This article is mentioned in:

Introduction

Renal cell carcinoma (RCC) is the third most common urological cancer (1). A number of patients with RCC develop metastatic disease and the 5-year survival rate in these patients just 2% (2). Therefore, further screening and investigations into novel treatment methods are highly warranted.

MicroRNAs (miRNAs/miRs) are non-coding small RNAs of ~19–25 nt in length which are cleaved from 70–100 nt-long hairpin precursor (pre)-miRNAs by the enzyme ribonuclease 3 (Drosha) (3,4). miRNAs have essential functions in the development and establishment of cell identity, and aberrant metabolism or expression of miRNAs has been associated with human disease, including cancer (4). There are an increasing number of reports implicating aberrant expression of certain miRNAs, including miR-21, 17–92,-15,-16,-141 and let-7, in tumor growth, carcinogenesis and response to chemotherapy in various malignancies (3–10). miR-21, which is overexpressed in various cancer types, is one of the most widely studied miRNAs in cancer (11–13). The overexpression of miR-21 has been implicated in various processes associated with carcinogenesis, including the inhibition of apoptosis (6), promotion of cell proliferation (9) and stimulation of tumor growth (10).

Programmed cell death 4 (PDCD4) has been demonstrated to be an inhibitor of neoplastic transformation. The PDCD4 gene was identified in the mouse epidermal clonal genetic variant JB6 cell system as a 64 kDa protein that is preferentially expressed in tumor promoter-resistant cells, but suppressed in tumor promoter-sensitive cells undergoing neoplastic transformation (14). PDCD4 levels were continuously reduced in the colon and colorectal adenocarcinoma (15,16). PDCD4 inhibits activator protein (AP)-1 transactivation (17), stalls translation machinery (18), decreases benign and malignant tumor progression (19), and regulates lymphoma initiation and autoimmune inflammation (20). Subsequent investigations demonstrated that a loss of PDCD4 expression was associated with tumor progression in carcinomas of the lung, colon, prostate and breast (21).

Previous bioinformatics analyses have demonstrated that PDCD4 contains a miR-21 binding site and acts as a tumor suppressor through the regulation of various processes associated with cancer progression, including cell proliferation, invasion, metastasis and neoplastic transformation (21–23). Notably, Asangani et al (11) studied 10 colorectal cell lines and observed an inverse correlation between miR-21 and PDCD4 protein expression. Lu et al (24) demonstrated that translation of the tumor suppressor gene, PDCD4, is negatively regulated by miR-21 in HEK-293T, MCF-7 and JB6 cell lines, and provided evidence that the miR-21 gene functions as an oncogene to promote cell transformation. In human hepatocellular carcinoma cell lines, overexpression of miR-21 did not cause degradation of PDCD4 mRNA, but significantly inhibited its protein expression (25). It has been demonstrated that knockdown of miR-21 upregulates PDCD4 expression leading to increased apoptotic cell death in glioblastoma cells (26), in addition to suppressing invasion and metastasis in colorectal cancer cells (22) and esophageal squamous cell carcinoma (27). Further studies have confirmed the regulation of PDCD4 by miR-21 in colon, breast and bladder carcinoma (22), cholangiocarcinoma (23), esophageal carcinoma (27) and glioblastoma (26). Consistent with these results, Li et al (28) demonstrated that miR-21 is significantly overexpressed in RCC tissue and cell lines, and that PDCD4 is negatively regulated by miR-21.

To the best of our knowledge, no previous studies have elucidated the roles of and associations between miR-21 and PDCD4 in an animal RCC model. Therefore, the aim of the present study was to determine the roles of and interactions between PDCD4 and miR-21 in a nude mouse renal cancer model, and the effects of silencing PDCD4 on RCC tumor cell growth and invasion.

