MicroRNA-10b promotes migration and invasion through Hoxd10 in human gastric cancer

Similar documents
RNA extraction, RT-PCR and real-time PCR. Total RNA were extracted using

Expression of mir-1294 is downregulated and predicts a poor prognosis in gastric cancer

Mir-595 is a significant indicator of poor patient prognosis in epithelial ovarian cancer

Original Article High serum mir-203 predicts the poor prognosis in patients with pancreatic cancer

CircHIPK3 is upregulated and predicts a poor prognosis in epithelial ovarian cancer

Downregulation of serum mir-17 and mir-106b levels in gastric cancer and benign gastric diseases

Low levels of serum mir-99a is a predictor of poor prognosis in breast cancer

High expression of fibroblast activation protein is an adverse prognosticator in gastric cancer.

Decreased expression of mir-490-3p in osteosarcoma and its clinical significance

Original Article CREPT expression correlates with esophageal squamous cell carcinoma histological grade and clinical outcome

Overexpression of long-noncoding RNA ZFAS1 decreases survival in human NSCLC patients

Long noncoding RNA linc-ubc1 promotes tumor invasion and metastasis by regulating EZH2 and repressing E-cadherin in esophageal squamous cell carcinoma

Expression of lncrna TCONS_ in hepatocellular carcinoma and its influence on prognosis and survival

Supplementary Figure 1. HOPX is hypermethylated in NPC. (a) Methylation levels of HOPX in Normal (n = 24) and NPC (n = 24) tissues from the

mir-218 tissue expression level is associated with aggressive progression of gastric cancer

Expression of long non-coding RNA linc-itgb1 in breast cancer and its influence on prognosis and survival

Long noncoding RNA CASC2 inhibits metastasis and epithelial to mesenchymal transition of lung adenocarcinoma via suppressing SOX4

MiR-508-5p is a prognostic marker and inhibits cell proliferation and migration in glioma

Prognostic significance of overexpressed long non-coding RNA TUG1 in patients with clear cell renal cell carcinoma

Characterization and significance of MUC1 and c-myc expression in elderly patients with papillary thyroid carcinoma

Long noncoding RNA LINC01510 is highly expressed in colorectal cancer and predicts favorable prognosis

Correlation between expression and significance of δ-catenin, CD31, and VEGF of non-small cell lung cancer

Study on the expression of MMP-9 and NF-κB proteins in epithelial ovarian cancer tissue and their clinical value

Down-regulation of mir p is correlated with clinical progression and unfavorable prognosis in gastric cancer

Original Article Higher mir-10b expression contributes to malignant behaviors in gastric cancer in ex vivo and in vitro

Original Article Up-regulation of mir-10a and down-regulation of mir-148b serve as potential prognostic biomarkers for osteosarcoma

Original Article Increased LincRNA ROR is association with poor prognosis for esophageal squamous cell carcinoma patients

Original Article Tissue expression level of lncrna UCA1 is a prognostic biomarker for colorectal cancer

Positive nin one binding protein expression predicts poor outcome in prostate cancer

m 6 A mrna methylation regulates AKT activity to promote the proliferation and tumorigenicity of endometrial cancer

95% CI: , P=0.037).

Association between downexpression of mir-1301 and poor prognosis in patients with glioma

Long non-coding RNA Loc is a potential prognostic biomarker in non-small cell lung cancer

Up-regulation of long non-coding RNA BCAR4 predicts a poor prognosis in patients with osteosarcoma, and promotes cell invasion and metastasis

Type of file: PDF Size of file: 0 KB Title of file for HTML: Supplementary Information Description: Supplementary Figures

Expression and clinical significance of ADAM17 protein in esophageal squamous cell carcinoma

mir 375 inhibits the proliferation of gastric cancer cells by repressing ERBB2 expression

Circular RNA_LARP4 is lower expressed and serves as a potential biomarker of ovarian cancer prognosis

Supplementary Information

Analysis of circulating long non-coding RNA UCA1 as potential biomarkers for diagnosis and prognosis of osteosarcoma

Bmi-1 regulates stem cell-like properties of gastric cancer cells via modulating mirnas

Downregulation of long non-coding RNA LINC01133 is predictive of poor prognosis in colorectal cancer patients

Reduced mirna-218 expression in pancreatic cancer patients as a predictor of poor prognosis

Title page. Title: MicroRNA-155 Controls Exosome Synthesis and Promotes Gemcitabine Resistance in

Correlation between estrogen receptor β expression and the curative effect of endocrine therapy in breast cancer patients

(a) Significant biological processes (upper panel) and disease biomarkers (lower panel)

Up-regulation of long non-coding RNA SNHG6 predicts poor prognosis in renal cell carcinoma

Increased expression of the lncrna BANCR and its prognostic significance in human osteosarcoma

Original Article Reduced expression of mir-506 in glioma is associated with advanced tumor progression and unfavorable prognosis

LncRNA AWPPH promotes the growth of triple-negative breast cancer by. up-regulating frizzled homolog 7 (FZD7)

