{'fraction_non_alphanumeric': 0.034286371742507045, 'fraction_numerical': 0.030259448886843468, 'mean_word_length': 4.992416408135126, 'pattern_counts': {'":': 0, '<': 1, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 1, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
lncRNA-MEG3 Suppresses the Proliferation and Invasion of Melanoma by Regulating CYLD Expression Mediated by Sponging miR-499-5p

The abnormal expression of long noncoding RNA- (lncRNA-) MEG3 was clearly identified in a number of malignant tumors, but the specific function of MEG3 remains unknown in malignant melanoma until now. The research attempts to explore the effects of MEG3 on the growth and metastasis of malignant melanoma. MEG3 and miR-499-5p expression were determined by qRT-PCR method. Western blotting assay was applied to detect protein expression. Luciferase reporter assay was used to assess the correlation between MEG3 and miR-499-5p and between CYLD and miR-499-5p. Cell growth, cell cycle, and cell apoptosis were examined by CCK-8 assay, EdU assay, and flow cytometry assay, respectively. The invasion ability of melanoma cells was investigated by wound-healing and Transwell assays. The effect of MEG3 on growth of melanoma in vivo and cell chemosensitivity was detected by xenograft animal model and CCK-8 assay. As a result, the expression of MEG3 was decreased in melanoma tissues and cell lines. The level of MEG3 was significantly associated with poor prognosis. MEG3 could bind to miR-499-5p and CYLD mRNA contained a binding site of miR-499-5p. The expression of CYLD was reduced and the level of miR-499-5p was elevated in melanoma tissues and cell lines. Luciferase reporter assay and western blot assay confirmed that MEG3 regulated the expression of CYLD by sponging miR-499-5p. Functionally, upregulation of MEG3 inhibited melanoma cell proliferation, invasion, and migration, enhanced melanoma cell apoptosis, arrested melanoma cell cycle, and regulated the expression of E-cadherin, N-cadherin, and cyclin D1 by regulating CYLD expression mediated by sponging miR-499-5p. Importantly, overexpression of MEG3 suppressed the growth of xenograft tumor and improved chemotherapy sensitivity of A375 cells to cisplatin and 5-FU treatment. In conclusion, MEG3 has a crucial function in the tumorigenesis of melanoma, and MEG3 may be a potential therapeutic target in the treatment of melanoma.


Introduction
Malignant melanoma originating from melanocytes is an aggressive skin cancer which is listed as the seventh most frequent malignant tumor in females and the fifth most frequent malignant tumor in males worldwide [1]. The incidence of melanoma has been remarkably increasing in recent years, and the progression and metastasis of melanoma are extremely rapid [2,3]. Accordingly, it is reasonably necessary to create innovative strategies for treating melanoma, and it may be hopeful to uncover the molecular mechanism of melanoma growth and metastasis for finding new therapeutic targets. Increasing evidences emphasized that lncRNAs played essential roles in regulating numerous biological activities including cell proliferation [4], cell autophagy [5], and tumor metastasis [6]. The dysregulation of lncRNAs has been considered to be related to the occurrence, development, and relapse of tumors [7]. Maternally expressed gene 3 (MEG3) is positioned on human chromosome 14q32.3 and encoded by a maternally imprinted gene [8]. Recent researches have demonstrated that MEG3 was involved in the tumorigenesis of diverse malignant tumors. For instance, overexpression of MEG3 suppressed significantly chronic myeloid leukemia cell growth and invasion by regulating the expression of miR-184 [9], MEG3 inhibited breast cancer cell growth and metastasis by blocking AKT pathway [10], and MEG3 limited 2 BioMed Research International EMT processing of breast cancer cell through regulating Ecadherin expression mediated by targeting miR-421 [11]. For all that, the main function of MEG3 on the development of melanoma remains remarkably obscure.
CYLD is a mutated gene found in familial cylindromatosis. Various reports have indicated that CYLD plays an antitumor role in numerous malignant tumors by regulating various signaling pathways, including Wnt/ -catenin [12], nuclear factor-B [13], and transforming growth factor- [14]. CYLD has been identified to be downregulated in melanoma tissues and cell lines and to suppress melanoma cell proliferation and metastasis by blocking the JNK/AP-1 and 1-integrin signaling pathways [15].
MicroRNA is a short ribonucleotide acid sequence that can regulate gene expression by binding to the target mRNA [16]. More and more researches have manifested that microR-NAs participate in the occurrence and development of many tumors [17]. MiR-499-5p was found to inhibit lung cancer growth and invasion via regulating the expression of VAV3 [18]. Conversely, some evidence manifested that miR-499-5p promoted colorectal cancer cell proliferation through inhibiting the expression of FOXO4 and PDCD4 [19]. Roles of miR-499-5p in melanoma were not still elucidated until now.
Bioinformatics analysis tool sheds important light on the relationship among MEG3, CYLD, and miR-499-5p. In this report, the expression and function of MEG3, miR-499-5p, and CYLD were explored in melanoma tissues and cell lines. The combined results identified that MEG3 suppressed melanoma cell proliferation and invasion by regulating the expression of CYLD mediated by sponging miR-499-5p.

