miRNA is an endogenous non-coding RNA that exhibit a high degree of sequence and functional conservation, and affect downstream mRNA expression through post-transcriptional regulatory mechanisms. This regulatory process involves the specific binding of miRNA to the 3' untranslated region (3'UTR) of mRNA, which in turn affects mRNA stability, translational efficiency, or directly leads to the degradation of mRNAs, thereby regulating a variety of cancer-related processes, and playing an important role in the occurrence and development of many cancers, with great potential for diagnostics and therapy. miR-200b- 3p can perform different functions depending on the tumor type. In most cases, exhibits tumor suppressor effects that are down-regulated in cancerous tissues and cells. For example, Li et al.[14] found that miR-200b-3p expression in breast cancer tissues and cell lines was significantly lower than that in normal breast tissues and mammary epithelial cells. Xia et al.[15] identified that miR-200b-3p expression was downregulated in metastatic prostate cancer. In the present study, down regulation of miR-200b-3p expression in endometrial cancer cells was also confirmed. Recent studies have shown that miR-200b can inhibit the EMT process in endometrial cancer cells by promoting the expression of NKD2, which in turn regulates their invasive and migratory abilities.[9] Hong et al.[16]also demonstrated that miR-200b-3p can inhibit the migration and invasion of breast cancer cells by regulating the expression of ezrin-radixin-moesin protein. In addition miR-200b-3p can also act on genes such as microfiber-associated glycoprotein 2 (MAGP2), Mothers Against Decapentaplegic Homolog 2 (SMAD2) and high mobility group box 3 (HMGB3) to inhibit the life processes of tumor proliferation, apoptosis, invasion, and migration by silencing their mRNA expression. [10] In this study, overexpression of miR-200b-3p significantly inhibited the ability of EC cells for proliferation, migration and invasion, while inhibition of miR-200b-3p significantly promoted the ability of EC cells for proliferation, migration and invasion. Therefore, it is hypothesized that miR-200b-3p might be involved in EC progression as a tumor suppressor gene.
FOSL2, a member of the Fos family and part of the AP-1 transcriptional complex, has been studied to be significantly up-regulated in expression in ovarian cancer tissues and to regulate ovarian cancer cell development by mediating the formation of inflammatory vesicles. [17] In this study, it is also found that FOSL2 expression is significantly increased in endometrial cancer cells, meaning that it may be involved in endometrial cancer progression as an oncogene. Some studies have found that FOSL2 can also act as a downstream target gene of miRNAs to affect cancer proliferation, migration and invasion, such as being targeted and inhibited by miR-143-3p to affect the proliferation and migration of myeloma,[18] and it can also promote the progression of colorectal cancer under the upstream regulation of miR-619-5p.[19] In this study, it is found that FOSL2 mRNA contains a binding site to miR-200b-3p by Starbase, therefore, FOSL2 is likely to be a potential target gene of miR-200b-3p, and this speculation is verified in this study by employing dual luciferase. Meanwhile, it is also observed that miR-200b-3p overexpression could inhibit the transcription and translation of FOSL2 in EC cells, and miR-200b-3p knockdown could have the opposite effect, further confirming that FOSL2 is one of the targets of miR-200b-3p, and that miR-200b-3p could negatively regulate FOSL2 expression in EC cells. In addition, the inhibitory effects of miR-200b-3p overexpression on the proliferation, migration and invasion of EC cells were able to be abrogated by FOSL2 overexpression, and the promotional effects of miR-200b-3p knockdown on the malignant phenotype of EC cells are able to be reversed by FOSL2 silencing. Thus, miR-200b-3p could inhibit the proliferation, migration and invasion of EC cells by targeting and suppressing FOSL2 expression.
Tumor development is a complex process involving multiple factors, links and regulation, and abnormal expression in any link may lead to changes in protein expression, which in turn affects the value-added, invasive and migratory abilities of tumor cells and biological behaviors such as epithelial-mesenchymal transition (EMT), and ultimately has a significant impact on tumorigenesis, metastasis and prognosis. Epithelial-mesenchymal transition (EMT) refers to the loss of epithelial cells' original polarity and intercellular adhesion, and the acquisition of the ability to migrate and invade the stroma,[20] which is involved in the invasion and metastasis of a wide range of tumors, including EC.[21, 22]EMT is characterized by a decrease in epithelial cell markers E-cadherin and β-catenin, and mesenchymal cell markers N- cadherin and Vimentin increase.[23] Some studies found that miR-200b-3p could inhibit EMT and thus tumor progression through Zinc finger E-box binding homology box 1/2 (ZEB1/2).[10] In triple-negative breast cancer, miR-200b-3p can target the Rho GDP Dissociation Inhibitor (RHOGDI) signaling pathway, thereby increasing CDH1 expression and EMT inhibition.[24] Xie et al. [25] also found that prostate leucine zipper PrLZ could further inhibit the expression of miR-200 family members by activating TGF-β1/p-smad2, thereby negatively regulating ZEB1 expression and causing EMT in prostate cancer. Yin et al.[26] found that FOSL2 promoted EMT, invasion and migration of non-small cell lung cancer cells by binding to the SNAI2 promoter to facilitate SNAI2 transcription. Some studies have confirmed that the miR-200 family and FOSL2 were involved in the regulation of EMT, however, whether miR-200b-3p regulates the involvement of FOSL2 in the EMT process of EC cells was unknown. In this study, miR-200b-3p overexpression is found to significantly inhibit the expression of N-cadherin and Vimentin and promote the expression of E-cadherin, meaning an inhibitory effect of miR-200b-3p on the EMT process in EC cells, and this effect could be abrogated by FOSL2 overexpression. Thus, the miR-200b-3p/FOSL2 axis may inhibit EC cell migration and invasion by inhibiting the EMT process.
In summary, the expression of miR-200b-3p in endometrial cancer cells was down-regulated.
It inhibits the proliferation, migration and invasion of endometrial cancer cells by regulating the EMT process, and its mechanism is related to its targeted negative regulation of FOSL2 expression. Targeting the miR-200b-3p/FOSL2 axis may become a new idea and a new target for the treatment of endometrial cancer. Future studies still need to further explore the specific mechanism of miR-200b-3p and FOSL2 in the occurrence and progression of endometrial cancer in animal models, as well as their interaction with other signaling pathways.