Abstract
Abstract
Background
MicroRNAs (miRNA) and other small RNAs are frequently dysregulated in cancer and are promising biomarkers for colon cancer. Here we profile human, virus and bacteria small RNAs in normal and tumor tissue from early stage colon cancer and correlate the expression with clinical parameters.
Methods
Small RNAs from colon cancer tissue and adjacent normal mucosa of 48 patients were sequenced using Illumina high-throughput sequencing. Clinical parameters were correlated with the small RNA expression data using linear models. We performed a meta-analysis by comparing publicly available small RNA sequencing datasets with our original sequencing data to confirm the main findings.
Results
We identified 331 differentially expressed miRNAs between tumor and normal samples. We found that the major changes in miRNA expression between left and right colon are due to miRNAs located within the Hox-developmental genes, including miR-10b, miR-196b and miR-615. Further, we identified new miRNAs associated with microsatellite instability (MSI), including miR-335, miR-26 and miR-625. We performed a meta-analysis on all publicly available miRNA-seq datasets and identified 117 common miRNAs that were differentially expressed between tumor and normal tissue. The miRNAs miR-135b and miR-31 were the most significant upregulated miRNA in tumor across all datasets. The miRNA miR-133a was the most strongly downregulated miRNA in our dataset and also showed consistent downregulation in the other datasets. The miRNAs associated with MSI and tumor location in our data showed similar changes in the other datasets. Finally, we show that small RNAs from Epstein-Barr virus and Fusobacterium nucleatum are differentially expressed between tumor and normal adjacent tissue.
Conclusions
Small RNA profiling in colon cancer tissue revealed novel RNAs associated with MSI and tumor location. We show that Fusobacterium nucleatum are detectable at the RNA-level in colon tissue, and that both Fusobacterium nucleatum and Epstein-Barr virus separate tumor and normal tissue.
Electronic supplementary material
The online version of this article (10.1186/s12885-019-5330-0) contains supplementary material, which is available to authorized users.
Keywords: miRNA, isomiR, ncRNA, sRNA, Epstein-Barr virus, Fusobacterium nucleatum, Colon cancer, High throughput sequencing
Background
Both host small RNAs (sRNAs) and bacterium and virus pathogens are implicated in the pathogenesis of several human cancers, including colorectal cancer (CRC). MicroRNAs (miRNAs), which is one of the most studied classes of sRNAs, have altered expression profiles in CRC and these profiles differ between CRC subtypes. For example, miRNAs correlate with microsatellite instability (MSI) status [1, 2], tumor location [3, 4], BRAF and KRAS mutation [5, 6] and tumor stage [7]. It is important to understand the underlying molecular mechanisms of CRC heterogeneity, since these mechanisms influence treatment decision-making.
Many studies have investigated the role of microorganisms in CRC, mostly focusing on the gut microbiota (e.g. [8, 9]). Analyses by 16S ribosomal DNA sequencing or real-time PCR have demonstrated enrichment of bacteria, including the oral bacterium Fusobacterium nucleatum (F. nucleatum), in tumor compared to adjacent normal tissue [10–14]. F. nucleatum and other bacteria can modulate the microenvironment to cause inflammation and increase proliferation [15, 16].
In contrast to bacteria, the role of viral pathogens in CRC is less explored. Human Papilloma Virus (HPV) is detected in CRC tumors in some studies; however, no consensus is reached regarding its role, and the frequency of detection varies largely between studies [17]. The role of HPV is more evident for anal cancer, in which HPV is detected in the majority of the malignancies [18]. Epstein-Barr virus (EBV) is detected in CRC tumors, also with varying frequency [19–23]. Other viruses such as John Cunningham virus and Human Cytomegalovirus have been detected in CRC tissue and are suggested to have a role in enhancing cell proliferation [24, 25].
Here we use small RNA sequencing to analyze 48 early stage colon tumors and 48 matched adjacent normal controls. By combining our data with small RNA sequencing data from The Cancer Genome Atlas (TCGA) and three other cohorts [7, 26, 27], we provide a comprehensive view of canonical miRNAs, miRNA variants (isomiRs), and other small RNAs that differ between tumor and normal samples and between clinical subtypes of the tumors. Furthermore, we show that a large proportion of the sequencing reads that did not match any region in the human genome mapped to virus and bacterial species. Among the most prominent species were Fusobacterium nucleatum and Epstein-Barr-virus, which both showed over-expression in tumors compared with normal adjacent colon. Our results show that small RNAs can provide comprehensive and consistent data for early detection and subtyping of colon cancer.
Methods
Patient samples
The current study was performed as a retrospective study on samples from St. Olavs Hospital biobank. Samples from patients with newly diagnosed primary colon cancer from two hospitals in Norway (St Olavs Hospital, Trondheim and Hamar Hospital, Hamar) were included, as described in [28]. Tumor tissue from colon (coecum to sigmoideum, not rectum) and adjacent normal mucosa from 48 patients with tumors detected at early stages I-II (no lymph nodes or distant metastases), were included in the present study. All patients gave written consent to attend the study.
Tumor molecular analyses and clinical parameters
Status of MSI, BRAF mutation (V600E) and methylation of MLH1 promoter in tumor were analyzed as described [28]. KRAS mutation analyses were performed in DNA isolated from tumor tissue by sequencing of exon 2 and 3, to identify activating mutations in codon 12, 13 and 61. Primers for exon 2 were 5′-TGGTGGAGTATTTGATAGTGT-3′ (forward) and 5’-CCTCTATTGTTGGATCATATTC-3′ (reverse) and primers for exon 3 were 5’-GGTGCACTGTAATAATCCAGACTGTGT-3′ (forward) and 5’-TGCATGGCATTAGCAAAGAC-3′ (reverse).
Right-sided colon was defined as location 1–5 (appendix, coecum, ascendens and right flexure and transversum). Left-sided colon was defined as location 6–10 (left flexure, descendens, sigmoid, rectosigmoid and rectum).
