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Dicer, Drosha, and Outcomes in Patients with Ovarian Cancer

Open access
Merritt, William M., Lin, Yvonne G., Han, Liz Y., Kamat, Aparna A., Spannuth, Whitney A., Schmandt, Rosemarie, Urbauer, Diana, Pennacchio, Len A., Cheng, Jan-Fang, Nick, Alpa M., Deavers, Michael T., Mourad-Zeidan, Alexandra, Wang, Hua, Mueller, Peter, Lenburg, Marc E., Gray, Joe W., Mok, Samuel, Birrer, Michael J., Lopez-Berestein, Gabriel, Coleman, Robert L., Bar-Eli, Menashe, Sood, Anil K.·2008·New England Journal of Medicine

Abstract

BACKGROUND: We studied Dicer and Drosha, components of the RNA-interference machinery, in ovarian cancer. METHODS: We measured messenger RNA (mRNA) levels of Dicer and Drosha in specimens of invasive epithelial ovarian cancer from 111 patients, using a quantitative reverse-transcriptase-polymerase-chain-reaction assay, and compared the results with clinical outcomes. Validation was performed with the use of published microarray data from cohorts of patients with ovarian, breast, and lung cancer. Mutational analyses of genomic DNA from the Dicer and Drosha genes were performed in a subgroup of ovarian-cancer specimens. Dicer-dependent functional assays were performed by means of in vitro transfection with small interfering RNA (siRNA) and short hairpin RNA (shRNA). RESULTS: Levels of Dicer and Drosha mRNA correlated with the levels of expression of the corresponding protein and were decreased in 60% and 51% of ovarian-cancer specimens, respectively. Low Dicer expression was significantly associated with advanced tumor stage (P=0.007), and low Drosha expression with suboptimal surgical cytoreduction (P=0.02). Cancer specimens with both high Dicer expression and high Drosha expression were associated with increased median survival (>11 years, vs. 2.66 years for other subgroups; P<0.001). We found three independent predictors of reduced disease-specific survival in multivariate analyses: low Dicer expression (hazard ratio, 2.10; P=0.02), high-grade histologic features (hazard ratio, 2.46; P=0.03), and poor response to chemotherapy (hazard ratio, 3.95; P<0.001). Poor clinical outcomes among patients with low Dicer expression were validated in additional cohorts of patients. Rare missense mutations were found in the Dicer and Drosha genes, but their presence or absence did not correlate with the level of expression. Functional assays indicated that gene silencing with shRNA, but not siRNA, may be impaired in cells with low Dicer expression. CONCLUSIONS: Our findings indicate that levels of Dicer and Drosha mRNA in ovarian-cancer cells have associations with outcomes in patients with ovarian cancer.

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Metadata

Authors
Merritt, W. M., Lin, Y. G., Han, L. Y., Kamat, A. A., Spannuth, W. A., Schmandt, R., Urbauer, D., Pennacchio, L. A., Cheng, J.-F., Nick, A. M., Deavers, M. T., Mourad-Zeidan, A., Wang, H., Mueller, P., Lenburg, M. E., Gray, J. W., Mok, S., Birrer, M. J., Lopez-Berestein, G., Coleman, R. L., Bar-Eli, M., & Sood, A. K.
Venue
New England Journal of Medicine
Published
2008-12-18
Volume
359
Issue
25
Pages
2641-2650
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2077330022
Cited by
712
References
5
FWCI
60.09
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Dicer, Drosha, and Outcomes in Patients with Ovarian Cancer. https://app.cochat.ai/papers/10.1056/nejmoa0803785
The paper
Merritt, W. M., Lin, Y. G., Han, L. Y., Kamat, A. A., Spannuth, W. A., Schmandt, R., Urbauer, D., Pennacchio, L. A., Cheng, J.-F., Nick, A. M., Deavers, M. T., Mourad-Zeidan, A., Wang, H., Mueller, P., Lenburg, M. E., Gray, J. W., Mok, S., Birrer, M. J., Lopez-Berestein, G., . . . Sood, A. K. (2008). Dicer, Drosha, and Outcomes in Patients with Ovarian Cancer. New England Journal of Medicine. https://doi.org/10.1056/nejmoa0803785

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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