{'fraction_non_alphanumeric': 0.03898582945945339, 'fraction_numerical': 0.032742706999932626, 'mean_word_length': 5.115078275199121, 'pattern_counts': {'":': 0, '<': 4, '<?xml version=': 0, '>': 1, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
A novel ETV6-miR-429-CRKL regulatory circuitry contributes to aggressiveness of hepatocellular carcinoma.

Background Tumor metastasis is one of the main causes of the high mortality of hepatocellular carcinoma (HCC). E-Twenty Six variant gene 6 (ETV6) is a strong transcriptional repressor, associated with the development and progression of tumors. However, the exact role and underlying mechanism of ETV6 in HCC remain unclear. Methods Western blotting, quantitative real-time PCR and immunohistochemistry were used to detect the expression levels of ETV6, CRKL (v-crk sarcoma virus CT10 oncogene homologue (avian)-like) and miR-429 in HCC tissues and cells; Transwell chamber and F-actin cytoskeleton staining assay to examine the effects of ETV6 and CRKL deregulation on the migration, invasion and cytoskeleton of HCC cells; Co-immunoprecipitation assay to determine the interaction between CRKL and ETV6; Chromatin immunoprecipitation assay to investigate the interaction between ETV6 and miR-429. Results We established a novel ETV6-miR-429-CRKL regulatory circuitry contributes to HCC metastasis. ETV6 and CRKL were frequently increased, while miR-429 was downregulated in both hepatocarcinoma tissues and hepatocarcinoma cells. Moreover, ETV6 upregulation was positively correlated with CRKL upregulation, and two negative correlations were also established for ETV6 and CRKL upregulation with miR-429 downregulation in both hepatocarcinoma patients’ tumorous tissues and hepatocarcinoma cells. Functional investigations revealed that overexpression and knockdown of ETV6 was remarkably effective in promoting and suppressing HCC cell migration, invasion, cytoskeleton F-actin expression and arrangement, whereas, CRKL overexpression exhibited similar effects to the overexpression of ETV6. Mechanistically, ETV6 negatively regulates miR-429 expression by directly binding to the promoter region of miR-429; miR-429 negatively regulates CRKL expression by selectively targeting CRKL-3′-UTR; ETV6 directly binds to CRKL and positively regulates its expression, which in turn CRKL positively regulates ETV6 expression. Conclusions Our data demonstrated that ETV6 promotes migration and invasion of HCC cells by directly binding to promoter region of miR-429 via modulating CRKL expression. The newly identified ETV6-miR-429-CRKL regulatory circuitry contributes to the aggressiveness of HCC, which provides new clues for fundamental research on diagnosis and treatment parameters for HCC.


