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International Journal of Clinical and Experimental Pathology logoLink to International Journal of Clinical and Experimental Pathology
. 2019 Feb 1;12(2):549–558.

Silencing long non-coding RNA NEAT1 enhances the suppression of cell growth, invasion, and apoptosis of bladder cancer cells under cisplatin chemotherapy

Wenchao Zhao 1,*, Wenqi Li 2,*, Xin Jin 1,*, Tianli Niu 1, Yuanfei Cao 1, Peng Zhou 1, Minghua Zheng 1
PMCID: PMC6945077  PMID: 31933859

Abstract

It has been proven that NEAT1 as a long non-coding RNA (lncRNA) is highly expressed in bladder cancer (BC). Nevertheless, the oncogenic roles of NEAT1 in BC remain largely unknown. In the present study, we observed that the RNA level of NEAT1.1, one RNA variant of NEAT1, was reduced in cisplatin-sensitive T24 cells compared to cisplatin-resistant T24 (T24R) cells after both treated with cisplatin modulated through Wnt/β-catenin signaling pathway using RNA-seq. Furthermore, NEAT1.1 was knocked down within T24R cells and caused a phenotype of the compromised cell growth, invasion and enhanced apoptosis upon cisplatin treatment compared to untreated T24R cells. Finally, c-MYC, OCT4 and p53 were determined to contribute to the transcriptional regulation of NEAT1.1 under cisplatin using ChIP assay. Taken together, our results suggest that NEAT1.1 blocking can promote the effect of cisplatin for BC treatment.

Keywords: lncRNA, NEAT1, bladder cancer, cisplatin

Introduction

Bladder cancer (BC), one of the most common urogenital tumors, has high incidence, prevalence, recurrence, and mortality [1]. Multiple factors are involved in etiology of BC, including genetic, epigenetic, and environmental factors. To date, chemotherapy is still extensively applied for BC treatment in the clinic. Cisplatin is the most widely used of all current chemotherapy regimens including M-VAP (Methotrexate, vincristine, adriamycin, cisplatin), GC (gemcitabine, cisplatin) and MVP (Methotrexate, vincristine, cisplatin). However, cisplatin resistance and relapse as a common drawback to its clinical effectiveness has attracted attention in recent decades, and understanding the issue of how the drug resistance arises in long term usage may help researchers design new protocol to overcome cisplatin resistance.

Currently, long non-coding RNAs (lncRNAs) have attracted attention as one of the epigenetic regulatory factors and potential therapeutic targets for multiple cancers. However, the complicated regulatory network of lncRNAs for tumorigenesis is not fully understood. Recent studies revealed that lncRNA nuclear paraspeckle assembly transcript 1 (NEAT1) played an important role in multiple cancers, including liver [2], lung [3], glioma [4], and gastric cancers [5]. NEAT1 was found to exert as an oncogenic factor to accelerate tumor cell invasion and proliferation by regulation of various targeted miRNAs in different cancers. Nevertheless, NEAT1 was reported to be associated with cisplatin resistance but in contrast, improves cisplatin sensitivity in lung cancer [6] and cholangiocarcinoma [7] but contributes to the cisplatin resistance in osteosarcoma [8] and liver cancer [9]. Furthermore, few studies focused on the different roles between two splicing variants of NEAT1 in cancers, and the underlying mechanism of NEAT1 was never elucidated in BC [10].

In this study, we characterized the RNA profiling of T24 BC cells with cisplatin sensitivity and resistance, and focused on NEAT1.1, one RNA variant of NEAT1 to try to figure out the roles in tumor cell growth, migration, invasion of BC and the effect modulated by cisplatin. Our study may help provide a potential therapeutic target for BC treatment.

Materials and methods

Cell culture

BC T24, 253J, Biu-87 cells were obtained (ATCC, USA) and cultured in RPMI-1640 medium with 10% FBS (Thermo Fisher Scientific, USA) at the incubator with 37°C, 5% CO2 and 100% humidity. Cisplatin-resistant cell lines were prepared by stepwise increments of exposure to cisplatin as previously described [11]. In brief, T24 cells were treated with final concentration 2 μM of cisplatin (Sinopharm Chemical Reagent, China) for 2 h and changed with fresh medium to be restored, and then gradually increased as 4, 8, 16, 32, 64, 128 and 256 μM in order. Cells becoming resistant at 256 uM of cisplatin (T24R) were used for next experiments. NEAT1.1 was cloned from T24 cells and inserted into CMV500 (#33362, Addgene, USA). NEAT1.1 RNAi oligonucleotides (5’-TGGCTAGCTCAGGGCTTCAG-3’) were obtained (GeneChem, China) and transfected into cells using lipofectamine 3000 (Thermo Fisher Scientific, USA) for 72 h.

