Abstract
Objectives
Gemcitabine (Gem) is one of the most commonly used chemotherapeutic drugs in treating patients with pancreatic ductal adenocarcinoma (PDAC). Acquired drug resistance against Gem presents a major clinical challenge in the chemotherapy of PDAC. It has been shown that miRNA-3662 is lowly expressed and implicated with quantities of biological processes in cancer. However, whether miRNA-3662 regulates chemoresistance in PDAC remains largely unknown.
Materials and methods
The level of miRNA-3662 in PDAC tissues was determined by real-time qPCR (RT-qPCR). Functional experiments were used to investigate the biological role of miRNA-3662 on Gem resistance of PDAC in vitro and in vivo. Fluorescence in situ hybridization (FISH), RT-qPCR, western blotting, bioinformatics analysis and luciferase reporter assay were employed to determine the precise regulation mechanisms.
Results
In this study, it was investigated that miRNA-3662 was down-regulated in PDAC clinical samples as well as cell lines. Functional assays revealed that miRNA-3662 was sufficient to inhibit Gem resistance in PDAC cells both in vitro and in vivo. Mechanistically, hypoxia-inducible factor 1ɑ (HIF-1ɑ) was one of the transcriptional target of miRNA-3662 and was up-regulated in PDAC samples. Importantly, genetic promoting of HIF-1ɑ largely compromised miR-3662-mediated chemosensitive effects. In addition, miR-3662 could impair the aerobic glycolysis in PDAC cells.
Conclusions
This study sheds light on miRNA-3662 inhibits PDAC cell chemoresistance and aerobic glycolysis through a negative feedback loop with HIF-1ɑ. Therefore, the co-delivery of miR-3662 and Gem could be served as a promising therapeutic regimen for PDAC patients.
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Introduction
PDAC is a common malignant tumor worldwide representing a serious threat to human’s health [1]. The prognosis of PDAC patients is poorest among all solid cancers, with median survival duration less than 6 months [2]. Recently, despite increasing number of therapies and advances in clinical management, most PDAC patients are diagnosed when the tumor has metastasized to other organs [3]. In these cases, Gem-based chemotherapy concurrently with or after radiotherapy is still the main remedy for this disease. Whereas continuous exposure to Gem can cause serious adverse effects, and many patients with PDAC exhibit a poor response to systematic chemotherapy, the long-term clinical prognosis of PDAC patients still remains poor. Among these influencing factors, the production of innate or acquired resistant cancer cells is the major clinical impediment for the curative effect [4, 5].
Energy metabolism alteration is emerged as a common malignant feature of cancers. Cancer cells tend to use glucose-dependent glycolytic pathway rather than mitochondrial oxidative phosphorylation for energy production despite in the presence of adequate oxygen, a phenomenon defined as Warburg effect [6,7,8]. Although mitochondrial oxidative phosphorylation produces more energy than glycolysis. Promoted Warburg effect in cancer cells is required for cancer cell proliferation by providing adequate carbon sources [9, 10]. Consequently, aerobic glycolysis is highly capable of increasing nonresponsiveness to chemoradiotherapy or reconstituting tumor after successful therapy [11]. Furthermore, it has been well documented that aerobic glycolysis is related to a higher incidence of tumor invasion and metastases [12]. Therefore, development of novel therapeutic modalities on aerobic glycolysis eradication is urgently needed to fight against cancer development and enhance the efficacy of cancer therapies.
As one of non-coding RNA, microRNAs (miRNAs) play important roles in the occurrence of a variety of biological characteristics that are critical for normal physiological development [13, 14]. Some miRNAs have been demonstrated to either inhibit chemoresistance or promote chemoresistance in malignant cells [15]. He et al. reported that miR-186-3p inhibits tamoxifen resistance and aerobic glycolysis in breast cancer [16]. MiRNA-30a-5p is low-expressed in liver cancer cells, and promoting of miRNA-30a-5p can substantially repress aerobic glycolysis and sorafenib resistance [17]. Previous study found that miRNA-29c-3p was remarkably up-regulated in ovarian cancer cells, and inhibited cisplatin resistance through FOXP1/ATG14 pathway [18]. In addition, there is literature indicating that silencing of miRNA-210 can inhibit the Gem resistance of PDAC by mediation of mTOR signaling pathway [5]. Recent study has proved that miRNA-3662 is actively involved in the various biological processes of cancers [19]. However, miR-3665 was rarely studied in drug resistance and glycolysis, and so far there have been only two reports. MiRNA-3662 was found low-expressed in lung cancer cells and tissues, and knockdown of miRNA-3662 can substantially promote aerobic glycolysis and accelerate tumor growth [20]. Another study showed that miRNA-3662 negatively regulates antiviral drug resistance and inhibits the proliferation of T cell leukemia [21]. Nevertheless, the effect of miRNA-3662 in the progression of chemoresistance in PDAC is yet to be elucidated.