Background
Hepatocellular carcinoma (HCC) is one of the most common cancers worldwide. Its morbidity and mortality rate are among the highest in the world [1,2]. Tumor metastasis is the major problem leading to its high recurrence with low post-surgical 5-years survival and high mortality [3][4][5]. It is a multistep process, including the invasion of extracellular matrix (ECM), intravasation, translocation, migration and invasion of a secondary site, and finally the formation of metastatic nodules [3][4][5]. Deeper study of the molecular mechanisms of HCC metastasis can lead to novel therapeutic targets and improve the prognosis for HCC patients.
E-Twenty Six (ETS) variant gene 6 (ETV6), also known as translocation ets leukaemia (Tel), is a member of the transcription factor ETS family [6]. It is composed of a helix-loop-helix (HLH) domain [also named as pointed domain (PNT), or sterile alpha motif domain (SAM)] at the N-terminus and an ETS domain at the Cterminus. The HLH domain is necessary for homodimerization and heterodimerization with other ETS family members, it also frequently contributes to fusion proteins as the partner of tyrosine kinases [7,8]. The ETS domain is responsible for sequence specific DNAbinding to the ETS-binding consensus site (EBS) [6][7][8]. ETV6 is known to form fusion proteins by chromosomal translocations with the platelet-derived growth factor receptor (PDGFR), v-abl Abelson murine leukemia viral oncogene (ABL), runt-related transcription factor 1 gene (RUXN1), ecotropic virus integration site-1 (EVI-1) through the HLH domain, leading to the homodimerization of fusion proteins and to constitutive activation of tyrosine kinase activity [9]. The HLH domain of ETV6 could mediate dimerization of ABL and subsequent ABL kinase domain activation [10]. CRKL (v-crk sarcoma virus CT10 oncogene homologue (avian)-like) is a substrate protein for ABL, Tel-ABL fusion protein can form complexes with CRKL leading to tyrosine-phosphorylation of CRKL and the constitutive activation of Ras (rat sarcoma), MAPK/ERK (mitogen-activated protein kinase/extracellular regulated protein kinases) and PKB/AKT (protein kinase B/Serine/threonine kinase) [10]. ETV6 also acts as a strong transcriptional repressor by directly binding to target genes through the ETS DNA-binding domain to repress its transcription [11,12]. ETV6 plays a crucial role in embryonic development and hematopoiesis [13]. Its deregulation is also involved in the development and progression of leukemia, prostate cancer, colorectal cancer and non-small cell lung cancer [14][15][16][17][18]. However, the biological function and underlying regulation mechanism of ETV6 in HCC remain unclear.
CRKL, a member of the CRK adapter protein family, is ubiquitously expressed and conserved across eukaryotic organisms [19]. It is composed of one NH2-terminal Src homology2 (SH2) domain, one N-terminal SH3 (SH3N) domain and one C-terminal SH3 (SH3C) domain. CRKL has a variety of linkages for coupling to proline-rich proteins BCAR1 (breast cancer anti-estrogen resistance 1), GAB (Grb2-associated binder protein), ABL, Pax (paired boxed gene), GEF (guanine nucleotide exchange factor), C3G (3-domain-binding guanine nucleotide exchange factor), BCR (B-cell receptor)-ABL and SOS (son of sevenless) to form timely and localized complexes that are critical for cell proliferation, survival, adhesion and migration [20,21]. Hence it can function in cellular signaling cascades by either directly forms complex with downstream receptor protein to regulate cellular tyrosine kinase activity, or by acting as an upstream mediator for signal initiation [22,23]. CRKL deregulation has been linked to the development and progression of a variety of cancers [24,25]. We previously reported that the overexpression and knockdown of CRKL was remarkably effective in promoting and suppressing the in vitro migration and invasion capacities of hepatocarcinoma HepG2 cells [26].
MicroRNAs (miRNAs) are 18-24 nucleotide small non-coding RNAs that negatively regulate gene expression by directly degrading mRNA or by suppressing post-transcriptional protein translation by binding to the 3′-untranslated region (3′-UTR) of targeted mRNAs [27]. MiRNAs play important roles in cell proliferation, differentiation, metastasis and apoptosis by directly degrading mRNA or by suppressing post-transcriptional protein translation by targeting mRNAs [28,29]. MiR-NAs might function as tumor promoter or suppressor in tumorigenesis and tumor malignancy [30]. miR-429, a member of miR-200 family, is located on chromosome 1p36 [31]. miR-429 dysregulation is involved in the development, invasion, epithelial-mesenchymal transition (EMT), metastasis and drug resistance of various cancers [32,33]. It functions either as a tumor suppressor or tumor promoter for certain cancers depending on the particular type of tumor cell/tissue [34][35][36]. Our previous study showed that miR-429 negatively regulated CRKL expression by selectively binding to CRKL-3′-UTR at the 3728-3735 bp site by post-transcriptionally mediating CRKL's functionality, and miR-429 suppressed the migration and invasion of HepG2 cells by targeting CRKL via inhibiting Raf/MEK/ERK (rapidly accelerated fibrosarcoma/ mitogen-activated extracellular signalregulated kinase/ERK) pathway and EMT [26]. Bioinformatics analysis software JASPAR predicted that ETV6 protein potentially binds to the DNA promoter region at the 696-705 site of miR-429. We speculate that ETV6, CRKL and miR-429 may form an ETV6-miR-429-CRKL regulatory loop.
In the present study, we report a new ETV6-miR-429-CRKL regulatory circuitry in HCC. We found that ETV6 and CRKL were upregulated, and miR-429 was downregulated in HCC patients' tissues and HCC cell lines compared with corresponding non-tumor liver tissues and a normal liver cell line. Moreover, ETV6 knockdown inhibited the in vitro migration, invasion and F-actin cytoskeleton expression and arrangement of HCC cells, while ETV6 or CRKL overexpression showed opposite effects. We observed that overexpression of ETV6 caused repression of miR-429 and the inhibition of miR-429 lead to the upregulation of CRKL, which in turn CRKL overexpression promoted ETV6 expression. Meanwhile, the expression of ETV6 displayed a positive correlation with CRKL but an inverse correlation with miR-429. Furthermore, ETV6 directly binds to the promoter region at the 696-705 bp site of miR-429 by transcriptionally negatively mediating its expression; CRKL is a direct target of miR-429 and miR-429 negatively regulates CRKL expression by selectively binding to CRKL-3′-UTR at the 3728-3735 bp site by post-transcriptionally mediating its functionality; ETV6 positively regulates CRKL expression by directly cooperating with CRKL. Our study uncovered a novel ETV6-miR-429-CRKL regulatory circuitry in maintaining the aggressive phenotypes of HCC and partially elucidated the molecular mechanism of HCC metastasis.

Patients and tissue samples
Sixteen pairs of matched tumor tissues and corresponding non-tumor liver tissues from hepatocarcinoma patients were collected from the Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, The Second Affiliated Hospital of Dalian Medical University, Dalian, China. None of the patients had received radiotherapy or chemotherapy before tissue collection. There were 11 men and 5 women, 7 patients of age ≥ 60 years and 9 patients of age < 60 years; 8, 4 and 4 patients are cataloged into T1, T2 and T3 stages; 12 patients are primary HCC and 4 patients unknown; 1 patient exhibits perineuronal invasion, 10 patients no perineuronal invasion and 5 patients unknown; 5 patients have satellite nodules, 4 patients without satellite nodules and 7 patients unknown; 8 patients are HBV (hepatitis B virus) positive and 8 patients unknown; 1 patient of AFP (alpha fetoprotein) ≤ 20 IU/ml, 5 patients of 20 < AFP ≤ 400 IU/ml, 3 patients of AFP>400 IU/ml and 7 patients unknown. Tissue specimens were frozen in liquid nitrogen immediately after surgical resection and stored at − 80°C until use. The use of human tissues and the study protocol was approved by the Medical Ethics Committee of Dalian Medical University, and informed consent was obtained from all patients. All experiment methods were performed in accordance with the relevant guidelines and regulations.

Cell culture
Human normal liver LO2, hepatocellular carcinoma HepG2, HuH7, HCCLM3 and human embryonic kidney 293 T cells were purchased from the Shanghai Culture Collection of Chinese Academy of Sciences and cultured in 90% Dulbecco′s modified Eagle′s medium (DMEM, Gibco, USA) supplemented with 10% fetal bovine serum (FBS, TransGen, China), 100 U/ml penicillin and 100 U/ml streptomycin (Gibco, USA) in a humidified incubator at 37°C with 5% CO 2 .

