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ABSTRACT Long noncoding RNAs (lncRNAs) are recognized as a new area for cancer therapy. B-cell lymphoma-2 (Bcl-2)-mediated suppression of apoptosis is an important molecular hallmark of
cancer. However, the influence of lncRNA on the regulation of oncogenic _Bcl-2_ in cancer stem cells has not been explored. In this study, our findings revealed that the lncRNA
LHFPL3-AS1-long, generated from the polypyrimidine tract binding protein 1 (PTBP1)-mediated splicing of the LHFPL3-AS1 precursor, upregulated BCL2 protein to contribute to tumorigenesis of
melanoma stem cells. The in vitro and in vivo results showed that LHFPL3-AS1-long directly interacted with miR-181a-5p to inhibit the mRNA degradation of _Bcl-2_ (the target of miR-181),
thus suppressing apoptosis of melanoma stem cells. The splicing factor PTBP1 regulated the alternative splicing of LHFPL3-AS1 transcript by preferentially binding to the motifs located in
exon3 of LHFPL3-AS1 precursor, leading to the biogenesis of LHFPL3-AS1-long in melanoma stem cells. In patients with melanoma, the expressions of PTBP1 and LHFPL3-AS1 were significantly
upregulated compared with the healthy donors. Therefore, our study revealed a mechanistic crosstalk among an onco-splicing factor, lncRNA and tumorigenesis of melanoma stem cells, enabling
PTBP1 and LHFPL3-AS1 to serve as the attractive therapeutic targets for melanoma. SIMILAR CONTENT BEING VIEWED BY OTHERS SFPQ PROMOTES AN ONCOGENIC TRANSCRIPTOMIC STATE IN MELANOMA Article
Open access 03 July 2021 PURPL REPRESSES AUTOPHAGIC CELL DEATH TO PROMOTE CUTANEOUS MELANOMA BY MODULATING ULK1 PHOSPHORYLATION Article Open access 10 November 2021 LONG NONCODING RNA
LINC01291 PROMOTES THE AGGRESSIVE PROPERTIES OF MELANOMA BY FUNCTIONING AS A COMPETING ENDOGENOUS RNA FOR MICRORNA-625-5P AND SUBSEQUENTLY INCREASING IGF-1R EXPRESSION Article Open access 05
March 2021 INTRODUCTION Over the last few decades, the survival of patients with cancer has improved significantly and the combined cancer death rate has declined, primarily because of
multidisciplinary care, improved chemotherapeutic agents and the incorporation of palliative care services into the management scheme1. However, a significant proportion of patients continue
to experience recurrence of cancers after adjuvant treatment, and survival associated with stage IV solid tumors still remains low2,3. It is believed that the acquired resistance to
chemotherapeutic agents and intratumoral heterogeneity are responsible for the failure of many of the agents used to treat patients with a malignancy. Recent studies have suggested that
tumor heterogeneity is a result of the hierarchical organization of tumor cells by a subset of cells with stem cell features known as cancer stem cells4. These cancer stem cells display the
capacity to self-renew, differentiate, and give rise to a new tumor, accounting for the high rate of cancerous recurrence5. Cancer stem cells often reprogram the expression profiles and
levels of a wide range of genes to support their self-renewal and differentiation, which have been considered as hallmarks of stem cells. As well-known, microRNAs (miRNAs) are important
post-transcriptional regulators of gene expression that act by direct base pairing to target sites within untranslated regions of mRNAs6. It has been found that miRNA activity can be
affected by the presence of miRNA sponge transcripts, the so-called competing endogenous RNA (ceRNAs) in humans7. Multiple types of endogenous ceRNAs have been reported, including
protein-coding transcripts, long noncoding RNAs (lncRNAs), pseudogenes, and circular RNAs (circRNAs)7. The conservation of ceRNA crosstalk in multiple organisms, including plants, zebrafish,
mice, humans, and viruses, suggests that it may represent an important widespread layer of RNA regulation8. However, the regulatory principle of ceRNA in cancer stem cells is still unclear.
