MicroRNA‑487b‑3p inhibits osteosarcoma chemoresistance and metastasis by targeting ALDH1A3

  • Authors:
    • Ming Cheng
    • Ping‑Guo Duan
    • Zhi‑Zeng Gao
    • Min Dai
  • View Affiliations

  • Published online on: October 19, 2020     https://doi.org/10.3892/or.2020.7814
  • Pages: 2691-2700
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Abstract

Metastasis and chemoresistance indicate poor prognosis in patients with osteosarcoma (OS). In the present study, the expression level of microRNA(miR)‑487b‑3p in OS specimens and cell lines was found to be decreased, and the expression level of miR‑487b‑3p was associated with overall survival in patients with OS. The inhibition of miR‑487b‑3p stimulated OS cell migration and contributed to the development of chemoresistance. In contrast, the overexpression of miR‑487b‑3p significantly inhibited OS cell migration and enhanced the sensitivity of OS cells to doxorubicin treatment. In addition, the results from the present study revealed that the suppression of miR‑487b‑3p stimulates OS stemness, while the overexpression of miR‑487b‑3p suppresses OS stemness. Notably, in vivo experiments also revealed that the overexpression of miR‑487b‑3p inhibited cancer stem cell (CSC)‑induced tumor formation, and the combination treatment of miR‑487b‑3p and doxorubicin significantly inhibited CSC‑induced tumor growth. Furthermore, miR‑487b‑3p exerts its anticancer role by targeting aldehyde dehydrogenase 1 family member A3 in OS. Taken together, the results from the present study suggests that miR‑487b‑3p is a tumor suppressor and that the overexpression of miR‑487b‑3p is a novel strategy to inhibit tumor metastasis and chemoresistance in OS.

Introduction

Osteosarcoma (OS) is the most common primary malignant tumor, with high incidence rates in children and adolescents for nearly 20 years, in the world (1). Cisplatin, doxorubicin (Dox) and methotrexate (MTX) are commonly used anticancer drugs for OS in a clinical setting (2), and patients who do not respond to these drugs have a poor prognosis (3). Lung metastasis is present in 20% of patients with OS at time of diagnosis, and current active treatments, including chemo- and radio-therapy, do not guarantee long-term survival, for example >5 years (4,5), suggesting that chemoresistance and metastasis are still the primary challenges in the treatment of OS. However, the mechanisms leading to chemoresistance and metastasis development in OS remain unclear.

Cancer stem cells (CSCs) are a small subset of cells located within a tumor, and studies show that CSCs are implicated in chemotherapy resistance and metastasis in cancer such as non-small cell lung cancer and breast cancer (68). CSCs present high resistance to chemotherapy drugs that are commonly used in the treatment of OS, including cisplatin and doxorubicin (5,7). In addition, studies have revealed that CSCs are able to regenerate all of the cell types (HuO9, HuO9-M132, Saos-2, Saos-2-LM5 and MCF7, SKBR3, MDA-MB-231, MDA-MB-435) in the tumor due to their stem cell-like behavior, resulting in metastatic relapse (5,8). Therefore, CSCs are important therapeutic targets in cancer. However, the mechanism of CSC regulation in OS remains unknown.

