Long intergenic noncoding RNA smad7 (Linc‐smad7) promotes the epithelial‐mesenchymal transition of HCC by targeting the miR‑125b/SIRT6 axis

Abstract Long intergenic noncoding RNA smad7 (Linc‐smad7) has been recently identified as a new long non‐coding RNA (lncRNA). However, the role of Linc‐smad7 in the tumourigenesis of human cancers remains unknown. This study uncovered that Linc‐smad7 was increased in HCC samples and HCC cell lines using RT‐qPCR assays. Furthermore, the overexpression of Linc‐smad7 indicated poor clinicopathological features and outcomes for HCC patients. In addition, Linc‐smad7 promoted HCC cells proliferation, migration, invasion and EMT, as determined by MTT, colony formation, Transwell assays and western blot analysis. Functionally, it was demonstrated that Linc‐smad7 could bind with microRNA‑125b (miR‑125b), and the restoration of miR‑125b rescued the promoting effects of Linc‐smad7 on HCC cells. Finally, it was observed that sirtuin 6 (SIRT6) was positively regulated by Linc‐smad7 in HCC as the direct target of miR‑125b, and decreased SIRT6 reversed the effects of Linc‐smad7 on promoting HCC. In conclusion, the current study first identified Linc‐smad7 is increased in HCC, facilitating HCC cells proliferation, migration, invasion and EMT via regulating the miR‑125b/SIRT6 axis.


| INTRODUCTION
Hepatocellular carcinoma (HCC) is one of the major cause of cancer-related mortality in the worldwide. 1 In spite of continuing efforts have been made in terms of treatment over the past few decades, the current treatment methods, including surgical resection, molecular targeted therapy and immunotherapy, are still only effective for a subset of patients. 2 The long-term survival in the overall population of HCC patients remains disappointing. 3 Metastasis and recurrence after surgical resection are frequently observed in clinical settings and are one of the primary causes for the high mortality rate of HCC. Thus, a more intimate understanding of the underlying molecular mechanisms could be pivotal to uncover novel molecules to counteract the metastasis of HCC.
Epithelial-mesenchymal transition (EMT), making tumour cells lose their original characteristics of adhesion and transform into cells with mesenchymal characteristics, is closely associated with HCC metastasis. [4][5][6] The extremely complex network involved in the regulation of EMT has not been fully elucidated. 7,8 Long non-coding RNAs (lncRNAs), a group of RNAs consisting of >200 bp without protein-coding capacity, act as pivotal regulators in multiple cellular processes closely correlate with the occurrence of human cancers by regulating their target gene expression. [9][10][11] Accumulating evidence suggest that lncRNAs, such as Linc-DYNC2H1-4, 12 Linc-RoR, 13 Linc-ITGB1, 14 Linc-ITGB1 15 and Linc-DYNC2H1-4, 16 regulate metastasis and EMT in human cancers. These studies suggest that regulation of lncRNAs may provide a novel therapeutic choice for human cancer treatment. Long intergenic noncoding RNA smad7 (Linc-smad7) is a recently identified promoter of skeletal muscle development. However, the role of Linc-smad7 in HCC remains unknown. Thus, the objective of this current study was to study the function of Linc-smad7 in HCC.
In this study, we evaluated the expression pattern and function of Linc-smad7 in HCC. The data suggested that Linc-smad7 is increased in HCC and positively regulate SIRT6 expression by inhibiting microRNA-125b in HCC cells. Collectively, these results demonstrated the novel oncogenic role of Linc-smad7 in HCC.

| Patients and tissue samples
This study is approved by The Ethics Committee of the Medical School of Xi'an Jiaotong University. HCC tissue and paired noncancerous tissue samples (>2 cm away from the edge of tumour) were gathered from HCC patients received a surgical resection between May 2010 and May 2011 at The Second Affiliated Hospital of Xi'an Jiaotong University. HCC patients were diagnosed histologically and had not received immunotherapy and chemotherapy before operations. Table 1 showed the clinicopathological feature of these HCC. The samples were immediately frozen and stored in liquid nitrogen after surgery.

| Immunohistochemistry (IHC)
The immunohistochemistry assay was carried out according to the steps reported previously. 17 The primary antibodies, including anti-E-cadherin antibody (bs-1016R), anti-Vimentin antibody (bs-1172R) and anti-N-cadherin antibody (bs-8533R) were bought from Beijing Biosynthesis Biotechnology. The secondary antibody (cat. no. A0279; 1:200) was purchased from Beyotime Institute of Biotechnology. Finally, the images were captured using Leica TCS SP2 confocal laser-scanning microscope.

