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AD Award Number: W81XWH-12-1-0201 TITLE: Role of long non-coding RNAs in prostate cancer PRINCIPAL INVESTIGATOR: Yin-Yuan Mo CONTRACTING ORGANIZATION: University of Mississippi Medical Center Jackson, MS 39216 REPORT DATE: September 2013 TYPE OF REPORT: Final PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 DISTRIBUTION STATEMENT: Approved for Public Release; Distribution Unlimited The views, opinions and/or findings contained in this report are those of the author(s) and should not be construed as an official Department of the Army position, policy or decision unless so designated by other documentation.

REPORT DOCUMENTATION PAGE Form Approved OMB No. 0704-0188 Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE 2. REPORT TYPE September 2013 Final 3. DATES COVERED 1 June 2012 31 May 2013 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Role of long non-coding RNAs in prostate cancer 5b. GRANT NUMBER W81XWH-12-1-0201 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER Yin-Yuan Mo 5e. TASK NUMBER E-Mail: ymo@umc.edu 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION REPORT NUMBER University of Mississippi Medical Center Jackson, MS 39216 9. SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR S ACRONYM(S) U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 11. SPONSOR/MONITOR S REPORT NUMBER(S) 12. DISTRIBUTION / AVAILABILITY STATEMENT Approved for Public Release; Distribution Unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT MicroRNAs are non-coding small RNAs that exert their silencing functions at the posttranscriptional level; they play a fundamental role in regulation of diverse cellular pathways. In addition to micrornas, the cell also expresses abundantly other non-coding RNAs such as long non-coding RNAs (>200 bases) (lncrnas), which could account for 4-9% of transcripts in human genome. In this application we proposed to test whether lncrnas are dysregulated in prostate cancer. We demonstrated that lncrna GAS5 is a direct target for mir-21. Furthermore, GAS5 can also suppress mir-21. In addition to GAS5, we identified that PCGEM1 is upregulated in prostate cancer, and it interacted with androgen receptor (AR). More importantly, both AR and PCGEM1 were co-localized in prostate cancer cells as well as in the clinical specimens, especially in high grade prostate tumors, suggesting that their interaction may contribute to aggressiveness of prostate cancer and castration resistance. Together, our study suggests that lncrnas are important players in prostate cancer biology, and further characterization of these lncrnas will provide a better understanding of prostate cancer biology. As a result, lncrnas may serve as biomarkers for prostate cancer. 15. SUBJECT TERMS Long non-coding RNA, microrna, GAS5, PCGEM1 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT a. REPORT U b. ABSTRACT U 18. NUMBER OF PAGES c. THIS PAGE U UU 9 19a. NAME OF RESPONSIBLE PERSON USAMRMC 19b. TELEPHONE NUMBER (include area code)

Table of Contents Page Introduction..... 1 Body.. 1 Key Research Accomplishments... 4 Reportable Outcomes 4 Conclusion 4 References. N/a Appendices N/a

Introduction Functional genomics has identified a large number of non-coding genes including micrornas and long non-coding RNAs (lncrnas). While micrornas are well characterized, lncrnas are poorly characterized. Although little is known about functions of these lncrnas, evidence suggests that certain lncrnas can form complementary duplex with micrornas and has an inverse correlation with corresponding micrornas. Therefore, the goal of this application was to determine the role of lncrnas in prostate cancer and to determine whether micrornas can also target lncrnas in addition to protein-coding genes. Identification of such lncrnas would provide a better understanding of microrna regulation and aid in the development of prostate cancer biomarkers. Body Task 1. Determine whether lncrnas negatively correlate with microrna expression Results: we found that there was a negative correlation between lncrna GAS5 and mir-21. Task 2. Determine whether alterations of lncrna levels have any impact on microrna expression Results: lncrna GAS5 can suppress mir-21. Task 3. Identify novel lncrnas in prostate cancer Results: PCGEM1 is a novel lncrna that can interact with AR and is upregulated in prostate tumors LncRNA GAS5 as a mir-21 target A GAS5 mir-21 Relative expression of GAS5 7b:77 nt 1 2 3 4 5 6 8 B 5 4 3 2 1 0 * 9 11 10 5 -ACAGGCATTAGACAGA-AAGCTG :: : : AG-UUGUAGUCAGACUAUUCGAU-5 Fig. 1 Identification of GAS5 as a mir-21 target. A, a potential mir-21 binding site in GAS5. B, Anti-miR-21 increases GAS5 expression. C, Ectopic expression of mir-21 suppresses GAS5. Relative expression of GAS5 C 120 100 80 60 40 20 0 12 * As master gene regulators, micrornas often have multiple targets of protein-coding genes. However it is not clear whether microrna can silence long non-coding RNAs (lncrnas). In this application we chose mir-21 because it plays an important role in prostate cancer. We used a focus group of lncrnas derived from lncrna database (www.lncrnadb.com) because there is a commercially available realtime RT-PCR based array (Human Disease Related LncRNA Profiler, #RA920D-1 from SBI) for lncrna profiling. Since mir-21 is often upregulated in tumor specimens as well as in cancer cell lines, we knocked down mir-21 in prostate cancer LNCaP cells by anti-mir-21 and then determined the effect of anti-mir-21 on lncrna expression. Thus, total RNA extracted from these transfected cells was used for lncrna profiling. From initial profiling, we found that several lncrnas were induced by anti- 1

