Department of Oncology, Beijing Tuberculosis and Thoracic Tumor Research Institute/Beijing Chest Hospital, Capital Medical University, Beijing 101149, China.
Chin Med J (Engl). 2013 Dec;126(23):4435-9.
Aberrantly expressed microRNAs are a hallmark of cancer, and microRNA expression profiling is associated with tumor progression and response to chemotherapy, suggesting their potential application as prognostic and predictive biomarkers. The role of microRNAs in lung cancer remains elusive. It has been recently reported that epidermal growth factor receptor (EGFR) and hepatocyte growth factor receptor (MET) tyrosine kinase can regulate expression of specific microRNAs including miR-30b, miR-30c, miR-221, miR-222, miR-103 and miR-203, and induce tumorigenesis and gefitinib resistance in lung cancers. We intend to study the role of miR-30b and miR-30c expression in predicting response to tyrosine kinase inhibitors (TKIs) in non-small cell lung cancer (NSCLC).
We have therefore retrospectively examined expression of miR-30b miR-30c in 41 formalin fixed paraffin embedded tissue samples from NSCLC patients when TKIs were used as first line therapy.
We found a significant correlation between expression of miR-30b and miR-30c. Furthermore, miR-30b and miR-30c expression correlated with short-term response. Kaplan-Meier analysis further revealed that the expression of miR-30b and miR-30c predicted progression free survival and the overall survival rate in the examined cohort.
Our study identified miR-30b and miR-30c as useful prognostic predictors in NSCLC patients who underwent first line treatment with TKIs.
异常表达的 microRNAs 是癌症的一个标志,microRNA 表达谱与肿瘤进展和化疗反应相关,提示它们有可能作为预后和预测生物标志物应用。microRNAs 在肺癌中的作用仍不清楚。最近有报道称,表皮生长因子受体 (EGFR) 和肝细胞生长因子受体 (MET) 酪氨酸激酶可以调节特定 microRNAs 的表达,包括 miR-30b、miR-30c、miR-221、miR-222、miR-103 和 miR-203,并诱导肺癌的肿瘤发生和吉非替尼耐药。我们旨在研究 miR-30b 和 miR-30c 表达在预测非小细胞肺癌 (NSCLC) 对酪氨酸激酶抑制剂 (TKI) 反应中的作用。
因此,我们回顾性地检查了 41 例 NSCLC 患者在使用 TKI 作为一线治疗时福尔马林固定石蜡包埋组织样本中 miR-30b 和 miR-30c 的表达。
我们发现 miR-30b 和 miR-30c 的表达之间存在显著相关性。此外,miR-30b 和 miR-30c 的表达与短期反应相关。Kaplan-Meier 分析进一步表明,miR-30b 和 miR-30c 的表达预测了检查队列中的无进展生存期和总生存率。
我们的研究确定 miR-30b 和 miR-30c 是 NSCLC 患者一线接受 TKI 治疗的有用预后预测因子。