Literature DB >> 25804630

The clinical and biological significance of MIR-224 expression in colorectal cancer metastasis.

Hui Ling1, Karen Pickard2, Cristina Ivan3, Alex Mirnezami2,4, George A Calin1,3, Milena S Nicoloso1,5, Claudio Isella6,7, Mariko Ikuo1,8, Richard Mitter9, Riccardo Spizzo1,5, Marc Bullock1,2, Cornelia Braicu10, Valentina Pileczki10, Kimberly Vincent1, Martin Pichler1,11, Verena Stiegelbauer11, Gerald Hoefler12, Maria I Almeida1,13, Annie Hsiao1, Xinna Zhang3, John Primrose2,4, Graham Packham2, Kevin Liu1, Krishna Bojja1, Roberta Gafà14, Lianchun Xiao15, Simona Rossi1, Jian H Song16, Ivan Vannini17, Francesca Fanini17, Scott Kopetz18, Patrick Zweidler-McKay19, Xuemei Wang15, Calin Ionescu20,21, Alexandru Irimie22, Muller Fabbri23,17, Giovanni Lanza14, Stanley R Hamilton24, Ioana Berindan-Neagoe10,25, Enzo Medico6,7.   

Abstract

OBJECTIVE: MicroRNA (miRNA) expression profile can be used as prognostic marker for human cancers. We aim to explore the significance of miRNAs in colorectal cancer (CRC) metastasis.
DESIGN: We performed miRNA microarrays using primary CRC tissues from patients with and without metastasis, and validated selected candidates in 85 CRC samples by quantitative real-time PCR (qRT-PCR). We tested metastatic activity of selected miRNAs and identified miRNA targets by prediction algorithms, qRT-PCR, western blot and luciferase assays. Clinical outcomes were analysed in six sets of CRC cases (n=449), including The Cancer Genome Atlas (TCGA) consortium and correlated with miR-224 status. We used the Kaplan-Meier method and log-rank test to assess the difference in survival between patients with low or high levels of miR-224 expression.
RESULTS: MiR-224 expression increases consistently with tumour burden and microsatellite stable status, and miR-224 enhances CRC metastasis in vitro and in vivo. We identified SMAD4 as a miR-224 target and observed negative correlation (Spearman Rs=-0.44, p<0.0001) between SMAD4 and miR-224 expression in clinical samples. Patients with high miR-224 levels display shorter overall survival in multiple CRC cohorts (p=0.0259, 0.0137, 0.0207, 0.0181, 0.0331 and 0.0037, respectively), and shorter metastasis-free survival (HR 6.51, 95% CI 1.97 to 21.51, p=0.0008). In the TCGA set, combined analysis of miR-224 with SMAD4 expression enhanced correlation with survival (HR 4.12, 95% CI 1.1 to 15.41, p=0.0175).
CONCLUSIONS: MiR-224 promotes CRC metastasis, at least in part, through the regulation of SMAD4. MiR-224 expression in primary CRC, alone or combined with its targets, may have prognostic value for survival of patients with CRC. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Entities:  

Keywords:  COLORECTAL CANCER; LIVER METASTASES; MICROSATELLITE INSTABILITY; MOLECULAR GENETICS; RNA EXPRESSION

Mesh:

Substances:

Year:  2015        PMID: 25804630      PMCID: PMC4581915          DOI: 10.1136/gutjnl-2015-309372

Source DB:  PubMed          Journal:  Gut        ISSN: 0017-5749            Impact factor:   23.059


  33 in total

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