CCK-8 assay

100 μl T24 and T24R cells were cultured in 96 well plate with 80% density, and treated with 64, 128 and 256 μM cisplatin for 24 h, followed by adding 10 μl CCK-8 solution (Solarbio, China) to incubate additional 1 h. Absorption values of 450 nm were detected using Multiskan FC microplate reader (Thermo Fisher Scientific, USA) and established the regression equation. IC50 of T24 and T24R were calculated from theregression equation.

RNA-seq

Total RNA of T24R cells was extracted using Trizol (Thermo Fisher Scientific, USA) according to the manufacturer’s protocol. 5 μg of RNA in each group were used for library preparation by NEB Next Ultra Directional RNA Library Prep Kit for Illumina (NEB, USA) following manufacturer’s recommendations and were sequenced on an Illumina Hiseq platform. The raw data was trimmed adaptors and filter out low quality reads using Trimmomatic [12], and checked the quality of clean reads using Fastqc [13]. Next, clean reads were aligned to the latest human genome assembly hg38 using Hisat2 [14]. The transcripts were assembled and estimated the expression levels by FPKM values using the StringTie algorithm with default parameters [15]. Differential mRNA and lncRNA expression among the groups were evaluated using a R package Ballgown [16], and computed the significance of differences by the Benjamini & Hochberg (BH) p-value adjustment method. Gene annotation is described by Ensembl genome browser database (http://www.ensembl.org/index.html). The R package ClusterProfiler was used to annotate the differential genes with gene ontology (GO) terms and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways [17]. Raw data was submitted to ArrayExpress with the accession number of E-MTAB-7437.

Methylthiazoletetrazolium (MTT) assay

Cells were sub-cultured in 96-well plates with density of 1×104 cells/well, and treated with gradient concentration of MTT (Sinopharm Chemical Reagent, China) (0.1, 0.2, 0.4, 0.8 and 1.6 mg/ml) for 4-hour incubation, and washed by PBS twice, and incubated 10 minutes with 200 μl DMSO in dark, followed by detection of the absorbance value at 570 nm by a microplate reader (BioTek, USA). Each concentration was used in three individual experiments and we calculated the IC50 to assess cell proliferation.

Flow cytometric assay

Cells attached on 6-well plates were digested by trypsin, washed by PBS, placed into single cell suspension and fixed by 70% ethanol at 4°C overnight. The pellets dissolved in 100 μl were incubated with 100 μg/ml RNaseA, 10 μg/ml propidium iodide and 10 μg/ml Annexin-V (Abcam, USA) for 20 minutes on ice in dark, and detected the apoptotic cells by FL1 and FL2 channels. The populations of dead cells, live cells and apoptotic cells were observed and analyzed in the first, third and fourth quadrants respectively.

Transwell assay

1×105 cells were cultured within 200 μl suspension in upper and 800 μl fresh medium in lower transwell chamber (Corning, USA) on 24-well plates for 24 hours. The cells at the lower chamber were cross-linked by 1% paraformaldehyde for 10 minutes and stained by 0.5% crystal violet (Sinopharm Chemical Reagent, China) for 5 minutes. The stained cells were counted under a light microscope to evaluate the cell invasion.

Wound healing assay

T24 and T24R Cells were sub-cultured in 6 well plate with 80% density and gently scratch using yellow tips. After 12, 24 and 36 h cell culture, the scratch was captured, and we measured the dynamic change of width and analyzed the cell migration by Image J.

Real-time PCR

First-Strand Synthesis System for reverse transcription (Invitrogen) was used to synthesize cDNA from 1.5 μg total RNA according to the oligo (dT) version of the protocol. Real-time PCR was performed using CFX Fast real-time PCR system (Bio-Rad). The following cycle parameters were used in this study: 94°C 20 s, and 60°C 30 s, 72°C 30 s for a total of 45 cycles. The Ct values were harvested and analyzed by delta-delta methods. The relative mRNA levels of certain genes were normalized by GAPDH. All primer sequences used in this study were listed in Table 1.

Table 1.

