RT Journal Article SR Electronic T1 Novel evidence for an oncogenic role of microRNA-21 in colitis-associated colorectal cancer JF Gut JO Gut FD BMJ Publishing Group Ltd and British Society of Gastroenterology SP 1470 OP 1481 DO 10.1136/gutjnl-2014-308455 VO 65 IS 9 A1 Chenzhang Shi A1 Yongzhi Yang A1 Yang Xia A1 Yoshinaga Okugawa A1 Jun Yang A1 Yong Liang A1 Hongqi Chen A1 Peng Zhang A1 Feng Wang A1 Huazhong Han A1 Wen Wu A1 Renyuan Gao A1 Christoph Gasche A1 Huanlong Qin A1 Yanlei Ma A1 Ajay Goel YR 2016 UL http://gut.bmj.com/content/65/9/1470.abstract AB Objective miR-21 was found to be overexpressed in the colon tissues and serum of patients with UC and colorectal cancer (CRC); however, the exact roles of miR-21 in colitis-associated CRC remain unclear. The aim of our study was to investigate the biological mechanisms of miR-21 in colitis-associated colon cancer (CAC).Design miR-21 expression was examined in the tumours of 62 patients with CRC from China and 37 colitis-associated neoplastic tissues from Japan and Austria. The biological functions of miR-21 were studied using a series of in vitro, in vivo and clinical approaches.Results miR-21 levels were markedly upregulated in the tumours of 62 patients with CRC, 22 patients with CAC, and in a mouse model of CAC. Following azoxymethane and dextran sulfate sodium intervention, miR-21-knockout mice showed reduced expression of proinflammatory and procarcinogenic cytokines (interleukin (IL) 6, IL-23, IL-17A and IL-21) and a decrease in the size and number of tumours compared with the control mouse group. The absence of miR-21 resulted in the reduced expression of Ki67 and the attenuated proliferation of tumour cells with a simultaneous increase in E-cadherin and decrease in β-catenin and SOX9 in the tumours of CAC mice. Furthermore, the absence of miR-21 increased the expression of its target gene PDCD4 and subsequently modulated nuclear factor (NF)-κB activation. Meanwhile, miR-21 loss reduced STAT3 and Bcl-2 activation, causing an increase in the apoptosis of tumour cells in CAC mice.Conclusions These observations provide novel evidence for miR-21 blockade to be a key strategy in reducing CAC.