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LINC01410-miR-532-NCF2-NF-kB feedback loop promotes gastric cancer angiogenesis and metastasis


Dysregulation of non-coding RNAs, including miRNAs and lncRNAs has been reported to play vital roles in gastric cancer (GC) carcinogenesis, but the mechanism involved is largely unknown. Using the cancer genome atlas (TCGA) data set and bioinformatics analyses, we identified miR-532-5p as a potential tumor suppressor in GC, and found that lncRNA LINC01410 might be a negative regulator of miR-532-5p. We then conducted a series of in vivo and in vitro assays to explore the effect of LINC01410 on miR-532-5p-mediated GC malignancy and the underlying mechanism involved. MiR-532-5p overexpression inhibited GC metastasis and angiogenesis in vitro and in vivo, whereas miR-532-5p silencing had the opposite effect. Further study showed that miR-532-5p attenuated NF-κB signaling by directly inhibiting NCF2 expression, while miR-532-5p silencing in GC enhanced NF-κB activity. Furthermore, we demonstrated miR-532-5p down-regulation was caused by aberrantly high expression of LINC01410 in GC. Mechanistically, overexpression of LINC01410 promoted GC angiogenesis and metastasis by binding to and suppressing miR-532-5p, which resulted in up-regulation of NCF2 and sustained NF-κB pathway activation. Interestingly, NCF2 could in turn increase the promoter activity and expression of LINC01410 via NF-κB, thus forming a positive feedback loop that drives the malignant behavior of GC. Finally, high expression of LINC01410, along with low expression of miR-532-5p, was associated with poor survival outcome in GC patients. Our studies uncover a mechanism for constitutive LINC1410-miR-532-5p-NCF2-NF-κB feedback loop activation in GC, and consequently, as a potential therapeutic target in GC treatment.


Gastric cancer (GC) is one of the most devastating malignancies, and in China, the incidence of GC continues to rise [1]. Active angiogenesis and metastasis are the main causes of therapeutic failure and poor survival in GC [2]. To date, however, there has been little investigation into promising molecular biomarkers that could predict the risk of angiogenesis and metastasis of this malignancy.

Non-coding RNAs (ncRNAs), which can generally be divided into two major classes based on their size: long non-coding RNAs (lncRNAs) and microRNAs (miRNAs), have no apparent protein-coding capability, but participate widely in various biological and pathological processes [3,4,5]. Copious studies have shown that miRNAs are dysregulated in human cancers, and play key roles in tumor development and progression, including in GC [6,7,8]. In contrast to miRNAs, the role of lncRNAs in human cancers is largely unknown. Growing numbers of theoretical and experimental studies have revealed that lncRNAs can either positively or negatively regulate the expression of protein-coding genes through a variety of mechanisms [9,10,11,12]. However, due to the functional diversity of lncRNAs, identification of cancer-related lncRNAs remains challenging.

In 2011, Salmena and colleagues proposed the competitive endogenous RNA (ceRNA) hypothesis, which posited that any RNA molecules that harbor miRNA-response elements (MREs) can sequester miRNAs from other targets sharing the same MREs, thereby regulating their function [13]. This hypothesis has been validated by several additional studies, which showed that lncRNAs could function as ceRNAs that compete for miRNA binding, thus derepressing the expression of miRNA-targeted mRNAs [14, 15]. Based on this theory, the “lncRNA–miRNA–mRNA” networks have been found in human cancers, including GC [16]. For example, the lncRNA XIST regulates GC progression by acting as a molecular sponge of miR-101 to modulate EZH2 expression, while lncRNA BC032469 functions as a ceRNA that impairs miR-1207-5p-dependent hTERT down-regulation and promotes cell proliferation in GC [17, 18]. However, the function of these networks and their exact mechanisms in GC pathogenesis remain poorly understood.

Our current study, for the first time, reported that miR-532-5p plays a tumor-suppressive role in human GC. Mechanistically, miR-532-5p targets NCF2 mRNA and represses its expression, thereby suppressing the NF-κB signaling pathway. Next, we found that the lncRNA LINC01410 is overexpressed in GC cells and can directly bind to and repress miR-532-5p activity. Loss of miR-532-5p activity leads to up-regulation of NCF2 and sustained NF-κB activation in GC. More importantly, NCF2 can in turn upregulate LINC01410 expression via NF-κB.


