SHINING A LIGHT ON THE GENOME’S ‘DARK MATTER’ NON-CODING RNAs (nc RNAs) : MICRORNAs AND CANCER MICRORNAs (MiRs) AND CANCER Outline of Presentation • Non-coding RNAs (ncRNAs) and microRNAs (MiRs)-background and functions • MiR expression in tumors and cancer cells • MiRs as prognostic factors for cancer patients • miRs in body fluids and their potential as prognostic and diagnostic biomarkers • Examples of miR functions in cancer •MiRs as drug targets ncRNAs IN BACTERIAL AND EUKARYOTIC GENOMES % OF ncRNAs* 1.4% 29% 27% 2 3 20% 70% 86% 91% 92% 4 5 6 7 8 100% 50% 0% 1 1 Homo Sapiens 2 Arabidopsis thaliana 3 Caenorhabditis elegans 4 Drosophila melanogaster 5 Saccharomyces cerevisiae 6 Escheichia coli 6 Mycobacterium tuberculosis 7 Archaeoglobus fulgidus * From Szymanski and Barciszewski Genome Biol.3, 005.1, 2002 nc RNAs – “Dark Matter” Function nc RNA* small (20-300 nt) microRNAs (~23 nt) Piwi-interacting RNAs (piRNAs, 26-31 nt) Promoterassociated RNAs (small/variable) • decrease mRNA stability/ translation • gene silencing/ methylation • gene silencing..? many more long (>200 nt) Long intergenic non-coding RNAs (ncRNAs) • chromatin association and gene modulation/ silencing * Bioessays 32, 599, 2010; Cancer Res 71, 3, 2011 MicroRNA REGULATION OF GENE EXPRESSION IN CANCER CELLS/TUMORS miR-27a miR 20-22 nt Pre-miRNA miR-27a RNA (single chain) • miRs interact with 3’-UTR of mRNAs • Low miR-mRNA base specificity (6-8) • Each miR can potentially interact with several hundred mRNAs • Function: block gene expression COMPLEXITIES OF MiR-mRNA INTERACTIONS MULTIPLE MiRs REGULATE A SINGLE mRNA* • the p21 3’UTR can potentially be targeted by 266 miRs (p21 – tumor suppressor) 266-miRs Transfected luc 3’UTR p21 HEK293 cells “Oncogene 29, 2302, 2010” • 28 miRs interacted with 3’-UTR; decreased luciferase activity • overexpression of miRs decreased p21 protein and mRNA levels MicroRNA ACTIVITY IN CANCER: TUMOR SUPPRESSIVE OR ONCOGENIC miR Tumor suppressive miR Oncogenic • Suppress expression of oncogenes, growth promoting, survival and angiogenic genes (low in tumors) • Suppress expression of tumor suppressor, growth inhibitory, proapoptotic genes (high in tumors) INDIVIDUAL MiRs ASSOCIATED WITH MULTIPLE TUMORS miR TS/OG Tumors Let-7 Family TS 10 MiR-159/16-1 cluster TS 7 MiR-17-92 cluster OG 7 MiR-26a TS/OG 4 MiR-34a/b/c TS 6 MiR-21 OG 10 TS = tumor suppressor; OG = oncogene SPECIFICITY OF MiR EXPRESSION IN TUMORS* miR Tumor Tissue TS/OG MiR-155 Hematopoietic system OG MiR-200/141 family Epithelial-specific TS/OG MiR-205 Epithelial-specific TS/OG MiR-206 Skeletal and muscle TS MiR-9 Nervous system TS/OG TUMOR-SPECIFIC PATTERNS OF MiR EXPRESSION LIVER CANCER-CELL GROWTH/APOPTOSIS* DOWNREGULATED let7 miR-1 c-Myc Bcl-XL c-Met FoxP1 miR-122 miR-124 cyclin SRF G1 CDK-6 miR-199 miR-283 mTOR c-Met cyclin D2 cyclin E2 UPREGULATED miR-101 McL-1 FOS miR-101 cyclin D1 CDK6 let7 multiple miR-106b-25 p21 miR-21 PTEN miR-2a miR-602 YAP RASSFLA *Br.J.Cancer 104, 235, 2011 (partial list) Bim miR-124 p27 p57 miR-18a ERa miR-101 APL-5 TUMOR-SPECIFIC PATTERNS OF MiR EXPRESSION LIVER CANCER-CELL GROWTH/APOPTOSIS* miRs • Corresponding growth promoting/ prosurvival mRNAsupregulated miRs • Corresponding growth inhibitory/antisurvival mRNAsdownregulated CORRELATION OF MIR EXPRESSION WITH PROGRESSION AND PROGNOSIS OF GASTRIC CANCER* PATIENTS: 181 patients from 2 cohorts (Japan) CLASSIFICATION: Stages I-IV Diffuse vs. Intestinal type ANALYSIS: • Custom miR microarray chip (Ohio State Univ.) • miR expression in 160 paired samples (tumor vs. non-tumor) • Correlations of miR expression vs. stage, type and prognosis (survival) * Lancet Oncol. 11,136, 2010 GASTRIC CANCER MiR SIGNATURE* UPREGULATED MIRs (22): miR-181 (6), miR-21, miR-25, miR-92 (2), miR-19b (2), miR-17-92 (7), miR-224, miR-19a miR-345, miR-191, miR-135b, miR-135a (2) DOWNREGULATED MIRs (13): miR-148 (2), miR-375, miR-29b (2), miR-29c, miR-152, miR-218-2, miR-451, miR-30a-d (5), miR-422b Several different miRs in the cluster. Lancet Oncol. 2010 MiRs AS PROGNOSTIC FACTORS: GASTRIC CANCER SURVIVAL* Intestinal-Type Gastric Cancer miR-495 HAZARD RATIO (disease free survival) 5 4 3.2 3 2 1 HAZARD RATIO (disease free survival) 10 9 8 7 6 5 4 3 2 miR-199 Let-7g 1 0 0 Stages I-II Stages III-IV high low I-II III-IV high low I-II III-IV low high I-II III-IV SERUM AND BODY FLUID MiRs AS BIOMARKERS • Multiple miRs have been characterized not only in serum but also tears, urine, breast milk, seminal fluid, saliva, amniotic fluid, bronchial lavage, cerebrospinal fluid, pleural fluid, peritoneal fluid and colostrum (Clin. Chem 56, 1733, 2010) • A select number of miRs may serve as diagnostic markers for different tumor types (Mol. Cancer 9:306, 2010) SERUM MiRs AS MARKERS FOR LIVER PATHOLOGIES (Clin. Sci 120, 183, 2011) Serum MiR-885-5p Levels Rel. miR-885-5p Expr 10 8 6 4 MiR-885-5p • Elevated in sera from patients with liver pathologies • Primarily expressed in liver 2 Normal HepatoLiver cellular cirrhosis Carcinoma • Function - not known MiRs AS PROGNOSTIC FACTORS FOR CANCER: SUMMARY • There are unique miR signatures for different cancers • Several miRs are up-or downregulated in multiple tumors • Tumors and serum miR expression can be prognostic factors for patient survival • Since multiple miRs target unique and overlapping mRNAs, are there functional individual miRs and can they be targeted by anticancer agents? EXAMPLES OF FUNCTIONAL MiRs IN TUMORS miR-21 • Highly expressed in multiple tumors • Modulates expression of apoptotic/growth inhibitory mRNAs miR-17-92 • Highly expressed cluster in multiple tumors • Several paralogs (same seed sequence) modulate expression of anti-carcinogenic mRNAs miR-335 • Low expression in tumors • Expression studies suggest that miR-335 inhibits metastasis MiR-21 IS ONCOGENIC IN VITRO • Multiple studies show that knockdown of miR-21 in cancer cells decreases growth and induces apoptosis • Overexpression of miR-21 in cancer cells enhances their