Circular RNA has circ 0014130 inhibits apoptosis in non ... · Circular RNA has_circ_0014130...
Transcript of Circular RNA has circ 0014130 inhibits apoptosis in non ... · Circular RNA has_circ_0014130...
Circular RNA has_circ_0014130 inhibits apoptosis in non-small cell lung
cancer by sponging miR-136-5p and upregulating BCL2
Ying Geng*,1, Yongxia Bao*,1, Wei Zhang#,2, Lili Deng3, Dongju Su1, Hongyan
Zheng4
1 Department of Respiratory Medicine, The Second Affiliated Hospital, Harbin
Medical University, Harbin, Heilongjiang 150000, P. R. China.
2 Department of Respiratory Medicine, The First Affiliated Hospital, Harbin
Medical University, Harbin, Heilongjiang 150001, P. R. China.
3 Department of Oncology, The Second Affiliated Hospital of Harbin Medical
University, Harbin, Heilongjiang 150000, P. R. China.
4 Department of Respiratory Medicine, The Third Affiliated Hospital, Qiqihar
Medical University, Qiqihar, Heilongjiang 161000, P. R. China.
*These authors contributed equally to this work and should be considered as
co-first authors.
#Wei Zhang, Department of Respiratory Medicine, The First Affiliated Hospital,
Harbin Medical University, No 23 Youzheng Street, Nangang District, Harbin,
Heilongjiang 150001, P. R. TEL: 86-0451-85555788. China. Email:
Running title: ceRNA regulation of BCL2 expression in NSCLC
Conflicts of interest
The authors declare no competing financial interests.
Abstract
Previous studies indicated that circular RNAs (circRNAs) played vital roles in
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
the development of non-small-cell lung cancer (NSCLC). Although
hsa_circ_0014130 might be a potential NSCLC biomarker, its function in
NSCLC remains unknown. Thus, this study aimed to investigate the role of
hsa_circ_0014130 in the progression of NSCLC. The levels of
hsa_circ_0014130 in NSCLC tissues and adjacent normal tissues were
determined by RT-qPCR. In addition, the expressions of Bcl-2, cleaved
caspase 3 in A549 cells were detected with western blot. Meanwhile, the dual
luciferase reporter system assay was used to determine the interaction of
hsa_circ_0014130 and miR-136-5p, or Bcl-2 and miR-136-5p in NSCLC
respectively. The level of hsa_circ_0014130 was significantly upregulated in
NSCLC tissues. Downregulation of hsa_circ_0014130 markedly inhibited the
proliferation and invasion of A549 cells via inducing apoptosis. In addition,
downregulation of hsa_circ_0014130 inhibited the tumorigenesis of
subcutaneous A549 xenograft in mice in vivo. Meanwhile, mechanistic
analysis indicated that downregulation of hsa_circ_0014130 decreased the
expression of miR‐136‐5p targeted gene Bcl-2 via acting as a competitive
‘sponge’ of miR‐136-5p. In this study, we found that hsa_circ_0014130 was
upregulated in NSCLC tissues. In addition, hsa_circ_0014130 functions as a
tumor promoter in NSCLC to promote tumor growth through up‐regulating
Bcl-2 partially via ‘sponging’ miR‐136-5p.
Implications statement
In conclusion, hsa_circ_0014130 might function as a prognostic factor for
patients with NSCLC and might be a therapeutic target for the treatment of
NSCLC in future.
Keywords: Non-small-cell lung cancer, apoptosis, hsa_circ_0014130,
miR-136-5p, Bcl-2.
Introduction
Non-small-cell lung cancer (NSCLC) is the main cause of death in human
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
worldwide, which accounts for more than 80% of patients with lung cancer (1).
Adenocarcinoma, squamous cell carcinoma, and large-cell lung cancer are the
major histological subtypes of NSCLC (2). At present, the overall 5-year
survival rate of patients with NSCLC was only about 10% (3). Despite
enormously advances in diagnostic technologies and treatment methods, the
survival rate and prognosis of patients with NSCLC is generally considered
poor (3,4). One of the key causes of high morbidity and mortality rate was the
low rate of early detection (5). Therefore, it is important to explore novel
therapeutic targets for NSCLC.
Circular RNAs (circRNAs) are a class of non-coding RNA molecules, which
was formed by exon back-splicing (6). CircRNAs extensively exist in
mammalian cells, which have a closed loop structure without 5’ cap and 3’ tail
(7). Previous studies indicated that circRNAs are closely associated with the
development of human cancer, such as NSCLC (8,9). Zhang et al found that
the level of hsa_circ_0014130 was upregulated in NSCLC tissues, and might
be a potential NSCLC biomarker (10). However, the role of hsa_circ_0014130
in NSCLC remains unclear and need further investigation.
MicroRNAs (miRNA) are another group of endogenous non-coding RNA,
approximately 21 to 23 nucleotides in length (11). MiRNAs negatively regulate
gene expression via binding to the complementary sequence in the
3'-untranslated region (3'- UTR) of target genes (12). Previous study indicated
that circRNAs regulated the expression of the target genes via acting as a
microRNA sponge (13). Xue et al found that circAGFG1 promoted metastasis
in NSCLC cells by sponging miR-203 (14).
However, the role of hsa_circ_0014130 and its binding miRNA in the
progression of NSCLC remains unclear. Therefore, the present study aimed to
investigate the function of hsa_circ_0014130 in NSCLC tumorigenesis.
