Abstract
Many studies have reported that circular RNAs play a vital role in the malignant progression of human cancers. However, the role and underlying mechanism of circRNAs in the development of gliomas have not been fully clarified. In this study, we found that circ_0001367 was downregulated in glioma tissues and showed a close correlation with glioma patient survival. Functional assays demonstrated that upregulation of circ_0001367 could suppress the proliferation, migration and invasion of glioma cells in vitro and inhibit glioma growth in vivo. Furthermore, bioinformatics analysis, luciferase reporter assay and RNA immunoprecipitation assay indicated that circ_0001367 can serve as a sponge for miR-431 and that miR-431 acts as an oncogene by regulating neurexin 3 (NRXN3). In addition, rescue experiments verified that circ_0001367 could regulate both the expression and function of NRXN3 in a miR-431-dependent manner. In conclusion, circ_0001367 functions as an suppressor in glioma by targeting the miR-431/NRXN3 axis and may be a promising therapeutic target against gliomas.
Subject terms: CNS cancer, Long non-coding RNAs
Introduction
Gliomas are the most common primary intracranial malignant tumours, and their treatment represents a significant challenge for neuro-oncologists1,2. The therapeutic outcome of high-grade gliomas is very poor, and the 5-year survival rate of glioblastoma multiforme is <10%3. Advancements in in-depth genomics, epigenetics and tumour immunology research have promoted some progress in the molecular diagnosis and development of new therapeutics for glioma. However, there is still an unmet clinical need for improving glioma treatment efficacy and patient outcomes4. The development of novel effective treatments highly relies on elucidating the fundamental molecular mechanisms of glioma development.
Circular RNA (circRNA) is a type of non-coding RNA (ncRNA) with a closed-loop structure, without a 5′ cap and a 3′ poly(A) tail, mainly located in the cytoplasm or stored in exosomes5,6. CircRNAs are not affected by RNA exonucleases, and their expression is more stable and not easy to degrade7. Most of circRNAs are made by exon circularization, and some of them are produced through intron circularization8. Twenty years ago, circRNAs were first identified from yeast mitochondria and hepatitis B virus as by-products of abnormal shearing with no regulatory function9. In 2013, it was shown that circRNAs function as sponges of miRNAs, providing a new area for circRNA research10. With the rapid development of RNA sequencing technology and bioinformatics analysis, tens of thousands of circRNAs have been identified in human tissue transcriptomics. Currently, circRNAs have been proven to widely exist in eukaryotes and have the characteristics of tissue specificity and disease specificity. Many studies have shown that circRNAs are linked to biological growth and development, stress response and disease occurrence and development11–13. Recent studies have reported specific roles and functions of circRNAs in gliomas; however, their exact roles remain largely unknown and deserve further investigation.
MicroRNAs (miRNAs), a class of endogenous ncRNAs in eukaryotes, are approximately 20–25 nucleotides in length and have regulatory functions in various physiological and pathological processes14. Mature miRNAs are produced by a series of long transcripts through a series of nuclease cleavages and assemble into an RNA-induced silencing complex15. According to the degree of complementarity, different miRNAs guide the silencing complexes to degrade target mRNAs or repress mRNA translation. MiRNAs have been reported to act as circRNA targets to participate in tumour initiation and progression in recent years16,17. However, the role of the circRNA–miRNA regulatory network in gliomas has not been well studied.
In the present study, we aimed to explore the differences in the expression patterns of circRNAs between malignant gliomas and their corresponding adjacent normal brain tissues (NBTs). Circ_0001367 was identified as a significantly differentially expressed circRNA. Integrated analysis of both clinical data and gain- and loss-of-function assays was performed to clarify whether circ_0001367 was significantly correlated with the prognosis of glioma patients. Based on luciferase reporter assays, RNA immunoprecipitation (RIP) assays and functional assays, the sponging and regulatory activity of circ_0001367 were investigated to elucidate its modulatory roles in glioma progression.
Materials and methods
Clinical specimens
Clinical glioma tissue specimens (n = 50) and adjacent NBTs were collected from patients who underwent surgical removal and were diagnosed with glioma according to World Health Organization (WHO) pathological criteria at the Department of Neurosurgery, Second Affiliated Hospital of Soochow University. The pathological diagnosis of glioma was independently achieved by two senior and experienced pathologists. Ethical approval was obtained from the Second Affiliated Hospital of Soochow University. Informed consent was obtained from all subjects.
Cell culture and transfection
Normal human astrocytes (NHAs) were obtained from JENNIO Biological Technology (Guangzhou, China). Glioma cell lines (A172, LN229, T98G, U118, and U138) were obtained from American Type Culture Collection (ATCC). All the cell lines were authenticated by short tandem repeat and were cultured in Dulbecco’s modified Eagle’s medium (Gibco, NY, USA) supplemented with 10% foetal bovine serum (ScienCell, LA, USA) and maintained in an incubator containing 5% CO2 at 37 °C.
