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1 Human Cancer Genetics Program, Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA
2 Division of Pathology, University of Rome La Sapienza, Ospedale Sant'Andrea, Rome, Italy
(Correspondence should be addressed to A Vecchione, Human Cancer Genetics Program, Division of Pathology, Comprehensive Cancer Center, The Ohio State University, 400 West 12th Avenue, Columbus, OH 43216, USA; Email: andrea.vecchione{at}uniroma1.it)
This paper is one of 6 papers that form part of a special Focus Section on microRNAs. The Guest Editors for this section were Professor Alfredo Fusco, Naples, Italy, and Professor Carlo M Croce, Columbus, OH, USA; they were not involved in the handling of this paper, on which they are listed as an author.
| Abstract |
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| Introduction |
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In humans, miRs are expressed as long precursor RNAs transcribed by RNA polymerase II, which are known as primary miRs (pri-miRs) that are capped at the 5'-end and have a 3'-poly (A) tail (Lee et al. 2002, Cai et al. 2004).
Pri-miRs undergo a two-step maturation process to produce functional miRs. The first step occurs in the nucleus and is facilitated by Drosha, a cellular endonuclease, and the double-stranded RNA-binding domain protein DGCR8 (Lee et al. 2003, Han et al. 2004). Drosha cleaves both strands of the pri-miR in a staggered manner, producing a stem loop precursor molecule
70 nucleotides in length known as a pre-miR (Lee et al. 2003, Kim 2005, Bushati & Cohen 2007). These precursors are subsequently transported to the cytoplasm by an exportin-5-dependent mechanism (Yi et al. 2003), where they are cleaved by the DICER enzyme and by a double-stranded RNA-binding domain protein TRBP, resulting in <17–24 nt mature miRs (Ketting et al. 2001, Chendrimada et al. 2005), which associate with a RNA-induced silencing-like complex (RISC; Bushati & Cohen 2007). The interaction of miR/RISC and its target mRNA results in gene regulation (Hammond et al. 2000).
The expression patterns, function, and regulation of miRs are largely unknown, but emerging data and the frequent location of miRs at fragile sites, common breakpoints, regions of amplification, or loss of heterozygosity suggest that they may play significant roles in human carcinogenesis. Each miRs has a distinct capability to potentially regulate the expression of dozens of coding genes and thereby modulate several cellular pathways including those involved in proliferation, apoptosis, and stress response (Yanaihara et al. 2006).
Apoptosis is an evolutionary conserved process by which organisms remove cells that are superfluous, have outlived their usefulness, or are dangerous for the survival of the organism.
The apoptotic process can be executed intracellularly, which involves the release of a number of factors from mitochondria and can be activated by a diverse set of stressors (intrinsic pathway) or through transmembrane death receptors (DRs), which are activated when they are engaged by their cognate ligands (extrinsic pathway; Fig. 1).
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The extrinsic pathway begins outside the cell through the activation of specific pro-apoptotic receptors on the cell surface by specific molecules known as pro-apoptotic ligands. These ligands include Apo2L/TRAIL (receptors DR4 and DR5) and CD95L/FasL (receptor CD95/Fas) (Ashkenazi 2002, Debatin & Krammer 2004, Rowinsky 2005, Fulda & Debatin 2006). Unlike the intrinsic pathway, the extrinsic pathway triggers apoptosis independently of the p53 protein (Rieger et al. 1998, Ravi et al. 2004).
Once activated by extracellular ligand binding, the intracellular domains of these receptors, known as the death domains, bind to the adaptor protein Fas-associated death domain (FADD), leading to the assembly of the death-inducing signaling complex, or DISC, and recruitment and assembly of initiator caspases-8 and -10 (Boldin et al. 1995, Chinnaiyan et al. 1995, Kischkel et al. 1995, Wang et al. 2001). Caspases-8 and -10 are stimulated and undergo self-processing, releasing active enzyme molecules into the cytosol, where they activate caspases-3, -6, and -7, thereby converging on the intrinsic pathway (Fig. 1).
| miRs and apoptosis |
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In the following, we will discuss several miRs that are reported to be involved in cell death (summarized in Table 1 and Fig. 1).
