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chemotherapy remains the first-line option for advanced lung cancer&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">4</span></a> Unexpectedly&#44; the prognosis of NSCLC is not satisfactory due to resistance to chemotherapy&#44; resulting in recurrence of aggressive lung cancer&#46;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">5</span></a> Thus&#44; the need to discover novel therapy for NSCLC patients is in urgency&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Amount of long noncoding RNAs &#40;lncRNAs&#41; are differentially expressed in lung cancer&#46;<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">6</span></a> For instance&#44; differentiation antagonizing noncoding RNA&#44;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">7</span></a> TUC338<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">8</span></a> and metastasis-associated lung adenocarcinoma transcript 1<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">9</span></a> are abnormally overexpressed in NSCLC&#44; augmenting the development of the disease&#46; LncRNA small nucleolar RNA host gene 5 &#40;SNHG5&#41; has been found to be a new budding star in human cancers&#44; and be a promising diagnostic marker for cancer patients&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">10</span></a> In fact&#44; SNHG5 has been surveyed to be upregulated in lung adenocarcinoma &#40;LUAD&#41; and be related to gefitinib resistance&#44;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">11</span></a> but its related mechanism still deserves deep investigation in NSCLC&#46; Supportive evidence has disclosed the interactions between lncRNAs and microRNAs &#40;miRNAs&#41; participating in lung tumorigenesis&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">12</span></a> In our research&#44; the database forecasted the targeting sites between SNHG5 and miR-181c-5p&#46; miR-181<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">13</span></a> and miR-181b<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">14</span></a> have been disclosed to mediate drug resistance in lung cancer&#46; As to miR-181c-5p&#44; it has been developed to a prognostic signature in LUAD&#44;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">15</span></a> but its accurate role in NSCLC was rarely probed&#46; miRNAs bind to 3&#8242;untranslated region &#40;UTR&#41; of their target mRNA to inhibit expression at the post-transcriptional level&#46;<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">16</span></a> Also&#44; the binding sites of miR-181c-5p and chromobox protein 4 &#40;CBX4&#41; were also forecasted by online database&#46; CBX4 is a member of the polycomb group family of epigenetic regulatory factors that has become a potent target in the control of cancer activities&#46;<a class="elsevierStyleCrossRefs" href="#bib0280"><span class="elsevierStyleSup">17&#44;18</span></a> Indeed&#44; CBX4 has been verified to involve in lung cancer metastasis&#44;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">19</span></a> but its regulation by miR-181c-5p in cancer progression was little mentioned&#46; Nuclear factor &#40;NF&#41;-&#954;B pathway is a cell survival pathway fanning carcinogenesis in lung cancer&#46;<a class="elsevierStyleCrossRefs" href="#bib0295"><span class="elsevierStyleSup">20&#44;21</span></a> NF-&#954;B pathway is generally activated in lung cancer&#44; and the obstruction of this pathway is critically significant to slow down lung cancer growth&#46;<a class="elsevierStyleCrossRefs" href="#bib0305"><span class="elsevierStyleSup">22&#44;23</span></a> Therein&#44; this study is implemented to unearth the mechanisms of SNHG5&#47;miR-181c-5p&#47;CBX4 axis through the NF-&#954;B pathway in NSCLC&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Materials and methods</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Ethics statement</span><p id="par0015" class="elsevierStylePara elsevierViewall">This study was approved by the ethics committee of Sun Yat-sen University Cancer Center &#40;ethical number&#58; 20190608&#41; and informed consent was acquired from patients&#46; All animal experiments&#44; ratified by the animal ethics committee of Sun Yat-sen University Cancer Center &#40;ethical number&#58; 20190814&#41;&#44; complied with the rules and regulations of experimental animals and the relevant ethical requirements of experimental animals&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Specimens</span><p id="par0020" class="elsevierStylePara elsevierViewall">Samples of 86 NSCLC patients were obtained from Sun Yat-sen University Cancer Center&#46; Of these patients&#44; 51 cases were males and 35 cases were females&#44; aged 48&#8211;69 &#40;58&#46;23<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>3&#46;44&#41; years&#46; There were 38 cases aged<span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>60 years&#44; 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and human NSCLC cell lines &#40;HCC827&#44; H1299&#44; H1975 and A549&#41; were provided by Cell Bank of Chinese Academy of Sciences &#40;Shanghai&#44; China&#41;&#46; These cells were cultured in corresponding complete mediums containing 10&#37; fetal bovine serum &#40;FBS&#41;&#44; and 1&#37; penicillin&#47;streptomycin &#40;Corning Incorporated&#44; Corning&#44; NY&#44; USA&#41;&#46; Experimental cells were all in the logarithmic growth phase&#46; Roswell Park Memorial Institute 1640 &#40;RPMI-1640&#41; cell culture medium&#44; minimum essential medium &#40;MEM&#41;&#44; and Ham&#39;s F-12K medium were provided by Thermo Fisher Scientific &#40;Waltham&#44; MA&#44; USA&#41;&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Cell transfection and grouping</span><p id="par0030" class="elsevierStylePara elsevierViewall">Small interfering RNA &#40;siRNA&#41; against SNHG5 &#40;si-SNHG5&#44; final concentration of 20<span class="elsevierStyleHsp" style=""></span>nM&#41; 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3000 Transfection Reagent&#46; The medium was replaced 6<span class="elsevierStyleHsp" style=""></span>h post transfection&#44; and the cells were obtained 48<span class="elsevierStyleHsp" style=""></span>h later&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Cell counting kit &#40;CCK&#41;-8 assay</span><p id="par0035" class="elsevierStylePara elsevierViewall">The A549 cells &#40;4<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">3</span><span class="elsevierStyleHsp" style=""></span>cells&#41; were seeded in 96-well plates and adhered to the walls&#46; After 24&#44; 48&#44; and 72<span class="elsevierStyleHsp" style=""></span>h of incubation&#44; 10<span class="elsevierStyleHsp" style=""></span>&#956;L CCK-8 reagent was added to each well and the absorbance &#40;A&#41; values at 490<span class="elsevierStyleHsp" style=""></span>nm were read after 2<span class="elsevierStyleHsp" style=""></span>h of CCK-8 treatment&#46; Three replicates were set for each treatment and time point&#46;<a class="elsevierStyleCrossRef" href="#bib0315"><span class="elsevierStyleSup">24</span></a></p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Colony formation assay</span><p id="par0040" class="elsevierStylePara elsevierViewall">A549 cells were detached with concentration adjustment&#46; The cell solution &#40;10<span class="elsevierStyleHsp" style=""></span>mL&#44; 300<span class="elsevierStyleHsp" style=""></span>cells&#41; was seeded into a 6-cm petri dish and incubated for 10<span class="elsevierStyleHsp" style=""></span>d&#46; Then&#44; the cells were deprived of culture medium and fixed by paraformaldehyde&#46; Followed by that&#44; the cells were stained by crystal violet solution&#44; rinsed with tap water and photographed to calculate the number of colonies in each culture dish&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Flow cytometry</span><p id="par0045" class="elsevierStylePara elsevierViewall">Transfected A549 cells were resuspended in 1&#215; Annexin binding buffer &#40;500<span class="elsevierStyleHsp" style=""></span>&#956;L&#41; to acquire a concentration of 1<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">6</span><span class="elsevierStyleHsp" style=""></span>cells&#47;mL&#44; followed by dying with 5<span class="elsevierStyleHsp" style=""></span>&#956;L of Annexin V-fluorescein isothiocyanate &#40;FITC&#41; &#40;BD Biosciences&#41; and 10<span class="elsevierStyleHsp" style=""></span>&#956;L of propidium iodide &#40;PI&#41;&#46; The Annexin-V-PI double negative group &#40;unstained cells&#41;&#44; Annexin-V-single staining group &#40;Annexin-V-FITC stained cells alone&#41; and PI single stained group &#40;PI stained cells alone&#41; were set as references&#46; The flow cytometer was set with the excitation wavelength at 488<span class="elsevierStyleHsp" style=""></span>nm&#44; and the emission wavelength at 530<span class="elsevierStyleHsp" style=""></span>nm FL1 was the green fluorescent of FITC channel while FL2 was red fluorescence of PI channel&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">With Annexin-V as the horizontal axis and PI as the vertical axis&#44; the upper left quadrant &#40;Annexin-V-&#44; PI&#43;&#41; stood for necrotic cells&#44; the lower left quadrant &#40;Annexin-V-&#44; PI&#8722;&#41; for living cells&#44; the upper right quadrant &#40;Annexin-V&#43;&#44; PI&#8722;&#41; for early apoptotic cells and the lower right quadrant &#40;Annexin-V&#43;&#44; PI&#43;&#41; for late apoptotic cells&#46;<a class="elsevierStyleCrossRef" href="#bib0320"><span class="elsevierStyleSup">25</span></a></p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Transwell assay</span><p id="par0055" class="elsevierStylePara elsevierViewall">Resuspended in serum-free culture medium to an optimal concentration&#44; A549 cells &#40;5<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">4</span><span class="elsevierStyleHsp" style=""></span>cells&#41; were seeded in a Matrigel-coated Transwell chamber at 500<span class="elsevierStyleHsp" style=""></span>&#956;L&#47;well in the bottom of the chamber and supplemented with 10&#37; FBS for 30-h of incubation&#46; After that&#44; the cells on the chamber were wiped with cotton swabs&#44; stained by crystal violet staining solution&#44; as well as captured in each field under a microscope&#46; The chamber in the migration experiment was not coated with Matrigel&#44; and the remaining steps were the same as the invasion experiment&#46;<a class="elsevierStyleCrossRef" href="#bib0325"><span class="elsevierStyleSup">26</span></a></p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Tumor xenografts in nude mice</span><p id="par0060" class="elsevierStylePara elsevierViewall">The Lentiviral Packaging kit &#40;Thermo Fisher Scientific&#41; was utilized for stably knocking down SNHG5&#44; overexpressing miR-181c-5p&#44; as well as knocking down CBX4 in A549 cells&#46; Lentivirus carrying si-SNHG5&#44; miR-181c-5p mimic&#44; si-CBX4 and their matched NCs were all packaged following the manufacturer&#39;s requirements&#46; A549 cells were transfected with lentivirus carrying si-SNHG5&#44; miR-181c-5p mimic&#44; si-CBX4 and their matched NCs in the presence of polybrene &#40;Sigma-Aldrich&#59; Merck KGaA&#44; Darmstadt&#44; Germany&#41; and selected by puromycin &#40;Sigma-Aldrich&#59; Merck KGaA&#41; for 2<span class="elsevierStyleHsp" style=""></span>w to obtain the stable cell lines&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Forty-eight BALB&#47;c nude mice &#40;6&#8211;8 weeks old&#41; were raised in a sterilized animal room of specific pathogen-free grade &#40;25<span class="elsevierStyleHsp" style=""></span>&#176;C&#44; 60&#8211;70&#37; humidity&#41; and were free to food and water&#46; The nude mice were randomly classified into several groups &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#47;group&#41;&#58; si-NC&#44; si-SNHG5&#44; mimic NC&#44; miR-181c-5p mimic&#44; si-con and si-CBX4 groups&#44; Based