Background
Gastric cancer (GC) is one of the most common cancers and the third leading cause of cancer-related deaths worldwide. Most GC patients are diagnosed at advanced stages due to a lack of typical early symptoms. Though great efforts have been made to understand the molecular mechanisms for GC development and progression, yet it is still a great challenge to identify novel targets for GC detection and treatment [
1].
Long non-coding RNAs (lncRNAs) have emerged as new players in human health and diseases. The alteration in lncRNA expression is found in various pathologic conditions including cancer [
2,
3]. Increasing evidence suggests that lncRNAs are involved in cancer initiation, growth, metastasis, and therapy resistance [
4]. Better understanding of the roles of lncRNAs in cancer may provide new biomarkers for early diagnosis and prognostic evaluation. In recent years, a series of lncRNAs have been reported in GC, either for their essential roles in GC progression or for their potential as diagnostic and prognostic biomarkers. For instance, KRT7-AS expression is upregulated in GC and it forms a duplex RNA-RNA structure with the host gene KRT7 mRNA to protect it from degradation, thereby promoting GC cell proliferation and migration [
5]. PVT1 directly binds to FOXM1 protein to increase its stability, enhancing gastric cancer cell proliferation and invasion [
6]. PVT1 is upregulated in gastric cancer and high level of PVT1 predicts poor prognosis in GC patients. GClnc1 is upregulated and associated with tumor size, metastasis, and poor prognosis in gastric cancer. GClnc1 acts as a modular scaffold for WDR5 (WD repeat domain 5) and KAT2A (Lysine Acetyltransferase 2A) to specify the histone modification pattern, thus promoting gastric cancer cell proliferation and invasiveness [
7]. We have recently reported that ZFAS1 is upregulated in gastric cancer and its expression level was associated with GC progression [
8]. Altogether, these findings suggest that lncRNA is critically involved in the pathogenesis of GC and may be utilized as biomarkers for GC diagnosis and prognosis.
Emerging evidence suggests that lncRNA can act as competitive endogenous RNA (ceRNA) to block miRNA-mediated target gene silencing [
9,
10]. In gastric cancer, GAPLINC promotes the invasion of gastric cancer cells by binding to miR-211–3p, which upregulates the expression of CD44 [
11]. BC032469 binds to miR-1207-5p to upregulate hTERT expression, promoting gastric cancer cell proliferation [
12]. Moreover, SNHG5 interacts with miR-32 to promote gastric cancer cell proliferation and migration by targeting KLF4 [
13]. These studies suggest that lncRNAs can participate in gastric cancer development and progression through the ceRNA mechanism.
UFC1 was first identified in hepatocellular carcinoma (HCC) as a target of miRNA-34a [
14]. UFC1 binds to HuR, an mRNA stabilizing protein, to promote the expression of β-catenin. Yu et al. reported an increased UFC1 expression in colorectal cancer. Knockdown of UFC1 suppresses colorectal cancer cell proliferation and induces apoptosis though the activation of p38 signaling pathway [
15]. However, the expression, clinical value, and biological roles of UFC1 in gastric cancer remain unclear.
In this study, we assessed UFC1 expression in GC and performed functional studies to explore the effects of UFC1 on GC progression. We demonstrated that UFC1 expression was upregulated in GC tissues, serum, and serum exosomes. The high level of UFC1 was associated with disease progression and predicted poor prognosis in GC patients. UFC1 knockdown inhibited while UFC1 overexpression promoted gastric cancer cell proliferation, migration and invasion. We revealed that UFC1 exerted its oncogenic activities by sponging miR-498 and acting as a ceRNA for Lin28b. Our findings suggest a promoting role of UFC1 in GC progression and provide a potential biomarker for GC diagnosis and prognosis.
Methods
Patients and tissue samples
A total of 79 paired gastric cancer and adjacent non-cancerous tissues (5 cm away from the tumor edge), 60 serum samples from GC patients, 35 serum samples from gastritis patients, and 40 serum samples from healthy donors were obtained from Department of General Surgery, the Affiliated People’s Hospital of Jiangsu University between April 2015 and September 2016. Written informed consent were obtained from all the patients and this study was approved by the Institutional Ethical Committee of Jiangsu University. All of the tissues were frozen in liquid nitrogen and then stored at − 80 °C for further use. The intravenous blood was centrifuged at 3000 g for 10 min and the serum were stored at − 80 °C until RNA extraction. The patients included in this study had not received any preoperative therapies.
