miR-192-5p suppresses the progression of lung cancer bone metastasis by targeting TRIM44

Lung cancer is the leading cause of cancer-related deaths worldwide, with 50–70% of patients suffering from bone metastasis. Accumulating evidence has demonstrated that miRNAs are involved in cell proliferation, migration, and invasion in malignancy, such as lung cancer bone metastasis. In the present study, we demonstrated that reduced miR-192-5p and increased TRIM44 levels were associated with the proliferation, migration and invasion of lung cancer. Furthermore, the potential functions of miR-192-5p were explored in A549 and NCI-H1299 cells. We found that miR-192-5p upregulation suppressed tumour behaviours in lung cancer cells. To further investigate whether miR-192-5p is associated with TRIM44, we used TargetScan software to predict the binding site between miR-192-5p and TRIM44. Luciferase activity assays were performed to verify this prediction. In addition, the significant role of miR-192-5p in negatively regulating TRIM44 expression was manifested by our research group. our results suggest that miR-192-5p inhibited the proliferation, migration and invasion of lung cancer through TRIM44.

Lung cancer is the leading cause of cancer-related deaths worldwide, with 50-70% of patients suffering from bone metastasis [1][2][3][4][5] . Detrimental skeletal-related events are more common in end-stage patients and are associated with significant morbidity [6][7][8] . Because of the unsatisfactory outcome of bone metastasis 9,10 , further research should be performed to explore the underlying mechanisms involved in lung cancer proliferation, invasion, and metastasis.
MicroRNAs (miRNAs/miRs) are endogenous, small, noncoding and highly conserved RNAs 11,12 . Recent studies have revealed that miRNAs are implicated in various cellular processes [13][14][15] . In addition, many studies have already demonstrated that miRNA dysfunction is involved in the occurrence and progression of malignancies, such as breast cancer, gastric carcinoma, prostate cancer, and lung cancer [16][17][18][19] . In recent years, various studies have shown that miR-192-5p is significantly downregulated in malignant carcinoma, while miR-192-5p overexpression may play a potential role in suppressing tumourigenesis through different mechanisms 20,21 . In lung cancer bone metastasis, miR-192-5p plays a major role in inhibiting tumourigenesis 22,23 . However, the underlying mechanisms of how miR-192-5p is involved in the development and progression of lung cancer bone metastasis remain largely unknown.
Tripartite motif 44 (TRIM44) is a TRIM family protein that is involved in the ubiquitination and degradation of target proteins by modulating E3 ubiquitin ligases. It has been reported that TRIM44 is overexpressed in various pathological conditions, including developmental disorders, as well as in cell cycle regulation and DNA damage responses 24 . Previous reports have revealed that TRIM functions as a marker for the degradation of target proteins through the proteasome, but it also regulates protein-protein interactions and enzyme activation 25,26 . Recently, increasing evidence suggests that TRIM44 is involved in oncogenesis and tumourigenesis in human malignant cancers 27,28 . However, the biological function of TRIM44 in lung cancer bone metastasis remains unclear.
As such, we propose that miR-192-5p upregulation in patient serum and lung cancer cell lines inhibits lung cancer metastasis, possibly by downregulating TRIM44.

Results
miR-192-5P expression in the serum of lung cancer patients and in lung cancer cell lines. miR-192-5p expression was measured in serum samples from healthy volunteers (n = 130), lung cancer patients without bone metastasis (n = 68) and lung cancer patients with bone metastasis (n = 78). As shown in Fig. 1A, qPCR analysis indicated that the abundance of miR-192-5p was significantly lower in lung cancer patients with bone metastasis than in healthy volunteers and lung cancer patients without bone metastasis. Moreover, NCI-H1299, H1650, PC9, A549, BEAS-2B cells were cultured. miR-192-5p levels were dramatically lower in lung cancer cells than in BEAS-2B cells (Fig. 1B). In addition, our data revealed that TRIM44 mRNA expression was significantly upregulated in lung cancer cells compared with that in BEAS-2B cells (Fig. 1C), which was consistent with the western blot analysis (Fig. 1D). Clinical characteristics of the patients are summarized in Table 1. These results suggested that miR-192-5p expression was lower in lung cancer patients with bone metastasis than in healthy volunteers and lung cancer patients without bone metastasis.
Ectopic expression of miR-192-5p affects the proliferation, migration and invasion of lung cancer cells. miR-192-5p expression was regulated by transfecting a miR-192-5p antagomir and miR-192-5p mimics into A549 and NCI-H1299 cells. miR-192-5p expression was verified by RT-qPCR analysis ( Fig. 2A), and mRNA ( Fig. 2B) and protein ( Fig. 2C-E) levels of TRIM44 were detected by RT-qPCR and western blotting. As shown in Fig. 2A-D, miR-192-5p expression was significantly downregulated in lung cancer cells. Furthermore, MTT assays revealed that the proliferation of both A549 and NCI-H1299 cells was promoted due to miR-192-5p downregulation (Fig. 2F,G). The migration and invasion assays showed that a increase in miR-192-5p significantly miR-192-5P expression was significantly lower in human lung cancer cells than in normal lung epithelial cells. GAPDH was used as an internal control. (C) TRIM44 expression was the highest in three tissue groups. GAPDH was used as an internal control. (D) Quantification of TRIM44 was normalized to GAPDH. Each bar represents the mean ± SEM. *P < 0.05, **P < 0.01, NS, non-significant. This study investigated serum from healthy volunteers (n = 130), lung cancer patients without bone metastasis (n = 68) and lung cancer patients with bone metastasis (n = 78).
suppressed cell migration and invasion ( Fig. 3A-D). These data revealed that miR-192-5p inhibited the growth, migration and invasion of lung cancer cells.

