin V-fluorescein isothiocyanate (FITC)/propidium iodide (PI) apoptosis detection kit (Vazyme). Briefly, collected cells were washed, re-suspended and then stained with 5 μL Annexin V-FITC and PI for 15 min at room temperature in the dark. Apoptotic cells were analyzed within 1 h by the flow cytometry (BD Biosciences, San Jose, CA, USA).
Dual-luciferase reporter assay
The sequences of circKIF4A (or 3′ UTR of ZEB1) including the putative complementary sequences of wild-type or mutant miR-152 were cloned into pmirGLO vectors (Promega) to generate luciferase reporter plasmids circKIF4A-WT, circKIF4A-MUT, ZEB1-WT and ZEB1-MUT, respectively. MiR-152 or miR-NC and corresponding vector were co-transfected into BC cells. After 48 h, the luciferase activity was examined using the Dual-Luciferase Reporter Assay Kit (Promega).
RNA immunoprecipitation (RIP) assay
RNA immunoprecipitation (RIP) assay was conducted using an EZMagna RIP kit (Millipore, Billerica, MA, USA). MiR-152 or miR-NC transfected BC cells were harvested and lysed in RIP buffer. Then cell lysates were interacted with magnetic beads conjugated with Ago2 or IgG antibody. After RNAs were isolated, the enrichment of circKIF4A and ZEB1 was examined via qRT-PCR.
Western blot assay
Total protein was extracted from BC tissues and cells with RIPA buffer (Beyotime, Shanghai, China) and determined using a BCA Protein Assay Kit (Beyotime). Equal amount of proteins was separated by SDS-PAGE and transferred to PVDF membranes (Millipore). Then the membranes were blocked with 5% nonfat milk at room temperature for 1 h and incubated corresponding primary antibodies against ZEB1 (1:2000; Santa Cruz, Dallas, TX, USA) or β-actin (1:5000; Santa Cruz) overnight at 4 °C with and horseradish peroxidase-conjugated secondary antibody (1:5000; Santa Cruz) for 1 h at room temperature. At last, protein bands were visualized by an enhanced chemiluminescence chromogenic substrate (Beyotime).
Statistical analysis
All data were exhibited as the means ± standard deviation (SD) from at least three independent experiments. The differences were analyzed by Student’s t-test or one-way analysis of variance (ANOVA). The association between circKIF4A level and clinicopathologic features of patients was analyzed by χ2 test. It was defined as statistically difference if P value less than 0.05.
Discussion
BC is the most common type of cancer in women [
25]. Emerging studies indicated that circRNAs play crucial roles in several human cancers, including BC [
26,
27]. Here, we mainly investigated the roles of circKIF4A and its underlying mechanisms in BC. A previous document revealed that circKIF4A was significantly elevated and circKIF4A inhibition suppressed cell growth and motility in TNBC [
11]. Consistent with this finding, our study exhibited that circKIF4A was markedly elevated in BC tissues and cells. CircKIF4A deficiency markedly repressed cell metastasis and promoted apoptosis in BC. Besides, we found caspase-3 was upregulated in BC cells after circKIF4A knockdown. Caspase-3 is an executive molecule, which plays the function of apoptosis in various apoptotic pathways [
28]. These results revealed that circKIF4A played important roles in the progression of BC. Therefore, we speculated that circKIF4A might act as a therapeutic target for BC.
Increasing evidence has demonstrated that circRNAs can function as miRNAs sponges to bind to miRNAs [
24]. In our research, we found that circKIF4A contained the binding sites for miR-152 and miR-152 was distinctly reduced in BC tissues and cells. It has been verified that miRNAs are dysregulated in several of cancers and act as essential regulators in cancer development [
29]. Indeed, miR-152 was decreased in some cancers, such as hepatocellular carcinoma [
30], prostate cancer [
31], colorectal cancer [
32] and cervical cancer [
33]. Moreover, a previous study showed that miR-152 was obviously reduced in BC, and miR-152 overexpression significantly hampered the metastasis of BC cells [
16]. Our study showed that circKIF4A overexpression significantly decreased miR-152 expression, while circKIF4A knockdown significantly increased miR-152 expression. Furthermore, inhibition of miR-152 restored the influences of circKIF4A knockdown on BC cell metastasis and apoptosis.
ZEB1 is an EMT inducing transcription factor, and it is critical for tumor cell invasion and dissemination [
17]. ZEB1 has been demonstrated to be abnormally expressed in several cancers and served as a target of miRNAs [
20‐
22]. In our current study, ZEB1 was a target of miR-152 and circKIF4A upregulated the expression of ZEB1 by inhibiting miR-152 expression in BC cells. Additionally, ZEB1 overexpression abolished the impacts of circKIF4A deficiency on BC cell metastasis and apoptosis. These findings indicated that circKIF4A promoted cell migration, invasion and inhibited apoptosis by positively regulating ZEB1 expression via sponging miR-152.
However, there were still some defects in our study. For example, the tissue samples were insufficient. Moreover, we did not verify our results in vivo experiments. We will perform the experiments in our further study.
Conclusion
Taken together, our study disclosed that circKIF4A was conspicuously elevated in BC. CircKIF4A contributed cell metastasis and hampered apoptosis by miR-152/ZEB1 axis in BC. This study manifested that circKIF4A might be a promising therapeutic target for patients with BC.
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