Quantitative real-time PCR (qRT-PCR) assay
Total RNA was extracted from each group of tissues and cells using Trizol™ reagent (Invitrogen, USA) and reversely transcribed into an EasyScript One-Step gDNA Removal and cDNA Synthesis SuperMix kit (TransGen, China). qRT-PCR was then performed using TransStart Tip Green qPCR SuperMix (TransGen, China) with a StepOnePlus™ Real-Time PCR system (ThermoFisher, USA). snRNA U6 was used as internal reference for miR-429. The relative expression levels of miR-429 in different groups of cells, and in paired tumor and paracancerous non-tumor tissues from hepatocarcinoma patients were compared using the 2 -△△CT method.

In vitro cell migration and invasion assays
The effect of CRKL and ETV6 deregulations on the migration and invasion abilities of HepG2, HCCLM3 and HuH7 cells were examined using the Boyden transwell chamber assay. Briefly, 1 × 10 4 cells in 200 μl serum-free DMEM were seeded onto the upper compartment of transwell with 8 μm pore size polycarbonate filters (Corning, USA). The chambers were then placed into 24-well plates containing 600 μl DMEM with 20% FBS and incubated for 24 h at 37°C with 5% CO 2 . For invasion assay, the inserts were first coated with 50 μl 2.5% ECM gel (Sigma, USA) in DMEM, and incubated at 37°C for 1 h. 1 × 10 4 cells in 200 μl serum-free DMEM were seeded onto the upper compartment of the transwell. The chambers were then placed into 24-well plates containing 600 μl DMEM with 20% FBS and incubated for 24 h at 37°C with 5% CO 2 . The non-migrated and non-invaded cells on the upper surface of the insert were removed by swabbing, the migrated and invaded cells onto the lower surface were fixed with methanol (AR, Sigma, US) for 30 min, stained with 0.1% crystal violet for 40 min, washed with phosphate buffered solution (PBS), counted using an upright light microscope (Olympus, Japan) with 100× magnification. Five random field views were counted and averaged.

F-actin cytoskeleton staining assay
The TRITC (tetramethyl rhodamin isothiocyanate)-Phalloidin staining assay was performed to investigate the influence of CRKL and ETV6 on the cytoskeleton structure of HepG2, HCCLM3 and HuH7 cells. The 0.17 mm thick round cover glasses of 25 mm diameter were placed into 6-well plates, then 1 × 10 5 cells from each group were seeded into the cover glasses and cultured for 24 h at 37°C in humidified incubator with 5% CO 2 . The cover glasses were then twice washed with 1 ml PBS, fixed in 4% paraformaldehyde for 10 min at RT, washed 3 times with PBS, permeabilized with acetone, and continuously incubated in 100 μl TRITC-Phalloidin (400 nM) containing 1% bovine serum albumin (BSA) for 30 min in the dark at RT. The cover glasses were washed with PBS for 3 times and counterstained in 100 μl 50 nM Hoechst 33342 staining solution (Sigma, USA) for cell nucleus. Images were immediately taken using a fluorescence microscope (Olympus, Japan) at five randomly selected visual fields of 1000× within 1 h.

Co-immunoprecipitation assay
Co-immunoprecipitation (Co-IP) assay was performed to determine the interaction between CRKL and ETV6. Total protein was extracted from 5 × 10 6 HCCLM3-PCDH-CRKL or HCCLM3-PCDH-NC cells using RIPA buffer, then 500 μg protein was incubated with 2 μl anti-CRKL (Santa Cruz Biotechnology, USA), 2 μl anti-ETV6 (abcam, USA), or 1 μl nonspecific anti-rabbit IgG (Santa Cruz Biotechnology, USA) for 1 h at 4°C. The immune complexes were pulled down by 20 μl protein A/G agarose beads (Santa Cruz Biotechnology, USA) at 4°C overnight. Then the beads were washed 3 times with 500 μl RIPA buffer at RT, and after centrifugation with 12,000 rpm for 15 min at 4°C, the beads were mixed with 4 μl 5 × SDS-PAGE loading buffer and 16 μl RIPA and boiled for 10 min. Then the immunoprecipitated proteins were separated by 10% SDS-PAGE and analyzed by WB.

Chromatin immunoprecipitation (ChIP) assay
ChIP assay was performed to investigate the interaction between ETV6 and miR-429 using an EZ-ChIP™ Chromatin Immunoprecipitation Kit (Millipore, USA). Briefly, 2 × 10 7 HCCLM3 cells were cross-linked with 550 μl 37% formaldehyde for 10 min at RT and treated with 2 ml 10 × glycine for 5 min at RT, then the cells were washed with 2 ml PBS containing 10 μl protease inhibitor cocktail II, scraped and lysed with 1 ml SDS lysis buffer containing 5 μl protease inhibitor cocktail II. Then the lysates were sonicated on ice for 6 × 15 s to shear the DNA and the debris was removed by centrifugation at 12000 rpm for 10 min at 4°C. A small part of the lysate was used as DNA input control, the remaining part was diluted 10-fold with dilution buffer and incubated with 4 μl anti-ETV6 (Abcam, USA) or 1 μl anti-RNA polymerase II, 1 μl normal mouse IgG, 4 μl anti-rabbit IgG at 4°C overnight. Immunoprecipitated complexes were collected using 60 μl protein A/G agarose beads at 4°C for 1 h. After centrifugation at 5000 rpm for 1 min at 4°C, the precipitates were washed with 1 ml washing buffer at 4°C for 3 × 5 min, and eluted with elution buffer (20% SDS and 1 M NaHCO 3 ) for 15 min at RT. Cross-linking of protein-DNA complexes was reversed with 8 μl 5 M NaCl at 65°C overnight, followed by treatment with 1 μl RNase A at 37°C for 30 min, and 4 μl 0.5 M EDTA, 8 μl 1 M Tris-HCl, 1 μl Proteinase K at 45°C for 2 h. Then, DNA was extracted using a spin column according to the manufacturer's instructions. The DNA was subjected to PCR to amplify the 262 bp promoter region of miR-429 using specifically the designed primers, F: 5′-ACCTCG CCACCGCCTCCCATTGTCCCGTCG-3′ and R: 5′-TG CCAGGCCCGGGTGGGTGTGAACCGGCTTC-3′.

