- Open Access
Circular RNA IARS (circ-IARS) secreted by pancreatic cancer cells and located within exosomes regulates endothelial monolayer permeability to promote tumor metastasis
Journal of Experimental & Clinical Cancer Research volume 37, Article number: 177 (2018)
Recent studies show that exosomes are involved in intercellular communication and that abundant circular RNAs (circRNAs) are present within exosomes. However, whether these exosomal circRNAs contribute to tumor invasion and metastasis remains unclear, as do their associated mechanisms.
Quantitative reverse transcription-polymerase chain reaction (qRT-PCR) was used to measure the expression levels of circ-IARS in 85 pancreatic ductal adenocarcinoma (PDAC) tissues, plasma exosomes, and Hs 766 T, Hs 766 T-L2 and human microvascular vein endothelial (HUVECs) cells. RhoA, ZO-1 and RhoA-GTP levels were detected by qRT-PCR and western blotting (WB); RhoA activity analysis was also performed. Transwell assays were performed to examine changes in endothelial monolayer permeability, and immunofluorescence and WB were employed to evaluate F-actin expression and focal adhesion. Finally, an animal experiment was performed to detect the contribution of circ-IARS to cancer metastasis.
circ-IARS expression was up-regulated in pancreatic cancer tissues and in plasma exosomes of patients with metastatic disease. Circ-IARS was found to enter HUVECs through exosomes and promote tumor invasion and metastasis. Circ-IARS expression was positively correlated with liver metastasis, vascular invasion, and tumor-node-metastasis (TNM) stage and negatively correlated with postoperative survival time. Overexpression of circ-IARS significantly down-regulated miR-122 and ZO-1 levels, up-regulated RhoA and RhoA-GTP levels, increased F-actin expression and focal adhesion, enhanced endothelial monolayer permeability, and promoted tumor invasion and metastasis.
circ-IRAS accesses HUVECs via exosomes derived from pancreatic cancer cells followed by increased endothelial monolayer permeability. Furthermore, this process promotes tumor invasion and metastasis. The results of this study suggest that the presence of circRNAs in exosomes may be important indicator for early diagnosis and prognostic prediction in PDAC.
Pancreatic ductal adenocarcinoma (PDAC) is a common gastrointestinal cancer that exhibits rapid development, strong invasion and metastasis, and a high mortality rate. Moreover, the incidence rate has shown an upward trend in recent years [1,2,3,4,5]. The high mortality rate of pancreatic cancer is mainly due to difficulties in early diagnosis and lack of knowledge regarding the mechanisms of pancreatic cancer invasion and metastasis [6,7,8]. Therefore, the discovery of new indicators for early diagnosis and prognostic prediction is critical.
As a type of non-coding RNA (ncRNA) with a closed loop structure and without 5′ and 3′ ends, [9, 10] circular RNAs (circRNAs) are widely found in many organisms and demonstrate obvious tissue specificity [11,12,13,14,15]. Many studies have found that circRNA binds to microRNA (miRNA) via a microRNA response element (MRE) and that circRNA acts as an miRNA sponge, competitively inhibiting miRNA to regulate expression of downstream target genes in post-transcriptional regulation [16, 17]. miR-122 is expressed at low levels in hepatoma and pancreatic cancer, and it may function as a tumor suppressor in these two types of cancer [18, 19]. The endothelium acts as a barrier to control exchange between the blood and surrounding tissues [20, 21]. Increased activity of Ras homolog gene family, member A (RhoA) in human microvascular vein endothelial cells (HUVECs) promotes actin-cytoskeletal remodeling and cell contraction and reduces expression of the tight junction ligand protein Zonula occludens-1 (ZO-1), leading to endothelial barrier dysfunction [22,23,24] and endothelial hyperpermeability [25,26,27,28,29,30]. Cancer cells need to cross the endothelial barrier for tumor metastasis,  yet research on the involvement of circRNAs in the invasion of blood vessels by tumor cells and the associated mechanisms is scarce.
Exosomes, small vesicles approximately 30–100 nm in diameter [32, 33] with a lipid bilayer membrane structure,  are actively secreted by a variety of cells. These vesicles contain proteins, lipids, miRNAs, lncRNAs, and circRNAs  and have important functions in the maintenance of physiological status and disease progression [36,37,38,39]. Tumor cells constantly release exosomes during tumor development and progression,  and this process plays an important role in intercellular communication, which regulates the tumor microenvironment, promotes cell proliferation, and induces cell migration . Exosomes are widely distributed in body fluids and can be taken up by other cells  circRNAs are enriched in exosomes [43,44,45] and may thus be important for intercellular communication . However, studies on exosomal circRNAs and their roles in pancreatic cancer are rare.
In this study, we discovered a new circRNA associated with pancreatic cancer invasion and metastasis. Additional analyses revealed that circ-IARS enters HUVECs through exosomes and that circ-IARS acts as a sponge to absorb miR-122, increases RhoA activity and F-actin expression, reduces ZO-1 expression, enhances endothelial monolayer permeability, and promotes tumor invasion and metastasis. These results provide a new rationale for the investigation of circRNAs in promoting tumor metastasis.
HUVEC, Hs 766 T and Aspc-1 cells were obtained from ATCC. Hs 766 T-L2 cells, the second generation of primary cells from Hs 766 T liver metastatic tissue, were described in our previous report . PDAC cells were cultured in RPMI-1640 medium and HUVECs in Dulbecco’s Modified Eagle’s Medium (DMEM; Gibco, USA) containing 10% fetal bovine serum (FBS) (Zeta-Life, USA) and 1% penicillin-streptomycin solution (Gibco, USA) at 37 °C in a humidified atmosphere containing 5% CO2.
Pancreatic cancer cells were cultured with 10% exosome-depleted FBS. Total Exosome Isolation Kit (Thermo, USA) was used according to the manufacturer’s protocol to extract exosomes from 10 ml of culture medium. DiI was added at 2.5 μg/ml to label exosomes, after which the mixture was centrifuged for 1 h at 4 °C. Plasma exosomes were extracted from 500 μl of fresh plasma collected from each patient using Total Exosome Isolation Kit according to the manufacturer’s instructions.