Primers used in this study

Symbol Sequence Tm (°C)
NEAT1.1 CACAAATTTTCTTCCACTTC 58
GGCCTTAGCTGAGGTGGCAGG
NEAT1.2 CACAAATTTTCTTCCACTTC 60
ATAAACAGTCTATTAACACAT
GAPDH GGAGCGAGATCCCTCCAAAAT 60
GGCTGTTGTCATACTTCTCATGG
NEAT1 promoter -600~-450 GTTAACCAGGGAGAGGTT 55
TGGACCGTGTAGCGGGC
NEAT1 promoter -250~-100 ATATCTTGGTTTTACATT 57
CGGGCGCTTCAGGGGC

Western blot assay

The T24 and T24R cells were harvested and placed in cold radioimmunoprecipitation assay buffer containing freshly prepared 2 mM PMSF (Beyotime Bio, China). Tissue blocks were ground on ice for 30 minutes, and centrifuged at 13000×g for 30 minutes at 4°C. Before loading onto a 12% sodium dodecyl sulfate-polyacrylamide gel, equal amounts of protein were boiled with 10× loading buffer for 5 minutes. Electrophoresis was performed at 80 V for 30 minutes and 120 V for 120 minutes. Separated proteins were transferred onto a polyvinylidene difluoride membrane at 120 V for 120 minutes. Membranes were blocked with 5% non-fat dry milk overnight at 4°C, and then incubated with primary antibody, rabbit polyclonal anti-c-MYC (1:1000; Aigma), anti-OCT4 (1:1000; Abcam), anti-C/EBPβ (1:2000; Abcam) and anti-p53 (1:2000; Abcam) overnight at 4°C. Equal loading of protein was confirmed by subsequent GAPDH immunoblots (1:5000; Sigma). Immunodetection was performed by electrochemiluminescence (Pierce, Rockford, IL, USA) after incubation with horseradish peroxidase-conjugated goat anti-rabbit or rabbit anti-mouse (1:5000; Jackson ImmunoResearch, USA) antibody for 1 hour at 37°C, and the X-ray films were finally photographed.

Chromatin immunoprecipitation (ChIP) assay

The ChIP assay was performed as described [18]. In brief, 10% whole cell lysates were saved as input after genomic DNA was broken into 200-500 bp by sonication. 1 μg antibodies of c-MYC, OCT4 and p53 were incubated with the rest of the lysate overnight, followed by 2 h protein-A beads incubation at 4°C for target protein pull down. Primers were designed to encompass ~150 bp around the target regions (-600~-450 and -250~-100) of NEAT1 promoter. Their sequences were listed in Table 1.

Statistical analysis

The results were presented as the mean ± SD. The significance of difference among the groups was assessed by Student’s t-test. All analysis was processed by SPSS 20 software. p value <0.05 was considered significant.

Results

Identification of cisplatin-resistant T24 cells

Initially, we established the cisplatin-resistant T24 cells (T24R) by stepwise increments of exposure to cisplatin. T24 and T24R were exposed under gradient concentrations of cisplatin for 24 h and tested the IC50 by CCK-8 assay, and we observed that the IC50 value of T24R was significantly higher than T24 (358.33±36.72 μM vs. 112.36±14.87 μM, t=33.65, P<0.05) (Figure 1A). Furthermore, the cell cycle pattern of T24 and T24R were compared and observed that the T24R cells were more at the stage of G0/G1, while less at the stage of G2/M compared to T24 (Figure 1B). Taken together, our results determined that the cisplatin-resistant T24 BC cell subline was successfully established.

Figure 1.

Figure 1

Identification of cisplatin-resistant T24 cells. Cell viability (A) and cell cycle (B) of T24R and T24 cells after cisplatin treatment. All data are presented as the mean ± standard error of five individual experiments. “*” p value less than 0.05 vs. T24.

Characterization of RNA profiling of T24R cells

Next, we further characterized the difference of RNA profiling between T24R and T24 cells. Deep sequencing of mRNA libraries generated total 180.3 M reads of T24 and 192.7 M reads of T24R groups. Approximate 67.51% reads were uniquely mapped and 18.32% reads were mismatches to the human genome 38 (Ensemble Genomes release 92) using HISAT2, while only 0.35% of all reads were mapped to rRNAs, which indicated a high quality of our RNA libraries preparation without poly-A selection (Table 2). StringTie was used to quantify the gene expression with FPKM distribution (Figure 2A), and presented the differentially expressed genes among the three groups. We observed that plenty of genes changed their transcriptional levels (Figure 2B). 346 mRNA and 120 lncRNA were up-regulated (fold change >2, p value <0.05), while 55 mRNA and 36 lncRNA were down-regulated (fold change <0.5, p value <0.05) in T24R cells compared to T24 cells (Table 3). Furthermore, the associated function enrichments and pathways involved in differentially expressed genes including cell morphogenesis regulation, response to drugs, ureteric bud development (biological process), ion channel complex, transcription factor complex, β-catenin destruction complex (cellular component), transcriptional regulation, ion channel activity regulation (molecular function) as well as Wnt, HIF-1, AMPK and Rap1 signaling pathways (KEGG pathway) (Figure 2C, 2D). Here, we noticed that the lncRNA NEAT1 was highly expressed in T24R cells (fold change=36.8, P=0.0001) compared to T24 cells. Taken together, our results determined that NEAT1 as one of the novel candidate genes displayed aberrantly high expression in T24R cells.