The complexity and diversity of potential ceRNA interactions have scaled exponentially with the identification of more than 10,000 lncRNAs9. Among the various types of ceRNAs, lncRNAs have
been demonstrated as prominent competitive platforms for miRNAs8. Although the function and biological relevance of the vast majority of lncRNAs remain enigmatic, numerous lncRNAs have been
reported to act as a prominent layer of transcriptional regulation in cancers10. THOR, a lncRNA characterized with ultraconserved vertebrate regions, represents a novel class of functionally
important cancer and testis lncRNAs, which could regulate the expression of insulin growth factor 211. Another lncRNA lncRNA-ATB activated by TGF-β has been reported to have the capability
to induce epithelial–mesenchymal transition and to promote the colonization of disseminated tumor cells12. Recently, it is found that lncTCF7 is highly expressed in liver cancer stem cells
through recruiting the SWI/SNF complex to the promoter of TCF7 (transcription factor 7) to regulate its expression, leading to the activation of Wnt signaling in hepatocellular cancer stem
cells13. Although thousands of lncRNAs have been identified, the roles of lncRNAs in cancer stem cells have not been extensively investigated. In order to elucidate whether and how the
stemness of cancer stem cells was regulated by lncRNAs, the differentially expressed lncRNAs between melanoma stem cells and non-stem cells were analyzed in this study. The further analyses
showed that LHFPL3-AS1 promoted tumorigenesis of melanoma stem cells by suppressing the Bcl-2 degradation. MATERIALS AND METHODS CELL CULTURE Melanoma stem cells and non-stem cells were
sorted from MDA-MB-435 cells in our laboratory, which were performed as previously described14. Briefly, the top 1% ALDH1-positive cells were sorted from MDA-MB-435 cells with flow
cytometry. As reported, one marker is not enough to fully characterize melanoma stem cells15. To confirm the sorted melanoma stem cells, the tumorsphere formation assay and tumorigenesis in
nude mice of ALDH1-positive cells were conducted. All the data demonstrated that the sorted ALDH1-positive cells were melanoma stem cells14. Melanoma non-stem cells were cultured in
Leibovitz’s L-15 medium (Sigma, USA) supplemented with 10% fetal bovine serum at 37 °C with 100% humidified atmosphere. Melanoma stem cells were grown in DMEM/F-12 medium (Invitrogen, USA)
supplemented with 20 ng/mL epidermal growth factor (MedChemExpress, USA), 10 ng/mL basic fibroblast growth factor (MedChemExpress), 5 μg/mL of insulin (MedChemExpress), and 2% of B-27
(Invitrogen) at 37 °C in a humidified atmosphere with 5% CO2. RNA SEQUENCING AND DIFFERENTIAL EXPRESSION ANALYSIS Total RNAs were extracted from cells using Trizol (Invitrogen) according to
the manufacturer’s protocol. The ribosomal RNA was removed using the Ribo-Zero™ kit (Epicentre, Madison, WI, USA). Fragmented RNAs, approximately 200 bp in length, were subjected to the
first-strand and second strand cDNA synthesis, followed by adaptor ligation and enrichment with a low-cycle according to instructions of NEBNext® Ultra™ RNA Library Prep Kit for Illumina
(New England Biolabs Incorporation, USA). The purified library products were evaluated using the Agilent 2200 TapeStation and Qubit®2.0 (Life Technologies, USA). The libraries were
paired-end sequenced by Guangzhou RiboBio Co., Ltd. (Guangzhou, China) using IlluminaHiSeq 3000 platform. QUANTITATIVE REAL-TIME PCR Total RNAs were extracted from cells or tissues with an
RNA isolation kit (Ambion, USA). The complementary DNA was synthesized with Reverse Transcription system (Toyobo, Osaka, Japan) according to the manufacturer’s instructions. Quantitative
real-time polymerase chain reaction (PCR) was performed using SYBR Green PCR Master Mix (Vazyme Biotech Corporation, Nanjing, China) with sequence-specific primers (GAPDH,
5′-GGACCTGACCTGCCGTCTAG-3′ and 5′-GTAGCCCAGG ATGCCCTTGA-3′; LHFPL3-AS1-long, 5′-GTGAAGTCATGGGAAGGCAAG-3′ and 5′-CCCTCTCTGCCTGCAACTTAG-3′; LHFPL3-AS1-short, 5′-GCCTGATTGGTAGCCCTTGA-3′ and
5′-GTAGAGGAAAAGGCAGCCAGT-3′; ZFAS1, 5′-CAACTACTAGAGCGCCTCGG-3′ and 5′-CCAAAGATGGCTTTCGCACC-3′; LINC01531, 5′-TGGACCCTGTGCTTTGTCTC-3′ and 5′-GAGCACTGAACAACACTGCG-3′; U6,
5′-GTGCTCGCTTCGGCAGCACAT-3′ and 5′-ATGGAACGCTTCACGAATTT-3′; Oct4, 5′-CTGGGTTGATCCTCGGACCT-3′ and 5′-CCATCGGAGTTGCTCTCCA-3′; Sox2, 5′-GCCGAGTGGAAACTTTTGTCG-3′ and
5′-GGCAGCGTGTACTTATCCTTCT-3′; Nanog, 5′-TTTGTGGGCCTGAAGAAAACT-3′ and 5′-AGGGCTGTCCTGAATAAGCAG-3′; Klf4, 5′-ACCCTGGGTCTTGAGGAAGT-3′ and 5′-CTGATCGGGCAGGAAGGATG-3; PTBP1,
5′-TGACAAGAGCCGTGACTACAC-3′ and 5′-GCAGCTTGAGGAATGGCAAA-3′). Expression data were uniformly normalized to the internal control glyceraldehyde-3-phosphate dehydrogenase (GAPDH) and the
relative expression levels were evaluated using the ΔΔCt method16. ISOLATION OF NUCLEUS AND CYTOPLASM Melanoma stem cells were washed twice with phosphate-buffered saline (PBS) and then
suspended in 200 µl of buffer A [20 mM N-2-hydroxyethylpiperazine-N-ethane-sulphonicacid, 10 mM KCl, 1.5 mM MgCl2, 1 mM ethylene glycol bistetraacetic acid, 1 mM ethylene diamine tetraacetie
acid, 1 mM dithiothreitol, 0.1 mM phenylmethylsulfonyl fluoride, 250 mM sucrose, pH 7.5] containing a protease inhibitor cocktail. The cells were homogenized and the homogenates were
centrifuged twice at 750 × _g_ for 5 min to collect nuclei. The resulting supernatant was centrifuged at 750 × _g_ for 5 min to collect cytosolic fraction. WESTERN BLOT Proteins were
separated by sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) and then electrotransferred to a polyvinylidene fluoride membrane (Millipore, USA). After incubation in
