PTBP1-associated microRNA-1 and -133b suppress the Warburg effect in colorectal tumors

It is known that pyruvate kinase in muscle (PKM), which is a rate-limiting glycolytic enzyme, has essential roles in the Warburg effect and that expression of cancer-dominant PKM2 is increased by polypyrimidine tract-binding protein 1 (PTBP1), which is a splicer of the PKM gene. In other words, PKM2 acts as a promoter of the Warburg effect. Previously, we demonstrated that the Warburg effect was partially established by down-regulation of several microRNAs (miRs) that bind to PTBP1 and that ectopic expression of these miRs suppressed the Warburg effect. In this study, we investigated the functions of miR-1 and -133b, which are well known as muscle-specific miRs, from the viewpoint of the Warburg effect in colorectal tumors. The expression levels of miR-1 and -133b were relatively high in colon tissue except muscle and very frequently down-regulated in 75 clinical colorectal tumors samples, even in adenomas, compared with those of the adjacent normal tissue samples. The ectopic expression of these miRs induced growth suppression and autophagic cell death through the switching of PKM isoform expression from PKM2 to PKM1 by silencing PTBP1 expression both in vitro and in vivo. Also, we showed that the resultant increase in the intracellular level of reactive oxygen species (ROS) was involved in this mechanism. Furthermore, PTBP1 was highly expressed in most of the 30 clinical colorectal tumor samples examined, even in adenomas. Our results suggested that PTBP1 and PTBP1-associated miR-1 and -133b are crucial molecules for the maintenance of the Warburg effect in colorectal tumors.


INTRODUCTION
The Warburg effect is a well-known feature of cancer cell metabolism [1].Also, it is well known that there are many factors that establish the Warburg effect, e.g., HIF-1 and c-Myc [2].Pyruvate kinase in muscle (PKM) is one of the essential molecules for the establishment of the Warburg effect.PKM has 2 isoforms, PKM1 and PKM2.PKM1 contains exon 9 and lacks exon 10.In contrast, PKM2 contains exon 10 and lacks exon 9 [3].The dominant expression of PKM2 is important for maintenance of the Warburg effect [4].PKM isoform expression is regulated by the protein family of splicers of heterogeneous nuclear ribonucleoproteins (hnRNPs) [5].Polypyrimidine tract-binding protein 1 (PTBP1, also known as hnRNPI), is a member of the hnRNP family and promotes PKM2 expression in cancer cells [6].PTBP1 represses the inclusion of downstream exon by binding to the sequence UCUUC, which exists near the 3' splice site [7,8].This favorable sequence for PTBP1 exists only in intron 8 of PKM mRNA.Hence, PTBP1 represses the inclusion of exon 9 and promotes the expression of PKM2 [6,9].
MicroRNAs (miRNAs) are single-stranded noncoding small RNAs.They repress gene expression at the translational level by binding to specific complementary sites within the 3′ untranslated region (3′UTR) of targeted mRNAs [10].The dysregulation of many miRs is responsible for the development of various cancers [11].Previously, we reported that dysregulation of certain miRs contributes to the development of various cancers including colorectal tumors [12][13][14][15][16][17].
Recently, we have been focusing on functions of the Warburg effect-associated miRs.Especially, we have investigated the effects of miRs that control PTBP1 expression in cancer cells, because we have found that most primary tumors including colon tumors samples show extreme overexpression of PTBP1.We named these miRs PTB1 or PTBP1-associated miRs.Indeed, we reported that brain-specific miR-124 and muscle-specific-133b contribute a great deal to the establishment of the Warburg effect [18].Also, miR-124 suppresses the Warburg effect through silencing PTBP1 or DEAD-box RNA helicase 6 (DDX6) in colon cancer cells [19,20].So far, miR-1 and -133 are well known as muscle-specific miRs involved in the control of muscle development and disease [21].Also, it was reported that these miRs are associated with the function and reprograming of the myocardium [22,23].However, the functions of these muscle-specific miRs in colorectal tumors have remained unclear.In this present study, we examined the effects of miR-1 and -133b on the Warburg effect in colorectal tumors.