miR-532-5p expression is associated with GC recurrence and patient survival

To search for miRNAs correlated with GC patient survival, we analyzed the miRNA expression profiles of GC patients in the Stomach Adenocarcinoma (STAD) data set of the cancer genome atlas (TCGA). Using censored survival analysis of the significance analysis of microarrays (SAM), we found 28 differentially expressed miRNAs to be closely associated with recurrence-free survival (RFS) or overall survival (OS), according to a median expected false discovery rate (FDR) of 5% (Table 1). To validate the TCGA analysis, we measured the 28 selected miRNAs’ expression levels in 20 paired GC samples with their adjacent normal tissues (ANT) from Sun Ya-Sen University Cancer Center (SYSUCC). We found four miRNAs (miR-532-5p, miR-653-5p, miR-660-5p, and miR-1304-5p) that were differentially expressed between GC samples and their ANTs (Supplementary Figure 1a). Of these four miRNAs, miR-532-5p showed the most significant difference. Thus, we focused on miR-532-5p for further study. Of note, although we failed to observe a significant difference in OS, when the 398 GC patients in the TCGA data set were stratified using the median of miR-532-5p expression as a cutoff point, patients with higher miR-532-5p expression had better RFS than patients with lower levels of miR-532-5p (Supplementary Figure 1b). To further verify the TCGA data, we examined miR-532-5p expression levels in 98 GC cases from our SYSUCC cohort. We observed that GC patients in the SYSUCC cohort with low miR-532-5p expression had worse OS and RFS rates than those with high miR-532-5p expression (Supplementary Figure 1c). Low expression of miR-532-5p was positively associated with advanced N stage (P = 0.012) and overall clinical stage (P = 0.012) in the 98 GC cases (Supplementary Table 1). According to univariate and multivariate analyses, miR-532-5p expression was an independent indicator for outcome evaluation of GC patients (Supplementary Table 2).

Table 1 Significance analysis of microarrays (SAM) using the TCGA gastric cancer data set identified miRNAs associated with patients’ OS or RFS

miR-532-5p suppresses GC cell metastasis in vitro and in vivo

We also detected that miR-532-5p expression was significantly decreased in a panel of six GC cell lines compared with normal gastric epithelial cells (GSE-1): extremely low level of miR-532-5p was detected in SGC-7901 and MNK-45 cells, which showed relatively high metastasis capacity, but relatively high level of miR-532-5p was detected in AGS cells, which exhibited the lowest metastasis capacity among the six GC cell lines examined (Supplementary Figure 2). Thus, we chose these three GC cell lines for further study, and established GC cell lines that either stably overexpress miR-532-5p or have reduced expression of endogenous miR-532-5p (Supplementary Figure 3). Ectopic miR-532-5p expression only slightly decreased cell growth in vitro (Supplementary Figure 4). However, wound-healing assays showed that overexpression of miR-532-5p markedly reduced GC cell mobility (Fig. 1a). Additionally, Transwell migration assays and Matrigel invasion assays showed that ectopic expression of miR-532-5p significantly compromised GC cell migration and invasion (Fig. 1b,c). By contrast, inhibition of miR-532-5p in GC cells increased their motility, migration, and invasive behaviors (Fig. 1a–c).

Fig. 1

miR-532-5p suppresses gastric cancer metastasis in vitro and in vivo. a The wound healing rate in miR-532-5p-transfected SGC-7901 and MNK-45 cells was largely inhibited, while enhanced in miR-532-5p-silenced AGS cells. b The number of migrated cell was significantly decreased in miR-532-5p-overexpressing SGC-7901 and MNK-45, while increased in miR-532-5p-silenced AGS cells, as determined by transwell migration assay. c The number of invaded cell was decreased in miR-532-5p-overexpressing SGC-7901 and MNK-45, while increased in miR-532-5p-silenced AGS cells, as assessed by Matrigel invasion assay. d miR-532-5p inhibits tumor metastasis in vivo. Upper panel: (Left) Representative bright-field imaging of the lungs; (Right) hematoxylin and eosin (H&E) staining was performed on serial sections of metastatic tumors and normal lung. Arrows: lesions of lung. Lower panel: the number of nodules was qualified on lungs of SCID mice (n = 6 per group) 6 weeks after tail vein injection of SGC-7901/miR-532-5p or SGC-7901/control, and AGC/anti-miR-532-5p or AGC/shcontrol cells

To ascertain the role of miR-532-5p in GC metastasis in vivo, we then injected SGC7901/miR-532-5p, SGC7901/control, and AGS/anti-miR-532-5p, AGS/control cells into the tail vein of nude mice, and detected the resulting lung metastatic nodules. Mice injected with SGC-7901/miR-532-5p had fewer and smaller lung metastases compared to mice in the SGC-7901/control group (Fig. 1d). Conversely, the AGS/anti-miR-532 group had more and larger lung metastases compared with the AGS/control group (Fig. 1d).

miR-532-5p suppresses GC cell angiogenesis in vitro and in vivo

Angiogenesis is considered to be crucial for the metastasis and progression of cancer and is involved in the carcinogenesis of GC [2]. By performing gene set enrichment analysis (GSEA) on data from the TCGA STAD subset, we detected miR-532-5p expression was inversely correlated with gene signatures of angiogenesis (Fig. 2a). We then examined whether miR-532-5p expression could affect angiogenesis using an in vitro human umbilical vein endothelial cell (HUVEC) model. Overexpressing miR-532-5p strongly inhibited, while silencing miR-532-5p increased GC cells’ ability to induce tube formation and migration of HUVECs (Fig. 2b,c), suggesting that miR-532-5p inhibits GC angiogenesis in vitro.

