Background
Gastric cancer (GC) remains one of the most common digestive malignancies worldwide and ranked third causes of cancer-related death [
1]. Technical advances in the past decades greatly improve the diagnosis and treatment of GC, however, the prognosis remains poor as most GC patients are diagnosed at relative advanced stages [
2,
3]. The lack of initial symptoms in GC patients and acquired resistant to anti-cancer drugs results in the low 5-year overall survival rate [
4]. Thus, the identification of early diagnostic biomarkers and therapeutic targets are of great importance and might further the understanding of GC tumorigenesis and progression.
Neuropilin-1 (NRP1) is a trans-membrane glycoprotein that function as a co-receptor for multiple extracellular ligands such as semaphorins, hepatic growth factor, FGF and TGF-β [
5,
6]. Mounting evidence has showed that NRP1 exert a critical role in tumorigenesis and metastasis [
7,
8]. In liver cirrhosis, NRP1 promoted angiogenesis via upregulation of VEGFR2 through PI3K/AKT signaling pathway [
9]. Targeting NRP1, together with EGFR, attenuated the resistance to EGFR-targeted antibody treatment in non-small cell lung cancer [
10]. Specifically, in GC cells, epidermal growth factor could enhance the expression of NRP1 and VEGF [
11]. NRP1 expression has been demonstrated to be associated with clinicopathology of GC and promoted GC cell proliferation and migration [
12]. NRP1 Inhibition using anti-NRP1 monoclonal antibody suppressed cell migration and invasion via dephosphorylating AKT in GC [
13]. In the current study, we explored the expression profile and functional role of NRP1 in GC.
MicroRNAs (miRNAs) are small non-coding RNAs participating in various biological processes including tumorigenesis [
14‐
16]. MiRNAs exert their functions via post-transcriptionally regulating target gene expression [
17,
18]. Multiple miRNAs has been discovered to be dysregulated in GC, function as tumor suppressors or oncogenes [
19,
20]. For instance, miR-28-5p suppressed AKT phosphorylation and inhibited cell migration and invasion of GC cells while miR-181a acted as an oncogene in GC via negatively regulating Caprin-1 [
21,
22]. Meta-analysis suggests that miRNAs could serve as promising biomarkers and have important diagnostic value in GC [
20,
23]. However, the dysregulated miRNA profile and its regulatory network in GC are still not fully understood.
In the current study, we found that NRP1 expression was upregulated in GC patients and was associated with poor prognosis. Knockdown of NRP1 inhibited GC cell growth, migration and invasion in vivo, and suppressed xenograft tumor development in vivo. Bioinformatics analysis demonstrated that miR-19b-3p specifically dampened NRP1 expression by binding to its 3′-UTR. MiR-19b-3p exerted its tumor suppressor function via negatively regulating NRP1 and EMT/focal adhesion process. Taken together, our findings reveal a novel regulatory network of miR-19b-3p/NRP1 in GC, which might provide novel diagnostic and therapeutic targets in GC.
Materials and methods
Patient specimen
102 paired GC tissues and adjacent nontumorous tissues were collected from patients undergoing surgery at Ganzhou People’s Hospital and the First Affiliated Hospital of Zhengzhou University (GZPH GC cohort) between year 2010 and 2018. Tissue microarray (TMA) were constructed with GC tissue specimen. All patients signed the written informed consent. The Ethics Review Committee of Ganzhou People’s Hospital approved the study.
Cell culture
GC cell lines (SGC-7901, AGS, MGC-823, MKN-45, BGC-823) and control gastric epithelial cell line GES-1 were purchased from the Cell Bank, Chinese Academy of Science (Shanghai, China). HEK293 cells were from ATCC and maintained in the lab. Cells were cultured in Dulbecco’s Modified Eagle’s Medium (Gibco, USA) supplemented with 10% fetal bovine serum (Clark, USA), 100 U/ml Penicillin, and 100 μg/ml Streptomycin at 37 °C under 5% CO2 in a humidified incubator.
