This study revealed that miR-17-92 cluster, which is known as overexpressed oncogenic miRNA in MCL, regulates BCR signaling. Moreover, we identified BTG2 as a novel target of miR-17-92 cluster, and importantly, the BTG2 downregulation led to BCR signal activation.
miRNAs are small non-coding RNAs that silence endogenous target genes throughout mRNA degradation and translation inhibition. Targeting of miRNAs generally depends on the interaction between seed sequences of miRNAs consisting of 7–8 nucleotides and complementary sequences mainly in 3'UTR of mRNAs. However, the recent development of sequencing approaches, such as argonaute cross-linking immunoprecipitation (AGO-CLIP), demonstrated that miRNA targets are determined by not only the canonical interaction of 3'UTR of mRNAs but 5'UTR and coding region [33]. Therefore, the classical approach to identifying the targets of miRNAs using mRNA expression analysis and in silico predicting tools using miRNA sequences might not fully capture the targets of each miRNA. Moreover, target mRNAs of each miRNA potentially vary among the cancer types because of the different endogenous expression levels of mRNAs and miRNAs, which constitute complex regulatory networks with each other. Therefore, our pulldown-seq approach is suitable for comprehensive analysis of miR-17-92 cluster in MCL. BTG2 was identified as a potential target for miR-17, miR-20a, and miR-92a in the TargetScan (https://www.targetscan.org/vert_80/) and miRDB (https://mirdb.org/), whereas no study revealed that BTG2 is a direct target of these miRNAs to date. Our study revealed that other miRNAs constituting miR-17-92 cluster also targeted BTG2.
BCL subtypes are dependent on different pathogenic BCR signal modes. The tonic BCR signal in GCB-DLBCL and FL is activated to engage the PI3K pathway [13, 34]. Chronic active BCR signal, which engages BCR-dependent NF-κB and PI3K signal, is activated under the genetic alterations, such as CD79A/CD79B, CARD11, MYD88 mutations, and loss of TNFAIP3, in ABC-DLBCL [7–11]. Chronic active BCR signal in MCL is generally considered active. IGH-V restriction in MCL suggests self-antigen-driven BCR signal activation and a part of patients with MCL harbors LRPAP1 self-antibody [35]. SOX11 overexpression and CXCR4-dependent microenvironment interaction are considered important for BCR signal activation [36]. However, the background of BCR signal activation is not sufficiently resolved. miR-17-92 cluster overexpression has been previously reported to activate the PI3K/AKT/mTOR pathway by targeting the protein phosphatase PHLPP2, PTEN, and BIM in MCL [37, 38]. In DLBCL, miR-17-92 cluster in the presence of Myc enhances BCR signaling activity via ITIM-containing proteins such as CD22 and FCGR2B [19]. Our study could not capture all of miR-17-92 cluster targets associated with the BCR pathway in the pulldown-seq analysis, partly because of the sensitivity of this method and the difference of dependency of these molecules for the BCR signal in Z138 cells which we used.
BTG2 is one of the antiproliferative (APRO) gene family (TOB1-2, BTG1-4), which is down-regulated in many cancers as a tumor suppressor gene and is involved in cell differentiation, proliferation, DNA repair, and apoptosis [39, 40]. The underlying mechanism of BTG2 downregulation is not fully described, and our findings illustrate one of the causes for tumor-specific decreased BTG2 expression. Regarding the function of BTG2 in blood cells, BTG2/protein arginine methyltransferase-1 (PRMT1) complex is generally generated in B cells, and CDK4 methylation and CCND3 inhibition lead to cell proliferation and differentiation inhibition through cell cycle arrest [41, 42], and it is involved in mRNA stability in T cells [43].
No reports examined the function of BTG2 in malignant lymphoma pathogenesis although BTG2 mutations are frequently found in several lymphomas, such as DLBCL and FL [44], and this mutation was reported as a poor prognostic factor in primary testicular diffuse large B-cell lymphomas [45]. Regarding the mechanism by which BTG2 regulates BCR signaling, PRMT1, which interacts with BTG2 and catalyzes asymmetric dimethylation of arginine-residues localized within glycine arginine-rich regions, has been previously reported to suppress BCR signaling through CD79A R198 methylation just below the ITAM region [42, 46, 47]. BTG2 inhibition and PRMT1 interaction in the MCL results in CD79A methylation inhibition and BCR signaling activation.
The mechanism of miR-17-92 cluster overexpression in MCL is not well understood although 13q31-32 amplification or gain, where MIR17HG is located, is found in 10–20% of MCLs. We found that SOX11 overexpression and enhancer-regulated mechanism induced overexpression of miR-17-92 in a part of MCL cell lines. The detailed mechanism of SOX11-dependent BCR activation is unknown although previous studies demonstrated that SOX11-overexpressed B lymphocytes develop MCL-like lymphoma under BCR activation [48]. Our result revealing that SOX11 regulates miR-17-92 suggests a part of the cause of SOX11-dependent BCR activation. Further investigation, especially using patient-derived samples, is needed.
The role of BTK Inhibitors, such as ibrutinib in MCL treatment, is currently significant, and elucidating the mechanism of BCR signaling activation in MCL is an important issue in overcoming the clinical unmet need for targeted therapy resistance in this pathway. This study, which revealed that miR-17-92 cluster activates BCR signaling by regulating BTG2 in MCL, has the potential to contribute to future investigations of therapeutic response and improvement of therapeutic outcomes in MCL. Furthermore, the comprehensive analysis of the target molecules of miR-17-92 cluster are expected to elucidate the pathogenesis of not only MCL but also many other malignant tumors.