MicroRNA-8073: Tumor suppressor and potential therapeutic treatment.

The comprehensive screening of intracellular and extracellular microRNAs was performed to identify novel tumor suppressors. We found that miR-8073 was present in exosome and predominantly exported from colorectal cancer cells. Treatment with a synthetic miR-8073 mimic resulted in a dramatic decrease in the proliferation of various types of cancer cells, which was not observed in similarly treated normal cells. As little is known about the biological functions of miR-8073, its target mRNAs were analyzed by both mRNA expression and in silico sequence analyses, leading to five probable target candidates (FOXM1, MBD3, CCND1, KLK10, and CASP2) that enhance survival during the regulation of the cell cycle, cell proliferation, and apoptosis. We experimentally confirmed that miR-8073 binds the 3'-UTR of each of these mRNA target candidates and that the introduction of a synthetic miR-8073 mimic into cancer cells reduced levels of protein expression. Finally, the antiproliferative effects of miR-8073 were validated in vivo: the subcutaneous injection of a synthetic miR-8073 mimic suppressed colorectal tumor volume to 43% in tumor-bearing xenografted mice. These results suggest that because miR-8073 binds, and thus reduces the levels of, these oncogenic targets, cancer cells must actively downregulate miR-8073 as a survival mechanism. The introduction of miR-8073 into tumors could thus inhibit tumor growth, indicating its great potential for cancer therapeutics.


Introduction
MicroRNAs are a class of endogenous, small, noncoding RNAs of approximately 22 nucleotides in length. They regulate the translation of their target genes by binding to complementary sequences in the 3'-untranslated regions (3'-UTRs) of the target mRNAs [1]. It is thought that microRNAs control more than 60% of human genes that encode proteins involved in a series of cell functions, including cell proliferation, apoptosis, and differentiation [2].
MicroRNAs circulate stably in the peripheral blood, because they are enclosed in exosomes or form complexes with Ago proteins or high-density lipoproteins. Based on the fair amount of microRNAs present in human peripheral blood and their physical robustness, microRNAs may serve as potential biomarkers for various diseases, including cancer. We have constructed microRNA diagnostic indices that accurately distinguish healthy volunteers or patients with benign diseases from pancreatobiliary cancer [3] or breast cancer patients [4]. Others  identified circulating microRNAs that are indicative of colorectal cancer [5][6][7][8]. Whether the release of these microRNAs into the peripheral blood is causative or consequential to cancer development is unknown, and many of the proposed theories require further clarification. Beyond their diagnostic potential, microRNAs have been recently touted as a new type of cancer treatment. For instance, miR-1 [9], miR-21 [10], miR-125a-5p [11], and miR-34a-5p [12] have been reported to play significant roles in cancer cell proliferation.
In this study, we screened extracellularly and intracellularly localized microRNAs from cancer cells in order to search novel tumor suppressors; we found that miR-8073 was predominantly exported from cancer cells and elicited antiproliferative effects both in vitro and in vivo when administered. We also confirmed its molecular mechanism and demonstrated its potential use as a cancer treatment.

Cell culture
The following human cell lines were obtained from the American Type Culture Collection (Manassas, VA USA): HCT116 and HT29 (colon cancer), MCF7 (breast cancer), Panc-1 and Panc10.05 (pancreatic cancer), A549 (lung cancer), HEK293T (embryonic kidney), and 184B5 (mammary gland epithelium). The human lung microvascular endothelial cell line HMVEC-L and the mammary epithelial cell line HMEC were obtained from Lonza (Basel, Switzerland). The human colonic epithelial cell line HCOEpiC was obtained from ScienCell Research Laboratories (San Diego, CA USA).

