Abstract MicroRNAs (miRNAs) are small non-coding RNAs that regulate mRNA stability and protein expression at post-transcriptional level. Certain miRNAs have been demonstrated to act either as oncogenes or tumor suppressors. The specific expression profiles of miRNAs have been found in many human cancers, but the role of miRNAs in endometrioid endometrial cancer (EEC) remains poorly understood. Most miRNA profiling studies have used fresh tissue samples. This study was to provide the candidate miRNAs for further confirming the role of miRNAs in carcinogenesis of EEC and to explore whether FFPE material would be suitable for miRNA profiling. We found the differences in miRNA expression profile using human miRNA microarray in EECs and normal endometrium. Of those, the miR-200a*, miR-200b*, miR-141, miR-182, and miR-205 were greatly enriched. The expressions of these 5 miRNAs were validated using quantitative real time reverse transcription-PCR (qRT-PCR). Then, we performed qRT-PCR profiling of miR expression in 30 microdissected formalin-fixed paraffin-embedded (FFPE) specimens (20 EECs, 10 non-tumor specimens) and reconfirmed the results of differential expression between cancer and normal tissue. We next tested whether specific inhibition of overexpressed microRNAs would alter the chemosensitivity. In in vitro cell viability assay, anti-miR200b* slightly enhanced cisplatin cytotoxicity compared with negative control although it showed marginal statistical significance (p=0.07). This information provided the candidate miRNAs for further confirming the role of miRNAs in carcinogenesis of EEC and potentially serving as a diagnostic or therapeutic tool. FFPE specimens of endometrial tissues are suitable as a source for miRNA microarray profiling. Citation Format: Taek Sang Lee, Hye-Won Jeon, Yong-Beom Kim. Molecular profiles of microRNA in endometrial carcinoma using paraffin-embedded (FFPE) specimens. [abstract]. In: Proceedings of the 104th Annual Meeting of the American Association for Cancer Research; 2013 Apr 6-10; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2013;73(8 Suppl):Abstract nr 1847. doi:10.1158/1538-7445.AM2013-1847