Abstract

Simple SummaryIn the majority of renal cancer cases, the disease course is non-symptomatic which frequently leads to late diagnosis of disease. Currently, there are no molecular tools dedicated to the detection and monitoring of renal cancer. Our study aimed to investigate changes in microRNA (miRNA) expression in tissue samples of renal cancer patients. We performed meta-analysis using results of 14 high-throughput studies (both, NGS and microarrays) and as a result, selected a group of miRNAs deregulated in renal cancer and its subtypes. Later, the expression changes of selected miRNA were validated in an independent sample set. We confirmed that the investigation of miRNA expression might be potentially applicable in the detection and monitoring of renal cancer and its subtypes.Renal cell carcinoma (RCC) is one of the most common cancers worldwide with a nearly non-symptomatic course until the advanced stages of the disease. RCC can be distinguished into three subtypes: papillary (pRCC), chromophobe (chRCC) and clear cell renal cell carcinoma (ccRCC) representing up to 75% of all RCC cases. Detection and RCC monitoring tools are limited to standard imaging techniques, in combination with non-RCC specific morphological and biochemical read-outs. RCC subtype identification relays mainly on results of pathological examination of tumor slides. Molecular, clinically applicable and ideally non-invasive tools aiding RCC management are still non-existent, although molecular characterization of RCC is relatively advanced. Hence, many research efforts concentrate on the identification of molecular markers that will assist with RCC sub-classification and monitoring. Due to stability and tissue-specificity miRNAs are promising candidates for such biomarkers. Here, we performed a meta-analysis study, utilized seven NGS and seven microarray RCC studies in order to identify subtype-specific expression of miRNAs. We concentrated on potentially oncocytoma-specific miRNAs (miRNA-424-5p, miRNA-146b-5p, miRNA-183-5p, miRNA-218-5p), pRCC-specific (miRNA-127-3p, miRNA-139-5p) and ccRCC-specific miRNAs (miRNA-200c-3p, miRNA-362-5p, miRNA-363-3p and miRNA-204-5p, 21-5p, miRNA-224-5p, miRNA-155-5p, miRNA-210-3p) and validated their expression in an independent sample set. Additionally, we found ccRCC-specific miRNAs to be differentially expressed in ccRCC tumor according to Fuhrman grades and identified alterations in their isoform composition in tumor tissue. Our results revealed that changes in the expression of selected miRNA might be potentially utilized as a tool aiding ccRCC subclass discrimination and we propose a miRNA panel aiding RCC subtype distinction.

Highlights

  • Renal cell carcinoma (RCC) is one of ten the most commonly occurring cancer types worldwide [1]

  • In order to identify deregulated microRNAs in RCC first we conducted small RNA-Seq experiment on clear cell renal cell carcinoma (ccRCC) tumor tissue derived from Polish patients (Exp1, ccRCC: n = 26, controls: n = 6)

  • The next-generation sequencing (NGS) data was collected in form of raw reads, subjected to the identical data processing and included four small RNA-Seq experiments performed on ccRCC tumors (Exp1–Exp4) [28,29,30]

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Summary

Introduction

Renal cell carcinoma (RCC) is one of ten the most commonly occurring cancer types worldwide [1]. The occurrence of RCC is population dependent, the general incidence is estimated to be 10 per 100,000 individuals [2]. The 5-year recovery rate of metastatic RCC patients is 12.3% [3] and is frequently a consequence of a late diagnosis. Non-symptomatic disease course and lack of characteristic symptoms except flank pain, hematuria and hypertension accompanied by general fatigue, recurrently lead to the identification of RCC in advanced and/or metastatic stage, with 18% of patients displaying peripheral metastases in distal organs [4]. First mutations leading to the tumor development occur in childhood or adolescence, years or even decades before diagnosis [5].

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