Basic and Translational Advances in GlioblastomaView this Special Issue
Review Article | Open Access
Huda Alfardus, Alan McIntyre, Stuart Smith, "MicroRNA Regulation of Glycolytic Metabolism in Glioblastoma", BioMed Research International, vol. 2017, Article ID 9157370, 13 pages, 2017. https://doi.org/10.1155/2017/9157370
MicroRNA Regulation of Glycolytic Metabolism in Glioblastoma
Glioblastoma (GBM) is the most aggressive and common malignant brain tumour in adults. A well-known hallmark of GMB and many other tumours is aerobic glycolysis. MicroRNAs (miRNAs) are a class of short nonprotein coding sequences that exert posttranscriptional controls on gene expression and represent critical regulators of aerobic glycolysis in GBM. In GBM, miRNAs regulate the expression of glycolytic genes directly and via the regulation of metabolism-associated tumour suppressors and oncogenic signalling pathways. This review aims to establish links between miRNAs expression levels, the expression of GBM glycolytic regulatory genes, and the malignant progression and prognosis of GBM. In this review, the involvement of 25 miRNAs in the regulation of glycolytic metabolism of GBM is discussed. Seven of these miRNAs have been shown to regulate glycolytic metabolism in other tumour types. Further eight miRNAs, which are differentially expressed in GBM, have also been reported to regulate glycolytic metabolism in other cancer types. Thus, these miRNAs could serve as potential glycolytic regulators in GBM but will require functional validation. As such, the characterisation of these molecular and metabolic signatures in GBM can facilitate a better understanding of the molecular pathogenesis of this disease.
Glioblastoma (GBM) is the most common malignant primary brain tumour in adults, accounting for 12–15% of all intracranial tumours . GBM is also the most aggressive form (World Health Organization (WHO) grade IV) of glioma, an umbrella term for tumours thought to originate from glial progenitors such as astrocytoma [2, 3]. GBM can develop de novo or through the progression of preexisting low WHO grade glioma (WHO grade II, diffuse astrocytoma) that develop into high WHO grade glioma (WHO grade III, anaplastic astrocytoma) and GBM . In general, GBM shows an increased incidence in Caucasian populations . In the UK and the United States alone, the annual GBM incidence rate ranges between 4.64 and 5.26 per 100,000 people [5, 6]. The current GBM treatment standards consist of maximal surgical resection followed by radiotherapy with concurrent temozolomide (TMZ) chemotherapy, followed by six cycles of maintenance TMZ chemotherapy [7, 8]. However, GBM prognosis remains poor with a median overall survival of 14 months and a 5-year survival rate of less than 10% [9, 10].
Metabolic reprogramming is appreciated as important hallmarks of cancer, including GBM, and it serves as a valuable therapeutic target [11, 12]. Many cancers seem to employ aerobic glycolysis as their metabolic programme of choice to fulfil their bioenergetic and anabolic requirements for rapid growth and enhance their survival in response to microenvironmental stress [11–15]. GBM is characterised by increased aerobic glycolysis compared to normal brain, which may contribute to the malignant progression of GBM [16, 17]. Aerobic glycolysis, also known as the Warburg effect, is a catabolic process that, in the presence of oxygen, converts one glucose molecule into two lactate molecules . Aerobic glycolysis is controlled by tumour suppressors and oncogenic signalling pathways in both tumour and normal cell . Aberrant expression of oncogenes and tumour suppressor genes in GBM alters the expression and activity of glycolytic transporters and metabolic enzymes. The expression of these metabolic and regulatory genes is modulated by a class of small nonprotein coding RNAs, called microRNAs (miRNAs), that regulate gene expression at the posttranscriptional level . To date, great advances have been made to understand the role of miRNAs in the regulation of glycolytic metabolism in GBM. This review aims to establish links between miRNAs expression levels, the expression of GBM glycolytic regulators and the malignant progression and prognosis of GBM. First, the review will discuss the role of miRNAs in regulating GBM glycolytic metabolism by directly targeting glycolytic genes and via the regulation of tumour suppressors and oncogenic signalling pathways. Some of these miRNAs have also been shown to regulate glycolytic metabolism in other tumours. The review will then present differentially expressed miRNAs in GBM which have been reported to be involved in the regulation of glycolytic metabolism in other tumours. Potentially, these miRNAs could also have a glycolytic regulatory role in GBM, but that is yet to be experimentally validated. As such, the characterisation of these molecular and metabolic signatures in GBM can facilitate a better understanding of the molecular pathogenesis of this disease.
2. Regulation of Glycolytic Metabolism by Tumour Suppressors and Oncogenic Signalling Pathways in GBM
The dysregulation of tumour suppressors and oncogenic signalling pathways plays an important role in determining the glycolytic phenotype of GBM. Comprehensive genomic characterisation  using 206 GBM samples performed by The Cancer Genome Atlas (TCGA) Network showed that genetic alterations are frequently found within the receptor tyrosine kinases (RTKs) and their downstream effector pathways. Using 91 GBM samples, it was shown that the RTKs, hepatocyte growth factor receptor (encoded by c-Met) and platelet-derived growth factor receptor- (PDGFRA), are aberrantly activated in 4% and 13% of GBM cases, respectively . However, gain-of-function mutations and/or amplification in the epidermal growth factor receptor (EGFR) are the most common in GBM (45% of GBM cases) . Active EGFR signals via multiple effector pathways including RAS and phosphatidylinositol 3-kinase (PI3K) signalling cascades.
The cytoplasmic domain of EGFR recruits adaptor proteins to activate RAS . Moreover, the activation of RAS signalling can be achieved through losing the expression of the RAS antagonist, neurofibromin 1 (NF1), which is observed in about 14% of GBM cases . RAS activates PI3K while PI3K can independently be activated by the cytoplasmic domain of EGFR [23, 24]. PI3K is aberrantly activated in 15% of GBM cases . Activated PI3K catalyses the phosphorylation of phosphatidylinositol (4,5)-bisphosphate (PIP2) into phosphatidylinositol (3,4,5)-trisphosphate (PIP3) , which can be reversed by the phosphatase tensin and homologue  (PTEN; homozygous deletions and mutations are found in 36% of GBM cases) . Following its recruitment to the plasma membrane by PIP3, protein kinase B (Akt) is phosphorylated by 3-phosphoinositide-dependent protein kinase 1 (PDK1) [27, 28]. Akt is found to be amplified in 2% of GBM cases . Activated Akt activates both the rapamycin sensitive mTOR complex 1 (mTORC1) and the rapamycin insensitive mTOR complex 2 (mTORC2). First, Akt phosphorylates the SIN1 subunit of mTORC2 and, thus, induces the activation of mTORC2. In a positive feedback loop, mTORC2 phosphorylates and thereby fully activates Akt . Second, Akt phosphorylates and inhibits TSC2 thereby relieving the inhibitory effects of the TSC1-TSC2 complex on mTORC1 [30–32]. mTORC1 is also negatively regulated by the energy-sensing AMP-activated protein kinase (AMPK). The reduction in ATP causes an increase in the AMP : ATP ratio leading to the activation of AMPK [33, 34]. AMPK mediates an activating phosphorylation of TSC2 and an inhibitory phosphorylation of the mTORC1 subunit Raptor [35, 36]. In GBM, the activation of mTOR signalling cascade leads to the upregulation of transcription factors such c-Myc  which upregulate the expression of glycolytic genes [38, 39].
In addition, Akt promotes GBM glycolytic phenotype by increasing the expression and membrane translocation of glucose transporters 1 and 3 (GLUT1 and GLUT3) which are upregulated in GBM [40, 41]. Akt also regulates glycolysis by enhancing the activity and the cellular localisation of hexokinase II (HKII), which phosphorylates glucose in the first step of glycolysis . The role of Akt in GBM aerobic glycolysis was supported by Elstrom et al. (2004)  who observed differences in the glycolytic rates of various GBM cell lines which were then attributed to the differences in Akt activity levels in these cells. In their study, two GBM cell lines were grown in normal glucose conditions; LN18 cells with constitutive Akt activity, as measured by Akt phosphorylation, showed higher rates of aerobic glycolysis than LN229 cells with low Akt activity. The inhibition of the upstream regulator, PI3K, abolished Akt phosphorylation and reduced the glycolytic rate of LN18 cells while the overexpression of Akt in LN299 cells was sufficient to stimulate high rate of glycolysis . This suggests that the PI3K/Akt pathway is a key glycolytic regulator in GBM.
3. Clinical Stratification of GBM in relation to the Expression of Glycolytic Genes
Recently, the presence of heterozygous gain-of-function mutations within the active site of isocitrate dehydrogenase-1 (IDH1), a Krebs cycle enzyme that reduces -ketoglutarate into 2-hydroxyglutarate (2-HG), has been associated with improved clinical outcomes in GBM [44–46]. Mutant IDH1 produces increased levels of 2-HG which inhibit histone demethylating enzymes, thereby, leading to extensive DNA methylation of CpG islands within multiple promoter regions across a large number of loci (CpG island methylator phenotype) [46–49]. The promotor methylation of the O6-Methylguanine-DNA Methyltransferase (MGMT) gene, encoding a DNA repair protein that can confer resistance to the alkylating chemotherapeutic agent TMZ by reversing mutagenic O6-alkyl-guanine back to guanine [50, 51], causes transcriptional silencing of the gene. Hence, patients with MGMT methylation show improved response to TMZ [52–56].
