- freely available
Int. J. Mol. Sci. 2013, 14(10), 20930-20953; doi:10.3390/ijms141020930
Published: 18 October 2013
Abstract: The coordinated expression and interplay among lineage specific transcription factors and microRNAs contribute to the regulation of gene expression and determination of cell specificity. In hematopoietic stem cells (HSCs), unique combinations of transcription factors largely control growth and maturation of different blood cell lineages through cooperative regulation of specific target genes. MicroRNAs provide an additional level of control beyond transcription factors. By acting as regulators of crucial lineage-specific genetic programs, microRNAs direct early multipotential progenitor cells to adopt a certain cell fate program. Thus, alteration of specific microRNA levels may affect proliferation, differentiation and genetic stability of HSCs, contributing to the onset of myeloproliferative disorders and leukemia. The major aim of this review is to highlight the critical role of microRNA-regulated pathways during the establishment and progression of hematological malignancies, with a particular attention to leukemia, lymphomas and myelodysplastic syndromes. This will give us the opportunity to discuss the potential use of microRNA-based therapeutic approaches in these diseases. MicroRNAs are indeed emerging as relevant tools to improve the efficacy of currently used therapeutic protocols.
Try to imagine that what is happening within our cells as a sort of “symphony”. The music is complex, performed by thousands of players who need to be directed. The recently discovered class of non-coding RNAs called microRNAs (miRNAs) has a crucial part in directing what tune our cells play. miRNAs are small, only 20–22 nt long, but mighty. A single miRNA can control the amount of hundreds of different proteins produced in the cell by regulating their mRNA translation and stability via recognition of complementary target sites in their 3′UTR . The biogenesis of miRNAs, their regulation and mode of action has been extensively covered in different reviews [2,3]. The more than 2000 different microRNAs identified in the human genome might regulate as many as half of our coding genes. MiRNAs regulate some of the most basic processes in cells such as cell proliferation, metabolism, and apoptosis and, above all, they are central in contributing what type of cell a developing cell ultimately becomes . They are like “conductors” of protein orchestras. A tumour can be regarded as tissue in which cells “lose their identity”, become malignant and start to grow in an uncontrolled or inappropriate manner instead of developing into their determined cell type .
Deregulation of miRNAs in cancer cells interferes with normal cell development and causes the cells to “play out of tune”. Thus it is not surprising that miRNAs seem to be important players in the initiation and progression of cancer including hematological malignancies .
Hematopoiesis is a highly regulated process in which pluripotent hematopoietic stem cells (HSCs) give rise to all the blood lineages: the myeloid lineage, which comprises neutrophils, eosinophils, basophils, monocytes, macrophages, megakaryocytes, platelets and erythrocytes; and the lymphoid lineage, which includes T and B cells. The development of myeloid and lymphoid cells depends on the activation of specific genetic programs that are responsible for the reduction in cell proliferation and the expression of lineage specific genes [7,8]. Among master regulators of these programs are transcription factors . miRNAs provide an additional level of control beyond the transcription factors by fine-tuning differentiation and adjusting the cell response to external stimuli . In particular, they play a crucial role in the regulation of blood cell specification by controlling the precise timing and expression levels of key factors and conferring robustness to regulative networks [11,12].
Aberrant expression of many different miRNAs has been observed in several cancers, including hematological malignancies. Furthermore, about 50% of miRNAs are located at fragile sites and genomic regions in the human genome associated with cancer .
In this review, we deal with well-established molecular circuitries between key protein regulators and miRNAs in hematopoietic differentiation and how their deregulation may contribute to hematological malignancies, with a specific focus on leukemia, lymphomas and myelodysplastic syndromes (Table 1). Finally, we also discuss the possible use of miRNA-based therapies as novel clinical approaches in these diseases.
2. Oncosuppressor miRNA Pathways
2.1. The miR-26 Family
The miR-26 family is composed of miR-26a-1, miR-26a-2 and miR-26b. These miRNAs are embedded within introns of three different genes coding for the proteins of the “carboxy-terminal domain RNA polymerase II polypeptide A small phosphatise” (CTDSP) family: RBSP3/CTDSPL (miR-26a1), CTDSP2 (miR-26a-2) and CTDSP1 (miR-26b). The miR-26 family is transcriptionally repressed by the c-Myc oncogene, which is highly up-regulated in many different types of hematological malignancies, including Burkitt lymphoma, B-cell lymphoma, and diffuse large-B-cell lymphoma and different types of leukemia [51,52]. Moreover, in mouse models c-Myc overexpression is sufficient to induce myeloid leukemia and its activation is necessary to develop B-cell lymphoma [53,54]. miR-26 family is often down-regulated in various cancers, and different works have demonstrated that it might act as a tumour suppressor in lymphoma and acute myeloid leukemia [23,24,55,56]. Indeed, ectopic miR-26a expression in different cellular model systems impaired cell cycle progression and attenuated cell proliferation [23,24]. One of the relevant downstream effectors of the c-Myc/miR-26 network is the histone methyltransferase EZH2, a component of the polycomb repressor complex 2 (PRC2) . This complex is often up-regulated and plays a key role in the aberrant transcriptional gene silencing that occurs in different tumours and it was recently shown to participate in the c-Myc dependent miR-26a transcriptional repression . In Burkitt lymphoma, miR-26a can directly regulate the translation of EZH2 mRNA. Therein, c-Myc can contribute to EZH2 activation by repressing its negative regulator miR-26a . Furthermore, EZH2 sustains c-Myc expression via inhibition of c-Myc mRNA targeting by miR-494, producing a positive feedback regulatory loop  (Figure 1A). A separate mechanism of EZH2 regulation has been described in AML, in which c-Myc directly activates the transcription of the EZH2 gene . In AML, miR-26a directly regulates the expression of the E2F7 protein, a transcriptional repressor of the cyclin-dependent kinase inhibitor p21CIP1/WAF1 (also known as CDKN1A)  (Figure 1B). Moreover, down-regulation of E2F7 levels by miR-26a results in inhibition of c-Myc transcriptional activity, leading to the down-regulation of the c-Myc transcriptional target miR-17-92 cluster , whose expression has a well-defined role in contributing to block monocytic differentiation and sustain AML cell proliferation (see below).
Notably, miR-26 host genes encode for proteins that act, similarly to miR-26, as oncosuppressors in AML by controlling the phosphorylated form of pRb . In AML RBSP3/CTDPSL is negatively regulated by miR-100, a microRNA up-regulated in this tumour, leading to an increase in phosphorylated pRB levels and increased cell proliferation .
Conversely, miR-26a was found to promote T-cell acute lymphoblastic leukemia (T-ALL) through the inhibition of the oncosuppressor PTEN . This dual activity of miR-26 as oncosuppresor and oncogenic molecule was also described in different solid tumours [60,61]; it thus must be seriously considered in future miRNA-based therapy.
2.2. The miR-29 Family
The miR-29 family includes miR-29a, miR-29b-1, miR-29b-2, and miR-29c, encoded in two gene clusters (miR-29b-1/a and miR-29b-2/c). Members of the miR-29 family were found down-regulated in AML with MLL rearrangement and deleted in AML with loss of chromosome 7q, which encoded the genes for miR-29b-1 and miR-29a [27,28]. Accordingly with miR-29 expression level in AML, a miR-29 oncosuppressor activity was described by its ectopic expression in AML cell lines and primary AML blasts, where it induced apoptosis and inhibited proliferation, and by inoculation of miR-29b mimics into xenografts, where it decreased tumour growth [27,28]. Moreover, miR-29a was shown to promote myeloid differentiation of human hematopoietic stem/progenitor cells . By contrast, in a different study oncogenic activity of miR-29a was described and it was shown that forced expression of miR-29a in mouse myeloid progenitors cells in vivo altered myeloid differentiation and caused AML . This opposing function in leukemogenesis was also observed in B-cell chronic lymphocytic leukemia (B-CLL). Indeed, in aggressive forms of B-CLL miR-29b was found down-regulated by an epigenetic mechanism that involves histone deacetylases (HDACs)  and an oncosuppressor activity for miR-29 was suggested through the translational inhibition of the TCL1 oncogene . By contrast, a different situation was identified in the indolent form of B-CLL, where miR-29a is generally up-regulated compared to normal B-cells. Furthermore, overexpression of miR-29a in mouse mature and progenitor B-cells produced CLL, at least in part, by targeting the tumour-suppressive cell-adhesion molecule peroxidasin homologue (PXDN) , indicating that miR-29 can predispose cells to a cancerous state and contributes to the pathogenesis of indolent CLL . Thus, these data show that, similarly to other miRNAs, miR-29 may function as a tumour suppressor or oncogene, depending on the cellular context. This may reflect the existence of cell-specific auxiliary factors that may regulate miR-29 function, such as RNA binding proteins or RNA modifying enzymes , or off-target effects.
The oncosuppressor activity of miR-29 involved, at least in part, regulation of DNA methylation . Aberrant DNA methylation plays a central role in AML by repressing the expression of pro-differentiative genes. miR-29b was initially identified as a repressor of the DNA methyltransferases, DNMT1, DNMT3A and DNMT3B . DNMT3A and DNMT3B are direct targets of miR-29b, while DNMT1 is indirectly regulated through the miR-29b target Sp1, a transcription factor that activates DNMT1 transcription (Figure 2A). An identical function for miR-29s in global DNA methylation was also described in multiple myeloma (MM) . miR-29 levels are regulated by c-Myc and AML with activating mutations of the tyrosine kinase receptor KIT, which induces cell proliferation and survival, are characterized by increased c-Myc repression on miR-29b transcription . This leads to increased levels of the miR-29b target Sp1 that, in turn, stimulates KIT transcription in association with NFκB . Furthermore, the Sp1/NFκB complex recruits HDACs on the miR-29b promoter region, which results in a further Sp1 increase. Of note, the in vivo disruption of the Sp1/NFκB association in a mouse model for KIT-driven leukemia results in a strong inhibition of leukemogenesis and suggests that the targeting of the miR-29b/Sp1/NFκb regulatory loop represents a viable therapeutic option in AML .
