Abstract

BackgroundThe majority of breast cancer patients die of metastasis rather than primary tumors, whereas the molecular mechanisms orchestrating cancer metastasis remains poorly understood. Long noncoding RNAs (lncRNA) have been shown to regulate cancer occurrence and progression. However, the lncRNAs that drive metastasis in cancer patients and their underlying mechanisms are still largely unknown.MethodslncRNAs highly expressed in metastatic lymph nodes were identified by microarray. Survival analysis were made by Kaplan-Meier method. Cell proliferation, migration, and invasion assay was performed to confirm the phenotype of LINC02273. Tail vein model and mammary fat pad model were used for in vivo study. RNA pull-down and RIP assay were used to confirm the interaction of hnRNPL and LINC02273. Chromatin isolation by RNA purification followed by sequencing (ChIRP-seq), RNA-seq, ChIP-seq, and luciferase reporter assay reveal hnRNPL-LINC02273 regulates AGR2. Antisense oligonucleotides were used for in vivo treatment.ResultsWe identified a novel long noncoding RNA LINC02273, whose expression was significantly elevated in metastatic lesions compared to the primary tumors, by genetic screen of matched tumor samples. Increased LINC02273 promoted breast cancer metastasis in vitro and in vivo. We further showed that LINC02273 was stabilized by hnRNPL, a protein increased in metastatic lesions, in breast cancer cells. Mechanistically, hnRNPL-LINC02273 formed a complex which activated AGR2 transcription and promoted cancer metastasis. The recruitment of hnRNPL-LINC02273 complex to AGR2 promoter region epigenetically upregulated AGR2 by augmenting local H3K4me3 and H3K27ac levels. Combination of AGR2 and LINC02273 was an independent prognostic factor for predicting breast cancer patient survival. Moreover, our data revealed that LINC02273-targeting antisense oligonucleotides (ASO) substantially inhibited breast cancer metastasis in vivo.ConclusionsOur findings uncover a key role of LINC02273-hnRNPL-AGR2 axis in breast cancer metastasis and provide potential novel therapeutic targets for metastatic breast cancer intervention.

Highlights

  • The majority of breast cancer patients die of metastasis rather than primary tumors, whereas the molecular mechanisms orchestrating cancer metastasis remains poorly understood

  • We identified a novel Long noncoding RNAs (lncRNA) LINC02273 was overexpressed in Lymph node (LN) metastatic lesions, and inhibition of LINC02273 could impair breast cancer cell migration ability (Additional file 1: Figure S1F- G)

  • As the 1653-nt transcript is the major isoform and shares the same transcriptional start site with 1252-nt transcript, we focused on the 1653-nt isoform of LINC02273 in the following mechanistic studies

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Summary

Introduction

The majority of breast cancer patients die of metastasis rather than primary tumors, whereas the molecular mechanisms orchestrating cancer metastasis remains poorly understood. The lncRNAs that drive metastasis in cancer patients and their underlying mechanisms are still largely unknown. Patients with metastases have a 5-year survival rate of only 26%, compared to that of 90% in overall breast cancer patients [36]. It is important to identify underlying molecular mechanisms of breast cancer metastasis and develop new therapeutic targets. Regional lymph nodes (LNs) are usually the primary sites of early metastasis and axillary lymph node metastasis is one of the most important prognostic factors for breast cancer patients [30]. Novel metastasis-promoting genes in breast cancer may be identified through combing the genetic changes between LN metastasis tissues and respective primary tumors

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