MiR-1 and -133b were relatively highly expressed in colon tissue and very frequently down-regulated in clinical colorectal tumor samples
Firstly, we examined the expression profiles of miR-1 and -133b in normal tissues except for muscle.As a result, both miRs were preferentially higher in the tissue from colon than in those from other organs (Figure 1A).Next, we examined the expression levels of both miRs in the tumor samples from the patients with colorectal adenoma or cancer.Surprisingly, down-regulation of both miRs was observed in more than 90% of the samples (Figure 1B and Table 1).It should be noted that the down-regulation of miR-133 occurred more frequently than that of miR-1 (98.7% vs. 92.0%)and that the downregulation was confirmed even in adenoma samples.Also, in the human colon cancer cell lines tested, the expression levels of both miRs were significantly down-regulated (Figure 1C).These findings suggested that dysregulation of the expression of both miR-1 and -133b was closely associated with the development of colorectal tumors.

MiR-1 and -133b induced growth inhibition through autophagic cell death in colon cancer cells
Next, we investigated the effects of these miRs on colon cancer cells, using colon adenocarcinoma cell lines DLD-1 and WiDr.As shown in Figure 1D, the ectopic expression of these miRs induced growth inhibition in both cells.Also, Western blotting analysis showed a significant transition of LC3I to LC3II and decreased expression of p62 (Figure 1E), thus indicating induction of autophagy.Moreover, electron microscopy revealed that the mitochondria of the transfected cells contained many vacuoles, which are a characteristic of autophagy (Figure 1F).Furthermore, the lysosome inhibitor chloroquine increased the number of viable cells in DLD-1 cells transfected with both miRs (Figure 1G).These findings implied that these miRs inhibited growth by triggering autophagic cell death.

MiR-1 and -133b directly bound to PTBP1
Earlier we reported that miR-124 suppresses the Warburg effect via the miR-124/PTBP1/PKMs axis by binding to PTBP1 [19].The miRNA database indicated that PTBP1 also has predicted binding sites for miR-1 and -133b.Then, to validate whether these miRs indeed bound to PTBP1, we examined the expression levels of PTBP1 after the introduction of either miR into DLD-1 and WiDr cells.As shown in Figure 2, the mRNA (A) and protein (B) levels of PTBP1 were markedly down-regulated in the treated cells.Also, the luciferase reporter activity of wildtype pMIR-PTBP1 was significantly inhibited after the introduction of either miR into DLD-1 cells.On the other hand, mutation of the PTBP1 3′-UTR-binding site markedly abolished the inhibitory ability of either miRNA (Figure 2C).Furthermore, treatment with antagomiR-1 or -133b significantly reversed the growth suppression induced by either miR and increased the expression level of PTBP1 (Figure 2D and 2E).Based on these results, we concluded that miR-1 and -133b directly bound to PTBP1.

MiR-1 and -133b induced switching of PKM isoform expression from PKM2 to PKM1
As mentioned earlier in the Introduction section, PTBP1 is well known as a promoter of PKM2 expression [5,24].Indeed, we confirmed presently that overexpression of PTBP1 increased expression of PKM2 (Supplementary Figure S1A).On the other hand, knockdown of PKM2 decreased expression of PTBP1 (Supplementary Figure S1B).Also, we found that miR-1 and -133b bound to PTBP1 (Figure 2).Based on these findings, we hypothesized that both miRs induced switching of the PKM isoform expression from the cancer-dominant PKM2 to PKM1.In fact, the ratio of PKM2/PKM1 mRNAs was significantly decreased after the treatment with either miR (Figure 3A).Also, Western blotting analysis showed that the expression of PKM2 protein was slightly down-regulated and that of PKM1 was significantly up-regulated in all treated cells (Figure 3B and 3C).Furthermore, immunofluorescence (IFC) indicated that immunostaining for PKM1 was markedly increased in intensity, but that that for PKM2 was slightly decreased, in the treated-DLD-1 cells (Figure 3D).Therefore, this switching by these miRs was found even at the single-cell level.These findings suggested that these miRs negatively regulated the cancer-dominant PKM2 expression through the binding to PTBP1.

