Urinary microRNAs for prostate cancer diagnosis, prognosis, and treatment response: are we there yet?

Ovidiu Balacescu1, Bogdan Petrut2, Oana Tudoran1

  • 1Department of Functional Genomics, Proteomics and Experimental Pathology, The Oncology Institute "Prof. Dr. Ion Chiricuta", Cluj-Napoca, Romania.

Insights

Urine microRNAs show potential as biomarkers for prostate cancer (PCa) diagnosis and prognosis. Further studies with standardized methods are needed to confirm their diagnostic accuracy, especially when combined with prostate-specific antigen (PSA).

Area of Science:

  • Biomarkers
  • Molecular Diagnostics
  • Urology

Background:

  • Prostate cancer (PCa) is a leading cause of cancer death in men.
  • Minimally invasive biomarkers for PCa are still needed.
  • MicroRNAs (miRNAs) are emerging as promising biomarkers, particularly in blood.

Purpose of the Study:

  • To review studies evaluating urinary microRNAs as biomarkers for PCa.
  • To assess the diagnostic, prognostic, and treatment response potential of urinary miRNAs in PCa.
  • To identify challenges and inconsistencies in current research.

Main Methods:

  • Systematic review of existing literature on urinary microRNAs in prostate cancer.
  • Analysis of studies using urine as a biological sample for miRNA biomarker evaluation.
  • Examination of various analytical platforms and statistical methods employed.

Main Results:

  • Inconsistency observed in reported results due to differing urinary fractions, analytical platforms, and statistical methods.
  • Several microRNAs identified as dysregulated in the urine of PCa patients.
  • Urinary miRNAs, alone or with serum prostate-specific antigen (PSA), may enhance diagnostic power, especially in ambiguous cases.

Conclusions:

  • Urinary microRNAs hold promise as minimally invasive biomarkers for prostate cancer.
  • Standardization of analytical protocols is crucial for reliable results.
  • Larger prospective studies are required to validate these findings and confirm diagnostic utility.

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