Materials and methods

Ethics statement

The present study was performed in strict accordance with the recommendations of the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health (29). The protocol used in the present study was approved by the Committee on the Ethics of Animal Experiments at Henan University of Science and Technology (Henan, China; approval no. 20140126). All surgical procedures were performed under 1% sodium pentobarbital anesthesia 70 mg/kg, and all efforts were made to minimize suffering. As a humane endpoint, mice were euthanized if they met any of the following conditions: i) When they exhibited loss of >20% of body weight; ii) when the tumor mass >10% of body weight; iii) when an increased respiratory rate and/or effort was observed; iv) if a loss of skin elasticity was observed; v) if the mice exhibited the inability to access food or water. Mice were injected with an excess of sodium pentobarbital anesthetic (150 mg/kg, 1%) as the method of euthanasia.

Rearing of nude mice and cell culture

BALB/c nude mice (n=24; male) were obtained from the Laboratory Animal Center of the Academy of Military Medical Sciences (Shanghai, China). These BALB/c nude mice were 5–6 weeks, weight 20–23 g, and they were fed for 1 week prior to the experiment under the food condition of SPF at 20–26°C, relative humidity 40–70% and 12 h light-dark cycle. All food was treated with high temperature steam disinfection (45 min, 120°C). All water was acidified by hydrochloric acid and adjusted to a pH between 2.5 and 2.8. Renal cell adenocarcinoma 786-O cells were obtained from the Xiehe Cell Bank of the Chinese Academy of Medical Sciences (Beijing, China) and were cultured under the conditions recommended by the cell bank. Briefly, the 786-O cells were cultured as a monolayer in Keratinocyte Serum-Free medium (Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA) supplemented with 0.05 mg/ml bovine pituitary extract (Invitrogen; Thermo Fisher Scientific, Inc.), 5 ng/ml human recombinant epidermal growth factor (Invitrogen; Thermo Fisher Scientific, Inc.) and 10% fetal bovine serum (FBS; Atlanta Biologicals Inc., Lawrenceville, GA, USA), 50 mg/ml penicillin and 50 mg/ml streptomycin (both Invitrogen; Thermo Fisher Scientific, Inc.). Cells were maintained in an incubator with a humidified atmosphere and 5% CO2 at 37°C. Subconfluent 786-O cells (60–70% confluence) were treated with genistein (25 mM; Sigma-Aldrich; Merck KGaA, Darmstadt, Germany) and 10% dimethyl sulfoxide (15 ml).

RNA interference assay

The 786-O cells (1×106 cells, 60–80% confluence) were incubated in a 6-well tissue culture dish without antibiotics for 24 h prior to transfection. The 786-O cells were transfected with PDCD4 siRNA and the negative control siRNA, and the effects of silencing PDCD4 on tumor cell growth, proliferation and invasion were investigated. The small interfering RNA (siRNA) transfection reagent complexes (#AM16708A; Invitrogen; Thermo Fisher Scientific, Inc.) were mixed with Lipofectamine® 2000 (Invitrogen; Thermo Fisher Scientific, Inc.) according to the manufacturer's instructions and subsequently added to the cells. The sequences of the siRNAs used in the present study were as follows: NC siRNA (sense, 5′-GCUGCUUTGGACAAGGCUATC-3′; antisense, 5′-UAGCCUAGUCCAAAGCAGCAT-3′) PDCD4 siRNA (sense, 5′-GCUGCUUUGGACAAGGCUATT-3′; antisense, 5′-UAGCCUUGUCCAAAGCAGCTT-3′). After 6 h of incubation at 37°C, the medium was replaced and the cells were cultured in RPMI-1640 (Gibco; Thermo Fisher Scientific, Inc.) supplemented with 10% heat-inactivated FBS for various time periods. At the same time, cells were transfected with control siRNA as control group.

