Mir-212-3P Functions As a Tumor Suppressor Gene in Group 3 Medulloblastoma Via Targeting Nuclear Factor I/B (NFIB)
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bioRxiv preprint doi: https://doi.org/10.1101/2021.04.15.440074; this version posted April 16, 2021. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. MiR-212-3p functions as a tumor suppressor gene in group 3 medulloblastoma via targeting Nuclear Factor I/B (NFIB) Naveenkumar Perumal1, Ranjana K. Kanchan1, David Doss2, Noah Bastola3, Pranita Atri1, Ramakanth C. Venkata1, Ishwor Thapa4, Raghupathy Vengoji1, Shailendra K. Maurya1, David Klinkebiel1, Geoffrey A. Talmon5, Mohd W. Nasser1, Surinder K. Batra1, and Sidharth Mahapatra1,6 1 Department of Biochemistry, University of Nebraska Medical Center, Omaha, NE 2 Creighton University School of Medicine 3 Department of Ophthalmology, University of Washington St. Louis, St. Louis, MI 4 School of Interdisciplinary Informatics, University of Nebraska at Omaha, Omaha, NE 5 Department of Pathology, University of Nebraska Medical Center, Omaha, NE 6 Department of Pediatrics, University of Nebraska Medical Center, Omaha, NE Corresponding author: Sidharth Mahapatra, MD, PhD, Department of Pediatrics, University of Nebraska Medical Center, 601 South Saddle Creek Road, Omaha, Nebraska 68106, U.S.A. Telephone number: (402) 559-7754. Email: [email protected] Running title: MiR-212-3p, tumor suppressor gene in medulloblastoma Word Count: 5010; Figures: 5; References: 50 Abbreviations: 3’UTR, 3’ untranslated region; 5-AzaC, 5-Aza-2′-deoxycytidine; AKT, Protein kinase B; ANOVA, analysis of variance; Bin-1, Myc box-dependent-interacting protein 1; c-Myc, Avian myelocytomatosis virus oncogene cellular homolog; CB, cerebellum; CDK4, Cyclin-dependent kinase 4; CDK6, Cyclin-dependent kinase 6; CNS, central nervous system; MBSC, medulloblastoma stem like cells; CTGF, Connective tissue growth factor; DNA, deoxyribonucleic acid; EMT, epithelial- mesenchymal transition; EZH2, Enhancer of zeste homolog 2; FACS, fluorescence-activated cell sorting; FFPE, formalin-fixed paraffin-embedded; FISH, fluorescence in situ hybridization; HIC1, hypermethylated in cancer-1; HCC, Hepatocellular carcinoma; HDAC, histone de-acetylase; HRP, horseradish peroxidase; i(17q), isochromosome 17q; IHC, immunohistochemistry; IRB, Institutional Review Board; MB, medulloblastoma; miR, microRNA; miR-1253, microRNA 1253; miR-212-3p, microRNA 212-3p; MITF, Microphthalmia-associated transcription factor; MNT, Max network transcription factor; MTT, 3-(4, 5-dimethylthiazol-2-yl)-2, 5-diphenyl- 2H-tetrazolium bromide; NFIB, Nuclear factor I/B; Nl, normal; Non-SHH/WNT, Non-Sonic Hedgehog/Non-Wingless; NSCLC, Non- small cell lung cancer; Oct4, Octamer-binding transcription factor-4; p19ARF, p19 alternative reading frame protein; p-Akt, Phosphorylated protein kinase B; PARP, Poly ADP ribose polymerase; PCR, polymerase chain reaction; Ped, pediatric; p-Erk, Phosphorylated extracellular signal related kinase; PI3K, Phosphoinositide 3-kinase; RNA, ribonucleic acid; SCLC, non-small cell lung cancer; SHH, Sonic Hedgehog; SD, standard deviation; SGK3, Serum and glucocorticoid-inducible kinase 3; SMYD4, SET And MYND domain containing 4; Sox-2, Sry-box transcription factor-2; TCF7L2, Transcription factor 7-like 2; TNBC, triple-negative breast cancer; TSA, Tricostatin A; WNT, Wingless bioRxiv preprint doi: https://doi.org/10.1101/2021.04.15.440074; this version posted April 16, 2021. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. 1 ABSTRACT 2 Background: Medulloblastoma (MB), the most frequent malignant pediatric brain tumor, is subdivided 3 into four primary subgroups, wingless-type (WNT), sonic hedgehog (SHH), group 3, and group 4. 4 Haploinsufficiency of chromosome 17p13.3 and c-Myc amplification distinguish high-risk group 3 5 tumors associated with rapid metastasis, recurrence and early mortality. We sought to identify the role of 6 miR-212-3p, which resides on chromosome 17p13.3, in the pathophysiology of group 3 MB. 7 Methods: We first determined miR-212-3p expression in group 3 MB using several publicly-available 8 datasets with confirmatory studies in vitro. We then identified epigenetic regulation by studying 9 methylation and HDAC modifications along the promoter region. We used two systems for expression 10 restoration, i.e. transient transfection or stable induction, to delineate miR-212-3p’s tumor suppressive 11 and biochemical properties via assays assessing cancer proliferation, migration, invasion, colony 12 formation, along with cell cycle and apoptosis analyses. We then compared MB and miR target 13 databases to isolate a putative target whose biochemical and oncogenic properties were similarly 14 elucidated using either transient silencing of target expression or stable induction of miR-212-3p. 15 Results: RNA expression analyses revealed dramatically reduced miR-212-3p levels in group 3 tumors 16 and cell lines mainly through epigenetic silencing via histone modifications. Restoring miR-212-3p 17 expression reduced in vitro cancer cell proliferation, migration, colony formation, and wound healing. 