Ovarian cancer is a lethal gynecologic malignancy and always has a poor prognosis. Despite new treatments modalities, the long term outcomes had not been significantly improved in the past 30 years. Although has been reported to be a prognostic marker in ovarian cancer, it's exact role in ovarian cancer remain unclear. In this study, we inserted the response element of miR-200a in ovarian cancer cell line via lentivirus-mediated transgene in vitro, and qRT-PCR (real time quantitative reverse transcription PCR) assay confirmed that miR-200a was up regulated compared with control. Then colony-formation assay, cell cycle analysis, CCK8 assays in vitro and xenograft experiments in vivo were performed and verified that miR-200a promoted proliferation, while blocked the formation of tumor spheroids and reduced the ratio of SP (side population) cells in ovarian cancer. Finally, we validated that miR-200a significantly enhanced the chemosensitivity of paclitaxel but not cisplatin in both adherent culture and sphere culture. Taken together, we demonstrated that upregulation miR-200a promoted proliferation and inhibited cancer stem cells (CSCs) phenotype in OVCAR-3 ovarian cancer cell line, combined with cell cycle-targeting drug paclitaxel could effectively eliminate the "side effects" of proliferation, and showed evidences that this strategy may be promising for ovarian cancer treatment.
Key words: microRNA, ovarian cancer, proliferation, cancer stem cells, chemosensitivityOvarian cancer is still the most lethal gynaecologic malignancy according to 2013 statistics [1]. Although the current standard treatment, systemic by administration of platinum and paclitaxel after debulking surgery was efficient in almost 70% of ovarian cancer cases, most of these patients ultimately develop chemoresistance and recurrence [2].Recently, accumulated evidence showed that the miR-200a expression level was closely associated with progression free survival (PFS), overall survival (OS) and chemo-sensitivity in ovarian cancer, thus miR-200a was suitable as a prognostic marker for ovarian cancer outcome [3,4]. Previously, we demonstrated that the profile of miRNAs was different between CD133+ and CD133 -ovarian cancer cells, miR-200a was down-regulated in CD133 + ovarian cancer stem cells (CSCs) [5], and upregulation miR-200a could reduce ZEB2-mediated migration and invasion of CD133 + ovarian CSCs [6]. However, miR-200a regulation of proliferation, CSCs phenotype and chemosensitivity in ovarian cancer remain unclear. Therefore, an in-depth understanding of the roles and mechanisms of miR-200a in ovarian cancer is needed.Herein, we first established that miR-200a was stably overexpressed in OVCAR-3 ovarian cancer cell line and then validated that over-expression of miR-200a increased tumor proliferation and tumor volume. Additionally, we found that the over-expression of miR-200a weakened the CSCs phenotype by blocking the formation of tumor spheroids and reducing the ratio of side population (SP) cells. Importantly, we demonstrated miR-200...