Nude mouse renal cancer model

The male nude mice were randomly assigned into the following three groups to investigate the effect of miR-21: Negative control (NC; n=8), miR-21 mimic (n=8) and miR-21 inhibitor (n=8). A 0.1 ml 786-O cell suspension (1×106 cells) was subcutaneously transplanted into the armpits of the mice, which were subsequently injected daily with NC siRNA (#AM17110; Invitrogen; Thermo Fisher Scientific, Inc.), pre-miR-21 (mimic) or anti-miR-21 (inhibitor); (#A25576; Invitrogen; Thermo Fisher Scientific, Inc.). The sequences of the primers as follows: pre-miR-21 primer sequence, sense, 5′-CATCCTUCUTGAAGUGACUC-3′ and antisense, 5′-CGCUCUAUGACGUAUGGAGGU-3′; anti-miR-21 primer sequence, sense, 5′-GATCCAUCUTCGAAGUGACTT-3′ and antisense, 5′-UGCUCUTUGACGUAUGGAGTT-3′; NC siRNA primer sequence, sense, 5′-UUCACCGUACGUCUCACCUGT-3′ and antisense, 5′-ACUGGAACCUCUCGCGGAATT-3′. MTT assays (Roche Diagnostics GmbH, Mannheim, Germany) were performed to detect cell viability. Cells were seeded into 96-well plates (6.0×103 cells/well) and left at normal culture conditions. Cells were incubated with MTT (5 mg/ml per well) for 4 h. Dimethyl sulfoxide was used to dissolve the formazan crystals. PBS was used as a control. Absorbance at a wavelength of 490 nm was measured using the Infinite M200 PRO multimode microplate reader (Tecan Benelux BVBA, Mechelen, Belgium). Cell viability was detected prior to the injection of cells to ensure that the cells were in logarithmic phase. A total of 16 days after transplantation, the tumor formation rate was 100% and the mice were sacrificed, with the tumors collected and weighed. The expression of miR-21 and PDCD4 mRNA in the cancer tissues was analyzed using reverse transcription-quantitative polymerase chain reaction (RT-qPCR).

The expression of PDCD4 protein in cancer tissues was examined using immunohistochemistry and western blotting. BALB/c mice were randomly assigned into two groups as follows: NC (n=8) and PDCD4 siRNA (n=8). The 786-O cells were subcutaneously transplanted into the armpits of the mice, and this was followed by daily injections of NC siRNA or PDCD4 siRNA (#AM16708A; Invitrogen; Thermo Fisher Scientific, Inc.). NC siRNA sense, 5′-GCUGCUUTGGACAAGGCUATC-3′ and antisense, 5′-UAGCCUAGUCCAAAGCAGCAT-3′; PDCD4 siRNA sense, 5′-GCUGCUUUGGACAAGGCUATT-3′ and antisense, 5′-UAGCCUUGUCCAAAGCAGCTT-3′. The tumors were removed from the mice and weighed 16 days after the transplantation. Sodium pentobarbital (150 mg/kg, 1%) was injected into each mouse as the mode of euthanisia.

Immunohistochemistry

For immunohistochemical analysis, mouse cancer tissues were fixed with 10% buffered formalin and embedded in paraffin. The sections (2-µm-thick) were cut 1 day prior to use. All sections were deparaffinized and dehydrated with graded ethyl alcohol (99, 95, 85 and 75%). The sections were then washed for 10 min in phosphate-buffered saline (PBS; pH 7.2; 37°C). The endogenous peroxidase activity was quenched by incubation in methanol containing 3% H2O2 for 10 min at room temperature, then heated for 30 min at 95°C to repair antigens and finally washed with PBS. To maximize immunohistochemistry signals, the following two strategies were used: Antigen retrieval in citrate buffer and signal amplification with biotinylated tyramide. The tissue sections were incubated overnight at 4°C with PDCD4 antibody (dilution, 1:100; #ab105998; Abcam, Cambridge, UK). Detection was subsequently performed using biotinylated goat anti-rabbit antibody (dilution, 1:5,000; #SAB4504290; Sigma-Aldrich; Merck KGaA) and the tissue sections were incubated at 37°C for 20 min. Diaminobenzidine was used as a chromogen, and the slide was counterstained with Mayer's hematoxylin. The results were independently observed under a fluorescent microscope (Olympus BX41; Olympus Corporation, Tokyo, Japan) at ×400 magnification by two pathologists. For the NC, the primary antibody was replaced by 10% non-immune goat serum.