blocking solution (5% skim milk) for 2 h, the membrane was incubated with a primary antibody overnight at 4 °C, followed by incubation with alkaline phosphatase-conjugated secondary antibody
(Roche, Switzerland) for 2 h at room temperature. The signal of the membrane was detected with 5-bromo-4-chloro-3-indolyl phosphate/nitro blue tetrazolium substrate (Sangon, China). The
antibodies used in this study were purchased from Abcam (USA). ONLINE DATA MINING Patients’ clinical profiles of PTBP1 and LHFPL3-AS1 and Kaplan–Meier survival analysis of clinical cases was
obtained and analyzed using gene expression profiling interactive analysis (GEPIA) (http://gepia.cancer-pku.cn/index.html)17. SILENCING OF TARGET GENE EXPRESSION BY SHRNA To silence the
expressions of target genes, shRNAs (LHFPL3-AS1-shRNA, 5′-GGACACCACTCAGGCTTATAA-3′, PTBP1-shRNA, 5′-CCCUCAUUGA CCUGCACAATT-3′) were designed by Vigene Bioscience Company (USA). As a control,
the sequence of shRNAs were randomly scrambled, respectively. shRNAs were cloned into lentiviral vector pLent-U6-Puro (Vigene Bioscience, USA), followed by transfection into 293T cells
using Lipofectamine 2000 reagent (Life Technologies, USA). At 48 h after transfection, the viral particles were collected to infect melanoma stem cells. Subsequently, the cells were cultured
in medium contained 10 µg/ml puromycin for three days. After puromycin screening, only the cells with resistance were selected as stable strains expressing shRNA. CELL VIABILITY ASSAY Cell
viability was monitored with MTS [3-(4, 5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium, inner salt] using a CellTiter 96® AQueous One Solution Cell
Proliferation Assay kit (Promega, USA) according to the manufacturer’s protocol. Briefly, 20 µl of CellTiter 96® AQueous One Solution Reagent was added to the cells. Then the cells were
incubated at 37 °C for 2 h. The absorbance was measured at 490 nm using the iMARKTM microplate reader (Bio-Rad, USA). CELL CYCLE ASSAY Fluorescence-activated cell sorting analysis was used
to examine the cell cycle of melanoma stem cells. Cells were fixed in ice-cold ethanol overnight. Then the cells were treated with DNase-free RNase A (20 µg/mL) for 30 min. After
centrifugation at 500 × _g_ for 5 min, the cells were stained with propidium iodide (PI) (50 µg/mL). The fluorescence intensity of cells was measured with a flow cytometer at an excitation
wavelength of 488 nm. APOPTOSIS DETECTION Cells were collected by centrifugation at 300 × _g_ for 10 min. After washes with cold PBS, the cells were stained with fluorescein isothiocyanate
(FITC)-Annexin V and PI using a FITC Annexin V apoptosis detection kit (BD Biosciences, USA) according to the manufacturer’s recommendations and then immediately analyzed by flow cytometry
(BD Biosciences, USA). The percentage of apoptotic cells was calculated using Cell QuestPro software (BD Biosciences, USA). TUMORSPHERE FORMATION ASSAY Tumorsphere formation assay was
conducted under non-adherent and serum-free cell culture conditions. A single cell was plated into an ultra-low adherent 96-well plate and cultured in stem cell medium. After culture for 2
weeks, the cells were examined under a light microscope. The sphere-initiating cell frequency was calculated by using extreme limiting dilution analysis. RNA PULLDOWN ASSAY The DNA sequence
of LHFPL3-AS1-long or LHFPL3-AS1-short was amplified with sequence-specific primers containing T7 RNA polymerase promoter sequence. Then the purified PCR product was used as the template for
in vitro transcription. The RNA transcript was synthesized using T7 in vitro transcription kit (Promega, USA) and biotinylated with EZ-Link Biotin kit (Thermo scientific, USA) according to
the manufacturer’s instructions. The biotin-labeled RNAs were purified with mirVana miRNA Isolation Kit (Ambion, USA). Cancer stem cells (5 × 106) were lysed using immunoprecipitation lysis
buffer (Beyotime, China) containing 2 mM protease inhibitor. After centrifugation at 300×_g_ for 5 min, the cell lysate was incubated with the biotinylated sense or antisense LHFPL3-AS1 RNA
at 4 °C overnight. Subsequently, the mixture was incubated with streptavidin-conjugated Dynabeads (Thermo Scientific, USA) on a rotator for 2 h at 4 °C. The beads were washed with lysis
buffer and then boiled in protein loading buffer (Sangon Biotech, Shanghai, China). The proteins were separated by gel electrophoresis and stained with Coomassie brilliant blue (Beyotime,
China). The separated proteins bands specific for the sense LHFPL3-AS1 RNA were excised for mass spectrometry analysis. PREDICTION OF MIRNAS TARGETED BY LNCRNA The putative target miRNAs of
LHFPL3-AS1-long were predicted using the miRanda, TargetScan, and PicTar algorithms. The overlapped targets of three algorithms were the potential targets of lncRNA. DUAL-LUCIFERASE REPORTER
ASSAY LHFPL3-AS1-long was amplified with sequence-specific primers (5′-TAAGAGCTCATCTAGGAACTGGAGCTGCT-3′ and 5′-AACGTCGACCCGCATTCAAAAACATCCTG-3′). As a control, the potential binding site of
LHFPL3- AS1-long to miR-181 was mutated by PCR using sequence-specific primers (5′-ATGTAAGTATGCTGCACACCTTTCCCATCA-3′ and 5′-AGCATACTTACATACAGGCAGCCACACCTG-3′). The wild-type and mutant
LHFPL3-AS1-long were cloned into the pmirGLO dual-luciferase miRNA target expression vector (Promega, USA). Subsequently 50 nM of the synthesized miR-181a-5p (5′-AACAUUCAACGCUGUCGGUGAGU-3′)
or control miRNA (5′-AUCCUACGACAGUGCCGGAGAAU-3′) was co-transfected with 2 µg of the plasmid expressing wild-type or mutant LHFPL3-AS1-long into MDA-MB-435 cells using Lipofectamine 2000. At
36 h after transfection, the luciferase activity of cells was measured using the dual-luciferase reporter assay system (Promega, USA) according to the manufacturer’s protocol.