RNA isolation
Total RNA was isolated from tissue samples by using miRVana RNA isolation kit (ThermoFisher). RIN values were measured using Eukaryote total RNA assay on the Agilent 2100. RIN > 9 was regarded as high quality and sufficient for sequencing.
Preparation of cDNA library for small RNA sequencing
Small RNA sample preparation was performed using the TruSeq small RNA protocol (Illumina) according to the manufacturer’s instructions, using 1μg RNA and 13 PCR cycles. During the 3′ ligation step, 10 synthetic calibrator RNAs were added to the master mix to serve as internal controls. The miRNA fragments were sequenced on the Illumina HiSeq 2500 system using 50 base pair single read.
Mutation count analysis
Masked somatic mutations for TCGA colon adenocarcinomas were downloaded from the national cancer institute’s genome data commons. A linear model correlating somatic mutation counts in exomes with presence of loss-of-function and missense mutations in one or more of the MMR genes MSH2, MSH6, MLH1, and PMS2 in TCGA were created using the lm function in R in the following form: Count ~ LossOfFunction + Missense. Here, “Count” is the log2 number of mutations, and “LossOfFunction” and “Missense” is presence of loss-of-function and missense mutation, respectively. The alternative model including miR-155 expression had the following form: Count ~ LossOfFunction + Missense + miR155, where miR155 was log2 normalized miR-155-5p expression. The p-values represents the p-values from the F-statistics in the linear model in R.
Reverse transcription quantitative PCR (RT-qPCR)
We used the Taqman technology for RT-qPCR analyses (ThermoFisher). Custom probes were designed using Custom TaqMan® Small RNA Assays. We used the following probes:
Fusobacterium probe 1: GGUCGCAUAGCUCAGUUGGGAGAGCACC.
Fusobacterium probe 2:ACCGGGAUGGACAAACCUCUGAUGUACCAGUU.
miR-BART10-3p: TACATAACCATGGAGTTGGCT.
miR-BART19-5p. Cat. #4427975. Assay ID: 006693.
Results
Patient cohort
Patient characteristics are described in Additional file 1: Table S1. Of the 48 patients, 23 were men and 25 were women. Median age at diagnosis was 76 years (range 30–93). 18 patients were diagnosed with MSI and 30 with MSS. 17 patients were characterized with V600E-BRAF mutation, 9 with KRAS mutation and 16 with MLH1 methylation. 14 patients were diagnosed with left-sided tumor and 34 with right-sided tumor.
MicroRNAs and isomiRs are consistently differentially expressed between tumors and normal colon across datasets
Based on a cohort of 48 stage I-II colon cancer patients, we set out to characterize consistent expression differences in sRNAs between cancer and normal tissue, and between colon cancer subtypes characterized by MSI status, BRAF and KRAS mutations, and tumor location (Additional file 1: Table S1). Small RNA sequencing of the 96 paired tumor and normal samples identified miRNAs as the dominant class of RNAs, followed by transfer RNAs (tRNAs), small nucleolar RNAs (snoRNAs), ribosomal RNAs (rRNAs), and other sRNAs (Additional file 2: Sequencing Statistics, Additional file 3: Figure S1A-C).
Focusing on the miRNA expression data revealed clear separation of most tumor samples from the adjacent normal mucosa (Fig. 1a). 331 miRNAs were detected as differentially expressed between tumor and normal, which includes about 66% of all miRNAs after filtering out those with low expression (Additional file 1: Table S2). Of these, 88 miRNAs had an absolute log fold-change (logFC) > 1 between tumor and normal (Fig. 1b). The miRNAs miR-135b-5p, miR-21-3p, miR-21-5p and miR-584-5p had higher expression in tumor tissue compared to normal tissue for all patients, making these miRNAs strong biomarker candidates for tumor tissue. Clustered miRNAs, such as the oncogenic miR-17-92 cluster, tended to have similar expression changes, suggesting that altered transcription explain many miRNA expression changes between tumor and normal (Additional file 4: Figure S2A, Additional file 3: Clustered miRNAs tend to be co-expressed).
For 48% of the detected miRNAs, the highest expressed miRNA sequence differed from the canonical miRNA sequence reported in miRBase, indicating that isomiRs are important to consider when analyzing miRNA expression (Additional file 4: Figure S2B). After filtering, we found 2451 of 3618 isomiRs (68%) to be differentially expressed. The significant isomiRs derived from 343 unique miRNAs, with hsa-miR-192-5p having the highest number of significant isomiRs (131 isomiRs).
To validate our differentially expressed miRNAs we reanalyzed three publicly available datasets that contained small RNA sequencing data for normal and tumor CRC tissue: Neerincx [26], Sun [27], and Röhr [7]. We detected 225 and 202 differentially expressed miRNAs for the Neerincx and Sun data sets, respectively, and 117 of these miRNAs shared significant differential expression with our data (Fig. 1c, Additional file 2: Table S2). The expression changes for the significant miRNAs were highly correlated between these three datasets, with only a few miRNAs being regulated in opposite direction (Fig. 1d). Although we detected no significant miRNAs in Röhr (Additional file 2: Table S2), expression changes were highly correlated between the miRNAs in Röhr and our data (Fig. 1d). Similarly, isomiR expression changes were highly correlated (Additional file 4: Figure S2C), confirming consistent miRNA expression differences between tumor and normal tissue for all four datasets.