IDH1 status can also distinguish different glycolytic phenotypes of GBM, which may contribute to the different clinical behaviour of tumours with and without the IDH1 mutations . In IDH1 mutant GBMs, the expression of 3 glycolytic enzymes, glucose-1-dehydrogenase, enolase 1, and lactate dehydrogenase isoform A (LDHA), is downregulated while the expression of 2 other glycolytic enzymes, fructose-bisphosphate C and lactate dehydrogenase isoform B (LDHB), is upregulated compared to IDH1 wild-type GBMs [58, 59]. Both LDHA and LDHB can convert pyruvate to lactate; however, LDHB is thought to be more sensitive to substrate inhibition by pyruvate . As such, intracellular lactate levels are reduced in IDH1 mutant compared to IDH1 wild-type GBMs, suggesting that IDH1 mutation is associated with mitigated aerobic glycolysis in IDH1 mutant GBMs .
In addition, the activity of pyruvate dehydrogenase (PDH), which is involved in the conversion of pyruvate into Acetyl-CoA, was found to be decreased in IDH1 mutant compared to IDH1 wild-type GBMs . In IDH1 mutant cell, 2-HG can induce high expression of pyruvate dehydrogenase kinase-3 which mediates an inhibitory phosphorylation of PDH that results in reduced PDH activity . IDH1 mutant GBMs also show decreased Akt phosphorylation and downregulation in the expression of genes that are regulated by the PI3K/Akt pathway when compared with GBMs that lack IDH1 mutation . Thus, GBMs with IDH mutations show a relatively reduced glycolytic phenotype compared to GBMs with wild-type IDH (Figure 1).
4. miRNAs in GBM
Besides acting as biomarkers , miRNAs are involved in the regulation of diverse cellular functions in GBM, including cell death, migration, invasion, proliferation, drug resistance, and angiogenesis (recently reviewed in ). Moreover, miRNAs can also act as critical regulators of glycolytic metabolism in GBM, which this review will focus on in more detail. There are two ways by which miRNAs regulate GBM glycolytic metabolism. Firstly, miRNAs can directly regulate the expression of genes taking part in glucose uptake and glucose metabolism in GBM, miR-106a regulates GLUT3 , miR-143 regulate HKII , and let-7-a and miR-326 regulate PKM2 [34, 68], which will be detailed in Section 5. Secondly, miRNAs can also regulate glycolysis indirectly by regulating the signal transduction of RTKs via PI3K/AKT and RAS pathways which leads to the upregulation of c-Myc expression and Akt activity, both of which enhance the expression and the function of glycolytic transporters and enzymes [37, 40–42]. Hence, the dysregulation of metabolic regulatory signalling pathways by miRNAs can additionally contribute to the upregulation of glycolysis in GBM. In Section 6, the role of 21 miRNAs in the regulation of 14 components of the RTKs effector pathways will be discussed.
Furthermore, the expression of glycolytic regulatory miRNAs is sometimes associated with the malignancy grade of glioma and the prognosis of GBM, as will be described in the next two sections. Only studies that have validated the direct mRNA-miRNA interaction via luciferase assay were included in this review. However, the mRNA-miRNA interactions were studied in unstratified GBM patient cohort, where IDH1 status was not reported. Thus, it must be noted that IDH1 status may confound many reported associations between expression of particular miRNAs and their target gene and the malignant progression and prognosis of GBM. In addition, many prognostic associations for the specific miRNAs discussed in this review are only based on retrospective analyses of patient cohorts of various sizes, in which the treatment regime might not have been according to current standard of care which may limit the generalisation of such findings.
5. miRNA Regulation of Glycolytic Transporters and Enzymes in GBM
To date, four miRNAs have been reported to directly modulate the expression of glycolytic transporters and enzymes in GBM (Figure 2). The expression of GLUT3 is downregulated by miR-106a . However, miR-106a is found to be downregulated in GBM compared to normal brain . The low miR-106a expression is associated with shorter-term survival of GBM patients [66, 69, 70]. Moreover, the expression of miR-106a in high WHO grade glioma is lower than that in low WHO grade glioma, an expression pattern that is opposite to GLUT3 [41, 66, 71]. Thus, miR-106a downregulation promotes glycolysis and enhances glucose flux by releasing the miRNA-mediated suppression on GLUT3.
Furthermore, the glycolytic enzyme HKII is targeted by miR-143  which is also found to be downregulated in GBM compared to low WHO grade glioma and normal brain [67, 72]. miR-143 expression is negatively correlated with HKII levels , which is associated with poor prognosis . Another glycolytic enzyme, PKM2, is regulated by the miRNA, let-7a . PKM2 is the M2 isoform of pyruvate kinase (PK), the terminal glycolytic enzyme which converts phosphoenolpyruvate to pyruvate . PKM2 has a relatively decreased enzymatic activity which leads to the accumulation of upstream glycolytic intermediates that can be channelled into the biosynthetic pathways . PKM2 is selectively expressed at low levels in GBM but is completely absent in normal brain . c-Myc, which is also targeted by let-7a, upregulates the expression of the heterogeneous nuclear ribonucleoprotein A1 (hnRNPA1) splicing factor which, in turn, downregulates let-7a in a positive feedback loop . hnRNPA1 binds to the pri-let-7a and blocks its processing by Drosha . In addition, hnRNPA1 mediates the splicing of PK into the PKM2 isoform as well as that of the Myc-interacting partner Max into the Delta Max isoform. Delta Max forms a complex with c-Myc to drive the transcription of the c-Myc target genes, including hnRNPA1 [77–80]. As such, let-7a/c-Myc/hnRNPA1/PKM2 regulatory loop ensures the downregulation of let-7a in order for PKM2 to be expressed in GBM. Another miRNA which targets PKM2, miR-326, is downregulated in GBM compared to normal brain as a result of the decreased transcription of its host gene, -arrestin 1 [34, 81]. In GBM cells, the overexpression of miR-326 or the knockdown of its target, PKM2, reduced cellular proliferation, metabolic activity, and ATP levels . Such decrease in ATP levels was, however, rescued by transfecting GBM cells with PKM2 mRNA lacking the 3′-UTR which renders them insensitive to miR-326 . Therefore, miR-326 mediates its effects on tumour metabolism by repressing PKM2 expression.
6. miRNA Regulation of RTKs and Their Downstream Effector Pathways in GBM
Multiple components of the RTKs effector pathways are tightly regulated by miRNAs (Figure 3, details of the interactions between the different components have been described in Section 2). In the context of cancer, miRNAs that downregulate tumour suppressors are called oncomiRs while miRNAs that target and suppress oncogenes are called tumour suppressor miRNAs. As such, oncomiRs and tumour suppressor miRNAs are found to be overexpressed and downregulated in cancer cells, respectively [82, 83]. As such, miRNAs that suppress glycolytic metabolism by targeting oncogenic components of the RTKs, which are the tumour suppressor miRNAs, are downregulated while those that promote glycolysis by targeting metabolic tumour suppressor genes, which are the oncomiRs, are upregulated in GBM as discussed below. Furthermore, the expression levels of these miRNAs either (i) are invariant across the different glioma WHO grades, suggesting that the expression change of a particular miRNA might signify a key early event in gliomagenesis, or (ii) can distinguish different glioma WHO grades, thereby serving as a potential biomarkers of glioma progression [84, 85].
6.1. miRNA Regulation of RTKs
Three RTKs (c-Met, PDGFRA, and EGFR) have been reported to be targeted by miRNAs which are found to be downregulated in GBM in order to enable the upregulation of the downstream signalling which may, in turn, promote glycolytic metabolism, although it has not directly been shown. c-Met is a target of miR-410, which is downregulated in GBM compared to low WHO grade glioma and normal brain . c-Met is also targeted by miR-144-3p which is downregulated in GBM . miR-144-3p expression is inversely correlated with glioma WHO grade and overall patient survival . The expression of miR-34a, another negative regulator of c-Met, is also inversely correlated with glioma WHO grade [88–91]. Moreover, miR-34a expression in GBM is suppressed by PDGFRA, which is targeted by miR-34a in a negative feedback loop . The administration of imatinib, an inhibitor developed for BCR-ABL which can also inhibit PDGFRA [92, 93], reversed the negative effect of PDGFRA on miR-34a expression . Furthermore, miR-128, which targets PDGFRA and EGFR , is downregulated in GBM relative to low WHO grade glioma [95–99]. EGFR is also targeted by miR-219-5p, which is downregulated in GBM [100, 101]. In addition, EGFR is indirectly regulated by miR-21 which targets the EGFR transcriptional activator STAT3 [102–105]. The expression of miR-21 is positively correlated with glioma WHO grade and decreased patient survival [100, 105–118]. Further links between miRNA and RTKs expression in GBM were suggested by Kefas et al. (2008) and Webster et al. (2009) who proposed that EGFR is targeted by miR-7 [119, 120]. miR-7 shows a brain-specific expression; however, miR-7 shows a relatively decreased expression in GBM . Although, pri-miR-7 levels are similar in both GBM and normal brain, pre-miR-7 levels are decreased in GBM. This suggests that changes of regulatory mechanisms that control the processing of pri-miR-7 to pre-miR-7 could be responsible for the decrease in miR-7 expression in GBM .
