Abstract
The aim of the present study was to investigate the function of microRNA-543 on liver cancer cell proliferation and apoptosis, and also to identify whether the Janus kinase 2 (JAK2)/signal transducer and activator of transcription 3 (STAT3) signaling pathway was a direct target of microRNA-543. When compared with paracarcinoma tissue, microRNA-543 expression in tissue samples from patients with liver cancer was identified to be decreased. Furthermore, overall survival of patients with high microRNA-543 expression was increased compared with patients with low microRNA-543 expression. Inhibition of microRNA-543 expression increased cell proliferation and decreased apoptosis of liver cancer cells. It also activated the protein expression of phosphorylated JAK2, phosphorylated STAT3, c-Myc and B-cell lymphoma 2 (Bcl-2) in liver cancer cells. However, activation of microRNA-543 expression in turn decreased cell proliferation and increased apoptosis of liver cancer cells. The results of the present study highlight the pivotal function of microRNA-543 as an inhibitor in liver cancer cell proliferation by observing JAK2/STAT3/c-Myc/Bcl-2 in liver cancer.
Keywords: microRNA-543, liver cancer, Janus kinase 2, signal transducer and activator of transcription 3, c-Myc, B-cell lymphoma 2
Introduction
Liver cancer is a common type of gastrointestinal cancer, whose incidence is only second to that of stomach cancer (1). In China, there are numerous patients with hepatitis, among whom hepatitis B is more common, and hepatitis B is often transferred into hepatitis B-cirrhosis-liver cancer (1). However, the clinical treatment of liver cancer is not ideal, which primarily results from the recurrence and metastasis of hepatocellular carcinoma (HCC) (1,2). Surgery remains the most effective treatment of liver cancer, but surgical resection is aimed only at the visible tumor, and it cannot remove the invisible small tumor foci or micro-metastases. Therefore, seeking an effective treatment method to inhibit tumor recurrence has become a hot research topic.
The Janus kinase (JAK)/signal transducer and activator of transcription (STAT) signaling pathway overactivated in a number of tumors is a common signal transduction pathway in tumors (3). It is has been identified that the excessive activation of STAT is associated with the recurrence and metastasis of various tumors, including breast cancer, lung cancer, colon cancer, stomach cancer, glioma, melanoma and other skin squamous cell carcinomas (4). The JAK/STAT signaling pathway is able to regulate cell proliferation, apoptosis and angiogenesis (5). STAT has been identified to be excessively expressed in HCC tissues, and it is positively correlated with the clinical staging and grading of HCC (5).
It has been identified recently that the expression levels of microRNAs in various tumors are abnormal to various degrees, and they change upward or downward, which indicates microRNAs have a certain association with the development of tumors (5). The association between microRNAs and cancer is an important focus of research worldwide and has led to an increasing number of novel results and hypotheses (6). The aim of the present study was to investigate the function of microRNA-543 on liver cancer cell proliferation and apoptosis, and also to identify whether the JAK2/STAT3 signaling pathway was a direct target of microRNA-543.
Materials and methods
Ethics statement and samples
The present study was approved by the institutional ethics and scientific committee of The China Japan Union Hospital of Jilin University (Changchun, China). All patients provided written informed consent for the use of their tissues. All HCC tumor tissues and matched adjacent normal tissues (n=56; male; between 57 and 79 years of age) were collected at the Department of Gastrointestinal Medicine, The China Japan Union Hospital of Jilin University between March 2015 and May 2015. Tissue samples were collected and stored at −80°C until further use.