Ectopic expression of miR-1 and -133b suppressed the Warburg effect
PKM1 is well known as promoter of the TCA cycle; and PKM2, as a promoter of glycolysis [5,6,24].Therefore, we hypothesized that ectopic expression of these miRs would suppress the Warburg effect through this isoform-switching machinery.To examine the validity of this hypothesis, we measured the level of superoxide ion (O 2 −) by ESR after treating DLD-1 cells with either of these miRs.As a result, the levels of O 2 − were significantly increased in the treated-DLD-1 cells (Figure 4A and 4B).Next, we examined whether the effects of these miRs would be canceled by NAC, a free-radical scavenger.NAC significantly inhibited the growth suppression by these miRs (Figure 4C).Also, Western blotting analysis indicated that the transition of LC3I to II induced by these miRs was reduced by the treatment in the presence of NAC (Figure 4D).Next, we examined lactate production, the final product of glycolysis, after the treatment with either miR.Expectedly, this production was significantly decreased in DLD-1 cells treated with either miR (Figure 4E).Furthermore, ATP levels were significantly increased in DLD-1 cells transfected with either miR (Figure 4F).These findings suggested that the ectopic expression of these miRs suppressed growth by impairing the Warburg effect in colon cancer cells.

Knockdown of PTBP1 had the same effects as those induced by the ectopic expression of these miRs in colon cancer cells
To clarify whether these anti-cancer effects induced by miR-1 and -133b depended on the binding to PTBP1, we examined the effects of knockdown of PTBP1 on colon cancer cells.We were able to silence PTBP1 by binding siRNA to its ORF (siR-PTBP1-1) or 3′UTR (siR-PTBP1-2).As a result, both types of siR-PTBP1 induced a significantly inhibited the growth of either DLD-1 or WiDr cells (Figure 5A).The growth-suppressive effect of siR-PTBP1-2 was greater than that of siR-PTBP1-1.In addition, Western blotting analysis showed that the switching from PKM2 to PKM1, the transition of LC3I to LC3II, and the decrease in p62 expression had occurred in the siR-PTBP1transfected cells (Figure 5B and 5C).Also, IHC showed the clear switching from PKM2 to PKM1 at the single-cell level (Figure 5D).Moreover, this growth suppression with autophagy was canceled by NAC (Figure 5E).Electron microscopy showed that many autophagosomes were present in siR-PTBP1-treated cells as in the case of miR-1 or -133b-treated cells (Figure 5F).Furthermore, chloroquine recovered the viability of siR-PTBP1-transfected DLD-1 cells (Figure 5G).The decrease in lactate production by knockdown of PTBP1 was already reported by us and others [5,6,19].These findings suggested that the miR-1 and -133b/PTBP1 axis was essential for the maintenance of the Warburg effect in colon cancer cells.

Anti-tumor effect of miR-1and -133b on xenografted tumor in nude mice
To examine the anti-tumor effect of these miRs in vivo, we inoculated DLD-1 cells subcutaneously into nude mice.After confirmation of tumor engraftment, we injected control miR, miR-1 or -133b into the developed tumor.As shown in Figure 6A and 6B, significant growth suppression of tumors was observed in the group treated with miR-1 or -133b.Western blotting analysis of samples of grafted tumors showed that the switching of PKM isoform expression from PKM2 to PKM1 through downregulation of PTBP1 had occurred, as had been found in vitro (Figure 6C and 6D).These findings suggested that both miRs induced growth inhibition of the engrafted tumor through down-regulation of PTBP1 even in vivo.

PTBP1 was over-expressed in clinical colorectal tumor samples
Finally, to investigate whether PTBP1 functioned as an oncogene clinically, we examined the expression level of PTBP1 in clinical colorectal tumor samples.
We examined the expression level of PTBP1 in 30 cases (25 cancer and 5 adenoma samples), which were also used for Western blotting analysis (Supplementary Table S1).As shown in Figure 6E, PTBP1 expression was significantly higher in all cancer samples except for case 10.Interestingly, PTBP1 expression was already upregulated in all adenoma samples tested (Figure 6E).These findings strongly suggested that PTBP1 was oncogenic, working at the initiation of the adenoma-carcinoma sequence triggered in part by the down-regulation of PTBP1-associated miR-1 and -133b (Figure 6F).