In mantle cell lymphoma and other Myc-associate lymphomas, miR-29b is repressed by the c-Myc oncoprotein in cooperation with HDACs and PRC2 . In these lymphomas, the PRC2 activity is sustained by c-Myc dependent inhibition of a second oncosuppresor miRNA, miR-26a (see above). The proliferative cycline dependent kinase CDK6 was identified as a relevant target of miR-29b in these B-cell malignancies . Notably, restoration of miR-29b level expression by simultaneous inhibition of HDAC3 and EZH2 inhibited lymphoma growth both in vitro and in vivo , therein expanding the use of miR-29b as a therapeutic option in hematological malignancies.
2.3. The miR-34 Family
The miR-34 family consists of three members: miR-34a, miR-34b and miR-34c. miR-34b and miR-34c are produced from a common non-coding transcript. The miR-34 family is a transcriptional target of the oncosupressor p53 and contributes to its downstream effects on proliferation arrest and induction of apoptosis [69,70] (Figure 2B). miR-34 family members are down-regulated in many tumours with inactive p53, including hematological malignancies . miR-34a is also transcriptionally activated by CEBPα (CCAAT/enhancer-binding protein-alpha), a crucial transcription factor for normal granulopoiesis that is frequently disrupted in AML . The E2F3 and CREB (cyclic AMP-responsive element binding protein) transcription factors were identified as relevant miR-34 targets in AML [31,32]. Furthermore, restoration of miR-34a in primary AML cells carrying CEBPα mutations stimulated granulocytic differentiation . In chronic lymphocytic leukemia (CLL) low expression of miR-34a was found in chemotherapy-refractory disease associated with deletion of the p53 gene, which results in decreased DNA damage response and apoptosis resistance . The TCL1 (T-cell leukemia/lymphoma 1) transcription factor and the sirtuin protein SIRT1 (silent information regulator 1), which are overexpressed in most cases of CLL and play a central role in cell death inhibition, were identified as a relevant miR-34 target [33,34]. In CLL, miR-34a restoration was achieved by using the chemical agent nicotinamide, which specifically blocks proliferation and promotes apoptosis of leukemic cells with a functional p53 . Nicotinamide functions as an inhibitor of the sirtuin protein family, which inactivates p53 by deacetylating a critical lysine residue, by a dual mechanism: (i) through an enzymatic inhibition and (ii) through miR-34a induction and SIRT1 mRNA translational repression . Furthermore, the use of nicotinamide in combination with DNA-damaging chemotherapeutic agents, which activate p53, has been proposed as a novel therapeutic option of CLL with functional p53 . Notably, therapeutic benefit with systemic delivery of miR-34a has been already achieved in different solid tumours mouse model systems [73–75], indicating that miR-34 delivery represents a viable therapeutic option for leukemia.
2.4. The miR-146 Family
The miR-146 family includes miR-146a and miR-146b, produced by two different non-coding transcripts. The miR-146a family member plays an important role in different hematological malignancies, myeloproliferative diseases and autoimmunity. miR-146a expression is specifically regulated in different hematopoietic cell types and during inflammation. In myeloid cells, miR-146a transcription is regulated by the master hematopoietic transcription factor PU.1  while in lymphocytes it is controlled by lineage-specific factors, such as c-ETS . During inflammation, the inducible NFκB boosts miR-146a expression while during lymphomagensis its expression is repressed by the oncogene c-Myc .
miR-146a down-regulation characterized the 5q-syndrome, a common subtype of myelodysplastic syndromes (MDS) and miR-146a knockout mouse models recapitulate many features of the human syndrome [41,42]. The tumour necrosis factor receptor-associated factor 6 (TRAF6) was identified as a relevant miR-146a target and, overexpression of TRAF6 in mouse was sufficient to phenocopy the miR-146a knockout model. Notably, with aging, miR-146a knockout mice develop myeloid expansion and a predisposition to develop myeloid cancer [41,42]. It was speculated that this was the result of increased NFκB levels and the activation of a pathologic hematopoietic program called inflammatory hematopoiesis. Furthermore, a small percentage of miR-146a knockout mice also developed different types of lymphomas . Altogether these data indicate a tumour-suppressor role for miR-146a in hematological malignancies. However, in breast cancer an oncogenic activity for miR-146a was characterized .
miR-146a is also important for regulating the normal development of hematopoietic cells and it plays also an important role in the control of mature cell function in the innate immune system, where it acts as a negative regulator of inflammation . Moreover, miR-146a was found significantly deregulated in autoimmune diseases suggesting an important role for miR-146a also in immunity .
miR-223 expression is mainly linked to the determination of myeloid cell lineage differentiation. miR-223 expression is induced during granulocytic differentiation of human myeloid progenitors and is transcriptionally modulated by the competitive binding of two transcription factors, the Nuclear Factor I (NFI-A) and the CEBPα, to the CAAT elements present on the upstream region to the pre-miR-223 sequence . NFI-A transcriptional activity maintains miR-223 at low levels, while its replacement by CEBPα results in miR-223 up-regulation and granulocytic differentiation. NFI-A is also a target for miR-223 translational repression, thus establishing a feedback regulatory circuitry that is crucial in the control of granulopoiesis (Figure 3) . In agreement with the central role of NFI-A suppression in the induction of human granulopoietic lineage differentiation, the contribution of miR-223 to the NFI-A transcriptional regulation was also recently described . During granulocytic differentiation miR-223 localizes in the nucleus and, interacting with complementary binding sites in the NFI-A promoter, contributes, together with the Polycomb/RNAi complex, to the induction of heterochromatin formation and to NFI-A transcriptional silencing . miR-223 is expressed at low levels in pluripotent hematopoietic stem cells (HSCs) and common myeloid progenitors and its levels increase with neutrophilic differentiation. Of note, miR-223 is down-regulated in different subtypes of acute myeloid leukemia (AML). In particular, low levels of miR-223 expression are detected in primary leukemia blasts carrying the t(8;21) generating AML1/ETO, the most common acute myeloid leukemia-associated fusion protein . In these samples, by recruiting chromatin-remodeling enzymes at an AML1-binding site on the upstream region of pre-miR-223 gene, AML1/ETO induces heterochromatic silencing of miR-223 and block of differentiation. Of note, enforced expression of miR-223 in primary AML blasts enhances granulocyte differentiation, whereas miR-223 knockdown reduces the efficient granulocytic differentiation response to Retinoic Acid (RA) of myeloid progenitors cells [47,81,82].
Moreover, it has been recently shown that, during granulocytic differentiation, miR-223, by targeting the cell-cycle master regulator E2F1, blocks the cell-cycle progression of myeloid cells. In a negative feedback loop E2F1 binds to the miR-223 promoter in AML blast cells and inhibits miR-223 transcription, suggesting that E2F1 is a transcriptional repressor of the miR-223 gene in AML cells (Figure 3) .
Strikingly, in T-ALL with aberrant activation of the oncogene TAL1, miR-223 is transcriptionally up-regulated by TAL1 itself and contributes to leukemogenesis through the translational repression of the tumour suppressor FBXW7 , once again indicating that the effect of a specific miRNA strongly depends on the cellular context.
miR-328 is involved in the differentiation and survival of chronic myeloid leukemia cells (CML) by a dual functional activity. Recently, Ering et al.  demonstrated that miR-328, in addition to the typical base pairing recognition of target mRNA, can also interfere with the mRNA-regulatory function of RNA-binding proteins (decoy activity) . In CML blasts the BCR/ABL fusion protein activates the RNA binding protein hnRNP E2 that, by binding the 5′UTR of the CEBPα mRNA, inhibits its translation and myeloid differentiation. During myeloid differentiation miR-328 specifically competes with CEBPα mRNA for binding to hnRNP E2 and the interaction between miR-328 and hnRNP E2 leads to the release of CEBPα mRNA from hnRNP E2-dependent translational inhibition, resulting in induction of the CEBPα protein production and myeloid differentiation. At the same time CEBPα stimulates miR-328 transcription, thus forming a positive feedback loop that fine-tunes the regulation of myeloid differentiation. In addition to this mechanism miR-328 can also induce the common translational inhibition of the oncogene PIM1, inhibiting cell cycle progression and survival of leukemic BCR/ABL positive blast cells .
3. Oncogenic miRNA Pathways
3.1. The miR-17-92 Family
The oncogenic miR-17-92 family is composed of 3 related polycistronic miRNA gene clusters: miR-17-92 cluster and its paralogs miR-106b-25 and miR-106a-363 clusters . The miR-17-92 cluster, which consists of six miRNAs embedded in a single primary transcript, is amplified in both solid tumours and hematological malignancies  and is transcriptionally activated by the oncogene c-Myc and by the E2F transcription factors [84,85]. Furthermore, E2F1, E2F2, and E2F3 mRNAs are direct targets of miR-17 and miR-20, establishing an auto-regulatory loop that balances E2F expression in proliferating cells and inhibits E2F1-dependent apoptosis [84–86] (Figure 4). The first evidence of a central role for the miR-17-92 family in hematological malignancies was the discovery that a good percentage of large B-cell lymphomas were characterized by genomic amplification of the miR-17-92 locus . Following this observation, it was shown that in mouse models of B-cell lymphomas the ectopic expression of miR-17-92 cooperates with the oncogenic activity of c-Myc [15,16] and that the overexpression of this cluster in mouse lymphocytes is sufficient to induce a lymphoproliferative disorder of the B and T cell compartments . However, knockout mouse models have demonstrated that the miR-17-92 cluster is essential for B-cell development . Notably, the miR-19a and miR-19-b-1 cluster components are sufficient to mediate the oncogenic activity . Moreover, the PTEN tumour suppressor and the pro-apoptotic BIM proteins (also known as BCL2-like 11) were identified as relevant targets for miR-19 activity in B-cell lymphoma . Similar results were obtained in a mouse model for T-cell acute lymphoblastic leukemia (T-ALL) . In mantle cell lymphoma (MCL), the protein phosphatase PHLPP2, an important negative regulator of the PI3K/AKT pathway, was identified as an additional important target of miR-17-92 miRNAs. As a result of PHLPP2 down-regulation, the overexpression of miR-17-92 activated the PI3K/AKT pathway and inhibited chemotherapy-induced apoptosis of MCL cells .