Materials and methods
Patients and tissues samples
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
A total number of 30 paired NSCLC tissue samples and adjacent
noncancerous tissue samples were obtained from patients with NSCLC in the
First Affiliated Hospital, Harbin Medical University, between September 2017
and April 2018. None of patients had received any preoperative radiotherapy
and/or chemotherapy. This study was approved by the Institutional Ethical
Committee of the First Affiliated Hospital, Harbin Medical University. Written
informed consent was obtained from each patient.
Cell culture
Human NSCLC cell lines PC-9, and A549 were purchased from the Institute
of Biochemistry and Cell Biology of the Chinese Academy of Sciences
(Shanghai, China). Cells were cultured in Dulbecco’s Modified Eagle’s Medium
(DMEM, Thermo Fisher Scientific) supplied with 10% of fetal bovine serum
(FBS; Invitrogen, Carlsbad, CA, USA), 100 U/ml penicillin and 100 μg/ml
streptomycin at 37°C in a humidified incubator (5% CO2).
Quantitative real‐time polymerase chain reaction (RT‐qPCR)
TRIzol reagent (Thermo Fisher Scientific, Waltham, MA, USA) was used to
extract total RNA from the tissue samples and cells according to the standard
protocol. The complementary DNA (cDNA) was carried out using the
PrimeScript RT Master Mix (TaKaRa, Otsu, Shiga, Japan). After that, qRCR
was performed to detect the relative expression of circRNA and miRNA using
SYBR Green premix Ex TaqTM (TaKaRa) on an Applied Biosystems 7500 Real
Time PCR System (Applied Biosystems, Foster City, CA, USA). The
sequences of the primers were: hsa_circ_0014130, Forward: 5’-
AGAAGTTGGAGCACTCTTGGA-3’; Reverse: 5’-
AAAGTCCGAGGGTTCTGGTT-3’. GAPDH, Forward: 5’-
TCAAGAAGGTGGTGAAGCAGG-3’; Reverse: 5’-
TCAAAGGTGGAGGAGTGGGT-3’. The level of hsa_circ_0014130 was
normalized to the internal control GAPDH using the 2−ΔΔCT method.
Lentivirus production and cell transfection
The lentivirus short hairpin hsa_circ_0014130 (hsa_circ_0014130-shRNA1
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
and hsa_circ_0014130-shRNA2) plasmids were synthesized by GenePharma
(Shanghai, China). Empty pcDNA3.1 vector was used as negative control (NC).
The hsa_circ_0014130-shRNA1 and hsa_circ_0014130-shRNA2 plasmids
were infected into 293T cells respectively. Seventy-two hours later, the
supernatant was collected. PC-9 or A549 cells were then infected with NC or
hsa_circ_0014130-shRNAs supernatant for 72 h respectively. QRT-PCR was
used to detect the level of hsa_circ_0014130 in PC-9 and A549 cells.
MiR-136-5p mimics, miR-136-5p inhibitor, and negative control (NC) oligos
were purchased from Thermo Fisher Scientific. A549 cells were transfected
with miR-136-5p mimics or miR-136-5p inhibitor using Lipofectamine 2000
(Thermo Fisher Scientific) following the manufacturer’s protocol for 72 h.
CCK-8 assay
Cell Counting Kit (CCK)-8 (Beyotime, Shanghai, China) was applied to
detect the viability of NSCLC cells according to the manufacturer’s protocol.
PC-9 or A549 cells (5 × 103 cells/well) were plated onto 96-well plates
overnight at 37°C respectively. After that, cells were infected with
lenti-hsa_circ_0014130-siRNA1 for 24, 48 and 72 h, respectively. Later on, 10
μL of the CCK-8 solution was added to each well and incubated for another 2 h
at 37°C. The absorbance was measured using a microplate reader at 450 nm.
Flow cytometry
Annexin V-FITC apoptosis detection kit (Thermo Fisher Scientific) was used
to detect the number of apoptotic cells on a flow cytometer (FACScan™, BD
Biosciences, Franklin Lakes, NJ, USA). In detail, A549 cells were washed with
pre-cold PBS (Thermo Fisher Scientific) and resuspended in 100 μL binding
buffer (Thermo Fisher Scientific). After that, the cells were stained with 5 μL of
propidium iodide (PI) and 5 μL of Annexin V-FITC for 15 min in darkness at
room temperature. Then, the percentage of apoptotic cells was determined.
Transwell invasion assay
The A549 cells (5 × 104 cells suspended in 100 µL serum-free media) were
seeded into the upper chambers that covered with Matrigel (BD Biosciences,
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
NJ, USA). In addition, DMEM medium with 10% FBS (600 μL) was added into
the lower compartments as a chemoattractant. Twenty-four hours later, the
cells attached to the upper compartments were wiped using cotton swabs.
After that, cells on the lower surface of the inserts were fixed with 4%
paraformaldehyde, and then stained with 0.2% crystal violet. After washing
with PBS, cells were photographed using a laser confocal microscope
(Olympus Corp., Tokyo, Japan). Five independent fields of each membrane
were counted.
