Department of Signal Transduction, Invasion and Metastasis of Epithelial Cells, Max Delbrück Center of Molecular Medicine in the Helmholtz Association, Robert-Rössle-Strasse 10, 13092 Berlin, Germany.
Department of Urology, University Hospital Charité, Schumannstrasse 20/21, 10117 Berlin, Germany.
Nat Rev Urol. 2016 Dec;13(12):734-752. doi: 10.1038/nrurol.2016.193. Epub 2016 Nov 2.
MicroRNAs (miRNAs) are secreted by cells in vesicles, bound in a ribonucleoprotein complex or as free molecules. These miRNA secretion pathways are dysregulated in cancer, making miRNAs attractive candidate molecules for liquid biopsies. A number of studies have investigated the regulation of miRNA secretion into blood and urine and suggested that miRNAs are noninvasive diagnostic, prognostic and surveillance markers in urological carcinomas, and research in this area has increased over the past 5 years. However, methodological and analytical pitfalls exist and require addressing to enable future translation of the laboratory findings regarding miRNAs as biomarkers into clinical practice in bladder cancer, kidney cancer, prostate cancer and testicular cancer.
微小 RNA(miRNA)由细胞分泌,结合在核糖核蛋白复合物中或作为游离分子存在。这些 miRNA 分泌途径在癌症中失调,使 miRNA 成为液体活检有吸引力的候选分子。许多研究已经探讨了 miRNA 分泌到血液和尿液中的调节,并表明 miRNA 是尿路上皮癌的非侵入性诊断、预后和监测标志物,并且在过去 5 年中,该领域的研究有所增加。然而,存在方法学和分析上的缺陷,需要加以解决,以便将来能够将关于 miRNA 作为生物标志物的实验室发现转化为膀胱癌、肾癌、前列腺癌和睾丸癌的临床实践。