Assessment of a serum microrna risk score for colorectal cancer among participants of screening colonoscopy at various stages of colorectal carcinogenesis

We recently derived and validated a serum-based microRNA risk score (miR-score) which predicted colorectal cancer (CRC) occurrence with very high accuracy within 14 years of follow-up in a large population-based cohort. Here, we aimed to assess and compare the distribution of the miR-score among par...

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Main Authors: Raut, Janhavi R. (Author) , Bhardwaj, Megha (Author) , Niedermaier, Tobias (Author) , Miah, Kaya (Author) , Schrotz-King, Petra (Author) , Brenner, Hermann (Author)
Format: Article (Journal)
Language:English
Published: 8 August 2022
In: Cells
Year: 2022, Volume: 11, Issue: 15, Pages: 1-10
ISSN:2073-4409
DOI:10.3390/cells11152462
Online Access:Resolving-System, kostenfrei, Volltext: https://doi.org/10.3390/cells11152462
Verlag, kostenfrei, Volltext: https://www.mdpi.com/2073-4409/11/15/2462
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Author Notes:Janhavi R. Raut, Megha Bhardwaj, Tobias Niedermaier, Kaya Miah, Petra Schrotz-King and Hermann Brenner
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Summary:We recently derived and validated a serum-based microRNA risk score (miR-score) which predicted colorectal cancer (CRC) occurrence with very high accuracy within 14 years of follow-up in a large population-based cohort. Here, we aimed to assess and compare the distribution of the miR-score among participants of screening colonoscopy at various stages of colorectal carcinogenesis. MicroRNAs (miRNAs) were profiled by quantitative-real-time-polymerase-chain-reaction in the serum samples of screening colonoscopy participants with CRC (n = 52), advanced colorectal adenoma (AA, n = 100), non-advanced colorectal adenoma (NAA, n = 88), and participants free of colorectal neoplasms (n = 173). The mean values of the miR-score were compared between groups by the Mann-Whitney U test. The associations of the miR-score with risk for colorectal neoplasms were evaluated using logistic regression analyses. MicroRNA risk scores were significantly higher among participants with AA than among those with NAA (p = 0.027) and those with CRC (p = 0.014), whereas no statistically significant difference was seen between those with NAA and those with no colorectal neoplasms (p = 0.127). When comparing adjacent groups, miR-scores were inversely associated with CRC versus AA and positively associated with AA versus NAA [odds ratio (OR), 0.37 (95% confidence interval (CI), 0.16-0.86) and OR, 2.22 (95% CI, 1.06-4.64) for the top versus bottom tertiles, respectively]. Our results are consistent with the hypothesis that a high miR-score may be indicative of an increased CRC risk by an increased tendency of progression from non-advanced to advanced colorectal neoplasms, along with a change of the miR-patterns after CRC manifestation.
Item Description:Gesehen am 14.11.2022
Physical Description:Online Resource
ISSN:2073-4409
DOI:10.3390/cells11152462