6.2. miRNA Regulation of RAS
One of the effectors of the RTKs signalling is the RAS pathway. RAS is antagonised by the tumour suppressor NF1 which is regulated by miR-9 . miR-9 is upregulated in GBM, which releases the NF1-mediated suppression on RAS. miR-9 upregulation is associated with poor prognosis in GBM [122, 123]. Furthermore, RAS (specifically N-RAS) is regulated by miR-143 , which also targets the glycolytic enzyme HKII , and by miR-340, which is downregulated in GBM and is associated with poor prognosis [124, 125]. The expression of another RAS gene (K-RAS) is regulated by let-7a , which also regulates both the glycolytic enzyme PKM2 and the glycolytic driver c-Myc . K-RAS is further regulated by miR-134, which is found to be downregulated in GBM . The regulation of RAS by multiple miRNAs that directly target glycolytic enzymes could indicate a strong link between RAS expression and enhanced glycolysis in GBM, yet to be investigated.
6.3. miRNA Regulation of PI3K/Akt
Another downstream effector of RTKs signalling, which is upregulated in GBM and may thus be contributing to the enhanced GBM glycolytic metabolism, is the PI3K/Akt pathway. PI3K is directly regulated by miR-7, which also regulates EGFR as mentioned above . The overexpression of miR-7 was shown to downregulate PI3K expression in a dose-dependent fashion . Another EGFR regulator, miR-21, regulates the expression of the tumour suppressor and the PI3K antagonist, PTEN . miR-21 in GBM targets and downregulates PTEN while the knockdown of miR-21 leads to the upregulation of PTEN . In GBM, PTEN is also targeted by miR-26a, which is upregulated by c-Myc . However, copy number amplification mainly underlies the upregulation of miR-26a in GBM [95, 126, 129]. Another negative regulator of PTEN is miR-1908 which is upregulated in GBM relative to normal brain and low WHO grade glioma and is associated with poor prognosis . The expression of PTEN is also repressed by miR-494-3p and miR-10a/10b, which are upregulated in GBM [131, 132]. Moreover, the high miR-10b expression levels correlate with poor prognosis in GBM patients . Furthermore, PTEN is targeted by miR-221/222, clustered in Xp11.3, which is found to be upregulated in high relative to low WHO grade glioma [95, 134]. Additionally, the expression of the PI3K downstream effector, Akt (specifically Akt1), is regulated by miR-542-3p which is found to be downregulated in GBM . miR-542-3p is negatively correlated with glioma WHO grade and is associated with poor prognosis .
6.4. miRNA Regulation of mTOR
Downstream of the PI3K/Akt pathway is mTORC1; a positive regulator of the glycolytic driver c-Myc is negatively regulated by the metabolic tumour suppressor AMPK which in turn is negatively regulated by miR-451 . The expression of miR-451 is found to be elevated in GBM patient samples which correlates with poor prognosis . miR-451 targets CAB39, the binding partner for the protein kinase LKB1 which phosphorylates and activates AMPK [136, 137]. The high expression levels of miR-451 are maintained by the activity of the transcription factor OCT1 . This forms a positive feedback loop where low AMPK activity caused by miR-451 upregulations allows OCT1 to further drive miR-451 expression . Furthermore, the expression of mTORC1 and mTORC2 is suppressed by miR-199a-3p which is downregulated in GBM compared to normal brain . However, the expression of miR-199a-3p was not significantly different between low and high WHO grade glioma, suggesting that miR-199a-3p downregulation might be a key event which is tumorigenic transformation . Furthermore, the mTORC2 binding partner Rictor is targeted by miR-34a [89, 140]. miR-34a expression, which is downregulated in GBM [88–91], is negatively correlated with Rictor expression, which is associated with shorter patients’ survival .
6.5. miRNA Regulation of c-Myc
c-Myc is a key glycolytic driver in GBM . mTORC2 positively regulates c-Myc expression by suppressing FoxO3a. FoxO3a enhances the expression of miR-34c which directly targets c-Myc . mTORC2 inhibits the phosphorylation of class IIa histone deacetylases (HDACs) rendering them inactive. As such, FoxO3a remains in its acetylated inactive form. Thus, the inactivation of FoxO3a relieves the miR-34c-mediated suppression on c-Myc . In addition to its suppression by mTORC2, the expression of FoxO3a is suppressed by miR-mediated mechanisms in GBM. FoxO3a is negatively regulated by miR-27a, which is highly expressed in GBM relative to low WHO grade glioma and normal brain and is associated with faster disease progression and shorter patient survival . miR-155 is another negative regulator of FoxO3a which is upregulated in GBM compared to normal brain . The expression of miR-155 positively correlates with glioma WHO grade and poor prognosis [143, 144].
7. miRNAs Regulating Aerobic Glycolysis in GBM Also Regulate Glycolytic Metabolism in Other Cancer Types
Here, we attempt to link several miRNAs that regulate glycolytic metabolism in GBM, as mentioned above, to their documented glycolytic regulatory role in different cancers; these miRNAs are miR-144, miR-143/miR-155, miR-128, miR-34a, miR-340, and miR-26a as discussed below (Figure 4). miR-144, which is downregulated in GBM , was found to target GLUT1 in lung cancer . The overexpression of miR-144 in lung cancer cell lines resulted in the reduction of glucose uptake and lactate production . Furthermore, miR-143, which is downregulated in GBM [67, 72], has been identified as a direct regulator of HKII in head and neck squamous cell carcinoma (HNSCC) and in colon and lung cancer. Like in GBM, miR-143 expression is downregulated in these tumours [146–148]. Moreover, in breast cancer, miR-155 was shown to indirectly upregulate HKII by repressing the miR-143 transcriptional activator, CCAAT/enhancer binding protein (C/EBP) . miR-155 was also shown to promote HKII transcription by upregulating the expression of the HKII transcriptional activator, STAT3 . Similar to GBM, miR-155 expression is elevated in breast cancer and correlated with short survival and unfavourable clinical outcomes [144, 150]. miR-128, which is downregulated in GBM [95–99], was reported to target PFK in lung cancer . miR-128 expression is downregulated in lung cancer and is associated with poor prognosis . Another miRNA, miR-34a, which is downregulated in GBM [88–91], is also expressed at low levels in breast cancer [152, 153]. In breast cancer, miR-34a targets LDHA [152, 153]. In addition, in colon cancer, the PK alternative splicing proteins, hnRNPI/hnRNAPA1/hnRNAPA2, are targeted by miR-340, miR-124, and miR-137, which are downregulated in GBM [124, 125, 154]. In GBM, miR-137 downregulation is associated with poor prognosis [154–158]. In colon cancer, these three miRNAs, miR-340, miR-124, and miR-137, which target hnRNPI/hnRNAPA1/hnRNAPA2, are downregulated in order to promote the mutually exclusive alternative splicing of PK into the PKM2, which is a key metabolic adaptation in cancer . Finally, miR-26a, which is upregulated in GBM [95, 126, 128, 129], is also upregulated and can target pyruvate dehydrogenase protein X component (PDHX) in colon cancer . This would, therefore, promote glycolysis and inhibit oxidative phosphorylation (OXPHOS) by suppressing the expression of PDHX in order to block the conversion of pyruvate into acetyl coenzyme A; thereby preventing the entry of pyruvate into the citric acid cycle .
8. miRNAs Regulating Aerobic Glycolysis in Other Cancer Types Are Also Differentially Expressed in GBM
miRNAs which were reported to regulate glycolytic metabolism in different tumours are found to be differentially expressed in GBM (Figure 4). This could suggest a similar metabolic regulatory role in GBM tumours; thus, these miRNAs can serve as potential glycolytic regulators in GBM. miR-1291, for example, targets GLUT1 in renal cell carcinoma (RCC) and is found to be downregulated in RCC and GBM . In bladder cancer, miR-195-5p, which targets GLUT3, is also downregulated . Moreover, miR-195-5p overexpression was shown to decrease glucose uptake . In GBM, miR-195-5p is downregulated and its decreased expression is associated with poor prognosis [106, 163]. In tongue squamous cell carcinoma (TSCC), the glycolytic enzyme, PKM2, is targeted by miR-133a/133b, which are downregulated in TSCC and in GBM [164–166] Moreover, miR-122, which also targets PKM2, is downregulated in hepatocellular carcinoma (HCC)  and GBM, where it correlates with shorter patients survival . Moreover, the overexpression of miR-122 was shown to switch HCC cell metabolism from aerobic glycolysis to OXPHOS . Furthermore, miR-124, which is downregulated in GBM , has been found to also be downregulated in medulloblastoma (MB) . miR-124 was reported to regulate the transport of lactate into the extracellular space by targeting the lactate monocarboxylate transporter 1 (MCT1) in MB . Of interest, miR-124 was reported to target STAT3 in GBM . Since STAT3 is a transcriptional activator for HKII in colorectal and esophageal cancer [171, 172], miR-124 downregulation in GBM could be speculated as another miR-mediated mechanism of HKII upregulation. Another glycolytic enzyme, PFK, which is targeted by miR-128 as mentioned above, is also targeted by miRNA-320 in lung cancer . miR-320 expression is downregulated in both lung cancer  and GBM . A final example of differentially expressed miRNAs in GBM that regulate glycolysis in other cancers is miR-375, which targets LDHB in maxillary sinus squamous cell carcinoma (MSSCC) [175–177]. miR-375 is downregulated in MSSCC and GBM, and this associates with low survival rate [175–177]. It must be noted, however, that despite their differential expression in GBM, these miRNAs which regulate glucose metabolism in different tumours have not yet been described in relation to GBM glycolysis. Thus, carrying out functional validation studies in GBM would be necessary in order to establish such links between miRNA expression levels and their regulatory role in glucose metabolism.