Intracellular, extracellular, and exosomal microRNA extraction from cultured cells
Cells were grown in 10-cm plates for 48 hours beforehand, then cells and culture supernatant were collected. The medium was replaced with either "advanced DMEM" (Thermo Fisher Scientific) or RPMI containing an antibiotic-antimycotic mixture and 2 mM L-glutamine (not containing fetal bovine serum), and incubated for 48 hours. Approximately 6 × 10 4 cells and 1.5 mL cell culture supernatant (into which extracellular particles such as exosomes were released) were collected.
Exosomes were prepared by further extraction from the cell culture supernatant; cells and cell debris were removed by centrifugation at 2,000 × g for 10 minutes at 4˚C and filtration, followed by further centrifugation at 110,000 × g for 70 minutes at 4˚C. The pellets were washed and resuspended in 11 mL phosphate-buffered saline, and centrifuged again at 110,000 × g for 70 minutes at 4˚C [13]. Finally, the pellet (exosomes) was resuspended in 300 μL phosphatebuffered saline.
Total RNA derived from the cell culture supernatant or exosomes was extracted using the 3D-Gene RNA extraction reagent (Toray Industries, Inc., Japan), whereas total RNA derived from cells was extracted using the miRNeasy Mini kit (QIAGEN, Hilden, Germany, catalog #217004). (dx.doi.org/10.17504/protocols.io.vu3e6yn) Cell proliferation, apoptosis, and mRNA extraction of microRNAtransfected cells Cells were grown on 96-well plates, and 1.0 × 10 3 cells per well were transfected with either a synthetic hsa-miR-8073 mimic (Thermo Fisher Scientific, mirVana miRNA mimic, catalog #4464066, Assay ID; MC29125) or a microRNA-negative control sequence (Thermo Fisher Scientific, mirVana miRNA Mimic, Negative Control #1 catalog #4464058) at a concentration of 0.03-30 nM using Lipofectamine RNAiMAX Transfection Reagent (Thermo Fisher Scientific, catalog #13778150), according to the manufacturer's protocol. To examine transfection efficiency, total microRNA was isolated from the transfected cells using the miRNeasy Mini kit (QIAGEN) and quantified using the Taqman microRNA assay (Thermo Fisher Scientific, cata-log# 440886, Assay ID;466465_mat). PCR experiments were conducted in triplicate, with the following thermal conditions: 95˚C for 10 minutes, followed by 95˚C for 15 seconds for 40 cycles and 60˚C for 1 minutes. When the miR-8073 expression signal in the miR-8073-treated cells was greater than that in the mock-treated cells, the transfection was considered successful.
After transfection, cell viability was measured using the Celltiter-Glo 2.0 luminescent cell viability assay reagent (Promega, Madison, WI, USA, catalog #G9241). Luminescence obtained from this assay was read using a Veritas microplate luminometer. Cell viability was statistically analyzed using P values generated from the Student's t test.
For mRNA expression profiling, five days after transfection with either the miR-8073 mimic, a microRNA-negative control sequence, or a blank, total RNA was extracted from 2 × 10 5 HCT116 cells using the miRNeasy Mini kit (QIAGEN). The quantity, length, and integrity of the obtained RNA were assessed using the NanoDrop (Thermo Fisher Scientific) and Agilent 2100 (Agilent Technologies, Santa Clara, CA) instruments. The linear amplification of 0.5 μg total RNA was performed using the Ambion amino allyl MessageAmp II aRNA amplification kit (Thermo Fisher Scientific, catalog# AM1751).

MicroRNA and mRNA expression analysis from cancer and normal cells
Comprehensive microRNA expression analysis was performed using the 3D-Gene human microRNA oligo chip (Toray Industries, Inc., Japan), which was designed to detect 2,565 microRNAs registered in miRBase release 21 (http://www.mirbase.org/). Similarly, comprehensive mRNA expression analysis was performed using the 3D-Gene human oligo chip 25K manual (v. 2.01). The microarray data signals were treated similarly as previously described [3]. To normalize signals across the different microarrays, quantile normalization was applied. Numeric analyses were performed using R v. 3.1.2 (R foundation for Statistical Computing, http://www.R-project.org). All microarray data from this study are in agreement with the Minimum Information about a Microarray Experiment standard and are publicly available through the Gene Expression Omnibus database (http://www.ncbi.nlm.nih.gov/projects/geo/) under accession number GSE114318.