Data processing and statistical analysis
Statistical analyses were performed using GraphPad Prism 5.0 software. The data were presented as mean ± SD of at least three independent experiments. The statistical differences between groups were evaluated by Student's t-test analysis. As most of the distributions deviated from the normal Gaussian distribution, non-parametric tests were used for further analyses. The correlations between the expression of ETV6, CRKL and miR-429 were analyzed using the Spearman's rank correlation coefficient. Differences with P ≤ 0.05 are statistically significant.

Expression patterns and the correlations of ETV6, CRKL and miR-429 in hepatocarcinoma patients' tumorous tissues and HCC cell lines
To investigate the potential role of ETV6, CRKL and miR-429 in hepatocarcinoma, we detected the expression levels of ETV6, CRKL and miR-429 in HCC tissues and cells. WB results showed that compared with nontumor liver tissues, ETV6 expression in tumorous tissues of hepatocarcinoma patients was increased by 127.6% (P = 0.0005, Fig. 1a). Meanwhile, ETV6 was expressed in all the tested cell lines and a comparatively low expression was shown in normal liver LO2 cells compared with the hepatocarcinoma cells. Compared with normal liver LO2 cells, the expression levels of ETV6 in HepG2, HCCLM3 and HuH7 cells were increased by 34.9% (P = 0.0499, Fig. 1b), 93.3% (P = 0.0284, Fig. 1b) and 94.0% (P = 0.0166, Fig. 1b). Our results suggested that ETV6 displayed a comparatively high expression in hepatocarcinoma tissues and cells, and that it might be a potential biomarker for hepatocarcinoma progression.
CRKL was also upregulated in hepatocarcinoma patients' tumorous tissues and hepatocarcinoma cell lines. As shown in Fig. 2a, WB assay showed CRKL expression was upregulated by 79.6% (P = 0.0041) in the tumorous tissues from hepatocarcinoma patients. Meanwhile, CRKL expression levels were increased by 47.2% (P = 0.0221), 101.7% (P = 0.0068) and 85.5% (P = 0.0134) in HepG2, HCCLM3 and HuH7 cells compared with LO2 cell (Fig. 2b). A tissue microarray composed of 48 paired tumorous and adjacent normal tissues from HCC patients was further employed to address the expression alteration of CRKL by IHC. Among the 48 cases with hepatocarcinoma, 28 showed strong, 15 showed moderate, 5 showed weak and 0 showed negative CRKL expression. The positive immunostaining rate of CRKL in hepatocarcinoma tissues was 2.15-fold compared to adjacent normal tissues (Table 1). The representative examples for CRKL expression in hepatocarcinoma tissues and adjacent normal tissues were shown in Fig. 2c. These results demonstrated the overexpression of CRKL in hepatocarcinoma and indicated the likelihood of its high expression being involved in the development and progression of hepatocarcinoma.
Furthermore, we measured that miR-429 was significantly down-regulated in the tumorous tissues of hepatocarcinoma patients and in hepatocarcinoma cell lines. As shown in Fig. 3a, qRT-PCR assays showed that the miR-429 expression level was downregulated by 27.5% (P = 0.0136) in the tumorous tissues from hepatocarcinoma patients. Furthermore, miR-429 was expressed in all the tested cell lines and a comparatively high expression was shown in normal liver LO2 cells compared to hepatocarcinoma cells. miR-429 expression levels were decreased by 83.0% (P = 0.0002), 93.3% (P < 0.0001) and 95.1% (P < 0.0001) in HepG2, HCCLM3 and HuH7 cells compared with LO2 cell (Fig. 3b). Taken together, our results indicated that ETV6, CRKL might act as tumor promoters and miR-429 Our results demonstrated that ETV6 expression is positively correlated with CRKL expression, while miR-429 expression is simultaneously negatively correlated with CRKL and ETV6 expression, and the dysexpressions of ETV6, CRKL and miR-429 were closely correlated in affecting hepatocarcinoma malignancy.
It is well established that cytoskeleton elements are closely related to cell movement. The changes of F-actin microfilament organization in HCCLM3 and HuH7 cells after ETV6 deregulation was investigated by fluorescence microscopy using FITC-labeled phalloidin. ETV6 deregulation significantly affected F-actin cytoskeleton protein expression of HCCLM3 and HuH7 cells. As shown in Fig. 5e, ETV6 overexpression resulted in an obvious increase of F-actin microfilament. HCCLM3-PCDH-ETV6 and HuH7-PCDH-ETV6 cells showed a regular array of actin filaments present along the cells that evenly radiated to the cell membrane from the nucleus. While, ETV6 knockdown decreased F-actin cytoskeleton protein expression and microfilament arrangement of HCCLM3 and HuH7 cells, HCCLM3-siETV6 and HuH7-siETV6 exhibited a reduced amount of F-actin and a disorganization of actin filaments. Our results showed ETV6 acts as a promoter for HCCLM3 and HuH7 cells migration and invasion by destructing its Factin cytoskeleton. Taken together, ETV6 deregulation affected the cytoskeleton F-actin expression and arrangement of HCCLM3 and HuH7 cells, which leads to its migration and invasion potentials.
CRKL levels were positively correlated with the migration and invasion capacities of HepG2, HCCLM3 and and HuH7-PCDH (73.2 ± 3.7) cells, respectively (Fig. 6c). Clearly, CRKL promoted the in vitro migration and invasion abilities of HepG2, HCCLM3 and HuH7 cells. Our results indicated that CRKL acts as a tumor promoter in hepatocarcinoma by promoting tumor cell's aggressiveness. Furthermore, the TRITC-Phalloidin cytoskeleton staining assay indicated that CRKL overexpression resulted in an obviously increased intracellular microfilament of Factin and spreading lamellipodia in HepG2, HCCLM3 and HuH7 cells (Fig. 6d). HepG2-PCDH-CRKL, HCCLM3-PCDH-CRKL and HuH7-PCDH-CRKL cells showed more abundant and ordered microfilaments, but the control group cells showed fewer and disordered actin. Our results showed CRKL acting as a promoter for HCCLM3 and HuH7 cells migration and invasion by destructing the F-actin cytoskeleton. Taken together, CRKL overexpression promoted F-actin cytoskeleton protein expression and arrangement of HepG2, HCCLM3 and HuH7 cells, leading to its increased migration and invasion potential.
Tel-ABL fusion protein may form complexes with CRKL [10], and thus we proposed that ETV6 and CRKL might regulate each other directly by forming a complex. Co-IP experiment confirmed their direct interaction in HCCLM3 cells. The extracted proteins from HCCLM3-PCDH-CRKL and HCCLM3-PCDH cells were immunoprecipitated using antibody against CRKL, ETV6, and the control non-specific IgG, respectively, and the eluted proteins were detected by WB using antibody against ETV6, CRKL, the acetylated antibody, respectively. Our results clearly revealed that a CRKL protein band or ETV6 protein band appeared in the immunoprecipitated complexes with antibodies against ETV6 or CRKL, but not the non-specific IgG, meanwhile, the amount of CRKL-ETV6 complexes obtained was greater in HCCLM3-PCDH-CRKL cells than in HCCLM3-PCDH cells (Fig. 7d). Our results indicated that ETV6 directly binds to CRKL to positively regulate its expression.

