An evaluation and replication of mi RNA s with disease stage and colorectal cancer‐specific mortality

ML Slattery, JS Herrick, LE Mullany… - … journal of cancer, 2015 - Wiley Online Library
ML Slattery, JS Herrick, LE Mullany, N Valeri, J Stevens, BJ Caan, W Samowitz, RK Wolff
International journal of cancer, 2015Wiley Online Library
MicroRNAs (miRNAs) have been implicated in colorectal cancer (CRC) development and
associated with prognostic indicators such as disease stage and survival. Prognostic
associations are often based on few individuals and imprecise. In this study, we utilize
population‐based data from 1,141 CRC cases to replicate previously reported associations
between 121 miRNAs and disease stage and survival. The Agilent Human miRNA
Microarray V19. 0 was used to generate miRNA data following a stringent quality control …
MicroRNAs (miRNAs) have been implicated in colorectal cancer (CRC) development and associated with prognostic indicators such as disease stage and survival. Prognostic associations are often based on few individuals and imprecise. In this study, we utilize population‐based data from 1,141 CRC cases to replicate previously reported associations between 121 miRNAs and disease stage and survival. The Agilent Human miRNA Microarray V19.0 was used to generate miRNA data following a stringent quality control protocol. Assessment of survival was done using Cox Proportional Hazard models adjusting for age, disease stage and tumor molecular phenotype. Five miRNAs were associated with more advanced disease stage; hsa‐miR‐145‐5p and hsa‐miR‐31‐5p showed increased expression with more advanced tumor stage, while hsa‐miR‐200b‐3p, hsa‐miR‐215 and hsa‐miR‐451a had decreased expression with more advanced tumors. Thirteen miRNAs were associated with CRC mortality among individuals diagnosed with colon cancer while 14 were associated with CRC mortality after a diagnosis with rectal cancer. Strongest associations were observed for those miRNAs that were expressed in a small subset of tumors. Most notable associations were for hsa‐miR‐145‐3p [hazard ratio (HR) 2.94, 95% confidence interval (CI) 1.54, 5.61], and hsa‐miR‐9‐3p (HR 10.28, 95% CI 1.31, 80.84) with colon cancer and hsa‐miR‐335‐5p (HR 0.17, 95% CI 0.05, 0.54) for rectal cancer. hsa‐miR‐374a‐5p, hsa‐miR‐570‐3p and hsa‐miR‐18a‐5p significantly reduced the hazard of dying for all cases, regardless of tumor site. Our findings illustrate the need for a large sample to evaluate the association of miRNAs with survival and disease stage in order to determine associations by tumor site.
Wiley Online Library