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Am J Cancer Res. 2017; 7(11): 2157–2168.
Published online 2017 November 1.
PMCID: PMC5714745

The long noncoding RNA LINC00473, a target of microRNA 34a, promotes tumorigenesis by inhibiting ILF2 degradation in cervical cancer


Cervical cancer is one of the most common gynecological malignancies in women worldwide. The long non-coding RNA (lncRNA) LINC00473 is increased in some human cancer tissues and it plays important roles in tumorigenesis. However, neither the expression pattern nor the biological functions of LINC00473 have been elucidated in cervical cancer so far. In the present study, gain- and loss-of-function assays showed that LINC00473 promoted cell proliferation and inhibited cell apoptosis in cervical cancer cells in vitro. Moreover, we found that LINC00473 enhanced the growth of cervical cancer cells in vivo. Mechanistic investigation showed that LINC00473 directly interacted with ILF2 and suppressed its degradation. Finally, we demonstrated that miR-34a reduced the stability of LINC00473. These findings may have important implications for developing novel therapeutic strategies for cervical cancer.

Keywords: LINC00473, ILF2, growth, miR-34a


Cervical cancer is one of the most common gynecological malignancies in women worldwide, with a global incidence of approximately 500,000 new diagnosed cases and 260,000 cases of cancer-related deaths annually [1]. Recently, with the development and effectiveness of early screening tests for cervical cancer, the incidence and mortality rates of cervical cancer in developed countries have decreased [2,3]. Despite substantial development in understanding the molecular mechanisms and treatment for cervical cancer in recent years, the overall 5-year survival rates remain unsatisfied [4]. Therefore, it is urgently needed to identify novel prognostic markers and better understand the molecular mechanisms underlying the initiation and development of cervical cancer.

Genome-wide sequencing analyses have indicated that the vast majority of the genome is transcribed as non-coding RNAs (ncRNAs), including microRNAs (miRNAs) and long non-coding RNAs (lncRNAs) [5]. LncRNAs are generally defined as RNA transcripts with more than 200 nucleotides in length and no protein-coding potential. Increasing evidence has demonstrated that lncRNAs are implicated in a variety of pathophysiological processes, such as gene expression, cell proliferation, apoptosis, and tumorigenesis [6]. Importantly, lncRNAs were found to function as either oncogene or tumor suppressor gene to participate in the pathogenesis and development of many kinds of diseases including cancers [7]. Some functional lncRNAs have been identified in cervical cancer. For example, in epithelial ovarian carcinoma, there is a correlation between HOTAIR expression and metastatic stage. The regulation of specific matrix metalloproteinases (MMPs) and EMT-related genes is thought to be responsible for this correlation [8], suggesting that HOTAIR expression levels might be taken as a prognostic factor for ovarian carcinoma [9]. Cervical cancer tissues markedly express lower levels of MEG3. Furthermore, MEG3 down-regulation correlates positively with increased tumor size, advanced FIGO stage, metastasis of lymph nodes and HPV positivity. In addition, growth suppression and increased apoptosis of cervical cancer cells is observed after MEG3 upregulation, which demonstrates its tumor suppressive role in this cancer [10]. However, the expression and underlying mechanism of cervical cancer associated with aberrant lncRNAs remain largely unclear.

LINC00473 gene encodes an intergenic lncRNA from the chromosome 6q27 locus. LINC00473 consists of two exons and has two annotated transcript isoforms. Recently, Chen et al. showed that lncRNA LINC00473 was increased in human non-small cell lung cancer (NSCLC) and predicted poor prognosis. Moreover, they found that sustained LINC00473 expression was required for the growth and survival of LKB1-inactivated NSCLC cells by interacts with NONO, a component of the cAMP signaling pathway, thereby facilitating CRTC/CREB-mediated transcription [11]. However, neither the expression pattern nor the biological functions of LINC00473 have been elucidated in cervical cancer so far. Therefore, in the present study, we detected the expression of LINC00473 in human cervical cancer tissues and investigated the biological functions of LINC00473 in cervical cancer progression.

Materials and methods

Clinical samples

A total of 80 cervical cancer tissues and adjacent non-tumor tissues were obtained from Huai’an First People’s Hospital of Nanjing Medical University between 20010 and 2013. The clinical stage and histological diagnosis were identified on the basis of the International Federation of Gynecology and Obstetrics (FIGO) classification system. Follow-up information was collected every 3 months via telephone or by mail. This study was reviewed and approved by the Human Ethics Approval Committee of Huai’an First People’s Hospital of Nanjing Medical University. All patients signed informed consent.

