Long noncoding RNA DANCR promotes colorectal cancer proliferation and metastasis via miR-577 sponging

Long non-coding RNAs (lncRNAs) play key roles in various malignant tumors, including colorectal cancer (CRC). Long non-coding RNA differentiation antagonizing non-protein coding RNA (DANCR) is overexpressed in CRC patients, but whether it affects CRC proliferation and metastasis via regulation of heat shock protein 27 (HSP27) remains unclear. In the present study, we found that DANCR was highly expressed and correlated with proliferation and metastasis in CRC. In addition, we demonstrated that DANCR and HSP27 were both targets of microRNA-577 (miR-577) and shared the same binding site. Furthermore, we revealed that DANCR promoted HSP27 expression and its mediation of proliferation/metastasis via miR-577 sponging. Finally, using an in vivo study, we confirmed that overexpression of DANCR promoted CRC tumor growth and liver metastasis. The present study demonstrated the function of DANCR in CRC and might provide a new target in the treatment of CRC. A long non-coding RNA linked to colorectal cancer causes tumor progression by unleashing the activity of a protein involved in cell proliferation and spread. Researchers in China led by Xiandong Zeng from Shenyang Medical College explain why the expression of a long non-coding RNA molecule known as DANCR correlates with poor prognosis in patients and mouse models carrying colorectal cancer tissue. They showed that DANCR displaces a small regulatory microRNA from its normal binding spot on the gene transcript that encodes HSP27, a protein involved in the growth and metastasis of colorectal cancer cells. This microRNA normally suppresses HSP27 activity, whereas DANCR, by outcompeting the microRNA, promotes HSP27 expression, leading to cell proliferation and metastasis. Drugs that block DANCR could thus help treat the disease.


Introduction
As the third most common cancer, colorectal cancer (CRC) ranks as one of the leading causes of cancer-related death worldwide 1 . It has been reported that approximately more than a half of CRC patients die from distant metastasis, especially liver metastasis [2][3][4] . Most CRC patients with already existing liver metastasis are not suitable for surgical treatment and therefore have a 5-year survival rate of <10% 5,6 . Thus, it is critical to identify new molecules and the underlying mechanisms associated with metastasis development.
Long non-coding RNAs (lncRNAs) are a group of >200nucleotide non-coding RNAs involved in numerous diseases, including CRC. Differentiation antagonizing nonprotein coding RNA (DANCR), located on human chromosome 4q12, has been reported to act as an oncogene in various malignant tumors. Ma et al. 7 reported that elevation of DANCR promoted tumor growth and metastasis in hepatocellular carcinoma. Jiang et al. 8 revealed that DANCR promoted tumor progression and cancer stemness features in osteosarcoma via inhibition of miR-33a-5p. Liu 9 found that over-expression of DANCR was associated with advanced tumor progression and a poor prognosis in colorectal cancer patients. However, the detailed mechanism concerning how DANCR functions remains unclear.
Among the multiple working mechanisms of lncRNAs, the competitive endogenous RNA (ceRNA) theory was first proposed by Salmena and became prevalent and widely accepted 10 . The ceRNA hypothesis describes crosstalk between lncRNA and RNA transcript that occurs when they share the same miRNA response elements (MREs) 11 . In the present study, we revealed that DANCR and heat shock protein 27 (HSP27), a downstream target of microRNA-577 (miR-577) in CRC, shared binding sites with miR-577. In addition, we found that overexpression of DANCR promoted CRC proliferation and metastasis, which were regulated by HSP27 acting as a ceRNA of miR-577.

Patient and tissue samples
In total 47 cases of CRC tissues and matched non-CRC tissues were used in this study and were collected after receiving permission from patients during tumorectomy at the Central Hospital Affiliated to Shenyang Medical College from February 2016 to February 2017. All 47 cases were diagnosed according to a definite pathological diagnosis, and the clinical stage of these patients was determined according to the tumor, node, metastasis (TNM) classification of the International Union Against Cancer (UICC). Written informed consent was obtained from all participants. The Institute Research Medical Ethics Committee of Central Hospital Affiliated to Shenyang Medical College granted approval for this study.

