WT is a type of pediatric renal malignancy. Although overall survival in WT patients is constantly improved, disease recurrence and poor prognosis are still the main cause of cancer-related death in childhood [1]. Dysregulated genes are considered as the major cause of tumorigenesis of WT. Recently, more and more attentions are paid to the crucial roles of ceRNA network in gene expression regulation at three levels (transcription, post-transcription and translation). Previous study reported regulatory role of ceRNA networks in proliferation, metastasis and invasion of cancer [14, 15]. To better comprehend how ceRNA regulatory network affected WT, a large-scale WT data from TARGET database were analyzed and dysregulated ceRNA regulatory network in WT were constructed successfully. A dysregulated ceRNA network in WT was constructed according to the interactions of 980 DEL–DEM pairs and 235 DEM–DEG pairs between 205 DELs, 26 DEMs, and 143 DEGs. In addition, Kaplan-Meier curve analysis was also applied to identify prognosis biomarker in WT. And 14 differentially expressed lncRNAs (AC005609.1, AC135178.1, ADAMTS9-AS1, AL391832.1, AL445228.2, DENND5B-AS1, DLEU2, GRM7-AS3, LINC00303, LINC00473, MEG3, MYB-AS1, NRG1-IT1, RMST), 1 differentially expressed miRNA (hsa-mir-200a) and 8 differentially expressed mRNAs (CDCA4, CEP55, DEPDC1, KIAA0922, OSR1, PHF19, PLEKHA8, ZBTB4) were showed to be significantly associated with overall survival rate in WT.
Long noncoding RNAs (lncRNAs) are defined as noncoding RNAs longer than 200 nucleotides [16]. lncRNAs were showed to be involved in a variety of biological regulatory functions including metastasis and tumorigenesis of cancer [17, 18]. A total of 1,247 up-regulated and 790 down-regulated DELs were identified in present study. 205 DELs were included in construction of ceRNA network. And 14 out of the 205 DELs were associated with overall survival in WT patients (P < 0.05). Some differentially expressed lncRNAs in our analysis result have been investigated in WT: for example, LINC00473 was capable to decrease miR-195 expression level and inhibit miR-195’s function in WT [4]. Dysregulated lncRNA signature LINC00473/miR-195/IKKα was showed to act as pro-tumour pathogenesis role in WT [4]. The above-mentioned molecular experiments partially supported our analysis result in present study. Such identified lncRNAs might serve as prognosis biomarkers and therapeutic targets in WT. In previous studies, RMST might inhibit cell proliferation, invasion, migration, and enhance cell apoptosis, and regulate cell cycle to acted as a tumor suppressor in triple-negative breast cancer [19]. MEG3, a myeloid-related lncRNA, played a tumor suppressor role in various solid neoplasms [210, 21]. Dleu2 could control miR-16-1 to regulate proliferation, invasion and migration of laryngeal cancer [22]. ADAMTS9-AS1 were related to overall survival of breast cancer patients [23], bladder cancer [24] and colon adenocarcinoma [25]. Few studies, however, have explored the relationship between above-mentioned DELs and tumorigenesis of WT. Additionally, little is known about the regulatory role of LINC00303, GRM7-AS3, DLEU2, DENND5B-AS1, AL445228.2, AL391832.1, AC135178.1 and AC005609.1 in cancer. Therefore, further studies are needed to illuminate the molecular and biological mechanism of these DELs in WT.
MicroRNAs are single-stranded and 18-25 nucleotide-long noncoding RNA which targets mRNAs to control gene expression [26]. DEMs in WT, including 105 up-regulated and 49 down-regulated DEMs, were summarized in present study. In present study, ceRNA network contained 14 differentially expressed miRNAs. However, only one miRNA (miR-200a) were related to overall survival in WT patients. MiR-200a was an important member of miR-200 family. It had been reported that miR-200a was involved in several biological processes to control progression of cancer [27, 28]. MiR-200a was showed to target FOXA1 and acts as a tumor suppressor on the survival, proliferation and invasion of glioma cells [28]. And miR-200a might inactivate BRD4-mediated AR signaling to inhibit progression of prostate cancer [27]. Moreover, previous studies reported that miR-200a is associated with the development and occurrence of esophageal cancer, breast cancer and endometrial cancer, breast cancer, and esophageal cancer by targeting specific genes, such as CRMP‐1, EPHA2 and PTEN [29-31]. However, there is no research to clearly elucidate the role of miR-200a in WT. The understanding of miR-200a in the progression of WT is limited which require more targeted molecular studies to confirm its role.
To further investigate related cellular mechanisms in WT, GO and KEGG analysis of 143 DEGs in the ceRNA network was performed. GO analysis result shows that that DEGs were mainly enriched in mechanical stimulus, G1/S transition of mitotic cell cycle, cell cycle G1/S phase transition, muscle cell proliferation, mesenchymal cell differentiation. KEGG analysis result indicated that DEGs in ceRNA network were mainly enriched in Cell cycle, Small cell lung cancer, p53 signaling pathway, MicroRNAs in cancer, Cellular senescence. In recent years, many studies have found the same research findings. PI3K-AKT-p53 signaling pathway was involved in the tumorigenesis of WT which might represent a potential treatment in the future [32]. MiRNAs, single-stranded and 18-25 nucleotide-long noncoding RNA [26], were involved in regulate the proliferation, cell cycle and apoptosis of WT [33, 34]. Cellular senescence was reported to responsible for restricted proliferation in WT, which had been linked to increased p21 expression and was independent of p53 expression [35]. The above-mentioned related researches and experiments partially supported our GO and KEGG analysis result in present study.
The major limitation of present study is that tumor tissue and blood verification of these differentially expressed lncRNAs, miRNAs, mRNA and relative pathways is lacking. Further targeted studies related to this ceRNA network still need to be designed to verify and investigate these valuable ncRNAs in the progression of WT.