Berberine Sensitizes Human Ovarian Cancer Cells to Cisplatin Through mir-93/ PTEN/Akt Signaling Pathway

Detection and Clinical Significance of Lymph Node Micrometastasis in Gastric Cardia Adenocarcinoma

Value of serum galectin-3 and midkine level determination for assessing tumor severity in patients with thyroid cancer

Review Article Long Noncoding RNA H19 in Digestive System Cancers: A Meta-Analysis of Its Association with Pathological Features

Epstein-Barr virus driven promoter hypermethylated genes in gastric cancer

Research Article Expression and Clinical Significance of the Novel Long Noncoding RNA ZNF674-AS1 in Human Hepatocellular Carcinoma

Plasma Bmil mrna as a potential prognostic biomarker for distant metastasis in colorectal cancer patients

Clinical significance of serum mir-196a in cervical intraepithelial neoplasia and cervical cancer

Advances in Computer Science Research, volume 59 7th International Conference on Education, Management, Computer and Medicine (EMCM 2016)

Supplementary Fig. 1: ATM is phosphorylated in HER2 breast cancer cell lines. (A) ATM is phosphorylated in SKBR3 cells depending on ATM and HER2

Supplementary Figure S1 Expression of mir-181b in EOC (A) Kaplan-Meier

Expression and significance of Bmi-1 and Ki67 in colorectal carcinoma tissues

Clinical impact of serum mir-661 in diagnosis and prognosis of non-small cell lung cancer

Ling Xu, Wei-Qi Dai, Xuan-Fu Xu, Fan Wang, Lei He, Chuan-Yong Guo*

Original Article Downregulation of microrna-26b functions as a potential prognostic marker for osteosarcoma

Long non-coding RNA CCHE1 overexpression predicts a poor prognosis for cervical cancer

Gastric Cancer Histopathology Reporting Proforma

Argininosuccinate synthetase 1 suppression and arginine restriction inhibit cell

Long non-coding RNA ZEB1-AS1 is associated with poor prognosis in gastric cancer and promotes cancer cell metastasis

Long non-coding RNA ROR is a novel prognosis factor associated with non-small-cell lung cancer progression

Down-regulation of long non-coding RNA MEG3 serves as an unfavorable risk factor for survival of patients with breast cancer

(A) RT-PCR for components of the Shh/Gli pathway in normal fetus cell (MRC-5) and a

Clinical significance of up-regulated lncrna NEAT1 in prognosis of ovarian cancer

Supplementary Figure S1. Venn diagram analysis of mrna microarray data and mirna target analysis. (a) Western blot analysis of T lymphoblasts (CLS)

Expression of mir-146a-5p in patients with intracranial aneurysms and its association with prognosis

(A) PCR primers (arrows) designed to distinguish wild type (P1+P2), targeted (P1+P2) and excised (P1+P3)14-

High levels of long non-coding RNA DICER1-AS1 are associated with poor clinical prognosis in patients with osteosarcoma

microrna Presented for: Presented by: Date:

Increased long noncoding RNA LINP1 expression and its prognostic significance in human breast cancer

High Expression of Forkhead Box Protein C2 is Related to Poor Prognosis in Human Gliomas

Roles of transcriptional factor Snail and adhesion factor E-cadherin in clear cell renal cell carcinoma

Cancer cells in vitro

A study on clinicopathological features and prognostic factors of patients with upper gastric cancer and middle and lower gastric cancer.

Original Article Increased expression of lncrna HULC indicates a poor prognosis and promotes cell metastasis in osteosarcoma

SUPPLEMENTARY INFORMATION

GLI-1 facilitates the EMT induced by TGF-β1 in gastric cancer

Xiang Hu*, Liang Cao*, Yi Yu. Introduction

Association of mir-21 with esophageal cancer prognosis: a meta-analysis

LncRNA GHET1 predicts a poor prognosis of the patients with non-small cell lung cancer

Silencing Dicer expression enhances cellular proliferative and invasive capacities in human tongue squamous cell carcinoma

Original Article mir-338-3p inhibits the proliferation and migration of gastric cancer cells by targeting ADAM17

WHAT SHOULD WE DO WITH TUMOUR BUDDING IN EARLY COLORECTAL CANCER?

Decreased mir-198 expression and its prognostic significance in human gastric cancer

Investigation on ERCC5 genetic polymorphisms and the development of gastric cancer in a Chinese population

Satisfactory surgical outcome of T2 gastric cancer after modified D2 lymphadenectomy

HCC1937 is the HCC1937-pcDNA3 cell line, which was derived from a breast cancer with a mutation

Prognostic significance of nemo like kinase in nasopharyngeal carcinoma

Supplementary Information

Clinicopathologic Characteristics and Prognosis of Gastric Cancer in Young Patients

Roles of the AIB1 protein in the proliferation and transformation of human esophageal squamous cell carcinoma

Transcription:

