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INTRODUCTION AND OBJECTIVES

Unlike normal differentiated cells, tumor cells metabolize glucose via glycolysis under aerobic conditions, a hallmark of cancer known as the Warburg effect. Renal cell carcinoma (RCC) often has a mutation of VHL and HIF-1 gene is constitutively activated mediating the Warburg effect. Our recent microRNA (miRNA) expression signature of RCC revealed that tumor suppressive miR-1291 targets glucose transporter 1 and miR-143/145 cluster target hexokinase 2. Pyruvate dehydrogenase kinase 1 (PDK1) is an important regulator of pyruvate dehydrogenase and is regulated by HIF-1 in cancer. The aim of this study is to investigate miRNAs regulating PDK1 gene in RCC.

METHODS

We searched miRNAs targeting PDK1 gene through TargetScan database. A luciferase reporter assay was carried out to determine whether 3′UTR of PDK1 has an actual biding site for candidate miRNAs. We investigated whether PDK1 was regulated by miR-24 by real-time PCR and western blotting. The expression level of miR-24 and PDK1 in clinical RCCs (n=29) and normal kidney specimens (n=27) were evaluated by real-time PCR. Overall survival (OS) of RCC patients was evaluated using the Kaplan-Meier method. To investigate the functional role of miR-24, we performed gain-of-function studies (cell proliferation, apoptosis and cell cycle assay) by using miR-24 transfectants (786-O and A498 cancer cell lines).

RESULTS

In clinical specimens, expression levels of PDK1 were significantly up-regulated in RCC specimens compared with the normal specimens (P<0.0001). Western blot and luciferase reporter analysis showed that miR-24 directly targets PDK1. MiR-24 expression level was significantly lower in high grade group compared to low grade group (P=0.0286). MiR-24 expression level was significantly lower in recurrence group of patients compared to no-recurrence group (P=0.0498). Kaplan-Meier analysis showed that the low miR-24 group had significantly lower OS probability compared to the high miR-24 group (P=0.0438). XTT assay demonstrated that cell viability was significantly inhibited in the miR-24 transfectants compared with the control. Flow cytometry analysis showed that cell cycle arrest and apoptosis were induced in the miR-24 transfectants.

CONCLUSIONS: miR-24 functions as a tumor suppressor in RCC through inhibition of PDK1 suggesting that miR-24 might be a potential biomarker for prognosis prediction in the treatment of RCC.