Abstract

Cervical cancer is the second most common cancer in women in the world. In this study, we explore tumor markers and microRNA-466 combination for cervical cancer screening. Tumor markers were measured by the methods of electro-chemiluminescent immunoassay and enzyme immunoassay. The microRNA-466 was performed by quantitative real-time polymerase chain reaction. Among normal group, hyperplasia group and cancer group, the CEA expression levels were 2.26 ng/ml, 3.85 ng/ml and 16.08 ng/ml, respectively. While the CA125 expression levels were 13.61 u/ml, 27.32 u/ml and 44.93 u/ml, respectively. The SCCA expression levels were 13.61 ng/ml, 27.32 ng/ml and 44.93 ng/ml, respectively. The expression levels of tumor markers were all gradually increased with the development of cervical lesions. The expression levels of microRNA-466 in cervical cancers (0.62) were greater than that in normal (0.076) and hyperplasia (0.24). The expression of microRNA-466 was correlated with lymphnode metastasis (P=0.000). There is a lower overall survival rate of patient with large tumor or lymphnode metastasis. Thus, the combination of tumor markers and microRNA-466 can be useful for early detection of cervical cancer and indicators for advanced stage and prognosis of the disease.

Highlights

  • Cervical cancer is the second most frequent cancer in women and the most common gynecological cancer [1]

  • Squamous cell www.impactjournals.com/oncotarget carcinoma antigen (SCCA) is separated from a squamous cell carcinoma (SCC) of the uterine cervix [13]. These results suggest that cervical adenocarcinoma may excrete elevated levels of carcinoembryonic antigen (CEA) and/or SCCA in cervical cancer instead of cancer antigen 125 (CA125)

  • It was shown that the expression levels of CEA were gradually built up over the development of cervical lesions

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Summary

Introduction

Cervical cancer is the second most frequent cancer in women and the most common gynecological cancer [1]. 85% of new cases occur in developing countries where the survival rates are substantially lower as a result of a presentation at relatively advanced stages [3] This condition affects severely the health and lives with the women [4]. MicroRNAs (miRNAs), small non-coding short RNAs of 18-25 nucleotides in length, generally act as negative regulators of gene expression at the posttranscriptional level through mRNA degradation or translation repression [5, 6]. These molecules, as key regulators of cellular growth and differentiation, play an important role in many biological processes [7, 8]. The expression levels of MicroRNA-466 in cervical cancer tissue have been reported in our previous study [11]

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