Background
Osteosarcoma (OS) is the most prevalent primary malignant bone neoplasm causing substantial morbidity in adolescents and children [
1]. It originates from mesenchymal cells and is characterized by rapid infiltrating growth, early lung metastasis and a high recurrence rate [
2]. Studies have shown that the overall 5-year survival rate of patients with localized OS ranges between 65 and 75% and is only 20% for those with recurrent and metastatic tumors [
3]. Despite advances in OS treatment approaches such as adjuvant chemotherapy and surgical resection, the survival rates have plateaued in the last 3 decades and are less than satisfactory [
4]. Indeed, no specific diagnostic and prognostic biomarkers for OS have been found. Consequently, molecular studies aiming to identify promising therapeutic targets for OS are urgently needed.
Circular RNAs (circRNAs) regulate various functions of eukaryotic cells [
5]. Based on the order of splicing events and different intermediates, two mechanisms exist for the biogenesis of circRNAs: canonical spliceosome-induced splicing and noncanonical lariat splicing [
6,
7]. Accumulating studies have shown that circRNAs modulate diverse physiological and pathophysiological processes by sponging microRNAs (miRNAs), interacting with RNA-binding proteins, and modulating epigenetic, transcriptional, or translational alterations in target genes [
8‐
11]. Abnormal circRNA expression has been found to correlate with the pathogenesis of various cancers and to exert essential regulatory effects on gene expression, cell invasion, cell cycle progression, migration, apoptosis, and proliferation [
12‐
14]. Moreover, circRNAs are thought to possess high diagnostic and therapeutic potential given their structural stability, evolutionary conservation, abundance and organ specificity [
15,
16]. However, to date, the roles of circRNAs in OS are not clearly known.
This study evaluated the expression profiles of circRNAs in OS tissues and adjacent noncancerous tissues using high-throughput sequencing. We found a novel circRNA, designated circ_001422, that regulates the progression of OS. Higher expression of circ_001422 was markedly associated with more advanced clinical stage, large tumor size, higher incidence of metastases and poorer prognosis. Experimental results indicated that circ_001422 exerted pro-oncogenic effects on OS proliferation and metastasis by targeting the miR-195-5p/FGF2/PI3K/Akt axis. Our findings revealed that circ_001422 is a potential therapeutic target for OS.
Methods
Collection of patient samples
This study was approved by the Ethics Committee of the Affiliated Zhujiang Hospital of Southern Medical University (approval no. 2018-GJGBWK-002) and conducted in accordance with the Declaration of Helsinki. A total of 55 patients with OS were enrolled in the study between May 2018 and April 2020. All participants underwent diagnostic core needle biopsy using a disposable sterile biopsy instrument (Trauson Medical Instrument Corporation, China). Histological diagnosis was performed independently by two experienced pathologists. Written informed consent was obtained from all participants and, for minors, from their legal guardian. Surgically removed OS tissues and adjacent noncancerous tissues were collected from these patients before the commencement of chemotherapy, radiotherapy or immunotherapy. Morphologically normal muscle tissues that were more than 5 cm from the cancerous tissues were used as adjacent noncancerous tissues. Upon resection, tissues were immediately frozen in liquid nitrogen and stored at − 80 °C. Table
1 shows the patients’ clinical characteristics.
Table 1
Correlations between circ_001422 expression and clinicopathological characteristics of patients with OS
Age (years) | | | | 0.520 |
| ≤ 18 | 30 | 3.108 ± 1.529 | |
| > 18 | 25 | 3.373 ± 1.494 | |
Gender | | | | 0.150 |
| Male | 32 | 3.477 ± 1.579 | |
| Female | 23 | 2.882 ± 1.354 | |
Clinical stage | | | | 0.019 |
| I | 19 | 2.801 ± 1.528 | |
| II | 20 | 2.938 ± 1.067 | |
| III-IV | 16 | 4.098 ± 1.661 | |
Tumor size (cm) | | | | 0.003 |
| ≤ 5 | 24 | 2.557 ± 0.881 | |
| > 5 | 31 | 3.748 ± 1.686 | |
Distant metastasis | | | | 0.005 |
| Absent | 39 | 2.871 ± 1.296 | |
| Present | 16 | 4.098 ± 1.661 | |
Primary tumor location | | | | 0.818 |
| Arm/hand | 20 | 3.381 ± 1.591 | |
| Leg/foot | 31 | 3.168 ± 1.539 | |
| Others | 4 | 2.929 ± 0.850 | |
Cell culture
A human osteoblast cell line (hFOB1.19) and OS cell lines (143B, U-2 OS, MG-63, MNNG and Saos-2) were purchased from Jennio (Guangzhou, China). Osteoblastic hFOB1.19 cells were cultured in DMEM/F-12 (Gibco, USA) supplemented with 10% fetal bovine serum (FBS) (BI, Israel), 2.5 mM L-glutamine (Invitrogen, USA) and 0.3 mg/ml geneticin (Gibco, USA). OS cells were maintained in DMEM supplemented with 1% penicillin/streptomycin (Invitrogen, USA) and 10% FBS in a humidified incubator at 37 °C in 5% CO2.