Wang et al. World Journal of Surgical Oncology (2015) 13:259 DOI 10.1186/s12957-015-0673-8 WORLD JOURNAL OF SURGICAL ONCOLOGY RESEARCH Open Access MicroRNA-10b promotes migration and invasion through Hoxd10 in human gastric cancer Yuan-Yu Wang 1*,LiLi 2, Zai-Yuan Ye 1, Zhong-Sheng Zhao 3* and Zhi-Long Yan 1 Abstract Background: This study aims to investigate the effect of mir-10b overexpression on cancer cell proliferation, migration, invasion, and Hoxd10 expression. Methods: The effect of mir-10b on proliferation, migration, and invasion of MKN-28, BGC-823, and SGC-7901 cells and the expression of Hoxd10 protein in SGC-7901 and BGC-823 cells were detected following transfection of mir-10b inhibitor or Negative Control B. Expression of Hoxd10 protein in 436 paraffin-embedded cancer tissues was also investigated. Results: mir-10b was significantly upregulated in AGS, MKN-28, BGC-823, HCG-27, SGC-7901, and MKN-45 cell lines, mir-10b inhibitor significantly inhibited proliferation and migration of MKN-45, BGC-823 and SGC-7901 cells 48 h after transfection, while Hoxd10 protein in these cells lines had increased 72 h after transfection. Hoxd10 was highly expressed in gastric cancer and correlated with size of tumor, Lauren classification, depth of invasion, lymph node and distant metastasis, Tumor-Node-Metastasis (TNM) stage, and prognosis. Conclusions: mir-10b promotes migration and invasion through Hoxd10 in human gastric cancer cell lines and may play an important role in tumorigenesis, progression, and prognosis. Keywords: Gastric cancer, mir-10b, Hoxd10, Proliferation, Migration, Invasion Background MicroRNAs (mirnas) are a family of 21-to 25-nucleotide, noncoding small RNAs that primarily function as gene regulators by regulating mrna translation and degradation [1]. mirnas play a role in cancer or cancer prevention by adjusting the expression of downstream mrna [2]. Previous studies show that mir-10b is upregulated in liver, pancreatic, and esophageal cancer, breast cancer with distant metastasis, and glioma tissues, and its expression is closely related with tumor progression [3 7]. mir-10b promotes migration and invasion through HOXD10, CADM1, MAPRE1, and KLF4 et al. [5 10], but the exact regulatory pathway is still poorly understood. However, nothing is known about the role of mir-10b gastric cancer metastasis. Therefore, in this study, we analyzed the level of mir-10b in human gastric cancer cell lines AGS, MKN-28, BGC- * Correspondence: lywyy1979@126.com; zhaozhongsheng1950@163.com 1 Departments of Gastrointestinal Surgery and Pathology, Zhejiang Provincial People s Hospital, Hangzhou 310014, People s Republic of China 3 Departments of Pathology, Zhejiang Provincial People s Hospital, Hangzhou 310014, Zhejiang, People s Republic of China Full list of author information is available at the end of the article 823, HCG-27, SGC-7901, 9811P, and MKN-45 and in the non-malignant gastric epithelial cell line GES-1, and the effect of mir-10b expression on gastric cancer cell proliferation, invasion, and migration. We aimed to elucidate the role of mir-10b in gastric cancer formation, development, invasion and metastasis, and its mechanism. Methods Cell culture Human gastric cancer cell lines AGS, MKN-28, BGC-823, HCG-27, SGC-7901, 9811P, and MKN-45 and nonmalignant gastric epithelial cell line GES-1 were obtained from Key Laboratory of Gastroenterology of Zhejiang Province (Hangzhou, China) and cultured in RPMI1640 containing 10 % fetal bovine serum (FBS), 50 U/ml penicillin, and 50 μg/ml streptomycin. All cells were maintained at 37 C under an atmosphere of 5 % CO 2. Archived gastric tissue samples and non-tumor mucosa Gastric cancer tissues were collected from gastrectomy specimens from 436 patients (311 male, 125 female, 2015 Wang et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Wang et al. World Journal of Surgical Oncology (2015) 13:259 Page 2 of 8 median age 60.0 years, range 30 91) from the Department of Surgery, Zhejiang Provincial People s Hospital, from January 1998 to January 2004. Tissues were formalinfixed, paraffin-embedded, and diagnosed clinically and histopathologically at the Departments of Gastrointestinal Surgery and Pathology. The follow-up deadline was December 2008. The survival time was calculated from the date of surgery to the follow-up deadline or date of death, which was mainly due to carcinoma recurrence or metastasis. There were 55, 163, and 218 cases from the cardia, body, and antrum, respectively. According to the 2002 WHO histological classification of gastric carcinoma, there were 326 tubular adenocarcinomas, 16 papillary adenocarcinomas, 29 mucinous adenocarcinomas, and 65 signet-ring cell carcinomas. Thirteen were classified as highly differentiated adenocarcinomas, 128 as well or moderately differentiated adenocarcinomas, 293 as poorly differentiated and 2 as undifferentiated adenocarcinomas. There were 61 cases with distant metastasis. Ninety cases were categorized as stage I, 104 as stage II, 173 as stage III, and 69 as stage IV. Ninety-two noncancerous human gastric tissues were obtained from gastrectomies of adjacent gastric cancer margins greater than 5 cm. Routine chemotherapy was given to the patients with advanced stage disease after surgery, but no radiation treatment was administered to any patients included in our study. RT-PCR quantification of mir-10b RT-PCR was performed to determine the expression of mir-10b. Briefly, total RNA was extracted from human gastric cancer cell lines AGS, MKN-28, BGC-823, HCG- 27, SGC-7901, 9811P, MKN-45 and non-malignant gastric epithelial cell line GES-1 using Trizol (Invitrogen) according to the manufacturer s instructions. cdna synthesis was carried out with the miscript Reverse Transcription Kit (Qiagen). The specific reverse primer for mir-10b and U6 were provided by Qiagen. The resulting cdna was amplified with the QuantiTect SYBR Green PCR Master Mix (Qiagen) using ABI 7500 FAST Realtime PCR (Applied Biosystems). PCR parameters were as follows: 95 C for 15 min, followed by 40 cycles of 94 C for 15 s, 55 C for 30 s, 72 C for 34 s. At the end of the PCR cycles, melting curve analysis was performed. The expression of mir-10b in cancer tissues was compared to matched normal samples using the 2 - CT method, and the expression of mir-10b in gastric cancer cells was compared to GES-1. mir-10b transfection mir-10b inhibitor (mircury LNA microrna Power inhibitor, 5 nmol, 5 -fluorescein labeled, Exiqon) and Negative Control B (mircury LNA microrna Power Inhibitor Negative Control B, 5 nmol, 5 -fluorescein labeled, Exiqon) were transfected into MKN-28, BGC-823, and SGC-7901 cells grown in six-well dishes (plated at 5.0 10 5 cells per well 24 h before transfection). Transfection was performed with Lipofectamine 2000 (Invitrogen). Twenty-four hours after, transfection cells were assayed for migration, invasion, and proliferation. Cell proliferation assay The effect of mir-10b on proliferation of gastric cancer cells was evaluated by MTT assays. MKN-28, BGC-823, and SGC-7901 cells were seeded into 96-well plates at a density of 6.0 10 3 cells/well in quintuplicate and allowed to adhere overnight. Ten microliters of MTT (5 mg/ml) (Sigma) was added to each well 48 or 72 h after infection, and cells were incubated for a further 4 h. Media was then removed, and 150 μl DMSO was added. Absorbance (A) at 570 and 630 nm were measured using a microplate reader. Relative cell proliferation (%) was shown by the following equation: Relative proliferation rate (%) = (A 570nm A 630nm ) of study group/ (A 570nm A 630nm ) of control group 100 %. In vitro cell migration and invasion assays Twenty-four hours after infection, cells were harvested and subjected to the following assays. For migration assays, infected cells (6 104) were plated in triplicate in the top chamber of Transwells (Millicell Hanging Cell Culture Inserts, PIEP12R48, Millipore Corporation) with a membrane containing 8-μm diameter pores in 300 μl serum-free RPMI1640. The inserts were then placed into the bottom chamber wells of a 24-well plate containing RPMI1640 with 20 % FBS as a chemo-attractant. After 24 h of incubation, cells remaining on the insert top layer were removed by cotton swab scrubbing, and cells on the lower surface of the membrane were fixed in 100 % methanol for 15 min, followed by staining with Giemsa solution. Cell numbers in five random fields (400 ) were counted for each chamber and the average values were calculated. For invasion assays, infected cells (1.5 105) were plated in the top chamber with Matrigel-coated membrane (QCM ECMatrix Cell Invasion Assay, Millipore Corporation), whereas the bottom chambers were filled with conditioned medium. After 48 h incubation, migrated cells (lower side of the membrane) were counted as described above. Immunoblotting Cells were lysed in RIPA buffer (150 mm NaCl, 10 mm Tris, ph 7.5, 1 % NP40, 1 % deoxycholate, 0.1 % SDS, protease inhibitor cocktail (Roche)). Total proteins were fractionated using the NuPAGE 4 12 % Bis-Tris gradient gel (Invitrogen) and transferred onto PVDF membrane. Membranes were blocked with 5 % non-fat milk in PBS/