OVEREXPRESSION AND RESCUE OF GENE EXPRESSION The sequence of a target gene was amplified using sequence-specific primers (PTBP1, 5′-GCAGAATTCATGGACGGCATTGTCCCAGATA-3′ and
5′-ATAGGATCCCTAGATGGTGGACTTGGAGAAG-3′; LHFPL3-AS1-long, 5′-AGTGAATTCATCTAGGAACTGGAGCTGCTGC-3′ and 5′-ACTGGATCCTCAAAAACATCCTGTCCGGTTG-3′; LHFPL3-AS1-short,
5′-AGTGAATTCATCTAGGAACTGGAGCTGCTGC-3′ and 5′-ACTGGATCCCCAAGTGACCTATGAGTAGAGGA-3′; LHFPL3-AS1-exon3, 5′-GCAGAATTCGTAAAAGCAAAAGGAAAATGAGG-3′ and 5′-ACTGGATCCTCAAAAACATCCTGTCCGGTTG-3′) and then
cloned into the pCDH vector (Vigene Biosciences, USA). The control miRNA and miR-181a-5p were synthesized by GenePharma (Shanghai, China). Subsequently a recombinant plasmid or miRNA was
transfected into cells using Lipofectamine 2000. As a control, vector alone was included in the transfection. At different time after transfection, the cells were collected for later use.
TUMORIGENICITY IN NUDE MICE Melanoma stem cells were transfected with LHFPL3-AS1-shRNA or PTBP1-shRNA to silence the expression of PTBP1 or LHFPL3-AS1. LHFPL3-AS1-shRNA-scrambled or
PTBP1-shRNA-scrambled was included in the transfection as a control. Then the cells were collected at 6 × 106 cells/mL in physiological saline. Matrigel (Becton, Dickinson and Company, USA)
was added to the cell suspension at a ratio of 1:2. Subsequently, 250 µl of the cell suspension was subcutaneously injected into BALB/c nude mice to induce tumor growth. The tumor volume was
examined weekly. Seven weeks later, the nude mice were sacrificed and their tumor sizes were evaluated. Animal experiments were approved by The Animal Experiment Center of Zhejiang
University, China. All methods were carried out in accordance with approved guidelines. IMMUNOHISTOCHEMICAL ANALYSIS To examine proteins in solid tumors of mice by immunohistochemical
staining, 5 μm-thick section was placed on a precoated slide with 3-triethoxysilylpropylamine (Merck, Darmstadt, Germany). The slide was soaked in xylol for 1 h and washed in series of
decreasing alcohol concentrations. After deparaffinising the tissue, antigen retrieval of the section was performed in a microwave for 5 min in TEC buffer (0.05 M Tris-HCl, 0.05 M
ethylenediaminetetraacetic acid, 0.02 M Na-Citrate, pH7.8), followed by peroxidase blocking. Then the slide was incubated with a primary antibody for 12 h and a subsequent incubation with
the biotinylated secondary antibody (Vector, Grünberg, Germany) for 30 min. The slide was stained with diaminobenzidine (Sigma, USA) for 10 min to label proteins and then counterstained with
haematoxylin to label nuclei. RNA INTERFERENCE (RNAI) ASSAY To silence the expression of Bcl-2 in melanoma stem cells, RNAi assay was conducted. The melanoma stem cells (1 × 105) were
transfected with 50 nM of siRNA with Lipofectamine 2000 (Invitrogen, USA). As a control, Bcl-2-siRNA-scrambled was included in the transfection. All the siRNAs were synthesized by GenePharma
Co., Ltd. (Shanghai, China). At different time after transfection, the cells were harvested for later use. CLIP ASSAY Cells were irradiated in an ultraviolet (UV) cross-linker for 400
mJ/cm2 and then for 200 mJ/cm2. After centrifugation at 300×_g_ for 5 min, the cells were resuspended in immunoprecipitation lysis buffer (Beyotime, China), followed by incubation with DNase
at 37 °C for 20 min. The lysate was centrifuged at 10,000×g for 10 min to remove the cell debris and then precleared by incubation with Protein A Dynabeads (Life Technologies, USA) at 4 °C
for 60 min. The supernatant was incubated with anti-PTBP1 IgG or mouse IgG (Beyotime, China) at 4 °C overnight, followed by incubation with Protein A Dynabeads at 4 °C for 2 h. After washes
with PBST (0.5% Tween20 in PBS), the beads were subjected to 12% SDS-PAGE with Coomassie staining. At the same time, the RNAs in the precipitated complex were extracted using a mirVanaP
miRNA isolation kit (Ambion Thermo, USA) and analyzed by quantitative real-time PCR. SEMIQUANTITATIVE RT-PCR The total RNAs were extracted from the cells using an RNA isolation kit (Ambion,
USA). Subsequently, the first-strand cDNA was synthesized by reverse transcription with a PrimeScript 1st strand cDNA synthesis kit (TaKaRa, Japan).The cDNA was used as the template for PCR
amplification. The products of PCR were separated on a 1% agarose gel and stained with ethidium bromide. The primers used for amplification as follows: GAPDH, 5′-TCCATGGCACCGTCAAGGCT-3′,
5′-CACTGACACGTTGGCAGTGG-3′, LHFPL3-AS1-long, 5′-ATGGGAAGGCAAGTCATGAA-3′, 5′-GGCCCGAGCATCAGCCTGTG-3′. RESULTS UPREGULATION OF LNCRNA LHFPL3-AS1 IN MELANOMA STEM CELLS To explore the
regulatory roles of lncRNAs in cancer stem cells, melanoma stem cells and non-stem cells were subjected to RNA sequencing and analysis. The results of differential expression analysis
indicated that 85 lncRNAs were differentially expressed in melanoma stem cells compared with melanoma non-stem cells (Fig. 1A). To confirm the differential expression profiles of lncRNAs,
three upregulated lncRNAs (LHFPL3-AS1, ZFAS1, and LINCO1531) were characterized by quantitative real-time PCR. The results showed that three selected lncRNAs were significantly upregulated
in melanoma stem cells (Fig. 1B). Among the upregulated lncRNAs, LHFPL3-AS1 was the most highly expressed lncRNA in melanoma stem cells, suggesting its important role in melanoma stem cells.