RNA sequencing (RNA-seq)
High-throughput sequencing was performed to identify circRNAs through the following steps. Total cellular RNA was isolated from 3 matched OS tissues and adjacent noncancerous tissues with an RNAiso Plus Reagent Kit (TaKaRa, Japan). Ribosomal RNA was removed with a Ribo-Zero Magnetic Kit (Epicentre, USA), whereas linear RNA was digested with RNase R (Epicentre, USA). Ribosomal RNA depletion and total RNA quality were assessed using a TapeStation 2200 system (Agilent Technologies, USA) and a Qubit RNA high-sensitivity fluorimeter (Thermo Fisher Scientific, USA). Fragmentation was carried out using divalent cations in an Ambion proprietary fragmentation buffer at 94 °C for 5 min and was followed by ethanol precipitation. The RNA fragments were resuspended in nuclease-free water and purified using Agencourt RNA Clean XP Beads (Beckman Coulter, USA). First-strand complementary DNA (cDNA) was synthesized using random hexamer primers and SuperScript II reverse transcriptase (Thermo Fisher Scientific, USA) with the following thermal cycling conditions: 25 °C for 10 min, 42 °C for 15 min, and 70 °C for 15 min. Subsequently, second-strand cDNA synthesis was performed at 16 °C for 1 h after the addition of second-strand synthesis reaction buffer, dNTPs, RNase H, and DNA polymerase I. Double-stranded cDNA was purified using 1.8× Agencourt AMPure XP Beads (Beckman Coulter, USA) and was then subjected to end repair, 3′ adenylation and adaptor ligation by using an NEBNext Ultra II DNA Library Prep Kit for Illumina (New England Biolabs, USA). To select cDNA fragments of the preferred length (200–300 bp), the ligation reaction product was treated with USERTM enzyme at 37 °C for 15 min and purified using Agencourt AMPure XP Beads. PCR was carried out by an initial denaturation step for 30 s at 98 °C followed by 12 cycles of denaturation for 10 s at 98 °C, annealing for 75 s at 65 °C, and extension for 5 min at 65 °C. PCR products were purified with 1× Agencourt AMPure XP beads and subjected to quality control using a High Sensitivity DNA Assay Kit (Agilent Technologies, USA). After quantification and pooling in a StepOnePlus Real-Time PCR System (Applied Biosystems, USA), the cDNA libraries were sequenced on the Illumina HiSeq 2500 platform by Gene Denovo Biotechnology (Guangzhou, China) according to the manufacturer’s instructions. Raw reads in FASTQ format were analyzed and preprocessed using fastp software [
17] (version 0.19.1) to remove reads containing adaptors with more than 10% unknown nucleotides or more than 50% low-quality (Q-value ≤10) bases. The remaining high-quality clean reads were aligned to the
Homo sapiens ribosomal RNA database and the human GRCh38 reference genome using Bowtie2 [
18] (version 2.2.8) and TopHat2 [
19] (version 2.1.1). The unmapped reads were extracted and processed with find_circ [
20] (version 1) for circRNA identification. To quantify the expression levels of the circRNAs, the back-spliced junction reads were scaled to reads per million mapped reads (RPM). Differentially expressed circRNAs with | fold change | ≥ 2 and
P value < 0.05 were identified using the limma package (version 3.42.0) (
bioconductor.org/packages/release/bioc/html/limma.html).
