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Down-regulation of lncRNA LINC00152 Suppresses Gastric Cancer Cell Migration and Invasion Through Inhibition of the ERK/MAPK Signaling Pathway

Purpose The aim of this study was to explore the regulatory role and mechanism of long noncoding RNA LINC00152 in gastric cancer (GC) cells. Methods LINC00152 expression in GC tissues and cells was detected by reverse transcription-polymerase chain reaction (qRT-PCR). MKN45 and MGC-803 cells were selected and assigned into different groups after transfection with si-LINC00152, activated ERK/MAPK signaling pathway (SA), or negative control. Cell proliferation, apoptosis, cycle, migration and invasion were assessed by CCK-8, flow cytometry, Transwell assay and Scratch test, respectively. Western blot analysis was conducted to detect the expression of E-cadherin, N-cadherin and ERK/MAPK signaling pathway protein. Results Compared with the normal tissues, higher expression of LINC00152 was found in GC tissues and LINC00152 was remarkably correlative with clinical stage and lymphatic metastasis. LINC00152 expression in GC cells was higher than that in GES-1 cells. Compared with the NC group, the cell proliferation rate, cells in G2/M phase, migration and invasion abilities as well as the expression of N-cadherin and p-ERK-1/2 were significantly decreased, and the expression of E-cadherin, cells in G0/G1 phase and cell apoptosis rate were significantly increased in the si-LINC00152-1 group. ERK/MAPK signaling pathway activator SA could reverse the biological role of LINC00152 in GC cells. Conclusion These results demonstrated that the interference of LINC00152 expression may inhibit the invasion and migration of GC cells by inhibiting the ERK/MAPK signaling pathway.


Introduction
As one of the most common malignant tumors, gastric cancer (GC) has been considered as the second leading cause of cancer deaths in the world 1,2 The incidence of GC varies widely around the world, and it occurs about twice as common in males than females, with the highest incidence in East Asia. 3 The pathogenesis of GC is involved in single or multiple gene mutations referring to cell proliferation, invasion and metastasis. 4 Local invasion is the most significant process before tumor metastasis and lymph node metastasis is also deemed as an important part of GC metastasis. In the early GC, the rate of lymph node metastasis is more than 20%, which plays a crucial role in the prognosis of patients. 5,6 Although efforts in surgical techniques and targeted drug chemotherapy have been made, the 5-year overall survival rate of GC remains unsatisfactory. Thus, a detailed understanding of the mechanisms underlying GC progression is critical for discovering a new way for diagnosis and treatment of GC.
Long noncoding RNAs (lncRNAs) (more than 200 nucleotides in length) are being widely reported in various kinds of cancers. 7,8 LINC00152, a 828 bp lncRNA (chromosome 2p11.2), has been found differentially hypomethylated during hepatocarcinogenesis. 9 In GC, LINC00152 is significantly increased compared to healthy samples. 10 Additionally, LINC00152 is reportedly upregulated and is closely related to the progression and prognosis of retinoblastoma and breast cancer. 11,12 Mitogen-activated protein kinases (MAPKs), evolutionarily well-conserved serine and threonine protein enzymes, take part in signaling pathways which can make a connection with cell surface receptors to regulate nuclear and intracellular targets. 13 Extracellular signal-regulated kinase (ERK) is a well-known member of the mammalian MAPK family. 14 It is reported that MAPK pathways are involved in the modulation of some basic cellular processes, including cell growth, survival, apoptosis and migration. 15 The involvement of the MAPK signaling pathway is also found in CASC2 mediated proliferation of GC cells. 16 The relationship between LncRNA and ERK/MAPK signaling pathway has been reported in a variety of cancers, including hepatocellular carcinoma, bile duct carcinoma and lung cancer. [17][18][19] LncRNA PICART1 inhibits cell proliferation by regulating ERK/MAPK signaling pathways in GC. 20 In addition, LncRNA CARLo-5 promotes proliferation and activates the ERK/MAPK pathway in GC. 21 However, the effect of LINC00152 on GC with the involvement of the ERK/MAPK signaling pathway remains largely unknown. In this study, we detected the effect of LINC00152 on GC cell proliferation, apoptosis, cell cycle, migration and invasion, and examined the role of LINC00152 on ERK/MAPK pathway in GC.

