Introduction

Head and neck squamous cell carcinoma (HNSCC) is the most common malignant lesion in the head and neck region, with an approximate incidence rate of 135.1 per 100,000 people in China each year1. HNSCC is a heterogeneous tumour with an aggressive phenotype and a poor prognosis due to local recurrence and locoregional lymph node metastasis2. A better understanding of the genetic and epigenetic molecular alterations of the disease is critical to providing the appropriate treatment and improving the survival of patients with HNSCC.

LncRNAs are transcripts of more than 200 nucleotides without protein-coding function3. The non-coding RNAs, which are not transcribed from protein-coding genes, constitute a large portion of the mammalian transcriptome4,5. LncRNAs exist in many types of transcripts, including antisense RNA, small nucleolar RNA, enhancer RNA, endogenous RNA, intergenic transcripts and RNA overlapping the exon transcripts6,7,8,9. Up to now, lncRNA has been described as a key address code, orchestrating the trafficking of protein complexes, genes, chromosomes and also RNAs to appropriate locations and ensuring that they are subject to proper activation or suppression9,10. Recently, lncRNAs were reported to be involved in various biological processes and to exert great influence on disease development, especially cancers. The well-known lncRNA, metastasis-associated lung adenocarcinoma transcript 1 (MALAT-1), is highly expressed in early-stage non-small-cell lung carcinoma and could predict the metastasis and prognosis of these patients11. Several lncRNAs were also found to be promising prognostic markers for other cancer types such as melanoma, prostate cancer, and kidney cancer12,13,14. Recently, a landscape of lncRNAs expression has been identified to reveal the lncRNAs that are significantly differentially expressed between the oral mucosa and oral premalignant lesions15. Although a large number of human lncRNAs have been identified, the biological functions of these lncRNAs remain largely unknown, especially in cancers.

LncRNA PTENP1 is the pseudogene of the PTEN, which is a tumour suppressor gene (TSG). It is highly homologous to PTEN, sharing 98% sequence identity with the the PTEN mRNA sequence16,17. An increasing number of studies have shown that PTENP1 functions as a competing endogenous RNA to suppress tumour progression18. However, the expression and biological function of PTENP1 in HNSCC have not yet been elucidated. Here, we evaluated the possible function of PTENP1 and found that it acts as a potential tumour suppressor due to a reduction in the copy number, independent of PTEN, in HNSCCs and can serve as an independent prognostic factor in patients with HNSCC.

Results

The expression pattern and cellular sublocalization of lncRNA PTENP1 in HNSCC specimens and HNSCC cell lines

We first examined the expression of lncRNA PTENP1 in five HNSCC cell lines by RT-PCR and real-time PCR (Fig. 1A and B). Compared with normal oral mucosal epithelial cells, PTENP1 expression was reduced in all five HNSCC cell lines. We then detected the expression level of PTENP1 in 57 HNSCC tissues and 27 adjacent normal tissues (Fig. 1C). Consistent with the results in cell lines, PTENP1 expression was decreased in HNSCCs compared to adjacent normal tissues (P < 0.01).

Figure 1: The expression pattern and clinical implications of PTENP1 in HNSCCs.
figure 1

(A). RT-PCR was performed to determine the expression of PTENP1 in five HNSCC cell lines. Oral mucosal epithelial cells were used as a control. The full-length gels are presented in Supplementary Figure 1A and B, (B). The results of a real-time PCR analysis of the PTENP1 expression in five HNSCC cell lines. The expression level in oral mucosal epithelial cells was normalized to 1. The data were presented as the means ± SD. *p < 0.05. (C) The results of a real-time PCR analysis of the PTENP1 expression in normal and tumour tissue specimens. *p < 0.05. (D) The cellular location of PTENP1 in HN13 and HN30 cells. U2 was used as a positive control for nuclear RNA. GAPDH was used as a positive control for cytoplasmic RNA. The full-length gels are presented in Supplementary Figure 1C–E. (E,F) Kaplan-Meier survival curve indicated overall survival (OS, (E)) and disease-free survival (DFS, (F)) by evaluation of the expression levels of PTENP1 in the cohort.