Cell transfection
SGC-7901 or MGC-823 cells were transiently transfected with si-NRP1 or negative control (NC), miR-19b-3p mimics or NC, miR-19b-3p inhibitor or NC, or pcDNA3.1-NRP1 using lipofectamine 3000 (Invitrogen, USA). SGC-7901 cells were transduced with sh-NRP1 or NC and stably NRP1 knockdown cells were selected using neomycin before cell implantation.
Real time-quantitative PCR
Complementary DNA was prepared from total RNA using First strand cDNA synthesis Kit (Roche, Germany). NRP1 and miR-19b-3p expression were analyzed by quantitative PCR using SYBR Green master mix (Bio-Rad, USA). GAPDH and U6 were used as control. The primers used in the study were listed as following: NRP1, 5′-ACCCAAGTGAAAAATGCGAATG -3′ and 5′-CCTCCAAATCGAAGTGAGGGTT-3′; miR-19b-3p, 5′-AACAGAAGTTTTGCAGGTTTGCATC-3′ and 5′-CAGTGCAGGGTCCGAGGT-3′; U6, 5′-CCAGUUUACCUAACGCAAUTT-3′ and 5′-TTCACGAATTTGCGTGTCAT-3′; GAPDH, 5′-CTGGGCTACACTGAGCACC-3′ and 5′-AAGTGGTCGTTGAGGGCAATG-3′.
Western blot
Western blot was performed as previously described [
24]. The primary antibodies used in the study were listed as following: NRP1 (Abcam, ab81321), E-cadherin (Abcam, ab194982), vimentin (Abcam, ab92547), N-cadherin (Abcam, ab18203), BMP4 (Abcam, ab200796), ICAM1 (Abcam, ab221777), VCAM1 (Abcam, ab134047), GAPDH (Abcam, ab181602).
Cell growth assays
Cell growth was analyzed by CCK-8 assay, EdU staining assay and Colony formation assay as previously described [
25].
Transwell assay
Cell invasion was evaluated with transwell chamber (Corning, USA). Briefly, 1 × 10 [
5] transfected SGC-7901 or MGC-823 cells in serum-free medium were added to the Matrigel-coated top chamber. The bottom chamber was added with 500 μL DMEM medium containing 10% FBS. After 48 h, the invaded cells were fixed and stained with crystal violet.
Wound healing assay
SGC-7901 or MGC-823 cells were cultured to form monolayer in 6-well plate. An artificial wound was created using a sterile 200 μL pipette tip. Floating cells were washed awat with PBS and rest cells were cultured in serum-free medium for 48 h. The wound was recorded at 0 h and 48 h to calculate the migration distance.
Luciferase reporter assay
Luciferase vector containing wild type or mutated 3′-UTR sequence of NRP1 was cloned using pGL3-luc vector (Promega, USA). HEK393 cells were seeded into 24-well plates and transfected with luciferase vector, together with miR-19b-3p mimics or negative control. Relative luciferase activity was analyzed using the Dual-Glo luciferase reporter assay kit (Promega, USA) 48 h later.
Immunohistochemical (IHC) staining
Briefly, 5 μm paraffin tumor section slides were de-paraffined and blocked with normal rat serum, and then incubated with primary antibodies overnight at 4 °C. Then, slides were incubated with HRP conjugated secondary antibodies, and the specific protein expression was detected using a DAB kit (Vector Lab, USA). The primary antibodies used in the study were listed as following: Ki-67 (Proteintech, 27309-1-AP), NRP1 (Abcam, ab81321), E-cadherin (Abcam, ab194982), vimentin (Abcam, ab92547), N-cadherin (Abcam, ab18203), BMP4 (Abcam, ab200796), ICAM1 (Abcam, ab221777), VCAM1 (Abcam, ab134047).
Xenograft tumor model
BALB/C nude mice (5–6 weeks, 6 mice/group) were obtained from Vital River Laboratory (Beijing, China). 3 × 106 stable transfected SGC-7901 cells with luciferase reporter were subcutaneously inoculated into the nude mice. Tumor growth was monitored every week and tumor bioluminescence was photographed using an IVIS Lumina II system (Caliper Life Sciences, USA) following the manual. Tumor volume was calculated (length × width2/2). Tumor were extracted and weighed at 5 weeks. The animal experiment was approved by the Institutional Animal Care and Use Committee of Ganzhou People’s Hospital.
