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Diagnostic, prognostic and predictive values of miR-100 and miR-210 in pediatric acute lymphoblastic Leukemia
Naglaa M Hassan1, Lobna A Refaat1, Ghada N Ismail1
1Clinical Pathology Department, National Cancer Institute, Cairo University, Cairo, Egypt.
Background:
: microRNAs are playing important roles in the diagnosis and prognosis of pediatric acute lymphoblastic leukemia (ALL).
Methods:
Expression levels of miR-100 and miR-210 were assessed in bone marrow aspirate of 85 pediatric ALL patients compared to 12 healthy control using quantitative real-time polymerase chain reaction. Data were correlated with relevant clinico-pathological features of the patients, response to treatment, disease-free survival (DFS), and overall survival (OS).
Results:
miR-100 was significantly downregulated in ALL patients [median: 1.21, range: 0-434.3] compared to the control group [median: 8.41, range; 0-840.3, P = 0.035]. miR-210 was significantly upregulated in ALL patients [median: 6.34, range: 1.16-1088.7] compared to the control group [median: 2.57, range: 0.11-709.2, P = 0.025]. The sensitivity, specificity, and area under curve of miR-100 were (64.7%, 62.5%, and 0.642; respectively, P = 0.035) at a cut-off 2.6 and that of miR-210 were (60%, 58.3% and 0.650; respectively, P = 0.025) at a cut-off 3.5. miR-100 overexpression associated with shorter DFS and OS (P = 0.033 and 0.046; respectively). Patients with miR-100 lowexpression showed a significant incidence of late death ( P = 0.024). There was no significant association between miR-210 expression and DFS, OS, incidence of early or late death.
Conclusion:
: miR-100 and miR-210 could be used as potential diagnostic markers for pediatric ALL. miR-100 is a useful prognostic and predictive biomarker for childhood ALL.
Insights
MicroRNAs miR-100 and miR-210 show potential as diagnostic markers for pediatric acute lymphoblastic leukemia (ALL). miR-100 also serves as a prognostic biomarker, indicating shorter disease-free survival and overall survival in children with ALL.
Area of Science:
- Molecular Biology
- Oncology
- Genetics
Background:
- MicroRNAs (miRNAs) are crucial regulators of gene expression.
- Dysregulation of miRNAs is implicated in various cancers, including pediatric acute lymphoblastic leukemia (ALL).
- Specific miRNAs may serve as biomarkers for ALL diagnosis and prognosis.
Purpose of the Study:
- To investigate the diagnostic and prognostic roles of miR-100 and miR-210 in pediatric ALL.
- To correlate miRNA expression levels with clinical features and patient outcomes.
Main Methods:
- Quantitative real-time polymerase chain reaction (qRT-PCR) was used to measure miR-100 and miR-210 expression in bone marrow aspirates.
- Samples were obtained from 85 pediatric ALL patients and 12 healthy controls.
- Expression data were analyzed for associations with clinico-pathological features, treatment response, disease-free survival (DFS), and overall survival (OS).
Main Results:
- miR-100 was significantly downregulated in pediatric ALL patients compared to controls (P=0.035).
- miR-210 was significantly upregulated in pediatric ALL patients compared to controls (P=0.025).
- miR-100 overexpression correlated with shorter DFS and OS (P=0.033 and P=0.046, respectively), and low miR-100 expression was linked to late death (P=0.024).
- No significant association was found between miR-210 expression and survival outcomes or death incidence.
Conclusions:
- miR-100 and miR-210 are potential diagnostic biomarkers for pediatric ALL.
- miR-100 demonstrates utility as a prognostic and predictive biomarker for childhood ALL.
- Further research is warranted to fully elucidate the clinical applications of these miRNAs in ALL management.
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