circ_0075943 Dominates the miR-141-3p/AK2 Network to Support the Development of Breast Carcinoma

Background Breast cancer (BC) progression is related to the disorder of circular RNAs (circRNAs). This study aims to characterize the role of circ_0075943 in BC. Methods Real-time fluorescent quantitative PCR (real-time PCR) technology was implemented to investigate circ_0075943, AK2 mRNA, and microRNA-141-3p levels. MTT, colony formation method, Transwell, and flow cytometry technique were adopted to investigate cell function. The connection between miR-141-3p and circ_0075943 or AK2 was confirmed by the dual-luciferase reporter gene or RNA immunoprecipitation (RIP). The influence on circ_0075943 in vivo was confirmed by animal experiments. Results circ_0075943 was augmented in BC cell lines and tumor specimens. Dwindling of circ_0075943 could dramatically suppress the phenotype of BC cells and induce apoptosis. MiR-141-3p is a target of circ_0075943, and its repression largely reverses the influence of knocking down circ_0075943 on cell behavior. Moreover, AK2, as a target of miR-141-3p, is augmented in BC cells and specimens. AK2 overexpression could restore the phenotype of BC cells blocked by miR-141-3p redevelopment. Moreover, knocking down circ_0075943 could suppress the growth of tumors in vivo. Conclusion The abnormal regulation of circ_0075943 participates in part of the expansion of BC by dominating the miR-141-3p/AK2 regulatory network.


Introduction
Breast cancer is the second incidence of malignant tumors in the world, and the incidence and mortality of breast cancer are consistently ranked first in terms of female-related malignancies [1,2]. Although the diagnosis and treatment of breast cancer continue to improve with the advancement of medical standards and science and technology, the prognosis of patients with advanced breast cancer is still not optimistic [2,3]. Deep exploration of the mechanism of breast cancer occurrence and development is still a top priority. With the development of high-throughput sequencing and microarray technology [4], more and more circular RNAs have gradually entered people's field of vision. With the help of bioinformatics analysis, we have a deeper understanding of the biological origin, molecular characteristics, and biological functions of circular RNA.
As a special kind of noncoding RNA, circular RNA (circular RNA, circRNA) connects itself end-to-end to form a circular structure lacking a covalently closed 5′cap and 3′ tail end [5], and we call this different conventional RNA produced by reverse splicing. It is precisely because of this special circular structure where circular RNA has a certain degree of resistance to exonuclease R (RNase), so that circular RNA has a certain degree of stability [6]. Perhaps due to the stability of circular RNA, circular RNA is widespread and abundant in human cells, and the content of circular RNA can even reach more than 10 times its linear isomer. In addition, the expression level of circular RNA in different tissues, organs, cell life processes, and different diseases is also specific [7]. ere is growing evidence that circular RNA plays a role in a variety of human diseases [8][9][10][11][12]. e connection between malignant tumors and circular RNA has attracted attention in particular. Studies have confirmed that circular RNA plays an important role in the occurrence and development of breast cancer. circANKS1B can promote the invasion and metastasis of breast cancer in vivo and in vitro by inducing EMT, and the upregulation of its expression is closely related to lymph node metastasis and advanced clinical stage [13]. circTADA2As have the ability to inhibit tumor formation. It is hoped that through the construction of circTADA2As/miR-203a-3p/SOCS3 network targeted therapy for breast cancer is a good prognostic molecular marker for triple-negative breast cancer [14]; other studies have shown that circular RNA also plays an important role in breast cancer resistance; for example, hsa_circ_0025202 in HR-positive breast cancer has an anticancer effect, which can be achieved through the miR-182-5p/FOXO3a axis and can be used as a new marker for tamoxifen resistance [15]. e role of circular RNA in breast cancer is still worthy of continued exploration. e role of circ_0075943 in tumors has not been reported.
As an indicator reflecting the ability of cell metastasis, EMT and MMP families often appear at the same time; there is no exploration on the correlation between EMT and circ_0075943 in breast cancer. In order to enrich the research progress of circ_0075943 in breast cancer, we hope to further explore its internal mechanism.

Tissue Specimens.
Tumor tissue and paracancerous tissue specimens from patients who underwent BC resection in Jinan ird People's Hospital from January 2021 to June 2021 were collected. A total of 30 female patients were enrolled, aged 35-53 years old. Inclusion criteria were as follows: (1) meeting the diagnostic criteria for BC, (2) complete follow-up data and complete medical records for analysis, and (3) no radiotherapy or chemotherapy performed before surgery. Exclusion criteria were as follows: (1) patients with primary malignant tumors in other parts were excluded and (2) clinical data is incomplete and clinical analysis cannot be completed. All patients signed an informed consent form, and this study was reviewed, approved, and supervised by the Jinan ird People's Hospital ethics committee.