Thus, LHFPL3-AS1 was further characterized. The results showed that LHFPL3-AS1 was expressed in both nucleus and cytoplasm (Fig. 1C), suggesting its complex function in melanoma stem cells.
Based on GEPIA database17, it was found that LHFPL3-AS1 was significantly upregulated in cancerous tissues of patients with melanoma compared with the adjacent normal tissues (Fig. 1D).
Kaplan–Meier survival analysis revealed that the patients with high LHFPL3-AS1 level melanomas had shorter survival rate compared with those with low LHFPL3-AS1 expression level (Fig. 1E).
Collectively, these data demonstrated that LHFPL3-AS1 was associated with melanoma progression. ROLE OF LHFPL3-AS1 IN MELANOMA STEM CELLS In order to characterize the role of LHFPL3-AS1 in
melanoma stem cells, LHFPL3-AS1 was silenced using lentivirus-mediated short hairpin RNA (shRNA). LHFPL3-AS1 has two isoforms (National Center for Biotechnology Information accession no.
645591) the long variant (1334 bp) and the short variant (973 bp). The LHFPL3-AS1-shRNA could target both isoforms. Quantitative real-time PCR results showed that the expressions of both
LHFPL3-AS1 isoforms were significantly knocked down by sequence-specific shRNA compared with the control (Fig. 2A). MTS assays revealed that the LHFPL3-AS1 silencing led to a significant
decrease of melanoma stem cell proliferation rate (Fig. 2B). Compared with the control shRNA-scrambled, LHFPL3-AS1-silenced melanoma stem cells emerged significant cell cycle arrest in G0/G1
stage (Fig. 2C). The results of Annexin V assays showed that the LHFPL3-AS1 depletion induced apoptosis of melanoma stem cells (Fig. 2D). These data indicated that LHFPL3-AS1 depletion
suppressed the proliferation of melanoma stem cells, leading to apoptosis of melanoma stem cells. To further evaluate the influence of LHFPL3-AS1 silencing on the stemness of melanoma stem
cells, tumorsphere forming capability and expression levels of stemness-associated genes of LHFPL3-AS1-silenced melanoma stem cells were investigated. The LHFPL3-AS1 depletion dramatically
reduced tumorsphere forming capability of melanoma stem cells compared with the control (Fig. 2E). At the same time, the expression levels of stemness-associated genes were downregulated in
LHFPL3-AS1-silenced melanoma stem cells (Fig. 2F). These data indicated that LHFPL3-AS1 played a positive role in the stemness of melanoma stem cells. To explore which isoform of LHFPL3-AS1
was required for maintaining the stemness of melanoma stem cells, the expression of LHFPL3-AS1 isoforms was respectively overexpressed in the LHFPL3-AS1-knocked-down melanoma stem cells by
transfecting the vector expressing LHFPL3-AS1-long or LHFPL3-AS1-short (Fig. 2G). The results indicated that the overexpression of LHFPL3-AS1-long rescued the cell cycle of the
LHFPL3-AS1-knocked-down melanoma stem cells, while the cell cycle of the LHFPL3-AS1-short treatment was comparable to that of the control (Fig. 2H). At the same time, the tumorsphere
formation capacity of the cells treated with LHFPL3-AS1-long was significantly increased compared with LHFPL3-AS1-short and the control (Fig. 2I). These data demonstrated that
LHFPL3-AS1-long took positive effects on the stemness of melanoma stem cells. Taken together, it could be concluded that LHFPL3-AS1-long isoform was required for maintaining the stemness of
melanoma stem cells. SUPPRESSION OF BCL-2 DEGRADATION BY LHFPL3-AS1-LONG IN MELANOMA STEM CELLS To reveal the LHFPL3-AS1-mediated regulatory mechanism on the proliferation of melanoma stem
cells, the miRNAs bound to LHFPL3-AS1-long were predicted. The prediction analysis showed that miR-29a-3p and miR-181a-5p (simplified as miR-29 and miR-181) were the potential targets of
LHFPL3-AS1-long (Fig. 3A). As reported, _VEGF_ and _Bcl-2_ genes are the targets of miR-29 and miR-181, respectively18,19. Thus the expression levels of _VEGF_ and _Bcl-2_ genes were
characterized in the LHFPL3-AS1-long-silenced melanoma stem cells. Quantitative real-time PCR and Western blot results indicated that the LHFPL3-AS1 knockdown led a significant decrease of
Bcl-2 expression in melanoma stem cells, but had no effect on VEGF expression (Fig. 3B, C). Therefore, miR-181 was further characterized. To evaluate the direct interaction between
LHFPL3-AS1-long and miR-181, the dual-luciferase report plasmid expressing wild-type or mutant LHFPL3-AS1-long was constructed (Fig. 3D) and then co-transfected with miR-181 into MDA-MB-435
cells. The results showed that the luciferase activity of the cells co-transfected with miR-181 and LHFPL3-AS1-long was significantly decreased compared with the mutant LHFPL3-AS1-long (Fig.
