Recurrence of early stage colon cancer predicted by expression pattern of circulating microRNAs.

Systemic treatment of patients with early-stage cancers attempts to eradicate occult metastatic disease to prevent recurrence and increased morbidity. However, prediction of recurrence from an analysis of the primary tumor is limited because disseminated cancer cells only represent a small subset of...

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Main Authors: Narayan Shivapurkar, Louis M Weiner, John L Marshall, Subha Madhavan, Anne Deslattes Mays, Hartmut Juhl, Anton Wellstein
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0084686
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author Narayan Shivapurkar
Louis M Weiner
John L Marshall
Subha Madhavan
Anne Deslattes Mays
Hartmut Juhl
Anton Wellstein
author_facet Narayan Shivapurkar
Louis M Weiner
John L Marshall
Subha Madhavan
Anne Deslattes Mays
Hartmut Juhl
Anton Wellstein
author_sort Narayan Shivapurkar
collection DOAJ
description Systemic treatment of patients with early-stage cancers attempts to eradicate occult metastatic disease to prevent recurrence and increased morbidity. However, prediction of recurrence from an analysis of the primary tumor is limited because disseminated cancer cells only represent a small subset of the primary lesion. Here we analyze the expression of circulating microRNAs (miRs) in serum obtained pre-surgically from patients with early stage colorectal cancers. Groups of five patients with and without disease recurrence were used to identify an informative panel of circulating miRs using quantitative PCR of genome-wide miR expression as well as a set of published candidate miRs. A panel of six informative miRs (miR-15a, mir-103, miR-148a, miR-320a, miR-451, miR-596) was derived from this analysis and evaluated in a separate validation set of thirty patients. Hierarchical clustering of the expression levels of these six circulating miRs and Kaplan-Meier analysis showed that the risk of disease recurrence of early stage colon cancer can be predicted by this panel of miRs that are measurable in the circulation at the time of diagnosis (P = 0.0026; Hazard Ratio 5.4; 95% CI of 1.9 to 15).
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spelling doaj-art-5f1773bceda8472fbd337fdf6a1a1f682025-08-20T02:22:49ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0191e8468610.1371/journal.pone.0084686Recurrence of early stage colon cancer predicted by expression pattern of circulating microRNAs.Narayan ShivapurkarLouis M WeinerJohn L MarshallSubha MadhavanAnne Deslattes MaysHartmut JuhlAnton WellsteinSystemic treatment of patients with early-stage cancers attempts to eradicate occult metastatic disease to prevent recurrence and increased morbidity. However, prediction of recurrence from an analysis of the primary tumor is limited because disseminated cancer cells only represent a small subset of the primary lesion. Here we analyze the expression of circulating microRNAs (miRs) in serum obtained pre-surgically from patients with early stage colorectal cancers. Groups of five patients with and without disease recurrence were used to identify an informative panel of circulating miRs using quantitative PCR of genome-wide miR expression as well as a set of published candidate miRs. A panel of six informative miRs (miR-15a, mir-103, miR-148a, miR-320a, miR-451, miR-596) was derived from this analysis and evaluated in a separate validation set of thirty patients. Hierarchical clustering of the expression levels of these six circulating miRs and Kaplan-Meier analysis showed that the risk of disease recurrence of early stage colon cancer can be predicted by this panel of miRs that are measurable in the circulation at the time of diagnosis (P = 0.0026; Hazard Ratio 5.4; 95% CI of 1.9 to 15).https://doi.org/10.1371/journal.pone.0084686
spellingShingle Narayan Shivapurkar
Louis M Weiner
John L Marshall
Subha Madhavan
Anne Deslattes Mays
Hartmut Juhl
Anton Wellstein
Recurrence of early stage colon cancer predicted by expression pattern of circulating microRNAs.
PLoS ONE
title Recurrence of early stage colon cancer predicted by expression pattern of circulating microRNAs.
title_full Recurrence of early stage colon cancer predicted by expression pattern of circulating microRNAs.
title_fullStr Recurrence of early stage colon cancer predicted by expression pattern of circulating microRNAs.
title_full_unstemmed Recurrence of early stage colon cancer predicted by expression pattern of circulating microRNAs.
title_short Recurrence of early stage colon cancer predicted by expression pattern of circulating microRNAs.
title_sort recurrence of early stage colon cancer predicted by expression pattern of circulating micrornas
url https://doi.org/10.1371/journal.pone.0084686
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