Abstract

Oncogene mutations may be drivers of the carcinogenesis process. MicroRNA (miRNA) alterations may be adaptive or pathogenic and can have consequences only when mutation in the controlled oncogenes occurs. The aim of this research was to analyze the interplay between miRNA expression and oncogene mutation. A total of 2549 miRNAs were analyzed in cancer tissue—in surrounding normal lung tissue collected from 64 non-smoking patients and in blood plasma. Mutations in 92 hotspots of 22 oncogenes were tested in the lung cancer tissue. MicroRNA alterations were related to the mutations occurring in cancer patients. Conversely, the frequency of mutation occurrence was variable and spanned from the k-ras and p53 mutation detected in 30% of patients to 20% of patients in which no mutation was detected. The prediction of survival at a 3-year follow up did not occur for mutation analysis but was, conversely, well evident for miRNA analysis highlighting a pattern of miRNA distinguishing between survivors and death in patients 3 years before this clinical onset. A signature of six lung cancer specific miRNAs occurring both in the lungs and blood was identified. The obtained results provide evidence that the analysis of both miRNA and oncogene mutations was more informative than the oncogene mutation analysis currently performed in clinical practice.

Highlights

  • MicroRNAs are non-coding RNA molecules that have different regulatory roles in cell differentiation, proliferation, and survival. miRNAs can inhibit complementary mRNA targets, regulating translation through RNA degradation. miRNAs were found to be deregulated in numerous diseases, including cancer, and are frequently altered owing to mutations or transcriptional changes of the enzymes that regulate miRNA biogenesis [1]. miRNAs are involved in the epithelial–mesenchymal transition, cell growth, proliferation, migration, and invasion [2], as well as processes related to chemotherapy cell resistance

  • These findings address the identification of a cluster of miRNAs to be used as cancer early predictors considering the high heterogeneity of lung cancer patients

  • The identification of novel biomarkers based on miRNA profiles from accessible biological samples, like blood, would help in the near future for a better understanding of a patient’s health state

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Summary

Introduction

MicroRNAs (miRNAs) are non-coding RNA molecules that have different regulatory roles in cell differentiation, proliferation, and survival. miRNAs can inhibit complementary mRNA targets, regulating translation through RNA degradation. miRNAs were found to be deregulated in numerous diseases, including cancer, and are frequently altered owing to mutations or transcriptional changes of the enzymes that regulate miRNA biogenesis [1]. miRNAs are involved in the epithelial–mesenchymal transition, cell growth, proliferation, migration, and invasion [2], as well as processes related to chemotherapy cell resistance. MicroRNAs (miRNAs) are non-coding RNA molecules that have different regulatory roles in cell differentiation, proliferation, and survival. MiR-92a expression is increased in PTEN deletion cases [3], miR-244 is related to the apoptosis process enhancing the proliferative and migratory effects in non-small cell lung cancer (NSCLC) [4], and miR-200c influences the epithelial–. Diagnosis of lung cancers using miR-33a-5p and miR-128-3p signatures have been proposed as they are linked to tumor suppression processes [6]. These findings address the identification of a cluster of miRNAs to be used as cancer early predictors considering the high heterogeneity of lung cancer patients

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