Assays were performed as described previously. HUVECs (6 × 104 at seeding in 200 μl) were cultured for 2 days in a 12-well Transwell chamber with polyester membrane of 8 μm pore size (Corning). To construct an endothelial monolayer model, the medium was changed daily until the cells were completely confluent. HUVECs were stimulated with exosomes (isolated from 10-cm Petri dishes) or phosphate-buffered saline (PBS) as a control for 24 h. For overexpression and interference experiments, 3 × 104 HUVECs were transfected with circ-IARS and miR-122 overexpression or interference plasmid (Sangon Biotech, China) using Lipofectamine 3000 (Invitrogen, USA). Cells cultured until confluence. For transmigration experiments, the medium from the upper chamber was removed, and 3 × 104 GFP-labeled AsPC-1 or Hs 766 T cells were added to 200 μl of serum-free endothelial cell culture medium. In all experiments, tumor cells that passed through the endothelial monolayer and attached to the lower side of the filter were imaged (Olympus) and counted to assess changes in endothelial monolayer permeability. Each experiment was repeated at least three times.
Exosomes from Hs 766 T and Hs 766 T-L2 cells were purified and total RNAs extracted using TRIzol LS (Thermo, USA) according to the manufacturer’s protocol; non-circular RNAs were then removed with RNase R. Arraystar Human circular RNA Array (Arraystar, USA) was used to perform RNA expression profiling. Utilizing a random priming method (Arraystar Super RNA Labeling Kit; Arraystar), circRNAs were amplified and transcribed into fluorescent cDNAs. Arrays were scanned using an Agilent Scanner G2505C, and acquired array images were analyzed with Agilent Feature Extraction software (version 188.8.131.52).
Cell transfections were performed as described previously. For overexpression and interference experiments, 5 × 105 Hs 766 T cells or HUVECs were incubated in a 6-well plate with 2 ml of medium. Plasmid and siRNA transfections were performed using Lipofectamine 3000 with 100 ng DNA or small interfering RNA (siRNA) per well according to the manufacturer’s protocol. siRNA sequences are shown in Additional file 1: Table S1.
RNA isolation and quantitative reverse transcription-polymerase chain reaction (qRT-PCR) analysis
RNA was isolated using TRIzol LS (Thermo, USA). PrimeScript RT Reagent Kit with gDNA Eraser (TaKaRa, Japan) was used to generate first-strand cDNA; miRNA reverse transcription was carried out using Mir-X miRNA qRT-PCR SYBR Kit (Clontech, Japan). PrimeScript RT Reagent Kit and SYBR Premix Ex Taq (TaKaRa, Japan) were used to perform real-time PCR with a CFX96 Real-Time System (Bio-Rad, USA) and the reaction conditions provided in the instructions. Details of the primers used are presented in Additional file 1: Table S1. The miRNA mRQ 3′ primer was included in Mir-X miRNA qRT-PCR SYBR Kit (Clontech, Japan).
Western blot analysis
Total protein was extracted from HUVECs using RIPA lysis buffer (Thermo, USA) containing protease inhibitor cocktail tablets (Roche, USA). Protein concentrations were measured with a BCA Protein Assay Kit (Beyotime, China). Equal amounts of protein (20 μg) were separated by 10% sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) and transferred to polyvinylidene fluoride (PVDF) membranes (Millipore, USA), which were then blocked incubated with primary antibodies overnight at 4 °C. The antibodies used in this study included the following: anti-RhoA (1:600, #2117, Cell Signaling, USA), anti-ZO-1 (1:600, #13663, Cell Signaling, USA) and anti-GAPDH (1:5000, 60,004–1-lg, Proteintech, USA). The membranes were washed with Tris-buffered saline/Tween-20 (TBST) and incubated with a horseradish peroxidase (HRP)-conjugated secondary antibody for 2 h at room temperature. Immunocomplexes were visualized using a New Super ECL Detection Kit (KeyGEN BioTECH, China) according to the manufacturer’s instructions.
RhoA activity assay
HUVECs were maintained in special medium (with plasma exosomes removed) and cultured at 37 °C for 48 h after the addition of exosomes, plasmids, siRNA, or PBS. After the cell culture medium was removed, the cells were rinsed twice with ice-cold PBS and lysed on ice. RhoA activity detection was conducted according to the instructions of G-LISA RhoA Action Assay Biochem Kit (Kit # BK124, Cytoskeleton, USA). The active form of RhoA, RhoA-GTP, binds to the RhoA-GTP-binding protein immobilized on the bottom of a 96-well plate, whereas the inactive form of RhoA, RhoA-GDP, is removed during washing steps. The bound RhoA-GTP was first incubated with a anti-RhoA for 45 min and then with an HRP-conjugated secondary antibody for 45 min. Absorbance at 490 nm was measured and recorded using a spectrophotometer.
RhoA-GTP expression analysis
After the cell culture medium was removed, cells were washed twice with ice-cold PBS. The procedures were conducted according to the recommendations of Active Rho Detection Kit (Kit # 8820, Cell Signaling, USA). In this method, the GST-Rhotekin-RBD fusion protein binds to the active form of RhoA (RhoA-GTP) and then immunoprecipitated with glutathione, whereas the inactive form of RhoA (RhoA-GDP) is removed during washing steps. RhoA-GTP expression was detected by western blotting using an anti-RhoA antibody.
PDAC patients and clinical samples
This study received Ethics Committee of Southwest Hospital approval, and 92 patients signed informed consent. All patients underwent pancreaticoduodenectomy surgery at Department of Hepatobiliary Surgery Institute, Southwest Hospital, from January 2012 to January 2016. Histopathologically confirmed cancer in 92 cases. The clinical characteristics of 85 patients are shown in Table 1. RNA was isolated from 85 fresh frozen tissues and 16 peritumoral normal tissues. After tumor excision, fresh tissues were immediately placed in liquid-nitrogen and then transferred to − 80 °C for future use. Blood was collected from 40 patients for plasma exosome isolation; after centrifugation at 3000 rpm for 20 min, the supernatant (plasma) was stored at − 80 °C for future use. For monthly follow-up, the clinical follow-up center of Department of Hepatobiliary Surgery Institute, Southwest Hospital, telephoned all patients, who were followed up by radiography, ultrasonography or computed tomography (CT) examination every 3 months after discharge.
This study was approved by the Institutional Animal Care and Use Committee of Southwest Hospital, Chongqing, China. Four to six-week-old male athymic nude mice were obtained from Southwest Hospital (Chongqing, China) and raised in the standard pathogen-free conditions of Southwest Hospital (Chongqing, China). Anesthesia was maintained with an intraperitoneal injection of 1% sodium pentobarbital (50 mg/kg). Hs 766 T cells (5 × 106 in 100 μl PBS) were injected into the head of the pancreas after exposing the spleen and pancreas by median abdominal incision. After injection, the pancreas was replaced and the abdomen closed; the mice were imaged using the IVIS Lumina II system (Caliper Life Science, USA). At 4 weeks after the procedure, all mice were sacrificed, and pancreas and liver tissues were fixed in 4% paraformaldehyde and subjected to hematoxylin-eosin (H&E) staining.