Several sRNA classes are consistently differentially expressed between tumors and normal colon across datasets
Having determined strong and consistent expression differences between tumor and normal tissue for miRNAs, we analyzed the other detected sRNAs. Of 18,735 unique non-miRNA sRNAs species, 363 were differentially expressed between tumor and normal tissue (Fig. 2a). Grouping the significant sRNAs by their class showed that small nuclear RNAs (snRNAs), rRNAs, signal recognition particle RNAs (SRPs), and other RNAs were upregulated in tumor cells (Additional file 5: Figure S3A). SnoRNAs was the only class downregulated in tumor cells, but this was largely due to several large snoRNA clusters being downregulated (Additional file 5: Figure S3B, C, Additional file 3: Clustered sRNAs). These clusters included two (ID12, ID13) located next to two miRNA clusters (ID2, ID3) and the MEG3 and MEG8 genes on chromosome 14 (Additional file 5: Figure S3D). Data from cap analysis of gene expression (CAGE) suggest that MEG3 is the host gene for miRNA clusters ID2 and ID3 [29], and low expression of MEG3 is previously shown to be associated with poor survival in CRC [30].
Comparing expression differences for sRNAs between ours and the Neerincx, Sun, and Röhr datasets showed general positive but varying correlations for the different sRNAs classes (Fig. 2b). SnoRNAs and tRNAs were highly correlated for all datasets, whereas snRNAs only showed strong correlation to our results in the Neerincx data. As for miRNAs, the Röhr dataset had no significant sRNAs, but showed positive correlations to our results. Overall, snoRNAs, tRNAs, lncRNAs, and rRNAs showed consistent differential expression between tumor and normal colon.
MicroRNA differences between right and left normal colon are reduced in tumors
Next we asked whether miRNA expression was associated with available clinicopathological characteristics (tumor location and MSI status) for samples in our cohort (Additional file 2: Table S1), in Neerincx, and for colon cancer samples in The Cancer Genome Atlas (TCGA) [31]. CRC tumors are classified as right or left depending on colon localization. The right-sided colon is derived from the midgut and includes the proximal two-thirds of the transverse colon, ascending colon and caecum, whereas left-sided colon is derived from the hindgut and includes the distal third of the transverse colon, splenic flexure, descending colon, sigmoid colon and rectum [32]. It is often challenging to define tissue samples from the transversum region as part of the right or left colon. We therefore investigated the differences in miRNAs expression between right and left colon for the normal samples with location 5 defined as right colon or having samples with location 5 removed from the analysis. By including location 5 to the right colon samples, we detected 10 differentially expressed miRNAs (Fig. 3a; Additional file 1: Table S3). By exlcuding samples with location 5 from the analysis, we detected the same 10 miRNAs as differentially expressed, in addtion to miR-1224-5p, which was downregulated in right colon. This shows that in our data there is only minor differences in miRNA expression depending on whether transversum is defined as right colon or remove from the analysis. We therefore chose to include samples with location 5 to the right colon samples. For the normal samples, we found most of the significant miRNAs to be upregulated in right colon (Fig. 3a; Additional file 1: Table S3). When comparing with the other datasets, the miRNAs showed consistent expression, except for miR-490, which was highly downregulated in Neerincx and slightly upregulated in our dataset. Three of the miRNAs upregulated in right normal colon – miR-615, miR-10b and miR-196b – reside in homeobox (Hox) clusters C, D, and A, respectively, indicating that some of the differences in miRNA expression could be due to differences in expression of Hox developmental genes (Additional file 5: Figure S3E). Differences in isomiR expression were also highly consistent between the two datasets (Additional file 6: Figure S4A). Next, we analyzed the tumor samples and compared right and left colon in our dataset and in Neerincx and TCGA, while adjusting for MSI status when available (not available in Neerincx). Overall, we observed consistent expression for most miRNAs and isomiRs across the datasets and especially high consistency between our dataset and TCGA (Fig. 3b; Additional file 6: Figure S4B; Additional file 1: Table S3).
Generally, different miRNAs were differentially expressed between right and left colon in cancer and normal tissue. MicroRNA miR-196b, for example, was highly upregulated in right normal tissue, but downregulated or unchanged in right vs left tumor tissue, indicating that this miRNA’s expression depended on location and disease. Overall, only miR-615-3p and its isomiRs showed significant and consistent expression differences between left and right colon in both normal and tumor tissue (Additional file 6: Figure S4C, D).
Tumor mutation levels is associated with miR-155-5p expression
Moving on, we compared MSI positive and negative tumors in our dataset and TCGA, while adjusting for tumor location. Both miRNAs and isomiRs showed consistent expression differences in the two datasets (Fig. 3c; Additional file 6: Figure S4E, Additional file 1: Table S4), though only isomiRs for miR-26a-5p were significant in both datasets.
Microsatellite instability is associated with inactivation of DNA mismatch repair (MMR) genes causing increased mutation count in the cell. We therefore analyzed the association of loss-of-function or missense mutations in MMR genes and the number of somatic mutations in the TCGA dataset. Using linear modeling, we found that somatic loss-of-function or missense mutations in MMR genes were associated with approximately 8 and 4 times higher somatic mutation counts, respectively (estimated slopes of 3.02 and 2.01; p < 2e-16 and p = 2.85e-13; model r2 = 0.33).
As miR-155-5p, which was significantly downregulated in MSI tumors, has been shown to target the MMR genes in colon cancer [33], we asked whether adding the expression of miR-155-5p in the abovementioned model could improve its predictions of somatic mutation counts. Indeed, this combined model explained an additional 8% of the variation in mutation counts and estimated that doubling miR-155-5p expression gave a 1.5 increase in somatic mutation counts (slope 0.6; p = 3.25e-15; model r2 = 0.41). Increased mutation count was associated with increased miR-155-5p expression only in tumors negative for loss-of-function or missense mutations in MMR genes (Additional file 6: Figure S4F, G), which is consistent with miR-155-5p only affecting mutation levels when its MMR target genes produce functional proteins.
Expression of bacteria and virus RNAs in CRC tissue
As both bacteria and viruses have been associated with CRC tissue, we hypothesized that the small RNA sequencing data could be used to detect expression of bacterial and viral small RNAs. We restricted the bacteria analysis to F. nucleatum only, due to its proposed role in CRC, whereas the virus analysis included all known viral miRNAs.