Luciferase reporter assay to confirm microRNA binding to target genes
For luciferase reporter experiments, 831 bp of human FoxM1 3'-UTR segment, 969bp of CCND1 3'-UTR segment, 1945bp of KLK10 3'-UTR segment, 1045bp of MBD3 3'-UTR regions or 2606bp of CASP2 3'-UTR segment were generated by direct PCR amplification from human genomic DNA. The gel-purified PCR fragments were cloned into the SpeI/MulI backbone of the pMIR-REPORT Luciferase miRNA Expression Reporter Vector (Thermo Fisher Scientific, catalog #AM5795). To create a full-length five types of gene 3 0 UTR reporter, the following primers were used to amplify the 3' UTR of genes from a human genomic DNA: FOXM1; 5 0 -AGACTAGTCCAAGGCTCAGTGCACCCCA AGCCTC -3 0 and 5 0 -ATACGCGTTGGCTCTTTGCAAAGCTGAGGGGCAAG-3 0 , CCND1; The constructs were sequenced to ensure accuracy of the cloning procedure. HCT116 cells and HEK293 cells (2 × 10 5 per well) were seeded in 12-well plates and incubated for one day before transfection. Five types of pMIR-REPORT luciferase reporter vector containing the FOXM1 3'-UTR, the CCND1 3'-UTR, the KLK10 3'-UTR, the MBD3 3'-UTR or the CASP2 3'-UTR, pMIR-REPORT luciferase vector with no insert, the pMIR-REPORT β-gal control plasmid were co-transfected with either a synthetic miR-8073 mimic (Thermo Fisher Scientific, mirVana miRNA Mimic, Assay ID; MC29125) or a microRNA-negative control sequence (Thermo Fisher Scientific, mirVanamiRNA Mimic, Negative Control #1) into cells using Lipofectamine RNAiMAX (Thermo fisher scientific). Twenty-four hours after transfection, luciferase activity was quantified using the dual-luciferase assay reporter system (Promega, catalog #E1910) and activities were normalized to β-galactosidase activity and the relative ratios of firefly to Renilla activity were measured. All experiments were performed in triplicate.

Western blot analysis
One day after microRNA transfection, cells were harvested and lysed in RIPA lysis buffer. The protein concentrations of the cell lysates were quantified using a bicinchoninic acid kit, and equal amounts of proteins were separated by SDS-PAGE and transferred to polyvinylidene fluoride membranes (Merck, Darmstadt, Germany). The membranes were blocked in 5% non-fat dry milk at room temperature for 1 hour and incubated overnight at 4˚C with a 1:1,000 dilution (in PBST) of specific primary antibody: anti-FOXM1 (Santa Cruz, Dallas, TX, USA, sc-376471, G-5, mouse monoclonal IgG2b kappa light chain), anti-MBD3 (AbCam, Cambridge, England, ab157464, rabbit monoclonal), anti-CCND1 (AbCam ab134175, rabbit monoclonal), anti-KLK10 (AbCam ab55623, mouse mononclonal), or anti-CASP2 (AbCam ab32021, rabbit monoclonal). The membranes were then incubated with goat anti-mouse IgG (or goat anti-rabbit IgG) conjugated to horseradish peroxidase secondary antibody at a 1:1,000 dilution (Cell Signaling Technology Inc., MA, USA) for 2 hour. The proteins were visualized using ECL reagents (Amersham Biosciences, Sweden). The density of the bands was quantified by ImageQuant TL software (v. 8.1, GE Healthcare, Little Chalfont, England), and the obtained numerical values were normalized to the densitometric value of β-actin in each sample.

Administration of a synthetic miR-8073 mimic to tumor-bearing xenografted mice
Animal experiments were approved by Toray Industries' committee for Ethics in Animal Experimentation (AC2016-64), and the experiments were conducted in accordance with the guidelines for animal experiments. HCT116 cells (5 × 10 6 cells) were resuspended in a 1:1 mixture of serum free-RPMI 1640 medium and Matrigel (BD Biosciences, Franklin Lakes, NJ, USA) in a total volume of 0.1 mL and subcutaneously inoculated on the backs of female 6-week-old BALB/c nude mice (Charles River Laboratories, Wilmington, MA, USA). The tumor size was monitored twice per week by measuring its length and width with calipers, and tumor volumes were calculated using the following formula: [(major axis) × (minor axis)] 2 × 0.5. When the tumor volume reached approximately 50-100 mm 3 two days after inoculation, the mice were randomized into two treatment groups: five mice for the microRNA-negative control sequence (Thermo Fisher Scientific, mirVana miRNA Mimic, Negative Control #1 cat-alog#4464061) and five mice for the miR-8073 mimic (Thermo Fisher Scientific, mirVana miRNA mimic, catalog#4464070, Assay ID; MC29125). Two nmol of the miR-8073 mimic or negative control were prepared with 0.5% AteloGene Local Use (Koken, Japan); 50 μL of these mixtures were administered under the skin adjacent to the tumor of tumor-bearing mice on the timing of days 2, 4, and 7 after cell inoculation.