Wang et al. World Journal of Surgical Oncology (2015) 13:259 Page 3 of 8 Fig. 1 mir-10b is upregulated in gastric cancer cell lines Tween-20 and incubated with antibodies against Hoxd10 (1:200, Santa Cruz) and β-actin (1:10,000, Abcam). Immunohistochemistry Immunohistochemical analysis was performed as previously described [10]. Sections were incubated with mouse anti-hoxd10 (1:50; Santa Cruz) overnight at 4 C. The degree of immunostaining was reviewed and scored independently by two observers based on the proportion of positively stained tumor cells and intensity of staining. Tumor cell proportion was scored as follows: 0 ( 5 % positive tumor cells), 1 (6 25 % positive tumor cells), 2 (26 50 % positive tumor cells), and 3 (>51 % positive tumor cells). Staining intensity was graded according to the following criteria: 0 (no staining), 1 (weak staining = light yellow), 2 (moderate staining = yellow brown), and 3 (strong staining = brown). Staining index was calculated as the product of staining intensity score and the proportion of positive tumor cells. Using this method of assessment, we evaluated Hoxd10 expression in benign gastric epithelia and malignant lesions by determining the staining index with scores of 0, 1, 2, 3, 4, 6, or 9. The cutoff value for high and low expression level was chosen based on a measure of heterogeneity using the log-rank test with respect to overall survival. An optimal cutoff value was identified: a staining index score of 4 was used to define tumors with high Hoxd10 expression and a staining index score of 3 was used to indicate low Hoxd10 expression. Statistical analysis All statistical analyses were performed using SPSS 16.0 software. Data were analyzed using Student s t test, while categorical data were studied using the χ 2 or Fisher exact test. Survival curves were estimated using the Kaplan- Meier method, and the log-rank test was used to Table 1 The number of migratory cells after infected with mir-10b inhibitor MKN-28 BGC-823 SGC-7901 mir-10b inhibitor 48.8 ± 3.96 54.2 ± 3.19 35.4 ± 2.07 Negative Control B 98.8 ± 2.59 77.4 ± 2.07 56.2 ± 2.77 Normal Control 107.4 ± 5.27 79.4 ± 3.65 60.2 ± 3.35 a t 值 23.62 13.62 13.43 b t 值 19.87 11.62 14.09 P 值 0.0001 0.0001 0.0001 a mir-10b inhibitor vs Negative Control B b mir-10b inhibitor vs Normal Control Fig. 2 mir-10b inhibits cell migration. Representative fields of migrated cells on membrane

