A Diagnostic Assay Based on MicroRNA Expression Accurately Identifies Malignant Pleural Mesothelioma

The definitive identification of malignant pleural mesothelioma (MPM) has significant clinical implications, yet other malignancies often involve the lung pleura, confounding the diagnosis of MPM. In the absence of accurate markers, MPM can be difficult to distinguish from peripheral lung adenocarci...

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Veröffentlicht in:The Journal of molecular diagnostics : JMD 2010-11, Vol.12 (6), p.771-779
Hauptverfasser: Benjamin, Hila, Lebanony, Danit, Rosenwald, Shai, Cohen, Lahav, Gibori, Hadas, Barabash, Naama, Ashkenazi, Karin, Goren, Eran, Meiri, Eti, Morgenstern, Sara, Perelman, Marina, Barshack, Iris, Goren, Yaron, Edmonston, Tina Bocker, Chajut, Ayelet, Aharonov, Ranit, Bentwich, Zvi, Rosenfeld, Nitzan, Cohen, Dalia
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container_issue 6
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container_title The Journal of molecular diagnostics : JMD
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creator Benjamin, Hila
Lebanony, Danit
Rosenwald, Shai
Cohen, Lahav
Gibori, Hadas
Barabash, Naama
Ashkenazi, Karin
Goren, Eran
Meiri, Eti
Morgenstern, Sara
Perelman, Marina
Barshack, Iris
Goren, Yaron
Edmonston, Tina Bocker
Chajut, Ayelet
Aharonov, Ranit
Bentwich, Zvi
Rosenfeld, Nitzan
Cohen, Dalia
description The definitive identification of malignant pleural mesothelioma (MPM) has significant clinical implications, yet other malignancies often involve the lung pleura, confounding the diagnosis of MPM. In the absence of accurate markers, MPM can be difficult to distinguish from peripheral lung adenocarcinoma and metastatic epithelial cancers. MicroRNA expression is tissue-specific and highly informative for identifying tumor origin. We identified microRNA biomarkers for the differential diagnosis of MPM and developed a standardized microRNA-based assay. Formalin-fixed, paraffin-embedded samples of 33 MPM and 210 carcinomas were used for assay development. Using microarrays, we identified microRNAs differentially expressed between MPM and various carcinomas. Hsa-miR-193–3p was overexpressed in MPM, while hsa-miR-200c and hsa-miR-192 were overexpressed in peripheral lung adenocarcinoma and carcinomas that frequently metastasize to lung pleura. We developed a standardized diagnostic assay based on the expression of these microRNAs. The assay reached a sensitivity of 100% and a specificity of 94% in a blinded validation set of 68 samples from the lung and pleura. This diagnostic assay can provide a useful tool in the differential diagnosis of MPM from other malignancies in the pleura.
doi_str_mv 10.2353/jmoldx.2010.090169
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subjects Biomarkers, Tumor - genetics
Gene Expression Regulation, Neoplastic
Humans
Mesothelioma - diagnosis
Mesothelioma - genetics
Mesothelioma - pathology
Microarray Analysis - methods
Microarray Analysis - standards
MicroRNAs - genetics
MicroRNAs - metabolism
Pathology
Pleural Neoplasms - diagnosis
Pleural Neoplasms - genetics
Pleural Neoplasms - pathology
Regular
Sensitivity and Specificity
title A Diagnostic Assay Based on MicroRNA Expression Accurately Identifies Malignant Pleural Mesothelioma
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