Cell culture
The human colon cancer cell lines HT29, HCT116, SW480, and LOVO and normal human colon epithelial  (43/47) of CRC tissue specimens compared with those in matched non-CRC tissue specimens, as determined by qRT-PCR using GAPDH as the normalization control. **P < 0.01 vs. the non-CRC group. c The mean optical densities of DANCR were gradually elevated according to the grading of different clinical stages of CRC tissue specimens, as detected by in situ hybridization, normalized to the clinical stage I group. **P < 0.01, ***P < 0.001 vs. clinical stage I. d Endogenous expression of DANCR was up-regulated in the CRC cell lines HT29, HCT116, SW480, and LOVO compared with that in the normal human colon epithelial cell line NCM460, as measured by qRT-PCR using GAPDH as the normalization control. **P < 0.01, ***P < 0.001 vs. NCM460 group. The data are shown as the means ± SD from three independent experiments cell line NCM460 were purchased from the American Type Culture Collection and were cultured in RPMI1640 medium (Gibco, El Paso, TX, USA) supplemented with 10 % (v/v) fetal bovine serum (FBS, Sigma, St. Louis, MO, USA), 100 IU/ml penicillin and 100 mg/ml streptomycin (Baomanbio, Shanghai, China) at 37°C in a humidified atmosphere containing 5% CO 2 .

Plasmid construction
DANCR fragments containing miR-577 binding sites were amplified and cloned into pmirGLO vectors (Promega, Madison, WI, USA) to synthesize the wild-type DANCR reporter plasmid pmirGLO-DANCR-wt. The putative binding sites of miR-577 in DANCR were mutated using a QuikChange Site-Directed Mutagenesis kit (Agilent, Santa Clara, CA, USA) to generate the mutant DANCR reporter plasmid pmirGLO-DANCRmut. The pmirGLO-HSP27-wt and pmirGLO-HSP27mut reporter plasmids were constructed using the same method. The above plasmids were used for subsequent luciferase reporter assays. Similarly, DANCR fragments containing miR-577 binding sites were amplified and cloned into the KpnI and XhoI restriction sites (Promega, USA) of the pcDNA3.1 vector to synthesize pcDNA3.1-DANCR-wt, and pcDNA3.1-DANCR-mut was also constructed using the QuikChange Site-Directed Mutagenesis kit (Agilent, USA). Four shRNAs against the human DANCR gene (NR_145129.1) (DANCR shRNA) and a non-targeting control sequence (NC shRNA) were ligated into the pLKO.1 plasmid vector (Sigma, USA). These plasmids were used to construct DANCR up-regulation and down-regulation cell models. Meanwhile, the same method was applied to construct the wild-type and mutant HSP27 overexpression plasmids pcDNA3.1-HSP27-wt and pcDNA3.1-HSP27-mut, respectively. Oligonucleotides encoding the miR-577 precursor and anti-miR-577 precursor were ligated into the pGPH1/GFP/ Neo (pre-miR-577) and pGPU6/GFP/Neo plasmid (anti-miR-577) vectors (GenePharma, Shanghai, China), respectively. Plasmids carrying a non-targeting control sequence were used as a negative control (pre-miR-577-NC and anti-miR-577-NC). These plasmids were used to construct the miR-577 up-regulation and downregulation cell models.

Cell transfection
All of the plasmids used for the construction of the DANCR or miR-577 up-regulation and down-regulation cell models were studied in an up-regulation setting. For transient cell transfection, the CRC cell lines HT29 and LOVO at 60-80% confluence were prepared for transfection. The plasmids were transfected into HT29 and LOVO cells using Lipofectamine 2000 (Invitrogen, Carlsbad, CA, USA) according to the manufacturer's protocol. For stable cell transfection, cells were selected in culture medium containing 0.4 mg/ml geneticin (G418; Invitrogen). After 6 weeks, G418-resistant cell clones were established.

Reverse transcription and quantitative real-time PCR
The procedure was carried out, as previously described 12 . Briefly, total RNA from CRC tissues or

Western blotting
The procedures for western blotting were carried out, as previously described 13 . In short, total proteins from CRC tissues or cultured cells were extracted using RIPA lysis buffer (Santa Cruz, USA). Samples were subjected to 10% SDS-PAGE and transferred to a PVDF membrane. Target proteins were probed using specific antibodies as follows: HSP27 (1:1000; Cell Signaling Technology, USA), LRP6 (1:1000; Cell Signaling Technology, USA) and GAPDH (0.5 µg/ml; Abcam, Cambridge, MA, UK).

