Department of Comprehensive Cancer Care, Masaryk Memorial Cancer Institute, Brno, Czech Republic.
Genes Chromosomes Cancer. 2012 Jul;51(7):707-16. doi: 10.1002/gcc.21957. Epub 2012 Apr 10.
Renal cell carcinoma (RCC) is the most common neoplasm of adult kidney. One of the important unmet medical needs in RCC is prognostic biomarker enabling identification of patients at high risk of relapse after nephrectomy. MicroRNAs (miRNAs) constitute a robust regulatory network with posttranscriptional regulatory efficiency for almost one-half of human coding genes, including oncogenes and tumor suppressors. To identify potential prognostic miRNAs, we analyzed expression profiles in tumors of different prognostic groups of RCC patients. Seventy-seven patients with clear cell RCC and detailed clinicopathological data were enrolled in a single-center study. Global miRNA expression profiles were obtained by use of TaqMan Low Density Arrays (754 parallel quantitative reverse-transcriptase polymerase chain reactions (qRT-PCR) reactions). For validation of identified miRNAs individual miRNA TaqMan assays were performed in an independent group of patients. We identified tumor relapse-signature based on the expression of 64 miRNAs differentially expressed between relapse-free RCC patients and RCC patients who developed relapse (20 miRNAs were increased, 44 miRNAs were decreased). In the validation phase of the study, we successfully confirmed that expression levels of miR-143, miR-26a, miR-145, miR-10b, miR-195, and miR-126 are lower in the tumors of RCC patients who developed tumor relapse, moreover, the lowest levels of these miRNAs we observed in primary metastatic tumors. By using Kaplan-Meier analysis, we identified that miR-127-3p, miR-145, and miR-126 are significantly correlated with relapse-free survival of nonmetastatic RCC patients. If further validated, we suggest that identified miRNAs might be used for identification of RCC patients at high risk of early relapse after nephrectomy in clinical practice.
肾细胞癌(RCC)是成人肾脏最常见的肿瘤。RCC 中一个重要的未满足的医学需求是预后生物标志物,能够识别肾切除术后复发风险高的患者。microRNAs(miRNAs)构成了一个强大的调控网络,具有转录后调控效率,几乎可以调控人类编码基因的一半,包括癌基因和肿瘤抑制基因。为了鉴定潜在的预后 miRNAs,我们分析了不同预后组 RCC 患者肿瘤中的表达谱。在一项单中心研究中,共纳入了 77 例透明细胞 RCC 患者和详细的临床病理数据。通过使用 TaqMan 低密度阵列(754 个平行定量逆转录聚合酶链反应(qRT-PCR)反应)获得肿瘤的全局 miRNA 表达谱。为了验证鉴定的 miRNAs,在另一组独立的患者中进行了个体 miRNA TaqMan 检测。我们基于 64 个 miRNA 的表达,鉴定了肿瘤复发的特征,这些 miRNA 在无复发生存的 RCC 患者和发生复发的 RCC 患者之间存在差异表达(20 个 miRNA 上调,44 个 miRNA 下调)。在研究的验证阶段,我们成功地证实了 miR-143、miR-26a、miR-145、miR-10b、miR-195 和 miR-126 在发生肿瘤复发的 RCC 患者肿瘤中的表达水平较低,而且我们在原发性转移肿瘤中观察到这些 miRNA 的最低水平。通过 Kaplan-Meier 分析,我们发现 miR-127-3p、miR-145 和 miR-126 与非转移性 RCC 患者的无复发生存显著相关。如果进一步验证,我们建议鉴定的 miRNAs 可能用于在临床实践中识别肾切除术后早期复发风险高的 RCC 患者。