Fig. 2

The inhibitory effects of miR-532-5p on tumor angiogenesis and NF-κB activity of GC cells. a GSEA plot showed miR-532-5p level was inversely correlated with angiogenesis gene signatures in the TCGA the stomach adenocarcinoma (STAD) data set. b and c The abilities of in vitro capillary tube formation (b) and migration (c) of HUVEC were significantly decreased after incubating with culture medium of miR-532-5p-transfected GC cell, while potentially strengthened after incubating with culture medium of miR-532-5p-silenced GC cell. d and e The VEGFA levels (d) and MVD (e) in tumor tissue of nude mice models with subcutaneous implantation of GC were noticeably reduced when miR-532-5p was up-regulated in SGC-7901 cells, while largely increased when miR-532-5p was down-regulated in AGS cells. f Luciferase-reported NF-κB activity was decreased in miR-532-5p-overexpressing, while increased in miR-532-5p-silenced GC cells. g EMSA indicated NF-κB activity dramatically decreased in miR-532-5p-transduced cells but increased in miR-532-5p-inhibited cells. OCT-1 DNA-binding complexes served as a control. h qRT-PCR analysis showed an apparent overlap between miR-532-5p-regulated gene expression and NF-κB-dependent gene expression. The pseudocolors represent the intensity scale of miR-532-5p versus control or anti-miR-532-5p versus shcontrol vector, which was generated by a log 2 transformation. i Western blotting assay showed that nuclear NF-κB/p65, p-IKK-β, p-IκBα, and c-FLP expressions were decreased in miR-532-5p-overexpressing SGC-7901 and MNK-45, while potentially increased in miR-532-5p-silenced AGS cells. p54 was used as a nuclear loading control

To further examine miR-532-5p’s effect on in vivo tumor angiogenesis in GC, we implanted mice with GC cells that either overexpressed miR-532-5p or had miR-532-5p expression knocked down. Palpable tumors formed one week after implantation. We found that overexpression of miR-532-5p suppressed, while knockdown of miR-532-5p enhanced, the expression level of VEGFA in GC tumor tissues (Fig. 2d). In addition, microvessel density (MVD) (as indicated by anti-CD34 staining) was significantly lower in tumor tissues from miR-532-5p-transfected SGC-7901 cells than control-transfected SGC-7901 cells. Similarly, MVD in tumor tissues from anti-miR-532-5p-transfected AGS cells was significantly higher than tumors from control AGS cells (Fig. 2e).

miR-532-5p inhibits NF-κB activity in GC

To understand the molecular basis of the miR-532-5p’s tumor-suppressing effects, we performed luciferase reporter assays to assess the effect of miR-532-5p on the NF-κB, MAPK, and Wnt signaling pathways, which are well-known positive regulators of tumor angiogenesis and metastasis. We observed that down-regulation of miR-532-5p in GC cells significantly enhanced, while up-regulation of miR-532-5p reduced, NF-κB-induced luciferase activity (Fig. 2f), but had no effect on the MAPK or Wnt pathways. However, the effect of miR-532-5p down-regulation on NF-κB activation was dramatically inhibited upon transfection of a mutant form of IκBα (IκBα-mut, which is widely known to inhibit the NF-κB pathway) (Fig. 2f). Furthermore, overexpression of miR-532-5p significantly reduced, and silencing of miR-532-5p increased, NF-κB’s DNA-binding ability (Fig. 2g) and the mRNA expression levels of numerous well-characterized NF-κB target genes (Fig. 2h). Subcellular fraction assays demonstrated that miR-532-5p overexpression led NF-κB p65 to primarily localize to the cytoplasm, while miR-532-5p silencing resulted in stronger nuclear localization of NF-κB p65 (Fig. 2i). In addition, Western blotting demonstrated that the phosphorylation of IKK-β and IκBα, and the expression of c-FLIP (a well-characterized NF-κB target gene), were down-regulated in miR-532-5p-overexpressing cells and up-regulated in miR-532-5p-silenced cells (Fig. 2i).

miR-532-5p targets NCF2 in GC

To identify potential miR-532-5p target genes, we searched for computationally predicted candidates using miRecords, which compiles data from 11 microRNA target prediction databases, and performed RT-qPCR analysis to compare the expression levels of these candidate genes between miR-532-5p-overexpressing GC cells and control cells. Among all the candidate genes tested, neutrophil cytosol factor 2 (NCF2) showed the most significant difference in expression level (Supplementary Table 3). The luciferase reporter assays showed that overexpression of miR-532-5p significantly repressed the luciferase activity of luciferase fused to the NCF2-3′UTR (luc-NCFR-3′UTR), while inhibition of miR-532-5p enhanced the luciferase activity of luc-NCF2-3′UTR. Meanwhile, ectopic expression of mutant miR-532-5p had no inhibitory effect on luc-NCF2-3′UTR luciferase activity (Fig. 3a, b). In addition, the mRNA and protein levels of NCF2 were significantly decreased following ectopic expression of miR-532-5p. On the contrary, miR-532-5p suppression led to an increase in NCF2 expression, at both the mRNA and protein level. Consistently, overexpressing mutant miR-532-5p had no effect on NCF2 mRNA or protein expression (Fig. 3c, d). Moreover, our clinical data show that the expression levels of miR-532-5p and NCF2 were negatively correlated in 98 GC samples, and that high expression of NCF2 conferred a worse survival outcome in GC patients (Supplementary Figure 5a–d).

