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The clinical and biological significance of MIR-224 expression in colorectal cancer metastasis.


ABSTRACT: OBJECTIVE:MicroRNA (miRNA) expression profile can be used as prognostic marker for human cancers. We aim to explore the significance of miRNAs in colorectal cancer (CRC) metastasis. DESIGN:We performed miRNA microarrays using primary CRC tissues from patients with and without metastasis, and validated selected candidates in 85 CRC samples by quantitative real-time PCR (qRT-PCR). We tested metastatic activity of selected miRNAs and identified miRNA targets by prediction algorithms, qRT-PCR, western blot and luciferase assays. Clinical outcomes were analysed in six sets of CRC cases (n=449), including The Cancer Genome Atlas (TCGA) consortium and correlated with miR-224 status. We used the Kaplan-Meier method and log-rank test to assess the difference in survival between patients with low or high levels of miR-224 expression. RESULTS:MiR-224 expression increases consistently with tumour burden and microsatellite stable status, and miR-224 enhances CRC metastasis in vitro and in vivo. We identified SMAD4 as a miR-224 target and observed negative correlation (Spearman Rs=-0.44, p<0.0001) between SMAD4 and miR-224 expression in clinical samples. Patients with high miR-224 levels display shorter overall survival in multiple CRC cohorts (p=0.0259, 0.0137, 0.0207, 0.0181, 0.0331 and 0.0037, respectively), and shorter metastasis-free survival (HR 6.51, 95% CI 1.97 to 21.51, p=0.0008). In the TCGA set, combined analysis of miR-224 with SMAD4 expression enhanced correlation with survival (HR 4.12, 95% CI 1.1 to 15.41, p=0.0175). CONCLUSIONS:MiR-224 promotes CRC metastasis, at least in part, through the regulation of SMAD4. MiR-224 expression in primary CRC, alone or combined with its targets, may have prognostic value for survival of patients with CRC.

SUBMITTER: Ling H 

PROVIDER: S-EPMC4581915 | biostudies-literature | 2016 Jun

REPOSITORIES: biostudies-literature

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The clinical and biological significance of MIR-224 expression in colorectal cancer metastasis.

Ling Hui H   Pickard Karen K   Ivan Cristina C   Isella Claudio C   Ikuo Mariko M   Mitter Richard R   Spizzo Riccardo R   Bullock Marc M   Braicu Cornelia C   Pileczki Valentina V   Vincent Kimberly K   Pichler Martin M   Stiegelbauer Verena V   Hoefler Gerald G   Almeida Maria I MI   Hsiao Annie A   Zhang Xinna X   Primrose John J   Packham Graham G   Liu Kevin K   Bojja Krishna K   Gafà Roberta R   Xiao Lianchun L   Rossi Simona S   Song Jian H JH   Vannini Ivan I   Fanini Francesca F   Kopetz Scott S   Zweidler-McKay Patrick P   Wang Xuemei X   Ionescu Calin C   Irimie Alexandru A   Fabbri Muller M   Lanza Giovanni G   Hamilton Stanley R SR   Berindan-Neagoe Ioana I   Medico Enzo E   Mirnezami Alex A   Calin George A GA   Calin George A GA   Nicoloso Milena S MS  

Gut 20150324 6


<h4>Objective</h4>MicroRNA (miRNA) expression profile can be used as prognostic marker for human cancers. We aim to explore the significance of miRNAs in colorectal cancer (CRC) metastasis.<h4>Design</h4>We performed miRNA microarrays using primary CRC tissues from patients with and without metastasis, and validated selected candidates in 85 CRC samples by quantitative real-time PCR (qRT-PCR). We tested metastatic activity of selected miRNAs and identified miRNA targets by prediction algorithms,  ...[more]

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