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Review

circRNA/miRNA Networks Regulate KLF4 in Tumor Development

Molecular Pathology Laboratory, Azienda Unità Sanitaria Locale—IRCCS di Reggio Emilia, 42123 Reggio Emilia, Italy
*
Author to whom correspondence should be addressed.
Non-Coding RNA 2025, 11(4), 56; https://doi.org/10.3390/ncrna11040056
Submission received: 26 February 2025 / Revised: 17 July 2025 / Accepted: 18 July 2025 / Published: 29 July 2025
(This article belongs to the Section Detection and Biomarkers of Non-Coding RNA)

Abstract

Background/Objectives: Krüppel-like factor 4 (KLF4) emerged as an epigenetically regulated gene in a variety of settings, including cell reprogramming and malignant cell proliferation. The aim of the present manuscript is to explore the relationship described in recent years between circular RNAs, miRNAs, and KLF4. These have been shown to be involved in cancers having diverse histological origins, including some of the most prevalent and deadly tumors for the human population. Expression and protein levels of this transcription factor correlate with invasiveness and prognosis in a context- and tissue-specific fashion. Methods: The literature was obtained through two main PubMed queries. The first is “miRNA and KLF4 and cancer” and is limited to the last 5 years. The second is “circRNA and KLF4”, which yielded publications between 2013 and 2024. The oncological publications were selected. Results: A number of circRNA/miRNA axes that regulate the downstream transcription factor KLF4 emerged in the last few years. circRNAs act as sponges for miRNAs and synergize with KLF4, which can function as either a tumor promoter or suppressor in different tumors. Conclusions: The axes represented by circRNA/miRNA/KLF4 emerged as a new layer of epigenetic regulation. These RNA-based modulators explain the complex regulation of this transcription factor and open the way to new therapeutic targeting possibilities.

1. Introduction

Krüppel-like factor 4 (KLF4) is a zinc-finger transcription factor widely involved in cell reprogramming towards pluripotency and associated with cancers of different histological origin [1,2]. The last decades highlighted a surge in research and interest concerning non-coding RNAs (ncRNAs). ncRNAs represent the principal product of eukaryotic transcription and include different classes of molecules (aside from ribosomal and transfer RNA) playing essential regulatory functions for gene expression [3]. Some ncRNAs are reportedly involved in the modulation of the expression and function of the transcription factor KLF4 [4].
Despite the fact that a number of studies demonstrate a role as tumor suppressor [5,6,7], some recent data also highlight a role as tumor promoter, underlying the need for a specific and context-dependent evaluation [4,8,9,10].
The ncRNAs that emerged in the present manuscript belong to the classes of microRNAs (miRNAs) [8] and circular RNAs (circRNAs) [11]. The great heterogeneity of regulatory ncRNAs interacting with KLF4, together with the limited knowledge of the mechanisms of action of circRNAs, make this topic particularly challenging.
In the present manuscript the most recent data available on miRNAs are described first, then the ones concerning the circRNAs focused on cancer. A number of circRNA/miRNA axes that regulate the downstream KLF4 mRNA emerged as a layer of post-transcriptional regulation. A network of biological processes built on circRNAs and KLF4 is then produced through the use of CircAtlas and Cytoscape software. Finally, some remarkable examples of stage-dependent epigenetic regulation of KLF4 are reported, with the specific aim of explaining the need for a context-dependent assessment of KLF4 levels/involvement. The issue of the context-dependent functions in tumors has been pointed out by the recent literature and acknowledged by the scientific community.
The main circRNA/miRNA axes aiming at regulating KLF4 described by the recent literature are reported and exploited in the present manuscript with the aim of offering hints for new therapeutic opportunities. This epigenetic regulation emerges as a potentially relevant mechanism of modulation in the chemoresistance, stemness, and progression of the cancer cells. KLF4 expression is eventually modulated through the interaction between these classes of ncRNAs, opening the way to novel and targeted therapeutic antitumoral approaches.