TRIM44 was the direct target of miR-192-5p in lung cancer cells. We used TargetScan and miRNA
databases to predict the downstream targets of miR-192-5p and further explore the underlying molecular mechanism involved in the growth of lung cancer cells. The TRIM44 3′-UTR and miR-192-5p sequences were predicted to bind to one another ( Fig. 2A). Thus, to further explore whether TRIM44 is directly targeted by miRNA-192-5p, a luciferase reporter assay was established, and miR-192-5p transfection significantly decreased the luciferase activity of the wild-type, but not the mutant, TRIM44 3′-UTR (Fig. 4B). Conversely, a decrease in miR-192-5p significantly contributed to the activity of wild-type TRIM44 in A549 and NCI-H1299 cells (Fig. 4C). Furthermore, the data revealed that miR-192-5p overexpression dramatically decreased the mRNA level of TRIM44 (Fig. 4D). According to the western blot analysis, high miR-192-5p expression significantly decreased the protein abundance of TRIM44 in both A549 and NCI-H1299 cells (Fig. 4E,F).

miR-192-5p regulated the proliferation and metastatic behaviours of lung cancer cells through TRIM44.
To verify the effects of miR-192-5p on proliferation, lung cancer cell metastatic behaviour was assessed after directly targeting TRIM44. A549 and NCI-H1299 cells expressing miR-192-5p or miR-NC were transfected with Flag-vector or Flag-TRIM44. According to the western blot assay, TRIM44 protein expression increased in A549 and NCI-H1299 cells (Fig. 5A). MTT assays (Fig. 5B,C) demonstrated that the proliferation of both A549 and NCI-H1299 cells was promoted by TRIM44, and miR-192-5p reversed this effect. Consistent with these data, miR-192-5p significantly attenuated the promotion effects of TRIM44 on lung cancer cell migration. These results indicated that miR-192-5p may suppress lung cancer cells by targeting TRIM44.

The potential role of miR-192-5P in inhibiting tumour growth in vivo.
To further verify our observation, in vivo experiments were carried out by injecting A549 cells (5 × 10 6 cells) into the bone marrow of BALB/c-nu/nu mice. One week later, the mice were subjected to injections (30 mg/kg) of the chimeric anti-miRs to suppress miR-192-5p (miR-192-5p antagomir) and promote miR-192-5p (miR-192-5p mimics); miR-NC was used as a control. Treatment with miR-192-5p markedly decreased the tumour sizes ( Fig. 6A-C). Then, the tumours were examined by H&E and immunohistochemical staining to determine TRIM44 protein expression; the miR-192-5p mimic group demonstrated obviously lower expression (Fig. 6D). Finally, western blot analyses of tumour tissues showed that miR-192-5p decreased TRIM44 protein expression (Fig. 6E,F). These data suggested that overexpression of miR-192-5p suppressed tumour growth in vivo.

