The “ NF-ĸ B interacting long noncoding RNA” ( NKILA) transcript is antisense to cancer-associated gene PMEPA1

This correspondence concerns a recent publication in Cancer Cell by Liu et al. 1 who analyzed a long noncoding RNA (lncRNA) that they designated “ NKILA”. Liu et al. found that NKILA (1) is upregulated by immunostimulants, (2) has a promoter with an NF-ĸB binding motif, (3) can bind to the p65 protein of the NF-ĸB transcription factor and then interfere with phosphorylation of IĸBα, and (4) negatively affects functions that involve NF-ĸB pathways. And, importantly, they found that (5) low NKILA expression in breast cancers is associated with poor patient prognosis. However, they entirely failed to mention PMEPA1, a gene which runs antisense to NKILA, and the expression of which is associated with several tumors and which encodes a protein that participates in immune pathways. The PMEPA1 locus, including its promoter region, which Liu et al. 1 only discuss in regard to NKILA, is highly conserved through evolution. Our impression is that NKILA emerged only later in evolution, possibly as an additional means of PMEPA1 regulation. Liu et al., however, only consider direct binding between NKILA and NF-ĸB as the mechanism for their in vivo observations of NKILA function, but do not provide solid evidence for their model. If in vivo observations by Liu et al. could be explained by NKILA regulation of PMEPA1, it would contribute to the establishment of PMEPA1 as an important topic of cancer research. We feel that the herein presented discussion is necessary for a correct interpretation of the Liu et al. article.

Dijkstra JM and Alexander DB. How to cite this article: The " " ( ) transcript is antisense to NF-ĸ B interacting long noncoding RNA  Creative Commons Attribution , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Data associated Licence with the article are available under the terms of the (CC0 1.0 Public domain dedication). Creative Commons Zero "No rights reserved" data waiver The author(s) declared that no grants were involved in supporting this work.