ETV6 negatively regulates miR-429 by directly binding to its promoter region
We observed a significant negative correlation between the expression level of ETV6 and miR-429 in hepatocarcinoma tumor tissues and hepatocarcinoma cell lines. To further confirm the negative correlation between ETV6 and miR-429 expression levels, we detected the effect of ETV6 knockdown on the expression level of miR-  Bioinformatics analysis software JASPAR (http://jaspar2 016.genereg.net/cgi-bin/jaspar_db.pl?rm=browse&db=cor-e&tax_group=vertebrates) indicated that ETV6 protein potentially binds to the DNA promoter region at the 696-705 site of miR-429 (Fig. 8b). A ChIP experiment was performed to verify the binding interaction using HCCLM3 cells. The miR-429 promoter region in the precipitated chromatin was amplified by PCR. As shown in Fig. 8c, the 262 bp PCR product containing the binding site for ETV6 protein at the promoter region of miR-429 was specifically detected in anti-ETV6 ChIP and in the input ChIP, but not in anti-rabbit IgG ChIP. Meanwhile, the 166 bp PCR product of GAPDH promoter was observed in anti-RNA polymerase II ChIP, but not in the normal Mouse IgG ChIP. The above results indicated the direct binding of ETV6 to the promoter region of miR-429 mediates its functionality.

miR-429 negatively regulates CRKL expression by selectively targeting its 3′-UTR
We also observed a significant negative correlation between the expression levels of miR-429 and CRKL in hepatocarcinoma tumor tissues and hepatocarcinoma cell lines. To further confirm the negative correlation between miR-429 and CRKL, we detected the effect of CRKL deregulation on the expression levels of miR-429 in HepG2, HCCLM3 and HuH7 cells. CRKL overexpression decreased endogenous miR-429 expression level (Fig. 9a). In Fig. 7 ETV6 directly binds to CRKL and positively regulates its expression. a CRKL overexpression increased ETV6 expression levels in HepG2, HCCLM3 and HuH7 cells. b CRKL knockdown decreased ETV6 expression levels in HepG2, HCCLM3 and HuH7 cells. c ETV6 knockdown decreased CRKL expression levels in CRKL-overexpressing HepG2, HCCLM3 and HuH7 cells. d Co-IP assays detected the direct interaction between ETV6 and CRKL comparison with HepG2-PCDH, HCCLM3-PCDH and HuH7-PCDH cells, miR-429 expression levels were decreased by 54.1% (P = 0.0091), 41.5% (P = 0.0311), 73.1% (P = 0.0030) in HepG2-PCDH-CRKL, HCCLM3-PCDH-CRKL and HuH7-PCDH-CRKL cells. Consistently, CRKL knockdown resulted in increased endogenous miR-429 expression levels by 94.5% (P = 0.0100), 90.1% (P = 0.0462), 89.7% (P = 0.0218) in HepG2, HCCLM3 and HuH7 cells (Fig. 9b). Our results further demonstrated miR-429 expression was negatively correlated with CRKL expression in hepatocarcinoma cells. Meanwhile, we have previous reported that CRKL was a direct downstream target of miR-429 via direct binding to site 2 in its 3′-UTR by post-transcriptionally mediating its functionality, and miR-429 overexpression and suppression decreased and increased endogenous CRKL expression levels in HepG2 cells [26]. Our results indicated miR-429 negatively regulates CRKL expression by selectively targeting its 3′-UTR. Fig. 8 ETV6 negatively regulates miR-429 by directly binding to its promoter region. a ETV6 downregulation increased miR-429 expression level in CRKL-overexpression HepG2, HCCLM3 and HuH7 cells. b Putative binding site for ETV6 protein at promoter region of miR-429. c ChIP assay of the binding of ETV6 to the promoter region of miR-429. Anti-RNA polymerase II was used as a positive control for binding to the GAPDH promoter region, normal mouse IgG was as a negative control for binding to the GAPDH promoter region, anti-ETV6 was used for experimental group on binding to the miR-429 promoter region, anti-rabbit IgG was used as a control. PCR products were analyzed by 1% agarose gel