Clinical Specimens and Cell
Culture. The research was identified by the Ethics Committee of the Affiliated Hospital of Hubei University of Chinese Medicine. Melanoma tissue samples for research were obtained after 42 of patients with melanoma provided written informed consent. All patients did not receive radiotherapy or chemotherapy. Clinical information of all recruited subjects was listed in Table 1. Melanoma specimens and adjacent normal tissues were immediately frozen in liquid nitrogen after resection and then stored at −80 ∘ C until use. Tumor tissues were confirmed as malignant melanoma by at least 2 pathologists. A375, WM35, SK-MEL-5, and SK-MEL-2 cell lines were achieved from cell bank of Wuhan University and cultured in DMEM with 10% fetal bovine serum, 100 U/mL penicillin, and 100 g/mL streptomycin (Gibco, USA) in a humidified atmosphere of 5% CO2 at 37 ∘ C. Human epidermal melanocytes (HEMa-LP) were obtained from cascade biologists, UK, and were cultured in HMGS-2 medium in the same condition as described in melanoma cell lines.

Western Blot Assay.
Tumor tissues and cells were lysed and total proteins were extracted using RIPA buffer kit according to the manufacturer's protocol. The concentration of proteins was detected with a BCA protein kit. The proteins were separated on 10% SDS-PAGE assay and moved to a PVDF membrane. The membranes were blocked with 5% milk protein in TBST and labeled with primary antibodies at 4 ∘ C overnight followed by incubation with secondary antibody for 1 h at room temperature before detection by an en-

Chemosensitivity Assay. A375 cells after transfection
were cultured in fresh medium and then seeded into 96well plates. Various doses of cisplatin or 5-FU were added to the cell culture for 72 h. Next, the proliferation of cell was evaluated using CCK-8 assay.
2.13. Statistical Analysis. SPSS 16.0 software was applied for statistical analysis including -test, one-way analysis of variance with post hoc contrasts by Student-Newman-Keuls test, Chi-squared test, Pearson correlation analysis, and Kaplan-Meier plot. Data were showed as the mean ± standard deviation. < 0.05 was regarded as statistically significant difference.

The Expression of MEG3 and CYLD Was Decreased, but the Expression of miR-499-5p Was Increased in Melanoma Specimens and Cell
Lines. qRT-PCR and western blot assay were applied for detecting the expression of MEG3, miR-499-5p, and CYLD. It was identified that the level of MEG3 and CYLD was significantly decreased, but the expression of miR-499-5p was dramatically increased in melanoma tissues and cell lines compared with paired nontumor tissues or HEMa-LP cells ( Figure 1). The participants were split into high MEG3 level group ( = 21) and low MEG3 level group ( = 21) in accordance with the median value of MEG3. No distinct association was found among the MEG3 level, age, and sex in individuals with melanoma, but the downregulation of MEG3 was markedly associated with tumor thickness, TNM stage, lymph node involvement, and distant metastasis of malignant melanoma as showed in Table 1. In addition, reduced expression of MEG3 was positively associated with decreased overall survival (Figure 2(a)). The correlations were confirmed by Pearson correlation analysis among MEG3, miR-499-5p, and CYLD (Figures 2(b)-2(e)).