MicroRNAs (miRNA/miR) are a class of non-coding RNAs that are 18–22 nucleotides in length and negatively regulate gene expression through the interaction with the 3′ untranslated region (UTR) of the target gene mRNA (9). Dysregulated expression of miRNAs (miR-125b, miR-199a, let-7 g, miR-433, miR-214 and miR-100) has been detected in most types of cancer, and dysregulation of even a single miRNA can lead to tumorigenesis and stimulate cancer progression (10,11). In addition, dysregulated expression of miRNAs (let-7, miR-135 and miR-200) was demonstrated in CSCs, and such aberrantly regulated miRNAs are involved in the development of CSCs and the maintenance of stemness (6,12). Decreased expression levels of miR-382, miR-369, miR-134, miR-127-3p, located on chromosome 14q32, have been identified in OS (13), and previous studies have revealed that the expression level of these miRNAs is associated with the progression of OS, including rapid growth of the tumor, recrudescence and metastasis (13,14). miR-487b-3p is one of the aforementioned miRNAs and is associated with progression of OS; however, its function and mechanism in OS remains unknown. In the present study the functional role of miR-487b-3p was determined and the miRNA was found to be a tumor inhibitor, regulating invasion, chemoresistance and the development of CSCs by targeting ALDH1A3 in OS. ALDH1A3 plays an important role in cancer stemness maintenance and has been associated with the development, progression and prognosis of different cancer types (1517). In addition, ALDH1A3 is involved with a diverse range of biological characteristics within cancer stem cells and can act as a marker for these cells (17). ALDH1A3 could therefore provide novel targets for the treatment of osteosarcoma.

Materials and methods

Cell culture and human specimens

All osteosarcoma cells (U2OS, Saos2, MG63, HOS) and the 293T cell line were purchased from the American Type Culture Collection and cultured in RPMI 1640 media (Sigma-Aldrich; Merck KGaA) supplemented with 10% fetal bovine serum (HyClone; GE Healthcare). Human specimens were collected during diagnostic biopsies (paraffin embedded tissue) at First Affiliated Hospital of Nanchang University (Jiangxi, China) between May 2017 and September 2018. A total of 40 diagnostic patient specimens and 24 healthy bone specimens were used in the present study (Table I), which were also obtained from First Affiliated Hospital of Nanchang University (Jiangxi, China). All the OS cases were diagnosed by pathological evaluation using the National Comprehensive Cancer Network Guidelines version 2.2017 (18) and had complete clinical information. The TNM stage was graded according to the eighth edition of American Joint Committee on Cancer TNM staging (19). Written informed consent was provided by all the participants. Ethics approval was granted by the Research Ethics Board of the First Affiliated Hospital of Nanchang University (approval no. 2019042).

Table I.

Characteristics of healthy control and patients with OS.

Table I.

Characteristics of healthy control and patients with OS.

VariablePatientsHealthy controlsP-value
Sex, n
  Male26130.365
  Female1411
Mean age ± SD, years (range)40.2±4.5 (22–67)42.3±3.8 (21–62)
Age, years, n
  ≤3522100.314
  >351814
TNM stages, n
  I–II24
  III–IV16
Histology, na
  Poor9
  Moderate17
  Well14
Total4024

a (15)

Transfection

Cell transfection was performed using Lipofectamine® 3000 transfection reagent according to manufacturer's protocol (Invitrogen; Thermo Fisher Scientific, Inc.) and the protein or total RNA was extracted after 72 h. miR-487b-3p mimics (5′-AAUCGUACAGGGUCAUCCACUU-3′), inhibitors (5′-AAGUGGAUGACCCUGUACGAUU-3′) and negative control (NC) oligonucleotides (5′-UUCUCCGACGUGUCACGUTT-3′), the aldehyde dehydrogenase 1 family member A3 (ALDH1A3) expression vector (pcDNA3.1 plasmid), and the ALDH1A3 short inhibiting (si)RNA (5′-GCAGAGAACUAGGUGAAUAdTdT-3′) and control siRNA (5′-GTATCGAAGAAGTGATAAA-3′) were purchased from Guangzhou RiboBio Co., Ltd.. The concentration of miRNA and siRNA used was 50 pM/96-well, and for the plasmid was 5 µg/6-well.

For transfection of Saos2 cells, they were seeded into 60 mm dishes and incubated overnight at 37°C in humidified incubator with 5% CO2. Following which, 10 µl lentivirus with a titer of 1×108 TU was added and the cells were incubated at 37°C in a humidified incubator with 5% CO2 for 72 h. Lastly, puromycin, at a final concentration of 2 µg/ml was added and the cells were cultured for 48 h to select the transfected cells.

