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miR-125a-5p inhibits cancer stem cells phenotype and epithelial to mesenchymal transition in glioblastoma

SUMMARY

OBJECTIVE

Glioblastoma (GBM) is a common type of cancer with high mortality. Epithelial to mesenchymal transition (EMT) plays a vital role in the development of glioblastoma. The aim of this study is to evaluate the role of miR-125a-5p in glioblastoma and in the tumorigenesis of chemotherapeutic drug-resistant cancer stem-like cells in brain glioma.

METHODS

The role of miR-125a-5p in the regulation of CSCs, EMT, migration, and invasion in glioblastoma was measured in this study.

RESULTS

We showed the roles of miR-125a-5p in the regulation of CSCs, EMT, migration, and invasion in glioblastoma. miR-125a-5p can inhibit the CSCs phenotype and EMT in glioblastoma cells. In addition, its over-expression can significantly regulate CSCs-associated genes and EMT-associated gene expression in glioblastoma cells.

CONCLUSIONS

We concluded that miR-125a-5p is one of the key microRNAs regulating CSCs and EMT programs in glioblastoma. The results suggested that miR-125a-5p might be a novel therapy target for glioblastoma.

Glioblastoma; Neoplastic stem cells; MicroRNAs

RESUMO

OBJETIVO

O glioblastoma (GBM) é um câncer comum e de alta mortalidade. A transição epitélio-mesênquima (EMT) desempenha um papel vital no desenvolvimento do glioblastoma. O objetivo deste estudo é avaliar o papel do miR-125a-5p no glioblastoma e a tumorigênese de células-troco cancerígenas resistentes a medicamentos quimioterápicos em gliomas cerebrais.

METODOLOGIA

Os papéis do miR-125a-5p na regulação de células-tronco cancerígenas, EMT, migração e invasão do glioblastoma foram medidos neste estudo.

RESULTADOS

Mostramos a função do miR-125a-5p na regulação das células-tronco cancerígenas, EMT, migração e invasão do glioblastoma. O miR-125a-5p pode inibir o fenótipo e a EMT de células-tronco cancerígenas em células de glioblastoma. Além disso, a sua superexpressão pode regular de forma significante genes associados às células-tronco cancerígenas e a expressão de genes associados à EMT em células de glioblastoma.

CONCLUSÕES

Concluímos que o miR-125a-5p é um dos principais microRNAs na regulação de células-tronco cancerígenas e programas de EMT em glioblastomas, e os resultados sugerem que o miR-125a-5p pode ser um novo alvo terapêutico em casos de glioblastoma.

Glioblastoma; Células-tronco neoplásicas; MicroRNAs

INTRODUCTION

Glioblastoma (GBM) is one of the most common and lethal primary malignant tumors with a median survival of about one year11. Chen J, McKay RM, Parada LF. Malignant glioma: lessons from genomics, mouse models, and stem cells. Cell. 2012;149(1):36-47.