Wang et al. World Journal of Surgical Oncology (2015) 13:259 Page 4 of 8 Fig. 3 The level of Hoxd10 protein in SGC-7901 cells with mir-10b inhibitor-infected or Negative Control B-infected calculate differences between the curves. Multivariate analysis using the Cox proportional hazards regression model was performed to assess the prognostic values of protein expression. Correlation coefficients between protein expression and clinicopathological findings were estimated using the Pearson correlation method. Statistical significance was set at P < 0.05. Results mir-10b is upregulated in gastric cancer cell lines mir-10b was significantly upregulated in AGS, MKN-28, BGC-823, HCG-27, SGC-7901, and MKN-45 cell lines (4.7 10 4, 1.4 10 3, 1.3 10 3, 9.8 10 4, 8.3 10 4, and 3.7 10 4, respectively) compared with the nonmalignant gastric epithelial cell line GES-1 (3.2 10 5 ) (P < 0.05). The expression of mir-10b did not significantly differ between 9811P cells (4.99 10 5 ) and nonmalignant GES-1 cells (3.2 10 5 )(P > 0.05) (Fig. 1). mir-10b inhibited cell proliferation, migration, and invasion in vitro To study the biological role of mir-10b in gastric cancer, mir-10b inhibitor or Negative Control B was transfected into MKN-28, BGC-823, and SGC-7901 cells, and mir- 10b levels were evaluated by RT-PCR. mir-10b levels in SGC-7901, BGC-823, and MKN-28 cells transfected with mir-10b inhibitor were much lower than in Negative Control B-infected cells (P < 0.05), 24 h after transfection. Then, we evaluated the effect of mir-10b on the proliferation of gastric cancer cell lines using MTT assays. mir-10b inhibitor significantly inhibited proliferation of MKN-45, BGC-823, and SGC-7901 cells 48 h after transfection (P < 0.05). mir-10b inhibitor significantly inhibited proliferation of BGC-823 cells 72 h after Fig. 4 The level of Hoxd10 protein in BGC-823 cells with mir-10b inhibitor-infected or Negative Control B-infected Fig. 5 Immunohistochemical staining for Hoxd10 in gastric cancer lesions and noncancerous tissues, magnification 400. a Hoxd10 was highly expressed in noncancerous tissues. b Hoxd10 was highly expressed in tubular adenocarcinoma. c Hoxd10 was highly expressed in poorly differentiated adenocarcinoma. d Hoxd10 was highly expressed in poorly differentiated adenocarcinoma. transfection (P < 0.05)but only had a slight effect on the proliferation of MKN-45 and SGC-7901 cells (P >0.05). We further analyzed the effect of mir-10b on the migratory and invasive behavior of gastric cell lines (Table 1, Fig. 2). Gastric cancer cells infected with mir- 10b inhibitor displayed significantly lower transmembrane migration capacity compared with those infected with Negative Control B cells and Normal Control cells 48 h after transfection (P < 0.05). No gastric cancer cell lines transfected with mir-10b inhibitor and Negative Control B invaded through the membrane of QCM ECMatrix Cell Invasion Assay 72 h after transfection. mir-10b directly regulated Hoxd10 To understand the mechanisms by which mir-10b induces tumor invasion and metastasis, Western blotting for Hoxd10 in SGC-7901 and BGC-823 cells was performed at 72 h post-transfection. Hoxd10 expression was much higher in cells transfected with mir-10b inhibitor than in Negative Control B-infected cells (Figs. 3 and 4). Expression of Hoxd10 in gastric cancer and clinicopathological features and prognosis Hoxd10 was upregulated in 82 (89.13 %) normal gastric mucosa samples (Fig. 5), and in 242 of 436 (55.5 %) cases of gastric cancer (Fig. 5). High expression of Hoxd10 correlated with size of tumor, Lauren classification, depth of invasion, lymph node and distant metastasis, and TNM stage (Table 2). We also analyzed the relationship between Hoxd10 expression and prognosis.

