Abstract
Mucinous adenocarcinoma (MAC) represents a distinct histopathological entity of colorectal cancer (CRC), which is associated with disease progression and poor prognosis. Here, we found that expression levels of miR-205 and miR-373 were specifically upregulated only in patients with mucinous colon cancers, but not in CRC that lack mucinous components. To investigate the effects of miR-205 and miR-373 on intestinal epithelial cell (IEC) biology by gain- and loss-of-function experiments in a proof-of-concept approach, we chose previously established in-vitro human Caco-2-based models of differentiated, non-invasive (expressing TLR4 wild-type; termed Caco-2[WT]) versus undifferentiated, invasive (expressing TLR4 mutant D299G; termed Caco-2[D299G]) IEC. Enterocyte-like Caco-2[WT] showed low levels of miR-205 and miR-373 expression, while both miRNAs were significantly upregulated in colorectal carcinoma-like Caco-2[D299G], thus resembling the miRNA expression pattern of paired normal versus tumor samples from MAC patients. Using stable transfection, we generated miR-205- or miR-373-expressing and miR-205- or miR-373-inhibiting subclones of these IEC lines. We found that introduction of miR-205 into Caco-2[WT] led to expansion of mucus-secreting goblet cell-like cells, which was associated with induction of KLF4, MUC2 and TGFβ1 expression. Activation of miR-205 in Caco-2[WT] induced chemoresistance, while inhibition of miR-205 in Caco-2[D299G] promoted chemosensitivity. Caco-2[WT] overexpressing miR-373 showed mitotic abnormalities and underwent morphologic changes (loss of epithelial polarity, cytoskeletal reorganization, and junctional disruption) associated with epithelial-mesenchymal transition and progression to inflammation-associated colonic carcinoma, which correlated with induction of phosphorylated STAT3 and N-CADHERIN expression. Functionally, introduction of miR-373 into Caco-2[WT] mediated loss of cell-cell adhesion and increased proliferation and invasion. Reversely, inhibition of miR-373 allowed mesenchymal IEC to regain epithelial properties, which correlated with absence of neoplastic progression. Using xenografts in mice demonstrated miR-373-mediated acceleration of malignant intestinal tumor growth. In conclusion, our results provide first evidence that miR-205 and miR-373 may differentially contribute to the aggressive phenotype of MAC in CRC.
Highlights
Colorectal carcinoma (CRC) is one of the most common cancers and one of the leading causes of cancer-related death world-wide [1]
We investigated the role of miR-205 and miR-373 in the pathophysiology of different histological subtypes of colorectal cancer by assessing their expression, together with that of other miRNAs, in specimens of conventional, mucinous and Ulcerative Colitis (UC)-associated human colonic adenocarcinoma
Expression levels of miR-205 and miR-373 were increased in the two subgroups of colonic adenocarcinoma associated with mucin production relative to adjacent normal colonic mucosa (Fig 1A and 1B)
Summary
Colorectal carcinoma (CRC) is one of the most common cancers and one of the leading causes of cancer-related death world-wide [1]. Within the heterogeneous CRC spectrum, mucinous adenocarcinoma (MAC) represents a distinct histological subtype which is characterized by abundant production of extracellular mucin (>50% of the tumor volume) [2]. Colonic goblet cell-derived mucin MUC2 is expressed at high levels in MAC [3]. Mucus hypersecretion has been linked to alterations in gut microbiota and induction of inflammatory responses that may promote tumor development [4]. It is believed that chronic inflammation in UC may facilitate aberrant mucin differentiation in CRC pathogenesis [7], but the signaling pathways are not yet understood
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