3E), indicating that miR-181 directly interacted with LHFPL3-AS1-long. The above data manifested that LHFPL3-AS1 suppressed apoptosis of melanoma stem cells and Bcl-2 was a target gene of
miR-181. As well-known, Bcl-2 plays an important role in apoptosis. In this context, the influence of the interactions between LHFPL3-AS1, miR-181 and Bcl-2 on apoptosis of melanoma stem
cells was further evaluated. To explore the miR-181-mediated pathway, miR-181 was overexpressed in melanoma stem cells (Fig. 3F). Western blot data demonstrated that the miR-181
overexpression significantly decreased the expression level of its target gene _Bcl-2_ compared with the control (Fig. 3G). To examine the impact of LHFPL3-AS1 on the Bcl-2 expression,
LHFPL3-AS1-long was overexpressed in melanoma stem cells. Western blot results indicated that the LHFPL3-AS1-long overexpression increased the BCL-2 expression in melanoma stem cells (Fig.
3H). Based the prediction of target genes, Bcl-2 could be targeted by miR-15a-5p/16-5p except for miR-181. The quantitative real-time PCR data showed that miR-181a-5p was highly expressed in
melanoma stem cells compared with miR-15a-5p/16-5p (Fig. 3I), suggesting that miR-181 was important in melanoma stem cells. To further evaluate the impact of miR-181 and LHFPL3-AS1-long on
apoptosis of melanoma stem cells, the cells were transfected with LHFPL3-AS1-long or/and miR-181, followed by apoptosis detection. Flow cytometry data showed that the miR-181 overexpression
induced apoptosis of melanoma stem cells compared with the controls, while the LHFPL3-AS1-long overexpression inhibited miR-181-mediated apoptosis (Fig. 3J). To characterize the role of
Bcl-2 in melanoma stem cells, the expression of Bcl-2 was silenced using sequence-specific siRNA (Fig. 3K). The results showed that the Bcl-2 silencing significantly promoted apoptosis of
melanoma stem cells compared with the control (Fig. 3L), indicating that Bcl-2 played a negative role in apoptosis of melanoma stem cells. Collectively, these findings demonstrated that
LHFPL3-AS1-long directly interacted with miR-181 to inhibit the mRNA degradation of _Bcl-2_ (the target of miR-181), thus suppressing apoptosis of melanoma stem cells. INTERACTION BETWEEN
LHFPL3-AS1 AND PTBP1 PROTEIN IN MELANOMA STEM CELLS To reveal the LHFPL3-AS1-mediated regulatory mechanism on the proliferation of melanoma stem cells, the proteins binding to LHFPL3-AS1
were characterized. The RNA pull-down results using LHFPL3-AS1 RNA indicated that a specific protein band was observed for the LHFPL3-AS1-long compared with the control (Fig. 4A). Mass
spectrometry analysis revealed that the protein was polypyrimidine tract binding protein 1 (PTBP1) (Fig. 4A). Western blotting with the anti-PTBP1 antibody confirmed the mass spectrometric
data (Fig. 4B). To further confirm the interaction between LHFPL3-AS1-long and PTBP1 protein in melanoma stem cells, cross-linking and immunoprecipitation (CLIP) assay using the
PTBP1-specific antibody was conducted. The results showed that the PTBP1 complex was precipitated (Fig. 4C). The level of LHFPL3-AS1-long was much higher in the immunoprecipitated PTBP1
complex than that in the control (Fig. 4D). These data demonstrated that LHFPL3-AS1-long was specifically interacted with the PTBP1 protein. To explore the LHFPL3-AS1-long region interacting
with the PTBP1 protein, a series of truncated fragments of LHFPL3-AS1 were constructed (Fig. 4E). The results of RNA pull-down assays revealed that a 250-bp fragment (the 1050th to the
1330th nucleotides) of LHFPL3-AS1-long was required for the interaction between LHFPL3-AS1-long and the PTBP1 protein (Fig. 4E). In this 250-bp fragment, there existed the known PTBP1
binding sites (UCUU and UCUCU)20. Taken together, these findings revealed that LHFPL3-AS1-long was interacted with the PTBP1 protein. ROLE OF PTBP1 IN MELANOMA STEM CELLS In order to
characterize the role of PTBP1 in melanoma stem cells, melanoma stem cells stably overexpressing PTBP1-targeted shRNA were established using lentivirus transfection. Quantitative real-time
PCR showed that PTBP1 was knocked down in melanoma stem cells (Fig. 5A). The PTBP1 silencing led to a significant decrease of the viability of melanoma stem cells compared with the control
(Fig. 5B), suggesting that PTBP1 had a positive role on the proliferation of melanoma stem cells. To further determine the effects of PTBP1 silencing on melanoma stem cell proliferation, the
cell cycle of PTBP1-silenced stem cells was examined with flow cytometry. The results showed that the depletion of PTBP1 significantly increased the proportion of cells in G0/G1 phase (Fig.