Statistical analysis
Differences between subgroups were tested by Student's t-test. A P value of < 0.05 was considered statistically significant.

Screening of tumor suppressor microRNAs in cultured cancer cells identifies miR-8073
We first hypothesized that tumor suppressor microRNAs should be present in lesser amounts inside versus outside of cancer cells due to an active export mechanism. Using HCT116 and Panc-1 cells, we performed comprehensive microRNA expression profiling analyses of the cellular content, the culture supernatant (all extracellular materials), and the exosomal fraction of the supernatant from cells grown on the same 10-cm dish. Out of 2,565 microRNAs registered in the miRBase, 970 microRNAs were present at lower levels inside the cells versus outside of the cells. Among these microRNAs, six (miR-8073, miR-1290, miR-642a-3p, miR-1249-5p, miR-4792, and miR-4732-5p) had a 2 6 times higher expression signal in the supernatant than in the cell (S1 Fig). On the other hand, known tumor suppressor microRNAs, miR-1 [9], miR-21 [10], miR-34a-5p [11], and miR-125a-3p [12], did not show differences in expression levels between the intra-and extracellular regions in this study (S1 Fig). Out of these six microRNAs, miR-8073 did not show a dramatic differential expression in normal colorectal cells (HCoEpiC) in contrast to that observed in cancer cells (Fig 1A). Interestingly, miR-221-5p, which has the same seed sequence as miR-8073 and is reported to be involved in cell proliferation and vascularization / angiogenesis [14], was not exported into the extracellular space by the cancer cells (S1 Fig).
Additionally, to determine which form of the microRNA was exported from the cancer cells, we extracted exosomes from the cell culture supernatant and measured the expression of exosomal miR-8073 ( Fig 1B, S2 Fig). In normal cells, the miR-8073 signal ratio of the exosomal to the whole supernatant was approximately 30%; however, in cancer cells, the signal ratio eminently increased up to 50% (Fig 1B). This result indicates that cancer cells recruit exosomes as cargo more actively than do normal cells in order to export miR-8073 from the intracellular space.

The miR-8073 mimic inhibits proliferation of cancer cells but not of normal cells
To examine the effects of miR-8073 on cellular proliferation, a synthetic miR-8073 mimic was transfected into HCT116 cells. Five days post-transfection, the miR-8073 mimic (30 nM) reduced cancer cell viability to 4% of the levels in cells transfected with a negative control sequence at the same concentration (Fig 2A, S3 Fig). Even at a concentration of 0.3 nM, the miR-8073 mimic caused a greater than 50% reduction in cancer cell viability. Similar inhibitory effects of miR-8073 on cell proliferation were also confirmed in other types of cancer We then examined whether the reduced viability of cancer cells induced by miR-8073 was associated with apoptosis. Three days after transfection of the miR-8073 mimic at 30 nM, we observed a 200% increase in the activities of caspase-3 and -7 proteins in colorectal cancer cells compared with mock-treated cells (Fig 3). These results suggest that miR-8073 can reduce cell viability in cancer cells via apoptosis.

