Background
Lung cancer is the most common cause of cancer-related death in the world. Non-small cell lung cancer (NSCLC) comprises approximately 80% of lung cancers [
1]. Hematogenous and lymphatic metastases are the most common metastatic pathways for lung cancers. At the earlier stages, lung cancer cell metastasizes through the lymphatic system. As hematogenous metastasis often occurs when lung cancer develops into an advanced stage, hematogenous metastasis is generally associated with a poor prognosis of lung cancer patients and an accelerated mortality rate of lung cancer patients [
2]. It has previously demonstrated that, compared with healthy controls and lung cancer patients without hematogenous metastasis, patients with hematogenous metastatic lung cancer displayed significantly increased platelet count and aggregation [
3]. Close correlation between the hematogenous metastasis of lung cancer and platelet activation was also reported by others [
4]. However, the mechanism underlying the role of platelets in modulating the hematogenous metastasis of lung cancer remains unclear.
It has been well documented that activated platelets release large amount of microvesicles (MVs) [
5,
6]. Platelets are major sources of MVs in peripheral bloodstream as two-thirds of peripheral blood MVs is likely derived from platelets [
7]. In response to the stimuli of various inflammatory factors or under many disease states such as sepsis [
8,
9], thrombocytopenia [
10], arterial thrombosis [
11], thrombotic thrombocytopenia [
12], uremia [
13], malignancy [
14] and rheumatoid arthritis [
15], platelets can release more MVs. Similar to MVs derived from other cells, platelet MVs (P-MVs) bear platelet surface receptors/ligands and have the potential to selectively interact with specific target cells. Increasing evidence demonstrates that P-MVs play a role in coagulation, angiogenesis, the metastatic spread of lung cancer [
9], and the immune response of hematopoietic, endothelial, and monocytic cells [
16,
17]. P-MVs have also been implicated in the pathogenesis of atherosclerosis as well as the regulation of angiogenesis [
16,
18]. These findings suggest that, without the physical contact with the target cells, platelets can affect the functional state of the cells through releasing P-MVs. However, despite the extensive studies regarding P-MVs in various physiological and pathological processes, the mechanism that governs the role of P-MVs in target cells, particularly cancer cells, remains to be further explored.
MicroRNAs (miRNAs) are a class of noncoding RNAs that post-transcriptionally regulate gene expression in plants and animals [
19]. Through guiding the binding of the RNA-induced silencing complex (RISC) to complementary sequences in the 3-untranslated region (UTR) or the open reading frame (ORF) of target mRNA molecules, miRNAs either degrade mRNA or block the gene translation. Accumulating evidence has demonstrated that miRNAs play a key role in the cellular processes of differentiation, proliferation, maturation, and apoptosis. Our recent studies have demonstrated that miRNAs are stably expressed in animal serum/plasma and that their unique expression patterns serve as “fingerprints” of various diseases [
20]. Mechanistic studies further suggest that cells can selectively secret miRNAs via MVs in response to various stimuli and that these MV-encapsulated miRNAs are associated with Argonaute 2 (AGO2) complexes [
21,
22]. Secreted miRNAs in MVs can be efficiently delivered into target cells, in which they silence their target genes and thus affect recipient cell function [
21,
23]. Therefore, cell-secreted miRNAs in MVs can serve as a novel class of signaling molecules to remotely mediate intercellular communication.