The task of our present study was to explore the biological role and regulatory mechanism of miRNA-3662 in PDAC chemoresistance. MiRNA-3662 exhibited a low expression level in PDAC tissues and cell lines. Upregulation of miRNA-3662 repressed the Gem resistance and aerobic glycolysis in PDAC. Moreover, mechanistic analyses indicated that HIF-1α was directly transcribed by miRNA-3662. Collectively, our study exposed that miRNA-3662 exerted antioncogenic function in PDAC through directly targeting HIF-1α, which might provide a novel sight for PDAC treatment.
Materials and methods
Ethics statement and tissue
Prior to this study, all patients were informed and signed informed consent. 56 PDAC clinical specimens were obtained from The First People’s Hospital of Yueyang from Jun 2013 to Apr 2015. All the PDAC patients recruited in this study were diagnosed with ductal adenocarcinoma of head of pancreas. This study was approved by the institutional ethics review board of The First People’s Hospital of Yueyang. Tissue preparation for laser microdissection was performed as previously described [22].
FISH assay
Ribo™ Fluorescent In Situ Hybridization Kit (Ribo, China) was conducted to detect the localization of miRNA-3622 in PDAC tissues. Specific probes for the miRNA-3662 were designed and synthesized by Gene-seed (Guangzhou, China). DAPI was employed to stain cell nuclei. Confocal fluorescence microscope (Olympus BX53 Biological Microscope) was used to capture the images of cells.
Cell culture
The human PDAC cell lines (Panc-1, MIA PaCa-2, HPAC, BxPC-3, Capan-1, AsPC-1, SW1990 and Capan-2) as well as the normal pancreatic epithelial cell line HPDEC were obtained from ATCC. Panc-1, BxPC-3 and Capan-1 cells were cultured in RPMI 1640 (Life Technologies, Carlsbad, CA), while MIA PaCa-2, HPAC, AsPC-1, SW1990, Capan-2 and HPDEC cells were maintained in DMEM (Life technology). All cell lines were supplemented with 10% fetal bovine serum (PBS, GIBCO, USA) in a humidified incubator at 37 °C with 5% CO2 condition. The cells in third–eight generation and logarithmic phase were used for experiment.
Construction of Gem-resistant PDAC cell lines
To establish Gem-resistant PDAC cell models, AsPC-1 and SW1990 cells were exposed to gradually increasing doses of Gem in vitro as described previously [5]. The starting concentrations of Gem for AsPC-1 and SW1990 cells were 200 and 10 nmol/L, respectively. The constructed Gem-resistant cell lines were named AsPC-1/Gem and SW1990/Gem. Gem-resistant PDAC cells were maintained in Gem-free medium for 7 days prior to the experiments.
RNA isolation and real-time qPCR (RT-qPCR)
RNAiso Plus (9108Q, Takara, China) or RNAiso for Small RNA (9753Q) were used to isolate total RNA or miRNA, as required. Reverse transcription step was referred to the instructions of PrimeScrip RT reagent Kit (RR037Q) produced by Takara (China). The RT-qPCR detection was constructed in the Mx3000P Real-Time QPCR System (Agilent, USA) with TB Green Premix Ex Taq II (RR820Q, Takara, China), followed by the conditions set as below: pre-denaturation (97 °C, 4 min), denaturation (97 °C, 13 s) and annealing (60 °C, 1 min) for 40 cycles, and finally extended (68 °C, 7 min). U6 was used as control for miRNA and mRNA expression, and the results were quantified in the form of 2-ΔΔCt method [10].
Cell transfection
AgomiRNA-NC, AgomiRNA-3662, AntagomiRNA-NC, and AntagomiRNA-3662 were ordered from Guangzhou RIBOBIO Biotechnology Co. LTD (China). The HIF-1α overexpression (HIF-1α) plasmid was constructed from GenePharma Company (China). When the confluence of AsPC-1 and SW1990 cells in a 24-well plate reached 70–90%, they were ready for transfection. For the transfection method, refer to the direction of Lipofectamine 3000 (L3000015, Invitrogen, USA).
Cell viability assay
Cells were inoculated into a 96-well plate and cultured for 24 h after transfection. 48 h after culture, 10 μL CCK-8 solution (Dojindo Laboratories, Kumamoto, Japan) was added to each well and incubated at 37 °C for 1 h. The optical density (OD) value at 450 nm was determined by a spectrophotometer (Thermo Scientific, Rockford, IL, USA). The IC50 value was calculated as the Gem concentration causing 50% decrease in cell viability.
Flow cytometry analysis for apoptosis
Cells were harvested and fixed with 75% ethanol at − 20 °C overnight. After PBS washing again, cells were stained with FITC-Annexin V and PI (Bio-Rad) for 25 min in dark. Flow cytometry (FACS Calibur and LSR™ II Flow Cytometer; BD Pharmingen) was used to detect the apoptotic rate.
Detection of glucose utilization and lactate release
Cells were cultured in six-well plates at a density of 1 × 106 cells/well without phenol red for 24 h, and the culture media was harvested for detection of glucose consumption and lactate production. The extracellular concentrations of glucose and lactate were quantified with a glucose assay kit (Sigma-Aldrich) and a Lactate Assay Kit (BioVision, Milpitas, CA, USA) according to the direction of manufacturer. The assays were performed in triplicate.
