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Updated: May 31, 2026

Detection of a Circulating MicroRNA Custom Panel in Patients with Metastatic Colorectal Cancer
Published on: March 14, 2019
Prognostic significance of miR-215 in colon cancer
Mihriban Karaayvaz1, Timothy Pal, Bo Song
1Department of Pathology, State University of New York at Stony Brook, Stony Brook, NY 11794-8691, USA.
Background:
We have previously shown that miR-215 suppressed the expression of key targets such as thymidylate synthase (TS), dihydrofolate reductase, and denticleless protein homolog (DTL) in colon cancer. miR-215 is a tumor suppressor candidate due to the upregulation of p53 and p21 by targeting DTL. However, high levels of miR-215 conferred chemoresistance due to cell cycle arrest and reduced cell proliferation by suppressing DTL. In this study, the clinical significance of miR-215 was further investigated as a potential prognostic biomarker in colon cancer patients.
Methods:
Total RNAs were extracted from 34 paired normal and colon (stage II and III) tumor specimens using the Trizol-based approach. The levels of miR-215 and a closely related miR-192 were quantified using quantitative real-time polymerase chain reaction (qRT-PCR) expression analysis. The expression of DTL mRNA and protein were quantified by real time qRT-PCR and immunohistochemistry.
Results:
The expression levels of miR-192 (P = .0008) and miR-215 (P < .0001) were significantly decreased in colon tumors compared with normal tissues. DTL was significantly over-expressed and was inversely correlated with miR-215, further suggesting an in vivo physiologic relevance of miR-215 mediated DTL suppression. Kaplan-Meier survival analysis by Cox regression revealed that high levels of miR-215 expression (hazard ratio, 3.516; 95% confidence interval, 1.007-12.28, P = .025) are closely associated with poor patient's overall survival. Furthermore, an elevated expression of a miR-215 target protein DTL was detected in colon cancer tissues whereas no expression was present in normal tissues.
Conclusion:
miR-215 has a unique potential as a prognostic biomarker in stage II and III colon cancer.
Insights
MicroRNA-215 (miR-215) is decreased in colon cancer, and its low expression correlates with poor patient survival. This microRNA shows potential as a prognostic biomarker for colon cancer patients.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- MicroRNA-215 (miR-215) targets key genes like thymidylate synthase (TS) and denticleless protein homolog (DTL) in colon cancer.
- miR-215 acts as a tumor suppressor by upregulating p53 and p21, but paradoxically confers chemoresistance at high levels by inducing cell cycle arrest.
- The clinical significance of miR-215 as a prognostic biomarker in colon cancer requires further investigation.
Purpose of the Study:
- To investigate the clinical significance of miR-215 as a prognostic biomarker in colon cancer patients.
- To analyze the correlation between miR-215 expression levels and patient survival outcomes.
- To examine the expression of miR-215 and its target DTL in colon tumor tissues.
Main Methods:
- RNA extraction from 34 paired normal and colon tumor specimens (stage II and III).
- Quantification of miR-215 and miR-192 levels using quantitative real-time polymerase chain reaction (qRT-PCR).
- Assessment of DTL mRNA and protein expression via qRT-PCR and immunohistochemistry.
Main Results:
- miR-215 and miR-192 expression were significantly decreased in colon tumors compared to normal tissues.
- DTL was over-expressed in tumors and inversely correlated with miR-215, confirming in vivo relevance.
- High miR-215 expression was associated with poor overall patient survival (HR=3.516, P=0.025).
- Elevated DTL protein expression was observed in colon cancer tissues but not in normal tissues.
Conclusions:
- miR-215 demonstrates potential as a prognostic biomarker for stage II and III colon cancer.
- The inverse correlation between miR-215 and DTL highlights a key regulatory mechanism in colon cancer.
- Further research into miR-215's role could lead to improved diagnostic and therapeutic strategies.
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