2. Katsetos CD, Dráberová E, Smejkalová B, Reddy G, Bertrand L, Chadarévian JP, et al. Class III beta-tubulin and gamma-tubulin are co-expressed and form complexes in human glioblastoma cells. Neurochem Res. 2007;32(8):1387-98.
- 33 Carvalho JADV, Barbosa CCL, Feher O, Maldaun MVC, Camargo VP, Moraes FY, et al. Systemic dissemination of glioblastoma: literature review. Rev Assoc Med Bras (1992). 2019;65(3):460-8. . A subgroup of glioblastoma cells, known as stem cell-like cells in GBM were identified and proved to be responsible for the initiation of glioma and the resistance of GBMs to clinical therapies44 Hemmati HD, Nakano I, Lazareff JA, Masterman-Smith M, Geschwind DH, Bronner-Fraser M, et al. Cancerous stem cells can arise from pediatric brain tumors. Proc Natl Acad Sci U S A. 2003;100(25):15178-83. , 55 Zhou BB, Zhang H, Damelin M, Geles KG, Grindley JC, Dirks PB. Tumour-initiating cells: challenges and opportunities for anticancer drug discovery. Nat Rev Drug Discov. 2009;8(10):806-23. . The epithelial-mesenchymal transition (EMT) and its reverse process, named the mesenchymal-epithelial transition (MET), play crucial roles in embryogenesis66 Thiery JP, Sleeman JP. Complex networks orchestrate epithelial-mesenchymal transitions. Nat Rev Mol Cell Biol. 2006;7(2):131-42. . For example, the mesoderm generated by EMTs develops into multiple tissue types and, later in development, mesodermal cells generate epithelial organs, such as the kidney and ovary through MET77 Davies JA. Mesenchyme to epithelium transition during development of the mammalian kidney tubule. Acta Anat (Basel). 1996;156(3):187-201. . The EMT of glioblastoma partly contributes to the development of resistance to chemotherapy or radiotherapy88 Piao Y, Liang J, Holmes L, Henry V, Sulman E, de Groot JF. Acquired resistance to anti-VEGF therapy in glioblastoma is associated with a mesenchymal transition. Clin Cancer Res. 2013;19(16):4392-403. , 99 Marie-Egyptienne DT, Lohse I, Hill RP. Cancer stem cells, the epithelial to mesenchymal transition (EMT) and radioresistance: potential role of hypoxia. Cancer Lett. 2013;341(1):63-72. . Thus, understanding the mechanism underlying cancer stem cells (CSCs) and EMT in glioblastoma for novel drug targets as well as designing new therapeutic strategies should open an opportunity for cancer treatment.

miRNAs are small (19–25 nucleotides) noncoding, single-stranded RNAs that control gene expression by targeting mRNA transcripts and leading to their translational repression or degradation1010 Inui M, Martello G, Piccolo S. MicroRNA control of signal transduction. Nat Rev Mol Cell Biol. 2010;11(4):252-63. , 1111 Schickel R, Boyerinas B, Park SM, Peter ME. MicroRNAs: key players in the immune system, differentiation, tumorigenesis and cell death. Oncogene. 2008;27(45):5959-74. . Multiple genes regulated by miRNAs play crucial roles in biological processes of tumor progression, including migration, invasion, EMT, and cancer stem cell1212 Bandres E, Agirre X, Ramirez N, Zarate R, Garcia-Foncillas J. MicroRNAs as cancer players: potential clinical and biological effects. DNA Cell Biol. 2007;26(5):273-82.

13 Baranwal S, Alahari SK. MiRNA control of tumor cell invasion and metastasis. Int J Cancer. 2010;126(6):1283-90.
- 1414 Croce CM, Calin GA. MiRNAs, cancer, and stem cell division. Cell. 2005;122(1):6-7. . Recently, a study indicated that miR-125a-5p could inhibit glioblastoma cell proliferation and promote cell differentiation1515 Yuan J, Xiao G, Peng G, Liu D, Wang Z, Liao Y, et al. MiRNA-125a-5p inhibits glioblastoma cell proliferation and promotes cell differentiation by targeting TAZ. Biochem Biophys Res Commun. 2015;457(2):171-6. .

In this study, we showed the roles of miR-125a-5p in the regulation of CSCs, EMT, migration, and invasion in glioblastoma. miR-125a-5p can inhibit CSCs phenotype and EMT in glioblastoma cells. In addition, its over-expression can significantly regulate CSC–associated genes and EMT-associated gene expression in glioblastoma cells. Thus, we concluded that miR-125a-5p is one of the key microRNAs regulating CSCs and EMT programs in glioblastoma. The results indicate that miR-125a-5p might be a novel target for glioblastoma therapy.

METHODS

Glioblastoma Cell Line

Human glioblastoma U87MG cells were purchased from the MD Anderson Cancer Center (Houston, TX, USA). Complete medium (RPMI 1640 supplement with 10% FCS, Gibco, Grand Island, NY, USA) was used for cell culture, and the cells were maintained in a humidified atmosphere containing 5% CO2 at 37ºC.