Recent studies have shown that anucleate platelets also contain abundant miRNAs [
24-
27], though the biogenesis pathway of miRNAs in anucleate platelets remains unclear. In addition, platelets have been shown to express certain miRNA processing machinery including Dicer, RNA-binding protein 2 and AGO2 [
24], implying that platelet miRNA may have biological functions and that platelets may be able to process pre-miRNA into mature miRNA. Diehl et al. [
28] reported that miRNAs, including miR-19, miR-21, miR-126, miR-133, miR-146 and miR-223, could be detected in P-MVs, suggesting that platelets can secrete their miRNAs through P-MVs. Delivery of functional platelet miRNAs into endothelial cells via P-MVs has be reported recently [
29,
30]. Although many mRNAs have been predicted to be targets of these platelet miRNAs, the function of platelet miRNAs particularly the miRNAs stored in P-MVs, has yet to be shown. The work by Gidlof and co-workers [
30] provided the first evidence that activated platelets can release functional miRNA, which can be taken up by endothelial cells and regulate endothelial intercellular adhesion molecules 1 (ICAM1) expression, suggesting that delivery of functional platelet miRNAs into vascular endothelial cells by P-MVs can play a critical role in modulating vascular endothelial inflammatory responses. Recently, we reported that P-MVs could effectively deliver miR-223 into human umbilical vein endothelial cells (HUVECs), in which platelet miR-223 targeted IGF-1R and promoted HUVEC apoptosis induced by advanced glycation end products (AGEs) [
31]. Given that miR-223 is the most abundant miRNA in the platelets and P-MVs [
31,
32] and its expression is deregulated in many types of cancer [
33-
36], it is considered as a member of an emerging family of tumor-promoting miRNAs called oncomiRs. It has been reported that miR-223 could promote breast cancer invasiveness by suppressing Mef2c (Myocyte enhancer factor 2c) [
33]. Li et al. [
34] examined miRNAs in several human gastric cell lines and showed that miR-223 is specifically overexpressed in metastatic gastric cells and stimulates tumor cell invasion. It has been also reported that miR-223 directly target the 3′UTR of erythrocyte membrane protein band 4.1-like 3 (EPB41L3) [
35] and is the most upregulated miRNA in recurrent tumors [
36].
In the present study, we explored the role of miR-223 derived from anucleate platelets in modulating lung cancer cell invasion. Our results demonstrated that platelets from NSCLC patients contain higher level of miR-223 than that from healthy subjects. The concentration of miR-223 in the P-MVs from NSCLC patients was also increased compared to that from healthy subjects. Furthermore, we showed that P-MVs could effectively deliver miR-223 into human lung cancer cells A549, in which platelet miR-223 targeted EPB41L3 and thus promoted A549 invasion.
Discussion
Thrombocytosis is frequently observed in patients with solid tumors and is associated with adverse outcomes of tumor patients. In agreement with this, we also found that PLT and PCT in NSCLC patients were significantly higher than those in cancer-free controls (Table
2). The mechanism underlying the association between thrombocytosis and tumor progression, however, remains unclear. The contribution of platelets to the pathogenesis of cancer is highly complex and dependent upon bidirectional cross-talk between platelets, tumor cells, leukocytes, stromal cells, and endothelial cells. Platelets exert their influence on tumor cells through multiple mechanisms, including direct cellular contact, local release of soluble proteins, transfer of cytoplasmic and cell surface proteins, modulation of vascular tone and permeability, activation of coagulation, and sequestration of tumor cell proteins. In addition to the physical interaction with different cells and the secretion of proteins, platelets can release a large amount of functionally active MVs, which enter the circulation, interact with other cells and affect the function of the target cells. MVs are small vesicles shed from almost all cell types under both normal and pathological conditions [
7]. Platelets are major sources of MVs in peripheral bloodstream and two-thirds of peripheral blood MVs is likely derived from platelets [
50]. In response to the stimuli of various inflammatory factors or under many disease states such as sepsis [
8,
9], thrombocytopenia [
10], arterial thrombosis [
11], thrombotic thrombocytopenia [
12], uremia [
13], malignancy [
14] and rheumatoid arthritis [
15], platelets release significantly more MVs. Similar to MVs derived from other cells, P-MVs bear platelet surface receptors/ligands and have the potential to selectively interact with specific target cells. Increasing evidence demonstrates that P-MVs play a role in coagulation, angiogenesis, the metastatic spread of lung cancer [
9], and the immune response of hematopoietic, endothelial, and monocytic cells [
16,
17]. P-MVs have also been implicated in the pathogenesis of atherosclerosis as well as the regulation of angiogenesiss [
16,
18]. These findings suggest that platelets can affect the functional state of other cells without the physical contact through releasing P-MVs.