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| miR-1/miR-133 |
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miR-1 and miR-133 derive from the same miR polycistron and are transcribed together (Chen et al. 2006). Interestingly, they carry out distinct biologic functions: miR-1 promotes myogenesis by targeting histone deacetylase-4, a transcriptional repressor of muscle gene expression, while miR-133 enhances myoblast proliferation by repressing serum response factor.
In addition, miR-1 and miR-133 are involved in regulating cell fate in cardiomyocytes (Xu et al. 2007). miR-1 and miR-133 produce opposing effects on apoptosis induced by oxidative stress in H9c2 rat ventricular cell, with miR-1 being pro-apoptotic and miR-133 being anti-apoptotic. Post-transcriptional repression of HSP60 and HSP70 by miR-1 and caspase-9 by miR133 contributes significantly to their opposing actions.
Recently, it has been demonstrated that miR-1 exerts its pro-apoptotic effect by regulating Bcl-2 expression on both mRNA and proteins levels (Tang et al. 2009).
| Let-7/miR-98 |
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Previous studies suggest that let-7 is a tumor suppressor, as let-7 directly regulates and suppresses the RAS and HMGA2 oncogenes through their 3'-UTR (Johnson et al. 2005, Akao et al. 2006, Lee & Dutta 2007). Moreover, a reduced let-7 level was also reported to correlate with elevated RAS expression in lung squamous carcinoma (Johnson et al. 2005). Apart from the role as a tumor suppressor, the involvement of let-7 in the cell proliferation pathway in human cells has been reported recently (Johnson et al. 2007). Let-7a, one of the let-7 miR members, was found to modulate the interleukin-6-dependent STAT-3 survival signaling in human malignant cholangiocytes by targeting the tumor suppressor gene NF2 (Meng et al. 2007a,b). By computer-based sequence analysis, the potential recognition sequence of let-7a was found on the 3'-UTR of caspase-3 but not on the other caspase members. Moreover, down-regulation of caspase-3, but not the other caspases, such as caspase-8 or -9, was observed in cells upon ectopic let-7a expression. By targeting caspase-3, a well-known effector caspase in apoptosis, let-7a was subsequently found to suppress the drug-induced apoptosis in A431 cells and HepG2, cells lines of two different tissue origins. Further confirmation of the role of caspase-3 in let-7a regulation of apoptosis is provided by the observations that the caspase-3 inhibitor attenuated the enhancement effect of let-7a knockdown on doxorubicin-induced apoptosis in HepG2, A431, and A10A cells and that transfection with anti-let-7a inhibitor did not have effect on doxorubicin-induced apoptosis in MCF-7 cells, which do not express the endogenous caspase-3. All these results draw the conclusion that let-7a regulation of apoptosis is mediated by caspase-3 (Tsang & Kwok 2008).
| miR-15a and miR-16-1 |
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Given that Bcl-2 is overexpressed in the majority of CLL malignant lymphocytes and no genetic alteration can explain this aberration, control of Bcl-2 expression by the miR-15/16 cluster can be considered as one of the main molecular mechanisms of this phenomenon. To further shed light on the tumor suppressor action of the miR-15a and miR-16-1 cluster, we analyzed the effects of both miRs on the transcriptome and proteome in CLL cells (Calin et al. 2008).
Ectopic expression of miR-15a and miR-16-1 led to the up-regulation of 265 genes and down-regulation of 3307 genes, among them the myeloid cell leukemia sequence 1 (MCL-1) anti-apoptotic gene and other predicted targets of miR-15 and miR-16. Interestingly,
20% of the down-regulated genes had AU-rich elements (AREs), which could further support the finding that ARE-mediated instability is implicated in the regulation of gene expression by miR-16-1 (Jing et al. 2005). Analysis of the proteomic changes after overexpression of the miR-15a and miR-16-1 cluster revealed 27 different proteins that exhibited at least fourfold changes with respect to the control group. Intriguingly, the proteins BCL2 and Wilms tumor 1, a confirmed and predicted target respectively, were among the proteins with prominent changes. Other proteins found are involved in cell growth, the cell cycle, oncogenesis, tumor suppression, and anti-apoptosis (Jing et al. 2005).