| The RT-qPCR assay
Total RNA was prepared from tissue samples or cells using RNeasy reagent (Qiagen, Shanghai, China). A reverse transcription kit (Takara, Otsu, Shiga, Japan) was then used to reverse transcribe RNA samples into cDNA. SYBR Premix Ex Taq (Takara) was used to perform RT-qPCR. U6 and GAPDH RNA expression were used as the endogenous control for miR-125b or lncRNA, respectively. The relative expression levels of Linc-smad7 and miR-125b were calculated against the expression of endogenous control using the relative quantification method (2-ΔΔCt approach). Table 2 showed the primers sequences. Each measurement was analysed in triplicate.

| MTT assays
HCC cells were added to a 96-well plate (500-600 cells per well) and incubated in 100 µl DMEM added with 10% FBS. At the indicated times (

| Cell migration and invasion assays
The upper chamber was treated with HCC cells (3 × 10 4 ) in 200 μl medium without FBS. While, the bottom chamber was treated with 600 µl media with 10% FBS. After 36-48 h of incubation, the cells remaining inside the upper chamber were removed, while the cells that had migrated through the membrane were washed and fixed by methanol, and then stained with crystal violet solution (0.1% Amresco, Solon, OH, USA). Finally, a microscope (Olympus Corporation, Tokyo, Japan) was used to count the number of migrated cells. Invasion assay has the same steps of migration assay, except the membrane of the inserts was coated with 20 µg Matrigel (200 mg/ml, Becton Dickinson Biosciences, USA).

| Colony forming assays
HCC cells (200 per well) at the exponential growth phase were added into a 6-well plate with 2 ml complete medium. After incubated for 10 days, the colonies were fixed with methanol and stained by 0.1% crystal violet solution at 37°C. The number of colony forming units (those containing ≥50 cells) was assessed by an inverted microscope (Nikon, Tokyo, Japan, x40). All experiments were carried out in triplicate.

| Luciferase reporter assays
HCC cells (8x10 4 per well) in a 24-well plate were co-transfected with miR-125b mimics, Renilla luciferase reporter plasmid, or Linc-smad7-WT or Linc-smad7-MUT luciferase reporter plasmid (GenePharma Co., Ltd., China) using Lipofectamine 2000 following the manufacturer's protocol. After transfection for 48 h, the Dual-Luciferase Reporter Assay System kit (Promega, Madison, USA) was used to measure the luciferase activities. The Renilla luciferase activity served as an internal control was used to assess the relative firefly luciferase activity.

| Animal model assays
The animal model assays in this study were approved by the Experimental Animal Ethical Committee of the Medical School of Xi'an Jiaotong University. The BALB/c male mice (four groups, six in each group) were bought from SLAC Laboratory Animal Company (SCXK2007-004). HCC cells transfected with Lv-Linc-smad7/Lv-control or Lv-Linc-smad7+shSIRT6 vectors (1 × 10 7 suspended in 150 µL media without serum) were injected into the right flank of the mice. The tumourigenesis was observed daily and the tumour volume was calculated with the formula length × width 2 × 0.5. After 1 month, the mice were sacrificed, and the tumours were surgically removed, the tissues were fixed in 4% paraformaldehyde.

| Statistical analysis
SPSS statistical software (version 19.0; IBM Corp.) was used to perform statistical analyses. All experiments were repeated in triplicate, and the data are expressed as the mean ±standard deviation (SE). The differences between two groups were assessed with Student's t-test. One-way analysis of ANOVA with Dunnett multiple comparisons test and Tukey test were used in comparing the mean of multiple experimental groups and the mean of control group, or multiple comparisons between all groups, respectively. The relationship between Linc-smad7 and HCC patient clinicopathological feature was analysed using Chi-square tests (χ2). Spearman correlation was used to evaluate the correlation between Linc-smad7 and miR-125b in clinical samples from HCC patients. Kaplan-Meier curves and log-rank tests were used to measure the survival of different groups. *p＜0.05 from a two-sided test was used to indicate a statistically significant difference.