Pre-miR-125a-5p/control miR and Transfection

Pre-miR-125a-5p and control-miR were purchased from Ambion (Austin, TX, USA). A final concentration of 50 nM of pre-miR-125a-5p and its respective negative control (control-miR) were used for each transfection. For transfection experiments, the cells were cultured in serum-free medium without antibiotics at 60% confluence for 24h and then transfected with the transfection reagent (Lipofectamine 2000, Invitrogen, Carlsbad, CA, USA) according to the manufacturer’s instructions. After incubation for 6h, the medium was removed and replaced with the normal culture medium for 48h, unless otherwise specified.

Real-time PCR for miRNA

The total RNA from the cultured cells, with efficient recovery of small RNAs, was isolated using the mirVanamiRNA Isolation Kit (Ambion, Austin, TX, USA). Detection of the mature form of miRNAs was performed using the mirVanaqRT–PCR miRNA Detection Kit, according to the manufacturer’s instructions (Ambion, Austin, TX, USA). The U6 small nuclear RNA was used as an internal control.

Sphere Growth

Cells (103/ml) in serum-free RPMI1640/1mM Na-pyruvate were seeded on 0.5% agar precoated, 6-well plates. After the first week, half the medium was replaced every third day. Single spheres were picked and counted.

Western Blot Analysis

Western blot analysis was performed as described before. Mainly, after incubation with primary anti-body anti-CD133 (1:500; Abcam, Cambridge, MA, USA), anti-body anti-OCT-4 (1:500; Abcam, Cambridge, MA, USA), anti-Nanog (1:500; Abcam, Cambridge, MA, USA), anti-E-Cadherin (1:500; Abcam, Cambridge, MA, USA), anti-Vimentin (1:500; Abcam, Cambridge, MA, USA), anti-MMP2 (1:500; Abcam, Cambridge, MA, USA), anti-MMP6 (1:500; Abcam, Cambridge, MA, USA) and anti-β-actin (1:500; Abcam, Cambridge, MA, USA) overnight at 4ºC, IRDyeTM-800 conjugated anti-rabbit secondary antibodies (Li-COR, Biosciences, Lincoln, NE, USA) were used for 30 min at room temperature. The specific proteins were visualized by OdysseyTM Infrared Imaging System (Gene Company, Lincoln, NE, USA).

Reverse transcription-polymerase chain reaction and real-time for mRNA

Total RNA was isolated from cells or tissues using Trizol reagent (Invitrogen, Carlsbad, CA, USA). cDNA was synthesized from 1 μg of total RNA in a 20 μl reverse transcription (RT) system. Real-time PCR for Vimentin, Fibronectin, and E-Cadherin was done with a Power SYBR Green PCR Master Mix (Applied Biosystems, Carlsbad, CA, USA) according to the manufacturer’s protocol. The housekeeping gene Glyceraldehyde-3-phosphate dehydrogenase (GAPDH) was used as the RNA loading control. The PCR primer sequences are as follows:

GAPDH:

Forward-5’-ATTCAACGGCACAGTCAAGG-3’,

Reverse-5’-GCAGAAGGGGCGGAGATGA-3’;

Vimentin:

Forward-5′-GACAATGCGTCTCTGGCACGTCTT-3′,

Reverse-5′-TCCTCCGCCTCCTGCAGGTTCTT-3′;

Fibronectin:

Forward-5’-TTTTGACAACGGGAAGCATTATCAGATAA-3’,

Reverse-5-TGATCAAAACATTTCTCAGCTATTGG-3’;

E-Cadherin:

Forward-5′-TCA ACG ATC CTG ACC AGC AGT TCG-3′,

Reverse- 5′-GGT GAA CCA TCA TCT GTG GCG ATG-3′.