The tumor suppressor function of miR-15a/16-1 has also been addressed in vivo. In nude mice, ectopic expression of miR-15a/16-1 was found to cause dramatic suppression of tumorigenicity of MEG-01 leukemic cells exhibiting a loss of endogenous expression of miR-15a/16-1 (Calin et al. 2008). This observation confirms that miR-15a and miR-16-1 genes are tumor suppressors and are highly effective in preventing the growth of leukemic xenografts. The miR-15a/16-1 cluster targeting of BCL2 at the post-transcriptional level implies that miR genes play an important role in regulating apoptosis. Our data show that in cancer cells lacking these miRs, restoration of miR-15a and miR-16-1 triggers apoptosis and suppresses tumorigenicity (Cimmino et al. 2005). Therefore, it is possible that perturbation of the expression of oncosuppressor miR genes, such as miR-15a and miR-16-1, may lead to tumorigenesis.
| miR-21 |
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miR-21 has been demonstrated to regulate the programmed cell death 4 gene (PDCD4; Lu et al. 2008). PDCD4 is a tumor suppressor protein that is overexpressed during apoptosis (Lankat-Buttgereit & Göke 2009) and downregulated in human cancers. It has been shown to inhibit promoter-induced neoplastic transformation (Cmarik et al. 1999), tumor promotion, and progression (Jansen et al. 2005). The regulation of PDCD4 by miR-21 is mediated by interaction at a miR-21 target site within the PDCD4 3'-UTR. This interaction negatively regulates PDCD4, influencing invasion and metastatic potentials of neoplastic cell (Asangani et al. 2008).
Similarly, a translational regulation of PDCD4 by miR-21 has been demonstrated in MCF-7 breast cancer cells (Frankel et al. 2008), in embryonic kidney cells HEK293T, and in a mouse epidermal cell system (Lu et al. 2008). The authors also demonstrated that overexpression of miR-21 increased the colony formation in MCF-7 cells, indicating a role in anchorage-independent transformation in these cells, which supports what had been seen in colorectal cancer (Asangani et al. 2008).
Taken together, these data strongly indicate the regulation of PDCD4 by miR-21, which appears to play a role in invasion and metastasis in both colorectal and breast cancers.
Since miR-21 is overexpressed in colon and breast cancers (Iorio et al. 2005, Asangani et al. 2008), deregulation of miR-21 may provide a mechanism for cancer initiation and progression in colorectal and breast carcinoma through its regulation of PDCD4.
Recently, miR-21 has been reported to target important tumor suppressor genes including the serpin peptidase inhibitor, clade B (ovalbumin), member 5 (SERPINB5/maspin; Zhu et al. 2008). Members of the human serpin family regulate a diverse array of serine and cysteine proteinases associated with essential biological processes such as fibrinolysis, coagulation, inflammation, cell mobility, cellular differentiation, and apoptosis. Most serpins are secreted and attain physiological concentrations in the blood and extracellular fluids. However, a subset of the serpin superfamily, the ov-serpins, also resides intracellularly (Silverman et al. 2001). Different groups have demonstrated that maspin is involved in sensitizing cells to apoptosis (Tahmatzopoulos et al. 2005, McKenzie et al. 2008) by targeting AKT.
Hence, the oncogenic potential of miR-21 lies in its ability to regulate multiple cancer-associated pathways, probably via multiple cellular targets, which may partially explain its frequent up-regulation in cancer.