The miR-17-92 cluster was also found overexpressed in AML with MLL rearrangements and its expression was suggested to contribute to the self-renewal capacity of leukemic cells [19,89,90]. In addition, inhibition of the miR-17-92 expression cluster has been associated with monocyte/macrophage differentiation of both normal progenitors and AML cells [19,20]. A regulatory loop between the pro-differentiative transcription factor Egr2 and the miR-17-92 cluster has been recently described in AML, in which Egr2 is both a repressor and target of miR-17-92 components . During monocytyc differentiation Egr2 is activated by PU.1 and binds to the miR-17-92 cluster promoter leading to transcriptional repression and, eventually, up-regulation of miR-17-92 targets, including Egr2. By contrast, increased miR-17-92 levels results in low expression of Egr2 and other relevant targets and might contribute to the block of differentiation that characterizes AML cells . The oncogenic HOX gene, HOXB8, whose increased expression contributes to development of AML, was recently identified as positive regulator of c-Myc and consequently of the miR-17-92 cluster . Moreover, the pro-apoptotic BIM protein was identified as a relevant miR-17-92 target. Therein, it was suggested that one of the mechanisms by which HOXB8 sustains AML cell viability is through the indirect down-regulation of BIM .
The two paralog clusters, miR-106b-25 and miR-106a-363, share the ability to promote tumourigenesis with miR-17-92. Moreover, miR-106b and miR-93 regulate E2F1 expression, establishing a negative feedback loop analogous to that observed for miR-17 and miR-20. The cyclin-dependent kinase inhibitor p21, a potent negative regulator of the G1-S checkpoint, has been identified as an additional functional crucial target of the miR-17-92 family [22,84,87].
Systemic delivery of antisense oligonucleotides against miR-17 has been successfully utilized to abolish tumour growth in a neuroblastoma mouse model system , indicating that inhibition of oncogenic miRNA activity might represent a viable therapeutic treatment in cancer.
3.2. The miR-125 Family
The miR-125 family includes miR-125a, miR-125b-1 and miR-125b-2, which are produced by three independent clusters containing other miRNAs . The miR-125b members have a prevalent role in hematopoietic cells and were found up-regulated in different types of myeloid and lymphoid malignancies, and MDS. In particular, miR-125 overexpression was identified in different AML subtypes characterized by specific chromosomal abnormalities, including AML1/ETO, PML/RARα and FLT3 translocations, and in Down Syndrome-associated acute megakaryoblastic leukemia (AMKL).
Similarly, miR-125 was found up-regulated also in ALL with insertion or translocation of miR-125b into the immunoglobulin heavy-chain (IGH) locus, and in ALL with TEL-AML1 translocation, the most common childhood ALL . The up-regulation of miR-125b in different types of hematological malignancies suggests a general oncogenic role for this miRNA. Indeed, overexpression of miR-125b in hematopoietic progenitors cells and myeloid cell lines increased proliferation, blocked differentiation and inhibited apoptosis [35,36]. The crucial hematopoietic transcription factor CBFB, the tumour suppressor ABTB1 and the pro-apoptotic protein BAK1 (Bcl-2 antagonist killer 1) were identified as relevant miR-125b targets in leukemia [35,36]. Furthermore, overexpression of miR-125b in mice is sufficient to expand the myeloid and lymphoid progenitors and induces leukemia [36–38].
The protein tyrosine phosphatases PTPN18 and PTPN7, and serine/threonine phosphatases PPP1CA and PPP2CA were identified as central targets for oncogenic miR-125b function in vivo .
By increasing global tyrosine phosphorylation, up-regulation of miR-125 leads to cytokine hypersensitivity of bone marrow hematopoietic progenitors , which results in a pre-leukemic state.
miR-125 also represses the pluripotency factor LIN28 [38,40], and LIN28 knockdown in the hematopoietic system mirrored the overexpression of miR-125b, leading to an increase of myeloid cells . miR-125b is also required for B and T-cell development, and the function of macrophages. Thus, it is also involved in inflammation and innate immunity.
Despite the large number of miR-125 functional studies, little is known about its expression regulation. In malignant myeloid progenitors, miR-125b transcription is activated by the homeobox transcription factor CBX2, which is aberrantly expressed in leukemia  while in macrophages, the miR-125b primary transcript is transcriptionally controlled by NFκB and the AKT pathway .
In conclusion, these data indicate that the oncogenic miR-125b is a suitable therapeutic target in leukemia.
3.3. The miR-155
To date, miR-155 is one of the most relevant and well-characterized miRNAs of the immune system and is emerging as critical element for the fine-tuning of the inflammatory response. Analysis of the genomic organization of the miR-155 locus showed that the mature sequence of this miRNA is embedded in the third exon of a host gene primary transcript (miR-155HG), also referred to as B-cell integration cluster (BIC). During the inflammatory response, in both myeloid and lymphoid cells, the regulation of BIC/miR-155 expression is under the control of different transcription factors, such as NFκB and AP-1, that induce BIC transcription, or STAT3 and AKT, that appear to down-regulate BIC transcriptional activity [94–96]. Also the post-transcriptional regulation of miR-155 biogenesis has emerged to be very relevant for the modulation of BIC/miR-155 expression levels during the inflammatory response [43,97].
The deregulation of miR-155 expression contributes to leukemia and lymphoma development by affecting proliferation and survival of leukemia cells [43,98]. In mice models, the deregulation of miR-155 expression in B cell indeed causes acute lymphoblastic leukemia and high-grade lymphomas [43,99] whereas in myeloid cells it is associated with myeloproliferative disorders . More recently, analysis of miR-155 expression revealed that a high level of miR-155 is associated with a lower complete response (CR) and a worse survival in patients with cytogenetically normal acute myeloid leukemia (CN-AML) . In addition, high levels of miR-155 were also detected in newly diagnosed CN-AML carrying the FLT3-internal tandem duplications (FLT3-ITD) that predict an unfavorable outcome . Thus, the inhibition of miR-155 expression has been recently proposed as a promising therapeutic strategy for the treatment of patients with CN-AML . In this direction, many efforts have been made in the last years to identify the contribution of the miR-155-regulated pathways to the development of myeloid and lymphoid malignancies.
In myeloid cells, it was shown using different methodological approaches, that miR-155 can directly repress several genes such as BACH1, SLA, CUTL1, CSF1R, JARID2, CEBPβ, PU.1, ARNTl, HIF1α and PICALM relevant for myeloid lineage differentiation or for the establishment of myeloproliferative disorder . In addition, through both gain and loss of function approaches, Src homology-2 domain-containing inositol 5-phosphatase 1 (SHIP1) was also identified as a direct target of miR-155. Of note, specific knockdown of SHIP1 in the hematopoietic system largely recapitulates the myeloproliferative phenotype described in miR-155-expressing mice . More recently, it was evidenced that the transcription factor HOXA9 is able to regulate miR-155 expression and that miR-155 appears to act as a downstream mediator of HOXA9; HOXA9 capacity to induce myeloid colony formation was indeed reduced in miR-155-deficient BM cells .
In lymphoid tissues, where the overexpression of miR-155 results in disseminated lymphoma, characterized by a clonal, transplantable pre-B-cell population of neoplastic lymphocytes , a specific miR-155-dependent down-regulation of SHIP and CEBPβ proteins was observed in leukemic pre-B lymphocytes; this results in a block of B cell differentiation and might also induce a reactive proliferation of the myeloid lineage . More recently it has been shown that miR-155 suppresses HDAC4 and BCL6 expression during miR-155-dependent leukemogenesis. This inhibition results in the de-repression of some of the known BCL6 targets like inhibitor of differentiation (ID2), interleukin-6 (IL6), c-Myc, Cyclin D1, and MIP1α/CCL3, all of which may block B cell development at an immature B-cell stage of differentiation and induce uncontrolled cell proliferation .
Of note, recent results show that the in vivo systemic delivery of miR-155 antisense, encapsulated in unique polymer nanoparticles, or LNA-anti-miR-155 slows the growth of pre-B-cell tumours or inhibits tumour growth in a mouse xenograft model of a low-grade lymphoproliferative disorder, respectively [104,106]. All these findings strongly suggest that miR-155 inhibition may represent a promising therapeutic option for leukemia and lymphoma.
3.4. The miR-196b
miR-196b is located in a highly evolutionarily conserved region between the HOXA9 and HOXA10 genes on chromosome 7p15.2. During hematopoiesis, expression of HOX genes is tightly regulated . The Mixed Lineage Leukemia (MLL) factor regulates HOX gene expression by binding to their promoters and providing a gene activation mark on the targeted chromatin [108,109]. Interestingly, the HOXA cluster genes, and especially HOXA4, HOXA5, HOXA9 and HOXA10, are also over-expressed in the MLL-rearranged leukemia cells [110,111].
During hematopoietic differentiation, miR-196b expression is high in the short-term hematopoietic stem cells (ST-HSC) and decreases as cells become more differentiated. The miR-196b expression follows the expression pattern of the surrounding genes and depends on the MLL factor as well as its dramatic overexpression in leukemia cells by the oncogenic MLL fusion proteins . While miR-196b over-expression increases proliferation and survival, and also partially blocks differentiation of normal bone marrow hematopoietic progenitor cells, the treatment of MLL-AF9 transformed bone marrow cells with miR-196 antagomir significantly compromises their replating potential . More recent findings also support the oncogenetic role of miR-196b in MLL-rearranged leukemia suggesting that miR-196b could contribute to the unfavorable prognosis of MLL-rearranged leukemia by repressing simultaneously the expression of both oncogenic (HOXA9/MEIS1) and tumour-suppressor (FAS) target genes .
