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High expression of miR-181c as a predictive marker of recurrence in stage II colorectal cancer.


ABSTRACT:

Introduction

A standard treatment for stage II colorectal cancer (CRC) is surgical resection without adjuvant chemotherapy. However, the recurrence rate of these patients is approximately 20%. To date, there are no robust biomarkers suitable for predicting recurrence in stage II CRC patients. In this study, microRNAs (miRNAs) extracted from CRC tissues were examined for a possible biomarker to predict recurrence in stage II CRC patients.

Results

From the comprehensive analysis, 15 miRNAs were selected as candidates for further study. Regarding let-7a, -7d, -7e, miR-23c, -26b, -128a, -151-5p, and -181c, recurrence rates in training cohort patients with higher expression of these miRNAs isolated from their frozen tissues samples were significantly higher than those with lower expression (P < 0.05). According to multivariate analysis, the higher expression of miR-181c was detected as an independent predictive factor of recurrence (P = 0.001, OR: 9.43, 95% CI: 2.57-34.48). Results were similar in miR-181c extracted from FFPE tissues obtained from the training cohort (P = 0.003, OR: 7.46, 95% CI: 1.97-28.57). In the validation cohort using FFPE tissues, the recurrence rate in patients with higher miR-181c expression was significantly higher than those with lower miR-181c expression (P < 0.001).

Materials and methods

Comprehensive analysis using a highly sensitive miRNA chip was initially performed to select candidate miRNAs associated with recurrence. Candidate miRNAs were analyzed by real-time RT-PCR using RNA from frozen and formalin-fixed, paraffin-embedded (FFPE) tissues.

Conclusions

Higher expression of miR-181c may be a useful recurrence predictor of stage II CRC patients.

SUBMITTER: Yamazaki N 

PROVIDER: S-EPMC5351683 | biostudies-literature | 2017 Jan

REPOSITORIES: biostudies-literature

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High expression of miR-181c as a predictive marker of recurrence in stage II colorectal cancer.

Yamazaki Nobuyoshi N   Koga Yoshikatsu Y   Taniguchi Hirokazu H   Kojima Motohiro M   Kanemitsu Yukihide Y   Saito Norio N   Matsumura Yasuhiro Y  

Oncotarget 20170101 4


<h4>Introduction</h4>A standard treatment for stage II colorectal cancer (CRC) is surgical resection without adjuvant chemotherapy. However, the recurrence rate of these patients is approximately 20%. To date, there are no robust biomarkers suitable for predicting recurrence in stage II CRC patients. In this study, microRNAs (miRNAs) extracted from CRC tissues were examined for a possible biomarker to predict recurrence in stage II CRC patients.<h4>Results</h4>From the comprehensive analysis, 15  ...[more]

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