Western blotting
The proteins in this study were lysed using RIPA Lysis Buffer (C05-01001, Bioss, China), followed by quantified with Pierce Rapid Gold BCA Protein Assay Kit (A53225, ThermoFisher, USA). 20 μg of protein was taken to perform electrophoresis with SDS-PAGE, and then transferred to PVDF membrane. After sealing with Blocking Buffer (37,565, Thermo Scientific, USA) for 2 h, membranes were incubated with primary antibodies and secondary antibodies, respectively. Then, protein bands were showed with ECL luminous fluid (WBKlS0100, Millipore, USA) and analyzed with gel imaging system (Tanon 2500, Solarbio, China) and Quantity One image analysis software (Bio-Rad, USA). The antibodies against deoxycytidine kinase (dCK), HIF-1ɑ and β-actin were obtained from Abcam (UK).
Target gene verification
The wild-type or mutant sequences of HIF-1ɑ 3’ UTR were inserted into the pmirGLO vector (E1330, Promega, USA) to perform dual-luciferase reporter assay. Different recombinant plasmids together with either wt-HIF-1ɑ or mut-HIF-1ɑ were transfected into BxPC-3 cells, respectively. Luciferase activities were measured in dual-luciferase system (D0010-100 T, Solarbio, China) by GloMax 20/20 detector (Promega, USA).
Tumor induction assay in a nude mouse model
Male BALB/c-nude mice at 4 weeks of age were maintained under specific pathogen-free conditions. AsPC-1/Gem cells were stably transfected with AgomiRNA-NC or AgomiRNA-3662 and harvested. Cells were then washed with phosphate-buffered saline, and re-suspended at a concentration of 5 × 107 cells/ml. The node mice were randomly divided into four groups, 8 mice per group. In two groups of mice, 100 μl of suspended control AsPC-1/Gem cells was inoculated subcutaneously implanted into the armpit of each mouse. In the rest two groups, the mice were subcutaneously implanted with the same number of miR-3662 overexpressing-AsPC-1/Gem cells. After the tumors reached 50 mm3, one group of mice implanted with the control cells and one group of mice implanted with the miR-3662 overexpressing cells were treated with Gem (50 mg/kg given twice a week by intraperitoneal injection for 28 days). All mice were euthanized 28 days later. This study was approved by the Animal Ethical and Welfare Committee of Hunan Institute of Science and Technology.
Immunohistochemical (IHC) analysis
The removed tumors were fixed in 4% paraformaldehyde for 15 min, embedded in paraffin wax, sectioned into slices, and then processed using hematoxylin and eosin staining. Such samples were then incubated with specific antibody against Ki-67 (1:1000) and HIF-1ɑ (1:300), respectively. Observations were carried out using an optical microscope (Olympus, Japan), and positive staining was brown.
Terminal deoxyribonucleotidyl transferase-mediated dUTP nick end labeling (Tunel) assay
The apoptosis of tumor tissues was evaluated using an in situ cell death detection kit from Roche diagnostics as per manufacturer’s protocols strictly. Tunel reaction was viewed and photographed using a light microscope (Olympus BX51, Shinjuku, Japan) by two different pathologists unaware of the xenograft tumor groups. Average number of Tunel-positive apoptotic cells of 10 randomly chosen fields from each treatment groups was counted.
Statistical analysis
All statistical analyses were implemented using Graphpad 8.0 software. One-way ANOVA was employed for comparison between multiple groups. Dunnett-t test or Tukey test for pairwise comparison between groups. Correlation analysis was calculated using the Spearman’s test. P < 0.05 was considered statistically significant.
Results
MiRNA-3662 expression was down-regulated in PDAC tissues
To determine the biological role of miRNA-3662 in PDAC, we first performed FISH analysis to measure miRNA-3662 expression in PDAC tissue. As presented in Fig. 1a, miRNA-3662 was positively expressed in cytoplasm of PDAC cells. Further, we explored miRNA-3662 expression in 56 PDAC tissue samples and their matched adjacent normal tissues through RT-qPCR. The results turned out that miRNA-3662 expression was dramatically lower in 78.6% (44/56) of PDAC tissue cases (Fig. 1b). As shown in Fig. 1c, our data also demonstrated that the expression of miRNA-3662 in PDAC tissues was decreased than that of adjacent normal tissues (P < 0.001). Taken together, the above results demonstrated that the expression of miRNA-3662 was down-regulated in PDAC tissues, and may acted as a positive prognostic factor in PDAC.
