Abstract
Exosomal microRNAs (miRNAs) have been implicated in the development and progression of a variety of tumors; however, whether they contribute to medulloblastoma (MB) tumorigenesis remains to be elucidated. To address this, we first characterized the miRNA profiles of circulating exosomes by miRNA sequencing to identify miRNAs differentially expressed between children with MB and healthy controls. Then, we conducted in vitro and in vivo functional assays with the identified miRNAs and their predicted targets. We found that, compared with healthy controls, 35 miRNAs were upregulated and 5 downregulated in exosomes isolated from the plasma of MB patients. We further found that the expression of miR-101-3p and miR-423-5p was significantly higher in plasma exosomes from MB patients than in healthy controls in an expanded cohort and these exosomal miRNAs could be delivered to tumor cells via exosomes. An in vitro functional analysis of miR-101-3p and miR-423-5p showed that treating MB cells with the corresponding mimics significantly inhibited the proliferation, colony-forming ability, migratory ability, and invasive capacity of tumor cells, and promoted cell apoptosis. Additionally, miR-101-3p and miR-423-5p were found to act as tumor suppressors by directly targeting a common gene, FOXP4, which encodes a transcription factor with a vital role in embryonic development and tumorigenesis. Moreover, miR-101-3p also targeted EZH2, a histone methyltransferase, to reinforce its tumor inhibitory effects. Using a xenograft nude mouse model of MB, we further identified that the overexpression of miR-101-3p and miR-423-5p inhibited tumorigenesis in vivo. Our findings provide novel insights into the functions of exosomal miRNAs in mediating MB progression and suggest a potential therapeutic approach for the treatment of children with MB.
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Data availability
The sequencing data have been deposited in the Gene Expression Omnibus (GEO) under accession numbers GSE123376.
Change history
04 September 2024
A Correction to this paper has been published: https://doi.org/10.1038/s41418-024-01345-y
References
Kohler BA, Ward E, McCarthy BJ, Schymura MJ, Ries LA, Eheman C, et al. Annual report to the nation on the status of cancer, 1975-2007, featuring tumors of the brain and other nervous system. J Natl Cancer Inst. 2011;103:714–36.
Massimino M, Biassoni V, Gandola L, Garre ML, Gatta G, Giangaspero F. et al. Childhood medulloblastoma. Crit Rev Oncol Hematol. 2016;105:35–51.
Vlassov AV, Magdaleno S, Setterquist R, Conrad R. Exosomes: current knowledge of their composition, biological functions, and diagnostic and therapeutic potentials. Biochim. Biophys. Acta Gen. Subj. 2012;1820:940–8.
Mathivanan S, Fahner CJ, Reid GE, Simpson RJ. ExoCarta 2012: database of exosomal proteins, RNA and lipids. Nucleic Acids Res. 2012;40:D1241–4.
Leichter AL, Sullivan MJ, Eccles MR, Chatterjee A. MicroRNA expression patterns and signalling pathways in the development and progression of childhood solid tumours. Mol Cancer. 2017;16:15.
Bell E, Taylor MA. Functional roles for exosomal microRNAs in the tumour microenvironment. Comput Struct Biotechnol J. 2017;15:8–13.
Sidhom K, Obi PO, Saleem A. A review of exosomal isolation methods: is size exclusion chromatography the best option?. Int J Mol Sci. 2020;21:6466
Lee RC, Feinbaum RL, Ambros V. The C. elegans heterochronic gene lin-4 encodes small RNAs with antisense complementarity to lin-14. Cell. 1993;75:843–54.
Liu Y, Luo F, Wang BR, Li HQ, Xu Y, Liu XL. et al. STAT3-regulated exosomal miR-21 promotes angiogenesis and is involved in neoplastic processes of transformed human bronchial epithelial cells. Cancer Lett. 2016;370:125–35.
Ye SB, Li ZL, Luo DH, Huang BJ, Chen YS, Zhang XS. et al. Tumor-derived exosomes promote tumor progression and T-cell dysfunction through the regulation of enriched exosomal microRNAs in human nasopharyngeal carcinoma. Oncotarget. 2014;5:5439–52.
