Abstract. Soft tissue sarcomas are a heterogeneous group of malignant neoplasms of mesenchymal origin. Partly due to hypoxia, an aggressive and radioresistant phenotype frequently develops, resulting in poorer patient outcome. microRNAs (miRNAs) are tiny, non-coding regulators of gene expression and in situations of cellular stress situations may predict clinical progression and patient outcome. In the present study, hypoxia-associated miR-199a-5p expression in 96 soft tissue sarcoma samples was analysed by reverse transcription-quantitative polymerase chain reaction and associations between miR-199a-5p expression and patient clinicopathological characteristics and survival were measured. Additionally, luciferase reporter assays analyzed the post-transcriptional regulation of hypoxia-associated genes hypoxia-inducible factor 1α (HIF-1α), oxidative stress induced growth inhibitor 2 (OSGIN2) and vascular endothelial growth factor (VEGF) by miR-199a-5p. Survival analyses indicated that low expression of miR-199a-5p was significantly correlated with poorer tumor-specific survival (univariate Cox's-Regression analyses; relative risk=1.92, P=0.029). Furthermore, it was demonstrated that the 3'UTR of HIF-1α and OSGIN2 genes were regulated by miR-199a-5p in-vitro, although the 3'UTR of VEGF was not. To the best of our knowledge, this is the first report demonstrating the regulation of the 3'untranslated region of the OSGIN2 gene by miR-199a-5p and a significant correlation between low miR-199a-5p expression and a poor outcome of patients with soft tissue sarcoma.
IntroductionMicroRNAs (miRNAs) are small (18-25 nt), non-coding RNAs of endogenous origin. To date, >2,500 different mature miRNA species have been detected in humans (1). Following maturation, double-stranded miRNAs are immediately bound to Argonaute proteins and unwound. In the single-stranded conformation, they build up the active component of the RNA-induced silencing complex (RISC) (2,3). miRNAs bind to complementary sequences in the 3'untranslated region (UTR) of their target mRNAs, thus acting as translational repressors. This action is primarily performed by a hexamer sequence at the 5'UTRs called the seed sequence and the subsequent translocation to the P-bodies (processing bodies), which are specialized cellular components for RNA silencing and decay (4,5). Due to the simple target recognition sequence and the vast number of different species of miRNA, it is estimated that ~60% of the human protein-coding genes are regulated post-transcriptionally by miRNAs (6). Due to their high abundance and immense impact on cellular gene expression profiles, miRNAs serve an important role in cellular proliferation and differentiation processes. Furthermore, they contribute to the adaptation to cellular stress, including stress caused by an acidic or hypoxic environment (7,8).Hypoxia, the state of decreased oxygen saturation in a tissue, is a major problem in the treatment of solid tumors. Due to rapid growth, regions in solid tumors tend to be cut off from oxygen ...