Table 2.

Summary of RNA-seq data

Sample names T24_1 T24_2 T24_3 T24R_1 T24R_2 T24R_3
Raw reads 58933548 59871070 61514088 63778852 64235706 64668936
Total raw bases 8840032200 8980660500 9227113200 9566827800 9635355900 9700940400
Clean reads 56587510 57490828 59066942 61842520 61678722 62707156
Total clean bases 8310853554 8443586068 8675127770 914634152 9058309704 9274120003
Mapped reads 47318925 48083736 50725437 54740709 51597349 55502209
Mapped ratio 83.62% 83.64% 82.46% 88.52% 83.66% 88.51%
Uniquely mapped reads 36411305 36993627 38460380 46228373 39711626 46846663
Uniquely mapped ratio 64.35% 64.35% 62.52% 74.75% 64.38% 74.71%
Mismatch ratio 21.08% 20.75% 20.75% 13.32% 20.7% 13.32%
rRNA ratio 0.34% 0.34% 0.34% 0.38% 0.34% 0.38%

Figure 2.

Figure 2

RNA profiling of cisplatin-resistant T24 cells. (A) The FPKM distribution of RNA-seq data. (B) Heatmap of genes with differential expression between T24R and T24 cells. Color bars above the heatmap represent sample groups: red is for up-regulated genes and blue is for down-regulated genes. Gene ontology analysis including biological process, cellular component and molecular function (C) and KEGG analysis (D) of the top 10 function enrichments or pathways associated with these differentially expressed genes of T24R vs. T24 cells.

Table 3.

The top 20 up- and down-regulated RNAs between T24R and T24 cells

Gene name T24_1 T24_2 T24_3 T24R_1 T24R_2 T24R_3 Fold change P value
TSIX 0 0 0.001145 44.3223 0 44.4631 2851.674 0.043527 UP
CALCB 0 0 0 5.48965 0 5.6515 372.3717 0.046705 UP
INA 0 0 0 3.40445 0 3.4335 228.9317 0.044256 UP
AC011479.1 0 0 0 2.09401 2.46234 1.48416 202.3503 0.001455 UP
CDX2 0 0 0 2.84571 0 2.96137 194.5693 0.048734 UP
HAND1 0 0 0 2.54288 0 2.23333 160.207 0.029952 UP
MTATP6P29 0 0 0 2.08806 0 1.57415 123.0737 0.026104 UP
IRS4 0.143147 0.196057 0.15983 32.0636 0.130196 32.3778 122.1124 0.045718 UP
SMOC1 0 0 0.023121 2.68218 0.022096 2.70471 102.3886 0.048069 UP
PAX3 0 0 0 1.61395 0 1.29241 97.87867 0.026044 UP
LBX1-AS1 0 0 0 1.4822 0 1.29934 93.718 0.031974 UP
WDR38 0 0.047591 0.057662 5.83899 0.055105 5.32661 83.18267 0.037259 UP
AL121900.2 0 0 0 0 2.20274 0 74.42467 0.006024 UP
SLC4A5 0 0 0 1.09691 0 1.10524 74.405 0.042567 UP
FOXB1 0 0 0 1.08689 0 1.11149 74.27933 0.047311 UP
FENDRR 0 0 0 1.22109 0 0.945853 73.23143 0.027006 UP
IRF8 0 0 0 0.92567 0.024952 0.979648 65.34233 0.018378 UP
RENBP 0 0 0 1.10646 0 0.784627 64.03623 0.037669 UP
CDR1 0 0 0.014682 1.2849 0.051334 1.32987 60.33982 0.03778 UP
FIBIN 0 0 0 0.848011 0 0.826709 56.824 0.038981 UP
AL358332.1 0.174681 0.086032 0.167478 0 0 0 0.065475 0.028332 DOWN
HIF1A-AS2 0.123822 0.152257 0.152246 0 0 0 0.065456 0.001169 DOWN
KRTAP3-1 0.148837 0.146606 0.142699 0 0 0 0.064083 7.35E-06 DOWN
RSL24D1P8 0.180292 0.17759 0.086141 0 0 0 0.063288 0.027062 DOWN
SLC38A8 0.150917 0.175791 0.144694 0 0 0 0.059832 0.002592 DOWN
AL133368.1 0.217221 0.106983 0.208264 0 0 0 0.053336 0.027518 DOWN
AC007547.2 0.205469 0.20239 0.196996 0 0 0 0.047255 6.63E-06 DOWN
AL138999.1 0.265286 0.17382 0.169188 0 0 0 0.047 0.011463 DOWN
STK19B 0.218092 0.214823 0.209098 0 0 0 0.044642 6.53E-06 DOWN
Z98742.3 0.26125 0.257334 0.250476 0.005615 0 0 0.044571 8.44E-06 DOWN
AC009127.2 0.219377 0.21609 0.210331 0 0 0 0.044392 6.52E-06 DOWN
AL513331.1 0.168504 0.331958 0.161555 0 0 0 0.043352 0.039337 DOWN
SNRPFP1 0.170737 0.337508 0.164817 0 0 0 0.04267 0.039199 DOWN
AL109811.4 0.188 0.319967 0.221454 0 0 0 0.039504 0.015707 DOWN
APOC3 0.146373 0.288358 0.312313 0 0 0 0.038608 0.025139 DOWN
HMGN2P24 0.161921 0.318989 0.310488 0 0 0 0.036523 0.023345 DOWN
AC004241.2 0.394257 0.196135 0.374816 0 0 0 0.030144 0.023448 DOWN
AL162713.1 0.328441 0.323519 0.314896 0 0 0 0.030095 5.78E-06 DOWN
PCDHGB4 0.83584 0.614691 0.669538 0 0 0 0.013953 0.002149 DOWN
AC024075.1 2.96262 2.82808 2.94387 0 0 0 0.003423 2.41E-06 DOWN