DISCUSSION
In this study, we showed that miR-1 and -133b were relatively highly expressed in colorectal tissue and very frequently (more than 90 %) down-regulated during tumor development, even at the adenoma stage (Figure 1A, 1B and Table 1).The dysregulation of these miRs contributed to carcinogenesis in the early phase of the adenoma-carcinoma sequence.It has been reported that epigenetic alterations are a representative mechanism for the dysregulation of miRs [25,26].Therefore, we examined the effect of demethylation by 5-Aza on various colon cancer cells.As expected, 5-Aza treatment significantly increased the expression levels of miR-1 and -133b and down-regulated PTBP1 in almost all cell lines tested (Supplementary Figure S2A and S2B).These results implied that hypermethylation of these miRs was one of the reasons for their dysregulation.Further investigation is needed to clarify the mechanism of down-regulation of such muscle-specific miRs during colorectal tumor development.
Notably, we showed that the introduction of these miRs induced metabolic switching from glycolysis to TCA cycle along with oxidative phosphorylation to produce ATP (Figure 4E and F).On the other hand, Figure 4A, 4C, and 4D showed that generation of ROS was correlated with the autophagic cell death.Based on these results, we presumed that intracellular ROS was increased drastically by the abrupt metabolic change and that finally autophagic cell death resulted from impairment of cellular organelles, especially mitochondria, and metabolic pathways.In fact, the addition of neither Glutamine nor fatty acid could recover the viability of cells transfected with either miR (Supplementary Figure S3A).Also, the expression level of mTOR, which is a representative negative regulator of autophagy, was decreased in both miRs-and siR-PTBP1transfected cells (Supplementary Figure S3B and S3C).
Another important conclusion of this study is that PTBP1 is a very crucial oncogene in the development of colorectal tumors.So far, many functions of PTBP1 have been reported, especially regarding mRNA metabolism.PTBP1 was originally cloned as an essential molecule in the alternative splicing of α-tropomyosin [27] and is known as a negative regulator of alternative splicing by exon repression in various pre-mRNAs [7,8].PTBP1 has been implicated in the polyadenylation of the pre-mRNA 3′end [28].Also, PTBP1 increases mRNA stability by binding to the 3′-UTR of mRNAs such as those for rat insulin and vascular endothelial growth factor (VEGF) [29][30][31].Moreover, PTBP1 exports mRNA from the nucleus and localizes it in the cytoplasm [32,33].Another interesting function of PTBP1 is its promotion of cap-independent translation through mediation of the internal ribosomal entry site (IRES) [34,35].In cancer, it has been reported that PTBP1 is overexpressed in glioblastoma, ovarian tumor tissues, and breast cancer cells [36][37][38].In this study, we indicated that PTBP1 was very frequently over-expressed in colorectal tumors and even in adenomas.This finding supports the notion that colorectal adenoma has already acquired the machinery needed for the Warburg effect.Moreover, in Figure 6E, the samples of case 25 and case 30 were acquired from the same patient.Case 25 was an early adenocarcinoma; and case 30, a high-grade adenoma.The PTBP1 expression was more up-regulated in the adenocarcinoma than in the highgrade adenoma when each expression was compared with that in the normal tissue (Figure 6E).These results implied that PTBP1 expression was further up-regulated in the process from adenoma to adenocarcinoma and affected the malignant process in carcinogenesis.
On the other hand, c-Myc was reported as a positive regulator of PTBP1 [6].However, the regulatory mechanism of PTBP1 has largely remained unclear.Recently, in elucidating the PTBP1 regulatory mechanism from the point of view of miRs, we succeeded in showing that PTBP1 is negatively regulated by organ-specific miRs such as miR-124 [18,19].PTBP1-associated miRs such as miR-1, -9, -124, -133, and -137 are distributed in high energy-demanding organs such as brain, skeletal muscle, and heart.Accordingly, PKM1 is dominantly expressed in only these organs; because these organs need efficient acquisition of energy from glucose [18].We consider that these organs make PKM1 dominant through the appropriate distribution of PTBP1-associated miRs in vivo.Furthermore, PTBP1 has a negative role in the differentiation of skeletal muscle or neural cells by alternative splicing, as described above [8].It has been reported that a part of the differentiation machinery in neural cells is controlled by PTBP1-associated miR-124 [39].Therefore, we speculate that these miRs are fine tuners to regulate PTBP1 expression in vivo and that the dysregulation of these miRs induces the overexpression of PTBP1, leading to the establishment of the malignant phenotype in cancer cells such as the Warburg effect.It should be clarified how PTBP1 is dysregulated especially in the process of carcinogenesis.Now, there is a trend for the use of tyrosine kinase inhibitors in clinical medicine.However, in many cases the survival of patients can be prolonged only for a short period of time.One of the main reasons for this short survival is reprograming of the tumor environment by activated compensatory cascades.However, the results of the present study strongly suggest that PTBP1-associated miRs and PTBP1 have the great potential of being target molecules for therapy or being biomarkers, because the mechanisms at play are essential for cancer cells during malignant transformation; and, furthermore, they can affect the entire cancer-specific energy metabolism.Now, we are seeking to elucidate the functions of PTBP1-associated miRs and PTBP1 in many other kinds of cancer cells.We expect further progress in elucidation of the detailed  1. Densitometric values of PTBP1 were calculated.β-actin was used as the control.(F) Schematic diagram of the effects of miR-1 and -133b on colorectal tumors.MiR-1 and -133b directly bind to PTBP1, and PTBP1 is very frequently overexpressed in colorectal tumors and even in adenomas, with the overexpression induced by down-regulation of these miRs.Ectopic expression of these miRs induced switching of PKM isoform expression from PKM2 to PKM1 through down-regulation of PTBP1.These miRs induce autophagic cell death and the activation of oxidative stress through this pathway.These miRs and PTBP1 have great potential as therapeutic targets or as biomarkers in colorectal tumors.networks of Warburg effect-associated molecules in the near future.

