LncRNAs, function as ceRNAs by binding miRNAs, have been reported to be involved in the physiological and pathological processes of various diseases. One of the most effective methods to predict the function of ceRNAs was to construct a ceRNA network based on the high-throughput data together with bioinformatic tools and computational approaches [27]. However, the comprehensive analysis of lncRNA-mediated ceRNA regulatory network in NPC remains scarce.
In the present study, we conducted WGCNA using RNA-Seq data of GSE102349 to enrich modules associated with NPC. Finally, we built a weighted correlation network composed of 14 modules. Through enrichment analysis, we found that the modules were related to some terms and pathways that had been previously reported by us or other researchers, such as “Wnt signaling pathway”, “Small cell lung cancer”, “PI3K−Akt signaling pathway”, “Epstein−Barr virus infection”, “Cell cycle”, and “DNA replication” [18, 28, 29].
To better understand the potential roles of lncRNAs in NPC, we identified lncRNAs from the WGCNA modules. Combining with mRNA expression profile data, we identified the up- and down-regulated lncRNAs and mRNAs in the same module. The mRNAs in the same module may be the regulatory targets for lncRNAs, so we used the lncRNAs and mRNAs in the same module to construct a ceRNA network. To improve the reliability of the ceRNA network, we identified the DEmiRNAs from GSE32960. Following, LncBase v.2 database was utilized to predict target miRNAs for lncRNAs, and miRTarBase was utilized to predict target mRNAs for miRNAs. Finally, we developed a ceRNA network composed of 11 lncRNAs, 15 miRNAs and 40 mRNAs from turquoise and salmon modules. It is noteworthy that the genes in the ceRNA network were significantly enriched in the “Wnt signaling pathway” and “HIF-1 signaling pathway” which had been showed to be relate to the development of NPC. For instance, Wang et al. [30] revealed that Wnt/β-catenin signaling (including β-catenin, cyclin D1, c-Myc, and MMP-7) and p-eIF4E expression were elevated in NPC compared with non-cancerous nasopharyngeal epithelial tissues and associated with clinical characteristics of NPC patients. Sung et al. [31] showed that HIF-1 alpha, HIF-2 alpha, CA IX, and VEGF were frequently coexpressed in NPC biopsies, and associated with poor outcomes after radiotherapy.
Among the 40 mRNAs in the ceRNAs, four mRNAs were found to have a significant impact on the prognosis of NPC, including LDHA, LMNB2, TPI1 and UNG. High expression of LDHA, LMNB2, TPI1 and UNG indicated unfavorable outcomes in patients with NPC. LDHA is up-regulated in NPC tissues and cells, and it was reported to be an independent adverse prognostic factor of NPC [32, 33]. Through inhibition of LDHA, miR-34b-3 and miR-449a suppressed NPC progression and metastasis [34]. Therefore, the ceRNA network was reliable because the regulatory relationship between LDHA and miR-449a was indicated in our ceRNA network. LMNB2, a B type nuclear lamin, binds to the C-terminus of MCM7 and competes with the binding of the tumor suppressor RB protein, thus regulates human non-small cell lung cancer progression [35]. TPI1, an enzyme that catalyzes the interconversion of DHAP and G3P in glycolysis and gluconeogenesis, might be a novel prognostic factor to evaluate gastric cancer patients’ survival [36, 37]. UNG is a critical mediator of pemetrexed sensitivity in lung cancer [38]. The role and mechanism of LMNB2, TPI1 and UNG in NPC remain elusive.
Among the 15 miRNAs in the ceRNAs, hsa-miR-142-3p was demonstrated to be down-regulated in NPC, and a high level of hsa-miR-142-3p indicated favorable prognosis, which was consistent with the previous studies [39, 40]. Li Y et al. revealed that miR-142-3p was epigenetically silenced by EZH2-recruited DNMT1 and suppress NPC cell metastasis and EMT through targeting ZEB2 [41]. However, Qi et al. reported that miR-142-3p inhibits the expression of SOCS6 and promotes cell proliferation in NPC [42]. Therefore, the role of miR-142-3p in the progression of NPC deserves further studied.