on the groupings&#44; the stably-transfected A549 cell suspension &#40;2<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">6</span>&#41; was injected subcutaneously into the right back of nude mice&#46; Each nude mouse was marked with a marker pen&#46; When a tumor was palpable&#44; the longest diameter &#40;length&#41; and shortest diameter &#40;width&#41; were measured with an ultraviolet-sterilized ruler and the measurement was performed every 7<span class="elsevierStyleHsp" style=""></span>d&#46; Tumor volume was calculated as <span class="elsevierStyleItalic">&#960;</span>&#47;6<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>&#40;length<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>width&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">2</span></a> After measuring the tumor size for 4<span class="elsevierStyleHsp" style=""></span>w&#44; the nude mice were euthanized by CO<span class="elsevierStyleInf">2</span> euthanasia and their subcutaneous tumors were removed&#44; photographed and weighed&#46;<a class="elsevierStyleCrossRef" href="#bib0330"><span class="elsevierStyleSup">27</span></a></p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Reverse transcription quantitative polymerase chain reaction &#40;RT-qPCR&#41;</span><p id="par0070" class="elsevierStylePara elsevierViewall">Trizol kit &#40;Invitrogen&#44; CA&#44; USA&#41; was in application for RNA extraction from tissues and cells&#46; RNA was dissolved in RNase-free water&#44; and detected by a DU-800 accounting protein analyzer &#40;Beckman Coulter Life Sciences&#44; Brea&#44; CA&#44; USA&#41; for RNA purity and concentration detection&#46; For the quantification of SNHG5 and CBX4&#44; reverse transcription was performed using HiScript&#174; II reverse transcriptase &#40;Vazyme&#44; Nanjing&#44; China&#41; and GAPDH was used as the internal reference&#46; For miR-181c-5p&#44; miRNA First-Stand cDNA Synthesis Kit &#40;Vazyme&#41; was used&#44; with U6 as the internal reference&#46; PCR primers are listed in <a class="elsevierStyleCrossRef" href="#sec0140">Supplementary Table 1</a>&#46; The data was processed by the 2<span class="elsevierStyleSup">&#8722;&#916;&#916;Ct</span> method&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Western blot analysis</span><p id="par0075" class="elsevierStylePara elsevierViewall">Total tissue and cell proteins were extracted by a radio-immunoprecipitation assay kit &#40;Beyotime&#44; Shanghai&#44; China&#41;&#46; Protein concentration was measured by a bicinchoninic acid protein concentration assay kit&#46; The protein sample was loaded&#44; separated by 10&#37; SDS-PAGE and electroblotted onto a membrane&#46; Followed by that&#44; the protein membrane was treated with 5&#37; skim milk powder&#44; probed with CBX4 &#40;1&#58;1000&#41;&#44; phospho &#40;p&#41;-NF-&#954;B p65 &#40;Ser536&#41; &#40;1&#58;1000&#41;&#44; GAPDH &#40;1&#58;1000&#59; all from CST&#44; MA&#44; USA&#41; and reprobed with corresponding secondary antibody&#46; The protein bands were evaluated for the gray values by gel graphic analysis software Image Lab&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Dual luciferase reporter gene assay</span><p id="par0080" class="elsevierStylePara elsevierViewall">The sequences of SNHG5 or 3&#8242;UTR of CBX4 including the wild-type or mutant binding sites of miR-181c-5p were amplified and cloned into pmirGLO plasmid &#40;Promega&#44; Fitchburg&#44; WI&#44; USA&#41; to generate the luciferase plasmids&#46; miR-181c-5p mimic and its NC were transfected into A549 cells together with constructed vectors &#40;SNHG5-WT&#44; SNHG5-MUT&#44; CBX4-3&#8242;UTR WT or CBX4-3&#8242;UTR MUT&#41;&#46; Cells were lysed and the luciferase activity was detected by a luciferase reporter system &#40;Promega&#44; WI&#44; USA&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0335"><span class="elsevierStyleSup">28</span></a></p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Statistical analysis</span><p id="par0085" class="elsevierStylePara elsevierViewall">SPSS 21&#46;0 &#40;IBM Corp&#46; Armonk&#44; NY&#44; USA&#41; and GraphPad Prism 7 &#40;GraphPad Software&#44; San Diego&#44; CA&#44; USA&#41; were utilized for data evaluation&#46; Measurement data were presented as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard deviation&#46; Comparisons between two groups were assessed by <span class="elsevierStyleItalic">t</span>-test while those among multiple groups by one-way analysis of variance &#40;ANOVA&#41; and Tukey&#39;s poct hoc test&#46; Pearson correlation analysis was adopted&#46; Enumeration data were expressed as rates or percentages&#44; and Fisher&#39;s exact test was indicated to comparative analysis&#46; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 was considered of statistical significance&#46;</p></span></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Results</span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">SNHG5 is highly expressed in NSCLC</span><p id="par0090" class="elsevierStylePara elsevierViewall">SNHG5 levels in clinical tissue samples and cell lines was detected by RT-qPCR&#44; and it was found that SNHG5 was upregulated in NSCLC tissues &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41; and in cells lines &#40;HCC827&#44; H1299&#44; H1975 and A549&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46; According to the histopathological classification&#44; NSCLC could be classified into adenocarcinoma&#44; squamous cell carcinoma and large cell carcinoma&#44; while the expression levels of SNHG5&#44; miR-181c-5p and CBX4 were not significantly different in adenocarcinoma&#44; squamous cell carcinoma and large cell carcinoma patients &#40;<a class="elsevierStyleCrossRef" href="#sec0140">Supplementary Fig&#46; 1</a>&#41;&#46; SNHG5 upregulation was especially obvious in A549 cells&#44; thus follow experiments were performed using A549 cells&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0095" class="elsevierStylePara elsevierViewall">Patients were divided into a high and a low expression groups according to the median values of SNHG5 expression levels&#46; Patients in the two groups were subjected to clinicopathological analysis&#44; and the outcomes disclosed that the advanced TNM staging&#44; lymph node metastasis&#44; and poorly differentiated tumors were correlated to high expression of SNHG5 &#40;all <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#44; while SNHG5 had no correlation with age&#44; gender&#44; and tumor diameter &#40;all <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41; &#40;<a class="elsevierStyleCrossRef" href="#sec0140">Supplementary Table 2</a>&#41;&#46;</p></span><span id="sec0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Silenced SNHG5 retards NSCLC progression</span><p id="par0100" class="elsevierStylePara elsevierViewall">To explore the effect of SNHG5 induced the NF-&#954;B signaling pathway on NSCLC&#44; si-SNHG5 was introduced into A549 cells to downregulate SNHG5 expression &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>A&#41;&#46; CCK-8&#44; colony formation assay&#44; flow cytometry and Transwell assay were utilized to discover that by downregulation of SNHG5&#44; A549 cell proliferation&#44; colony formation&#44; invasion and migration capacities impaired and apoptotic rate increased &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>B&#8211;F&#41;&#46; Also&#44; Western blot found that after SNHG5 downregulation&#44; p-NF-&#954;B-p65 protein levels were decreased in A549 cells &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>G&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0095" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">SNHG5 binds to miR-181c-5p</span><p id="par0105" class="elsevierStylePara elsevierViewall">Starbase &#40;<a href="http://starbase.sysu.edu.cn/index.php">http&#58;&#47;&#47;starbase&#46;sysu&#46;edu&#46;cn&#47;index&#46;php</a>&#41; indicated the targeting sites between SNHG5 and miR-181c-5p &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>A&#41;&#46; Dual luciferase reporter gene assay examined that A549 cells co-transfected with SNHG5-WT and miR-181c-5p mimic had impaired luciferase activity &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>B&#41;&#44; revealing that SNHG5 could directly bind to miR-181c-5p&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0110" class="elsevierStylePara elsevierViewall">In NSCLC tissues and cells&#44; miR-181c-5p expression was tested to be decreased &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>C&#44; D&#41;&#46; In clinical cancer tissues&#44; Pearson correlation analysis showed that SNHG5 was negatively correlated with miR-181c-5p levels &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>E&#41;&#46; Moreover&#44; in A549 cells after silencing SNHG5&#44; miR-181c-5p was found to be upregulated &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>F&#41;&#46;</p></span><span id="sec0100" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Restoration of miR-181c-5p restrains NSCLC cell progression</span><p id="par0115" class="elsevierStylePara elsevierViewall">To explore the influence of miR-181c-5p on NSCLC&#44; A549 cells were treated with miR-181c-5p mimic to enrich miR-181c-5p expression &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a>A&#41;&#46; Then&#44; in A549 cells expressing enriched miR-181c-5p&#44; it was manifested that cell proliferation&#44; colony formation&#44; invasion and migration capacities impaired and apoptotic rate increased &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a>B&#8211;F&#41;&#44; and p-NF-&#954;B-p65 protein expression decreased &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a>G&#41;&#46;</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia></span><span id="sec0105" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">miR-181c-5p targets CBX4</span><p id="par0120" class="elsevierStylePara elsevierViewall">Starbase predicted the binding sites of miR-181c-5p and CBX4 &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>A&#41;&#46; Dual-luciferase reporter experiment further detected the binding relationship between miR-181c-5p and CBX4&#44; as the results demonstrating that miR-181c-5p mimic diminished the luciferase activity of CBX4-WT in A549 cells &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>B&#41;&#44; suggesting that miR-181c-5p could directly target CBX4&#46;</p><elsevierMultimedia ident="fig0025"></elsevierMultimedia><p id="par0125" class="elsevierStylePara elsevierViewall">High CBX4 mRNA levels were examined in NSCLC tissues and cells lines &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>C&#44; D&#41;&#46; Further analysis by Pearson test disclosed that CBX4 expression was positively correlated with SNHG5 while negatively correlated with miR-181c-5p &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>E&#44; F&#41;&#46; CBX4 mRNA and protein levels were determined to be inhibited after miR-181c-5p overexpression in A549 cells &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>G&#44; H&#41;&#46;</p></span><span id="sec0110" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0145">Knockdown of CBX4 suppresses NSCLC cell progression</span><p id="par0130" class="elsevierStylePara elsevierViewall">To prove that CBX4 also has a regulatory effect on development of A549 cells&#44; CBX4 was knocked down in A549 cells by transfection with si-CBX4 &#40;<a class="elsevierStyleCrossRef" href="#fig0030">Fig&#46; 6</a>A&#44; B&#41;&#46; Next&#44; it was further evaluated that CBX4 knockdown in A549 cells repressed cellular growth &#40;<a class="elsevierStyleCrossRef" href="#fig0030">Fig&#46; 6</a>C&#8211;G&#41; and reduced p-NF-&#954;B-p65 protein expression &#40;<a class="elsevierStyleCrossRef" href="#fig0030">Fig&#46; 6</a>H&#41;&#46;</p><elsevierMultimedia ident="fig0030"></elsevierMultimedia></span><span id="sec0115" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0150">Overexpression of CBX4 abolishes the