Upregulation of MEG3 Inhibited A375 Cells Proliferation, Induced Cell Apoptosis, and Retarded the Metastasis of A375
Cells. To explore the impacts of MEG3 on the growth and metastasis of melanoma, A375 cells were transfected with pcDNA-MEG3. qRT-PCR assay revealed that the level of MEG3 in A375 cells was distinctly increased in pcDNA-MEG3 group compared with normal control group and pcDNA-control group (Figure 3(e)). Our results showed that A375 cell growth was inhibited in pcDNA-MEG3 group in comparison with normal control group and pcDNA-control group (Figure 3(c)). Cell cycle assay showed that a larger percentage of A375 cells in pcDNA-MEG3 group were retarded at the G0/G1 stage compared with normal control group and pcDNA-control group (Figures 3(a) and 4(a)). Furthermore, A375 cells apoptosis was significantly enhanced, and the invasion and migration of A375 cells were distinctly inhibited in pcDNA-MEG3 group compared with normal control group and pcDNA-control group (Figures 5(a) and 6(a)). On the contrary, the level of MEG3 was significantly reduced in Relative MEG3 expression Relative CYLD protein expression A375 cells after transfection with sh-MEG3 (Figure 3(f)). Reduced expression of MEG3 inhibited A375 cells apoptosis and enhanced A375 cells cycle, proliferation, and invasion (Figures 3(b), 3(d), 4(b), 5(b), and 6(b)). Thus, we concluded that overexpression of MEG3 could inhibit melanoma cells growth and reduce cell invasion.

MEG3 Sponged
Directly miR-499-5p in A375 Cells. Bioinformatics analysis showed miR-499-5p may be a target of MEG3. Luciferase assay was performed to ascertain whether MEG3 could regulate miR-499-5p expression by acting as molecular sponge. The result manifested that miR-499-5p mimics dramatically alleviated the luciferase activity of MEG3-wt but had no significant effect on that of MEG3-mut (Figures 7(a) and 7(b)).

MiR-499-5p Directly Targeted CYLD in A375 Cells.
Bioinformatics analysis manifested that miR-499-5p could bind directly to 3 -UTR-CYLD. Luciferase assay manifested that miR-499-5p mimics suppressed obviously the luciferase activity of CYLD-wt, whereas they did not significantly affect the luciferase expression of CYLD-mut. Furthermore, the cotransfection of miR-499-5p mimics with pcDNA-MEG3 did not have significant influence on the luciferase activity in CYLD-wt and CYLD-mut. Though the cotransfection of miR-499-5p mimics with pcDNA-control reduced luciferase expression of CYLD-wt, it did not make much difference on the luciferase activity in CYLD-mut (Figures 7(c) and 7(d)).

MEG3 Acted as an Antitumor Factor via Regulating the Expression of CYLD in Melanoma.
To further investigate whether CYLD mediated the function of MEG3 in the progression of melanoma, sh-control, sh-MEG3, and sh-MEG3 + pcDNA-CYLD were transfected into A375 cells, respectively. As a consequence, sh-MEG3 promoted the growth and metastasis of A375 cells and inhibited cell apoptosis, whereas the cotransfection of pcDNA-CYLD abrogated the promoting function of sh-MEG3 on the proliferation and metastasis ability of A375 cells (Figure 9(a)). Conversely, after A375 Relative miR-499-5p level cells were transfected with pcDNA-control, pcDNA-MEG3, or pcDNA-MEG3+sh-CYLD separately, we identified that the transfection of pcDNA-MEG3 suppressed the growth, invasion, and migration of A375 cells, but sh-CYLD alleviated the inhibiting function of pcDNA-MEG3 in A375 cells (Figure 9(b)). Therefore, the function of MEG3 in growth and metastasis of A375 cells was mediated, at least in part, by CYLD.

MEG3 Enhanced E-Cadherin Expression and Suppressed N-Cadherin and Cyclin D1 Expression via Regulating the Expression of CYLD in A375 Cells.
To further explore the underlying mechanism of MEG3 on inhibiting the growth and invasion of A375 cells, molecules related to EMT processing and cell cycle were evaluated by western blot assay.
Overexpression of MEG3 remarkably strengthened the level of E-cadherin and alleviated the level of N-cadherin and cyclin D1, while cotransfection of pcDNA-MEG3 with sh-CYLD abrogated the function of MEG3 in the listed proteins expression. Conversely, reduced expression of MEG3 suppressed E-cadherin expression and promoted the expression of N-cadherin and cyclin D1, but pcDNA-CYLD attenuated the effect of sh-MEG3 on the expression of the above proteins in A375 cells ( Figure 10).