Paired tumor vs normal analyses of the Neerincx, Sun, and our datasets detected significant over-representation of F. nucleatum in tumors for two of the three datasets (Fig. 4a). In the TCGA dataset, which included 8 normal and 455 tumor samples, we detected F. nucleatum all normal and tumor samples and observed a trend towards increased expression in tumors (Additional file 7: Figure S5A, B).
Similar analyses on viruses detected miRNAs from Epstein-Barr virus (EBV) as highly upregulated in tumor samples compared to paired normal samples in all three datasets (Fig. 4b). In TCGA, 4 normal and 349 tumor samples had detectable levels of EBV miRNAs (Additional file 7: Figure S5C). Most of the detected EBV miRNAs were located in the BamHI A rightward transcripts (BARTs) cluster within the EBV genome; the BART miRNAs comprised 345 of 355 viral isomiRs. In total, we detected 28 different viral miRNAs, 25 of which were from EBV and 3 which were from and Human cytomegalovirus (HCMV). There was no correlation in tumor-expression of EBV miRNAs and F. nucleatum RNAs across the Neerincx, Sun, TCGA, and our datasets, indicating that presense of EBV and F. nucleatum in tumor tissue is independent (Additional file 7: Figure S5D).
We validated the expression differences by designing custom reverse transcription quantitative PCR (RT-qPCR) probes against two F. nucleatum RNAs and two EBV miRNAs, ebv-miR-BART10-3p and ebv-miR-BART19-5p and analyzing eight paired tumor and normal samples excluded from the sequencing experiment. The two F. nucleatum RNAs were highly upregulated in the tumor samples (Fig. 4c). MicroRNA miR-BART19-5p was undetected in 7 of the 8 normal samples and detected in all but one tumor sample (p = 0.04, McNemar’s test), whereas miR-BART10-3p levels were significantly increased in the tumor samples (Fig. 4c). Furthermore, in situ hybridization against the F. nucleatum RNA in two additional patient samples revealed strong F. nucleatum signal in cells with malignant morphology and weaker staining in adjacent normal cells (Fig. 5).
Finally, we asked whether EBV and F. nucleatum expression were associated with clinical parameters in the Neerincx, TCGA, and our datasets. We found no associations for MSI and BRAF and inconsistent patterns for KRAS mutation and F. nucleatum, but tumor location for F. nucleatum and KRAS mutation for EBV showed consistent trends for all datasets and were significant in one dataset each (Additional file 7: Figure S5E-L).
Discussion
We have comprehensively analyzed miRNAs and sRNAs in early stage colon cancers and verified the major findings in our cohort by meta-analysis across multiple small RNA datasets.
MicroRNAs are known to be dysregulated in cancer and we find that much of this dysregulation is likely due to transcriptional effects on regions that contain several miRNAs in clusters. These include previously identified tumor suppressor (miR-154) and oncogenic (miR-17-92) loci [34, 35]. Similarly, we find several clustered snoRNAs, which are co-transcribed as part of host primary transcripts [36, 37], to be dysregulated. The growth arrest specific 5 (GAS5) long noncoding RNA hosts several snoRNAs [38], one of which (SNORD78, URS00006CFC33) is significantly upregulated in tumors in our study. GAS5 is implicated in a variety of cancers [39], and is shown to affect proliferation and to be a predictable prognostic marker in CRC patients [40]. In contrast to snoRNAs, the distinct upregulation of snRNAs in tumors cannot be explained by dysregulation of a common host gene, as these RNAs are located in different genomic regions. Interestingly, the tri-small ribonucleoprotein (tri-snRNP) spliceosome complex that binds snRNAs is commonly over-expressed in human primary and metastatic colon cancer [41]. This could explain why snRNAs are generally upregulated in tumor tissue.
We investigated if miRNA expression correlated with clinical parameters and if miRNAs could predict tumor subtypes. Consistent with a previous study [3], we found that miR-615-3p is highly upregulated in right-sided tumors compared to left-sided tumors. When examining the normal tissue, however, we also found miR-615-3p to be highly upregulated in right compared to left colon, suggesting that the expression difference between left- and right-sided tumors for miR-615-3p is due to underlying biological differences between left and right colon. Indeed, we found a larger set of miRNAs that separates left and right colon than separates left- and right-sided tumors. These include miR-196b and miR-10b, which are upregulated in right normal colon and, along with mir-615, are located within or in close proximity to the homeobox genes. The expression of these miRNAs is known to depend on these homeobox genes [42, 43]. The homeobox genes play a role in gut development [44], and because the right and left colon develop from the hindgut and midgut, respectively, differences in transcription patterns between the two regions could explain some of the region-related expression differences for these miRNAs. Notably, miR-196b, which was upregulated in right normal colon, was downregulated or unchanged in right tumor colon, indicating that additional mechanisms affect miR-196b expression in tumors.
Microsatellite instability is an important clinicopathological characteristic that determines treatment procedure and has prognostic value [45]. For instance, several recent studies have shown that MSI tumors respond well to immune therapy [46, 47] and have a nonbeneficial effect of adjuvant 5-FU-based chemotherapy [48]. We observed several miRNAs and isomiRs to be differentially expressed between MSI and MSS tumors – both in our and the TCGA cohort. Although few of these miRNAs were significant in both cohorts, the estimated expression differences for these miRNAs were highly reproducible (Fig. 3c). This high reproducibility suggests that the detected miRNAs do represent biological differences between MSI and MSS tumors. Indeed, whereas there was little overlap between significant MSI-related miRNAs in our and previous studies [2, 49–52], Earle et al., Lanza et al., Tang et al. and we detected miR-155 as upregulated in MSI tumors. Over-expression of miR-155 downregulates core DNA mismatch repair (MMR) genes and affects their protein expression [33]. We found that increased miR-155 levels correlate with increased mutation counts in tumors with intact MMR genes, suggesting a model where upregulation of miR-155 gives an increased mutational burden, possibly resulting in mutated MMR genes and MSI.
