Cell death plays a critical role in the development and homeostasis maintenance in multicellular organisms. Apoptosis, a form of programmed cell death, is tightly controlled by a class of cysteine proteases called caspases [1]. Apoptotic cells display morphological alterations including cell shrinkage, DNA fragmentation and the formation of apoptotic bodies surrounded by membranes [2]. In mammalian cells, apoptosis can be induced through the mitochondrial pathway (the intrinsic pathway) or the death receptor pathway (the extrinsic pathway). Activation of mitochondria leads to cytochrome c release from mitochondrial into the cytosol. Cytochrome c further forms a protein complex (termed apoptosome) with procaspase-9 and apoptotic protease activating factor-1 (Apaf-1), leading to the activation of caspase-9 [3]. The pro-apoptotic protein Smac/Diablo is also released from mitochondria to the cytosol and subsequently binds to inhibitors of apoptosis proteins (IAPs) for relief of IAPs-mediated caspase inhibition. The extrinsic pathway is activated via the ligation of death ligands of the TNF receptor superfamily (e.g. TNF-α, FasL and TRAIL) to their respective death receptors (TNFR, Fas and TRAILR) [4, 5]. The binding of TNF to TNFR1 triggers the assembly of a membrane protein complex (Complex I) that contains TNFR1, receptor-interacting protein kinases 1 (RIPK1), TRAF2 and cIAP1/2 [6]. This process induces the ubiquitination of RIPK1, leading to NF-κB activation [7–9]. The small molecule (Smac mimetic) can mimic the function of Smac protein [10]. The addition of Smac mimetic activates the degradation of cIAP1/2, facilitating the deubiquitination of RIPK1 by cylindromatosis (CYLD) [11, 12]. This event promotes the formation of a cytosolic protein complex (Complex II) consisting of RIPK1, FADD and procaspase-8, leading to caspase-8 activation [6, 13]. Active caspase-9 and caspase-8 further cleave and activate the executor caspases such as caspase-3 for the execution of apoptosis.
Necroptosis is a form of regulated necrosis that is controlled by the activation of RIPK1, RIPK3 and mixed lineage kinase domain-like protein (MLKL). Necroptotic cells have typical necrotic morphological features such as cell swelling and membrane breakdown. Necroptosis can be initiated by activation of death receptors [14, 15], Toll-like receptors [16, 17] and interferon receptors (IFNRs) [18], and by infection of pathogens [19] and endogenous retroviruses [20, 21]. Impaired caspase-8 activity leads to the switch from TNF-induced apoptosis to TNF-induced necroptosis [14, 22]. In TNF-induced necroptosis, RIPK1 interacts with RIPK3 to form a protein complex (necrosome) via their RIP homotypic interaction motif (RHIM) domains, leading to RIPK3 activation [23–25]. The activated RIPK3 recruits and phosphorylates the substrate MLKL, and thus results in MLKL oligomerization and translocation to the cell membrane, eventually leading to necroptosis [26]. Necroptosis causes the release of damage-associated molecular patterns (DAMPs) to trigger inflammatory responses.
Evasion of cell death is regarded as a hallmark of cancer cells. Cancer cells often display defects in the regulation of apoptosis, which is associated with the upregulation of anti-apoptotic genes and the downregulation of pro-apoptotic genes [27]. It has been reported that many cancer cells exhibit defective necroptosis arising from epigenetic silence of Ripk3 gene transcription. Resisting cell death programs such as apoptosis and necroptosis promote cancer cell survival and increased the resistance of cancer cells to chemotherapeutic drugs. Therefore, resistance to cell death programs is a major obstacle to successfully treating cancer.
MicroRNAs (miRNAs) are small endogenous noncoding RNAs that negatively regulate the expression of target genes by binding to their 3'-UTR region. MiRNAs have been reported to regulate various biological processes including cell proliferation, differentiation, survival and cell death [28]. MiR-148/152 family includes three members miR-148a, miR-148b and miR-152[29, 30]. MiR-148/152 family members have been implicated in inflammatory diseases and multiple types of cancer [29, 30]. Increasing evidence suggest that miR-148/152 family members have diverse effects on apoptosis-related genes. MiR-148a was shown to promote glioblastoma cell growth and survival by inhibiting MIG6 and BIM and indirectly upregulating EGFR protein expression [31]. MiR-148a inhibits B-cell receptor engagement-induced apoptosis in immature B cells by reducing the expression of pro-apoptotic genes such as Bim and thus impairs B-cell tolerance [32]. Overexpression of miR-152 inhibits hypoxia-induced apoptosis by inhibiting PTEN expression and this process was associated with the downregulation of pro-apoptotic protein Bax in endothelial cells [33]. On the contrary, miR-148a promotes apoptosis by reducing anti-proapoptotic gene Bcl-2 expression in colorectal cancer cells [34]. However, the precise roles of miR-148/152 family members in apoptosis remain incompletely understood. Moreover, the effects of miR-148/152 family members on necroptosis are largely unknown.
Here, we demonstrate that miR-148a/152 act as suppressors of both TNF-induced apoptosis and necroptosis in multiple human cancer cells. RIPK1, a common molecule involved in both TNF-induced apoptosis and necroptosis, was found to be the direct target of miR-148a and miR-152. MiR-148a and miR-152-mediated downregulation of RIPK1 leads to inhibition of downstream caspase-8 activation and RIPK3 activation upon apoptotic and necroptotic stimuli, respectively. Notably, elevated expression of miR-148a or miR-152 promoted cancer cell proliferation and colony formation in multiple types of cancer cells. Kaplan-Meier Plotter analysis has shown that gastric carcinoma patients with high miR-152 expression correlate with lower overall survival. Elevated expression of miR-148a and miR-152 increased the resistance of gastric cancer cells to the chemotherapeutic drug cisplatin by inhibiting RIPK1-mediated apoptosis and necroptosis.