Upregulation of MEG3 Suppressed Melanoma Growth in an Animal Experiment and Improved Chemosensitivity in A375 Cells.
To identify that in vivo MEG3 could regulate melanoma growth, A375 cells transfected with pcDNA-MEG3 were implanted subcutaneously into nude mouse. The volume of xenograft tumor was significantly smaller in pcDNA-MEG3 group than in normal control group and pcDNA-control group at 10 d, 15 d, 20 d, and 25 d after transplantation. The final weight of xenograft tumor was dramatically reduced in pcDNA-MEG3 group compared with normal control group and pcDNA-control group. In addition, the level of miR-499-5p in xenograft tumor was decreased markedly and the CYLD level in xenograft tumor was dramatically elevated in pcDNA-MEG3 group compared with normal control group and pcDNA-control group. Finally, A375 cells were treated with 5-FU or cisplatin, respectively, in pcDNA-MEG3 group, pcDNA-control group, and normal control group. Subsequently, CCK-8 assay showed that the growth of A375 cells was more suppressed in pcDNA-MEG3 group in comparison with normal control group and pcDNAcontrol group (Figure 11).

Discussion
lncRNA represents a type of transcript that is more than 200 nucleotides in length and has little or no protein coding capacity [20]. Numerous lncRNAs were found to function as antitumor or protumor factors in diverse cancers [21,22]. In this research, we confirmed that MEG3 played antitumor role in malignant melanoma development through miR-499-5p/CYLD axis.
In the report, we confirmed that MEG3 expression was distinctly decreased in 42 of melanoma samples and in melanoma cell lines. Meanwhile, low expression of MEG3 was positively correlated with poor prognosis in patients with melanoma. In in vitro and in vivo assays, upregulation of MEG3 inhibited distinctly the growth and metastasis of A375 cells, enhanced A375 cell apoptosis, and retarded cell cycle at G0/G1 stage. In addition, overexpression of MEG3 lessened significantly xenograft tumor volume and weight. Collectively, these results concluded that MEG3 played a tumor suppressor role in the tumorigenesis of melanoma.
Current researches have identified that lncRNAs can act as a sponge to competitively target miRNA and modulate the function of the targeting miRNA [23]. With the aid of bioinformatics online tools and luciferase reporter assay, miR-499-5p was found as the downstream target of MEG3. In addition, we forecasted and confirmed that CYLD acted as the binding mRNA of miR-499-5p. Further analysis validated that the level of miR-499-5p was inversely associated with CYLD level and MEG3 expression in melanoma tissues and cell lines. Finally, the rescue experiment strongly identified that MEG3 controlled the level of CYLD by targeting miR-499-5p.
CYLD has been reported as an important antitumor gene in numerous malignant tumors. For example, inhibition of CYLD expression enhanced human malignant melanoma growth and invasion [24]. Increased CYLD suppressed the development of hepatocellular carcinoma [25] and gastric cancer [26]. Our results showed that upregulation of CYLD alleviated the effect of sh-MEG3 on the growth, apoptosis, and migration of A375 cells, and downregulation of CYLD attenuated the function of pcDNA-MEG3 in cell proliferation, cell apoptosis, and metastasis of A375 cells. Furthermore, western blot assay confirmed that MEG3 modulated the EMT markers and cyclin D1 expression by regulating the expression of CYLD in A375 cells. The result was consistent with the previous reports [15,27]. Taken together, CYLD mediated, at least in part, the effect of MEG3 on tumorigenesis of melanoma ( Figure 12).
A xenograft model was used to further investigate the effect of MEG3 on melanoma in vivo. We found that pcDNA-MEG3 distinctly decreased the weight and volume of tumors and improved chemosensitivity of A375 cells to cisplatin or 5-FU treatment.
Together, this report emphasizes that MEG3 acts as an antitumor lncRNA for malignant melanoma by regulating miR-499-5p/CYLD axis; MEG3 may be a novel and crucial biomarker in patients with melanoma and can be used as a promising molecular target in the treatment of malignant melanoma. Nevertheless, it should be pointed out that the effects of MEG3 need be further investigated on more melanoma cell lines other than A375 cells and the underlying mechanism of MEG3 demands intensive elucidation on promoting A375 cell apoptosis.