Fig. 3

NCF2 is the direct target of miR-532-5p and affects the in vitro function of miR-532-5p in GC cells. a The predicted target sequence of miR-532-5p in 3′UTR of NCF2 (NCF2-3′UTR) and mutant containing three altered nucleotides in the seed sequence of miR-532-5p (miR-532-5p-mut). b Luciferase assay of pGL3-NCF2-3′-UTR reporters in the presence of increasing amounts (10, 20, 50 nM) of miR-532-5p mimic and mutant oligonucleotides, or increasing amounts (20, 50, 100 nM) of miR-532-5p inhibitor oligonucleotides in GC cell line. c and d qRT-PCR analysis (c) and western blot analysis (d) showed miR-532-5p tranfection decreased NCF2 mRNA and protein level in SGC-7901 and MNK-45 cells, while anti-miR-532-5p dramatically increased NCF2 mRNA and protein level in AGS cell. e Transwell migration assay (Left) and Matrigel invasion assay (Right) showed the migratory capacity and invasion ability of miR-532-5p-overexpressing SGC-7901 and MNK-45 cells was strengthened when transfected with full-length NCF2. f Restoration of NCF2 compromised the inhibitory effects of miR-532-5p on the abilities of capillary tube formation (Left) and in vitro migration (Right) of HUVECs. g Expression of NF-κB luciferase reporter activities were determined in the indicated cells. h EMSA showed that restoration of NCF2 counteracted the inhibitory effect of miR-532-5p on endogenous NF-κB activity. i and j qRT-PCR (i) and Western blotting (j) assay indicated that overexpression of NCF2 compromised the suppression effect of miR-532-5p on numerous NF-κB-targeted genes and proteins

To determine whether NCF2 directly contributes to miR-532-5p function, NCF2 was overexpressed in miR-532-5p-overexpressing GC cells. As expected, restoration of NCF2 expression can block miR-532-5p-mediated suppression of cell migration and invasion (Fig. 3e). We also found that after restoration of NCF2 expression, conditioned media from miR-532-5p-transfected GC cell cultures could obviously increase HUVEC migration and capillary tube formation (Fig. 3f). Also, exogenous expression of NCF2 blocked miR-532-5p-mediated inhibition of the NF-κB pathway in GC cells (Fig. 3g–j). Analysis of 98 GC tissue specimens using immunohistochemical (IHC) analysis showed a statistically significant correlation between NCF2 expression and NF-κB p65 nuclear localization (P < 0.001, Supplementary Figure 5e, f).

A reciprocal negative regulation is existed between miR-532-5p and LINC01410

As mentioned above, increasing evidence shows that lncRNAs can function as ceRNA for miRNAs or naturally occurring miRNA sponges [13, 14]. Thus, we used bioinformatic tools (LncBase Experimental v.2) to search for potential lncRNAs that could regulate miR-532-5p. We selected the top 10 lncRNAs predicted by the tool, and examined their expression level in GC (Supplementary Table 4). Interestingly, only LIN01410 was found to be up-regulated in GC, and showed a negative correlation with miR-532-5p expression (Supplementary Figure 6). Considering that lncRNA function largely depends on subcellular localization, we performed cell fractionation and analyzed subcellular RNA sequencing data to identify the predominant location of LINC01410. This analysis showed that LINC01410 tended to be found in cytoplasm (Fig. 4a). To confirm that miR-532-5p binds directly to LINC01410, we conducted a dual-luciferase gene reporter assay. The results showed that co-transfection of LINC01410-Wt and miR-532-5p significantly inhibited luciferase activity relative to the control group, whereas the luciferase activity in the LINC01410-Mut group was not affected (Fig. 4b, c). Moreover, the expression of miR-532-5p was reduced following LINC01410 overexpression, while miR-532-5p expression was increased after LINC01410 knockdown with shRNAs (Fig. 4d). We further evaluated whether miR-532-5p can regulate LINC01410 expression by determining the effects of miR-532-5p ectopic expression and inhibition on the expression of LINC01410. As shown in Fig. 4e, LINC01410 expression was decreased after ectopic expression of miR-532-5p, whereas increased after inhibition of miR-532-5p. To better characterize this reciprocal negative regulation, we performed RNA-IP analysis. As shown in Fig. 4f, in control GC cells, the amount of LINC01410 and miR-532-5p that immunoprecipitated with Ago2 was higher than the respective IgG group. In GC cells treated with anti-miR-532-5p, less LINC01410 and miR-532-5p immunoprecipitated with Ago2 than in the control group; however, more LINC01410 immunoprecipitated with Ago2 compared to IgG control. In contrast, the amount of miR-532-5p that immunoprecipitated with Ago2 was not statistically different from the amount of miR-532-5p that immunoprecipitated with IgG (Fig. 4f). These data demonstrated that LINC01410 could impair miR-532-5p expression in a RNA-induced silencing complex (RISC)-dependent manner, and that there might be a reciprocal inhibitory feedback loop between LINC01410 and miR-532-5p.