Measurement of RNA expression
Total RNA was extracted from cultured cells or clinical tissues using an RNAiso Plus Reagent Kit (TaKaRa, Japan) according to the manufacturer’s instructions. RNA integrity was confirmed through agarose gel electrophoresis, and RNA concentration and purity were determined with a Nanodrop 2000 spectrophotometer (Thermo Fisher Scientific, USA). Final RNA quality was assessed in an Agilent 2100 Bioanalyzer (Agilent Technologies, USA), and a minimal RNA integrity number (RIN) of 8 was required. For quantitative analysis of circRNAs and mRNAs, cDNA was synthesized with a PrimeScript RT Reagent Kit (TaKaRa, Japan). Real-time amplification was conducted using SYBR Premix Ex Taq II (TaKaRa, Japan) in a LightCycler 96 System (Roche, Germany). For miRNA analysis, reverse transcription was performed using stem-loop RT primers specific for the miRNA of interest (GeneChem, China) based on an Evo M-MLV RT Kit (Accurate Biology, China), and qPCR was then performed with a SYBR Green Premix Pro Taq HS qPCR Kit (Accurate Biology, China). The following thermal cycling program was used for qPCR of all RNAs: denaturation at 95 °C for 30 s followed by 45 cycles of denaturation at 95 °C for 5 s, annealing at 55 °C for 30 s, and extension at 72 °C for 30 s. GAPDH (for circRNAs and mRNAs) and U6 (for miRNAs) were used as the endogenous controls. Relative quantification (RQ) values were calculated using the following equation: RQ = 2
−ΔΔCt, where ΔΔCt = [Ct (gene of interest, sample) - Ct (GAPDH or U6, sample)] - [Ct (gene of interest, calibrator) - Ct (GAPDH or U6, calibrator)]. All experiments were performed independently at least three times, and all samples were analyzed in triplicate. Primer sequences are provided in Additional file
1: Table S1.
RNase R digestion, nucleic acid electrophoresis and Sanger sequencing
Total RNA (2 μg) was extracted and digested with RNase R (3 U/μg) for 15 min at 37 °C. The control samples were processed in the same way as the experimental samples except that RNase R was not added. cDNA synthesis and real-time PCR were performed as described above. Additionally, circular and linear transcripts were amplified using specific divergent and convergent primers with or without RNase R. The PCR products amplified from cDNA or genomic DNA (gDNA) templates were added to 6× loading buffer with the nucleic acid dye GelRed (Biotium, USA). DNA fragments were separated by agarose gel (2%) electrophoresis at 100 V for 30 min and visualized with UV transillumination. For Sanger sequencing, PCR amplification products were excised from the agarose gel and purified using a GeneJET Gel Purification Kit (Thermo Fisher Scientific, USA). The nucleotide sequences of the purified fragments were determined by Sanger sequencing using standard approaches [
21] by Geneseed (Guangzhou, China).
Transcriptional inhibition assay with actinomycin D
In brief, OS cells were cultured in six-well plates for 24 h, and fresh medium supplemented with 2 μg/ml actinomycin D (Sigma-Aldrich, USA) was then added. Total cellular RNA was extracted 0, 4, 8, 12 and 24 h after actinomycin D treatment for qRT-PCR analysis.
Nucleocytoplasmic fractionation
Extraction and purification of cytoplasmic and nuclear RNAs were performed with a PARIS kit (Life Technologies, USA) in accordance with the manufacturer’s protocols. Next, qRT-PCR was performed to quantify the expression of linear RNAs and circRNAs, with U6 and GAPDH as the internal references for nuclear and cytoplasmic RNAs, respectively.
Fluorescence in situ hybridization (FISH)
RNA-FISH was performed to determine the subcellular localization of circ_001422. The Cy3-labeled circ_001422 probe was constructed by RiboBio (Guangzhou, China). Fluorescence signals were generated using a Fluorescence In Situ Hybridization Kit (RiboBio, China), and a Nikon A1 confocal laser scanning microscope (Nikon, Japan) was utilized to take pictures.
