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Published on: March 14, 2019
Are circulating microRNAs suitable for the early detection of malignant mesothelioma? Results from a nested
Daniel Gilbert Weber1, Alexander Brik2, Swaantje Casjens2
1Institute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr University Bochum (IPA), Buerkle-de-la-Camp-Platz 1, 44789, Bochum, Germany. weber@ipa-dguv.de.
Objective:
Malignant mesothelioma is an aggressive cancer of the serous membranes. For the detection of the tumor at early stages non- or minimally-invasive biomarkers are needed. The circulating biomarkers miR-132-3p, miR-126-3p, and miR-103a-3p were analyzed in a nested case-control study using plasma samples from 17 prediagnostic mesothelioma cases and 34 matched asbestos-exposed controls without a malignant disease.
Results:
Using prediagnostic plasma samples collected in median 8.9 months prior the clinical diagnosis miR-132-3p, miR-126-3p, and miR-103a-3p revealed 0% sensitivity on a defined specificity of 98%. Thus, the analyzed miRNAs failed to detect the cancer in prediagnostic samples, showing that they are not feasible for the early detection of malignant mesothelioma. However, the miRNAs might still serve as possible markers for prognosis and response to therapy, but this needs to be analyzed in appropriate studies.
Insights
Investigating circulating microRNAs (miRNAs) like miR-132-3p, miR-126-3p, and miR-103a-3p for early malignant mesothelioma detection proved unsuccessful. These biomarkers did not show efficacy in prediagnostic plasma samples.
Area of Science:
- Oncology
- Molecular Biology
- Biomarker Discovery
Background:
- Malignant mesothelioma is an aggressive cancer requiring early detection methods.
- Non- or minimally-invasive biomarkers are crucial for identifying mesothelioma at earlier stages.
- Specific circulating microRNAs (miRNAs) have been investigated as potential diagnostic markers.
Purpose of the Study:
- To evaluate the diagnostic potential of circulating miR-132-3p, miR-126-3p, and miR-103a-3p for early detection of malignant mesothelioma.
- To assess the feasibility of these miRNAs as prediagnostic biomarkers in plasma samples.
Main Methods:
- A nested case-control study design was employed.
- Plasma samples from 17 prediagnostic malignant mesothelioma cases and 34 matched asbestos-exposed controls were analyzed.
- Levels of miR-132-3p, miR-126-3p, and miR-103a-3p were quantified in prediagnostic samples.
Main Results:
- The analyzed miRNAs (miR-132-3p, miR-126-3p, and miR-103a-3p) demonstrated 0% sensitivity at a specificity of 98%.
- These miRNAs failed to detect malignant mesothelioma in prediagnostic plasma samples collected a median of 8.9 months prior to diagnosis.
- The study indicates these miRNAs are not feasible for the early detection of malignant mesothelioma.
Conclusions:
- Circulating miR-132-3p, miR-126-3p, and miR-103a-3p are not suitable biomarkers for the early detection of malignant mesothelioma.
- Further research is warranted to explore the potential of these miRNAs as prognostic or predictive markers for therapy response.
- Future studies should focus on different patient cohorts and experimental designs to validate potential roles beyond early diagnosis.
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