18 Elevated miR-212-3p levels shifted c-Myc phosphorylation (from serine-62 to threonine-58), triggering 19 destabilization and degradation; concurrently, its pro-apoptotic binding partners, i.e., Bin-1 and P19ARF, 20 were upregulated with subsequent elevated apoptotic signals. Using a combination of transcriptomic data 21 and dual luciferase assay, we isolated an oncogenic target of miR-212-3p, i.e. NFIB, a nuclear 22 transcription factor implicated in metastasis and recurrence in various cancers. Increased expression of 23 NFIB was confirmed in group 3 tumors, with poor survival shown in high-expressing patients. Transient 24 NFIB silencing in vitro reduced cancer cell proliferation, colony formation, migration, and invasion. 25 Concurrently, in group 3 MB cells, reduced medullosphere formation along with decreased expression of 26 stem cell markers (Nanog, Oct4, Sox2, CD133) were noted. 1 bioRxiv preprint doi: https://doi.org/10.1101/2021.04.15.440074; this version posted April 16, 2021. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. 27 Conclusion: These results substantiate the tumor-suppressive role of miR-212-3p in group 3 MB and 28 provide a potential therapeutic oncogenic target implicated in metastasis and tumor recurrence. 29 Keywords: Group 3 medulloblastoma, chromosome 17p13.3, miR-212-3p, NIFB 30 BACKGROUND 31 Medulloblastoma (MB), the most common malignant brain tumor of childhood, accounts for 20% of 32 pediatric central nervous system (CNS) neoplasms with annual age-adjusted incidence ranging from 0.38 33 to 0.42 per 100,000 persons.1,2 Wingless-type (WNT), sonic hedgehog (SHH), group 3, and group 4 are 34 the classic subgroups of MB with distinctive clinicopathologic and molecular features.3 The most 35 aggressive tumors fall into group 3 (non-SHH/WNT MB), which account for approximately 25-30% of 36 all MB cases and belong to a high-risk subgroup punctuated by haploinsufficiency of 17p (20-50% 37 incidence), c-Myc amplification (15-20% incidence), metastases at diagnosis (30-40%), all resulting in 38 very poor prognosis with <50% 5-year survivorship.4-7 Current treatment regimens involve surgical 39 resection followed by a combination of craniospinal radiation and multi-agent chemotherapy, including 40 vincristine, cisplatin, and either cyclophosphamide or lomustine.8,9 Recent studies have highlighted the 41 importance of MB tumor-initiating (stem) cells, which are known to evade chemotherapeutic regimens, 42 in tumorigenesis and recurrence.10,11 While the overall prognosis is poor in group 3 MB, recurrence can 43 reduce 5-year survival to <10%.5,12 Thus, there is an urgent need to understand group 3 MB pathobiology 44 and key signaling pathways involved in disease progression and tumor recurrence to provide a more 45 accurate risk-adapted targeted treatment approach that can mitigate the dismal survivorship of these 46 patients. 47 Frequent cytogenetic events target the 17p13.3 locus in group 3 MB and are associated with poor 48 prognosis.13-15 Along this locus are multiple tumor suppressor genes and microRNAs (miRNAs), short 49 nucleotide noncoding RNAs capable of inhibiting expression of target genes by preventing translation or 50 promoting degradation.16 We recently reported on the tumor-suppressive properties of miR-1253, which 51 lies on the terminal part of this locus, in MB.17 Similarly along this locus lies miR-212-3p, a tumor 2 bioRxiv preprint doi: https://doi.org/10.1101/2021.04.15.440074; this version posted April 16, 2021. The copyright holder for this preprint (which was not certified by peer review) is the author/funder. All rights reserved. No reuse allowed without permission. 52 suppressor gene in various cancers, including lung cancer18, hepatocellular carcinoma19, prostate 53 cancer20, and glioblastoma21. In colorectal cancer22 and nasopharyngeal carcinoma23, miR-212-3p targets 54 MnSOD and Sox4, respectively, to prevent metastasis and invasion. In breast cancer, miR-212-3p 55 regulates angiogenesis through Sp1 and VEGFA.24 It can also sensitize cetuximab-resistant cells to 56 growth inhibition in Head and Neck Squamous Cell Carcinoma by targeting HBEGF.25 Other oncogenic 57 targets of miR-212-3p include CTGF19, Engrailed-220, and SGK321, which are