Reverse transcription-quantitative polymerase chain reaction (RT-qPCR)
Total RNA was prepared from tissues samples using TRIzol® reagent (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA), according to the manufacturer's protocol. A 100 ng amount of total RNA was reverse-transcribed into cDNA using a TaqMan™ MicroRNA Reverse Transcription kit (Applied Biosystems; Thermo Fisher Scientific, Inc.), according to the manufacturer's protocol. Subsequently, qPCR was performed using SYBR Select Master mix for CFX (Invitrogen; Thermo Fisher Scientific, Inc.) to quantify microRNA-543 expression. microRNA-543 forward, 5′-TGGCAAAGGAGCAGATTAGTAGG-3′, and reverse, 5′-CTGCCACAAGCCACTAGAGGATAAGA-3′; U6 forward, 5′-GCTTCGGCAGCACATATACTAAAAT-3′ and reverse, 5′-CGCTTCACGAATTTGCGTGTCAT-3′. microRNA expression was measured using the comparative cycle quantification (Cq; 2−ΔΔCq) method (7).
Cell culture
HCC MHCC97 and Hep3B cells were obtained from the Experiment Center of Jilin University and maintained in RPMI-1640 medium (Gibco; Thermo Fisher Scientific, Inc.) supplemented with 10% fetal bovine serum (Hyclone; GE Healthcare Life Sciences, Logan, UT, USA) at 37°C in a humidified atmosphere containing 5% CO2.
Cell transfection
Negative control (5′-CCCCCCCCCCCCCC-3′), microRNA-543 inhibitor (5′-ATATATGCTCTGGAAATGATTCAGCAGTACGAAAGCC-3′) and microRNA-543 activator (5′-GGCTTTCGTACTGCTGAATCATTTCCAGAGCATATAT-3′) were synthesized by Shanghai GenePharma Co., Ltd. (Shanghai, China). Plasmids were transfected into MHCC97 and Hep3B cells using Lipofectamine® 2000 reagent (Invitrogen; Thermo Fisher Scientific, Inc.) to a final concentration of 20 nmol/l.
Cell proliferation assay
MHCC97 and Hep3B cells transfection were seeded on 96-well plates at an initial density of 3×103 cells/well. A 100 µl volume of sterile MTT (0.5 mg/ml; Sigma-Aldrich; Merck KGaA, Darmstadt, Germany) was added to the cells for 4 h following 0, 24 and 48 h of incubation at 37°C. The culture medium was removed and 150 µl dimethylsulfoxide was added for 30 min to dissolve the formazan product. Optical density was determined at 490 nm.
Western blot analysis
Transfected MHCC97 and Hep3B cells were seeded on 6-well plates at initial density of 1×106 cells/well. Proteins were extracted using radioimmunoprecipitation lysis buffer (Thermo Fisher Scientific, Inc.) and the protein content was determined using a Bicinchoninic Acid Protein assay kit (Beyotime Institute of Biotechnology, Haimen, China). Equal amounts of proteins (50 µg) were subjected to 10% SDS-PAGE and then transferred onto polyvinylidene difluoride membranes. Following blocking with 5% non-fat milk Tris-buffered saline containing 0.1% Tween-20 (TBST) for 1 h at 37°C, the membranes were washed with TBST for 1 h at room temperature, and incubated with antibodies against phospho- (p-)JAK2 (66245; 1:1,000), p-STAT3 (52075; 1:1,000), c-Myc (9402; 1:1,000), and B-cell lymphoma 2 (Bcl-2; 15071; 1:1,000) and GAPDH (5174; 1:5,000; all from Cell Signaling Technology, Inc., Danvers, MA, USA) and GAPDH overnight at 4°C. The membrane was washed with TBST and incubated with a horseradish peroxidase-conjugated anti-rabbit IgG antibody (7074; 1:5,000; Cell Signaling Technology, Inc.) for 1 h at 37°C. The membrane was detected with BeyoECL Star (Beyotime Institute of Biotechnology) reagent and images were captured using Image Lab 3.0 (Bio-Rad Laboratories, Inc., Hercules, CA, USA).
Statistical analysis
All quantitative data are expressed as the mean ± standard deviation. Kaplan-Meier survival analysis and log-rank test were used to assess overall survival (OS) rates. Statistical evaluation was performed using Student's t-test. P<0.05 was considered to indicate a statistically significant difference.