5C), indicating that the PTBP1 silencing led to the cell cycle arrest of melanoma stem cells. At the same time, the PTBP1 silencing significantly increased the percentage of apoptotic cells
compared with the control (Fig. 5D). These data indicated that PTBP1 could promote the proliferation of melanoma stem cells by inducing cell cycle arrest and inhibiting apoptosis. To
explore the effects of PTBP1 knockdown on the stemness of melanoma stem cells, the PTBP1-silenced melanoma stem cells were subjected to the detection of stemness genes’ expressions.
Quantitative real-time PCR results showed that the PTBP1 silencing led to significant downregulations of stemness genes (_Klf4_, _Nanog_, _Oct4_, and _Sox2_) compared with the controls (Fig.
5E), indicating that PTBP1 played a positive role in maintaining the stemness of melanoma stem cells. At the same time, the PTBP1 silencing significantly decreased the percentage of
tumorsphere formation of melanoma stem cells compared with the control (Fig. 5F). These data indicated that PTBP1 was required for maintaining the stemness of melanoma stem cells. In clinic,
the analysis of the data from GEPIA database (http://gepia.cancer-pku.cn/index.html) showed that the PTBP1 expression in the solid tumors of melanoma patients was upregulated compared with
that of the healthy donors (Fig. 5G). At the same time, the Kaplan–Meier survival analysis revealed that the melanoma patients with high PTBP1 expression level had distinct shorter survival
rate compared with the patients with low PTBP1 level (Fig. 5H). These data demonstrated that the PTBP1 expression was positively associated with melanoma progression, indicating that PTBP1
might serve as a new target for melanoma therapy. Collectively, our findings indicated that PTBP1 was required for maintaining the stemness of melanoma stem cells. SPLICING OF LHFPL3-AS1
MEDIATED BY PTBP1 As reported, PTBP1 plays an important role in alternative splicing21. Therefore, the role of PTBP1 in the splicing of LHFPL3-AS1 was explored. The sequence analysis showed
that there were several motifs (UCUCU) in the LHFPL3-AS1 precursor and LHFPL3-AS1-long (Fig. 6A), which could be bound by PTBP1 protein20, suggesting that the splicing of LHFPL3-AS1
regulated by PTBP1 contribute to the biogenesis of LHFPL3-AS1-long. To reveal the influence of PTBP1 on the biogenesis of LHFPL3-AS1-long, PTBP1 was knocked down in melanoma stem cells,
followed by the examination of LHFPL3-AS1 isoforms. The results showed that PTBP1 depletion significantly reduced the level of LHFPL3-AS1-long (Fig. 6B, C). At the same time, when PTBP1 was
rescued in PTBP1 stable silenced cells (Fig. 6D), the expression level of LHFPL3-AS1-long was also recovered (Fig. 6E). These data demonstrated that PTBP1 was responsible for the biogenesis
of LHFPL3-AS1-long in melanoma stem cells. To further confirm the role PTBP1 in the biogenesis of LHFPL3-AS1-long, RNA pull-down assays were conducted using biotin-labeled RNAs. The results
demonstrated that the PTBP1 protein was bound to LHFPL3-AS1-long and LHFPL3-AS1-exon3, but not LHFPL3-AS1-short (Fig. 6F). To evaluate the influence of the exon3 of LHFPL3-AS1 on the
PTBP1-mediated splicing of LHFPL3-AS1, the exon3 of LHFPL3-AS1 was overexpressed in melanoma stem cells (Fig. 6G). Quantitative real-time PCR showed that the exon3 overexpression decreased
the LHFPL3-AS1-long level compared with the control (Fig. 6H), indicating the PTBP1 protein mediated the splicing of LHFPL3-AS1 by binding to its exon3. These results revealed that the PTBP1
protein was required for the biogenesis of LHFPL3-AS1-long in melanoma stem cells. ROLES OF PTBP1 AND LHFPL3-AS1 IN TUMORIGENESIS OF MELANOMA STEM CELLS IN VIVO In order to explore the role
of LHFPL3-AS1 in tumor progression in vivo, the melanoma stem cells transfected with LHFPL3-AS1-shRNA were subcutaneously injected into nude mice, followed by monitoring tumor growth every
week for 6 weeks. The results showed that the LHFPL3-AS1 depletion significantly inhibited tumorigenesis of melanoma stem cells in vivo compared with the control (Fig. 7A). The sizes and
weights of xenografted solid tumors were much smaller and lower than those of the control (Fig. 7B, C). These data demonstrated that LHFPL3-AS1 played a positive role in tumorigenesis of
melanoma stem cells in vivo. Western blots indicated that the Bcl-2 protein was significantly downregulated in LHFPL3-AS1-silenced xenografts, but not in the control group (Fig. 7D). The
immunohistochemistry analysis yielded the similar results (Fig. 7E). These data indicated that LHFPL3-AS1 could promote tumorigenesis of melanoma stem cells in vivo. To evaluate the role of
PTBP1 in tumorigenesis of melanoma stem cells in vivo, the PTBP1-silenced melanoma stem cells were subcutaneously injected into nude mice, followed by the examination of tumor growth. The
results demonstrated that the PTBP1 silencing significantly decreased the growth of tumors in mice compared with the control (Fig. 7F). At the same time, the volume and weight of solid
tumors of the PTBP1-silenced cells were significantly reduced (Fig. 7G, H). Western blots and immunohistochemical analysis of xenografted tumors showed that the PTBP1 silencing significant
downregulated the expression of Bcl-2 (Fig. 7I, J). The PTBP1 silencing also led to a significant downregulation of LHFPL3-AS1-long in solid tumors (Fig. 7K). These data indicated that PTBP1
played a positive role in tumorigenesis of melanoma stem cells in vivo. Taken the above results together, the findings revealed that PTBP1 promoted the splicing of LHFPL3-AS1 precursor to
generate LHFPL3-AS1-long, and subsequently LHFPL3-AS1-long inhibited the mRNA degradation of _Bcl-2_ (the target gene of miR-181) by its direct interaction with miR-181a-5p to suppress