Moreover, a recent study also reported that the high expression of miR-196b is not only restricted to MLL-rearranged leukemia but can also be found in other types of leukemia with aberrant activation of HOXA genes suggesting a potential role for miR-196b in the tumourigenesis of all HOXA-activated leukemias .
4. miRNA Pathways and Drug Response Efficacy
In recent years many efforts have been made to disclose the molecular processes at the basis of the therapeutic drug response to optimize the efficacy of treatment and to improve the clinical outcomes of hematological malignancies. Different miRNAs are described as reliable biomarkers for risk-stratification and management of leukemia . Moreover, miRNAs involved in the anti-neoplastic drug responses are emerging and the modulation of their expression is becoming a possible central tool to improve the efficacy of current therapeutic protocols.
Cytarabine (or Cytosine Arabinoside), also known as Ara-C, is one of the most commonly used drugs in the treatment of AML. Ara-C-induced drug resistance is associated with down-regulation of miR-181a levels in leukemia cells. On the contrary, enforced miR-181a expression may regulate the death of Ara-C-resistant leukemia cells by targeting caspase-dependent cell death through BCL-2 expression and causing subsequent changes in the apoptosis pathway . Moreover, the ectopic expression of miR-32 in AML cells, resulting in a down-regulation of the pro-apoptotic protein BIM, increases the differentiation response to 1,25-Dihydroxyvitamin D3 and cell survival. Interestingly, the inhibition of miR-32 expression is sufficient to elevate BIM expression and sensitize AML cells to Ara-C-induced apoptosis .
Decitabine (5-aza-2′-deoxycytidine) and 5-azacitidine are cytosine nucleoside analogs that, when incorporated into DNA sequence, form irreversible covalent bonds with DNA methyltransferases (DNMTs) resulting in the hypomethylation of DNA . miR-29b, which negatively modulates the expression of genes encoding the transcriptional activator Sp1 and DNA methyltransferases (DNMT1, DNMT3A and DNMT3B), as described above, is down-regulated in AML. Of note, it was recently reported that low pretreatment levels of miR-29b in leukemia cells might be associated with worse prognosis and inferior response to the hypomethylating agent decitabine in AML patients . The up-regulation of miR-29b levels and the resulting reduction of known miR-29b targets, after the sequential administration of a specific histone deacetylase (HDAC) inhibitor followed by decitabine, caused a stronger anti-leukemic activity of the combined treatment in vitro and in vivo. These results open up a novel epigenetic-targeting approach for acute myeloid leukemia . Similar results were obtained by using a novel transferrin-conjugated nanoparticle delivery system for synthetic expression of miR-29b (Tf-NP-miR-29b) in AML cells. The miR-29b induction results in a decreased AML cell growth and impairment of colony formation. Moreover, mice engrafted with AML cells and then treated with Tf-NP-miR-29b had significantly longer survival compared with the Tf-NP-scramble-treated group. Of note, the combined treatment of Tf-NP-miR-29 plus decitabine showed an improvement in the survival of the leukemic mice compared with decitabine alone . Moreover the expression of miR-29b in MM targets DNMT3A and DNMT3B and reduces global DNA methylation. In vitro transfection of synthetic miR-29b mimics in MM cells promoted apoptosis and cell cycle perturbations and potentiated the growth-inhibitory effects of the DNMT inhibitor 5-azacitidine, suggesting new strategies based on the combination of DNA-demethylating agents and miRNAs in the treatment of MM .
Imatinib has revolutionized the clinical treatment of CML by inhibiting the tyrosine kinase activity of the fusion protein BCR-ABL and thereby causing tumor cell death. Emergence of resistance to Imatinib has become a significant clinical problem. In CML, miR-203 was silenced in human BCR-ABL-positive cells through hypermethylation of its promoter. Interestingly, ABL is one of the miR-203 targets and re-expression of miR-203 dramatically reduces the proliferation of tumor cells in an ABL1-dependent manner. . Drugs that inhibit DNA methylation, such as 5-azacytidine and 4-phenylbutyrate, could reverse the hypermethylated state of the miR-203 promoter and restore miR-203 expression with consequent reduction in BCR-ABL levels . This has therapeutic implications, as currently available demethylating epigenetic drugs, such as decitabine, may represent a valid alternative to CML patients who develop resistance to tyrosine kinase Inhibitors . It has been also shown that Imatinib itself induces a demethylation of the miR-203 promoter, resulting in low expression of targeted BCR-ABL and loss of proliferation of leukemic cells. These results highlight demethylation of miR-203 as one of the molecular mechanisms of Imatinib-induced inhibition of BCR-ABL-positive leukemic cells .
In addition to the use of miRNAs as prognostic markers it is very likely that we will see the development of new therapeutic options based on miRNAs in the clinic in the near future. Recent advances in the field demonstrated the feasibility of manipulating miRNA expression levels as a potential therapeutic strategy for cancer . However, it is important to point out that the oncogenic or oncosuppressor activity of specific miRNAs might strictly depend on the cellular context. Therefore, before moving to the clinic it will be critical to fully understand the function of specific miRNAs that constitute therapeutic targets. Hopefully, by controlling the action of these micro-cell conductors in the right time and in the right place we will be able to affect the type of music that cells play and prevent them from playing “out of tune”.
Finally, even if at the present miRNAs are the most studied regulative non-coding RNAs, other classes of non-coding RNAs, such as long non-coding RNAs (lncRNAs), appear to play a significant role in the regulation of gene expression programmes that occurs in higher eukaryotes . The study of these ncRNAs in cancer is still in its infancy, but important new developments are expected in this field. Therefore, a major objective for future studies will be to re-evaluate and re-design established regulative molecular circuitries in light of the contribution of this complex class of non-coding transcripts.
|Table 1. Oncogenic and oncosuppressor microRNAs in hematological malignancies.|
|miR-17-92||Lymphomas||OG||E2Fs, PTEN, BIM, PHLP2||[14–17]|
|AML||OG||EGR2, BIM, P21||[19–22]|
|AML||OS||DNMT3A, DNMT3B, SP1, MCL1||[27–29]|
|B-CLL||OS/OG||HBP1, TCL1, PXDN||[26,30]|
|miR-125||AML and ALL||OG||CBFB, ABTB1, BAK1, PTPN18, PTPN7, PP1CA, PP2CA, LIN28||[35–40]|
|miR-155||Lymphomas and ALL||OG||SHIP, CEBPβ, HDAC4, BCL6||[43–45]|
|AML||OG||BACH1, SLA, CUTL1, CSF1R, JARID2, CEBPβ, PU.1, ARNT1, HIF1A, PICALM|||
AML, acute myeloid leukemia; ALL, acute lymphoblastic leukemia; B, B-cell; CLL, chronic lymphocytic leukemia; CML, chronic myeloid leukemia; MDS, myelodysplastic syndromes; OG, oncogene; OS, oncosuppressor; T, T-cell.
We acknowledge support from: FP7-PEOPLE-2011-ITN Project HemID (289611), AIRC (4841) and Sapienza University of Rome.
Conflicts of Interest
The authors declare no conflict of interest.