Cell proliferation assays
The 5-ethynyl-20-deoxyuridine (EDU) incorporation assay and Cell Counting Kit-8 (CCK-8) assay were used to assess CRC cell proliferation changes. For the EDU incorporation assay, the procedure was carried out according to the manufacturer's instructions by using EDU detection kits (Ribobio, Guangzhou, China). The CCK-8 assay was executed, as previously reported 14 .
In brief, CRC cells were seeded in 96-well plates (2 × 10 3 ) supplemented with complete growth medium, followed by different transfection treatments 24 h later. At days 1, 2, 3, 4, and 5 after transfection, 10 μl of CCK-8 solution was added to each well, followed by incubation for 2 h. The absorbance was measured at an optical density of 450 nm using a microplate reader (Bio-Rad, Hercules, CA, USA). Experiments were repeated in triplicate.

Cell metastasis assays
The Transwell assay and wound-healing assay were used to detect changes in the metastatic ability of CRC cells. The Transwell assay was performed, as previously reported 15 . After the different interventions, CRC cells were seeded on uncoated and Matrigel-coated upper chambers (BD Bioscience, New Jersey, USA) for migration and invasion assays, respectively. Medium without serum and with 10% FBS was supplemented into the upper and lower wells, respectively, for an additional 24 h of incubation. Thereafter, non-migrating or non-invading cells were carefully removed. Next, the filters were fixed in 90% alcohol, followed by crystal violet staining. Five random fields were counted per chamber using an inverted microscope (Olympus, Tokyo, Japan). For the wound-healing assay, subconfluent monolayers of CRC cells after the different interventions were formed into three parallel lines using a P-200 pipette tip. The detached cells were washed off twice gently, and the medium was then replaced with 1% FBS complete medium. To visualize wound healing, images were taken at 0, 24, and 48 h. The percentage of wound closure (original width-width after cell migration/original width) was calculated. Experiments were repeated in triplicate.

RNA immunoprecipitation (RIP) assay
The procedure was carried out as previously described using the Magna RNA-binding protein immunoprecipitation kit (Millipore, Billerica, MA, USA) 16 . In brief, whole-cell lysates were incubated with RIP buffer containing magnetic beads conjugated with a human anti-Ago2 antibody or negative-control normal mouse IgG. The samples were incubated with Proteinase K, and then, immunoprecipitated RNA was isolated. The RNA concentration was measured using a spectrophotometer (Thermo Scientific, Waltham, MA, USA), and the RNA quality was assessed using a bio-analyzer (Agilent, USA). Furthermore, purified RNA was extracted and analyzed by quantitative real-time PCR to demonstrate the presence of the binding targets.

In situ hybridizations assay and immunohistochemistry analysis
In situ hybridization staining was performed on fresh paraffin sections. Briefly, tissue slides were mixed with 5′-digoxigenin LNA-modified-DANCR (Exiqon A/S, Vedbaek, Denmark) using the IsHyb in situ Hybridization kit (BioChain Institute, Inc., San Francisco, CA, USA) according to the manufacturer's protocol. The immunohistochemistry procedure was performed as previously described 17 .

Animal study
Male severe combined immunodeficient mice (NOD-SCID-gamma, 5-6 weeks old) were purchased from the Animal Care and Use Committee of Dalian Medical University Ltd. and were kept under sterile specific pathogenfree conditions. HT29 cells (transfected with pMSCV puro-DANCR or pMSCV puro, then selected by G418) with stable overexpression of DANCR (DANCR++) or the corresponding negative control (DANCR−) were prepared for further injection. Approximately 1 × 10 6 prepared HT29 cells in 50% Matrigel (BD Bioscience, USA) were injected into the subcutaneous and caudal veins of mice. In the subcutaneous group, mice were killed every 4 days for 24 days, tumor growth was measured, and tumor volume was calculated using the formula volume = 1/2 (length × width 2 ). After 6 weeks of injection, mice administered a caudal vein injection were dissected to assess liver metastasis. All experimental procedures were carried out in compliance with the guiding principles for the Care and Use of Animals described in the American Journal of Physiology and with the guidelines established by the Institute of Laboratory Animal Sciences, Faculty of Medicine, Kagoshima University. All efforts were made to minimize animal suffering, to reduce the number of animals used, and to utilize possible alternatives to in vivo techniques.

