Department of General and Visceral Surgery, University Medical Center Göttingen, Germany.
Radiother Oncol. 2013 Sep;108(3):451-7. doi: 10.1016/j.radonc.2013.06.032. Epub 2013 Aug 7.
Preoperative chemoradiotherapy (CRT) represents the standard treatment for locally advanced rectal cancer. Tumor response and progression vary considerably. MicroRNAs represent master regulators of gene expression, and may therefore contribute to this diversity.
Genome-wide microRNA (miRNA) profiling was performed for 12 colorectal cancer (CRC) cell lines and an individual in vitro signature of chemoradiosensitivity was established. Functional relevance of selected miRNAs was established by transfecting miRNA-mimics into SW480 and SW837 cells. The prognostic value of selected miRNAs was assessed in 128 pretherapeutic patient biopsies.
Thirty-six miRNAs were identified to significantly correlate with sensitivity to CRT (Q < 0.05) including miR-320a and other miRNAs involved in the MAPK-, TGF- and Wnt-pathway. Transfection of selected miRNAs (let-7g, miR-132, miR-224, miR-320a) each induced a shift of sensitivity. High expression of let-7 g was associated with a good prognosis in rectal cancer patients (P = 0.03).
This is the first report of a miRNA expression signature for in vitro chemoradiosensitivity of CRC cell lines. Many of the identified miRNAs have not been linked to the response to CRT and may represent potential molecular targets to sensitize resistant cancers. If further validated, let7g expression may serve as predictive biomarker.
术前放化疗(CRT)是局部晚期直肠癌的标准治疗方法。肿瘤的反应和进展差异很大。microRNAs 是基因表达的主要调控因子,因此可能有助于这种多样性。
对 12 种结直肠癌细胞系进行了全基因组 microRNA(miRNA)谱分析,并建立了个体的体外放化疗敏感性特征。通过转染 miRNA 模拟物到 SW480 和 SW837 细胞中,确定了选定 miRNA 的功能相关性。在 128 例患者的预治疗活检中评估了选定 miRNA 的预后价值。
鉴定出 36 个与 CRT 敏感性显著相关的 miRNA(Q < 0.05),包括 miR-320a 和其他涉及 MAPK、TGF 和 Wnt 途径的 miRNA。转染选定的 miRNA(let-7g、miR-132、miR-224、miR-320a)都诱导了敏感性的改变。let-7 g 的高表达与直肠癌患者的良好预后相关(P = 0.03)。
这是第一个报道结直肠癌细胞系体外放化疗敏感性的 miRNA 表达特征的报告。许多鉴定出的 miRNA 与 CRT 反应无关,可能代表潜在的分子靶点,以增敏耐药性癌症。如果进一步验证,let7g 表达可能作为预测生物标志物。