Clinical Samples
A total of 40 pairs of GC tissues and adjacent normal tissues were collected in our hospital from January 2017 to December 2018. No patients were treated with chemotherapy or pre-operative radiotherapy. This study was approved by the Ethics Committee of our hospital and it was satisfied with the Declaration of Helsinki. GC cells MGC-803, HGC27, MKN45, SGC-7901, AGS  and normal gastric mucosal epithelial cell GES-1

Real-Time Quantitative PCR (qRT-PCR)
Cells were collected and the total RNA was extracted via Trizol. Reverse transcription reaction was conducted in the PCR amplification instrument for synthetizing cDNA template. qRT-PCR was performed using ABI7500 instrument (ABI, Austen, TX, USA) with the reaction conditions of pre-denaturation at 95°C for 10 min and 50 cycles of 95°C for 15 s, 60°C for 1 min and 72°C for 40 s. The primers used in the reaction are shown in Table 1. 18S rRNA was used as the internal reference for LINC00152 detection, and the data were analyzed by 2 −ΔΔCt . The experiment was repeated three times.

Cell Counting Kit-8 (CCK-8)
After transfected for 48 hrs, the cells were inoculated into a 96-well plate. When the cells were adhered to the well, the number of cells was measured at a specific time point

Flow Cytometry
After transfected for 48 hrs, cells were washed by precooled PBS for two times, added with Rnase A (20 μL), and filtered via a 400-mesh screen. Subsequently, 400 μL PI dye was added at 4°C for 30 mins-1 hr. At last, the samples were filtered with a yellow nylon net, and the cell cycle of each group was measured by flow cytometry (BD, Franklin lakes, NJ, USA). For cell apoptosis detection, cells were first added with 500 μL Annexin V Binding Buffer, 5 μL Annexin V-FITC, and 5 μL Propidium Iodide in the dark at room temperature for 10 mins. Then, the samples were filtered with a yellow nylon net, and the cell apoptosis of each group was measured by flow cytometry (BD, Franklin lakes, NJ, USA).

Scratch Test
After transfected for 48 hrs, cells were inoculated into a 6-well plate (5 × 10 5 cells/well). When cell confluency reached 80%, a straight-line mark was drawn vertically from the center of each well with 1 mL aseptic liquid remover. After washing, cells were added with culture medium, incubated in a 37°C, 5% CO 2 incubator for 24 hrs. The change of scratch width of crawling slices in each group was observed under a light microscope. Cell migration distance was measured by Image-Pro Plus Analysis software (Media Cybernetics, Silver Spring, MD, USA).

Transwell Assay
The Matrigel dissolved at 4°C was added to the pre-cooled Transwell chamber. After 48 h of transfection, the cell concentration was adjusted to 1 × 10 5 /100 μL with a serum-free medium. Cell suspension (100 μL) was added into the upper chamber (BD, USA) of Transwell in a 24-well plate, and culture medium containing 10% FBS (500 μL) was added into the lower chamber. After incubation for 48 hrs, the chamber was taken out and the cells in the upper chamber were wiped out via cotton bud. The chamber was then fixed by 4% paraformaldehyde for 15 mins, stained by crystal violet for 10 mins, and washed with PBS.

Statistical Analysis
The statistical analysis was conducted with SPSS 20.0 (SPSS, Inc, Chicago, IL, USA). Measurement data were presented by mean ± standard deviations. A comparison of two groups was conducted by Student's t-test, and comparisons among multiple groups were conducted using one-way ANOVA followed by Tukey's multiple comparisons. P < 0.05 was considered statistically different.

LINC00152 Is Up-Regulated and Correlated with Clinical Features in GC
qRT-PCR results showed that the expression of LINC00152 was markedly increased in GC tissues compared with Abbreviation: RT-PCR, reverse transcription-polymerase chain reaction.