RNA extraction and reverse transcription-quantitative PCR (RT-qPCR)

Total RNA was extracted from cells or tissues using TRIzol® reagent (Thermo Fisher Scientific, Inc). miR-487b-3p and RNU6 expression was detected using RT-qPCR using SYBR-Green and the following primers purchased from Guangzhou RiboBio Co., Ltd: miR-487b-3p forward, 5′-AATCGTACAGGGTCATC-3 and reverse, 5′-GTGCAGGGTCCGAGGT-3′; U6 forward, 5′-GCTTCGGCAGCACATATACTAAAAT-3′ and reverse 5′-CGCTTCACGAATTTGCGTGTCAT-3′. The sequences of the primers for ALDH1A3 and GAPDH are as follows: ALDH1A3 forward, 5′-TGAGTGATTTAGCAGGCTGCA-3′, and reverse 5′-TGGCCACATACACCAATAGGTTC-3′; and GAPDH forward 5′-GCAGGGGGGAGCCAAAAGGGT-3′ and reverse 5′-TGGGTGGCAGTGATGGCATGG-3′. miRNA was reverse transcribed using the polyA tailing method (All-in-One™ miRNA RT-qPCR detection kit), while mRNA was reverse transcribed using the All-in-One™ first-strand cDNA synthesis kit, (both from GeneCopoeia, Inc.). D The following temperature protocol was used: Incubation at 37°C for 60 min, and 72°C for 5 min, then the samples were store at 4°C. The following thermocycling conditions were used: Initial denaturation at 95°C for 10 min, followed by 40 cycles of 95°C for 10 sec. 58°C for 20 sec and 72°C for15 sec. The relative expression levels of miR487b-3pa and ALDH1A3 were normalized against RNU6 and GAPDH, respectively. The 2−ΔΔCq method was used to analyze the relative fold-changes (20).

Apoptosis analysis

Saos-2 cells were seeded in 6-well plates, at a density of 2×105, after 6 h of transfection. Cells were incubated with or without Dox (0.2 uM). The cells were harvested and stained with annexin V and 7-aminoactinomycin D (7-AAD) at room temperature for 30 min, according to the manufacturer's protocol in (Biotium Inc.) 24 h later. The cells were subsequently analyzed using flow cytometry (CytoFLEX) and analyzed using CytoFLEX v2.0 software (both Beckman Coulter, Inc).

MTT assay

The MTT assay was performed according to the manufacturer's protocol using MTT assay kit (Promega Corporation). SAOS2 cells were transfected with miR-487b-3p mimics, inhibitors and NC oligonucleotides using Lipofectamine® 3000 (Invitrogen; Thermo Fisher Scientific, Inc.) according to manufacturer's instructions. After 6 h of transfection, cells were reseeded in a 96-well plate at a density 10,000/well. After 12 h of incubation, cells were treated with 0.2 µM doxorubicin for 24 h, after which the medium was removed and 100 µl DMSO was added. The absorbance was measured at 570 nm.

Transwell and osteosphere assays

The Transwell and osteosphere assays were performed as described previously by Xu et al (5). Briefly, 1×105 transfected cells in serum-free growth DMEM were seeded in the upper wells of the chamber (12-well plate). The lower wells contained the same medium with 10% serum. After 24 h, the cells that had migrated to the lower side of the chamber were fixed with 2.5% glutaraldehyde for 15 min, stained with 0.1% crystal violet for 30 min at room temperature and counted using ImageJ software (v1.8.0; National Institutes of Health), from 3 fields of view. For the osteosphere assay, 1,000 cells were plated in 24-well ultra-low attachment plates in N2B27-defined serum free medium and cultured for 9 days at 37°C in a humidified incubator with 5% CO2. Spheres were counted in each plate using a Leica MZ12 inverted light microscope, at ×4 magnification, and using 3 fields of view.