Immunofluorescence Analyses

For cell immunofluorescence analyses, cells were plated on glass coverslips in six-well plates and transfected as indicated. After 48h of the transfection, coverslips were stained with the mentioned anti-Vimentin. The Alexa Fluor 488 goat anti-rabbit IgG antibody was used as a secondary antibody (Invitrogen, Carlsbad, CA, USA). Coverslips were counterstained with DAPI (Invitrogen-Molecular Probes, Eugene, Oregon, USA) for visualization of the nuclei. Microscopic analysis was performed with a confocal laser-scanning microscope (Leica Microsystems, Bensheim, Germany). Fluorescence intensities were measured in a few viewing areas for 300 cells per coverslip and analyzed using ImageJ 1.37v software (http://rsb.info.nih.gov/ij/index.html).

Wound Healing Assay

It was performed as described before1616 Zhang BG, Li JF, Yu BQ, Zhu ZG, Liu BY, Yan M. MicroRNA-21 promotes tumor proliferation and invasion in gastric cancer by targeting PTEN. Oncol Rep. 2012;27(4):1019-26. .

Statistical Analysis

Data are presented as mean±standard deviation. Student’s t-test (two-tailed) was used to compare the two groups (P<0.05 was considered significant) unless otherwise indicated (x2 test).

RESULTS

miR-125a-5p is downregulated in glioblastoma

In an attempt to identify miR-125a-5p expression between glioblastoma tissues and adjacent normal tissues, we performed real-time PCR in glioblastoma tissues versus normal tissues. MicroRNA was isolated from 31 pairs of glioblastoma tissues and adjacent normal tissues. We found that miR-125a-5p was significantly decreased in glioblastoma tissues compared with adjacent normal tissues.

miR-125a-5p inhibits the formation of stem cell-like population and regulates CSCs-associated gene expression in glioblastoma cells

To assess the role of miR-125a-5p in glioblastoma, we transfected U87MG cells with pre-miR-125a-5p or control miR, and then real-time PCR was performed. We found that miR-125a-5p was significantly increased in the cells transfected with pre-miR-125a-5p ( Figure1A ).

FIGURE1
MIR-125A-5P INHIBITS THE FORMATION OF STEM CELL-LIKE POPULATION AND REGULATES CSCS-ASSOCIATED GENES EXPRESSION IN GLIOBLASTOMA CELLS

A. Real-time PCR for miR-125a-5p in U87MG cells transfected with pre-miR-125a-5p or control miR (mock). U6 was a loading control. n=3. B. Sphere growth for U87MG cells transfected with pre-miR-125a-5p and control miR (mock). Bars=1000µm. n=3. C. Western Blot for CD133, OCT-4, and Nanog in U87MG cells transfected with pre-miR-125a-5p and control miR (mock). β-actin was a loading control. n=3


To determine whether miR-125a-5p could affect stem-like cell characteristics, we performed a sphere-forming assay to assess the capacity of CSC or CSC-like cells to self-renewal in this study. We found that the formation of spheres was decreased by miR-125a-5p in U87MG cells ( Figure1B ). We also performed western blot to detect whether CSCs markers - CD133, OCT-4, and Nanog were affected by miR-125a-5p in the cells. The results showed that CD133, OCT-4, and Nanog protein were significantly decreased by miR-125a-5p in U87MG cells ( Figure1C ).

miR-125a-5p inhibits epithelial-mesenchymal transition (EMT) in glioblastoma cells

Increased formation of stem cell-like population can result in EMT of cancer cells1717 Kurrey NK, Jalgaonkar SP, Joglekar AV, Ghanate AD, Chaskar PD, Doiphode RY, et al. Snail and slug mediate radioresistance and chemoresistance by antagonizing p53-mediated apoptosis and acquiring a stem-like phenotype in ovarian cancer cells. Stem Cells. 2009;27(9):2059-68. . Thus, miR-125a-5p could inhibit EMT in glioblastoma cells. To determine whether U87MG cells with stem-like cell characteristics phenotype could have changed the MET, we transfected U87MG cells with pre-miR-125a-5p and then observed that its overexpression caused significant changes in the cell’s morphology (MET, mesenchymal to epithelial transition) ( Figure2A ).