Wang et al. World Journal of Surgical Oncology (2015) 13:259 Page 5 of 8 Table 2 Relationship of Hoxd10 expression with pathological parameters of tumor Clinical parameters HOXD10 Low High t/χ 2 P Age (years) 59.77 ± 12.44 58.48 ± 11.85 1.107 0.269 Gender 0.519 0.4771 Male 135 (43.4 %) 176 (56.6 %) Female 59 (47.2 %) 66 (52.8 %) Location 4.379 0.112 Proximal 31 (56.4 %) 24 (43.6 %) Middle 74 (45.4 %) 89 (54.6 %) Distal 89 (40.8 %) 129 (59.2 %) Size 25.716 0.0001 <5 cm 88 (34.4 %) 168 (65.6 %) 5 cm 106 (58.9 %) 74 (41.1 %) Lauren classification 63.165 0.0001 Intestinal 58 (26.0 %) 165 (74.0 %) Diffuse 136 (63.8 %) 77 (36.2 %) Histology classification 7.343 0.062 Papillary adenocarcinoma 3 (18.8 %) 13 (81.2 %) Tubular adenocarcinoma 142 (43.6 %) 184 (56.4 %) Mucinous adenocarcinoma 17 (58.6 %) 12 (41.4 %) Signet-ring cell carcinoma 32 (49.2 %) 33 (50.8 %) Histologic differentiation 5.25 0.154 Well 3 (23.1 %) 10 (76.9 %) Moderately 50 (39.1 %) 78 (60.9 %) Poorly 140 (47.8 %) 153 (52.2 %) Others 1 (50.0 %) 1 (50.0 %) Invasion depth 33.892 0.0001 T1 9 (15.8 %) 48 (84.2 %) T2 39 (35.8 %) 70 (64.2 %) T3 129 (52.9 %) 115 (47.1 %) T4 17 (65.4 %) 9 (34.6 %) TNM stages 60.859 0.0001 I 17 (18.9 %) 73 (81.1 %) II 30 (28.8 %) 74 (71.2 %) III 102 (59.0 %) 71 (41.0 %) IV 45 (65.2 %) 24 (34.8 %) Lymphatic metastasis 45.165 0.0001 No 40 (24.1 %) 126 (75.9 %) Yes 154 (57.0 %) 116 (43.0 %) Regional lymph nodes 51.95 0.0001 PN0 40 (24.1 %) 126 (75.9 %) PN1 67 (49.3 %) 69 (50.7 %) PN2 65 (65.7 %) 34 (34.3 %) PN3 22 (62.9 %) 13 (37.1 %)

Wang et al. World Journal of Surgical Oncology (2015) 13:259 Page 6 of 8 Table 2 Relationship of Hoxd10 expression with pathological parameters of tumor (Continued) Distant metastasis 14.821 0.0001 No 153 (40.8 %) 222 (59.2 %) Yes 41 (67.2 %) 20 (32.8 %) The cumulative 5-year survival rate was 53.7 % in the high Hoxd10 protein expression group but was only 24.7 % in the low expression group (χ 2 = 60.81, P = 0.001) (Fig. 6). In stages I, II, and III, the 5-year survival rate of patients with high expression of Hoxd10 was significantly higher than those in patients with low expression. In stage I, the cumulative 5-year survival rate was 91.8 % in the high Hoxd10 expression group but was only 82.4 % in low expression group (χ 2 = 4.25, P = 0.039) (Fig. 7). In stage II, the cumulative 5-year survival rate was 68.9 % in high Hoxd10 expression group but was only 53.3 % in low expression group (χ 2 = 5.35, P = 0.021) (Fig. 8). In stage III, the cumulative 5-year survival rate was 40.8 % in high Hoxd10 expression group but was only 15.7 % in low expression group (χ 2 = 12.87, P = 0.0001) (Fig. 9). In stage IV, the expression of Hoxd10 did not correlate with the 5-year survival rate, the cumulative 5-year survival rate was 4.5 % in high Hoxd10 expression group but was only 2.3 % in low expression group in stage IV (χ 2 = 2.19, P = 0.138) (Fig. 10). The factors with possible prognostic effects in gastric carcinoma were analyzed by Cox regression analysis. The study revealed that lymph node (P = 0.012) and distant metastases (P = 0.008), TNM stage (P = 0.001), and expression of Hoxd10 (P = 0.008) were independent prognostic factors in patients with gastric carcinoma. However, age, sex, tumor location and size, histological classification, tumor differentiation, Lauren s classification, and regional lymph node stage had no prognostic value. Discussion Recent evidence has shown that altered patterns of microrna (mirna) expression correlate with various human cancers. mir-10b was recently reported to be dysregulated in some types of cancer and to play a role in invasion and metastasis. Single microrna (mirna) can regulate expression of several or multiple principal targets in a specific microenvironment. In different cellular contexts, the same mirna may exhibit diverse functions, depending on the repertoire and stoichiometry of its direct mrna targets [11]. For instance, in breast cancer, microrna-10b (mir-10b) promotes invasion and metastasis of tumor cells through regulation of HOXD10, E-cadherin, and syndecan-1 [12, 13]. mir-10b may positively regulate the invasion and metastasis of hepatocellular carcinoma through targeting CADM [8]. mir-10b induces glioma cell invasion by modulating MMP-14 and upar expression via HOXD10 [14]. The oncogenic or tumor suppressive effects of mir- 10b might be tissue specific. Some debate exists on whether mir-10b is upregulated or downregulated in Fig. 6 Kaplan-Meier curves with univariate analyses (log-rank) for patients with simultaneously low Hoxd10 expression versus high Hoxd10 expression tumors in all gastric cancer