| Linc-smad7 is upregulated in HCC tissues and HCC cells
To explore the expression pattern of Linc-smad7 in HCC, we first measured the expression of Linc-smad7 in 50 pairs of HCC samples and adjacent non-tumour tissues from HCC patients. The results of RT-qPCR analysis indicated that Linc-smad7 was much higher in the HCC tissues than that in the non-tumour tissues (p < 0.01, Figure 1A). We further detected Linc-smad7 expression in HCC cells and normal human liver cells (THLE-2). The RT-qPCR results in vitro are consistent with the results in the clinical samples, Linc-smad7 expression was observably upregulated in HCC cell lines compared with THLE-2 cells, (p < 0.05, Figure 1B).
We also analysed the clinical significance of the increased Linc-smad7 expression in HCC patients. High Linc-smad7 expression level was closely associated with larger HCC tumour size (p = 0.014), advanced TNM stage (p = 0.038) and microscopic vascular invasion (p < 0.001) of HCC. While we did not observed the association between Linc-smad7 and HBV (Table 1). Subsequently, Kaplan-Meier analysis was performed to evaluate the prognostic value of Linc-smad7 expression levels for HCC patients. The results showed that compared with HCC patients in Linc-smad7-low group, those in Linc-smad7-high group had shorter overall survival (OS) (p < 0.05, Figure  1C) and disease-free survival (DFS) (p < 0.05, Figure 1D). The results suggested that increased Linc-smad7 expression may be closely associated with frequent recurrence of HCC after surgery.

| Linc-smad7 promotes HCC cells proliferation, migration and invasion.
We established a stable Linc-smad7-overexpressing Huh7 and Hep3B cell lines using lentivirus infection (Linc-smad7 group) to help assess the function of Linc-smad7 in HCC cells. RT-qPCR assays showed that Linc-smad7 expression was higher in HCC cells in Linc-smad7 group than those in NC group (HCC cells transfected with the Lv-control vector) (p < 0.01, Figure 2A and B). The results of MTT assays demonstrated that the proliferation of Huh7 and Hep3B cells was markedly enhanced in the Linc-smad7-overexpressing group (p < 0.05, Figure 2C and D). The colony formation showed that increased Linc-smad7 significantly enhanced the colony formation ability of HCC cells (p < 0.01, Figure 2E and F). We next carried out Transwell assays to evaluate the role of Linc-smad7 in HCC cell migration and invasion. The results suggested that overexpression of Linc-smad7 significantly facilitated migration and invasion of HCC cell (p < 0.01, Figure 2G and H). These results further demonstrated that Linc-smad7 serves as an oncogene in HCC.

| Linc-smad7 promotes HCC EMT.
EMT is recognized as the initial step and an important mechanism of metastasis of human cancers. Thus, we speculate that Linc-smad7 promotes HCC cells migration and invasion via influencing EMT. To confirm our speculation, we performed an IHC assay to assess the expression of Vimentin, N-cadherin and E-cadherin in HCC samples. The results showed that E-cadherin expression was obviously lower in HCC tissues from Linc-smad7high group than in those in Linc-smad7-low group. The expression of N-cadherin and Vimentin showed the opposite result (p < 0.01, Figure 3A and B). Western blot assay showed increased Linc-smad7 enhanced N-cadherin and Vimentin expression, while significantly inhibited E-cadherin expression (p < 0.05, Figure 3C-E). We also transfected Linc-smad7-overexpressing (Linc-smad7 group) or its negative control lentivirus vectors into THLE-2 cells ( Figure S1A), then found the downregulation of E-cadherin and upregulation of N-cadherin, Vimentin in RNA and protein expression levels (p < 0.05, FigureS1B and C). We further knocked down Linc-smad7 upon the lentiviruses approaches (sh-Linc-smad7 group) in Hep3B and Huh7 cells ( Figure S2A), and confirmed that decreased Linc-smad7 inhibited N-cadherin and Vimentin expression, while promoted E-cadherin expression (p < 0.01, Figure S2B and C). In addition, we measured the mRNA expression of N-cadherin, Vimentin and E-cadherin in HCC samples using the RT-qPCR assay (p < 0.01, Figure 3F). Spearman correlation analysis using RT-qPCR showed that Linc-smad7 expression was negatively correlated with E-cadherin expression (r = −0.870, p < 0.01, Figure 3G), positively correlated with N-cadherin (r = 0.592, p < 0.01, Figure 3H) and Vimentin expression (r = 0.512, p < 0.01, Figure 3I). Both the data from HCC samples and cells strongly indicated that Linc-smad7 promoted EMT in HCC.

