Abstract:Objective To investigate the mechanism whereby microRNA-122 (miR-122) inhibited the proliferation and migration yet promoted the apoptosis of bladder cancer cells via mediating the expression of Mex3a.Methods The qRT-PCR was applied to detect the expressions of miR-122 and Mex3a in normal human bladder epithelial cell line SVHUC-1 and human bladder cancer cell lines T24 and HT1376. T24 cell lines overexpressing miR-122 and downregulating Mex3a were constructed, and the effects of miR-122 and Mex3a expressions on the proliferation, migration and apoptosis of bladder cancer cells were assessed by CCK-8 assay, scratch assay and flow cytometry, respectively. The regulatory relationship between miR-122 and Mex3a was detected by luciferase reporter assay. Besides, Mex3a was further overexpressed in cells overexpressing miR-122 to verify the roles of miR-122 and Mex3a in cell proliferation, migration, and apoptosis as well as the regulation of the PI3K/Akt signaling pathway.Results The relative expression of miR-122 in SVHUC-1 cells was higher than that in T24 and HT1376 cells (P < 0.05), while the relative expression of Mex3a mRNA in SVHUC-1 cells was lower than that in T24 and HT1376 cells (P < 0.05). The relative expression of miR-122 in the miR-122 mimic group was higher than that in the mimic NC group (P < 0.05). The optical density of T24 cells in the mimic NC group and the miR-122 mimic group at 0, 24 h, 48 h and 72 h were compared via repeated measures ANOVA, which revealed that they were different among the time points (P < 0.05) and between the groups (P < 0.05). Specifically, the proliferation of cells in the miR-122 mimic group was inhibited relative to that in the mimic NC group. Besides, the change trend of the optical density of T24 cells was different between the mimic NC group and the miR-122 mimic group (P < 0.05). As suggested by the scratch assay, the wound healing rate in the mimic NC group was higher than that in the miR-122 mimic group (P < 0.05). The apoptosis rate in the mimic NC group was lower than that in the miR-122 mimic group (P < 0.05). The relative expression of WT-Mex3a in the mimic NC group was higher than that in the miR-122 mimic group (P < 0.05), and the relative expression of Mex3a mRNA in the mimic NC group was also higher than that in the miR-122 mimic group (P < 0.05). The relative expression of Mex3a mRNA in the si-NC group was higher than that in the si-Mex3a group (P < 0.05). The protein expressions of p-PI3K and p-Akt in the si-NC group were higher than those in the si-Mex3a group (P < 0.05). The optical density of T24 cells in the si-NC group and the si-Mex3a group at 0, 24 h, 48 h and 72 h were compared via repeated measures ANOVA, which revealed that they were different among the time points (P < 0.05) and between the groups (P < 0.05), and that the change trend of the optical density of T24 cells was different between the two groups (P < 0.05). The wound healing rate in the si-NC group was higher than that in the si-Mex3a group (P < 0.05), while the apoptosis rate in the si-NC group was lower than that in the si-Mex3a group (P < 0.05). The relative expression of Mex3a mRNA in the miR-122 mimic+ oe-Mex3a group was higher than that in the miR-122 mimic+ oe-NC group (P < 0.05). The protein expressions of p-PI3K and p-Akt in the miR-122 mimic+ oe-NC group were lower than those in the miR-122 mimic+ oe-Mex3a group (P < 0.05). The optical density of T24 cells in the miR-122 mimic+ oe-NC group and the miR-122 mimic+ oe-Mex3a group at 0, 24 h, 48 h and 72 h were compared via repeated measures ANOVA, which revealed that they were different among the time points (P < 0.05) and between the groups (P < 0.05). Specifically, the proliferation capability of cells in the miR-122 mimic+ oe-Mex3a group was higher than that in the miR-122 mimic+ oe-NC group (P < 0.05). In addition, the change trend of the optical density of T24 cells was different between the miR-122 mimic+ oe-NC group and the miR-122 mimic+ oe-Mex3a group (P < 0.05). The wound healing rate in the miR-122 mimic+ oe-NC group was lower than that in the miR-122 mimic+ oe-Mex3a group (P < 0.05), while the apoptosis rate in the miR-122 mimic+ oe-NC group was higher than that in the miR-122 mimic+ oe-Mex3a group (P < 0.05).Conclusions MiR-122 inhibits the PI3K/Akt signaling pathway by suppressing the expression of Mex3a, thus restraining the proliferation and metastasis of bladder cancer cells while promoting their apoptosis.