Fig. 4

LINC01410 targets miR-532-5p by directly binding to miRNA response element. a Left panel: LINC01410 is abundant in cytoplasm of SGC-7901 and MNK-45 cells. U2 and ACTIN were used as positive controls in nucleus and cytoplasm, respectively. Right panel: Cytoplasm enrichment (cytoplasm/total expression ratio) of LINC01410 in GC and adjuvant normal tissues. b Schematic representation of the predicted binding sites for miR-532-5p, and the site mutagenesis design for the reporter assay. c The relative luciferase activities were inhibited in the HEK-293T cells transfected with the reporter vector LINC01410-WT, not with the reporter vector LINC01410-Mut. d Ectopic LINC01410 expression decreased miR-532-5p expression while inhibition of LINC01410 increased miR-532-5p expression in SGC-7901 and MNK-45 cells. e Ectopic miR-532-5p expression decreased LINC01410 expression, and inhibition of miR-532-5p enhanced LINC01410 expression. f miR-532-5p was identified in LINC01410-RISC complex. Control and anti-miR-532-5p cell lysates were used for RNA-IP with anti-Ago2 antibody. LINC01410 and miR-532-5p expression levels were detected using qRT-PCR

LINC01410 increases GC cell angiogenesis and metastasis in vivo and in vitro

Next, we further investigated the functional role of LINC01410 by overexpressing or knocking down LINC01410 (Supplementary Figure 7). Overexpression of LINC01410 in GC cells resulted in a significant increase in migration, invasion, and angiogenesis, while LINC01410 inhibition had the opposite effect (Fig. 5a–d). We next investigated whether LINC01410 overexpression or knockdown could affect NF-κB activity. We observed that overexpression of LINC01410 significantly increased, while inhibition of LINC01410 decreased, the NF-κB promoter-luciferase reporter activity, NF-κB DNA-binding, and mRNA expression of numerous well-characterized target genes (Supplementary Figure 8a–c). Also, Western blotting demonstrated that nuclear signals of NF-κB p65, phophorylation of IKK-β and IκBα, as well as expression of c-FLIP, were up-regulated in LINC01410-ovexpressing cells and down-regulated in LINC01410-silenced cells (Supplementary Figure 8d).

Fig. 5

LINC01410 promotes GC metastasis and angiogenesis in vitro and in vivo. a and b Enforced overexpression of LINC01410 largely promoted, while inhibition of LINC01410 potentially compromised the migratory (a) and invasion (b) ability of GC cells. c and d The abilities of in vitro capillary tube formation (c) and migration (d) of HUVEC were largely compromised after incubating with culture medium of LINC01410-transfected AGS cell, while potentially strengthened after incubating with culture medium of LINC01410-silenced SGC-7901 and MNK-45 cell. e Overexpression of LINC01410 increased, while silencing LINC01410 inhibited in vivo metastatic ability of GC cell. f The VEGFA levels and MVD in tumor tissue of nude mice models with subcutaneous implantation of GC were significantly decreased when LINC01410 was down-regulated in SGC-7901, while largely increased when LINC01410 was up-regulated in AGS cells

We also tested the in vivo function of LINC01410 in GC. We found that the number and size of the metastatic colonies were largely increased on the lung surface after LINC01410-transfected cells were implanted in mice, while decreased significantly in the LINC01410 knockdown group (Fig. 5e). In addition, tumor tissues of the subcutaneous models injected with SGC-7901/LINC01410 cells had significantly higher levels of VEGFA and MVD compared to controls. Additionally, knockdown of LINC01410 decreased the expression level of VEGFA and MVD in GC tumor tissues (Fig. 5f). Overall, these results suggest that LINC01410 promotes metastasis and angiogenesis in vivo.

Overexpression of LINC01410 promotes GC metastasis and angiogenesis by inhibiting miR-532-5p

Next, we assessed the effect of co-transfecting GC cells with LINC01410 and miR-532-5p. MiR-532-5p was overexpressed or inhibited in GCs that either stably overexpressed LINC01410, or had stable knockdown of LINC01410. MiR-532-5p overexpression partially attenuated the enhancement in metastasis and angiogenesis caused by LINC01410 overexpression. Likewise, combining LINC01410 overexpression with miR-532-5p inhibition enhanced the effect of LINC01410 overexpression. In contrast, LINC01410 knockdown combined with miR-532-5p overexpression strengthened the tumor-suppressive effect caused by LINC01410 knockdown alone. Finally, miR-532-5p inhibition with LINC01410 knockdown partially reversed the LINC01410 knockdown-mediated reduction in metastasis and angiogenesis (Fig. 6a–d). Similar results were observed when we tested the effects of these manipulations on NF-κB activity (Fig. 6e).