- Bartel, D.P. MicroRNAs: Target recognition and regulatory functions. Cell 2009, 136, 215–233. [Google Scholar]
- Kim, V.N. MicroRNA biogenesis: Coordinated cropping and dicing. Nat. Rev. Mol. Cell Biol 2005, 6, 376–385. [Google Scholar]
- Kim, V.N.; Han, J.; Siomi, M.C. Biogenesis of small RNAs in animals. Nat. Rev. Mol. Cell Biol 2009, 10, 126–139. [Google Scholar]
- Sun, K.; Lai, E.C. Adult-specific functions of animal microRNAs. Nat. Rev. Genet 2013, 14, 535–548. [Google Scholar]
- Tenen, D.G. Disruption of differentiation in human cancer: AML shows the way. Nat. Rev. Cancer 2003, 3, 89–101. [Google Scholar]
- Lujambio, A.; Lowe, S.W. The microcosmos of cancer. Nature 2012, 482, 347–355. [Google Scholar]
- Iwasaki, H.; Akashi, K. Hematopoietic developmental pathways: On cellular basis. Oncogene 2007, 26, 6687–6696. [Google Scholar]
- Doulatov, S.; Notta, F.; Laurenti, E.; Dick, J.E. Hematopoiesis: A human perspective. Cell Stem Cell 2012, 10, 120–136. [Google Scholar]
- Rosenbauer, F.; Tenen, D.G. Transcription factors in myeloid development: Balancing differentiation with transformation. Nat. Rev. Immunol 2007, 7, 105–117. [Google Scholar]
- Ebert, M.S.; Sharp, P.A. Roles for microRNAs in conferring robustness to biological processes. Cell 2012, 149, 515–524. [Google Scholar]
- Baltimore, D.; Boldin, M.P.; O’Connell, R.M.; Rao, D.S.; Taganov, K.D. MicroRNAs: New regulators of immune cell development and function. Nat. Immunol 2008, 9, 839–845. [Google Scholar]
- O’Connell, R.M.; Rao, D.S.; Chaudhuri, A.A.; Baltimore, D. Physiological and pathological roles for microRNAs in the immune system. Nat. Rev. Immunol 2010, 10, 111–122. [Google Scholar]
- Calin, G.A.; Sevignani, C.; Dumitru, C.D.; Hyslop, T.; Noch, E.; Yendamuri, S.; Shimizu, M.; Rattan, S.; Bullrich, F.; Negrini, M.; et al. Human microRNA genes are frequently located at fragile sites and genomic regions involved in cancers. Proc. Natl. Acad. Sci. USA 2004, 101, 2999–3004. [Google Scholar]
- Ota, A.; Tagawa, H.; Karnan, S.; Tsuzuki, S.; Karpas, A.; Kira, S.; Yoshida, Y.; Seto, M. Identification and characterization of a novel gene, C13orf25, as a target for 13q31–q32 amplification in malignant lymphoma. Cancer Res 2004, 64, 3087–3095. [Google Scholar]
- He, L.; Thomson, J.M.; Hemann, M.T.; Hernando-Monge, E.; Mu, D.; Goodson, S.; Powers, S.; Cordon-Cardo, C.; Lowe, S.W.; Hannon, G.J.; et al. A microRNA polycistron as a potential human oncogene. Nature 2005, 435, 828–833. [Google Scholar]
- Mu, P.; Han, Y.C.; Betel, D.; Yao, E.; Squatrito, M.; Ogrodowski, P.; de Stanchina, E.; D’Andrea, A.; Sander, C.; Ventura, A. Genetic dissection of the miR-17-92 cluster of microRNAs in Myc-induced B-cell lymphomas. Genes Dev 2009, 23, 2806–2811. [Google Scholar]
- Xiao, C.; Srinivasan, L.; Calado, D.P.; Patterson, H.C.; Zhang, B.; Wang, J.; Henderson, J.M.; Kutok, J.L.; Rajewsky, K. Lymphoproliferative disease and autoimmunity in mice with increased miR-17-92 expression in lymphocytes. Nat. Immunol 2008, 9, 405–414. [Google Scholar]
- Mavrakis, K.J.; Wolfe, A.L.; Oricchio, E.; Palomero, T.; de Keersmaecker, K.; McJunkin, K.; Zuber, J.; James, T.; Khan, A.A.; Leslie, C.S.; et al. Genome-wide RNA-mediated interference screen identifies miR-19 targets in Notch-induced T-cell acute lymphoblastic leukemia. Nat. Cell Biol 2010, 12, 372–379. [Google Scholar]
- Pospisil, V.; Vargova, K.; Kokavec, J.; Rybarova, J.; Savvulidi, F.; Jonasova, A.; Necas, E.; Zavadil, J.; Laslo, P.; Stopka, T. Epigenetic silencing of the oncogenic miR-17-92 cluster during PU.1-directed macrophage differentiation. EMBO J 2011, 30, 4450–4464. [Google Scholar]
- Fontana, L.; Pelosi, E.; Greco, P.; Racanicchi, S.; Testa, U.; Liuzzi, F.; Croce, C.M.; Brunetti, E.; Grignani, F.; Peschle, C. MicroRNAs 17-5p-20a-106a control monocytopoiesis through AML1 targeting and M-CSF receptor upregulation. Nat. Cell. Biol 2007, 9, 775–787. [Google Scholar]
- Salmanidis, M.; Brumatti, G.; Narayan, N.; Green, B.D.; van den Bergen, J.A.; Sandow, J.J.; Bert, A.G.; Silke, N.; Sladic, R.; Puthalakath, H.; et al. Hoxb8 regulates expression of microRNAs to control cell death and differentiation. Cell Death Differ 2013, 20, 1370–1380. [Google Scholar]
- Ivanovska, I.; Ball, A.S.; Diaz, R.L.; Magnus, J.F.; Kibukawa, M.; Schelter, J.M.; Kobayashi, S.V.; Lim, L.; Burchard, J.; Jackson, A.L.; et al. MicroRNAs in the miR-106b family regulate p21/CDKN1A and promote cell cycle progression. Mol. Cell. Biol 2008, 28, 2167–2174. [Google Scholar]
- Sander, S.; Bullinger, L.; Klapproth, K.; Fiedler, K.; Kestler, H.A.; Barth, T.F.; Möller, P.; Stilgenbauer, S.; Pollack, J.R.; Wirth, T. MYC stimulates EZH2 expression by repression of its negative regulator miR-26a. Blood 2008, 112, 4202–4212. [Google Scholar]
- Salvatori, B.; Iosue, I.; Mangiavacchi, A.; Loddo, G.; Padula, F.; Chiaretti, S.; Peragine, N.; Bozzoni, I.; Fazi, F.; Fatica, A. The microRNA-26a target E2F7 sustains cell proliferation and inhibits monocytic differentiation of acute myeloid leukemia cells. Cell Death Dis 2012, 3, e413. [Google Scholar]
- Mavrakis, K.J.; van der Meulen, J.; Wolfe, A.L.; Liu, X.; Mets, E.; Taghon, T.; Khan, A.A.; Setty, M.; Rondou, P.; Vandenberghe, P.; et al. A cooperative microRNA-tumour suppressor gene network in acute T-cell lymphoblastic leukemia (T-ALL). Nat. Genet 2011, 43, 673–678. [Google Scholar]
- Zhao, J.J.; Lin, J.; Lwin, T.; Yang, H.; Guo, J.; Kong, W.; Dessureault, S.; Moscinski, L.C.; Rezania, D.; Dalton, W.S.; et al. microRNA expression profile and identification of miR-29 as a prognostic marker and pathogenetic factor by targeting CDK6 in mantle cell lymphoma. Blood 2010, 115, 2630–2639. [Google Scholar]
- Garzon, R.; Liu, S.; Fabbri, M.; Liu, Z.; Heaphy, C.E.; Callegari, E.; Schwind, S.; Pang, J.; Yu, J.; Muthusamy, N.; et al. MicroRNA-29b induces global DNA hypomethylation and tumour suppressor gene reexpression in acute myeloid leukemia by targeting directly DNMT3A and 3B and indirectly DNMT1. Blood 2009, 113, 6411–6418. [Google Scholar]
- Garzon, R.; Heaphy, C.E.; Havelange, V.; Fabbri, M.; Volinia, S.; Tsao, T.; Zanesi, N.; Kornblau, S.M.; Marcucci, G.; Calin, G.A.; et al. MicroRNA 29b functions in acute myeloid leukemia. Blood 2009, 114, 5331–5341. [Google Scholar]
- Zhang, Y.K.; Wang, H.; Leng, Y.; Li, Z.L.; Yang, Y.F.; Xiao, F.J.; Li, Q.F.; Chen, X.Q.; Wang, L.S. Overexpression of microRNA-29b induces apoptosis of multiple myeloma cells through down regulating Mcl-1. Biochem. Biophys. Res. Commun 2011, 414, 233–239. [Google Scholar]
- Liu, S.; Wu, L.C.; Pang, J.; Santhanam, R.; Schwind, S.; Wu, Y.Z.; Hickey, C.J.; Yu, J.; Becker, H.; Maharry, K.; et al. Sp1/NFkappaB/HDAC/miR-29b regulatory network in KIT-driven myeloid leukemia. Cancer Cell 2010, 17, 333–347. [Google Scholar]
- Pigazzi, M.; Manara, E.; Baron, E.; Basso, G. miR-34b targets cyclic AMP-responsive element binding protein in acute myeloid leukemia. Cancer Res 2009, 69, 2471–2478. [Google Scholar]
- Pulikkan, J.A.; Peramangalam, P.S.; Dengler, V.; Ho, P.A.; Preudhomme, C.; Meshinchi, S.; Christopeit, M.; Nibourel, O.; Müller-Tidow, C.; Bohlander, S.K.; et al. C/EBPα regulated microRNA-34a targets E2F3 during granulopoiesis and is down-regulated in AML with CEBPA mutations. Blood 2010, 116, 5638–5649. [Google Scholar]
- Cardinaud, B.; Moreilhon, C.; Marcet, B.; Robbe-Sermesant, K.; LeBrigand, K.; Mari, B.; Eclache, V.; Cymbalista, F.; Raynaud, S.; Barbry, P. miR-34b/miR-34c: A regulator of TCL1 expression in 11q-chronic lymphocytic leukemia? Leukemia 2009, 23, 2174–2177. [Google Scholar]
- Audrito, V.; Vaisitti, T.; Rossi, D.; Gottardi, D.; D’Arena, G.; Laurenti, L.; Gaidano, G.; Malavasi, F.; Deaglio, S. Nicotinamide blocks proliferation and induces apoptosis ofchronic lymphocytic leukemia cells through activation of the p53/miR-34a/SIRT1 tumour suppressor network. Cancer Res 2011, 71, 4473–4483. [Google Scholar]