HUVECs were seeded and cultured on cell slides and then transfected with circ-RNA or miRNA or incubated with exosomes. The cells were fixed, permeabilized, and blocked by incubating with 1% bovine serum albumin (Sigma, USA), followed by incubation with anti-Vinculin (1:200, FAK100, Millipore, USA) overnight at 4 °C. The cells were incubated with tetramethylrhodamine (TRITC)-conjugated Phalloidin (1:500, FAK100, Millipore, USA) and a goat anti-mouse IgG (FITC labeled, 1:500, PIERCE, USA) secondary antibody for 1 h at 37 °C. The slides were mounted with Mounting Medium followed Fluorescence with 4′,6-diamidino-2-phenylindole (DAPI) (Vector Laboratories, USA) and imaged with a fluorescence or confocal microscope.
Correlations between clinical categorical parameters and circ-IARS expression levels (the median was regarded as the cutoff value) were evaluated by the χ2 test. If the data followed a normal distribution, Student’s t-test was used to compare group differences; otherwise, the nonparametric Mann-Whitney test was adopted. One-way analysis of variance (ANOVA) was employed to compare differences among 3 groups. Univariate analysis was performed by the KM method (the log-rank test), and multivariate analysis was conducted by the stepwise Cox multivariate proportional hazard regression model (Forward LR, likelihood ratio) for survival analysis. All analyses were performed using SPSS 22.0 software (IBM, USA), and all tests were two-sided. A P-value < 0.05 was considered to be statistically significant. All statistical analyses were completed under the guidance of experienced experts from the Statistics Department of Third Military Medical University (Army Medical University).
Dual-luciferase reporter assay
Firstly, 5 × 103 HUVECs were cultured in a white 96-well plate. Then HUVECs were transfected with psiCHECK2-circ-IARS or psiCHECK2-circ-IARS mut plasmid (Sangon Biotech, China) and 8 ng of the internal control pRL-TK Renilla luciferase plasmid (Promega, USA), together with miR-122 (RiboBio, China) at a final concentration of 0, 50 or 150 nM. According to the manufacturer’s protocol, the cells were harvested and processed with the Dual-Luciferase Reporter Assay System (E1910, Promega, USA) after a 48-h incubation. The results were quantified as the ratio of firefly luciferase activity/Renilla luciferase activity in each well.
Tumor cell-derived exosomes promote tumor invasion via an increase in endothelial monolayer permeability
We collected the culture medium of Hs 766 T cells to isolate exosomes. We extracted the exosomes and examined their morphology and size by scanning electron microscope(SEM)and the expression of CD63, in the culture medium of Hs 766 T or Hs 766 T-L2 cells by WB (Fig. 1a-b). The exosomes were labeled with DiI dye and co-cultured with Calcein AM dye-labeled HUVECs for 24 h. Red fluorescent spots were observed in the HUVECs, indicating that the exosomes had entered these cells (Fig. 1c).
Immunofluorescence (IF) assays showed that compared with the control group, expressions of F-actin and focal adhesion in HUVECs increased significantly after stimulation by exosomes produced by pancreatic cancer cells, with exosomes derived from the Hs 766 T-L2 group showing a more significant increase than those derived from the Hs 766 T group (Fig. 1d); WB, which was used to evaluated the expression of F-actin, showed the same results as IF (Fig. 1e). The number of green fluorescent protein (GFP)-labeled AsPC-1 cells that crossed the endothelial monolayer was greater for the Hs 766 T-L2 and Hs 766 T groups than for the control group, and the number of such GFP-labeled AsPC-1 cells in the Hs 766 T-L2 group was greater than that in the Hs 766 T group (Fig. 1f-g). These results suggest that exosomes secreted by pancreatic cancer cells are taken up by HUVECs, followed by increased F-actin expression, enhanced endothelial monolayer permeability, and tumor cell invasion promotion.
Circ-IARS is highly expressed in pancreatic cancer, positively correlated with tumor metastasis, and negatively correlated with patient survival time
Using a gene chip, we detected differential expression of circRNAs in exosomes secreted by Hs 766 T-L2 and Hs 766 T cells. Circ-IARS was identified for further investigation via bioinformatic analysis of databases such as circBase/miRBase/TargetScanHuman/microRNA. The results showed circ-IARS to be highly expressed in Hs 766 T-L2 cells (Fig. 2a). This was consistent with the result of the gene chip assay, and we speculate that circ-IARS expression may be related to the invasive capacity of pancreatic cancer cells.
We detected the expression levels of circ-IARS and linear IARS in 25 pairs tumor tissue and peritumoral tissue by qRT-PCR, and found that although circ-IARS was highly expressed in pancreatic cancer tissues, no difference in linear-IARS expression was observed (Fig. 2b). Moreover, circ-IARS was present in abundance in plasma exosomes derived from patients with metastatic pancreatic cancer (Fig. 2c). Statistical analysis showed that high expression levels of circ-IARS were associated with tumor vessel invasion, liver metastasis, and tumor-node-metastasis (TNM) stage; in contrast, linear-IARS was not associated with tumor clinicopathological features (Table 1). Univariate survival analysis showed that vascular invasion, hepatic metastasis, TNM stage, and circ-IARS overexpression were independent risk factors for pancreatic cancer (Table 2). Multivariate survival analysis revealed circ-IARS overexpression, TNM stage, and liver metastasis to be risk factors influencing the prognosis of pancreatic cancer patients (Table 3). circ-IARS survival curves were drawn, and it was found that the survival time of patients in the circ-IARS high-expression group was significantly shorter than that of patients in the circ-IARS low-expression group (Fig. 2d). The above results indicate that expression of circ-IARS is positively correlated with the occurrence and metastasis of pancreatic cancer and negatively correlated with postoperative survival time.
