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MicroRNA Signatures Associated with Basal Cell Carcinoma Subtypes
Suzanne Fastner1, Hafeez Rahman1, Jose Gutierrez2
1Huntsman Cancer Institute, University of Utah Health Sciences Center, Salt Lake City, Utah, USA.
Summary
Specific microRNAs (miRs) show altered expression in basal cell carcinoma (BCC) subtypes. These miRs could potentially serve as biomarkers to differentiate BCC from normal skin and its subtypes.
Area of Science:
- Dermatology
- Molecular Biology
- Genetics
Background:
- Basal cell carcinoma (BCC) is a common skin cancer with distinct histological subtypes influencing treatment.
- MicroRNAs (miRs) are noncoding RNAs with potential as diagnostic biomarkers in various cancers.
- Identifying molecular markers to differentiate BCC subtypes is crucial for personalized treatment strategies.
Purpose of the Study:
- To investigate specific microRNAs (miRs) capable of distinguishing between basal cell carcinoma (BCC) subtypes.
- To assess the potential of miRs as diagnostic biomarkers for BCC and its histological variations.
Main Methods:
- miRs were sequenced from archival BCC and control skin specimens.
- Quantitative real-time PCR (qRT-PCR) was used to validate miR expression in a separate cohort.
- miR expression levels were normalized to miR-16-5p for comparative analysis.
Main Results:
- miR-383-5p and miR-145-5p were downregulated in all BCC subtypes compared to control skin.
- miR-181c-5p showed downregulation in superficial BCC versus invasive subtypes.
- Specific miRs demonstrated high accuracy in differentiating BCC from control skin (AUC 0.94-0.98), with moderate accuracy for subtype discrimination (AUC 0.7-0.8).
Conclusions:
- Certain miRs are differentially expressed across BCC subtypes and in comparison to normal skin.
- These miRs show promise as potential biomarkers for BCC diagnosis and subtype classification.
- Further prospective studies are needed to confirm the clinical utility of these miRs in guiding BCC biopsy and treatment decisions.

