Circulating Serum miRNAs as Diagnostic Markers for Colorectal Cancer

Autor: Eman Medhat, Salam Eid, Auhood Nassar, Maha Yahia Ismail, Abeer A. Bahnassy, Marwa M. Hussein, Amira Salah El-Din Youssef, Dalia Omran, Reham Mohamed Gabr, Ola S. Ahmed, Faris Q. Alenzi, Mai M. Lotfy, Abdel-Rahman N. Zekri, Nehal Hussein
Rok vydání: 2016
Předmět:
Male
0301 basic medicine
Oncology
Carcinogenesis
Colorectal cancer
medicine.medical_treatment
lcsh:Medicine
Disease
Biochemistry
Gastroenterology
Inflammatory bowel disease
Targeted therapy
0302 clinical medicine
Medicine and Health Sciences
lcsh:Science
Multidisciplinary
Reverse Transcriptase Polymerase Chain Reaction
Middle Aged
Nucleic acids
030220 oncology & carcinogenesis
Female
Colorectal Neoplasms
Research Article
Adult
medicine.medical_specialty
Colonic Polyps
Gastroenterology and Hepatology
03 medical and health sciences
Internal medicine
Gastrointestinal Tumors
microRNA
Biomarkers
Tumor

Genetics
Cancer Detection and Diagnosis
medicine
Humans
Non-coding RNA
Colorectal Cancer
Biology and life sciences
Receiver operating characteristic
business.industry
lcsh:R
Inflammatory Bowel Disease
Case-control study
Cancers and Neoplasms
Inflammatory Bowel Diseases
medicine.disease
digestive system diseases
Fold change
Gene regulation
MicroRNAs
030104 developmental biology
ROC Curve
Case-Control Studies
RNA
lcsh:Q
Gene expression
business
Biomarkers
Zdroj: PLoS ONE
PLoS ONE, Vol 11, Iss 5, p e0154130 (2016)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0154130
Popis: Aim The study was designed to assess the possibility of using circulating miRNAs (serum miRNAs) as diagnostic biomarkers in colorectal cancer (CRC) and to identify their possibility as candidates for targeted therapy. Methods The study involved two sample sets: 1- a training set which included 90 patients with colorectal related disease (30 with CRC, 18 with inflammatory bowel disease (IBD), 18 with colonic polyps (CP) and 24 with different colonic symptoms but without any colonoscopic abnormality who were enrolled as control group) and 2- a validation set which included 100 CRC patients. Serum miRNAs were extracted from all subjects to assess the expression profiles for the following miRNAs (miR-17, miR-18a, miR-19a, miR-19b, miR-20a, miR-21, miR-146a, miR-223, miR-24, miR-454, miR-183, miR-135a, miR- 135b and miR- 92a) using the custom miScript miRNA PCR-based sybergreen array. The area under the receiver operating characteristic curve (AUC) was used to evaluate the diagnostic performance of the studied miRNAs for colorectal cancer diagnosis. Results Data analysis of miRNA from the training set showed that; compared to control group, only miR-19b was significantly up-regulated in patients with IBD group (fold change = 5.24, p = 0.016), whereas in patients with colonic polyps, miR-18a was significantly up-regulated (fold change = 3.49, p-value = 0.018). On the other hand, miR-17, miR-19a, miR-20a and miR-223 were significantly up-regulated (fold change = 2.35, 3.07, 2.38 and 10.35; respectively and p-value = 0.02, 0.015, 0.017 and 0.016; respectively in CRC patients. However, the validation set showed that only miR-223 was significantly up-regulated in CRC patients (fold change = 4.06, p-value = 0.04). Conclusion Aberrant miRNA expressions are highly involved in the cascade of colorectal carcinogenesis. We have found that (miR-17, miR-19a, miR-20a and miR-223) could be used as diagnostic biomarkers for CRC. On the other hand, miR-19b and miR-18a could be used as diagnostic biomarkers for CP and IBD respectively.
Databáze: OpenAIRE