Abstract

BackgroundMucosal melanoma with poor prognosis is a common histopathologic subtype of melanoma among Chinese and other Asian peoples. Regulated microRNAs (miRNAs) have been reported as oncogenes or tumour suppressors in melanoma. However, the roles of specific miRNAs in mucosal melanoma remain largely unknown. Here, we aimed to assess the biological functions, molecular mechanisms and clinical potential of miR-let-7b and miR-let-7c in mucosal melanoma.MethodsThe expression of miR-let-7b and miR-let-7c in mucosal melanoma was determined by quantitative polymerase chain reaction (qPCR). Cutoff scores for miR-let-7b and miR-let-7c expressions were calculated through receiver operating characteristic (ROC) curve analysis in 106 mucosal melanoma patients according to recurrence. Correlations of miR-let-7b and miR-let-7c expression with clinicopathological characteristics, disease-free survival (DFS) and clinical benefits after treatment were then statistically analysed. The biological functions and molecular mechanisms of miR-let-7b and miR-let-7c were studied in vitro and in vivo.ResultsThe expression of miR-let-7b and miR-let-7c was decreased in 94 cases (88.7%) and 89 cases (84.0%) of 106 mucosal melanoma patients compared with mucosal nevi. A correlation was observed between the expression of miR-let-7b, miR-let-7c and DFS after surgery. In addition, overexpression of miR-let-7b or miR-let-7c inhibited mucosal melanoma cell growth, migration, invasion and metastasis and induced cell apoptosis and cell cycle arrest in vitro and in vivo. Mechanistically, miR-let-7b and miR-let-7c directly targeted metadherin (MTDH) and calumenin (CALU) and suppressed phospho-ERK in mucosal melanoma cells. MTDH and CALU reversed the partial function of miR-let-7b and miR-let-7c in vitro. Furthermore, progression-free survival (PFS) of mucosal melanoma patients upon temozolomide-based and paclitaxel-based chemotherapy was related to miR-let-7b and miR-let-7c expression. Overexpression of miR-let-7b or miR-let-7c in patient-derived xenograft (PDX) models and certain mucosal melanoma cells had better growth inhibition after temozolomide and paclitaxel treatment. MTDH reversed the sensitivity of miR-let-7b and miR-let-7c to paclitaxel in vitro.ConclusionsOur results suggested that miR-let-7b and miR-let-7c inhibited the recurrence of mucosal melanoma through inhibiting cell growth, migration, invasion and metastasis, inducing cell apoptosis and cell cycle arrest by targeting MTDH and CALU. In addition, miR-let-7b and miR-let-7c increased sensitivity to chemotherapeutic agents by targeting MTDH.

Highlights

  • Mucosal melanoma with poor prognosis is a common histopathologic subtype of melanoma among Chinese and other Asian peoples

  • Selection of cutoff values for expression of miR-let-7b and miR-let-7c The expression of miR-let-7b and miR-let-7c decreased in 94 cases (88.7%) and in 89 cases (84.0%), respectively, of 106 mucosal melanoma patients compared with mucosal nevi

  • To further assess the correlations between miR-let-7b and miR-let-7c expression and clinical characteristics, the receiver operating characteristic (ROC) curve was used according to the median disease-free survival (DFS) in mucosal melanoma patients

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Summary

Introduction

Mucosal melanoma with poor prognosis is a common histopathologic subtype of melanoma among Chinese and other Asian peoples. Melanoma is one of the most aggressive skin cancers, with poor prognosis. Recent cancer statistics from China showed that the estimated numbers of new cases and deaths of melanoma were 8000 and 3200, respectively [2]. The incidence of melanoma is lower in China, but the death rate is dramatically higher. The incidence of mucosal melanoma is significantly lower in Caucasians (1.3% of all melanomas) [3, 4], whereas this is the second most common subtype in Asia (22.6% of all melanomas) [5]. The 5-year survival rates for patients with mucosal melanoma versus acral melanoma (the most common cutaneous melanoma in Asia) were 26.8% versus 53.9% [5]. It is essential to further study mucosal melanoma to improve the survival of Chinese melanoma patients

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