Statistical analysis
All experiments were repeated in triplicate, and all of the data from three independent experiments were (see figure on previous page) Fig. 3 Depression of DANCR inhibits metastasis and HSP27 expression in CRC cells HT29 and LOVO. a The metastasis ability of HT29 and LOVO cells was inhibited after the depression of DANCR, as detected by Transwell assays (Scale bar=200 µm; magnification, ×20). b Depression of DANCR inhibited the metastasis ability of HT29 and LOVO cells, as detected by wound-healing assays (Scale bar=500 µm; magnification, ×4). c HSP27 was gradually elevated with progressed staging of CRC as detected by IHC. ***P < 0.001 vs. the clinical stage I group. d Depression of DANCR inhibited HSP27 expression in HT29 and LOVO cells, as detected by western blotting and qRT-PCR. **P < 0.01 vs. the NC shRNA group. The data are shown as the means ± SD from three independent experiments expressed as the means ± SD. GraphPad Prism V5.0 (GraphPad Software, Inc., La Jolla, CA, USA) software and SPSS 19.0 (SPSS, Inc., Chicago, USA) statistical software were used for statistical analysis. P-values < 0.05 were considered statistically significant, while P-values < 0.01 were considered very statistically significant.

Results
Elevated DANCR is expressed in colorectal cancer tissues and cell lines and is correlated with a poor prognosis in colorectal cancer patients We detected the DANCR expression level in 47 cases of colorectal cancer tissue specimens and matched noncolorectal cancer tissue specimens using qRT-PCR. As shown in Fig. 1a, b, elevated DANCR was found in 91.49% (43/47) of colorectal cancer tissue specimens compared with that in non-colorectal cancer tissue specimens (***P < 0.001). Simultaneously, DANCR expression was detected in different clinical stages of CRC tissues by in situ hybridization (ISH) analysis. As presented in Fig. 1c, DANCR expression was gradually elevated with the staging of CRC (**P < 0.01, ***P < 0.001). Furthermore, we used qRT-PCR to determine the different DANCR expression levels in the CRC cell lines HT29, HCT116, SW480, and LOVO, as well as the normal human colon epithelial cell line NCM460. As shown in Fig. 1d, DANCR expression was remarkably elevated in the CRC cell lines, especially in HT29 and LOVO compared with NCM460; therefore, the HT29 and LOVO cell lines were selected for subsequent cellular experiments (**P < 0.01, ***P < 0.001). Finally, we analyzed the association between the different DANCR expression levels and clinicopathological features of CRC patients using Pearson's chi-squared test or Fisher's exact test. As shown in Table 1, high DANCR expression was closely correlated with clinicopathological features, especially with the clinical stage (P = 0.043), nodal (N) classification (P = 0.016), metastasis (M) classification (P = 0.003), and liver metastasis (P = 0.007) (determined by qRT-PCR).

Depression of DANCR inhibits proliferation in CRC cells HT29 and LOVO
In the previous section, we found that elevated DANCR was closely correlated with the clinical staging. Here, we investigated whether the function of DANCR might work on CRC cell proliferation. We constructed DANCR stable knockdown cell models by transfection of DANCRsilencing plasmids. As shown in Fig. 2a, 1# DANCR shRNA presented the highest silencing efficiency; therefore, 1# DANCR shRNA was selected as the silencing plasmid in subsequent RNAi experiments. Next, 5-ethynyl-2′-deoxyuridine (EDU) incorporation assays and CCK-8 assays were used to determine proliferation changes after DANCR knockdown in HT29 and LOVO cells. As presented in Fig. 2b, c (EDU) and 2D-E (CCK-8), depression of DANCR obviously inhibited proliferation in HT29 and LOVO cells (**P < 0.01).

Depression of DANCR inhibits metastasis and decreases HSP27 expression in HT29 and LOVO CRC cells
In addition, we detected migration/invasion changes in the constructed DANCR knockdown cell models using Transwell assays and wound-healing assays. As the shown in Fig. 3a, b, depression of DANCR led to obvious inhibition of migration/invasion changes in HT29 and LOVO cells (*P < 0.05, **P < 0.01).
HSP27, also named HSPB1, has been reported to be a tumor marker, especially regarding cell proliferation and metastasis in colorectal cancer [18][19][20][21][22] . Here, we illustrated that HSP27 was gradually elevated with progressed staging of CRC according to IHC detection (Fig. 3c), indicating that HSP27 is an oncogene, as previously suggested. Furthermore, we detected the influence of DANCR on HSP27 expression. As shown in Fig. 3d, depression of DANCR remarkably decreased HSP27 expression (**P < 0.01).

