Abstract 2775: Prognostic significance of triple miRNAs, miR-9, miR-221, and miR-200c in breast cancer

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Abstract MicroRNAs (miRNA) mediated epithelial-mesenchymal transition have been considered as a major event in cancer aggression and accounted for cancer progression. However, clinical association between synergistic effect of deregulated expression levels of the EMT-related miRNAs, including miR-9, miR-221, and miR-200c, and breast cancer prognoses remains underestimated. Initially, tissue samples were from 184 enrolled female patients, with invasive ductal carcinoma, followed up for more than ten years. miRNA expression levels between paired laser capture microdissected tumor and non-tumor cells from the primary tumor site was analyzed by quantitative real-time PCR (qRT-PCR). Differentially expressed status of the target miRNA in tumors relative to non-tumor parts (T/N ratio) was assessed their relationship with pathological characteristics and clinical outcomes of breast cancer. While miR-9 or miR-221 showed significantly higher expression level in tumor cells compared to the non-tumor ones, miR-200c exhibited the opposite (p<0.05). Based on the ROC curve, T/N ratio of 2.80- and 1.96-fold increase for miR-9 and miR-221, whereas, 1.80-fold decrease for miR-200c as risk genotypes, respectively. According to these cutoffs, high miR-9 expression in tumors was associated with advanced tumor stages (p<0.05); significant risk associations were shown between LNM-positive tumors and miR-9 (OR = 3.12) or miR-221 (OR = 1.88) (p<0.05). A joint effect on risk elevation of tumor invasion and nodal metastasis was seen in tumors having miR-9 overexpression alongside increased miR-221 or reduced miR-200c expression (p-trend<0.05). Considering the combined effect of these three miRNAs, patients harboring greater numbers of deregulated expression levels in tumors were found to have a higher risk of poor prognoses (high-stage (p-trend = 0.003) and LNM (p-trend = 0.028)) and reduced probability of 10-year overall survival, showing hazard ratio of 2.39 (p<0001 for trend test). In conclusion, deregulated levels of miR-9, miR-221, and miR-200c, may serve as prognostic biomarkers to predict disease progression and shorter OS in breast cancer. Citation Format: Chun-Wen Cheng, Jyh-Cherng Yu, Yi-Hsien Hsieh, Po-Ming Chen, Hsiao-Wei Wang, Hui-Chun Wang, Chen-Yang Shen. Prognostic significance of triple miRNAs, miR-9, miR-221, and miR-200c in breast cancer. [abstract]. In: Proceedings of the 106th Annual Meeting of the American Association for Cancer Research; 2015 Apr 18-22; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Res 2015;75(15 Suppl):Abstract nr 2775. doi:10.1158/1538-7445.AM2015-2775