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      A miR-192-EGR1-HOXB9 regulatory network controls the angiogenic switch in cancer

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      1 ,   1 , 1 , 2 , 1 , 3 , 4 , 1 , 5 , 1 , 1 , 1 , 6 , 1 , 1 , 1 , 1 , 1 , 3 , 7 , 1 , 8 , 1 , 9 , 10 , 8 , 11 , 5 , 1 , 12 , 1 , 11 , 9 , 13 , 13 , 10 , 14 , 8 , 11 , 11 , 9 , 4 , 7 , 15 , 16 , a , 1 , 5 , 8
      Nature Communications
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          Abstract

          A deeper mechanistic understanding of tumour angiogenesis regulation is needed to improve current anti-angiogenic therapies. Here we present evidence from systems-based miRNA analyses of large-scale patient data sets along with in vitro and in vivo experiments that miR-192 is a key regulator of angiogenesis. The potent anti-angiogenic effect of miR-192 stems from its ability to globally downregulate angiogenic pathways in cancer cells through regulation of EGR1 and HOXB9. Low miR-192 expression in human tumours is predictive of poor clinical outcome in several cancer types. Using 1,2-dioleoyl-sn-glycero-3-phosphatidylcholine (DOPC) nanoliposomes, we show that miR-192 delivery leads to inhibition of tumour angiogenesis in multiple ovarian and renal tumour models, resulting in tumour regression and growth inhibition. This anti-angiogenic and anti-tumour effect is more robust than that observed with an anti-VEGF antibody. Collectively, these data identify miR-192 as a central node in tumour angiogenesis and support the use of miR-192 in an anti-angiogenesis therapy.

          Abstract

          The formation of blood vessels in tumours, angiogenesis, is a promising target for therapy. Here, the authors show that microRNA192 has anti-angiogenic functions and negatively regulates EGR1 and HOXB9, and that delivery of this microRNA to tumours in vivo can reduce angiogenesis and tumour growth.

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          Most cited references46

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          AZD2171, a pan-VEGF receptor tyrosine kinase inhibitor, normalizes tumor vasculature and alleviates edema in glioblastoma patients.

          Using MRI techniques, we show here that normalization of tumor vessels in recurrent glioblastoma patients by daily administration of AZD2171-an oral tyrosine kinase inhibitor of VEGF receptors-has rapid onset, is prolonged but reversible, and has the significant clinical benefit of alleviating edema. Reversal of normalization began by 28 days, though some features persisted for as long as four months. Basic FGF, SDF1alpha, and viable circulating endothelial cells (CECs) increased when tumors escaped treatment, and circulating progenitor cells (CPCs) increased when tumors progressed after drug interruption. Our study provides insight into different mechanisms of action of this class of drugs in recurrent glioblastoma patients and suggests that the timing of combination therapy may be critical for optimizing activity against this tumor.
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            MicroRNA-192 in diabetic kidney glomeruli and its function in TGF-beta-induced collagen expression via inhibition of E-box repressors.

            Key features of diabetic nephropathy (DN) include the accumulation of extracellular matrix proteins such as collagen 1-alpha 1 and -2 (Col1a1 and -2). Transforming growth factor beta1 (TGF-beta), a key regulator of these extracellular matrix genes, is increased in mesangial cells (MC) in DN. By microarray profiling, we noted that TGF-beta increased Col1a2 mRNA in mouse MC (MMC) but also decreased mRNA levels of an E-box repressor, deltaEF1. TGF-beta treatment or short hairpin RNAs targeting deltaEF1 increased enhancer activity of upstream E-box elements in the Col1a2 gene. TGF-beta also decreased the expression of Smad-interacting protein 1 (SIP1), another E-box repressor similar to deltaEF1. Interestingly, we noted that SIP1 is a target of microRNA-192 (miR-192), a key miR highly expressed in the kidney. miR-192 levels also were increased by TGF-beta in MMC. TGF-beta treatment or transfection with miR-192 decreased endogenous SIP1 expression as well as reporter activity of a SIP1 3' UTR-containing luciferase construct in MMC. Conversely, a miR-192 inhibitor enhanced the luciferase activity, confirming SIP1 to be a miR-192 target. Furthermore, miR-192 synergized with deltaEF1 short hairpin RNAs to increase Col1a2 E-box-luc activity. Importantly, the in vivo relevance was noted by the observation that miR-192 levels were enhanced significantly in glomeruli isolated from streptozotocin-injected diabetic mice as well as diabetic db/db mice relative to corresponding nondiabetic controls, in parallel with increased TGF-beta and Col1a2 levels. These results uncover a role for miRs in the kidney and DN in controlling TGF-beta-induced Col1a2 expression by down-regulating E-box repressors.
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              Dicer, Drosha, and outcomes in patients with ovarian cancer.