The short hairpin RNAs (shRNAs), miR-431 mimics, miR-431 inhibitors, overexpression plasmids, and the corresponding negative controls used in this study were all purchased from GenePharma (Shanghai, China) and transfected into cells using Lipofectamine 3000 (Invitrogen, Carlsbad, CA, USA) according to the manufacturer’s instructions. Oligonucleotide sequences applied for cell transfection are listed in Table S1.
RNA extraction and quantitative reverse transcription–polymerase reaction (qRT-PCR)
Total RNA was extracted from tissues and cells using TRIzol (Invitrogen) as previously described18. qRT-PCR was conducted to measure the abundance of transcripts using SYBR PremixEx Taq (Vazyme, China) with the 2−ΔΔCt method. qRT-PCR was performed on each sample in triplicate. The primers used in this study are listed in Table S2.
RNase R treatment
Total RNA was incubated with or without RNase R (3 U/mg, Epicenter, WI, USA) for 30 min at 37 °C. Next, RNase R-treated RNA was purified with the RNeasy MinElute Cleaning Kit (Qiagen, Dusseldorf, Germany). Then qRT-PCR was conducted to measure the expression of circ_0001367 and the linear transcript Kelch-like family member 24 (KLHL24).
Luciferase reporter assay
The wild-type and mutant fragments in the 3′-untranslated region of circ_0001367 (circ_0001367-MUT, CAG UUG UGU UCC GUA UAG GUG GG) and neurexin 3 (NRXN3) (NRXN3-MUT, AGC UCC GUA AAG CUA GAA CGA AA) related to the miR-431-binding site were synthesized and inserted into pMIR-REPORT vectors. Next, pMIR-REPORT vectors, together with miR-431 mimics or the corresponding negative control, were transfected into glioma cell lines. Precisely 48 h later, a dual-luciferase reporter assay system (Promega, WI, USA) was used to detect the luciferase activity of tumour cells.
RNA immunoprecipitation
The RIP assay was performed using the RIP Kit (Millipore, Billerica, MA, USA), according to the manufacturer’s instructions. Cells were washed in phosphate-buffered saline and lysed thoroughly in lysis buffer, followed by centrifugation at 12,000 × g for 30 min, and the supernatant was harvested. Next, the supernatant was incubated with magnetic beads coupled with anti-Argonaute-2 (AGO2, Abcam, Cambridge, UK) or anti-IgG (Abcam) antibody for 6 h at 4 °C. After RIP, reverse transcription was performed. Finally, the expression of circ_0001367 was analysed using qRT-PCR.
Fluorescence in situ hybridization (FISH)
The probes and FISH Kit used in this assay were purchased from GenePharma. First, tissues were fixed in 4% paraformaldehyde, dehydrated in ethanol, embedded in paraffin and sliced into sections. Next, the sections were treated sequentially with dimethylbenzene xylene (15 min), anhydrous ethanol (5 min), alcohol (10 min) and proteinase K (30 min). Then the sections were hybridized at room temperature in hybrid solution (1 μl) containing hsa_circ_0001367 or miR-431 probes overnight. After washing, cell nuclei were stained with DAPI (4′,6-diamidino-2-phenylindole; Invitrogen) at room temperature for 5 min. Finally, images were captured with a fluorescence microscope (Olympus, Tokyo, Japan).
Western blot analysis
Total protein from the tissue and cells was extracted using RIPA buffer (KenGEN, Shanghai, China). Protein concentration was determined with the BCA Protein Assay Kit (Beyotime, Shanghai, China). The following steps were described previously19. The relevant antibodies used are listed in Table S3.
Colony formation assay
Cells (3 × 103) were seeded into cell culture dishes (35 mm, Corning, USA) and cultured for 14 days in an incubator containing 5% CO2 at 37 °C. Then the cells were fixed in 4% paraformaldehyde for 10 min, followed by crystal violet staining for 20 min. Transparent films of the grid were used to count the number of clones.
5-Ethynyl-20-deoxyuridine (EdU) assay
EdU assay was performed as described previously20. Briefly, cells (2.0 × 104) were seeded into 96-well plates and cultured in an incubator containing 5% CO2 at 37 °C overnight. After incubation with EdU (RiboBio, Guangzhou, China) for 2 h, cells were fixed with 4% paraformaldehyde and stained sequentially with Apollo dye solution (RiboBio) and DAPI (Invitrogen), and images were captured using a fluorescence microscope (Olympus).