MiRNA-3662 regulates the Gem resistance in PDAC cells in vitro
The effects of miRNA-3662 modification on the Gem resistance of cultured PDAC cells were then explored. We first examined the situation of miRNA-3662 in PDAC cell lines and found that the expression of miRNA-3662 in Panc-1, MIA PaCa-2, HPAC, BxPC-3, Capan-1, AsPC-1, SW1990 and Capan-2 cells was dramatically lower than that of HPDEC cells (P < 0.001, Fig. 2a). Among all PDAC cell lines, the expression of miRNA-3662 was highest in SW1990 cells and lowest in AsPC-1 cells, so these two cell lines were selected as the next experimental cells. As depicted in Fig. 2b, AsPC-1 and SW1990 cells were treated with gradient doses of Gem (0–20 µmol/L) for 6 h. Treatment with Gem dose-dependently reduced the level of miRNA-3662 in both PDAC cell lines. The relationship between miRNA-3662 and the chemotherapeutic response of PDAC cells was ascertained by calculating the IC50 value of Gem. As depicted in Fig. 2c, PDAC cell line with low expression of miRNA-3662 displayed relatively high resistance to Gem. Moreover, the abundance of miRNA-3662 was inversely correlated with the IC50 value of Gem in PDAC cell lines (Fig. 2d).
In this study, by exposing AsPC-1 and SW1990 cells to increasing doses of Gem for 3 months, Gem-resistant PDAC cell lines (AsPC-1/Gem and SW1990/Gem) were established successfully. As shown in Fig. 3a, the IC50 values of Gem in AsPC-1/Gem and SW1990/Gem cells are nearly three times higher than their parental cell lines. The expression of dCK was decreased in both Gem-resistant PDAC cell lines (Fig. 3b). We next explored whether acquired resistance to Gem associated with the dysregulation of miRNA-3662 in PDAC cells. As shown in Fig. 3c, RT-qPCR assay disclosed that the level of endogenous miRNA-3662 was markedly repressed in Gem-resistant cell lines in comparison with their matched parental cell lines. In addition, AgomiRNA-3662 or AntagomiRNA-3662 was transfected into PDAC cells. As expected, transfection of AgomiRNA-3662 or AntagomiRNA-3662 were indeed significantly increased or decreased the level of miRNA-3662 in PDAC cells (Fig. 3d). Moreover, CCK-8 assay showed that the IC50 value of AsPC-1/Gem cells was repressed remarkably by miRNA-3662 overexpression. In contrast, miRNA-3662 knockdown significantly promoted the IC50 value of SW1990/Gem (Fig. 3e). The subsequent western blot results exhibited that the expression of dCK was elevated in the cells transfected with AgomiRNA-3662 and reduced in the cells transfected with AntagomiRNA-3662 (Fig. 3f). Subsequently, the apoptotic ratio in each group was analyzed by flow cytometry. As presented in Fig. 3g, the results disclosed that the numbers of apoptotic cells induced by Gem were significantly promoted in AsPC-1/Gem cells with overexpression of miRNA-3662, whereas the depletion of miRNA-3662 remarkably attenuated the apoptosis induction effect of Gem on SW1990/Gem cells. Collectively, above results strongly support the assumption that miRNA-3662 is effective in inhibiting Gem resistance of PDAC in vitro.
MiRNA-3662 regulates the Warburg effect in PDAC cells
Since increasing evidence showed that Warburg metabolism was characterized by promoted chemoresistance efficiency, and implicated in cancer initiation and metastasis. To better understand the mechanisms of miRNA-3662 on the chemoresistance of PDAC cells, we next attempted to determine the effect of miRNA-3662 on the aerobic glycolysis in AsPC-1 and SW1990 cells. First, glucose utilization and lactate release as two key glycolytic parameters were detected in the Gem-resistant PDAC cells and their parental cells. As expected, the consumption of glucose and the production of lactate were both increased in Gem-resistant PDAC cell lines than their parental cell lines (Fig. 4a). Importantly, the results showed that miRNA-3662 overexpression resulted in significant decrease in glucose utilization and lactate release, while silencing of miRNA-3662 dramatically promoted glucose consumption and lactate production (Fig. 4b). To further validate this observation, RT-qPCR analysis showed that miRNA-3662 overexpression inhibited the RNA levels of glucose transporter SLC2A1 as well as glycolytic enzymes (PFKP, PKM, and LDHA), whereas miRNA-3662 knockdown reversed these effects (Fig. 4c). Collectively, these findings above suggest that miRNA-3662 antagonizes the glycolytic phenotype of PDAC cells.
HIF-1α is a target of miRNA-3662
To determine the specific mechanism of miRNA-3662 functioning, we predicted possible target genes bound by miRNA-3662 through the TargetScan website. Our data showed that miRNA-3662 had a binding site with 3’ UTR of HIF-1α mRNA (Fig. 5a). Next, we verified that miRNA-3662 could bind to HIF-1α by dual-luciferase reporter assay (P < 0.001, Fig. 5b). Furthermore, genetic silencing of miRNA-3662 led to significant up-regulation of HIF-1ɑ protein level in AsPC-1 cells, while overexpression of miRNA-3662 down-regulated HIF-1ɑ protein level in SW1990 cells (Fig. 5c). Since miRNA-3662 expression was down-regulated in PDAC tissues, we further detected the expression of HIF-1ɑ in these samples. Consistent with previous reports, we found that the level of HIF-1ɑ was considerably increased in PDAC tissues in comparison with normal tissues (Fig. 5d). More importantly, when the relative level of HIF-1ɑ was plotted against that of miRNA-3662 in PDAC tissues, linear correlation analysis demonstrated a significant inversely correlation between HIF-1ɑ and miRNA-3662 (Fig. 5e). Furthermore, the HIF-1ɑ protein was considerably promoted in eight PDAC cell lines than that in HPDEC (Fig. 5f). Above data demonstrated that miRNA-3662 could directly bind with 3’ UTR of HIF-1ɑ and negatively regulate the level of HIF-1ɑ.
