LncRNA DLGAP1-AS2 regulates miR-503/cyclin D1 to promote cell proliferation in non-small cell lung cancer

Background LncRNA DLGAP1-AS2 plays an oncogenic role in glioma, while its role in other cancers is unknown. This study aimed to study the role of DLGAP1-AS2 in non-small cell lung cancer (NSCLC). Methods Expression of DLGAP1-AS2 in NSCLC and paired non-tumor tissues from 64 NSCLC patients and the prognostic value of DLGAP1-AS2 for NSCLC were analyzed by performing a 5-year follow-up study. The interaction between DLGAP1-AS2 and miR-503 was confirmed by dual luciferase reporter assay, and their relationship was explored in NSCLC cells transfected with DLGAP1-AS2 expression vector or miR-503 mimic. The roles of DLGAP1-AS2 and miR-503 in regulating cyclin D1 expression were analyzed by RT-qPCR and Western blot. Cell proliferation was analyzed by CCK-8 assay. Results DLGAP1-AS2 was upregulated in NSCLC and predicted poor survival. Interaction between DLGAP1-AS2 and miR-503 was confirmed by dual luciferase activity assay. Overexpression experiments showed that DLGAP1-AS2 and miR-503 overexpression failed to significantly affect the expression of each other. Interestingly, DLGAP1-AS2 overexpression upregulated cyclin D1, a target of miR-503, increased cell proliferation and reduced the effects of miR-503 overexpression on cyclin D1 expression and cell proliferation. Conclusions DLGAP1-AS2 may regulate miR-503/cyclin D1 to promote cell proliferation in NSCLC. Supplementary Information The online version contains supplementary material available at 10.1186/s12890-021-01633-0.


Background
Lung cancer is the major cause of cancer deaths among both females and males worldwide [1,2]. It accounted for about 11.6% of all new cancer cases and caused 18.4% of all cancer deaths in 2018 [3]. More than half of lung cancer patients diagnosed at early stages can survive more than 5 years [4]. However, tumor metastasis to distant organs, such as the brain, bones, and liver, is common in lung cancer patients [5]. Despite the efforts made to treat metastatic lung cancer patients, only fewer than 5% of them can survive more than 5 years [5]. Smoking is the major contributor to the development of lung cancer, while lung cancer also affects never-smokers [6,7], suggesting the involvement of other internal and/or environmental factors.
During the past several decades, studies of the molecular pathology of lung cancer have revealed multiple signaling pathways with crucial functions in the growth and metastasis of lung cancer [8]. With our understanding of the molecular mechanisms of lung cancer increasing, novel therapies, such as targeted therapy that can be applied to suppress tumor growth and metastasis, have been developed [9,10]. However, effective targets for lung cancer remain lacking. LncRNAs and miRNAs are Open Access noncoding RNAs (ncRNAs) that participate in cancer by regulating the expression of related genes [11,12], suggesting that lncRNAs and miRNAs are promising targets for cancer therapy. In a recent study, DLGAP1-AS2 was reported to promote the development of glioma [13]. We performed bioinformatics analysis and predicted the potential interaction between DLGAP1-AS2 and miR-503, targeting cyclin D1 to suppress tumor growth [14]. This study aimed to explore the interactions among DLGAP1-AS2, miR-503, and cyclin D1 in non-small cell lung cancer (NSCLC).

Patients and follow-up
The study was approved by the Ethics Committee of Anhui Chest Hospital (No. Ach#965) and enrolled a total of 64 NSCLC patients (42 males and 22 females) between May 2013 and May 2015. These patients were between the age of 46 to 68 years, with a mean of 57.6 ± 6.6 years. Patients who (1) had other clinical disorders or recurrent NSCLC, (2) accepted previous treatment, and (3) died of diseases other than NSCLC were excluded from the study. These 64 patients were classified into AJCC stage I or II (n = 26) and stage III or IV (n = 38). All patients were visited monthly for a total of 5 years to record their survival status. The written informed consent was obtained from all patients. The clinicopathologic parameters of 64 NSCLC patients were shown in Table 1.

NSCLC tissues and cells
Before therapy, NSCLC tissues and their paired nontumor tissues were collected from each patient using fine-needle aspiration, confirmed using histopathological analysis, and stored in liquid nitrogen for subsequent analyses.

Transient transfections and dual luciferase reporter assay
DLGAP1-AS2 or cyclin D1 expression vectors were constructed using pcDNA3.1 as the backbone vector (Invitrogen). Negative control (NC) miRNA and mimic of miR-503 were purchased from Sigma-Aldrich. H2170 cells were transfected with 1 µg DLGAP1-AS2 or 40 nM miR-503 mimic using Lipofectamine 2000 (Invitrogen). Cells transfected with either empty vector or NC miRNA were used as the NC. In addition, non-transfected cells were served as the control (C).
DLGAP1-AS2 luciferase reporter vector was constructed with pGL3 luciferase vector as the backbone (Promega) and co-transfected with miR-503 mimic (miR-503 group) or + NC miRNA (NC group) into H2170 cells. At 48 h of post-transfection, luciferase activity assay was performed to explore the interaction between DLGAP1-AS2 and miR-503 mimic.