Fig. 6

LINC01410 promotes GC metastasis and angiogenesis through miR-532-5p. a and b Transwell assay (a) and Matrigel invasion assay (b) to examine the effect of LINC01410 and miR-532-5p on cell migration and invasion of GC cells. c and d The effect of LINC01410 and miR-532-5p on the capillary tube formation ability (c) and migration ability (d) of HUVEC. e Luciferase-reported NF-kB activity to evaluate the effect of LINC01410 and miR-532-5p on the NF-κB signaling in GC cells. f Western blot analysis for NCF2 in GC cells with the expression of LINC01410 and miR-532-5p changed

We next tested the effect of LINC01410 and miR-532-5p on the expression of NCF2 protein. LINC01410 inhibition significantly down-regulated NCF2 expression, while LINC01410 overexpression up-regulated NCF2 expression. Moreover, LINC01410 knockdown with miR-532-5p overexpression potentiate the NCF2 suppression effect caused by LINC01410 knockdown alone, while LINC01410 knockdown with miR-532-5p inhibition rescued NCF2 expression. In contrast, miR-532-5p overexpression partially suppressed the increased expression of NCF2 induced by LINC01410 overexpression, whereas LINC01410 overexpression with miR-532-5p inhibition strengthened the up-regulation of NCF2 caused by LINC01410 overexpression alone (Fig. 6f). These data revealed that the tumor-promoting effects of LINC01410 are mediated by miR-532-5p in GC cells, and overexpression of miR-532-5p largely reversed the tumor-promoting effects induced by increased LINC01410.

LINC01410 and NF-kB form a positive feedback loop

Next we aimed to determine what factors act upstream of LINC01410 in GC. We analyzed LINC01410’s promoter sequence using the PROMO algorithm and identified one putative NF-κB-binding site inside the putative LINC01410 promoter region (Fig. 7a). In SGC-7901 and MNK-45 cells, ectopic expression of NF-κB/p65 caused a 4.2-fold and 3.8-fold increase in LINC01410 expression, respectively, compared to cells transfected with vector control (Fig. 7b). As NF-κB is a downstream target of NCF2, we further noticed that overexpression of NCF2 significantly up-regulated LINC01410 expression (Fig. 7c). In contrast, while IκBα-mut transfection or treatment with NF-κB inhibitor IMD0354 largely abolished the effect of NCF2 on LINC01410 expression, suggesting NF-κB is an intermediate between LNC01410 and NCF2 (Fig. 7d). We also performed ChIP assays to test if NF-κB binds to the LINC01410 promoter in vivo. As expected, NF-κB/p65 binding to the LINC01410 promoter increases upon both NCF2 and p65 overexpression, while IκBa-mut transfection or IMD0354 treatment diminished the binding of NF-κB/p65 to LINC01410 promoter (Fig. 7e). To further verify this hypothesis, we used a dual-luciferase reporter assay to test the effect of ectopic expression of NF-κB/p65 on the LINC01410 promoter activity. Ectopic expression of NK-κB/p65 enhanced the transcription of firefly luciferase driven by the wild-type LINC01410 promoter. When the NF-κB-binding sequence was mutated, the firefly luciferase expression significantly dropped (6.8-fold in SGC-7901 and 5.4-fold in MNK-45) (Fig. 7f).

Fig. 7

NCF2 activates LINC01410 expression through NF-κB. a Schematic diagram showed the putative NF-κB/p65-binding sites in the LINC01410 promoter. b RT-qPCR illustrating ectopic NF-κB/p65 expression upregulates LINC01410 expression in SGC-7901 and MNK-45 cells. c RT-qPCR demonstrated overexpression of NCF2 enhanced LINC01410 expression, while IκBα-mut transfection or IDM0354 treatment diminished this effect. d ChIP assay of SGC-7901 and MNK-45 cells infected with NF-κB/p65 expression vector or control, and NCF2 expression vector or control. e ChIP assay of SGC-7901 and MNK-45 cells treatment with IDM0354 or control. The following PCR primers for ChIP assays were used: 5′-agaccatgcgcgagacag-3′, 5′-gagcacaccccgtcctaag-3′. f Luciferase reporter assays confirming NF-κB activation of the LINC01410 promoter through the NF-κB/p65-binding sites in SGC-7901 and MNK-45 cells. Expression of firefly luciferase (Fluc) was driven by LINC01410 promoter sequences containing either wild-type (Wt) or mutated (Mut) NF-κB-binding sites. g Schematic illustration of the positive feedback loop. LINC01410 upregulated NCF2 and NF-κB signaling by binding to and suppressing miR-532-5p. NCF2 in turn upregulated LINC01410 through NF-κB

Clinical significance and prognostic value of LINC01410 expression in GC patients

Finally, we examined the prognostic significance of LINC01410 expression in the 98 GC patients enrolled in our SYSUCC cohort. We observed that GC patients with high levels of LINC01410 exhibited worse OS and RFS rates than patients with low LINC01410 expression (Supplementary Figure 9a, b). In addition, high expression of LINC01410 was positively associated with advanced N stage (P = 0.018) and overall clinical stage (P = 0.037) in the 98 BC cases (Supplementary Table S1). According to univariate analysis and multivariate analysis, LINC01410 expression could serve as an independent prognostic indicator for both OS and RFS (Supplementary Table 2).

Next, we stratified GC patients into three groups based on LINC01410 and miR-532-5p expression levels. GC patients with low LINC01410 and high miR-532-5p had the best OS and RFS. In contrast, those with high LINC01410 and low miR-532-5p had the worst prognosis, with the lowest OS and DFS (Supplementary Figure 9c, d). The combination of LINC01410 and miR-532-5p expression was an independent prognostic indicator for OS and RFS, and was even better than LINC01410 or miR-532-5p expression alone (Supplementary Table 2).


