Cell-Free microRNA-214 From Urine as a Biomarker for Non-Muscle-Invasive Bladder Cancer.
10.4111/kju.2013.54.11.791
- Author:
Sung Min KIM
1
;
Ho Won KANG
;
Won Tae KIM
;
Yong June KIM
;
Seok Joong YUN
;
Sang Cheol LEE
;
Wun Jae KIM
Author Information
1. Department of Urology, Chungbuk National University College of Medicine, Cheongju, Korea. sjyun@chungbuk.ac.kr
- Publication Type:Original Article
- Keywords:
MicroRNAs;
Neoplasms;
Recurrence;
Urinary bladder
- MeSH:
Humans;
MicroRNAs;
Polymerase Chain Reaction;
Recurrence;
RNA, Small Untranslated;
Urinary Bladder Neoplasms*;
Urinary Bladder*
- From:Korean Journal of Urology
2013;54(11):791-796
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: MicroRNAs are small noncoding RNAs and microRNA-214 (miR-214) has been associated with the inhibition of cancer cell growth, migration, and invasion. The aim of this study was to investigate whether cell-free miR-214 isolated from urine could be used as a biomarker for non-muscle-invasive bladder cancer (NMIBC). MATERIALS AND METHODS: A total of 138 patients with primary NMIBC and 144 healthy normal controls were enrolled in this study. By use of quantitative polymerase chain reaction (PCR), the urinary levels of cell-free miR-214 were measured and the clinicopathological parameters of patients with NMIBC were compared with those of the controls. RESULTS: The urinary levels of cell-free miR-214 were significantly higher in the NMIBC patients than in the controls (20.08+/-3.21 vs. 18.96+/-2.68, p=0.002). However, the urinary levels of cell-free miR-214 were neither graded nor staged for the NMIBC patients (p>0.05, each). When we compared the urinary levels of cell-free miR-214 according to clinical outcomes, patients with recurrence had lower levels of miR-214 than did those with no recurrence (19.24+/-2.67 vs. 20.41+/-3.41, p=0.023). By contrast, there were no significant differences in the urinary level of cell-free miR-214 between the NMIBC patients showing progression and those showing no progression (p=0.919). Multivariate Cox regression analysis revealed that urinary levels of cell-free miR-214 were an independent predictor of NMIBC recurrence (hazard ratio, 2.011; 95% confidence interval, 1.027 to 3.937; p=0.041). CONCLUSIONS: Urinary levels of cell-free miR-214 could be an independent prognostic parameter for NMIBC recurrence. Thus, urinary cell-free microRNA-214 might be a useful prognostic marker for NMI BC.