Transwell assay
Transwell assays were performed to evaluate the migration and invasion abilities of glioma cells. The difference between invasion and migration was the upper chambers coated with or without Matrigel (50 µl, 1:8 dilution, BD, NJ, USA). The protocol was carried out as previously described21.
Immunohistochemistry (IHC)
Tissue section preparation was the same as the FISH assay. IHC was performed as previously described19. Briefly, the tissue sections were incubated with the primary antibody at 4 °C overnight, then the biotinylated secondary antibody at room temperature for 2 h, followed by ABC-peroxidase for 1 h. Next, diaminobenzidine and haematoxylin were applied to stain and counterstain the tissue section. Finally, images were captured under a microscope (Olympus) and evaluated in a blinded manner by two senior pathologists independently.
Terminal deoxynucleotidyl transfer-mediated dUTP nick end labelling staining (TUNEL)
The TUNEL assay in this study was conducted with a TUNEL Assay Kit (Beyotime) and Cell Death Detection Kit (Roche, Basel, Germany) according to the manufacturer’s instructions. The tissue section preparation was the same as the FISH assay. After being fixed and rinsed, tissue sections were stained using the fluorescein isothiocyanate-end labelling method. A Cell Death Detection Kit was then applied to detect apoptotic cells. The images were captured with a fluorescence microscope (Olympus).
Intracranial tumour mouse model
LN229 cells (2 × 106) stably expressing luciferase and transfected with sh-circ_0001367, sh-NRXN3 or the corresponding negative controls were injected into the right caudate nucleus of female Balb/c nude mice (4–6 weeks old, 10 mice per group), which were purchased from the Beijing Laboratory Animal Center (Beijing, China) and allocated randomly. A bioluminescence imaging system (IVIS Lumina II, Caliper, USA) was applied to monitor tumour growth on the indicated days. The Living Images software package (Caliper Life Science, Waltham, MA, USA) was used to determine the integrated flux of photons (photons/s). The xenograft tumours were harvested for western blot analysis, IHC and TUNEL assay. Animal experiments were approved by the Institutional Animal Care and Use Committee of Second Affiliated Hospital of Soochow University. No blinding was done in this experiment.
Statistical analysis
The data in this study were analysed with the GraphPad Prism software (Version 8.0.2, (CA, USA). The results are presented as mean ± SD. One-way analysis of variance was used to evaluate the differences among at least three groups. Student’s t test was used to determine the differences between groups. A P value <0.05 was accepted as statistically significant. All experiments were repeated three times independently.
Results
Circ_0001367 was downregulated in glioma and associated with poor prognosis
To explore the role of circRNAs in glioma development and malignant progression, circRNA expression profiles in five surgical specimens of glioma patients and the corresponding adjacent NBTs were analysed. According to the profiles, nine circRNAs were downregulated significantly (fold change <0.3 and P < 0.05) in glioma tissues (Fig. 1A and Table S4). The expression patterns of the 9 circRNAs in 50 cases of gliomas and paired adjacent NBTs were validated by qRT-PCR. Circ_0001367, which has never been reported to be involved in glioma progression, had significantly lower expression levels in gliomas than in adjacent NBTs (Fig. 1B, C). Furthermore, circ_0001367 expression in glioma parenchyma and adjacent NBTs was also tested by FISH, which showed that circ_0001367 was downregulated in gliomas (Fig. 1D). Kaplan–Meier analysis indicated that glioma patients with low circ_0001367 expression had a poor outcome (Fig. 1E). The expression of circ_0001367 in glioma cell lines was also detected. Similar to the data from clinical specimens, compared with NHAs, circ_0001367 was downregulated in glioma cell lines, especially in LN229 and T98G cells (Fig. 1F). According to circbase (http://www.circbase.org/), circ_0001367 was derived from KLHL24, and the splice junction is shown in Fig. 1G. Otherwise, compared with the linear transcript, the RNase R enzyme had no effect on circ_0001367, which solidified the circRNA characteristics of circ_0001367 (Figs. 1H, I and S1). Overall, these results documented that circ_0001367 was a stable circRNA closely related to glioma progression.
Circ_0001367 inhibited the proliferation, migration and invasion abilities of glioma cells in vitro
To evaluate the function of circ_0001367 in glioma cells, LN229 and T98G cells were transfected with short hairpin RNAs (shRNAs) targeting circ_0001367 (including sh-circ_0001367-1 and sh-circ_0001367-2), circ_0001367 overexpression plasmid and the corresponding negative control (Fig. 2A, B). Clone formation assays and EdU assays showed that silencing circ_0001367 expression promoted the proliferation of LN229 and T98G cells, whereas overexpressing circ_0001367 suppressed glioma cell proliferation (Fig. 2C–H). In addition, the Transwell assay indicated that silencing circ_0001367 expression promoted both the migration and invasion of LN229 and T98G cells. Overexpression of circ_0001367 decreased the migration and invasion abilities of these glioma cells (Fig. 2I–L).