NEAT1.1 as a cisplatin negatively responder for tumor malignancy in BC cells

Since we found that NEAT1 was highly expressed in T24R compared to T24 upon cisplatin treatment from RNA-seq data, which transcript isoform of NEAT1 needed to be further determined. Hence, we conducted qPCR to measure the transcriptional levels of two variants of NEAT1 in T24, T24R, Biu-87 and 253J BC cells and observed that NEAT1.1 was all down-regulated in cisplatin treated BC cells, but robustly expressed in T24R with or without cisplatin treatment. NEAT1.1 was obviously higher in T24R than T24 and other BC cells without cisplatin treatment. NEAT1.2 showed no significant change no matter in cisplatin resistance or treatment (Figure 3A). Furthermore, we knockdown NEAT1.1 (Figure 3B) and observed that T24R cells with NEAT1.1 silencing displayed a declining cell proliferation (Figure 3C) and increasing cell apoptosis compared to control after cisplatin treatment by MTT and flow cytometric assay (Figure 3D). Moreover, we also found that NEAT1.1 silencing could suppress the migration ability of cells by transwell and wound healing assay (Figure 3E, 3F). Taken together, our results presented that NEAT1.1 negatively responded to cisplatin in regular BC cells but displayed persistently high expression in cisplatin resistant cells.

Figure 3.

Figure 3

The effect of NEAT1.1 knockdown in BC cells. (A) The expression of NEAT1.1 and NEAT1.2 in BC cells with or without cisplatin treatment. (B) The expression of NEAT1.1 and NEAT1.2 in BC cells with NEAT1.1 knockdown. The assays of MTT (C), flow cytometry (D), transwell (E) and wound healing (F) in T24R cells with NEAT1.1 knockdown. In flow cytometric assay, the population of dead cells, live cells and apoptotic cells were observed in the first, third, and fourth quadrants respectively. All data are presented as the mean ± standard error of three individual experiments. “*” p value less than 0.05 vs. control. “#” p value less than 0.05 vs. T24, Biu-87 and 253J.