Discussion
Accumulating evidence has demonstrated that miRNAs are involved in cell proliferation, migration, and invasion in malignancy, such as lung cancer bone metastasis 11,13,14,17,19 . For instance, HE et al. 29 revealed that downregulation of miR-20b may dramatically suppress H22 cell proliferation by directly targeting PTEN. In the present study, we demonstrated that miR-192-5p reduction and TRIM44 upregulation were associated with the proliferation, migration and invasion of lung cancer. Furthermore, the potential functions of miR-192-5p were explored in A549 and NCI-H1299 cells. It was observed that miR-192-5p upregulation suppressed tumour behaviours in lung cancer cells. To further investigate whether miR-192-5p is associated with TRIM44, we used TargetScan software to predict the binding site between miR-192-5p and TRIM44. Luciferase activity assays were performed to verify www.nature.com/scientificreports www.nature.com/scientificreports/  www.nature.com/scientificreports www.nature.com/scientificreports/ this prediction. In addition, the significant role of miR-192-5p in negatively regulating TRIM44 expression was manifested by our research group. It was observed that co-transfection with miR-192-5p mimics and TRIM44 reversed some of the effects of TRIM44 on lung cancer cell behaviours.
Ectopic expression of miR-192 may be related to tumour occurrence as it exerts a significant effect on the progression of various malignancies. Recent studies have reported that miR-192 is considerably reduced in many malignant tumours and may be involved in regulating the proliferation, migration, and invasion of cancer cells in neoplasms 20,21,30,31 . For instance, Ji et al. 30 suggested that miR-192-5p was significantly reduced in human bladder cancer. Overexpression of miR-192-5p inhibited the biological function of bladder cancer cells, while downregulation of miR-192-5p contributed to bladder cancer cell proliferation. The authors further demonstrated that miR-192-5p mediated cancer behaviours by targeting YY1. Zhou et al. 31 also reported that miR-192-5p suppressed the initiation and progression of osteosarcoma by directly targeting USP1. In the present study, we observed that overexpression of miR-192-5p suppressed the proliferation, migration and invasion of lung cancer cells.
To elucidate the underlying mechanism of miR-192-5p involved in cell biological function in lung cancer, the TargetScan and miRNA databases were used to identify that miR-192-5p may combine with TRIM44. TRIM44 has been reported to be upregulated in many types of tumours, and TRIM44 is involved in tumour formation and progression 27, 32,33 . Accumulating evidence has revealed that TRIM44 enhances the proliferation, migration, and invasion of lung cancer. Luo et al. 32 confirmed that TRIM44 was upregulated in NSCLC tumours and further explored the potential mechanism. It was reported that PDTC can reverse the expression of CXCR6 and MMP9 via TRIM44 to alleviate the promotion of migration and invasion. Xing et al. 34 reported that the dramatic upregulation of TRIM44 is related to early metastasis, high malignancy, poor differentiation, rapid deterioration and poor clinical prognosis. Our results suggest that TRIM44 is a direct target of miR-192-5p. The abundance of miR-192-5p exerted a significant effect on both the mRNA and protein levels of TRIM44. Our observations support that upregulation of miR-192-5p suppresses lung cancer cell proliferation, migration and invasion via targeting TRIM44. The mechanism of the downstream pathway through which miR-192-5p can inhibit lung cancer by targeting TRIM44 should be explored.
In conclusion, our study supports that miR-192-5p was significantly decreased in lung cancer bone metastasis patients and lung cancer cells. Furthermore, our results suggest that miR-192-5p inhibited the proliferation, migration and invasion of lung cancer through TRIM44. Consequently, miR-192-5p may function as a promising therapeutic target for lung cancer bone metastasis; however, further studies are required for implementing lung cancer bone metastasis therapy.

Methods
Patients. This study investigated serum from healthy volunteers (n = 130), lung cancer patients without bone metastasis (n = 68) and lung cancer patients with bone metastasis (n = 78). All patients were treated at the Zhengzhou Seventh People's Hospital (Henan, Chain), and the study was approved by its Institutional Review Boards. The Ethics Committee of Zhengzhou Seventh People's Hospital approved the procedures. Written informed consent for the use of human materials was approved according to the Zhengzhou Seventh People's Hospital's ethical guidelines, and all methods were performed in accordance with the relevant guidelines and regulations.
Cell culture and transfection. NCI-H1299, H1650, and PC9 cells (cultured in RPMI-1640 medium and 10% foetal bovine serum) were purchased from the Chinese Academy Sciences Cell Bank. A549 cells were obtained from the Laboratory of Immunotherapy of the Affiliated Cancer Hospital of Zhengzhou University (Zhengzhou, China) and maintained in F-12K medium supplemented with 10% FBS. BEAS-2B cells (cultured in LHC basal medium supplement with 10% FBS) were obtained from the Shanghai Cell Biological Institute of the Chinese Academy of Science (Shanghai, China). All cells were maintained in an incubator with a humidified 37 °C atmosphere of 95% air and 5% CO2. miR-192-5p mimic (CUGACCUAUGAAUUGACAGC), miR-192-5p antagomir (CUGACCUAUGAAUUGACAGCC), and negative control miRNA (miR-NC, UUUGUACUACACAAAAGUACUG) were purchased from Thermo Fisher Scientific Company. Amplified miR-192-5p mimic and NC sequences were transfected into the lung cancer cell lines A549 and NCI-H1299 using Lipofectamine 2000 (Invitrogen, USA) according to the manufacturer's instructions.
Experimental murine models of lung carcinoma bone metastasis. BALB/c-nu/nu mice (aged 6-8 weeks, approximately 30 g) were obtained from Beijing Vital River Laboratory Animal Technology (Beijing, China). This experiment was reviewed and approved by the Institutional Animal Care and Use Committee (IACUC) of Zhengzhou Seventh People's Hospital, and in all experiments, the mice euthanized according to Representative H&E staining (100× magnification) and immunohistochemistry images for TRIM44 (40× magnification) in tumour sections from different groups. TRIM44 protein expression in tumour tissues was examined by western blotting (E) and quantified (F). Each bar represents the mean ± SEM. *P < 0.05.