- Surdziel, E.; Cabanski, M.; Dallmann, I.; Lyszkiewicz, M.; Krueger, A.; Ganser, A.; Scherr, M.; Eder, M. Enforced expression of miR-125b affects myelopoiesis by targeting multiple signaling pathways. Blood 2011, 117, 4338–4348. [Google Scholar]
- Bousquet, M.; Harris, M.H.; Zhou, B.; Lodish, H.F. MicroRNA miR-125b causes leukemia. Proc. Natl. Acad. Sci. USA 2010, 107, 21558–21563. [Google Scholar]
- O’Connell, R.M.; Chaudhuri, A.A.; Rao, D.S.; Gibson, W.S.; Balazs, A.B.; Baltimore, D. MicroRNAs enriched in hematopoietic stem cells differentially regulate long-term hematopoietic output. Proc. Natl. Acad. Sci. USA 2010, 107, 14235–14240. [Google Scholar]
- Chaudhuri, A.A.; So, A.Y.; Mehta, A.; Minisandram, A.; Sinha, N.; Jonsson, V.D.; Rao, D.S.; O’Connell, R.M.; Baltimore, D. Oncomir miR-125b regulates hematopoiesis by targeting the gene Lin28A. Proc. Natl. Acad. Sci. USA 2012, 109, 4233–4238. [Google Scholar]
- Guo, S.; Bai, H.; Megyola, C.M.; Halene, S.; Krause, D.S.; Scadden, D.T.; Lu, J. Complex oncogene dependence in microRNA-125a-induced myeloproliferative neoplasms. Proc. Natl. Acad. Sci. USA 2012, 109, 16636–16641. [Google Scholar]
- Zhong, X.; Li, N.; Liang, S.; Huang, Q.; Coukos, G.; Zhang, L. Identification of microRNAs regulating reprogramming factor LIN28 in embryonic stem cells and cancer cells. J. Biol. Chem 2010, 285, 41961–41971. [Google Scholar]
- Boldin, M.P.; Taganov, K.D.; Rao, D.S.; Yang, L.; Zhao, J.L.; Kalwani, M.; Garcia-Flores, Y.; Luong, M.; Devrekanli, A.; Xu, J.; et al. miR-146a is a significant brake on autoimmunity, myeloproliferation, and cancer in mice. J. Exp. Med 2011, 208, 1189–1201. [Google Scholar]
- Zhao, J.L.; Rao, D.S.; Boldin, M.P.; Taganov, K.D.; O’Connell, R.M.; Baltimore, D. NF-kappaB dysregulation in microRNA-146a-deficient mice drives the development of myeloid malignancies. Proc. Natl. Acad. Sci. USA 2011, 108, 9184–9189. [Google Scholar]
- Kluiver, J.; Poppema, S.; de Jong, D.; Blokzijl, T.; Harms, G.; Jacobs, S.; Kroesen, B.J.; van den Berg, A. BIC and miR-155 are highly expressed in Hodgkin, primary mediastinal and diffuse large B cell lymphomas. J. Pathol 2005, 207, 243–249. [Google Scholar]
- Sandhu, S.K.; Volinia, S.; Costinean, S.; Galasso, M.; Neinast, R.; Santhanam, R.; Parthun, M.R.; Perrotti, D.; Marcucci, G.; Garzon, R.; et al. miR-155 targets histone deacetylase 4 (HDAC4) and impairs transcriptional activity of B-cell lymphoma 6 (BCL6) in the Eμ-miR-155 transgenic mouse model. Proc. Natl. Acad. Sci. USA 2012, 109, 20047–20052. [Google Scholar]
- O’Connell, R.M.; Chaudhuri, A.A.; Rao, D.S.; Baltimore, D. Inositol phosphatase SHIP1 is a primary target of miR-155. Proc. Natl. Acad. Sci. USA 2009, 106, 7113–7118. [Google Scholar]
- Marcucci, G.; Maharry, K.S.; Metzeler, K.H.; Volinia, S.; Wu, Y.Z.; Mrózek, K.; Nicolet, D.; Kohlschmidt, J.; Whitman, S.P.; Mendler, J.H; et al. Clinical Role of microRNAs in cytogenetically normal acute myeloid leukemia: miR-155 upregulation independently identifies high-risk patients. J. Clin. Oncol 2013, 31, 2086–2093. [Google Scholar]
- Fazi, F.; Rosa, A.; Fatica, A.; Gelmetti, V.; de Marchis, M.L.; Nervi, C.; Bozzoni, I. A minicircuitry comprised of microRNA-223 and transcription factors NFI-A and C/EBPalpha regulates human granulopoiesis. Cell 2005, 123, 819–831. [Google Scholar]
- Pulikkan, J.A.; Dengler, V.; Peramangalam, P.S.; Peer Zada, A.A.; Müller-Tidow, C.; Bohlander, S.K.; Tenen, D.G.; Behre, G. Cell-cycle regulator E2F1 and microRNA-223 comprise an autoregulatory negative feedback loop in acute myeloid leukemia. Blood 2010, 115, 1768–1778. [Google Scholar]
- Mansour, M.R.; Sanda, T.; Lawton, L.N.; Li, X.; Kreslavsky, T.; Novina, C.D.; Brand, M.; Gutierrez, A.; Kelliher, M.A.; Jamieson, C.H.; et al. The TAL1 complex targets the FBXW7 tumour suppressor by activating miR-223 in human T cell acute lymphoblastic leukemia. J. Exp. Med 2013, 210, 1545–1557. [Google Scholar]
- Eiring, A.M.; Harb, J.G.; Neviani, P.; Garton, C.; Oaks, J.J.; Spizzo, R.; Liu, S.; Schwind, S.; Santhanam, R.; Hickey, C.J.; et al. miR-328 functions as an RNA decoy to modulate hnRNP E2 regulation of mRNA translation in leukemic blasts. Cell 2010, 140, 652–665. [Google Scholar]
- Hoffman, B.; Amanullah, A.; Shafarenko, M.; Liebermann, D.A. The proto-oncogene c-myc in hematopoietic development and leukemogenesis. Oncogene 2002, 21, 3414–3421. [Google Scholar]
- Chang, T.C.; Yu, D.; Lee, Y.S.; Wentzel, E.A.; Arking, D.E.; West, K.M.; Dang, C.V.; Thomas-Tikhonenko, A.; Mendell, J.T. Widespread microRNA repression by Myc contributes to tumourigenesis. Nat. Genet 2008, 40, 43–50. [Google Scholar]
- Harris, A.W.; Pinkert, C.A.; Crawford, M.; Langdon, W.Y.; Brinster, R.L.; Adams, J.M. The Eμ-Myc transgenic mouse: A model for high-incidence spontaneous lymphoma and leukemia of early B cells. J. Exp. Med 1988, 167, 353–371. [Google Scholar]
- Luo, H.; O’Neal, J.; Kreisel, F.; Le Beau, M.M.; Tomasson, M.H. c-Myc rapidly induces acute myeloid leukemia in mice without evidence of lymphoma-associated antiapoptotic mutations. Blood 2005, 106, 2542–2561. [Google Scholar]
- Salvatori, B.; Iosue, I.; Djodji Damas, N.; Mangiavacchi, A.; Chiaretti, S.; Messina, M.; Padula, F.; Guarini, A.; Bozzoni, I.; Fazi, F.; et al. Critical role of c-Myc in acute myeloid leukemia involving direct regulation of miR-26a and histone methyltransferase EZH2. Genes Cancer 2011, 2, 585–592. [Google Scholar]
- Zhao, X.; Lwin, T.; Zhang, X.; Huang, A.; Wang, J.; Marquez, V.E.; Chen-Kiang, S.; Dalton, W.S.; Sotomayor, E.; Tao, J. Disruption of the MYC-miRNA-EZH2 loop to suppress aggressive B-cell lymphoma survival and clonogenicity. Leukemia 2013. [Google Scholar] [CrossRef]
- Cao, R.; Zhang, Y. The functions of E(Z)/EZH2-mediated methylation of lysine 27 in histone H3. Curr. Opin. Genet. Dev 2004, 14, 155–164. [Google Scholar]
- Zhu, Y.; Lu, Y.; Zhang, Q.; Liu, J.J.; Li, T.J.; Yang, J.R.; Zeng, C.; Zhuang, S.M. MicroRNA-26a/b and their host genes cooperate to inhibit the G1/S transition by activating the pRb protein. Nucleic Acids Res 2012, 40, 4615–4625. [Google Scholar]
- Zheng, Y.S.; Zhang, H.; Zhang, X.J.; Feng, D.D.; Luo, X.Q.; Zeng, C.W.; Lin, K.Y.; Zhou, H.; Qu, L.H.; Zhang, P.; et al. miR-100 regulates cell differentiation and survival by targeting RBSP3, a phosphatase-like tumour suppressor in acute myeloid leukemia. Oncogene 2012, 31, 80–92. [Google Scholar]
- Kota, J.; Chivukula, R.R.; O’Donnell, K.A.; Wentzel, E.A.; Montgomery, C.L.; Hwang, H.W.; Vivekanandan, P.; Torbenson, M.; Clark, K.R.; Mendell, J.R.; et al. Therapeutic microRNA delivery suppresses tumourigenesis in a murine liver cancer model. Cell 2009, 137, 1005–1017. [Google Scholar]
- Kim, H.; Huang, W.; Jiang, X.; Pennicooke, B.; Park, P.J.; Johnson, M.D. Integrative genome analysis reveals an oncomir/oncogene cluster regulating glioblastoma survivorship. Proc. Natl. Acad. Sci. USA 2010, 107, 2183–2188. [Google Scholar]
- Wang, X.S.; Gong, J.N.; Yu, J.; Wang, F.; Zhang, X.H.; Yin, X.L.; Tan, Z.Q.; Luo, Z.M.; Yang, G.H.; Shen, C.; et al. MicroRNA-29a and microRNA-142-3p are regulators of myeloid differentiation and acute myeloid leukemia. Blood 2012, 119, 4992–5004. [Google Scholar]
- Han, Y.C.; Park, C.Y.; Bhagat, G.; Zhang, J.; Wang, Y.; Fan, J.B.; Liu, M.; Zou, Y.; Weissman, I.L.; Gu, H. MicroRNA-29a induces aberrant self-renewal capacity in hematopoietic progenitors, biased myeloid development, and acute myeloid leukemia. J. Exp. Med 2010, 207, 475–489. [Google Scholar]
- Sampath, D.; Liu, C.; Vasan, K.; Sulda, M.; Puduvalli, V.K.; Wierda, W.G.; Keating, M.J. Histone deacetylases mediate the silencing of miR-15a, miR-16, and miR-29b in chronic lymphocytic leukemia. Blood 2012, 119, 1162–1172. [Google Scholar]