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To address the cellular sublocalization of PTENP1, we next examined the distribution of PTENP1 in two randomly selected HNSCC cell lines using two positive control genes: U2 small nuclear RNA, which is mainly found in nuclei and GAPDH mRNA, which is mainly present in the cytoplasm. In both HN13 and HN30 cells, PTENP1 mainly existed in the nucleus (Fig. 1D).

Decreased PTENP1 expression was associated with a history of alcohol use and a worse clinical outcome

Our findings showed that low PTENP1 transcript levels were significantly correlated with a history of alcohol use (P = 0.034) (Table 1) and a worse OS (P = 0.005) or DFS (P = 0.012) (Fig. 1E and F). However, there were no significant associations between the PTENP1 level and age, gender, smoking history, disease site, tumour status, tumour size, TNM stage, tumour stage or lymph node metastasis of HNSCCs patients (Table 1). The univariate COX proportional Hazards regression analysis showed that the PTENP1 level was an independent predictor of the OS (P = 0.005; HR:0.170; Cl:0.049 to 0.590) and DFS (P = 0.009; HR:0.195; Cl:0.057 to 0.664) in patients with HNSCC (Table 2).

Table 1 Association Between PTENP1 RNA Level and Clinical Parameters.
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Table 2 Univariate Cox Proportional Hazards Regression Models for Estimating Overall Survival and Disease-Free Survival.
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Positive correlation between PTENP1 and PTEN in HNSCCs

Because PTEN was reported to be the target gene protected by PTENP1, we also detected the expression of PTEN in tumour cells. We found that the PTEN expression was significantly decreased in all five HNSCCs cell lines as determined by real-time PCR (Fig. 2A). In a Western blot assay, PTEN showed lower expression in HNSCC cell lines compared with normal oral mucosal epithelial cells (Fig. 2B).

Figure 2: Expression of PTEN and copy number of PTENP1 or PTEN were detected in HNSCC cells.
figure 2

(A) The results of a real-time PCR analysis of the PTEN expression in five HNSCC cell lines. The expression of oral mucosal epithelial cells was normalized to 1. The data were presented as the means ± SD. *p < 0.05. (B) Western blot of PTEN expression in the five HNSCCs cell lines. Oral mucosal epithelial cells were used as a control. The full-length blots are presented in Supplementary Figure 1F and G. (C) Genomic real-time PCR of the PTENP1 copy number in five HNSCC cells. The data were presented as the means ± SD. *p < 0.05. (D) Genomic real-time PCR of the PTEN copy number in five HNSCC cells. Primers were designed against intron 1, intron 3 and exon 9 of PTEN. The data were presented as the means ± SD. *p < 0.05.

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Copy number reduction in lncRNA PTENP1 from the genome in HNSCCs

Since genomic PTENP1 and PTEN were previously found to be decreased in terms of the copy number in human melanoma, we also examined the genomic status of these two genes in HNSCC cell lines as reported in the previous study19. A genomic qPCR analysis of PTENP1 revealed complete deletion in HN4 cells, partial deletion in the HN6, HN13 and HN30 cell lines, and no deletion in the Cal27 cell line (Fig. 2C). An analysis of PTEN intron 1, intron 3 and exon 9 revealed no significant deletion in the HN4, HN6, HN30 or Cal27 cell lines. However, there was a partial deletion of PTEN intron 1 in the HN13 cells (Fig. 2D). These results suggest that deletion of the genomic PTENP1 is a frequent event in HNSCCs, but deletion of genomic PTEN is not common in HNSCCs.