Luciferase reporter assay
Oligonucleotides containing the wild-type (WT) or mutant (MT) miR-136-5p
binding sites of the 3’-UTR of the Bcl-2 mRNA or hsa_circ_0014130 cDNA
fragment were ligated into the pmirGLO luciferase reporter vector (Promega,
Madison, WI, USA) respectively. For hsa_circ_0014130 reporter assay,
hsa_circ_0014130 reporter construct (WT or MT) was co-transfected with
miR-136-5p mimics and NC respectively using Lipofectamine 2000 (Invitrogen,
Carlsbad, CA, USA). For Bcl-2 reporter assay, Bcl-2 reporter construct (WT or
MT) was co-transfected with miR-136-5p mimics and NC respectively using
Lipofectamine 2000 (Invitrogen). Forty-eight hours later, the luciferase
activities were measured using a Dual-Luciferase Reporter Assay System
(Promega Madison, WI) with renilla luciferase activity as endogenous control.
Fluorescence in situ hybridization (FISH) analysis
Fluorescence in situ hybridization (FISH) analysis was performed as
previously describe (15,16). Alexa Fluor 555-labeled hsa_circ_0014130
oligonucleotide probes and Alexa Fluor 488-labeled miR-136-3p
oligonucleotide probes were synthesized by Geneseed Biotech (Guangzhou,
China). A549 cells were incubated with FISH probes in hybridization buffer at
37°C overnight in the dark. Fluorescent in Situ Hybridization Kit (RiboBio,
Guangzhou, China) was used to detect the probe signals according to the
manufacturer’s protocol. Cell nucleus were counterstained with DAPI (Thermo
Fisher Scientific) for 30 min. Images were captured with a fluorescence
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
microscope (Eclipse E600; Nikon Corporation, Tokyo, Japan).
Western blot
Total proteins were isolated from A549 cells using RIPA buffer (Thermo
Fisher Scientific) and then quantified using BCA method (Beyotime Institute of
Biotechnology). Appropriate amounts of proteins were separated by 10%
sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), and
then transferred onto polyvinylidene difluoride (PVDF) membrane (Thermo
Fisher Scientific). After that, the membrane was blocked in 5% skim milk at
room temperature. Then, the membrane was incubated in primary antibodies
at 4°C overnight, including anti-Bcl-2 (1:1000, Abcam), anti-cleaved caspase 3
(1:1000, Abcam) and anti-β-actin (1:1000, Abcam). Later on, the membranes
were incubated with secondary antibodies (1:5000, Abcam) at the room
temperature for 1 h and then visualized using an ECL Chemiluminescent
Substrate Reagent Kit (Thermo Fisher Scientific). β-actin was acted as the
internal control.
Animal study
4-6-week-old BALB/c nude mice were purchased from the Shanghai SLAC
Animal Center (Shanghai, China) and animals were maintained following the
guidelines for use and care of laboratory animals. All animal experiments were
approved by the Institutional Ethical Committee of the First Affiliated Hospital,
Harbin Medical University. Animals were randomized into three groups: blank,
NC and hsa_circ_0014130-shRNA1 group. 1 × 107 A549 cells infected with
hsa_circ_0014130-shRNA1 were injected subcutaneously into the left flank of
nude mice (3 per group). Tumor volume was monitored every week with a
caliper and analyzed using the formula V = (length x width2)/2. All nude mice
were sacrificed after 4 weeks, and the entire tumors were dissected out and
weighed.
Statistical analysis
All data were repeated in triplicate. Data are presented as mean ± standard
error (S. D.). All statistical analyses were performed using GraphPad Prism
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
software (version 7.0, La Jolla, CA, USA). One-way analysis of variance
(ANOVA) and Tukey’s tests were carried out for multiple group comparisons. A
P-value < 0.05 was considered as a statistically significant.
Results
Hsa_circ_0014130 was upregulated in NSCLC tissues
To explore whether expression of hsa_circ_0014130 is dysregulated in
NSCLC, RT-qPCR was applied. As shown in Fig. 1A, the level of
hsa_circ_0014130 in NSCLC tissues was markedly higher than that in the
corresponding adjacent non-tumor tissues. In addition, to assess whether
hsa_circ_0014130 expression can discriminate between NSCLC tissues and
adjacent normal tissues, ROC analysis was used. The area under the ROC
curve (AUC) of 0.7486 indicated that the expression of hsa_circ_0014130
could discriminate between NSCLC tissues and adjacent normal tissues (Fig.
1B). As shown in Table 1, hsa_circ_0014130 expression correlated with
clinic-pathological parameters, including tumor size, lymphatic metastasis,
distant metastasis and TNM stage. These data indicated that the level of
hsa_circ_0014130 was upregulated in NSCLC tissues, and was associated
with a poor prognosis.
Downregulation of hsa_circ_0014130 inhibited the proliferation of
NSCLC cells
To investigate the biological function of hsa_circ_0014130 in NSCLC, we
used two shRNAs (hsa_circ_0014130-shRNA1 and
hsa_circ_0014130-shRNA2) to downregulate hsa_circ_0014130 in two
NSCLC cells, PC-9 and A549. RT-qPCR results indicated that
hsa_circ_0014130-shRNA1 downregulated the level of hsa_circ_0014130
more significantly than hsa_circ_0014130-shRNA2 in PC-9 and A549 cells
(Fig. 2A and 2B). CCK-8 assay indicated that downregulation of
hsa_circ_0014130 significantly inhibited the proliferation of NSCLC cells
compared with NC treatment (Fig. 2C and 2D). Hsa_circ_0014130-shRNA1
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
inhibited about 45% growth inhibitions in PC-9 cells, and inhibited about 52%
growth inhibitions in A549 cells. Therefore, A549 cells were utilized in the
following experiments. These results suggested that downregulation of
hsa_circ_0014130 could inhibit the proliferation of NSCLC cells.
