Department of Urology, All India Institute of Medical Sciences, New Delhi, India.
Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.
Int Braz J Urol. 2020 Jul-Aug;46(4):614-623. doi: 10.1590/S1677-5538.IBJU.2019.0409.
The microRNAs expression has emerged as a potential biomarker for the diagnosis and prognosis of prostate cancer. This study investigated the expression of miRNA-182 and miRNA-187 in prostate cancer patients and established a correlation between miRNA expression and staging of prostate cancer.
This prospective observational study involved patients undergoing transrectal ultrasound-guided biopsy for suspicion of prostate cancer. Pre-biopsy urine samples and prostatic core tissue samples of the patients were preserved and the miRNA-182 and miRNA-187 were studied.
Sixty-three patients were included in this study, thirty-three patients were diagnosed with prostate cancer and thirty patients having benign histopathology were considered as controls. The expression of miRNA-182 was significantly increased (p=0.002) and miRNA-187 significantly decreased (p<0.001) in prostate cancer tissue specimens. However, the expression of these miRNAs did not significantly differ in the urine of prostate cancer patients as compared to controls. Serum Prostatic Specific Antigen (PSA) inversely correlated with the median expression of miR-187 in prostatic tissue (p=0.002). Further, the expression of miRNA-187 in prostate cancer tissue was significantly decreased in metastatic prostate cancer (p=0.037). Using ROC analysis, miRNA-187 expression was able to distinguish the presence or absence of bone metastasis [area under ROC (AUROC) (±SD) was 0.873±0.061, p<0.001].
The miRNA-182 and miRNA-187 appear to be promising biomarkers in prostate cancer and miRNA-187 can serve as an important diagnostic marker of metastatic prostate cancer.
microRNA 的表达已成为诊断和预测前列腺癌的潜在生物标志物。本研究调查了前列腺癌患者中 miRNA-182 和 miRNA-187 的表达,并建立了 miRNA 表达与前列腺癌分期之间的相关性。
这是一项前瞻性观察研究,涉及因怀疑患有前列腺癌而行经直肠超声引导下活检的患者。保存了患者的术前尿样和前列腺核心组织样本,并对 miRNA-182 和 miRNA-187 进行了研究。
本研究共纳入 63 例患者,其中 33 例被诊断为前列腺癌,30 例具有良性组织病理学的患者作为对照组。前列腺癌组织标本中 miRNA-182 的表达显著增加(p=0.002),miRNA-187 的表达显著降低(p<0.001)。然而,与对照组相比,前列腺癌患者尿液中的这些 miRNA 表达没有显著差异。血清前列腺特异性抗原(PSA)与前列腺组织中 miR-187 的中位数表达呈负相关(p=0.002)。此外,miRNA-187 在转移性前列腺癌组织中的表达显著降低(p=0.037)。通过 ROC 分析,miRNA-187 的表达能够区分是否存在骨转移[ROC 下面积(AUROC)(±SD)为 0.873±0.061,p<0.001]。
miRNA-182 和 miRNA-187 似乎是前列腺癌有前途的生物标志物,miRNA-187 可作为转移性前列腺癌的重要诊断标志物。