Literature DB >> 29805502

MicroRNA-216b-3p inhibits lung adenocarcinoma cell growth via regulating PDZ binding kinase/T-LAK-cell-originated protein kinase.

Yaqin Chai1, Huijun Xue2, Yanmei Wu1, Xiaomei Du1, Zhuohong Zhang1, Yinliang Zhang1, Lili Zhang1, Shuanbao Zhang1, Zhiguo Zhang1, Zhiwen Xue1.   

Abstract

Numerous studies have reported that microRNA (miR)-216b, as a tumor suppressor, is downregulated in a variety of cancer types. PDZ binding kinase (PBK)/T-LAK-cell-originated protein kinase (TOPK) is highly expressed in various types of human cancer, including lung cancer. The expression of miR-216b-3p and its potential roles in lung adenocarcinoma are still unclear and no research has been conducted into the association between miR-216b-3p and PBK/TOPK. Thus, the present study aimed to investigate the expression and role of miR-216b-3p in lung adenocarcinoma and to explore whether PBK/TOPK is involved in the underlying mechanisms of lung adenocarcinoma. The expression of miR-216b-3p in lung adenocarcinoma cell lines was detected. PBK/TOPK protein expression levels were also determined within lung adenocarcinoma cell lines. To investigate the association between miR-216b-3p and PBK/TOPK, TargetScan analysis was performed; PBK was predicted to be a potential target gene of miR-216b-3p, and a dual luciferase reporter assay was applied to confirm this prediction. To investigate the role of miR-216b-3p in lung adenocarcinoma, a lung adenocarcinoma cell line (GLC-82) was transfected with miR-216b-3p mimic or its negative control. An MTT assay was applied to detect cell proliferation, and cell apoptosis was analyzed by flow cytometry. Western blot analysis was performed to determine the protein expression levels of associated proteins. The results of the present study suggested that miR-216b-3p was downregulated in lung adenocarcinoma cell lines and PBK/TOPK was highly expressed in lung adenocarcinoma cells. miR-216b-3p directly targets PBK and negatively regulates its expression. miR-216b-3p overexpression may inhibit GLC-82 cell proliferation and induce cell apoptosis. In addition, miR-216b-3p overexpression may increase p53 and p21 expression, and prevent p38 MAPK activation. These effects on GLC-82 cells caused by miR-216b-3p overexpression may be eliminated by PBK/TOPK overexpression. In conclusion, miR-216b-3p was downregulated in lung adenocarcinoma and may function as a tumor suppressor by inhibiting cell growth via regulating PBK/TOPK expression.

Entities:  

Keywords:  PDZ binding kinase/T-LAK-cell-originated protein kinase; cell growth; lung adenocarcinoma; microRNA-216b-3p

Year:  2018        PMID: 29805502      PMCID: PMC5952093          DOI: 10.3892/etm.2018.6020

Source DB:  PubMed          Journal:  Exp Ther Med        ISSN: 1792-0981            Impact factor:   2.447