MiRNA-3662 attenuates the chemoresistance of PDAC in vivo
Above date showed that miRNA-3662 attenuate the Gem resistance of PDAC cells in vitro. Then, the PDAC subcutaneous xenograft tumor model was established to evaluate the tumor therapeutic potential of miRNA-3662 on the Gem resistance of PDAC cells in vivo. Our results show that mice subjected to intraperitoneal injection of Gem does not greatly alter weight tumor formed by AgomiRNA-NC-AsPC-1/Gem cells, demonstrating that the xenograft model designed in this study displayed great tolerance to Gem treatment. As expected, tumor weight indicated that the up-regulation of miRNA-3662 combined with Gem treatment significantly influenced in decreasing the mean weigh of tumors compared to Gem group (Fig. 6a). Furthermore, RT-qPCR result suggested that overexpression of miRNA-3662 enhanced the expression of miRNA-3662 in tumors (Figs. 6b).
In addition, we performed immunohistochemistry to identify the expression of Ki-67 in tumors from four groups. As shown in Fig. 6c, tumors in AgomiRNA-3662 group exhibited lower percentage of Ki-67 positive stained cells relative to the Gem group. Immunohistochemistry results also demonstrated that the percentage of HIF-1α-positive cells was down-regulated in miRNA-3662 overexpressing xenografts (Fig. 6d). Furthermore, the expression of dCK was promoted by overexpression of miRNA-3662, even in the existence of Gem (Fig. 6e). Subsequently, Tunel results demonstrated that the percentage of Tunel-positive cells was down-regulated in tumor samples from mice treated miRNA-3662-overexpressing and Gem injection (Fig. 6f). Overall, these in vivo results further confirms our hypothesis that miRNA-3662 is a negative regulator of PDAC chemoresistance in vivo.
MiR-3662 regulates Gem resistance of PDAC cells via HIF-1ɑ
HIF-1ɑ is frequently dysregulated in Warburg effect and plays crucial roles in the regulation of tumorigenesis and chemoresistance [23]. To assess the role of HIF-1ɑ in miRNA-3662 regulated PDAC Gem resistance, we performed “rescue” experiments. In line with former results, Fig. 7a shows that the expression of HIF-1ɑ was promoted in both Gem-resistant PDAC cell lines in comparison with their parental cell lines. Interesting, transfection with AgomiRNA-3662 into AsPC-1/Gem cells decreased expression of HIF-1ɑ, while co-transfection with overexpression plasmid of HIF-1ɑ reversed the inhibitory effect of AgomiRNA-3662 on the expression of HIF-1ɑ (Fig. 7b). Then, the effects of HIF-1ɑ restoration on Gem resistance were determined. As depicted in Fig. 7c, HIF-1ɑ up-regulation offset the inhibition of Gem resistance induced by AgomiRNA-3662. Similarly, ectogenic HIF-1ɑ obviously abrogated the apoptosis induction activity of AgomiRNA-3662 in vitro (Fig. 7d). Further experiments were employed to explore the function of HIF-1ɑ on miRNA-3662 regulated aerobic glycolysis in PDAC cells. Our results also confirmed that the reintroduction of HIF-1ɑ effectively reversed the suppression of glucose consumption (Fig. 7e) and lactate production (Fig. 7f) caused by AgomiRNA-3662. These results suggested that miRNA-3662 regulated chemoresistance process and Warburg effect of PDAC cells via HIF-1ɑ.
Transcriptional regulation of miRNA-3662 by HIF-1ɑ in PDAC cells
Hypoxia is a distinguishing feature of PDAC microenvironment and HIF-1ɑ is a crucial regulator in the reprogramming of hypoxic stress [21]. Given that the inverse correlation between miRNA-3662 and HIF-1ɑ, we hypothesized that miRNA-3662 might be regulated by hypoxia in PDAC cells. To clarify this hypothesis, we cultured AsPC-1 and SW1990 cells under normoxic or hypoxic condition for 24 h. As depicted in Fig. 8a, miRNA-3662 expression was drastically inhibited by hypoxia in both tested cell lines. As a chemical inducer of HIF-1ɑ, CoCl2 also attenuated the level of miRNA-3662 in both PDAC cell lines (Fig. 8b). Above data demonstrated that miRNA-3662/HIF-1ɑ loop played a crucial role in regulating PDAC aerobic glycolysis.