Wang et al. World Journal of Surgical Oncology (2015) 13:259 Page 7 of 8 Fig. 7 Kaplan-Meier curves with univariate analyses (log-rank) for patients with low Hoxd10 expression versus high Hoxd10 expression tumors in all gastric cancer in stage I gastric cancer [9, 15]. Our previous study found mir- 10b to be significantly upregulated in tissues, overexpression of mir-10b in gastric cancer tissues was associated with lymph node and distant metastases, and the results suggest that mir-10b may play an important role in gastric tumorigenesis, progression, and prognosis [16]. However, effects and potential mechanisms of action of mir-10b in the metastasis of gastric cancer have not been explored thoroughly. Here, we discuss a unique role of mir-10b in gastric cancer cell invasion and metastasis. In this study, we analyzed the level of mir-10b in human gastric cancer cell lines AGS, MKN-28, BGC- 823, HCG-27, SGC-7901, 9811P, and MKN-45 and in the non-malignant gastric epithelial cell line GES-1, and the effect of mir-10b expression on gastric cancer cell proliferation, invasion, and migration. mir-10b was significantly upregulated in AGS, MKN-28, BGC-823, HCG-27, SGC-7901, and MKN-45 cell lines compared with the non-malignant gastric epithelial cell line GES-1. Liu et al. found mir-10b was highly expressed in poorly differentiated gastric cancer cell lines, such as BGC-823 and MKN45 [9]. We further analyzed the effect of mir- 10b on the migratory and invasive behavior of gastric cell lines (BGC-823, SGC-7901, and MKN-45). mir-10b inhibitor significantly inhibited proliferation and migration and also significantly increased the level of Hoxd10 protein in SGC-7901 and BGC-823 cells. Some debate exists on whether mir-10b is inhibited or increased Fig. 8 Kaplan-Meier curves with univariate analyses (log-rank) for patients with low Hoxd10 expression versus high Hoxd10 expression tumors in all gastric cancer in stage II Fig. 9 Kaplan-Meier curves with univariate analyses (log-rank) for patients with low Hoxd10 expression versus high Hoxd10 expression tumors in all gastric cancer in stage III