Shi and Sun
OncoTargets and Therapy 2020:13 submit your manuscript | www.dovepress.com DovePress adjacent normal tissues ( Figure 1A). LINC00152 expression was significantly correlated with clinical stage and lymphatic metastasis ( Figure 1B and C). In addition, the diagnostic value of LINC00152 on GC was further evaluated by ROC curves. The sensitivity and specificity of LINC00152 in diagnosis of GC were 0.85 and 0.975, respectively (AUC, 0.95; 95% CI, 0.9-1.0) ( Figure 1D). In GC cell lines, there was no significant difference in the expression of LINC00152 between GES-1 cell and AGS cell (P > 0.05) ( Figure 1E). Compared with the GES cell, higher expression of LINC00152 was found in MGC-803 and MKN45 cells. Thus, MGC-803 and MKN45 cells were selected for the subsequent experiment.
The Best Time to Interfere with LINC00152 Expression Is 48 hrs After Transfection qRT-PCR results showed that the inhibition rate of si-LINC00152 in MGC-803 cells at 24, 48, and 72 hrs were 13.45%, 74.54%, and 49.67%, respectively. Similarly, the inhibition rate of si-LINC00152 in MKN45 cells was also the highest at 48 hrs ( Figure 2A and B), suggesting that the best time to interfere with LINC00152 expression is 48 hrs after transfection. Additionally, compared with the blank and NC group, siRNA interference of LINC00152 could significantly decrease the expression of si-LINC00152 in MGC-803 and MKN45 cells (P < 0.05) ( Figure 2C).

si-LINC0015 Inhibits GC Cell Proliferation
Cell proliferation in each group was detected by CCK-8 assay. The result found that compared with the blank and NC group, the proliferation rate of MGC-803 and MKN45 cells in the si-LINC00152 group was significantly decreased at 48 and 72 hrs (P < 0.05), while no such significant difference was observed between the NC group and the si-LINC00152-1 + SA group (P > 0.05). The proliferation rate in the si-LINC00152-1 + SA group was higher than that in the si-LINC00152-1 group at 72 hrs in MGC-803 and HGC-27 cells (Figure 3). These results revealed that si-LINC00152 could inhibit the proliferation of GC cells, but activation of the ERK/MAPK signaling pathway could block the inhibitory effect of si-LINC00152 on GC cells.  si-LINC0015 Promotes GC Cell Apoptosis GC cell cycle and apoptosis assays demonstrated that GC cell apoptosis rate and cells in G0/G1 phase were significantly increased, while cells in G2/M phase were significantly decreased in the si-LINC00152-1 group than those in the NC group (P < 0.05). In addition, cell apoptosis rate and cells in G0/G1 phase in the si-LINC00152-1 + SA group were significantly decreased compared with the si-LINC00152-1 group, while GC cells in G2/M phase in the si-LINC00152-1 + SA group were higher than those in the si-LINC00152 -1 group (P < 0.05). No significant difference was found between the NC group and the si-LINC00152 + SA group (P > 0.05) (Figure 4). These results show that si-LINC00152 promotes cell apoptosis, inhibits cell cycle,

si-LINC0015 Inhibits GC Cell Migration and Invasion
The scratch test results are shown in Figure 5A, compared with the NC group, the migration distance of MGC-803 and MKN45 cells in the si-LINC00152-1 group were significantly decreased (P < 0.05). Additionally, the migration distance in the si-LINC00152-1 + SA group was increased than that in the si-LINC00152-1 group (P < 0.05). Consistent with the scratch teat, Transwell assay showed that compared with the NC group, the invasive rate of GC cells in the si-LINC00152-1 group were significantly decreased, and the invasive rate in the si-LINC00152-1 group was obviously decreased than that in si-LINC00152 -1 + SA group (P < 0.05) ( Figure 5B). Western blot analysis clarified that compared with the NC group, the E-cadherin expression was increased while N-cadherin expression was decreased in the si-LINC00152-1 group (P < 0.05) ( Figure 5C). Additionally, the expression of E-cadherin was reduced and N-cadherin was increased in the si-LINC00152-1 + SA group compared with the si-LINC00152-1 group (P < 0.05). No such significant difference was found between the NC group and the si-LINC00152-1 + SA group (P > 0.05). These results indicate that si-LINC00152 can inhibit GC cell migration and invasion, and activation of the can block the effects of si-LINC00152 on migration and invasion of GC cells. Western blot analysis showed that compared with the NC group, the expression of p-ERK-1/2, p-MEK1/2 and c-fos were significantly decreased in the si-LINC0015-1 group (P < 0.05), while no change was found in t-ERK-1/2 and t-MEK1/2 expression (P > 0.05). Meanwhile, the expression of p-ERK-1/2, p-MEK1/2 and c-fos were significantly increased in the si-LINC0015-1 + SA group compared with those in the si-LINC00152-1 group (P < 0.05) ( Figure 6). No such significant difference was found between the NC group and the si-LINC00152-1 + SA group (P > 0.05). Taken together, these results show that si-LINC00152 can affect the biological function of GC cells by inhibiting the ERK/ MAPK signaling pathway.