Discussion
At present, the incidence of PDAC in China has been growing year by year, which is the tenth leading cause of cancer-related death in China [1]. The most effective assistant therapeutic method of PDAC is chemotherapy, Gem is widely used in the clinical treatment of PDAC. However, the chemoresistance of cancer cells to Gem causes poor prognosis, recurrence and metastasis [3, 4]. Thus, it is imminently needed to discover the key players implicated in chemoresistance and develop new therapeutic strategies with less toxicity and high anti-cancer efficacy. In the present study, we discovered that miRNA-3662, a miRNA with unknown function in PDAC chemoresistance so far, was down-regulated in PDAC clinical samples and cells, and the abnormal expression of miRNA-3662 was significantly associated with lymphatic invasion and tumor stage in patients with PDAC. Accordingly, we hypothesized that miRNA-3662 dysregulation is implicated with malignant biological behaviors of PDAC. Our results showed that miRNA-3662 is act as a tumor inhibitor in PDAC by negatively targeting HIF-1α, and ulteriorly suppressing chemotherapeutic resistant PDAC in vitro and in vivo. All these findings demonstrate that miRNA-3662/HIF-1α loop plays a momentous role in Gem resistance and maintenance of PDAC.
The aberrant expression of miRNA-3662 is common in many different types of cancers. The downregulation of miRNA-3662 promotes the downstream oncogenic activity, which in turn directly linking to enhanced cell proliferation and promoted cell motility and tumor invasion [19,20,21]. This is the first report describing the therapeutic benefit and mechanism of miRNA-3662 against resistant PDAC cells. Our study indicated that the expression level of miRNA-3662 was inversely correlated with the IC50 value of Gem in PDAC cell lines. Therefore, we propose that miRNA-3662 plays a vital role in Gem resistance of PDAC, and this hypothesis was supported by our observations. In in vitro experiment, we found that the overexpression of miRNA-3662 could partly reverse the tolerance of cultured resistant PDAC cells to Gem, and vice versa. Further experiments were used to testify the hypothesis that the chemosensitive activity of miRNA-3662 in PDAC is sustained in vivo. The in vivo results disclosed that miRNA-3662 markedly enhance the cytotoxic effect of Gem on chemoresistant PDAC. dCK is a central protein that contribute to gemcitabine cytotoxicity because it is the rate-limiting enzyme in the phosphorylation process to generate the active metabolites of Gem. Previous reports have showed that the level of dCK implicates with Gem efficacy and prognosis of PDAC patients [24, 25]. The pharmacokinetics data achieved in this study demonstrated that the expression of dCK was regulated by the dysregulation of miRNA-3662 in vitro and in vivo. Our in vivo findings are in accordance with the changes observed in the cultured cells. The data could strongly support the idea that miRNA-3662 is more directly and importantly affect the chemoresistance of PDAC cells both in vitro and in vivo, and miRNA-3662 might be employed as a “supplement” in Gem-based chemotherapy to improve the overall response rate to Gem.
Dysregulation of Warburg effect in cancer cells implicated with tumorigenicity and chemosensitivity, suggesting that targeting the Warburg effect is an potential therapeutic target in a variety of cancers [26]. It has been shown that miRNA-3662 attenuates cellular proliferation, metastasis and glucose metabolism in liver cancer by targeting HK2 [19]. Therefore, we hypothesized that miRNA-3662 could inhibit cell growth and Warburg effect of PDAC, and our observations supported this hypothesis. The dysregulation of miRNA-3662 is required to maintain aerobic glycolysis of PDAC cells in vitro. These findings could strongly support the idea that miRNA-3662 plays a critical role in Warburg effect of PDAC cells. In summary, we for the first time uncovered a new role of miRNA-3662 in regulating cancer cell aerobic glycolysis. This finding further extends our insight into the antioncogenic activities of miRNA-3662 on PDAC. However, the signaling of how miRNA-3662 regulates chemoresistance and aerobic glycolysis in PDAC is not yet understood.
Evidence suggests that HIF-1ɑ is increased with advanced stages and related to Warburg effect in many invasive and metastatic cancers [27]. Cancer cells adapt to hypoxic microenvironment is of great significance for their malignant proliferation and distant metastasis [28]. One of the irreversible mechanisms participating the hypoxic response is HIF-1ɑ, which dominates alteration of energy metabolism by directly targeting metabolism-related genes [29]. The cooperation of miRNAs and HIF-1ɑ has been investigated in previous studies. MiR-210 is up-regulated in lung cancer and mediates mitochondrial alterations implicated with modulation of HIF-1ɑ activity [30]. Additionally, miRNA-124 involved in cell proliferation, survival, migration, and tumorigenesis by regulating STAT3/HIF-1ɑ signaling pathway [31]. Emerging evidence has suggested that HIF-1-regulated glucose metabolism played a key role in apoptosis resistance of human cancers [32]. Meanwhile, HIF-1ɑ was activated by a series of upstream genes, such as ERK and JNK, which play an indispensable role in the tumorigenesis and the promotion of cancer deterioration [33]. However, the interaction between miRNA-3662 and biological functions of HIF-1ɑ has not been investigated so far. Here we revealed that miRNA-3662 can attenuate chemoresistance and aerobic glycolysis by targeting HIF-1ɑ, which is constantly overexpressed in PDAC. Increased HIF-1ɑ expression is closely correlated with Gem resistance [34]. Interestingly, this study identified that miRNA-3662 inversely regulates HIF-1ɑ expression in PDAC cells both in vitro and in vivo. Importantly, restoration of HIF-1ɑ was able to attenuate the suppression of chemoresistance and aerobic glycolysis caused by miRNA-3662, suggesting the importance of miRNA-3662-HIF-1ɑ loop in PDAC development.
