MicroRNAs (miRNA) are involved in crucial biological processes such as cell proliferation, differentiation and apoptosis
and the dysregulation of miRNA has been demonstrated in initiation and progression of a variety of human malignancies,
including breast cancer. Several studies suggested that that down-regulation of miR-204-5p is associated with poor prognosis
and metastasis of breast cancer by regulating proliferation, apoptosis, migration, invasion of breast cancer cells in vitro, however,
the underlying mechanisms of in vivo anti-tumor or anti-metastatic activity of miR-204-5p remains to be elucidated. Here,
we identified differentially expressed miRNAs between primary breast tumors and normal adjacent tissues using small RNA
sequencing. Among them, miR-204-5p was the most significantly down-regulated in all of 17 breast tumor tissues compared
with corresponding normal pairs. To investigate the role of miR-204-5p on breast cancer progression, we first established stable
breast cancer cell lines overexpressing miR-204-5p. MiR-204-5p suppressed tumor growth and metastasis in both syngeneic
4T1 murine allograft breast cancer model and MDA-MB-231 xenograft model via inhibiting proliferation, migration and
invasion of breast cancer cells. With RNA-seq and the integrative analysis of TCGA data, we observed that there was significant
inverse correlation between miR-204-5p expression and PI3K/Akt/mTOR signaling pathway. After analyzing down-regulated
genes and target prediction in silico, we found that PIK3CB, a catalytic subunit of PI3K, was highly down-regulated in miR-
204-5p overexpressing cells and experimentally validated that PIK3CB was a direct target of miR-204-5p. Also, knockdown
of PIK3CB impaired breast cancer cell proliferation and migration. Moreover, miR-204-5p decreased the mobilization and
recruitment of CD11b+ myeloid-derived suppressor cells, which facilitated cancer cell metastasis through regulating mTOR
signaling pathway, via down-regulating the expression of CCL20, VEGFA and CSF1. In conclusion, miR-204-5p inhibits the
initial progression of breast cancer and metastasis by blocking proliferation, migration as well as invasion. These findings
indicate that miR-204-5p may be a novel therapeutic strategy against breast cancer progression and metastasis.