2. KLF4 Is a Target for miRNAs

Several authors unveiled the links existing between families of miRNAs and the gene regulation of KLF4. As is known, the 3′-untranslated region (3′-UTR) of the transcribed messenger RNA (mRNA) is targeted by the RNA-induced silencing complex (RISC), a complex containing the specific miRNA. Base complementarity between sequences in the target 3′-UTR and miRNAs leads to pairing and eventual downregulation of the specific target transcripts [8]. This mechanism therefore belongs to post-transcriptional regulation (Figure 1A).
The database Targetscan is a tool designed by a group from Massachusetts Institute of Technology led by Bartel D.P. Targetscan 8.0 contributes to the identification of the targets of the different families of miRNAs since it works as a search engine. It provides the families of miRNAs known to interact with 3′-UTR of a given target mRNA, yielding detailed information on their exact pairing position and conserved consensus sequences [12,13,14]. This information thus helps in identifying which miRNAs can inhibit KLF4 and, indirectly, its targets (Figure 1B). KLK4 emerges as a target for miR-200b-3p on Targetscan 8.0 [12]. The inhibition of KLF4-mediated autophagy in cholangiocarcinoma (CCA) cells can be mediated by miR-200b-3p and leads to an increased sensitivity to 5-FU treatment [8]. Interestingly, cholangiocarcinoma’s first line of therapy is represented by 5-FU, and this is consistent with a role played by the axis miR-200b-3p-KLF4 in tumor chemoresistance. Investigation of CCA tissue sections also shows that KLF4 expression and protein levels are higher in CCA samples compared to matched nontumor tissues. These data collectively support the hypothesis that KLF4 promotes CCA tumorigenesis and 5-FU resistance [8].
miR-296-5p is another regulator of KLF4 through its activity on STAT3, even though the data have been reported for nasopharyngeal carcinoma cell lines and mouse models and have yet to be confirmed on a larger scale [15]. STAT3 targets KLF4 and their expression is positively correlated. KLF4 is thus indirectly modulated by miR-296-5p and plays an oncogenic role in this setting [15].
The modulation mediated by miRNAs is also reported in highly prevalent and/or incurable human cancers like triple-negative breast cancer (TNBC). Cancer stem cells (CSCs) are known to be tumor-initiating cells and critical players in recurrence, therapy resistance, and metastasis [16]. miR-29a has emerged as a target for estrogen receptor alpha in breast cancer (BC) cells [17]. The overexpression of miR-29a led to an arrest of tumor initiation and a decrease in CSCs in TNBC by directly targeting KLF4 [16]. This inhibition is concordant with the requirement of KLF4 for the reprogramming towards stemness, as part of the OSKM (OCT3/4, SOX2, KLF4, and c-MYC) transcription factors (TFs) [2].
The demonstration that miR-7-5p directly binds to 3′-UTR and inhibits the KLF4 transcript has been published recently [18]. KLF4 expression promotes radioresistance of colorectal cancer (CRC) cell lines, and its tumor-promoting role seems to be also confirmed in patient-derived xenograft (PDX) models of CRC. Overexpression of miR-7-5p leads to the recovery of radiosensitivity and to a decrease in the proliferation potential of the PDX, supporting a potential therapeutic use of this miRNA [18]. Another oncosuppressive activity of miR-7-5p in CRC was described by Dong M. et al., who had already demonstrated how KLF4 was a direct target of this miRNA while the same network was also shown in childhood nephroblastoma [19,20]. miR-7-5p expression levels were lower in the CRC tissues compared to adjacent, nontumor counterparts, and the overall survival of CRC patients was lower in the ones with lower miR-7-5p expression by quantitative real-time PCR [19]. Targetscan analysis eventually unveiled that miR-7-5p directly targets KLF4 by means of 3′-UTR recognition and binding (a mechanism already reported above [12]) (Figure 1B). These layers of post-transcriptional downregulation thus point to a tumor-promoting and radioresistance-promoting role of KLF4 in CRC, at variance with previously published data on this neoplasy. These contradictory studies point towards a tightly regulated expression of KLF4, possibly reflecting specific functions during different phases of CRC. Furthermore, miR-7-5p was previously demonstrated to perform tumor-suppressive functions in several malignancies like breast, lung, and hepatocellular carcinomas, thus supporting the recent studies on CRC [21,22,23].
The tumor-suppressive properties of miRNAs have been further investigated by the researchers in order to develop efficient methods to initiate reprogramming towards pluripotency. The direct transfection and expression of miR-200c, miR-302s, and miR-369s may lead to the re-expression of pluripotency factors through the demethylation processes of the target transcription factors [24,25]. The interplay between miRNAs and specific TFs is recognized as pivotal in maintaining the self-renewal and differentiation potential of CSCs [26]. miR-7, for instance, suppresses KLF4 in breast CSCs, whereas miR-25-3p (a metastasis-promoting miRNA) targets KLF4 and eventually vascular permeability and angiogenesis in CRC [27,28].
The topic of whether KLF4 acts as a tumor suppressor or a tumor promoter specifically in CRC is still controversial, since there is evidence supporting either one or the other function. An intriguing hypothesis is that KLF4 can be switched off during different stages of the disease by means of one or more of the several known epigenetic layers of regulation.
These studies, collectively, suggest a great potential for the therapeutic targeting of KLF4 in CRC by means of circRNA/miRNA networks. The advent of anti-miRNA, miRNA-mimics, and antisense oligonucleotide-based therapies, for instance, represents an expanding opportunity for targeted therapy since the recognition sequence can be adapted to the target [29].