Oligonucleotides, plasmids, cell transfection and lentiviral transduction
The miR-195-5p mimic/inhibitor, miR-195-5p agomir/antagomir and their corresponding negative controls (NC) were purchased from RiboBio (Guangzhou, China). For construction of knockdown plasmids expressing short hairpin RNAs (shRNAs) against circ_001422 or FGF2, the pLshRNA-NC and pLKO.1 vectors were constructed by Geneseed (Guangzhou, China), and the annealed shRNA oligonucleotides targeting circ_001422 or FGF2, respectively, were ligated into these vectors. Additionally, the full-length cDNA sequences of circ_001422 and FGF2 were PCR amplified and cloned into the pLC5-ciR vector (Geneseed, China) or pcDNA3.1 vector (Geneseed, China), respectively, to construct the circ_001422 and FGF2 overexpression plasmids. The nontargeting pLC5-ciR and pcDNA empty vectors were used as the corresponding negative controls. 293 T packaging cells were transiently transfected with the abovementioned plasmids using EndoFectin Max reagent (GeneCopoeia, USA) for production of lentiviral particles. The viral supernatants were collected and concentrated using a Lenti-X Concentrator Kit (Clontech, USA). All lentiviral particles in this study had a titer of 1 × 109 transducing units/ml and were stored at − 80 °C. Finally, the concentrated lentivirus was used to transduce 143B and Saos-2 cell lines in logarithmic growth phase. At 48 h post lentiviral transduction, OS cells were selected with puromycin (2 μg/ml, Invitrogen, USA) or geneticin (500 μg/ml, Gibco, USA) for 2 weeks to obtain stable cell lines. The knockdown or overexpression efficiency was verified using qRT-PCR. Notably, the OS cells transduced with sh-circ_001422#2 or sh-FGF2#1 showed the lowest transcription level of the corresponding target gene, and were therefore used in subsequent experiments.
Cell proliferation assays
The viability of 143B and Saos-2 cells after transfection was assessed using 5-ethynyl-2′-deoxyuridine (EdU) incorporation and colony formation assays. An EdU Apollo 488 Kit (RiboBio, China) was utilized to conduct the EdU incorporation assay. For evaluation with a Nikon inverted fluorescence microscope, EdU-positive cells were stained green, and nuclei were stained blue.
To evaluate the colony-forming ability of cells, transfected cells were counted and seeded into 6-well plates at 550 cells/well. Cells were cultured in complete DMEM supplemented with 10% FBS at 37 °C and 5% CO2. The culture medium was replaced at 2-day intervals. After 10 days of incubation, the colonies were washed twice with phosphate-buffered saline (PBS) and fixed with 4% paraformaldehyde for 20 min. Then, the stationary liquid was removed, and 0.1% crystal violet (Solarbio, China) was added for 20 min of staining. The 6-well plates were gently rinsed with water, and colonies with > 50 cells were counted under an optical microscope (Olympus, Japan).
Flow cytometry
The cell cycle distribution of transfected cells was assessed by the following procedure. In brief, cultured cells were harvested, washed twice in PBS and fixed overnight at 4 °C with precooled 75% ethanol. After staining with propidium iodide, the cell cycle distribution was analyzed with a BD flow cytometer. 4′,6-Diamidino-2-phenylindole (DAPI) and Annexin-V-allophycocyanin (APC) double staining kits (BestBio, China) were used for apoptosis analyses.
Transwell assays
The migration and invasion abilities of OS cell lines were evaluated using Transwell migration chambers (Costar, USA) and Transwell invasion chambers precoated with 50 μl of 2 mg/ml Matrigel (BD Biosciences, USA), respectively. In brief, transfected cells (4 × 104 cells/well for the migration assay, 8 × 104 cells/well for the invasion assay) suspended in 200 μl of serum-free DMEM were seeded into the upper chambers. A 600 μl volume of DMEM supplemented with 10% FBS was used as the attractant and was added into the lower chambers. After culture for 24 h, cells adhering to the lower surface of the membrane were fixed with paraformaldehyde (4%) and stained using crystal violet (0.1%), whereas cells on the upper surface of the membrane were removed by wiping with cotton swabs. At least three random fields of view containing cells that had migrated or invaded to the lower surface were imaged under an inverted light microscope.
