Characterization of a miRNA Signature with Enhanced Diagnostic and Prognostic Power for Patients with Bladder Carcinoma

Bladder carcinoma is globally among the most prevalent cancers and is associated with a high mortality rate at advanced stages. Its detection relies on invasive diagnostic methods that are unpleasant for the patient. Non-invasive molecular biomarkers, such as miRNAs, could serve as alternatives for...

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Main Authors: Maria Samara, Panagiotis J. Vlachostergios, Eleni Thodou, Ioannis Zachos, Lampros Mitrakas, Konstantinos Evmorfopoulos, Vassilios Tzortzis, Antonis Giakountis
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/22/16243
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author Maria Samara
Panagiotis J. Vlachostergios
Eleni Thodou
Ioannis Zachos
Lampros Mitrakas
Konstantinos Evmorfopoulos
Vassilios Tzortzis
Antonis Giakountis
author_facet Maria Samara
Panagiotis J. Vlachostergios
Eleni Thodou
Ioannis Zachos
Lampros Mitrakas
Konstantinos Evmorfopoulos
Vassilios Tzortzis
Antonis Giakountis
author_sort Maria Samara
collection DOAJ
description Bladder carcinoma is globally among the most prevalent cancers and is associated with a high mortality rate at advanced stages. Its detection relies on invasive diagnostic methods that are unpleasant for the patient. Non-invasive molecular biomarkers, such as miRNAs, could serve as alternatives for early detection and prognosis of this malignancy. We designed a computational approach that combines transcriptome profiling, survival analyses, and calculation of diagnostic power in order to isolate miRNA signatures with high diagnostic and prognostic utility. Our analysis of TCGA-BLCA data from 429 patients yielded one miRNA signature, consisting of five upregulated and three downregulated miRNAs with cumulative diagnostic power that outperforms current diagnostic methods. The same miRNAs have a strong prognostic significance since their expression is associated with the overall survival of bladder cancer patients. We evaluated the expression of this signature in 19 solid cancer types, supporting its unique diagnostic utility for bladder carcinoma. We provide computational evidence regarding the functional implications of this miRNA signature in cell cycle regulation, demonstrating its abundance in body fluids, including peripheral blood and urine. Our study characterized a novel miRNA signature with the potential to serve as a non-invasive method for bladder cancer diagnosis and prognosis.
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spelling doaj.art-30a241a1740147e8aa4505e93846698a2023-11-24T14:46:43ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-11-0124221624310.3390/ijms242216243Characterization of a miRNA Signature with Enhanced Diagnostic and Prognostic Power for Patients with Bladder CarcinomaMaria Samara0Panagiotis J. Vlachostergios1Eleni Thodou2Ioannis Zachos3Lampros Mitrakas4Konstantinos Evmorfopoulos5Vassilios Tzortzis6Antonis Giakountis7Department of Pathology, Faculty of Medicine, School of Health Sciences, University of Thessaly, 41335 Larissa, GreeceDepartment of Medicine, Division of Hematology and Medical Oncology, Weill Cornell Medicine, New York, NY 10065, USADepartment of Pathology, Faculty of Medicine, School of Health Sciences, University of Thessaly, 41335 Larissa, GreeceDepartment of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, University Hospital of Larissa, 41335 Larissa, GreeceDepartment of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, University Hospital of Larissa, 41335 Larissa, GreeceDepartment of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, University Hospital of Larissa, 41335 Larissa, GreeceDepartment of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, University Hospital of Larissa, 41335 Larissa, GreeceDepartment of Biochemistry and Biotechnology, University of Thessaly, 41335 Larissa, GreeceBladder carcinoma is globally among the most prevalent cancers and is associated with a high mortality rate at advanced stages. Its detection relies on invasive diagnostic methods that are unpleasant for the patient. Non-invasive molecular biomarkers, such as miRNAs, could serve as alternatives for early detection and prognosis of this malignancy. We designed a computational approach that combines transcriptome profiling, survival analyses, and calculation of diagnostic power in order to isolate miRNA signatures with high diagnostic and prognostic utility. Our analysis of TCGA-BLCA data from 429 patients yielded one miRNA signature, consisting of five upregulated and three downregulated miRNAs with cumulative diagnostic power that outperforms current diagnostic methods. The same miRNAs have a strong prognostic significance since their expression is associated with the overall survival of bladder cancer patients. We evaluated the expression of this signature in 19 solid cancer types, supporting its unique diagnostic utility for bladder carcinoma. We provide computational evidence regarding the functional implications of this miRNA signature in cell cycle regulation, demonstrating its abundance in body fluids, including peripheral blood and urine. Our study characterized a novel miRNA signature with the potential to serve as a non-invasive method for bladder cancer diagnosis and prognosis.https://www.mdpi.com/1422-0067/24/22/16243miRNAsbladder carcinomadiagnosis and prognosisgenitourinary transcriptomicsROC analysis
spellingShingle Maria Samara
Panagiotis J. Vlachostergios
Eleni Thodou
Ioannis Zachos
Lampros Mitrakas
Konstantinos Evmorfopoulos
Vassilios Tzortzis
Antonis Giakountis
Characterization of a miRNA Signature with Enhanced Diagnostic and Prognostic Power for Patients with Bladder Carcinoma
International Journal of Molecular Sciences
miRNAs
bladder carcinoma
diagnosis and prognosis
genitourinary transcriptomics
ROC analysis
title Characterization of a miRNA Signature with Enhanced Diagnostic and Prognostic Power for Patients with Bladder Carcinoma
title_full Characterization of a miRNA Signature with Enhanced Diagnostic and Prognostic Power for Patients with Bladder Carcinoma
title_fullStr Characterization of a miRNA Signature with Enhanced Diagnostic and Prognostic Power for Patients with Bladder Carcinoma
title_full_unstemmed Characterization of a miRNA Signature with Enhanced Diagnostic and Prognostic Power for Patients with Bladder Carcinoma
title_short Characterization of a miRNA Signature with Enhanced Diagnostic and Prognostic Power for Patients with Bladder Carcinoma
title_sort characterization of a mirna signature with enhanced diagnostic and prognostic power for patients with bladder carcinoma
topic miRNAs
bladder carcinoma
diagnosis and prognosis
genitourinary transcriptomics
ROC analysis
url https://www.mdpi.com/1422-0067/24/22/16243
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