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Annals of Oncology

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abstracts<br />

SOX2, NANOG, OCT4, and E2F3 increased. miR-145 also up-regulated the markers <strong>of</strong><br />

squamous (p63, TP63, and CK5), glandular (MUC-1, MUC-2, and MUC-5AC), and<br />

neuroendocrine (NSE and UCHL-1) differentiation. Finally, miR-145 expression was<br />

down-regulated in high-grade urothelial carcinomas, but not in low-grade tumors.<br />

Conclusions: The results indicate that miR-145 suppresses syndecan-1 and<br />

consequently up-regulates stem cell factors to induce cell senescence and<br />

differentiation. Our data provide a new mechanism <strong>of</strong> urothelial carcinogenesis via<br />

miR-145, and show that the related molecules could contribute to the development <strong>of</strong><br />

new diagnostic or prognostic markers, as well as potential therapeutic targets.<br />

Legal entity responsible for the study: Nara Medical University School <strong>of</strong> Medicine,<br />

Nara, Japan<br />

Funding: Grant-in-Aid from the Ministry <strong>of</strong> Education, Culture, Sports, Science and<br />

Technology, Japan (26462424)<br />

Disclosure: All authors have declared no conflicts <strong>of</strong> interest.<br />

20P<br />

Analysis <strong>of</strong> miRNA expression pr<strong>of</strong>ile induced by zoledronic<br />

acid in breast cancer cells<br />

D. Fanale, V. Amodeo, L. Insalaco, L. Incorvaia, A. Listì, V. Calò, V. Bazan,<br />

A. Russo<br />

Department <strong>of</strong> Surgical, Oncological and Oral Sciences, Section <strong>of</strong> Medical<br />

<strong>Oncology</strong>, University <strong>of</strong> Palermo, Palermo, Italy<br />

Background: Zoledronic acid (ZOL), a third generation bisphosphonate able to<br />

significantly inhibit bone resorption, is currently used for the treatment <strong>of</strong> breast<br />

cancer patients with osteolytic bone metastases. Our previous work showed an effective<br />

anticancer role <strong>of</strong> low-dose ZOL in the inhibition <strong>of</strong> several processes, such as cell<br />

adhesion, invasion, cytoskeleton remodelling and proliferation, in MCF-7 breast cancer<br />

cell line. The main aim <strong>of</strong> our study was to investigate the molecular mechanisms and<br />

signaling pathways by which ZOL exerts its anti-tumor effects in breast cancer cells<br />

focusing our attention on miRNA expression pr<strong>of</strong>ile.<br />

Methods: Using a TaqMan Low Density Array A human microRNA microarray<br />

analysis, the expression pr<strong>of</strong>ile <strong>of</strong> 377 miRNAs was analyzed in MCF7 cells treated for<br />

24 h with 10 µM ZOL with respect to untreated cells. In addition, the expression <strong>of</strong><br />

miRNAs specifically induced by ZOL was analyzed in MCF-7, MDA-MB-231 and<br />

SkBr3 cells using Real-time PCR analyses.<br />

Results: A subset <strong>of</strong> miRNAs was shown to be differentially expressed following the<br />

low-dose ZOL treatment, and several cancer-related pathways, including PI3/Akt,<br />

MAPK, Wnt, Jak-STAT, TGF-β, and mTOR signaling, were predicted as potential<br />

targets <strong>of</strong> these deregulated miRNAs, using the DIANA tool mirPath s<strong>of</strong>tware. In<br />

particular, a set <strong>of</strong> 54 miRNAs resulted significantly altered after ZOL exposure, with a<br />

group <strong>of</strong> them being up- or down-regulated, and others induced or silenced by<br />

treatment. Most <strong>of</strong> these miRNAs are unexamined in breast cancer cells. These data are<br />

perfectly in agreement with the recent results reported in literature regarding some<br />

miRNAs involved in proliferation, bone metastasis development, invasion and therapy<br />

resistance in breast cancer.<br />

Conclusions: This work establishes, for the first time, a link between anticancer effects<br />

<strong>of</strong> ZOL and miRNA expression changes, suggesting the involvement <strong>of</strong> some miRNAs<br />

in molecular pathways mediating ZOL activity in breast cancer.<br />

Legal entity responsible for the study: University <strong>of</strong> Palermo<br />

