Screening differentially expressed miRNAs in renal clear cell carcinoma.
To explore the expression of miRNAs in ccRCC, we first selected 4 samples of ccRCC and 4 matched noncancerous samples from GEO (https://www.ncbi.nlm.nih.gov/geo/) to analyze the expression of the miRNA profile dataset, which included GSE71302, GSE23085, GSE16441, and GSE47582. A fold change between tumor and adjacent noncancerous tissues greater than 2 and P<0.05 were used as the criteria for screening differentially expressed miRNAs. We focused on miRNAs that were significantly downregulated in tumor tissues. We took the intersection of miRNAs whose expression was downregulated in ccRCC from the 4 miRNA expression profiling chips, and the 6 miRNAs showed statistically significant downregulation in the data of the 4 miRNA expression profiling chips of renal clear cell carcinoma, of which miR-362-5p was one of the most downregulated miRNAs (Figure 1A). The details of the 6 miRNAs were listed in Table IV.
MiR-362-5p is downregulated in ccRCC and is related to patient survival and prognosis.
To further verify the microarray data, we downloaded sequencing data for 249 cases of renal clear cell carcinoma and 71 cases of noncancerous renal tissues from the TCGA data and assessed the levels of miR-362-5p. Our results showed that levels of miR-362-5p were significantly lower in tumor tissues than in adjacent noncancerous kidney tissue.(Figure 1B). We also used qRT–PCR to determine the expression levels of miR-362-5p in 50 pairs of renal clear cell carcinoma and paracarcinoma paired samples. Consistent with the TCGA and microarray data, the average expression levels of miR-362-5p were significantly lower than that in adjacent tissues (Figure 1C; p<0.05). To show the correlation in the expression of miR-362-5p as well as clinicopathological characteristics, we examined the sex, age, TNM stages, Fuhrman grade, lymph node metastasis and distant metastasis for the corresponding miR-362-5p expression tissues in ccRCC, which is summarized in Table III. As shown in the table, low expression of miR-362-5p was related to high TNM stage (P = 0.045) and pathological level (P = 0.032) progression in ccRCC patients (Table III). This means that miR-362-5p may be primarily involved in the growth of ccRCC, especially when the tumor is at an early stage. Clinically, the survival and prognosis of patients with renal clear cell carcinoma is worthy of attention. To determine the correlation between the expression of miR-362-5p and patient survival and prognosis, we divided 50 renal cell carcinoma patients into high expression and a low expression groups according to the expression value of miR-362-5p. Kaplan–Meier survival analysis confirmed that patients with low miR-362-5p expression had a shorter overall survival time than patients with high miR-362-5p expression (Figure 1D).
MiR-362-5p inhibits cell proliferation by interrupting cell cycle progression in renal clear cell carcinoma cells.
Some reported miRNA analysis of clear cell renal cell carcinoma have shown that in ccRCC, miR-362-5p is one of the downregulated miRNAs (15), in agreement with our data. However, the characterization of miR-362-5p in renal clear cell carcinogenesis and its mechanism have not been fully resolved. To determine the biological function of miR-362-5p in vitro, we first assessed its expression by qRT–PCR in 5 widely used renal clear cell carcinoma cell lines. The results showed that expression of miR-362-5p in the 786-O, OS-RC-2, and OS-RC-1 cell lines was significantly reduced compared to the average expression in the noncancerous kidney cell line HK2 (Figure 2A). Next, to examine the characteristics of miR-362-5p in ccRCC, we performed functional gain and functional loss experiments by transfecting agomiR-362-5p and antagomiR-362-5p. 786-O and OS-RC-2 cells were transfected with inhibitors targeting miR-362-5p (miR-362-5p depressant, miR-362-5p-i) or negative controls (miR-362-5p NC, NC-i). Quantitative analysis of the transcription levels of miR-362-5p by qRT–PCR confirmed the efficacy of miR-362-5p-i knockout (Figure 2B). As shown in Figure 2B, in 786-O and OS-RC-2 cells, miR-362-5p expression declined by at least 60%. Similarly, miR-362-5p mimics (miR-362-5p mimic, miR-362-5p) or negative control (miR-362-5p NC, NC) were transfected into 786-O and OS-RC-2 cells. Quantitative analysis of the transcription levels of miR-362-5p by qRT–PCR confirmed the efficacy of miR-362-5p overexpression. As shown in Figure 2C, the levels of miR-362-5p in 786-O and OS-RC-2 cells were increased at least 300-fold. MiR-362-5p reduced the growth of 786-O and OS-RC-2 cells at 72 h by 22.4% (p < 0.01) and 19.7% (p < 0.01), respectively, as confirmed by CCK-8 cell proliferation results (Figure 2D), indicating that miR-362-5p restrains the proliferation of RCC cells. We next performed a supplemental functional analysis loss experiment. After knocking down miR-362-5pi, CCK-8 detection of cell proliferation results revealed that miR-362-5p increased proliferation in OS-RC-2 and 786-O cells at 72 h by 18.6% (p < 0.01) and 16.4% (p < 0.01), respectively (Figure 2D). In contrast, miR-362-5p did not significantly affect cell growth compared to the blank control NC. To further determine the mechanism by which miR-362-5p induces and inhibits cell growth, flow cytometry was used to analyze the influence of miR-362-5p on the cell cycle progression of 786-O and OS-RC-2 cells. In contrast to the control group, after overexpression of miR-362-5p in 786-O cells, the G0/G1 phase was significantly increased from 56–67.73% (p < 0.01), and in OS-RC-2 cells from 58.74–67.4% (p < 0.01). S-phase cells were significantly reduced in 786-O cells, decreasing from 38.02–28.73% (p < 0.01), and OS-RC-2 cells exhibited S phase decreases from 35.28–27.67% (p < 0.05). In contrast, the rate of cells in the G2/M stage did not change significantly in either cell line (Figure 2E). In addition, to confirm the characterization of miR-362-5p during the cell cycle, we used antagomiR-362-5p to block miR-362-5p. The results showed that inhibiting the expression of miR-362-5p ca rescued 786-O and OS-RC-2 cell cycle arrest. In summary, these data show that overexpression of miR-362-5p stalls the RCC cell cycle in G1/S phase, which produces antitumor proliferation effects.
