MicroRNA-100 expression correlation with clincopathological parameters in bladder cancer

Manjeet Kumar
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Abstract

Objective: - Bladder carcinoma is one of the most common tumors in the world and, despite the therapy currently available, most of the patients relapse. MicroRNA- 100 is down regulated in bladder cancer tissue in comparison to normal tissue; however, clinical significance of miR-100 in human bladder cancer has not been elucidated. The aim of study was to correlate miR 100 expression levels with tumor grade, stage and recurrence. Methods: - Expression of miR-100 in 26 pairs of bladder cancer and adjacent normal tissues were analysed by Sybergreen RT-PCR. The expression levels of miR 100 in tumor and normal were normalised with 18s gene. The expression levels of miR 100 expression were analysed in fold change (DDCT method). The difference between groups were analysed by student t test and Anova. Results: - Downregulation of miR-100 expression in tumor was an important finding in our study. MiR-100 expression were decreased (n=24) in tumour tissue in comparison with normal bladder urothelium. Mean expression of miR-100(fold change) was 0.33+/-0.35 and significantly decreased on comparison to normal (1) (p=0.001) There is no correlation of miR-100 expression levels with gender and age (p=0.583). Mean expression of miR-100 in low grade was 0.41+/-0.38 whereas in high grade 0.22+/-0.26 (p=0.182). Ta tumors had mean (fold change) 0.42+/- 0.39, T1 had mean value of 0.25 +/- 0.30 and T 2 had mean value of 0.24 +/- 0.30.(p=0.463) miR-100 expression levels were decreased in MIBC(T2) more than NMIBC (Ta,T1) (p=0.473).Mean levels 2^-DDCT (fold change) in recurrent tumors were 0.16+/-0.19 whereas fold change in nonrecurring tumors was 0.40 +/-0.38.(p=0.045) 1 patient with T2 tumor underwent progression with all patients surviving till end of study. Conclusions miR-100 expression is down regulated in Bladder cancer tissue than normal bladder urothelium. The miR-100 expression levels were decreased in all bladder tumors however reaching significance in recurrent bladder tumor, suggesting use of miR 100 as potential marker for further risk stratification and prognosis in treatment of urinary bladder cancer.
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MicroRNA-100表达与膀胱癌临床病理参数的关系
目的:膀胱癌是世界上最常见的肿瘤之一,尽管目前有治疗方法,但大多数患者复发。与正常组织相比,膀胱癌组织中MicroRNA- 100表达下调;然而,miR-100在人膀胱癌中的临床意义尚未阐明。研究的目的是将miR 100的表达水平与肿瘤的分级、分期和复发联系起来。方法:采用Sybergreen RT-PCR分析miR-100在26对膀胱癌及癌旁正常组织中的表达。18s基因使miR 100在肿瘤组织和正常组织中的表达水平正常化。采用折叠变化(DDCT)法分析miR 100表达水平。组间差异分析采用学生t检验和方差分析。结果:miR-100在肿瘤中的表达下调是我们研究的重要发现。与正常膀胱尿路上皮相比,肿瘤组织中MiR-100的表达降低(n=24)。miR-100的平均表达量(fold change)为0.33+/-0.35,与正常人相比显著降低(1)(p=0.001)。miR-100的表达量与性别、年龄无相关性(p=0.583)。miR-100在低分级中平均表达为0.41+/-0.38,而在高分级中平均表达为0.22+/-0.26 (p=0.182)。Ta肿瘤的平均(倍数变化)为0.42+/- 0.39,T1平均值为0.25 +/- 0.30,T2平均值为0.24 +/- 0.30 (p=0.463)。miR-100在MIBC(T2)中表达水平较NMIBC (Ta,T1)降低(p=0.473)。复发肿瘤的平均2^-DDCT水平(翻倍变化)为0.16+/-0.19,而非复发肿瘤的翻倍变化为0.40 +/-0.38 (p=0.045)。1例T2肿瘤进展,所有患者存活至研究结束。结论miR-100在膀胱癌组织中的表达较正常膀胱尿路上皮下调。miR-100在所有膀胱肿瘤中的表达水平均下降,但在复发性膀胱肿瘤中表达水平有显著性意义,提示miR 100可作为膀胱癌治疗中进一步危险分层和预后的潜在标志物。
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