effects of miR-181c-5p on NSCLC cell progression</span><p id="par0135" class="elsevierStylePara elsevierViewall">In order to identify the role of CBX4 on miR-181c-5p-induced regulation of A549 cell growth&#44; A549 cells after transfection with miR-181c-5p mimic were further treated with Oe-CBX4&#46; A series of experimental results unveiled that the overexpression of CBX4 reversed miR-181c-5p overexpression-induced suppression of A549 cells malignant phenotype and p-NF-B-p65 protein expression &#40;<a class="elsevierStyleCrossRef" href="#fig0035">Fig&#46; 7</a>A&#8211;H&#41;&#46;</p><elsevierMultimedia ident="fig0035"></elsevierMultimedia></span><span id="sec0120" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0155">Effect of the SNHG5&#47;miR-181c-5p&#47;CBX4 axis on the development of NSCLC in vivo</span><p id="par0140" class="elsevierStylePara elsevierViewall">To investigate the roles of the SNHG5&#47;miR-181c-5p&#47;CBX4 axis in tumorigenesis in vivo&#44; the mice xenograft model assay was conducted&#46; The corresponding findings revealed that downregulation of SNHG5 and CBX4 or upregulation of miR-181c-5p retarded tumor growth in nude mice &#40;<a class="elsevierStyleCrossRef" href="#fig0040">Fig&#46; 8</a>A&#8211;C&#41;&#46;</p><elsevierMultimedia ident="fig0040"></elsevierMultimedia></span></span><span id="sec0125" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0160">Discussion</span><p id="par0145" class="elsevierStylePara elsevierViewall">NSCLC is still the main issue needed to be overcame based on its high mortality rate and poor prognosis&#46;<a class="elsevierStyleCrossRef" href="#bib0340"><span class="elsevierStyleSup">29</span></a> Through extensive researches have been projected to address the precise comprehension of the SNHG5&#47;miR-181c-5p&#47;CBX4 axis in NSCLC is obscure&#46; Hence&#44; this study is initiated and the mainstay of the outcomes holds that SNHG5 promotes NSCLC cell progression through lessening miR-181c-5p-induced regulation of CBX4&#46; Specifically&#44; low miR-181c-5p and high SNHG5 and CBX4 levels were found in NSCLC tissues and cells&#46; Restoration of miR-181c-5p or knockdown of SNHG5 or CBX4 restrained NSCLC cell progression and inactivated the NF-&#954;B pathway&#46; Upregulated CBX4 abolished the effects of miR-181c-5p on reducing NSCLC cell progression&#46; SNHG5 regulated the interaction between miR-181c-5p and CBX4&#46; In vivo&#44; restoration of miR-181c-5p or knockdown of SNHG5 or CBX4 retarded the tumor growth&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Initially&#44; SNHG5 expression in NSCLC tissues and cell lines was determined&#44; as well as the correlation between its expression and clinicopathological characteristics of NSCLC patients&#46; The results indicated that high SNHG5 in NSCLC was connected with TNM stage&#44; lymph node metastasis and high differentiation of NSCLC tissues&#46; Increased SNHG5 has been determined in clear cell renal cell carcinoma&#44; exhibiting an intimate correlation with TNM stage and lymph node metastasis&#46;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">30</span></a> In patients with hepatocellular carcinoma&#44; upregulated SNHG5 is found in cancer tissues&#44; which has a correlation with patients&#8217; TNM stage&#46;<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">31</span></a> Next&#44; our research designed function assays and revealed that silenced SNHG5 hindered NSCLC cell progression and inactivated the NF-&#954;B pathway&#46; Accordingly&#44; Jiang-Rui Chi et al&#46; have observed that breast cancer cell proliferation could be induced by SNHG5 overexpression&#44; but suppressed by SNHG5 depletion&#46;<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">32</span></a> Meanwhile&#44; an article composed by Mingbao Zhang et al&#46; has suggested that SNHG5 induction enhances proliferation&#44; migration and anti-apoptosis of colorectal cancer cells&#46;<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">33</span></a> In a case of melanoma&#44; it has been clarified that SNHG5 decrease in cancer cells results in proliferation and invasion inhibition and apoptosis promotion&#46;<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">34</span></a></p><p id="par0155" class="elsevierStylePara elsevierViewall">Next&#44; our research found the binding of SNHG5 to miR-181c-5p&#46; Pivoted on miR-181c-5p&#44; our study further validated that enriched miR-181c-5p exerted suppressively for NSCLC cells to behave malignantly and for the NF-&#954;B pathway to activate&#46; Not limited to the present paper&#44; the decrease of miR-181c-5p has been measured in various cancers&#44; including cervical squamous cell carcinoma&#46;<a class="elsevierStyleCrossRef" href="#bib0325"><span class="elsevierStyleSup">26</span></a> In the area of miR-181c-5p-mediated growth of cancer cells&#44; Han B et al&#46; have summarized that miR-181c upregulation hinders proliferation of drug-resistant breast cancer cells&#46;<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">35</span></a> On the other hand&#44; miR-181c has acts as a tumor suppressor because of its inhibitory influences on glioblastoma cell invasion&#44; proliferation and self-renewal properties&#46;<a class="elsevierStyleCrossRef" href="#bib0375"><span class="elsevierStyleSup">36</span></a> Furthermore&#44; Yong Li et al&#46; have noticed that neuroblastoma cells exhibit decelerated proliferation&#44; migration and invasion when miR-181c is overexpressed&#46;<a class="elsevierStyleCrossRef" href="#bib0380"><span class="elsevierStyleSup">37</span></a> Paying attention to the regulation of miR-181c-5p for the NF-&#954;B pathway&#44; it has been once declared that miR-181 overexpression in ovarian cancer cells lowers the NF-&#954;B expression&#46;<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">38</span></a></p><p id="par0160" class="elsevierStylePara elsevierViewall">Subsequently&#44; CBX4 that was targeted by miR-181c-5p was analyzed to be upregulated in NSCLC&#46; Through cell function measurements&#44; the outcomes depicted the anti-tumor function of silenced CBX4&#46; Moreover&#44; CBX4 overexpression counteracted miR-181c-5p overexpression-dependent suppression of NSCLC cell growth&#46; Based on a previous article&#44; it is known that CBX4 is highly expressed in lung cancer&#44; and the treatment with overexpressed CBX4 accounts for augmented proliferation and migration capabilities&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">19</span></a> For breast cancer&#44; CBX4 expression is discovered to be elevated&#44; and CBX4-mediated proliferation promotion could be repressed by silencing CBX4&#46;<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">18</span></a> Besides&#44; in a publication addressed by Jianfa Li et al&#46; it is noticeable that silenced CBX4 is feasible to assist circRNA TLK1-mediated effects on suppressing phenotypic transformation of renal cell carcinoma cells&#46;<a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">39</span></a></p><p id="par0165" class="elsevierStylePara elsevierViewall">In generally&#44; this study has elucidated that SNHG5 downregulation elevates miR-181c-5p expression to silence CBX4&#44; thereby impeding NSCLC cell progression&#46; The present analysis provides a novel reference for exploring NSCLC therapeutic agents&#46; Except for the NF-&#954;B pathway&#44; other pathways may be involved in the axis of the SNHG5&#47;miR-181c-5p&#47;CBX4 promoting NSCLC progression&#44; which is worthy exploring in the future&#46;</p></span><span id="sec0130" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0165">Conflict of interest</span><p id="par0170" class="elsevierStylePara elsevierViewall">The authors declare no competing interests&#46;</p></span></span>"
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          "identificador" => "xres2019697"
          "titulo" => "Graphical abstract"
          "secciones" => array:1 [
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          "titulo" => "Abstract"
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            1 => array:2 [
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              "titulo" => "Methods"
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            2 => array:2 [
              "identificador" => "abst0020"
              "titulo" => "Results"
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              "titulo" => "Conclusion"
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        2 => array:2 [
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          "titulo" => "Keywords"
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        3 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction"
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        4 => array:3 [
          "identificador" => "sec0010"
          "titulo" => "Materials and methods"
          "secciones" => array:13 [
            0 => array:2 [
              "identificador" => "sec0015"
              "titulo" => "Ethics statement"
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            1 => array:2 [
              "identificador" => "sec0020"
              "titulo" => "Specimens"
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            2 => array:2 [
              "identificador" => "sec0025"
              "titulo" => "Cell culture"
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            3 => array:2 [
              "identificador" => "sec0030"
              "titulo" => "Cell transfection and grouping"
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            4 => array:2 [
              "identificador" => "sec0035"
              "titulo" => "Cell counting kit &#40;CCK&#41;-8 assay"
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            5 => array:2 [
              "identificador" => "sec0040"
              "titulo" => "Colony formation assay"
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            6 => array:2 [
              "identificador" => "sec0045"
              "titulo" => "Flow cytometry"
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            7 => array:2 [
              "identificador" => "sec0050"
              "titulo" => "Transwell assay"
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            8 => array:2 [
              "identificador" => "sec0055"
              "titulo" => "Tumor xenografts in nude mice"
            ]
            9 => array:2 [
              "identificador" => "sec0060"
              "titulo" => "Reverse transcription quantitative polymerase chain reaction &#40;RT-qPCR&#41;"
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            10 => array:2 [
              "identificador" => "sec0065"
              "titulo" => "Western blot analysis"
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            11 => array:2 [
              "identificador" => "sec0070"
              "titulo" => "Dual luciferase reporter gene assay"
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            12 => array:2 [
              "identificador" => "sec0075"
              "titulo" => "Statistical analysis"
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          "identificador" => "sec0080"
          "titulo" => "Results"
          "secciones" => array:8 [
            0 => array:2 [
              "identificador" => "sec0085"
              "titulo" => "SNHG5 is highly expressed in NSCLC"
            ]
            1 => array:2 [
              "identificador" => "sec0090"
              "titulo" => "Silenced SNHG5 retards NSCLC progression"
            ]
            2 => array:2 [
              "identificador" => "sec0095"
              "titulo" => "SNHG5 binds to miR-181c-5p"
            ]
            3 => array:2 [
              "identificador" => "sec0100"
              "titulo" => "Restoration of miR-181c-5p restrains NSCLC cell progression"
            ]
            4 => array:2 [
              "identificador" => "sec0105"
