Original ArticlesWnt/β-Catenin activates MiR-183/96/182 expression in hepatocellular carcinoma that promotes cell invasion
Introduction
Hepatocellular carcinoma (HCC) is the most common liver malignancy that is predominant in developing countries, with approximately 700,000 deaths worldwide each year [1]. Although surgical resections and liver transplantation represent the best curative options for HCC treatment, they are only applicable to a minority of patients. This is because by the time of clinical presentation most patients are at the advanced inoperable stages with concurrent intra- and extra-hepatic metastases [2]. Since metastasis has been well regarded as importantly inferior factors on patients' survival, it is therefore of pivotal importance to understand the biologically related mechanisms of HCC metastasis.
Studies on microRNAs (miRNAs) in cancers have revealed these small non-coding RNAs can act as key posttranscriptional regulators that direct apoptosis, cell proliferation and differentiation, and cell migration [3]. In HCC, evidences supporting miRNA deregulations in correlation with tumor progression, clinicopathologic features and patient prognosis have been shown [4], [5], [6]. Taking advantage of compelling in-vivo studies on miRNAs, it was postulated that therapies targeting miRNAs could also represent a novel curative treatment for HCC [7]. Deregulation of miRNAs residing within the same cluster region is frequent in HCC [8], [9]. It is probable that several miRNAs situated on a single transcript are being controlled by the same promoter. Our earlier miRNA profiling showed miR-183, miR-96 and miR-182 belonging to the same polycistronic miRNA cluster are frequently over-expressed in HCC [8]. In this study, we further demonstrated that concordant up-regulation of miR-183/96/182 is common in HCC tumors and correlated with clinical and pathologic features that represent an independent prognostic marker for patients. In addition, our functional study also showed a role for miR-183/96/182 in promoting HCC cell dissemination through targeting Forkhead BoxO1 (FOXO1). In investigating the upstream regulatory mechanism, we found Wnt/β-catenin (CTNNB1) transcriptional activation likely underlies the increased miR-183/96/182 expressions in HCC.
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Patients
Human HCC and their corresponding non-tumoral liver were collected at the time of curative resection at the Prince of Wales Hospital, Hong Kong, between 1998 and 2005. Informed consent was obtained from all 81 patients recruited for this study. Samples were immediately snap-frozen and stored at −80 °C until use. Histological examination confirmed a diagnosis of HCC in all patients, where the non-tumorous liver was cirrhotic in 69.1% of cases. Serological analysis revealed that chronic viral
Prognostic value of MiR-183/96/182
To verify the role of miR-183/96/182 cluster in HCC, qRT-PCR analyses of miR-183, -96 and -182 expressions were performed on a cohort of 81 paired HCC primary and adjacent non-tumoral liver. Of the cases studied, 48 HCC tumors (59.3%) showed concordant up-regulations of miR-183, -96 and -182 (≥2-fold) compared with their matched non-malignant counterparts (P <0.05) (Fig. 1A). To further examine the prognostic value of miR-183/96/182, HCC cases were divided into three subgroups (A, B and C)
Discussion
Deregulation of miRNAs residing within the same cluster region is frequently found in human cancers, including HCC [19]. This often involves several miRNAs situated on a single transcript being controlled by the same promoter or transcriptional activation. Profiling studies of microRNA (miRNA) expression in hepatocellular carcinoma (HCC) have documented common upregulations of the miR-183/96/182 cluster [16], [17], [18], [19], [20], [21], [22], [23]. In this study, the clinicopathologic
Conflict of interest
None.
Acknowledgments
This work was supported by Collaborative Research Funds from the Research Grants Council, University Grants Committee, Hong Kong (Ref. No.: CUHK8/CRF/11R and HKU3/CRF/11R) and in part by a Direct Grant for Research (Ref. No. 2014.1.001) from The Chinese University of Hong Kong.
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These authors contributed equally to this work.