FIGURE 2
MIR-125A-5P INHIBITS EPITHELIAL-MESENCHYMAL TRANSITION (EMT) IN GLIOBLASTOMA CELLS

A. Images for U87MG cells transfected with pre-miR-125a-5p and control miR (mock). n=3. B. Real-time RT–PCR for Vimentin, Fibronectin, and E-cadherin mRNA in U87MG cells transfected with pre-miR-125a-5p or control miR (mock). GAPDH was a loading control. n=3. C. Western Blot for E-cadherin and Vimentin in U87MG cells transfected with pre-miR-125a-5p and control miR (mock). β-actin was a loading control. n=3. D. Immunofluorescence analyses for Vimentin protein in U87MG cells transfected with pre-miR-125a-5p and control miR(mock). n=3


To further verify that the changes in cell morphology were caused by the MET expression levels of epithelial and mesenchymal markers were compared in U87MG cells transfected with pre-miR-125a-5p with the cells transfected with control miR. The results of real-time PCR revealed that the E-cadherin mRNA (epithelial marker) was induced, and Vimentin as well as Fibronectin mRNA (mesenchymal markers) were suppressed by miR-125a-5p in U87MG cells ( Figure2B ). To further analyze whether miR-125a-5p could affect E-cadherin and Vimentin, we performed western blotting to detect their expression in the cells transfected with pre-miR-125-5p. The results demonstrated that E-cadherin was promoted, and Vimentin was suppressed by miR-125a-5p ( Figure2C ). In order to further show the effect of miR-125a-5p on Vimentin protein, we performed immunofluorescence analysis. Consistent with the results of western blot, we found that Vimentin expression was inhibited in the cells transfected with miR-125a-5p ( Figure2D ).

miR-125a-5p can suppress migration and invasion as well as attenuate MMP2 and MMP16 protein in U87MG cells

EMT is not only associated with tumor stem-like cell characteristics but also provides those cells with a distinct advantage for migration and invasion1818 Jung H, Lee KP, Park SJ, Park JH, Jang YS, Choi SY, et al. TMPRSS4 promotes invasion, migration and metastasis of human tumor cells by facilitating an epithelial-mesenchymal transition. Oncogene. 2008;27(18):2635-47. . Thus, we reasoned that miR-125a-5p could also affect invasion and migration in U87MG cells. To identify this reason, we performed an invasion and migration assay. We found that miR-125a-5p overexpression could suppress migration and invasion in U87MG cells ( Figure3A ). In addition, we found that MMP2 and MMP16 protein can be inhibited by miR-125-5p ( Figure3B ).

FIGURE 3
MIR-125A-5P CAN SUPPRESS MIGRATION AND INVASION AS WELL AS ATTENUATE MMP2 AND MMP16 PROTEIN IN U87MG CELLS

A. Invasion and migration assays for U87MG cells transfected with pre-miR-125a-5p and control miR (mock). n=3. B. Western Blot for MMP2 and MMP16 in U87MG cells transfected with pre-miR-125a-5p and control miR (mock). β-actin was a loading control. n=3