miR-8073 negatively regulates FOXM1, CASP2, MBD3, KLK10, and CCND1 by directly targeting their 3'-UTRs, leading to suppression of protein expression
We demonstrated that cancer cells actively export miR-8073 from the intracellular space and that the overexpression of miR-8073 impairs cancer cell viability via apoptosis in vitro. Despite these astonishing findings, little is known about how miR-8073 triggers the signaling cascade and eventually causes such striking effects on cell proliferation and viability. We therefore searched for potential target genes of miR-8073 by comprehensive mRNA expression and in silico sequence prediction analyses of public databases.
In the former method, comprehensive mRNA expression profiling was performed on HCT116 cells one day after transfection with 30 nmol miR-8073 mimic, a microRNA-negative control sequence, or a blank, each assayed in triplicate using microarray. Differentially expressed genes were selected based on a comparison between the miR-8073 group and the negative control group, as well as a comparison between the miR-8073 group and the blank group, using the following statistical criteria: P-value less than 0.001 in an unpaired Student's t test, fold change greater than 2.0, and a mean signal strength (log2) greater than 5 in any group. As a result, 60 mRNAs were identified as genes that decreased after the introduction of miR-8073 into the cancer cells (S1 Table).
In the latter method, we used publicly available microRNA target prediction tools, such as TargetScan, miRDB, and microT, to investigate potential targets of miR-8073. Interestingly, each database predicted somewhat unique target genes: 2,022 genes for TargetScan 6.2, 411 genes for miRDB, and 529 genes for microT. Among them, 106 genes were commonly drawn from all three database searches.
We then integrated the results of the two methods: 60 genes obtained from the mRNA expression analysis and 106 genes obtained from the in-silico database analyses, resulting in 21 genes that were identified using both methods (S1 Table).
For these 21 genes, enrichment analysis of gene ontology was performed using Metacore by GO Processes; five genes (FOXM1, MBD3, CCND1, KLK10, and CASP2) were determined to be related to each other by the regulation of the cell cycle. These genes were found to be associated with proliferation [15][16][17][18], cell cycle [19], carcinogenesis [20], DNA methylation [21], and apoptosis [22], respectively. Significantly decreased mRNA expression levels of these genes in miR-8073-treated HCT116 cells were reconfirmed by qRT-PCR (S5 Fig). To demonstrate the molecular association of miR-8073 and its target genes, the 3'-UTR sequences of these genes were investigated, and possible binding sites for miR-8073 were identified for each gene (Fig 4). To determine whether miR-8073 directly binds to these targets, reporter gene assays were performed; the 3'-UTR sequences of these target genes were inserted immediately downstream of a luciferase reporter gene and co-transfected with either miR-8073 or a negative control in HCT116 cells (Fig 5). Compared to cells treated with the negative control, miR-8073-overexpressing HCT116 cells showed a simultaneous reduction in the mRNA expression levels of FOXM1, MBD3, CCND1, KLK10, and CASP2 to 79%, 75%, 69%, 72%, and 58%, respectively (S5 Fig). The result confirms that miR-8073 interacts with the intact 3'-UTR sequences of these genes and regulates their expression level. Similar results were also obtained in HEK293 cells (S6 Fig), suggesting that these signaling pathways are not unique to specific cell lines. Furthermore, miR-8073 overexpression in HCT116 cells also reduced the protein expression levels of FOXM1, MBD3, CCND1, KLK10, and CASP2 to 67%, 26%, 39%, 43%, and 9% (Fig 6). These results strongly support the role of miR-8073 as a direct suppressor of these five genes and their corresponding proteins.

Administration of the miR-8073 mimic suppresses colorectal tumor growth in vivo
Finally, we examined the tumor suppressor ability of miR-8073 on colorectal tumors in mice. Two nmol of the miR-8073 mimic or negative control sequence mixed with atelocollagen were MicroRNA-8073: Tumor suppressor and potential therapeutic treatment subcutaneously administered on days 0, 2, and 5 to mice that had received a xenograft of HCT116 cells and subsequently developed tumors. By day 11, tumor growth was significantly suppressed in miR-8073-treated mice, and by day 13, the tumor volume was 43% and the tumor weight was 64% of the control mouse levels (Fig 7). These results demonstrate the suppressive role of miR-8073 on human colorectal tumor growth in vivo.