Aerobic glycolysis is a hallmark of GBM tumours. miRNAs regulate glycolytic metabolism in GBM by directly targeting the expression of glycolytic genes and/or via the regulation of the expression of oncogenes and tumour suppressors genes in the RTKs pathways and their downstream effector pathways, such as the PI K/Akt pathway, which regulate glycolysis. Nevertheless, one must appreciate the complicated regulatory network that drives glycolytic metabolism and how the various individual miRNA expression changes could be interconnected with each other within the network. For example, miR-7 and let-7a modulate the expression of multiple glycolytic regulators in GBM. Furthermore, miRNAs, such as miR-34a and miR-143, which also regulate multiple glycolytic regulators in GBM, have been found to regulate glycolytic metabolism in other cancers, suggesting that such miRNAs may be regarded as universal regulators of glycolytic metabolism in cancer. On the other hand, differentially expressed miRNAs in GBM, which have not yet been linked to GBM glycolytic metabolism, were reported to have glycolytic regulatory roles in other tumours. Although the differential expression of these miRNAs in GBM could suggest a similar metabolic regulatory role in GBM, functional validation studies would be necessary before such links can be established.
Conflicts of Interest
The authors declare that there are no conflicts of interest regarding the publication of this paper.
- G. Iacob and E. B. Dinca, “Current data and strategy in glioblastoma multiforme,” Journal of Medicine and Life, vol. 2, no. 4, pp. 386–393, 2009.
- H. Zong, R. G. W. Verhaak, and P. Canolk, “The cellular origin for malignant glioma and prospects for clinical advancements,” Expert Review of Molecular Diagnostics, vol. 12, no. 4, pp. 383–394, 2012.
- D. N. Louis, H. Ohgaki, O. D. Wiestler et al., “The 2007 WHO classification of tumours of the central nervous system,” Acta Neuropathologica, vol. 114, no. 2, pp. 97–109, 2007.
- H. Ohgaki and P. Kleihues, “Epidemiology and etiology of gliomas,” Acta Neuropathologica, vol. 109, no. 1, pp. 93–108, 2005.
- A. Brodbelt, D. Greenberg, T. Winters, M. Williams, S. Vernon, and V. P. Collins, “Glioblastoma in England: 2007–2011,” European Journal of Cancer, vol. 51, no. 4, pp. 533–542, 2015.
- Q. T. Ostrom, H. Gittleman, P. Farah et al., “CBTRUS statistical report: primary brain and central nervous system tumors diagnosed in the United States in 2006–2010,” Neuro-Oncology, vol. 15, supplement 2, pp. ii1–ii56, 2013.
- R. Stupp, W. P. Mason, M. J. van den Bent et al., “Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma,” The New England Journal of Medicine, vol. 352, no. 10, pp. 987–996, 2005.
- M. D. Walker, E. Alexander Jr., W. E. Hunt et al., “Evaluation of BCNU and/or radiotherapy in the treatment of anaplastic gliomas. A cooperative clinical trial,” Journal of Neurosurgery, vol. 49, no. 3, pp. 333–343, 1978.
- B. Tran and M. A. Rosenthal, “Survival comparison between glioblastoma multiforme and other incurable cancers,” Journal of Clinical Neuroscience, vol. 17, no. 4, pp. 417–421, 2010.
- M. Koshy, J. L. Villano, T. A. Dolecek et al., “Improved survival time trends for glioblastoma using the SEER 17 population-based registries,” Journal of Neuro-Oncology, vol. 107, no. 1, pp. 207–212, 2012.
- L. M. Phan, S.-C. J. Yeung, and M.-H. Lee, “Cancer metabolic reprogramming: importance, main features, and potentials for precise targeted anti-cancer therapies,” Cancer Biology & Medicine, vol. 11, no. 1, pp. 1–19, 2014.
- D. Hanahan and R. A. Weinberg, “Hallmarks of cancer: the next generation,” Cell, vol. 144, no. 5, pp. 646–674, 2011.
- Y. Zhang and J.-M. Yang, “Altered energy metabolism in cancer: A unique opportunity for therapeutic intervention,” Cancer Biology and Therapy, vol. 14, no. 2, pp. 81–89, 2013.
- S. Ganapathy-Kanniappan and J. F. Geschwind, “Tumor glycolysis as a target for cancer therapy: progress and prospects,” Molecular Cancer, vol. 12, no. 1, article 152, 2013.
- P. S. Ward and C. B. Thompson, “Metabolic reprogramming: a cancer hallmark even warburg did not anticipate,” Cancer Cell, vol. 21, no. 3, pp. 297–308, 2012.
- S. Oudard, F. Arvelo, L. Miccoli et al., “High glycolysis in gliomas despite low hexokinase transcription and activity correlated to chromosome 10 loss,” British Journal of Cancer, vol. 74, no. 6, pp. 839–845, 1996.
- P. Tabatabaei, P. Bergström, R. Henriksson, and A. T. Bergenheim, “Glucose metabolites, glutamate and glycerol in malignant glioma tumours during radiotherapy,” Journal of Neuro-Oncology, vol. 90, no. 1, pp. 35–39, 2008.
- O. Warburg, “On the origin of cancer cells,” Science, vol. 123, no. 3191, pp. 309–314, 1956.
- R. J. DeBerardinis, “Is cancer a disease of abnormal cellular metabolism? New angles on an old idea,” Genetics in Medicine, vol. 10, no. 11, pp. 767–777, 2008.
- M. Chekulaeva and W. Filipowicz, “Mechanisms of miRNA-mediated post-transcriptional regulation in animal cells,” Current Opinion in Cell Biology, vol. 21, no. 3, pp. 452–460, 2009.
- Cancer Genome Atlas Research Network, “Comprehensive genomic characterization defines human glioblastoma genes and core pathways,” Nature, vol. 455, no. 7216, pp. 1061–1068, 2008.
- M. A. Lemmon and J. Schlessinger, “Cell signaling by receptor tyrosine kinases,” Cell, vol. 141, no. 7, pp. 1117–1134, 2010.
- H. W. Yang, M.-G. Shin, S. Lee et al., “Cooperative activation of PI3K by Ras and Rho family small GTPases,” Molecular Cell, vol. 47, no. 2, pp. 281–290, 2012.
- A. Arcaro, M. J. Zvelebil, C. Wallasch, A. Ullrich, M. D. Waterfield, and J. Domin, “Class II phosphoinositide 3-kinases are downstream targets of activated polypeptide growth factor receptors,” Molecular and Cellular Biology, vol. 20, no. 11, pp. 3817–3830, 2000.
- R. Dhand, I. Hiles, G. Panayotou et al., “PI 3-kinase is a dual specificity enzyme: Autoregulation by an intrinsic protein-serine kinase activity,” EMBO Journal, vol. 13, no. 3, pp. 522–533, 1994.
- T. Maehama and J. E. Dixon, “The tumor suppressor, PTEN/MMAC1, dephosphorylates the lipid second messenger, phosphatidylinositol 3,4,5-trisphosphate,” The Journal of Biological Chemistry, vol. 273, no. 22, pp. 13375–13378, 1998.
- M. Frech, M. Andjelkovic, E. Ingley, K. K. Reddy, J. R. Falck, and B. A. Hemmings, “High affinity binding of inositol phosphates and phosphoinositides to the pleckstrin homology domain of RAC/protein kinase B and their influence on kinase activity,” Journal of Biological Chemistry, vol. 272, no. 13, pp. 8474–8481, 1997.
- T. F. Franke, S. I. Yang, T. O. Chan et al., “The protein kinase encoded by the Akt proto-oncogene is a target of the PDGF-activated phosphatidylinositol 3-kinase,” Cell, vol. 81, no. 5, pp. 727–736, 1995.
- G. Yang, D. S. Murashige, S. J. Humphrey, and D. E. James, “A positive feedback loop between Akt and mTORC2 via SIN1 phosphorylation,” Cell Reports, vol. 12, no. 6, pp. 937–943, 2015.
- B. D. Manning, A. R. Tee, M. N. Logsdon, J. Blenis, and L. C. Cantley, “Identification of the tuberous sclerosis complex-2 tumor suppressor gene product tuberin as a target of the phosphoinositide 3-kinase/Akt pathway,” Molecular Cell, vol. 10, no. 1, pp. 151–162, 2002.
- K. Inoki, Y. Li, T. Zhu, J. Wu, and K.-L. Guan, “TSC2 is phosphorylated and inhibited by Akt and suppresses mTOR signalling,” Nature Cell Biology, vol. 4, no. 9, pp. 648–657, 2002.
- B. D. Manning and L. C. Cantley, “Rheb fills a GAP between TSC and TOR,” Trends in Biochemical Sciences, vol. 28, no. 11, pp. 573–576, 2003.
