Department of General Surgery, The Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, PR China.
Gut. 2012 Oct;61(10):1447-53. doi: 10.1136/gutjnl-2011-301122. Epub 2011 Nov 3.
MicroRNAs (miRNA) have potential as prognostic biomarkers and therapeutic targets in cancer. A study was undertaken to investigate the association between miRNA expression patterns and the prognosis and therapeutic outcome of colorectal cancer (CRC).
miRNA expression profiling in tumour, adenoma and normal colorectal tissues was performed to identify tumour-related miRNAs in the course of colorectal malignant changes. Quantitative reverse transcription PCR (qRT-PCR) assays were used to measure tumour-related miRNA and to assess its association with survival and response to adjuvant chemotherapy in 239 patients. In addition, to validate the findings, associations of the tumour-related miRNA with clinical characteristics of CRC were analysed in 185 patients by in situ hybridisation (ISH) analysis.
Only one miR-150 was found to show a decrease in expression levels in the three tissue groups (normal, adenoma and cancer tissue) in parallel with increasing carcinogenesis of the colorectal tissue. In both ISH and qRT-PCR analysis, tumour tissue had reduced levels of miR-150 expression compared with paired non-cancerous tissue, which indicated that the levels of miR-150 expression were associated with CRC. Moreover, patients whose tumours had low miR-150 expression had shorter survival and a worse response to adjuvant chemotherapy than patients whose tumours had high miRNA expression.
The miR-150 expression status of patients with CRC is associated with survival and response to adjuvant chemotherapy. It is suggested that miR-150 should be considered as a potential biomarker associated with the prognosis and therapeutic outcome in CRC.
MicroRNAs (miRNA) 作为癌症的预后生物标志物和治疗靶点具有潜力。本研究旨在探讨 miRNA 表达模式与结直肠癌 (CRC) 的预后和治疗结果之间的关系。
对肿瘤、腺瘤和正常结直肠组织中的 miRNA 表达谱进行分析,以鉴定结直肠恶性转化过程中的肿瘤相关 miRNA。采用定量逆转录 PCR (qRT-PCR) 检测肿瘤相关 miRNA,并对 239 例患者的生存和辅助化疗反应进行评估。此外,通过原位杂交 (ISH) 分析,在 185 例患者中分析肿瘤相关 miRNA 与 CRC 临床特征的相关性,以验证研究结果。
仅发现 miR-150 一种 miRNA 的表达水平在正常、腺瘤和癌组织三组中随结直肠组织癌变程度的增加而逐渐降低。在 ISH 和 qRT-PCR 分析中,与配对的非癌组织相比,肿瘤组织中 miR-150 的表达水平降低,这表明 miR-150 的表达水平与 CRC 有关。此外,miR-150 表达水平低的患者的生存时间短,对辅助化疗的反应较差,而 miR-150 表达水平高的患者则相反。
CRC 患者的 miR-150 表达状态与生存和对辅助化疗的反应有关。提示 miR-150 可作为与 CRC 预后和治疗结果相关的潜在生物标志物。