Results
MicroRNA-543 expression and OS
Using RT-qPCR, it was identified that microRNA-543 levels were significantly decreased in the HCC tissues in comparison with the adjacent tissues (Fig. 1A). It was also identified that OS rates of patients with high microRNA-543 expression were increased, compared with that of patients with low microRNA-543 expression (Fig. 1B).
Inhibition of microRNA-543 expression increases cell proliferation and inhibits cell apoptosis of liver cancer cells
To investigate whether the inhibition of microRNA-543 expression had an effect on HCC cell proliferation and apoptosis, MHCC97 and Hep3B HCC cells were transfected with microRNA-543 inhibitor. The proliferation of MHCC97 and Hep3B cells transfected with microRNA-543 inhibitor was significantly increased compared with that of the negative control group (Fig. 2A and B). The apoptosis rate of MHCC97 and Hep3B cells transfected with microRNA-543 inhibitor was significantly decreased compared with that of the negative control group (Fig. 2C and D).
Inhibition of microRNA-543 expression activates the protein expression of p-JAK2, p-STAT3, c-Myc and Bcl-2 in liver cancer cells
The effect of inhibiting microRNA-543 on the expression of various proteins in HCC cells was investigated. As presented in Fig. 3, the inhibition of microRNA-543 expression significantly increased p-JAK2, p-STAT3, c-Myc and Bcl-2 protein expression in MHCC97 and Hep3B cells, compared with the negative control group.
Activation of microRNA-543 expression decreases cell proliferation and induces cell apoptosis of liver cancer cell
To further investigate the function of microRNA-543 in HCC progression, the expression of microRNA-543 was activated in MHCC97 and Hep3B cells. Activation of microRNA-543 expression significantly decreased cell proliferation (Fig. 4A and B) and induced apoptosis (Fig. 4C and D) of MHCC97 and Hep3B cells, compared with the negative control group.
Activation of microRNA-543 expression decreases the protein expression of p-JAK2, p-STAT3, c-Myc and Bcl-2 in liver cancer cells
Western blot analysis was used to analyze the protein expression of p-JAK2, p-STAT3, c-Myc and Bcl-2 protein expression in MHCC97 and Hep3B cells transfected with microRNA-543 activator. It was identified that p-JAK2, p-STAT3, c-Myc and Bcl-2 protein expression in MHCC97 and Hep3B cells transfected with microRNA-543 activator was significantly inhibited, compared with the negative control group (Fig. 5).
Discussion
Liver cancer is the most common malignant liver disease in adults (8). Although the success of its therapy is improving continuously, and there are a variety of therapies, including surgical resection, liver transplantation, radiotherapy and chemotherapy, none has significantly extended the mean 5-year survival of patients with liver cancer (9,10). One of the most important reasons for the high mortality and poor prognosis of patients with liver cancer is that the underlying molecular mechanism is poorly understood. However, with the development of modern cell molecular biology, it has been identified that the formation of liver cancer is typically accompanied by a series of abnormal molecules and signaling pathways. Therefore, investigating the underlying molecular mechanism and treat the characteristics of molecules as antitumor targets may open up a new avenue for the clinical prevention and treatment of liver cancer (8). The results of the present study indicated that the activation of microRNA-543 expression decreases proliferation and induces apoptosis of liver cancer cells, which suggests that microRNA-543 may function as a tumor suppressor in HCC.