Downregulation of hsa_circ_0014130 suppressed the invasion of A549
cells via inducing apoptosis
To investigate the role of hsa_circ_0014130 on the apoptosis of A549 cells,
flow cytometry assay was used. As shown in Fig. 3A and 3B, downregulation
of hsa_circ_0014130 obviously induced the apoptosis of A549 cells. In
addition, the invasive ability of A549 cells decreased notably after the cells
were infected with hsa_circ_0014130-shRNA1 or hsa_circ_0014130-shRNA2
plasmids (Fig. 3C and 3D). A549 cells infected with
hsa_circ_0014130-shRNA1 exhibited higher decrease in cell viability and
invasion, compared with that of in hsa_circ_0014130-shRNA2 group.
Therefore, hsa_circ_0014130-shRNA1 cells were utilized in the following
experiments. These data illustrated that downregulation of hsa_circ_0014130
could suppress the invasion of A549 cells via inducing apoptosis.
Hsa_circ_0014130 functions as a ceRNA of miR-136-5p in NSCLC
Evidence has been shown that circRNAs contain multiple binding sites for
miRNAs, which could act as miRNA sponge (17,18). Online bioinformatics tool
circular RNA interactome (https://circinteractome.nia.nih.gov) was used to
determine the potential targets of hsa_circ_0014130. 32 potential miRNA
targets of hsa_circ_0014130 were identified. The data indicated that four
miRNAs, miR-136-5p, miR-127-5p, miR-197 and miR-142-5p were closely
associated with hsa_circ_0014130. Meanwhile, miR-136-5p, miR-127-5p,
miR-197 and miR-142-5p have been found to play important roles in the
progression of human cancers (4,19-21). These data indicated that
miR-136-5p, miR-127-5p, miR-197 and miR-142-5p might be the potential
targets of hsa_circ_0014130 (Fig. 4A, Supplementary Figure 1A, 1B and 1C).
In addition, dual luciferase reporter assay was applied to validate the potential
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
targets of hsa_circ_0014130. The data indicated that miR-136-5p mimics
significantly inhibited the luciferase activity of
psiCHECK-2-hsa_circ_0014130-WT, but it did not affect the luciferase activity
of psiCHECK-2-hsa_circ_0014130-MT (Fig. 4B). However, limited
relationships between hsa_circ_0014130 and miRNAs (miR-127-5p, miR-197
and miR-142-5p) were assessed using the dual luciferase reporter assay
(Supplementary Fig. 1A, 1B and 1C). These data indicated that miR-136-5p
was a binding target of hsa_circ_0014130. In addition, online bioinformatics
tool targetScan indicated that Bcl-2 might be a potential target of miR-136-5p
(Fig. 4C). Dual luciferase reporter assay illustrated that miR-136-5p mimics
significantly suppressed the luciferase activity of psiCHECK-2-Bcl-2-WT (Fig.
4D). These data indicated that Bcl-2 was a binding target of miR-136-5p.
Meanwhile, the FISH assay indicated that hsa_circ_0014130 and miR-136-5p
were partially co-localized in the cytoplasm (Fig. 4E), suggesting the direct
interaction of hsa_circ_0014130 with miR-136-5p. These data indicated that
hsa_circ_0014130 functions as a ceRNA of miR-136-5p in NSCLC.
Hsa_circ_0014130’s oncogenic roles are partially via sponging
miR-136-5p, and then activating Bcl-2
Having verified hsa_circ_0014130 was a target of miR-136-5p, the
mechanism of miR-136-5p in hsa_circ_0014130-shRNA1-induced apoptosis
on A549 cells was still unclear. As shown in Fig. 5A, Supplementary Fig. 2A,
the level of miR-136-5p was markedly increased in A549 and PC-9 cells
following transfection with miR-136-5p mimics respectively, whereas the level
of miR-136-5p was significantly decreased following transfection with
miR-136-5p inhibitor. In addition, the level of Bcl-2 was decreased, and the
expression of cleaved caspase 3 was increased in A549 and PC-9 cells
following infection with hsa_circ_0014130, which were obviously reversed in
the presence of miR-136-5p inhibitor (Fig. 5B, 5C and 5D, Supplementary Fig.
2B, 2C and 2D). These data indicated that hsa_circ_0014130 act as an
oncogene via hsa_circ_0014130/miR-136-5p/Bcl-2 axis.
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
Downregulation of hsa_circ_0014130 inhibited the tumorigenesis of
A549 subcutaneous xenograft in vivo
We established a NSCLC xenograft model in mice to further explore the role
of hsa_circ_0014130 on tumor growth in vivo. As shown in Fig. 6A, 6B and 6C,
downregulation of hsa_circ_0014130 significantly inhibited xenograft tumor
volume and tumor weight compared with NC group. In addition, we tested the
expressions of Bcl-2 and cleaved caspase 3 in tumor tissues in vivo. The
results indicated that silencing of hsa_circ_0014130 markedly downregulated
the protein level of Bcl-2, and upregulated the protein level of cleaved caspase
3 in tumor tissues (Fig. 6D, 6E, 6F). These data illustrated that downregulation
of hsa_circ_0014130 could inhibit the tumorigenesis of A549 subcutaneous
xenograft in vivo.