- Pekarsky, Y.; Santanam, U.; Cimmino, A.; Palamarchuk, A.; Efanov, A.; Maximov, V.; Volinia, S.; Alder, H.; Liu, C.G.; Rassenti, L; et al. Tcl1 expression in chronic lymphocytic leukemia is regulated by miR-29 and miR-181. Cancer Res 2006, 66, 11590–11593. [Google Scholar]
- Santanam, U.; Zanesi, N.; Efanov, A.; Costinean, S.; Palamarchuk, A.; Hagan, J.P.; Volinia, S.; Alder, H.; Rassenti, L.; Kipps, T.; et al. Chronic lymphocytic leukemia modeled in mouse by targeted miR-29 expression. Proc. Natl. Acad. Sci. USA 2010, 107, 12210–12215. [Google Scholar]
- Ciafrè, S.A.; Galardi, S. MicroRNAs and RNA-binding proteins: A complex network of interactions and reciprocal regulations in cancer. RNA Biol 2013, 10, 935–943. [Google Scholar]
- Zhang, X.; Zhao, X.; Fiskus, W.; Lin, J.; Lwin, T.; Rao, R.; Zhang, Y.; Chan, J.C.; Fu, K.; Marquez, V.E.; et al. Coordinated silencing of MYC-mediated miR-29 by HDAC3 and EZH2 as a therapeutic target of histone modification in aggressive B-Cell lymphomas. Cancer Cell 2012, 22, 506–523. [Google Scholar]
- Chim, C.S.; Wong, K.Y.; Qi, Y.; Loong, F.; Lam, W.L.; Wong, L.G.; Jin, D.Y.; Costello, J.F.; Liang, R. Epigenetic inactivation of the miR-34a in hematological malignancies. Carcinogenesis 2010, 31, 745–750. [Google Scholar]
- Hermeking, H. The miR-34 family in cancer and apoptosis. Cell Death Differ 2010, 17, 193–199. [Google Scholar]
- Dufour, A.; Palermo, G.; Zellmeier, E.; Mellert, G.; Duchateau-Nguyen, G.; Schneider, S.; Benthaus, T.; Kakadia, P.M.; Spiekermann, K.; Hiddemann, W.; et al. Inactivation of TP53 correlates with disease progression and low miR-34a expression in previously treated chronic lymphocytic leukemia patients. Blood 2013, 121, 3650–3657. [Google Scholar]
- Zenz, T.; Mohr, J.; Eldering, E.; Kater, A.P.; Bühler, A.; Kienle, D.; Winkler, D.; Dürig, J.; van Oers, M.H.; Mertens, D.; et al. miR-34a as part of the resistance network in chronic lymphocytic leukemia. Blood 2009, 113, 3801–3808. [Google Scholar]
- Pramanik, D.; Campbell, N.R.; Karikari, C.; Chivukula, R.; Kent, O.A.; Mendell, T.; Maitra, A. Restitution of tumour suppressor microRNAs using a systemic nanovector inhibits pancreatic cancer growth in mice. Mol. Cancer Ther 2011, 10, 1470–1480. [Google Scholar]
- Liu, C.; Kelnar, K.; Liu, B.; Chen, X.; Calhoun-Davis, T.; Li, H.; Patrawala, L.; Yan, H.; Jeter, C.; Honorio, S.; et al. The microRNA miR-34a inhibits prostate cancer stem cells and metastasis by directly repressing CD44. Nat. Med 2011, 17, 211–215. [Google Scholar]
- Trang, P.; Wiggins, J.F.; Daige, C.L.; Cho, C.; Omotola, M.; Brown, D.; Weidhaas, J.B.; Bader, A.G.; Slack, F.J. Systemic delivery of tumour suppressor microRNA mimics using a neutral lipid emulsion inhibits lung tumours in mice. Mol. Ther 2011, 19, 1116–1122. [Google Scholar]
- Ghani, S.; Riemke, P.; Schönheit, J.; Lenze, D.; Stumm, J.; Hoogenkamp, M.; Lagendijk, A.; Heinz, S.; Bonifer, C.; Bakkers, J.; et al. Macrophage development from HSCs requires PU.1-coordinated microRNA expression. Blood 2011, 118, 2275–2284. [Google Scholar]
- Curtale, G.; Citarella, F.; Carissimi, C.; Goldoni, M.; Carucci, N.; Fulci, V.; Franceschini, D.; Meloni, F.; Barnaba, V.; Macino, G. An emerging player in the adaptive immune response: microRNA-146a is a modulator of IL-2 expression and activation-induced cell death in T lymphocytes. Blood 2010, 115, 265–273. [Google Scholar]
- Garcia, A.I.; Buisson, M.; Bertrand, P.; Rimokh, R.; Rouleau, E.; Lopez, B.S.; Lidereau, R.; Mikaélian, I.; Mazoyer, S. Down-regulation of BRCA1 expression by miR-146a and miR-146b-5p in triple negative sporadic breast cancers. EMBO Mol. Med 2011, 3, 279–290. [Google Scholar]
- So, A.Y.; Zhao, J.L.; Baltimore, D. The Yin and Yang of microRNAs: Leukemia and immunity. Immunol. Rev 2013, 253, 129–145. [Google Scholar]
- Starnes, L.M.; Sorrentino, A.; Pelosi, E.; Ballarino, M.; Morsilli, O.; Biffoni, M.; Santoro, S.; Felli, N.; Castelli, G.; de Marchis, M.L.; et al. NFI-A directs the fate of hematopoietic progenitors to the erythroid or granulocytic lineage and controls beta-globin and G-CSF receptor expression. Blood 2009, 114, 1753–1763. [Google Scholar]
- Zardo, G.; Ciolfi, A.; Vian, L.; Starnes, L.M.; Billi, M.; Racanicchi, S.; Maresca, C.; Fazi, F.; Travaglini, L.; Noguera, N.; et al. Polycombs and microRNA-223 regulate human granulopoiesis by transcriptional control of target gene expression. Blood 2007, 119, 4034–4046. [Google Scholar]
- Fazi, F.; Racanicchi, S.; Zardo, G.; Starnes, L.M.; Mancini, M.; Travaglini, L.; Diverio, D.; Ammatuna, E.; Cimino, G.; Lo-Coco, F.; et al. Epigenetic silencing of the myelopoiesis regulator microRNA-223 by the AML1/ETO oncoprotein. Cancer Cell 2007, 12, 457–466. [Google Scholar]
- Concepcion, C.P.; Bonetti, C.; Ventura, A. The microRNA-17-92 family of microRNA clusters in development and disease. Cancer J 2012, 18, 262–267. [Google Scholar]
- O’Donnell, K.A.; Wentzel, E.A.; Zeller, K.I.; Dang, C.V.; Mendell, J.T. c-Myc-regulated microRNAs modulate E2F1 expression. Nature 2005, 435, 839–843. [Google Scholar]
- Woods, K.; Thomson, J.M.; Hammond, S.M. Direct regulation of an oncogenic micro-RNA cluster by E2F transcription factors. J. Biol. Chem 2007, 282, 2130–2134. [Google Scholar]
- Sylvestre, Y.; de Guire, V.; Querido, E.; Mukhopadhyay, U.K.; Bourdeau, V.; Major, F.; Ferbeyre, G.; Chartrand, P. An E2F/miR-20a autoregulatory feedback loop. J. Biol. Chem 2007, 282, 2135–2143. [Google Scholar]
- Ventura, A.; Young, A.G.; Winslow, M.M.; Lintault, L.; Meissner, A.; Erkeland, S.J.; Newman, J.; Bronson, R.T.; Crowley, D.; Stone, J.R.; et al. Targeted deletion reveals essential and overlapping functions of the miR-17 through 92 family of miRNA clusters. Cell 2008, 132, 875–886. [Google Scholar]
- Rao, E.; Jiang, C.; Ji, M.; Huang, X.; Iqbal, J.; Lenz, G.; Wright, G.; Staudt, L.M.; Zhao, Y.M.; McKeithan, T.W.; et al. The miRNA-17-92 cluster mediates chemoresistance and enhances tumour growth in mantle cell lymphoma via PI3K/AKT pathway activation. Leukemia 2012, 26, 1064–1072. [Google Scholar]
- Li, Z.; Lu, J.; Sun, M.; Mi, S.; Zhang, H.; Luo, R.T.; Chen, P.; Wang, Y.; Yan, M.; Qian, Z.; et al. Distinct microRNA expression profiles in acute myeloid leukemia with common translocations. Proc. Natl. Acad. Sci. USA 2008, 105, 15535–15540. [Google Scholar]
- Wong, P.; Iwasaki, M.; Somervaille, T.C.; Ficara, F.; Carico, C.; Arnold, C.; Chen, C.Z.; Cleary, M.L. The miR-17-92 microRNA polycistron regulates MLL leukemia stem cell potential by modulating p21 expression. Cancer Res 2010, 70, 3833–3842. [Google Scholar]
- Fontana, L.; Fiori, M.E.; Albini, S.; Cifaldi, L.; Giovinazzi, S.; Forloni, M.; Boldrini, R.; Donfrancesco, A.; Federici, V.; Giacomini, P.; et al. Antagomir-17-5p abolishes the growth of therapy-resistant neuroblastoma through p21 and BIM. PLoS One 2008, 3, e2236. [Google Scholar]
- Shaham, L.; Binder, V.; Gefen, N.; Borkhardt, A.; Izraeli, S. miR-125 in normal and malignant hematopoiesis. Leukemia 2012, 26, 2011–2018. [Google Scholar]
- Lin, K.Y.; Zhang, X.; Feng, D.D.; Zhang, H.; Zeng, C.W.; Han, B.W.; Zhou, A.D.; Qu, L.H.; Xu, L.; Chen, Y. miR-125b, a target of CDX2, regulates cell differentiation through repression of the core binding factor in hematopoietic malignancies. J. Biol. Chem 2011, 286, 38253–38263. [Google Scholar]
- Androulidaki, A.; Iliopoulos, D; Arranz, A; Doxaki, C.; Schworer, S.; Zacharioudaki, V.; Margioris, A.N.; Tsichlis, P.N.; Tsatsanis, C. The kinase Akt1 controls macrophage response to lipopolysaccharide by regulating microRNAs. Immunity 2009, 31, 220–231. [Google Scholar]
- O’Connell, R.M.; Taganov, K.D.; Boldin, M.P.; Cheng, G.; Baltimore, D. MicroRNA-155 is induced during the macrophage inflammatory response. Proc. Natl. Acad. Sci. USA 2007, 104, 1604–1609. [Google Scholar]