3. KLF4 Is a Target for circRNAs

Circular RNAs (circRNAs) represent one of the most recent noncoding-RNA classes being characterized. There are far more than 1,000,000 different circRNAs annotated thus far, more than 768,000 of which have been characterized in humans. A variety of regulatory functions have been attributed to these novel molecules [30]. circRNAs originate by alternative splicing of a transcript, through a process defined as “backsplicing”. circRNAs contain the fragments generated by alternative splicing [31]. During backsplicing a downstream splice donor site is linked to an upstream splice acceptor site by a covalent bond (5′-3′), and therefore circRNAs are more stable than their host gene-derived linear mRNAs [32]. The proximity of these two splicing sites may lead to backsplicing through the canonical splicing machinery [11]. circRNAs can be sequenced upon enrichment through RNase R treatment, do not contain poly(A) tails, and are of smaller size than the linear, isogenic mRNAs [11]. Although circRNAs are mainly localized in the cytoplasm, where they exert a regulatory activity on target transcripts, studies also demonstrate their presence in the nucleus [31]. The great stability of circRNAs (due to their biochemical structure) together with their tissue specificity makes them an extraordinary tool as novel biomarkers. circRNAs retain the exons present in the linear transcripts and may also encompass exons that are not normally transcribed and therefore absent in the linear counterparts [31]. Notably, methylation of gene bodies linked to DNMT3B directly affects the level of circRNAs in a way that is independent of the expression levels of the corresponding linear host genes [33].
Diverse roles emerged for circRNAs in gene regulation, development, and carcinogenesis. One of the main and first-to-be-discovered functions of circRNAs is to sponge miRNAs. This is achieved because the products of alternative splicing (backsplicing) contain the sequences complementary to the specific miRNAs. miRNAs thus bind to the circRNA product and not to the linear, coding mRNA yielding indirectly to the upregulation of downstream targets. Therefore circRNAs affect KLF4 expression indirectly, often by acting on specific miR-KLF4 axes (Table 1). For instance, in colorectal cancer (CRC) circRNAs affect the axis miR-29a-3p-KLF4 [34].
The resource circAtlas 3.0 provides a curated database and a variety of tools for circRNA identification and analysis [30]. The queries yield the circAtlas ID and the coordinates in the hg38 assembly, together with information like length, nucleotide sequence, tissue distribution, and secondary structure [30]. The database also displays the expression levels of circRNAs and related genes.
ciRS-7 (Circular RNA Sponge For MiR-7, also called Cerebellar Degeneration Related 1 antisense, CDR1as; the current name of CDR1as according to the HUGO gene nomenclature committee is long intergenic non-protein coding RNA 632, LINC00632) has been described as a tumor promoter in CRC and esophageal squamous cell carcinoma and affects KLF4 expression in hepatocellular carcinoma (HCC) [31,35,36]. This last function is achieved by sponging miR-7-5p, a miRNA that downregulates KLF4, eventually promoting cell proliferation and stemness (Figure 1B) [4]. It is estimated that CDR1as contains more than 70 conserved binding sites for miR-7, representing a competing endogenous RNA for this miRNA [37].
CDR1as (current name: long intergenic non-protein coding RNA 632, LINC00632) modulates several miRNA-regulated networks while miR-7 interaction is the best documented thus far [35,38,39]. miR-7-5p sponges directly KLF4 in hepatoblastoma while miR-7 in esophageal carcinoma [35,40]. The recently discovered circRNA circ_0015756 is overexpressed in hepatoblastoma and HCC [41,42]. Its target is, again, the oncosuppressive miR-7 whose expression is inversely correlated to circ_0015756 in both HCC tissues and cell lines. KLF4 is kept downregulated by miR-7 that eventually inhibits HCC progression [43].
CircPRMT5 (circRNA derived from Protein Arginine Methyltransferase 5 gene) affects the axis miR-7-5p/KLF4 in the rare pediatric tumor nephroblastoma. Specifically, inverse correlations between circ-PRMT5-miR-7-5p and between miR-7-5p-KLF4 have been observed (total of n = 45 Wilms’ tumor samples) [20].
CircLECRC (circRNA low expressed in CRC) is a circRNA derived from the oncogene Yes1 Associated Transcriptional Regulator (YAP1) [44]. It works by sponging miR-135b-5p and relieving its inhibition on the target KLF4 in CRC. circLECRC and KLF4 work together as tumor suppressors by inhibiting YAP1 hyperactivation and eventually its downstream pathway (EGFR, MYC, BIRC5, and CTGF) [44]. In a previous work conducted on a total of 91 CRC specimens and their matched adjacent nontumor tissues, 4735 circRNAs were obtained by filtered RNA deep sequencing. Among these, 15 competing endogenous RNAs specific to KLF4 were selected [45]. KLF4 is known to suppress CRC by modulating Notch and Wnt/β-catenin pathways. Ge J. et al. therefore selected 15 circRNAs targeting KLF4 and validated one of them (circ_0142527). Both circ_0142527 and KLF4 were lower in tumor tissues [45].
Non-small cell lung cancer (NSCLC) biopsies display a significantly higher level of circUBAP2 (circRNA derived from Ubiquitin Associated Protein 2) compared to matched normal tissue samples, as reported by Zheng G. et al. [46]. circUBAP2 acts by targeting miR-3182 that keeps KLF4 downregulated. The specificity of miR-3182 for KLF4 was predicted in silico and verified on NSCLC cell lines, and KLF4 expression is inversely and consistently correlated to miR-3182. Overexpression of circUBAP2 promotes survival and proliferation of NSCLC cells by targeting the miR-3182-KLF4 axis [46].
circRNAs have also been shown to modulate KLF4 in BC. circEHMT1 (circRNA derived from histone-lysine methyltransferase 1) was downregulated in breast cancer specimens compared to their normal counterpart and served as a suppressor of migration and invasion when overexpressed in BC cell lines [47]. The target miRNA is miR-1233-3p and is upregulated in BC tissues compared to their normal ones; this is consistent with the sponging activity exerted by circEHMT1 in the nonmalignant cells. KLF4 is one of the five known targets of miR-1233-3p, and it emerged that it was responsible for metalloproteinase-2 (MMP2) inhibition in the axis circEHMT1/miR-1233-3p/KLF4 [47].
circPLEKHM3 (circRNA derived from Pleckstrin Homology Domain Containing M3) emerged as one of the most downregulated circRNAs in ovarian cancer [48]. circPLEKHM3 binds directly to miR-9 suppressing its activity. By sponging miR-9, circPLEKHM3 also suppresses proliferation and migration of ovarian cancer cells through the upregulation of KLF4, which works as a tumor suppressor [48].
Competing endogenous RNAs (ceRNAs) define ncRNA molecules interacting with each other in a network that mediates transcriptional regulation and expression levels. ceRNAs are involved in the sponge effect existing between RNA molecules and encompass miRNAs and long non-coding RNAs [49]. Recently, circRNAs have also been involved in the mechanism of sponging and are classified as ceRNAs because of the presence of miRNA response elements (MREs) in their sequences [50]. MREs deplete specific miRNAs by complementarity binding, inhibiting the binding to the 3′-UTR of their target mRNAs. Thus, circRNAs may sequester miRNAs, leading eventually to the suppression of translation repression and mRNA decay [50]. MREs are highly conserved and considered a pan-species regulatory code, pointing to a high relevance of the ceRNA-mediated depletion of miRNAs among the regulatory mechanisms [51]. In this scenario, MREs located in 3′-UTR of coding mRNAs, in their pseudogenes, and within circRNA sequences function as miRNA decoys, antagonizing the repressive activities of the latter [52,53].
A ceRNA network centered on KLF4 has been hypothesized by using Cytoscape version 3.10.3 (open source software platform; cytoscape.org) [54]. The circRNAs, identified through circAtlas as mentioned above, correspond to unique Ensembl gene codes [30]. The Ensembl transcript IDs of each circRNA described in this manuscript were used as identifiers and analyzed through the Cytoscape App ClueGO (Figure 2A). ClueGO is designed specifically to perform queries in the Gene Ontology (GO) databases in order to obtain networks. The Ensembl transcript IDs then originated a GO network of biological processes involving KLF4 and the specific circRNAs, as reported in the figure (Figure 2B,C). The GO unique IDs for each biological process are reported (Figure 2C; cellular components were not considered in the present analysis).
A summary representation of the interactions described above is reported in Figure 3. An intriguing hypothesis is that specific circRNA/miRNA axes modulate the tumor-promoting or -suppressive functions of KLF4 during specific disease stages.
Table 1. circRNA/miRNA axes exerting a post-transcriptional regulation of KLF4 as described in the text. The tumors where the specific functions of the circRNA/miRNA network have been described and the specific references are reported.
Table 1. circRNA/miRNA axes exerting a post-transcriptional regulation of KLF4 as described in the text. The tumors where the specific functions of the circRNA/miRNA network have been described and the specific references are reported.
circRNA/miRNATumorReferences
circ_0071681/miR-29a-3pColorectal cancer [34]
ciRS-7 (CDR1as)/miR-7-5pColorectal cancer, esophageal squamous cell carcinoma, hepatocellular carcinoma, hepatoblastoma[4,31,35,36,37,40]
ciRS-7 (CDR1as)/miR-7Esophageal carcinoma[35]
circ_0015756/miR-7Hepatoblastoma, hepatocellular carcinoma[41,42,43]
circPRMT5/miR-7-5pWilms’ tumor[20]
circLECRC/miR-135b-5pColorectal cancer[44]
circUBAP2/miR-3182Non-small cell lung cancer[46]
circEHMT1/miR-1233-3pBreast cancer[47]
circPLEKHM3/miR-9Ovarian cancer[48]