PTENP1 was not sufficient to completely recover the level of PTEN in HNSCCs

There is high homology between PTEN and PTENP120. To better understand the potential functions of PTENP1, we established an over-expression plasmid for PTENP1. The plasmid was packed into a lentivirus, which was then transfected into the HN13 and HN30 cell lines. Cells carrying the empty vector plasmids were used as mock controls. We examined the expression of PTENP1 in stable cell lines by real-time PCR (Fig. 3A and B). Compared with the wild type control and PCMV mock control, the expression of PTENP1 was notably increased in HNSCCs. We also examined the expression of PTEN in these stable cell lines (Fig. 3C and D). Although both expression of PTENP1 and PTEN were concurrently observed in HNSCC cells with stable PTENP1 expression, the level of PTEN was still insufficient compared with that of the normal epithelial cells, suggesting that PTENP1 was not sufficient to fully recover the PTEN level in HNSCCs.

Figure 3: Co-expression of PTENP1 and PTEN in HNSCC cells.
figure 3

(A,B) The results of a real-time PCR analysis of the PTENP1 expression after PCMV-PTENP1 transfection in HN13 and HN30 cells. The data were presented as the means ± SD. *p < 0.05. (C,D) The results of a real-time PCR analysis of the PTEN expression after PCMV-PTENP1 transfection in HN13 and HN30 cells. The data were presented as the means ± SD. *p < 0.05.

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PTENP1 inhibits the growth and colony formation of HNSCCs

To decipher the influence of PTENP1 on the biological functions in HNSCCs, we evaluated the proliferation of tumour cells by the MTT assay. Compared with controls, there was a moderate decrease in cell growth on day 3 when PTENP1 was expressed in HN13 cells (Fig. 4A). In HN30 cells, PTENP1 expression led to a mild decrease in cell growth on day 3 (Fig. 4B). In accordance with the findings of the proliferation assay, the colony numbers of PTENP1-expressing cells were remarkably decreased (Fig. 4C). Meanwhile, the sizes of the colonies of the PTENP1-expressing cells were smaller compared with the large and visible clones in control cultures. The colony formation rate of PTENP1 cells decreased sharply by approximately 33% and 50%, respectively, in HN13 and HN30 cells (Fig. 4D and E).

Figure 4: Over-expression of PTENP1 affects tumour growth and colony formation.
figure 4

(A,B) The MTT assay for evaluation of the proliferation of HN13 and HN30 cells, respectively. The absorbance was detected at 0 h, 24 h, 48 h and 72 h. The 0 h absorbance of each group was normalized to 1. The relative values were shown as growth index. The data were presented as the means ± SD. *p < 0.05. (C) The colony formation assay for evaluation of the proliferation of HN13 and HN30 cells, respectively. (D,E) Count statistics of the colony formation assay. The colony number of control cells was normalized to 100%. The data were presented as the means ± SD. *p < 0.05.

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PTENP1 suppresses the invasion and migration of HNSCCs

To assess whether the invasion of HNSCC cells is influenced by PTENP1, the transwell assay was performed. The number of migratory cells was significantly reduced in the PTENP1-expressing HN13 and HN30 cells (Fig. 5A). The metastasis rate decreased to approximately 26% and 42%, respectively, in the HN13 and HN30 cells (Fig. 5B and C). To evaluate whether the migratory ability of HNSCC cells was influenced by PTENP1, the scratch wound assay was also performed. The HN13 control cells at the wound edge migrated into the wound space quickly and merged together at 48 h (Fig. 5D). When PTENP1 was over-expressed, the cells migrated into only about half of the wound space without merging. The HN30 cells at the wound edge crept across the wound space and merged together at 24 h (Fig. 5E). However, HN30 cells with PTENP1 migrated slowly without merging.

Figure 5: PTENP1 ectopic expression influences on tumour invasion migration and migration.
figure 5

(A) The transwell assay for evaluation of the invasion of HN13 and HN30 cells, respectively. (B,C) The invasion rate based on the transwell assay. The value of the control was normalized to 100%. The data were presented as the means ± SD. *p < 0.05. (D,E) The scratch wound assay for evaluation of the migration of HN13 and HN30 cells, respectively.

