The Long Noncoding MALAT-1 RNA Indicates a Poor Prognosis in Non-small Cell Lung Cancer and Induces Migration and Tumor Growth  Lars Henning Schmidt,

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The Long Noncoding MALAT-1 RNA Indicates a Poor Prognosis in Non-small Cell Lung Cancer and Induces Migration and Tumor Growth  Lars Henning Schmidt, MD, Tilmann Spieker, MD, Steffen Koschmieder, MD, Julia Humberg, Dominik Jungen, PhD, Etmar Bulk, PhD, Antje Hascher, PhD, Danielle Wittmer, Alessandro Marra, MD, Ludger Hillejan, MD, Karsten Wiebe, MD, Wolfgang E. Berdel, MD, Rainer Wiewrodt, MD, Carsten Muller-Tidow, MD  Journal of Thoracic Oncology  Volume 6, Issue 12, Pages 1984-1992 (December 2011) DOI: 10.1097/JTO.0b013e3182307eac Copyright © 2011 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 1. MALAT-1 transcript in human lung cancer. A, MALAT-1 transcript (8.7 kb) is located on chromosome 11q13, known for its strong impact on tumorigenesis and metastasis. To investigate the biological effect of MALAT-1, down-regulation was performed by four short hairpin RNA (shRNA) sequences at four positions (shRNA oligos—red color). A 61-nt RNA, referred to *mascRNA (*MALAT-1-associated small cytoplasmic RNA—blue color), reaches the cytoplasm.11 B, According to quantitative RNA analysis, established human NSCLC cell lines A549, HTB 58, and NSCLC tissues (surgical resected specimens from 10 individuals) express high levels of MALAT-1 transcript if compared with human GAPDH (housekeeping gene). All columns, mean of three independent experiments performed in triplicate; bars, SD. Journal of Thoracic Oncology 2011 6, 1984-1992DOI: (10.1097/JTO.0b013e3182307eac) Copyright © 2011 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 2. Transduction of MALAT-1 into NIH 3T3 cells increases the migratory potential. A, NIH 3T3 cells were transduced with MALAT-1 expression PINCO vector. MALAT-1 expression analysis by RT-PCR analysis revealed high expression of human MALAT-1 transcript in MALAT-1 transduced NIH 3T3 cells compared with control (NIH 3T3 cells transduced with empty vector, EV). B, On MALAT-1 transduction, NIH 3T3 cells showed reduced expression of murine MALAT-1 compared with EV transduced NIH 3T3 cells. C, Expression of human MALAT-1 transcript in NIH 3T3 cells was associated with increased migration potential (migration assay; p = 0.001, t test). All bars indicate the mean of three independent experiments performed in triplicate; bars, SD. Journal of Thoracic Oncology 2011 6, 1984-1992DOI: (10.1097/JTO.0b013e3182307eac) Copyright © 2011 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 3. Down-regulation of MALAT-1 expression in human A549 NSCLCs reduced migration. A, After transfection of A549 cells with shRNA (II; III; II, III, IV) against MALAT-1, expression of MALAT-1 is decreased, as demonstrated by reverse-transcriptase polymerase chain reaction (RT-PCR) analysis. Most effective down-regulation is achieved, if three shRNA (II, III, IV) are transfected at once in A549 cell. B, Significantly reduced transwell migration of A549 cells transfected with shRNA against MALAT-1 was found if either shRNA “III” (p < 0.001, t test) or “pooled” shRNA (II,III,IV; p < 0.001, t test) was used, compared with “scrambled.” C, Soft agar colony formation assay showed less colonies per well after 21 days growth of A549 cells transfected with three shRNA (II, III, IV), if compared with A549 cells (p < 0.001, t test control versus II, III, IV). All columns, mean of three independent experiments performed in triplicate; bars, SD. Journal of Thoracic Oncology 2011 6, 1984-1992DOI: (10.1097/JTO.0b013e3182307eac) Copyright © 2011 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 4. MALAT-1 gene knockdown suppresses tumor growth and metastasis in nude mice. A, A549 cells transfected with either scrambled control or pooled shRNA (II, III, IV) were injected subcutaneously into nude mice (n = 10) at three locations each. After 31 days, animals were killed for determination of tumor weights and immunohistochemistry. Injected cells transfected with shRNA against MALAT-1 demonstrated reduced tumor growth (volume) when compared with scrambled-transfected cells (*p < 0.05). B, According to tumor volume, tumor weight was significantly less in the “pooled” shRNA group compared with the “scrambled” shRNA group (p = 0.021). C, On day 31, murine MALAT-1 (mMALAT-1), human MALAT-1 (hMALAT-1), murine GAPDH (mGAPDH), and human GAPDH (hGAPDH) gene expression, respectively, were evaluated using RT-PCR. In all test sets, no difference between both tumor types (A 549 scrambled shRNA versus A 549 pooled shRNA) were found. Journal of Thoracic Oncology 2011 6, 1984-1992DOI: (10.1097/JTO.0b013e3182307eac) Copyright © 2011 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 5. Prognostic role of MALAT-1 expression evaluated by chromogenic in situ hybridization. To evaluate the sensitivity of the ISH probe, hybridization was first tested in A549 cells. A, Strong hybridization signal of MALAT-1 RNA after transfection of A549 cells with “scrambled” control shRNA (pRNAT-H1.1/Neo vector). If A549 cells were transfected with “scrambled” control shRNA (pRNAT-H1.1/Neo vector), a strong amplification signal was detected. B, After transfection of “pooled” shRNA, MALAT-1 amplification signal was weak, indicating gene knock-down. C, Strong MALAT-1 transcript hybridization signals were observed in 123 (35%) of the tested 352 NSCLC tissues. Representative MALAT-1 staining is shown for squamous cell carcinoma (blue, hematoxylin counterstaining of nuclei). D, In contrast to NSCLC tissues, nonmalignant lung tissue showed a weak amplification signal of MALAT-1 RNA. E, Kaplan-Meier curves were used to determine the survival probability, and the log-rank test was used to compare the survival curves between patients with and without MALAT-1 hybridization signals. Blue indicates weak expression of MALAT-1 transcript and the red line stands for positive expression. For pulmonary squamous cell carcinoma, positive MALAT-1 expression indicated poor prognosis (p = 0.012; log-rank test). Journal of Thoracic Oncology 2011 6, 1984-1992DOI: (10.1097/JTO.0b013e3182307eac) Copyright © 2011 International Association for the Study of Lung Cancer Terms and Conditions