Tumor Suppressor miR-637 Is Associated with Cellular Migration, Invasion, and Glioma Diagnosis

Objective: Abnormal miRNA expression is observed in several human tu-mors; moreover, normal cell regulation can be disrupted by tumor-suppressive or oncogenic miRNAs. We aimed to investigate the role of miR-637 in gliomas. Methods: We assessed miR-637 expression in 98 and 16 gliomas and non-tumoral brain tissues, respectively, using in situ hybridization. We calculated receiver operating characteristic curves to determine the specificity and sensitivity of miR-637 biomarkers. Next, the effects of miR-637 on glioma cell migration and invasion were determined by using the transwell assay. Candidate target genes were identified through Kyoto Encyclopedia of Genes and Genomes pathway enrichment analysis. Results: There was significant miR-637 downregulation in glioma tissues (P < 0.001). Further, it showed potential as a diagnostic biomarker for gliomas. In addition, miR-637 suppressed glioma cell migration and invasion. Conclusions: Our findings suggest that miR-637 inhibits glioma invasion and migration and could be a potential diagnostic marker for gliomas. Future studies should examine the potential mechanisms underlying miR-637 as a diagnostic marker and therapeutic target for gliomas.

International Journal of Clinical Medicine tion (WHO) grade IV glioma, which includes glioblastoma multiform (GBM), is a highly invasive and fatal malignant tumor [1]. GBM can extensively infiltrate normal brain tissue, making surgical resection almost impossible, and postoperative recurrence is common [2]. Therefore, there is a need to elucidate the invasion mechanisms to improve glioma prognosis.
miRNA is a non-coded RNA with a length of 19 -25 bases. It can directly bind to the 3'-untranslated region of the target mRNA through its seed sequence and inhibit the expression of the encoded protein at the post-transcriptional level [3].
We previously reported that miRNA can regulate cell behavior, including migration, invasion, proliferation, and apoptosis [4] [5]. Based on the role of miRNA in tumor development, it can be classified as tumor-suppressive miRNA (TS-miRNA) or oncogenic miRNA [6]. Several studies have reported that miRNA dysfunction could cause tumorigenesis [7]. However, the specific role of some miRNAs in cancer remains unclear.
miR-637 is among the primate-specific miRNAs first reported by Cummins et al. [8] when using sequence analysis of human colorectal cells. To our knowledge, there have been no studies on miR-637 as an oncogenic miRNA or TS-miRNA. Further, only one study has reported that miR-637 can inhibit tumorigenesis through disruption of signal transducers and activation of transcription 3 signalings in hepatocellular carcinoma [9]. Consequently, we aimed to assess miR-637 expression in gliomas to determine the effects of miR-637 on glioma cell migration and invasion, as well as to explore the possible signaling pathways involved.

Tissue Samples and Slide Preparation
We obtained surgical specimens of 98 gliomas and 16 nontumoral brain tissues (control) from the Pathology Department of the Shenzhen Second People's Hospital, after obtaining written informed consent from the patients. The formalin-fixed, paraffin-embedded (FFPE) tissue sections with a 5-μm thickness were cut for subsequent miR-637 in situ hybridization (ISH). This study complied with the principles of the Helsinki Declaration and was approved by the Ethics Committee of the Shenzhen Second People's Hospital.

In Situ Hybridization
FFPE tissue sections, adhered to glass slides, were deparaffinized in xylene and rehydrated using gradient ethanol. We have previously described the details of this procedure [4]. The hybridization images were acquired under a fluorescent microscope.

Cell Lines and Cultures
Human glioma cell lines, U373 and U251 cells, were purchased from the China Academia Sinica Cell Repository (Shanghai, China) and cultured in Dulbecco's International Journal of Clinical Medicine Modified Eagle Medium (Gibco) that contained 10% fetal bovine serum (Gibco).
All cell lines were incubated at 37˚C in a humidified incubator with 5% CO 2 /95% air.

miR-637 Mimics Transfection
We purchased the dsRNA oligonucleotides of miR-637 mimics and the scrambled sequence (Scr) of Ribobio. U373 and U251 cells in the miR-637 group and the corresponding Scr group were transfected with the corresponding dsRNA oligonucleotides using X-tremeGENE siRNA Transfection Reagent (Roche).

Quantitative Reverse Transcription Polymerase Chain Reaction
The total RNA from each group was extracted using TRIzol reagent (Invitrogen). miR-637 was quantified using the Bulge-loop miRNA quantitative reverse transcription polymerase chain reaction (qRT-PCR) Detection Kit (Ribobio). U6 was used as the internal miR-637 control. All reactions were performed on a QuantStudio TM Dx Real-Time PCR Instrument (Thermo Fisher). The fold changes of miR-637 were calculated via the 2 −ΔΔCt method.

Transwell-Chamber Migration and Invasion Assay
We used transwell inserts (24-well, 8-μm pore size; Millipore) with or without a 1:4 diluted Matrigel (BD Bioscience) coating layer to assess the invasive and migratory abilities of the cells. The cells that reached the lower surface were fixed with methanol and stained with 0.1% crystal violet. We have previously described the details of this procedure [5]. Lastly, cells from each chamber were counted under a microscope (×400).