Silencing circ_0001367 promoted glioma growth in vivo
To evaluate the effect of circ_0001367 on glioma growth in vivo, an intracranial xenograft model was established. Intracerebral injection of LN229 cells transfected with sh-circ_0001367 or the corresponding negative controls was performed with stereotaxic techniques. The results showed that silencing circ_0001367 promoted glioma growth in vivo (Fig. 3A, B), leading to shorter overall survival time in tumour-bearing mice (Fig. 3C). In addition, the expression of proliferation- and apoptosis-related proteins was detected by western blotting and IHC. Compared with those in the control group, cyclin D1, cyclin D2, cyclin-dependent kinase 4 (CDK4), CDK6, Bcl-2 and Ki-67 were upregulated, whereas Bax was downregulated in the sh-circ_0001367 group (Figs. 3D, E and S2A). The TUNEL assay indicated that TUNEL-positive cells decreased in the sh-circ_0001367 group as well (Fig. S2B).
Circ_0001367 acted as a sponge for miR-431 in glioma cells
Four mechanisms have been reported on the roles of circRNAs in tumour progression, among which competing endogenous RNA (ceRNA) is an important one22,23. Bioinformatics assays on the miRNA targets of circ_0001367 were carried out by analysing two online databases (circInteractome and starBase), and seven miRNAs were selected for further validation (Fig. 4A). The expression of seven miRNAs in LN229 and T98G cells transfected with sh-circ_0001367, circ_0001367 overexpression plasmid or the corresponding negative control was verified by qRT-PCR. The results showed that miR-431 and miR-510 had a close relationship with circ_0001367 (Figs. 4B, C and S3A, B). The bioinformatics assay from starBase indicated the exact sites at which circ_0001367 can bind to miR-431 and miR-510 (Figs. 4D and S3C). The expression pattern of miR-431 and miR-510 in clinical glioma specimens was investigated using qRT-PCR, which showed that miR-431 expression was upregulated in glioma tissues compared to the corresponding adjacent NBTs (Fig. 4E), whereas there was no significant difference in the expression of miR-510 between glioma tissues and their corresponding adjacent NBTs (Fig. S3D). FISH assays showed high expression of miR-431 in glioma tissues as well (Fig. 4F). Pearson correlation analysis indicated a significant correlation between the circ_0001367 level and miR-431 expression (Fig. 4G), whereas there was no correlation between circ_0001367 and miR-510 (Fig. S3E). Therefore, miR-431 was selected for further investigation. Kaplan–Meier analysis indicated that glioma patients with high miR-431 expression had a poor outcome (Fig. 4H). MiR-431 was upregulated in glioma cell lines as well (Fig. 4I). A luciferase reporter assay showed that miR-431 decreased the luciferase activity of circ_0001367-WT but not circ-0001367-MUT (Fig. 4J, K). Additionally, the RIP assay indicated that, compared with that in the input group, circ_0001367 expression was high in the AGO2 group (Fig. 4L). These results suggested that circ_0001367 can act as a sponge for miR-431 in glioma cells.
MiR-431 directly bound NRXN3 to regulate the level of NRXN3
To reveal the role of circ_0001367 in glioma progression and identify the target gene of miR-431, five online databases (PicTar, TargetScan, miRmap, miRnada and microT) were explored. Through bioinformatics analysis, 29 genes were screened for further validation (Fig. 5A and Table S5). The expression level of these candidate genes in a public database (GEPIA) was searched, and only two of them (serine rich and transmembrane domain containing 1 (SERTM1), and NRXN3) were downregulated in gliomas (Fig. S4). SERTM1 is located in chromosome 13, and its role in human physiology and pathology has not been extensively studied yet. NRXN3 is a presynaptic adhesion molecule, which belongs to the neurexin genes (NRXN1, NRXN2, and NRXN3), and mainly regulates neurotransmitter release24. Then, LN229 and T98G cells were transfected with miR-431 mimics, miR-431 inhibitor, or corresponding negative controls. qRT-PCR and western blot analysis indicated that only NRXN3 showed a close relationship with miR-431 (Figs. 5B, C and S5). The binding site between NRXN3 and miR-431 was shown in Fig. 5D. The expression pattern of NRXN3 in clinical glioma specimens was investigated, which showed that NRXN3 was downregulated in glioma tissue (Fig. 5E) and associated with WHO malignancy grades of gliomas (Fig. 5F). Pearson correlation analysis indicated a significant correlation between NRXN3 and miR-431 expression (Fig. 5G). In addition, Kaplan–Meier analysis indicated that lower NRXN3 indicated a poor outcome (Fig. 5H). The expression level of NRXN3 in glioma cell lines was consistent with that in clinical specimens (Fig. 5I, J). Finally, a luciferase reporter assay showed that miR-431 decreased the luciferase activity of NXRN3-WT but not NXRN3-MUT (Fig. 5K, L), suggesting that NRXN3 was the direct target of miR-431. All these data implied that miR-431 can directly bind to NRXN3 to regulate its expression.