Cell lines and culture conditions

Five cervical cancer cell lines, SiHa, HeLa, Caski, C4-1 and C-33a, were purchased from the Cell Bank of the Chinese Academy of Sciences (Shanghai, China) and the American Type Culture Collection (ATCC; Manassas, VA, USA), respectively. All cell lines were cultured in RPMI-1640 (Gibco, Gaithersburg, MD, USA)medium supplemented with 10% fetal bovine serum (FBS) (Gibco, Gaithersburg, MD, USA). All the media contained 1% penicillin-streptomycin (100 U/ml penicillin and 100 µg/ml streptomycin).

Cell transfection

siRNAs that specifically target human LINC00473 or ILF2 were purchased from GenePharma (Shanghai, China). The complementary DNA (cDNA) of LINC00473 was chemically synthesized and cloned into the KpnI and BamHI sites of pcDNA expression vector (Invitrogen), namely, pcDNA-LINC00473. Cells were plated onto six-well plates and cultured for 24 h prior to transfection. Then, siRNAs or plasmids were transfected into cells using Lipofectamine 2000 (Invitrogen). The cells were collected 48 h after transfection and applied for further functional analysis of target genes.

Quantitative real-time PCR (qRT-PCR)

Total RNA was extracted from tissues and cells using TRIzol reagent (Invitrogen). The RNA concentration and quality were determined by NanoDrop 2000 (Quawell, San Jose, CA, USA). Total RNA (1 µg) was used for first strand cDNA synthesis with a reverse transcription reaction using a reverse transcription kit (Takara, Dalian, China). The corresponding cDNA was used for quantitative real-time PCR using SYBR-Green Real-Time Master Mix (Takara). GAPDH was used as the internal control. The primers used for LINC00473 were: 5’-GGCAGCCTCAGGTTACAAAT-3’ (forward) and 5’-AGGAGCAGGTAGGGAAATGA-3’ (reverse); for GAPDH, 5’-CCCACTCCTCCACCTTTGAC-3’ (forward) and 5’-ATACCAGGAAATGAGCTTGACAA-3’ (reverse). The qRT-PCR analysis was performed on Applied Biosystems 7500 Sequence Detection System (ABI, Foster City, CA, USA). Data were analyzed using the 2-ΔΔCt method.

Western blotting

Total protein from tissues and cells were extracted using RIPA lysis buffer (Beyotime, Shanghai, China). Total protein (20 µg) was separated on SDS polyacrylamide gels and transferred to polyvinylidene difluoride (PVDF) membranes (Millipore, Billerica, MA, USA). The membranes were blocked and incubated with primary antibodies (ILF2; 1:1000; Abcam, Cambridge, MA, USA) (GAPDH; 1:2000; Abcam, Cambridge, MA, USA). Finally, the membranes were cultured with goat anti-rabbit IgG-HRP (sc2004; Santa Cruz, CA, USA) at a 1:5000 dilution. Proteins were analyzed by enhanced chemiluminescence (ECL) as described by the manufacturer’s instructions (Beyotime).

Cell proliferation assays

Transfected cervical cancer cells were seeded on a 96-well plate at a density of 2000 cells per well and incubated at 37°C. Proliferation was determined using 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) kit (Keygen) at 24, 48, 72, and 96 h after transfection. The optical density (OD) was measured at 560 nm.

Cell apoptosis assay

Transfected cervical cancer cells were stained using an Annexin V-FITC Apoptosis Detection Kit I (BD Biosciences). Then, cells were analyzed through BD FACS Canto II (BD Biosciences) and analyzed with BD FACSDiva software.

RNA immunoprecipitation

RNA immunoprecipitation (RIP) assay was conducted to determine whether LINC00473 interacts with ILF2 in cervical cancer cells using Magna RIP RNA Binding Protein Immunoprecipitation Kit (Millipore). Briefly, the cells were lysed in RIP lysis buffer, and then incubated with magnetic beads-bound human anti-ILF2 antibody (Abcam) or control normal rabbit immunoglobulin G (IgG; Millipore). Afterward, the samples were incubated with proteinase K to digest protein and the immunoprecipitated RNA was isolated by QIAamp MinElut Virus Spin Kit (Qiagen, Hilden, Germany). Finally, purified RNA was analyzed by qRT-PCR.

RNA pull-down

RNA pull-down was performed as previously described [12]. In vitro biotin-labeled RNAs (LINC00473 and its antisense RNA) were transcribed with the biotin RNA labeling mix (Roche) and T7 RNA polymerase (Roche) treated with RNase-free DNase I (Promega) and purified with RNeasy Mini Kit (QIAGEN). Biotinylated RNA was incubated with nuclear extracts of breast cancer cells, and pull-down proteins were run on SDS-PAGE gels. Western blot followed.

