血浆源性细胞外囊泡 miR-335-5p 作为融合阳性横纹肌肉瘤的潜在诊断生物标记物

IF 11.4 1区 医学 Q1 ONCOLOGY
Virginia Di Paolo, Alessandro Paolini, Angela Galardi, Patrizia Gasparini, Loris De Cecco, Marta Colletti, Silvia Lampis, Salvatore Raieli, Cristiano De Stefanis, Evelina Miele, Ida Russo, Valentina Di Ruscio, Michela Casanova, Rita Alaggio, Andrea Masotti, Giuseppe Maria Milano, Franco Locatelli, Angela Di Giannatale
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引用次数: 0

摘要

背景:横纹肌肉瘤(RMS)是最常见的儿科软组织肉瘤,胚胎型(ERMS)和肺泡型(ARMS)是两种最常见的组织学亚型。ARMS预后较差,确诊时往往已发生转移。因此,发现可预测肿瘤侵袭性的新型生物标志物是需要克服的最重要挑战之一,这可能有助于开发有针对性的疗法。过去几年中,细胞外囊泡(EVs)中携带的 miRNA 因其在血浆中的稳定性和组织特异性而成为理想的候选生物标志物:从 21 名 RMS 患者和 13 名健康儿童(HC)的血浆中分离出 EVs miRNA。我们使用血清/血浆Focus microRNA PCR板(Qiagen)进行了miRNA分析,并使用RT-qPCR进行了验证分析。结果表明,这些数据具有统计学意义(p与 HCs 相比,我们在 RMS 患者中发现了 9 种 EVs miRNA(miR-483-5p、miR-132-3p、miR-766-3p、miR-454-3p miR-197-3p、miR-335-3p、miR-17-5p、miR-486-5p 和 miR-484)高度上调。有趣的是,与ERMS相比,4个miRNA(miR-335-5p、miR-17-5p、miR-486-5p和miR-484)在ARMS样本中显著上调。在对更多患者进行的验证分析中,只有三个 miRNA(miR-483-5p、miR-335-5p 和 miR-484)在 RMS 患者中的表达与 HC 患者相比有明显差异。其中,mir-335-5p在ARMS与ERMS患者的比较中也有显著差异。与正常组织相比,MiR-335-5p在RMS肿瘤组织中上调(p = 0.00202),并且在ARMS和ERMS之间明显上调(p = 0.04)。此外,miRNA表达与组间横纹肌肉瘤研究(IRS)分组系统(p = 0.0234)和生存期(OS,p = 0.044;PFS,p = 0.025)相关。通过原位杂交,我们观察到 miR-335-5p 信号只存在于癌细胞的细胞质中:结论:我们发现 miR-335-5p 在 ARMS 患者的血浆衍生 EVs 和肿瘤组织中明显上调。其表达与患者的分期和生存期相关。未来的研究需要验证 miR-335-5p 作为预后生物标志物的有效性,并深入阐明其生物学作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Plasma-derived extracellular vesicles miR-335-5p as potential diagnostic biomarkers for fusion-positive rhabdomyosarcoma.

Background: Rhabdomyosarcoma (RMS) is the most common pediatric soft tissue sarcoma, with embryonal (ERMS) and alveolar (ARMS) representing the two most common histological subtypes. ARMS shows poor prognosis, being often metastatic at diagnosis. Thus, the discovery of novel biomarkers predictive of tumor aggressiveness represents one of the most important challenges to overcome and may help the development of tailored therapies. In the last years, miRNAs carried in extracellular vesicles (EVs), small vesicles of endocytic origin, have emerged as ideal candidate biomarkers due to their stability in plasma and their tissue specificity.

Methods: EVs miRNAs were isolated from plasma of 21 patients affected by RMS and 13 healthy childrens (HC). We performed a miRNA profile using the Serum/Plasma Focus microRNA PCR panels (Qiagen), and RT-qPCR for validation analysis. Statistically significant (p < 0.05) miRNAs were obtained by ANOVA test.

Results: We identified nine EVs miRNAs (miR-483-5p, miR-132-3p, miR-766-3p, miR-454-3p miR-197-3p, miR-335-3p, miR-17-5p, miR-486-5p and miR-484) highly upregulated in RMS patients compared to HCs. Interestingly, 4 miRNAs (miR-335-5p, miR-17-5p, miR-486-5p and miR-484) were significantly upregulated in ARMS samples compared to ERMS. In the validation analysis performed in a larger group of patients only three miRNAs (miR-483-5p, miR-335-5p and miR-484) were differentially significantly expressed in RMS patients compared to HC. Among these, mir-335-5p was significant also when compared ARMS to ERMS patients. MiR-335-5p was upregulated in RMS tumor tissues respect to normal tissues (p = 0.00202) and upregulated significantly between ARMS and ERMS (p = 0.04). Furthermore, the miRNA expression correlated with the Intergroup Rhabdomyosarcoma Study (IRS) grouping system, (p = 0.0234), and survival (OS, p = 0.044; PFS, p = 0.025). By performing in situ hybridization, we observed that miR-335-5p signal was exclusively in the cytoplasm of cancer cells.

Conclusion: We identified miR-335-5p as significantly upregulated in plasma derived EVs and tumor tissue of patients affected by ARMS. Its expression correlates to stage and survival in patients. Future studies are needed to validate miR-335-5p as prognostic biomarker and to deeply elucidate its biological role.

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来源期刊
CiteScore
18.20
自引率
1.80%
发文量
333
审稿时长
1 months
期刊介绍: The Journal of Experimental & Clinical Cancer Research is an esteemed peer-reviewed publication that focuses on cancer research, encompassing everything from fundamental discoveries to practical applications. We welcome submissions that showcase groundbreaking advancements in the field of cancer research, especially those that bridge the gap between laboratory findings and clinical implementation. Our goal is to foster a deeper understanding of cancer, improve prevention and detection strategies, facilitate accurate diagnosis, and enhance treatment options. We are particularly interested in manuscripts that shed light on the mechanisms behind the development and progression of cancer, including metastasis. Additionally, we encourage submissions that explore molecular alterations or biomarkers that can help predict the efficacy of different treatments or identify drug resistance. Translational research related to targeted therapies, personalized medicine, tumor immunotherapy, and innovative approaches applicable to clinical investigations are also of great interest to us. We provide a platform for the dissemination of large-scale molecular characterizations of human tumors and encourage researchers to share their insights, discoveries, and methodologies with the wider scientific community. By publishing high-quality research articles, reviews, and commentaries, the Journal of Experimental & Clinical Cancer Research strives to contribute to the continuous improvement of cancer care and make a meaningful impact on patients' lives.
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