Table 2
Clinical parameters of platelets from healthy donors and lung cancer patients
Healthy | 20 | 212.53 ± 45.41 | 0.2095 ± 0.09 | 8.35 ± 1.35 | 14.9 ± 1.75 |
NSCLC | 20 | 268.47 ± 73.62*** | 0.2694 ± 0.04** | 9.65 ± 1.9 | 16.4 ± 1.50 |
In the present study, we reported that P-MVs contain various miRNAs, particularly miR-223, which displays the highest level in platelets, and these platelet miRNAs can be delivered into recipient tumor cells via P-MVs. In the recipient cells, platelet miRNAs suppress the translation of their target genes through forming RISC complex and thus change the phenotype of the cells. First, we found that the levels of miR-223 in both platelets and P-MVs were significantly upregulated in lung cancer patients compared to those in cancer-free controls. Second,
in vitro assays with cell tracing and qRT-PCR analysis showed that platelet miR-223 was rapidly delivered into lung cancer cells via P-MVs. Third, exogenous miR-223 derived from platelets reduced the protein level of tumor suppressor EPB41L3 and thus promoted the lung cancer cells invasion. The effect of P-MVs on EPB41L3 reduction and enhancement of tumor cell invasion was largely abolished by depleting miR-223, suggesting that miR-223 play a key role in these processes. This study provides another evidence supporting the concept that cell-secreted MVs serve as physiological carriers of functional miRNAs in exchanging genetic materials and signaling molecules between cells [
51,
52].
As a hematopoietic-specific miRNA with crucial functions in myeloid lineage development [
53,
54], miR-223 has been shown to target a transcription factor Mef2c [
53], CEBP-beta [
55], glutamate receptors (GluR2 and NR2B) [
56], IGF-1R [
57] and EPB41L3 [
34] in other cell types. By the luciferase reporter assay and experimental validation, we confirmed EPB41L3 as a target of miR-223 in lung cancer A549 cells. To support the role of miR-223-targeting EPB41L3 to promote A549 cells invasion, direct silencing of EPB41L3 expression by EPB41L3 siRNA showed an increased A549 cells invasion and overexpressing of EPB41L3 expression by miR-223-resistant EPB41L3-overexpress plasmid showed a suppressed A549 cell invasion (Additional file
1: Figure S3). Although the effect of factors other than platelet miR-223 on the reduction of EPB41L3 and promotion of A549 cells invasion cannot be excluded at this stage, depleting miR-223 in A549 cells by anti-miR-223 ASO largely reversed the enhancement of A549 cell invasion by P-MVs, implicating that miR-223 in P-MVs plays a key role in modulating A549 cell invasion by P-MVs. The effect of P-MVs on reducing target cell EPB41L3 and promoting tumor cell invasion is in proportion to the level of miR-223 in P-MVs. As can be seen in Figure
6, treatment with the P-MVs from NSCLC patients, which contain higher level of miR-223 than the P-MVs from cancer-free donors, resulted in the largest invasion of tumor cells.
Recent studies by others [
24-
30] and us [
31] have shown that anucleate platelets contain large amount of miRNAs and these platelet miRNAs are clinically and biologically relevant. Interestingly, we found that, under tumor condition, the level of miR-223 in both platelets and P-MVs were increased. This is in agreement with our previous finding that platelet miRNAs are upregulated following platelet activation [
31]. Although our data indicate that upregulation of miR-223 in anucleate platelets is not derived from de novo miR-223 synthetic pathway but from the direct maturation of pre-miR-223, the mechanism by which the upregulation of miRNAs in platelets is governed remains to be further explored.
Materials and method
Reagents, cells and antibodies
Human lung cancer cells (A549 cells) and mouse lung cancer cells (LLC cells) were purchased from the China Cell Culture Center (Shanghai, China) and cultured in DMEM supplemented with 10% fetal bovine serum (GIBCO, Foster City, CA), all cells were incubated in a 5% CO2 at 37°C in a water-saturated atmosphere. Anti-EPB41L3 and anti-GAPDH antibodies were purchased from Santa Cruz Biotechnology (Santa Cruz, CA). Synthetic oligonucleotides, including pre-miR-223, anti-miR-223, and scrambled negative control (pre-miR-control and anti-miR-control), were purchased from Ambion (Austin, TX).