Statistical analysis

All values were expressed as mean ± standard deviation (SD) from at least three independent experiments. GraphPad Prism V5.0 (GraphPad Software, Inc., La Jolla, CA, USA) software was used to determine statistical differences by using the Student’s t test or one-way analysis of variance (ANOVA). p<0.05 was considered to be statistically significant.


Expression level of lncRNA LINC00473 in cervical cancer tissues and cell lines

To investigate the expression level of lncRNA LINC00473 in human cervical cancer tissues, qRT-PCR was performed to detect the expression of LINC00473 in 80 cervical cancer and matched adjacent para-carcinoma tissues. As shown in Figure 1A, LINC00473 was significantly upregulated in tumor tissues compared with matched adjacent para-carcinoma tissues. Furthermore, we also analyzed the expression of LINC00473 in five cervical cancer cell lines and the results revealed that SiHa cells showed the highest expression of LINC00473, while HeLa expressed the lowest level of LINC00473 expression (Figure 1B). Based on the results, the SiHa and HeLa cell lines were selected for further study.

Figure 1
Expression level of lncRNA LINC00473 in cervical cancer tissues and cell lines. A. Expression level of lncRNA LINC00473 was detected in 80 pairs of cervical cancer tissues and matched para-cancer tissues using qRT-PCR. B. Expression level of lncRNA LINC00473 ...

Correlation of lncRNA LINC00473 expression with clinicopathological factors in cervical cancer patients

To investigate the relationship between LINC00473 expression and clinicopathological features in cervical cancer, 80 patients were divided into two groups according to the median expression level of LINC00473: a low LINC00473 expression group (n=40, LINC00473 expression ratio ≤ median ratio) and a high LINC00473 expression group (n=40, LINC00473 expression ratio ≥ median ratio). The correlation between LINC00473 expression and clinicopathological factors are shown in Table 1. High LINC00473 expression was observed to be associated with tumor size (P=0.001) and FIGO stage (P=0.007). In contrast, there was no association between LINC00473 expression with age (P=0.655), lymphatic (P=0.816) and distant metastasis (P=0.653). Furthermore, we used a Kaplan-Meier survival analysis to examine the correlation between LINC00473 expression and the prognosis of patients with cervical cancer. The results showed that patients with higher LINC00473 levels had shorter overall survival time than those with lower LINC00473 levels (Figure 2). These findings suggest that elevated LINC00473 may exert as an oncogene in cervical cancer.

Figure 2
The correlation between LINC00473 and prognosis of patients with cervical cancer. Kaplan-Meier survival curve and log-rank test were used to evaluate the association of LINC00473 expression with overall survival rate. Patients were segregated into LINC00473-high ...
Table 1
The association between LINC00473 expression and clinicopathological factors in cervical cancer patients

Effects of LINC00473 on cervical cancer cell proliferation

To evaluate the role of lncRNA LINC00473 in cervical cancer cell proliferation, the expression of LINC00473 was silenced or overexpressed by siRNA or LINC00473 overexpression vector transfection, respectively. The expression of LINC00473 was decreased in the SiHa cells after transfection with LINC00473 siRNA (Figure 3A) and increased in HeLa cells after transfection with LINC00473 overexpression vectors (Figure 3B). MTT and colony formation assays revealed that depletion of LINC00473 expression suppressed the proliferation of the SiHa cells, while overexpression of LINC00473 enhanced the proliferative ability of HeLa cells (Figure 3C-F).

Figure 3
Effects of LINC00473 on cervical cancer cell proliferation. A. SiHa cells were transfected with siRNAs against LINC00473. The relative expression level of LINC00473 was detected by qRT-PCR. B. HeLa cells were transfected with plasmid expressing LINC00473. ...

We further analyzed cell cycle distribution and apoptosis using flow cytometry in above transfected cells. The results showed that knockdown of LINC00473 had a significantly higher percentage of Annexin V-positive cells than control cells (Figure 3G and and3H).3H). In contrast, we observed that overexpression of LINC00473 had protective effects to apoptosis in HeLa cells. However, neither knockdown nor overexpression of LINC00473 influenced the cell cycle distribution (Data not shown). Together, these data demonstrate that LINC00473 promotes cell proliferation and inhibits cell apoptosis.

