Objective:To investigate the effect of lncRNA-MIAT on M2-type polarization of tumorassociated macrophages, and to elucidate its possible mechanism. Methods:The THP-1 cells were cultured in vitro. The lentivirus particles, which over expressed (LV-MIAT) and down regulated expression of lncRNA-MIAT (LV-shMIAT), and empty vector (LV-Vector) were transfected into the THP-1 cells. The THP-1 cells were activated into the macrophages, and the activated macrophages were co-cultured with the osteosarcoma (OS)MG63 cells by using Transwell co-culture system. The above co-culture systems were divided into MG63+LV-Vector group (positive control group), MG63+LVshMIAT group, MG63+LV-MIAT group, and IL-4+LV-Vector group. The expression levels of lncRNA-MIAT in the THP-1 cells in various groups were detected;the percentages of M2-type macrophages in various groups were detected by flow cytometry;the levels of vascular endothelial growth factor (VEGF), interleukin-10 (IL-10), and transforming growth factor-β1 (TGF-β1)in supernatant of the THP-1 cells in various groups were detected by ELISA method;the macrophages in each culture system were co-cultured with the human umbilical vein endothelial cell (HUVEC);EDU staining was used to detect the proliferation activities of the HUVEC in various groups;the numbers of angiogenesis in the HUVEC in various groups were detected by tube formation assay;the expression levels of Janus kinase 1 (JAK1), signal transducer and activator of transcription 6 (STAT6), and phosphorylated STAT6 proteins in the THP1 cells and the expression levels of vascular endothelial growth factor receptor 2 (VEGFR2), Notch1, and delta like protein 4 (DLL4)in the HUVEC in various groups were detected by Western blotting method;the p-STAT6/STAT6 ratio was calculated. The OS tumor-bearing mouse model was constructed, and 36 nude mice were divided into LV-Vector group, LV-shMIAT group, and LV-MIAT group (n=12). The volumes and weights of the tumor and the positive expression rates of CD163 and CD31 in tumor tissue of the mice in various groups were detected after interfering lncRNA-MIAT expression. Results:The THP-1 cells with stable over-expression or down-regulation of lncRNA-MIAT were successfully established by lentivirus infection. Compared with LV-Vector group, the expression level of lncRNA MIAT in the cells in LV-shMIAT group was significantly decreased (P<0. 05), and the expression level of lncRNA MIAT in the cells in LV-MIAT group was significantly increased (P<0. 05). Compared with MG63+LV-Vector group, the levels of VEGF, IL-10, and TGF- β1 in the THP-1 cells in MG63+LV-shMIAT group were significantly decreased (P<0. 05), and the expression levels of VEGFR2, Notch1, and DLL4 proteins in the HUVEC were significantly decreased (P<0. 05), the levels of VEGF, IL-10, and TNF- β1 in the THP-1 cells in MG63+LV-MIAT and IL-4+LV-Vector groups were increased significantly (P<0. 05 or P<0. 01);the expression levels of VEGFR2, Notch1, and DLL4 proteins in HUVEC were increased (P<0. 05), the percentage of M2-type macrophages, and p-STAT6/ STAT6 ratio and expression level of JAK1 protein in the THP-1 cells were increased (P<0. 05);compared with MG63+sh-MIAT group, the VEGF level in the THP-1 cells in MG63+LV MIAT group was decreased significantly (P<0. 05), the levels of IL-10 and TGF-β were decreased significantly (P<0. 05), the expression levels of VEGFR2, Notch1, and DLL4 proteins in the HUVEC were increased significantly (P<0. 05);compared with MG63+LV-Vector group, the proliferation activity and number of angiogenesis in the HUVEC in MG63+LV shMIAT group were significantly decreased (P<0. 05), while the proliferation activities and number of angiogenesis in the HUVEC in MG63+LV-MIAT group and IL-4+LV Vector group were significantly increased (P<0. 05). The results of in vivo tumorigenesis experiment of the nude mice showed that compared with LV-Vector group, the volume and weight of transplanted tumor of the mice in LV-MIAT group were significantly increased (P<0. 05), and the positive expression rates of CD163 and CD31 in tumor tissue were significantly increased (P<0. 05);the volume and mass of transplanted tumor and the positive expression rates of CD163 and CD31 in tumor tissue of the mice in LV-shMIAT group were significantly decreased (P<0. 05). Compared with LV-shMIAT group, the volume and weight of transplanted tumor of the mice in LV-MIAT group were significantly increased (P<0. 05), and the positive expression rates of CD163 and CD31 in tumor tissue were significantly increased (P<0. 05). Conclusion:LncRNA MIAT may regulate the progression of OS by promoting the M2 polarization of macrophages and up-regulating the angiogenesis in tumor tissue. [ABSTRACT FROM AUTHOR]