Gu Xinliang, Zhu Danping, Li Youyue, Liu Xinwei, Yang Xincheng, Nie Junjie, Xu Tao, Sun Huiling, Zhu Bin, Pan Yuqin, Wang Shukui
General Clinical Research Center, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.
School of Pharmacy, China Pharmaceutical University, Nanjing, Jiangsu, China.
Mol Carcinog. 2025 Jul 13. doi: 10.1002/mc.70012.
Colorectal cancer (CRC) ranks among the most aggressive malignancies globally, with advanced-stage patients exhibiting notably low survival rates. Consequently, there is an urgent imperative to identify novel biomarkers characterized by high sensitivity and specificity. Ribosomal RNA-derived small RNAs (rsRNAs), which originate from ribosomal RNAs, represent the most prevalent small noncoding RNAs (sncRNAs) in CRC tissues and plasma. Thus, the development of a diagnostic panel comprising multiple rsRNAs holds considerable significance for CRC diagnosis. Utilizing PANDORA-seq, we have, for the first time, delineated a novel sncRNA expression profile in CRC tissues and plasma, identifying rsRNAs as the predominant sncRNAs within these contexts. We identified six rsRNAs that were significantly upregulated in CRC plasma and subsequently constructed a co-diagnostic panel. This panel demonstrated an area under the curve (AUC) value of 0.898, which increased to 0.942 when combined with clinically utilized tumor markers, indicating robust diagnostic efficacy. Our study is the first to establish that rsRNAs are the most abundantly expressed sncRNAs in CRC tissues and plasma. We have developed an rsRNA panel with substantial diagnostic efficacy in CRC plasma, presenting promising potential as diagnostic biomarkers.
结直肠癌(CRC)是全球最具侵袭性的恶性肿瘤之一,晚期患者的生存率极低。因此,迫切需要鉴定具有高敏感性和特异性的新型生物标志物。核糖体RNA衍生的小RNA(rsRNAs)来源于核糖体RNA,是结直肠癌组织和血浆中最普遍的小非编码RNA(sncRNAs)。因此,开发一种包含多种rsRNAs的诊断 panel 对结直肠癌的诊断具有重要意义。利用PANDORA-seq,我们首次描绘了结直肠癌组织和血浆中一种新的sncRNA表达谱,确定rsRNAs是这些背景下的主要sncRNAs。我们鉴定出六种在结直肠癌血浆中显著上调的rsRNAs,并随后构建了一个联合诊断 panel。该panel的曲线下面积(AUC)值为0.898,与临床使用的肿瘤标志物联合时增加到0.942,表明具有强大的诊断效能。我们的研究首次证实rsRNAs是结直肠癌组织和血浆中表达最丰富的sncRNAs。我们开发了一种在结直肠癌血浆中具有显著诊断效能的rsRNA panel,作为诊断生物标志物具有广阔的潜力。