Bacteria have been associated with colorectal cancer, particularly the composition of the fecal and colon microbiome [53]. Sequencing of long RNAs and 16S DNA has detected F. nucleatum in tumor and normal colon tissue [11, 13]. Moreover, F. nucleatum is present in metastatic CRC tissue, indicating that the bacterium is transferred during metastasis. We show that small RNAs of F. nucleatum are present in colon tissue and that the expression is higher in tumor than in normal tissue. Bacterial small RNAs have been detected in other bacteria species and have a variety of regulatory mechanisms [54]. It remains to be investigated whether small RNAs from F. nucleatum possess regulatory properties that could affect tumor development. Several studies have detected viral DNA in colon cancer tumors, the most common types being Human papillomaviruses (HPV), Human polyomaviruses and Human herpesviruses [55]. Many of these viruses encode proteins that could potentially be oncogenic and affect proliferation of host cells [56]. The Human herpesvirus EBV contain viral miRNAs, most of which are encoded from the BART loci. Several of these miRNAs are shown to target host mRNAs and some EBV-miRNAs target genes involved in cancer development [57, 58]. Little is known about EBV-miRNAs in colon cancer, however, miR-BART19-3p is shown to target WIF1 [59], a gene important in colon cancer [60], and miR-BART1 is shown to target PSAT1 [61], a gene shown to promote proliferation of tumor cells [62]. However, none of these interactions have been shown in colon cancer cells. The EBV-miRNA miR-BART19-5p, which we found elevated in tumor tissue, is shown to target its own gene LMP1 [63], which is a functional homologue of tumor necrosis factor [64] that can downregulate host miR-146a. The EBV-miRNA miR-BART10-3p, which we found elevated in tumor tissue was previously found to directly targets BTRC, a gene found to be upregulated in colon cancer [65]. In summary, viral miRNAs could have significant impact on genes and cellular processes in the host and these interactions need further investigation, in particular in colon cancer.
Conclusions
Small RNA profiling in colon cancer tissue revealed unique expression patterns in comparison with adjacent normal tissue. We detected several miRNAs that correlated with MSI and tumor location and show that miR-155 expression together with MMR deficiency explain much of the MSI-associated mutations in colon cancer. We show for the first time that small RNAs from Fusobacterium nucleatum are present in colon tissue, and that both Fusobacterium nucleatum and Epstein-Barr virus separate tumor and normal tissue.
Additional files
Acknowledgements
We thank the Genomics Core Facility (GCF) for sequencing the samples and quality analysis. We thank Linn-Karina Myrland Selvik for isolating RNA. We thank Torild Gladsø and the people at the pathology department at St. Olavs Hospital for support on the ISH experiments.
Funding
The study was funded by a grant from Felles forskningsutvalg (FFU) at St. Olavs Hospital, Trondheim, Norway. RNA isolation and small RNA sequencing was funded by this grant.
Availability of data and materials
The sequencing data will be submitted to Sequence Read Archive (SRA) upon approval from the Regional Committees for Medical and Health Research Ethics (REK-midt). Count matrices are available by contacting the corresponding author.
Abbrevations
- BARTs
BamHI A rightward transcripts
- CRC
colorectal cancer
- F. nucleatum
Fusobacterium nucleatum
- Hox
Homeobox
- HPV
Human Papilloma Virus
- lncRNAs
long non-coding RNAs
- logFC
log fold-change
- miRNA
microRNA
- MMR
DNA mismatch repair
- MSI
microsatellite instability
- PCR EBV
Epstein-Barr virus
- RT-qPCR
Reverse transcription quantitative PCR
- snoRNAs
small nucleolar RNAs
- snRNAs
small nuclear RNA
- sRNAs
small RNAs
- SRPs
signal recognition particle RNAs
- TCGA
The Cancer Genome Atlas
Authors’ contributions
RM: Preparing the manuscript, data analysis, and laboratory work. PS: Data analysis and statistics, preparing the manuscript; WS: Study design, collecting patient characteristics and sample material, preparing the manuscript; LT: Study design, preparing the manuscript; EH: Preparing the manuscript, study design. All authors read and approved the final manuscript.
Ethics approval and consent to participate
The project is approved by the Regional Committees for Medical and Health Research Ethics (REK-midt) with the following reference number: 2010/955. Study participants gave informed consent in accordance with the Declaration of Helsinki.
Consent for publication
Not applicable.
Competing interests
The authors declare that they have no competing interests.
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Contributor Information
Robin Mjelle, Phone: 0047 40234780, Email: robin.mjelle@ntnu.no.
Wenche Sjursen, Email: wenche.sjursen@ntnu.no.
Liv Thommesen, Email: liv.thommesen@ntnu.no.
Pål Sætrom, Email: pal.satrom@ntnu.no.
Eva Hofsli, Email: eva.hofsli@ntnu.no.