              "titulo" => "miR-181c-5p targets CBX4"
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            5 => array:2 [
              "identificador" => "sec0110"
              "titulo" => "Knockdown of CBX4 suppresses NSCLC cell progression"
            ]
            6 => array:2 [
              "identificador" => "sec0115"
              "titulo" => "Overexpression of CBX4 abolishes the effects of miR-181c-5p on NSCLC cell progression"
            ]
            7 => array:2 [
              "identificador" => "sec0120"
              "titulo" => "Effect of the SNHG5&#47;miR-181c-5p&#47;CBX4 axis on the development of NSCLC in vivo"
            ]
          ]
        ]
        6 => array:2 [
          "identificador" => "sec0125"
          "titulo" => "Discussion"
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        7 => array:2 [
          "identificador" => "sec0130"
          "titulo" => "Conflict of interest"
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        8 => array:1 [
          "titulo" => "References"
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      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2022-01-09"
    "fechaAceptado" => "2022-07-05"
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        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1729209"
          "palabras" => array:5 [
            0 => "Non-small cell lung cancer"
            1 => "Long noncoding RNA small nucleolar RNA host gene 5"
            2 => "microRNA-181c-5p"
            3 => "Chromobox protein 4"
            4 => "Tumor growth"
          ]
        ]
      ]
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    "resumen" => array:1 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Objective</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Explorations have been progressing in decoding the mechanism of non-small cell lung cancer &#40;NSCLC&#41;&#46; However&#44; long noncoding RNA small nucleolar RNA host gene 5&#47;microRNA-181c-5p&#47;chromobox protein 4 &#40;SNHG5&#47;miR-181c-5p&#47;CBX4&#41; axis-oriented mechanisms in NSCLC is still in infancy&#46; Therein&#44; this study is proposed to probe this axis in NSCLC progression&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Methods</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Samples of 86 NSCLC patients were collected and SNHG5&#44; miR-181c-5p and CBX4 expression was detected in NSCLC tissues and cells&#46; NSCLC cells were transfected with plasmids to change SNHG5&#44; miR-181c-5p or CBX4 expression&#44; after which cell functions and phosphorylated &#40;p&#41;-nuclear factor &#40;NF&#41;-&#954;B protein expression were evaluated&#46; The relationships among SNHG5&#44; miR-181c-5p and CBX4 were validated&#46; Tumor xenografts were implemented to verify the roles of SNHG5&#44; miR-181c-5p and CBX4 in tumor growth&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Results</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Low miR-181c-5p and high SNHG5 and CBX4 levels were found in NSCLC tissues and cells&#46; Restoration of miR-181c-5p or knockdown of SNHG5 or CBX4 restrained NSCLC cell progression and inactivated the NF-&#954;B pathway&#46; Upregulated CBX4 abolished the effects of miR-181c-5p on reducing NSCLC cell progression&#46; SNHG5 regulated the interaction between miR-181c-5p and CBX4&#46; In vivo&#44; restoration of miR-181c-5p or knockdown of SNHG5 or CBX4 retarded the tumor growth&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Conclusion</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">This study has delineated that SNHG5 induces the NF-&#954;B pathway by regulating the miR-181c-5p&#47;CBX4 axis to promote NSCLC progression&#44; which may pave a novel path for NSCLC treatment&#46;</p></span>"
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            "apendice" => "<p id="par0180" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article&#58;<elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Supplementary data"
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          "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">SNHG5 is highly expressed in NSCLC&#46; &#40;A&#44; B&#41; SNHG5 expression in NSCLC tissues and cell lines was detected by RT-qPCR&#46; Measurement data were expressed as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard&#46; In &#40;A&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; normal tissues &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>86&#41;&#59; in &#40;B&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; MRC-5 cells &#40;<span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#41;&#46;</p>"
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          "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Silenced SNHG5 reduces the development of NSCLC cells&#46; &#40;A&#41; SNHG5 expression in A549 cells was detected by RT-qPCR&#59; &#40;B&#41; A549 cell proliferation after SNHG5 silencing was assessed by CCK-8 assay&#59; &#40;C&#41; Colony formation rate of A549 cells after SNHG5 silencing was tested by colony formation assay&#59; &#40;D&#41; A549 cell apoptosis rate after SNHG5 silencing was evaluated by flow cytometry&#59; &#40;E&#41; A549 cell migration after SNHG5 silencing was examined by Transwell assay&#59; &#40;F&#41; A549 cell invasion after SNHG5 silencing was determined by Transwell assay&#59; &#40;G&#41; p-NF-&#954;B p65 protein expression in A549 cells after SNHG5 silencing was measured by Western blot&#46; Measurement data were expressed as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard&#46; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; the si-NC group&#46; Cell experiments were performed independently in triplicate&#46;</p>"
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          "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">SNHG5 binds to miR-181c-5p&#46; &#40;A&#41; Binding sites of SNHG5 and miR-181c-5p were analyzed by Starbase&#59; &#40;B&#41; The binding of SNHG5 to miR-181c-5p was assessed by luciferase activity assay&#59; &#40;C&#44; D&#41; miR-181c-5p expression in clinical tissues and cell lines was tested by RT-qPCR&#59; &#40;E&#41; Pearson analysis of SNHG5 and miR-181c-5p&#59; &#40;F&#41; miR-181c-5p expression in A549 cells after SNHG5 silencing was tested by RT-qPCR&#46; Measurement data were expressed as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard&#46; In &#40;B&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; mimic NC group &#40;<span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#41;&#59; in &#40;C&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; normal tissues &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>86&#41;&#59; in &#40;D&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; MRC-5 cells &#40;<span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#41;&#59; in &#40;F&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; si-NC group &#40;<span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#41;&#46;</p>"
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          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Restoration of miR-181c-5p restrains NSCLC cell progression&#46; &#40;A&#41; miR-181c-5p expression in A549 cells was detected by RT-qPCR&#59; &#40;B&#41; A549 cell proliferation after upregulating miR-181c-5p was assessed by CCK-8 assay&#59; &#40;C&#41; Colony formation rate of A549 cells after upregulating miR-181c-5p was detected by colony formation assay&#59; &#40;D&#41; A549 cell apoptosis rate after upregulating miR-181c-5p was tested by flow cytometry&#59; &#40;E&#41; A549 cell migration after upregulating miR-181c-5p was detected by Transwell assay&#59; &#40;F&#41; A549 cell invasion after upregulating miR-181c-5p was evaluated by Transwell assay&#59; &#40;G&#41; p-NF-&#954;B p65 protein expression in A549 cells after upregulating miR-181c-5p was measured by Western blot&#46; Measurement data were expressed as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard&#46; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; the mimic NC group&#46; Cell experiments were performed independently in triplicate&#46;</p>"
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          "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">miR-181c-5p targets CBX4&#46; &#40;A&#41; Binding sites of miR-181c-5p and CBX4 were predicted by Starbase&#59; &#40;B&#41; The binding of miR-181c-5p and CBX4 was verified by luciferase activity assay&#59; &#40;C&#44; D&#41; CBX4 expression in clinical tissues and cell lines was tested by RT-qPCR&#59; &#40;E&#44; F&#41; Pearson correlation analysis of SNHG5&#44; miR-181c-5p and CBX4&#59; G-H&#46; CBX4 expression was measured by RT-qPCR and western blot&#46; Measurement data were expressed as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard&#46; In &#40;B&#44; G and H&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; mimic NC group &#40;<span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#41;&#59; in &#40;C&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; normal tissues &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>86&#41;&#59; in &#40;D&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; MRC-5 cells &#40;<span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#41;&#46;</p>"
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          "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Knockdown of CBX4 suppresses NSCLC cell progression&#46; &#40;A&#44; B&#41; CBX4 expression in A549 cells was detected by RT-qPCR and western blot&#59; &#40;C&#41; A549 cell proliferation after silencing CBX4 was detected by CCK-8 assay&#59; &#40;D&#41; Colony formation rate of A549 cells after silencing CBX4 was evaluated by colony formation assay&#59; &#40;E&#41; A549 cell apoptosis rate after silencing CBX4 was examined by flow cytometry&#59; &#40;F&#41; A549 cell migration after silencing CBX4 was measured by Transwell assay&#59; &#40;G&#41; A549 cell invasion after silencing CBX4 was detected by Transwell assay&#59; &#40;H&#41; p-NF-&#954;B p65 protein expression in A549 cells after silencing CBX4 was tested by Western blot&#46; Measurement data were expressed as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard deviation&#59; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; the si-con group&#46; Cell experiments were performed independently in triplicate&#46;</p>"
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          "en" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Overexpression of CBX4 abolishes the effects of miR-181c-5p on NSCLC cell progression&#46; &#40;A&#44; B&#41; CBX4 expression in A549 cells was tested by RT-qPCR and western blot&#59; &#40;C&#41; A549 cell proliferation in the rescue experiment was detected by CCK-8 assay&#59; &#40;D&#41; Colony formation rate of A549 cells in the rescue experiment was tested by colony formation assay&#59; &#40;E&#41; A549 cell apoptosis rate in the rescue experiment was assessed by flow cytometry&#59; &#40;F&#41; A549 cell migration in the rescue experiment was examined by Transwell assay&#59; &#40;G&#41; A549 cell invasion in the rescue experiment was detected by Transwell assay&#59; &#40;H&#41; p-NF-&#954;B p65 protein expression in A549 cells in the rescue experiment was determined by Western blot&#46; Measurement data were expressed as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard deviation&#59; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; the miR-181c-5p mimic<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>oe-NC group&#46; Cell experiments were performed independently in triplicate&#46;</p>"
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Original Article
Long Noncoding RNA SNHG5 Induces the NF-κB Pathway by Regulating miR-181c-5p/CBX4 Axis to Promote the Progression of Non-Small Cell Lung Cancer
Shiyang Kanga,1, Chaopeng Oua,1, An Yanb, Kaibin Zhuc, Ruifeng Xuea, Yingjun Zhanga, Jielan Laia,
Corresponding author
LaiJielan020@163.com

Corresponding author.