Circ-IARS increases the permeability of endothelial monolayer cells by increasing RhoA activity
In order to down-regulate the expression level of circ-IARS, we designed two siRNAs (Additional file 2: Table S2). Finally, we selected the better interference one, siRNA2, to complete the interference experiment (Fig. 3a). We transfected HUVECs with circ-IARS overexpression plasmids and circ-IARS siRNAs to generate ov-circ-IARS and si-circ-IARS groups, respectively. qRT-PCR showed that the circ-IARS expression level was up-regulated in the ov-circ-IARS group, while down-regulated in si-circ-IARS group (Fig. 3b). In addition, the results of qRT-PCR and western blotting showed that RhoA expression were up-regulated, ZO-1 expression was decreased, and RhoA activity was significantly increased in the ov-circ-IARS group. In contrast, RhoA levels were down-regulated, ZO-1 expression was up-regulated, and RhoA activity was significantly decreased in the si-circ-IARS group (Fig. 3c-f). HUVEC coverslip culture results revealed that circ-IARS overexpression increased F-actin, which was decreased by siRNA-mediated knockdown (Fig. 3g); further, the WB assays revealed the similar results of F-actin in HUVEC cells (Fig. 3f). Transwell assay results showed that the number of AsPC-1 and Hs 66 T cells crossing the epithelial monolayer was significantly increased in the ov-circ-IARS group and significantly decreased in the si-circ-IARS group (Fig. 3h).
To establish a pancreatic cancer tumor model, we constructed a stable circ-IARS-overexpressing cell line, injected it into the head of the pancreas in animal experiments, and periodically monitored the fluorescence signal in this particular region of the pancreas. We found that the signal in the overexpression group was strong and showed a gradually increasing trend (Fig. 3i). After 1 month, larger carcinomas in situ and more liver metastases were found in the circ-IARS overexpression group, i.e., 3 liver metastases in the experimental group and 1 in the control group) (Fig. 3j). We sectioned the pancreatic tumors and liver tissues and conducted H&E staining to confirm the results (Fig. 3k). The above findings indicate that circ-IARS increased RhoA expression and activity as well as F-actin expression and reduced expression of ZO-1, thereby increasing the permeability of endothelial monolayer cells. The animal experiments confirmed that circ-IARS can promote tumor invasion and metastasis in vivo.
Circ-IARS increases RhoA activity via absorption and regulation of miR122
In this study, microarray results showed that miR-122-5p, miR-140-3p,miR-505-3p, miR-561-5p and miR-612 maybe regulated by circ-IARS. We then validated the expression levels of these miRNAs in circ-IARS-overexpressing and circ-IARS-depleted HUVEC by qRT-PCR. We found the miR122 was downregulated in circ-IARS-overexpressing cells but upregulated in circ-IARS-depleted cells (Fig. 4a). These results indicated that the miR-122 was the most suitable candidates for further analysis. Bioinformatic analysis showed that circ-IARS or RhoA mRNA bind to a specific site on miRNA122 (Fig. 4b). We have confirmed that circ-IARS can regulate RhoA, but the detailed regulatory mechanism remains unclear. Bioinformatics analysis revealed that circ-IARS shares miR-122 response elements with RhoA, the master molecules of endothelial permeability maintenance. To confirm whether circ-IARS acts as a ceRNA to the miR-122, we constructed the psiCHECK2- circ-IARS plasmid (Fig. 4c). We found that co-transfection of psiCHECK2- circ-IARS and miR-122 inhibited the Rluc expression, and this inhibition was dose dependent, as the inhibitory effect was more obvious in the 150 nM miRNA group than in the 70 nM miRNA group (Fig. 4d, left column). We further constructed the psiCHECK2- circ-IARS mut plasmid. As expected, the mutant no longer elicited the inhibition of miR-122 (Fig. 4d, right column). We confirmed that circ-IARS function as a ceRNA of miR-122 to regulate RhoA expression. Based on qRT-PCR, overexpression of circ-IARS and miR-122 together significantly up-regulated the level of miR-122, decreased that of RhoA, increased that of ZO-1, and decreased RhoA activity compared with the ov-circ-IARS group. In comparison with the si-circ-IARS group, simultaneous interference of circ-IARS and miR-122 significantly down-regulated the level of miR-122, increased expression of RhoA, decreased that of ZO-1, and increased RhoA activity (Fig. 4e-h). The same results were obtained with western blotting (Fig. 4i).
As shown in Fig. 4j, f-actin levels were decreased after overexpression of both circ-IARS and miR-122, whereas F-actin levels were increased after expression of both circ-IARS and miR-122 was simultaneously knocked down; the changes of F-actin expression in WB were consistent with in IF (Fig. 4k). Transwell analysis showed that the numbers of AsPC-1 and Hs 766 T cells that passed through the endothelial monolayer were significantly reduced after circ-IARS and miR-122 were both overexpressed. Moreover, the number of cells that passed through the endothelial monolayer was increased in the si-circ-IARS + si-miR-122 group (Fig. 4l). These results suggest that circ-IARS may increase the permeability of the endothelial monolayer and may promote tumor cell metastasis via specific absorption of miR-122, which reduces its level. This in turn increases the level and activity of RhoA and increases and decreases expression of F-actin and ZO-1, respectively.
Circ-IRAS enters HUVECs via exosomes and increases endothelial monolayer permeability
In our study, the expression level of circ-IARS in Hs 766 T was detected by qRT-PCR after transfection with circ-IARS over-expression plasmids or siRNA. And the expression of circ-IARS was up-regulated in overexpressed Hs 766 T, as the expression was down-regulated in interfered Hs 766 T (Fig. 5a). And then co-cultured the exosomes with HUVECs (HUVEC+ov-exosome and HUVEC+si-exosome groups). The control group (HUVEC+NC-exosome group) consisted of exosomes from untreated Hs 766 T cells. In the HUVEC+ov-exosome group, expression of circ-IARS was significantly increased, that of miR-122 significantly decreased, that of RhoA increased, and that of ZO-1 decreased. Conversely, expression of circ-IARS was significantly down-regulated, that of miR-122 significantly increased, that of RhoA down-regulated, and that of ZO-1 up-regulated in the HUVEC+si-exosome group (Fig. 5b-e). RhoA activity analysis showed increased and decreased activity in the HUVEC+ov-exosome group and HUVEC+si-exosome group, respectively (Fig. 5f). Moreover, the results of western blotting showed that RhoA expression was increased, ZO-1 expression was decreased, and RhoA-GTP expression was increased in the HUVEC+ov-exosome group; however, RhoA and RhoA-GTP expression was decreased and that of ZO-1 increased in the HUVEC+si-exosome group (Fig. 5g).