Discussion
The current study has identified a novel ETV6-miR-429-CRKL signaling axis that played an important role in HCC, and provided a comprehensive mechanism for the tumorigenesis of HCC in whihc ETV6 binding of miR-429 positively regulates CRKL expression. The information gained from this research has important clinical implications for patients with HCC as well as other cancer types associated with elevated ETV6, CRKL expression and decreased miR-429 expression, and may also have clinical impact on other diseases with dysregulated expression of ETV6, CRKL and miR-429. In current work, we only collected 16 pairs of matched tumour tissues and corresponding non-tumor liver tissues from hepatocarcinoma patients, the sample size is relatively small, but our results are reliable, because we also detected the expression patterns and the correlations of ETV6, CRKL and miR-429 in clear cell renal cell carcinoma (ccRCC) patients' tumorous tissues and matched paracancerous nontumoral renal tissues, and bone marrow (BM) of chronic myeloid leukemia (CML) patients and peripheral blood (PB) of normal samples, the expression patterns and the correlations of ETV6, CRKL and miR-429 in ccRCC and CML consistent with those in liver cancer (unpublished). Previously, we have detected the effect of ETV6 on proliferation ability of HCC cells, we found reexpression or silencing of ETV6 slightly affected the proliferation and colony formation abilities of HCCLM3 and HuH7 cells. Meanwhile, re-expression or silencing of miR-429 cannot affect HCC cells proliferation and colony formation abilities, and CRKL only deregulated to a certain degree, which can affect HCC cells proliferation ability [26]. Our results indicated ETV6-miR-429-CRKL regulatory circuitry mainly contributed to migration and invasion abilities of HCC cells. So, in current work, we mainly investigated the potential role of ETV6-miR-429-CRKL in metastasis of HCC.
ETV6 is a leukemia-associated gene located on 12p13, which has been shown to play a wide role in hematopoiesis and hematological malignancies [9,37,38]. ETV6 frequently forms fusion proteins by chromosomal translocations with partner genes. At present 48 chromosomal bands have been identified to be involved in ETV6 translocations and 30 ETV6 partner genes have been molecularly characterized [11,39]. Recently, ETV6 has been reported to be involved in solid tumors. ETV6 played an important role in the tumorigenesis of non-small cell lung cancer (NSCLC) and nasopharyngeal carcinoma (NPC) [18,40], ETV6 overexpresseion in NSCLC tissues and NPC biopsies was correlated with increased patient age and poor prognosis, poor disease-free rates and poor overall survival rates of NSCLC and NPC [18,40]. It has been suggested that ETV6 knockdown could inhibit migration and invasion abilities of breast cancer Hs578T cells [41]. However, the role of ETV6 in hepatocarcinoma remains unclear. Our current work showed that the upregulation of ETV6 potentially promoted the clinical development and progression of hepatocarcinoma patients and enhanced hepatocarcinoma cells aggressiveness (Fig. 1a, b). Furthermore, we first investigated the effects of ETV6 deregulation on the malignant behaviors of HCC cells. The overexpression of ETV6 remarkably promoted the in vitro migration and invasion capacities of HCCLM3 and HuH7 cells (Fig. 5c), while, its knockdown significantly inhibited the  (Fig. 5d). ETV6 affects cancer cells' malignancy by interrupting cellular F-actin polymerization. ETV6 overexpression resulted in an obvious increase of the F-actin microfilament (Fig. 5e), while, ETV6 knockdown led to an apparent decrease of the F-actin microfilament (Fig. 5e). Our results demonstrated that ETV6 as a tumor promoter in the development and progression of hepatocarcinoma. The movement of cancer cells from one site to another location is a complex process requiring dramatic remodeling of cell cytoskeleton, microfilaments (actin) is major cytoskeletal filaments, tumor cell metastasis as a process of cell motility can be broken down into four steps: protrusion, adhesion, contraction and retraction, abnormal expression or regulation of cytoskeleton components could affect the adhesion with ECM, thus affecting migration and invasion [42][43][44]. Our results demonstrated that by enhancing the cytoskeleton F-actin polymerization, ETV6 upregulation enhanced the aggressiveness of hepatocarcinoma cells. ETV6 upregulation is a potential indicator for hepatocarcinoma malignancy.
Because of its role as a multi-functional adaptor protein in signal transduction, CRKL deregulation is involved in a variety of cancers. It is an attractive target for the diagnostics, treatment and prognosis of certain cancers [20]. Previously, we detected that endogenous expression level of CRKL in the tumorous tissues from 12 hepatocarcinoma patients was upregulated by 66.7% compared to the paired non-tumor live tissues [26]. In the current study, the protein level of CRKL was upregulated by 79.6% (P = 0.0041) in the tumor from 16 additional hepatocarcinoma patients (Fig. 2a). IHC results also showed CRKL highly expressed in hepatocarcinoma tissues in over 58.3% (28 out of 48) of the patient samples (Fig. 2c, Table 1). Consistently, CRKL was more abundant in hepatocarcinoma cell lines HepG2, HCCLM3 and HuH7 compared with normal liver LO2 cells (Fig. 2b). CRKL expression level affected the malignant behaviors of hepatocarcinoma cell lines. Its overexpression promoted the migration (Fig. 6b) and invasion (Fig. 6c) abilities of HepG2, HCCLM3 and HuH7 cells. Consistent with the effect of ETV6 on cytoskeleton, CRKL overexpression led to an increase in the intracellular microfilament of the F-actin cytoskeleton (Fig. 6d). Hence, our current work establishes a tumor promoter role for CRKL in hepatocarcinoma progression and hepatocarcinoma cells aggressiveness.