DANCR and HSP27 are both miR-577 targets
In the above sections, we demonstrated the expression level and function of DANCR in the colorectal cancer cell (see figure on previous page) Fig. 4 DANCR and HSP27 are both targets of miR-577. a DANCR and HSP27 shared the same theoretical miR-577 binding sites, as predicted by targetscan and DIANA-LncBase. b miR-577 was expressed at a lower level in CRC tissues and cell lines than in non-CRC tissues and NCM460, as measured by qRT-PCR. U6 was used as the normalization control. ## P < 0.01 vs. the non-CRC group, **P < 0.01 vs. the NCM 460 group. c miR-577 was up-and down-regulated by transfection of pre-miR-577 or anti-miR-577, as detected by qRT-PCR; &P > 0.05, ***P < 0.001 vs. control group. d HSP27 was negatively regulated by miR-577, as determined by qRT-PCR and western blotting; & P > 0.05, **P < 0.01 vs. the control group (Nos. 1-5 represent the control group, pre-miR-577-NC group, pre-miR-577 group, anti-miR-577-NC group and anti-miR-577 group, respectively). e Diagram of the constructed HSP27 reporter plasmid containing the wild-type or mutant miR-577 binding site. f Co-transfection of pre-miR-577 and pmirGLO-HSP27wt led to significant weakening of fluorescence compared with the pre-miR-577 and pmirGLO-HSP27-mut co-transfection group, as determined by luciferase assays. & P > 0.05, **P < 0.01 vs. the pre-miR-577-NC group. g Diagram of the constructed DANCR reporter plasmid containing wild-type or mutant miR-577 binding sites. h DANCR was also negatively regulated by miR-577, as determined by qRT-PCR; & P > 0.05, **P < 0.01 vs. the control group. i, j Weakened fluorescence was present in the pre-miR-577 and pmirGLO-HSP27-wt co-transfection groups, as determined by luciferase assays. & P > 0.05, **P < 0.01 vs. the pre-miR-577-NC group. k, l The RIP assay was performed using input from the cell lysate, normal mouse IgG or anti-Ago2. Relative expression levels of DANCR and miR-577 were determined by qRT-PCR. **P < 0.01 vs. the anti-normal IgG group. The data are shown as the means ± SD from three independent experiments lines HT29 and LOVO. Here, we investigated the mechanism underlying the function of DANCR. The competing endogenous RNA (ceRNA) theory is a recent, prevalent theory in the non-coding RNA field. In the previous sections, we confirmed that depression of DANCR inhibited HSP27 expression. Meanwhile, according to a previous study, HSP27 was reported to be an miR-577 target 18 . Thus, we investigated whether a similar ceRNA mechanism exists among DANCR, HSP27 and miR-577. Using the online theoretical prediction programs targetscan and lncbase, we found that DANCR and HSP27 shared the same miR-577 binding sites (at the transcription positions 424-430 in DANCR and 77-83 in HSP27) (Fig. 4a). Next, we confirmed that miR-577 was expressed at a low level in colorectal cancer tissues and cell lines (Fig. 4b) ( ## P < 0.01, **P < 0.01, ***P < 0.001). Furthermore, we verified that miR-577 negatively regulated HSP27 expression by targeting its 3′UTR (Fig. 4c-f). Furthermore, we found that upregulation and down-regulation of miR-577 negatively affected DANCR expression (Fig. 4h) (**P < 0.01, & P > 0.05). Finally, through a luciferase assay and RIP assay, we confirmed that DANCR was a target of miR-577 (Fig. 4g, i-l) (**P < 0.01, & P > 0.05).

