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ZEB1-AS1 and miR-200b-3p Expression in Non-Muscle-Invasive Bladder Cancer: Pathological Correlates.

Enes Degirmenci1, Oner Sanli2, Murat Kaytaz3

  • 1Department of Urology, Istanbul Faculty of Medicine, Istanbul University, Istanbul 34093, Turkey.

Journal of Clinical Medicine
|June 12, 2026
PubMed
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This summary is machine-generated.

Long non-coding RNA ZEB1-AS1 and microRNA miR-200b-3p showed distinct expression patterns in non-muscle-invasive bladder cancer (NMIBC). These non-coding RNAs are linked to tumor grade, offering insights into epithelial-mesenchymal transition (EMT) pathways.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Long non-coding RNAs (lncRNAs) and microRNAs (miRNAs) are key regulators of epithelial-mesenchymal transition (EMT) and cancer progression.
  • Understanding the roles of specific non-coding RNAs like ZEB1-AS1 and miR-200b-3p in non-muscle-invasive bladder cancer (NMIBC) is crucial for advancing treatment strategies.

Purpose of the Study:

  • To investigate the expression profiles of lncRNA ZEB1-AS1 and miR-200b-3p in NMIBC tissues.
  • To determine the association between the expression levels of ZEB1-AS1 and miR-200b-3p and clinicopathological characteristics of NMIBC.
  • To evaluate the diagnostic potential of ZEB1-AS1 and miR-200b-3p in NMIBC.

Main Methods:

  • Quantitative real-time polymerase chain reaction (qRT-PCR) was used to measure ZEB1-AS1 and miR-200b-3p expression in 50 NMIBC tissues and adjacent normal bladder tissues.
Keywords:
biomarkersbladder cancerlong non-coding RNAmicroRNAnon-muscle-invasive bladder cancer

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  • The 2-ΔΔCT method was employed for relative expression level calculation.
  • Non-parametric statistical tests and Receiver Operating Characteristic (ROC) curve analysis were utilized to assess associations and diagnostic performance.
  • Main Results:

    • Both ZEB1-AS1 and miR-200b-3p exhibited significantly higher expression in NMIBC tissues compared to normal tissues (p=0.018 and p=0.034, respectively).
    • ZEB1-AS1 expression was notably higher in high-grade tumors (p=0.007), while miR-200b-3p was more prevalent in low-grade tumors (p=0.015).
    • No significant correlations were found between expression levels and tumor stage, carcinoma in situ, or variant histology. ROC analysis indicated modest diagnostic utility for both markers (AUCs 0.637 and 0.624).

    Conclusions:

    • ZEB1-AS1 and miR-200b-3p display distinct expression patterns correlated with NMIBC tumor grade.
    • These non-coding RNAs may contribute to the molecular heterogeneity of EMT in NMIBC.
    • While individual diagnostic performance is limited, further research in larger cohorts is warranted to explore their role in NMIBC pathogenesis and potential as biomarkers.