- D. G. Hardie and S. A. Hawley, “AMP-activated protein kinase: The energy charge hypothesis revisited,” BioEssays, vol. 23, no. 12, pp. 1112–1119, 2001.
- B. Kefas, L. Comeau, N. Erdle, E. Montgomery, S. Amos, and B. Purow, “Pyruvate kinase M2 is a target of the tumorsuppressive microRNA-326 and regulates the survival of glioma cells,” Neuro-Oncology, vol. 12, no. 11, pp. 1102–1112, 2010.
- K. Inoki, T. Zhu, and K.-L. Guan, “TSC2 mediates cellular energy response to control cell growth and survival,” Cell, vol. 115, no. 5, pp. 577–590, 2003.
- D. M. Gwinn, D. B. Shackelford, D. F. Egan et al., “AMPK phosphorylation of raptor mediates a metabolic checkpoint,” Molecular Cell, vol. 30, no. 2, pp. 214–226, 2008.
- K. Masui, K. Tanaka, D. Akhavan et al., “MTOR complex 2 controls glycolytic metabolism in glioblastoma through FoxO acetylation and upregulation of c-Myc,” Cell Metabolism, vol. 18, no. 5, pp. 726–739, 2013.
- D. M. Miller, S. D. Thomas, A. Islam, D. Muench, and K. Sedoris, “c-Myc and cancer metabolism,” Clinical Cancer Research, vol. 18, no. 20, pp. 5546–5553, 2012.
- C. V. Dang, “MYC, metabolism, cell growth, and tumorigenesis,” Cold Spring Harbor Perspectives in Medicine, vol. 3, no. 8, Article ID a014217, 2013.
- H. L. Wieman, J. A. Wofford, and J. C. Rathmell, “Cytokine stimulation promotes glucose uptake via phosphatidylinositol-3 kinase/Akt regulation of Glut1 activity and trafficking,” Molecular Biology of the Cell, vol. 18, no. 4, pp. 1437–1446, 2007.
- R. J. Boado, K. L. Black, and W. M. Pardridge, “Gene expression of GLUT3 and GLUT1 glucose transporters in human brain tumors,” Molecular Brain Research, vol. 27, no. 1, pp. 51–57, 1994.
- C. L. Neary and J. G. Pastorino, “Akt inhibition promotes hexokinase 2 redistribution and glucose uptake in cancer cells,” Journal of Cellular Physiology, vol. 228, no. 9, pp. 1943–1948, 2013.
- R. L. Elstrom, D. E. Bauer, M. Buzzai et al., “Akt stimulates aerobic glycolysis in cancer cells,” Cancer Research, vol. 64, no. 11, pp. 3892–3899, 2004.
- N. K. Kloosterhof, L. B. Bralten, H. J. Dubbink, P. J. French, and M. J. van den Bent, “Isocitrate dehydrogenase-1 mutations: a fundamentally new understanding of diffuse glioma?” The Lancet Oncology, vol. 12, no. 1, pp. 83–91, 2011.
- Y. Jiao, P. J. Killela, Z. J. Reitman et al., “Frequent ATRX, CIC, FUBP1 and IDH1 mutations refine the classification of malignant gliomas,” Oncotarget, vol. 3, no. 7, pp. 709–722, 2012.
- L. Dang, D. W. White, S. Gross et al., “Cancer-associated IDH1 mutations produce 2-hydroxyglutarate,” Nature, vol. 462, no. 7274, pp. 739–744, 2009.
- W. Xu, H. Yang, Y. Liu et al., “Oncometabolite 2-hydroxyglutarate is a competitive inhibitor of α-ketoglutarate-dependent dioxygenases,” Cancer Cell, vol. 19, no. 1, pp. 17–30, 2011.
- T. Shinawi, V. K. Hill, D. Krex et al., “DNA methylation profiles of long- and short-term glioblastoma survivors,” Epigenetics, vol. 8, no. 2, pp. 149–156, 2013.
- H. Noushmehr, D. J. Weisenberger, K. Diefes et al., “Identification of a CpG island methylator phenotype that defines a distinct subgroup of glioma,” Cancer Cell, vol. 17, no. 5, pp. 510–522, 2010.
- B. Verbeek, T. D. Southgate, D. E. Gilham, and G. P. Margison, “O6-Methylguanine-DNA methyltransferase inactivation and chemotherapy,” British Medical Bulletin, vol. 85, no. 1, pp. 17–33, 2008.
- A. E. Pegg, “Mammalian 06-alkylguanine-DNA alkyltransferase: regulation and importance in response to alkylating carcinogenic and therapeutic agents,” Cancer Research, vol. 50, no. 19, pp. 6119–6129, 1990.
- J. Dunn, A. Baborie, F. Alam et al., “Extent of MGMT promoter methylation correlates with outcome in glioblastomas given temozolomide and radiotherapy,” British Journal of Cancer, vol. 101, no. 1, pp. 124–131, 2009.
- M. E. Hegi, A.-C. Diserens, T. Gorlia et al., “MGMT gene silencing and benefit from temozolomide in glioblastoma,” The New England Journal of Medicine, vol. 352, no. 10, pp. 997–1003, 2005.
- W. Wick, M. Weller, M. van den Bent et al., “MGMT testing—the challenges for biomarker-based glioma treatment,” Nature Reviews Neurology, vol. 10, no. 7, pp. 372–385, 2014.
- N. Thon, S. Kreth, and F.-W. Kreth, “Personalized treatment strategies in glioblastoma: MGMT promoter methylation status,” OncoTargets and Therapy, vol. 6, pp. 1363–1372, 2013.
- G. Reifenberger, B. Hentschel, J. Felsberg et al., “Predictive impact of MGMT promoter methylation in glioblastoma of the elderly,” International Journal of Cancer, vol. 131, no. 6, pp. 1342–1350, 2012.
- Z. J. Reitman and H. Yan, “Isocitrate dehydrogenase 1 and 2 mutations in cancer: alterations at a crossroads of cellular metabolism,” Journal of the National Cancer Institute, vol. 102, no. 13, pp. 932–941, 2010.
- D. A. N. Mustafa, S. M. Swagemakers, L. Buise, P. J. van der Spek, and J. M. Kros, “Metabolic alterations due to IDH1 mutation in glioma: Opening for therapeutic opportunities?” Acta Neuropathologica Communications, vol. 2, no. 1, article no. 6, 2014.
- C. Chesnelong, M. M. Chaumeil, M. D. Blough et al., “Lactate dehydrogenase A silencing in IDH mutant gliomas,” Neuro-Oncology, vol. 16, no. 5, pp. 686–695, 2014.
- C. V. Dang, “Role of aerobic glycolysis in genetically engineered mouse models of cancer,” BMC Biology, vol. 11, article no. 3, 2013.
- J. L. Izquierdo-Garcia, P. Viswanath, P. Eriksson et al., “Metabolic reprogramming in mutant IDH1 glioma cells,” PLoS ONE, vol. 10, no. 2, Article ID e0118781, 2015.
- J. L. Izquierdo-Garcia, P. Viswanath, P. Eriksson et al., “IDH1 mutation induces reprogramming of pyruvate metabolism,” Cancer Research, vol. 75, no. 15, pp. 2999–3009, 2015.
- P. Birner, S. Pusch, C. Christov et al., “Mutant IDH1 inhibits PI3K/Akt signaling in human glioma,” Cancer, vol. 120, no. 16, pp. 2440–2447, 2014.
- S. K. Hermansen and B. W. Kristensen, “MicroRNA biomarkers in glioblastoma,” Journal of Neuro-Oncology, vol. 114, no. 1, pp. 13–23, 2013.
- A. Shea, V. Harish, Z. Afzal et al., “MicroRNAs in glioblastoma multiforme pathogenesis and therapeutics,” Cancer Medicine, vol. 5, no. 8, pp. 1917–1946, 2016.
- D.-W. Dai, Q. Lu, L.-X. Wang et al., “Decreased miR-106a inhibits glioma cell glucose uptake and proliferation by targeting SLC2A3 in GBM,” BMC Cancer, vol. 13, article no. 478, 2013.
- S. Zhao, H. Liu, Y. Liu et al., “MiR-143 inhibits glycolysis and depletes stemness of glioblastoma stem-like cells,” Cancer Letters, vol. 333, no. 2, pp. 253–260, 2013.
- W. Luan, Y. Wang, X. Chen et al., “PKM2 promotes glucose metabolism and cell growth in gliomas through a mechanism involving a let-7a/c-Myc/hnRNPA1 feedback loop,” Oncotarget, vol. 6, no. 15, pp. 13006–13018, 2015.
- G. Yang, R. Zhang, X. Chen et al., “MiR-106a inhibits glioma cell growth by targeting E2F1 independent of p53 status,” Journal of Molecular Medicine, vol. 89, no. 10, pp. 1037–1050, 2011.
- S. Zhao, G. Yang, Y. Mu et al., “MiR-106a is an independent prognostic marker in patients with glioblastoma,” Neuro-Oncology, vol. 15, no. 6, pp. 707–717, 2013.
- Y. Liu, Y.-M. Li, R.-F. Tian et al., “The expression and significance of HIF-1α and GLUT-3 in glioma,” Brain Research, vol. 1304, pp. 149–154, 2009.
