Abstract:Background and Aims Human epidermal growth factor receptor 2 (HER2)-positive breast cancer is characterized by high aggressiveness and poor prognosis. MicroRNAs (miRNAs) play critical roles in tumor progression. miR-186-5p has recently been identified as a tumor-related miRNA, but its function in HER2-positive breast cancer remains unclear. This study aimed to investigate the regulatory relationship between miR-186-5p and metadherin (MTDH) and its effect on tumor growth in a HER2-positive breast cancer xenograft model.Methods The potential binding site between miR-186-5p and MTDH was predicted by TargetScan and verified by dual-luciferase reporter assay. BT-474 cells were transfected with miR-186-5p mimic, MTDH overexpression plasmid, or both. The mRNA and protein levels of miR-186-5p and MTDH were detected. Xenograft models were established by subcutaneous inoculation of transfected cells into nude mice. Tumor volume and weight were measured on day 28, and the expression of miR-186-5p and MTDH in tumor tissues was analyzed.Results Dual-luciferase reporter assay demonstrated that miR-186-5p directly targets the 3'-UTR of MTDH mRNA. Compared with the negative control group, overexpression of miR-186-5p significantly downregulated the mRNA and protein expression of MTDH, whereas MTDH overexpression upregulated its expression and partially reversed the inhibitory effect of miR-186-5p on MTDH (all P<0.05). In vivo, tumor growth rate, volume, and weight were significantly reduced in the miR-186-5p overexpression group but significantly increased in the MTDH overexpression group compared with the negative control group (all P<0.05), while no significant differences were observed in the miR-186-5p + MTDH co-transfection group (all P>0.05). Further in vivo analysis revealed that miR-186-5p expression was markedly increased, whereas MTDH mRNA and protein expression were significantly decreased in xenograft tumors of the miR-186-5p overexpression group; MTDH expression was significantly elevated in the MTDH overexpression group; and no significant difference in MTDH expression was observed between the co-transfection group and the negative control group (all P>0.05). Immunohistochemical findings were consistent with the molecular results.Conclusion miR-186-5p suppresses the growth of HER2-positive breast cancer xenografts by targeting and downregulating MTDH, suggesting that the miR-186-5p/MTDH axis may serve as a potential therapeutic target for HER2-positive breast cancer.