Western blot analysis
Total protein from homogenized tissues or cell lysates was extracted using ice-cold RIPA solution (Fudebio, China) and protease inhibitors (Fudebio, China). The protein samples were diluted to equal concentrations, denatured in a boiling water bath, separated by SDS-PAGE and transferred onto polyvinylidene difluoride membranes. Membranes were blocked with 5% nonfat milk in Tris-buffered saline-Tween (TBST) buffer and were then incubated overnight at 4 °C with primary antibodies against cleaved CASP3 (1:1000) (Affinity Biosciences, USA), CCND1 (1:1200) (Proteintech, China), CDK4 (1:2000) (Abcam, USA), BAX (1:1000) (Abcam, USA), BCL2 (1:800) (Abcam, USA), E-cadherin (1:2000) (Proteintech, China), N-cadherin (1:2000) (Proteintech, China), Vimentin (1:3000) (Proteintech, China), FGF2 (1:200) (Santa Cruz Biotechnology, USA), PI3K (1:1000) (Cell Signaling Technology, USA), phosphorylated PI3K (p-PI3K, 1:1000) (Cell Signaling Technology, USA), Akt (1:1000) (Cell Signaling Technology, USA), phosphorylated Akt (p-Akt, 1:1000) (Cell Signaling Technology, USA) and GAPDH (1:10000) (Proteintech, China). After four washes with TBST buffer, membranes were incubated for 60 min at 25 °C with horseradish peroxidase (HRP)-conjugated secondary antibodies (1:10000) (Bioss, China). Protein bands were visualized with a chemiluminescence imaging system (Bio-Rad, USA).
Animal models
The protocols for animal experiments were approved by the Medical Ethics Committee of Southern Medical University. Four-week-old female BALB/c athymic nude mice were purchased from Guangdong Medical Laboratory Animal Center (Guangdong, China) and reared in a pathogen-free facility with access to adequate standard food and water. The subcutaneous xenograft model was established by subcutaneous injection of 5 × 106 stable 143B cells suspended in 100 μl of PBS into the right limbs of nude mice (n = 5 mice per group). Tumors were measured every 3 days, and tumor volumes were calculated using the following equation: volume = length × width2 × 0.5. To establish the lung metastasis model, the abovementioned cells were injected into nude mice via the tail vein (2 × 106 143B cells in 200 μl of PBS per mouse, n = 5 mice per group) to mimic tumor metastasis. To evaluate the effect of miR-195-5p in vivo, the miR-195-5p antagomir/agomir or corresponding negative control was injected intratumorally (for the subcutaneous xenograft tumor model) or intravenously via the tail vein (for the lung metastasis model) twice weekly for 2 weeks in accordance with the manufacturer’s recommendations (RiboBio, China). Tumor tissues were extracted from sacrificed mice 4 weeks after inoculation. All mice were euthanized by CO2 asphyxiation in accordance with the American Veterinary Medical Association (AVMA) Guidelines for the Euthanasia of Animals (2013 Report of the AVMA Panel of Euthanasia).
Hematoxylin and eosin (H&E) staining
Paraffin-embedded thin (4-μm) lung sections containing metastatic nodules were dewaxed using xylene and were then rehydrated through an alcohol gradient. Then, sections were stained using H&E for general histological examination by standard procedures.
Assessment of tissue expression of target proteins
The expression of target proteins in tissue samples from OS patients or animal xenograft models was determined using immunohistochemistry (IHC) as previously described [
22]. Tissues were incubated with primary antibodies against FGF2 (1:100), Ki-67 (1:200), PCNA (1:300), N-cadherin (1:200), E-cadherin (1:200), and Vimentin (1:300). Except for the anti-FGF2 antibody (Santa Cruz Biotechnology, USA), all antibodies were purchased from Proteintech (China). After washing, the tissue sections were incubated with HRP-conjugated secondary antibodies (1:200) (Servicebio, China) and were then stained with diaminobenzidine (Zhongshan Golden Bridge, China). The tissues were observed and imaged using an optical microscope (Olympus, Japan).
TUNEL assay
To assess apoptotic DNA fragmentation, xenograft tumor tissues were first fixed for 24 h with 4% paraformaldehyde and were then embedded in paraffin. Apoptosis in situ was evaluated with a TUNEL Apoptosis Assay Kit (Alexa Fluor 488) (Yeasen, China). Corresponding images of the apoptotic cells were acquired using a fluorescence microscope. Analyses were performed with at least three random fields of view per sample.