In this scenario, our current findings highlight that miRNA-3662 is involved in the Gem resistance of PDAC. Mechanistically, we further disclosed a reciprocal regulation between miRNA-3662 and HIF-1ɑ, and this loop plays a pivotal role in the Warburg effect and tumor growth. Interference of miRNA-3662-HIF-1ɑ loop may hold promise for preventing PDAC development.
Abbreviations
- Gem:
-
Gemcitabine
- PDAC:
-
Pancreatic cancer
- FISH:
-
Fluorescence in situ hybridization
- RT-qPCR:
-
Real-time qPCR
- HIF-1ɑ:
-
Hypoxia-inducible factor 1ɑ
- miRNAs:
-
MicroRNAs
- dCK:
-
Deoxycytidine kinase
- IHC:
-
Immunohistochemical
- Tunel:
-
Terminal deoxyribonucleotidyl transferase-mediated dUTP nick end labeling
References
Mizrahi JD, Surana R, Valle JW et al (2020) Pancreatic cancer. Lancet 395(10242):2008–2020
Yang J, Ren B, Yang G et al (2020) The enhancement of glycolysis regulates pancreatic cancer metastasis. Cell Mol Life Sci 77(2):305–321
Paternoster S, Falasca M (2020) The intricate relationship between diabetes, obesity and pancreatic cancer. Biochim Biophys Acta Rev Cancer 1873(1):188326
Jiang H, Liu X, Knolhoff BL et al (2020) Development of resistance to FAK inhibition in pancreatic cancer is linked to stromal depletion. Gut 69(1):122–132
Yang Z, Zhao N, Cui J et al (2020) Exosomes derived from cancer stem cells of gemcitabine-resistant pancreatic cancer cells enhance drug resistance by delivering miR-210. Cell Oncol (Dordr) 43(1):123–136
Riera Leal A, Ortiz-Lazareno PDAC, Jave-Suárez LF et al (2020) 17beta-estradiol-induced mitochondrial dysfunction and Warburg effect in cervical cancer cells allow cell survival under metabolic stress. Int J Oncol 56(1):33–46
Cassim S, Vučetić M, Ždralević M et al (2020) Warburg and beyond: the power of Mitochondrial metabolism to collaborate or replace fermentative glycolysis in cancer. Cancers (Basel) 12(5):1119
Wang XX, Yin GQ, Zhang ZH et al (2020) TWIST1 transcriptionally regulates glycolytic genes to promote the Warburg metabolism in pancreatic cancer. Exp Cell Res 386(1):111713
Dai W, Meng X, Mo S et al (2020) FOXE1 represses cell proliferation andWarburg effect by inhibiting HK2 in colorectal cancer. Cell Commun Signal 18(1):7
Liang L, Chen Y, Yu Y et al (2020) SLC25A18 has prognostic value in colorectal cancer and represses Warburg effect and cell proliferation via Wnt signaling. Am J Cancer Res 10(5):1548–1567
Ren X, Su C (2020) Sphingosine kinase 1 contributes to doxorubicin resistance and glycolysis in osteosarcoma. Mol Med Rep 22(3):2183–2190
Zhang Z, Tan X, Luo J et al (2020) The miR-30a-5p/CLCF1 axis regulates sorafenib resistance and aerobic glycolysis in hepatocellular carcinoma. Cell Death 11(10):902
Hansen TB, Kjems J, Damgarrd CK et al (2013) Circular RNA and miR-7 in cancer. Cancer Res 73(18):5609–5612
Mohammadi Torbati P, Asadi F, Fard-Esfahani P et al (2019) Circulating miR-20a and miR-26a as biomarkers in prostate cancer. Asian Pac J Cancer Prev 20(5):1453–1456
Zhang H, Deng T, Liu R et al (2020) CAF secreted miR-522 suppresses ferroptosis and promotes acquired chemo-resistance in gastric cancer. Mol Cancer 19(1):43
He M, Jin Q, Chen C et al (2019) The miR-186-3p/EREG axis orchestrates tamoxifen resistance and aerobic glycolysis in breast cancer cells. Oncogene 38(28):5551–5565
Zhang Z, Tan X, Luo J et al (2020) The miR-30a-5p/CLCF1 axis regulates sorafenib resistance and aerobic glycolysis in hepatocellular carcinoma. Cell Death Dis 11(10):902
Hu Z, Cai M, Zhang Y et al (2020) miR-29c-3p inhibits autophagy and cisplatin resistance in ovarian cancer by regulating FOXP1/ATG14 pathway. Cell Cycle 19(2):193–206
Powrózek T, Kuźnar-Kamińska B, Dziedzic M et al (2017) The diagnostic role of plasma circulating precursors of miRNA-944 and miRNA-3662 for non-small cell lung cancer detection. Pathol Res Pract 213(11):1384–1387