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PTENP1 overexpression suppressed tumorigenicity in vivo

To confirm the tumorigenicity of PTENP1 in vivo, we established a xenograft model of nude mice using PTENP1-enriched HN13 cells and mock control cells. The control cells gradually grew into visible lumps on the flank of mice (Fig. 6A). However animals carrying cells presented expression of the PTENP1 did not show any visible lump (Fig. 6B). The tumorigenic ability was significantly reduced by PTENP1 (Fig. 6C). These data further indicated that PTENP1 could modulate HNSCCs progression in vivo.

Figure 6: Exogenous expression of PTENP1 inhibited the growth of xenograft tumour of HN13 cell lines.
figure 6

(A,B) Lumps of mice carrying Mock cells and PTENP1 expressing cells in xenograft tumour model, respectively. (C) Growth curve based on the xenograft tumour assay. The tumour size was calculated using the formula length *width *width/2. The data were presented as the means ± SD.

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Discussion

An increasing number of studies have suggested that dysregulation of lncRNAs in HNSCC. Maternally expressed gene 3 (MEG3) was identified as a lncRNA tumour suppressor in a series of cancer types, including tongue squamous cell carcinoma (TSCC) caused by genetic and epigenetic disorders21. LncRNA UCA1 was found to be overexpressed in TSCCs and to promote tumour metastasis22. LncRNA HOTAIR and MALAT-1 were confirmed to be detectable in the saliva of oral squamous cell carcinoma (OSCC) patients, suggesting that lncRNAs may be potential markers for diagnosing cancer23.

Recently, lncRNA PTENP1 expression was found to be decreased in some cancer types, including Hodgkin’s lymphoma, acute myelocytic leukaemia and nasopharyngeal carcinoma24,25,26. PTENP1 3′ UTR over-expression resulted in the growth inhibition of cancer cells, suggesting that PTENP1 plays a tumour suppressive role in prostate cancers. In clear-cell renal cell carcinoma (ccRCC), PTENP1 could suppress tumour growth and migration27. In endometrial cancer, patients with PTENP1-positive tumours exhibited a trend towards lower disease recurrence28. However, the expression patterns and biological functions of PTENP1 in HNSCCs have not yet been uncovered. In the present study, we found that ectopic expression of PTENP1 leads to inhibition of the tumour growth, colony formation, migration and xenograft tumour growth of HNSCC.

In previous studies, the mechanisms underlying the reduced PTENP1 expression in cancers were mainly divided into two categories: DNA methylation of the PTENP1 promoter and copy number alterations of PTENP1 in the genome. PTENP1 shares 91% sequence identity with a 921 bp region of the PTEN CpG island16. The hypermethylation of PTENP1 has been detected in lymphomas, colorectal cancers, ccRCC and non-small-cell lung cancers (NSCLCs)29. In sporadic colon cancer samples, copy number reduction was detectable at the PTENP1 locus (9p13), independent of nearby locus loss20. In addition, partial or complete deletions of the PTENP1 copy number were also detected in 14.3% of melanoma cell lines and 20.9% of melanoma tissues19. In this study, we confirmed that there was copy number reduction in the PTENP1 locus in 80% of HNSCCs cell lines (one line showed complete deletion, three showed partial deletion and one showed no deletion), suggesting that copy number alterations were the one of main factors affecting the expression of PTENP1 (Fig. 2).

