Background
Gastric cancer (GC) ranks the fourth in incidence among all cancers and second in cancer-associated mortality worldwide [
1]. In 2015, approximately 952,000 patients were diagnosed with GC, and an estimated 723,000 patients died from GC, who were mainly from Asia [
2]. Despite the improvement of diagnosis and treatment in recent years, new cases and estimated deaths continues to grow every year. 90% of GC patients are surgically curable at an early stage [
3], but most patients are diagnosed in advanced stages with extensive invasion and lymphatic metastasis, which lead to poor prognosis with limited efficient treatment options [
4,
5]. Therefore, elucidation of the mechanisms underlying GC metastasis and invasion will help to understand GC pathogenesis. In recent year, a great number of miRNAs have been identified and characterized as tumor suppressors or oncogenes in GC, many of which were associated GC metastasis and invasion. These findings suggest that miRNA might serve as potential biomarker for gastric carcinogenesis [
6‐
8].
Increasing studies proved that microRNAs (miRNAs or miRs) played an important role in in human carcinogenesis [
9]. miRNAs are a class of short noncoding RNAs (19~ 22 nucleotides) that regulate gene expression by arresting transcription or inducing transcriptional degradation, thereby mediating cellular function, such as cell proliferation, metastasis and invasion [
10,
11]. According to a great number of miRNAs discovered, multiple miRNAs can regulate a particular mRNA while a single miRNA can target many mRNAs [
12]. Moreover, miRNAs can be regulated by transcription factor which binds to its promoter region [
13]. Intriguingly, the role of the same miRNA may be opposite in different cancer [
14]. Therefore, more studies are needed to fully elucidate the function of the same miRNA in different cancer. Although miR-589 has been reported in lung cancer and hepatocellular carcinoma [
15,
16], the biological effect of miR-589 in GC still remains unknown. Our study aims to determine the biological characteristic of miR-589 in GC and uncover the molecular mechanism underlying its function.
Leukemia inhibitory factor receptor (LIFR), a specific receptor for leukemia inhibitory factor (LIF), was firstly identified via expression screening of a placental cDNA [
17]. Increasing evidence showed that LIFR played an important role in suppression of tumorigenesis. LIFR has been identified as a metastasis suppressor of breast cancer via the HIPPO-YAP pathway. Moreover, LIFR expression is down regulated in breast cancer and also significantly correlates with poor prognosis and overall survival outcomes of breast cancer patients [
18‐
20]. Also, through the increased hypermethylation of its promoter, LIFR is observed to be markedly reduced in HCC tumor tissues [
21,
22]. In GC, LIFR is positively regulated by LncRNA-LOWEG, which is a tumor suppressor inhibiting cell invasion [
23]. Taken together, these findings suggest LIFR as prognostic marker for tumor progression, combination of LIFR and relevant genes are more efficient to evaluate prognoses.
In our studies, we investigated the biological function of miR-589 in GC, and addressed the underlying mechanism of miR-589-mediated cell migration, metastasis and invasion. Our data showed that miR-589 directly targeted LIFR, which blocked PI3K/AKT pathway and thus reduced c-Jun expression. Furthermore, c-Jun activated miR-589 transcription and thereby formed a 589-LIFR-PI3K/AKT-c-Jun loop. Our studies provide evidences supporting the existence of a novel feedback loop with a crucial role in tumor metastasis and invasion.
Methods
Cell culture and treatment
A series of GC cell lines (GSE-1, BGC823, MKN45, MGC803, AGS, MKN28) were obtained from Foleibao Biotechnology Development (Shanghai, China). The cells were cultured in RPMI 1640 medium (Gibco, Grand Island, NY, USA) supplemented with 10% fetal bovine serum (FBS) (NBCS) (PAA Laboratories, Inc., Pasching, Austria). All of these cell lines were incubated in a humidified chamber with 5% CO2 at 37 °C. For inhibitor treatment, 10 mmol/L PI3K inhibitor LY294002 (Cell Signal Technology, Danvers, MA) was added in the cultured cells every two days.
LIFR plasmids, miR-589 mimic, anti-miR-589 oligos and all siRNA oligos including c-Jun specific siRNAs (si-1973, si-1554, si-2358 and si-1113) were purchased from GenePharma (Shanghai, China). GC cells at exponential growth phase were plated into 6-well plates for 24 h at a density of 0.5 × 105 cells/mL, and transfected with 1 mg of siRNA or 4 μg cDNA using Lipofectamine 2000 reagent (Invitrogen; Carlsbad, Calif, USA) in reduced serum medium (OPTI-MEM-I; Invitrogen) according to the manufacturer’s protocol.
Clinical samples
Fresh primary GC specimens with paired normal gastric tissues were obtained from the Tumor Tissue Bank of Nanfang Hospital. In each case, pathological diagnosis was made after elective surgery for GC in Nanfang Hospital during 2009 and 2014. All experiments performed are endorsed by the Ethics Committee of Southern Medical University and complied with the Declaration of Helsinki. No informed consent was required because data were going to be analyzed anonymously.
Animals
All animal experiments were carried out with the approval of the Southern Medical University Animal Care and Use Committee in accordance with the guidelines for the ethical treatment of animals. Nude nu/nu mice were maintained in a barrier facility in racks filtered with high-efficiency particulate air filter. The animals were fed with an autoclaved laboratory rodent diet. The mice in this study were purchased from the Experimental Animal Centre of Southern Medical University, which is certified by the Guangdong Provincial Bureau of Science. All animal experiments involved ethical and humane treatment under a license from the Guangdong Provincial Bureau of Science.