Patients and samples
All human samples were obtained from patients who had undergone biopsy or surgery for resection at Fujita Health University Hospital (Toyoake, Aichi, Japan), Gifu University Hospital (Gifu, Gifu, Japan), Misao Health Clinics (Gifu, Gifu, Japan), Osaka Medical College Hospital (Takatsuki, Osaka, Japan) or Saiseikai Ibaraki Hospital (Ibaraki, Osaka, Japan).Collection and distribution of the samples were approved by each of the appropriate institutional review boards in accordance with the Declaration of Helsinki.Fifty patients with previously untreated (or recently diagnosed) colorectal cancer and 25 with adenomas were selected.The distribution according to other clinical parameters is shown in Table 1.Under a pathologist's supervision, all tissue sample pairs were collected from surgically or endoscopically resected tissues, with these paired samples being from the primary tumor and its adjacent non-tumor mucosal tissue in the same patient.

Cell culture and cell viability
All cell lines were obtained from JCRB (Japanese Collection of Research Bioresources) Cell Bank.All cell lines were cultured in RPMI-1640 medium supplemented with 8% (v/v) heat-inactivated FBS (Sigma-Aldrich Co, St. Louis, MO USA) and 2 mM L-glutamine under an atmosphere of 95% air and 5% CO 2 at 37°C.The number of viable cells was determined by performing the trypanblue dye exclusion test.

Western blotting
Whole cells were homogenized in chilled lysis buffer comprising 10 mM Tris-HCl (pH 7.4), 1% NP-40, 0.1% deoxycholic acid, 0.1% SDS, 150 mM NaCl, 1 mM EDTA, and 1% Protease Inhibitor Cocktail (Sigma-Aldrich Co.) and stood for 20 min on ice.After centrifugation at 13,000 rpm for 20 min at 4°C, the supernatants were collected as wholecell protein samples.Protein contents were measured with a DC Protein assay kit (Biorad, Hercules, CA, USA).Ten micrograms of lysate protein was separated by SDS-PAGE using 10.0 or 12.5% polyacrylamide gels, and electroblotted onto a PVDF membrane (PerkinElmer Life Sciences, Inc., Boston, MA, USA).After blockage of nonspecific binding sites for 1 h with 5% nonfat milk in PBS containing 0.1% Tween 20 (TBS-T), the membrane was incubated overnight at 4°C with primary antibodies.The next day, the membrane was then washed 3 times with TBS-T, incubated further with secondary antibodies at room temperature for 1 hour, and then washed 3 times with TBS-T.The immunoblots were visualized by use of Ammersham ECL Plus Western Blotting Detection Reagents (GE Healthcare, Buckinghamshire, UK).Primary antibodies against the following antigens were used: PTBP1, LC3B, p62, GAPDH (Cell Signaling Technology, Inc., Danvers, MA, USA); PKM1 and PKM2 (Novus Biologicals, USA); and β-actin (Sigma-Aldrich Co.).HRPconjugated goat anti-rabbit and horse anti-mouse IgG (Cell Signaling Technology) were used as secondary antibodies.GAPDH or β-actin was used as an internal control.