a Department of Anesthesiology, Sun Yat-sen University Cancer Center, Guangzhou 510000, Guangdong, China
b Department of Thoracic Oncology, Harbin Medical University Cancer Hospital, Harbin 150000, Heilongjiang, China
c Department of Thoracic Surgery, Harbin Medical University Cancer Hospital, Harbin 150000, Heilongjiang, China
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chemotherapy remains the first-line option for advanced lung cancer&#46;<a class="elsevierStyleCrossRef" href="#bib0215"><span class="elsevierStyleSup">4</span></a> Unexpectedly&#44; the prognosis of NSCLC is not satisfactory due to resistance to chemotherapy&#44; resulting in recurrence of aggressive lung cancer&#46;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">5</span></a> Thus&#44; the need to discover novel therapy for NSCLC patients is in urgency&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Amount of long noncoding RNAs &#40;lncRNAs&#41; are differentially expressed in lung cancer&#46;<a class="elsevierStyleCrossRef" href="#bib0225"><span class="elsevierStyleSup">6</span></a> For instance&#44; differentiation antagonizing noncoding RNA&#44;<a class="elsevierStyleCrossRef" href="#bib0230"><span class="elsevierStyleSup">7</span></a> TUC338<a class="elsevierStyleCrossRef" href="#bib0235"><span class="elsevierStyleSup">8</span></a> and metastasis-associated lung adenocarcinoma transcript 1<a class="elsevierStyleCrossRef" href="#bib0240"><span class="elsevierStyleSup">9</span></a> are abnormally overexpressed in NSCLC&#44; augmenting the development of the disease&#46; LncRNA small nucleolar RNA host gene 5 &#40;SNHG5&#41; has been found to be a new budding star in human cancers&#44; and be a promising diagnostic marker for cancer patients&#46;<a class="elsevierStyleCrossRef" href="#bib0245"><span class="elsevierStyleSup">10</span></a> In fact&#44; SNHG5 has been surveyed to be upregulated in lung adenocarcinoma &#40;LUAD&#41; and be related to gefitinib resistance&#44;<a class="elsevierStyleCrossRef" href="#bib0250"><span class="elsevierStyleSup">11</span></a> but its related mechanism still deserves deep investigation in NSCLC&#46; Supportive evidence has disclosed the interactions between lncRNAs and microRNAs &#40;miRNAs&#41; participating in lung tumorigenesis&#46;<a class="elsevierStyleCrossRef" href="#bib0255"><span class="elsevierStyleSup">12</span></a> In our research&#44; the database forecasted the targeting sites between SNHG5 and miR-181c-5p&#46; miR-181<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">13</span></a> and miR-181b<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">14</span></a> have been disclosed to mediate drug resistance in lung cancer&#46; As to miR-181c-5p&#44; it has been developed to a prognostic signature in LUAD&#44;<a class="elsevierStyleCrossRef" href="#bib0270"><span class="elsevierStyleSup">15</span></a> but its accurate role in NSCLC was rarely probed&#46; miRNAs bind to 3&#8242;untranslated region &#40;UTR&#41; of their target mRNA to inhibit expression at the post-transcriptional level&#46;<a class="elsevierStyleCrossRef" href="#bib0275"><span class="elsevierStyleSup">16</span></a> Also&#44; the binding sites of miR-181c-5p and chromobox protein 4 &#40;CBX4&#41; were also forecasted by online database&#46; CBX4 is a member of the polycomb group family of epigenetic regulatory factors that has become a potent target in the control of cancer activities&#46;<a class="elsevierStyleCrossRefs" href="#bib0280"><span class="elsevierStyleSup">17&#44;18</span></a> Indeed&#44; CBX4 has been verified to involve in lung cancer metastasis&#44;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">19</span></a> but its regulation by miR-181c-5p in cancer progression was little mentioned&#46; Nuclear factor &#40;NF&#41;-&#954;B pathway is a cell survival pathway fanning carcinogenesis in lung cancer&#46;<a class="elsevierStyleCrossRefs" href="#bib0295"><span class="elsevierStyleSup">20&#44;21</span></a> NF-&#954;B pathway is generally activated in lung cancer&#44; and the obstruction of this pathway is critically significant to slow down lung cancer growth&#46;<a class="elsevierStyleCrossRefs" href="#bib0305"><span class="elsevierStyleSup">22&#44;23</span></a> Therein&#44; this study is implemented to unearth the mechanisms of SNHG5&#47;miR-181c-5p&#47;CBX4 axis through the NF-&#954;B pathway in NSCLC&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Materials and methods</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Ethics statement</span><p id="par0015" class="elsevierStylePara elsevierViewall">This study was approved by the ethics committee of Sun Yat-sen University Cancer Center &#40;ethical number&#58; 20190608&#41; and informed consent was acquired from patients&#46; All animal experiments&#44; ratified by the animal ethics committee of Sun Yat-sen University Cancer Center &#40;ethical number&#58; 20190814&#41;&#44; complied with the rules and regulations of experimental animals and the relevant ethical requirements of experimental animals&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Specimens</span><p id="par0020" class="elsevierStylePara elsevierViewall">Samples of 86 NSCLC patients were obtained from Sun Yat-sen University Cancer Center&#46; Of these patients&#44; 51 cases were males and 35 cases were females&#44; aged 48&#8211;69 &#40;58&#46;23<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>3&#46;44&#41; years&#46; There were 38 cases aged<span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>60 years&#44; and 48 cases aged<span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>60 years&#46; Inclusion criteria&#58; NSCLC diagnostic criteria&#46; The staging system for NSCLC was the seventh edition of the TNM staging edited by International Association for the Study of Lung Cancer&#58; 30 patients in stage I&#44; 25 in stage II&#44; 22 in stage III&#44; and 9 in stage IV&#46; Pathological type&#58; 38 cases of adenocarcinoma&#44; 31 cases of squamous cell carcinoma&#44; and 17 cases of large cell carcinoma&#46; There were 49 cases of lymph node metastasis&#46; All of the patients were clinically diagnosed and did not receive chemoradiotherapy before surgery&#46; The surgically excised cancer and normal adjacent tissues &#40;&#62;5<span class="elsevierStyleHsp" style=""></span>cm from the edge of cancer tissues&#41; were adopted&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Cell culture</span><p id="par0025" class="elsevierStylePara elsevierViewall">Human embryo lung cells &#40;MRC-5&#41;&#44; and human NSCLC cell lines &#40;HCC827&#44; H1299&#44; H1975 and A549&#41; were provided by Cell Bank of Chinese Academy of Sciences &#40;Shanghai&#44; China&#41;&#46; These cells were cultured in corresponding complete mediums containing 10&#37; fetal bovine serum &#40;FBS&#41;&#44; and 1&#37; penicillin&#47;streptomycin &#40;Corning Incorporated&#44; Corning&#44; NY&#44; USA&#41;&#46; Experimental cells were all in the logarithmic growth phase&#46; Roswell Park Memorial Institute 1640 &#40;RPMI-1640&#41; cell culture medium&#44; minimum essential medium &#40;MEM&#41;&#44; and Ham&#39;s F-12K medium were provided by Thermo Fisher Scientific &#40;Waltham&#44; MA&#44; USA&#41;&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Cell transfection and grouping</span><p id="par0030" class="elsevierStylePara elsevierViewall">Small interfering RNA &#40;siRNA&#41; against SNHG5 &#40;si-SNHG5&#44; final concentration of 20<span class="elsevierStyleHsp" style=""></span>nM&#41; 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Annexin binding buffer &#40;500<span class="elsevierStyleHsp" style=""></span>&#956;L&#41; to acquire a concentration of 1<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">6</span><span class="elsevierStyleHsp" style=""></span>cells&#47;mL&#44; followed by dying with 5<span class="elsevierStyleHsp" style=""></span>&#956;L of Annexin V-fluorescein isothiocyanate &#40;FITC&#41; &#40;BD Biosciences&#41; and 10<span class="elsevierStyleHsp" style=""></span>&#956;L of propidium iodide &#40;PI&#41;&#46; The Annexin-V-PI double negative group &#40;unstained cells&#41;&#44; Annexin-V-single staining group &#40;Annexin-V-FITC stained cells alone&#41; and PI single stained group &#40;PI stained cells alone&#41; were set as references&#46; The flow cytometer was set with the excitation wavelength at 488<span class="elsevierStyleHsp" style=""></span>nm&#44; and the emission wavelength at 530<span class="elsevierStyleHsp" style=""></span>nm FL1 was the green fluorescent of FITC channel while FL2 was red fluorescence of PI channel&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">With Annexin-V as the horizontal axis and PI as the vertical axis&#44; the upper left quadrant &#40;Annexin-V-&#44; PI&#43;&#41; stood for necrotic cells&#44; the lower left quadrant &#40;Annexin-V-&#44; PI&#8722;&#41; for living cells&#44; the upper right quadrant &#40;Annexin-V&#43;&#44; PI&#8722;&#41; for early apoptotic cells and the lower right quadrant &#40;Annexin-V&#43;&#44; PI&#43;&#41; for late apoptotic cells&#46;<a class="elsevierStyleCrossRef" href="#bib0320"><span class="elsevierStyleSup">25</span></a></p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Transwell assay</span><p id="par0055" class="elsevierStylePara elsevierViewall">Resuspended in serum-free culture medium to an optimal concentration&#44; A549 cells &#40;5<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">4</span><span class="elsevierStyleHsp" style=""></span>cells&#41; were seeded in a Matrigel-coated Transwell chamber at 500<span class="elsevierStyleHsp" style=""></span>&#956;L&#47;well in the bottom of the chamber and supplemented with 10&#37; FBS for 30-h of incubation&#46; After that&#44; the cells on the chamber were wiped with cotton swabs&#44; stained by crystal violet staining solution&#44; as well as captured in each field under a microscope&#46; The chamber in the migration experiment was not coated with Matrigel&#44; and the remaining steps were the same as the invasion experiment&#46;<a class="elsevierStyleCrossRef" href="#bib0325"><span class="elsevierStyleSup">26</span></a></p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Tumor xenografts in nude mice</span><p id="par0060" class="elsevierStylePara elsevierViewall">The Lentiviral Packaging kit &#40;Thermo Fisher Scientific&#41; was utilized for stably knocking down SNHG5&#44; overexpressing miR-181c-5p&#44; as well as knocking down CBX4 in A549 cells&#46; Lentivirus carrying si-SNHG5&#44; miR-181c-5p mimic&#44; si-CBX4 and their matched NCs were all packaged following the manufacturer&#39;s requirements&#46; A549 cells were transfected with lentivirus carrying si-SNHG5&#44; miR-181c-5p mimic&#44; si-CBX4 and their matched NCs in the presence of polybrene &#40;Sigma-Aldrich&#59; Merck KGaA&#44; Darmstadt&#44; Germany&#41; and selected by puromycin &#40;Sigma-Aldrich&#59; Merck KGaA&#41; for 2<span class="elsevierStyleHsp" style=""></span>w to obtain the stable cell lines&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">Forty-eight BALB&#47;c nude mice &#40;6&#8211;8 weeks old&#41; were raised in a sterilized animal room of specific pathogen-free grade &#40;25<span class="elsevierStyleHsp" style=""></span>&#176;C&#44; 60&#8211;70&#37; humidity&#41; and were free to food and water&#46; The nude mice were randomly classified into several groups &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#47;group&#41;&#58; si-NC&#44; si-SNHG5&#44; mimic NC&#44; miR-181c-5p mimic&#44; si-con and si-CBX4 groups&#44; Based on the groupings&#44; the stably-transfected A549 cell suspension &#40;2<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">6</span>&#41; was injected subcutaneously into the right back of nude mice&#46; Each nude mouse was marked with a marker pen&#46; When a tumor was palpable&#44; the longest diameter &#40;length&#41; and