Literature DB >> 16251535

A MicroRNA signature associated with prognosis and progression in chronic lymphocytic leukemia.

George Adrian Calin1, Manuela Ferracin, Amelia Cimmino, Gianpiero Di Leva, Masayoshi Shimizu, Sylwia E Wojcik, Marilena V Iorio, Rosa Visone, Nurettin Ilfer Sever, Muller Fabbri, Rodolfo Iuliano, Tiziana Palumbo, Flavia Pichiorri, Claudia Roldo, Ramiro Garzon, Cinzia Sevignani, Laura Rassenti, Hansjuerg Alder, Stefano Volinia, Chang-gong Liu, Thomas J Kipps, Massimo Negrini, Carlo M Croce.   

Abstract

BACKGROUND: MicroRNA expression profiles can be used to distinguish normal B cells from malignant B cells in patients with chronic lymphocytic leukemia (CLL). We investigated whether microRNA profiles are associated with known prognostic factors in CLL.
METHODS: We evaluated the microRNA expression profiles of 94 samples of CLL cells for which the level of expression of 70-kD zeta-associated protein (ZAP-70), the mutational status of the rearranged immunoglobulin heavy-chain variable-region (IgV(H) ) gene, and the time from diagnosis to initial treatment were known. We also investigated the genomic sequence of 42 microRNA genes to identify abnormalities.
RESULTS: A unique microRNA expression signature composed of 13 genes (of 190 analyzed) differentiated cases of CLL with low levels of ZAP-70 expression from those with high levels and cases with unmutated IgV(H) from those with mutated IgV(H) . The same microRNA signature was also associated with the presence or absence of disease progression. We also identified a germ-line mutation in the miR-16-1-miR-15a primary precursor, which caused low levels of microRNA expression in vitro and in vivo and was associated with deletion of the normal allele. Germ-line or somatic mutations were found in 5 of 42 sequenced microRNAs in 11 of 75 patients with CLL, but no such mutations were found in 160 subjects without cancer (P<0.001).
CONCLUSIONS: A unique microRNA signature is associated with prognostic factors and disease progression in CLL. Mutations in microRNA transcripts are common and may have functional importance. Copyright 2005 Massachusetts Medical Society.

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Year:  2005        PMID: 16251535     DOI: 10.1056/NEJMoa050995

Source DB:  PubMed          Journal:  N Engl J Med        ISSN: 0028-4793            Impact factor:   91.245


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