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Parsons et al. J Cancer Metastasis Treat 2018;4:19  I  http://dx.doi.org/10.20517/2394-4722.2018.11                          Page 7 of 23

               Table 2. lncRNA-RNA associations involved in metastatic signaling cascades
                lncRNA    Interacting    Mechanism of action   Cancer type        Phenotype      References
                            ncRNA
                                                                          Reduced proliferation and colony
                MALAT1    miR-9     miR-9 downregulation of MALAT1  Osteosarcoma                  [216]
                                                                          formation
                                    competitive binding between miR-1,
                          miR-1                              Breast cancer  Enhanced migration and invasion  [217]
                                   MALAT1, and Cdc42
                                    competitive binding between miR-
                          miR-22-3p                          Sarcomas     Regulates angiogenesis  [218]
                                    22-3p, CXCR2, and MALAT1
                                    Feedback mechanism between            Promotes EGFR-induced
                HOTAIR    miR-545                            Gastric cancer                       [219]
                                   HOTAIR, miR-545, and EGFR              proliferation
                                    HOTAIR is a miR-148a sponge
                          miR-148a                           Esophageal cancer Promotes EMT expression  [220]
                                    regulates Snail2
                                    HOTAIR epigenetically represses       Promotes metastasis via
                          miR-568                            Breast cancer                        [221]
                                    miR-568                               enhanced angiogenesis
                                    lncRNA-ATB operates as a sponge   Liver and gastric
                lncRNA-ATB  miR-200                                       Regulation of ZEB and EMT  [91,115]
                                    for let-7                cancer
                                    lncRNA-ATB competes with miR-         Modulates PKA signaling and
                          miR-372                            Liver cancer                         [92]
                                    372 and LATS2                         energy metabolism
                                    lncRNA-ATB competes with miR-         Alters cell-cycle arrest and
                          miR-141-3p  141-3p and TGF-β       Gastric cancer  tumor growth         [222]
                                                                          Increases HMGA2-mediated
                H19       let-7     H19 operates as a sponge for let-7  Pancreatic cancer         [215]
                                                                          EMT
                                    H19 operates as a sponge for miR-     Induces EMT through regulation
                          miR-141                            Gastric cancer                       [223]
                                    141                                   of ZEB
                                    H19 and miR-675 compete with Igfr     Regulated development and
                HULC      miR-675                            Prostate cancer                      [224,225]
                                    and Tgfb1 binding HuR                 angiogenesis pathways
                                    lncRNA-ATB competes with miR-         Modulates PKA signaling and
                         miR-372                             Liver cancer                         [92]
                                    372 and LATS2                         energy metabolism
                                    HULC modulates Myc expression via
                         miR-200                             CML          Inhibits tumor growth   [226,227]
                                    miR-200a as sponge
                lincRNA-  miR-205   lincRNA-ROR sponges miR-205  Breast cancer  Induces EMT through regulation   [228]
                ROR                                                       of ZEB
               EMT: epithelial to mesenchymal transition; ZEB: zinc-finger enhancer binding 1; PKA: protein kinase A
               PTENP1, a particular ncRNA with similar sequence homology to the protein coding gene PTEN, functioned
               as a sponge for ncRNA repressors of PTEN  [Figure 2A]. Specifically, PTENP1 binds a number of miRNAs,
                                                   [80]
               such as miR-21, causing disruption of cognate miR-21-PTEN base-pairing in cells [24,80,81] . When sufficient
               levels of PTENP1 are present, miR-21 is sequestered by the PTENP1 pseudogene which contains homologous
               miR-21 binding sites similar to PTEN. This results in the elevation of PTEN transcript levels, thereby
               promoting a tumor suppressive phenotype as PTEN inhibits the PI3K/AKT cell survival pathway [82-84] .
               However, one can imagine a ping-pong effect, whereby the ratio of PTENP1-PTEN abundance changes
               and levels of the PTEN transcript becomes more abundant. This results in miR-21 preferentially binding to
               PTEN causing a de-repression of the PTENP1 pseudogene. Under normal cellular conditions one can image
               a balanced scenario whereby miR-21 binds to either PTENP1 or PTEN in a 1:1 stoichiometric relationship.
               However, under certain chronic disorders, the over-abundance of any individual pseudogene can disrupt
               this balance, promoting inappropriate expression of transcripts that support either pro-proliferative or pro-
               survival signalling pathways (i.e., via the repression of PTEN transcripts) [80,85] . Therefore, further elucidating
               the mechanisms of ceRNA networks specific to metastasis are warranted and requires additional study.

               Studies by Karreth et al.  have investigated these ncRNA interactions on a genome-wide level, and found
                                    [86]
               that the ceRNA hypothesis can be applied to any number of ncRNAs that have the capacity for Watson-
               Crick base-pairing with another RNA molecule, either coding or non-coding. As an example, miRNAs
               can bind to and promote the decay of certain lncRNAs as these transcripts also contain a 3’UTR that in
               many cases harbor similar sequence motifs of the neighboring mRNA transcripts (i.e., lincRNA-p21 and
               CDKN1A) [Table 2]. Many of the mechanisms that facilitate miRNA-lncRNA interactions are similar to
               those that regulate miRNA-mRNA interactions. For instance, let-7 post-transcriptionally represses the RAS
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