PTENP1 was named as a pseudogene of PTEN, which remains the only definite target gene of PTENP1. PTEN is a tumour suppressor gene that is dysfunctional in many hereditary and sporadic cancers30,31. Its expression level was positively correlative with that of PTENP120,27. Within the high homology region of the PTEN 3′ UTR, PTENP1 had perfect conserved seed matches for the PTEN-targeting microRNA families, including miR-17, miR-21, miR-214, miR-19 and miR-26 families20. PTENP1 bound PTEN-targeting microRNAs, which protected PTEN mRNA, preventing its degradation by microRNAs. PTENP1 acted as a decoy for miR-19b and miR-20a in prostate cancer cells and for miR-21 in ccRCC cells27,32. In the present study, a positive correlation between PTENP1 expression and the PTEN mRNA level was found in the HNSCC cells as described above. However, the activation induced by PTENP1 was not potent enough to recover PTEN to a normal level. As the deletion of PTEN was concomitant with that of PTENP1 in some cancers19,30, we also examined the genomic PTEN status in HNSCCs. There was only one partial deletion at intron 1 of PTEN in the HN13 cell line. Based on these data, we hypothesize that: 1) PTENP1 is not a potent activator of PTEN in HNSCCs. As a decoy, its function of protecting PTEN from microRNAs is limited. 2) There are other targets of PTENP1 in HNSCCs. Of note, even in the absence of PTEN, PTENP1 still exhibited a tumour suppressive function. Some studies attribute this activity to PTENP1 acting as a decoy for other miRNA-targeting tumour suppressors20. We believe that PTENP1 is not restricted to serving only a decoy function. As an indispensable partner of epigenetics, the lncRNA can work through multiple mechanisms: establishing gene imprints, orchestrating chromosome conformation, recruiting factors to modulate DNA and histone modification. The mechanisms of action of PTENP1 in cancers independent of PTEN still warrant further investigation.

Conclusions

In summary, the expression of PTENP1 was decreased in both HNSCC cell lines and clinical HNSCC specimens compared with adjacent tissues due to a reduction in the PTENP1 copy number. Decreased PTENP1 expression was significantly associated with a worse OS and DFS in HNSCC patients. Overexpression of PTENP1 significantly inhibited the proliferation, colony formation and migration of HNSCC cells and xenograft tumour growth, suggesting that that PTENP1 may be a novel therapeutic and prognostic target for HNSCC.

Methods

Cell culture

The human HNSCC cell lines (WSU-HN4, HN6, HN13, HN30 and Cal27) were cultured in Dulbecco’s modified Eagle medium (DMEM) (Gibco, Carlsbad, CA, USA supplemented with 10% heat-inactivated FBS (Gibco, Carlsbad, CA, USA) at 37 °C in a humidified 5% CO2 atmosphere. Normal oral mucosal epithelial cells were harvested and cultured as described in a previous study18.

Clinical samples

Samples were collected from a cohort of 57 patients who were diagnosed with head and neck squamous cell carcinoma between June 2008 and May 2010. All samples were obtained from the Department of Oral Maxillofacial-Head and Neck Oncology, School of Stomatology, Shanghai Jiao Tong University School of Medicine (Shanghai, China) and quickly frozen in liquid nitrogen upon resection until total RNA was extracted. The clinicopathological characteristics of the study cohort are summarized in Tables 1 and 2. All of the patients provided written informed consent in accordance with the institutional guidelines and this study was approved by Shanghai Ninth People’s Hospital Ethical Committee (No. 2016-172-T121). All methods were performed in accordance with the relevant guidelines and regulations.

RNA extraction, DNA preparation, reverse transcription, RT-PCR, qRT-PCR and genomic qRT-PCR.