Rabinowits G, Gercel-Taylor C, Day JM, Taylor DD, Kloecker GH. Exosomal microRNA: a diagnostic marker for lung cancer. Clin Lung Cancer. 2009;10:42–46.
Taylor DD, Gercel-Taylor C. MicroRNA signatures of tumor-derived exosomes as diagnostic biomarkers of ovarian cancer. Gynecol Oncol. 2008;110:13–21.
Samsonov R, Shtam T, Burdakov V, Glotov A, Tsyrlina E, Berstein L. et al. Lectin-induced agglutination method of urinary exosomes isolation followed by mi-RNA analysis: application for prostate cancer diagnostic. Prostate. 2016;76:68–79.
Fong MY, Zhou WY, Liu L, Alontaga AY, Chandra M, Ashby J. et al. Breast-cancer-secreted miR-122 reprograms glucose metabolism in premetastatic niche to promote metastasis. Nat Cell Biol. 2015;17:183–94.
Munoz JL, Bliss SA, Greco SJ, Ramkissoon SH, Ligon KL, Rameshwar P. Delivery of functional Anti-miR-9 by mesenchymal stem cell-derived exosomes to glioblastoma multiforme cells conferred chemosensitivity. Mol Ther Nucl Acids. 2013;2:e126.
Song L, Huang Q, Chen K, Liu L, Lin C, Dai T. et al. miR-218 inhibits the invasive ability of glioma cells by direct downregulation of IKK-beta. Biochem Biophys Res Commun. 2010;402:135–40.
Uziel T, Karginov FV, Xie S, Parker JS, Wang YD, Gajjar A, et al. The miR-17~92 cluster collaborates with the Sonic Hedgehog pathway in medulloblastoma. Proc Natl Acad Sci USA. 2009;106:2812–7.
Huang S, Xue P, Han X, Zhang C, Yang L, Liu L. et al. Exosomal miR-130b-3p targets SIK1 to inhibit medulloblastoma tumorigenesis. Cell Death Dis. 2020;11:408
Ismail N, Wang Y, Dakhlallah D, Moldovan L, Agarwal K, Batte K. et al. Macrophage microvesicles induce macrophage differentiation and miR-223 transfer. Blood. 2013;121:984–95.
Teufel A, Wong EA, Mukhopadhyay M, Malik N, Westphal H. FoxP4, a novel forkhead transcription factor. Biochim Biophys Acta Gene Struct Expr. 2003;1627:147–52.
Tsang DPF, Cheng ASL. Epigenetic regulation of signaling pathways in cancer: Role of the histone methyltransferase EZH2. J Gastroenterol Hepatol. 2011;26:19–27.
McCabe MT, Creasy CL. EZH2 as a potential target in cancer therapy. Epigenomics. 2014;6:341–51.
Alimova I, Venkataraman S, Harris P, Marquez VE, Northcott PA, Dubuc A, et al. Targeting the enhancer of zeste homologue 2 in medulloblastoma. Int J Cancer. 2012;131:1800–9.
Jia WZ, Yu T, An Q, Cao XL, Pan HD. MicroRNA-423-5p inhibits colon cancer growth by promoting caspase-dependent apoptosis. Exp Ther Med. 2018;16:1225–31.
Tang XB, Zeng XG, Huang Y, Chen SB, Lin F, Yang G. et al. miR-423-5p serves as a diagnostic indicator and inhibits the proliferation and invasion of ovarian cancer. Exp Ther Med. 2018;15:4723–30.
Li J, Liu X, Fang Q, Ding M, Li C. Liraglutide attenuates atherosclerosis via inhibiting ER-induced macrophage derived microvesicles production in T2DM rats. Diabetol Metab Syndr. 2017;9:94.
Yang H, Fu HL, Wang B, Zhang X, Mao JH, Li X. et al. Exosomal miR-423-5p targets SUFU to promote cancer growth and metastasis and serves as a novel marker for gastric cancer. Mol Carcinog. 2018;57:1223–36.
Yao YL, Ma J, Wang P, Xue YX, Li Z, Zhao LN. et al. miR-101 acts as a tumor suppressor by targeting Kruppel-like Factor 6 in glioblastoma stem cells. CNS Neurosci Ther. 2015;21:40–51.