4. KLF4 May Serve Either as Tumor Promoter or Suppressor During Different Stages of the Disease

The duality of KLF4, acting as either a tumor promoter or a tumor suppressor, has been reported by several authors, as summarized above in the present manuscript. This dual role is further complicated by the fact that different stages of a tumor may display different KLF4 epigenetic states modulating its functions. For instance, KLF4 expression seems to be higher in normal colon mucosa while it decreases during the adenoma–carcinoma progression of CRC [5,18]. Although preliminary, these data point towards a correlation with CRC prognosis. KLF4-positive colorectal cancer patients with lymph node metastasis had a better overall survival than KLF4-negative patients with lymph node metastasis [5].
Cancer stem cells (CSCs) are recognized as drivers of CRC development and resistance to chemo- and radiation therapy. CSCs have been reported in the majority of human cancers, and their oncologic role has been demonstrated [18,55,56]. Stemness contributes to therapy resistance and, as is known, KLF4 expression sustains the CSC phenotype. Among the pathways specifically involved in CSC formation, there is also the Notch pathway, involving the OSKM pluripotency factors; it is responsible for the maintenance of the self-renewal CSC population in BC [55]. Furthermore, the CSC phenotype is repressed by miR-7-5p through an inhibition of stemness-specific proteins (KLF4, CD133, SOX2) [1,18]. miR-7-5p also suppresses proliferation and migration of CRC by targeting KLF4 [19]. Thus, KLF4 plays an oncogenic role when downstream of miR-7-5p.
Recent papers have been published supporting the role of KLF4 in promoting epithelial to mesenchymal transition (EMT) during CRC progression [57]. The KLF4 mechanism of action involves the direct binding and interaction with the STAT3 promoter, leading to the downregulation of STAT3 and p-STAT3. STAT3 activation, following KLF4 downregulation, eventually leads to the increase in the EMT markers N-caderin and vimentin in CRC cell lines [57]. According to the manuscript by Yuan L. et al., the downregulation of KLF4, through the activation of p-STAT3, triggers the EMT transition enhancing the proliferative, migratory, and invasive potential of CRC cells [57]. These recent data are therefore consistent with the previous research supporting the tumor-suppressive role of KLF4 in the adenoma–carcinoma progression of CRC [5,58,59].
The differential and stage-dependent KLF4 expression was shown several years ago in the cells of the immune system. During the differentiation of Th17 lymphocytes, KLF4 expressed by differentiated T-lymphocytes undergoes rapid downregulation following activation [60]. Studies supporting this stage-specific expression during differentiation of the B lineage have also been published on B-lymphocytes, B-cell precursors, and plasma cells. KLF4 is expressed in mature bone marrow plasma cells and, when forced in early plasma cells, induces a specific set of genes associated with plasma cell differentiation [61].

5. Concluding Remarks

We go into detail here specifically on the axes circRNA/miRNA/KLF4 and their implication in tumor development. While several other miRNAs able to regulate linear KLF4 in different non-neoplastic tissues and cell types have been reported in the scientific literature, those do not fall within the scope of the present manuscript.
One of the most relevant messages emerging in the present manuscript is the fact the circRNAs modulate KLF4 through the inactivation of the miRNAs positioned upstream in each specific pathway (Table 1; Figure 3). It appears that KLF4, when regulated through the axes of the miR-7 family, miR-200b-3p, miR-29a, and miR-3182, plays a role of tumor promoter, favoring and accompanying the proliferation, invasiveness, and therapy resistance of tumors having different histological origins. Conversely, KLF4 is a tumor suppressor when regulated by miR-25-3p, miR-29a-3p, miR-135b-5p, miR-1233-3p, and miR-9.
This manuscript thus defines the importance of circRNA/miRNA axes in regulating KLF4 pleiotropic functions in cancer cells at a novel epigenetic level not yet reported thus far. The advent of mRNA- and miRNA-based drugs, together with a better knowledge of the post-transcriptional regulatory mechanisms, offers new and improved opportunities for therapeutic targeting of key molecules. The bioinformatics analysis will be even more indispensable in driving the proper networks during the drug design.

Author Contributions

Conceptualization and writing: R.F.; editing, E.F.; supervision D.N. All authors have read and agreed to the published version of the manuscript.

Funding

This study was partially supported by the Italian Ministry of Health—Ricerca Corrente Annual Program 2026.

Conflicts of Interest

The authors declare no conflicts of interest.

Abbreviations

OCT3/4: Octamer-Binding Transcription Factor 3/4. SOX2: SRY-Box Transcription Factor 2. KLF4: Krüppel-like factor 4. c-MYC: MYC Proto-Oncogene, BHLH Transcription Factor. YAP1: Yes1 Associated Transcriptional Regulator. EGFR: Epidermal growth factor receptor. BIRC5: Baculoviral IAP Repeat Containing 5. CTGF: Connective tissue growth factor. NOTCH: Notch Receptor 1. Wnt: Wingless-Type MMTV Integration Site Family, Member. MMP2: Metalloproteinase-2. STAT3: Signal Transducer and Activator Of Transcription 3. p-STAT3: Phospho-STAT3.