RNA immunoprecipitation (RIP)
Transfected cells were washed twice in ice-cold PBS and were then lysed in RIP lysis solution containing RNase and protease inhibitors. Cell lysates (200 μl) were incubated overnight at 4 °C with immunoprecipitation buffer containing anti-Argonaute2 (anti-Ago2)-conjugated magnetic beads (Millipore, USA) or negative control anti-IgG (Millipore, USA). Subsequently, the immunoprecipitated RNAs were extracted and purified to determine the abundances of the target RNAs by qRT-PCR.
RNA pulldown assay
A control probe and a biotinylated circ_001422 probe were constructed by RiboBio (Guangzhou, China). The probes were coated with C-1 magnetic beads (Life Technologies, USA) after incubation for 2 h at room temperature with the abovementioned beads. Transfected cells were harvested and treated with ice-cold lysis solution and were then incubated overnight at 4 °C with the circ_001422 or oligo probes. Finally, the precipitates were extracted and purified using an RNeasy Mini Kit (Qiagen, USA). The abundances of circ_001422 and miRNAs in the RNA complexes were evaluated by qRT-PCR.
Luciferase reporter assay
The circ_001422 or FGF2 fragments with the mutant (MUT) or wild-type (WT) miR-195-5p binding sites were subcloned downstream of the Renilla gene in the psiCHECK-2 dual-luciferase reporter vector (Geneseed, China). 143B and Saos-2 cells in logarithmic growth phase were cotransfected with the reporter vectors and the miR-195-5p mimic or NC mimic. After 48 h of incubation, a Dual-Luciferase Reporter Assay System (Promega, USA) was utilized to measure luciferase activity.
Statistical analysis
Data for continuous variables are presented as means ± standard deviations. All analyses were performed using SPSS 20.0 software (IBM, USA). All experiments were performed with three technical replicates, and at least three biological replicates were performed. Differences between groups were analyzed using unpaired Student’s t-test or one-way analysis of variance (ANOVA) with Tukey’s test. Survival was analyzed by the Kaplan-Meier method and the log-rank test. Correlations among the levels of circ_001422, miR-195-5p and FGF2 were evaluated using Pearson correlation analysis. P < 0.05 was considered to indicate a significant difference.
Discussion
OS is the most prevalent malignant bone tumor. It is highly metastatic, resulting in a very poor survival rate [
2]. Approximately 80% of OS patients exhibit subclinical pulmonary micrometastases at the time of diagnosis [
26]. The lack of accurate biomarkers has further hindered efforts to improve the clinical outcome of OS. Recently, the dysregulation of ncRNAs in OS has generated significant interest from the scientific community. Using global miRNA microarrays, Duan et al. analyzed the miRNA expression profiles of drug-resistant and non-drug-resistant OS cells and revealed that miR-15b inhibitors might contribute to the treatment of drug-resistant OS when coadministered with doxorubicin [
27]. A separate study showed that upregulation of the long noncoding RNA (lncRNA) TP73-AS1 was closely related to advanced Enneking stage, adverse pathological features and distant metastasis in OS [
28]. Unlike these two kinds of ncRNAs, circRNAs have emerged as more reliable and promising tumor biomarkers owing to their exceptionally stable structure. Advanced genome sequencing techniques have validated the roles of circRNAs in multiple cancers, including hepatocellular carcinoma [
29], gastric cancer [
30], colorectal cancer [
31] and lung squamous cell carcinoma [
32]. However, to date, the expression profiles and roles of circRNAs in OS are not well understood.