apoptosis of melanoma stem cells, thus leading to tumorigenesis of melanoma stem cells in vivo (Fig. 7L). DISCUSSION Cancer stem cells often reprogram the expression profiles of a wide range
of genes to support their self-renewal and differentiation, which have been considered as hallmarks of stem cells14. Over the last decade, lncRNAs have been proposed to play very important
roles in the transcriptional regulations of genes22. However, the roles of lncRNAs in tumorigenesis of cancer stem cells are not extensively explored. In this study, the findings revealed
that LHFPL3-AS1-long, one of two LHFPL3-AS1 isoforms, was required for maintaining the stemness of melanoma stem cells via directly interacting with miR-181 to inhibit the mRNA degradation
of its target gene _Bcl-2_ and apoptosis of melanoma stem cells. As reported, lncRNAs can function _in cis_ or _in trans_22. For the roles of lncRNAs _in cis_, they usually depend on their
sequences and the DNA elements which are transcribed to regulate the expressions of neighboring genes. It is found that _LncTCF7_ is required for the self-renewal and tumor propagation of
liver cancer stem cells, which functions based on the recruitment of SWI/SNF complex to the neighboring promoter of TCF7 to regulate its expression13. The lncRNAs _in trans_ are usually
mediated by the interactions with the specific proteins and RNAs (ceRNAs) to regulate the behaviors of protein binders and other RNA molecules23. Characterizing the epigenetic landscape of
genes encoding lncRNAs identifies a lncRNA _EPIC1_, which promotes cancer cell-cycle progression by interacting with MYC, thus enhancing MYC occupancy on target genes23. Up to date, numerous
experimental evidences have shown that the competition for miRNAs plays an integral part in the regulation of both lncRNAs and mRNAs8,24. Although the diverse functions of lncRNA have been
characterized, the influence of lncRNAs on the stemness of cancer stem cells has still poorly understood. Therefore, our findings provided novel insights into the role of lncRNAs in
tumorigenesis of cancer stem cells. Alternative pre-mRNA splicing is emerging as an important mechanism of genetic diversity, enabling a single gene to produce multiple RNA variants and
distinct protein isoforms from an apparently limited number of loci in the genome25. As a critical mechanism during cell development and differentiation, alternative splicing is involved in
tumor progression26. Whole-exome RNA sequencing data demonstrate that tumors have up to 30% more alternative splicing events than normal cells27, suggesting that aberrant alternative
splicing can be one of the major molecular hallmarks of human cancers28. So far, however, the roles of splicing in the biogenesis of lncRNAs and its influence on tumorigenesis of cancer stem
cells have not been well investigated. In this study, our results indicated that the PTBP1 protein was responsible for the biogenesis of LHFPL3-AS1-long by promoting the splicing of
LHFPL3-AS1 precursor in melanoma stem cells. As reported, alternative splicing is regulated by an extensive protein–RNA interaction network involving _cis_ elements within the pre-mRNA and
_trans_-acting factors that bind to these cis elements21. Generally the splicing factors include serine/arginine-rich proteins and heterogeneous nuclear ribonucleoproteins (hnRNPs) that
positively or negatively control splicing in different pre-mRNA regions29. PTBP1 (also termed as hnRNP I), a member of hnRNPs, is a well-known suppressive regulator of alternative splicing
by inhibiting intron and exon definition30,31. Our findings showed that PTBP1 specifically interacted with the motif (UCUCU) in exon3 of in the LHFPL3-AS1 precursor. The silencing of
LHFPL3-AS1 or PTBP1 could suppress, but not completely block, tumor progression, which is a universal phenomenon for RNAi-dependent cancer therapy23. Even if an oncogene is knocked out in
cancer cells, the oncogene knockout can’t block tumorigenesis, owing to the genetic redundancy and functional compensation through some buffering mechanisms32. In this context, our study
revealed a mechanistic crosstalk among an onco-splicing factor, alternative splicing event of lncRNA and tumorigenesis of melanoma stem cells, enabling PTBP1 and the splicing of LHFPL3-AS1
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ACKNOWLEDGEMENTS This study was financially supported by the National Key Research and Development Program of China (2018YFC0310703) and China Ocean Mineral Resources R & D Association
(DY135-B-04). AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * College of Life Sciences and Laboratory for Marine Biology and Biotechnology of Qingdao National Laboratory for Marine Science and
Technology, Zhejiang University, Hangzhou, 310058, The People’s Republic of China Song Zhang, Haitao Wan & Xiaobo Zhang Authors * Song Zhang View author publications You can also search
for this author inPubMed Google Scholar * Haitao Wan View author publications You can also search for this author inPubMed Google Scholar * Xiaobo Zhang View author publications You can
also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Xiaobo Zhang. ETHICS DECLARATIONS CONFLICT OF INTEREST The authors declare that they have no
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CITE THIS ARTICLE Zhang, S., Wan, H. & Zhang, X. LncRNA LHFPL3-AS1 contributes to tumorigenesis of melanoma stem cells via the miR-181a-5p/BCL2 pathway. _Cell Death Dis_ 11, 950 (2020).
https://doi.org/10.1038/s41419-020-03141-1 Download citation * Received: 14 April 2020 * Revised: 13 October 2020 * Accepted: 15 October 2020 * Published: 04 November 2020 * DOI:
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