Discussion
Extracellular microRNAs that are present in cell culture supernatants in vitro or in blood or urine samples in clinical settings have attracted the interest of many researchers. Such micro-RNAs are either enclosed in exosomes or form complexes with Ago proteins or high-density lipoproteins, and are thought to participate in cell-cell communication processes, such as cancer metastasis and progression [23], or in autocrine signal amplification, during which exosomes return to their secreted cells [24]. In this study, we established a unique hypothesis about extracellular microRNAs; some may be dispensable or rather deleterious to survival of individual cells, such that host cells actively export them into the extracellular space. If cases of cancer, these microRNAs may possess an antiproliferative function. We used this hypothesis to discover a novel tumor suppressor microRNA and elucidate its biological function in cancer biology.
Our comprehensive screening methods led to the identification of miR-8073, as it was actively exported to the extracellular space via exosomes by cancer cells. Treatment with a synthetic miR-8073 mimic resulted in a significant reduction in the viability of various cancer cells due to increased apoptosis, which was not observed in normal cells. A target analysis MicroRNA-8073: Tumor suppressor and potential therapeutic treatment revealed that miR-8073 could bind at least five different mRNAs (FOXM1, MBD3, CCND1, KLK10, and CASP2), which are known to regulate cell proliferation, DNA methylation, cell cycle, carcinogenesis, and apoptosis, respectively. The binding of miR-8073 was found to negatively regulate the gene and protein expression levels of these five targets. Finally, the administration of miR-8073 dramatically suppressed colorectal tumor growth in xenografted mice.
As the molecular function of microRNAs is to regulate target gene expression by binding the 3'-UTRs of target mRNAs, a number of microRNAs have been shown to control the proliferation and migration of cancer cells. The following examples have been reported: miR-1 inhibits cancer cell growth through the downregulation of oncogenes and/or transcription factors, including Met, HDAC4, PIM1, and Slug [9]; miR-21 induces myoblast apoptosis, which leads to cancer cachexia in patients with Toll-like receptor 7 [25]; miR-34a-5p controls cell proliferation through the modulation of the E2F signaling pathway [11]; miR-125a-3p suppresses cell proliferation and migration by targeting Fyn [12]; and miR-221-5p, which has the same seed sequence as miR-8073, inhibits cancer cell proliferation [14]. These microRNAs have been reported to be present at lower levels in cancer cells than in normal cells.
In our study, however, tumor suppressor or antiproliferative effects of the known disease markers miR-1, miR-34a-5p, and miR-125a-3p did not reach significant levels or were much lower than the effects of miR-8073. As their intracellular expression levels were similar in both cancer cells and normal cells, these microRNAs may be able to functionally regulate the cell cycle and cell proliferation only in normal cells. Even miR-221-5p, which is reported to elicit inhibitory effects on cell proliferation [14] and shares the same seed sequence as miR-8073, did not show similar effects to those of miR-8073. In our study, miR-8073 showed the most From the perspective of extracellular or exosomal microRNA analyses, several studies reported the association of miR-8073: its increased extracellular expression in acute myeloid leukemia cells [26], its participation in the regulation of the cardiometabolic phenotype [27], and its role as a serum biomarker of pancreatic cancer [3]. However, little was known about the molecular function of miR-8073, so we searched for target genes regulated by miR-8073.
Using microarrays, western blots, and luciferase reporter assays, potential targets of miR-8073 were identified: FOXM1, CCND1, MBD3, KLK10, and CASP2. These genes (and their encoded proteins) have been reported to be associated with the cell cycle, cell proliferation, and cancer development. Elevated levels of FOXM1, a transcription factor characterized by a DNA-binding domain called the Forkhead box [15], have been shown to be associated with poor survival in patients with solid tumors [16]. FOXM1 overexpression is involved in the early events of carcinogenesis [17] and plays an important role in cancer growth and metastasis [18]. Overexpression of CCND1 or cyclin D1, a well-known oncogene characterized by strong periodicity in protein levels throughout the cell cycle, is observed frequently in a variety of tumors. Besides miR-8073, various microRNAs have been reported to regulate CCND1; among them, miR-149 inhibits not only CCND1 but also FOXM1 [19]. Although the seed sequence similarity of miR-8073 and miR-149 was only 71%, these microRNAs may regulate a common signaling pathway that includes FOXM1/CCND1. KLK10 (kallikrein-10) is reportedly targeted by many microRNAs, such as let-7f, miR-224, and miR-516a, whose overexpression in ovarian cancer can lead to negative effects on cell proliferation [20]. MBD3 (methyl-CpG-binding domain protein-3) is known to induce pluripotent stem cells and may block the repression of reprogramming caused by the overexpression of miR-134 [28]. CASP2 (caspase-2) is reported to mediate tumor suppression as an initiator of survivin gene silencing [22]. In this study, caspase-2 was inhibited by miR-8073 overexpression; on the other hand, effector caspases-3 and -7 were activated, and apoptosis was induced. Therefore miR-8073 may induce apoptosis through the caspase-3/-7 cascade, which does not signal through caspase-2.
Although the five genes targeted by miR-8073 were all associated with cancer survival, it is unlikely that such dramatic tumor cell inhibition was caused by only one target. It is presumed that a combination of targets were involved, mutually amplifying the inhibitory effects. If so, miR-8073, a single entity that regulates multiple targets, may become a very effective therapeutic treatment for cancers of the colon and other organs.

Conclusion
Based on a unique hypothesis and comprehensive screening of extracellular microRNAs, this study revealed for the first time that miR-8073 plays a previously unrecognized antiproliferative role in cancer by regulating multiple gene targets. Thus, miR-8073 holds promise as a potential cancer therapeutic treatment for colorectal cancer.