Correspondence
Liu et al. 1 investigated breast cancer cell lines for possible association of known long noncoding transcripts with immunostimulation. They found that an unspliced lncRNA, which they designated "NKILA" (represented by large yellow box in Figure 1), could be upregulated by several immune agents. However, they did not mention the existence of a reported spliced form of NKILA (GenBank accession DA866558, see Figure 1), or, -our major criticism -that NKILA is divergently transcribed from prostate transmembrane protein, androgen induced 1 (PMEPA1) and antisense to some of its transcripts (see Figure 1). One of the alternative names for PMEPA1 is solid tumor associated gene 1 (STAG1) 2 , and its expression was found upregulated in several tumors including breast cancer (e.g., references 2 and 3). Liu et al. 1 found that the NKILA promoter region contains an NF-κB binding motif (Figure 1), which according to our analysis is rather well conserved among eutherian mammals (Supplementary file S1). However, whereas the PMEPA1-001 transcript open reading frame and a part of the intergenic promoter region are highly conserved through evolution, this seems to be true to a lesser degree for NKILA equivalent transcripts (Supplementary file S1 and discussion therein). So, from the standpoint of evolution, a logical hypothesis for the function of the seemingly younger NKILA is its possible interference with PMEPA1 expression 4,5 .
PMEPA1 expression is strongly enhanced by TGF-β 6,7 , something which agrees with the two SMAD binding element motifs that we found conserved in its promoter (Supplementary file S1). PMEPA1 function is not well understood, but it is believed to encode a transmembrane protein that with its cytoplasmic domain can bind SMAD proteins and can positively affect activation of Akt 7 . Signaling pathways involving Akt and NF-κB are known to converge 8 , which might be relevant for a possible indirect effect of NKILA through PMEPA1 on NF-κB functions. PMEPA1 levels were reported to be high in invasive MDA-MB-231 breast cancer cells, and low in non-invasive MCF-7 and T47D breast cancer cells, agreeing with observations for aggressive versus non-aggressive tumors 9 . This is exactly opposite to the expression pattern observed by Liu et al. for NKILA in these cell lines and among tumors. PMEPA1 knockdown has been found to be able to attenuate growth and motility of MDA-MB-231 breast cancer cells 9 , which is interesting since Liu et al. 1 found that forced NKILA expression (which might knockdown PMEPA1 expression) in MDA-MK-231 cells achieves similar effects. Consistent with these findings is the observation that high PMEPA1 expression in breast cancer is associated with poor patient prognosis 7 , and high NKILA expression with better patient prognosis 1 . Although there are also published PMEPA1 reports which are harder to reconcile with such a model (e.g. reference 10), and which are hard for us to validate, at least the above selected set of data suggests that NKILA has a negative effect on PMEPA1 function. More research on both NKILA and PMEPA1 will be necessary before conclusions can be made, but for now the possibility that NKILA can downregulate PMEPA1 expression appears to be a reasonable model 4,5 .
Liu et al. 1 concluded that NKILA interferes with pathways that involve NF-κB function, and we feel that in essence this conclusion can be believably deduced from their abundant experimental data. However, mechanistically Liu et al. only consider a direct interaction with NF-κB components and fail to consider an indirect effect through PMEPA1 regulation. Liu et al. 1 did find direct binding between the NF-κB component p65 and NKILA, but whether this can be considered as evidence of physiological specificity of NKILA for NF-κB is questionable. When they analyzed proteins that they could pull down with NKILA they only compared different NF-κB pathway components using Western blot analysis 1 . In addition, when they quantified NKILA by RT-PCR on genetic material that co-precipitated with NF-κB factors, they did not exclude the possibility that they might be measuring genomic NKILA DNA 1 .
Liu et al. 1 mapped the NKILA interaction with p65 to hairpin-prone regions A and B, and showed that the hairpin-prone region C can interact with NF-κB pathway factor IκBα (for hairpin-prone region locations see Figure 1). By mutation analysis, Liu et al. 1 found that all these three hairpin-prone regions are important for the inhibitory effect of NKILA on NF-κB activity. Although the relevance of this overlap is not clear, we point out that all three identified hairpinprone regions, and also the region which Liu et al. 1 found to confer sensitivity to miRNA induced degradation, overlap with known PMEPA1 transcript regions ( Figure 1).
As an additional remark, we would like to state that the somewhat discussable manner in the way Liu et al. 1 performed or described some of their experiments (see our comments in Supplementary file S2) does not help to convey the image of a study which is solid in its quantitative aspects. However, despite our criticism, it is only fair to state here that according to our judgement the very elaborate study by Liu et al. 1 believably shows (1) how NKILA can bind (in vitro) to NF-κB, (2) that NKILA can interfere with functions that involve NF-κB pathways, and (3) that low NKILA expression predicts poor clinical outcome in patients with breast cancer. But they should mend the open ends, which means providing more evidence of the specificity of the NKILA binding to NF-κB, and to take the possible effects of NKILA through regulation of PMEPA1 into consideration. In regard to the more general claim by Liu et al. 1 that there exists "a class of lncRNAs that regulate signal transduction at post-translational level", we believe as before 11 that such a conclusion needs more evidence than currently has been presented. We hope that our present discussion leads to an increased interest in the PMEPA1-NKILA locus, because whatever mechanism may be correct, Liu et al. did provide evidence that this locus is clinically important in breast cancer.
Author contributions JMD initiated the study. DBA and JMD performed the analysis. JMD wrote the article with help of DBA. Both authors critically edited the correspondence and agreed to the final content.

Competing interests
No competing interests were disclosed.

Grant information
The author(s) declared that no grants were involved in supporting this work.

Supplementary material
Supplementary file S1. Our laboratory (Saikumar) published two manuscripts on the PMEPA1/TMEPAI gene product that acts as a molecular switch in converting transforming growth factor-beta (TGF-β) from a tumor suppressor to a tumor promoter by suppressing canonical Smad signaling and promoting non-canonical PI3K/Akt signaling using breast cancer models. We have been invited to review and comment here on the correspondence paper by Dijkstra and Alexander. The correspondence titled "The NF-kB interacting long noncoding RNA (NKILA) transcript is antisense to cancer-associated gene PMEPA1" by Dijkstra and Alexander, provided an alternate explanation to the results presented by Liu in a recent publication et al "A cytoplasmic NF-kB interacting long noncoding RNA blocks IkB phosphorylation and suppresses the breast cancer metastasis" in Cancer Cell (27: 370-381, 2015). Although the novel finding of the later is that the long noncoding RNA designated NKILA is upregulated by immunostimulants due to the presence of a NF-kB binding motif in the promoter region of this gene which is located in the human chromosome 20q13.31. NKILA driven by NFkB acts as a negative feedback regulator of NFkB activation through a direct interaction with NF-kB p65-IkB complex, which was the basis for the negative effects on the events mediated by NF-kB signaling pathways. Importantly, these authors either ignored or failed to notice the similarities between NKILA and PMEPA1, another gene present in the same locus of chromosome 20. A simple BLAST search would have indicated the similarities between these two genes and their locations.
Interestingly, NKILA appears to fit the description of a head-to-head antisense RNA for PMEPA1. Dijkstra and Alexander rightly noticed this omission and highlighted in their correspondence the following: i) Both NKILA and PMEPA1 genes are in anti-sense and sense orientation in the same region in chromosome 20; ii) Based on the overlap, Dijkstra and Alexander proposed a provocative hypothesis that NKILA transcript may have the potential to regulate PMEPA1. The authors are correct in pointing out that Liu completely overlooked the existence of PMEPA1 and did not take into account in their et al. discussion of the mechanism involving NKILA; iii) They rightly state that indeed future experiments should verify a link between NKILA and PMEPA1. Some of the issues they raised in the supplementary file 2 were scientifically valid. This correspondence is purely theoretical and short of much needed experimental data to show that NKILA negatively regulates PMEPA1 mRNA levels. However, in defense of the authors of the original paper, there is no evidence to suggest that immuno-stimulants like TNF-α and LPS can induce PMEPA1.
Overall the correspondence merits indexing with high importance because it will initiate research activity to identify the link between these two genes during inflammation.