Elevation of DANCR promotes tumor growth of CRC in vivo
To further verify the function of DANCR in CRC tumor growth, HT29 cells with stable overexpression of DANCR (DANCR++) and the corresponding negative (see figure on previous page) Fig. 5 MiR-577 suppresses proliferation and metastasis via targeting HSP27 in CRC cells. a, b Up-regulation of miR-577 inhibited HSP27 expression, while the inhibition effect was reversed by pcDNA3.1-HSP27-mut, but not by pcDNA3.1-HSP27-wt, as determined by western blotting (a) and qRT-PCR (b). & P > 0.05, **P < 0.01 vs. the pre-miR-577 group. c, d Up-regulation of miR-577 suppressed HT29 (c) and LOVO (d) cell proliferation, while the suppression effect was reversed by pcDNA3.1-HSP27-mut, but not by pcDNA3.1-HSP27-wt, as determined by the EDU and CCK8 assays. &P > 0.05, **P < 0.01 vs. the pre-miR-577 group. e, f Elevation of miR-577 also suppressed HT29 (c) and LOVO (d) cell metastasis, and the suppression effect was reversed by pcDNA3.1-HSP27-mut, but not by pcDNA3.1-HSP27-wt, as determined by the Transwell assay. & P > 0.05, **P < 0.01 vs. the pre-miR-577 group (Nos. 1-4 represent the control group, pre-miR-577-NC group, pre-miR-577 group, pre-miR-577 + pcDNA3.1-HSP27-wt group and pre-miR-577 + pcDNA3.1-HSP27-mut group, respectively). The data are shown as the means ± SD from three independent experiments control (DANCR−) were subcutaneously inoculated in nude mice. As the representative pictures shown in Fig. 7a-c, the volumes of the formatted tumor in the DANCR++ group were significantly larger than those in the DANCR− group at every detection point (1 week, 2 weeks, 3 weeks, and 4 weeks; **P < 0.01). Meanwhile, we detected DANCR and miR-577 expression in the formatted subcutaneous tumors of nude mice in the two groups. As expected, elevated DANCR and depressed miR-577 were presented in the DANCR++ group compared with those in the DANCR-group (Fig. 7d, e) (**P < 0.01). Furthermore, HSP27 expression was determined in the formatted subcutaneous tumors of nude mice in each group according to IHC, qRT-PCR and western blotting. As shown in Fig. 7f, g, HSP27 expression in the DANCR++ group was higher than that in the DANCRgroup (**P < 0.01).