References
- 1.Yamamoto H, Imai K. Microsatellite instability: an update. Arch Toxicol. 2015;89(6):899–921. doi: 10.1007/s00204-015-1474-0. [DOI] [PubMed] [Google Scholar]
- 2.Slattery ML, Wolff E, Hoffman MD, Pellatt DF, Milash B, Wolff RK. MicroRNAs and colon and rectal cancer: differential expression by tumor location and subtype. Genes Chromosom Cancer. 2011;50(3):196–206. doi: 10.1002/gcc.20844. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Schee K, Lorenz S, Worren MM, Gunther CC, Holden M, Hovig E, et al. Deep sequencing the MicroRNA transcriptome in colorectal Cancer. PLoS One. 2013;8(6):e66165. doi: 10.1371/journal.pone.0066165. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Shao S, Neely BA, Kao TC, Eckhaus J, Bourgeois J, Brooks J, et al. Proteomic profiling of serial Prediagnostic serum samples for early detection of Colon Cancer in the U.S Military. Cancer Epidemiol Biomarkers Prev. 2017;26(5):711–718. doi: 10.1158/1055-9965.EPI-16-0732. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Slattery ML, Herrick JS, Mullany LE, Wolff E, Hoffman MD, Pellatt DF, et al. Colorectal tumor molecular phenotype and miRNA: expression profiles and prognosis. Mod Pathol. 2016;29(8):915–927. doi: 10.1038/modpathol.2016.73. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Nosho K, Igarashi H, Nojima M, Ito M, Maruyama R, Yoshii S, et al. Association of microRNA-31 with BRAF mutation, colorectal cancer survival and serrated pathway. Carcinogenesis. 2014;35(4):776–783. doi: 10.1093/carcin/bgt374. [DOI] [PubMed] [Google Scholar]
- 7.Rohr C, Kerick M, Fischer A, Kuhn A, Kashofer K, Timmermann B, et al. High-throughput miRNA and mRNA sequencing of paired colorectal normal, tumor and metastasis tissues and bioinformatic modeling of miRNA-1 therapeutic applications. PLoS One. 2013;8(7):e67461. doi: 10.1371/journal.pone.0067461. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Gao R, Gao Z, Huang L, Qin H. Gut microbiota and colorectal cancer. Eur J Clin Microbiol Infect Dis. 2017;36(5):757–769. doi: 10.1007/s10096-016-2881-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Jobin C. Human intestinal microbiota and colorectal Cancer: moving beyond associative studies. Gastroenterology. 2017;153(6):1475–1478. doi: 10.1053/j.gastro.2017.10.030. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Zhou Y, He H, Xu H, Li Y, Li Z, Du Y, et al. Association of oncogenic bacteria with colorectal cancer in South China. Oncotarget. 2016;7(49):80794–80802. doi: 10.18632/oncotarget.13094. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Castellarin M, Warren RL, Freeman JD, Dreolini L, Krzywinski M, Strauss J, et al. Fusobacterium nucleatum infection is prevalent in human colorectal carcinoma. Genome Res. 2012;22(2):299–306. doi: 10.1101/gr.126516.111. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.McCoy AN, Araujo-Perez F, Azcarate-Peril A, Yeh JJ, Sandler RS, Keku TO. Fusobacterium is associated with colorectal adenomas. PLoS One. 2013;8(1):e53653. doi: 10.1371/journal.pone.0053653. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Kostic AD, Gevers D, Pedamallu CS, Michaud M, Duke F, Earl AM, et al. Genomic analysis identifies association of fusobacterium with colorectal carcinoma. Genome Res. 2012;22(2):292–298. doi: 10.1101/gr.126573.111. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Li YY, Ge QX, Cao J, Zhou YJ, Du YL, Shen B, et al. Association of Fusobacterium nucleatum infection with colorectal cancer in Chinese patients. World J Gastroenterol. 2016;22(11):3227–3233. doi: 10.3748/wjg.v22.i11.3227. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Kostic AD, Chun E, Robertson L, Glickman JN, Gallini CA, Michaud M, et al. Fusobacterium nucleatum potentiates intestinal tumorigenesis and modulates the tumor-immune microenvironment. Cell Host Microbe. 2013;14(2):207–215. doi: 10.1016/j.chom.2013.07.007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Newman JV, Kosaka T, Sheppard BJ, Fox JG, Schauer DB. Bacterial infection promotes colon tumorigenesis in Apc(min/+) mice. J Infect Dis. 2001;184(2):227–230. doi: 10.1086/321998. [DOI] [PubMed] [Google Scholar]
- 17.Lorenzon L, Ferri M, Pilozzi E, Torrisi MR, Ziparo V, French D. Human papillomavirus and colorectal cancer: evidences and pitfalls of published literature. Int J Color Dis. 2011;26(2):135–142. doi: 10.1007/s00384-010-1049-8. [DOI] [PubMed] [Google Scholar]
- 18.Bucchi D, Stracci F, Buonora N, Masanotti G. Human papillomavirus and gastrointestinal cancer: a review. World J Gastroenterol. 2016;22(33):7415–7430. doi: 10.3748/wjg.v22.i33.7415. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Song LB, Zhang X, Zhang CQ, Zhang Y, Pan ZZ, Liao WT, et al. Infection of Epstein-Barr virus in colorectal cancer in Chinese. Ai Zheng. 2006;25(11):1356–1360. [PubMed] [Google Scholar]
- 20.Al-Antary N, Farghaly H, Aboulkassim T, Yasmeen A, Akil N, Al Moustafa AE. Epstein-Barr virus and its association with Fascin expression in colorectal cancers in the Syrian population: a tissue microarray study. Hum Vaccin Immunother. 2017;13(7):1573–1578. doi: 10.1080/21645515.2017.1302046. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Tafvizi F, Fard ZT, Assareh R. Epstein-Barr virus DNA in colorectal carcinoma in Iranian patients. Pol J Pathol. 2015;66(2):154–160. doi: 10.5114/pjp.2015.53012. [DOI] [PubMed] [Google Scholar]