Animals
Animal maintenance and experimental procedures were carried out in accordance with the US National Institute of Health Guidelines for Use of Experimental Animals and approved by the Medicine Animal Care Committee of Nanjing University (Nanjing, China). The logarithmic phase of LLC cells were collected and injected into SCID mice (the Model Animal Research Centre of Nanjing University) (1 × 10
6 cell/per mouse) via the tail vein to establish Lewis lung carcinoma orthotopic model [
58,
59]. After mice were sacrificed at the end of the experiment, blood samples were collected via cardiac puncture and tumor section slides were subjected to immunohistochemical analysis using H&E staining.
Blood collection
Patients with pathologically confirmed, newly diagnosed and untreated cancers were recruited at the Jinling Hospital (Nanjing, China). Blood samples were collected from the patients and healthy participants at the Jinling Hospital. Written informed consent was obtained from each patient and healthy participant prior to the study, and the study protocol was approved by the ethics committee of Nanjing University (Nanjing, China). The clinical features of the patients are listed in Table
1.
Platelet isolation
Platelet-rich plasma was diluted in washing buffer (10 mM HEPES, 136 mM NaCl, 2.7 mM KCl, 2 mM MgCl2, 25 mM glucose, 4.2 mM EDTA, 4.2 mM trisodium citrate and 1 mM PGE, pH 6.6). The platelet suspension was centrifuged at 750 g for 15 min at 20°C, and the pellet was re-suspended in wash buffer without PGE for an additional centrifugation in the same conditions. Finally, platelets were recovered in suspension buffer (10 mM HEPES, 136 mM NaCl, 2.7 mM KCl, 2 mM MgCl2, 25 mM glucose).
Microvesicle isolation and incubation with A549 cells
To isolate P-MVs, platelets in PRP were centrifuged at 2000 g for 15 min at 4°C, and the PMP-enriched plasma was collected. The plasma was centrifuged at 100,000 g for 1 h at 4°C in a TL-100 ultracentrifuge (Beckman Coulter). P-MVs were collected from the pellet and resuspended in FBS-free RPMI 1640 medium. For incubation of P-MVs with A549 cells, A549 cells were seeded on 12-well dishes the night before, and 200 μg P-MVs isolated from platelets were added into each well. After incubation for 24 h, A549 cells were collected for qRT-PCR and the quantitative protein assay.
Fluorescence labeling of P-MVs for confocal microscopy
To analyze the P-MVs released from platelets under various conditions, platelets were labeled with DiI-C16 and then washed three times with PBS. The cells were re-suspended and the supernatant was collected and centrifuged to isolate P-MVs. P-MVs in DMEM medium were incubated with cultured A549 cells. After incubation for 12 h, A549 cells were washed, fixed, and observed under confocal microscopy (FV1000; Olympus, Tokyo). The pictures were taken under the following conditions: Objective Lens: PLAPON 60× O NA: 1.42; Scan Mode: XY; Excitation Wavelength: 405 nm for DAPI and 543 nm for DiI-C16; Image Size: 1024 × 1024 Pixel.
RNA isolation and quantitative RT-PCR of miRNAs and pre-miRNA
Total RNA was extracted using TRIzol Reagent (Invitrogen). Quantitative RT-PCR was carried out using TaqMan miRNA probes (Applied Biosystems; Foster City, CA) or synthesized primer (Invitrogen). Briefly, 5 μl of total RNA was reverse transcribed to cDNA using AMV reverse transcriptase (TaKaRa; Dalian, China) and a stem-loop RT primer (Applied Biosystems). Real-time PCR was performed using a TaqMan PCR kit on the 7300 Sequence Detection System (Applied Biosystems). All reactions, including no-template controls, were run in triplicate. After the reaction, the CT values were determined using fixed threshold settings. To calculate the absolute expression levels of target miRNAs, a series of synthetic miRNA oligonucleotides at known concentrations were also reverse transcribed and amplified. The absolute amount of each miRNA was then calculated by referring to the standard curve. In the experiments presented here, miRNA expression in A549 cells is normalized to U6. Because platelets are anucleate, miRNA expression in platelet cells is normalized to the total RNA sampling amount. The expression levels of target miRNAs in platelet MVs were directly normalized to the total protein content of MVs.