References

  1. Li, Z.; Wang, S.; Guo, T.; Yan, X.; Chen, C.; Zhang, W.; Zhao, J.; Zhang, J.; Zhao, S.; Wang, Y.; et al. Macc1 ablation suppresses the dedifferentiation process of non-cscs in lung cancer through stabilizing klf4. Cell Death Discov. 2024, 10, 494. [Google Scholar] [CrossRef] [PubMed]
  2. Ghaleb, A.M.; Yang, V.W. Kruppel-like factor 4 (klf4): What we currently know. Gene 2017, 611, 27–37. [Google Scholar] [CrossRef] [PubMed]
  3. Kaikkonen, M.U.; Lam, M.T.; Glass, C.K. Non-coding rnas as regulators of gene expression and epigenetics. Cardiovasc. Res. 2011, 90, 430–440. [Google Scholar] [CrossRef]
  4. Frazzi, R. Klf4 is an epigenetically modulated, context-dependent tumor suppressor. Front. Cell Dev. Biol. 2024, 12, 1392391. [Google Scholar] [CrossRef] [PubMed]
  5. Xu, J.; Lu, B.; Xu, F.; Gu, H.; Fang, Y.; Huang, Q.; Lai, M. Dynamic down-regulation of kruppel-like factor 4 in colorectal adenoma-carcinoma sequence. J. Cancer Res. Clin. Oncol. 2008, 134, 891–898. [Google Scholar] [CrossRef]
  6. Traka, M.H.; Chambers, K.F.; Lund, E.K.; Goodlad, R.A.; Johnson, I.T.; Mithen, R.F. Involvement of klf4 in sulforaphane- and iberin-mediated induction of p21(waf1/cip1). Nutr. Cancer 2009, 61, 137–145. [Google Scholar] [CrossRef]
  7. Frazzi, R.; Cusenza, V.Y.; Pistoni, M.; Canovi, L.; Cascione, L.; Bertoni, F.; Merli, F. Klf4, dapk1 and spg20 promoter methylation is not affected by dnmt1 silencing and hypomethylating drugs in lymphoma cells. Oncol. Rep. 2022, 47, 10. [Google Scholar] [CrossRef]
  8. Peng, F.; He, R.; Liu, Y.; Xie, Y.; Xiong, G.; Li, X.; Wang, M.; Zhao, C.; Zhang, H.; Xu, S.; et al. Mir-200b-3p elevates 5-fu sensitivity in cholangiocarcinoma cells via autophagy inhibition by targeting klf4. Non-Coding RNA Res. 2024, 9, 1098–1110. [Google Scholar] [CrossRef]
  9. Wei, L.; He, P.; Tan, Z.; Zhao, L.; Lin, C.; Wei, Z. Unveiling the role of the klf4/lnc18q22.2/ulbp3 axis in the tumorigenesis and immune escape of hepatocellular carcinoma under hypoxic condition. J. Cell. Mol. Med. 2024, 28, e18411. [Google Scholar] [CrossRef]
  10. Li, X.; Jiang, Y.; Wang, Y.; Li, N.; Zhang, S.; Lv, K.; Jia, R.; Wei, T.; Li, X.; Han, C.; et al. Klf4 suppresses anticancer effects of brusatol via transcriptional upregulating nck2 expression in melanoma. Biochem. Pharmacol. 2024, 223, 116197. [Google Scholar] [CrossRef]
  11. Jeck, W.R.; Sorrentino, J.A.; Wang, K.; Slevin, M.K.; Burd, C.E.; Liu, J.; Marzluff, W.F.; Sharpless, N.E. Circular rnas are abundant, conserved, and associated with alu repeats. RNA 2013, 19, 141–157. [Google Scholar] [CrossRef]
  12. TargetScan Human; Targetscan7.2; (mir-200b-3p Predicted Targets) Dataset; Whitehead Institute for Biomedical Research: Cambridge, MA, USA, 2018; Available online: http://www.targetscan.org/vert_72/ (accessed on 13 March 2025).
  13. Agarwal, V.; Bell, G.W.; Nam, J.; Bartel, D.P. Predicting effective microRNA target sites in mammalian mRNAs. eLife 2015, 4, e05005. [Google Scholar] [CrossRef] [PubMed]
  14. McGeary, S.E.; Lin, K.S.; Shi, C.Y.; Pham, T.M.; Bisaria, N.; Kelley, G.M.; Bartel, D.P. The biochemical basis of microRNA targeting efficacy. Science 2019, 366, eaav1741. [Google Scholar] [CrossRef] [PubMed]
  15. Luo, H.Q.; Wang, Y.; Ren, J.; Zhang, Q.Y.; Chen, Y.; Chen, M.H.; Huang, N.X.; Wu, M.H.; Tang, X.D.; Li, X.Y. Mirna-296-5p promotes the sensitivity of nasopharyngeal carcinoma cells to cisplatin via targeted inhibition of stat3/klf4 signaling axis. Sci. Rep. 2024, 14, 6681. [Google Scholar] [CrossRef] [PubMed]
  16. Zhao, Q.; Shang, Y.; Lu, J.; Liu, Y.; Wang, T.; Li, D.; Li, J.; Lu, Y.; Wang, Z.; Yu, Z. Mir-29a-klf4 signaling inhibits breast tumor initiation by regulating cancer stem cells. Int. Immunopharmacol. 2024, 130, 111797. [Google Scholar] [CrossRef]
  17. Lu, J.; Zhao, Q.; Guo, Y.; Li, D.; Xie, H.; Liu, C.; Hu, X.; Liu, S.; Hou, Z.; Wei, X.; et al. Regulation of eralpha-dependent breast cancer metastasis by a mir-29a signaling. J. Exp. Clin. Cancer Res. 2023, 42, 93. [Google Scholar] [CrossRef]
  18. Shang, Y.; Zhu, Z.; Zhang, Y.; Ji, F.; Zhu, L.; Liu, M.; Deng, Y.; Lv, G.; Li, D.; Zhou, Z.; et al. Mir-7-5p/klf4 signaling inhibits stemness and radioresistance in colorectal cancer. Cell Death Discov. 2023, 9, 42. [Google Scholar] [CrossRef]
  19. Dong, M.; Xie, Y.; Xu, Y. Mir-7-5p regulates the proliferation and migration of colorectal cancer cells by negatively regulating the expression of kruppel-like factor 4. Oncol. Lett. 2019, 17, 3241–3246. [Google Scholar]
  20. Zhang, J.; Quan, Y.; Su, X.; Qiu, B.; Dong, Q. Circ-prmt5 stimulates the proliferative ability in wilms’ tumor through the mir-7-5p/klf4 axis. Cell. Mol. Biol. 2023, 69, 232–236. [Google Scholar] [CrossRef]