MiR-362-5p restrains tumor growth in a xenograft mouse model.
Our previous in vitro studies revealed that miR-362-5p may play a tumor suppressive role in renal clear cell carcinoma cells. Next, we investigated whether miR-362-5p inhibits the growth of renal clear cell carcinoma xenograft tumors in nude mice. We constructed a stably transfected renal cell carcinoma OS-RC-2 cell line (stably transfected with miR-362-5p or negative control NC) and injected the transfected cells into nude mice to observe the growth of the transplanted tumors. Mice were sacrificed 28 days after injection, and the tumors were collected and analyzed (Figure 3A). After the experiment, mice were dissected, tumor weight was measured, and RNA was immediately extracted from the tumor tissue. qRT–PCR results confirmed that expression of miR-362-5p in the stably transfected xenograft tumor tissues was significantly higher than that in the control xenograft tissues (P <0.01) (Figure 3B). As shown in Figure 3, the tumor size of the miR-362-5p stable cells injected into mice was significantly smaller than that of the NC stable cells in the control group. The tumor volume and weight of the xenografts transfected with miR-362-5p were significantly lower than those of the negative control group (P<0.01) (Figure 3C, D).
CDK2 is a direct targeting gene of miR-362-5p’s in RCC cells As key factors for posttranscriptional regulation of genes, miRNAs perform various necessary functions. We used starBase v2.0 (http://starbase.sysu.edu.cn/) to identify the latent primary targets of miR-362-5p and to determine the latent mechanism by which miR-362-5p inhibits renal transparent cell carcinoma. The 3'UTR structure of CDK2 was found to possess a potential binding site with miR-362-5p and had a high reliability score, so we selected this gene as a target. CDK2 is essential for DNA replication during the G1/S cell cycle transition (Figure 4A). CDK2 was confirmed to be an immediate target gene for miR-362-5p. Our research cloned wild-type or mutant 3'UTR of CDK2 into the 3'end of the LUC gene and constructed two luciferase reporter plasmids (Figure 4A). In both 786-O and OS-RC-2 cells, miR-362-5p showed that luciferase activity in wild-type (WT) cells was lowered but was not reduced in the Mut 3'-UTR of CDK2 (Figure 4B).
To test and verify the decreased expression of CDK2 in response to miR-362-5p in ccRCC, using the TCGA database, expression of miR-362-5p and CDK2 was compared, and we observed that the transcript accumulation of CDK2 was negatively correlated with the levels of miR-362-5p in clear cell carcinoma of the kidney (r =-0.245, P <0.0001, Figure 4C). Subsequently, CDK2 expression in clear cell carcinoma of the kidney and adjacent tissues of human ccRCC patients was analyzed using immunohistochemistry, and the levels of CDK2 protein in adjacent tissues were lower than those in ccRCC tissues (Figure 4D). Next, we explored the regulation of CDK2 in miR-362-5p in ccRCC cells. Overexpression of miR-362-5p reduced the protein levels of CDK2 in ccRCC cells. In contrast, in 786-O and OS-RC-2 cells, using antimiR-362-5p to inhibit the levels of miR-362-5p led to an increase in the levels of CDK2 protein (Figure 4E).
The anti-ccRCC function of miR-362-5p is mediated by inhibiting CDK2 expression.
We demonstrated that CDK2 is an immediate target gene of miR-362-5p; in addition, not only miR-362-5p overexpression but also CDK2 knockout inhibited clear cell carcinoma of the kidney (Figure 4A-E). Next, we investigated whether the antitumor function of miR-362-5p is mediated by regulating the levels of CDK2 in clear cell carcinoma of the kidney. First, we transduced a negative control or miR-362-5p and overexpressed the CDK2 plasmid. Our results showed that overexpression of miR-362-5p induced decreased CDK2 mRNA and protein expression levels, while cotransfection of CDK2 overexpression plasmid and miR-362-5p plasmid significantly rescued the decreased CDK2 expression. In addition, its effects were lower than those of the negative control (Figure 5A and B). This shows that miR-362-5p effectively decreases the levels of CDK2. After cotransfection with the CDK2 plasmid, the inhibitory effect of overexpressing miR-362-5p on the proliferation of ccRCC 786-O cells and OS-RC-2 cells was eliminated (Figure 5C). At the same time, cotransfection of the CDK2 plasmid eliminated cell cycle suppression caused by miR-362-5p (Figure 5D). This indicates that reducing the expression of CDK2 mediates the inhibitory influence of miR-362-5p on ccRCC.