| Linc-smad7 is inversely correlated with miR-125b in HCC
Given that Linc-smad7 can regulate genes, including E-cadherin, N-cadherin and Vimentin, which are pivotal for EMT, we speculated that Linc-smad7 may inhibit some miRNAs, consequently downregulating their target mRNA transcripts. The miR-125 family has been proven to have a significant role in various human cancers as either repressors or promoters that regulate cell proliferation, apoptosis and cellular differentiation. 18,19 Several studies revealed that miR-125b inhibited HCC metastasis by regulating its targets genes and downstream signals. [20][21][22] A recent study revealed that Linc-smad7 promoted muscle regeneration and myoblast differentiation by sponging miR-125b. 23 Notably, the RT-qPCR analysis in this study revealed that miR-125b expression was downregulated in HCC tissues (p < 0.05; Figure 4A) and were negatively associated with Linc-smad7 expression (r = −0.418, p = 0.003, Figure 4B). Furthermore, miR-125b expression was also decreased in HCC cells compared with THLE-2 cells (p < 0.05, Figure 4C). To confirm our speculation, we performed RT-qPCR to measure miR-125b expression in Linc-smad7 overexpressing HCC cells. The results of RT-qPCR assay showed that the expression of miR-125b was markedly lower in Linc-smad7-overexpressing Hep3B and Huh7 cells than that in control vector-transfected cells (p < 0.05, Figure 4D and E). We also evaluated miR-125b expression in Hep3B and Huh7 cells transfected with sh-Linc-smad7 vectors, and found that miR-125b expression was increased followed with the knockdown of Linc-smad7 (p < 0.01, Figure  S3A). On the contrary, Linc-smad7 expression was not changed in Hep3B and Huh7 cells treated with miR-125b inhibitors (p < 0.01, Figure S3B). Also, miR-125b was confirmed to bind sequences in the linc-smad7 transcript ( Figure 4F). These results demonstrated that Linc-smad7 inhibited miR-125b expression in HCC.

| Linc-smad7 directly binds with miR-125b in HCC cells.
To confirm whether Linc-smad7 could directly bind with miR-125b, we constructed Linc-smad7-WT and Linc-smad7-MUT vectors. Dual-luciferase reporter assay results demonstrated that the relative luciferase activities in HCC cells co-transfected with Linc-smad7-WT and miR-125b mimics were significantly reduced compared with those in HCC cells transfected with NC vector (p < 0.05, Figure 4G and H). While, the relative luciferase activities in HCC cells co-transfected with miR-125b mimics and Linc-smad7-MUT did not decrease significantly (p < 0.05, Figure 4G and H). In addition, biotin-labelled RNA pull-down assays showed that the bio-Linc-smad7 probe could pull down miR-125b in HCC cells, but the bio-Linc-smad7-MUT-probe did not affect miR-125b in HCC cells (p < 0.05, Figure 4I-K). Compared with that in cells transfected with mimic-NC control, miR-125b expression was increased in Hep3B cells ( Figure 4L) and Huh7 cells ( Figure 4M) transfected with miR-125b mimics (p < 0.01). In short, these data strongly suggest that Linc-smad7 directly sponges miR-125b in HCC cells.

| Linc-smad7 promotes the proliferation, migration, invasion and EMT of HCC cells by directly targeting miR-125b.
To investigate whether Linc-smad7 promotes the malignant behaviours of HCC cells by binding to miR-125b, we assessed the combined effects of overexpression of Linc-smad7 and miR-125b on proliferation, invasion and migration of HCC cells. We transfected miR-125b mimics into Hep3B and Huh7 cells overexpressing Linc-smad7 and found the recovery of miR-125b expression following co-transfection with miR-125b mimics ( Figure 5A and B). MTT assay, colony formation assay and Transwell assays were performed, and the results showed that the promoting effects of Linc-smad7 on the proliferation, migration and invasion of Hep3B and Huh7 cells were attenuated by co-transfection of miR-125b mimics (p < 0.05; Figure  5C-I). The results of Western blot assay showed increased miR-125b expression inhibited N-cadherin and Vimentin expression, while E-cadherin expression significantly upregulated in HCC cells overexpressing Linc-smad7 (p < 0.05, Figure 5J-L). These data suggested that Linc-smad7 promoted HCC cells malignant biological behaviour by directly targeting miR-125b.