Wang et al. World Journal of Surgical Oncology (2015) 13:259 Page 8 of 8 Authors contributions Y-YW and LL participated in the scientific experiments. All authors participated in the conception and design of the study, as well as data collection and interpretation, manuscript preparation, and literature search. All authors have read and approved the final manuscript. Acknowledgements This work was supported by Zhejiang Provincial Medical Science Research Foundation (201337120) and Zhejiang Provincial Department of Science and Technology Research Foundation (2008C33040). Fig. 10 Kaplan-Meier curves with univariate analyses (log-rank) for patients with low Hoxd10 expression versus high Hoxd10 expression tumors in all gastric cancer in stage IV migration and invasion in gastric cell lines. mir-10b inhibitor increased both cell migration and invasion [17]. Inhibition of mir-10b activity by mir-10b inhibitor had no obvious effects on migration of MNK45 cells, while severely blocked cell invasion ability [9]. mir-10b can stimulate the upregulation of RhoC and AKT phosphorylation through targeting HOXD10, thus promoting cell invasion in gastric tumors [9]. There was no literature about the relationship between expression of HOXD10 and prognosis of patients. We further analyzed the association between Hoxd10 expression and clinicopathological features and prognosis. Hoxd10 was overexpressed in gastric cancer and correlated with size of tumor, Lauren classification, depth of invasion, lymph node and distant metastasis, TNM stage, and prognosis. Conclusions In conclusion, we analyzed the expression of mir-10b in gastric cancer cell lines, and the effect of mir-10b on cell proliferation, migration, invasion assays, and Hoxd10 expression. Results reported here increase the understanding of the molecular basis of mir-10b in gastric cancer and suggest that mir-10b promotes migration and invasion through Hoxd10 in human gastric cancer cell lines. mir-10b may be a useful molecular biomarker for assessing the risk of gastric cancer development, and modulation of mir-10b may represent a therapeutic approach for treating gastric cancer. Abbreviations AKT: V-akt murine thymoma viral oncogene homolog 1; CADM1: cell adhesion molecule 1; HOXD10: homeobox D10; KLF4: Kruppel-like factor 4; MAPRE1: microtubule-associated protein, RP/EB family, member 1; MMP- 14: Matrix metallopeptidase 14; RhoC: Ras homolog family member C; TNM: Tumor-Node-Metastasis; upar: plasminogen activator, urokinase receptor. Competing interests The authors declare that they have no competing interests. Author details 1 Departments of Gastrointestinal Surgery and Pathology, Zhejiang Provincial People s Hospital, Hangzhou 310014, People s Republic of China. 2 Key Laboratory of Gastroenterology of Zhejiang Province, Hangzhou 310014, Zhejiang, People s Republic of China. 3 Departments of Pathology, Zhejiang Provincial People s Hospital, Hangzhou 310014, Zhejiang, People s Republic of China. Received: 5 March 2015 Accepted: 5 August 2015 References 1. Hutvágner G, Zamore PD. A microrna in a multiple-turnover RNAi enzyme complex. Science. 2002;297(5589):2056 60. 2. Bartels CL, Tsongalis GJ. MicroRNAs: novel biomarkers for human cancer. Clin Chem. 2009;55(4):623 31. 3. Ladeiro Y, Couchy G, Balabaud C, Bioulac-Sage P, Pelletier L, Rebouissou S, et al. MicroRNA profiling in hepatocellular tumors is associated with clinical features and oncogene/tumor suppressor gene mutations. Hepatology. 2008;47(6):1955 63. 4. Bloomston M, Frankel WL, Petrocca F, Volinia S, Alder H, Hagan JP, et al. MicroRNA expression patterns to differentiate pancreatic adenocarcinoma from normal pancreas and chronic pancreatitis. JAMA. 2007;297(17):1901 8. 5. Tian Y, Luo A, Cai Y, Su Q, Ding F, Chen H, et al. MicroRNA-10b promotes migration and invasion through KLF4 in human esophageal cancer cell lines. J Biol Chem. 2010;285(11):7986 94. 6. Ma L, Teruya-Feldstein J, Weinberg RA. Tumour invasion and metastasis initiated by microrna-10b in breast cancer. Nature. 2007;449(7163):682 8. 7. Nakata K, Ohuchida K, Mizumoto K, Kayashima T, Ikenaga N, Sakai H, et al. MicroRNA-10b is overexpressed in pancreatic cancer, promotes its invasiveness, and correlates with a poor prognosis. Surgery. 2011;150(5):916 22. 8. Li QJ, Zhou L, Yang F, Wang GX, Zheng H, Wang DS, et al. MicroRNA-10b promotes migration and invasion through CADM1 in human hepatocellular carcinoma cells. Tumour Biol. 2012;33(5):1455 65. 9. Liu Z, Zhu J, Cao H, Ren H, Fang X. mir-10b promotes cell invasion through RhoC-AKT signaling pathway by targeting HOXD10 in gastric cancer. Int J Oncol. 2012;40(5):1553 60. 10. Zhao ZS, Wang YY, Chu YQ, Ye ZY, Tao HQ. SPARC is associated with gastric cancer progression and poor survival of patients. Clin Cancer Res. 2010;16(1):260 8. 11. Gabriely G, Teplyuk NM, Krichevsky AM. Context effect: microrna-10b in cancer cell proliferation, spread and death. Autophagy. 2011;7(11):1384 6. 12. Liu Y, Zhao J, Zhang PY, Zhang Y, Sun SY, Yu SY, et al. MicroRNA-10b targets E-cadherin and modulates breast cancer metastasis. Med Sci Monit. 2012;18(8):BR299 308. 13. Ibrahim SA, Yip GW, Stock C, Pan JW, Neubauer C, Poeter M, et al. Targeting of syndecan-1 by microrna mir-10b promotes breast cancer cell motility and invasiveness via a Rho-GTPase- and E-cadherin-dependent mechanism. Int J Cancer. 2012;131(6):E884 96. 14. Sun L, Yan W, Wang Y, Sun G, Luo H, Zhang J, et al. MicroRNA-10b induces glioma cell invasion by modulating MMP-14 and upar expression via HOXD10. Brain Res. 2011;1389:9 18. 15. Kim K, Lee HC, Park JL, Kim M, Kim SY, Noh SM, et al. Epigenetic regulation of microrna-10b and targeting of oncogenic MAPRE1 in gastric cancer. Epigenetics. 2011;6:740 51. 16. Wang YY, Ye ZY, Zhao ZS, Li L, Wang YX, Tao HQ, et al. Clinicopathologic significance of mir-10b expression in gastric carcinoma. Hum Pathol. 2013;44(7):1278 85. 17. Li Z, Lei H, Luo M, Wang Y, Dong L, Ma Y, et al. DNA methylation downregulated mir-10b acts as a tumor suppressor in gastric cancer. Gastric Cancer. 2015;18(1):43 54.