Western blot analysis
Protein expression was assessed by immunoblot analysis of cell lysates (20–40 μg) in RIPA buffer in the presence of rabbit antibodies to GAPDH (1:1000; Santa Cruz, California, USA); mouse antibody to LIFR (1:1000; Proteintech); rabbit antibodies to PI3K, p-PI3K, p-AKT(Ser473)(#4060), AKT(#4691) (1:1000; CST, Danvers, MA). Relative protein abundance of phosphorate proteins was determined by normalisation with levels of corresponding total protein. Relative protein abundance of total protein was determined by normalisation with levels of corresponding endogenous control protein.
Statistical analysis
Data were analyzed using SPSS version 19.0 software (SPSS; Chicago, USA). Statistical significance of difference between groups was determined by a two-tailed paired Student’s t test. Kaplan-Meier plots were performed to investigate the prognostic relevance of PIK3AP1 in univariate analysis. Statistical significance was established at P < 0.05.
Discussion
Although metastasis and invasion are the overwhelming causes of cancer mortality, a comprehensive picture of modular and cellular determinants governing these processes remains largely unexplored [
9]. Multiple lines of evidence has proved that abnormal expression of miRNAs was closely correlated with cancer migration, metastasis and invasion [
9,
25]. In our studies, miR-589 expression was obviously upregulated in GC tissues compared with normal tissues. Subsequent experiment showed that miR-589 endowed GC cells with a more invasive phenotype as well as enhanced migratory and metastatic ability. Thus, miR-589 may serve as an attractive candidate biomarker or therapeutic target for GC progression.
Recent work has revealed LIFR function is regulated by miRNAs including miR-629-3p, miR-200b and miR-9 [
26‐
28]. In agreement with these findings, our study showed an inverse expression of LIFR in relation to miR-589 in GC cells. To verified molecular interaction between LIFR and miR-589, we performed luciferase reporter assay which indicated that miR-589 directly targeted LIFR and reduced its expression. The association of the miR-589 expression with LIFR antitumor function highlighted the important role of miRNAs in tumorigenesis.
As a member of gp130 receptor family, LIFR is architecturally similar to gp130, which is an interleukin-6 signal transducer (IL6ST) [
29]. After LIFR forms multimeric complexes with gp130, LIF binds the complexes and subsequently activated JAK/STAT, MAPK, and PI3K/AKT signaling pathway [
30]. However, LIFR is found to block PI3K/AKT pathway in hepatocellular carcinoma (HCC) [
31]. Consistent with this finding, we observed a weaker phosphorylation of PI3K and AKT in GC cells overexpressing LIFR. Therefore, LIFR may play a contradictory or conflicting role in PI3K/AKT pathway in different cells. Future studies concerning LIFR-mediated PI3K and AKT phosphorylation are needed to fully elucidate the mechanism underlying LIFR function.
The AP-1 family member c-Jun is a well-known oncogene which has been linked to metastatic and invasive properties of various cancers [
32‐
34]. For example, high expression of c-Jun was observed in breast cancer tumors with invasive phenotype. Breast cancer cells with ectopic overexpression of c-Jun showed increased motility and invasiveness [
35‐
37], these findings demonstrated a critical role for c-Jun in cancer cells migration and invasion characteristics. In our study, we proved that miR-589 expression was positively correlated with c-Jun expression, which suggested the contribution of c-Jun to miR-589-induced cells migration, metastasis and invasion.
c-Jun N-terminal kinases (JNK) were firstly identified as kinases responsible for binding and phosphorylating c-Jun at two regulatory sites (Ser-63 and Ser-73) located within its transcriptional activation domain [
38]. As a member of a subgroup of MAPK signaling pathway, JNK signaling pathway is one of the crucial downstream signaling pathway of AKT [
24]. In summary, AKT acted as an upstream regulator of JNK and c-Jun and induced c-Jun expression via an AKT/JNK/c-Jun signaling. In agreement with this findings, we found that treatment with LY294002 triggered a decrease in c-Jun expression in GC cells, whereas, we did not detect the change of JNK expression after using LY294002. Therefore, extensive study is required to examine whether LY294002 reduce c-Jun expression through AKT/JNK/c-Jun signaling.
As a transcription factor, c-Jun functions as an upstream regulator of many genes, including miRNAs, and participates in various signaling pathway [
39]. Recent study has showed that c-Jun stimulated some key miRNAs transcription via binding to its promoter region. Inversely, c-Jun expression was modulated by the same miRNA, thus formed a feedback loop and regulated its own expression [
40]. In our study, bioinformatics analysis predicted miR-589 as the target of c-Jun. Subsequent experiments proved that c-Jun activated miR-589 transcription via binding to the predicted sites within its promoter region. In turn, miR-589 affected c-Jun expression by a miR-589/LIFR/PI3K/AKT pathway. Collectively, these results offer an atypical miR-589-LIFR-PI3K/AKT-c-Jun feedback loop explaining the mechanism underlying miR-589 function.
Conclusions
As summarized in our model in Fig.
6f, miR-589 is not only an upstream regulator but also a key target in the pathway we discovered. Experiments showed that miR-589 stimulate the phosphorylation of AKT by directly targeting LIFR and resulted in suppression of LIFR expression. Correspondingly, as a downstream of AKT pathway, c-Jun expression was promoted together with the activation of AKT pathway. Interestingly, c-Jun inversely bound to the promoter region of miR-589 and activated its transcription. Therefore, miR-589 does not induce gastric carcinogenesis alone, instead, miR-589 forms a miR-589-LIFR-PI3K/AKT-c-Jun feedback loop which contributes to cell migration, metastasis and invasion. Taken together, our findings provide a mechanistic explanation for miR-589 biological effects on GC, and suggest miR-589 as a biomarker and/or therapeutic target for GC progression.