  21. Gao, D.; Qi, X.; Zhang, X.; Fang, K.; Guo, Z.; Li, L. Hsa_circrna_0006528 as a competing endogenous rna promotes human breast cancer progression by sponging mir-7-5p and activating the mapk/erk signaling pathway. Mol. Carcinog. 2019, 58, 554–564. [Google Scholar] [CrossRef]
  22. Xiao, H. Mir-7-5p suppresses tumor metastasis of non-small cell lung cancer by targeting nova2. Cell. Mol. Biol. Lett. 2019, 24, 60. [Google Scholar] [CrossRef] [PubMed]
  23. Wang, Y.; Yang, H.; Zhang, G.; Luo, C.; Zhang, S.; Luo, R.; Deng, B. Hsa-mir-7-5p suppresses proliferation, migration and promotes apoptosis in hepatocellular carcinoma cell lines by inhibiting spc24 expression. Biochem. Biophys. Res. Commun. 2021, 561, 80–87. [Google Scholar] [CrossRef] [PubMed]
  24. Miyoshi, N.; Ishii, H.; Nagano, H.; Haraguchi, N.; Dewi, D.L.; Kano, Y.; Nishikawa, S.; Tanemura, M.; Mimori, K.; Tanaka, F.; et al. Reprogramming of mouse and human cells to pluripotency using mature micrornas. Cell Stem Cell 2011, 8, 633–638. [Google Scholar] [CrossRef] [PubMed]
  25. Miyazaki, S.; Yamamoto, H.; Miyoshi, N.; Takahashi, H.; Suzuki, Y.; Haraguchi, N.; Ishii, H.; Doki, Y.; Mori, M. Emerging methods for preparing ips cells. Jpn. J. Clin. Oncol. 2012, 42, 773–779. [Google Scholar] [CrossRef]
  26. Asadzadeh, Z.; Mansoori, B.; Mohammadi, A.; Aghajani, M.; Haji-Asgarzadeh, K.; Safarzadeh, E.; Mokhtarzadeh, A.; Duijf, P.H.G.; Baradaran, B. Micrornas in cancer stem cells: Biology, pathways, and therapeutic opportunities. J. Cell. Physiol. 2019, 234, 10002–10017. [Google Scholar] [CrossRef]
  27. Okuda, H.; Xing, F.; Pandey, P.R.; Sharma, S.; Watabe, M.; Pai, S.K.; Mo, Y.Y.; Iiizumi-Gairani, M.; Hirota, S.; Liu, Y.; et al. Mir-7 suppresses brain metastasis of breast cancer stem-like cells by modulating klf4. Cancer Res. 2013, 73, 1434–1444. [Google Scholar] [CrossRef]
  28. Zeng, Z.; Li, Y.; Pan, Y.; Lan, X.; Song, F.; Sun, J.; Zhou, K.; Liu, X.; Ren, X.; Wang, F.; et al. Cancer-derived exosomal mir-25-3p promotes pre-metastatic niche formation by inducing vascular permeability and angiogenesis. Nat. Commun. 2018, 9, 5395. [Google Scholar] [CrossRef]
  29. Iacomino, G. miRNAs: The Road from Bench to Bedside. Genes 2023, 14, 314. [Google Scholar] [CrossRef]
  30. Wu, W.; Ji, P.; Zhao, F. Circatlas: An integrated resource of one million highly accurate circular rnas from 1070 vertebrate transcriptomes. Genome Biol. 2020, 21, 101. [Google Scholar] [CrossRef]
  31. Kristensen, L.S.; Andersen, M.S.; Stagsted, L.V.W.; Ebbesen, K.K.; Hansen, T.B.; Kjems, J. The biogenesis, biology and characterization of circular rnas. Nat. Rev. Genet. 2019, 20, 675–691. [Google Scholar] [CrossRef]
  32. Chen, L.L. The biogenesis and emerging roles of circular rnas. Nat. Rev. Mol. Cell Biol. 2016, 17, 205–211. [Google Scholar] [CrossRef] [PubMed]
  33. Rinaldi, L.; Datta, D.; Serrat, J.; Morey, L.; Solanas, G.; Avgustinova, A.; Blanco, E.; Pons, J.I.; Matallanas, D.; Von Kriegsheim, A.; et al. Dnmt3a and dnmt3b associate with enhancers to regulate human epidermal stem cell homeostasis. Cell Stem Cell 2016, 19, 491–501. [Google Scholar] [CrossRef] [PubMed]
  34. Mollanoori, H.; Ghelmani, Y.; Hassani, B.; Dehghani, M. Integrated whole transcriptome profiling revealed a convoluted circular rna-based competing endogenous rnas regulatory network in colorectal cancer. Sci. Rep. 2024, 14, 91. [Google Scholar] [CrossRef] [PubMed]
  35. Ghafouri-Fard, S.; Khoshbakht, T.; Hussen, B.M.; Sarfaraz, S.; Taheri, M.; Ayatollahi, S.A. Circ_cdr1as: A circular rna with roles in the carcinogenesis. Pathol. Res. Pract. 2022, 236, 153968. [Google Scholar] [CrossRef]
  36. Huang, H.; Wei, L.; Qin, T.; Yang, N.; Li, Z.; Xu, Z. Circular rna cirs-7 triggers the migration and invasion of esophageal squamous cell carcinoma via mir-7/klf4 and nf-kappab signals. Cancer Biol. Ther. 2019, 20, 73–80. [Google Scholar] [CrossRef]
  37. Hansen, T.B.; Jensen, T.I.; Clausen, B.H.; Bramsen, J.B.; Finsen, B.; Damgaard, C.K.; Kjems, J. Natural rna circles function as efficient microrna sponges. Nature 2013, 495, 384–388. [Google Scholar] [CrossRef]
  38. Weng, W.; Wei, Q.; Toden, S.; Yoshida, K.; Nagasaka, T.; Fujiwara, T.; Cai, S.; Qin, H.; Ma, Y.; Goel, A. Circular rna cirs-7-a promising prognostic biomarker and a potential therapeutic target in colorectal cancer. Clin. Cancer Res. 2017, 23, 3918–3928. [Google Scholar] [CrossRef]
  39. Yang, X.; Xiong, Q.; Wu, Y.; Li, S.; Ge, F. Quantitative proteomics reveals the regulatory networks of circular rna cdr1as in hepatocellular carcinoma cells. J. Proteome Res. 2017, 16, 3891–3902. [Google Scholar] [CrossRef]