DISCUSSION

Evidence has shown that altered patterns of miRNA expression correlate with the progression of glioblastoma1919 Chan JA, Krichevsky AM, Kosik KS. MicroRNA-21 is an antiapoptotic factor in human glioblastoma cells. Cancer Res. 2005;65(14):6029-33. . The behavior of miRNAs is complex because they regulate hundreds of targets, resulting in the downregulation of numerous target genes, including oncogenes and tumor suppressors2020 Li Y, Guessous F, Zhang Y, Dipierro C, Kefas B, Johnson E, et al. MicroRNA-34a inhibits glioblastoma growth by targeting multiple oncogenes. Cancer Res. 2009;69(19):7569-76. . MicroRNAs play crucial roles in glioblastoma stem cell-like phenotypes and EMT2121 Godlewski J, Nowicki MO, Bronisz A, Williams S, Otsuki A, Nuovo G, et al. Targeting of the Bmi-1 oncogene/stem cell renewal factor by microRNA-128 inhibits glioma proliferation and self-renewal. Cancer Res. 2008;68(22):9125-30. . The dynamic nature of cancer stem cells and EMT that underlie angiogenesis, metastasis, proliferation, migration, and invasion, has profound implications for glioblastoma therapy2222 Siebzehnrubl FA, Silver DJ, Tugertimur B, Deleyrolle LP, Siebzehnrubl D, Sarkisian MR, et al. The ZEB1 pathway links glioblastoma initiation, invasion and chemoresistance. EMBO Mol Med. 2013;5(8):1196-212. . Thus, the molecular knowledge of CSCs and EMT in glioblastoma is important because it will be helpful in the discovery of novel drug targets as well as in the design of new therapeutic strategies for improving the treatment of glioblastoma.

miR-125a-5p has been identified as a tumor suppressor gene in various cancers1515 Yuan J, Xiao G, Peng G, Liu D, Wang Z, Liao Y, et al. MiRNA-125a-5p inhibits glioblastoma cell proliferation and promotes cell differentiation by targeting TAZ. Biochem Biophys Res Commun. 2015;457(2):171-6. , 2323 Kim JK, Noh JH, Jung KH, Eun JW, Bae HJ, Kim MG, et al. Sirtuin7 oncogenic potential in human hepatocellular carcinoma and its regulation by the tumor suppressors MiR-125a-5p and MiR-125b. Hepatology. 2013;57(3):1055-67. . More recently, it has been reported that miRNA-125a-5p can inhibit glioblastoma cell proliferation and promote cell differentiation1515 Yuan J, Xiao G, Peng G, Liu D, Wang Z, Liao Y, et al. MiRNA-125a-5p inhibits glioblastoma cell proliferation and promotes cell differentiation by targeting TAZ. Biochem Biophys Res Commun. 2015;457(2):171-6. . Consistent with these results, we showed that miR-125a-5p was downregulated in glioblastoma tissues. CD133 has been proposed as a stem cell marker, and it can affect clinical outcomes in glioblastoma2424 Zeppernick F, Ahmadi R, Campos B, Dictus C, Helmke BM, Becker N, et al. Stem cell marker CD133 affects clinical outcome in glioma patients. Clin Cancer Res. 2008;14(1):123-9. . More than 50% of Oct4-positive cells expressed the putative CSC markers CD1332525 Guo Y, Liu S, Wang P, Zhao S, Wang F, Bing L, et al. Expression profile of embryonic stem cell-associated genes Oct4, Sox2 and Nanog in human gliomas. Histopathology. 2011;59(4):763-75. . NANOG can promote gliomasphere clonogenicity, CD133(+) stem cell behavior, and proliferation2626 Zbinden M, Duquet A, Lorente-Trigos A, Ngwabyt SN, Borges I, Ruiz i Altaba A. NANOG regulates glioma stem cells and is essential in vivo acting in a cross-functional network with GLI1 and p53. EMBO J. 2010;29(15):2659-74. . In this study, we found that the overexpression of miR-125a-5p inhibited the formation of stem cell-like population and CD133, OCT-4, and Nanog protein expression. Molecular connections between the EMT program and the stem-cell state are beginning to emerge2727 Scheel C, Weinberg RA. Cancer stem cells and epithelial-mesenchymal transition: concepts and molecular links. Semin Cancer Biol. 2012;22(5-6):396-403. . We showed that miR-125a-5p also suppressed EMT in glioblastoma cells, indicating that miR-125a-5p is one of many connections between cancer stem cells and EMT in glioblastoma.