Luciferase reporter assay

To identify target genes of miR-487b-3p, the online database miRDB (www.mirdb.org) was used. A total of 3′UTRs from ALDH1A3 were predicted to interact with miR-487b-3p and these were amplified using PCR from human genomic DNA (purchased from Shanghai GenChem Co., Ltd.) and ligated into the Luciferase reporter vector (pGL4; Hanheng Biotechnology Co., Ltd) using the HindIII and SacI restriction sites. The primer sequences for amplifying the 3′UTR of ALDH1A3 are as follows: forward, 5′-AAAGATCCTTTATTAAGCTTTAATAAAATGAGGGCCCGTAACAGAACCAGTG-3′; and reverse, 5′-GCGCACTAGTGAGGGAGCTCTTGTGGGATGCGATCTGCAGCTAGGA-3′.

For the luciferase reporter experiments, the 293T cells were seeded into 24-well cell culture plates and transfected with the aforementioned luciferase reporter plasmids and either the miR-487b-3p or NC oligonucleotides, using Lipofectamine® 3000 (Invitrogen; Thermo Fisher Scientific, Inc.). Cells were subjected to a luciferase reporter assay, 48 h following incubation. Luciferase activity was measured using the dual-luciferase assay system (Promega Corporation) according to the manufacturer's protocol. The luminous intensity of firefly fluorescein was normalized with the luminous intensity of Renilla fluorescein as a reference, then the data was analyzed. Renilla luciferase was used as an internal reference. The relative value was used as the control.

Western blot analysis

The cells were lysed using RIPA (Sigma-Aldrich; Merck KGaA), and subsequently quantified using bicinchoninic acid (Beijing Dingguo Changsheng Biotechnology Co. Ltd). A total of 25 µg of protein was separated using 10% SDS-PAGE, and the proteins were transferred to PVDF membrane, which were subsequently blocked with 5% skimmed milk for 1 h at room temperature. The primary antibodies E-cadherin (cat. no. 17952-1-AP; 1:1,000, ProteinTech Group, Inc.), vimentin (cat. no. 5471; 1:2,000; Cell Signaling Technology, Inc.), cleaved-PARP (cat. no. 5625; 1:1,500; Cell Signaling Technology, Inc.), PARP (cat. no. ab74290; 1:3,000; Abcam), ALDH1A3 (cat. no. ab129815; 1:800; Abcam), SOX-2 (cat. no. 11064-1-AP; 1:2,000; ProteinTech Group, Inc.), OCT-4 (cat. no. 11263-1-AP; 1:2,000; ProteinTech Group, Inc.), polycomb complex protein BMI-1 (BMI-1; cat. no. ab38295; 1:2,000 Abcam), β-actin (cat. no. 3700; 1:5,000; Cell Signaling Technology, Inc.), were used and incubated overnight at 4°C. Following which, the membranes were incubated with secondary antibodies (goat anti-rabbit; cat. no, A16104; 1:10,000; goat anti-mouse; cat. no, 31430; 1:10,000) (both Thermo Fisher Scientific, Inc.) conjugated to horseradish peroxidase for 2 h at room temperature. Then the proteins were visualized using an ECL kit (Bio-Rad Laboratories, Inc.) and quantified using Quantity One software (v4.6.2; Bio-Rad Laboratories, Inc.)