According to cell coverslip culturing, exosomes overexpressing circ-IARS induced an increase in F-actin expression, whereas exosomes in which circ-IARS was knocked down by siRNA led to decreased F-actin levels (Fig. 5h). In addition, WB found that the change of F-actin is the same as that of IF (Fig. 5i). Transwell assays revealed that exosomes overexpressing circ-IARS increases the number of tumor cells that passed through the endothelial monolayer; in contrast, exosomes of Hs 766 T cells treated with siRNA against circ-IARS decreased the number of tumor cells that passed through the endothelial monolayer (Fig. 5j). The above results indicate that circ-IARS enters HUVECs through exosomes to exert its biological function.
In this study, we investigated the mechanism by which circ-IARS in tumor cell-derived exosomes regulates permeability of the endothelial monolayer and promotes tumor metastasis. The following results are noteworthy. 1. Exosomes secreted by pancreatic cancer cells are taken up by HUVECs, leading to an increase in F-actin expression and enhanced endothelial monolayer permeability; this also promoted the passage of tumor cells through the endothelial monolayer. 2. circ-IARS is strongly expressed in pancreatic cancer, correlating positively with tumor metastasis and negatively with postoperative survival time. 3. circ-IARS increases RhoA expression and activity, increases F-actin levels, decreases ZO-1 expression, and enhances endothelial monolayer permeability. 4. circ-IARS enters HUVECs via exosomes and then exerts its biological function by regulating miR-122 expression.
Previous studies have reported that expression of certain circRNAs, which play an important role in the occurrence and development of tumors, [48, 49] is much higher than that of linear transcripts.  Qu et al. examined differential expression of circRNAs in PDAC tissues and normal pancreatic tissues and found that the expression level of circRNA ciRS-7 was negatively correlated with tumor size, stage, and patient clinical prognosis,  suggesting that this circRNA may be a new treatment target for pancreatic cancer. We found that circ-IARS was highly expressed in pancreatic cancer tissues and that its expression level was related to tumor vascular invasion, liver metastasis, and TNM stage. Survival analysis showed high circ-IARS expression, TNM stage, and liver metastasis to be risk factors influencing patient prognosis, and the survival curve confirmed that the survival time of the circ-IARS high-expression group was significantly shorter than that of the circ-IARS low-expression group. The endothelium serves as a barrier that controls exchange between the blood and surrounding tissues, and maintenance of this function requires the involvement of active Rho enzyme . An increase in RhoA activity in HUVECs was recently found to increase F-actin expression and reduced that of the tight junction protein ZO-1, [52, 53] which increases the inward contractile force of cells, damages the endothelial barrier function, [22,23,24] and enhances endothelial permeability [25,26,27,28,29,30]. After overexpressing circ-IARS in HUVECs, we found that RhoA expression and activity, F-actin expression, and endothelial monolayer permeability were all increased and that ZO-1 expression was decreased. These results suggest that circ-IARS may act through the RhoA signaling pathway to modulate changes in endothelial permeability. Using an animal experiment, we also confirmed that circ-IARS can promote tumor invasion and metastasis. These results suggest that circ-IARS is associated with the progression of pancreatic cancer and may play an important role in this cancer type.
Previous studies indicated that exosomal miR-142-3p augments vascular permeability through down-regulation of endothelial RAB11FIP2 expression . In addition, researchers demonstrated that miR-939 directly targets VE-cadherin leading to an increase in HUVECs monolayer permeability by exosomes . In our study, we found that exosomal circ-IARS could up-regulate the activity and expression of RhoA, increase the expression of F-actin,and decrease the expression of ZO-1. So that, we recognized that High levels of circ-IARS lead to high permeability.
Numerous studies have found that circRNAs can bind to miRNAs as competing endogenous RNAs (ceRNAs) [16, 56, 57] or otherwise directly regulate transcription;  alternatively, they may be translated to generate proteins [59,60,61]. Ashwal-Fluss et al. found that circMbl, which is produced by the second exon of muscleblind (MBL), contains an MBL-binding site that can specifically bind to MBL . In addition, Li et al. found that existing circRNA simultaneously promoted its own expression as well as that of linear RNA,  and AbouHaidar MG et al. confirmed that exonic circ RNAs (ecircRNAs) possess an open reading frame that can generate proteins in vivo and in vitro . Other studies have suggested that circRNAs primarily act as miRNA sponges to competitively inhibit miRNAs and to regulate expression of their downstream target genes [16, 17]. Pan et al. found that ciRS-7 acts as an miR-7 sponge by binding to miR-7 and relieves the inhibitory effect of miR-7 on gastric cancer, [63, 64] which suggests that ciRS-7 is an oncogene. Li et al. found that cir-ITCH functions as a sponge that binds to miR-7, miR-17, and miR-214; after the subsequent up-regulation of ITCH and inhibition of the Wnt signaling pathway, it was determined to be a tumor suppressor gene in esophageal cancer [65, 66]. We found that circ-IARS acts as an oncogene to promote tumor cell invasion and metastasis. Wang et al. found that miR-122 can inhibit the invasion and metastasis of hepatocellular carcinoma through the RhoA pathway and that the mechanism involves specific binding of miR-122 to the mRNA sequence of RhoA,  inhibiting RhoA activity and F-actin and increasing expression of ZO-1. In our study, we found that expression of miR-122 was decreased by circ-IARS overexpression and increased by interference with circ-IARS expression. Compared with the circ-IARS overexpression group, co-overexpression of circ-IARS and miR-122 resulted in down-regulation of RhoA, increased expression of ZO-1, and a significant decrease in F-actin, as well as decreased endothelial monolayer permeability. In our opinion, circ-IARS binds to miR-122 via sponge-like activity, after which it exerts its biological functions by down-regulating miR-122 expression and relieving its inhibition on the target gene RhoA.
An increasing numbers of studies have found that exosomes play an important role in the occurrence and development of tumors [68, 69]. Kawamoto et al. found that HUVECs employ endocytosis to take up microvesicles secreted by tumors,  and we confirmed this finding. We isolated exosomes from the culture medium of tumor cells, labeled them with DiI dye and then co-cultured them with HUVECs, after which we observed the red fluorescent signal carried by the exosomes in HUVECs. Exosomes shuttle information between cells  involved in processes such as the immune response, intercellular signal transduction, apoptosis, angiogenesis, and autophagy. Thus, exosomes play an important role in the maintenance of physiological status and disease progression [37,38,39]. Tumors continuously release exosomes during tumorigenesis and development, at a rate that is much higher than that of normal cells . Wang et al. found that exosomes secreted by prostate cancer cells have an important function in regulating intercellular communication in the tumor microenvironment, thereby promoting cell proliferation and inducing cell migration . In our study, we found that exosomes from pancreatic cancer cells increased F-actin levels in HUVECs (Fig. 1b), enhanced endothelial monolayer permeability, and promoted tumor cell passage through the endothelial monolayer (Fig. 1c). circRNAs are enriched in exosomes and have potential important biological functions. Therefore, to further investigate the role of exosomes in circ-IARS-mediated tumor invasion and metastasis, we co-cultured HUVECs with exosomes derived from Hs 766 T cells with either circ-IARS overexpression or interference. We found that exosomes derived from cells overexpressing circ-IARS led to up-regulation of circ-IARS and down-regulation of miR-122 in HUVECs. Moreover, RhoA expression and activity were significantly increased, expression of ZO-1 was decreased and that of F-actin increased, and endothelial monolayer permeability was enhanced. It is should be addressed that the exogenous circ-IARS, which is secreted from PDAC cells through exosomes, works as the mediators of endothelial monolayer permeability. Uptake of exosomal circular RNA into endothelial cells also suggest that extracellular circular RNAs can be transferred through exosomes from tumor cells to other cells as signaling molecules mediating cell-cell communication.