CD133-positive tumor cells and EMT confer glioma radioresistance, chemotherapeutic-drug resistance, and it could be the source of tumor recurrence after radiation. Targeting CD133 in cancer stem cells may overcome this radioresistance and chemotherapeutic-drug resistance as well as provide a therapeutic model for malignant brain cancers2828 Kang MK, Kang SK. Tumorigenesis of chemotherapeutic drug-resistant cancer stem-like cells in brain glioma. Stem Cells Dev. 2007;16(5):837-47. . Thus, we reason that miR-125a-5p may play an important role in glioma radioresistance and chemotherapeutic-drug resistance.

REFERENCES

  • 1
    Chen J, McKay RM, Parada LF. Malignant glioma: lessons from genomics, mouse models, and stem cells. Cell. 2012;149(1):36-47.
  • 2
    Katsetos CD, Dráberová E, Smejkalová B, Reddy G, Bertrand L, Chadarévian JP, et al. Class III beta-tubulin and gamma-tubulin are co-expressed and form complexes in human glioblastoma cells. Neurochem Res. 2007;32(8):1387-98.
  • 3
    Carvalho JADV, Barbosa CCL, Feher O, Maldaun MVC, Camargo VP, Moraes FY, et al. Systemic dissemination of glioblastoma: literature review. Rev Assoc Med Bras (1992). 2019;65(3):460-8.
  • 4
    Hemmati HD, Nakano I, Lazareff JA, Masterman-Smith M, Geschwind DH, Bronner-Fraser M, et al. Cancerous stem cells can arise from pediatric brain tumors. Proc Natl Acad Sci U S A. 2003;100(25):15178-83.
  • 5
    Zhou BB, Zhang H, Damelin M, Geles KG, Grindley JC, Dirks PB. Tumour-initiating cells: challenges and opportunities for anticancer drug discovery. Nat Rev Drug Discov. 2009;8(10):806-23.
  • 6
    Thiery JP, Sleeman JP. Complex networks orchestrate epithelial-mesenchymal transitions. Nat Rev Mol Cell Biol. 2006;7(2):131-42.
  • 7
    Davies JA. Mesenchyme to epithelium transition during development of the mammalian kidney tubule. Acta Anat (Basel). 1996;156(3):187-201.
  • 8
    Piao Y, Liang J, Holmes L, Henry V, Sulman E, de Groot JF. Acquired resistance to anti-VEGF therapy in glioblastoma is associated with a mesenchymal transition. Clin Cancer Res. 2013;19(16):4392-403.
  • 9
    Marie-Egyptienne DT, Lohse I, Hill RP. Cancer stem cells, the epithelial to mesenchymal transition (EMT) and radioresistance: potential role of hypoxia. Cancer Lett. 2013;341(1):63-72.
  • 10
    Inui M, Martello G, Piccolo S. MicroRNA control of signal transduction. Nat Rev Mol Cell Biol. 2010;11(4):252-63.
  • 11
    Schickel R, Boyerinas B, Park SM, Peter ME. MicroRNAs: key players in the immune system, differentiation, tumorigenesis and cell death. Oncogene. 2008;27(45):5959-74.
  • 12
    Bandres E, Agirre X, Ramirez N, Zarate R, Garcia-Foncillas J. MicroRNAs as cancer players: potential clinical and biological effects. DNA Cell Biol. 2007;26(5):273-82.
  • 13
    Baranwal S, Alahari SK. MiRNA control of tumor cell invasion and metastasis. Int J Cancer. 2010;126(6):1283-90.
  • 14
    Croce CM, Calin GA. MiRNAs, cancer, and stem cell division. Cell. 2005;122(1):6-7.
  • 15
    Yuan J, Xiao G, Peng G, Liu D, Wang Z, Liao Y, et al. MiRNA-125a-5p inhibits glioblastoma cell proliferation and promotes cell differentiation by targeting TAZ. Biochem Biophys Res Commun. 2015;457(2):171-6.