Statistics
Each examination was performed in triplicate.In experiments on clinical samples, the expression levels of > 1.5 were designated as up-regulation and those of < 0.67 as down-regulation, which fold changes were obtained from the results of linear discriminant analysis of the miRNA expression patterns from many of our previous reports [13,16].For determination of statistical differences between levels of miRs in clinical samples and in vivo experiments the data were compared by using the Mann-Whitney U-test.For in vitro experiments, statistical significances of differences were evaluated by performing the two-sided Student's t-test.Also, a part of statistical analyses were performed by using GraphPad Prism software system (GraphPad Software, Inc., La Jolla, CA).The values were presented as the mean ± standard deviation.A P value < 0.05 was considered to be statistically significant.

Figure 1 :
Figure 1: (A-C) MiR-1 and -133b very frequently down-regulated in colorectal tumors.(A) Relative expression levels of miR-1 and -133b in various human normal tissues except for skeletal muscle and heart.(B) Dot plot showing the relative expression levels of miR-1 and -133b in tissues of 75 colorectal tumors, consisting of 50 colorectal cancers and 25 colorectal adenomas compared with those of adjacent normal mucosa tissues.The horizontal lines and numbers represent the median values of the distribution.(C) Relative expression levels of miR-1 and -133b in normal colon tissue and in colon cancer cell lines.Colon tissue was obtained from premium total RNA clontech (Takara Bio Company).(D-G) MiR-1 and -133b induced autophagic cell death in colon cancer cells.Effects of ectopic expression of miR-1 and -133b on cell viability (D) and expression of LC3I, II, and p62 as estimated by Western blot analysis (E) at 48 h after transfection of DLD-1 and WiDr cells with these miRs at a concentration of 10 or 20 nM.(F) Morphological study using electron microscopy.DLD-1 cells were treated with control miRNA, miR-1 or -133b (20 nM) for 48 h.N: nuclei, Arrowhead: autophagosome.Arrow: mitophagy.The boxed regions are shown enlarged beside the main image.(G) Cell viability and expression levels of p62 after combination treatment with chloroquine and both miRs.DLD-1 cells were pretreated with chloroquine (1 µM) at 5 h before the transfection with miR-1 and -133b (20 nM).Results are presented the mean±SD; *P < 0.05; **P < 0.01; ***P < 0.001.

Figure 3 :
Figure 3: MiR-1 and -133b induced shifting of PKM isoform expression from PKM2 to PKM1.(A) mRNA expression of PKM1 and PKM2 at 48 h after the transfection of DLD-1 and WiDr cells with miR-1 or -133b (10, 20 nM).The PKM2/PKM1 ratio was calculated based on their relative mRNA levels.(B) Protein expression of PKM1 and PKM2 at 48 h after the transfection of DLD-1 and WiDr cells with miR-1 or -133b (10, 20 nM).(C) PKM2/PKM1 ratio calculated based on densitometric values of PKM1 and PKM2 in "B".Numbers represent ratios when control values were taken as 1.000.(D) Immunofluorescence of PKM1 (upper panels) and PKM2 (lower panels) at 48 h after transfection of DLD-1 cells with miR-1 or -133b (20 nM).Left panels, treatment with control miRNA; Middle panels, treatment with miR-1, Right panels, treatment with miR-133b.PKM1 or PKM2 is stained green, cell membrane is stained red, and nuclei are stained blue.Results are presented as the mean ± SD; ***P < 0.001.