CD133 detection

The transplanted tumor tissue was washed with Hanks' buffer then cut into 3 mm3 sections. A total of 3 ml serum-free RPMI-1640 medium (Sigma-Aldrich; Merck KGaA) was subsequently added followed by 3 ml collagenase (0.1%) and the tissue sections were incubated for 3 h at 37°C for digestion. Following which, the tissue fragments were passed through a 70-µm cell sieve to produce a cell suspension, for cell testing. The cells were resuspended with RPMI 1640 medium and centrifuged for 10 min at 200 × g at 4°C and washed once with PBS. The four groups of cells obtained were adjusted to a concentration of 1×106 per 100 µl and transferred to Eppendorf® tubes 5 ml, following which, 1 µl fragment crystallizable block antibody (BD Biosciences) was added and the tubes were incubated for 30 min at 4°C then washed once with PBS. A total of 5 µg CD133 antibody (cat. no. ab252126; 1:2,000; Abcam) was added to each tube and incubated for 30 min in the dark. Subsequently, 2 ml cell staining buffer was added, and the samples were centrifuged at 350 × g for 5 min at 4°C, twice. The cells were resuspended in 0.4 ml cell staining buffer, following which 2 µl nuclear dye 7-AAD (BD Biosciences) was added, and the cells were incubated on ice for 3–5 min, then analyzed using flow cytometry.

Animal experiments

ALDH1high cells were sorted from Saos-2 cells using FACS and the ALDEFLUOR kit (Stemcell Technologies, Inc.) as aforementioned. All animal experiments were performed using 6-week-old female athymic (nu/nu) mice (17±1.5 g) and housed under specific pathogen-free conditions, with 12 h light/dark cycles, 24°C, 70% humidity and ad libitum access to food and water, and the veterinarian monitored the health and behavior of the animals every morning. For tumor formation experiments, 1×104 ALDH1high Saos-2 cells that were previously transfected with miR-487b-3p mimics or NC in 100 µl serum-free DMEM were subcutaneously (s.c.) injected into the back of the mouse, on the right side. After 2 months the mice were sacrificed using cervical dislocation. For chemotherapy experiments, 1×104 ALDH1high Saos-2 cells in 100 µl serum-free medium were s.c. injected into the back of the mouse, on the right side. When the tumors reached ~50 mm3 (using Vernier caliper and measured every other day; volume=long diameter × short diameter2), mice were intraperitoneally injected with Dox (6 mg/kg body weight), 10 µM miR-487b-3p mimic or both, for three cycles (days 29, 32 and 36) and each group included nine mice (total 36 mice). Euthanasia was performed in mice when the tumor size reached 1,500 mm3. All animal experiments were approved by the Laboratory Animal Welfare and Ethics Committee of the Nanchang University (approval no. AMUWEC2018410).

Statistical analysis

Kaplan-Meier survival analysis was used to analyze the overall survival rate in patients with OS. Significant differences between treatment groups were analyzed using Student's t-test or ANOVA, followed by Tukey's post hoc test. All data were analyzed using the SAS statistical software package version 6.12 (SAS Institute, Inc.). P<0.05 was considered to indicate a statistically significant difference.

Results

Decreased expression of miR-487b-3p is associated with poor clinical outcome

Previous studies have shown that ~9 miRNAs at the 14q32 locus are inversely correlated with OS progression (metastasis and relapse) (13,14), which suggests that miR-487b-3p may also be associated with progression of OS. As expected, miR-487b-3p expression was significantly decreased in OS specimens compared with that in normal bone tissues (Fig. 1A). In addition, the clinical data also found that decreased expression of miR-487b-3p was significantly associated with poor overall survival in patients with OS (P=0.0236) (Fig. 1B). Consistent with these results, miR-487b-3p expression was significantly decreased in OS cell lines compared with that in the human fetal osteoblastic hFOB1.19 cell line (Fig. 1C). Taken together, these data suggest that miR-487b-3p may play a role in OS, as a tumor suppressor.