Among the 11 lncRNAs in the ceRNAs, ZNF667-AS1 was found to be related to the PFS of patients with NPC. ZNF667-AS1, also known as MORT, is located in 19q13.43. Dysregulated expression of ZNF667-AS1 has been reported in many tumors, including breast cancer, cervical cancer, laryngeal squamous cell carcinoma and esophageal squamous cell carcinoma [43-46]. Li et al. found that ZNF667-AS1 reduces tumor invasion and metastasis in cervical cancer by counteracting microRNA-93-3p-dependent PEG3 downregulation [44]. Dong et al. demonstrated that aberrant hypermethylation-mediated downregulation of ZNF667-AS1 and ZNF667 correlate with progression and prognosis of esophageal squamous cell carcinoma [45]. Further, ZNF667-AS1 was revealed to be silenced by aberrant DNA methylation in 22 of 33 of TCGA cancer types [47]. In this study, ZNF667-AS1 was shown to be down-regulated in NPC compared with normal tissues, and it was down-regulated in the high-risk patients with poor prognosis. The expression level of ZNF667-AS1 was positively correlated with PFS of NPC. Combined with the above literature, we speculated that the down-regulation of ZNF667-AS1 might also be caused by methylation in NPC, but it needs further molecular experiments to prove this hypothesis. Besides, we found that ZNF667-AS1 may regulate the expression of PRKCB and PAX5 through competitively binding to hsa-miR-574-5p. What’s more, GSEA analysis showed that ZNF667-AS1 was associated with some important pathways related to tumorigenesis. Therefore, ZNF667-AS1 might act as a tumor suppressor and participate in the occurrence and development of NPC. To the best of our knowledge, the present study was the first to demonstrate the relation between ZNF667-AS1 and NPC using bioinformatics analysis.
In the present study, we constructed a risk score model for predicting PFS of NPC patients. This model consists of 12 genes RRM2, VILL, MANSC1, CYP4B1, LXN, MLF1, CRIP1, WDR54, MNS1, CNN3, CTHRC1 and NFE2L3. Among them, RRM2, MANSC1, MLF1, WDR54, MNS1 and NFE2L3 were associated with high-risk of poor prognosis, while VILL, CYP4B1, LXN, CRIP1, CNN3 and CTHRC1 were associated with low-risk of poor prognosis. Multivariate Cox regression analysis indicated that MANSC1, CYP4B1, MLF1, CRIP1, MNS1, CNN3 and CTHRC1 were independent prognostic factors associated with the DFS in NPC. Kaplan-Meier survival analysis, ROC curve and the C-index demonstrated that the predictive capability of the risk model was successfully in GSE102349. Among the prognostic genes in the model, RRM2 encodes a subunit of ribonucleotide reductase, which catalyzes the conversion of ribonucleotides into deoxyribonucleotides. Overexpression of RRM2 predicts unfavorable prognosis for patients with NPC [48]. CYP4B1 encodes a member of the cytochrome P450 superfamily of enzymes, which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. Although CYP4B1 was detected in NPC tissues[49], the role of CYP4B1 is little known. In addition to RRM2 and CYP4B1, the relationship between NPC and other prognostic genes in the risk model has not been reported in the literature.
What’s more, we analyzed the expression differences of lncRNAs in the ceRNA network between two risk groups. Results showed that SNHG16, SNHG17 and THAP9-AS1 were up-regulated in the high-risk group of NPC, while ZNF667-AS1 was down-regulated in the high-risk group of NPC. SNHG16 was regarded as an oncogene and associated with neuroblastoma, bladder cancer, colorectal cancer, esophageal squamous cell carcinoma, hepatocellular carcinoma [50-52]. Zhang et al. suggested that SNHG16 promotes tumor progression through acting as an endogenous “sponge” by competing with miR-140-5p, thereby regulating target ZEB1 [51]. SNHG17 was reported to promote gastric cancer progression by epigenetically silencing of p15 and p57, and it was an unfavorable prognostic factor in colorectal cancer and gastric cancer [53, 54]. Extensive overexpression of THAP9-AS1 was observed in pancreatic ductal adenocarcinoma which is associated with poor clinical outcomes [55]. Function as ceRNA, THAP9-AS1 facilitated YAP expression by sequestrating miR-484, and it can bind YAP to inhibit phosphorylation-mediated inactivation by LATS1 [55]. The function and mechanism of those identified lncRNAs in NPC warrant further study.
It should be acknowledged that there were certain limitations to the present study. Firstly, only 11 differential expressed lncRNAs were obtained from the integrated analysis of RNA-seq data and mRNA profiling data. Some lncRNAs may be ignored, for only a portion of the possible lncRNAs was included in HG-U133 Plus 2.0 platform. Secondly, the sample size of GSE102349 was relatively limited. There were only 113 NPC samples included in GSE102349, and only 88 samples had survival information, thus research with large sample sizes, high-quality high-throughput data are required to verify our findings in the future. Thirdly, due to the lack of important clinical information such as gender and age, we can’t confirm the independence of the risk model. Moreover, due to the absence of similar NPC public datasets with survival information, external validation was not conducted. Finally, although we have constructed a ceRNA network using multiple datasets and experimental-based databases, the regulatory relationship among lncRNAs, miRNAs and mRNAs still require to verify using molecular experiments in vivo and in vitro.