Kyoto Encyclopedia of Genes and Genomes Pathway Enrichment Analysis of Candidate Target Genes
The Kyoto Encyclopedia of Genes and Genomes (KEGG) (https://www.kegg.jp/) is a database that allows the systematic analysis of gene functions and the linking of genomic information with higher-order functional information. To analyze the candidate target genes at the functional level, we performed KEGG pathway analysis with the Database for Annotation, Visualization, and Integrated Discovery software (DAVID version 6.7; http://www.david.niaid.nih.gov) online International Journal of Clinical Medicine tool. Significant enrichment was set at P < 0.05.

Statistical Analysis
All statistical analyses were performed using SPSS 24.0 software. Results are presented as the mean ± standard deviation. The normality of distribution was estimated using the Kolmogorov-Smirnov test. Between-group differences were analyzed using a one-way analysis of variance or t-test. To determine the optimal cutoff level of miR-637 expression for glioma diagnosis, we performed a receiver operating characteristic (ROC) curve analysis. Youden's index (J = sensitivity + specificity − 1) was used to determine the optimal cutoff level [10]. Specifically, the cutoff value for obtaining the highest Youden's index was considered the optimal cutoff level. The level of statistical significance was set at P < 0.05. All cell line experiments were performed at least thrice with triplicate samples.

miR-637 Is Down Regulated in Glioma Tissues and Could Be Used for Glioma Diagnosis
To determine miR-637 expression in gliomas and its association with the WHO grades of gliomas, we used ISH to determine endogenous miR-637 levels in the FFPE specimens. Glioma tissue had significantly lower miR-637 expression than did control tissue (P < 0.001). Further, the expression level was lower when the glioma grade was higher, with the expression in glioblastoma being the lowest (P < 0.001; Figure 1). ROC curve analysis of miR-637 expression in both tissue groups revealed an area under the ROC curve of 0.9254 (95% confidence interval, 0.8698 -0.9818; P < 0.0001; Figure 2(A) and Figure 2(B)). This demonstrated that miR-637 expression in glioma tissues could differentiate between gliomas and nontumoral brain tissues. The optimal cutoff value for glioma diagnosis using the miR-637 labeling index was ≤ 6.015% (sensitivity, 77.55%; specificity,  and Figure 2(D)). This indicates that miR-637 expression in glioma tissues could differentiate between glioma grades. The optimal cutoff value for glioma diagnosis using the miR-637 labeling index was ≤ 0.7050% (sensitivity, 86.84%; specificity, 71.67%).

Validation of Cell Transfection Efficiency
The transfection efficiency of miR-637 mimics was detected through qRT-PCR.
We observed a significant increase in miR-637 levels in U373 and U251 cells after the transfection of miR-637 mimics (P < 0.001; Figure 3(E)).

miR-637 Inhibits Glioma Cell Migration and Invasion
We used the transwell-chamber assay to assess the effects of miR-637 on glioma International Journal of Clinical Medicine

Candidate Target Genes of miR-637 and Pathway Enrichment Analysis
As shown in Table 1, 136 common candidate target genes were identified from all four tools (Figure 4). The candidate target genes were enriched in KEGG pathways including pathways in cancer and the Rap1 signaling pathway, focal adhesion pathway, and cell adhesion pathway (Table 1). These pathways are involved in cell proliferation, migration, and invasion, which are closely associated with tumor progression and metastasis.

Discussion
Only a few studies have investigated the functions of miR-637, which is a primate-specific miRNA first reported in 2006 by Cummins et al. [8]. For example, Dai et al. [11] reported miR-637 down-regulation in the context of primary immunoglobulin A nephropathy. Riccardo et al. [12] reported that the ATP6V0A1 polymorphism and miR-637 could cause essential hypertension. Zhang et al. [13] reported that miR-637 maintains the balance between adipocytes and os- We conducted transwell-chamber migration and invasion assays to assess the effects of miR-637 on cell migration and invasion. Compared with nontumoral brain tissues, miR-637 expression was relatively low in glioma tissues and was negatively related to the WHO grade. Additionally, the transfection of miR-637 mimics significantly inhibited the migration and invasion of U373 and U251 cells, which further confirmed the inhibitory effects of miR-637 on gliomas. We conducted bioinformatics to analyze the target genes of miR-637 enriched in KEGG pathways and found that they were closely associated with tumor cell invasion and migration. Future studies should elucidate the potential molecular mechanisms and specific target genes of miR-637 in gliomas.
There were 136 common candidate target genes predicted as putative target genes from all four tools. KEGG pathway analysis revealed that pathways in cancer, leukocyte transendothelial migration, Rap1 signaling, proteoglycans in cancer, focal adhesion, purine metabolism, oxytocin signaling, cell adhesion molecules, Wnt signaling, and Chagas disease (American trypanosomiasis) were the top 10 enriched pathways of the predicted target genes. These pathways play vital roles in the regulation of cell migration, invasion, and proliferation. There were other potential target genes associated with tumorigenesis, including ECM, PTGIS, SRSF1, and TRPM7. Further studies are needed to explore the candidate targets of miR-637 and verify the mechanisms underlying its inhibitory effects on migration and invasion.

Conclusion
Our findings indicated that miR-637 downregulation occurred to a greater extent in glioma tissues than in nontumoral brain tissues. Transfection of miR-637 mimics inhibited migration and invasion of U373 and U251 cells. These results suggest that miR-637 could be a tumor suppressor in gliomas. Moreover, our International Journal of Clinical Medicine findings indicate that miR-637 is not only a potential diagnostic biomarker but also a potential therapeutic target for gliomas. Future studies should verify the target genes of miR-637 and identify the potential regulatory pathways.