tumorigenicity • miR-21 is a prognostic factor for poor patient survival • miR-21 also plays a role in drug-resistance MiR-21 IS A NEGATIVE PROGNOSTIC FACTOR FOR PANCREATIC CANCER PATIENTS* 100 low miR-21 Radically resected Overall Survival (Mo) % of patients high miR-21 50 0 Grade 20 metastatic 0 1-2 3 (1000X higher in tumor vs. non-tumor tissue) • Patients were treated with gemcitabine • miR-21 also linked to gemcitabine and drug resistance (5-FU) *Cancer Res 70, 4528, 2010; PLOS One 5, e10630, 2010 ONCOMIR-21: IN VIVO TRANSGENIC MICE OVEREXPRESSING MIR-21 (Nes Cre 8, miR-21LSL-Tetoff) (DOXYCYCLINE ) Mice with lymphomas (+) Doxycycline Survival (%) 100 (-) Doxycycline Age (days) 100 • Overexpression of miR-21 in mice results in pre-B malignant lymphoid tumors • Doxycyclineinduced downregulation of miR-21 inhibits oncogenesis ONCOMIR-21: IN VIVO KNOCK OUT STUDIES Lung Tumors Adenoma 3 Lesions/Lung Rel. Tumor Areas 20 10 0 K-RasLA2 K-RasLA2 miR-21-/- • No obvious phenotype in miR21-/- mice • Decreased DMBAinduced skin cancer (miR-21-/-) 0 K-RasLA2 K-RasLA2 miR-21-/- *Cancer Cell 18, 282, 2010 PNAS 108, 10144, 2011 • miR-21-/suppresses K-ras induced lung cancer REGULATION OF SPECIFICITY PROTEIN (Sp) TRANSCRIPTION FACTORS BY MiRs (ONCOMIRS) •Low expression in non tumor tissue • High expression in tumor tissue REGULATION OF SPECIFICITY PROTEIN (Sp) TRANSCRIPTION FACTORS BY MiRs (ONCOMIRS) Mechanisms for Sp overexpression • Epigenetic effects (hypo/hypermethylation) -no evidence • Enhanced expression of genes that regulate Sp TFs -they are self regulatory • Inhibition of “Sp repressors”……..by miRNAs? REGULATION OF SPECIFICITY PROTEIN (Sp) TRANSCRIPTION FACTORS BY MiRs (ONCOMIRS) MiR-27a : ZBTB10? LAQ824 SKBR3 (HDACi) CELLS as-MiR-27a 5 microRNAs (miRs) + 5 hr 22 miRs (including miR-27a) ZBTB10 + (1.4 Fold) miR-27a Note: ZBTB10 mRNA Cancer Res. 66, 1277,2006 One of several hundred potential miR-27a target REGULATION OF SPECIFICITY PROTEIN (Sp) TRANSCRIPTION FACTORS BY MiRs (ONCOMIRS) ZBTB10 – an Sp repressor • ZBTB10 competitively binds (and displaces Sp) GC rich sequences (JBC 274, 8123, 1999) • ZBTB10 is a member of the BTB/POZ family of transcription repressors • Does miR-27a repress ZBTB10 and thereby allow for overexpression of Sp1, Sp3 and Sp4? REGULATION OF SPECIFICITY PROTEIN (Sp) TRANSCRIPTION FACTORS BY MiRs (ONCOMIRS) High Basal Sp Expression in Tumors miR-17-5p miR-27a miR-20a (a)(a) Cancer Res. 67 Oncogene 11011,2012 2007 LOW HIGH ZBTB10 ZBTB4 ZBTB10 ZBTB4 EGFR, CD1, c-Met (growth) Sp Sp GC low VEGF, VEGFR1 VEGFR2 (angiogenesis) Sp bcl-2, survivin NFkB, p65 (survival) (inflammation) SUMMARY OF ONCOMIRS THAT SUPRESS Sp TRANSCRIPTION FACTORS caspases (active) proteasomes ROS miR-20a miR-27a phosphatases Sp- regulated genes mitochondria Sp-repressor (mRNA) ZBTB10 ZBTB4 EGFR, CD1, c-Met (growth) VEGF, VEGFR1/VEGFR2 (angiogenesis) bcl-2, survivin (survival) NFkB/p65 (inflammation Mechanisms of drug-induced repression of Sp1, Sp3, Sp4 and Sp-regulated genes in cancer cell lines (curcumin, celastrol, aspirin, betulinic acid….) DEVELOPMENT OF ANTICANCER DRUGS THAT TARGET MiRS • Several anticancer drugs downregulate miRs and induce Sp repressors which downregulate Sp1, Sp3 and Sp4 genes. • Can anticancer drugs induce tumor suppressor-like miRs ? 