Western blot analysis

Western blot analyses were performed to determine the expression of PDCD4. Total protein was extracted from tissues using a Total Protein Extraction kit (Nanjing KeyGen Biotech Co., Ltd., Nanjing, China) according to the manufacturer's recommendations. The concentration of protein was measured using a BCA Assay kit (Nanjing KeyGen Biotech Co., Ltd.). The protein samples were separated on a 10% polyacrylamide gel using SDS-PAGE and transferred onto a hybond polyvinylidene difluoride membrane (GE Healthcare Bio-Sciences, Pittsburgh, PA, USA). The membranes were subsequently blocked in 5% fat-free milk at room temperature for 2 h. Following incubation with rabbit or goat primary antibodies directed against PDCD4 (1:10,000; cat no. ab80590; Abcam) or GAPDH (1:200; Santa Cruz Biotechnology, Inc., Dallas, TX, USA) at 4°C overnight, the membranes were probed with goat anti-rabbit (#SAB2502080; Sigma-Aldrich; Merck KGaA) or mouse anti-goat secondary antibodies (#G8795; Sigma-Aldrich; Merck KGaA) at a dilution of 1:5,000 at room temperature for 2 h. The signals were detected using a Super Enhanced Chemiluminescence Plus kit (Nanjing KeyGen Biotech Co., Ltd.) and quantified using UVP software (BioDoc-It® Imager System; UVP, LLC, Upland, CA, USA). The integrated optical density (IOD) ratio IODPDCD4/IODGAPDH was used to indicate the relative expression of PDCD4 protein at a wavelength of 280 nm.

RT-qPCR

Total RNA was extracted from tumors using an RNA Isolation kit (CWbiotech Co., Ltd., Beijing, China) following the manufacturer's protocol. Stem-loop RT-qPCR for mature miR-21 was performed as previously described (28). RT-qPCR for PDCD4 was performed using Power SYBR® Green PCR Master mix (Agilent Technologies, Inc., Santa Clara, CA, USA) in a final volume of 20 µl, comprising of 100 ng cDNA, 10 µl master mix, 1 µl ROX and 0.4 pmol/µl of each primer. qPCR cycling conditions were as follows: 95°C for 2 min, and then 95°C for 15 sec and 55°C for 30 sec, for 40 cycles, followed by 60°C for 1 min. The melting curve was 65–95°C. Human U6 mRNA was used for normalization for the stem-loop RT-qPCR and GAPDH was used for normalization for the PDCD4 RT-qPCR. Fluorescent signals were normalized to these internal reference genes, and the threshold cycle (Cq) was set within the exponential phase of the PCR. The relative gene expression was calculated by comparing cycle times for each target PCR. The target PCR Cq values were normalized by subtracting the U6 or GADPH Cq value, which provided the ΔCq value. The relative expression level between treatments was then calculated using the following equation: Relative gene expression=2(ΔCqsample−ΔCqcontrol) (30).

Primers

For miR-21 RT-qPCR, the primer sequence was 5-TAG CTT ATC AGA CTG ATG TTGA-3, and reverse 5-AAC GCT TCA CGA ATT TGC GT-3. The other primer sequences for RT-qPCR were as follows: U6 forward, 5-CTC GCT TCG GCA GCA CA-3 and reverse, 5-AAC GCT TCA CGA ATT TGC GT-3; PDCD4 forward, 5-AGG CCG AGG TGG GCG GAT CAC TTG A-3 and reverse, 5-GCC ACC ATG CCT GGC TAC T-3; and GAPDH forward, 5-CCT CTG ACT TCA ACA GCG ACA C-3 and reverse, 5-TGG TCC AGG GGT CTT ACT CC-3.

EdU incorporation cell proliferation assay

Transfected 786-O cells were plated in 24-well plates at density of 4×104 cells/well, allowed to adhere for 5 h, washed with PBS and then incubated in serum-free RPMI-1640 containing 10 µmol/l EdU (Guangzhou RiboBio Co., Ltd., Guangzhou, China) for 2 h at 37°C. The cells were subsequently washed with PBS, and then fixed and permeabilized in PBS containing 2% formaldehyde, 0.5% Triton X-100, and 300 mmol/l sucrose for 15 min at 37°C. Following washing with PBS, the cells were blocked using 10% FBS in PBS at ambient temperature for 30 min, and incorporated EdU was detected by incubation with a fluorescent azide coupling solution (#C10310-3; Apollo; Guangzhou RiboBio Co. Ltd) for 30 min at ambient temperature. The cells were washed three times with PBS containing 0.05% Tween-20, incubated with the DNA staining dye Hoechst 33342 for 30 min and washed in PBS. Images were captured using a fluorescent microscope, and the nuclear fluorescent intensity was calculated from ≥50 non-S phase cells randomly selected in five different fields of view.