Transcriptional activation of NEAT1 modulated by multiple transcription factors in T24R cells

A previous study reported that c-MYC [19], C/EBPβ [20], OCT4 [21], and p53 [22] could interact with the NEAT1 promoter region to regulate NEAT1 transcription verified by ChIP assay. To investigate the regulatory role of NEAT1 transcription affected by cisplatin resistance, these four transcription factors were employed to investigate the effect upon cisplatin in T24R cells. We observed that c-MYC, OCT4, and p53 were all up-regulated in T24R compared to T24 cells (Figure 4A), which was consistent with RNA-seq data. Furthermore, ChIP-qPCR assay was conducted to investigate the enrichment of these transcription factors on the promoter of NEAT1. We observed that these three transcription factors displayed no significant difference of enrichment without cisplatin between T24 and T24R cells, but all showed stronger affinities with the promoter of NEAT1 (-600~-450 and -250~-100) upon cisplatin treatment in T24R cells compared to T24 cells (Figure 4B, 4C). Collectively, our data determined that the aberrant roles of oncogenic transcription factors such as c-MYC, OCT4 and p53 regulated the transcriptional activity of NEAT1 in cisplatin-resistant BC cells.

Figure 4.

Figure 4

The transcription activity of NEAT1 regulated by c-MYC, OCT4 and p53. (A) The expression of c-MYC, OCT4, and p53 in T24R cells with cisplatin treatment. The enrichments of c-MYC, OCT4, and p53 on the promoter of NEAT1 at -600~-450 (B) and -250~-100 (C). All data are presented as the mean ± standard error of three individual experiments. “*” p value less than 0.05 vs. T24R.

Discussion

NEAT1 is an intranuclear lncRNA exerting as a crucial transcriptional regulator for numerous genes involved in multiple diseases including cancer progression. NEAT1 has two transcript isoforms, namely NEAT1.1 and NEAT1.2. The longer transcript variant has an additional triple helical structure at 3’ end. The functions of these two variants were never compared in one study. Limited studies have determined that NEAT1 can affect cisplatin sensitivity in different types of cancers. However, it is uncertain if NEAT1 improves cisplatin sensitivity in lung cancer [6] and cholangiocarcinoma [7] but it contributes to cisplatin resistance in osteosarcoma [8], liver cancer [9]. Moreover, NEAT1.2 is also reported to regulate cisplatin resistance in liver cancer [9]. In our case, we verified that NEAT1.1, not NEAT1.2, does respond upon the effect of cisplatin in BC cells. We also found that in regular BC cells, NEAT1.1 will be reduced after cisplatin adding, which indicates that cisplatin could restrain the transcriptional activity of NEAT1. Correspondingly, knockdown of NEAT1.1 can compromise tumor cell proliferation, invasion, and migration and enhance the tumor apoptosis in cisplatin-resistant BC cells. In general, NEAT1.1 may be a potential downstream target of cisplatin in BC. However, the observations of persistently and aberrantly high expression of NEAT1.1 upon cisplatin treatment in T24R cells suggest that some unknown regulatory factors bridging between cisplatin and NEAT1.1 contribute to receiving the signaling from cisplatin and governing the NEAT1 transcription.

The underlying networks regulated by NEAT1 are extensively studied, including multiple miRNAs and transcription factors [23,24]. However, what regulates NEAT1 transcription is less studied. We noticed that c-MYC, OCT4, C/EBPβ, and p53 were reported to bind at the promoter of NEAT1 and affect its transcription activity verified by ChIP assay. They were also determined to be associated with cisplatin resistance in recent studies [25-28]. Thus, these four transcription factors were considered as the prior targets bridging cisplatin and NEAT1. Our results draw two points. First, the free proteins of c-MYC, OCT4, and p53 are up-regulated in cisplatin-resistant BC cells and second c-MYC, OCT4, and p53 highly concentrate on NEAT1 promoter once cells are stimulated by cisplatin by ChIP-qPCR assay. However, the underlying mechanisms of regulation of NEAT1.1 and NEAT1.2 are not illustrated in this study. We speculate that there are other important enzymes for RNA splicing of NEAT1 in cisplatin-resistant BC cells that need to be further investigated. Thus we reveal that the transcriptional activity of NEAT1 may be regulated by multiple transcription factors upon cisplatin treatment.

Taken together, our data give evidence that NEAT1.1 is harmful for overcoming BC cisplatin resistance, and silencing NEAT1 can enhance the suppression of cell growth, invasion and apoptosis of bladder cancer cells upon cisplatin chemotherapy.

Acknowledgements

This project was funded by the Jiangsu Province Health and Family Planning Commission Scientific Research Project (grant no. Z201529). The experimental protocols were approved by the Institutional Review Board of Taizhou People’s Hospital (Jiangsu, P.R. China; No. 201603).

Disclosure of conflict of interest

None.

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