Discussion
GC is known as one leading cause of cancer-related deaths in the world, and most patients occur with advanced or metastatic disease at the time of diagnosis with the 5-year-survival rate of about 10-15%. 22 In this study, we found that LINC00152 expression was notably elevated in GC tissues and cell lines, and was associated with clinical stage and lymphatic metastasis. Additionally, knockdown of LINC00152 restrained GC cell migration and invasion through the inhibition of the ERK/MAPK signaling pathway. Accumulating evidences have proved that lncRNAs play a crucial role in tumor occurrence, development, invasion, and metastasis and could be regarded as biomarkers in various kinds of human cancers. 23,24 Previous evidences have proved that LINC00152 works as an oncogene in GC and cell lines, and the silencing of LINC00152 can suppress the proliferation of GC cells. 10,25 Moreover, overexpressed LINC00152 in multiple tumor types is able to enhance tumor metastasis. 26 In the present study, we found that knockdown of LINC00152 inhibited the proliferation and induced the apoptosis in GC cells, which were consistent with previous studies in colon cancer, 27 gallbladder cancer 28 and lung cancer. 29 Furthermore, Chen et al 30 have reported that LINC00152 is correlated with tumor invasion depth, lymph node metastasis and TNM stage. In our study, we found that LINC00152 promoted GC cell proliferation and was associated with clinical stage and lymphatic metastasis, suggesting that LINC00152 may be an oncogenic lncRNA.
During the progression of epithelial to mesenchymal transition (EMT), downregulation of E-cadherin and upregulation of N-cadherin were found, which could decrease epithelial cell-cell adhesion and facilitate cancer cell invasion and migration. 31 It is reported that the positive expression of E-cadherin is correlated with a better survival of patients with GC. 32 Additionally, Gao et al have clarified that highly expressed N-cadherin was observed in GC. 33 A similar study of Zhang et al have clarified the role of LINC00152 acted in cell cycle arrest, EMT, cell apoptosis, migration as well as invasion in GC. 34 In the present study, we found that the silencing of LINC00152 could suppress the EMT process and cell cycle arrest in GC cells, suggesting that LINC00152 could promote GC cell migration, invasion and cell cycle. LncRNA has been reported as an enhancer factor or suppression factor with specific protein through direct binding. For example, the previous study noted that lncRNA Malat1 could promote neurite outgrowth via the activation of the ERK/MAPK signaling pathway in N2a cells. 35 The MAPKs, regulated by Ras/Raf expression, have three main serine/threonine-related protein kinases, among which the ERK signaling pathway is especially correlated with cell survival, proliferation and differentiation and protecting cell against apoptosis. 36 It is reported that MAPK signaling can regulate many kinds of biological processes in cells, such as cell proliferation, apoptosis, differentiation, migration and invasion. 37,38 Abnormally expressed MAPK is proved to be related to tumorigenesis and metastatic potential for GC. 39 Furthermore, the activation of the MAPK/ERK signaling pathway is regarded as one of the mechanisms to promote the apoptosis of GC cells. 22 The previous study has found that MAGI1 acts as a tumor suppressor via suppression of the MAPK/ERK signaling pathway in GC. 40 Linc-RoR could promote cell growth of breast cancer via the MAPK/ERK signaling pathway. 41 Our present study demonstrated that LINC00152 could suppress ERK/ MAPK signaling pathway, and activation of the ERK/ MAPK signaling pathway obviously reversed the suppressive effect of LINC00152 knockdown on the biological effect in GC cells.

Conclusions
In conclusion, we demonstrate that LINC00152 is highly expressed in GC tissues and cell lines. Silencing LINC00152 could inhibit the proliferation, migration and invasion, and promote the apoptosis of GC cells through the suppression of the ERK/MAPK pathway. LINC00152 may serve as potential targets for GC therapy in the future.

Ethics Approval and Consent to Participate
This study was approved by the ethics committee of Dongying People's Hospital. Written informed consent was obtained from all subjects as well as parental consent for subjects aged less than 18 years.