Two panels of plasma microRNAs as non-invasive biomarkers for prediction of recurrence in resectable NSCLC

The diagnosis of non-small cell lung carcinoma (NSCLC) at an early stage, as well as better prediction of outcome remains clinically challenging due to the lack of specific and robust non-invasive markers. The discovery of microRNAs (miRNAs), particularly those found in the bloodstream, has opened u...

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Veröffentlicht in:PloS one 2013-01, Vol.8 (1), p.e54596-e54596
Hauptverfasser: Sanfiorenzo, Céline, Ilie, Marius I, Belaid, Amine, Barlési, Fabrice, Mouroux, Jérôme, Marquette, Charles-Hugo, Brest, Patrick, Hofman, Paul
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container_title PloS one
container_volume 8
creator Sanfiorenzo, Céline
Ilie, Marius I
Belaid, Amine
Barlési, Fabrice
Mouroux, Jérôme
Marquette, Charles-Hugo
Brest, Patrick
Hofman, Paul
description The diagnosis of non-small cell lung carcinoma (NSCLC) at an early stage, as well as better prediction of outcome remains clinically challenging due to the lack of specific and robust non-invasive markers. The discovery of microRNAs (miRNAs), particularly those found in the bloodstream, has opened up new perspectives for tumor diagnosis and prognosis. The aim of our study was to determine whether expression profiles of specific miRNAs in plasma could accurately discriminate between NSCLC patients and controls, and whether they are able to predict the prognosis of resectable NSCLC patients. We therefore evaluated a series of seventeen NSCLC-related miRNAs by quantitative real-time (qRT)-PCR in plasma from 52 patients with I-IIIA stages NSCLC, 10 patients with chronic obstructive pulmonary disease (COPD) and 20-age, sex and smoking status-matched healthy individuals. We identified an eleven-plasma miRNA panel that could distinguish NSCLC patients from healthy subjects (AUC = 0.879). A six-plasma miRNA panel was able to discriminate between NSCLC patients and COPD patients (AUC = 0.944). Furthermore, we identified a three-miRNA plasma signature (high miR-155-5p, high miR-223-3p, and low miR-126-3p) that significantly associated with a higher risk for progression in adenocarcinoma patients. In addition, a three-miRNA plasma panel (high miR-20a-5p, low miR-152-3p, and low miR-199a-5p) significantly predicted survival of squamous cell carcinoma patients. In conclusion, we identified two plasma miRNA expression profiles that may be useful for predicting the outcome of patients with resectable NSCLC.
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The discovery of microRNAs (miRNAs), particularly those found in the bloodstream, has opened up new perspectives for tumor diagnosis and prognosis. The aim of our study was to determine whether expression profiles of specific miRNAs in plasma could accurately discriminate between NSCLC patients and controls, and whether they are able to predict the prognosis of resectable NSCLC patients. We therefore evaluated a series of seventeen NSCLC-related miRNAs by quantitative real-time (qRT)-PCR in plasma from 52 patients with I-IIIA stages NSCLC, 10 patients with chronic obstructive pulmonary disease (COPD) and 20-age, sex and smoking status-matched healthy individuals. We identified an eleven-plasma miRNA panel that could distinguish NSCLC patients from healthy subjects (AUC = 0.879). A six-plasma miRNA panel was able to discriminate between NSCLC patients and COPD patients (AUC = 0.944). Furthermore, we identified a three-miRNA plasma signature (high miR-155-5p, high miR-223-3p, and low miR-126-3p) that significantly associated with a higher risk for progression in adenocarcinoma patients. In addition, a three-miRNA plasma panel (high miR-20a-5p, low miR-152-3p, and low miR-199a-5p) significantly predicted survival of squamous cell carcinoma patients. 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subjects Adenocarcinoma
Aged
Aging
Antigens
Biology
Biomarkers
Carcinoma, Non-Small-Cell Lung - blood
Cell survival
Chronic obstructive lung disease
Chronic obstructive pulmonary disease
Development and progression
Diagnosis
Female
Gene expression
Health care
Humans
Laboratories
Lung cancer
Lung carcinoma
Lung diseases
Lung Neoplasms - blood
Male
Medical diagnosis
Medical prognosis
Medical research
Medicine
MicroRNA
MicroRNAs
MicroRNAs - blood
miRNA
Non-small cell lung cancer
Non-small cell lung carcinoma
Obstructive lung disease
Pathology
Patients
Plasma
Predictions
Prognosis
Small cell lung carcinoma
Smoking
Squamous cell carcinoma
Thoracic surgery
Tumors
title Two panels of plasma microRNAs as non-invasive biomarkers for prediction of recurrence in resectable NSCLC
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