shortest diameter &#40;width&#41; were measured with an ultraviolet-sterilized ruler and the measurement was performed every 7<span class="elsevierStyleHsp" style=""></span>d&#46; Tumor volume was calculated as <span class="elsevierStyleItalic">&#960;</span>&#47;6<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>&#40;length<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>width&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">2</span></a> After measuring the tumor size for 4<span class="elsevierStyleHsp" style=""></span>w&#44; the nude mice were euthanized by CO<span class="elsevierStyleInf">2</span> euthanasia and their subcutaneous tumors were removed&#44; photographed and weighed&#46;<a class="elsevierStyleCrossRef" href="#bib0330"><span class="elsevierStyleSup">27</span></a></p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Reverse transcription quantitative polymerase chain reaction &#40;RT-qPCR&#41;</span><p id="par0070" class="elsevierStylePara elsevierViewall">Trizol kit &#40;Invitrogen&#44; CA&#44; USA&#41; was in application for RNA extraction from tissues and cells&#46; RNA was dissolved in RNase-free water&#44; and detected by a DU-800 accounting protein analyzer &#40;Beckman Coulter Life Sciences&#44; Brea&#44; CA&#44; USA&#41; for RNA purity and concentration detection&#46; For the quantification of SNHG5 and CBX4&#44; reverse transcription was performed using HiScript&#174; II reverse transcriptase &#40;Vazyme&#44; Nanjing&#44; China&#41; and GAPDH was used as the internal reference&#46; For miR-181c-5p&#44; miRNA First-Stand cDNA Synthesis Kit &#40;Vazyme&#41; was used&#44; with U6 as the internal reference&#46; PCR primers are listed in <a class="elsevierStyleCrossRef" href="#sec0140">Supplementary Table 1</a>&#46; The data was processed by the 2<span class="elsevierStyleSup">&#8722;&#916;&#916;Ct</span> method&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Western blot analysis</span><p id="par0075" class="elsevierStylePara elsevierViewall">Total tissue and cell proteins were extracted by a radio-immunoprecipitation assay kit &#40;Beyotime&#44; Shanghai&#44; China&#41;&#46; Protein concentration was measured by a bicinchoninic acid protein concentration assay kit&#46; The protein sample was loaded&#44; separated by 10&#37; SDS-PAGE and electroblotted onto a membrane&#46; Followed by that&#44; the protein membrane was treated with 5&#37; skim milk powder&#44; probed with CBX4 &#40;1&#58;1000&#41;&#44; phospho &#40;p&#41;-NF-&#954;B p65 &#40;Ser536&#41; &#40;1&#58;1000&#41;&#44; GAPDH &#40;1&#58;1000&#59; all from CST&#44; MA&#44; USA&#41; and reprobed with corresponding secondary antibody&#46; The protein bands were evaluated for the gray values by gel graphic analysis software Image Lab&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Dual luciferase reporter gene assay</span><p id="par0080" class="elsevierStylePara elsevierViewall">The sequences of SNHG5 or 3&#8242;UTR of CBX4 including the wild-type or mutant binding sites of miR-181c-5p were amplified and cloned into pmirGLO plasmid &#40;Promega&#44; Fitchburg&#44; WI&#44; USA&#41; to generate the luciferase plasmids&#46; miR-181c-5p mimic and its NC were transfected into A549 cells together with constructed vectors &#40;SNHG5-WT&#44; SNHG5-MUT&#44; CBX4-3&#8242;UTR WT or CBX4-3&#8242;UTR MUT&#41;&#46; Cells were lysed and the luciferase activity was detected by a luciferase reporter system &#40;Promega&#44; WI&#44; USA&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0335"><span class="elsevierStyleSup">28</span></a></p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Statistical analysis</span><p id="par0085" class="elsevierStylePara elsevierViewall">SPSS 21&#46;0 &#40;IBM Corp&#46; Armonk&#44; NY&#44; USA&#41; and GraphPad Prism 7 &#40;GraphPad Software&#44; San Diego&#44; CA&#44; USA&#41; were utilized for data evaluation&#46; Measurement data were presented as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard deviation&#46; Comparisons between two groups were assessed by <span class="elsevierStyleItalic">t</span>-test while those among multiple groups by one-way analysis of variance &#40;ANOVA&#41; and Tukey&#39;s poct hoc test&#46; Pearson correlation analysis was adopted&#46; Enumeration data were expressed as rates or percentages&#44; and Fisher&#39;s exact test was indicated to comparative analysis&#46; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 was considered of statistical significance&#46;</p></span></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Results</span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">SNHG5 is highly expressed in NSCLC</span><p id="par0090" class="elsevierStylePara elsevierViewall">SNHG5 levels in clinical tissue samples and cell lines was detected by RT-qPCR&#44; and it was found that SNHG5 was upregulated in NSCLC tissues &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41; and in cells lines &#40;HCC827&#44; H1299&#44; H1975 and A549&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46; According to the histopathological classification&#44; NSCLC could be classified into adenocarcinoma&#44; squamous cell carcinoma and large cell carcinoma&#44; while the expression levels of SNHG5&#44; miR-181c-5p and CBX4 were not significantly different in adenocarcinoma&#44; squamous cell carcinoma and large cell carcinoma patients &#40;<a class="elsevierStyleCrossRef" href="#sec0140">Supplementary Fig&#46; 1</a>&#41;&#46; SNHG5 upregulation was especially obvious in A549 cells&#44; thus follow experiments were performed using A549 cells&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0095" class="elsevierStylePara elsevierViewall">Patients were divided into a high and a low expression groups according to the median values of SNHG5 expression levels&#46; Patients in the two groups were subjected to clinicopathological analysis&#44; and the outcomes disclosed that the advanced TNM staging&#44; lymph node metastasis&#44; and poorly differentiated tumors were correlated to high expression of SNHG5 &#40;all <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41;&#44; while SNHG5 had no correlation with age&#44; gender&#44; and tumor diameter &#40;all <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#62;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#41; &#40;<a class="elsevierStyleCrossRef" href="#sec0140">Supplementary Table 2</a>&#41;&#46;</p></span><span id="sec0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Silenced SNHG5 retards NSCLC progression</span><p id="par0100" class="elsevierStylePara elsevierViewall">To explore the effect of SNHG5 induced the NF-&#954;B signaling pathway on NSCLC&#44; si-SNHG5 was introduced into A549 cells to downregulate SNHG5 expression &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>A&#41;&#46; CCK-8&#44; colony formation assay&#44; flow cytometry and Transwell assay were utilized to discover that by downregulation of SNHG5&#44; A549 cell proliferation&#44; colony formation&#44; invasion and migration capacities impaired and apoptotic rate increased &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>B&#8211;F&#41;&#46; Also&#44; Western blot found that after SNHG5 downregulation&#44; p-NF-&#954;B-p65 protein levels were decreased in A549 cells &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>G&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0095" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">SNHG5 binds to miR-181c-5p</span><p id="par0105" class="elsevierStylePara elsevierViewall">Starbase &#40;<a href="http://starbase.sysu.edu.cn/index.php">http&#58;&#47;&#47;starbase&#46;sysu&#46;edu&#46;cn&#47;index&#46;php</a>&#41; indicated the targeting sites between SNHG5 and miR-181c-5p &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>A&#41;&#46; Dual luciferase reporter gene assay examined that A549 cells co-transfected with SNHG5-WT and miR-181c-5p mimic had impaired luciferase activity &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>B&#41;&#44; revealing that SNHG5 could directly bind to miR-181c-5p&#46;</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0110" class="elsevierStylePara elsevierViewall">In NSCLC tissues and cells&#44; miR-181c-5p expression was tested to be decreased &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>C&#44; D&#41;&#46; In clinical cancer tissues&#44; Pearson correlation analysis showed that SNHG5 was negatively correlated with miR-181c-5p levels &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>E&#41;&#46; Moreover&#44; in A549 cells after silencing SNHG5&#44; miR-181c-5p was found to be upregulated &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>F&#41;&#46;</p></span><span id="sec0100" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Restoration of miR-181c-5p restrains NSCLC cell progression</span><p id="par0115" class="elsevierStylePara elsevierViewall">To explore the influence of miR-181c-5p on NSCLC&#44; A549 cells were treated with miR-181c-5p mimic to enrich miR-181c-5p expression &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a>A&#41;&#46; Then&#44; in A549 cells expressing enriched miR-181c-5p&#44; it was manifested that cell proliferation&#44; colony formation&#44; invasion and migration capacities impaired and apoptotic rate increased &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a>B&#8211;F&#41;&#44; and p-NF-&#954;B-p65 protein expression decreased &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Fig&#46; 4</a>G&#41;&#46;</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia></span><span id="sec0105" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">miR-181c-5p targets CBX4</span><p id="par0120" class="elsevierStylePara elsevierViewall">Starbase predicted the binding sites of miR-181c-5p and CBX4 &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>A&#41;&#46; Dual-luciferase reporter experiment further detected the binding relationship between miR-181c-5p and CBX4&#44; as the results demonstrating that miR-181c-5p mimic diminished the luciferase activity of CBX4-WT in A549 cells &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>B&#41;&#44; suggesting that miR-181c-5p could directly target CBX4&#46;</p><elsevierMultimedia ident="fig0025"></elsevierMultimedia><p id="par0125" class="elsevierStylePara elsevierViewall">High CBX4 mRNA levels were examined in NSCLC tissues and cells lines &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>C&#44; D&#41;&#46; Further analysis by Pearson test disclosed that CBX4 expression was positively correlated with SNHG5 while negatively correlated with miR-181c-5p &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>E&#44; F&#41;&#46; CBX4 mRNA and protein levels were determined to be inhibited after miR-181c-5p overexpression in A549 cells &#40;<a class="elsevierStyleCrossRef" href="#fig0025">Fig&#46; 5</a>G&#44; H&#41;&#46;</p></span><span id="sec0110" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0145">Knockdown of CBX4 suppresses NSCLC cell progression</span><p id="par0130" class="elsevierStylePara elsevierViewall">To prove that CBX4 also has a regulatory effect on development of A549 cells&#44; CBX4 was knocked down in A549 cells by transfection with si-CBX4 &#40;<a class="elsevierStyleCrossRef" href="#fig0030">Fig&#46; 6</a>A&#44; B&#41;&#46; Next&#44; it was further evaluated that CBX4 knockdown in A549 cells repressed cellular growth &#40;<a class="elsevierStyleCrossRef" href="#fig0030">Fig&#46; 6</a>C&#8211;G&#41; and reduced p-NF-&#954;B-p65 protein expression &#40;<a class="elsevierStyleCrossRef" href="#fig0030">Fig&#46; 6</a>H&#41;&#46;</p><elsevierMultimedia ident="fig0030"></elsevierMultimedia></span><span id="sec0115" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0150">Overexpression of CBX4 abolishes the effects of miR-181c-5p on NSCLC cell progression</span><p id="par0135" class="elsevierStylePara elsevierViewall">In order