Yang T, Li H, Thakur A, Chen TJ, Xue J, Li D. et al. FOXP4 modulates tumor growth and independently associates with miR-138 in non-small cell lung cancer cells. Tumor Biol. 2015;36:8185–91.
Wang G, Sun YB, He YF, Ji CS, Hu B, Sun YP. MicroRNA-338-3p inhibits cell proliferation in hepatocellular carcinoma by target forkhead box P4 (FOXP4). Int J Clin Exp Pathol. 2015;8:337–44.
Yin ZX, Ding HM, He EX, Chen JC, Li M. Up-regulation of microRNA-491-5p suppresses cell proliferation and promotes apoptosis by targeting FOXP4 in human osteosarcoma. Cell Prolif. 2017;50:e12308.
Zingg D, Debbache J, Pena-Hernandez R, Antunes AT, Schaefer SM, Cheng PF, et al. EZH2-mediated primary cilium deconstruction drives metastatic melanoma formation. Cancer Cell. 2018;34:69–84.
Oki S, Sone K, Oda K, Hamamoto R, Ikemura M, Maeda D. et al. Oncogenic histone methyltransferase EZH2: a novel prognostic marker with therapeutic potential in endometrial cancer. Oncotarget. 2017;8:40402–11.
Labbe DP, Sweeney CJ, Brown M, Galbo P, Rosario S, Wadosky KM. et al. TOP2A and EZH2 provide early detection of an aggressive prostate cancer subgroup. Clin Cancer Res. 2017;23:7072–83.
Hirukawa A, Smith HW, Zuo DM, Dufour CR, Savage P, Bertos N. et al. Targeting EZH2 reactivates a breast cancer subtype-specific anti-metastatic transcriptional program. Nat Commun. 2018;9:2547.
Sanna L, Marchesi I, Melone MAB, Bagella L. The role of enhancer of zeste homolog 2: from viral epigenetics to the carcinogenesis of hepatocellular carcinoma. J Cell Physiol. 2018;233:6508–17.
Su MJ, Aldawsari H, Amiji M. Pancreatic cancer cell exosome-mediated macrophage reprogramming and the role of microRNAs 155 and 125b2 transfection using nanoparticle delivery systems. Sci Rep. 2016;6:30110.
Zhang C, Wang H, Liu X, Hu Y, Ding L, Zhang X. et al. Oncogenic microRNA-411 promotes lung carcinogenesis by directly targeting suppressor genes SPRY4 and TXNIP. Oncogene. 2019;38:1892–904.
Xiao M, Zhang J, Chen W, Chen W. M1-like tumor-associated macrophages activated by exosome-transferred THBS1 promote malignant migration in oral squamous cell carcinoma. J Exp Clin Cancer Res. 2018;37:143
Acknowledgements
We acknowledge and appreciate the colleagues from our lab for their valuable efforts and comments on this paper.
Funding
This work was supported by grants from the National Key R&D Program of China (2016YFC1305102 to YZ), National Natural Science Foundation of China (81671561, 81974248 to YZ, 81900751 to XH), International Joint Laboratory Program of the National Children’s Medical Center (EK1125180109 to YZ), Program for Outstanding Medical Academic Leader (2019LJ19 to YZ), and Shanghai Committee of Science and Technology (21140902400 to YZ, 21ZR1410000 and 19ZR1406400 to JF).
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These authors contributed equally: PX, SH, and XH. PX, SH, and XH designed and performed experiments and analyzed data. CZ and LY generated mice model together with PX and SH. JF and WX designed experiments and analyzed data. PX and SH analyzed data, prepared figures, and wrote the manuscript. HL recruited the human participants. YZ planned, designed, supervised, and coordinated the overall research efforts.
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The study protocol was approved by the Ethics Committee of Children’s Hospital of Fudan University. Informed consent was obtained from all participants.
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The original online version of this article was revised: In this article fig. 5 has been corrected.
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Xue, P., Huang, S., Han, X. et al. Exosomal miR-101-3p and miR-423-5p inhibit medulloblastoma tumorigenesis through targeting FOXP4 and EZH2. Cell Death Differ 29, 82–95 (2022). https://doi.org/10.1038/s41418-021-00838-4
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DOI: https://doi.org/10.1038/s41418-021-00838-4
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