Figure 4 :
Figure 4: Ectopic expression of miR-1 and -133b suppressed the Warburg effect.(A, B) Free radicals were evaluated by ESR at 24 h after the transfection of DLD-1 cells with miR-1 or -133b (20 nM).The representative ESR spectra are shown in "A" with the arrows indicating O 2 -(superoxide ion).The intensities of the spin adducts are shown in "B".(C, D) Effects of NAC on the growth of DLD-1 cells after their transfection with miR-1 or -133b.DLD-1 cells were treated with NAC (1, 5 mM) at 24 h after the transfection with miR-1 or -133b (20 nM).(C) Cell viability of combination treatment with NAC and these miRs.(D) Western blot analysis at 48 h after the transfection of DLD-1 cells with NAC and these miRs.(E) Lactate production was measured at 48 h after the transfection of DLD-1 cells with miR-1 or -133b (20 nM).(F) ATP levels were measured under the same conditions as for lactate measurement.Results are presented as the mean ± SD; *P < 0.05; **P <0.01; ***P < 0.001.

Figure 5 :
Figure 5: Knockdown of PTBP1 induced the same effects as did miR-1 and -133b.(A) Effects of PTBP1 knockdown on cell growth.(B) Various protein expression in DLD-1 and WiDr cells, as examined by Western blot analysis at 48 h after siR-PTBP1 transfection at a concentration of 5 nM.(C) The PKM2/PKM1 ratio of was calculated based on densitometric value of PKM1 and PKM2 in "B".Numbers represent PKM2/PKM1 ratio of each sample, with the control taken as 1.000.(D) Immunofluorescence of PKM1 (upper panels) and PKM2 (lower panels) at 48 h after transfection of DLD-1 cells with siR-PTBP1-2 (3′-UTR, 5 nM).Left panels, treatment with control miRNA; Right panels, treatment with siR-PTBP1-2.PKM1 or PKM2 is stained green, cell membrane is stained red, and nuclei are stained blue.(E) Effects of NAC on the growth of DLD-1 cells after their transfection with siR-PTBP1-2.DLD-1 cells were treated with NAC (1, 5 mM) at 24 h after the transfection with siR-PTBP1-2 (5 nM).Viability of cells after combination treatment with NAC and siR-PTBP1-2 (Left) and results of Western blot analysis (Right) at 48 h after the combination treatment are shown.(F) Morphological study using electron microscopy.DLD-1 cells were treated with control miRNA or siR-PTBP1-2 (5 nM) for 48 h.N: nuclei, Arrowhead: autophagosome.The boxed regions are shown enlarged beside the main image.(G) Cell viability and expression levels of p62 after combination treatment with chloroquine and siR-PTBP1.DLD-1 cells were pretreatment with chloroquine (1 µM) at 5 h before the transfection with siR-PTBP1 (5 nM).Results are presented as the mean±SD; *P < 0.05; **P < 0.01; ***P < 0.001.

Figure 6 :
Figure 6: (A-D) MiR-1 and -133b have anti-tumor effects even in vivo.(A) Time course of tumor size in mice injected with control miRNA, miR-1 or -133b (n = 5).(B) Representative photograph of tumors.Left is the control.Middle is treatment with miR-1; and right, treatment with miR-133b.(C) PTBP1 and PTBP1-related protein expression in control, miR-1or -133b-treated tumor tissues as determined by Western blot analysis.(D) The ratio of PKM2/PKM1 protein was calculated based on densitometric value of PKM1 and PKM2 in "C".Numbers represent the PKM2/PKM1 ratio of each sample, with the control taken as 1.000.(E) PTBP1 was overexpressed in clinical colorectal tumors.PTBP1 expression in 25 colorectal cancer (case 1-25) and 5 adenoma (case 26-30) samples as determined by Western blot analysis.Details of the characteristics of the samples are given in Supplementary Table1.Densitometric values of PTBP1 were calculated.β-actin was used as the control.(F) Schematic diagram of the effects of miR-1 and -133b on colorectal tumors.MiR-1 and -133b directly bind to PTBP1, and PTBP1 is very frequently overexpressed in colorectal tumors and even in adenomas, with the overexpression induced by down-regulation of these miRs.Ectopic expression of these miRs induced switching of PKM isoform expression from PKM2 to PKM1 through down-regulation of PTBP1.These miRs induce autophagic cell death and the activation of oxidative stress through this pathway.These miRs and PTBP1 have great potential as therapeutic targets or as biomarkers in colorectal tumors.