The dual role of the microRNA-29 (miR-29) family in
tumor progression and
metastasis in solid
tumors has been reported. Evidence for the role of miR-29 in
tumor malignancy and its prognostic value in overall survival (OS) and relapse-free survival (RFS) in
non-small cell lung cancer (NSCLC) remains conflicting. Mechanistic studies presented herein demonstrated that c-Myc suppressed the expression of
miR-29b, promoting soft
agar growth and invasion capability in
lung cancer cells. Interestingly, the decrease in the expression of
miR-29b by c-Myc is responsible for soft
agar growth and invasiveness mediated by FHIT loss due to promoter methylation. Among patients, low expression of
miR-29b and FHIT was more common in
tumors with high c-Myc expression than in
tumors with low c-Myc expression. Kaplan-Meier and Cox regression analysis showed that
tumors with high c-Myc, low
miR-29b and low FHIT expression had shorter OS and RFS periods than their counterparts. In conclusion, the decrease in the expression of
miR-29b by c-Myc may be responsible for FHIT loss-mediated
tumor aggressiveness and for poor outcome in NSCLC. Therefore, we suggest that restoration of the
miR-29b expression using the c-Myc inhibitor might be helpful in suppressing
tumor aggressiveness mediated by FHIT loss and consequently improving outcomes in NSCLC patients with
tumors with low expression of FHIT.