Abstract

BackgroundThe purpose of this study was to detect the serum microRNAs (miRNAs) that are differentially expressed in cervical squamous cell carcinoma (SCC) patients and negative controls, with a focus on the miRNA profiles of the patients before and after surgery. The aim of the study is to evaluate the potential of these miRNAs as novel markers for the post-therapeutic monitoring of cervical SCC patients.ResultsA total of 765 serum miRNAs from 10 cervical SCC patients before surgery, 10 cervical SCC patients after surgery, and 10 negative controls were profiled using a TaqMan MicroRNA Array. A set of selected differentially expressed miRNAs were further analyzed in the patients at different perioperative periods, including preoperative, 1 week postoperative, and one month postoperative. The results showed that several serum miRNAs were differentially expressed in the cervical SCC patients compared with the negative controls, including miR-646, miR-141* and miR-542-3p. More importantly, we found that levels of specific serum miRNAs were deregulated in the pre- and postoperative stages, and these miRNAs could be useful for post-therapeutic monitoring of disease progression. Finally, we depicted a regulatory network of differentially expressed serum miRNAs, and many possible target genes were predicted in the estrogen-mediated signal pathways, supporting the hypothesis that cervical SCC is a hormone-associated gynecological disease.ConclusionsOur study demonstrated that the circulating miRNAs miR-646, miR-141* and miR-542-3p could potentially serve as non-invasive biomarkers for cervical SCC. The levels of these specific miRNAs might be useful for the post-therapeutic monitoring of disease progression. This is the first report showing that circulating miRNAs could serve as biomarkers for the therapeutic intervention of cervical SCC.

Highlights

  • Cervical squamous cell carcinoma is a common cervical cancer type that is closely correlated with high-risk human papillomavirus (HPV) infection [1, 2]

  • A significant number of miRNAs are present in serums of patients with cervical squamous cell carcinoma (SCC) To identify the potential clinical applications of circulating miRNAs, TaqMan arrays were used to screen miRNAs from two pools of serum samples including 10 cervical SCC patients and 10 healthy women

  • The results showed that the levels of 291 of the 338 detectible circulating miRNAs were more than two-fold change in the cervical SCC serum samples than the negative control serums (Additional file 1: Table S1)

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Summary

Introduction

Cervical squamous cell carcinoma (cervical SCC) is a common cervical cancer type that is closely correlated with high-risk human papillomavirus (HPV) infection [1, 2]. Circulating miRNAs have been described as important non-invasive biomarkers with high sensitivity and specificity in many other diseases, the study of circulating miRNA in cervical cancer is limited [21, 22], and no studies have reported miRNA expression patterns in cervical cancer patients before and after surgery. The purpose of this study was to detect the serum microRNAs (miRNAs) that are differentially expressed in cervical squamous cell carcinoma (SCC) patients and negative controls, with a focus on the miRNA profiles of the patients before and after surgery. The aim of the study is to evaluate the potential of these miRNAs as novel markers for the post-therapeutic monitoring of cervical SCC patients

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