In vitro studies showed that miR-431 could promote glioma proliferation, migration and invasion by regulating NRXN3
To verify the mutual regulatory relationship between miR-431 and NRXN3, miR-431 mimics, shRNA targeting NRXN3 (sh-NRXN3) and miR-431 mimics together with an NRXN3 overexpression plasmid (miR-431 mimics + NRXN3) were chemically synthesized and transfected into LN229 and T98G cells (Fig. 6A, B). Functional assays indicated that miR-431 mimics and sh-NRXN3 promoted the proliferation, migration and invasion of glioma cells and that the promoting effect of miR-431 mimics could be restored by NRXN3 overexpression (Fig. 6C–L). Overall, these findings suggested that miR-431 can regulate the proliferation, migration and invasion of glioma cells by targeting NRXN3.
NRXN3 inhibited glioma growth in vivo
LN229 cells transfected with sh-NRXN3 or the corresponding negative control were applied to establish the orthotopic tumour model with stereotaxic intracerebral inoculation, which showed that silencing NRXN3 led to promotion of glioma growth in vivo and resulted in shorter survival of tumour-bearing mice (Fig. 7A–C). Western blot analysis and IHC showed that cyclin D1, cyclin D2, CDK4, CDK6, Ki-67, Bcl-2 and Bax were involved in the NRXN3-induced inhibitory effect on glioma growth (Figs. 7D, E and S6A). Additionally, TUNEL staining showed that TUNEL-positive cells decreased in the sh-NRXN3 group (Fig. S6B).
Circ_0001367 inhibited the glioma malignancy phenotype by targeting the miR-431/NRXN3 axis
The preliminary data showed that circ_0001367 could sponge miR-431 to regulate NRXN3 expression. To further verify the integrity of the ceRNA pathway, rescue experiments were performed. qRT-PCR and western blot analysis demonstrated that knocking down circ_0001367 decreased NRXN3 expression, whereas miR-431 inhibitors increased NRXN3 expression at both the mRNA and protein levels, and the inhibitory effect of sh-circ_0001367 was restored by miR-431 inhibitors (Fig. 8A, B). Subsequent functional assays showed that sh-circ_0001367 promoted the proliferation, migration and invasion of glioma cells, whereas miR-431 inhibitors suppressed these biological behaviours of glioma cells. Simultaneously, the promoting effect of sh-circ_0001367 on the proliferation, migration and invasion of glioma cells could be partially restored by miR-431 inhibitors (Fig. 8C–L). These results demonstrated that circ_0001367 inhibited glioma progression by acting as a sponge of miR-431 to regulate NRXN3.
Discussion
CircRNAs are an important class of ncRNAs that were thought to have no regulatory effects on biological activities when first discovered decades ago25. With the advancement of sequencing technology, biologists have accumulated a large number of RNA sequencing data sets and found that circRNAs are more commonly involved in gene regulation in human cells than linear RNAs26. Mounting studies have shown that circRNAs are widely expressed in various species and participate in the transcription and expression of genes, thus affecting biological physiological and pathological processes27. Mounting evidence has shown that circRNAs are significantly differentially expressed in tumours and closely related to tumour progression28,29. In the current study, according to circRNA expression profile and qRT-PCR, circ_0001367 was found to be downregulated in glioma tissues and associated with glioma patient survival, which suggested that circ_0001367 may function as a novel biomarker and potential target in the diagnosis and treatment of gliomas. Circ_0001367 is located on chromosome 3, and its role in human disease has never been studied thoroughly. Herein, in vitro assays indicated that circ_0001367 played a negative role in the proliferation, migration and invasion of glioma cells. Simultaneously, an in vivo assay also demonstrated that circ_0001367 could inhibit orthotopic xenograft growth. These results indicated that circ_0001367 played an important suppressive role in glioma growth and development, therefore the underlying mechanism merited clarification.