Cheng S, Huang Y, Lou C et al (2020) MiR-3662 suppresses cell growth, invasion and glucose metabolism by targeting HK2 in hepatocellular carcinoma cells. Neoplasma 67(4):773–781
Yasui K, Izumida M, Nakagawa T et al (2018) MicroRNA-3662 expression correlates with antiviral drug resistance in adult T-cell leukemia/lymphoma cells. Biochem Biophys Res Commun 501(4):833–837
Bullock MD, Pickard KM, Nielsen BS et al (2013) Pleiotropic actions of miR-21 highlight the critical role of deregulated stromal microRNAs during colorectal cancer progression. Cell Death Dis 4(6):e684
Zhang JG, Zhou HM, Zhang X et al (2020) Hypoxic induction of vasculogeni- mimicry in hepatocellular carcinoma: role of HIF-1 alpha, RhoA/ROCK and Rac1/PAK signaling. BMC Cancer 20(1):32
Maity G, Ghosh A, Gupta V et al (2019) CYR61/CCN1 regulates dCK and CTGF and causes Gemcitabine-resistant phenotype in pancreatic Ductal Adenocarcinoma. Mol Cancer Ther 18(4):788–800
Sierzega M, Pach R, Kulig P et al (2017) Prognostic implications of expression profiling for Gemcitabine-related genes (hENT1, dCK, RRM1, RRM2) in patients with resectable pancreatic Adenocarcinoma receiving adjuvant Chemotherapy. Pancreas 46(5):684–689
Chen Z, Wang Z, Guo W et al (2015) TRIM35 Interacts with pyruvate kinase isoform M2 to suppress the Warburg effect and tumorigenicity in hepatocellular carcinoma. Oncogene 34(30):3946–3956
Kanamori A, Matsubara D, Saitoh Y et al (2020) Mint3 depletion restricts tumor malignancy of pancreatic cancer cells by decreasing SKP2 expression via HIF-1. Oncogene 39(39):6218–6230
Katagiri T, Kobayashi M, Yoshimura M et al (2018) HIF-1 maintains a functional relationship between pancreatic cancer cells and stromal fibroblasts by upregulating expression and secretion of Sonic hedgehog. Oncotarget 9(12):10525–10535
Puisségur MP, Mazure NM, Bertero T et al (2011) MiR-210 is overexpressed in late stages of lung cancer and mediates mitochondrial alterations associated with modulation of HIF-1 activity. Cell Death Differ 18(3):465–478
Seo J, Jeong DW, Park JW et al (2020) Fatty-acid-induced FABP5/HIF-1 reprograms lipid metabolism and enhances the proliferation of liver cancer cells. Commun Biol 3(1):638
Liu C, Xing H, Guo C et al (2019) MiR-124 reversed the doxorubicin resistance of breast cancer stem cells through STAT3/HIF-1 signaling pathways. Cell Cycle 18(18):2215–2227
Fulda S, Debatin KM (2007) HIF-1-regulated glucose metabolism: a key to apoptosis resistance? Cell Cycle 6(7):790–792
Chen Y, Huang F, Deng L et al (2019) HIF-1alpha-derived cell-penetrating peptides inhibit ERK-dependent activation of HIF-1 and trigger apoptosis of cancer cells under hypoxia. Cell Mol Life Sci 76(4):809–825
Silakit R, Kitirat Y, Thongchot S et al (2018) Potential role of HIF-1-responsive microRNA210/HIF3 axis on gemcitabine resistance in cholangiocarcinoma cells. PLoS ne 13(6):e0199827
Acknowledgements
We thank the Scientific Research Fund of Hunan Provincial Education Department (No. 20A213 and No. 19B236) and Natural Science Foundation of Hunan Province (No. 2020JJ5221) for financial support.
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(I) Conception and design: all the authors; (II) administrative support: An Liu and Yonggui Zhou; (III) provision of study materials or patients: Jia Xu; (IV) collection and assembly of data: Tian Zhao and Xu Tang; (V) data analysis and interpretation: Binbin Zhou; (VI) manuscript writing: all the authors; (VII) final approval of manuscript: all the authors.
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Liu, A., Zhou, Y., Zhao, T. et al. MiRNA-3662 reverses the gemcitabine resistance in pancreatic cancer through regulating the tumor metabolism. Cancer Chemother Pharmacol 88, 343–357 (2021). https://doi.org/10.1007/s00280-021-04289-z
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DOI: https://doi.org/10.1007/s00280-021-04289-z