Identification of a microRNA signature associated with risk of distant metastasis in nasopharyngeal carcinoma.

Identification of a microRNA signature associated with risk of distant metastasis in nasopharyngeal carcinoma.
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DOI:
10.18632/oncotarget.3005
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发表时间:
2015-02-28
期刊:
影响因子:
--
通讯作者:
Liu FF
Liu FF
中科院分区:
其他
文献类型:
--
作者:
Bruce JP;Hui AB;Shi W;Perez-Ordonez B;Weinreb I;Xu W;Haibe-Kains B;Waggott DM;Boutros PC;O'Sullivan B;Waldron J;Huang SH;Chen EX;Gilbert R;Liu FF

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尽管现代鼻咽癌(NPC)治疗在局部控制方面有了显着改善,但患者仍有发生远处转移(DM)的显著风险。识别那些有糖尿病风险的患者将有助于未来的个性化治疗。microRNAs(miRNAs)在人类癌症中起着许多重要作用;因此,我们着手解决存在能够预测NPC患者DM的miRNA表达特征的主要假设。在125个(训练)和121个(验证)临床注释的NPC诊断活检样品中测量734个miRNA的表达。通过将惩罚的考克斯比例风险回归模型拟合到训练数据集(HR 8.25; p < 0.001)来鉴定与发生DM的风险相关的4-miRNA表达特征,并且随后在独立的验证集(HR 3.2; p = 0.01)中进行验证。途径富集分析表明,与DM相关的miRNA的靶点似乎集中在细胞周期途径上。这种4-miRNA标记增加了目前TNM分期的“金标准”的预后价值。对这些4-miRNAs的深入研究将提供重要的生物学见解,有助于发现和开发新的分子靶向疗法,以改善未来NPC患者的预后。
Despite significant improvement in locoregional control in the contemporary era of nasopharyngeal carcinoma (NPC) treatment, patients still suffer from a significant risk of distant metastasis (DM). Identifying those patients at risk of DM would aid in personalized treatment in the future. MicroRNAs (miRNAs) play many important roles in human cancers; hence, we proceeded to address the primary hypothesis that there is a miRNA expression signature capable of predicting DM for NPC patients. The expression of 734 miRNAs was measured in 125 (Training) and 121 (Validation) clinically annotated NPC diagnostic biopsy samples. A 4-miRNA expression signature associated with risk of developing DM was identified by fitting a penalized Cox Proportion Hazard regression model to the Training data set (HR 8.25; p < 0.001), and subsequently validated in an independent Validation set (HR 3.2; p = 0.01). Pathway enrichment analysis indicated that the targets of miRNAs associated with DM appear to be converging on cell-cycle pathways. This 4-miRNA signature adds to the prognostic value of the current “gold standard” of TNM staging. In-depth interrogation of these 4-miRNAs will provide important biological insights that could facilitate the discovery and development of novel molecularly targeted therapies to improve outcome for future NPC patients.
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