Luciferase reporter assay
To test the direct binding of miR-223 to the target gene EPB41L3, a luciferase reporter assay was performed. The entire 3′-UTR of human EPB41L3 was PCR amplified from human genomic DNA. The PCR products were inserted into the p-MIR-reporter plasmid (Ambion) and the insertion was confirmed by sequencing. To test the binding specificity, the sequences that interacted with the miR-223 seed sequence were mutated (from AACUGAC to UUGACUG), and the mutant EPB41L3 3′-UTR was inserted into an equivalent luciferase reporter. For luciferase reporter assays, A549 cells were cultured in 24-well plates, and each well was transfected with 1 μg of firefly luciferase reporter plasmid, 1 μg of a β-galactosidase (β-gal) expression plasmid (Ambion), and equal amounts (100 pmol) of pre-miR-223 or the scrambled negative control RNA using Lipofectamine 2000 (Invitrogen). The β-gal plasmid was used as a transfection control. Cells were assayed using a luciferase assay kit 24 h post-transfection (Promega, Madison, WI).
Transfection with pre-miR-control, pre-miR-223, small interference RNAs (siRNAs) and miR-223-resistant EPB41L3-expressing plasmid
A549 cells were seeded on 6-well dishes and were transfected the following day using Lipofectamine 2000 (Invitrogen). For miR-223 overexpression, 100 pM pre-miR-223 or scrambled control miRNA (pre-miR control) was used (Invitrogen). Cells were harvested 24 h after transfection. EPB41L3 siRNA was designed to target the coding region of the EPB41L3 mRNA (5′-GCUCGAAUAUCAGCAAUUA-3′). Negative control siRNAs (siRNA control), which do not lead to the specific degradation of any known cellular mRNA, were used as the negative control. A mammalian expression plasmid encoding the human EPB41L3 open reading frame (pReceiver-M02-EPB41L3) was purchased from GeneCopoeia (Germantown, MD). An empty plasmid served as a negative control. The siRNAs and plasmid were delivered into the cultured A549 cells by Lipofectamine 2000 (Invitrogen). At 24 h post-transfection, RNAs were extracted for qRT-PCR analyses and cell lysates were prepared for western blot. Cell invasion assays were performed at 24 h post-transfection.
Invasion assay
For transwell invasion assays, 1 × 105 cells were plated in the top chamber with Matrigel-coated membrane (24-well insert; 8-mm pore size; Corning Costar Corp). Cells were plated in medium without serum. Medium supplemented with serum was used as a chemoattractant in the lower chamber. The cells were incubated for 24 h and cells that did not invade through the pores were removed by a cotton swab. Cells on the lower surface of the membranes were fixed with methanol and stained with H&E.
Western blotting
EPB41L3 protein levels were quantified by western blot analysis of whole-cell extracts using antibodies against EPB41L3. Normalization was performed by blotting the same samples with an antibody against GAPDH. Protein bands were analyzed using Bandscan software (Image J).
Statistical analysis
All images of western blots and flow cytometry are representative of at least three independent experiments. For each experiment, qRT-PCR assays were performed in triplicate. The data are presented as the means ± SEM for three or more independent experiments. Differences are considered statistically significant at p < 0.05, analyzed using Student’s t-test.
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Competing interests
The authors declare that they have no competing interests.
Authors’ contributions
KZ, HG and CYZ designed the research and analyzed data. KZ drafted the manuscript. YP, HL, XY, YW, JZ, LL, and XC performed research and analyzed data. All authors read and approved the final manuscript.