miR-487b-3p inhibits invasion and chemoresistance in OS

The occurrence of metastasis and chemoresistance indicates a poor clinical outcome in patients with OS (3,5). Thus, the effects of miR-487b-3p on OS metastasis and chemoresistance using OS cell lines transfected with miR-487b-3p mimic or inhibitor was investigated (Fig. S1 and Fig. 2). Transwell experiments demonstrated that the overexpression of miR-487b-3p significantly suppressed cell migration while the inhibition of miR-487b-3p stimulated cell invasion in both Saos-2 (Fig. 2B) and MG63 cells (Fig. S1B). In addition, the effects of miR-487b-3p on OS cell epithelial-mesenchymal transition (EMT) was also investigated, as EMT plays an important role in cancer metastasis. miR-487b-3p mimic was found to significantly increase E-cadherin expression in Saos-2 and MG-63 cells but significantly decreased vimentin expression (Fig. 2C and Fig. S1C, respectively), suggesting that miR-487-3p inhibits EMT in OS cells. Subsequently, the effects of miR-487b-3p on the chemotherapy sensitivity of OS cells was investigated. The results revealed that the increased level of miR-487b-3p significantly enhanced the sensitivity of Saos-2 and MG63 cells to Dox treatment compared with that the control cells, while the inhibition of miR-487b-3p inhibited Dox-induced cell viability inhibition (Fig. 2D and Fig. S1D). In addition, the results from the apoptosis analysis revealed that increased expression level of miR-487b-3p increased the rate of apoptosis in OS cells and the combination of miR-487b-3p and Dox significantly increased the rate of apoptosis compared with that in a single treatment (Fig. 2E and Fig. S1E). In contrast, the inhibition of miR-487b-3p significantly attenuated Dox-induced apoptosis in OS cells (Fig. 2E and Fig. S1E). Consistent with apoptosis analysis, combined treatment of miR-487b-3p and Dox significantly increased the protein expression level of the pro-apoptotic cleaved PARP protein compared with that in the Dox and mimic single treatment groups, while the miR-487b-3p inhibitor and Dox treatment groups significantly decreased the protein level of cleaved PARP compared with that in the Dox only treatment group in both Saos-2 and MG63 cells (Fig. 2F and Fig. S1F). Taken together, the results from the present study suggest that miR-487b-3p inhibits OS progression by inhibiting OS cell migration and inducing chemosensitivity.

miR-487b-3p inhibits CSCs in OS

Previous studies have suggested that CSCs lead to the development of metastasis and chemoresistance in multiple cancers, such as breast cancer and NSCLC (7,10), thus, it was investigated whether miR-487b-3p is involved in CSC regulation of OS. As expected, the osteosphere assay revealed that the inhibition of miR-487b-3p significantly increased, while the overexpression of miR-487b-3p reduced osteosphere numbers in Saos-2 (Fig. 3A) and MG63 cells (Fig. S2A). Consistent with sphere formation, the western blot results also showed that the overexpression of miR-487b-3p significantly inhibited the expression level of the CSC marker proteins, including ALDH1, SOX2, OCT4 and BMI-1 (Figs. 3B and S2B). In contrast, the inhibition of miR-487b-3p significantly increased protein expression levels of the aforementioned CSCs marker (Figs. 3B and S2B). These data suggested that miR-487b-3p exerts its anticancer effects partially due to the inhibition of CSCs in OS.

miR-487b-3p can target ALDH1A3

To investigate how miR-487b-3p regulates CSCs in OS, target gene candidates of miR-487b-3p were investigated and multiple targets were identified, including ALDH1A3 (Fig. 4A). Thus, ALDH1A3 was chosen for further investigation. To investigate whether miR-487b-3p is involved in the regulation of ALDH1A3, ALDH1A3 protein and mRNA expression levels were determined after OS cells were transfected with miR-487b-3p mimic or inhibitor. The results showed that ALDH1A3 expression was significantly upregulated by the inhibition and downregulated by the overexpression of miR-487b-3p, in OS cells at both the mRNA and protein levels (Fig. 4B and C). Consistent with the in vitro results, the clinical sample analysis results also showed an inverse association between ALDH1A3 and miR-478b-3p expression levels in OS specimens (R2=0.4471; P=0.0129; Fig. 4D). Furthermore, it was verified that miR-487b-3p can directly target the 3′UTR of ALDH1A3 using the luciferase reporter assay, as the expression of ALDH1A3 was decreased in the WT group compared with that in the control group, indicating that miR-487b-3p can directly bind to the 3′UTR of ALDH1A3 to regulate its expression (Fig. 4E). These findings indicate that miR-487b-3p inhibits the mRNA and protein expression levels of ALDH1A3 by binding to its 3′UTR.