Soft agar colony formation assay

The bottom layer of the 15-cm plate (0.6% low-melt agarose) was prepared with RPMI-1640 medium containing 10% FBS, 100 U/ml penicillin and 100 mg/ml streptomycin, in addition to 5×102 of the transfected 786-O cells. The top layer of the plate (0.3% low-melt agarose) was prepared with RPMI 1640 medium containing 10% FBS, 100 U/ml penicillin and 100 mg/ml streptomycin, in addition to 5×102 of the transfected 786-O cells. Plates were incubated at 37.8°C with 5% CO2 in a humidified incubator. Images of the plates were captured on day 14, and the number of colonies was quantified using Quantity One software (version 4.0.3; Bio-Rad Laboratories, Inc., Hercules, CA, USA). The assays were performed 3 times. The data are presented as mean average.

Cell invasion assays

Cell invasion assays were performed using a Transwell chamber (BD Biosciences, Franklin Lakes, NJ, USA). Transfected NC siRNA cells were used as a control group. The assays were performed 3 times. In the invasion assay, 2×104 transfected cells in serum-free medium was seeded into the top chamber, which was pre-coated with Matrigel (BD Biosciences). Following incubation for 24 h at 37°C, the membranes were fixed using methyl alcohol (100%) and then stained with 0.1% crystal violet. The number of cells that passed through the membranes were counted under a light microscope.

Statistical analysis

SPSS software (version 13.0; SPSS, Inc., Chicago, IL, USA) was employed for the analysis of all data. Data are expressed as the mean ± standard deviation. A Student's t-test were used to determine the significance of the differences between groups. P<0.05 was considered to indicate a statistically significant difference.

Results

Silencing of miR-21 inhibits tumor growth in the mouse renal cancer model

To investigate whether the miR-21 inhibitor inhibited tumor growth, the weight of tumors were measured following miR-21 inhibitor treatment. Fig. 1A presents images of the tumors from the nude mice models in the three groups (NC, miR-21 mimic and miR-21 inhibitor). Compared with the NC, the weight of the tumors in the miR-21 inhibitor group was significantly decreased (P<0.05; Fig. 1B). The weight of the tumors in the miR-21 mimic group was significantly increased compared with the NC (P<0.05; Fig. 1B).

Figure 1. Downregulation of miR-21 expression increases PDCD4 expression in vivo. (A) Images of tumors from the nude mouse models in the NC, miR-21 mimic and miR-21 inhibitor groups. (B) The weight of tumors in the miR-21 mimic group was significantly increased compared with the NC group, and the weight of tumors in the miR-21 inhibitor group was significantly decreased compared with the NC group. Western blotting for PDCD4 (C) image and (D) densitometric analysis relative to GAPDH. (E) Relative expression of miR-21 determined by stem-loop RT-qPCR. (F) Relative expression of PDCD4 as determined by RT-qPCR. Student's t-test was used for comparisons of two independent groups. *P<0.05 vs. the NC group. miR, microRNA; NC, negative control; PDCD4, programmed cell death 4; RT-qPCR, reverse transcription-quantitative polymerase chain reaction.

Downregulation of miR-21 expression increases PDCD4 expression in the mouse renal cancer model

To evaluate the association between PDCD4 and miR-21 in the nude mouse RCC models, whether the transplantation of 786-O cells with miR-21 mimic or miR-21 inhibitor affected the expression of PDCD4 was determined. Downregulation of endogenous miR-21 by the miR-21 inhibitor resulted in a significant increase in the expression of PDCD4 protein compared with the NC group (P<0.05; Fig. 1C and 1D). By contrast, there was a significant decrease in the levels of PDCD4 protein in the miR-21 mimic group compared with the NC group (P<0.05; Fig. 1C and D). The expression of was significantly upregulated in the miR-21 mimic group compared with the NC group, whilst it was significantly reduced in the miR-21 inhibitor group (P<0.05; Fig. 1E). However, there was no significant difference in the expression of PDCD4 mRNA between the three groups (P>0.05; Fig. 1F).