Recent studies suggest that circRNAs function in four common ways: (1) acting as miRNA sponges; (2) regulating RNA-binding proteins; (3) regulating gene transcription; and (4) being translated by ribosomes to polypeptides30. For circRNAs containing miRNA response elements, a large number of studies have reported that the adsorption of miRNAs is the most critical way for circRNAs to exert their biological functions, which can further regulate downstream target genes to influence malignant tumour progression, recurrence and chemoresistance. For example, circNTRK2 regulated oesophageal squamous cell carcinoma progression by targeting miR-140-3p31, circSHKBP1 promoted the progression of gastric cancer by sponging miR-582-3p32, and circ_0091570 inhibited hepatocellular cancer progression by sponging miR-130733. MiR-431 is known to participate in the carcinogenesis of various cancers, such as pancreatic and neuroendocrine tumours34, breast cancer35 and colon cancer36. There was also a study which documented that miR-431 downregulation suppressed the viability of glioblastoma cells; however, the role of miR-431 and the related regulatory network has not been fully elucidated and still needs further investigation37. In the current study, miR-431 was found to be upregulated in both glioma cell lines and surgical glioma specimens. In addition, luciferase reporter and RIP assays revealed that miR-431 can be adsorbed by circ_0001367.
NRXN3, a member of the neurexin gene family, is involved in neuropsychiatric disorders and cancer progression38–40. NRXN3 participates in renal cell carcinoma cell adhesion41, breast cancer progression42 and glioma progression43. The current study found that NRXN3 was downregulated in gliomas and inhibited the proliferation, migration and invasion of glioma cells. A series of assays on molecular pathways verified that NRXN3 acted as a functional target of miR-431. In addition, rescue experiments indicated that circ_0001367 could regulate the expression and function of NRXN3 by sponging miR-431.
In conclusion, the current study demonstrated that circ_0001367 was downregulated in gliomas and could inhibit glioma progression by sponging miR-431 to regulate NRXN3 (Fig. S7). These results suggest that circ_0001367 may be a potential diagnostic biomarker and a therapeutic target against gliomas.
Supplementary information
Author contributions
L.L., P.Z. and X.D.: visualization, writing—original draft, investigation, formal analysis, and data curation. H.L.: resources. S.L., C.S. and J.Y.: validation, software. X.Y. and Z.Q.: methodology and supervision. J.D. supervision, project administration, writing—review and editing, and funding acquisition.
Funding
This study was supported by grants from the Natural Science Foundation of Jiangsu Province, China (No. BK20201172), Key project of Jiangsu Health Commission (ZDB2020016), Clinical Special Disease Diagnosis and Treatment Technology in Suzhou (No. LCZX201807) and Research and Practice Innovation Program for Postgraduates in Jiangsu (No. SJCX19_0183).
Ethics statement
The human tissues used in this study were approved by the institute ethical committee of Second Affiliated Hospital of Soochow University.
Conflict of interest
The authors declare no competing interests.
Footnotes
Edited by A. Stephanou
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
These authors contributed equally: Liang Liu, Peng Zhang, Xuchen Dong
Supplementary information
The online version contains supplementary material available at 10.1038/s41419-021-03834-1.
References
- 1.Minaya Flores P, Berbis J, Chinot O, Auquier P. Assessing the quality of life among caregivers of patients with gliomas. Neurooncol. Pract. 2014;1:191–197. doi: 10.1093/nop/npu027. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Hegi ME, Stupp R. Withholding temozolomide in glioblastoma patients with unmethylated MGMT promoter–still a dilemma? Neuro Oncol. 2015;17:1425–1427. doi: 10.1093/neuonc/nov198. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Patil, N. et al. Epidemiology of brainstem high-grade gliomas in children and adolescents in the United States, 2000–2017. Neuro Oncol. noaa295 (2020). [DOI] [PMC free article] [PubMed]
- 4.Zhu H, Yu X, Zhang S, Shu K. Targeting the complement pathway in malignant glioma microenvironments. Front. Cell Dev. Biol. 2021;9:657472. doi: 10.3389/fcell.2021.657472. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Di Timoteo G, Rossi F, Bozzoni I. Circular RNAs in cell differentiation and development. Development. 2020;147:dev.182725. doi: 10.1242/dev.182725. [DOI] [PubMed] [Google Scholar]