ALDH1A3 is a functional target of miR-487b-3p which modulates OS stemness

It was subsequently investigated whether ALDH1A3 is involved in the miR-487b-3p-mediated regulation of CSCs in OS. The expression of ALDH1A3 in OS cells was disrupted by transfection of ALDH1A3 expression vector or siRNA against ALDH1A3 (Fig. S3A). The overexpression or silencing of ALDH1A3 did not affect the miR-487b-3p expression (Fig. S3B and S3C). The overexpression of ALDH1A3 restored the downregulated expression of CSC marker proteins induced by miR-487b-3p, including ALDH1, SOX-2, OCT-4 and BMI-1 (Fig. 5A). In contrast, silencing of ALDH1A3 suppressed the protein expression levels of CSC markers, which were increased following inhibition of miR-487-3p (Fig. 5B). Consistent with these results, the overexpression of ALDH1A3 attenuated the miR-487b-3p-induced antisphere formation effect, while silencing of ALDH1A3 attenuated miR-487b-3p inhibition-induced stimulation of osteosphere formation (Fig. 5C). Together, the results have shown that miR-487b-3p regulates CSCs due to regulation of ALDH1A3 in OS.

miR-487b-3p significantly inhibits CSCs-induced tumorigenesis and chemoresistance in vivo

The in vitro experimental results indicated that upregulation of miR-487b-3p significantly inhibits OS stemness. Thus, the effects of miR-487b-3p on CSC-induced tumorigenesis and chemoresistance in vivo were investigated. ALDH1high-expression cells were separated from OS cell lines using flow cytometry and transfected with miR-487b-3p mimics and subsequently s.c. injected into nude mice to investigate the effect of miR487b-3p on tumorigenesis (Fig. 6A). As expected, treatment with miR-487b-3p blocked CSC-induced tumor formation in nude mice (Fig. 6B). Subsequently, to investigate the effects of miR-487b-3p on chemosensitivity, a xenograft model was generated using ALDH1high Saos-2 cells. These mice received three cycles (days 29, 32 and 36) of intraperitoneal injection of Dox, miR-487b-3p or both. The results revealed that Dox treatment inhibited tumor growth, but regrowth of the disease occurred after 40 days. However, no tumor regrowth occurred in the combination treatment group of Dox and miR-487b-3p. (Fig. 6C). In addition, the CSCs in the tumor tissues were investigated, and data revealed that the groups treated with miR-487b-3p had a significantly reduced CSC population compared with that in the groups that were not treated with miR-487b-3p (Fig. 6D).

Discussion

The occurrence of chemoresistance and metastasis indicates poor prognosis in patients with OS (3,4). Previous studies have revealed that the expression level of these miRNAs (miR-495, miR-329, miR-487b, miR-410, and miR-656) are associated with the progression of OS (13,14). Previous studies have reported that miR-487b-3p suppressed osteoblastic differentiation and the tumorigenicity of colon cancer cells in vivo (21,22). In the present study, an insight into the biological effects of miR-487b-3p in OS metastasis and chemoresistance has been provided. It was found that decreased expression of miR-487b-3p was significantly associated with poor clinical outcomes in patients with OS. In addition, the in vitro results revealed that the inhibition of miR-487b-3p promoted OS cell migration and chemoresistance. The findings from the present study suggests that miR-487b-3p functions as a cancer suppressor and that may be a novel strategy for the treatment of OS metastasis and chemoresistance by the restoration of miR-487b-3p.

