Low serum mi R‐19a expression as a novel poor prognostic indicator in multiple myeloma
Open accessAbstract
Multiple myeloma (MM) is the second most common hematologic malignancy characterized by the clonal expansion of plasma cells. Despite continuing advances, novel biomarkers are needed for diagnosis and prognosis of MM. In our study, we characterized the diagnostic and prognostic potential of circulating microRNAs (miRNAs) in MM. Serum miRNA levels were analyzed in 108 newly diagnosed symptomatic MM patients and 56 healthy donors (HDs). Our analysis identified 95 dysregulated miRNAs in newly diagnosed MM patients. Of the 95 dysregulated miRNAs, dysregulation of miR‐19a, miR‐92a, miR‐214‐3p, miR‐135b‐5p, miR‐4254, miR‐3658 and miR‐33b was confirmed by quantitative reverse transcription PCR (RT‐qPCR). Receiver operating characteristic analysis revealed that a combination of miR‐19a and miR‐4254 can distinguish MM from HD with a sensitivity of 91.7% and specificity of 90.5%. Decreased expression of miR‐19a was positively correlated with international staging system advancement, del(13q14) and 1q21 amplification. Furthermore, downregulation of miR‐19a resulted in significantly decreased progression‐free survival (PFS) and overall survival (OS). Our analysis indicated that the poor prognostic correlation of miR‐19a expression was independent of genetic abnormalities in MM. Multivariate analysis revealed that miR‐19a was a significant predictor of shortened PFS and OS. Interestingly, although miR‐19a levels portend a poor prognosis, patients with low miR‐19a levels had an improved response to bortezomib compared to those with high miR‐19a profile. Patients with downregulated miR‐19a experienced a significantly extended survival upon bortezomib‐based therapy. These data demonstrate that the expression patterns of serum microRNAs are altered in MM, and miR‐19a levels are a valuable prognostic marker to identify high‐risk MM.
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miR-33b-5p is predominantly upregulated in multiple myeloma after proteasome inhibitor treatment.
“It drew our attention that miR-33b-5p was predominantly upregulated in multiple myeloma post treatment with proteasome inhibitor (15, 16).”
From miR-33b-3p Acts as a Tumor Suppressor by Targeting DOCK4 in Prostate Cancer (2021) · cites this paper as [15]
The Results (Validation of candidate miRNAs using RT-qPCR; page unavailable) report increased serum miR-33b in newly diagnosed multiple myeloma patients compared with healthy donors. They do not identify the measured form as miR-33b-5p or show that it was upregulated after proteasome inhibitor treatment. The paper’s bortezomib-treatment analysis concerns miR-19a, not miR-33b. (LLM, conf=0.86)
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Cited by
Sorted by citations
miR-33b-3p Acts as a Tumor Suppressor by Targeting DOCK4 in Prostate Cancer
Mei, Y., Li, K., Zhang, Z., Li, M., Yang, H., Wang, H., Huang, X., Li, X., Shi, S., & Yang, H. (2021) · Frontiers in Oncology · doi:10.3389/fonc.2021.740452 · Cited by 10 · see citing works
“It drew our attention that miR-33b-5p was predominantly upregulated in multiple myeloma post treatment with proteasome inhibitor (15, 16).”
Background
- Authors
- Hao, M., Zang, M., Wendlandt, E., Xu, Y., An, G., Gong, D., Li, F., Qi, F., Zhang, Y., Yang, Y., Zhan, F., & Qiu, L.
- Affiliations
- Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
- University of Iowa (US)
- Tianjin Medical University General Hospital (CN)
- Corresponding author
- Qiu, Lugui
- Venue
- International Journal of Cancer
- Publisher
- Wiley
- Published
- 2014-09-19
- Volume
- 136
- Issue
- 8
- Pages
- 1835-1844
- ISSN
- 0020-7136 (ISSN-L)
- 1097-0215
- PMC
- PMC4382914
- OpenAlex
- W2127008908
- Cited by
- 72
- References
- 0
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 4 · 2022: 4 · 2021: 8 · 2020: 11 · 2019: 6 · 2018: 6 · 2017: 11 · 2016: 6 · 2015: 6
- FWCI
- 5.44
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Cancer (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Natural Science Foundation of China (81400174, 81172255, 81370632)
- Tianjin Science and Technology Supporting Program (13JCQNJC12800)
- Foundation of MOE of China (20111106120037)
- Topics
- Health Sciences › Medicine › Hematology › Multiple Myeloma Research and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › MicroRNA in disease regulation
- Health Sciences › Medicine › Genetics › Chronic Lymphocytic Leukemia Research
- Keywords
- multiple myeloma, miR-19a, serum microRNA, prognostic factors, diagnostic biomarkers, miR-135b-5p, miR-92a, miR-214-3p, miR-33b, progression-free survival, overall survival, del(13q14), 1q21 amplification, International Staging System
- MeSH terms
- Adult, Aged, Humans, Middle Aged, Multiple Myeloma, Prognosis, Biomarkers, Tumor, Down-Regulation, Gene Expression Regulation, Neoplastic, Disease-Free Survival, MicroRNAs, Serum, Transcriptome
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