1. MicroRNA expression profiling analysis in serum for nasopharyngeal carcinoma diagnosis.
- Author
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Zou, Xuan, Zhu, Danxia, Zhang, Huo, Zhang, Shiyu, Zhou, Xin, He, Xia, Zhu, Jun, and Zhu, Wei
- Subjects
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EXOSOMES , *BLOOD serum analysis , *RECEIVER operating characteristic curves , *BLOOD circulation , *MICRORNA , *BLOOD testing - Abstract
• The study identified a five-microRNA signature in serum for nasopharyngeal carcinoma diagnosis. The AUC values are impressive with high sensitivity and specificity. • Comprehensive analysis in tissue specimens and exosomes samples were further conducted to bring deeper understanding of the identified miRNAs. • The candidate miRNAs list generated in the screening stage was selected via the application of the Exiqon miRNA qPCR panel, which is more suitable for preliminary screening of miRNA in peripheral blood samples. Circulating microRNAs have become reliable sources of non-invasive biomarkers for cancer diagnosis. miRNA expression analysis in blood circulation for the identification of novel signatures might assist the early detection of nasopharyngeal carcinoma (NPC) patients. In the screening stage, the Exiqon miRNA qPCR panel was applied for the selection of candidate miRNAs. Serum samples taken from 208 NPC patients and 238 healthy donors (as normal controls (NCs)) were assigned to into the following three stages (training (30 NPC VS. 30 NCs), testing (138 NPC VS. 166 NCs) and external validation stage (40 NPC VS. 42 NCs)) for further confirmation of differently expressed miRNAs using qRT-PCR. The identified miRNA signatures were further explored in tissue specimens (48 NPC VS. 32 NCs) and serum-derived exosomes samples (32 NPC VS. 32 NCs). Five miRNAs in serum including let-7b-5p, miR-140-3p, miR-192-5p, miR-223-3p and miR-24-3p were found to be significantly up-regulated in NPC patients compared to NCs. The five identified miRNAs were further combined into one panel and the areas under the receiver operating characteristic curve (AUCs) for three independent stages were 0.910 (training), 0.916 (testing) and 0.968 (external validation), respectively. miR-192-5p and miR-24-3p were consistently up-regulated in NPC tissues while let-7b-5p and miR-140-3p were conversely down-regulated. In serum-derived exosomes samples, no expression difference was observed between NPC patients and NCs. A five-miRNA signature was identified in serum to be potential biomarkers for NPC detection. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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