| Silencing SIRT6 attenuates the promoting effects of Linc-smad7 on the proliferation, invasion, migration and EMT of HCC cells
A previous study suggested that SIRT6 may act as the downstream target of miR-125b in HCC. 24 Therefore, we hypothesized that the effects of Linc-smad7 in HCC may be mediated via SIRT6. The results of RT-qPCR and Western blot assay revealed that SIRT6 expression was decreased in Hep3B and Huh7 cells transfected with sh-Linc-smad7 vector compared with that in cells transfected with sh-Ctrl vector (p < 0.01; Figure 6A and B). The upregulation of Linc-smad7 enhanced the mRNA and protein expression levels of SIRT6, while the treatments of miR-125b mimics partly reversed SIRT6 expression changes induced by overexpressed Linc-smad7 ( Figure 6C, D). These results suggested that Linc-smad7 promoted SIRT6 expression upon miR-125b. We subsequently knocked down SIRT6 expression via lentivirus transfection in HCC cells overexpressing Linc-smad7. MTT assay and colony formation | 9133 HAN et Al.

F I G U R E 6
Silencing SIRT6 rescued the promoting effects of Linc-smad7 on the proliferation of HCC cells. (A) Linc-smad7 and SIRT6 mRNA expression was measured by RT-qPCR assay (**p < 0.01). (B) Linc-smad7 and SIRT6 protein expression was measured by western blotting assay (**p < 0.01). (C) SIRT6 mRNA expression was measured by RT-qPCR assay (**p < 0.01). (D) SIRT6 protein expression was measured by western blotting assay (**p < 0.01). (E) MTT assay showed that knockdown of SIRT6 rescued the effect of Linc-smad7 on HCC cells proliferation (*p < 0.05, **p < 0.01). (F) Knockdown of SIRT6 rescued the promoting effect of Linc-smad7 on HCC cells colony formation (**p < 0.01). results showed that the proliferation capacity of Hep3B and Huh7 cells transfected with Lv-Linc-smad7 was restored following the knockdown of SIRT6 ( Figure 6E and F). In addition, Transwell assay results demonstrated that SIRT6 knockdown rescued the increased migration and invasion induced by Linc-smad7 overexpression in Hep3B and Huh7 cells ( Figure 7A). SIRT6 knockdown inhibited N-cadherin and Vimentin expression but significantly enhanced E-cadherin expression in HCC cells with Linc-smad7 overexpression (p < 0.05, Figure 7B). Spearman correlation analysis using the RT-qPCR results showed that Linc-smad7 expression was positively associated with SIRT6 in HCC tissues (r = 0.588, p < 0.001, Figure   7C). At last, we established an HCC xenograft model using nude mice to verify our data in vivo, and found that Hep3B cells overexpressing Linc-smad7 led to markedly larger tumours (Lv-Linc-smad7 group) than control vector cells (Lv-control group) (p < 0.05, Figure 7D and E). Hep3B cells co-transfected with Linc-smad7 overexpression vector and sh-SIRT6 vector generated smaller tumours (Lv-Linc-smad7+shSIRT6 group) than Hep3B cells only transfected with the Linc-smad7 overexpression vector (p < 0.05, Figure 7D and E). In conclusion, these results suggest that Linc-smad7 facilitates HCC cells proliferation, invasion and migration via miR-125b /SIRT6 axis.

