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Detection of a Circulating MicroRNA Custom Panel in Patients with Metastatic Colorectal Cancer
Published on: March 14, 2019
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Circulating miRNA panels for specific and early detection in bladder cancer
Wataru Usuba1,2, Fumihiko Urabe1,3, Yusuke Yamamoto1
1Division of Molecular and Cellular Medicine, National Cancer Center Research Institute, Tokyo, Japan.
Cancer Science
|November 2, 2018
Summary
A novel 7-microRNA (miRNA) panel shows promise for early bladder cancer detection. This blood-based biomarker accurately identifies bladder cancer, potentially improving screening and diagnosis.
Area of Science:
- Oncology
- Molecular Diagnostics
- Biomarker Discovery
Background:
- Bladder cancer is a significant global health concern, marked by high recurrence rates and limitations in current diagnostic methods.
- Conventional screening tools like cystoscopy and urinary cytology suffer from low accuracy or high invasiveness.
- Circulating microRNAs (miRNAs) are emerging as promising biomarkers for non-invasive cancer detection via liquid biopsy.
Purpose of the Study:
- To investigate the potential of global miRNA profiling in serum for diagnosing bladder cancer.
- To identify specific miRNA biomarkers for accurate and early detection of bladder cancer.
- To evaluate a novel 7-miRNA panel for its diagnostic performance in distinguishing bladder cancer from non-cancerous conditions and other malignancies.
Main Methods:
- Global miRNA profiling was conducted on serum samples from 392 bladder cancer patients, 100 non-cancer controls, and 480 other cancer controls.
- Serum samples were randomly allocated into training and validation cohorts (N=486 each).
- Statistical analysis was performed to identify specific miRNAs and a 7-miRNA panel with high diagnostic accuracy.
Main Results:
- A specific miRNA, miR-6087, was identified as a potential diagnostic marker for bladder cancer in both training and validation sets.
- A 7-miRNA panel (including miR-6087, miR-6724-5p, miR-3960, miR-1343-5p, miR-1185-1-3p, miR-6831-5p, and miR-4695-5p) demonstrated high accuracy in discriminating bladder cancer.
- The 7-miRNA panel achieved an Area Under the Curve (AUC) of 0.97, with 95% sensitivity and 87% specificity, irrespective of cancer stage or grade.
Conclusions:
- The identified 7-miRNA panel serves as a potential non-invasive biomarker for the specific and early detection of bladder cancer.
- This miRNA-based approach offers a promising alternative to conventional diagnostic methods, addressing limitations of accuracy and invasiveness.
- Further validation in larger, diverse cohorts is warranted to establish this panel as a clinical diagnostic tool for bladder cancer.
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