Cell Culture and Transfection.
Human normal breast epithelial cell lines (MCF-10A) and human BC cell lines (MCF-7, MDA-MB-231, MDA-MB-468, and BT-474) were purchased from Shanghai Cell Biology Research Institute, Chinese Academy of Sciences. MCF-10A, T47D, BT-474, and MDA-MB-468 cells were cultured with RPMI 1640/L-15 medium containing 10% fetal bovine serum. si-NC and si-circ_0075943 and 100 nmol/L of NC, miRNA-141-3p mimics, and miRNA-141-3p inhibitor were infected according to the instructions of LipofectamineTM 3000 transfection reagent. After culturing in a 37°C, 5% CO 2 incubator for 6 hours, the culture medium was replaced to fresh medium, and the culture was terminated after 48 hours for subsequent experiments.

qPCR Assay.
TRIzol reagent was used for extracting total RNA from tissue samples or cells, and a UV spectrophotometer was used to detect the purity and content of total RNA. PrimeScriptTM RT Master Mix kit was used for reversing the extracted circRNA into cDNA. e SYBR Premix EX TaqTM kit was used for qPCR and the FTC-3000p qPCR system for the experiment. 2 −△△Ct method was implemented to calculate the relative expression of the target gene.

RNA Immunoprecipitation Assay.
e extracted cell lysate was incubated with specific antibodies (anti-Ago2/ IgG, 1 : 500, Abcam) overnight at 4°C and then pulled down with Protein G-Sepharose beads (Abcam). e beads were washed with lysis buffer five times and then digested with Proteinase K (Sigma-Aldrich) for 1.5 hours. e digested solution underwent RNA purification using TRIzol Reagent. Quantitative RT-PCR was performed to examine the RNA yield. e primers used for analysis are listed below in the qRT-PCR section.

CCK-8 Assay.
BC cells were seeded on a 96-well plate at 2 × 10 4 cells/well, and when the cells grew to 60% confluence, they were infected with Lipofectamine TM 3000. When incubating for 24, 48, 72, or 96 h, 10 μl CCK-8 solution was added to each well and incubate at 37°C for 2 h. Finally, an automatic microplate reader was used to detect the optical density (OD) value of each well at a wavelength of 450 nm. e experiment was repeated three times.
2.6. Transwell Assay. We collect cells after being infected for 48 hours in each group and trypsinize them to make a single cell suspension with a cell density of 1 × 10 6 cells/ml. We separate the lower and upper chambers of the Transwell cell with a polycarbonate microporous membrane (pore size 8 μm) coated with artificial base glue, add 100 μl cell suspension to the upper chamber, and add 500 μl cell suspension to the lower chamber. en, we place the Transwell chamber in a cell incubator for 8 hours, take out the polycarbonate microporous membrane, gently wipe the base glue and the cells on the upper surface with a cotton swab, then fix it with neutral formaldehyde, and stain it with hematoxylin. Five fields of view were randomly selected under the microscope, and the number of penetrating cells was counted. e number of penetrating cells represents the cell invasion ability. e experiment was repeated 3 times and the average value was taken.

Western Blotting Assay.
After 48 hours of transfection, the cells of each group were lysed with RIPA, and total protein was extracted and quantified by the BCA method. e samples were loaded with SDS-PAGE, and the primary antibody was incubated with electrophoresis-transferblocking (5% skimmed milk powder) according to the experimental procedure. Rabbit anti-AK2 antibody (1 : 2 000) and rabbit anti-β-actin antibody (1 : 2 000), overnight at 4°C, were incubated with secondary antibody, goat anti-rabbit IgG antibody (1 : 1 000), room temperature for 1 h, before development exposure. Image-Pro Plus image analysis system analyzes protein bands.