I have read this submission. I believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard.
No competing interests were disclosed. Competing Interests: 27  While the authors do not question the main thesis of the Liu paper, namely the direct interaction of the NKILA RNA to p65 that leads to inhibition of IκB phosphorylation, they highlight certain published data, which are indicative of a role of PMEDA1 in breast cancer and, interestingly, of a possible reciprocal regulation of PMEDA1 and NKILA.
In my opinion, the hypothesis put forward by Dijkstra and Alexander is of interest and should be experimentally addressed to test whether there is indeed an interplay between the sense-antisense PMEDA1-NKILA gene pair, which may further expand the biological roles and mechanisms of action of the NKILA noncoding RNA. In particular, I would like to see the impact of PMEDA1 depletion in the observable NKILA biological effects and vice versa the impact of NKILA depletion in PMADA1 gene expression.
Clearly, a state of validating or refuting a hypothesis by experimental means is in front of the scientific community.

I have read this submission. I believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard.
No competing interests were disclosed. However, you are incorrect in that we do not question the main thesis of the Liu et al. paper. We agree that for the direct to NF-kB binding mechanism, Liu et al. provided a lot of support by NKILA experiments. However, in our opinion, they did not provide the necessary conclusive in vitro in vivo experiments. However, in our opinion, they did not provide the necessary conclusive in vitro in vivo experimental evidence for making a new model on lncRNA function. So we agree that they proved that bind to NF-kB, but we say that they did not provide evidence that it does so in a NKILA can specific or functional manner . Their paper is difficult to interpret because of the many in vivo experiments they did, combined with rather frequent incomplete descriptions of materials and methods (some of those issues we listed in our supplementary file S2). However, despite some uncertainties about what they actually did, a very critical flaw running through a large part of their paper appears to be the inability to distinguish cDNA from genomic DNA by their RT-PCR method. We would be interested to hear from you, as an RNA expert, whether you believe that our criticism of the Liu et al. article is correct.
We are sorry that you misinterpreted our story. If the other reviewers will have a similar misinterpretation, we will have to write our criticism of the Liu et al. paper in a more explicit way. In my reviewing of your correspondence I tried to distil its essence in terms of biological significance. In this spirit of constructive refereeing, the take-home message, in my opinion, is to test the possible interplay of the antisense protein-coding gene and the NKILA noncoding RNA, and urge you to engage in such experimental approaches to push science forward.
Concerning, your criticism of technical aspects of the Liu et al paper, I am not so sure. For example, your claim in supplementary file S2 and in your post that "RT-PCR amplification of an intronless sequence as done by the authors (see Figure 1) should consider the possibility of DNA contamination" is not in-line with the data of the Northern analysis depicted in the same Figure, panel A, which are consistent with the qRT-PCR data of Figure 1, panel C. Thus, my conclusion is that their qRT-PCR assay is robust enough and detects cDNA, as apparently their RNA preparations are essentially free of genomic DNA contamination.
Finally, I believe that it is appropriate to contact the authors of the Liu et al paper, either directly or via Cancer Cell, to express any additional concerns that you may have.
Best wishes,

Peter
No competing interests were disclosed.