Based on the above findings that LINC00473 promoted cell proliferation in cervical cancer, we investigated the effects of LINC00473 on cancer growth in vivo. The mean volumes of xenograft tumors generated from LINC00473-knockdown SiHa cells were lower than those of tumors generated from control cells (Figure 3I). In contrast, tumors generated from LINC00473-overexpressing HeLa cells were larger than those generated from control cells (Figure 3J). These results highlight the important role of LINC00473 in cervical cancer growth.

LINC00473 interacts with ILF2 and inhibits ILF2 degradation

LncRNAs might function to regulate multiple pathways via their interactions with miRNAs, mRNAs and proteins. We performed RNA pull-down and mass spectrometry analysis to search for potential LINC00473-associated proteins. Among these proteins, interleukin enhancer binding factor 2 (ILF2) was of interest because it has been reported to exert oncogenic function in cancers [13,14]. For confirmation, we detected the association between LINC00473 and ILF2 by performing RIP assay. The results showed that LINC00473 was significantly enriched by ILF2 antibody than the nonspecific IgG control antibody (Figure 4A). To further validate the association and determine the specific binding region between LINC00473 and ILF2, we performed RNA pull-down assay and deletion-mapping experiments. We found a 423 nt region at the 5’ end of LINC00473 required for the association with ILF2 (Figure 4B). Taken together, we demonstrated a specific association between LINC00473 and ILF2.

Figure 4
LINC00473 interacts with ILF2 and inhibits ILF2 degradation. A. The interaction of LINC00473 with ILF2 was confirmed by an RNA immunoprecipitation (RIP) assay. B. Deletion mapping analysis of ILF2-binding domains of LINC00473. Shown are the following: ...

Next, we determined the functional relationship between of LINC00473 and ILF2. Overexpression or knockdown of LINC00473 have no effect on ILF2 mRNA (Figure 4C). However, silence of LINC00473 significantly increased the protein level of ILF2 in SiHa, and overexpression of LINC00473 showed the opposite effect in HeLa cells (Figure 4D). These results suggested that the association of LINC00473 and ILF2 may influence the stability of ILF2 protein. To further confirm the LINC00473-mediated ILF2 regulation, we treated control and LINC00473-silencing SiHa cells with cycloheximide (CHX) and analyzed the stability of ILF2. We found that the half-life of ILF2 was much shorter in LINC00473-silencing cells than in control cells, whereas LINC00473 overexpression elongated the half-life of ILF2 (Figure 4E and and4F).4F). In agreement with this observation, when MG132 was added into the culture medium to inhibit proteasome degradation, the endogenous ILF2 protein expression in LINC00473 knockdown cells was significantly increased and reached a level that was comparable to that in control cells (Figure 4G), and higher ILF2 ubiquitination levels were also observed in LINC00473 knockdown cells treated with MG132 (Figure 4H). Taken together, these data suggested that LINC00473 is important for the ILF2 protein stability.

ILF2 is critical for the function of LINC00473 in cervical cancer

Next, we investigated the role of ILF2 in cervical cancer cells. We found that knockdown of ILF2 significantly suppressed cell proliferation and induced apoptosis in SiHa cells (Figure 5A-C). On the contrary, upregulation of ILF2 enhanced the proliferative rate and inhibited apoptosis in HeLa cells (Figure 5D-F). These data suggest that ILF2-mediated cell phenotypes was similar to LINC00473.

Figure 5
ILF2 is critical for the function of LINC00473 in cervical cancer. A. The protein level of ILF2 in control and ILF2 silenced SiHa cells. B. The cell growth rates were determined by performing MTT assay. Knockdown of ILF2 expression in SiHa cells significantly ...

Finally, we determined whether IIF2 was essential for LINC00473-induced cell proliferation. Downregulation of ILF2 almost abolished the enhancement of proliferation and inhibition of apoptosis mediated by LNC00473 overexpression in HeLa cells (Figure 5G and and5H).5H). In contrast, restoring expression of ILF2 rescued the suppression of proliferation and promotion of cell apoptosis induced by LNC00473 knockdown (Figure 5I and and5J).5J). Our data demonstrate that ILF2 is critical for the effect of LINC00473 on cervical cancer cells.