Discussion
Predictive and identify biomarkers are urgently needed for patients with
NSCLC. Previous studies indicated that some circRNAs are associated with
the development of NSCLC, which participated in multiple biological processes,
such as cell proliferation, apoptosis and metastasis (6,22,23). Zhang et al
found that hsa_circ_0014130 was aberrantly expressed in NSCLC tissues and
might be a new circular RNA biomarker in NSCLC (10). In this study, we
confirmed that hsa_circ_0014130 was upregulated in NSCLC tissues.
Meanwhile, hsa_circ_0014130 expression correlated with clinic-pathological
parameters, including tumor volume and distant metastasis, indicating that
hsa_circ_0014130 is associated with a poor prognosis (10). However, the
function of hsa_circ_0014130 in the occurrence and progression of NSCLC
remain unclear.
It has been shown that aberrantly expressed miRNAs are associated with
the progression and prognosis of human cancers (24). CircRNAs could bind to
miRNAs and regulate miRNAs function as microRNA sponges (25). Meanwhile,
circRNA-miRNA-mRNA axis might play an important role in cancer-related
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
pathways (25). Huang et al found that circRNA_001946 could promote EMT
and metastasis of NSCLC cells via a circAGFG1/miR-203/ZNF281 axis (14).
Based on this feature of circRNAs, we aimed to explore the underlying
mechanism of hsa_circ_0014130 on the progression of NSCLC, regulating
miRNAs function as microRNA sponges. In this study, online bioinformatics
analysis and dual luciferase reporter assay indicated that miR-136-5p might be
a potential target of hsa_circ_0014130. FISH assay indicated that
hsa_circ_0014130 and miR-136-5p were co-localized in the cytoplasm. These
data indicated that hsa_circ_0014130 might act as ceRNAs to regulate
miR-136-5p. In addition, Bcl-2 act as a pro-apoptotic protein, which plays an
important role in promoting cellular survival (26). Bioinformatics analysis and
dual luciferase reporter assay confirmed that miR-136-5p targeted Bcl-2
mRNA at its 3’-UTR, Bcl-2 might be a potential target of miR-136-5p.
Next, the role of hsa_circ_0014130 in proliferation of NSCLC cells was
explored. Downregulation of hsa_circ_0014130 significantly inhibited the
proliferation and invasion of A549 cells via inducing apoptosis. In addition,
hsa_circ_0014130-shRNA1 treatment significantly decreased the expression
of Bcl-2 in A549 cells. However, when treated A549 cells with
hsa_circ_0014130-shRNA1 plus miR-136-5p inhibitor, the unfavorable role of
hsa_circ_0014130 on protein expression of Bcl-2 was increased by
miR-136-5p overexpression. Our results indicated that miR-136-5p is sponged
by hsa_circ_0014130 and targets Bcl-2. Chi et al indicated that circRNA
circPIP5K1A (hsa_circ_0014130) promoted the proliferation of NSCLC cells
via sponging miR-600, and then promoting HIF-1α (27). In addition,
overexpression of circRNA circPIP5K1A could promote the metastasis of
NSCLC cells via upregulation HIF-1α (27). Our data demonstrated that
hsa_circ_0014130’s oncogenic functions are partially via sponging
miR-136-5p, and then activating Bcl-2. Bcl-2 is located the at outer
mitochondrial membrane, which could restrain the release of cytochrome C
and inhibit the activation of the caspase, and then exerts its anti-apoptotic
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
function (28). Therefore, via downregulation of Bcl‐2, knockdown of
hsa_circ_0014130 could inhibit cell apoptosis and suppress tumorigenesis in
NSCLC. The conclusions are consistent, while hsa_circ_0014130 has another
mechanism of action against human NSCLC.
This study had some limitations. It has been shown that oncogenic drivers
are important to cancer development and maintenance (29). Some of the
known oncogenic drivers have been identified, including ROS1, RET, EGFR,
ALK and KRAS, which have been found to play the potential prognostic or
predictive roles in the development of NSCLC (29). However, in the present
study, we have not come to conclusion that the relationship between
hsa_circ_0014130 and the oncogenic drivers in NSCLC. Therefore, in the
future, it will be important to clarify whether hsa_circ_0014130 could facilitate
the progression of NSCLC via regulating the oncogenic drivers.
Conclusion
In this study, our data revealed that high-expressed hsa_circ_0014130 is an
oncogenic circRNA that facilitates the progression of NSCLC via
miR-136-5p/Bcl-2 axis. In addition, hsa_circ_0014130 might function as a
prognostic factor in NSCLC. Therefore, hsa_circ_0014130 might be a potential
biomarker and therapeutic target for the treatment of NSCLC.
Reference
1. Zou A, Liu X, Mai Z, Zhang J, Liu Z, Huang Q, et al. LINC00472 Acts as a Tumor
Suppressor in NSCLC through KLLN-Mediated p53-Signaling Pathway via
MicroRNA-149-3p and MicroRNA-4270. Molecular therapy Nucleic acids
2019;17:563-77 doi 10.1016/j.omtn.2019.06.003.
