miR-497-5p Decreased Expression Associated with High-Risk Endometrial Cancer
Autor: | Bozena Smolkova, Ivana Fridrichova, Karol Kajo, Nataliia Nikolaieva, Miloslav Karhanek, Lenka Wachsmannova, Katarina Machalekova, Lenka Kalinkova |
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Rok vydání: | 2020 |
Předmět: |
0301 basic medicine
Oncology machine learning evaluation Uterus medicine.disease_cause lcsh:Chemistry Machine Learning Endometrium 0302 clinical medicine Mucinous carcinoma lcsh:QH301-705.5 Spectroscopy Aged 80 and over General Medicine Middle Aged Prognosis Adenocarcinoma Mucinous Computer Science Applications Gene Expression Regulation Neoplastic Serous fluid medicine.anatomical_structure 030220 oncology & carcinogenesis Immunohistochemistry Female Carcinoma Endometrioid serous endometrial carcinoma Adult medicine.medical_specialty rare subtypes of endometrial carcinoma Article Catalysis Inorganic Chemistry 03 medical and health sciences Internal medicine microRNA medicine Humans endometrioid endometrial carcinoma Physical and Theoretical Chemistry Molecular Biology Aged business.industry Gene Expression Profiling Endometrial cancer Carcinoma Organic Chemistry miR-497-5p expression medicine.disease Cystadenocarcinoma Serous Endometrial Neoplasms MicroRNAs 030104 developmental biology lcsh:Biology (General) lcsh:QD1-999 Carcinogenesis business Clear cell Adenocarcinoma Clear Cell |
Zdroj: | International Journal of Molecular Sciences International Journal of Molecular Sciences, Vol 22, Iss 127, p 127 (2021) Volume 22 Issue 1 |
ISSN: | 1422-0067 |
DOI: | 10.3390/ijms22010127 |
Popis: | The current guidelines for diagnosis, prognosis, and treatment of endometrial cancer (EC), based on clinicopathological factors, are insufficient for numerous reasons therefore, we investigated the relevance of miRNA expression profiles for the discrimination of different EC subtypes. Among the miRNAs previously predicted to allow distinguishing of endometrioid ECs (EECs) according to different grades (G) and from serous subtypes (SECs), we verified the utility of miR-497-5p. In ECs, we observed downregulated miR-497-5p levels that were significantly decreased in SECs, clear cell carcinomas (CCCs), and carcinosarcomas (CaSas) compared to EECs, thereby distinguishing EEC from SEC and rare EC subtypes. Significantly reduced miR-497-5p expression was found in high-grade ECs (EEC G3, SEC, CaSa, and CCC) compared to low-grade carcinomas (EEC G1 and mucinous carcinoma) and ECs classified as being in advanced FIGO (International Federation of Gynecology and Obstetrics) stages, that is, with loco-regional and distant spread compared to cancers located only in the uterus. Based on immunohistochemical features, lower miR-497-5p levels were observed in hormone-receptor-negative, p53-positive, and highly Ki-67-expressing ECs. Using a machine learning method, we showed that consideration of miR-497-5p expression, in addition to the traditional clinical and histopathologic parameters, slightly improves the prediction accuracy of EC diagnosis. Our results demonstrate that changes in miR-497-5p expression influence endometrial tumorigenesis and its evaluation may contribute to more precise diagnoses. |
Databáze: | OpenAIRE |
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