Department of Colorectal Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Department of Radiation Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Clin Transl Med. 2021 Mar;11(3):e349. doi: 10.1002/ctm2.349.
Hypoxic tumour microenvironment (TME) is a key regulator in cancer progression. However, the communications between hypoxic cells and other components in TME during colorectal cancer (CRC) progression via extracellular vesicles (EVs) remain unclear.
High-throughput sequencing was employed to detect aberrantly expressed microRNAs (miRNAs) in hypoxic EVs. Quantitative real-time PCR was used to confirm and screen preliminarily candidate miRNAs. The effects of EVs derived from hypoxia (<1% O ) and miR-361-3p on CRC growth were assessed using CCK-8 assays, colony formation assays, EdU assays, flow cytometric assays and mouse xenograft. Then, the specific mechanisms of miR-361-3p were investigated by RNA immunoprecipitation, luciferase reporter assay, Western blot, chromatin immunoprecipitation, immunohistochemistry and rescue experiments.
The level of miR-361-3p expression was remarkably elevated in hypoxic EVs and can be transferred to CRC cells. Functional experiments exhibited that hypoxic EVs facilitated cell growth and suppressed cell apoptosis by transferring miR-361-3p of CRC. Hypoxia-inducible factor-1α induced the elevation of miR-361-3p levels in hypoxic EVs. Upregulated miR-361-3p in CRC inhibited cell apoptosis and facilitated cell growth by directly targeting TNF receptor-associated factor 3, which consequently activated the noncanonical NF-κB pathway. Moreover, the high expression of circulating exosomal miR-361-3p was correlated to worse prognosis of CRC patients.
Altogether, the abnormality of exosomal miR-361-3p derived from hypoxia acts vital roles in the regulation of CRC growth and apoptosis and can be an emerging prognostic biomarker and a therapeutic target for CRC patients.
缺氧肿瘤微环境(TME)是癌症进展的关键调节剂。然而,在结直肠癌(CRC)进展过程中,缺氧细胞与 TME 中其他成分之间通过细胞外囊泡(EVs)进行交流的情况尚不清楚。
采用高通量测序检测缺氧 EVs 中异常表达的 microRNAs(miRNAs)。采用实时定量 PCR 验证和初步筛选候选 miRNAs。通过 CCK-8 测定、集落形成测定、EdU 测定、流式细胞术和小鼠异种移植评估来自低氧(<1% O )和 miR-361-3p 的 EV 对 CRC 生长的影响。然后,通过 RNA 免疫沉淀、荧光素酶报告基因测定、Western blot、染色质免疫沉淀、免疫组织化学和挽救实验研究了 miR-361-3p 的具体机制。
miR-361-3p 的表达水平在缺氧 EVs 中显著升高,并且可以转移到 CRC 细胞中。功能实验表明,缺氧 EVs 通过转移 CRC 中的 miR-361-3p 促进细胞生长并抑制细胞凋亡。缺氧诱导因子-1α诱导缺氧 EVs 中 miR-361-3p 水平升高。CRC 中上调的 miR-361-3p 通过直接靶向 TNF 受体相关因子 3 抑制细胞凋亡并促进细胞生长,从而激活非经典 NF-κB 途径。此外,循环外泌体 miR-361-3p 的高表达与 CRC 患者的预后不良相关。
总之,来自缺氧的外泌体 miR-361-3p 的异常在调节 CRC 的生长和凋亡中起着重要作用,并且可以作为 CRC 患者新的预后生物标志物和治疗靶标。