- L. Wang, Z.-M. Shi, C.-F. Jiang et al., “MiR-143 acts as a tumor suppressor by targeting N-RAS and enhances temozolomide-induced apoptosis in glioma,” Oncotarget, vol. 5, no. 14, pp. 5416–5427, 2014.
- A. Wolf, S. Agnihotri, J. Micallef et al., “Hexokinase 2 is a key mediator of Aerobic glycolysis and promotes tumor growth in human glioblastoma multiforme,” The Journal of Experimental Medicine, vol. 208, no. 2, pp. 313–326, 2011.
- T. Noguchi, H. Inoue, and T. Tanaka, “The M1- and M2-type isozymes of rat pyruvate kinase are produced from the same gene by alternative RNA splicing,” The Journal of Biological Chemistry, vol. 261, no. 29, pp. 13807–13812, 1986.
- H. R. Christofk, M. G. V. Heiden, M. H. Harris et al., “The M2 splice isoform of pyruvate kinase is important for cancer metabolism and tumour growth,” Nature, vol. 452, no. 7184, pp. 230–233, 2008.
- G. Michlewski and J. F. Cáceres, “Antagonistic role of hnRNP A1 and KSRP in the regulation of let-7a biogenesis,” Nature Structural and Molecular Biology, vol. 17, no. 8, pp. 1011–1018, 2010.
- M. Chen, J. Zhang, and J. L. Manley, “Turning on a fuel switch of cancer: hnRNP proteins regulate alternative splicing of pyruvate kinase mRNA,” Cancer Research, vol. 70, no. 22, pp. 8977–8980, 2010.
- I. Babic, E. S. Anderson, K. Tanaka et al., “EGFR mutation-induced alternative splicing of max contributes to growth of glycolytic tumors in brain cancer,” Cell Metabolism, vol. 17, no. 6, pp. 1000–1008, 2013.
- T. P. Mäkelä, P. J. Koskinen, I. Västrik, and K. Alitalo, “Alternative forms of Max as enhancers or suppressors of myc-ras cotransformation,” Science, vol. 256, no. 5055, pp. 373–377, 1992.
- C. J. David, M. Chen, M. Assanah, P. Canoll, and J. L. Manley, “HnRNP proteins controlled by c-Myc deregulate pyruvate kinase mRNA splicing in cancer,” Nature, vol. 463, no. 7279, pp. 364–368, 2010.
- B. Kefas, L. Comeau, D. H. Floyd et al., “The neuronal microRNA miR-326 acts in a feedback loop with Notch and has therapeutic potential against brain tumors,” Journal of Neuroscience, vol. 29, no. 48, pp. 15161–15168, 2009.
- B. Zhang, X. Pan, G. P. Cobb, and T. A. Anderson, “microRNAs as oncogenes and tumor suppressors,” Developmental Biology, vol. 302, no. 1, pp. 1–12, 2007.
- D. Wang, C. Qiu, H. Zhang, J. Wang, Q. Cui, and Y. Yin, “Human MicroRNA oncogenes and tumor suppressors show significantly different biological patterns: from functions to targets,” PLoS ONE, vol. 5, no. 9, Article ID e13067, 2010.
- M. Rivera-Díaz, M. A. Miranda-Román, D. Soto et al., “MicroRNA-27a distinguishes glioblastoma multiforme from diffuse and anaplastic astrocytomas and has prognostic value,” American Journal of Cancer Research, vol. 5, no. 1, pp. 201–218, 2015.
- N. M. Teplyuk, E. J. Uhlmann, G. Gabriely et al., “Therapeutic potential of targeting microRNA-10b in established intracranial glioblastoma: First steps toward the clinic,” EMBO Molecular Medicine, vol. 8, no. 3, pp. 268–287, 2016.
- L. Chen, J. Zhang, Y. Feng et al., “MiR-410 regulates MET to influence the proliferation and invasion of glioma,” International Journal of Biochemistry and Cell Biology, vol. 44, no. 11, pp. 1711–1717, 2012.
- F. Lan, H. Yu, M. Hu, T. Xia, and X. Yue, “MiR-144-3p exerts anti-tumor effects in glioblastoma by targeting c-Met,” Journal of Neurochemistry, vol. 135, no. 2, pp. 274–286, 2015.
- J. Silber, A. Jacobsen, T. Ozawa et al., “miR-34a repression in proneural malignant gliomas upregulates expression of its target PDGFRA and promotes tumorigenesis,” PLoS ONE, vol. 7, no. 3, Article ID e33844, 2012.
- S. S. Rathod, S. B. Rani, M. Khan, D. Muzumdar, and A. Shiras, “Tumor suppressive miRNA-34a suppresses cell proliferation and tumor growth of glioma stem cells by targeting Akt and Wnt signaling pathways,” FEBS Open Bio, vol. 4, pp. 485–495, 2014.
- S. Luan, L. Sun, and F. Huang, “MicroRNA-34a: a novel tumor suppressor in p53-mutant glioma cell line U251,” Archives of Medical Research, vol. 41, no. 2, pp. 67–74, 2010.
- Y. Li, F. Guessous, Z. Ying et al., “MicroRNA-34a inhibits glioblastoma growth by targeting multiple oncogenes,” Cancer Research, vol. 69, no. 19, pp. 7569–7576, 2009.
- H. Kantarjian, C. Sawyers, A. Hochhaus et al., “Hematologic and cytogenetic responses to imatinib mesylate in chronic myelogenous leukemia,” The New England Journal of Medicine, vol. 346, no. 9, pp. 645–652, 2002.
- C. Haberler, E. Gelpi, C. Marosi et al., “Immunohistochemical analysis of platelet-derived growth factor receptor-α, -β, c-kit, c-abl, and arg proteins in glioblastoma: Possible implications for patient selection for imatinib mesylate therapy,” Journal of Neuro-Oncology, vol. 76, no. 2, pp. 105–109, 2006.
- T. Papagiannakopoulos, D. Friedmann-Morvinski, P. Neveu et al., “Pro-neural miR-128 is a glioma tumor suppressor that targets mitogenic kinases,” Oncogene, vol. 31, no. 15, pp. 1884–1895, 2012.
- S. A. Ciafrè, S. Galardi, A. Mangiola et al., “Extensive modulation of a set of microRNAs in primary glioblastoma,” Biochemical and Biophysical Research Communications, vol. 334, no. 4, pp. 1351–1358, 2005.
- C. Shang, Y. Hong, Y. Guo, Y.-H. Liu, and Y.-X. Xue, “MiR-128 regulates the apoptosis and proliferation of glioma cells by targeting RhoE,” Oncology Letters, vol. 11, no. 1, pp. 904–908, 2016.
- J. Godlewski, M. O. Nowicki, A. Bronisz et al., “Targeting of the Bmi-1 oncogene/stem cell renewal factor by MicroRNA-128 inhibits glioma proliferation and self-renewal,” Cancer Research, vol. 68, no. 22, pp. 9125–9130, 2008.
- Y. Zhang, T. Chao, R. Li et al., “MicroRNA-128 inhibits glioma cells proliferation by targeting transcription factor E2F3a,” Journal of Molecular Medicine, vol. 87, no. 1, pp. 43–51, 2009.
- A. M. Krichevsky, K. S. King, C. P. Donahue, K. Khrapko, and K. S. Kosik, “A microRNA array reveals extensive regulation of microRNAs during brain development,” RNA, vol. 9, no. 10, pp. 1274–1281, 2003.
- S. A. M. Rao, V. Santosh, and K. Somasundaram, “Genome-wide expression profiling identifies deregulated miRNAs in malignant astrocytoma,” Modern Pathology, vol. 23, no. 10, pp. 1404–1417, 2010.
- S. A. M. Rao, A. Arimappamagan, P. Pandey et al., “miR-219-5p inhibits receptor tyrosine kinase pathway by targeting EGFR in glioblastoma,” PLoS ONE, vol. 8, no. 5, Article ID e63164, 2013.
- C.-P. Kung and N. Raab-Traub, “Epstein-Barr virus latent membrane protein 1 induces expression of the epidermal growth factor receptor through effects on Bcl-3 and STAT3,” Journal of Virology, vol. 82, no. 11, pp. 5486–5493, 2008.
- M. Rehmsmeier, P. Steffen, M. Höchsmann, and R. Giegerich, “Fast and effective prediction of microRNA/target duplexes,” RNA, vol. 10, no. 10, pp. 1507–1517, 2004.
- D. Löffler, K. Brocke-Heidrich, G. Pfeifer et al., “Interleukin-6-dependent survival of multiple myeloma cells involves the Stat3-mediated induction of microRNA-21 through a highly conserved enhancer,” Blood, vol. 110, no. 4, pp. 1330–1333, 2007.
- X. Zhou, Y. Ren, L. Moore et al., “Downregulation of miR-21 inhibits EGFR pathway and suppresses the growth of human glioblastoma cells independent of PTEN status,” Laboratory Investigation, vol. 90, no. 2, pp. 144–155, 2010.
- R. Lakomy, J. Sana, S. Hankeova et al., “MiR-195, miR-196b, miR-181c, miR-21 expression levels and O-6-methylguanine-DNA methyltransferase methylation status are associated with clinical outcome in glioblastoma patients,” Cancer Science, vol. 102, no. 12, pp. 2186–2190, 2011.