              We studied Dicer and Drosha, components of the RNA-interference machinery, in ovarian cancer. We measured messenger RNA (mRNA) levels of Dicer and Drosha in specimens of invasive epithelial ovarian cancer from 111 patients, using a quantitative reverse-transcriptase-polymerase-chain-reaction assay, and compared the results with clinical outcomes. Validation was performed with the use of published microarray data from cohorts of patients with ovarian, breast, and lung cancer. Mutational analyses of genomic DNA from the Dicer and Drosha genes were performed in a subgroup of ovarian-cancer specimens. Dicer-dependent functional assays were performed by means of in vitro transfection with small interfering RNA (siRNA) and short hairpin RNA (shRNA). Levels of Dicer and Drosha mRNA correlated with the levels of expression of the corresponding protein and were decreased in 60% and 51% of ovarian-cancer specimens, respectively. Low Dicer expression was significantly associated with advanced tumor stage (P=0.007), and low Drosha expression with suboptimal surgical cytoreduction (P=0.02). Cancer specimens with both high Dicer expression and high Drosha expression were associated with increased median survival (>11 years, vs. 2.66 years for other subgroups; P<0.001). We found three independent predictors of reduced disease-specific survival in multivariate analyses: low Dicer expression (hazard ratio, 2.10; P=0.02), high-grade histologic features (hazard ratio, 2.46; P=0.03), and poor response to chemotherapy (hazard ratio, 3.95; P<0.001). Poor clinical outcomes among patients with low Dicer expression were validated in additional cohorts of patients. Rare missense mutations were found in the Dicer and Drosha genes, but their presence or absence did not correlate with the level of expression. Functional assays indicated that gene silencing with shRNA, but not siRNA, may be impaired in cells with low Dicer expression. Our findings indicate that levels of Dicer and Drosha mRNA in ovarian-cancer cells have associations with outcomes in patients with ovarian cancer. 2008 Massachusetts Medical Society
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                Author and article information

                Journal
                Nat Commun
                Nat Commun
                Nature Communications
                Nature Publishing Group
                2041-1723
                04 April 2016
                2016
                : 7
                : 11169
                Affiliations
                [1 ]Department of Gynecologic Oncology, The University of Texas MD Anderson Cancer Center , Houston, Texas 77030, USA
                [2 ]Department of Obstetrics and Gynecology, The First Affiliated Hospital of Soochow University , Suzhou, Jiangsu Province 215006, China
                [3 ]Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center , Houston, Texas 77030, USA
                [4 ]Department of Medicine, The University of North Carolina , Chapel Hill, North Carolina 27599 USA
                [5 ]Center for RNA Interference and Non-Coding RNA, The University of Texas MD Anderson Cancer Center , Houston, Texas 77030, USA
                [6 ]Biological Sciences Platform, Sunnybrook Research Institute , Toronto, Ontario, Canada, M4N 3M5
                [7 ]Department of Experimental Therapeutics, The University of Texas MD Anderson Cancer Center , Houston, Texas 77030, USA
                [8 ]Department of Cancer Biology, The University of Texas MD Anderson Cancer Center , Houston, Texas 77030, USA
                [9 ]Department of Bioinformatics, The University of Texas MD Anderson Cancer Center , Houston, Texas 77030, USA
                [10 ]Division of Pediatrics, The University of Texas MD Anderson Cancer Center , Houston, Texas 77030, USA
                [11 ]Department of Systems Biology, The University of Texas MD Anderson Cancer Center , Houston, Texas 77030, USA
                [12 ]Department of Immunology Laboratory, School of Medicine, Konkuk University , Chungju 380-701, South Korea
                [13 ]Department of Pharmaceutical Sciences, University of Pittsburgh , Pittsburgh, Pennsylvania 15213, USA
                [14 ]Department of Pathology, Wayne State University School of Medicine, Karmanos Cancer Institute , Detroit, Michigan 48201, USA
                [15 ]Department of Molecular and Cellular Oncology, The University of Texas MD Anderson Cancer Center , Houston, Texas 77030, USA
                [16 ]Center for Molecular Medicine, China Medical University , Taichung 40402, Taiwan
                Author notes
                Author information
                http://orcid.org/0000-0002-4848-0168
                http://orcid.org/0000-0003-2685-0217
                http://orcid.org/0000-0002-7880-7723
                http://orcid.org/0000-0003-3924-0434
                http://orcid.org/0000-0003-1460-3905
                Article
                ncomms11169
                10.1038/ncomms11169
                4822037
                27041221
                a37e61e2-4ba9-4a11-9697-04779580bfa7
                Copyright © 2016, Nature Publishing Group, a division of Macmillan Publishers Limited. All Rights Reserved.

                This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article's Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

                History
                : 27 December 2015
                : 26 February 2016
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