The JAK/STAT signaling pathway is a well-known signal transduction pathway, which is typically overexpressed in a number of tumors (11). It has been reported that excessive activation of STAT is markedly associated with the invasion and metastasis of breast cancer, lung cancer, colon cancer, stomach cancer, glioma, melanoma, squamous cell carcinoma and other tumors (12). The JAK/STAT signaling pathway may affect, directly or indirectly, cell proliferation, apoptosis, invasion, metastasis and angiogenesis. Furthermore, overexpression of STAT has been identified in HCC, which is positively correlated with the clinical staging and pathological grading of HCC (13). In the JAK/STAT signaling pathway, the interaction of external stimulatory factors and cell membranes leads to receptor dimerization, which can activate JAK molecules in the cytoplasm (14). The activated JAK is coupled with cytokine receptors on the cell membrane, which phosphorylates the tyrosine residues of the receptor, and the phosphorylation site becomes the recognition site of the Src homology 2 domain in STAT proteins. Subsequently, STAT binds to the receptor and is phosphorylated by JAK (15). When the affinity between phosphorylated STAT and their receptors decreases, the phosphorylated STAT separates from its receptor and generates the active form of dimer. It is subsequently transferred to the cell nucleus and binds to specific DNA-response elements to result in the expression of corresponding genes [e.g., vascular endothelial growth factor (VEGF) and matrix metalloproteinases (MMPs)], the synthesis of a variety of proteins (e.g., VEGF and MMPs), and the performance of various biological behaviors (15). The results of the present study indicated that the activation of microRNA-543 limits the protein expression of p-JAK2 and p-STAT3 in MHCC97 and Hep3B cells, thus indicating that microRNA-543 regulates HCC cell proliferation through the JAK2/STAT3 signaling pathway.
The cell cycle is a series of ordered cellular activities which cause the division and duplication of its DNA to create two daughter cells (16). The entire process is divided into two periods: Silence period and proliferative period. However, by contrast, cancer is disorderly cell proliferation (17). The cell cycle is associated with the regulation of a number of proteins. In the cell transition phase from G2 to M, the mitosis-promoting factor is the most important regulatory element (17). c-Myc distribution results in different types of liver cancer tissue, which means that there are distinct differences between poorly differentiated adenocarcinoma and highly or moderately differentiated adenocarcinoma, and undifferentiated adenocarcinoma is different from differentiated adenocarcinoma. Consequently, it can be concluded that positive c-Myc expression is associated with the degree of tumor differentiation. c-Myc is slightly increased in slow-growing and highly differentiated adenocarcinoma, whereas it is significantly increased in fast-growing and poorly differentiated adenocarcinoma (16,18). In addition, in the present study, it was identified that microRNA-543 activation represses c-Myc expression of MHCC97 and Hep3B cells. Thus, c-Myc expression may be a crucial signaling pathway through which microRNA-543 affects HCC.
Tumorigenesis arises owing to the imbalance between cell proliferation and apoptosis. It has been identified that there is abnormal expression of various cancer genes, tumor suppressor genes and apoptosis genes in HCC. Among them, Bcl-2 and c-Myc genes are key representatives (19). The proto-oncogene Bcl-2 was originally identified in the chromosomal translocation point of B-cell lymphoma. The proto-oncogene Bcl-2, as an anti-apoptotic gene, is predicated to be associated with tumor resistance and anti-radiation sensitivity (20). Previous studies have indicated that Bcl-2 and its protein product are expressed in benign and malignant tissue of several non-hematopoietic systems, except lymphoma, such as lung cancer, stomach cancer and breast cancer; and they affect the occurrence and development of tumors (19,21). Transgenic animal experiments revealed that Bcl-2 expression by liver cells may be unaffected by Fas-mediated hepatocyte apoptosis, which leads to tumorigenesis (21). It was identified that microRNA-543 activation also significantly decreases Bcl-2 protein expression in MHCC97 and Hep3B cells.
In conclusion, the results of the present study indicated that microRNA-543 inhibits liver cancer growth and leads to apoptosis via the JAK2/STAT3 signaling pathway. The results also suggested that microRNA-543 may serve as a novel diagnostic and prognostic biomarker for HCC.
Acknowledgements
Not applicable.
Funding
The present study was supported by the Natural Science Foundation of China (grant no. 81571939).
Availability of data and materials
The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
Authors' contributions
FJ designed the experiment. DX, DW, JW and WZ performed the experiment. FJ and DX analyzed the data. FJ wrote the manuscript.
Ethics approval and consent to participate
The present study was approved by the institutional ethics and scientific committee of The China Japan Union Hospital of Jilin University. All patients provided written informed consent for the use of their tissues.
Patient consent for publication
Not applicable.
Competing interests
The authors declare that they have no competing interests.
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Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.