Pancreatic juice-derived microRNA-4516 and microRNA-4674 as novel biomarkers for pancreatic ductal adenocarcinoma
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ABSTRACT: Precise diagnostic biomarkers are urgently required for pancreatic ductal adenocarcinoma (PDAC). Therefore, the aim of this study was to identify PDAC-specific exosomal microRNAs (Ex-miRs) from pancreatic juice (PJ) and evaluate their diagnostic potential. Exosomes in PJ and serum were extracted using ultracentrifugation and confirmed morphologically and biochemically. PDAC-specific Ex-miRs were identified using our original miR arrays, in which Ex-miRs derived from the PJ of patients with chronic pancreatitis (CP) were subtracted from Ex-miRs commonly expressed in both human PDAC cell lines and the PJ of PDAC patients. We verified the expression of these miRs using qRT-PCR. Changes in serum Ex-miR levels were assessed in two PDAC patients who underwent curative resection. In situ hybridization (ISH) was performed to directly visualize PDAC-specific miR expression in cancer cells. We identified novel Ex-miR-4516 and Ex-miR-4674 from the PJ of PDAC patients, and they showed 80.0% and 81.8% sensitivity, 80.8% and 73.3% specificity, and 90.9% and 80.8% accuracy, respectively. The sensitivity, specificity, and accuracy of a triple assay of Ex-miR-4516/4674/PJ cytology increased to 93.3%, 81.8%, and 88.5%, respectively. In serum samples (n = 88), the sensitivity, specificity, and accuracy of Ex-miR-4516 were 97.5%, 34.3%, and 68%, respectively. Presurgical levels of Ex-miR-4516 in two patients with relatively early disease stages clearly declined after curative resection. ISH demonstrated that Ex-miR-4516 expression exclusively occurred in cancer cells. Liquid assays using the in situ-proven Ex-miR-4516 may have a high potential for detecting relatively early stage PDAC and monitor its clinical course.
ORGANISM(S): synthetic construct Homo sapiens
PROVIDER: GSE226519 | GEO | 2024/03/01
REPOSITORIES: GEO
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