  40. Chen, L.; Shi, J.; Wu, Y.; Qiu, R.; Zeng, L.; Lou, L.; Su, J.; Liao, M.; Deng, X. Circrna cdr1as promotes hepatoblastoma proliferation and stemness by acting as a mir-7-5p sponge to upregulate klf4 expression. Aging 2020, 12, 19233–19253. [Google Scholar] [CrossRef]
  41. Liu, B.H.; Zhang, B.B.; Liu, X.Q.; Zheng, S.; Dong, K.R.; Dong, R. Expression profiling identifies circular rna signature in hepatoblastoma. Cell. Physiol. Biochem. 2018, 45, 706–719. [Google Scholar] [CrossRef]
  42. Liu, L.; Yang, X.; Li, N.F.; Lin, L.; Luo, H. Circ_0015756 promotes proliferation, invasion and migration by microrna-7-dependent inhibition of fak in hepatocellular carcinoma. Cell Cycle 2019, 18, 2939–2953. [Google Scholar] [CrossRef]
  43. Wu, W.; Liu, S.; Liang, Y.; Zhou, Z.; Liu, X. Mir-7 inhibits progression of hepatocarcinoma by targeting klf-4 and promises a novel diagnostic biomarker. Cancer Cell Int. 2017, 17, 31. [Google Scholar] [CrossRef]
  44. An, Y.; Xu, B.; Yan, G.; Wang, N.; Yang, Z.; Sun, M. Yap derived circ-lecrc functions as a “brake signal” to suppress hyperactivation of oncogenic yap signalling in colorectal cancer. Cancer Lett. 2022, 532, 215589. [Google Scholar] [CrossRef] [PubMed]
  45. Ge, J.; Jin, Y.; Lv, X.; Liao, Q.; Luo, C.; Ye, G.; Zhang, X. Expression profiles of circular rnas in human colorectal cancer based on rna deep sequencing. J. Clin. Lab. Anal. 2019, 33, e22952. [Google Scholar] [CrossRef] [PubMed]
  46. Zheng, G.; Huang, J.; Chen, W.; You, P.; Ding, Y.; Tu, P. Circubap2 exacerbates malignant capabilities of nsclc by targeting klf4 through mir-3182 modulation. Aging 2021, 13, 11083–11095. [Google Scholar] [CrossRef] [PubMed]
  47. Lu, M.; Wu, Y.; Zeng, B.; Sun, J.; Li, Y.; Luo, J.; Wang, L.; Yi, Z.; Li, H.; Ren, G. Circehmt1 inhibits metastatic potential of breast cancer cells by modulating mir-1233-3p/klf4/mmp2 axis. Biochem. Biophys. Res. Commun. 2020, 526, 306–313. [Google Scholar] [CrossRef]
  48. Zhang, L.; Zhou, Q.; Qiu, Q.; Hou, L.; Wu, M.; Li, J.; Li, X.; Lu, B.; Cheng, X.; Liu, P.; et al. Circplekhm3 acts as a tumor suppressor through regulation of the mir-9/brca1/dnajb6/klf4/akt1 axis in ovarian cancer. Mol. Cancer 2019, 18, 144. [Google Scholar] [CrossRef]
  49. Sun, B.; Liu, C.; Li, H.; Zhang, L.; Luo, G.; Liang, S.; Lü, M. Research progress on the interactions between long non-coding RNAs and microRNAs in human cancer. Oncol. Lett. 2019, 19, 595–605. [Google Scholar] [CrossRef]
  50. Gao, Y.; Takenaka, K.; Xu, S.M.; Cheng, Y.; Janitz, M. Recent advances in investigation of circRNA/lncRNA-miRNA-mRNA networks through RNA sequencing data analysis. Brief. Funct. Genom. 2025, 24, elaf005. [Google Scholar] [CrossRef]
  51. Salmena, L.; Poliseno, L.; Tay, Y.; Kats, L.; Pandolfi, P.P. A ceRNA hypothesis: The Rosetta Stone of a hidden RNA language? Cell 2011, 146, 353–358. [Google Scholar] [CrossRef]
  52. Tong, K.L.; Tan, K.E.; Lim, Y.Y.; Tien, X.Y.; Wong, P.F. CircRNA-miRNA interactions in atherogenesis. Mol. Cell. Biochem. 2022, 477, 2703–2733. [Google Scholar] [CrossRef] [PubMed]
  53. Ashmawy, N.E.; Khedr, E.G.; Darwish, R.T.; Ibrahim, A.O. Competing endogenous RNAs network and therapeutic implications: New horizons in disease research. Biochim. Biophys. Acta Gene Regul. Mech. 2025, 1868, 195073. [Google Scholar]
  54. Shannon, P.; Markiel, A.; Ozier, O.; Baliga, N.S.; Wang, J.T.; Ramage, D.; Amin, N.; Schwikowski, B.; Ideker, T. Cytoscape: A software environment for integrated models of biomolecular interaction networks. Genome Res. 2003, 13, 2498–2504. [Google Scholar] [CrossRef] [PubMed]
  55. Makena, M.R.; Ranjan, A.; Thirumala, V.; Reddy, A.P. Cancer stem cells: Road to therapeutic resistance and strategies to overcome resistance. Biochim. Biophys. Acta Mol. Basis Dis. 2020, 1866, 165339. [Google Scholar] [CrossRef]
  56. Pajonk, F.; Vlashi, E.; McBride, W.H. Radiation resistance of cancer stem cells: The 4 R′s of radiobiology revisited. Stem Cells 2010, 28, 639–648. [Google Scholar] [CrossRef]
  57. Yuan, L.; Meng, Y.; Xiang, J. Klf4 induces colorectal cancer by promoting emt via stat3 activation. Dig. Dis. Sci. 2024, 69, 2841–2855. [Google Scholar] [CrossRef]
  58. Dang, D.T.; Bachman, K.E.; Mahatan, C.S.; Dang, L.H.; Giardiello, F.M.; Yang, V.W. Decreased expression of the gut-enriched kruppel-like factor gene in intestinal adenomas of multiple intestinal neoplasia mice and in colonic adenomas of familial adenomatous polyposis patients. FEBS Lett. 2000, 476, 203–207. [Google Scholar] [CrossRef]
  59. Shie, J.L.; Chen, Z.Y.; Fu, M.; Pestell, R.G.; Tseng, C.C. Gut-enriched kruppel-like factor represses cyclin d1 promoter activity through sp1 motif. Nucleic Acids Res. 2000, 28, 2969–2976. [Google Scholar] [CrossRef]