- Yin, Q.; Wang, X.; McBride, J.; Fewell, C.; Flemington, E. B-cell receptor activation induces BIC/miR-155 expression through a conserved AP-1 element. J. Biol. Chem 2008, 283, 2654–2662. [Google Scholar]
- Ruggiero, T.; Trabucchi, M.; de Santa, F.; Zupo, S.; Harfe, B.D.; McManus, M.T.; Rosenfeld, M.G.; Briata, P.; Gherzi, R. LPS induces KH-type splicing regulatory protein-dependent processing of microRNA-155 precursors in macrophages. FASEB J 2009, 23, 2898–2908. [Google Scholar]
- Eis, P.S.; Tam, W.; Sun, L.; Chadburn, A.; Li, Z.; Gomez, M.F.; Lund, E.; Dahlberg, J.E. Accumulation of miR-155 and BIC RNA in human B cell lymphomas. Proc. Natl. Acad. Sci. USA 2005, 102, 3627–3632. [Google Scholar]
- Costinean, S.; Zanesi, N.; Pekarsky, Y.; Tili, E.; Volinia, S.; Heerema, N.; Croce, C.M. Pre-B cell proliferation and lymphoblastic leukemia/high-grade lymphoma in E(mu)-miR155 transgenic mice. Proc. Natl. Acad. Sci. USA 2006, 103, 7024–7029. [Google Scholar]
- O’Connell, R.M.; Rao, D.S.; Chaudhuri, A.A.; Boldin, M.P.; Taganov, K.D.; Nicoll, J.; Paquette, R.L.; Baltimore, D. Sustained expression of microRNA-155 in hematopoietic stem cells causes a myeloproliferative disorder. J. Exp. Med 2008, 205, 585–594. [Google Scholar]
- Faraoni, I.; Laterza, S.; Ardiri, D.; Ciardi, C.; Fazi, F.; Lo-Coco, F. miR-424 and miR-155 deregulated expression in cytogenetically normal acute myeloid leukaemia: Correlation with NPM1 and FLT3 mutation status. J. Hematol. Oncol 2012, 5. [Google Scholar] [CrossRef]
- Croce, C.M. MicroRNA dysregulation in acute myeloid leukemia. J. Clin. Oncol 2013, 31, 2065–2066. [Google Scholar]
- Hu, Y.L.; Fong, S.; Largman, C.; Shen, W.F. HOXA9 regulates miR-155 in hematopoietic cells. Nucleic Acids Res 2010, 38, 5472–5478. [Google Scholar]
- Babar, I.A.; Cheng, C.J.; Booth, C.J.; Liang, X.; Weidhaas, J.B.; Saltzman, W.M.; Slack, F.J. Nanoparticle-based therapy in an in vivo microRNA-155 (miR-155)-dependent mouse model of lymphoma. Proc. Natl. Acad. Sci. USA 2012, 109, E1695–E1704. [Google Scholar]
- Costinean, S.; Sandhu, S.K.; Pedersen, I.M.; Tili, E.; Trotta, R.; Perrotti, D.; Ciarlariello, D.; Neviani, P.; Harb, J.; Kauffman, L.R.; et al. Src homology 2 domain-containing inositol-5-phosphatase and CCAAT enhancer-binding protein beta are targeted by miR-155 in B cells of Emicro-miR-155 transgenic mice. Blood 2009, 114, 1374–1382. [Google Scholar]
- Zhang, Y.; Roccaro, A.M.; Rombaoa, C.; Flores, L.; Obad, S.; Fernandes, S.M.; Sacco, A.; Liu, Y.; Ngo, H.; Quang, P.; et al. LNA-mediated anti-miR-155 silencing in low-grade B-cell lymphomas. Blood 2012, 120, 1678–1686. [Google Scholar]
- Ernst, P.; Mabon, M.; Davidson, A.J.; Zon, L.I.; Korsmeyer, S.J. An Mll-dependent Hox program drives hematopoietic progenitor expansion. Curr. Biol 2004, 14, 2063–2069. [Google Scholar]
- Milne, T.A.; Briggs, S.D.; Brock, H.W.; Martin, M.E.; Gibbs, D.; Allis, C.D.; Hess, J.L. MLL targets SET domain methyltransferase activity to Hox gene promoters. Mol. Cell 2002, 10, 1107–1117. [Google Scholar]
- Erfurth, F.E.; Popovic, R.; Grembecka, J.; Cierpicki, T.; Theisler, C.; Xia, Z.B.; Stuart, T.; Diaz, M.O.; Bushweller, J.H.; Zeleznik-Le, N.J. MLL protects CpG clusters from methylation within the Hoxa9 gene, maintaining transcript expression. Proc. Natl. Acad. Sci. USA 2008, 105, 7517–7522. [Google Scholar]
- Armstrong, S.A.; Staunton, J.E.; Silverman, L.B.; Pieters, R.; den Boer, M.L.; Minden, M.D.; Sallan, S.E.; Lander, E.S.; Golub, T.R.; Korsmeyer, S.J. MLL translocations specify a distinct gene expression profile that distinguishes a unique leukemia. Nat. Genet 2002, 30, 41–47. [Google Scholar]
- Milne, T.A.; Martin, M.E.; Brock, H.W.; Slany, R.K.; Hess, J.L. Leukemogenic MLL fusion proteins bind across a broad region of the Hoxa9 locus, promoting transcription and multiple histone modifications. Cancer Res 2005, 65, 11367–11374. [Google Scholar]
- Popovic, R.; Riesbeck, L.E.; Velu, C.S.; Chaubey, A.; Zhang, J.; Achille, N.J.; Erfurth, F.E.; Eaton, K.; Lu, J.; Grimes, H.L.; et al. Regulation of miR-196b by MLL and its overexpression by MLL fusions contributes to immortalization. Blood 2009, 113, 3314–3322. [Google Scholar]
- Li, Z.; Huang, H.; Chen, P.; He, M.; Li, Y.; Arnovitz, S.; Jiang, X.; He, C.; Hyjek, E.; Zhang, J.; et al. miR-196b directly targets both Hoxa9/MEIS1 oncogenes and FAS tumour suppressor in MLL-rearranged leukaemia. Nat. Commun 2012, 3. [Google Scholar] [CrossRef]
- Schotte, D.; Lange-Turenhout, E.A.; Stumpel, D.J.; Stam, R.W.; Buijs-Gladdines, J.G.; Meijerink, J.P.; Pieters, R.; den Boer, M.L. Expression of miR-196b is not exclusively MLL-driven but is especially linked to activation of Hoxa genes in pediatric acute lymphoblastic leukemia. Haematologica 2010, 95, 1675–1682. [Google Scholar]
- Bai, H.; Cao, Z.; Deng, C.; Zhou, L.; Wang, C. miR-181a sensitizes resistant leukaemia HL-60/Ara-C cells to Ara-C by inducing apoptosis. J. Cancer Res. Clin. Oncol 2012, 138, 595–602. [Google Scholar]
- Gocek, E.; Wang, X.; Liu, X.; Liu, C.G.; Studzinski, G.P. MicroRNA-32 upregulation by 1,25-dihydroxyvitamin D3 in human myeloid leukemia cells leads to Bim targeting and inhibition of Ara-C-induced apoptosis. Cancer Res 2011, 71, 6230–6239. [Google Scholar]
- Christman, J.K. 5-Azacytidine and 5-aza-2′-deoxycytidine as inhibitors of DNA methylation: Mechanistic studies and their implications for cancer therapy. Oncogene 2002, 21, 5483–5495. [Google Scholar]
- Blum, W.; Garzon, R.; Klisovic, R.B.; Schwind, S.; Walker, A.; Geyer, S.; Liu, S.; Havelange, V.; Becker, H.; Schaaf, L.; et al. Clinical response and miR-29b predictive significance in older AML patients treated with a 10-day schedule of decitabine. Proc. Natl. Acad. Sci. USA 2010, 107, 7473–7478. [Google Scholar]
- Mims, A.; Walker, A.R.; Huang, X.; Sun, J.; Wang, H.; Santhanam, R.; Dorrance, A.M.; Walker, C.; Hoellerbauer, P.; Tarighat, S.S.; et al. Increased anti-leukemic activity of decitabine via AR-42-induced upregulation of miR-29b: A novel epigenetic-targeting approach in acute myeloid leukemia. Leukemia 2013, 27, 871–878. [Google Scholar]
- Huang, X.; Schwind, S.; Yu, B.; Santhanam, R.; Wang, H.; Hoellerbauer, P.; Mims, A.; Klisovic, R.; Walker, A.R.; Chan, K.K.; et al. Targeted delivery of microRNA-29b by transferrin-conjugated anionic lipopolyplex nanoparticles: A novel therapeutic strategy in acute myeloid leukemia. Clin. Cancer Res 2013, 19, 2355–2367. [Google Scholar]
- Amodio, N.; Leotta, M.; Bellizzi, D.; di Martino, M.T.; D’Aquila, P.; Lionetti, M.; Fabiani, F.; Leone, E.; Gullà, A.M.; Passarino, G.; et al. DNA-demethylating and anti-tumour activity of synthetic miR-29b mimics in multiple myeloma. Oncotarget 2012, 3, 1246–1258. [Google Scholar]
- Bueno, M.J.; Pérez de Castro, I.; Gómez de Cedrón, M.; Santos, J.; Calin, G.A.; Cigudosa, J.C.; Croce, C.M.; Fernández-Piqueras, J.; Malumbres, M. Genetic and epigenetic silencing of microRNA-203 enhances ABL1 and BCR-ABL1 oncogene expression. Cancer Cell 2008, 13, 496–506. [Google Scholar]
- Faber, J.; Gregory, R.I.; Armstrong, S.A. Linking miRNA regulation to BCR-ABL expression: The next dimension. Cancer Cell 2008, 13, 467–469. [Google Scholar]
- Shibuta, T.; Honda, E.; Shiotsu, H.; Tanaka, Y.; Vellasamy, S.; Shiratsuchi, M.; Umemura, T. Imatinib induces demethylation of miR-203 gene: An epigenetic mechanism of anti-tumor effect of imatinib. Leuk. Res 2013, 37, 1278–1286. [Google Scholar]
- Kasinski, A.L.; Slack, F.J. Epigenetics and genetics. MicroRNAs en route to the clinic: Progress in validating and targeting microRNAs for cancer therapy. Nat. Rev. Cancer 2011, 11, 849–864. [Google Scholar]
- Batista, P.J.; Chang, H.Y. Long noncoding RNAs: Cellular address codes in development and disease. Cell 2013, 152, 1298–1307. [Google Scholar]
© 2013 by the authors; licensee MDPI, Basel, Switzerland This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).