Abstract:Objective To investigate the effects of long non-coding RNA activated by transforming growth factor-β (lncRNA-ATB) on proliferation and apoptosis of keloid fibroblasts and to analyze its mechanism. Methods Reverse transcription-polymerase chain reaction (RT-PCR) was used to detect the expression levels of ATB, microRNA-200c (miR-200c) and DNA methyltranserase 3 beta (DNMT3B) in keloids and normal skin tissues, and the correlation among the three was analyzed. The fibroblasts were transfected with sh-ATB, o/e-ATB, miR-200c mimics, miR-200c inhibitors and sh-DNMT3B. The cell proliferation was detected by cell counting kit-8 (CCK-8) assay, and the cell apoptosis was detected by flow cytometry. The dual luciferase assay was used to detect the binding of ATB and miR-200c, and that of miR-200c and DNMT3B. The expression levels of proliferation-related molecule cyclin-dependent kinase 6 (CDK-6) and apoptosis-related molecule caspase-3 were detected by Western blotting and quantitative real-time polymerase chain reaction (qRT-PCR). Results The expression levels of ATB and DNMT3B in keloid tissues were higher than those in normal skin (P < 0.05). The expression level of miR-200c in keloid tissues was lower than that in normal skin (P < 0.05). The expression levels of ATB and miR-200c (rs = - 3.429), and those of miR-200c and DNMT3B (rs = -2.011) were negatively correlated in keloid tissues (P < 0.05). The dual luciferase assay showed that ATB was able to target miR-200c, and that miR-200c was able to target DNMT3B. After transfection of sh-ATB or miR-200c mimics into keloid fibroblasts, the proliferation of cells and the expression of CDK-6 were decreased (P < 0.05), while apoptosis rate and the expression of caspase-3 were increased (P < 0.05). In the recovery experiment, co-transfection of sh-ATB and miR-200c inhibitors into keloid fibroblasts reversed the effects of single transfection of sh-ATB on cell proliferation and apoptosis (P > 0.05). Co-transfection of o/e- ATB and miR-200c inhibitors could further enhance the effects of single transfection of o/e-ATB on cell proliferation and apoptosis (P < 0.05). Co-transfection of miR-200c inhibitors and sh-DNMT3B in keloid fibroblasts could reverse the effects of single transfection of miR-200c inhibitors on cell proliferation and apoptosis (P > 0.05). Co-transfection of miR-200c mimics and sh-DNMT3B can further enhance the effects of single transfection of miR200c mimics on cell proliferation and apoptosis (P < 0.05). Conclusions ATB was highly expressed in keloid tissues, and low expression of ATB could inhibit proliferation and promote apoptosis of fibroblasts by regulating miR-200c/DNMT3B pathway.