mir-2silico analysis with RNA22 program identified a complementary region with mir-21 (Fig. 1A). To further confirm this finding, we designed a different set of primers. While anti-mir-21 increased GAS5 (Fig. 1B), ectopic expression of mir-21 suppressed GAS5 (Fig. 1C). and among them was GAS5. We were particularly interested in GAS5 because in PCGEM1 is a novel lncrna that can interact withh AR To search for novel lncrnas in prostate cancer, we asked what kind of lncrnas can interact with androgen receptor (AR) because AR is a key regulator of prostate growth and the principal drug target for the treatment of prostate cancer. As a nuclear receptor transcription factor, AR controls expression of genes important to prostate cancer cell growth and progression, and the development of castration-res sistant prostate cancer (CRPC) Therefore, we performed RNA immunoprecipitation (RIP) with AR antibody for a focused set of lncrnas. We used a commercially available real-time RT-PCR based array (Human Disease-Related LncRNA Profiler r from System Biosciences) for this purpose. Although this array carries only 83 lncrnas, they are curated based on literature evidence (www.lncrnadb.com) and many of them are associated with diseases or with known functions. Basically, cellular extract was prepared from LNCaP cells and then was subject to RIP assay with AR antibody. The precipitated RNA was then used for lncrna profiling. Through this screen, we confirmed PCGEM1 as an AR binding partner. Further characterization with a different set of primers confirmed this interaction between AR and PCGEM1 (Fig. 2). Colocalization of PCGEM1 with AR in prostate cancer cells To further examine their interaction, we carried out immunofluorescence (IF) staining and fluorescence in situ hybridization (FISH) to detect their co-localization in LNCaP cells. Thus, we simultaneously performed IF with AR antibody and FISH with a biotin labeled PCGEM1 probe which was derived from the 2

antisense of PCGEM1 sequence. In addition, this probe was modified with locked nucleic acid (LNA), which was purchased from Exiqon, to increase the stability of probe/target complex. FISH signal was revealed by detection kitt with Alexa Fluor 568 (Invitrogen). To determine the specificity of PCGEM1 signal, wee introduced 10 x amount of blocking oligo which was complementary to the probe in the hybridization buffer. Thus the blocking oligo served as a competitor to PCGEM11 probe. As shown in Fig. 3A, little PCGEM1 signal was detected in the blocking oligoo treated cells. Of interest, while AR was predominantly in the nucleus, PCGEM1 wass mainly localized to cytoplasm or nucleoli if it was in the nucleus in the absence of androgen (Fig. 4B). There was a relatively small amount of co-localizatio on of PCGEM1 and AR, especially in nuclear speckle-like structures (Fig. 3B). However, in the presence of androgen, more AR moved into the nucleus and the nuclear AR signal became stronger; at the same time, more PCGEM1 was also detected in the nucleus (Fig. 3C). More interestingly, the co- localization signal became much stronger, especially in the nucleoplasm (Fig. 3C), suggesting that androgen may promote both nuclear localization of AR and PCGEM1, and their interaction. This possibility will be further tested by RIP assay with AR antibody. Next, we examined the expression of AR and PCGEM1, and their subcellular localization in clinical specimens. Although FISH for paraffin-imbedded specimens is challenging because they often carry a high background of autofluorescence, we were able to manage to reduce the background and obtain specific signals for AR and PCGEM1 (Fig. 4). For example, in the low grade prostate tumor, the distribution patterns of AR and PCGEM1 were similar to what we observed in LNCaP cells in the absence of androgen. While AR was seen mainly in the nucleus, PCGEM1 was predominantly in the cytoplasm. Theree as little co-localization. However,, for high grade prostate tumors, we observed a relatively strong co-localizatio on signal of PCGEM1 and AR. Since the epitope of the AR antibody used here was derived from the N-terminus (Cell Signaling, Cat#5153), it is expected to also recognize AR variants lacking ligand binding domain 3

(LBD) such as AR3-V7, in addition to full length AR. Therefore, it would be of interest to determine whether this increase in co-localizationhave been shown to be associated with aggressiveness of is due to upregulation of alternative AR splicing variants which prostate cancer and castration resistance. These results suggest that co-localization of AR and PCGEM1 could be important to the AR-regulated gene expression and may have a clinical significance. LncRNA PCGEM1 is upregulated in prostate cancer Furthermore, we used a regular in situ hybridization method to detect PCGEM1 expression in prostate tumors becausee this method would allow us to examine their expression in archived paraffin- imbedded specimens. As shown in Fig. 5, PCGEM1 was expressed in both low grade and high grade prostate tumors, however, the level of PCGEM1 was much higher in high grade prostate tumors than in low grade tumors, suggesting that PCGEM1 may play an oncogenic role in prostate cancer. Key research accomplishments By lncrna profiling, we identify that GAS5 is negatively regulated by mir-21. GAS5 can also negatively regulate mir-21, forming a feedback loop LncRNA tumors PCGEM1 is upregulated in prostatee tumors, especially those high grade PCGEM1 interacts with AR; this interaction prostate cancer and castration resistance may contribute to aggressiveness of Reportable Outcomes A manuscript regarding PCGEM1 is in preparation. Conclusions We have identified lncrna GAS5 as a mir-21 target. GAS5 carries a putative mir-21 binding site. Thus the results suggest thatt mir-21 nott only targett protein-coding gene, but also lncrnas such as GAS5. Moreover, we demonstrate that PCGEM1 is a novel 4

lncrna that is upregulated in prostate cancer, and its expression is correlated with aggressiveness of prostate cancer. Of interest, PCGEM1 can interact with AR and activate AR-regulated gene expression. In clinical specimens, PCGEM1 is co-localized with AR in high grade tumors, suggesting that this interaction may play a role in aggressiveness of prostate cancer and castration resistance. Future work will be to determine whether PCGEM1 can serve as a biomarker to distinguish aggressive prostate cancer from indolent diseases. 5

A list of personnel working on this project: Ziqiang Zhang Juan Zhang Cindy Uyen 6