to identify the role of CBX4 on miR-181c-5p-induced regulation of A549 cell growth&#44; A549 cells after transfection with miR-181c-5p mimic were further treated with Oe-CBX4&#46; A series of experimental results unveiled that the overexpression of CBX4 reversed miR-181c-5p overexpression-induced suppression of A549 cells malignant phenotype and p-NF-B-p65 protein expression &#40;<a class="elsevierStyleCrossRef" href="#fig0035">Fig&#46; 7</a>A&#8211;H&#41;&#46;</p><elsevierMultimedia ident="fig0035"></elsevierMultimedia></span><span id="sec0120" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0155">Effect of the SNHG5&#47;miR-181c-5p&#47;CBX4 axis on the development of NSCLC in vivo</span><p id="par0140" class="elsevierStylePara elsevierViewall">To investigate the roles of the SNHG5&#47;miR-181c-5p&#47;CBX4 axis in tumorigenesis in vivo&#44; the mice xenograft model assay was conducted&#46; The corresponding findings revealed that downregulation of SNHG5 and CBX4 or upregulation of miR-181c-5p retarded tumor growth in nude mice &#40;<a class="elsevierStyleCrossRef" href="#fig0040">Fig&#46; 8</a>A&#8211;C&#41;&#46;</p><elsevierMultimedia ident="fig0040"></elsevierMultimedia></span></span><span id="sec0125" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0160">Discussion</span><p id="par0145" class="elsevierStylePara elsevierViewall">NSCLC is still the main issue needed to be overcame based on its high mortality rate and poor prognosis&#46;<a class="elsevierStyleCrossRef" href="#bib0340"><span class="elsevierStyleSup">29</span></a> Through extensive researches have been projected to address the precise comprehension of the SNHG5&#47;miR-181c-5p&#47;CBX4 axis in NSCLC is obscure&#46; Hence&#44; this study is initiated and the mainstay of the outcomes holds that SNHG5 promotes NSCLC cell progression through lessening miR-181c-5p-induced regulation of CBX4&#46; Specifically&#44; low miR-181c-5p and high SNHG5 and CBX4 levels were found in NSCLC tissues and cells&#46; Restoration of miR-181c-5p or knockdown of SNHG5 or CBX4 restrained NSCLC cell progression and inactivated the NF-&#954;B pathway&#46; Upregulated CBX4 abolished the effects of miR-181c-5p on reducing NSCLC cell progression&#46; SNHG5 regulated the interaction between miR-181c-5p and CBX4&#46; In vivo&#44; restoration of miR-181c-5p or knockdown of SNHG5 or CBX4 retarded the tumor growth&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Initially&#44; SNHG5 expression in NSCLC tissues and cell lines was determined&#44; as well as the correlation between its expression and clinicopathological characteristics of NSCLC patients&#46; The results indicated that high SNHG5 in NSCLC was connected with TNM stage&#44; lymph node metastasis and high differentiation of NSCLC tissues&#46; Increased SNHG5 has been determined in clear cell renal cell carcinoma&#44; exhibiting an intimate correlation with TNM stage and lymph node metastasis&#46;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">30</span></a> In patients with hepatocellular carcinoma&#44; upregulated SNHG5 is found in cancer tissues&#44; which has a correlation with patients&#8217; TNM stage&#46;<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">31</span></a> Next&#44; our research designed function assays and revealed that silenced SNHG5 hindered NSCLC cell progression and inactivated the NF-&#954;B pathway&#46; Accordingly&#44; Jiang-Rui Chi et al&#46; have observed that breast cancer cell proliferation could be induced by SNHG5 overexpression&#44; but suppressed by SNHG5 depletion&#46;<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">32</span></a> Meanwhile&#44; an article composed by Mingbao Zhang et al&#46; has suggested that SNHG5 induction enhances proliferation&#44; migration and anti-apoptosis of colorectal cancer cells&#46;<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">33</span></a> In a case of melanoma&#44; it has been clarified that SNHG5 decrease in cancer cells results in proliferation and invasion inhibition and apoptosis promotion&#46;<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">34</span></a></p><p id="par0155" class="elsevierStylePara elsevierViewall">Next&#44; our research found the binding of SNHG5 to miR-181c-5p&#46; Pivoted on miR-181c-5p&#44; our study further validated that enriched miR-181c-5p exerted suppressively for NSCLC cells to behave malignantly and for the NF-&#954;B pathway to activate&#46; Not limited to the present paper&#44; the decrease of miR-181c-5p has been measured in various cancers&#44; including cervical squamous cell carcinoma&#46;<a class="elsevierStyleCrossRef" href="#bib0325"><span class="elsevierStyleSup">26</span></a> In the area of miR-181c-5p-mediated growth of cancer cells&#44; Han B et al&#46; have summarized that miR-181c upregulation hinders proliferation of drug-resistant breast cancer cells&#46;<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">35</span></a> On the other hand&#44; miR-181c has acts as a tumor suppressor because of its inhibitory influences on glioblastoma cell invasion&#44; proliferation and self-renewal properties&#46;<a class="elsevierStyleCrossRef" href="#bib0375"><span class="elsevierStyleSup">36</span></a> Furthermore&#44; Yong Li et al&#46; have noticed that neuroblastoma cells exhibit decelerated proliferation&#44; migration and invasion when miR-181c is overexpressed&#46;<a class="elsevierStyleCrossRef" href="#bib0380"><span class="elsevierStyleSup">37</span></a> Paying attention to the regulation of miR-181c-5p for the NF-&#954;B pathway&#44; it has been once declared that miR-181 overexpression in ovarian cancer cells lowers the NF-&#954;B expression&#46;<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">38</span></a></p><p id="par0160" class="elsevierStylePara elsevierViewall">Subsequently&#44; CBX4 that was targeted by miR-181c-5p was analyzed to be upregulated in NSCLC&#46; Through cell function measurements&#44; the outcomes depicted the anti-tumor function of silenced CBX4&#46; Moreover&#44; CBX4 overexpression counteracted miR-181c-5p overexpression-dependent suppression of NSCLC cell growth&#46; Based on a previous article&#44; it is known that CBX4 is highly expressed in lung cancer&#44; and the treatment with overexpressed CBX4 accounts for augmented proliferation and migration capabilities&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">19</span></a> For breast cancer&#44; CBX4 expression is discovered to be elevated&#44; and CBX4-mediated proliferation promotion could be repressed by silencing CBX4&#46;<a class="elsevierStyleCrossRef" href="#bib0285"><span class="elsevierStyleSup">18</span></a> Besides&#44; in a publication addressed by Jianfa Li et al&#46; it is noticeable that silenced CBX4 is feasible to assist circRNA TLK1-mediated effects on suppressing phenotypic transformation of renal cell carcinoma cells&#46;<a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">39</span></a></p><p id="par0165" class="elsevierStylePara elsevierViewall">In generally&#44; this study has elucidated that SNHG5 downregulation elevates miR-181c-5p expression to silence CBX4&#44; thereby impeding NSCLC cell progression&#46; The present analysis provides a novel reference for exploring NSCLC therapeutic agents&#46; Except for the NF-&#954;B pathway&#44; other pathways may be involved in the axis of the SNHG5&#47;miR-181c-5p&#47;CBX4 promoting NSCLC progression&#44; which is worthy exploring in the future&#46;</p></span><span id="sec0130" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0165">Conflict of interest</span><p id="par0170" class="elsevierStylePara elsevierViewall">The authors declare no competing interests&#46;</p></span></span>"
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              "identificador" => "sec0040"
              "titulo" => "Colony formation assay"
            ]
            6 => array:2 [
              "identificador" => "sec0045"
              "titulo" => "Flow cytometry"
            ]
            7 => array:2 [
              "identificador" => "sec0050"
              "titulo" => "Transwell assay"
            ]
            8 => array:2 [
              "identificador" => "sec0055"
              "titulo" => "Tumor xenografts in nude mice"
            ]
            9 => array:2 [
              "identificador" => "sec0060"
              "titulo" => "Reverse transcription quantitative polymerase chain reaction &#40;RT-qPCR&#41;"
            ]
            10 => array:2 [
              "identificador" => "sec0065"
              "titulo" => "Western blot analysis"
            ]
            11 => array:2 [
              "identificador" => "sec0070"
              "titulo" => "Dual luciferase reporter gene assay"
            ]
            12 => array:2 [
              "identificador" => "sec0075"
              "titulo" => "Statistical analysis"
            ]
          ]
        ]
        5 => array:3 [
          "identificador" => "sec0080"
          "titulo" => "Results"
          "secciones" => array:8 [
            0 => array:2 [
              "identificador" => "sec0085"
              "titulo" => "SNHG5 is highly expressed in NSCLC"
            ]
            1 => array:2 [
              "identificador" => "sec0090"
              "titulo" => "Silenced SNHG5 retards NSCLC progression"
            ]
            2 => array:2 [
              "identificador" => "sec0095"
              "titulo" => "SNHG5 binds to miR-181c-5p"
            ]
            3 => array:2 [
              "identificador" => "sec0100"
              "titulo" => "Restoration of miR-181c-5p restrains NSCLC cell progression"
            ]
            4 => array:2 [
              "identificador" => "sec0105"
              "titulo" => "miR-181c-5p targets CBX4"
            ]
            5 => array:2 [
              "identificador" => "sec0110"
              "titulo" => "Knockdown of CBX4 suppresses NSCLC cell progression"
            ]
            6 => array:2 [
              "identificador" => "sec0115"
              "titulo" => "Overexpression of CBX4 abolishes the effects of miR-181c-5p on NSCLC cell progression"
            ]
            7 => array:2 [
              "identificador" => "sec0120"
              "titulo" => "Effect of the SNHG5&#47;miR-181c-5p&#47;CBX4 axis on the development of NSCLC in vivo"
            ]
          ]
        ]
        6 => array:2 [
          "identificador" => "sec0125"
          "titulo" => "Discussion"
        ]
        7 => array:2 [
          "identificador" => "sec0130"
          "titulo" => "Conflict of interest"
        ]
        8 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2022-01-09"
    "fechaAceptado" => "2022-07-05"
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1729209"
          "palabras" => array:5 [
            0 => "Non-small cell lung cancer"
            1 => "Long noncoding RNA small nucleolar RNA host gene 5"
            2 => "microRNA-181c-5p"
            3 => "Chromobox protein 4"