This study provides the first evidence that circ_001422 contributes to the malignant progression of OS. CircRNAs are widely accepted to be an unorthodox RNA species generated by alternative splicing of pre-mRNAs [
33]. There are three main classes of circRNAs: exonic circRNAs, exon-intron circRNAs and intronic circRNAs [
34]. Sanger sequencing revealed that circ_001422 is generated via back-splicing and covalent bonding of the 3′ and 5′ ends of exons 2–7 of NSD2. Interestingly, research has shown that NSD2 is an important oncogene that drives the development of multiple cancers by catalyzing histone-lysine methylation and disrupting chromatin integrity [
35‐
37]. Additionally, linear NSD2 regulates EMT and the protein expression of BCL2 and SOX2, which facilitates cell survival, metastasis, and chemoresistance in OS [
38,
39]. Herein, we revealed upregulated expression of circ_001422 in OS tissues and cells using high-throughput sequencing and qRT-PCR. Analysis of the clinicopathological characteristics of 55 OS patients revealed that circ_001422 expression positively correlated with advanced clinical stage, tumor size and distant metastasis. Functional analyses further validated the role of circ_001422 in not only promoting the proliferation and metastasis of OS cells but also modulating the apoptosis of these cells both in vivo and in vitro. These findings highlight the significant relationship between the alternatively spliced forms of the NSD2 transcript and undesirable aspects of OS.
The subcellular distribution of RNAs is intimately tied to their biological functions [
40]. Accumulating evidence shows that cytoplasmic circRNAs sponge miRNAs, which represses the translation or induces the degradation of the target mRNAs after binding of the Ago2 protein [
41,
42]. Herein, we found that circ_001422 is mainly a cytoplasmic RNA in OS cells. In addition, circ_001422 can recognize and bind the Ago2 protein, suggesting that circ_001422 might exert its regulatory functions via the classical method of binding to miRNAs. Among the 4 candidate miRNAs predicted by the bioinformatics databases, only miR-195-5p was further validated to exhibit a high binding capacity for circ_001422. Despite this new finding, the involvement of miR-195-5p in the pathogenesis of multiple tumors is not a new phenomenon [
43,
44]. Reports on the interactions between miR-195-5p and circRNAs in cancer are scarce. Herein, we found that miR-195-5p expression was markedly decreased in clinical OS tissue samples and was inversely correlated with circ_001422 expression. Functional rescue experiments further revealed that the miR-195-5p inhibitor substantially reversed the suppressive effects of circ_001422 depletion on OS cell proliferation and metastasis, whereas the miR-195-5p mimic abolished the promotive effects of circ_001422 overexpression.
Moreover, we found that FGF2 is a downstream target of miR-195-5p in OS cells. Consistent with the competing endogenous RNA theory, our current study revealed a positive correlation of FGF2 expression with circ_001422 expression and a negative correlation of FGF2 expression with miR-195-5p expression in clinical OS tissues. In addition, bioinformatic analysis and functional experiments revealed that circ_001422 upregulated FGF2 expression by sponging miR-195-5p. This event also triggered PI3K/Akt pathway activation to accelerate OS progression via mechanisms including suppression of apoptosis and promotion of cell proliferation, migration and invasion. FGF2, also called bFGF, was among the first angiogenic factors identified [
45]. Evidence indicates that FGF2 is implicated in diverse biological processes, including neurodevelopment, immune homeostasis, angiogenesis and neoplastic transformation [
46]. Although the role of FGF2 in malignancies remains controversial, FGF2 has been proposed to act as a pro-oncogenic regulator during the development of OS [
47‐
49]. In the present study, abnormally elevated levels of FGF2 mRNA and protein were consistently observed in OS tissues and cells. Furthermore, the PI3K/Akt pathway was verified to be involved in carcinogenesis mediated by the circ_001422/miR-195-5p/FGF2 axis in OS. The PI3K/Akt cascade controls basic intracellular processes, and abnormal activation of this pathway is quite prevalent in diverse neoplasms [
50,
51].
Our study has several limitations. First, the subcutaneous xenograft and lung metastasis models used in this study may not fully mimic the natural OS microenvironment. Thus, some of our findings may not be reproducible in the natural disease state. Second, less invasive or noninvasive methods for detection of highly specific biomarkers in body fluids are more convenient and acceptable than current approaches. Indeed, previous evidence has demonstrated that some circRNAs may be stably detected by liquid biopsy [
52,
53]. Thus, the expression profiles of circ_001422 in body fluids such as serum, plasma and urine warrant further investigation. Finally, we focused only on the roles of circ_001422 in tumor proliferation and metastasis. More detailed studies are necessary to explore the impact of circ_001422 on other malignant biological behaviors of OS cells, including chemoresistance, angiogenesis and immune escape.
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.