Introduction

Lung cancer is a multistep process involving alterations in the expression of oncogenes and tumor suppressor genes via numerous factors, including alcohol, smoking, pathogenic infections and genetic factors (1–3). Lung cancer is the most frequently diagnosed cancer and its incidence has been increasing in recent years (2,3). It remains a leading cause of cancer-associated mortality worldwide for men and women (4,5), but the pathogenesis of this disease remains unknown (6). PDZ-binding-kinase/T-LAK cell-originated protein kinase (PBK/TOPK) is a 322-amino acid serine/threonine kinase (7). In normal tissues, is difficult to detect PBK/TOPK protein, other than in the germ cells of the testis and numerous fetal tissues (8). The overexpression of PBK/TOPK has been observed in activated T-LAK cells, which interacted with fruit plate-large human homologues via the C-terminal PDZ binding motif of TOPK (9). PBK/TOPK is widely expressed in a variety of malignancies, including leukemia, lymphoma and breast cancer, and malignant peripheral nerve sheath tumors (10–12). PBK/TOPK overexpression contributes to tumor proliferation and growth in Ewing sarcoma, colorectal cancer and breast cancer (13,14). In lung cancer, patients exhibit poor clinical outcome with high expression of PBK/TOPK (15). Recently, PBK/TOPK overexpression was reported to be closely associated with tumor malignancy potential and poor outcome of patients with gastric cancer (16). In addition, high expression of PBK/TOPK may serve as a favorable prognostic marker for patients with oral cancer (17). In molecular studies, PBK/TOPK expression was associated with cell mitotic regulation, inflammation and apoptosis (18). MicroRNAs (miRNAs/miRs) are non-coding RNAs that inhibit gene expression by inhibiting the translation of target mRNAs or by degrading them. miRNAs have been demonstrated to interact directly with the 3′-untranslated region (3′-UTR) of target mRNAs (19). miRNAs regulate numerous cell functions, including proliferation, differentiation, metastasis and apoptosis (19). Studies have indicated that altered miRNA expression levels are associated with cancer (20,21). miRNAs may serve as oncogenes or tumor suppressors, depending on the organs and tumors in which they are expressed (22–24). miR-216b has been studied in a variety of cancer types. For instance, miR-216b was reported to be closely associated with the prognosis of cervical cancer patients and may inhibit cervical cancer cell proliferation via regulating forkhead box protein M1 (FOXM1) expression (25). miR-216b prevented the migration and invasion of glioma cells by suppressing FOXM1 expression (26). Liu et al (27) reported that miR-216b was involved in cisplatin resistance in ovarian cancer by the regulation of poly adenosine 5′-diphosphate-ribose polymerase 1. Furthermore, miR-216b may inhibit hepatocellular carcinoma cell proliferation, migration and invasion by regulating insulin-like growth factor 2 mRNA-binding protein 2 (28). However, the role and mechanism of miR-216b-3p in lung adenocarcinoma requires further investigation. The present study aimed to explore the effects of miR-216b-3p on lung adenocarcinoma, and the association between miR-216b-3p and PBK/TOPK. Herein, the molecular functions and underlying mechanism of miR-216b-3p were investigated.

Materials and methods

Reagents

Human lung adenocarcinoma cell lines (A549, GLC-82 and H358 cells) and the human normal lung epithelial cell line BEAS-2B were acquired from Scien Cell Research Laboratories, Inc. (San Diego, CA, USA) and cultured in the laboratory. Fetal bovine serum (FBS), penicillin/streptomycin, and trypsin-EDTA were obtained from Gibco (Thermo Fisher Scientific, Inc., Waltham, MA, USA). Dulbecco's modified Eagle medium (DMEM) was obtained from Corning, Inc. (Corning, NY, USA).

Cell culture

A549, GLC-82, H358 and BEAS-2B cells were cultured in DMEM containing 10% FBS, 100 U/ml penicillin and 100 U/ml streptomycin (pH 7.2) in a 5% CO2 atmosphere at 37°C.

Reverse transcription-quantitative polymerase chain reaction (RT-qPCR) analysis

Total RNA was isolated from A549, GLC-82, H358 and BEAS-2B cells using TRIzol reagent (Invitrogen; Thermo Fisher Scientific, Inc.) according to the manufacturer's protocol. The first strand cDNA synthesis was performed with 1 µg RNA in the reaction mixture of 10 µl with 50 pmol random hexamers and 50 units of M-MLV RTase. Conditions were as following: 16°C for 30 min, 42°C for 30 min, 85°C for 5 min, and hold at 4°C. Subsequently, qPCR was performed to analyze the synthesized cDNA using the QuantiTect SYBR Green PCR kit (Qiagen GmbH, Hilden, Germany). The master mix (20 µl) contained 2 µl 10× reverse transcription buffer, 1 µl deoxynucleotides (100 mM; with thymidine triphosphate), 0.25 µl 2 µM forward primer, 0.25 µl 2 µM reverse primer, 5 µl 1 ng/µl cDNA and 11.5 µl nuclease-free water. The amplification conditions were as follows: 38 cycles of denaturation at 95°C for 10 sec, followed by 60°C for 60 sec to allow annealing and extension. U6 and GAPDH served as the internal controls for miR-216b-3p and PBK expression respectively. qPCR was conducted with the following primers: miR-216b-3p forward, 5′-CAGGCACACACTTACCCGTA-3′ and reverse, 5′-GCAGGGTCCGAGGTATTC-3′; U6 forward, 5′-CTCGCTTCGGCAGCACATATACT-3′ and reverse, 5′-ACGCTTCACGAATTTGCGTGTC-3′; GAPDH forward, 5′-GAAGGTGAAGGTCGGAGTC-3′ and reverse, 5′-GAAGATGGTGATGGGATTTC-3′; and PBK forward, 5′-CCAAACATTGTTGGTTATCGTGC-3′ and reverse, 5′-GGCTGGCTTTATATCGTTCTTCT-3′. Relative gene expression was calculated by using the 2−ΔΔCq method (29). The test was performed three times in triplicate.