Statistical Processing.
e statistical analysis adopts SPSS 19.0 software, and at least 3 independent experiment results are taken. Normally distributed measurement data are expressed as x ± s. One-way analysis of variance is adopted for comparison between multiple groups, and LSDt was adopted for pairwise comparison between multiple groups. e comparison of rates uses the χ 2 test. P < 0.05 or P < 0.01 indicates that the difference is statistically significant.

circ_0075943 is Overexpressed in BC Specimen and Cell
Lines. As represented in Figure 1(a), circ_0075943 level in tumor specimen (n � 55) was dramatically amplified than that of normal specimen adjacent to cancer (n � 55). Moreover, circ_0075943 level in BC cell lines was also dramatically amplified than noncancerous cell lines (MCF-10A) (Figure 1(b)). Further testing exhibited that circ_0075943 is mainly located in the cytoplasm, not in the nucleus (Figures 1(c) and 1(d)). ese characteristics indicate that circ_0075943 is abnormally dominated in BC, and circ_0075943 is stably expressed, mainly in the cytoplasm. In order to evaluate the influence on circ_0075943, we adopted siRNA targeting circ_0075943 to restrain expression. e data exhibited that after infection of siRNA-circ_0075943, circ_0075943 level in BC cells was meaningfully diminished, and circ_0075943 level infected with siRNA-circ_0075943#2 was the lowest (Figures 1(e) and 1(f )).

Dwindling of circ_0075943 Intervenes BC Cell Behaviors.
MTTassay was used for checking cell growth. As represented in Figures 2(a) and 2(b), 72 h after infection, the OD value at 570 nm of the siRNA-circ_0075943 group was dramatically lower than the siRNA-NC group. Wound healing assay and Transwell assay were implemented to check cell migration potential, and Transwell assay was used for checking cell invasion potential. e results exhibited that the wound healing rate and the number of migrating cells of BC cells infected with siRNA-circ_0075943 diminished (Figures 2(b)-2(d)), and the number of invaded cells infected with siRNA-circ_0075943 was also restrained ( Figure 2(e)). Flow cytometry exhibited that exhaustion of circ_0075943 could meaningfully facilitate the apoptosis rate of BC cells (Figure 2(f )). Moreover, the data exhibited that after siRNA-circ_0075943 infected BC cells, the levels of c-myc and Vimentin were dramatically restrained (Figures 2(g) and 2(h)). In summary, all data confirm that knocking down circ_0075943 could block the phenotype of BC cells and induce apoptosis.
e results displayed that after coinfection of miR-141-3p mimic and AK2 3′utr WT, the luciferase activity  Journal of Oncology 7 in BC cells was significantly decreased (Figures 5(b) and 5(c)). GEPIA data displayed that, compared with normal samples, AK2 level was distinctly triggered (Figure 5(d)). Similarly, AK2 mRNA and protein levels in tumor specimens (n � 55) were also distinctly higher than those in normal specimens adjacent to cancer (n � 55) (Figures 5(e) and 5(f )). Compared with MCF-10A cells, AK2 level protein in BC cells is also triggered ( Figure 5(g)). Moreover, we observed that miR-141-3p overexpression distinctly dwindled AK2 level protein ( Figure 5(h)). Interestingly, compared with siRNA-NC, AK2 level in BC cells infected with siRNA-circ_0075943 was distinctly diminished but compared with siRNA-circ_0075943 + anti-miR-141-3p. Compared with the cells infected with siRNA- circ_0075943 + anti-miR-NC, the AK2 level was largely restored ( Figure 5(i)). It is suggested that circ_0075943 indirectly dominates the AK2 level by targeting miR-141-3p.

e Restoration of miR-141-3p Inhibits BC Cell by Inhibiting AK2 and Facilitates Cell
Apoptosis. Next, we investigated whether miR-141-3p works by suppressing AK2 levels. Compared with miR-NC, the AK2 level in the cells infected with miR-141-3p was distinctly restrained, and compared with the miR-141-3p + vector, AK2 level in the cells infected with miR-141-3p + AK2 was largely restored (Figure 6(a)). e restoration of miR-141-3p dramatically suppressed cell growth and colony formation potential, and the introduction of AK2 could induce cell multiplication and colony formation (Figures 6(b)-6(d)). In BC cells, the overexpression of miR-141-3p distinctly blocked the cell migration and invasion potential, while the addition of AK2 restored the cell migration and invasion potential to a large extent (Figures 6(e)-6(g)). Infection of miR-141-3p + AK2 could restrain the apoptosis of BC cells, and infection of miR-141-3p alone could distinctly accelerate cell apoptosis (Figure 6(h)). Moreover, in BC cells, the protein levels of miR-141-3p infected with c-myc and Vimentin were mainly restrained by miR-141-3p + AK2 infection (Figures6(k) and 6(l)). ese results indicate that miR-141-3p restrains the malignant behavior of BC cells by restraining AK2.