2. Yang X, Zhang Q, Zhang M, Su W, Wang Z, Li Y, et al. Serum microRNA Signature Is
Capable of Early Diagnosis for Non-Small Cell Lung Cancer. International journal of
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
biological sciences 2019;15(8):1712-22 doi 10.7150/ijbs.33986.
3. Zhou W, Wang X, Yin D, Xue L, Ma Z, Wang Z, et al. Effect of miR-140-5p on the
regulation of proliferation and apoptosis in NSCLC and its underlying mechanism.
Experimental and therapeutic medicine 2019;18(2):1350-6 doi
10.3892/etm.2019.7701.
4. Sui A, Zhang X, Zhu Q. Diagnostic value of serum miR197 and miR145 in non-small
cell lung cancer. Oncology letters 2019;17(3):3247-52 doi 10.3892/ol.2019.9958.
5. Wood DE, Kazerooni EA, Baum SL, Eapen GA, Ettinger DS, Hou L, et al. Lung
Cancer Screening, Version 3.2018, NCCN Clinical Practice Guidelines in Oncology.
Journal of the National Comprehensive Cancer Network : JNCCN 2018;16(4):412-41
doi 10.6004/jnccn.2018.0020.
6. Liu YT, Han XH, Xing PY, Hu XS, Hao XZ, Wang Y, et al. Circular RNA profiling
identified as a biomarker for predicting the efficacy of Gefitinib therapy for non-small
cell lung cancer. Journal of thoracic disease 2019;11(5):1779-87 doi
10.21037/jtd.2019.05.22.
7. Wang J, Li H. CircRNA circ_0067934 silencing inhibits the proliferation, migration and
invasion of NSCLC cells and correlates with unfavorable prognosis in NSCLC.
European review for medical and pharmacological sciences 2018;22(10):3053-60 doi
10.26355/eurrev_201805_15063.
8. Wu K, Liao X, Gong Y, He J, Zhou JK, Tan S, et al. Circular RNA F-circSR derived
from SLC34A2-ROS1 fusion gene promotes cell migration in non-small cell lung
cancer. Molecular cancer 2019;18(1):98 doi 10.1186/s12943-019-1028-9.
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
9. Wei S, Zheng Y, Jiang Y, Li X, Geng J, Shen Y, et al. The circRNA circPTPRA
suppresses epithelial-mesenchymal transitioning and metastasis of NSCLC cells by
sponging miR-96-5p. EBioMedicine 2019;44:182-93 doi
10.1016/j.ebiom.2019.05.032.
10. Zhang S, Zeng X, Ding T, Guo L, Li Y, Ou S, et al. Microarray profile of circular RNAs
identifies hsa_circ_0014130 as a new circular RNA biomarker in non-small cell lung
cancer. Scientific reports 2018;8(1):2878 doi 10.1038/s41598-018-21300-5.
11. Vo DT, Karanam NK, Ding L, Saha D, Yordy JS, Giri U, et al. miR-125a-5p Functions
as Tumor Suppressor microRNA And Is a Marker of Locoregional Recurrence And
Poor prognosis in Head And Neck Cancer. Neoplasia (New York, NY)
2019;21(9):849-62 doi 10.1016/j.neo.2019.06.004.
12. Zhao F, Han Y, Liu Z, Zhao Z, Li Z, Jia K. circFADS2 regulates lung cancer cells
proliferation and invasion via acting as a sponge of miR-498. Bioscience reports
2018;38(4) doi 10.1042/bsr20180570.
13. Qu S, Zhong Y, Shang R, Zhang X, Song W, Kjems J, et al. The emerging landscape
of circular RNA in life processes. RNA biology 2017;14(8):992-9 doi
10.1080/15476286.2016.1220473.
14. Xue YB, Ding MQ, Xue L, Luo JH. CircAGFG1 sponges miR-203 to promote EMT and
metastasis of non-small-cell lung cancer by upregulating ZNF281 expression.
Thoracic cancer 2019;10(8):1692-701 doi 10.1111/1759-7714.13131.
15. Wu Y, Xie Z, Chen J, Chen J, Ni W, Ma Y, et al. Circular RNA circTADA2A promotes
osteosarcoma progression and metastasis by sponging miR-203a-3p and regulating
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
CREB3 expression. Molecular cancer 2019;18(1):73 doi 10.1186/s12943-019-1007-1.
16. Wang L, Tong X, Zhou Z, Wang S, Lei Z, Zhang T, et al. Circular RNA
hsa_circ_0008305 (circPTK2) inhibits TGF-beta-induced epithelial-mesenchymal
transition and metastasis by controlling TIF1gamma in non-small cell lung cancer.
Molecular cancer 2018;17(1):140 doi 10.1186/s12943-018-0889-7.
17. Cheng Z, Yu C, Cui S, Wang H, Jin H, Wang C, et al. circTP63 functions as a ceRNA
to promote lung squamous cell carcinoma progression by upregulating FOXM1.
Nature communications 2019;10(1):3200 doi 10.1038/s41467-019-11162-4.
18. Lee WJ, Moon J, Jeon D, Shin YW, Yoo JS, Park DK, et al. Possible epigenetic
regulatory effect of dysregulated circular RNAs in Alzheimer's disease model.
Scientific reports 2019;9(1):11956 doi 10.1038/s41598-019-48471-z.