In the present study, the anti-OS mechanism of miR-487b-3p was clarified. Accumulated evidence has shown that increased cancer stemness can stimulate cancer metastasis and induce chemoresistance (2325). The results from the present study showed that the inhibition of miR-487b-3p stimulated OS stemness. Notably, the in vitro and in vivo experiments revealed that the overexpression of miR-487b-3p significantly suppressed OS stemness and number of CSCs in tumor tissues, suggesting that miR-487b-3p plays an anticancer role partially due to the inhibition of CSCs in OS. In addition, the CSC regulation mechanism of miR-487b-3p in OS was investigated, in which a series of in vitro experiments were used to confirm that ALDH1A3 is a target gene of miR-487b-3p in OS. Previous studies have shown that ALDH1A3 is one of the important members of the aldehyde dehydrogenase family, which is a CSC marker and plays an important role in CSC regulation, which can affect the biological characteristics of CSCs through the regulation of other stem cell genes, such as CD133 and OCT4 (26,27). The data in the present study revealed that the ALDH1A3 expression level was increased or decreased in OS cells by the inhibition or increased expression of miR-487b-3p, respectively. In addition, a luciferase reporter assay revealed that miR-487b-3p directly targets the 3′UTR of ALDH1A3. Furthermore, clinical data revealed that the expression levels of miR-487b-3p and ALDH1A3 were inversely correlated in specimens from patient with OS. In additional, the restoration of ALDH1A3 blocked the miR-487b-3p overexpression-induced inhibition of CSCs. Taken together, these data suggest that miR-487b-3p inhibits OS metastasis and chemoresistance through the inhibition of CSCs by targeting ALDH1A3.

In summary, a role for miR-487b-3p in OS chemoresistance and metastasis has been established using a combination of clinical and experimental studies. The overexpression of miR-487b-3p enhances the sensitivity of OS cells to chemotherapy and inhibits OS metastasis through suppressing OS stemness by targeting ALDH1A3 (Fig. 6E). The findings from the present study may also aid in the development of potential therapeutics for the treatment of OS metastasis and chemoresistance.

Supplementary Material

Supporting Data

Acknowledgements

Not applicable.

Funding

This study was supported by the National Natural Science Foundation of China (grant nos. 81760393 and 81401790).

Availability of data and materials

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Author's contributions

MC and MD made substantial contributions to conception and designed the study. ZZG and PGD analyzed and interpreted the data. MC and MD drafted the manuscript and revised it critically for important intellectual content; All authors read and approved the final manuscript.

Ethics approval and consent to participate

Ethics approval was granted by the Research Ethics Board of the First Affiliated Hospital of Nanchang University (approval no. 2019042). Written informed consent was provided by all the participants.

Patient consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

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December-2020
Volume 44 Issue 6

Print ISSN: 1021-335X
Online ISSN:1791-2431

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Copy and paste a formatted citation
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Spandidos Publications style
Cheng M, Duan PG, Gao ZZ and Dai M: MicroRNA‑487b‑3p inhibits osteosarcoma chemoresistance and metastasis by targeting ALDH1A3. Oncol Rep 44: 2691-2700, 2020.
APA
Cheng, M., Duan, P., Gao, Z., & Dai, M. (2020). MicroRNA‑487b‑3p inhibits osteosarcoma chemoresistance and metastasis by targeting ALDH1A3. Oncology Reports, 44, 2691-2700. https://doi.org/10.3892/or.2020.7814
MLA
Cheng, M., Duan, P., Gao, Z., Dai, M."MicroRNA‑487b‑3p inhibits osteosarcoma chemoresistance and metastasis by targeting ALDH1A3". Oncology Reports 44.6 (2020): 2691-2700.
Chicago
Cheng, M., Duan, P., Gao, Z., Dai, M."MicroRNA‑487b‑3p inhibits osteosarcoma chemoresistance and metastasis by targeting ALDH1A3". Oncology Reports 44, no. 6 (2020): 2691-2700. https://doi.org/10.3892/or.2020.7814