Western blot analysis

Harvested A549, GLC-82, H358 and BEAS-2B cells were briefly washed with cold PBS. On ice, they were lysed in radioimmunoprecipitation complete lysis buffer [50 mM Tris, pH 7.2; 1% sodium deoxycholate; 150 mM NaCl; 0.1% SDS; 10 mM NaF; 1% Triton-X 100; 1 mM Na3VO4; protease inhibitor cocktail (1:800)]. Lysates were sonicated 3 times at 4°C, each time 10 sec (frequency, 20 kHz) and centrifuged at 13,000 × g for 10 min at 4°C. Serum albumin was used as the standard and protein concentration was determined with bicinchoninic acid as previously described (30). Total protein (30 µg/lane) was separated using 12% SDS-PAGE and transferred to polyvinylidene difluoride membranes. Subsequently, membranes were incubated with PBS containing 0.05% Tween-20 and 5% non-fat dry milk at room temperature for 1.5 h to block non-specific binding and were incubated with PBK/TOPK (cat no. 4942), p53 (Cat no. 2527), p21 (cat no. 2947), p-p38 (cat no. 4511) and β-actin (cat no. 4970) primary antibodies (all 1:1,000; Cell Signaling Technology, Danvers, MA, USA), then treated with anti-rabbit Immunoglobulin G horseradish peroxidase-coupled secondary antibody (cat no. 7074; 1:1,000; Cell Signaling Technology) as described (31). Immunoreactive bands were observed with enhanced chemiluminescence using the SignalFire™ Plus ECL Reagent (cat no. 12630; Cell Signaling Technology) and imaged by ChemiDoc XRS+ System (Bio-Rad Laboratories). The band density was quantified with Gel-Pro Analyzer densitometry software (version 6.3; Media Cybernetics, Inc., Rockville, MD, USA).

Transient transfection

Cells were transiently transfected with 50 nM miR-216b-3p mimic (Pre-miR™ miR-216b-3p; sense, 5′-AAAUCUCUGCAGGCAAAUGUGA-3′ and antisense, 5′-ACAUUUGCCUCCAGAGAUUUUU-3′; Thermo Fisher Scientific, Inc.), 50 nM negative control (negative control miRNA; sense, 5′-UUCUCCGAACGUGUCACGUTT-3′ and antisense, ACGUGACACGUUCGGAGAATT-3′; Thermo Fisher Scientific, Inc.), 2 µg control plasmids, 2 µg PBK/TOPK plasmids (PBK CRISPR/Cas9 KO Plasmid (h); cat no. sc-404069; Santa Cruz Biotechnology, Inc., Dallas, CA, USA) or 50 nM miR-216b-3p mimic + 2 µg PBK/TOPK plasmids using Lipofectamine® 2000 (Invitrogen; Thermo Fisher Scientific, Inc.), according to the manufacturer's protocol. Cells were seeded at a density of 5×104 cells per well in a 6-well plate. At 48 h post-transfection, the cells were subjected to subsequent analysis.

Luciferase reporter assay

Bioinformatics software (targetscan.org/vert_71) was used to predict the targets of miR-216b-3p; PBK was identified as a potential target of miR-216b-3p. To determine whether miR-216b-3p directly targets the 3′-UTR of PBK, the psiCHECK-2 reporter plasmid (Sangon Biotech Co., Ltd., Shanghai, China) vectors named PBK-3′UTR-WT and PBK-3′UTR-MUT with wild type and mutated 3′UTR of PBK mRNA, respectively, were constructed as previously described (32). GLC-82 cells (5×104 cells/well) were seeded in a 24-well plate and then co-transfected with PBK-3′UTR-WT or PBK-3′UTR-MUT and miR-216b-3p or its negative control (miR-NC) vector using Lipofectamine® 2000 transfection reagent according to the manufacturer's protocols. A total of 48 h after transfection, the luciferase activity was detected using the Dual-Luciferase Reporter Assay kit (Promega Corporation, Madison, WI, USA) according to the manufacturer's protocol and normalized to Renilla luciferase activity.