  60. An, J.; Golech, S.; Klaewsongkram, J.; Zhang, Y.; Subedi, K.; Huston, G.E.; Wood, W.H., III; Wersto, R.P.; Becker, K.G.; Swain, S.L.; et al. Kruppel-like factor 4 (klf4) directly regulates proliferation in thymocyte development and il-17 expression during th17 differentiation. FASEB J. 2011, 25, 3634–3645. [Google Scholar] [CrossRef]
  61. Schoenhals, M.; Jourdan, M.; Seckinger, A.; Pantesco, V.; Hose, D.; Kassambara, A.; Moreaux, J.; Klein, B. Forced klf4 expression increases the generation of mature plasma cells and uncovers a network linked with plasma cell stage. Cell Cycle 2016, 15, 1919–1928. [Google Scholar] [CrossRef]
Figure 1. (A) Representation of the inhibition of KLF4 messenger RNA (mRNA) by the complex constituted by micro RNA (miRNA) and by the proteins of the ribonucleic complex (RISC complex). KLF4 gene is schematically represented and the mRNA originated in the nucleus is transferred to the cytoplasm where the imperfect complementary pairing between the miRNAs and the conserved sites at 3′-UTR of the mRNA happens, leading to translational repression. (B) Direct (miR-200b-3p, miR-29a, miR-7-5p, miR-7, miR-25-3p) and indirect (miR-296-5p) inhibitory activity on KLF4 mRNA. Images were prepared with bioRender (www.biorender.com).
Figure 1. (A) Representation of the inhibition of KLF4 messenger RNA (mRNA) by the complex constituted by micro RNA (miRNA) and by the proteins of the ribonucleic complex (RISC complex). KLF4 gene is schematically represented and the mRNA originated in the nucleus is transferred to the cytoplasm where the imperfect complementary pairing between the miRNAs and the conserved sites at 3′-UTR of the mRNA happens, leading to translational repression. (B) Direct (miR-200b-3p, miR-29a, miR-7-5p, miR-7, miR-25-3p) and indirect (miR-296-5p) inhibitory activity on KLF4 mRNA. Images were prepared with bioRender (www.biorender.com).
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Figure 2. The figure represents the network obtained through the software Cytoscape-ClueGO version 3.10.3. The unique Ensembl transcript IDs of circRNAs and KLF4 were used to query GO biological processes through ClueGO App. (A) Table containing the circAtlas IDs of the circRNAs interacting with KLF4 as described in the text. The Ensembl transcript IDs are reported. (B) Cytoscape version 3.10.3 (cytoscape.org; ClueGO app) was used to search for the interactions. The Ensembl transcript IDs of the circRNAs together with KLF4’s were used to build a network of biological processes. (C) GO IDs and biological processes that emerged via the ClueGO analysis are reported.
Figure 2. The figure represents the network obtained through the software Cytoscape-ClueGO version 3.10.3. The unique Ensembl transcript IDs of circRNAs and KLF4 were used to query GO biological processes through ClueGO App. (A) Table containing the circAtlas IDs of the circRNAs interacting with KLF4 as described in the text. The Ensembl transcript IDs are reported. (B) Cytoscape version 3.10.3 (cytoscape.org; ClueGO app) was used to search for the interactions. The Ensembl transcript IDs of the circRNAs together with KLF4’s were used to build a network of biological processes. (C) GO IDs and biological processes that emerged via the ClueGO analysis are reported.
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Figure 3. Summary of the interactions occurring among circRNAs, miRNAs, and their target mRNA. These represent a novel layer of epigenetic regulation for KLF4. KLF4 can play either a tumor-promoting or a tumor-suppressive role. Blunt-ends represent inhibitory interactions between the RNA classes indicated in the figure.
Figure 3. Summary of the interactions occurring among circRNAs, miRNAs, and their target mRNA. These represent a novel layer of epigenetic regulation for KLF4. KLF4 can play either a tumor-promoting or a tumor-suppressive role. Blunt-ends represent inhibitory interactions between the RNA classes indicated in the figure.
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Frazzi, R.; Farnetti, E.; Nicoli, D. circRNA/miRNA Networks Regulate KLF4 in Tumor Development. Non-Coding RNA 2025, 11, 56. https://doi.org/10.3390/ncrna11040056

AMA Style

Frazzi R, Farnetti E, Nicoli D. circRNA/miRNA Networks Regulate KLF4 in Tumor Development. Non-Coding RNA. 2025; 11(4):56. https://doi.org/10.3390/ncrna11040056

Chicago/Turabian Style

Frazzi, Raffaele, Enrico Farnetti, and Davide Nicoli. 2025. "circRNA/miRNA Networks Regulate KLF4 in Tumor Development" Non-Coding RNA 11, no. 4: 56. https://doi.org/10.3390/ncrna11040056

APA Style

Frazzi, R., Farnetti, E., & Nicoli, D. (2025). circRNA/miRNA Networks Regulate KLF4 in Tumor Development. Non-Coding RNA, 11(4), 56. https://doi.org/10.3390/ncrna11040056

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