2,3,7,8-TCDD AS AN ANTIESTROGEN AhR Cl O Cl Cl O Cl arnt TCDD ( ) arnt ER ER ERE AhR DRE Estrogenic Responses Inhibited by AhR-ER Crosstalk • Mammary tumor formation and growth (rodent & human) • Uterine and endometrial responses (rodents) • Breast cancer cell responses Ah RECEPTOR AS A DRUG TARGET *Toxic responses (chloracne, wasting…) Drug AhR arnt *Biochemical responses (CYPlA, UGT/GST…) DRE *Age, sex, species, strain and tissue-dependent *Pharmacolologic responses (antiestrogenicity, anticancer activity, autoimmune diseases) DEVELOPMENT OF NON-TOXIC AhR-BASED ANTIESTROGENS CH2OH O N H 1,3,6,8- Indole-3-carbinol (I3C) CH2 O 2,4,6,8Alternate-substituted Alkyl PCDFs (synthetic) N H 2 Diindolylmethane (DIM) PROPERTIES OF ALKYL PCDFs 6-MCDF* • moderate AhR binding affinity • low toxicity and poor induction of CYP1A1 Cl Cl O CH3 Cl • exhibits partial AhR antagonist activity (for toxic responses) 6-MCDF • but elicits high antiestrogenic activity in • MCF-7 cells/rat uterus (agonist activity) * Selective AhR modulator (SAhRM) SAhRMs FOR BREAST CANCER THERAPY • MCDF alone or plus tamoxifen are highly effective against ER+ breast cancer (Cancer Res 61, 3902, 2001) • MCDF inhibits ER- breast cancer cell and tumor growth (Endocr Rel. Cancer 16, 835, 2009) • Inhibition by MCDF not related to altered kinases, apoptosis or cell cycle genes • Do SAhRMs such as MCDF work through miRs ? INDUCTION/REPRESSION OF MiRs BY TCDD/MCDF Repressed MiRs Induced MiRs Let-7d miR-134 miR-198 miR-373 miR-126 miR-205 miR-335 INDUCTION OF POTENTIAL TUMOR SUPPRESSOR MiRs BY TCDD/MCDF –MiR-335* • Low expression of miR-335 in breast cancer predicts poor metastasis-free survival. • Knockdown of miR-335 enhances MDAMB-231 metastasis whereas overexpression of miR-335 blocks metastasis • miR-335 suppresses expression of “prometastatic” genes such as SOX-4 * Massague et al Nature. 451, 177, 2007 TCDD/MCDF INDUCE MiR-335 IN MDA-MB-231 CELLS - AHR-DEPENDENT MDA-MB-231 miR-335 4.5 4 MDA-MB-231 miR-335 5 TCDD 4 3.5 3 TCDD MCDF 3 2.5 2 Fold Induction Fold Induction AhR Actin iCT iAHR MCDF iCT iAhR 1.5 1 0.5 0 2 1 0 0 hr 12 hr 24 hr DMSO TCDD AND MCDF INHIBIT BREAST CANCER CELL MIGRATION AND INVASION-BOYDEN CHAMBER ASSAY MDA-MB-231/24hr 120 100 Upper Chamber * Lower Chamber Cells Membrane % Control 80 * 60 40 20 Pores Migrated Cells 0 CTL 5 10 MCDF(uM) MIR-335 ALSO INDUCES CELL INVASION BUT THIS RESPONSE IS AHR-INDEPENDENT Invasion Assay/MDA-MB-231 120 iCTL 100 iAhR % control 80 ** 60 iCTL+CTL iCTL+miR335 40 20 0 CTL miR335 iAhR+CTL iAhR+miR335 TCDD/MCDF DECREASE MIR-335-REGULATED SOX4 IN MDA-MB-231 CELLS 1.2 1.6 DMSO TCDD SOX4 mRNA (Rel. 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