3.1 Clinicopathological features of the GC patients
In the present study, we collected 53 GC samples from clinical data. The clinicopathological features, such as gender, age, tumor size, differentiation, lymph node metastasis, HP infection, and serum CA125 level, were synthesized in statistics. There were 60.38% males and 39.62 % females in this cohort, and the age of all collected GC patients ranged from 28 to 72 years, with an average age of 53 years (Table 1).
3.2 Differentially expressed miRNAs in GC tissues and cells
The miRNA microarray assay was conducted to identify the differentially expressed miRNAs between gastric tissues and tumor-adjacent normal tissues. In these GC tissue samples, 19 miRNAs were over-expressed compared with the tumor-adjacent normal tissues (ratio > 1.5), and 17 miRNAs were down-regulated with a reduction by 1.5-fold or more (ratio < 0.667), including hsa-miR-1273h-5p (Figure 1a)
Next, the expression of miR-1273h-5p in GC tissues (from 53 GC patients with gastrectomy) was down-regulated by 0.31-fold compared with the tumor-adjacent normal tissues (NC)(Figure 1b). The expression of miR-1273h-5p in human GC cell lines, such as MGC-803, BGC-823, SGC-7901 and MKN-45 cells, and GES-1 cells was validated by RT-PCR. As shown in Figure 1c, the expression of miR-1273h-5p was decreased in four GC cell lines compared with the normal GES-1 cell line. miR-1273h-5p expression was not detected in MKN-45 cells. Therefore, MGC-803, BGC-823, and SGC-7901 cells were chosen for the further biological function analysis of miR-1273h-5p.
3.3 Impact of miR-1273h-5p on the growth and apoptosis of GC cells
Because the miR-1273h-5p expression was significantly low in GC, we speculated that it might inhibit the growth of GC cells and enhance cell apoptosis. To validate our hypotheses, we up-regulated the miR-1273h-5p expression by transfecting BGC-823, MGC-803, and SGC-7901 cells with miR-1273h-5p mimics, and down-regulated the miR-1273h-5p expression by transfecting miR-1273h-5p inhibitors into the above-mentioned cells. Subsequently, a CCK-8 assay was conducted after 48h of transfection to explore the impact of miR-1273h-5p on the viability of BGC-823, MGC-803, and SGC-7901 cells. When transfected with mimics, the viability of BGC-823, MGC-803, and SGC-7901 cells significantly decreased compared with negative and normal control groups (Figure 2a,c,e). In contrast, the viability of the above-mentioned cells transfected with inhibitors was increased, especially MGC-803 and SGC-7901 that were significantly increased compared to negative control groups (Figure 2b,d,f). To sum up, the over-expression of miR-1273h-5p suppressed the growth of BGC-823, MGC-803, and SGC-7901 cells while miR-1273h-5p inhibitor promoted the growth of MGC-803 and SGC-7901 cells.
PI and Annexin V‑FITC staining were adopted to assess the apoptotic ability of cells after the transfection of miR-1273h-5p mimics. The proportion of apoptotic cells was determined using flow cytometry (FCM)(Figure 3a). After the cells were transfected with miR-1273h-5p mimics, the apoptotic rates of BGC-823, MGC-803, and SGC-7901 cells were dramatically enhanced (Figure 3b) compared with corresponding negative control groups. These findings revealed the effect of miR-1273h-5p and indicated that it had a fundamental role in regulating the apoptosis of GC cells. Three samples from each group were selected for the experiment.
3.4 Effect of miR-1273h-5p on the migration and invasion of GC cells
Cell migration and invasion were explored using the transwell assay, and the number of migratory and invasive cells was counted using a microscope (100×, 200×). Finally, three random visual fields from each kind of GC cell group were confirmed for counting statistics. Results indicated that the over-expression of miR-1273h-5p inhibited the migration of BGC-823 and SGC-7901 cells (Figure 4). In addition, the invasion of BGC-823, MGC-803 and SGC-7901 cells were also inhibited by over-expression of miR-1273h-5p compared to normal and negative control groups (Figure 5).
3.5 High expression of miR-1273h-5p down-regulates CXCL12
In order to explore the target genes of miR-1273h-5p, bioinformatics analysis was conducted using TargetScan and miRanda software, and CXCL12 was identified as a target gene (Figure 6a). Numerous investigations have shown that extracellular CXCL12 is over-expressed in different types of tumors. To verify the relationship between miRNA and target gene, prepared plasmids including miRNA, target gene, and reference genes were all transfected into HEK293 cells. According to target gene plasmids, different groups were set for comparative analysis, such as CXCL12-normal control, CXCL12-wild type1, CXCL12-mutation1, CXCL12-wild type2, CXCL12-mutation2. Since CXCL12 has two transcripts, we set up two more groups when we customized its plasmids. Then, miRNA plasmid miR-1273h-5p mimics and their corresponding negative control plasmids were transfected into the above groups, respectively. Renilla's internal reference was finally transfected into all groups. There was no effect of miR-1273h-5p negative control plasmids on the CXCL12 level (Figure 6b,d). However, Figure 6c,e show significant discrepancies that occurred on CXCL12-wild type 1,2, which received miR-1273h-5p mimics. In summary, high expression of miR-1273h-5p could down-regulate CXCL12. These results indicated that miR-1273h-5p could bind to the wild type rather than the mutant type.
3.6 Binding to the target gene CXCL12 in GC cells
A negative regulatory relationship was found between miR-1273h-5p and CXCL12. Therefore, we aimed to assess the expression of CXCL12 in terms of mRNA and protein by RT-qPCR and Western blotting, respectively. The CXCL12 expression at the mRNA level was dramatically down-regulated in GC cells transfected with miR-1273h-5p mimics (Figure 7a). Similarly, the protein expression of CXCL12 was also obviously reduced (Figure 7b,f). These results suggested that miR-1273h-5p could inhibit the viability, migration, and penetration of GC cells by down-regulating the expression of CXCL12.
3.7 In vivo validation
The xenograft tumor model in nude mice was established to verify these conclusions further. The volume and weight of tumor tissue were measured after 21 days of feeding. The tumor volume of the miR-1273h-5p mimic group (n=10) was significantly lower than that of the normal control group (n=10) and negative control group (n=10). Similarly, the statistical discrepancies of tumor weight were found in the miR-1273h-5p mimic group as well (Figure 8a,b).
Next, we obtained the levels of miRNAs by RT-PCR detection and ensured that plasmids were successfully transfected as the trial group had a significant over-expressed level (Figure 8c). CXCL12 mRNA was also detected and the expression of the miR-1273h-5p group was significantly lower compared to both normal and negative control groups (Figure 8d). Subsequently, the protein detection by Western blot yielded consistent results with previous CXCL12 mRNA consequences (Figure 8e, f). The protein expression remarkably decreased in miR-1273h-5p group. These results supported a close correlation between miR-1273h-5p and CXCL12, which also verified the function of miR-1273h-5p in gastric cancer.