A recent study shows that miR-21 (Singh et al. 2008), the levels of which increase following the induction of mouse ES cell differentiation, has potential binding sites in the 3'-UTRs of the mRNAs that encode for Nanog, SOX2, and possibly OCT4. These are key proteins that are involved in ES cell self-renewal (Houbaviy et al. 2003). Interestingly, the transcription of miR-21 itself is regulated in ES cells by a transcriptional repressor called the RE1-silencing transcription factor, which directly interacts with cis elements upstream of the miR-21 gene (Singh et al. 2008).
| miR-29 |
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miR-29b, which is down-regulated in lung cancer and in CLL (Calin et al. 2005, Yanaihara et al. 2006), has been recently reported to target the MCL-1 in cholangiocarcinoma cells (Mott et al. 2007). Mcl-1 is an anti-apoptotic member of the BCL2 family of proteins, which binds to pro-apoptotic members Bim and Bid preventing TRAIL-induced apoptosis (Chen et al. 2005). The TRAIL-signaling pathway involves the binding of TRAIL ligand to cell surface DR4 and 5 (Degterev et al. 2003, Johnstone et al. 2008). Upon binding, the receptor trimerizes (Wang & El-Deiry 2003), recruits the adaptor protein FADD, and initiates the caspase cascade, which results in apoptosis (Chinnaiyan et al. 1995). The TRAIL-signaling pathway has been shown to induce apoptosis in a number of transformed cell types both in vitro and in vivo (Schaefer et al. 2007). However, we found that some tumor cells display a TRAIL-resistant phenotype (Garofalo et al. 2008). Overexpression of Mcl-1 is common in cancers such as cholangiocarcinoma, where its expression renders cells resistant to TRAIL-mediated apoptosis. Silencing of this protein has been shown to sensitize cholangiocarcinoma cells to TRAIL (Taniai et al. 2004). Mott et al. (2007) showed that the expression of miR-29 was inversely related to Mcl-1 expression, also demonstrating the ability of miR-29 to sensitize cells to TRAIL-mediated apoptosis.
Enforced expression of miR-29b renders tumor cells more sensitive to apoptosis-inducing activity of TRAIL, suggesting that the miR-29b/MCL-1 connection is functionally important and could be exploited for cancer therapy.
| miR-34 |
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| miR-106b-25/107-92 clusters |
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That miR-106b-25 and miR-17-92 physiologically control apoptosis is supported by the fact that miR-17-92/miR-106b-25 double knockout mice exhibit a much more severe phenotype, characterized by prenatal lethality and extensive apoptosis in the liver and in other organs, compared with miR-17-92 single knockout mice (Ventura et al. 2008).
| miRs-221/222 |
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Recently, our group (Garofalo et al. 2008) has identified miR-221 and miR-222 as regulators of TRAIL sensitivity in NSCLC. TRAIL-resistant (CALU-1) and TRAIL-sensitive (H460) cell lines were identified; differences in sensitivity to TRAIL were not related to differences in endogenous receptor levels, as receptor levels were demonstrated to be comparable in both cell lines. miR analysis indicated differential expression of seven miRs in TRAIL-resistant cells compared to TRAIL-sensitive H460 cells. Overexpression of two of these miRs, miR-221 and miR-222, in TRAIL-sensitive cells increased resistance to TRAIL-induced cell death by
40% and reduced activation of caspase-3 and -8. By contrast, inhibition of these miRs in TRAIL-resistant cells resulted in a TRAIL-sensitive phenotype, indicating a role in determining cell sensitivity to TRAIL. Putative targets, the proto-oncogene Kit, and tumor suppressor p27kip1 (Felli et al. 2005, Galardi et al. 2007), both of which play important roles in the cell cycle and its regulation, were shown to be downregulated in cells exhibiting resistance to TRAIL. In vitro inhibition and overexpression of miR-221 and miR-222 modulated expression of both Kit and p27kip1, strengthening evidence that these genes are targets. Silencing of p27kip1 increased cell resistance to TRAIL, implicating a role for this protein in maintaining sensitivity to TRAIL. These data strongly point to a role for miR-221 and miR-222 in determining cellular sensitivity to TRAIL-induced apoptosis in NSCLC, through the regulation of key proteins Kit and p27kip1. Interestingly, a recent study has demonstrated that negative regulation of p27kip1 by miR-221 and miR-222 in breast cancer cells conferred resistance to the chemotherapeutic drug tamoxifen (Miller et al. 2008), indicating a common role for these miRs in different cancers.
| Conclusion |
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| Declaration of interest |
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| Funding |
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| Acknowledgements |
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