Flow cytometry for apoptosis analysis

For apoptosis analysis, 1×105 cells/well were seeded in 6-well plates and incubated in DMEM containing 10% FBS at 37°C for 48 h. After 48 h, the harvested floating and adherent cells were washed twice with cold PBS. Cells were stained with Annexin V-fluorescein isothiocyanate and propidium iodide (cat. no. 6592; Cell Signaling Technology) in 500 µl binding buffer at room temperature for 15 min, and then analyzed with a BD FACSCelesta™ flow cytometer (BD Biosciences, Franklin Lakes, NJ, USA) using WinMDI (Version 2.5; Purdue University Cytometry Laboratories, West Lafayette, IN, USA) within 1 h (28).

Cell proliferation assay

Cell proliferation was examined by a MTT assay. A total of 48 h after transfection, GLC-82 cells (4×103 cells/well) were seeded into 96-well culture plates and incubated in 5% CO2 at 37°C. Then, 20 µl MTT (5 mg/ml) was added to each well and the cells were incubated for another 4 h at 37°C. Following removal of MTT, 100 µl dimethyl sulfoxide was added to each well, and the plate was gently agitated for 10 min at room temperature. The absorbance was measured with a microplate reader (Bio-Rad Laboratories, Inc., Hercules, CA, USA) at 490 nm. All experiments were repeated ≥3 times (33).

Statistical analysis

Experiments were performed for at least three times. Data are expressed as the mean ± standard deviation. SPSS 17.0 statistical software (SPSS, Inc., Chicago, IL, United States) was performed for all statistical analyses. Statistical analysis was performed using a Student's t-test or one-way analysis of variance followed by Tukey's test where appropriate. P<0.05 was considered to indicate a statistically significant difference.

Results

Low expression of miR-216b-3p in lung adenocarcinoma cell lines

The expression levels of miR-216b-3p in human lung adenocarcinoma cell lines (A549, GLC-82 and H358 cells) and human normal lung epithelial cell line BEAS-2B were analyzed. The results of the present study indicated that the expression levels of miR-216b-3p in all lung adenocarcinoma cell lines (A549, GLC-82 and H358 cells) were significantly lower compared with BEAS-2B cells. The lowest expression level of miR-216b-3p was in GLC-82 cells (Fig. 1). Therefore, GLC-82 cells were selected for subsequent in vitro studies in the present study.
Figure 1.

Expression levels of miR-216b-3p in lung adenocarcinoma cell lines. Relative miR-216b-3p expression levels in lung adenocarcinoma cell lines (A549, GLC-82 and H358) and human normal lung epithelial cell line, BEAS-2B, were determined by reverse transcription-quantitative polymerase chain reaction. Data are expressed as the mean ± standard deviation. *P<0.05 and **P<0.01 vs. BEAS-2B. miR, microRNA.

Overexpression of PBK/TOPK in lung adenocarcinoma cell lines

Western blotting and RT-qPCR were performed to test whether PBK/TOPK was overexpressed in lung adenocarcinoma cell lines. PBK/TOPK was expressed at low levels within BEAS-2B cells. However, the protein and mRNA expression levels of PBK/TOPK were increased in all lung adenocarcinoma cell lines (A549, GLC-82 and H358 cells), compared with BEAS-2B cells, with the largest increase in GLC-82 (Fig. 2). These results suggested that PBK/TOPK may be a target of activation in lung adenocarcinoma.
Figure 2.

PBK/TOPK protein and mRNA expression levels in lung adenocarcinoma cell lines. (A) PBK/TOPK protein expression levels in lung adenocarcinoma cell lines (A549, GLC-82 and H358) and human normal lung epithelial cell line BEAS-2B; (B) PBK/TOPK mRNA expression levels in lung adenocarcinoma cell lines (A549, GLC-82 and H358) and human normal lung epithelial cell line BEAS-2B. Data are expressed as the mean ± standard deviation. **P<0.01 vs. BEAS-2B. PBK/TOPK, PDZ-binding-kinase/T-LAK cell-originated protein kinase.

