Thyroid transcription factor 1 (
TTF-1 or
NKX2-1) plays a pivotal role in regulating lung development and morphogenesis.
1 Due to the unique expression pattern of TTF-1, which is largely restricted to lung and thyroid, it is routinely used by pathologists as an immunohistochemical marker for diagnosis of tumors of lung or thyroid origin.
2 TTF-1 contains a homeodomain which mediates its DNA binding activity.
3 Animals homozygous for the disruption of the
Ttf-1 gene are born dead and lack lung parenchyma.
4 Genetically engineered mice expressing a mutant form of TTF-1 resistant to phosphorylation at seven serine residues died immediately after birth. These animals had defects in lung morphogenesis later in development.
5 Evidently, TTF-1 is a critical transcription factor in orchestrating lung development.
In 2007, four laboratories, including ours, independently reported that
TTF-1 was activated via gene amplification in lung cancer.
6–9 These findings imply that
TTF-1 is a gain-of-function oncogene selected for gene amplification due to an undefined biological pressure in lung cancer cells. The studies related to the
TTF-1-containing amplification at 14q13 were largely focused on lung adenocarcinomas (ACs). Intriguingly, the 14q13 amplicon also occurred in pulmonary squamous cell carcinomas (SqCCs)
6,10 which were, by and large, negative for TTF-1 expression.
2 Consequently, it is less likely for
TTF-1 to be the target gene of the 14q13 amplification in lung SqCCs. Indeed, our laboratory showed that there were two additional genes (
NKX2–8 and
PAX9) coamplified with
TTF-1, and these two coamplified genes were important for tumor maintenance in the lung SqCC cells containing 14q13 amplicon.
6,11 In contrast to the concept of
TTF-1 being oncogenic, it was recently reported that
Ttf-1 suppressed lung cancer progression in a mouse model system.
12 Despite the complexity surrounding
TTF-1 in lung cancer, characterization of
TTF-1 gene regulatory mechanisms is warranted, as the lung cancer subtype (AC) frequently amplified for
TTF-1 presents the most common histologic type of lung cancer. To this end, we aimed at shedding light on TTF-1 signaling network from the angle of microRNAs (miRNAs). Specifically, we wished to identify the miRNAs directly regulating
TTF-1, connecting TTF-1-based transcriptional program to the world of small non-protein-coding RNAs.
MiRNAs are small non-protein-coding RNAs that regulate gene expression primarily by binding to the 3′-untranslated region (3′UTR) of the target mRNAs.
13–15 MiRNA genes reside in regions of the genome as distinct transcriptional units as well as in clusters of polycistronic units carrying the information of several microRNAs.
16–18 Biogenesis of miRNA starts with the synthesis of a long transcript known as the pri-miRNA. In the nuclei, pri-miRNAs are processed to yield the next intermediates (pre-miRNAs) which are exported to cytoplasm for further processing/shortening to produce the final mature miRNAs (18~22 mer). It is important to note that a single mature miRNA may be derived from multiple pri-miRNAs transcribed from distinct genomic loci. Although there is documented evidence that miRNAs influence lung biology
19,20 and cancer,
21–23 to date how the miRNA network is intertwined with the pulmonary transcriptional program responsible for lung development and malignancy remains poorly defined.
24 To fill this void, we set out to uncover the miRNAs that directly regulate
TTF-1. Initially, we used the in silico tool, TargetScan,
25 to select candidate miRNAs predicted to bind to
TTF-1 3′UTR. Using a luciferase-based reporter system in which the luciferase reporter gene was fused to the 3′UTR of
TTF-1, we discovered that a relatively uncharacterized miRNA, miR-365, directly repressed
TTF-1. Based on the miRbase annotation,
26 there are two longer stem-loop RNA precursors, hsa-mir-365-1 and hsa-mir-365-2, that would give rise to the same mature miR-365 species. We showed that, indeed, both stem loops yielded mature miR-365 when expressed in human lung cells, which, in turn, repressed endogenous TTF-1 protein expression. Analysis of human lung cancer DNA copy number alteration data revealed co-occurrence of
TTF-1 gene amplification and gene loss at either or both of the two genomic loci of miR-365 precursors. This suggests a tendency for cancer cells to lose repressive microRNAs of amplified oncogenes. Analysis of human lung cancer tissues indicated an inverse relationship between TTF-1 RNA level and miR-365 RNA expression. Saito et al. reported an unexpected activity of TTF-1: inhibition of TGFβ-induced EMT by TTF-1.
27 They further demonstrated that enhancement of autocrine TGFβ signaling would decrease TTF-1 expression, thus blunting the anti-EMT effect derived from TTF-1.
27 However, the molecular mechanism accounting for how TGFβ modulates TTF-1 expression was not elucidated in the study. We postulated that miR-365 mediates the TGFβ-dependent suppression of TTF-1. Indeed, we detected a positive feedback loop between miR-365 and TGFβ signaling. Detection of a mesenchymal phenotype in lung epithelial cells with enforced expression of miR-365 was made difficult by the unexpected finding that miR-365 also repressed a pro-EMT factor downstream to TTF-1 (i.e.,
HMGA2).
12 Gene expression profiling identified multiple candidate genes that were putative targets of miR-365 and miR-365* beyond
TTF-1. As far as we know, miR-365 is the first miRNA discovered to directly regulate
TTF-1. Future studies will be dedicated to elucidating the interconnections between miRNAs and the lung transcriptional network.