miR-429 is a member of the miR-200 family including miR-200a, miR-200b, miR-200c, miR-141 and miR-429 [45]. miR-429 abnormal expression is linked to osteosarcoma, renal cancer, ovarian cancer, glioma, breast cancer, oral squamous cell carcinoma, gastric cancer, esophagus cancer, cervical cancer, bladder cancer, lung cancer, prostate cancer, colon cancer [31]. It shows suppression or promotion effects on tumor development, invasion, metastasis, apoptosis and drug-resistance depending on the tumor type and subtype [46][47][48][49]. It is a potential indicator for the diagnosis, treatment and prognosis of certain tumors [31,[50][51][52]. Previously, we detected that the endogenous expression level of miR-429 in the tumorous tissues from 12 hepatocarcinoma patients was downregulated compared to the paired non-tumor live tissues [26]. Furthermore, the expression level of miR-429 was downregulated by 27.5% (P = 0.0136) in the tumor from 16 additional hepatocarcinoma patients (Fig. 3a) and in hepatocarcinoma HepG2, HCCLM3 and HuH7 cell lines (Fig. 3b). The deficiency of miR-429 promoted tumorigenesis and malignancy of hepatocarcinoma, and miR-429 played a tumor suppressive role in hepatocarcinoma progression and hepatocarcinoma cells' aggressiveness. The above results were consistent with our previous work showing that miR-429 overexpression or knockdown significantly reduced or increased in vitro migration and invasion capacities of HepG2 cells, respectively [26]. Moreover, miR-429 overexpression resulted in an obvious decrease of F-actin microfilament in HepG2 cells [26]. Also, since the dysexpressions of both ETV6 and CRKL could also affect the malignant behaviors through F-actin polymerization, it is a logical step to connect miR-429 with ETV6 and CRKL in hepatocarcinoma progression.
ETV6 is known to forms fusion protein by chromosomal translocations with ABL [9]. CRKL is a substrate protein for ABL, and the Tel-ABL fusion protein can form complexes with CRKL in leukemia [10]. The HLH domain of ETV6 could mediate dimerization of ABL with subsequent activation of the ABL kinase domain leading to tyrosine-phosphorylation of CRK, and the Tel-Abl-CRKL complexes activated Ras, MAPK/ERK and AKT/PKB [10]. Consistently, our previous study found miR-429 suppressed migration and invasion by targeting CRKL via inhibiting the Raf/MEK/ERK pathway and EMT [26]. However, whether ETV6 associates with CRKL in solid tumors is unknown. Our work has for the first shown that ETV6 overexpression was positively correlated with CRKL upregulation in hepatocarcinoma tissues and cell lines (Fig. 4a). Moreover, the overexpression and knockdown of CRKL positively upregulated (Fig. 7a) and downregulated (Fig. 7b) ETV6 expression levels in HepG2, HCCLM3 and HuH7 cells. Concordantly, CRKL expression level in these cells could also be positively regulated by ETV6 dysexpression (Fig.  7c). In addition, we have shown that ETV6 directly binds to CRKL by Co-IP assay further indicated the direct interaction between ETV6 and CRKL (Fig. 7d).
The ETV6-NTRK3 (neurotrophic tyrosine kinase receptor type 3) fusion gene was common in cancers such as secretory breast carcinoma, mesoblastic nephroma and congenital fibrosarcoma [53][54][55], ETV6-NTRK3 fusion oncoprotein could initiate breast cancer from committed mammary progenitors via activation of Wnt (wingless/integrated) signaling pathway [53], committed mammary progenitors, rather than mammary stem cells, are direct targets of transformation, gene fusions with kinase activities has revolutionized targeted therapies for cancer, modeling chromosomal rearrangements in human epithelial tumors could provide novel insights into their pathogenesis, preclinical testing and therapy. The abnormal regulation of Wnt signaling pathway is a major and early carcinogenic event which can be triggered by CTNNB1 (cadherin-associated protein, beta 1), accumulating evidences have demonstrated that activation of Wnt signaling can act in concert with other oncogenes, TGF-β (transforming growth factor-β), HGF/c-Met (hepatocyte growth factor/CENP-meta) pathway, HIF-1α (hypoxia inducing factor 1)/EMT pathway and IGF-1 (insulin-like growth factor 1) pathway, crosstalk between the HGF/c-Met pathway and the Wnt pathway might also contribute to the progression of HCC, CTNNB1 enhanced c-Met-stimulated FAK (focal adhesion kinase) activation and synergistically induced the activation of the AKT/ERK pathway [56]. ETV6-CRKL complexes could also activate AKT/ERK pathway. These results demonstrated ETV6 affected tumor progression via AKT/ERK pathway.