- 6.Xu X, et al. CircRNA inhibits DNA damage repair by interacting with host gene. Mol. Cancer. 2020;19:128. doi: 10.1186/s12943-020-01246-x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Gokool A, Loy CT, Halliday GM, Voineagu I. Circular RNAs: the brain transcriptome comes full circle. Trends Neurosci. 2020;43:752–766. doi: 10.1016/j.tins.2020.07.007. [DOI] [PubMed] [Google Scholar]
- 8.Fathizadeh H, Hallajzadeh J, Asemi Z. Circular RNAs as diagnostic biomarker in pancreatic cancer. Pathol. Res. Pract. 2020;216:153075. doi: 10.1016/j.prp.2020.153075. [DOI] [PubMed] [Google Scholar]
- 9.Wang M, Gu B, Yao G, Li P, Wang K. Circular RNA expression profiles and the pro-tumorigenic function of circRNA_10156 in hepatitis B virus-related liver cancer. Int. J. Med. Sci. 2020;17:1351–1365. doi: 10.7150/ijms.45637. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Kane M, et al. MX2 is an interferon-induced inhibitor of HIV-1 infection. Nature. 2013;502:563–566. doi: 10.1038/nature12653. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 11.Li S, et al. Hsa_circ_0004018 suppresses the progression of liver fibrosis through regulating the hsa-miR-660-3p/TEP1 axis. Aging. 2020;12:11517–11529. doi: 10.18632/aging.103257. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Jia B, et al. CircRNA-PTN sponges miR-326 to promote proliferation in hepatocellular carcinoma. Onco Targets Ther. 2020;13:4893–4903. doi: 10.2147/OTT.S251300. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Qin M, et al. Circular RNA circ_0003645 silencing alleviates inflammation and apoptosis via the NF-kappaB pathway in endothelial cells induced by oxLDL. Gene. 2020;755:144900. doi: 10.1016/j.gene.2020.144900. [DOI] [PubMed] [Google Scholar]
- 14.De Martino M, Esposito F, Chieffi P. An update on microRNAs as potential novel therapeutic targets in testicular germ cell tumors. Intractable Rare Dis. Res. 2020;9:184–186. doi: 10.5582/irdr.2020.03025. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Ghaemmaghami AB, et al. Role of exosomes in malignant glioma: microRNAs and proteins in pathogenesis and diagnosis. Cell Commun. Signal. 2020;18:120. doi: 10.1186/s12964-020-00623-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Bai Y, Li X. hsa_circ_0008285 facilitates the progression of cervical cancer by targeting miR-211-5p/SOX4 axis. Cancer Manag. Res. 2020;12:3927–3936. doi: 10.2147/CMAR.S244317. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Wang Y, Zhang J, Chen X, Gao L. Circ_0001023 promotes proliferation and metastasis of gastric cancer cells through miR-409-3p/PHF10 axis. Onco Targets Ther. 2020;13:4533–4544. doi: 10.2147/OTT.S244358. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Liu L, et al. The long non-coding RNA SNHG1 promotes glioma progression by competitively binding to miR-194 to regulate PHLDA1 expression. Cell Death Dis. 2019;10:463. doi: 10.1038/s41419-019-1698-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Liu L, Cui S, Zhang R, Shi Y, Luo L. MiR-421 inhibits the malignant phenotype in glioma by directly targeting MEF2D. Am. J. Cancer Res. 2017;7:857–868. [PMC free article] [PubMed] [Google Scholar]
- 20.Luo Y, Liu L, Li X, Shi Y. Avasimibe inhibits the proliferation, migration and invasion of glioma cells by suppressing linc00339. Biomed. Pharmacother. 2020;130:110508. doi: 10.1016/j.biopha.2020.110508. [DOI] [PubMed] [Google Scholar]
- 21.Liu L, et al. Long non-coding RNA HOTAIR acts as a competing endogenous RNA to promote glioma progression by sponging miR-126-5p. J. Cell. Physiol. 2018;233:6822–6831. doi: 10.1002/jcp.26432. [DOI] [PubMed] [Google Scholar]
- 22.Kong S, Tao M, Shen X, Ju S. Translatable circRNAs and lncRNAs: driving mechanisms and functions of their translation products. Cancer Lett. 2020;483:59–65. doi: 10.1016/j.canlet.2020.04.006. [DOI] [PubMed] [Google Scholar]
- 23.Cheng J, Meng J, Zhu L, Peng Y. Exosomal noncoding RNAs in glioma: biological functions and potential clinical applications. Mol. Cancer. 2020;19:66. doi: 10.1186/s12943-020-01189-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Hishimoto A, et al. Neurexin 3 transmembrane and soluble isoform expression and splicing haplotype are associated with neuron inflammasome and Alzheimer’s disease. Alzheimers Res. Ther. 2019;11:28. doi: 10.1186/s13195-019-0475-2. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Doyle WJ, et al. A double-blind, placebo-controlled clinical trial of the effect of chlorpheniramine on the response of the nasal airway, middle ear and eustachian tube to provocative rhinovirus challenge. Pediatr. Infect. Dis. J. 1988;7:229–238. doi: 10.1097/00006454-198803000-00033. [DOI] [PubMed] [Google Scholar]
