J 2023

A Fecal MicroRNA Signature by Small RNA Sequencing Accurately Distinguishes Colorectal Cancers: Results From a Multicenter Study

PARDINI, Barbara; Giulio FERRERO; Sonia TARALLO; Gaetano GALLO; Antonio FRANCAVILLA et al.

Základní údaje

Originální název

A Fecal MicroRNA Signature by Small RNA Sequencing Accurately Distinguishes Colorectal Cancers: Results From a Multicenter Study

Autoři

PARDINI, Barbara; Giulio FERRERO; Sonia TARALLO; Gaetano GALLO; Antonio FRANCAVILLA; Nicola LICHERI; Mario TROMPETTO; Giuseppe CLERICO; Carlo SENORE; Sergio PEYRE; Veronika VYMETALKOVA; Ludmila VODICKOVA; Vaclav LISKA; Ondrej VYCITAL; Miroslav LEVY; Peter MACINGA; Tomas HUCL; Eva BUDINSKÁ; Pavel VODICKA; Francesca CORDERO a Alessio NACCARATI

Vydání

Gastroenterology, Philadelphia, W B Saunders co-Elsevier Inc, 2023, 0016-5085

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30219 Gastroenterology and hepatology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 26.300

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14310/23:00132283

Organizační jednotka

Přírodovědecká fakulta

EID Scopus

Klíčová slova anglicky

Stool MicroRNAs; Noninvasive Diagnosis; Small RNA Sequencing; Colorectal Cancer; Precancerous Lesions; Machine Learning

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 15. 11. 2023 19:26, Mgr. Michaela Hylsová, Ph.D.

Anotace

V originále

BACKGROUND & AIMS: Fecal tests currently used for colorectal cancer (CRC) screening show limited accuracy in detecting early tumors or precancerous lesions. In this respect, we comprehensively evaluated stool microRNA (miRNA) profiles as biomarkers for noninvasive CRC diagnosis. METHODS: A total of 1273 small RNA sequencing experiments were performed in multiple biospecimens. In a cross-sectional study, miRNA profiles were investigated in fecal samples from an Italian and a Czech cohort (155 CRCs, 87 adenomas, 96 other intestinal diseases, 141 colonoscopy-negative controls). A predictive miRNA signature for cancer detection was defined by a machine learning strategy and tested in additional fecal samples from 141 CRC patients and 80 healthy volunteers. miRNA profiles were compared with those of 132 tumors/adenomas paired with adjacent mucosa, 210 plasma extracellular vesicle samples, and 185 fecal immunochemical test leftover samples. RESULTS: Twenty-five miRNAs showed altered levels in the stool of CRC patients in both cohorts (adjusted P < .05). A 5-miRNA signature, including miR-149-3p, miR-607-5p, miR-1246, miR-4488, and miR-6777-5p, distinguished patients from control individuals (area under the curve [AUC], 0.86; 95% confidence interval [CI], 0.79-0.94) and was validated in an independent cohort (AUC, 0.96; 95% CI, 0.92-1.00). The signature classified control individuals from patients with low-/high-stage tumors and advanced adenomas (AUC, 0.82; 95% CI, 0.71-0.97). Tissue miRNA profiles mirrored those of stool samples, and fecal profiles of different gastrointestinal diseases highlighted miRNAs specifically dysregulated in CRC. miRNA profiles in fecal immunochemical test leftover samples showed good correlation with those of stool collected in preservative buffer, and their alterations could be detected in adenoma or CRC patients. CONCLUSIONS: Our comprehensive fecal miRNome analysis identified a signature accurately discriminating cancer aimed at improving noninvasive diagnosis and screening strategies.

Návaznosti

EF15_003/0000469, projekt VaV
Název: Cetocoen Plus
EF17_043/0009632, projekt VaV
Název: CETOCOEN Excellence
LM2023069, projekt VaV
Název: Výzkumná infrastruktura RECETOX
Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Výzkumná infrastruktura RECETOX
825410, interní kód MU
Název: Gut OncoMicrobiome Signatures (GOMS) associated with cancer incidence, prognosis and prediction of treatment response (Akronym: ONCOBIOME)
Investor: Evropská unie, Gut OncoMicrobiome Signatures (GOMS) associated with cancer incidence, prognosis and prediction of treatment response, Health, demographic change and wellbeing (Societal Challenges)

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