Statistical analysis
Results were displayed as mean ± SD and analyzed with GraphPad Prism V6 (Prism, USA). Student t test and one-way ANOVA was conducted to calculate the difference between two or more groups. A *p < 0.05 is considered to be statistically significant.
Discussion
Accumulating studies suggest that miRNA/mRNA loop exerts critical function in various human diseases including cancers [
26]. In this study, we revealed that oncogene NRP1 was highly expressed in GC and promoted GC development and progression. In addition, we identified that NRP1 was a direct target of miR-19a-3p and miR-19a-3p/NRP1 loop regulated epithelial-to-mesenchymal transition and focal adhesion in GC. Thus, our findings suggest a potential diagnostic and therapeutic target for GC treatment.
GC can be classified into different subtypes according to the different anatomic locations, development stages, or major morphologic components [
27]. Based on histology, researchers divided GC into two types: gland formation (GF) and no gland formation (nGF) [
28]. Intriguingly, the NPR-1 expression was not significantly different in these two types. However, NRP1 expression was not an independent prognostic factor in the GF group while NRP1 expression was an independent prognostic factor in nGF group and predicted a poor prognosis [
28]. Zhuo et al. demonstrated that NRP1 was associated with survival time in patients with advanced GC [
29]. In addition, it has been demonstrated that tumor levels of NRP1 might aid the selection of patients with advanced or metastatic GC who might benefit from the combination treatment of bevacizumab and chemotherapy [
30]. Our findings further validated the higher expression of NRP1 in GC with advanced TNM stages, distant metastasis, and the presence of recurrence. We also showed that high expression of NRP1 was associated with poor prognosis in GC patients. Taken together, NRP1 is predicted to be a good biomarker and therapeutic target for advanced or metastatic GC treatment.
Studies have shown that NRP1 was regulated by miRNAs in different tumors [
31,
32]. MiR-148b was reported to inhibiting NRP1 and regulating cancer stem cells in hepatocellular carcinoma [
32]. Hang C et al. recently demonstrated that miR-9 inhibited cell growth and migration via targeting NRP1 in GC [
33]. We performed bioinformatics analysis and predicted miR-19b-3p might negatively regulate NRP1 expression via binding to its 3′-UTR. Luciferase reporter assay confirmed the interaction between miR-19b-3p and NPR1. Furthermore, NRP1 expression was negatively associated with miR-19b-3p expression in GC tissues. Studies have demonstrated that there are multiple-to-multiple relationships between miRNAs and target genes in GC [
34]. Thus, it is possible that NRP1 was regulated by multiple miRNAs including miR-19b-3p and miR-9 in GC. Further studies will be conducted to address the combined regulatory effect of multiple miRNAs targeting NRP1.
MiR-19b-3p has been investigated in various cancers including breast cancer, pancreatic cancer, colon cancer and so on [
35‐
37]. MicroRNA profiling in patients with GC identified miR-19b-3p was significantly downregulated in GC [
38]. Consistently, we found that miR-19b-3p was low-expressed in GC tissues and cel lines. It has been reported that circulating miR-19b-3p was a novel potential biomarker to indicate the progression of GC [
39]. However, how miR-19b-3p regulates GC development and progression is not clear. To our knowledge, this is the first report to demonstrate that miR-19b-3p negatively regulates NRP1 expression in GC. Rescue experiments validated that overexpression NRP1 partially abrogated the tumor suppressive function of miR-19b-3p. Consistent with our data, Weiming Chu et al. showed that NRP1 promoted EMT and predicated poor prognosis in human oral squamous cell carcinoma [
40]. Intriguingly, anti-NRP1 monoclonal antibody treatment repressed adhesion of MCF7 breast cancer cells [
41]. We also demonstrated that miR-19b-3p/NRP1 axis regulated EMT and focal adhesion in GC.
Conclusion
In summary, our findings verified miR-19b-3p/NRP1 axis plays a critical role in the development of GC. MiR-19b-3p inhibited GC cell growth, migration and invasion via negatively regulating NRP1 and EMT/cell adhesion process. Thus, the results suggest a novel potential diagnostic and therapeutic value of miR-19b-3p/NRP1 in GC.
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