Cell culture
Human GC cell lines MGC-803, BGC-823, SGC-7901, HGC-27, and MKN-45 were purchased from the Cell Bank of the Chinese Academy of Sciences (Shanghai, China). Human normal gastric mucosa epithelial cell line GES-1 was obtained from Gefan Biological Technology (Shanghai, China). MGC-803 and HGC-27 cells were cultured in high glucose-DMEM with 10% fetal bovine serum (FBS; Invitrogen, Shanghai, China). GES-1, BGC-823, SGC-7901, and MKN-45cells were cultured in RPMI 1640 medium (Invitrogen) containing 10% FBS. All the cells were cultured in a 37 °C incubator with 5% CO2 atmosphere.
RNA extraction and quantitative real time PCR
Total RNA was isolated from tissue samples and cells by using Trizol reagent (Invitrogen) according to the manufacturer’s procedures. Total RNA in serum was purified using miRNeasy Serum/Plasma kit according to the manufacturer’s instructions (Qiagen, Shanghai, China). The reverse transcription (RT) for mRNA, miRNA and lncRNA was carried out by using the miScript II RT Kit (Qiagen). Quantitative real time polymerase chain reaction was conducted with UltraSYBR Mixture (Cwbio, Beijing, China) on a real time PCR Detection System (CFX96, Bio-Rad, Shanghai, China). The target genes were normalized to U6 to obtain the relative expression level. The sequences of primers were provided in Additional file
1: Table S1.
Western blot
Cells were lysed with RIPA buffer (Beyotime, Shanghai, China) containing protease inhibitors (Roche, CA, USA). Equal amounts of proteins were separated by SDS-polyacrylamide gel electrophoresis (SDS-PAGE) on a 12% polyacrylamide gel. The proteins were transferred electrophoretically onto 0.22 μm PVDF membranes (Millipore), blocked in 5% non-fat milk, and then incubated with primary antibodies against cyclin D1, Bcl2, Bax, Slug, Twist, Snail, E-cadherin, N-cadherin, and Vimentin (Cell Signaling Technology, Shanghai, China). After incubation with HRP-linked secondary antibody, the protein bands were visualized by using chemiluminescence (Millipore, Shanghai, China). GAPDH was used as the loading control.
Gene overexpression and silencing
Cells were seeded in 6-well plates at a density of 2 × 10
5/well and cultured in 37 °C incubator overnight. The overexpressing plasmid and knockdown shRNA (Hanbio, Shanghai, China) were transfected into the cells by using LipoFiter transfection reagent (Hanbio) in serum-free medium. Cells were changed to complete medium at 6 h after transfection and cultured for another 30 h. The target sequences of shRNAs were provided in Additional file
1: Table S2.
Luciferase reporter assay
MGC-803 cells were co-transfected with miR-498 mimics (or miR-498 antago) and the luciferase reporter vector containing wild type (WT) or mutant (MUT) 3’-UTR of UFC1 (or Lin28b) as indicated. At 36 h after transfection, the cells were lysed and the luciferase activity was detected by using the dual luciferase assay kit (Promega, Madison, WI, USA).
RNA immunoprecipitation assay
RNA immunoprecipitation (RIP) assay was performed by using a Magna RIP kit (Millipore) according to the instruction of the manufacturer. Whole cell lysate was incubated with RIP buffer containing magnetic beads which had been conjugated with human anti-Ago2 antibody, or normal mouse IgG as negative control. The immunoprecipitated RNAs were extracted, purified, and analyzed by using qRT- PCR to detect the binding of target RNAs.
Cell cycle analysis
Cell cycle analysis was conducted with a cell cycle detection kit (Fcmacs, Jiangsu, China). The transfected cells were collected and fixed in 95% ethanol overnight. Afterwards, the cells were stained with 50 μg/ml propidium iodide (PI) for 30 min in dark. The cell cycle distribution was analyzed on a flow cytometer (BD, FACS Calibur) by using CellQuest software.
Cell apoptosis assay
The Annexin V-Alexa Fluor 647/PI apoptosis detection kit (Fcmacs, Jiangsu, China) was used to detect cell apoptosis. After transfection for 24 h, the cells were digested with collagenase. The cells were collected and resuspended in binding buffer. Subsequently, the cells were stained with Annexin V-Alexa Fluor 647 and PI and then incubated for 15 min at room temperature. The apoptotic rate was analyzed by using flow cytometry.
