The oncogenetic role of microRNA-31 as a potential biomarker in oesophageal squamous cell carcinoma

Adult Male Esophageal Neoplasms Reverse Transcriptase Polymerase Chain Reaction Middle Aged Prognosis Up-Regulation 3. Good health Gene Expression Regulation, Neoplastic MicroRNAs 03 medical and health sciences 0302 clinical medicine Biomarkers, Tumor Carcinoma, Squamous Cell Tumor Cells, Cultured Humans Female Neoplasm Invasiveness RNA, Neoplasm Epidemiologic Methods Tumor Stem Cell Assay Aged Neoplasm Staging
DOI: 10.1042/cs20110207 Publication Date: 2011-07-04T15:58:18Z
ABSTRACT
miR-31 (microRNA-31) is frequently altered in numerous cancers. The aim of the present study was to investigate the role of miR-31 in ESCC (oesophageal squamous cell carcinoma). We measured miR-31 in 45 paired ESCC tissues and 523 serum samples using real-time RT (reverse transcription)–PCR. The serum samples were divided into a discovery group (120 ESCCs and 121 normal controls), a validation group (81 ESCCs and 81 controls), and a final group comprising six other common tumours (colorectal, liver, cervical, breast, gastric and lung cancers; total n=120). A Mann–Whitney U test and Wilcoxon matched-pairs test were used for the statistics. miR-31 was up-regulated in 77.8% of the ESCC tissues. Serum miR-31 levels in ESCC patients were significantly higher than in normal controls (P<0.001). It yielded an ROC (receiver operating characteristic) AUC (area under the curve) of 0.902 [95% CI (confidence interval), 0.857–0.936] in the discovery group and a similar result in the validation group [ROC AUC, 0.888 (95% CI, 0.819–0.939)]. Patients with high-levels of serum miR-31 also had a poorer prognosis in relapse-free survival (P=0.001) and tumour-specific survival (P=0.005). In vitro studies showed that miR-31 promoted ESCC colony formation, migration and invasion. Luciferase reporter and Western blot assays confirmed that three tumour suppressor genes, namely EMP1 (epithelial membrane protein 1), KSR2 (kinase suppressor of ras 2) and RGS4 (regulator of G-protein signalling 4), were targeted by miR-31. We conclude that miR-31 plays oncogenetic functions and can serve as a potential diagnostic and prognostic biomarker for ESCC.
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