Immunohistochemical analysis of PDCD4 was performed (Fig. 2), indicating that PDCD4 was localized to the cytoplasm. Reduced or complete loss of PDCD4 expression was detected in the miR-21 mimic group (Fig. 2A). The immunocytochemical staining depth was moderate in the NC group (Fig. 2B). By contrast, strong immunopositivity for PDCD4 was observed in the miR-21 inhibitor group (Fig. 2C).

Figure 2. Immunostaining of PDCD4 protein in tumor tissues from the nude mouse models. (A) miR-21 mimic group. (B) NC group. (C) miR-21 inhibitor group. Magnification, ×400. PDCD4, programmed cell death 4; NC, negative control; miR, microRNA.

Silencing of PDCD4 induces tumor cell proliferation, colony formation, migration and invasion

The effect of silencing PDCD4 on cell proliferation was investigated by transfecting PDCD4 siRNA and control siRNA into 786-O cells. To examine whether there was a change in the number of proliferating 786-O cells following transfection, the cells were labeled with EdU to measure active DNA synthesis and Hoechst 33342 to illustrate the nuclei of all cells (Fig. 3A). It was identified that silencing of PDCD4 significantly promoted cell proliferation. According to the results of fluorescent microscopic analysis, the mean percentage of newly formed cells that incorporated EdU was 28.6% in the NC siRNA group and 44.7% in the PDCD4 siRNA-transfected cells (P<0.05; Fig. 3B).

Figure 3. PDCD4 knockdown promotes renal cancer cell proliferation. (A) EdU proliferation assay. Proliferating cells that have incorporated EdU are stained red, while the nuclei of all cells is stained blue with Hoechst 33342. All experiments were repeated three times. (B) Proliferative ability of 786-O cells following transfection with PDCD4 siRNA and NC siRNA. (C) Images of colony formation assay of 786-O cells transfected with NC siRNA and PDCD4 siRNA captured on day 14. (D) The colony-forming ability of 786-O cells was significantly increased in the PDCD4 siRNA-transfected group compared with the NC group 14 days after transcription. Student's t-test was used for comparisons of two independent groups. *P<0.05 vs. the NC group. PDCD4, programmed cell death 4; NC, negative control; siRNA, small interfering RNA.

A colony formation assay was performed to determine whether PDCD4 knockdown promoted the colony forming ability of 786-O cells (Fig. 3C). The colony formation assay demonstrated that the total number of colonies in the PDCD4 siRNA-transfected group was significantly increased compared with the NC group (P<0.05; Fig. 3D). Furthermore, the results of the invasion assay demonstrated that silencing the expression of PDCD4 significantly increased invasion of 786-O cells compared with the NC group (P<0.05; Fig. 4A and B).

Figure 4. (A) Representative images of Transwell invasion assay. The 786-O cells were transfected with NC siRNA and PDCD4 siRNA. (B) The ability of cells to invade in the PDCD4 siRNA group was significantly increased compared with the NC group. (C) Image of tumors from the nude mice NC and PDCD4 siRNA groups. (D) The weight of tumors in the PDCD4 siRNA group were significantly increased compared with the NC. Student's t-test was used for comparisons of two independent groups. *P<0.05 vs. the NC group.

Silencing of PDCD4 induces tumor growth in the mouse renal cancer model

To investigate whether PDCD4 silencing induces tumor growth, tumor weight was measured following PDCD4 siRNA and NC treatment. Fig. 4C illustrates the tumors from the nude mouse models. Compared with the NC group, tumor weight in the PDCD4 siRNA group was significantly increased (P<0.05; Fig. 4D).