Cell counting assay and cell colony formation assay
The transfected cells were seeded in 24-well plates (1 × 104 per well) and were counted for 6 days. For cell colony formation assay, the transfected cells were seeded in 6-well plates (1 × 103/well) and cultured for 10 days. The medium was changed every 3 days. The cells were fixed with 4% paraformaldehyde and stained with crystal violet. The number of colonies was calculated under a microscope.
Transwell migration assay
Cell migration assay were carried out by using transwell chambers with inserts of 8-μm pore size (Chemicon, Temecula, CA, USA). A total of 2 × 104 cells were seeded into the top chamber in 200 μL serum-free media and 600 μL complete medium was added into the bottom chamber. After 24 h, the cells were fixed with 4% paraformaldehyde and stained with crystal violet. The number of migrated cells was counted from five randomly selected field and then averaged.
Matrigel invasion assay
After matrigel (BD Biosciences, Shanghai, China) was added on the transwell chamber and clotted, a total of 1 × 105 cells were seeded into the top chamber in 200 μL serum-free media. The bottom well was added with 600 μL complete medium and cells were allowed to invade for 36 h. The matrigel and the cells on the top chamber were removed with cotton swab. The cells invaded through the pore were fixed with 4% paraformaldehyde and stained with crystal violet. The number of invaded cells were counted from five randomly selected fields and averaged.
In vivo animal studies
BALB/c nude mice aged 4–6 weeks were purchased from the Slac Laboratory Animal Center (Shanghai, China) and maintained in accordance with the institutional policies. Sh-UFC1 or sh-control stably transfected cells were collected in PBS and subcutaneously injected into the mice (2 × 106 cells/mice, n = 6). Tumor size was assessed every 3 days and tumor volumes were calculated using the formula: V = 0.5 × D × d2 where V represents volume, D represents longitudinal diameter and d represents latitudinal diameter. The protocol was approved by the Animal Use and Care Committee of Jiangsu University.
Immunohistochemistry
For immunohistochemical analyses, 4% paraformaldehyde fixed tissues were embedded in paraffin and cut into 4 μm-thick sections. The sections were incubated with primary monoclonal antibody against Ki-67 (Cell Signaling Technology) followed by incubation with the secondary antibody for 30 min at room temperature. After being incubated with 3, 3′-Diaminobenzidine (3, 3’-DAB, Maxim, Fuzhou, China) for 5 min, the sections were counterstained with hematoxylin for 30 s. Finally, the sections were photographed under a TE2000 microscope (Nikon, Tokyo, Japan).
Statistical analysis
Statistical analyses were carried out by using the SPSS 22.0 software (Chicago, IL, USA). All the experiments were performed for at least three times, and all values presented as mean values ± SD. The Student’s t test was used for comparisons between paired groups. The Pearson χ2 test was used for the associations between UFC1 and the clinicopathological features. The diagnostic value of UFC1 was evaluated by receiver operating characteristic (ROC) curve. Survival time was analyzed by Kaplan–Meier method and log-rank test. P values less than 0.05 was considered statistically significant.
Discussion
In this study, we reported the increased expression of lncRNA UFC1 in tumor tissues, serum and serum exosomes of GC patients. We revealed that UFC1 upregulation was closely associated with disease progression and poor prognosis in GC patients. We demonstrated that UFC1 knockdown inhibited while UFC1 overexpression promoted gastric cancer cell proliferation, migration, and invasion. UFC1 exerted its oncogenic activities in gastric cancer by sponging miR-498 and derepressing its downstream target Lin28b. The identification of UFC1/miR-498/Lin28b signaling axis thus adds new evidence to the important roles of lncRNAs in gastric cancer progression and provides new targets for gastric cancer diagnosis, prognosis and therapy.
The circulating lncRNAs provide a blood-based biomarker for cancer detection [
16]. We identified an increased expression of UFC1 in the serum of gastric cancer patients, which suggests that UFC1 may serve as a potential marker for monitoring progression and prognosis of GC. Moreover, UFC1 was present in the serum exosomes of gastric cancer patients. Exosomes have emerged as a new biomarker for liquid biopsy [
17]. The high level of exosomal UFC1 could distinguish gastric cancer patients from healthy controls, indicating an important value of serum exosomal UFC1 in GC diagnosis.