In conclusion, in this report we describe a novel, physiologically relevant mechanism of vascular permeability regulation. Circ-IARS competitively adsorbed miR-122, inhibited its expression and relieved its inhibition of downstream target gene RhoA activity, increased the activity of RhoA, increased the expression of F-actin, and promoted cell contraction. In addition, the increase of RhoA activity reduced the expression of ZO-1 and disrupted the tight junction between the endothelium, which eventually led to the increase of vascular endothelial permeability and promotes tumor metastasis (Fig. 6). The above results show that tumor cells can regulate endothelial permeability through circ-IARS in exosomes, thus promoting tumor metastasis.
In summary, we found that exosomes derived from pancreatic cancer cells were taken up by HUVECs and that circ-IARS carried by these exosomes specifically absorbed miR-122 in HUVECs to inhibit its expression and relieve its inhibition of the target gene RhoA. This in turn led to increased RhoA expression levels and activity, thereby further reducing ZO-1 expression and increasing F-actin expression and endothelial monolayer permeability. Overall, this process promotes the passage of tumor cells through the endothelial monolayer as well as tumor invasion and metastasis. We believe that circRNAs in exosomes may be important indicators for the early diagnosis and prognostic prediction of tumors.
Competing endogenous RNAs
Circular RNA IARS
CircRNA sponge for miR-7
Human microvascular vein endothelial cell
MicroRNA response element
Pancreatic ductal adenocarcinoma
Quantitative reverse transcription-polymerase chain reaction
Ras homolog gene family, member A
the active form of RhoA
Small interfering RNA
- TNM stage:
Duan YF, Li DF, Liu YH, Mei P, Qin YX, Li LF, Lin QX, Li ZJ. Decreased expression of DAB2IP in pancreatic cancer with wild-type KRAS. Hepatobiliary Pancreat Dis Int. 2013;12:204–9.
Damaskos C, Garmpis N, Karatzas T, Nikolidakis L, Kostakis ID, Garmpi A, Karamaroudis S, Boutsikos G, Damaskou Z, Kostakis A, Kouraklis G. Histone deacetylase (HDAC) inhibitors: current evidence for therapeutic activities in pancreatic Cancer. Anticancer Res. 2015;35:3129–35.
Nipp RD, Ryan DP. Predicting a response to FOLFIRINOX in pancreatic cancer. J Natl Cancer Inst. 2015;107:8.
Hofmann BT, Schluter L, Lange P, Mercanoglu B, Ewald F, Folster A, Picksak AS, Harder S, El GA, Grupp K, et al. COSMC knockdown mediated aberrant O-glycosylation promotes oncogenic properties in pancreatic cancer. Mol Cancer. 2015;14:109.
Vennin C, Pajic M, Timpson P. Imaging fibrosis in pancreatic cancer using second harmonic generation. Pancreatology. 2015;15:200–1.
Real FX. A “catastrophic hypothesis” for pancreas cancer progression. Gastroenterology. 2003;124:1958–64.
Chen W, Zheng R, Baade PD, Zhang S, Zeng H, Bray F, Jemal A, Yu XQ, He J. Cancer statistics in China, 2015. CA Cancer J Clin. 2016;66:115–32.
Siegel RL, Miller KD, Jemal A: Cancer statistics, 2018. CA Cancer J Clin 2018:n/a-n/a.
Jeck WR, Sorrentino JA, Wang K, Slevin MK, Burd CE, Liu J, Marzluff WF, Sharpless NE. Circular RNAs are abundant, conserved, and associated with ALU repeats. Rna. 2013;19:141–57.
Chen LL, Yang L. Regulation of circRNA biogenesis. RNA Biol. 2015;12:381–8.
Sanger HL, Klotz G, Riesner D, Gross HJ, Kleinschmidt AK. Viroids are single-stranded covalently closed circular RNA molecules existing as highly base-paired rod-like structures. Proc Natl Acad Sci U S A. 1976;73:3852–6.
Matsumoto Y, Fishel R, Wickner RB. Circular single-stranded RNA replicon in Saccharomyces cerevisiae. Proc Natl Acad Sci U S A. 1990;87:7628–32.
Capel B, Swain A, Nicolis S, Hacker A, Walter M, Koopman P, Goodfellow P, Lovell-Badge R. Circular transcripts of the testis-determining gene Sry in adult mouse testis. Cell. 1993;73:1019–30.
Danan M, Schwartz S, Edelheit S, Sorek R. Transcriptome-wide discovery of circular RNAs in archaea. Nucleic Acids Res. 2012;40:3131–42.
Wang PL, Bao Y, Yee MC, Barrett SP, Hogan GJ, Olsen MN, Dinneny JR, Brown PO, Salzman J. Circular RNA is expressed across the eukaryotic tree of life. PLoS One. 2014;9:e90859.
Hansen TB, Jensen TI, Clausen BH, Bramsen JB, Finsen B, Damgaard CK, Kjems J. Natural RNA circles function as efficient microRNA sponges. Nature. 2013;495:384–8.
Jeck WR, Sharpless NE. Detecting and characterizing circular RNAs. Nat Biotechnol. 2014;32:453–61.
Saito Y, Suzuki H, Matsuura M, Sato A, Kasai Y, Yamada K, Saito H, Hibi T. MicroRNAs in hepatobiliary and pancreatic cancers. Front Genet. 2011;2:66.
Papaconstantinou IG, Manta A, Gazouli M, Lyberopoulou A, Lykoudis PM, Polymeneas G, Voros D. Expression of microRNAs in patients with pancreatic cancer and its prognostic significance. Pancreas. 2013;42:67–71.
