Boldrini Laura, Giordano Mirella, Melfi Franca, Lucchi Marco, Fontanini Gabriella
Department of Surgical, Medical, Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
J Res Med Sci. 2021 Dec 22;26:132. doi: 10.4103/jrms.JRMS_830_19. eCollection 2021.
An appropriate personalized molecular testing ensures the most efficacious treatment in lung cancer. It is still controversial whether younger lung adenocarcinoma (LUAD) patients have different molecular features compared with their older counterparts. MicroRNAs have been involved in lung cancer and their altered expression has been suggested as a potential biomarker in the pathogenesis, diagnosis, prognosis, and therapy of LUAD.
To analyze putative differences in miR-25 expression between young (with age ≤50 years) and old adenocarcinoma patients, we quantified miR-25 levels with NanoString technology in 88 LUAD specimens. We further investigated a cohort of 309 LUAD patients from the cancer genome atlas (TCGA) database to test our hypothesis.
miR-25 expression was upregulated in young LUAD patients in comparison to the older ones ( = 0.03) in our series. The analysis of public database TCGA confirmed our results, which miR-25 differentially expressed in the two aged groups ( = 0.0009). Moreover, a consequential pairing of miR-25 with a target region in phosphatase and tensin homolog () 3' untranslated region (UTR) and actually low expression seemed to be associated with high miR-25 ( = 0.001) in young patients.
The interaction of miR-25 and PTEN in young LUAD may define a subgroup of patients, highlighting the concept of molecular testing in different age subtypes.
合适的个性化分子检测可确保肺癌治疗的疗效最大化。相较于老年肺癌腺癌(LUAD)患者,年轻患者是否具有不同的分子特征仍存在争议。微小RNA参与了肺癌的发生发展,其表达改变被认为是LUAD发病机制、诊断、预后及治疗中的潜在生物标志物。
为分析年轻(年龄≤50岁)与老年腺癌患者中miR-25表达的假定差异,我们采用NanoString技术对88例LUAD标本中的miR-25水平进行了定量分析。我们进一步研究了来自癌症基因组图谱(TCGA)数据库的309例LUAD患者队列,以验证我们的假设。
在我们的研究系列中,年轻LUAD患者的miR-25表达相较于老年患者上调(=0.03)。对公共数据库TCGA的分析证实了我们的结果,即miR-25在两个年龄组中差异表达(=0.0009)。此外,miR-25与磷酸酶和张力蛋白同源物(PTEN)3'非翻译区(UTR)的靶区域存在相应配对,且年轻患者中实际较低的PTEN表达似乎与高miR-25相关(=0.001)。
年轻LUAD患者中miR-25与PTEN的相互作用可能定义了一个患者亚组,突出了在不同年龄亚型中进行分子检测的概念。