Ramprasad Kowsalya, Siddappa Madhura Navule, Siddaiah Manohar Chikkamoga, Moorthy Manju, Ramaswamy Gopalakrishna
Department of Biochemistry, Institute of Nephrourology, Bengaluru, Karnataka, India.
Department of Urology, Institute of Nephrourology, Bengaluru, Karnataka, India.
Urol Ann. 2025 Jul-Sep;17(3):192-200. doi: 10.4103/ua.ua_11_25. Epub 2025 Jul 18.
BACKGROUND: Prostate cancer is among the most commonly diagnosed cancers in males worldwide. While Prostate-specific antigen (PSA) remains the front-line screening marker, it lacks sufficient diagnostic accuracy. AIMS AND OBJECTIVES: So, in the quest for improved biomarkers, the expression profiles of circulating miRNAs have become increasingly significant. Hence, this study was undertaken to identify the miRNA profile unique to prostate cancer. MATERIALS AND METHODS: Using NanoString Human MicroRNA Arrays, we analyzed serum samples from three groups: patients with localized prostate cancer, metastatic prostate cancer, and benign prostatic hyperplasia. RESULTS: Our analysis revealed distinct circulating miRNA expression patterns in prostate cancer patients compared to those with benign conditions. Specifically, miR-1272 and miR-1247-5p were significantly up-regulated (log2FC > 1, p < 0.05), whereas miR-337-3p, miR-191-5p, and let-7a-5p were significantly down-regulated (log2FC < -1, p < 0.05) in prostate cancer versus BPH. Additionally, when comparing localized and metastatic prostate cancer, hsa-miR-302d-3p and hsa-miR-1246 were notably up-regulated (log2FC > 3, < 0.05). These specific miRNAs show potential for facilitating early diagnosis, enhancing risk stratification, and serving as non-invasive biomarkers for monitoring disease progression, thereby helping to reduce the need for unnecessary biopsies. CONCLUSIONS: Our findings suggest that circulating miRNAs could serve as minimally invasive biomarkers in prostatic cancer with a higher specificity and sensitivity, making them more effective at distinguishing between cancerous and benign conditions. However, despite their promise, miRNA testing remains costly, technically complex, and not yet standardized for routine clinical use. Therefore, further validation in larger, independent cohorts is essential to confirm the diagnostic and prognostic utility of the miRNAs identified in this study.
背景:前列腺癌是全球男性中最常被诊断出的癌症之一。虽然前列腺特异性抗原(PSA)仍然是一线筛查标志物,但其诊断准确性不足。 目的:因此,在寻求改进的生物标志物的过程中,循环miRNA的表达谱变得越来越重要。因此,本研究旨在确定前列腺癌特有的miRNA谱。 材料和方法:使用NanoString人类微小RNA阵列,我们分析了三组血清样本:局限性前列腺癌患者、转移性前列腺癌患者和良性前列腺增生患者。 结果:我们的分析显示,与良性疾病患者相比,前列腺癌患者具有独特的循环miRNA表达模式。具体而言,与良性前列腺增生相比,miR-1272和miR-1247-5p在前列腺癌中显著上调(log2倍变化>1,p<0.05),而miR-337-3p、miR-191-5p和let-7a-5p在前列腺癌中显著下调(log2倍变化<-1,p<0.05)。此外,在比较局限性和转移性前列腺癌时,hsa-miR-302d-3p和hsa-miR-1246显著上调(log2倍变化>3,p<0.05)。这些特定的miRNA具有促进早期诊断、加强风险分层以及作为监测疾病进展的非侵入性生物标志物的潜力,从而有助于减少不必要的活检需求。 结论:我们的研究结果表明,循环miRNA可作为前列腺癌的微创生物标志物,具有更高的特异性和敏感性,使其在区分癌性和良性疾病方面更有效。然而,尽管它们前景广阔,但miRNA检测仍然成本高昂、技术复杂,且尚未标准化用于常规临床应用。因此,在更大的独立队列中进行进一步验证对于确认本研究中鉴定的miRNA的诊断和预后效用至关重要。
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