| DISCUSSION
This study uncovered for the first time that Linc-smad7 promoted the malignant biological behaviour of HCC by targeting the miR-125b/SIRT6 axis. In the current study, the data revealed that Linc-smad7 expression is upregulated in HCC tissues and cells.
Furthermore, increased Linc-smad7 expression was demonstrated to be closely associated with poor clinicopathological features, shorter OS and DFS in HCC patients. In addition, Linc-smad7 overexpression promoted HCC cells proliferation, migration, invasion and EMT. These data strongly demonstrate that Linc-smad7 functions as a protumorigenic factor and therapeutic target in HCC. Numerous lncRNAs have reported to act as critical prognostic biomarkers and regulators in a variety of cancers. [25][26][27] A recently published study identified Linc-smad7, which is located adjacent to the mouse Smad7 gene, as a novel long non-coding RNA via inhibiting the apoptosis of mouse breast cancer cells. 28 Song et al. focused on the function of Linc-smad7 in myoblast differentiation and confirmed the important role of Linc-smad7 in promoting myoblast growth and muscle regeneration by enhancing the expression of smad7 and inhibiting miR-125b. 24 However, the expression profile and potential function of Linc-smad7 in human cancers have not been studied before. Increased Linc-smad7 expression and its positive association with poor clinicopathological features and prognosis in HCC patients were observed in the present study, suggesting that Linc-smad7 may be promising biomarker and may act as a tumour promoter in HCC. To further study the role of Linc-smad7 acted during HCC progression, we detected the malignant biological behaviour of HCC cells after Linc-smad7 was overexpressed. Combined with the tests in clinical samples, the results in vitro demonstrated that Linc-smad7 overexpression promoted the proliferation, migration, invasion and EMT of HCC cells. Our results further demonstrated that Linc-smad7 serves as a protumourigenic factor in HCC.
A group of studies reveal that lncRNAs are able to function as ceRNAs through their miRNA response elements to interfere with miRNAs and their target mRNAs. [29][30][31] Therefore, lncRNA-miRNA-mRNA interactional networks have been confirmed to be an important mechanism underlying the carcinogenesis and development of different types of cancer, [32][33][34] including HCC. 35 In the current study, miR-125b was identified as a targeting miRNA that possesses binding sites for Linc-smad7. Subsequently, our data demonstrated that Linc-smad7 repressed miR-125b expression in HCC cells, thus enhancing the expression of SIRT6, which is the miR-125b target gene, ultimately promoting HCC cell proliferation, invasion, migration and EMT. Thus, the role of miR-125b in the function of Linc-smad7 in HCC was then investigated. In recent years, emerging studies have reported that miR-125b plays a crucial role in HCC progression. Wang et al. reported that miR-125b suppressed HCC cell proliferation and stem cell properties by targeting CD90, which is a marker of HCC stem cells. 36 Similar findings in another study identified miR-125b as a tumour suppressor of HCC that inhibits thioredoxin reductase 1 (TXNRD1). 37 In addition, miR-125b has been elucidated to reverse oxaliplatin resistance in HCC by inhibiting autophagy via regulating transmembrane protein 166 (TMEM 166). 38 The results of the present study also demonstrated that restoring the expression of miR-125b or knocking down SIRT6 expression reversed the promoting effects of Linc-smad7 on the malignant phenotypes of HCC cells. Previous reports and the results of the present study support our hypothesis that Linc-smad7 inhibited miR-125b, a tumour suppressor in HCC, thereby exerting its tumour promoting function in HCC.
To further reveal the mechanism of Linc-smad7 in HCC, we continued to explore its effect on target genes of miR-125b. In the previously mentioned study, it revealed that decreased miR-125b was closely correlated with a poor prognosis of HCC patients, and miR-125b can function as a cancer suppressor by targeting SIRT6. 24 SIRT6, which belongs to the sirtuin family, is an NAD+-dependent deacetylase that plays a pivotal role in human cancers by targeting a variety of proteins. 39,40 Numerous previous studies have confirmed that SIRT6 can function as an oncogene in skin squamous cell carcinoma, multiple myeloma and acute myeloid leukaemia. [41][42][43] Most recently, one of our studies demonstrated that SIRT6 promotes HCC metastasis by enhancing E-cadherin autophagic degradation via Beclin-1 deacetylation. 44 Several other independent studies also confirmed the important protumorigenic factor role of SIRT6 in HCC carcinogenesis. Zhang et al. uncovered that SIRT6 enhances the proliferation capacity of HCC cells via the ERK1/2 signalling pathway. 45 Ran et al. reported that SIRT6 inhibited HCC cell apoptosis by suppressing the binding of transcription factors to the promoter of BCL2-associated X protein (Bax). 46 Conclusively, these data support the conclusion that linc-smad7 promotes HCC tumourigenesis mainly by targeting the miR-125b/ SIRT6 axis, although other possible mechanisms were not explored.
To summarize, this study identified the lncRNA linc-smad7 as a novel potential oncogene in HCC. Our observations revealed that linc-smad7 overexpression dramatically promoted HCC cell proliferation, migration and invasion. At the molecular level, the current study demonstrated that Linc-smad7 directly inhibited miR-125b, and subsequently enhanced SIRT6 expression. Furthermore, we demonstrated that miR-125b overexpression or SIRT6 knockdown rescued the protumourigenic effects of Linc-smad7 overexpression on HCC cells. The present study has provided novel insight into the regulatory mechanisms involving Linc-smad7 and the miR-125b/SIRT6 axis in HCC tumourigenesis and