Buckanovich RJ, Facciabene A, Kim S, Benencia F, Sasaroli D, Balint K, Katsaros D, O'Brien-Jenkins A, Gimotty PA, Coukos G. Endothelin B receptor mediates the endothelial barrier to T cell homing to tumors and disables immune therapy. Nat Med. 2008;14:28–36.
Yoshioka K, Yoshida K, Cui H, Wakayama T, Takuwa N, Okamoto Y, Du W, Qi X, Asanuma K, Sugihara K, et al. Endothelial PI3K-C2alpha, a class II PI3K, has an essential role in angiogenesis and vascular barrier function. Nat Med. 2012;18:1560–9.
Schaeffer RJ, Gong F, Bitrick MJ, Smith TL. Thrombin and bradykinin initiate discrete endothelial solute permeability mechanisms. Am J Phys. 1993;264:H1798–809.
Garcia JG, Verin AD, Schaphorst KL. Regulation of thrombin-mediated endothelial cell contraction and permeability. Semin Thromb Hemost. 1996;22:309–15.
Lum H, Malik AB. Mechanisms of increased endothelial permeability. Can J Physiol Pharmacol. 1996;74:787–800.
van Nieuw AG, Draijer R, Vermeer MA, van Hinsbergh VW. Transient and prolonged increase in endothelial permeability induced by histamine and thrombin: role of protein kinases, calcium, and RhoA. Circ Res. 1998;83:1115–23.
Essler M, Amano M, Kruse HJ, Kaibuchi K, Weber PC, Aepfelbacher M. Thrombin inactivates myosin light chain phosphatase via rho and its target rho kinase in human endothelial cells. J Biol Chem. 1998;273:21867–74.
Breslin JW, Yuan SY. Involvement of RhoA and rho kinase in neutrophil-stimulated endothelial hyperpermeability. Am J Physiol Heart Circ Physiol. 2004;286:H1057–62.
Gorovoy M, Neamu R, Niu J, Vogel S, Predescu D, Miyoshi J, Takai Y, Kini V, Mehta D, Malik AB, Voyno-Yasenetskaya T. RhoGDI-1 modulation of the activity of monomeric RhoGTPase RhoA regulates endothelial barrier function in mouse lungs. Circ Res. 2007;101:50–8.
van Nieuw AG, van Hinsbergh VW. Endogenous RhoA inhibitor protects endothelial barrier. Circ Res. 2007;101:7–9.
Lu Q, Lu L, Chen W, Chen H, Xu X, Zheng Z. RhoA/mDia-1/profilin-1 signaling targets microvascular endothelial dysfunction in diabetic retinopathy. Graefes Arch Clin Exp Ophthalmol. 2015;253:669–80.
Reymond N, D'Agua BB, Ridley AJ. Crossing the endothelial barrier during metastasis. Nat Rev Cancer. 2013;13:858–70.
Kahlert C, Kalluri R. Exosomes in tumor microenvironment influence cancer progression and metastasis. J Mol Med (Berl). 2013;91:431–7.
Raposo G, Stoorvogel W. Extracellular vesicles: exosomes, microvesicles, and friends. J Cell Biol. 2013;200:373–83.
Simpson RJ, Jensen SS, Lim JW. Proteomic profiling of exosomes: current perspectives. Proteomics. 2008;8:4083–99.
Valadi H, Ekstrom K, Bossios A, Sjostrand M, Lee JJ, Lotvall JO. Exosome-mediated transfer of mRNAs and microRNAs is a novel mechanism of genetic exchange between cells. Nat Cell Biol. 2007;9:654–9.
Robbins PD, Morelli AE. Regulation of immune responses by extracellular vesicles. Nat Rev Immunol. 2014;14:195–208.
Sahoo S, Losordo DW. Exosomes and cardiac repair after myocardial infarction. Circ Res. 2014;114:333–44.
Fujita Y, Araya J, Ito S, Kobayashi K, Kosaka N, Yoshioka Y, Kadota T, Hara H, Kuwano K, Ochiya T. Suppression of autophagy by extracellular vesicles promotes myofibroblast differentiation in COPD pathogenesis. J Extracell Vesicles. 2015;4:28388.
Yang Y, Li Y, Chen X, Cheng X, Liao Y, Yu X. Exosomal transfer of miR-30a between cardiomyocytes regulates autophagy after hypoxia. J Mol Med (Berl). 2016;94:711–24.
Melo SA, Luecke LB, Kahlert C, Fernandez AF, Gammon ST, Kaye J, LeBleu VS, Mittendorf EA, Weitz J, Rahbari N, et al. Glypican-1 identifies cancer exosomes and detects early pancreatic cancer. Nature. 2015;523:177–82.
Wang G, Dinkins M, He Q, Zhu G, Poirier C, Campbell A, Mayer-Proschel M, Bieberich E. Astrocytes secrete exosomes enriched with proapoptotic ceramide and prostate apoptosis response 4 (PAR-4): potential mechanism of apoptosis induction in Alzheimer disease (AD). J Biol Chem. 2012;287:21384–95.
Cappello F, Logozzi M, Campanella C, Bavisotto CC, Marcilla A, Properzi F, Fais S. Exosome levels in human body fluids: a tumor marker by themselves? Eur J Pharm Sci. 2017;96:93–8.
Li Y, Zheng Q, Bao C, Li S, Guo W, Zhao J, Chen D, Gu J, He X, Huang S. Circular RNA is enriched and stable in exosomes: a promising biomarker for cancer diagnosis. Cell Res. 2015;25:981–4.
Bahn JH, Zhang Q, Li F, Chan TM, Lin X, Kim Y, Wong DT, Xiao X. The landscape of microRNA, Piwi-interacting RNA, and circular RNA in human saliva. Clin Chem. 2015;61:221–30.
Bao C, Lyu D, Huang S. Circular RNA expands its territory. Mol Cell Oncol. 2016;3:e1084443.
Lasda E, Parker R. Circular RNAs co-precipitate with extracellular vesicles: a possible mechanism for circRNA clearance. PLoS One. 2016;11:e148407.
Zou Y, Li J, Chen Z, Li X, Zheng S, Yi D, Zhong A, Chen J. miR-29c suppresses pancreatic cancer liver metastasis in an orthotopic implantation model in nude mice and affects survival in pancreatic cancer patients. Carcinogenesis. 2015;36:676–84.
Wang F, Nazarali AJ, Ji S. Circular RNAs as potential biomarkers for cancer diagnosis and therapy. Am J Cancer Res. 2016;6:1167–76.