RNA isolation
Total RNA was isolated from paired tissue samples and H2170 cells using Ribozol reagent (Invitrogen). After being treated with DNase I (Invitrogen) for 100 min at 37 °C to completely remove genomic DNAs, RNA integrity was examined by electrophoresis on 6% urea-PAGE gels. The purity of RNA samples was reflected by OD260/280 ratios.

Western blot
Proteins were extracted from H2170 cells using RIPA solution (Invitrogen). After quantification using BCA assay (Invitrogen), the same amount of proteins were denatured at 95 °C for 10 min, separated by electrophoresis on SDS-PAGE gels, and transferred onto PVDF membranes. The membranes were incubated with 5% fat-free milk (PBS) at room temperature for 2 h before incubation with primary antibodies against cyclin D1 (ab194972, Abcam) and GAPDH (ab9845, Abcam) for 16 h at 4 °C. After that, the membranes were incubated with HRP IgG secondary antibody (ab6721, Abcam) for 3 h at 25 °C. Protein signals were developed using ECL (Invitrogen), detected, analyzed, and normalized to the control using Quantity One software.

Cell Counting Kit-8 (CCK-8) assay
H2170 cells with transfections were transferred to a 96-well cell culture plate with 0.1 ml medium containing 3000 cells per well and cultured at 37 °C. OD values at 450 nm were measured every 24 h for a total of 4 days at 2 h after incubation with 10% CCK-8 solution.
Cell colony formation assay H2170 cells (1 × 10 3 cells/well) transfected with indicated vectors were plated in 6-well plates and cultured at 37 °C in a humidified incubator with 5% CO 2 for 14 days. Colonies were fixed using 100% methanol, stained with 0.1% crystal violet, counted, and analyzed.

Statistical analysis
DLGAP1-AS2 levels in paired tissues were expressed as the average of three technical replicates and compared by paired t test. Luciferase activity was expressed as Mean ± SD value and compared by unpaired t-test. Data from multiple transfection groups was expressed as Mean ± SD value of three biological replicates and compared using ANOVA Tukey's test. To perform survival analysis, the 64 patients were divided into high and low DLGAP1-AS2 level groups (n = 32) with the median value as the cutoff. Survival curves were plotted for both groups and compared using log-rank test. p < 0.05 was deemed statistically significant.

DLGAP1-AS2 was overexpressed in NSCLC and correlated with the poor survival of NSCLC patients
DLGAP1-AS2 expression in NSCLC tissues and their paired non-tumor tissues collected from 64 patients was determined by RT-qPCR. DLGAP1-AS2 was significantly overexpressed in NSCLC tissues compared to the paired non-tumor tissues (Fig. 1A, p < 0.05). Survival curve analysis showed that the overall survival rate of NSCLC patients in the high DLGAP1-AS2 level group was significantly lower than that in the low DLGAP1-AS2 level group (Fig. 1B). Therefore, DLGAP1-AS2 overexpression in NSCLC was correlated with the poor survival of NSCLC patients. In addition, miR-503 was significantly downregulated in NSCLC tissues compared to the paired non-tumor tissues (Fig. 1C, p < 0.05).

DLGAP1-AS2 and miR-503 directly interacted with each other
The interaction between DLGAP1-AS2 and miR-503 was predicted by IntaRNA 2.0. It was observed that DLGAP1-AS2 and miR-503 could form multiple base pairings ( Fig. 2A). Dual-luciferase reporter assay analysis showed that the luciferase activity was significantly lower in the miR-503 group compared to the NC group (Fig. 2B, p < 0.05), suggesting a direct interaction between them.

Overexpression of DLGAP1-AS2 and miR-503 failed to regulate the expression of each other
To further explore the interaction between DLGAP1-AS2 and miR-503, H2170 cells were transfected with DLGAP1-AS2 expression vector or miR-503 mimic, followed by confirmation of the transfections by RT-qPCR (Fig. 3A, p < 0.05). It was observed that DLGAP1-AS2 overexpression failed to significantly alter miR-503 expression (Fig. 3B). Moreover, miR-503 overexpression also showed no significant effects on DLGAP1-AS2   (Fig. 3C). Therefore, DLGAP1-AS2 is unlikely a target of miR-503 and could act as an endogenous sponge of miR-503.

