In this study, we showed that thioredoxin system components had higher expression in low-grade brain tumor samples also having a strong positive correlation with oncogenic miR-21, miR-23a/b and let-7a and tumor suppressor miR-125a levels for the first time. We examined high mRNA and low protein expressions of Trx-1 and TrxR-1 in low-grade meningioma and benign primary tumor tissues when compared to high-grade meningioma and metastatic tumor tissues, respectively by qRT-PCR and high Trx-1 and TrxR-1 protein expressions in high-grade glioma comparing to low-grade glioma by Western blot. Our findings regarding the increase in Trx-1[9, 16, 18, 59] and TrxR-1 [14, 16, 18] protein expression with the increasing tumor grade are consistent with the other findings of prior studies showing poor clinical outcome for patients with brain tumor. Metastatic tumor samples had significantly higher PRDX-1 mRNA expression compared to benign primary tumors, however, serum samples of all brain tumor patients had lower PRDX-1 expression than that of healthy volunteers. PRDX-1 was up-regulated in various cancer cells [60–62] to regulate cell growth and apoptosis through ROS-dependent pathway [63]. Thus, our results regarding qRT-PCR were coherent with the literature [24, 63]. However, various studies revealed that PRDX-1 may induce apoptosis of tumor cells [63–65]. Herein, lower level of PRDX-1 protein in sera of brain tumor patients might show that decrease in PRDX-1 promotes the proliferation and invasion of tumor cells [64, 65]. Our finding on PRDX-1 revealed that it may act as either oncogenic or tumor suppressor protein.
Here we report that miR-23a/b, miR-21 and let-7a expression levels were greater in low-grade meningioma comparing to high-grade meningioma. miR-21 [66, 28, 67, 27, 42, 41, 43], miR-23a [68, 69, 27, 70, 32], miR-23b [68, 69] and let-7a [67, 71, 72] is have oncogenic capability in various tumor cells including brain tumors [73, 74, 44]. Thus, our findings imply that those miRNAs might be potential biomarkers for diagnosis of meningioma. Herein, we also found that miR-21 and let-7a expressions were greater in metastatic tumors when compared to other primary benign tumor tissues showing a positive correlation between miRNA expressions and tumor grade. Trx-1, TrxR-1 and PRDX-1 mRNA expression levels were positively correlated with miR-21, miR-23a/b, miR-125, and let-7a expressions in brain tumor tissues by Pearson correlation analysis. Kalinina et al demonstrated high correlation between the antioxidant protection including thioredoxins and peroxiredoxins and miRNAs [75] which also support our results. PRDX-3 was linked with miR-23b for human prostate cancer progression [49]. Similarly, miR-23a and miR-23b regulate TrxR-1 expression during skeletal muscle differentiation [76]. Our key findings may implicate the diagnostic value of miR-21, miR-23a/b, let-7a and thioredoxin system components for brain tumors which also improve the understanding in determining the levels of biomarkers in different brain tumor grades.
In the current study, a correlation analysis has been done for the relation between thioredoxin system components and various miRNAs as oncogenes in brain tumor tissues and serum samples of patients, however, in vitro and in vivo functional studies including the association between miRNAs and redox system through Nrf2/ARE [55] and PI3K/Akt [56] pathways must be performed for the miRNA/thioredoxin system regulatory axis in brain tumor progression which generates a crucial limitation for this study. This limitation, still, does not hinder our further studies since the expression and correlation profiles in thioredoxin system and miRNAs would facilitate in-depth studies for better understanding of miRNA and redox system component functions as novel biomarkers. Since this research has been conducted with human subjects, brain tissue samples could not be obtained from healthy volunteers. To cope with this limitation, we compared levels of thioredoxin system components with metastatic and/or other benign tumors for qRT-PCR and Western blot and serum samples of healthy volunteers for ELISA.
Taken together, our findings show that thioredoxin system components including Trx-1, TrxR-1 and PRDX-1 and miR-21, miR-23a/b, and let-7a could be potential biomarkers together for brain tumor diagnosis especially for meningioma cases. Further prospective studies are needed to validate their relation and its projection to brain tumor treatment in the clinic.