Zare Nasrin, Dana Nasim, Mosayebi Azam, Vaseghi Golnaz, Javanmard Shaghayegh Haghjooy
School of Medicine, Najafabad Branch, Islamic Azad University, Najafabad, Iran.
Clinical Research Development Centre, Najafabad branch, Islamic Azad university, Najafabad, Iran.
Indian J Clin Biochem. 2023 Oct;38(4):536-540. doi: 10.1007/s12291-022-01075-3. Epub 2022 Sep 6.
The efficacy of chemotherapeutics in the treatment of breast cancer is limited by cardiotoxicity, which could lead to irreversible heart failure. The evaluation of miRNA levels as a vital biomarker could predict cardiotoxicity induced by chemotherapy. According to our previous meta-analysis study on patients with heart failure, we found that miR-3135b had a significant increase in patients with heart failure. Therefore, the present study aimed to evaluate the expression level of miR-3135b in the blood sample of patients experiencing chemotherapy-induced cardiotoxicity. Blood samples were collected from breast cancer patients or breast cancer patients who had received chemotherapy and had not experienced any chemotherapy-induced cardiotoxicity (N = 37, control group) and breast cancer patients experiencing chemotherapy-induced cardiotoxicity after chemotherapy (N = 33). The expression level of miR-3135b was evaluated using real-time polymerase chain reaction (RT-PCR). The 2 values of miR-3135b were compared between two groups. We observed a significant increase in the expression level of miR-3135b between patients experiencing chemotherapy-induced cardiotoxicity and the control group ( = 0.0001). Besides, the ejection fraction parameter was correlated with the expression level of miR-3135b (r = 0.5 and P = 0.0001). To sum up, miR-3135b might be useful as a promising circulating biomarker in predicting cardiotoxicity induced by chemotherapy. However, more studies are needed to validate miR-3135b as a biomarker for the diagnosis of chemotherapy-induced cardiotoxicity.
The online version contains supplementary material available at 10.1007/s12291-022-01075-3.
化疗药物治疗乳腺癌的疗效受到心脏毒性的限制,这可能导致不可逆的心力衰竭。将微小RNA(miRNA)水平作为一种重要生物标志物进行评估,可以预测化疗引起的心脏毒性。根据我们之前对心力衰竭患者的荟萃分析研究,我们发现miR-3135b在心力衰竭患者中显著升高。因此,本研究旨在评估经历化疗诱导心脏毒性的患者血液样本中miR-3135b的表达水平。从乳腺癌患者或接受过化疗且未经历任何化疗诱导心脏毒性的乳腺癌患者(N = 37,对照组)以及化疗后经历化疗诱导心脏毒性的乳腺癌患者(N = 33)中采集血液样本。使用实时聚合酶链反应(RT-PCR)评估miR-3135b的表达水平。比较两组之间miR-3135b的两个值。我们观察到经历化疗诱导心脏毒性的患者与对照组之间miR-3135b的表达水平显著升高(P = 0.0001)。此外,射血分数参数与miR-3135b的表达水平相关(r = 0.5,P = 0.0001)。综上所述,miR-3135b可能作为一种有前景的循环生物标志物用于预测化疗诱导的心脏毒性。然而,需要更多研究来验证miR-3135b作为化疗诱导心脏毒性诊断生物标志物的作用。
在线版本包含可在10.1007/s12291-022-01075-3获取的补充材料。