- 22.Mehrabani-Khasraghi S, Ameli M, Khalily F. Demonstration of herpes simplex virus, cytomegalovirus, and Epstein-Barr virus in colorectal Cancer. Iran Biomed J. 2016;20(5):302–306. doi: 10.22045/ibj.2016.08. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Fiorina L, Ricotti M, Vanoli A, Luinetti O, Dallera E, Riboni R, et al. Systematic analysis of human oncogenic viruses in colon cancer revealed EBV latency in lymphoid infiltrates. Infect Agent Cancer. 2014;9:18. doi: 10.1186/1750-9378-9-18. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Teo WH, Chen HP, Huang JC, Chan YJ. Human cytomegalovirus infection enhances cell proliferation, migration and upregulation of EMT markers in colorectal cancer-derived stem cell-like cells. Int J Oncol. 2017;51(5):1415–1426. doi: 10.3892/ijo.2017.4135. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Mou X, Chen L, Liu F, Lin J, Diao P, Wang H, et al. Prevalence of JC virus in Chinese patients with colorectal cancer. PLoS One. 2012;7(5):e35900. doi: 10.1371/journal.pone.0035900. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Neerincx M, Sie DL, van de Wiel MA, van Grieken NC, Burggraaf JD, Dekker H, et al. MiR expression profiles of paired primary colorectal cancer and metastases by next-generation sequencing. Oncogene. 2015;4:e170. doi: 10.1038/oncsis.2015.29. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Sun G, Cheng YW, Lai L, Huang TC, Wang J, Wu X, et al. Signature miRNAs in colorectal cancers were revealed using a bias reduction small RNA deep sequencing protocol. Oncotarget. 2016;7(4):3857–3872. doi: 10.18632/oncotarget.6460. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Trano G, Sjursen W, Wasmuth HH, Hofsli E, Vatten LJ. Performance of clinical guidelines compared with molecular tumour screening methods in identifying possible lynch syndrome among colorectal cancer patients: a Norwegian population-based study. Br J Cancer. 2010;102(3):482–488. doi: 10.1038/sj.bjc.6605509. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.de Rie D, Abugessaisa I, Alam T, Arner E, Arner P, Ashoor H, et al. An integrated expression atlas of miRNAs and their promoters in human and mouse. Nat Biotechnol. 2017;35(9):872–878. doi: 10.1038/nbt.3947. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Yin DD, Liu ZJ, Zhang E, Kong R, Zhang ZH, Guo RH. Decreased expression of long noncoding RNA MEG3 affects cell proliferation and predicts a poor prognosis in patients with colorectal cancer. Tumour Biol. 2015;36(6):4851–4859. doi: 10.1007/s13277-015-3139-2. [DOI] [PubMed] [Google Scholar]
- 31.Grossman RL, Heath AP, Ferretti V, Varmus HE, Lowy DR, Kibbe WA, et al. Toward a shared vision for Cancer genomic data. N Engl J Med. 2016;375(12):1109–12. doi: 10.1056/NEJMp1607591. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Stintzing S, Tejpar S, Gibbs P, Thiebach L, Lenz HJ. Understanding the role of primary tumour localisation in colorectal cancer treatment and outcomes. Eur J Cancer. 2017;84:69–80. doi: 10.1016/j.ejca.2017.07.016. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.Valeri N, Gasparini P, Fabbri M, Braconi C, Veronese A, Lovat F, et al. Modulation of mismatch repair and genomic stability by miR-155. Proc Natl Acad Sci U S A. 2010;107(15):6982–6987. doi: 10.1073/pnas.1002472107. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34.Laddha SV, Nayak S, Paul D, Reddy R, Sharma C, Jha P, et al. Genome-wide analysis reveals downregulation of miR-379/miR-656 cluster in human cancers. Biol Direct. 2013;8:10. doi: 10.1186/1745-6150-8-10. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Hayashita Y, Osada H, Tatematsu Y, Yamada H, Yanagisawa K, Tomida S, et al. A polycistronic microRNA cluster, miR-17-92, is overexpressed in human lung cancers and enhances cell proliferation. Cancer Res. 2005;65(21):9628–9632. doi: 10.1158/0008-5472.CAN-05-2352. [DOI] [PubMed] [Google Scholar]
- 36.Lestrade L, Weber MJ. snoRNA-LBME-db, a comprehensive database of human H/ACA and C/D box snoRNAs. Nucleic Acids Res. 2006;34(Database issue):D158–D162. doi: 10.1093/nar/gkj002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 37.Kiss-Laszlo Z, Henry Y, Bachellerie JP, Caizergues-Ferrer M, Kiss T. Site-specific ribose methylation of preribosomal RNA: a novel function for small nucleolar RNAs. Cell. 1996;85(7):1077–1088. doi: 10.1016/s0092-8674(00)81308-2. [DOI] [PubMed] [Google Scholar]
- 38.Williams GT, Farzaneh F. Are snoRNAs and snoRNA host genes new players in cancer? Nat Rev Cancer. 2012;12(2):84–88. doi: 10.1038/nrc3195. [DOI] [PubMed] [Google Scholar]
- 39.Ma C, Shi X, Zhu Q, Li Q, Liu Y, Yao Y, et al. The growth arrest-specific transcript 5 (GAS5): a pivotal tumor suppressor long noncoding RNA in human cancers. Tumour Biol. 2016;37(2):1437–1444. doi: 10.1007/s13277-015-4521-9. [DOI] [PubMed] [Google Scholar]
- 40.Yin D, He X, Zhang E, Kong R, De W, Zhang Z. Long noncoding RNA GAS5 affects cell proliferation and predicts a poor prognosis in patients with colorectal cancer. Med Oncol. 2014;31(11):253. doi: 10.1007/s12032-014-0253-8. [DOI] [PubMed] [Google Scholar]
- 41.Adler AS, McCleland ML, Yee S, Yaylaoglu M, Hussain S, Cosino E, et al. An integrative analysis of colon cancer identifies an essential function for PRPF6 in tumor growth. Genes Dev. 2014;28(10):1068–1084. doi: 10.1101/gad.237206.113. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 42.Yekta S, Tabin CJ, Bartel DP. MicroRNAs in the Hox network: an apparent link to posterior prevalence. Nat Rev Genet. 2008;9(10):789–796. doi: 10.1038/nrg2400. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43.Woltering JM, Durston AJ. MiR-10 represses HoxB1a and HoxB3a in zebrafish. PLoS One. 2008;3(1):e1396. doi: 10.1371/journal.pone.0001396. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 44.Beck F. Homeobox genes in gut development. Gut. 2002;51(3):450–454. doi: 10.1136/gut.51.3.450. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 45.Boland CR, Goel A. Microsatellite instability in colorectal cancer. Gastroenterology 2010;138(6):2073–87 e3. [DOI] [PMC free article] [PubMed]