Recent evidence has suggested that lncRNA transcripts could “talk” with mRNA if they contain the same miRNA-binding site, which supports the “ceRNA” hypothesis [13, 19]. Based on this hypothesis and the results of our study, we propose that there is a “LINC01410-miR532-5p-NCF2-NF-κB” positive feedback loop (Fig. 7g), which plays a vital role in regulating the malignant behavior of GC cells, and might provide a potential therapeutic strategy for treating GC.

In the past decade, research on lncRNAs has gained widespread attention. However, the biological functions of these molecules and the mechanisms responsible for their alteration in human cancers are not fully understood [20, 21]. Our present study, for the first time, found that LINC01410, which is located on chromosome 9q13, may function as an oncogene in GC by promoting cell invasion and angiogenesis, and that inhibition of LINC01410 might serve as a promising therapeutic approach in GC treatment. To explore the underlying pro-oncogenic mechanism of LINC01410, we identified miR-532-5p as a novel target of LINC01410. To ascertain if there is direct binding between LINC01410 and miR-532-5p, we conducted luciferase reporter assays and RNA-IP analysis. We verified that LINC01410 directly binds to miR-532-5p via the putative miRNA response element (MRE) and that the RISC was involved in this “ceRNA” regulatory network. Previous studies showed that miRNAs are localized in the cytoplasm in the form of miRNA ribonucleoprotein complexes which also contain Ago2, the core component of RISC [22, 23]. Since Ago2 is a vital component of RISC complex necessary for siRNA or miRNA-mediated gene silencing, potential miRNA targets can be isolated from this complex after Ago2 coimmunoprecipitation [24]. In the RNA-IP assay, significantly less LINC01410 immunoprecipitated with Ago2 after miR-532-5p knockdown, however, it was still above IgG background. These results, combined together, suggest that there is reciprocal repression between LINC01410 and miR-532-5p mediated by RISC, and that LINC01410 probably binds to other miRNAs as well as miR-532-5p.

It is generally believed that miRNAs can play multiple roles by targeting different genes. As bioinformatics analysis and luciferase assays suggested, NCF2 was confirmed as the direct target of miR-532-5p that affects GC malignancy. NCF2 is a cytosolic NADPH oxidase component that is necessary for phagocyte reactive oxygen species (ROS) production, which plays a critical role in phagocytic microbicidal activity and innate immunity [25]. Mutation of NCF2 can result in chronic granulomatous disease, a primary immunodeficiency characterized by recurrent infection [26]. Recently, several studies showed that NCF2 protein expression is not restricted to neutrophils, but is widespread in neoplastic as well as in reactive tissues. Li et al. reported that elevated NCF2 expression is a highly sensitive, specific, and accurate predictor of colonic adenocarcinoma [27]. High expression of NCF2 was also correlated with increased risk of recurrence and death in patients with clear renal carcinoma [28]. In this study, we showed that NCF2 functions as downstream target of the LINC01410/miR-532 axis to promote metastasis and angiogenesis in GC. Co-expression of miR-532-5p and NCF2 largely reversed the tumor-suppressive effect caused by miR-532-5p up-regulation alone, suggesting that miR-532-5p inhibits the malignant behavior of GC cells by suppressing NCF2 expression. Previous studies have shown that the NADPH oxidase family could broadly and specifically regulate redox-sensitive signaling pathways, which are involved in cancer development and progression [29,30,31]. Thus, we speculate that NCF2, as a component of NADPH oxidase, promoted GC angiogenesis and metastasis dependent of NADPH oxidase-derived ROS. Our IHC analysis confirmed that NCF2 is highly expressed in GC tissues, and elevated NCF2 levels are correlated with poor survival outcome in GC patients. Together, these results demonstrate that NCF2 serves as a potential oncoprotein in GC, and suggest that NCF2 inhibitors may be promising therapeutic agents for GC treatment.

Of note, one of the most interesting findings from this study is that NF-κB can also regulate expression of LINC01410. Other studies have also reported the similar regulating mechanisms. For instance, lncRNA HCP5 up-regulates expression of Runt-related transcription factor 1 (RUNX1) in glioma cells, while overexpression of RUNX1 can also up-regulate HCP expression [32]. The lncRNA PVT1 is modulated by transcription factor FOXM1 and facilitates GC growth and invasion [33]. Here we show that there is a positive feedback loop between LINC01410 and NF-κB, in which LINC01410 activate the NF-kB pathway by targeting miR-532, and then up-regulated NF-κB in turn promotes greater LINC01410 expression. The results of our present study further support the notion of a positive feedback regulating loop between lncRNAs and their downstream targets, and suggest that this loop might play a crucial role in regulating GC development and progression.

In conclusion, our present finding highlights the importance of interactions between lncRNA LINC01410, miRNA-532-5p, miR-532-5p’s downstream target NCF2, and the NF-κB pathway in regulation of GC cell malignancy. Increased expression of LINC01410 could suppress miR-532 expression, which leads to the up-regulation of NCF2 and NF-κB signaling, thereby promoting a series of oncogenic effects in GC cells. Activated NF-κB could then in turn up-regulate LINC01410 expression, which forms a positive feedback loop. Thus, the LINC01410/miR-532/NCF2/NF-κB loop may be a potential therapeutic target for GC treatment.