LINC00473 is a direct target of miR-34a

Interactions between lncRNAs and microRNAs (miRNAs), which are important classes of non-coding RNAs in eukaryotes, provide an additional layer of control in gene regulation. Using Microinspector software, we found a set of miRNAs that putatively bind to LINC00473. Among these miRNA candidates, we found that miR-34a directly binds to LINC00473. Dual-luciferase assays showed a significant decrease in luciferase activities following cotransfection of miR-34a and the wild type (WT) LINC00473 expression vector, but not a mutant LINC00473 (MUT, mutant in miR-34a binding site) (Figure 6A). We further clarified the regulatory relationship between LINC00473 and miR-34a. Overexpression of miR-34a significantly inhibited LINC00473 expression (Figure 6B), whereas overexpression of LINC00473 did not affect miR-34a expression, suggesting that LINC00473 is targeted by miR-34a (Figure 6C). Overexpression of miR-34a also decreased the LINC00473 half-life (Figure 6D). In addition, miR-34a overexpression significantly suppressed cellular proliferation in LINC00473-overexpressing cells (Figure 6D). Collectively, these data demonstrated that miR-34a directly binds to LINC00473 and serves as a negative upstream regulator of LINC00473-mediated proliferation.

Figure 6
LINC00473 is a direct target of miR-34a. A. Dual-luciferase assays showed a decrease in reporter activity following cotransfection of wild-type LINC00473 (WT) and miR-34a in cells, whereas the cotransfection of mutant LINC00473 (MUT) and miR-34a had no ...


In the present study, for the first time, we demonstrated that LINC00473 was increased in cervical cancer. Upreguation of LINC00473 was associated with bigger tumor size, higher FIGO stage and poorer prognosis of patients with cervical cancer. Functional assays showed that LINC00473 promoted cell proliferation and inhibited cell apoptosis. These findings suggest that LINC00473 functions as an oncogene in cervical cancer. An increasing number of studies have demonstrated that the study of post-transcriptional regulation of lncRNAs is emerging as a research field. Consequently, it was discovered that lncRNAs might function as possible scaffold transcripts that enhance the E3-mediated ubiquitination of substrate proteins [15]. Here, we demonstrated that the lncRNA LINC00473 could promote the proliferative ability of cervical cancer cells via the regulation of ILF2 protein degradation. These findings revealed an important role of LINC00473 in the proliferation of cervical caner cells and uncovered a novel function of LINC00473 as a mediator that inhibits the ubiquitination of ILF2 in cervical caner.

ILF2, which also known as nuclear factor 45 (NF-45), a subunit of nuclear factor of activated T cells (NF-AT), is encoded by a gene located on human chromosome 1 (1q21.3) [16]. It can be expressed in normal tissues such as testis, brain, and kidney and is primarily distributed in the nucleus [17]. ILF2 is a transcription factor that interacts with ILF3 (NF90) to regulate the expression of IL-2 gene and HS4-dependent IL-13 gene at the antigen receptor response element (ARRE)/nuclear factor of activated T-cells (NFAT) DNA target sequence [18]. ILF2 regulates gene expression at multiple levels including RNA transcription, processing, and translation [19,20]. Recently, a great deal of studies have indicated that high expression of ILF2, which was observed in cervical cancer, non-small-cell lung cancer, hepatocellular carcinoma, and esophageal squamous cell cancer, was significantly related to the poor prognosis of these malignant tumors [14]. Cells deficient in ILF2 exhibit reduced internal ribosome entry site (IRES)-mediated translation of X-linked inhibitor of apoptosis protein (XIAP) and cellular inhibitor of apoptosis protein 1 (cIAP1) [21-24]. Although the regulation and function of ILF2 have been extensively investigated, the biological functions of ILF2 and regulatory mechanisms of ILF2 expression in cervical cancer have not been fully understood. Our study demonstrated that ILF2 also functioned as oncogene, which promoted cell proliferation in cervical cancer. It has been reported that miR-7 negatively regulated ILF2 expression in a post-transcriptional manner [25]. Our findings revealed a novel regulatory mechanism mediated by a lncRNA. RIP and RNA pull-down assays showed that LINC00473 directly interacted with ILF2. LINC00473 did not influence the mRNA level of ILF2, while could increase ILF2 protein level, suggesting that LINC00473 regulated ILF2 expression in a post-translational manner. Furthermore, our results showed that LINC00473 significantly elongated the half-life of ILF2 protein.

Both lncRNAs and miRNAs play critical roles in transcriptional regulation, and are involved in many human cancers. Interactions between lncRNAs and miRNAs have been reported recently. For example, CHRF serves as an endogenous ‘sponge’ of miR-489 to regulate Myd88 expression and hypertrophy [26], and miR-200 family targets lncRNA-ATB [27]. Here, we also present strong evidence that LINC00473 is silenced by miR-34a in cervical cancer cells.

In conclusion. we found that the lncRNA LINC00473, a target of miR-34a, increased the proliferation of cervical cancer cells by regulating the stability of ILF2. These findings further define the importance of lncRNAs in tumor progression and suggest that LINC00473 may be a potential therapeutic target for cervical cancer.

Disclosure of conflict of interest



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