- 46.Diaz LA, Jr, Le DT. PD-1 blockade in tumors with mismatch-repair deficiency. N Engl J Med. 2015;373(20):1979. doi: 10.1056/NEJMc1510353. [DOI] [PubMed] [Google Scholar]
- 47.Xiao Y, Freeman GJ. The microsatellite instable subset of colorectal cancer is a particularly good candidate for checkpoint blockade immunotherapy. Cancer Discov. 2015;5(1):16–18. doi: 10.1158/2159-8290.CD-14-1397. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 48.Shin US, Cho SS, Moon SM, Park SH, Jee SH, Jung EJ, et al. Is microsatellite instability really a good prognostic factor of colorectal cancer? Ann Coloproctol. 2014;30(1):28–34. doi: 10.3393/ac.2014.30.1.28. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49.Earle JS, Luthra R, Romans A, Abraham R, Ensor J, Yao H, et al. Association of microRNA expression with microsatellite instability status in colorectal adenocarcinoma. J Mol Diagn. 2010;12(4):433–440. doi: 10.2353/jmoldx.2010.090154. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50.Balaguer F, Moreira L, Lozano JJ, Link A, Ramirez G, Shen Y, et al. Colorectal cancers with microsatellite instability display unique miRNA profiles. Clin Cancer Res. 2011;17(19):6239–6249. doi: 10.1158/1078-0432.CCR-11-1424. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 51.Lanza G, Ferracin M, Gafa R, Veronese A, Spizzo R, Pichiorri F, et al. mRNA/microRNA gene expression profile in microsatellite unstable colorectal cancer. Mol Cancer. 2007;6:54. doi: 10.1186/1476-4598-6-54. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 52.Tang S, Wu WK, Li X, Wong SH, Wong N, Chan MT, et al. Stratification of digestive cancers with different pathological features and survival outcomes by MicroRNA expression. Sci Rep. 2016;6:24466. doi: 10.1038/srep24466. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 53.Sears CL, Garrett WS. Microbes, microbiota, and colon cancer. Cell Host Microbe. 2014;15(3):317–328. doi: 10.1016/j.chom.2014.02.007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 54.Waters LS, Storz G. Regulatory RNAs in bacteria. Cell. 2009;136(4):615–628. doi: 10.1016/j.cell.2009.01.043. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 55.Chen H, Chen XZ, Waterboer T, Castro FA, Brenner H. Viral infections and colorectal cancer: a systematic review of epidemiological studies. Int J Cancer. 2015;137(1):12–24. doi: 10.1002/ijc.29180. [DOI] [PubMed] [Google Scholar]
- 56.Butel JS. Viral carcinogenesis: revelation of molecular mechanisms and etiology of human disease. Carcinogenesis. 2000;21(3):405–426. doi: 10.1093/carcin/21.3.405. [DOI] [PubMed] [Google Scholar]
- 57.Kuzembayeva M, Hayes M, Sugden B. Multiple functions are mediated by the miRNAs of Epstein-Barr virus. Curr Opin Virol. 2014;7:61–65. doi: 10.1016/j.coviro.2014.04.003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 58.Lo AK, To KF. Lo KW, Lung RW, Hui JW, Liao G, et al. Modulation of LMP1 protein expression by EBV-encoded microRNAs. Proc Natl Acad Sci U S A. 2007;104(41):16164–16169. doi: 10.1073/pnas.0702896104. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 59.Wong AM, Kong KL, Tsang JW, Kwong DL, Guan XY. Profiling of Epstein-Barr virus-encoded microRNAs in nasopharyngeal carcinoma reveals potential biomarkers and oncomirs. Cancer. 2012;118(3):698–710. doi: 10.1002/cncr.26309. [DOI] [PubMed] [Google Scholar]
- 60.Najdi R, Holcombe RF, Waterman ML. Wnt signaling and colon carcinogenesis: beyond APC. J Carcinog. 2011;10:5. doi: 10.4103/1477-3163.78111. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 61.Ye Y, Zhou Y, Zhang L, Chen Y, Lyu X, Cai L, et al. EBV-miR-BART1 is involved in regulating metabolism-associated genes in nasopharyngeal carcinoma. Biochem Biophys Res Commun. 2013;436(1):19–24. doi: 10.1016/j.bbrc.2013.05.008. [DOI] [PubMed] [Google Scholar]
- 62.Vie N, Copois V, Bascoul-Mollevi C, Denis V, Bec N, Robert B, et al. Overexpression of phosphoserine aminotransferase PSAT1 stimulates cell growth and increases chemoresistance of colon cancer cells. Mol Cancer. 2008;7:14. doi: 10.1186/1476-4598-7-14. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 63.Riley KJ, Rabinowitz GS, Yario TA, Luna JM, Darnell RB, Steitz JA. EBV and human microRNAs co-target oncogenic and apoptotic viral and human genes during latency. EMBO J. 2012;31(9):2207–2221. doi: 10.1038/emboj.2012.63. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 64.Cameron JE, Yin Q, Fewell C, Lacey M, McBride J, Wang X, et al. Epstein-Barr virus latent membrane protein 1 induces cellular MicroRNA miR-146a, a modulator of lymphocyte signaling pathways. J Virol. 2008;82(4):1946–1958. doi: 10.1128/JVI.02136-07. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 65.Ougolkov A, Zhang B, Yamashita K, Bilim V, Mai M, Fuchs SY, et al. Associations among beta-TrCP, an E3 ubiquitin ligase receptor, beta-catenin, and NF-kappaB in colorectal cancer. J Natl Cancer Inst. 2004;96(15):1161–1170. doi: 10.1093/jnci/djh219. [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
The sequencing data will be submitted to Sequence Read Archive (SRA) upon approval from the Regional Committees for Medical and Health Research Ethics (REK-midt). Count matrices are available by contacting the corresponding author.