鉴定血清中六miRNA 标志物panel 有益于胰腺癌诊断。

Identification of a six-miRNA panel in serum benefiting pancreatic cancer diagnosis.

机构信息

First Clinical College of Nanjing Medical University, Nanjing, PR China.

Pancreas Center, First Affiliated Hospital of Nanjing Medical University, Nanjing, PR China.

出版信息

Cancer Med. 2019 Jun;8(6):2810-2822. doi: 10.1002/cam4.2145. Epub 2019 Apr 21.

Abstract

Pancreatic cancer (PC) has posed a great health threat to a growing number of people all over the world. Detection of serum miRNAs, being sensitive, noninvasive, and easy to obtain, has a great potential of being a novel screening method for PC patients. In this study, we investigated miRNA expression levels in serum by qRT-PCR. The study was divided into four phases: the screening, training, testing, and external validation stage. We firstly chose candidate miRNAs using Exiqon panels in the screening phase. Then, a total of 129 PC serum samples and 107 normal controls (NCs) were further analyzed in the following training and testing phases to identify differently expressed miRNAs. A cohort of 30 PC serum samples vs 30 NCs was used to confirm the diagnostic value of the identified miRNAs in the external validation phase. Moreover, miRNA expressions in additional 44 PC tumor tissue samples and the matched adjacent normal tissue samples as well as 32 pairs of serum-derived exosomes samples were also further explored. As a result, we identified six significantly upregulated miRNAs in the serum of PC: let-7b-5p, miR-192-5p, miR-19a-3p, miR-19b-3p, miR-223-3p, and miR-25-3p. A six-miRNA panel in serum was then established. The area under the receiver operating characteristic curves (AUC) for the panel was 0.910 for the combined training and testing phases, which showed higher diagnostic value than the individual miRNA. Prognostic value prediction using Cox's proportional hazards model and Kaplan-Meier curves showed that increased serum miR-19a-3p was closely related to worse overall survival (OS). In addition, significant upregulation of miR-192-5p, miR-19a-3p, and miR-19b-3p was observed in both PC tissue and serum-derived exosomes samples. In conclusion, we identified a six-miRNA (let-7b-5p, miR-192-5p, miR-19a-3p, miR-19b-3p, miR-223-3p, and miR-25-3p) panel in the serum for PC early and noninvasive diagnosis.

摘要

胰腺癌(PC)对全球越来越多的人构成了巨大的健康威胁。血清 miRNA 的检测具有敏感、无创、易于获取的特点,具有成为 PC 患者新型筛查方法的巨大潜力。在本研究中,我们通过 qRT-PCR 检测了血清中的 miRNA 表达水平。研究分为四个阶段:筛选、训练、测试和外部验证阶段。在筛选阶段,我们首先使用 Exiqon 面板选择候选 miRNA。然后,在后续的训练和测试阶段,共分析了 129 例 PC 血清样本和 107 例正常对照(NC),以鉴定差异表达的 miRNA。在外部验证阶段,使用 30 例 PC 血清样本和 30 例 NC 进一步验证了鉴定 miRNA 的诊断价值。此外,还进一步探索了另外 44 例 PC 肿瘤组织样本及其配对的相邻正常组织样本以及 32 对血清衍生的外泌体样本中的 miRNA 表达情况。结果显示,我们在 PC 患者的血清中鉴定出六个显著上调的 miRNA:let-7b-5p、miR-192-5p、miR-19a-3p、miR-19b-3p、miR-223-3p 和 miR-25-3p。随后建立了一个六 miRNA 血清标志物panel。该 panel 在联合训练和测试阶段的曲线下面积(AUC)为 0.910,其诊断价值高于单个 miRNA。Cox 比例风险模型和 Kaplan-Meier 曲线的预后价值预测显示,血清 miR-19a-3p 水平升高与总生存期(OS)更差密切相关。此外,在 PC 组织和血清衍生的外泌体样本中均观察到 miR-192-5p、miR-19a-3p 和 miR-19b-3p 的显著上调。总之,我们在血清中鉴定出了一个六 miRNA(let-7b-5p、miR-192-5p、miR-19a-3p、miR-19b-3p、miR-223-3p 和 miR-25-3p)panel,用于 PC 的早期和非侵入性诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e43/6558458/6de939c9eb9a/CAM4-8-2810-g001.jpg

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