UFC1 knockdown induced cell cycle arrest and cell apoptosis, leading to the inhibition of gastric cancer cell proliferation. UFC1 knockdown also retarded gastric cancer growth in vivo, indicating that UFC1 is critical for gastric carcinogenesis. In addition, UFC1 knockdown reversed EMT phenotype of GC cells and inhibited their migration and invasion, suggesting a key role of UFC1 in gastric cancer metastasis. Exosomes-mediated transfer of non-coding RNAs has been suggested as an important mechanism for cancer progression [
18]. We have previously shown that exosomes could transfer lncRNA ZFAS1 to promote gastric cancer cell proliferation, migration and invasion [
8]. In this study, we found that exosomes also contained UFC, suggesting that exosome-mediated transfer of oncogenic lncRNAs may represent a common mechanism for gastric cancer progression.
Recently, Song et al. have identified a regulatory network in gastric cancer whereby claudin-4 expression is reduced by miR-596 and miR-3620-3p, which are in turn bound by lncRNA-KRTAP5-AS1 and lncRNA-TUBB2A acting as ceRNAs, resulting in increased claudin-4 expression, suggesting that non-coding RNAs play important roles in the regulatory network of oncogenes and tumor suppressors in gastric cancer [
19]. In this study, we identified UFC1 as a ceRNA by binding to miR-498. UFC1 expression was negatively associated with that of miR-498 in gastric cancer. Moreover, UFC1 overexpression antagonized the suppressive role of miR-498 in gastric cancer cell proliferation, migration and invasion. The reduced expression and tumor-suppressive role of miR-498 have been found in esophageal squamous cell carcinoma [
20], colorectal cancer [
21], non-small cell lung cancer [
22], and ovarian cancer [
23]. However, in triple negative breast cancer [
24] and oral tongue squamous cell carcinoma [
25], miR-498 has been shown to play promoting roles in cancer cell proliferation and invasion, suggesting that the functions of miR-498 may be cancer type-specific and cell context-dependent. In this study, we demonstrated that miR-498 expression was downregulated in gastric cancer and low level of miR-498 predicted poor prognosis for patients with gastric cancer. MiR-498 overexpression inhibited GC cell proliferation, migration and invasion. Thus, miR-498 may represent a new target for gastric cancer diagnosis and therapy.
The previous studies have shown that miR-498 could target FOXO3 (forkhead box O3) and hTERT (human telomerase reverse transcriptase) to inhibit cancer cell proliferation [
26,
27]. In this study, we identified Lin28b as a new target of miR-498. Lin28b is an evolutionarily conserved RNA-binding protein implicated in maintaining the pluripotency of stem cells [
28]. Overexpression of Lin28b has been observed in human cancers and Lin28B upregulation is associated with poor prognosis and tumor recurrence [
29]. Lin28b acts as an oncogene and facilitates tumor progression though let-7-dependent and -independent mechanisms [
30,
31]. Wang et al. demonstrate that the silencing of Lin28b inhibits cell proliferation and migration by inducing cell cycle arrest and suppressing EMT in pancreatic ductal adenocarcinoma cells [
32]. We found that Lin28b expression was increased in gastric cancer tissues and was negatively associated with that of miR-498. Lin28b knockdown recapitulated the effects of miR-498 overexpression on gastric cancer cell proliferation, migration and invasion. On the contrary, Lin28b knockdown reversed the promoting role of UFC1 in gastric cancer progression, suggesting that the upregulation of Lin28b contributes, at least in part, to the oncogenic role of UFC1 in gastric cancer.
LncRNAs regulate gene expression through distinct mechanisms. Liu et al. demonstrate that HOXA11-AS could interact with WDR5 to promote β-catenin transcription, bind with EZH2 to repress p21 transcription, and induce KLF2 mRNA degradation via interacting with STAU1, thus promoting gastric cancer growth and metastasis [
33]. Wang et al. suggest that UCA1 promotes Cbl-c-mediated GRK2 ubiquitination and degradation, activating ERK-MMP9 signaling pathway and increasing the metastatic ability of gastric cancer cells [
34]. UFC1 has been previously shown to promote the expression of β-catenin by binding to its mRNA [
14]. We reported here that UFC1 could sponge miRNA to regulate the expression of Lin28b. Whether UFC1 can perform oncogenic roles through the regulation of protein stability warrants further investigation.
Conclusions
Collectively, we demonstrated that UFC1 was upregulated in tumor tissues, serum, and serum exosomes of GC patients. UFC1 promoted gastric cancer cell proliferation, migration and invasion by favoring cell cycle progression, inhibiting cell apoptosis and inducing EMT. UFC1 acted as a ceRNA for Lin28b oncogene by sponging tumor-suppressive miR-498. Our findings not only suggest a critical role of UFC1 in gastric cancer progression but also provide a novel biomarker for gastric cancer diagnosis and therapy.