PBK is a direct target gene of miR-216b-3p

The aforementioned results demonstrated that miR-216b-3p and PBK/TOPK expression may be dysregulated in lung adenocarcinoma cell lines. Therefore, miR-216b-3p and PBK/TOPK may have a direct association. TargetScan was employed to predict the target gene of miR-216b-3p (Fig. 3A). PBK was identified as a direct target gene of miR-216b-3p and a double luciferase reporter assay revealed the same result (Fig. 3B).
Figure 3.

PBK is a target gene of miR-216b-3p. (A) TargetScan was applied to predict the interaction between miR-216b-3p and 3′UTR of PBK. (B) Luciferase activity was detected via a dual luciferase assay. (C) Relative miR-216b-3p expression levels in GLC-82 cells. (D) Effects of miR-216b-3p on PBK/TOPK protein expression in GLC-82 cells were determined by western blotting. (E) Effects of miR-216b-3p on PBK/TOPK mRNA expression in GLC-82 cells were determined by reverse transcription-quantitative polymerase chain reaction. (F) Relative PBK/TOPK mRNA expression levels in GLC-82 cells. Data are presented as the mean ± standard deviation. **P<0.01 vs. control. Control, control group, cells without any treatment; NC, negative control group, cells transfected with the negative control vector of miR-216b-3p mimics; mimic, cells transfected with miR-216b-3p mimics; plasmid, cells transfected with PBK/TOPK plasmids; LUC, luciferase; miR, microRNA; PBK/TOPK, PDZ-binding-kinase/T-LAK cell-originated protein kinase; MUT, mutated 3′-untranslated region; WT, wild type 3′-untranslated region.

To investigate the function of miR-216b-3p in lung adenocarcinoma, synthesized miR-216b-3p mimics, miR-NC, control plasmids, PBK/TOPK plasmids or miR-216b-3p mimic + PBK/TOPK plasmids were transfected into GLC-82 cells (Fig. 3C-F). At 48 h post-transfection, the transfection efficiency was determined by RT-qPCR (Fig. 3C and F). The results indicated that miR-216b-3p mimics significantly enhanced miR-216-3p expression in GLC-82 cells and PBK/TOPK plasmids significantly increased the mRNA level of PBK/TOPK. To further reveal whether miR-216b-3p may regulate PBK/TOPK in GLC-82 cells, at 48 h after GLC-82 cell transfection with miR-216b-3p mimics or miR-NC, the protein and mRNA expression levels of PBK/TOPK were detected by western blotting and RT-qPCR respectively. The results of the present study indicated that miR-216b-3p mimics may inhibit PBK/TOPK expression in GLC-82 cells (Fig. 3D and E). Collectively, the data suggested that PBK may be a direct target gene of miR-216b-3p and may be negatively regulated by miR-216b-3p.

miR-216b-3p overexpression inhibits GLC-82 cell proliferation and induces cell apoptosis via regulating PBK/TOPK expression

Cells were transiently transfected with miR-216b-3p mimics, miR-NC or miR-216b-3p mimics + PBK/TOPK plasmids. An MTT assay was conducted to detect the proliferation of GLC-82 cells; flow cytometry was used to analyze apoptosis. The results demonstrated that miR-216b-3p overexpression significantly inhibits GLC-82 cell proliferation (Fig. 4) and induces cell apoptosis (Fig. 5) compared with the control. These effects were eliminated by PBK/TOPK overexpression (Figs. 4 and 5).
Figure 4.

Effects of miR-216b-3p on GLC-82 cell proliferation. At 48 h post-transfection, an MTT assay was used to determine the effect of miR-216b-3p on GLC-82 cell proliferation. Data are presented as the mean ± standard deviation. **P<0.01 vs. control; ##P<0.01 vs. mimic. Control, control group, cells without any treatment; NC, negative control group, cells transfected with the negative control vector of miR-216b-3p mimics; mimic, cells transfected with miR-216b-3p mimics; mimic + plasmid, cells co-transfected with miR-216b-3p mimics and PDZ-binding-kinase/T-LAK cell-originated protein kinase plasmids; miR, microRNA.

Figure 5.

