Cellular and Molecular Endocrine Research Center, Research Institute for Endocrine Research Center, ShahidBeheshti University of Medical Sciences, Tehran, Iran.
Department of Pathology, Shariati Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Mol Cell Probes. 2020 Jun;51:101536. doi: 10.1016/j.mcp.2020.101536. Epub 2020 Feb 18.
Follicular thyroid carcinoma (FTC) is responsible for approximately 10% of thyroid malignancies. Since this type of malignancy indicates no capsular and vascular invasions, adenoma and follicular carcinoma of thyroid are not distinguishable. It has been proved that microRNAs, which regulate approximately 30% of coding proteins, have an association with follicular thyroid adenoma (FTA) and carcinoma of the thyroid. Therefore, the aim of this study was to assess the expression of some miRNAs for detecting the most appropriate miRNA as potential biomarker in the diagnosis of FTA and FTC patients. Reverse transcription quantitative polymerase chain reaction (RT-qPCR) was applied to determine the expression levels of miR-129-1, miR-146b,-183 and miR-197 in 48 cases (16 FTC, 16 FTA and 16 hyperplasia/multinodular goiter (MNG) cases). The significance of miRNA differential expression levels among groups were assessed using Multivariate test by Statistical Package for Science Software (SPSS v.20) and Graph Pad Prism v.8. Results indicated that all of the miRNAs had significant overexpression in FTC and FTA versus MNG cases, and also increased expression level in FTC in comparison with FTA, however it was not significant. The results of ROC curve analysis determined the significant overexpression and prognostic value of miR-129-1 in FTA cases and miR-146b in both FTA and FTC cases compared to MNG group. Although all of the earlier mentioned microRNAs were overexpressed in FTC and FTA cases, the ROC curve results demonstrated that miR-129-1 had agreeable AUC for FTA cases. Therefore, it seems that it's cut-off point could be helpful in distinguishing between FTA and multinodular goiter cases. On the other hand, although miR-146b has excellent diagnostic value in both FTA and FTC groups, it seems that this microRNA is unable to act as a specific biomarker to discriminate between FTA and FTC cases. This data need to be confirmed in a large cohort study and other biological samples such as plasma.
滤泡状甲状腺癌(FTC)约占甲状腺恶性肿瘤的 10%。由于这种恶性肿瘤没有包膜和血管侵犯,甲状腺腺瘤和滤泡状癌无法区分。已经证明,调节大约 30%编码蛋白的 microRNAs 与甲状腺滤泡状腺瘤(FTA)和甲状腺癌有关。因此,本研究旨在评估一些 microRNAs 的表达情况,以确定最适合作为 FTA 和 FTC 患者潜在生物标志物的 microRNA。逆转录定量聚合酶链反应(RT-qPCR)用于确定 48 例(16 例 FTC、16 例 FTA 和 16 例增生/多结节性甲状腺肿(MNG))中 miR-129-1、miR-146b、-183 和 miR-197 的表达水平。使用 SPSS v.20 版统计软件包和 Graph Pad Prism v.8 中的多变量检验评估 miRNA 组间差异表达水平的显著性。结果表明,所有 microRNAs 在 FTC 和 FTA 与 MNG 病例中的表达均显著上调,且 FTC 中的表达水平高于 FTA,但无显著性差异。ROC 曲线分析结果表明,与 MNG 组相比,miR-129-1 在 FTA 病例中具有显著的过度表达和预后价值,而 miR-146b 在 FTA 和 FTC 病例中均具有过度表达和预后价值。虽然所有上述 microRNAs 在 FTC 和 FTA 病例中均过度表达,但 ROC 曲线结果表明,miR-129-1 对 FTA 病例的 AUC 具有良好的可接受性。因此,它的截断值似乎有助于区分 FTA 和多结节性甲状腺肿病例。另一方面,尽管 miR-146b 在 FTA 和 FTC 组中具有出色的诊断价值,但似乎该 microRNA 无法作为区分 FTA 和 FTC 病例的特异性生物标志物。这些数据需要在大型队列研究和其他生物样本(如血浆)中进一步证实。