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Detection of a Circulating MicroRNA Custom Panel in Patients with Metastatic Colorectal Cancer
Published on: March 14, 2019
Transcription factor-microRNA associations and their impact on colorectal cancer survival
Lila E Mullany1, Jennifer S Herrick1, Roger K Wolff1
1Department of Internal Medicine, University of Utah, Salt Lake City, Utah.
Abstract:
MicroRNAs (miRNAs) and Transcription Factors (TFs) both influence messenger RNA (mRNA) expression, disrupting biological pathways involved in carcinogenesis and prognosis. As many miRNAs target multiple mRNAs, thus influencing a multitude of biological pathways, deciphering which miRNAs are important for cancer development and survival is difficult. In this study, we (i) determine associations between TF and survival (N = 168 colon cancer cases); (ii) identify miRNAs associated with TFs related to survival; and (iii) determine if factors derived from TF-specific miRNA principal component analysis (PCA) influence survival. Cox Proportional hazard models were run for each PCA factor to determine Hazard Ratios (HR) and 95% Confidence Intervals (CI) adjusting for age, center, and AJCC stage. Thirty TFs improved survival when differential expression increased; 27 of these were associated significantly with normal colonic mucosa expression of 65 unique miRNAs when an FDR q-value of <0.05 was applied. Five factors, comprising 21 miRNAs, altered survival in rectal cancer subjects; four of these five factors improved survival and one factor reduced survival. One factor comprising four miRNAs reduced survival in colon cancer subjects. In summary, our data suggest that expression of TFs and their related miRNAs influence survival after diagnosis with colorectal cancer.
Insights
Transcription Factors (TFs) and microRNAs (miRNAs) impact colorectal cancer survival. This study identified specific TF-miRNA interactions affecting patient prognosis, offering new insights into cancer development and survival.
Area of Science:
- Molecular Biology
- Genetics
- Oncology
Background:
- MicroRNAs (miRNAs) and Transcription Factors (TFs) regulate gene expression, influencing cancer development and patient outcomes.
- The complex interplay of miRNAs and TFs in carcinogenesis makes it challenging to identify key players affecting cancer survival.
Purpose of the Study:
- To investigate the association between TF expression and survival in colon cancer patients.
- To identify miRNAs linked to survival-associated TFs.
- To determine if TF-specific miRNA expression patterns influence survival in colorectal cancer.
Main Methods:
- Survival analysis using Cox Proportional hazard models was performed.
- Associations between TF expression and miRNA expression in normal colonic mucosa were analyzed.
- Principal Component Analysis (PCA) was used to derive factors from TF-specific miRNA expression patterns.
Main Results:
- Thirty TFs were associated with improved survival in colon cancer.
- 27 of these TFs showed significant associations with 65 unique miRNAs.
- Five miRNA-derived factors, including one that reduced survival, impacted rectal cancer survival; one factor comprising four miRNAs reduced colon cancer survival.
Conclusions:
- TF and related miRNA expression significantly influence survival in colorectal cancer patients.
- Identifying specific TF-miRNA interactions can provide prognostic biomarkers.
- This research highlights the critical role of gene regulatory networks in colorectal cancer progression.
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