DLGAP1-AS2/miR-503/cyclin D1 pathway regulated H2170 cell proliferation
The effects of overexpression of DLGAP1-AS2, miR-503, and cyclin D1 on the H2170 cell proliferation were Fig. 3 Overexpression of DLGAP1-AS2 and miR-503 failed to regulate the expression of each other. To further explore the interaction between DLGAP1-AS2 and miR-503, H2170 cells were transfected with DLGAP1-AS2 expression vector or miR-503 mimic, followed by confirmation of the transfections by RT-qPCR (A). In addition, the effects of DLGAP1-AS2 overexpression on miR-503 (B) and the effects of miR-503 overexpression on DLGAP1-AS2 (C) were analyzed by RT-qPCR. Mean ± SD values of three biological replicates were used to express data of multiple transfection groups. *p < 0.05 To test possibility that DLGAP1-AS2 acts as an endogenous sponge of miR-503, the effects of DLGAP1-AS2 and miR-503 overexpression on cyclin D1 expression were explored by RT-qPCR (A) and Western blot (B). Mean ± SD values of three biological replicates were used to express data of multiple transfection groups. *p < 0.05 analyzed by CCK-8 and cell colony formation assays. As shown in Fig. 5A, overexpression of DLGAP1-AS2 or cyclin D1 increased cell proliferation compared with the empty vector (p < 0.05). Moreover, transient transfection of miR-503 mimic and cyclin D1-siRNA decreased H2170 cell proliferation compared with NC miRNA and untreated control, respectively (p < 0.05). Furthermore, the effects induced by miR-503 overexpression were reversed by transfecting miR-503 mimic plus pcDNA3.1-DLGAP1-AS2 (p < 0.05). Consistently, As shown in Fig. 5B,C, cell colony formation assays showed that miR-503 overexpression resulted in fewer and smaller colonies compared to the NC miRNA, and the effects were reversed by transfecting miR-503 mimic plus pcDNA3.1-DLGAP1-AS2 groups (p < 0.05). These results suggested that DLGAP1-AS2 overexpression reduced the effects of miR-503 overexpression on cell proliferation.

Discussion
This study explored the interplay between DLGAP1-AS2 and the axis of miR-503/cyclin D1 in NSCLC. The results showed that DLGAP1-AS2 was overexpressed in NSCLC and promoted NSCLC cell proliferation by upregulating cyclin D1 by sponging miR-503.
The functionality of DLGAP1-AS2 has only been analyzed in glioma [13]. It was observed that DLGAP1-AS2 was overexpressed in glioma and upregulated YAP1 to promote glioma cell proliferation and metastasis [13]. However, the involvement of DLGAP1-AS2 in other cancers remains unclear. In this study, we showed that DLGAP1-AS2 was significantly overexpressed in NSCLC, and DLGAP1-AS2 overexpression increased the proliferation rate of NSCLC cells, indicating DLGAP1-AS2 overexpression in NSCLC may play oncogenic roles by enhancing cancer cell proliferation.
Despite the efforts made on NSCLC treatment, the overall survival of NSCLC patients remains poor [17,  H2170 cells (B, C). Mean ± SD values of three biological replicates were used to express data of multiple transfection groups. *p < 0.05 18]. We found that high DLGAP1-AS2 expression levels were closely correlated with the poor survival of NSCLC patients. Therefore, measuring DLGAP1-AS2 expression levels in cancer tissues might provide guidance for developing personalized therapy, thereby improving patients' survival. However, clinical trials are needed to verify our hypothesis.
MiR-503 plays different roles in different types of cancers [14,19]. For instance, miR-503 is overexpressed in colorectal cancer and promotes cancer progression [19]. Cyclin D1, a target of miR-503 plays a critical role in various cancers. Jiang et al. found that miR-503 downregulation promotes proliferation, migration, and invasion of esophageal squamous cell carcinoma (ESCC) cells by targeting cyclin D1 [14]; Long et al. found that miR-503 inhibits human breast cancer cell proliferation by suppressing cyclin D1 expression (20); Xu et al. [21] found that miR-503 suppresses endometrioid endometrial cancer cell proliferation and cycle progression by negatively regulating cyclin D1. However, the role of miR-503 by targeting cyclin D1 is unclear in NSCLC. Therefore, in this study, we chose cyclin D1 as a potential target and showed that miR-503 might also target cyclin D1 in NSCLC cells to decrease cell proliferation. We found DLGAP1-AS2 directly interacts with miR-503 to regulate the cyclin D1 expression but has no effect on miR-503 expression. A similar phenomenon has been found in other lncRNAs. Yang et al. [22] showed that lncRNA MIR31HG functions as a miR-193b sponge but has no significant effects on miR-193b level following MIR31HG knockdown or overexpression. Yang et al. also showed that miR-193b overexpression suppresses MIR31HG expression and function, suggesting that MIR31HG is a target of miR-193b. However, in our study, miR-503 overexpression has no effect on DLGAP1-AS2 expression, suggesting that DLGAP1-AS2 is unlikely a target of miR-503. Therefore, miR503 overexpression inhibits H2170 cell proliferation by downregulating cyclin D1 expression, and DLGAP1-AS2 overexpression may act as a 'sponge' by competing for miR-503 binding to upregulate cyclin D1 expression, thereby promoting H2170 cell proliferation. Overall, our study showed that DLGAP1-AS2 overexpression reduces the effects of miR-503 overexpression on cyclin D1 expression and cell proliferation. Therefore, DLGAP1-AS2 may sponge miR-503 in NSCLC.

Conclusion
DLGAP1-AS2 is overexpressed in NSCLC and might upregulate cyclin D1 by sponging miR-503 to promote NSCLC cell proliferation.