19. Shen S, Yue H, Li Y, Qin J, Li K, Liu Y, et al. Upregulation of miR-136 in human
non-small cell lung cancer cells promotes Erk1/2 activation by targeting PPP2R2A.
Tumour biology : the journal of the International Society for Oncodevelopmental
Biology and Medicine 2014;35(1):631-40 doi 10.1007/s13277-013-1087-2.
20. Tan W, Gu J, Huang M, Wu X, Hildebrandt MA. Epigenetic analysis of microRNA
genes in tumors from surgically resected lung cancer patients and association with
survival. Molecular carcinogenesis 2015;54 Suppl 1:E45-51 doi 10.1002/mc.22149.
21. Wan J, Ling X, Peng B, Ding G. miR-142-5p regulates CD4+ T cells in human
non-small cell lung cancer through PD-L1 expression via the PTEN pathway.
Oncology reports 2018;40(1):272-82 doi 10.3892/or.2018.6439.
22. Zhang H, Wang X, Hu B, Zhang F, Wei H, Li L. Circular RNA ZFR accelerates
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
non-small cell lung cancer progression by acting as a miR-101-3p sponge to enhance
CUL4B expression. Artificial cells, nanomedicine, and biotechnology
2019;47(1):3410-6 doi 10.1080/21691401.2019.1652623.
23. Chen L, Nan A, Zhang N, Jia Y, Li X, Ling Y, et al. Circular RNA 100146 functions as
an oncogene through direct binding to miR-361-3p and miR-615-5p in non-small cell
lung cancer. Molecular cancer 2019;18(1):13 doi 10.1186/s12943-019-0943-0.
24. Lian S, Park JS, Xia Y, Nguyen TT, Joo YE, Kim KK, et al. MicroRNA-375 Functions
as a Tumor-Suppressor Gene in Gastric Cancer by Targeting Recepteur d'Origine
Nantais. International journal of molecular sciences 2016;17(10) doi
10.3390/ijms17101633.
25. Rong D, Sun H, Li Z, Liu S, Dong C, Fu K, et al. An emerging function of
circRNA-miRNAs-mRNA axis in human diseases. Oncotarget 2017;8(42):73271-81
doi 10.18632/oncotarget.19154.
26. Zhang H, Chen R, Wang X, Zhang H, Zhu X, Chen J. Lobaplatin-Induced Apoptosis
Requires p53-Mediated p38MAPK Activation Through ROS Generation in
Non-Small-Cell Lung Cancer. Frontiers in oncology 2019;9:538 doi
10.3389/fonc.2019.00538.
27. Chi Y, Luo Q, Song Y, Yang F, Wang Y, Jin M, et al. Circular RNA circPIP5K1A
promotes non-small cell lung cancer proliferation and metastasis through
miR-600/HIF-1alpha regulation. Journal of cellular biochemistry
2019;120(11):19019-30 doi 10.1002/jcb.29225.
28. Hu QL, Xu ZP, Lan YF, Li B. miR-636 represses cell survival by targeting CDK6/Bcl-2
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
in cervical cancer. The Kaohsiung journal of medical sciences 2019 doi
10.1002/kjm2.12181.
29. Gower A, Wang Y, Giaccone G. Oncogenic drivers, targeted therapies, and acquired
resistance in non-small-cell lung cancer. Journal of molecular medicine (Berlin,
Germany) 2014;92(7):697-707 doi 10.1007/s00109-014-1165-y.
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
Table 1. The relationship between hsa_circ_0014130 and
clinic-pathological parameters of patients with NSCLC
Parameters Number Relative
expression p value
Age (years)
0.541
≤ 50 12 1.112 ± 0.566
> 50 18 1.268 ± 0.677
Gender
0.468
Male 19 1.313 ± 0.668
Female 11 1.211 ± 0.612
Tumor size (cm)
≤ 5 17 1.078 ± 0.467 0.042*
> 5 13 1.561 ± 0.756
Lymphatic metastasis
0.048*
N0 12 0.971 ± 0.445
N1-N3 18 1.631 ± 0.611
Distant metastasis
0.033*
M0 13 0.846 ± 0.515
M1 17 1.795 ± 0.721
TNM stage
0.027*
I-II 10 0.772 ± 0.651
III- IV 20 1.861 ± 0.339
Student’s t-test, *P<0.05.
Figure legend
Figure 1 Hsa_circ_0014130 was upregulated in NSCLC tissues. (A) The
relative levels of hsa_circ_0014130 in NSCLC tissues and corresponding
adjacent non-tumor tissues were detected using RT-qPCR. (B) ROC analysis
was used to discriminate between NSCLC tissues and corresponding adjacent
non-tumor tissues. 0.8 > AUC > 0.7, excellent discrimination. **P < 0.01,
compared with the normal group.
Figure 2 Downregulation of hsa_circ_0014130 inhibited the proliferation
of NSCLC cells. (A) Hsa_circ_0014130 levels in PC-9 cells transfected with
the hsa_circ_0014130-shRNA1 or hsa_circ_0014130-shRNA2 were detected
by qRT-PCR. (B) Hsa_circ_0014130 levels in A549 cells infected with the
hsa_circ_0014130-shRNA1 or hsa_circ_0014130-shRNA2 were detected by
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
qRT-PCR. (C) CCK-8 assay was used to determine the cell viability. PC-9 cells
were infected with hsa_circ_0014130-shRNA1 or hsa_circ_0014130-shRNA2
for 48 h. (D) A549 cells were infected with hsa_circ_0014130-shRNA1 or
hsa_circ_0014130-shRNA2 for 48 h. **P < 0.01, compared with the NC group.