Discussion

To the best of our knowledge, the present study is the first to demonstrate that PDCD4 is negatively regulated by miR-21, in addition to being able to suppress tumor growth and metastasis in a nude mouse renal cancer model. In a previous study, it was revealed that there is a conserved target site for miR-21 within the PDCD4 3′ untranslated region at nucleotides 228–249 (11). It has also been reported that miR-21 is able to regulate the Ras/mitogen-activated protein kinase kinase/extracellular signal-regulated kinase signaling pathway and therefore affect tumor formation (31). Additionally, a meta-analysis has indicated that miR-21 is able to act as an important biomarker for the prognosis of various types of cancer (32). Xu et al (33) demonstrated that the downregulation of miR-21 increased the sensitivity of lung cancer cells to cisplatin in vitro and in vivo. Wang et al (34) reported that miR-21 expression was significantly increased in hepatocellular carcinoma tissues compared with normal adjacent liver tissues. Furthermore, Li et al (28) demonstrated that the tumor suppressor PDCD4 was negatively regulated at a post-transcriptional level by miR-21, and that miR-21 induced cell proliferation and invasion/metastasis in RCC. PDCD4 expression is also significantly positively associated with RCC metastasis, and tumor stage and grade (35).

To further investigate the association between PDCD4 and miR-21 in vivo, BALB/c male nude mice and 786-O cells were used in the present study to establish a nude mouse renal cancer model. It was identified that tumor weight in the miR-21 inhibitor group was significantly decreased compared with the NC group. Compared with the NC group, tumor weight in the miR-21 mimic group was significantly increased. Subsequently, the expression of PDCD4 in the NC group, miR-21 inhibitor group and miR-21 mimic group was analyzed by western blotting. There was loss or reduced expression of PDCD4 protein in the miR-21 mimic group; however, PDCD4 protein was highly expressed in the miR-21 inhibitor group compared with the NC group. Similar results were revealed by immunohistochemistry. In addition, there was no significant difference between PDCD4 mRNA levels between the three groups (miR-21 mimic, miR-21 inhibitor and negative control). The results of the present study, which were similar to the previously published study of human renal cancer tissue and cell lines (28), demonstrated that miR-21 downregulates PDCD4 at a post-transcriptional level, and promotes cell colony formation and proliferation in the nude mouse renal cancer model.

PDCD4 has been known to be a tumor suppressor gene and potential target for anticancer therapies for several years (11,14,16–21). Reduced PDCD4 expression has been reported in >5 types of human tumors, including those of the lung, brain, breast, colon and pancreas (11). In colon cancer cell lines, Wang et al (36) has demonstrated that downregulation of PDCD4 leads to an increase in colon carcinoma cell invasion. Furthermore, the knockdown of PDCD4 in the study by Wang et al (36) was associated with a significant reduction in E-cadherin expression and accumulation of active β-catenin in the nucleus of these cells. In the same series of experiments, PDCD4 knockdown resulted in an increase in activator protein (AP)-1-dependent transcription. These results indicate that reduced PDCD4 expression promotes cancer cell invasion, and that this is associated with the activation of β-catenin, E-cadherin and AP-1-dependent transcription. Another study demonstrated that decreased PDCD4 expression was significantly associated with the clinical stage of adenoid cystic carcinoma (37). Li et al (35) observed that decreased PDCD4 expression was significantly positively associated with metastasis, and tumor stage and grade in RCC.

In the present study, the effect of PDCD4 on miR-21 expression was investigated. PDCD4 siRNA was transfected into 786-O cells, and PDCD4 mRNA and protein levels were found to be significantly decreased compared with the NC group. Silencing PDCD4 also significantly promoted 786-O cell proliferation, migration and invasion, similar to the effects observed after miR-21 overexpression.

In conclusion, the results of the present study and previous studies indicate that PDCD4 and miR-21 serve important roles in RCC. The results also suggest that the promotion of PDCD4 expression or inhibition of miR-21 expression may constitute effective novel therapeutic strategies for the treatment of renal cancer.

Acknowledgements

The present study was supported by the Henan Provincial Science and Technology Plan Foundation (grant no. B2014225013).

References