Discussion
lncRNAs are a group of endogenous RNA molecules that contain 200-100,000 nucleotides and are involved in the regulation of gene expression at the epigenetic, transcriptional and post-transcriptional levels in the form of RNA 24 . lncRNAs exert their functions to regulate gene expression and chromatin structure in the following ways: decoy effect, scaffold effect and post-transcriptional effect 25 . The lncRNA DANCR has been reported to be The expression level of HSP27 in the formatted tumors was evaluated by IHC (Scale bars=200/50 µm; magnifications ×100 and ×400) and qRT-PCR. g HSP27 in the formatted tumors was assessed by western blotting. **P < 0.01 vs. the DANCR− group. The data are shown as the means ± SD from three independent experiments Fig. 8 Up-regulation of DANCR promotes the liver metastasis of CRC in vivo. a Representative photos of the metastatic nodules in the livers are shown. b H&E staining of the livers with metastatic nodules are shown. Scale bars=400 µm; magnification, ×40. c DANCR expression in the metastatic nodules was assessed by qRT-PCR. d miR-577 expression in the metastatic nodules was also assessed by qRT-PCR. e The expression level of HSP27 in the formatted tumors was evaluated by IHC (Scale bar=400 µm; magnification, ×40) and qRT-PCR. f HSP27 in the formatted tumors was evaluated by western blotting. **P < 0.01 vs. the DANCR-group. The data are shown as the means ± SD from three independent experiments an oncogene in various cancers, including CRC. Jiang reported that DANCR promoted osteosarcoma progression and cancer stemness features via inhibition of miR-33a-5p 26 . Jia 27 found that DANCR promoted prostate cancer invasion via epigenetic silencing of TIMP2/3. Yuan and colleagues 28 reported that DANCR increased the stemness features of hepatocellular carcinoma by derepression of CTNNB1. In the present study, using clinical specimens and a cellular level of detection, we detected overexpressed DANCR in CRC tissue and cell lines, indicating that DANCR might function as an oncogene in CRC similar to that in other malignant tumors. In addition, the subsequent Chi-squared test indicated that up-regulated DANCR was closely correlated with the clinical stage and occurrence of liver metastasis in CRC patients. Thus, we focused on the function of DANCR in CRC cell proliferation and metastasis. As demonstrated in the functional proliferation and metastasis assays, depression of DANCR inhibited CRC cell proliferation and metastasis. Additionally, these outcomes further confirmed the hypothesis that DANCR is an oncogene in CRC.
Heat shock protein 27 (HSP27) is a member of the small heat shock protein family, and over-expression of HSP27 is associated with promoting drug resistance, aggressive cancers, metastasis, and poor patient outcomes 29 . Currently, there are a number of related reports of HSP27 concerning CRC proliferation and metastasis 18,21,[30][31][32] . Zhang 33 demonstrated that HSP27 enhanced cell proliferation via activation of activator protein-1. Through detection analysis of 131 human CRC tissue samples, Yuan 21 suggested that the expression of HSP27 was significantly up-regulated in CRC tissue specimens with lymph node metastasis compared with those without lymph node metastasis and that the down-regulation of HSP27 attenuated the oncogenic effect of miR-145 21 . HSP27 expression also favors metastasis by influencing epithelial-mesenchymal transition (EMT), in which cells switch from a compact shape to a spindle shape and gain enhanced cell motility 34,35 . In the present study, we also used HSP27 as a breaking point in CRC cell proliferation and metastasis. Through functional inhibition testing, we found that depression of DANCR also suppressed HSP27 expression. Furthermore, through a series of molecular mechanism studies, we revealed the regulatory mechanism of the effect of DANCR on HSP27. Among the working mechanisms of lncRNAs, the competitive endogenous RNA (ceRNA) theory has drawing increasing attention in numerous malignant tumors, including bladder cancer, breast cancer, gastric cancer, hepatocellular cancer and CRC [36][37][38][39][40][41][42] . The ceRNA hypothesis postulates that any RNA transcript that harbors MREs can sequester miRNAs from other targets that share the same MREs, thereby regulating their expression 43 . Through systematic online prediction, we found that DANCR and HSP27 shared the same MREs as miR-577.
It is well known that microRNAs (miRNAs), which are 20-200 nucleotides in length, play key roles in the regulation of various biological processes, including CRC tumorigenesis and metastasis [44][45][46][47][48][49][50] . MiR-577, located in human chromosome 4q26, is a member of the miRNA family. As a member of this family, there are few related reports on miR-577 and CRC. Jiang 18 reported that miR-577 was down-regulated in CRC specimens and cell lines and that restoration of miR-577 significantly suppressed proliferation and colony formation and induced G0/G1 cell cycle arrest in CRC cells. In the present study, we found a similar miR-577 expression tendency in tissue and cellular detection as previously reported. It is accepted that miRNAs regulate expression of their target gene by binding to its 3′UTR. Through a series of miR-577 functional experiments and luciferase assays, we confirmed that both DANCR and HSP27 were the targets of miR-577 because they share the same MREs as miR-577. Importantly, we illustrated that miR-577 negatively regulated HSP27-mediated proliferation and invasion in CRC cells.
Recent studies have demonstrated that lncRNAs, which serve as pseudogenes, could inhibit miRNA activity by acting as miRNA "sponges" by sharing some common MREs with miRNAs 51 . In the present study, we found that DANCR and HSP27 shared the same miR-577 MREs, which contain seven basic groups. In addition, we verified that miR-577 targeted DANCR and the HSP27 3′UTR using the same MREs. Furthermore, we confirmed that DANCR and miR-577 inhibited each other's expression reciprocally. Furthermore, using western blotting, qRT- Fig. 9 Schematic diagram of the mechanism underlying this study. DANCR promotes colorectal cancer proliferation and metastasis by promoting HSP27 expression via the sponging of miR-577 PCR and constructed antisense cell behavior experiments, we found that only the wild-type rather than a mutated DANCR overexpression plasmid could promote HSP27 expression and HSP27-mediated CRC cell proliferation/ metastasis. More convincingly, the facilitating effect of DANCR on HSP27 and its mediated cell biological behavior were significantly reversed by pre-miR-577, a constructed miR-577 overexpression plasmid. Hence, as shown in Fig. 9, we conclude that DANCR promotes HSP27 expression and its mediated proliferation and metastasis by acting as a "sponge" or a ceRNA of miR-577 in CRC cells. Finally, we confirmed that overexpression of DANCR promoted CRC tumor growth and liver metastasis in an animal study in vivo.
In conclusion, the present study demonstrated that DANCR was up-regulated in CRC tissue and cell lines. Depression of DANCR inhibited proliferation and metastasis by down-regulating HSP27 via miR-577 sponging in CRC cells in vitro. Elevation of DANCR promoted tumor growth and liver metastasis in constructed nude mouse models. Our findings indicated that DANCR/miR-577/ HSP27axial could be a potential therapeutic target in the molecular targeting treatment of CRC.