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MicroRNA signatures in tissues and plasma predict development and prognosis of computed tomography detected lung cancer

Boeri, Mattia, Verri, Carla, Conte, Davide, Roz, Luca, Modena, Piergiorgio, Facchinetti, Federica, Calabrò, Elisa, Croce, Carlo M. +2 more·2011·Proceedings of the National Academy of Sciences

Abstract

The efficacy of computed tomography (CT) screening for early lung cancer detection in heavy smokers is currently being tested by a number of randomized trials. Critical issues remain the frequency of unnecessary treatments and impact on mortality, indicating the need for biomarkers of aggressive disease. We explored microRNA (miRNA) expression profiles of lung tumors, normal lung tissues and plasma samples from cases with variable prognosis identified in a completed spiral-CT screening trial with extensive follow-up. miRNA expression patterns significantly distinguished: ( i ) tumors from normal lung tissues, ( ii ) tumor histology and growth rate, ( iii ) clinical outcome, and ( iv ) year of lung cancer CT detection. Interestingly, miRNA profiles in normal lung tissues also displayed remarkable associations with clinical features, suggesting the influence of a permissive microenvironment for tumor development. miRNA expression analyses in plasma samples collected 1–2 y before the onset of disease, at the time of CT detection and in disease-free smokers enrolled in the screening trial, resulted in the generation of miRNA signatures with strong predictive, diagnostic, and prognostic potential (area under the ROC curve ≥ 0.85). These signatures were validated in an independent cohort from a second randomized spiral-CT trial. These results indicate a role for miRNAs in lung tissues and plasma as molecular predictors of lung cancer development and aggressiveness and have theoretical and clinical implication for lung cancer management.

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  • Among the miRNA biomarkers examined, variation attributable to blood cell effects was greater in magnitude than many differences reported between cancer patients and controls.

    “we observed variation attributable to blood cell effects that was greater in magnitude than many of the differences reported between cancer patients and controls (13, 15, 20).”
  • A recent study found that increased ratios of neutrophil-expressed plasma miRNAs compared to RBC-expressed miRNAs were associated with poorer outcomes in non-small cell lung cancer patients.

    “A recent study published in PNAS found that increased ratios of neutrophil-expressed plasma miRNAs (miR-197, miR-142-3p, miR-140-5p, miR-17, miR-21) compared to RBC-expressed miRNAs (miR-92a, miR-486-5p, miR-16, and miR-451) were associated with poorer outcomes in non-small cell lung cancer patients (13).”

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Authors
Boeri, M., Verri, C., Conte, D., Roz, L., Modena, P., Facchinetti, F., Calabrò, E., Croce, C. M., Pastorino, U., & Sozzi, G.
Affiliations
  • Tumor Genomics Unit, Department of Experimental Oncology and Molecular Medicine, and
  • Unit of Experimental Oncology 1, Centro di Riferimento Oncologico, 33081 Aviano (PN), Italy; and
  • Unit of Thoracic Surgery, Fondazione IRCCS Istituto Nazionale Tumori, 20133 Milan, Italy;
  • Ohio State University Comprehensive Cancer Center, Ohio State University, Columbus, OH 43210
Venue
Proceedings of the National Academy of Sciences
Published
2011-02-07
Volume
108
Issue
9
Pages
3713-3718
ISSN
  • 0027-8424
  • 1091-6490
Cited by
605
References
2
Language
en

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