The current work also establishes the association of ETV6 with miR-429 in hepatocarcinoma. First, we found that ETV6 upregulation was negatively correlated with miR-429 deficiency in tumorous tissues from hepatocarcinoma patients (Fig. 4c). Second, in comparison with normal liver LO2 cells, a deficiency of miR-429 was measured in hepatocarcinoma cell lines HepG2, HCCLM3 and HuH7 (Fig. 4c). Third, ETV6 negatively regulated miR-429 expression levels in HepG2, HCCLM3 and HuH7 cells (Fig. 8a). ETV6 also acts as a strong transcriptional repressor by directly binding to target genes through an ETS DNA-binding domain to repress its transcription [11,12]. The ETS domain is responsible for DNA binding to the ETS-binding consensus site (EBS) that contains a purinerich GGAA/T core motif [50]. Bioinformatics combined with the ChIP assay revealed that by directly binding to the DNA promoter region GGAGGAAGCA at the 696-705 Fig. 10 The schematic regulation mechanism of the ETV6-miR-429-CRKL regulatory circuitry in HCC. ETV6 directly binds to the promoter region of miR-429 to positively regulate the expression of CRKL by selectively targeting CRKL-3′-UTR; ETV6 upregulates CRKL expression by directly binding to CRKL; which in turn CRKL upregulation promotes ETV6 expression; CRKL overexpression potentially promotes hepatocarcinoma malignancy via activating the ERK pathway bp site of miR-429, ETV6 reversely mediated the expression of miR-429 in hepatocarcinoma cells (Fig. 8b).
Previously, we reported that miR-429 negatively regulates CRKL expression in HepG2 cells by selectively targeting its 3′-UTR at the 3728-3735 bp site and we established the primary association of miR-429 with CRKL in hepatocarcinoma [26]. Herein, we demonstrated that the upregulation of CRKL negatively correlated with miR-429 deficiency potentially promoted the development and progression of hepatocarcinoma patients and the aggressiveness of hepatocarcinoma cells (Fig. 4b). Meanwhile, we further demonstrated that CRKL negatively regulated miR-429 expression in hepatocarcinoma cell lines. CRKL overexpression and knockdown could decrease (Fig. 9a) and increase (Fig. 9b) the expression levels of miR-429 in HepG2, HCCLM3 and HuH7 cells.
As illustrated in Fig. 10, The ETS domain of ETV6 directly binds to the DNA promoter region GGAGGA AGCA at the 696-705 bp site of miR-429 to suppress its expression, then miR-429 downregulation promotes CRKL expression by selectively targeting CRKL-3′-UTR at the 3728-3735 bp site. Meanwhile, ETV6 forms complexes with CRKL and promotes CRKL expression, which in turn promotes ETV6 expression. Furthermore, CRKL overexpression potentially promotes hepatocarcinoma malignancy by activating ERK pathway.
Hepatocarcinogenesis is a very complex biological process associated with environmental risk factors and hereditary factors, including abnormal activation of Wnt/β-catenin, MAPK, AKT, and ERK signaling pathways, and the balance between activation and inactivation of proto-oncogenes and anti-oncogenes, and the differentiation of liver cancer stem cells [57]. Ras/Raf/ ERK is the most crucial pathway in the development and progression of HCC. Signals from membrane-binding tyrosine kinase receptors, such as endothelial growth factor receptor (EGFR), insulin-like growth factor receptor (IGFR), c-Met and PDGFR, are transduced to cell nucleus through Ras/Raf/ERK pathway to regulate multiple cellular functions [57]. Molecule-targeted therapy, a new approach for the treatment of HCC, blocks tumor cells growth by interfering with the molecules required for carcinogenesis. Effective drugs blocking Ras/Raf/ERK signaling are still at exploratory stage, except for sorafenib that has activity inhibiting Raf [57]. Sorafenib is an oral multi-targeted tyrosine kinase inhibitor (TKI) targeting PDGFR, vascular endothelial growth factor (VEGFR), fibroblast growth factor receptor (FGFR), Raf, which is a gold quality standard in the first line treatment of advanced HCC patients. Cancer biomarkers have been widely used for prediction of prognosis and treatment response in certain tumors [58,59]. Predictive biomarkers can be best explored in the setting of properly designed clinical trials, and it is important to develop biomarkers to narrow down the subgroup of the patients who have a survival benefit from sorafenib treatment.
Our results showed that an ETV6-miR-429-CRKL regulatory circuitry contributes to aggressiveness of HCC by activating Ras/Raf/ERK pathway. ETV6 is known to forms fusion protein with PDGFR, CRKL can function in cellular signaling cascades by directly forms complex with downstream receptor protein to regulate cellular tyrosine kinase activity, meanwhile, some miRNAs have been evaluated for the prediction of response to sorafenib treatment in HCC [60]. While, sorafenib as a TKI could directly inhibit PDGFR and Raf, we speculate ETV6, CRKL, miR-429 might as novel biomarkers for the predication of sorafenib response in HCC, in the future study, we will clarified and validated whether ETV6, CRKL, miR-429 could predict the response of HCC to sorafenib treatment, and we expect ETV6, CRKL, miR-429 could help identify the subclass of HCC patients who would likely respond to sorafenib treatment. Molecule-targeted therapy will gradually become a new favorite for treatment of HCC, and also represent the future developmental direction of treatment of HCC. Furthermore, fundamental research breakthroughs will create more effective methods for HCC targeted therapy.

Conclusions
CRKL, ETV6 acts as tumor promotors and miR-429 acts as a tumor suppressor in HCC, their dysexpressions are involved in the carcinogenesis and progression of hepatocarcinoma. We have uncovered a novel ETV6-miR-429-CRKL regulatory circuitry that contributes to hepatocarcinoma tumorigenesis. The newly identified ETV6-miR-429-CRKL regulatory circuitry from the current work provides new insights into the underlying mechanism of pathogenesis in HCC and represents a potential therapeutic target for diagnosis and treatment of HCC.