Total RNA was extracted from freshly frozen samples and cell lines using the TRIzol Reagent (Invitrogen, Carlsbad, CA, USA), and total RNA was reverse-transcribed with the PrimeScript RT-PCR Kit (TakaraBio, Otsu, Japan). Genomic DNA was extracted using a TIANamp Genomic DNA Kit (Tiangen Biotech, Beijing, China). Cytoplasmic and nuclear RNA was extracted using a Fisher BioReagents SurePrep Nuclear or Cytoplasmic RNA Purification Kit (Thermo Fisher, Waltham, MA, USA). The RT-PCR was performed using Premix Ex Taq reagent (TakaraBio, Otsu, Japan). The qRT-PCR and genomic qRT-PCR were performed using SYBR Select Master Mix (Applied Biosystems, Irvine, CA, USA) and an ABI 7500 real-time PCR system (Applied Biosystems, Irvine, CA, USA). The primer sequences used were as follows: forward 5′-GGATCATTACCTCACACCATACC-3′ and reverse 5′-TCTAAGAAACAACTAAGCCAAAGTC-3′ for PTENP1; forward 5′-CTTACAGTTGGGCCCTGTACCATCC-3′ and reverse 5′-TTTGATGCTGCCGGTAAACTCCACT-3′ for PTEN; forward 5′-TGCAGTTTCAGGTACAACACATTGG-3′ and reverse 5′-TCACATACCTTATACACTGGCCTACC-3′ for intron 1 of PTEN; forward 5′-AAGTCAAGAAGTCCAAGAGCATTG-3′ and reverse 5′-TTATGGGCTCAAATATGGGCTAGATG-3′ for intron 3 of PTEN; forward 5′-GGTGGGAAGTATTGCCACTCA-3′ and reverse 5′-GTGAAACCCCAATTTATGTAGCGTAT-3′ for UBE2E1; forward 5′-AGGTCGGTGTGAACGGATTTG-3′ and reverse 5′-TGTAGACCATGTAGTTGAGGTCA-3′ for GAPDH; forward 5′-TATCTGATACGTCCTCTATCCGAGG-3′ for U2 nuclear RNA. The 2−ΔΔCT equation was used to calculate the relative expression levels.

Western blot analysis

Cells were rinsed twice with PBS and incubated with RIPA lysis buffer (Millipore, Billerica, MA, USA) on ice for 30 min. Cell extracts were harvested and centrifuged at 13,000 g for 30 min at 4 °C. Then, the lysates were quantified and denatured. Protein samples (10 μg) were separated by sodium dodecyl sulfate–polyacrylamide gel electrophoresis in 10% (wt/vol) polyacrylamide gels and transferred to polyvinylidene fluoride membranes. After blocking, the membrane was incubated with 0.15 μg/ml PTEN antibody (Abcam, Cambridge, MA, USA) overnight at 4 °C or with a β-actin antibody for 1 h (Sigma-Aldrich, St. Louis, MO, USA). The membrane was then incubated with a secondary antibody conjugated to a fluorescent tag (Invitrogen. Carlsbad, CA, USA) for 1 h. The band signals were visualized by the Odyssey Infrared Imagining System (LI-COR) at an 800 channel wavelength.

Plasmid construction

The 3′ UTR of PTENP1 was cloned using KOD-Plus-Neo DNA polymerase (TOYOBO, Osaka, Japan) from the genomic DNA of normal oral mucosal epithelial cells. The primers used for cloning were as follows: forward 5′-CGCTACTACCGGAATTCGAGGAGCCGTCAAATCCAGAG-3′ with a BamHI site and reverse 5′-ACTACTACGCGGATCCTCGTCAATGTGTGAGGTTCC-3′ with an EcoRI site. Then, the 3′ UTR of PTENP1 was inserted into the MCS of the pCDH-CMV-MCS-EF1-Puro lentivirus vector (eukaryotic expression plasmid, PCMV for short) to generate the PCMV-PTENP1 plasmid (System Biosciences, Palo Alto, CA, USA), and the PCMV with no insertion was called PCMV-Mock used as a control.

Lentivirus package

When 293 T cells had grown to 70% confluence on a 10 cm disc, 30 μl of Lipofectamine 2000 reagent (Invitrogen, Carlsbad, CA, USA) incubated with Opti-MEM I reduced serum medium (Gibco, Carlsbad, CA, USA) were added, together with 3 μg PCMV-PTENP1 plasmid or PCMV-Mock plasmid, 3 μg pMD2.D plasmid and 6.0 μg PsPax plasmid, and the cells were incubated for 6 h. The medium was then replaced with 10 ml of fresh medium. The supernatants of cells were collected at 48 h and 72 h. The resulting viruses were filtered through a 0.45-μm cellulose acetate filter, concentrated with Amicon Ultra-15 Centrifugal Filter Units (Millipore, Billerica, MA, USA) and then stored in several aliquots in a −80 °C freezer. HN13 and HN30 cells were seeded at 1.0 × 105 cells per well of six-well plates. One day later, virus (PCMV-PTENP1 or PCMV-Mock) was added into the medium containing 10 ng/ml polybrene (Sigma-Aldrich, St. Louis, MO, USA). After 48 h, the medium was replaced with fresh medium containing 4 μg/ml puromycin (Invivogen, San Diego, CA, USA), and cells were incubated for at least 2 weeks. Colonies were selected and expanded for further analyses. Stable cell lines with PTENP1 expression were termed “PTENP1 cells” and cells with PCMV-Mock were termed “Mock cells”.