Funding: Department <strong>of</strong> Surgical, Oncological and Oral Sciences <strong>of</strong> Palermo<br />

Disclosure: All authors have declared no conflicts <strong>of</strong> interest.<br />

21P<br />

MiR-340 inhibits breast cancer cell progression by revering<br />

EZH2 mediated miRNAs dysregulated expression<br />

Z. Shi, J. Zhang<br />

Breast Cancer, Tianjin Medical University Cancer Institute and Hospital, Tianjin,<br />

China<br />

Background: The anti-tumor activity <strong>of</strong> miR-340 has been recently characterized in<br />

breast tumor cells. However, the mechanisms underlying miR-340 induced cell growth<br />

and invasion in triple-negative breast cancer (TNBC) have not been well elucidated.<br />

Methods: In this study, we found that miR-340 expression was negative correlated with<br />

EZH2 expression in TNBC sample tissues and cell lines. Subsequent luciferase reporter<br />

assay confirmed that EZH2 (Enhancer <strong>of</strong> zeste homolog 2) was a novel molecule target<br />

<strong>of</strong> miR-340. Upregulated MiR-340 expression levels by mimics transfection<br />

significantly inhibited the MDA-MB-231 and MDA-MB-468 breast cancer cells<br />

proliferation, invasion and migration activity, and also induced more cell apoptosis.<br />

Meanwhile, miR-340 upregulation inhibited the tumor growth in an orthotopic<br />

MDA-MB-231 breast cancer mouse models. Furthermore, we found the reduced EZH2<br />

expression by miR-340 mimics transfection also decreased the DNMT1, H3K27me3,<br />

β-catenin and P-STAT3 expressions, which ultimately resulted in the blockage <strong>of</strong><br />

miR-21 activity and the induction <strong>of</strong> miR-200a/b expressions.<br />

Results: our results identified miR-340 as a tumor suppressor in TNBC, moreover, an<br />

EZH2 medicated regulatory loop was also established. Post-transcriptional suppression<br />

<strong>of</strong> EZH2 expression not only blocked STAT3 mediated miR-21 trans-activation, but<br />

also reversed the miR200a/b silencing by reducing DNMT1 and H3K27me3<br />

expression.<br />

Conclusions: MiR-21 inhibition and miR-200a/b expression trigged by miR-340<br />

cooperated in the TNBC progression.<br />

Legal entity responsible for the study: N/A<br />

Funding: China National Natural Scientific Fund (81502306),Tianjin Medical<br />

University Research Project (2014KYQ08)<br />

Disclosure: All authors have declared no conflicts <strong>of</strong> interest.<br />

22P<br />

microRNA-331-3p inhibits cell proliferation and E7 expression<br />

by targeting NRP2 in cervical cancer<br />

T. Fujii, Y. Tatsumi, N. Konishi<br />

Pathology, Nara Medical University, Nara, Japan<br />

Background: Aberrant expression <strong>of</strong> microRNAs (miRNAs) is involved in the<br />

development and progression <strong>of</strong> various types <strong>of</strong> cancers. In this study, we investigated<br />

the role <strong>of</strong> miR-331-3p in cell proliferation and keratinocyte differentiation in uterine<br />

cervical cancer cells. Moreover, we evaluated whether neuropilin 2 (NRP2) which are<br />

putative target molecules <strong>of</strong> miR-331-3p regulated the human papillomavirus (HPV)<br />

-related oncoproteins E6 and E7.<br />

Methods: Cell proliferation in the human cervical cancer cell lines SKG-II and HeLa was<br />

assessed using the MTS assay. A functional assay for cell growth was performed using cell<br />

viability and cell cycle analysis. Cellular apoptosis was measured using a TUNEL assay.<br />

Quantitative RT-PCR was used to measure the mRNA expression <strong>of</strong> the E6, E7, NRP2,<br />

p63, and involucrin (IVL) genes and anti-apoptosis markers bcl2, bclXL, and BAX.<br />

Results: Overexpression <strong>of</strong> miR-331-3p inhibited cell proliferation, and induced G2/M<br />

phase arrest and apoptosis in SKG-II cells. The luciferase reporter assay <strong>of</strong> the NRP2<br />