            4 => "Tumor growth"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:1 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Objective</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Explorations have been progressing in decoding the mechanism of non-small cell lung cancer &#40;NSCLC&#41;&#46; However&#44; long noncoding RNA small nucleolar RNA host gene 5&#47;microRNA-181c-5p&#47;chromobox protein 4 &#40;SNHG5&#47;miR-181c-5p&#47;CBX4&#41; axis-oriented mechanisms in NSCLC is still in infancy&#46; Therein&#44; this study is proposed to probe this axis in NSCLC progression&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Methods</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Samples of 86 NSCLC patients were collected and SNHG5&#44; miR-181c-5p and CBX4 expression was detected in NSCLC tissues and cells&#46; NSCLC cells were transfected with plasmids to change SNHG5&#44; miR-181c-5p or CBX4 expression&#44; after which cell functions and phosphorylated &#40;p&#41;-nuclear factor &#40;NF&#41;-&#954;B protein expression were evaluated&#46; The relationships among SNHG5&#44; miR-181c-5p and CBX4 were validated&#46; Tumor xenografts were implemented to verify the roles of SNHG5&#44; miR-181c-5p and CBX4 in tumor growth&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Results</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Low miR-181c-5p and high SNHG5 and CBX4 levels were found in NSCLC tissues and cells&#46; Restoration of miR-181c-5p or knockdown of SNHG5 or CBX4 restrained NSCLC cell progression and inactivated the NF-&#954;B pathway&#46; Upregulated CBX4 abolished the effects of miR-181c-5p on reducing NSCLC cell progression&#46; SNHG5 regulated the interaction between miR-181c-5p and CBX4&#46; In vivo&#44; restoration of miR-181c-5p or knockdown of SNHG5 or CBX4 retarded the tumor growth&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Conclusion</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">This study has delineated that SNHG5 induces the NF-&#954;B pathway by regulating the miR-181c-5p&#47;CBX4 axis to promote NSCLC progression&#44; which may pave a novel path for NSCLC treatment&#46;</p></span>"
        "secciones" => array:4 [
          0 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "Objective"
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          1 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Methods"
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          2 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Results"
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          3 => array:2 [
            "identificador" => "abst0025"
            "titulo" => "Conclusion"
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        "etiqueta" => "1"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">These authors are co-first authors&#46;</p>"
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            "apendice" => "<p id="par0180" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article&#58;<elsevierMultimedia ident="upi0005"></elsevierMultimedia><elsevierMultimedia ident="upi0010"></elsevierMultimedia></p>"
            "etiqueta" => "Appendix A"
            "titulo" => "Supplementary data"
            "identificador" => "sec0140"
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          "en" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">SNHG5 is highly expressed in NSCLC&#46; &#40;A&#44; B&#41; SNHG5 expression in NSCLC tissues and cell lines was detected by RT-qPCR&#46; Measurement data were expressed as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard&#46; In &#40;A&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; normal tissues &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>86&#41;&#59; in &#40;B&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; MRC-5 cells &#40;<span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#41;&#46;</p>"
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          "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Silenced SNHG5 reduces the development of NSCLC cells&#46; &#40;A&#41; SNHG5 expression in A549 cells was detected by RT-qPCR&#59; &#40;B&#41; A549 cell proliferation after SNHG5 silencing was assessed by CCK-8 assay&#59; &#40;C&#41; Colony formation rate of A549 cells after SNHG5 silencing was tested by colony formation assay&#59; &#40;D&#41; A549 cell apoptosis rate after SNHG5 silencing was evaluated by flow cytometry&#59; &#40;E&#41; A549 cell migration after SNHG5 silencing was examined by Transwell assay&#59; &#40;F&#41; A549 cell invasion after SNHG5 silencing was determined by Transwell assay&#59; &#40;G&#41; p-NF-&#954;B p65 protein expression in A549 cells after SNHG5 silencing was measured by Western blot&#46; Measurement data were expressed as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard&#46; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; the si-NC group&#46; Cell experiments were performed independently in triplicate&#46;</p>"
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          "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">SNHG5 binds to miR-181c-5p&#46; &#40;A&#41; Binding sites of SNHG5 and miR-181c-5p were analyzed by Starbase&#59; &#40;B&#41; The binding of SNHG5 to miR-181c-5p was assessed by luciferase activity assay&#59; &#40;C&#44; D&#41; miR-181c-5p expression in clinical tissues and cell lines was tested by RT-qPCR&#59; &#40;E&#41; Pearson analysis of SNHG5 and miR-181c-5p&#59; &#40;F&#41; miR-181c-5p expression in A549 cells after SNHG5 silencing was tested by RT-qPCR&#46; Measurement data were expressed as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard&#46; In &#40;B&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; mimic NC group &#40;<span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#41;&#59; in &#40;C&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; normal tissues &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>86&#41;&#59; in &#40;D&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; MRC-5 cells &#40;<span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#41;&#59; in &#40;F&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; si-NC group &#40;<span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#41;&#46;</p>"
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          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Restoration of miR-181c-5p restrains NSCLC cell progression&#46; &#40;A&#41; miR-181c-5p expression in A549 cells was detected by RT-qPCR&#59; &#40;B&#41; A549 cell proliferation after upregulating miR-181c-5p was assessed by CCK-8 assay&#59; &#40;C&#41; Colony formation rate of A549 cells after upregulating miR-181c-5p was detected by colony formation assay&#59; &#40;D&#41; A549 cell apoptosis rate after upregulating miR-181c-5p was tested by flow cytometry&#59; &#40;E&#41; A549 cell migration after upregulating miR-181c-5p was detected by Transwell assay&#59; &#40;F&#41; A549 cell invasion after upregulating miR-181c-5p was evaluated by Transwell assay&#59; &#40;G&#41; p-NF-&#954;B p65 protein expression in A549 cells after upregulating miR-181c-5p was measured by Western blot&#46; Measurement data were expressed as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard&#46; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; the mimic NC group&#46; Cell experiments were performed independently in triplicate&#46;</p>"
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          "en" => "<p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">miR-181c-5p targets CBX4&#46; &#40;A&#41; Binding sites of miR-181c-5p and CBX4 were predicted by Starbase&#59; &#40;B&#41; The binding of miR-181c-5p and CBX4 was verified by luciferase activity assay&#59; &#40;C&#44; D&#41; CBX4 expression in clinical tissues and cell lines was tested by RT-qPCR&#59; &#40;E&#44; F&#41; Pearson correlation analysis of SNHG5&#44; miR-181c-5p and CBX4&#59; G-H&#46; CBX4 expression was measured by RT-qPCR and western blot&#46; Measurement data were expressed as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard&#46; In &#40;B&#44; G and H&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; mimic NC group &#40;<span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#41;&#59; in &#40;C&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; normal tissues &#40;<span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>86&#41;&#59; in &#40;D&#41;&#44; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; MRC-5 cells &#40;<span class="elsevierStyleItalic">N</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#41;&#46;</p>"
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          "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Knockdown of CBX4 suppresses NSCLC cell progression&#46; &#40;A&#44; B&#41; CBX4 expression in A549 cells was detected by RT-qPCR and western blot&#59; &#40;C&#41; A549 cell proliferation after silencing CBX4 was detected by CCK-8 assay&#59; &#40;D&#41; Colony formation rate of A549 cells after silencing CBX4 was evaluated by colony formation assay&#59; &#40;E&#41; A549 cell apoptosis rate after silencing CBX4 was examined by flow cytometry&#59; &#40;F&#41; A549 cell migration after silencing CBX4 was measured by Transwell assay&#59; &#40;G&#41; A549 cell invasion after silencing CBX4 was detected by Transwell assay&#59; &#40;H&#41; p-NF-&#954;B p65 protein expression in A549 cells after silencing CBX4 was tested by Western blot&#46; Measurement data were expressed as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard deviation&#59; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; the si-con group&#46; Cell experiments were performed independently in triplicate&#46;</p>"
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          "en" => "<p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Overexpression of CBX4 abolishes the effects of miR-181c-5p on NSCLC cell progression&#46; &#40;A&#44; B&#41; CBX4 expression in A549 cells was tested by RT-qPCR and western blot&#59; &#40;C&#41; A549 cell proliferation in the rescue experiment was detected by CCK-8 assay&#59; &#40;D&#41; Colony formation rate of A549 cells in the rescue experiment was tested by colony formation assay&#59; &#40;E&#41; A549 cell apoptosis rate in the rescue experiment was assessed by flow cytometry&#59; &#40;F&#41; A549 cell migration in the rescue experiment was examined by Transwell assay&#59; &#40;G&#41; A549 cell invasion in the rescue experiment was detected by Transwell assay&#59; &#40;H&#41; p-NF-&#954;B p65 protein expression in A549 cells in the rescue experiment was determined by Western blot&#46; Measurement data were expressed as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard deviation&#59; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; the miR-181c-5p mimic<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>oe-NC group&#46; Cell experiments were performed independently in triplicate&#46;</p>"
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          "en" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Effect of the SNHG5&#47;miR-181c-5p&#47;CBX4 axis on the development of NSCLC in vivo&#46; &#40;A&#41; Representative figures for tumors&#46; &#40;B&#41; Tumor growth volume after tumor transplantation of A549 cells in each group&#46; &#40;C&#41; Tumor growth weight after tumor transplantation of A549 cells in each group&#46; Measurement data were expressed as mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>standard deviation&#46; <span class="elsevierStyleItalic">n</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#46; &#42; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; the si-NC group&#59; &#35; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; the mimic NC group&#59; &#38; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05 vs&#46; the si-con group&#46;</p>"
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    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0015"
          "bibliografiaReferencia" => array:39 [
            0 => array:3 [
              "identificador" => "bib0200"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Prevalence and correlation of anxiety and depression on the prognosis of postoperative non-small-cell lung cancer patients in North China"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "X&#46; Huang"
                            1 => "T&#46;Z&#46; Zhang"
                            2 => "G&#46;H&#46; Li"
                            3 => "L&#46; Liu"
                            4 => "G&#46;Q&#46; Xu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Medicine &#40;Baltimore&#41;"
                        "fecha" => "2020"
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ISSN: 03002896
Original language: English
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