Figure 3 Downregulation of hsa_circ_0014130 suppressed the invasion
of A549 cells via inducing apoptosis. (A, B) A549 cells were infected with
hsa_circ_0014130-shRNA1 or hsa_circ_0014130-shRNA2 for 48 h. Apoptotic
cells were detected with Annexin V and PI double staining. (C, D) A549 cells
were infected with hsa_circ_0014130-shRNA1 or hsa_circ_0014130-shRNA2
for 24 h. The invasive ability of A549 cells was detected using transwell
invasion assay. **P < 0.01, compared with the NC group.
Figure 4 Hsa_circ_0014130 functions as a ceRNA of miR-136-5p in
NSCLC. (A) Sequence alignment of miR-136-5p with the putative binding sites
within the WT or MT regions of hsa_circ_0014130. (B) The luciferase activity
in A549 cells following co-transfecting with hsa_circ_0014130-WT/MT 3’-UTR
plasmid and miR-136-5p mimics were detected using dual luciferase reporter
assay. (C) Sequence alignment of miR-136-5p with the putative binding sites
within the WT or MT regions of Bcl-2. (D) The luciferase activity in A549 cells
following co-transfecting with Bcl-2-WT/MT 3’-UTR plasmid and miR-136-5p
mimics were detected using dual luciferase reporter assay. (E) The cellular
localization of hsa_circ_0014130 and miR-136-5p in A549 cells was analyzed
by FISH assay. **P < 0.01, compared with the NC group.
Figure 5 Hsa_circ_0014130’s oncogenic roles are partially via sponging
miR-136-5p, and then activating Bcl-2 in A549 cells. (A) The level of
miR-136-5p in A549 cells transfected with the miR-136-5p mimics or inhibitor
was detected by qRT-PCR. (B) A549 cells were infected with
hsa_circ_0014130-shRNA1, or co-transfected with
hsa_circ_0014130-shRNA1 and miR-136-5p inhibitor. Expression levels of
Bcl-2 and cleaved caspase 3 in A549 cells were detected with western blotting.
(C, D) The relative expression of Bcl-2 and cleaved caspase 3 in A549 cells
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
were quantified via normalization to β-actin. **P < 0.01, compared with the NC
group. ##P < 0.01, compared with the shRNA1 group.
Figure 6 Downregulation of hsa_circ_0014130 inhibited the
tumorigenesis of A549 subcutaneous xenograft in vivo. (A) Mice were
subcutaneously implanted with hsa_circ_0014130-shRNA1-infected A549
cells. The xenograft tumor volumes were monitored weekly. (B) Xenografts
tumors were photographed after four weeks. (C) The weights of the tumors
were calculated. (D) Expression levels of Bcl-2 and cleaved caspase 3 in
tumor tissues were detected with western blotting. (E, F) The relative
expressions of Bcl-2 and cleaved caspase 3 in tumor tissues were quantified
via normalization to β-actin.
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998
MOLECULAR CANCER RESEARCH | CORRECTION
Correction: Circular RNA hsa_circ_0014130Inhibits Apoptosis in Non–Small Cell LungCancer by Sponging miR-136-5p andUpregulating BCL2
In the original version of this article (1), the author order is incorrect for the final fourauthors. This error has been corrected in the latest online HTML and PDF versions of thearticle. The authors regret this error.
Reference1. Geng Y, Bao Y, Deng L, Su D, Zheng H, Zhang W. Circular RNA hsa_circ_0014130 inhibits apoptosis
in non–small cell lung cancer by sponging miR-136-5p and upregulating BCL2. Mol Cancer Res 2020;18:748–56.
Published online July 1, 2020.Mol Cancer Res 2020;18:1110doi: 10.1158/1541-7786.MCR-20-0499�2020 American Association for Cancer Research.
AACRJournals.org | 1110
Published OnlineFirst February 14, 2020.Mol Cancer Res Ying Geng, Yongxia Bao, Wei Zhang, et al. upregulating BCL2non-small cell lung cancer by sponging miR-136-5p and Circular RNA has_circ_0014130 inhibits apoptosis in
Updated version
10.1158/1541-7786.MCR-19-0998doi:
Access the most recent version of this article at:
Material
Supplementary
http://mcr.aacrjournals.org/content/suppl/2020/02/14/1541-7786.MCR-19-0998.DC1
Access the most recent supplemental material at:
Manuscript
Authorbeen edited. Author manuscripts have been peer reviewed and accepted for publication but have not yet
E-mail alerts related to this article or journal.Sign up to receive free email-alerts
Subscriptions
Reprints and
To order reprints of this article or to subscribe to the journal, contact the AACR Publications
Permissions
Rightslink site. Click on "Request Permissions" which will take you to the Copyright Clearance Center's (CCC)
.http://mcr.aacrjournals.org/content/early/2020/02/14/1541-7786.MCR-19-0998To request permission to re-use all or part of this article, use this link
on July 25, 2020. © 2020 American Association for Cancer Research. mcr.aacrjournals.org Downloaded from
Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited. Author Manuscript Published OnlineFirst on February 14, 2020; DOI: 10.1158/1541-7786.MCR-19-0998