Materials and methods

Cell culture

Five GC cell lines (MNK-45, SGC-7901, HGC-27, BGC-23, and AGS), as well as one immortalized human gastric epithelial mucosa cell line (GES-1) were grown in DMEM medium supplemented with 10% FBS and 1% penicillin/streptomycin (Invitrogen). All cell lines used in this study were authenticated based on STR fingerprinting by our institution.

Samples and patients

In this study, fresh-frozen GC tissues from 98 patients, who underwent surgery between February 2008 and October 2009, were obtained from the Department of Tissue Bank of Sun Yat-Sen University Cancer Center (SYSUCC). The clinicopathological characteristics of the samples are summarized in Supplementary Table S1. In addition, another 20 pairs of fresh GC and adjacent non-cancerous tissue specimens were collected in 2014. All patients sample enrolled did not receive any treatment before their operation. The recurrence-free survival (RFS) was determined from the date of surgery until the finding of tumor recurrence or the last observation. OS was calculated as the time from tumor resection to death or the last follow-up date. Written informed consent was obtained from all patients before the study. The use of these clinical GC specimens was approved by Research Ethics Committee of our institution.

Antibodies and reagents

Commercial primary antibodies against the following proteins were purchased from the following sources: NCF2 (abcam), NF-κB p65 (Santa Cruz Biotechnology, sc-372), phosphorylated-IκBα (Cell Signaling Technology), c-FLP (Cell Signaling Technology), phosphorylated-IKKβ (Cell Signaling Technology), p84 (Cell Signaling Technology), α-tubulin (Sigma), CD34 (abcam), and VEGFA (abcam). IMD-0354 (I3159) and dimethyl sulfoxide (DMSO, D2650) were purchased from Sigma.

TCGA data analysis

The STAD patients’ clinical and RNA-Seq data were downloaded from TCGA database and the broad GDAC firehose database.

Gene set enrichment analysis

The mRNA-Seq data with miR-532-5p expression data were available for TCGA STAD patients and all molecular signatures database (MSigDB.v5.1.symbols) were imported into GSEA v2.2.0 software. Except for the miR-532-5p expression was regarded as a continuous-type numeric variable and its cls file was applied to phenotype labels, the metric for ranking genes was set as “Pearson” and the plot graphs for the top sets was set to 150, all other parameters were default values.

Vector construction and retroviral infection

Plasmids encoding the human IκBα mutant (IκBα-mut) were gifts from Professor Song Libing (SYSUCC, Guangzhou, China), and p65 were gifts from Professor Kang Tiebang (SYSUCC, Guangzhou, China). The following reagents were purchased from the GeneCopoeia Company (Guangzhou, China): miR-532-5p expression vector and its control vector; miR-532-5p antisense plasmid and its vector control; NCF2 coding sequence expression vector and its control vector; LINC01410 expression vector and its control vector; short hairpin RNA (shRNA) directed against LINC01410 and scrambled control. The control cells were transfected with empty vector. The detailed information of retroviral production and infection were described previously [7, 34].

In vivo tumor angiogenesis assays

All in vivo experimental procedures were approved by The Animal Care and Use Committee at our institution. Randomization was conducted. GC cells (2 × 106) were injected subcutaneously into nude mice to establish flank xenograft models. After 6 weeks, mice were sacrificed and tumor samples were removed for further analysis. The MVD in tumor samples was measured according to CD34 staining, and was calculated from the five most intensely vascularized areas with a magnification of 200×. The average value of the vessel count per field was defined as final MVD value for each sample.

Lung metastasis assay

Briefly, 2 × 105 GC cells in 30 μL of 33% Matrigel (Becton Dickinson, NJ, USA) were injected intravenously through the tail vein of nude mice. The experiment was terminated in 4 weeks, and metastatic nodules in each lung were calculated.

IHC staining

The IHC were processed in accordance with a previously described protocol [34]. The intensity of the staining was graded as follows: no staining = 0; weak staining = 1; moderate staining = 2; and strong staining = 3. We randomly selected five visual fields and scored tumor cells based on the percentage of positively stained cells (0–100%). The final IHC score was then generated by multiplying the intensity score with the percentage of positive cells (range from 0 to 3). An optimal cutoff value was defined according to the median value of the patient cohort.

The details for wound-healing, migration, and invasion assays, luciferase reporter assays, subcellular fractionation, immunoblotting analysis, electrophoretic mobility shift assays, HUVECs tube-formation assay and statistical analysis are described in the Supplementary Materials.


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This work was supported by National Key R&D Program of China (2017YFC1309001, 2016YFC1302305), the Natural Science Foundation of China (Nos. 81772514, 81772513, 81401991, and 81572359), and Pearl River S&T Nova Program of Guangzhou (201806010005).

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Correspondence to Dan Xie or Sui Peng.

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Zhang, JX., Chen, ZH., Chen, DL. et al. LINC01410-miR-532-NCF2-NF-kB feedback loop promotes gastric cancer angiogenesis and metastasis. Oncogene 37, 2660–2675 (2018).

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