MicroRNAs to Understand cause and outcome in breast cancer

描述（由申请人提供）：微小RNA（miRNA）是全球RNA调节因子，也是细胞存活和增殖途径的重要主控制因子，在癌症发展和肿瘤维持中至关重要。最近来自我们小组和其他人的证据表明，mRNA的3'非翻译区（3' UTR）中的miRNA结合位点多态性可以强烈影响癌症风险，并且肿瘤中的miRNA表达模式是结果和治疗反应的重要生物标志物。我们假设miRNA理解的进展可以应用于乳腺癌。基于受体分子ER（雌激素）、PR（孕酮）和HER 2/neu的表达，乳腺癌具有3种主要亚型。所有这些受体阴性的乳腺癌（三阴性乳腺癌[TNBC]）具有最差的结果，并且对该亚型的病因学和风险因素知之甚少。我们假设miRNA生物学新领域的进展可以应用于TNBC，以确定风险和结果的新生物标志物，并了解疾病的基本机制。该提案的总体目标是研究miRNA 3 'UTR多态性作为乳腺癌的起始事件，并确定miRNA表达模式的预测作用，以确定对治疗和结果的反应的生物标志物。我们最终将使用体内异种移植和转基因小鼠模型来验证我们的发现，即3 'UTR多态性和失调的miRNA在乳腺癌发展中是关键的。通过实现这些目标，我们将能够适当地对女性患乳腺癌的风险进行风险分层，并确定预测其对治疗反应和最终结果的生物标志物。我们希望能够深入了解乳腺癌发展背后的基本生物学，并进一步确定作为乳腺癌反应新靶点的miRNAs，从而在女性个性化医疗方面取得重大进展。 公共卫生相关性：乳腺癌是一种常见的疾病，某些亚型非常具有侵袭性，结果很差，例如三阴性乳腺癌。虽然大多数女性的乳腺癌可能是由多因素引起的，但部分乳腺癌病例可能存在遗传风险，但大多数遗传原因仍然未知。通过我们对乳腺癌和微小RNA的了解，我们已经确定了乳腺癌风险的新生物标志物，我们相信这些生物标志物也可能成为治疗反应的生物标志物，并使我们能够更好地预防和治疗女性乳腺癌未来。

DESCRIPTION (provided by applicant): MicroRNAs (miRNAs) are global RNA regulators and important master controllers of the cell survival and proliferation pathways that are critically important in cancer development and tumor maintenance. Recent evidence from our group and others show that miRNA binding site polymorphisms in the 3' untranslated regions (3'UTRs) of mRNAs can strongly impact cancer risk, and that miRNA expression patterns in tumors are important biomarkers of outcome and treatment response. We hypothesize that advances in miRNA understanding can be applied to breast cancer. Breast cancer has 3 main sub-types based on expression of the receptor molecules ER (estrogen), PR (progesterone) and HER2/neu. Breast cancers negative for all of these receptors (triple negative breast cancer [TNBC]) have the worst outcome, and little is known about the etiology and risk factors for this sub-type. We hypothesize that advances in the novel area of miRNA biology can be applied to TNBC to identify novel biomarkers of risk and outcome as well as understand fundamental mechanisms of disease. The overall goal of this proposal is to study miRNA 3'UTR polymorphisms as initiating events in breast cancer, and to define the predictive role of miRNA expression patterns to identify biomarkers of response to therapy and outcome. We will ultimately test our findings that 3'UTR polymorphisms and misregulated miRNAs are key in breast cancer development using in vivo xenograft and transgenic mouse models. By accomplishing these aims we will be able to appropriately risk stratify women for the risk of developing breast cancer, as well as identify biomarkers predicting their response to therapy and ultimate outcome. We expect to gain insight into the fundamental biology behind breast cancer development, and to further identify miRNAs that are new targets in breast cancer response, to make significant strides towards personalized medicine for women. PUBLIC HEALTH RELEVANCE: Breast cancer is a common disease, with certain subtypes being very aggressive with poor outcome, such as triple negative breast cancer. While breast cancer for most women is likely due to multifactorial causes, there is a suspected inherited risk for some proportion of breast cancer cases, yet most of the genetic causes remain unknown. Through our understanding of breast cancer as well as microRNAs we have identified new biomarkers of breast cancer risk, which we believe will likely also be biomarkers of response to therapy, and will allow us to better prevent and treat breast cancer for women in the future.