  • 16
    Zhang BG, Li JF, Yu BQ, Zhu ZG, Liu BY, Yan M. MicroRNA-21 promotes tumor proliferation and invasion in gastric cancer by targeting PTEN. Oncol Rep. 2012;27(4):1019-26.
  • 17
    Kurrey NK, Jalgaonkar SP, Joglekar AV, Ghanate AD, Chaskar PD, Doiphode RY, et al. Snail and slug mediate radioresistance and chemoresistance by antagonizing p53-mediated apoptosis and acquiring a stem-like phenotype in ovarian cancer cells. Stem Cells. 2009;27(9):2059-68.
  • 18
    Jung H, Lee KP, Park SJ, Park JH, Jang YS, Choi SY, et al. TMPRSS4 promotes invasion, migration and metastasis of human tumor cells by facilitating an epithelial-mesenchymal transition. Oncogene. 2008;27(18):2635-47.
  • 19
    Chan JA, Krichevsky AM, Kosik KS. MicroRNA-21 is an antiapoptotic factor in human glioblastoma cells. Cancer Res. 2005;65(14):6029-33.
  • 20
    Li Y, Guessous F, Zhang Y, Dipierro C, Kefas B, Johnson E, et al. MicroRNA-34a inhibits glioblastoma growth by targeting multiple oncogenes. Cancer Res. 2009;69(19):7569-76.
  • 21
    Godlewski J, Nowicki MO, Bronisz A, Williams S, Otsuki A, Nuovo G, et al. Targeting of the Bmi-1 oncogene/stem cell renewal factor by microRNA-128 inhibits glioma proliferation and self-renewal. Cancer Res. 2008;68(22):9125-30.
  • 22
    Siebzehnrubl FA, Silver DJ, Tugertimur B, Deleyrolle LP, Siebzehnrubl D, Sarkisian MR, et al. The ZEB1 pathway links glioblastoma initiation, invasion and chemoresistance. EMBO Mol Med. 2013;5(8):1196-212.
  • 23
    Kim JK, Noh JH, Jung KH, Eun JW, Bae HJ, Kim MG, et al. Sirtuin7 oncogenic potential in human hepatocellular carcinoma and its regulation by the tumor suppressors MiR-125a-5p and MiR-125b. Hepatology. 2013;57(3):1055-67.
  • 24
    Zeppernick F, Ahmadi R, Campos B, Dictus C, Helmke BM, Becker N, et al. Stem cell marker CD133 affects clinical outcome in glioma patients. Clin Cancer Res. 2008;14(1):123-9.
  • 25
    Guo Y, Liu S, Wang P, Zhao S, Wang F, Bing L, et al. Expression profile of embryonic stem cell-associated genes Oct4, Sox2 and Nanog in human gliomas. Histopathology. 2011;59(4):763-75.
  • 26
    Zbinden M, Duquet A, Lorente-Trigos A, Ngwabyt SN, Borges I, Ruiz i Altaba A. NANOG regulates glioma stem cells and is essential in vivo acting in a cross-functional network with GLI1 and p53. EMBO J. 2010;29(15):2659-74.
  • 27
    Scheel C, Weinberg RA. Cancer stem cells and epithelial-mesenchymal transition: concepts and molecular links. Semin Cancer Biol. 2012;22(5-6):396-403.
  • 28
    Kang MK, Kang SK. Tumorigenesis of chemotherapeutic drug-resistant cancer stem-like cells in brain glioma. Stem Cells Dev. 2007;16(5):837-47.

Publication Dates

  • Publication in this collection
    15 June 2020
  • Date of issue
    Apr 2020

History

  • Received
    09 Aug 2019
  • Accepted
    10 Oct 2019
Associação Médica Brasileira R. São Carlos do Pinhal, 324, 01333-903 São Paulo SP - Brazil, Tel: +55 11 3178-6800, Fax: +55 11 3178-6816 - São Paulo - SP - Brazil
E-mail: ramb@amb.org.br