circ_0075943 Dwindling Suppressed Tumor Growth In
Vivo. We further confirmed the role of circ_0075943 in BC through animal experiments. Compared with sh-NC-infected BT-474 cells, sh-circ_0075943-infected BT-47 cells had slower tumor growth and restrained tumor volume (Figure 7(a)). We measured the tumor weight of each tissue. e data exhibited that circ_0075943 dwindling dramatically restrained the tumor weight, resulting in smaller tumor size (Figures 7(b) and 7(c)). Moreover, we observed that circ_0075943 level in the tumor specimen of the sh-circ_0075943 experimental group diminished, while the miR-141-3p level was triggered (Figure 7(d)). e AK2 protein level in the tumor specimen of the sh-circ_0075943 experimental group was meaningfully restrained (Figure 7(e)). Moreover, HE staining was performed on the tissue morphology, and it was observed that circ_0075943 dwindling slowed the development of tumors (Figure 7(f )). Moreover, immunohistochemical staining exhibited that Ki-67 in the sh-circ_0075943 experimental group was meaningfully restrained (Figure 7(g)). All data indicated that knocking down circ_0075943 restrained tumor growth in vivo.

Discussion
BC is the leading cause of cancer-related deaths in women worldwide [16,17], the most common cancer in women in the United States (except skin cancer) and the second leading cause of cancer deaths in women after lung cancer [18]. erefore, it is very important to clarify the mechanisms related to the occurrence and development of BC and find promising therapeutic earmarks for BC treatment.
circRNA is a new type of endogenous RNA that is highly expressed in the eukaryotic transcriptome. Compared with lncRNA and miRNA, circRNA has a covalently closed continuous loop instead of a 5′-3′ polar and polyadenylated tail [19]. Due to this special stable structure, circRNA can participate in various biological functions, thereby improving biological stability.
is study observed that circ_0075943 is highly expressed in BC tissues and cells, and knocking down circ_0075943 can inhibit BC cell malignancy. erefore, circ_0075943 may be adopted as a new type of potential biomarker or cancer treatment earmark.
MiRNAs constitute a class of small single-stranded noncoding RNA, and thousands of miRNAs are believed to be involved in metabolism, signal transduction, cell    adhesion, cell motility, cell differentiation, and apoptosis [20][21][22]. erefore, for different earmark genes and cancer types, miRNAs have been observed to be both oncogenes and tumor suppressors [23]. MiRNA-141 is one of the miR-200 family members. Studies [24,25] confirmed that miR-141 has abnormal expression in a variety of malignant tumors, including BC, colorectal cancer, bladder cancer, and renal clear cell carcinoma, suggesting that miR-141 may be involved in the development of tumors. A recent study [26] observed that miR-141 can endorse the multiplication of ovarian cancer cells by inhibiting SIK1. MiR-141 level in gastric cancer tissues is significantly reduced and suggests a poor prognosis [27]. is study observed that overexpression of miR-141-3p can restrain BC cell malignancy and endorse BC cell apoptosis. Moreover, with the help of bioinformatics tools to predict the binding site of circ_0075943 and miR-141-3p, dual-luciferase reporter gene detection further confirmed the targeting relationship between circ_0075943 and miR-141-3p. At the same time, it was observed that circ_0075943 was negatively correlated with miR-141 level-3p.
Adenylate kinase (AK) family isoenzymes are the machinery of nucleotide synthesis in cells. e nucleotide is not only a component of the nucleic acid structure but also acts as a source of chemical energy or as an activation intermediate in cell metabolism, many biosynthetic pathways, and cell signal transduction or as a component of a coenzyme. AK2 is the main adenylate kinase subtype located in the inner mitochondrial membrane, and its gene is located at 1p34 [28]. Northern blot analysis showed that AK2 mRNA was higher in the liver, heart, skeletal muscle, and pancreas and slightly less in the kidney, placenta, and brain [29,30].
is study observed that AK2 is highly expressed in BC tissues and BC cells, and overexpression of AK2 endorses the malignancy of BC cells. Using bioinformatics tools to predict the binding site of miR-141-3p and AK2, dual-luciferase reporter gene detection further confirmed the targeting relationship of miR-141-3p and AK2 and observed that miR-141-3p and AK2 expression is negatively correlated. AK2 might be a target for the treatment of breast cancer.
In summary, miR-141-3p earmarks negative regulation of circ_0075943 and AK2, and circ_0075943/miR-141-3p/ AK2 axis can endorse the malignancy of BC cells, and they may be potential earmarks for BC treatment.

Data Availability
e data used to support the findings of this study are available from the corresponding author upon request.