3¢-untranslated region revealed direct regulation <strong>of</strong> NRP2 by miR-331-3p. Gene<br />

expression analyses using quantitative RT-PCR in both SKG-II and HeLa cells<br />

overexpressing miR-331-3p or suppressing NRP2 revealed down-regulation <strong>of</strong> E6, E7,<br />

and p63 mRNA and up-regulation <strong>of</strong> IVL mRNA. We showed that miR-331-3p and<br />

NRP2 were key effectors in cell proliferation by regulating the cell cycle and expression<br />

<strong>of</strong> E6 and E7, and keratinocyte differentiation by down-regulating p63 and<br />

up-regulating IVL.<br />

Conclusions: Our findings suggest that miR-331-3p has an important role in<br />

regulating cervical cancer cell proliferation, and overexpression <strong>of</strong> miR-331-3p through<br />

suppression <strong>of</strong> NRP2 may contribute to keratinocyte differentiation and may have<br />

anti-cancer effects. Our future studies will examine whether miR-331-3p and its target,<br />

NRP2, are useful clinical diagnostic and/or prognostic markers for histological and<br />

cytological examination using tissue specimens and liquid-based cytology in the<br />

screening and diagnosis <strong>of</strong> cervical cancer.<br />

Legal entity responsible for the study: Nara Medical University School <strong>of</strong> Medicine,<br />

Nara, Japan<br />

Funding: Grant-in-Aid from the Ministry <strong>of</strong> Education, Culture, Sports, Science and<br />

Technology, Japan (26462424)<br />

Disclosure: All authors have declared no conflicts <strong>of</strong> interest.<br />

23P<br />

Radioresistance genes in head and neck cancer<br />

<strong>Annals</strong> <strong>of</strong> <strong>Oncology</strong><br />

A.O. Naghavi 1 , Y. Kim 2 , J. Caudell 1<br />

1 Radiation <strong>Oncology</strong>, H. Lee M<strong>of</strong>fitt Cancer Center University <strong>of</strong> South Florida,<br />

Tampa, FL, USA, 2 Biostatistics, H. Lee M<strong>of</strong>fitt Cancer Center University <strong>of</strong> South<br />

Florida, Tampa, FL, USA<br />

Background: Radiotherapy (RT) is integral in the treatment <strong>of</strong> head and neck cancer<br />

(HNC). Tumors have varying response to RT. Quantifying gene expression and<br />

correlating it with outcome can identify genes that influence a tumor’s response to<br />

radiation. Our goal is to identify the genes predictive <strong>of</strong> locoregional recurrence (LRR)<br />

in HNC patients treated with RT.<br />

Methods: Patient data was abstracted from a prospectively maintained institutional<br />

Total Cancer Care (TCC) database and chart review. All microarray chips were<br />

normalized using iterative rank-order normalization method. A supervised Gene Set<br />

Enrichment Analysis (GSEA) was performed to determine whether a priori defined<br />

gene pathways shows statistically significant, concordant differences between groups <strong>of</strong><br />

samples obtained before and after radiation therapy. 50 well-annotated hallmark gene<br />

sets were obtained from Molecular signatures database v.5.1 for GSEA analysis. Linear<br />

Models for Microarray Data (LIMMA) was used to identify individual genes with<br />

differential expression between the two groups. To explore survival-associated genes,<br />

Cox proportional hazard regression analysis was performed with time to local-regional<br />

recurrence data <strong>of</strong> patients who underwent radiotherapy. Further, Spearman’s rank<br />

correlation was calculated between expression and survival fraction after 2Gy RT (SF2)<br />

<strong>of</strong> cancer cell lines in NCI-60 panel. Two-sided false discovery rate (FDR) adjusted<br />

p-value less than 0.05 is considered statistically significant.<br />

Results: A total <strong>of</strong> 108 patients were analyzed, <strong>of</strong> which 49 (45%) were sampled prior<br />

to and 59 (55%) after receiving RT. There were a total <strong>of</strong> 48 (44%) LRRs. Thirty eight<br />

genes were identified in common with a differential expression in NCI 60, prior receipt<br />

vi6 | abstracts Volume 27 | Supplement 6 | October 2016

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