Proliferation assay

The MTT assay was used to detect the proliferative rates of the indicated cell lines. A total of 2,000 PTENP1 or Mock cells in 100 μl of medium were seeded per well in 96-well plates. At 0 h, 24 h, 48 h and 72 h, 20 μl of 5 mg/ml 3- (4,5-dimethylthiazol-2-yl) -2,5-diphenyltetrazolium bromide (MTT, Sigma-Aldrich, St. Louis, MO, USA) was added to each well. The cells were lysed with 100 μl of dimethylsulfoxide 4 h later with gentle shaking. The optical density was detected with a microplate reader at 490 nm. The absorbance values were normalized to the values of the 0-hour sample. The normalized value was set as the growth index.

Colony formation assay

Five hundred PTENP1 or Mock tumour cells were seeded per well in 6-well plates and cultured in complete medium for 10 days. Colonies were then stained with 0.25% crystal violet and colonies of more than 50 cells were counted under a dissecting microscope. The data are shown as the means (±SD) from at least three independent experiments.

Transwell assay

Ten thousand PTENP1 or Mock tumour cells were suspended in 400 μl of the appropriate medium supplemented with 2% FBS and were seeded into the upper compartments of a 24-well transwell system with 8-μm pore size polycarbonate filters (Millipore, Billerica, MA, USA). The lower compartments contained 900 μl of medium with 10% FBS. On the second day of incubation, the upper transwells were stained with 0.25% crystal violet. The inner sides of the transwells were scrubbed away and the outer sides were photographed. The crystal violet was washed with 100 μl of 33% acetic acid. The absorbance values of the liquid were detected with a microplate reader at 630 nm.

Wound-healing assay

PTENP1 or Mock cells were seeded in 6-well plates with complete medium until they reached full confluence. A wound was then made by using a 200 μl pipette tip to scratch along a line. The cells were rinsed 3 times with PBS to remove suspended cells. Then, the cells were cultured in medium without FBS and the width of the wound was photographed at 0 h, 24 h and 48 h.

In vivo xenograft model

All animal experiments were approved by the Shanghai Jiao Tong University School of Medicine Animal Ethics Committee and this study were conducted following the Shanghai Jiao Tong University School of Medicine animal policy. Stable PTENP1 or Mock cells were harvested and washed twice with PBS. The cells (5 × 106) were injected subcutaneously into the right flanks of 4-week-old male nude mice in 100 μl of PBS (six mice for each group). The growth of the tumours was observed once a week, and the length and the width of the tumours were measured until four weeks after injection. After euthanasia, the images of mice were stored and the growth curve of tumours was calculated using the formula length*width*width/2.

Statistical analysis

All of the experiments in our study were performed in triplicate at least. The log-rank test was used to assess the univariate associations between the PTENP1 transcript level and the Overall survival (OS) and Disease-free survival (DFS). The hazard ratios with corresponding 95% confidence intervals (CIs) and P values are reported. For the real-time PCR analysis, the associations between the PTENP1 mRNA levels and patient characteristics were evaluated using the Kruskal-Wallis test. All tests were two-sided, and P values < 0.05 were considered to be statistically significantly. All analyses were conducted using the SPSS software program (standard version 18.0; SPSS Inc., Chicago, Ill).

Additional Information

How to cite this article: Liu, J. et al. Decreased expression of pseudogene PTENP1 promotes malignant behaviours and is associated with the poor survival of patients with HNSCC. Sci. Rep. 7, 41179; doi: 10.1038/srep41179 (2017).

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