- Y. Ren, X. Zhou, M. Mei et al., “MicroRNA-21 inhibitor sensitizes human glioblastoma cells U251 (PTEN-mutant) and LN229 (PTEN-wild type) to taxol,” BMC Cancer, vol. 10, article no. 27, 2010.
- H.-J. Kwak, Y.-J. Kim, K.-R. Chun et al., “Downregulation of Spry2 by miR-21 triggers malignancy in human gliomas,” Oncogene, vol. 30, no. 21, pp. 2433–2442, 2011.
- F. Zhi, X. Chen, S. Wang et al., “The use of hsa-miR-21, hsa-miR-181b and hsa-miR-106a as prognostic indicators of astrocytoma,” European Journal of Cancer, vol. 46, no. 9, pp. 1640–1649, 2010.
- G. Gabriely, T. Wurdinger, S. Kesari et al., “MicroRNA 21 promotes glioma invasion by targeting matrix metalloproteinase regulators,” Molecular and Cellular Biology, vol. 28, no. 17, pp. 5369–5380, 2008.
- J. A. Chan, A. M. Krichevsky, and K. S. Kosik, “MicroRNA-21 is an antiapoptotic factor in human glioblastoma cells,” Cancer Research, vol. 65, no. 14, pp. 6029–6033, 2005.
- E. Lages, A. Guttin, M. E. Atifi et al., “MicroRNA and target protein patterns reveal physiopathological features of glioma subtypes,” PLoS ONE, vol. 6, no. 5, Article ID e20600, 2011.
- B. Malzkorn, M. Wolter, F. Liesenberg et al., “Identification and functional characterization of microRNAs involved in the malignant progression of gliomas,” Brain Pathology, vol. 20, no. 3, pp. 539–550, 2010.
- T. Papagiannakopoulos, A. Shapiro, and K. S. Kosik, “MicroRNA-21 targets a network of key tumor-suppressive pathways in glioblastoma cells,” Cancer Research, vol. 68, no. 19, pp. 8164–8172, 2008.
- X. Zhou, J. Zhang, Q. Jia et al., “Reduction of miR-21 induces glioma cell apoptosis via activating caspase 9 and 3,” Oncology Reports, vol. 24, no. 1, pp. 195–201, 2010.
- L. Shi, J. Chen, J. Yang, T. Pan, S. Zhang, and Z. Wang, “MiR-21 protected human glioblastoma U87MG cells from chemotherapeutic drug temozolomide induced apoptosis by decreasing Bax/Bcl-2 ratio and caspase-3 activity,” Brain Research, vol. 1352, pp. 255–264, 2010.
- H. Dong, L. Luo, S. Hong et al., “Integrated analysis of mutations, miRNA and mRNA expression in glioblastoma,” BMC Systems Biology, vol. 4, article no. 163, 2010.
- M. F. Corsten, R. Miranda, R. Kasmieh, A. M. Krichevsky, R. Weissleder, and K. Shah, “MicroRNA-21 knockdown disrupts glioma growth In vivo and displays synergistic cytotoxicity with neural precursor cell-delivered S-TRAIL in human gliomas,” Cancer Research, vol. 67, no. 19, pp. 8994–9000, 2007.
- B. Kefas, J. Godlewski, L. Comeau et al., “microRNA-7 inhibits the epidermal growth factor receptor and the akt pathway and is down-regulated in glioblastoma,” Cancer Research, vol. 68, no. 10, pp. 3566–3572, 2008.
- R. J. Webster, K. M. Giles, K. J. Price, P. M. Zhang, J. S. Mattick, and P. J. Leedman, “Regulation of epidermal growth factor receptor signaling in human cancer cells by MicroRNA-7,” The Journal of Biological Chemistry, vol. 284, no. 9, pp. 5731–5741, 2009.
- Z. Liu, Z. Jiang, J. Huang et al., “miR-7 inhibits glioblastoma growth by simultaneously interfering with the PI3K/ATK and Raf/MEK/ERK pathways,” International Journal of Oncology, vol. 44, no. 5, pp. 1571–1580, 2014.
- X. Tan, S. Wang, B. Yang et al., “The CREB-miR-9 negative feedback minicircuitry coordinates the migration and proliferation of glioma cells,” PLoS ONE, vol. 7, no. 11, Article ID e49570, 2012.
- Z. Wu, L. Wang, G. Li et al., “Increased expression of microRNA-9 predicts an unfavorable prognosis in human glioma,” Molecular and Cellular Biochemistry, vol. 384, no. 1-2, pp. 263–268, 2013.
- D. Huang, S. Qiu, R. Ge et al., “miR-340 suppresses glioblastoma multiforme,” Oncotarget, vol. 6, no. 11, pp. 9257–9270, 2015.
- D. Fiore, E. Donnarumma, G. Roscigno et al., “miR-340 predicts glioblastoma survival and modulates key cancer hallmarks through down-regulation of NRAS,” Oncotarget, vol. 7, no. 15, pp. 19531–19547, 2016.
- H. Kim, W. Huang, X. Jiang, B. Pennicooke, P. J. Park, and M. D. Johnson, “Integrative genome analysis reveals an oncomir/oncogene cluster regulating glioblastoma survivorship,” Proceedings of the National Academy of Sciences of the United States of America, vol. 107, no. 5, pp. 2183–2188, 2010.
- Y. Zhang, J. Kim, A. C. Mueller et al., “Multiple receptor tyrosine kinases converge on microRNA-134 to control KRAS, STAT5B, and glioblastoma,” Cell Death and Differentiation, vol. 21, no. 5, pp. 720–734, 2014.
- P. Guo, Q. Nie, J. Lan, J. Ge, Y. Qiu, and Q. Mao, “C-Myc negatively controls the tumor suppressor PTEN by upregulating miR-26a in glioblastoma multiforme cells,” Biochemical and Biophysical Research Communications, vol. 441, no. 1, pp. 186–190, 2013.
- J. T. Huse, C. Brennan, D. Hambardzumyan et al., “The PTEN-regulating microRNA miR-26a is amplified in high-grade glioma and facilitates gliomagenesis in vivo,” Genes and Development, vol. 23, no. 11, pp. 1327–1337, 2009.
- X. Xia, Y. Li, W. Wang et al., “MicroRNA-1908 functions as a glioblastoma oncogene by suppressing PTEN tumor suppressor pathway,” Molecular Cancer, vol. 14, no. 1, article no. 154, 2015.
- X.-T. Li, H.-Z. Wang, Z.-W. Wu et al., “miR-494-3p regulates cellular proliferation, invasion, migration, and apoptosis by PTEN/AKT signaling in human glioblastoma cells,” Cellular and Molecular Neurobiology, vol. 35, no. 5, pp. 679–687, 2015.
- S. Liu, J. Sun, and Q. Lan, “TGF-β-induced miR10a/b expression promotes human glioma cell migration by targeting PTEN,” Molecular Medicine Reports, vol. 8, no. 6, pp. 1741–1746, 2013.
- F. Guessous, M. Alvarado-Velez, L. Marcinkiewicz et al., “Oncogenic effects of miR-10b in glioblastoma stem cells,” Journal of Neuro-Oncology, vol. 112, no. 2, pp. 153–163, 2013.
- A. Conti, M. Aguennouz, D. La Torre et al., “miR-21 and 221 upregulation and miR-181b downregulation in human grade II-IV astrocytic tumors,” Journal of Neuro-Oncology, vol. 93, no. 3, pp. 325–332, 2009.
- J. Cai, J. Zhao, N. Zhang et al., “MicroRNA-542-3p suppresses tumor cell invasion via targeting AKT pathway in human astrocytoma,” Journal of Biological Chemistry, vol. 290, no. 41, pp. 24678–24688, 2015.
- J. Godlewski, M. O. Nowicki, A. Bronisz et al., “MicroRNA-451 regulates LKB1/AMPK signaling and allows adaptation to metabolic stress in glioma cells,” Molecular Cell, vol. 37, no. 5, pp. 620–632, 2010.
- Z. Luo, M. Zang, and W. Guo, “AMPK as a metabolic tumor suppressor: control of metabolism and cell growth,” Future Oncology, vol. 6, no. 3, pp. 457–470, 2010.
- K. I. Ansari, D. Ogawa, A. K. Rooj et al., “Glucose-based regulation of miR-451/AMPK signaling depends on the OCT1 transcription factor,” Cell Reports, vol. 11, no. 6, pp. 902–909, 2015.
- L. Shen, C. Sun, Y. Li et al., “MicroRNA-199a-3p suppresses glioma cell proliferation by regulating the AKT/mTOR signaling pathway,” Tumor Biology, vol. 36, no. 9, pp. 6929–6938, 2015.
- R. C. Hresko and M. Mueckler, “mTOR·RICTOR is the Ser473 kinase for Akt/protein kinase B in 3T3-L1 adipocytes,” The Journal of Biological Chemistry, vol. 280, no. 49, pp. 40406–40416, 2005.
- K. Tateishi, A. J. Iafrate, Q. Ho et al., “Myc-Driven glycolysis is a therapeutic target in glioblastoma,” Clinical Cancer Research, vol. 22, no. 17, pp. 4452–4465, 2016.
- N. Ling, J. Gu, Z. Lei et al., “MicroRNA-155 regulates cell proliferation and invasion by targeting FOXO3a in glioma,” Oncology Reports, vol. 30, no. 5, pp. 2111–2118, 2013.