Effects of miR-216b-3p on GLC-82 cell apoptosis. (A) At 48 h post-transfection, flow cytometry was performed to determine the effect of miR-216b-3p on GLC-82 cell apoptosis. Cell apoptosis=early apoptosis (lower right quadrant) + late apoptosis (upper right quadrant). (B) Data are presented as the mean ± standard deviation. **P<0.01 vs. control; ##P<0.01 vs. mimic. Control, control group, cells without any treatment; NC, negative control group, cells transfected with the negative control vector of miR-216b-3p mimics; mimic, cells transfected with miR-216b-3p mimics; mimic + plasmid, cells co-transfected with miR-216b-3p mimics and PDZ-binding-kinase/T-LAK cell-originated protein kinase plasmids; miR, microRNA.

miR-216b-3p overexpression affects p53, p21 and phosphorylated (p) -p38 expression

To further investigate the molecular mechanism of miR-216b-3p, the expression of p53, p21 and p-p38 was detected by western blot analysis. The results demonstrated that the overexpression of miR-216b-3p increased the expression of p53 and p21, and decreased the expression of p-p38. These effects also appeared to be eliminated by PBK/TOPK overexpression (Fig. 6).
Figure 6.

Effects of miR-216b-3p on the expression of p53, p21 and p-p38 in GLC-82 cells. After 48 h post-transfection, western blotting was performed to determine the effect of miR-216b-3p the expression of p53, p21 and p-p38 in GLC-82 cells. Control, control group, cells without any treatment; NC, negative control group, cells transfected with the negative control vector of miR-216b-3p mimics; mimic, cells transfected with miR-216b-3p mimics; mimic + plasmid, cells co-transfected with miR-216b-3p mimics and PDZ-binding-kinase/T-LAK cell-originated protein kinase plasmids. miR, microRNA; p-, phosphorylated.

Discussion

According a previous report, miRNAs serve a regulatory role in cell growth, proliferation, apoptosis, differentiation, migration and metabolism (34). In the present study, the expression of miR-216b-3p was detected in a variety of lung adenocarcinoma cell lines and the results demonstrated that within all lung adenocarcinoma cell lines (A549, GLC-82 and H358 cells), miR-216b-3p expression levels was significantly lower compared with BEAS-2B cells. This indicated that miR-216b-3p was associated with lung adenocarcinoma. GLC-82 cells, which expressed the lowest level of miR-216b-3b, were selected for further analysis. PBK/TOPK gene expression is increased in various types of cancer, including bladder cancer, brain tumors, breast cancer, liver cancer, lung cancer and sarcoma (35,36). In the present study, the expression levels of PBK/TOPK were observed to be significantly increased within lung adenocarcinoma cells. These results suggested that the expression of miR-216b-3p and PBK/TOPK was dysregulated in lung cancer. Therefore, miR-216b-3p may be involved in tumor development by regulating PBK/TOPK expression. TargetScan was used to predict the target gene of miR-216b-3p, which suggested that miR-216b-3p was targeted to PBK and a double luciferase reporter gene system validated this result. Furthermore, the overexpression of miR-216b-3p in GLC-82 cells significantly inhibited cell proliferation and induced cell apoptosis; when co-transfected with PBK/TOPK, the inhibitory effect exerted by miR-216b-3p was reversed. These results indicated that miR-216b-3p may be considered to be a tumor suppressor by decreasing the expression of PBK/TOPK. As a member of the mitogen-activated protein kinase kinase family, PBK/TOPK protein is highly expressed in various types of cancer. p53 is considered to be one of the most common tumor suppressors; wild type p53 is involved in apoptosis, cell-cycle arrest and DNA repair (37). The loss of p53 function caused by mutations, however, is associated with the majority of human cancers (38). Mutant p53 is able to not only promote invasion, migration and proliferation, but also enhance genomic instability and chemoresistance (39). It was reported that a p53 mutation is closely associated with the occurrence and progression of lung cancer (40). Additionally, Hu et al (7) revealed that PBK/TOPK may inhibit p53 function and promote the development and progression of tumor cells. The expression levels of p53, p21 and p-p38 were also determined in the present study, and the data demonstrated that the overexpression of miR-216b-3p may inhibit PBK/TOPK. Thus, increases in p53 and p21, and decreases in p-p38 expression, may exert an antitumor effect. In summary, the present study provided novel evidence that decreased miR-216b-3p expression may contribute to lung adenocarcinoma development by increasing the expression of PBK/TOPK. Furthermore, PBK/TOPK expression may be beneficial to the promotion of cell proliferation and viability. Therefore, miR-216b-3p and PBK/TOPK may be considered as potential clinical indicators and therapeutic targets for the treatment of lung adenocarcinoma.
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