Chen Y, Li C, Tan C, Liu X. Circular RNAs: a new frontier in the study of human diseases. J Med Genet. 2016;53:359–65.
Qu S, Song W, Yang X, Wang J, Zhang R, Zhang Z, Zhang H, Li H. Microarray expression profile of circular RNAs in human pancreatic ductal adenocarcinoma. Genom Data. 2015;5:385–7.
van Nieuw AG, Beckers CM, Achekar ID, Zeeman S, Musters RJ, van Hinsbergh VW. Involvement of rho kinase in endothelial barrier maintenance. Arterioscler Thromb Vasc Biol. 2007;27:2332–9.
Wojciak-Stothard B, Potempa S, Eichholtz T, Ridley AJ. Rho and Rac but not Cdc42 regulate endothelial cell permeability. J Cell Sci. 2001;114:1343–55.
Schlegel N, Baumer Y, Drenckhahn D, Waschke J. Lipopolysaccharide-induced endothelial barrier breakdown is cyclic adenosine monophosphate dependent in vivo and in vitro. Crit Care Med. 2009;37:1735–43.
Sukma Dewi I, Celik S, Karlsson A, Hollander Z, Lam K, McManus J, Tebbutt S, Ng R, Keown P, McMaster R, et al. Exosomal miR-142-3p is increased during cardiac allograft rejection and augments vascular permeability through down-regulation of endothelial RAB11FIP2 expression. Cardiovasc Res. 2017;113(5):440–52.
Di Modica M, Regondi V, Sandri M, Iorio MV, Zanetti A, Tagliabue E, Casalini P, Triulzi T. Breast cancer-secreted miR-939 downregulates VE-cadherin and destroys the barrier function of endothelial monolayers. Cancer Lett. 2017;384:94–100.
Memczak S, Jens M, Elefsinioti A, Torti F, Krueger J, Rybak A, Maier L, Mackowiak SD, Gregersen LH, Munschauer M, et al. Circular RNAs are a large class of animal RNAs with regulatory potency. Nature. 2013;495:333–8.
Taulli R, Loretelli C, Pandolfi PP. From pseudo-ceRNAs to circ-ceRNAs: a tale of cross-talk and competition. Nat Struct Mol Biol. 2013;20:541–3.
Li Z, Huang C, Bao C, Chen L, Lin M, Wang X, Zhong G, Yu B, Hu W, Dai L, et al. Exon-intron circular RNAs regulate transcription in the nucleus. Nat Struct Mol Biol. 2015;22:256–64.
Chen CY, Sarnow P. Initiation of protein synthesis by the eukaryotic translational apparatus on circular RNAs. Science. 1995;268:415–7.
Perriman R, Ares MJ. Circular mRNA can direct translation of extremely long repeating-sequence proteins in vivo. Rna. 1998;4:1047–54.
AbouHaidar MG, Venkataraman S, Golshani A, Liu B, Ahmad T. Novel coding, translation, and gene expression of a replicating covalently closed circular RNA of 220 nt. Proc Natl Acad Sci U S A. 2014;111:14542–7.
Ashwal-Fluss R, Meyer M, Pamudurti NR, Ivanov A, Bartok O, Hanan M, Evantal N, Memczak S, Rajewsky N, Kadener S. circRNA biogenesis competes with pre-mRNA splicing. Mol Cell. 2014;56:55–66.
Hansen TB, Kjems J, Damgaard CK. Circular RNA and miR-7 in cancer. Cancer Res. 2013;73:5609–12.
Pan H, Li T, Jiang Y, Pan C, Ding Y, Huang Z, Yu H, Kong D. Overexpression of circular RNA ciRS-7 abrogates the tumor suppressive effect of miR-7 on gastric Cancer via PTEN/PI3K/AKT signaling pathway. J Cell Biochem. 2018;119:440–6.
Li F, Zhang L, Li W, Deng J, Zheng J, An M, Lu J, Zhou Y. Circular RNA ITCH has inhibitory effect on ESCC by suppressing the Wnt/beta-catenin pathway. Oncotarget. 2015;6:6001–13.
Huang G, Zhu H, Shi Y, Wu W, Cai H, Chen X. Cir-ITCH plays an inhibitory role in colorectal cancer by regulating the Wnt/beta-catenin pathway. PLoS One. 2015;10:e131225.
Wang SC, Lin XL, Li J, Zhang TT, Wang HY, Shi JW, Yang S, Zhao WT, Xie RY, Wei F, et al. MicroRNA-122 triggers mesenchymal-epithelial transition and suppresses hepatocellular carcinoma cell motility and invasion by targeting RhoA. PLoS One. 2014;9:e101330.
Becker A, Thakur BK, Weiss JM, Kim HS, Peinado H, Lyden D. Extracellular vesicles in Cancer: cell-to-cell mediators of metastasis. Cancer Cell. 2016;30:836–48.
Ruivo CF, Adem B, Silva M, Melo SA. The biology of Cancer exosomes: insights and new perspectives. Cancer Res. 2017;77:6480–8.
Kawamoto T, Ohga N, Akiyama K, Hirata N, Kitahara S, Maishi N, Osawa T, Yamamoto K, Kondoh M, Shindoh M, et al. Tumor-derived microvesicles induce proangiogenic phenotype in endothelial cells via endocytosis. PLoS One. 2012;7:e34045.
Regev-Rudzki N, Wilson DW, Carvalho TG, Sisquella X, Coleman BM, Rug M, Bursac D, Angrisano F, Gee M, Hill AF, et al. Cell-cell communication between malaria-infected red blood cells via exosome-like vesicles. Cell. 2013;153:1120–33.
We thank professors of Statistics Department, Military Preventive Medicine, Third Military Medical University (Army Medical University) for the statistical help!
This work was supported by the National Natural Science Foundation of China under Grant 81430063
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All subjects signed an informed consent form. The study was approved by the Institutional Research Ethics Committee of Southwest Hospital. The animal research was approved by The Institutional Animal Use and Care Committee and complied with the Animal Research Ethics Committee of the Third Military Medical University.
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Li, J., Li, Z., Jiang, P. et al. Circular RNA IARS (circ-IARS) secreted by pancreatic cancer cells and located within exosomes regulates endothelial monolayer permeability to promote tumor metastasis. J Exp Clin Cancer Res 37, 177 (2018). https://doi.org/10.1186/s13046-018-0822-3
- Circular RNA
- Endothelial cell
- Pancreatic cancer
- Tumor metastasis