- P. I. D'Urso, O. F. D'Urso, C. Storelli et al., “miR-155 is up-regulated in primary and secondary glioblastoma and promotes tumour growth by inhibiting GABA receptors,” International Journal of Oncology, vol. 41, no. 1, pp. 228–234, 2012.
- J. Sun, H. Shi, N. Lai, K. Liao, S. Zhang, and X. Lu, “Overexpression of microRNA-155 predicts poor prognosis in glioma patients,” Medical Oncology, vol. 31, no. 4, article no. 911, 2014.
- M. Liu, J. Gao, Q. Huang, Y. Jin, and Z. Wei, “Downregulating microRNA-144 mediates a metabolic shift in lung cancer cells by regulating GLUT1 expression,” Oncology Letters, vol. 11, no. 6, pp. 3772–3776, 2016.
- R. Fang, T. Xiao, Z. Fang et al., “MicroRNA-143 (miR-143) regulates cancer glycolysis via targeting hexokinase 2 gene,” Journal of Biological Chemistry, vol. 287, no. 27, pp. 23227–23235, 2012.
- L. H. Gregersen, A. Jacobsen, L. B. Frankel, J. Wen, A. Krogh, and A. H. Lund, “MicroRNA-143 down-regulates Hexokinase 2 in colon cancer cells,” BMC Cancer, vol. 12, pp. 232–236, 2012.
- A. Peschiaroli, A. Giacobbe, A. Formosa et al., “MiR-143 regulates hexokinase 2 expression in cancer cells,” Oncogene, vol. 32, no. 6, pp. 797–802, 2013.
- S. Jiang, L.-F. Zhang, H.-W. Zhang et al., “A novel miR-155/miR-143 cascade controls glycolysis by regulating hexokinase 2 in breast cancer cells,” EMBO Journal, vol. 31, no. 8, pp. 1985–1998, 2012.
- S. Mattiske, R. J. Suetani, P. M. Neilsen, and D. F. Callen, “The oncogenic role of miR-155 in breast cancer,” Cancer Epidemiology, Biomarkers & Prevention, vol. 21, no. 8, pp. 1236–1243, 2012.
- J. Yang, J. Li, Y. Le, C. Zhou, S. Zhang, and Z. Gong, “PFKL/miR-128 axis regulates glycolysis by inhibiting AKT phosphorylation and predicts poor survival in lung cancer,” American Journal of Cancer Research, vol. 6, no. 2, pp. 473–485, 2016.
- X. Xiao, X. Huang, F. Ye et al., “The MIR-34a-LDHA axis regulates glucose metabolism and tumor growth in breast cancer,” Scientific Reports, vol. 6, Article ID 21735, 2016.
- H. Peurala, D. Greco, T. Heikkinen et al., “MiR-34a expression has an effect for lower risk of metastasis and associates with expression patterns predicting clinical outcome in breast cancer,” PLoS ONE, vol. 6, no. 11, Article ID e26122, 2011.
- J. Silber, D. A. Lim, C. Petritsch et al., “miR-124 and miR-137 inhibit proliferation of glioblastoma multiforme cells and induce differentiation of brain tumor stem cells,” BMC Medicine, vol. 6, no. 1, article 14, 2008.
- A. Bier, N. Giladi, N. Kronfeld et al., “MicroRNA-137 is downregulated in glioblastoma and inhibits the stemness of glioma stem cells by targeting RTVP-1,” Oncotarget, vol. 4, no. 5, pp. 665–676, 2013.
- G. Sun, Y. Cao, L. Shi et al., “Overexpressed miRNA-137 inhibits human glioma cells growth by targeting Rac1,” Cancer Biotherapy and Radiopharmaceuticals, vol. 28, no. 4, pp. 327–334, 2013.
- L. Chen, X. Wang, H. Wang et al., “miR-137 is frequently down-regulated in glioblastoma and is a negative regulator of Cox-2,” European Journal of Cancer, vol. 48, no. 16, pp. 3104–3111, 2012.
- J. Sun, G. Zheng, Z. Gu, and Z. Guo, “MiR-137 inhibits proliferation and angiogenesis of human glioblastoma cells by targeting EZH2,” Journal of Neuro-Oncology, vol. 122, no. 3, pp. 481–489, 2015.
- Y. Sun, X. Zhao, Y. Zhou, and Y. Hu, “MiR-124, miR-137 and miR-340 regulate colorectal cancer growth via inhibition of the Warburg effect,” Oncology Reports, vol. 28, no. 4, pp. 1346–1352, 2012.
- B. Chen, Y. Liu, X. Jin et al., “MicroRNA-26a regulates glucose metabolism by direct targeting PDHX in colorectal cancer cells,” BMC Cancer, vol. 14, no. 1, article no. 443, 2014.
- T. Yamasaki, N. Seki, H. Yoshino et al., “Tumor-suppressive microRNA-1291 directly regulates glucose transporter 1 in renal cell carcinoma,” Cancer Science, vol. 104, no. 11, pp. 1411–1419, 2013.
- X. Fei, M. Qi, B. Wu, Y. Song, Y. Wang, and T. Li, “MicroRNA-195-5p suppresses glucose uptake and proliferation of human bladder cancer T24 cells by regulating GLUT3 expression,” FEBS Letters, vol. 586, no. 4, pp. 392–397, 2012.
- Q.-Q. Zhang, H. Xu, M.-B. Huang et al., “MicroRNA-195 plays a tumor-suppressor role in human glioblastoma cells by targeting signaling pathways involved in cellular proliferation and invasion,” Neuro-Oncology, vol. 14, no. 3, pp. 278–287, 2012.
- L. Chang, X. Lei, Y. Qin et al., “MicroRNA-133b inhibits cell migration and invasion by targeting matrix metalloproteinase 14 in glioblastoma,” Oncology Letters, vol. 10, no. 5, pp. 2781–2786, 2015.
- T.-S. Wong, X.-B. Liu, A. C.-W. Ho, A. P.-W. Yuen, R. W.-M. Ng, and W. I. Wei, “Identification of pyruvate kinase type M2 as potential oncoprotein in squamous cell carcinoma of tongue through microRNA profiling,” International Journal of Cancer, vol. 123, no. 2, pp. 251–257, 2008.
- M. Sakr, T. Takino, H. Sabit, M. Nakada, Z. Li, and H. Sato, “MiR-150-5p and miR-133a suppress glioma cell proliferation and migration through targeting membrane-type-1 matrix metalloproteinase,” Gene, vol. 587, no. 2, pp. 155–162, 2016.
- A. M. Liu, Z. Xu, F. H. Shek et al., “MiR-122 targets pyruvate kinase M2 and affects metabolism of hepatocellular carcinoma,” PLoS ONE, vol. 9, no. 1, Article ID e86872, 2014.
- G. Wang, Y. Zhao, and Y. Zheng, “miR-122/Wnt/β-catenin regulatory circuitry sustains glioma progression,” Tumor Biology, vol. 35, no. 9, pp. 8565–8572, 2014.
- K. K. W. Li, J. C. S. Pang, A. K. K. Ching et al., “miR-124 is frequently down-regulated in medulloblastoma and is a negative regulator of SLC16A1,” Human Pathology, vol. 40, no. 9, pp. 1234–1243, 2009.
- W. Li, H. Huang, J. Su et al., “miR-124 acts as a tumor suppressor in glioblastoma via the inhibition of signal transducer and activator of transcription 3,” Molecular Neurobiology, vol. 54, no. 4, pp. 2555–2561, 2017.
- J. Zhang, Y. Lu, X. Yue et al., “miR-124 suppresses growth of human colorectal cancer by inhibiting STAT3,” PLoS ONE, vol. 8, no. 8, Article ID e70300, 2013.
- Y. Cheng, Y. Li, Y. Nian, D. Liu, F. Dai, and J. Zhang, “STAT3 is involved in miR-124-mediated suppressive effects on esophageal cancer cells,” BMC Cancer, vol. 15, no. 1, article no. 306, 2015.
- H. Tang, M. Lee, O. Sharpe et al., “Oxidative stress-responsive microRNA-320 regulates glycolysis in diverse biological systems,” FASEB Journal, vol. 26, no. 11, pp. 4710–4721, 2012.
- J.-Y. Sun, W.-Z. Xiao, F. Wang et al., “MicroRNA-320 inhibits cell proliferation in glioma by targeting E2F1,” Molecular Medicine Reports, vol. 12, no. 2, pp. 2355–2359, 2015.
- T. Kinoshita, N. Nohata, H. Yoshino et al., “Tumor suppressive microRNA-375 regulates lactate dehydrogenase B in maxillary sinus squamous cell carcinoma,” International Journal of Oncology, vol. 40, no. 1, pp. 185–193, 2012.
- C. Chang, H. Shi, C. Wang et al., “Correlation of microRNA-375 downregulation with unfavorable clinical outcome of patients with glioma,” Neuroscience Letters, vol. 531, no. 2, pp. 204–208, 2012.
- Y. Isozaki, I. Hoshino, N. Nohata et al., “Identification of novel molecular targets regulated by tumor suppressive miR-375 induced by histone acetylation in esophageal squamous cell carcinoma,” International Journal of Oncology, vol. 41, no. 3, pp. 985–994, 2012.
Copyright © 2017 Huda Alfardus et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.