Abstract:Objective To investigate the effect of long chain noncoding RNA (lncRNA) HOTAIR on chemosensitivity of gastrointestinal stromal tumor (GIST) cells to Imatinib. Methods Expression level of HOTAIR in GIST tissues and GIST-T1 cell line was measured. HOTAIR was knocked down by siRNA. Chemo-sensitivity of GIST-T1 cell line against was identified by TUNEL and IC50. Endogenously competitive binding miRNAs was screened with RNA-hybird software analysis, qRT-PCR and luciferase reporter HOTAIR. Chemo-sensitivity of the cell line against Imatinib was further validated through co-transfection of miRNA and HOTAIR. Results Expressed of HOTAIR was enhanced in gastrointestinal stromal tumor tissue compared with normal tissue (P < 0.05). The IC50 of Imatinib in GIST-T1 cells transfected with si-HOTAIR was decreased when compared with that in cells transfected with si-NC (P < 0.05). TUNEL analysis indicated that positive staining cells was increased in GIST-T1 cells transfected with si-HOTAIR compared with cells transfected with si-NC under imatinib stimulation (P < 0.05). QRTPCR showed that expression of miRNA-21 was upregulated in GIST-T1 cells transfected with si-HOTAIR compared miRNAwith GIST-T1 cells transfected with si-NC (P < 0.05). RNA-hybird analysis and luciferase validation confirmed that HOTAIR obtained complementary base pair to "seed" zone of miR-21. Moreover, co-transfection of GIST-T1 cells and miRNA-21 induced increased concentration of IC50 and decreased levels of positive staining of cells in TUNEL analysiswhen compared with those in genetically mutant cell line (P < 0.05). Conclusions Long chain noncoding RNA HOTAIR reduces the sensitivity of gastrointestinal stromal tumor cells against Imatinib through endogenously competitive miRNA-21.