- 26.Wang L, Wu H, Chu F, Zhang L, Xiao X. Knockdown of circ_0000512 inhibits cell proliferation and promotes apoptosis in colorectal cancer by regulating miR-296-5p/RUNX1 axis. Onco Targets Ther. 2020;13:7357–7368. doi: 10.2147/OTT.S250495. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Shen P, et al. CircCDK14 protects against osteoarthritis by sponging miR-125a-5p and promoting the expression of Smad2. Theranostics. 2020;10:9113–9131. doi: 10.7150/thno.45993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 28.Li Z, Yao H, Wang S, Li G, Gu X. CircTADA2A suppresses the progression of colorectal cancer via miR-374a-3p/KLF14 axis. J. Exp. Clin. Cancer Res. 2020;39:160. doi: 10.1186/s13046-020-01642-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Xu T, et al. CircRNAs in anticancer drug resistance: recent advances and future potential. Mol. Cancer. 2020;19:127. doi: 10.1186/s12943-020-01240-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Ma S, Kong S, Wang F, Ju S. CircRNAs: biogenesis, functions, and role in drug-resistant tumours. Mol. Cancer. 2020;19:119. doi: 10.1186/s12943-020-01231-4. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Chen X, et al. Circular RNA circNTRK2 facilitates the progression of esophageal squamous cell carcinoma through up-regulating NRIP1 expression via miR-140-3p. J. Exp. Clin. Cancer Res. 2020;39:133. doi: 10.1186/s13046-020-01640-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Xie M, et al. Exosomal circSHKBP1 promotes gastric cancer progression via regulating the miR-582-3p/HUR/VEGF axis and suppressing HSP90 degradation. Mol. Cancer. 2020;19:112. doi: 10.1186/s12943-020-01208-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.Wang YG, et al. Hsa_circ_0091570 acts as a ceRNA to suppress hepatocellular cancer progression by sponging hsa-miR-1307. Cancer Lett. 2019;460:128–138. doi: 10.1016/j.canlet.2019.06.007. [DOI] [PubMed] [Google Scholar]
- 34.Zhang T, et al. miR-431 promotes metastasis of pancreatic neuroendocrine tumors by targeting DAB2 interacting protein, a Ras GTPase activating protein tumor suppressor. Am. J. Pathol. 2020;190:689–701. doi: 10.1016/j.ajpath.2019.11.007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Wang W, et al. MicroRNA-431 serves as a tumor inhibitor in breast cancer through targeting FGF9. Oncol. Lett. 2020;19:1001–1007. doi: 10.3892/ol.2019.11126. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Huang W, Zeng C, Hu S, Wang L, Liu J. ATG3, a target of miR-431-5p, promotes proliferation and invasion of colon cancer via promoting autophagy. Cancer Manag. Res. 2019;11:10275–10285. doi: 10.2147/CMAR.S226828. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 37.Tanaka T, et al. Downregulation of microRNA-431 by human interferon-beta inhibits viability of medulloblastoma and glioblastoma cells via upregulation of SOCS6. Int. J. Oncol. 2014;44:1685–1690. doi: 10.3892/ijo.2014.2317. [DOI] [PubMed] [Google Scholar]
- 38.Yuan H, et al. A rare exonic NRXN3 deletion segregating with neurodevelopmental and neuropsychiatric conditions in a three-generation Chinese family. Am. J. Med. Genet. B Neuropsychiatr. Genet. 2018;177:589–595. doi: 10.1002/ajmg.b.32673. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Zheng JJ, et al. Low expression of aging-related NRXN3 is associated with Alzheimer disease: a systematic review and meta-analysis. Medicine. 2018;97:e11343. doi: 10.1097/MD.0000000000011343. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40.Al Shweiki MR, et al. Proteomic analysis reveals a biosignature of decreased synaptic protein in cerebrospinal fluid of major depressive disorder. Transl. Psychiatry. 2020;10:144. doi: 10.1038/s41398-020-0825-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 41.Wang Y, et al. The role of YB1 in renal cell carcinoma cell adhesion. Int. J. Med. Sci. 2018;15:1304–1311. doi: 10.7150/ijms.25580. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 42.Fan L, Dang X, Shi Z, Zhang C, Wang K. Hydroxysafflor yellow A protects PC12 cells against the apoptosis induced by oxygen and glucose deprivation. Cell. Mol. Neurobiol. 2011;31:1187–1194. doi: 10.1007/s10571-011-9720-3. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43.Sun HT, Cheng SX, Tu Y, Li XH, Zhang S. FoxQ1 promotes glioma cells proliferation and migration by regulating NRXN3 expression. PLoS ONE. 2013;8:e55693. doi: 10.1371/journal.pone.0055693. [DOI] [PMC free article] [PubMed] [Google Scholar]
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