Protective effect of miR‐18a in resected liver metastases of colorectal cancer and FOLFOX treatment

Abstract Background Colorectal cancer ranks second in terms of cancer associated deaths worldwide, whereas miRNA play a pivotal role in the etiology of cancer and its metastases. Aims Studying the expression and cellular function of miR‐18a in metastatic colorectal cancer and association to progress...

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Main Authors: Clemens Franz, Laila Jötten, Michael Wührl, Sibylle Hartmann, Fee Klupp, Thomas Schmidt, Martin Schneider
Format: Article
Language:English
Published: Wiley 2023-12-01
Series:Cancer Reports
Subjects:
Online Access:https://doi.org/10.1002/cnr2.1899
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author Clemens Franz
Laila Jötten
Michael Wührl
Sibylle Hartmann
Fee Klupp
Thomas Schmidt
Martin Schneider
author_facet Clemens Franz
Laila Jötten
Michael Wührl
Sibylle Hartmann
Fee Klupp
Thomas Schmidt
Martin Schneider
author_sort Clemens Franz
collection DOAJ
description Abstract Background Colorectal cancer ranks second in terms of cancer associated deaths worldwide, whereas miRNA play a pivotal role in the etiology of cancer and its metastases. Aims Studying the expression and cellular function of miR‐18a in metastatic colorectal cancer and association to progression‐free survival. Methods and Results Colorectal liver metastases (N = 123) and primary colorectal cancer (N = 27) where analyzed by RT‐PCR and correlated with clinical follow up data. Invasion and migration assays were performed with the liver metastatic cell line LIM2099 after miR‐18a knockdown. Cell viability under FOLFOX treatment and knockdown was measured. We found that the expression of miR‐18a was increased 4.38‐fold in liver metastases and 3.86‐fold in colorectal tumor tissue compared to healthy liver tissue and colorectal mucosa, respectively (p ≤ .001). Patients with a high miR‐18a expression in liver metastases had a progression‐free survival (PFS) of 13.6 months versus 8.9 months in patients with low expression (N = 123; p = .024). In vitro migration of LIM2099 cells was reduced after miR‐18a knockdown and cell viability was significantly increased after miR‐18a knockdown and treatment with folinic acid or oxaliplatin. Subgroup analysis of PFS revealed significant benefits for patients with high miR‐18a expression receiving 5‐FU, folinic acid or oxaliplatin. Conclusions High expression of miR‐18a in colorectal liver metastases might have a protective effect after resection of metastases and FOLFOX treatment regarding PFS.
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spelling doaj.art-3ccfe4deffda42979ab325cb6a8a70af2024-01-26T14:41:21ZengWileyCancer Reports2573-83482023-12-01612n/an/a10.1002/cnr2.1899Protective effect of miR‐18a in resected liver metastases of colorectal cancer and FOLFOX treatmentClemens Franz0Laila Jötten1Michael Wührl2Sibylle Hartmann3Fee Klupp4Thomas Schmidt5Martin Schneider6Department of General, Visceral and Transplant Surgery University Hospital Heidelberg Heidelberg GermanyDepartment of General, Visceral and Transplant Surgery University Hospital Heidelberg Heidelberg GermanyDepartment of General, Visceral and Transplant Surgery University Hospital Heidelberg Heidelberg GermanyDepartment of General, Visceral and Transplant Surgery University Hospital Heidelberg Heidelberg GermanyDepartment of General, Visceral and Transplant Surgery University Hospital Heidelberg Heidelberg GermanyDepartment of General, Visceral and Transplant Surgery University Hospital Heidelberg Heidelberg GermanyDepartment of General, Visceral and Transplant Surgery University Hospital Heidelberg Heidelberg GermanyAbstract Background Colorectal cancer ranks second in terms of cancer associated deaths worldwide, whereas miRNA play a pivotal role in the etiology of cancer and its metastases. Aims Studying the expression and cellular function of miR‐18a in metastatic colorectal cancer and association to progression‐free survival. Methods and Results Colorectal liver metastases (N = 123) and primary colorectal cancer (N = 27) where analyzed by RT‐PCR and correlated with clinical follow up data. Invasion and migration assays were performed with the liver metastatic cell line LIM2099 after miR‐18a knockdown. Cell viability under FOLFOX treatment and knockdown was measured. We found that the expression of miR‐18a was increased 4.38‐fold in liver metastases and 3.86‐fold in colorectal tumor tissue compared to healthy liver tissue and colorectal mucosa, respectively (p ≤ .001). Patients with a high miR‐18a expression in liver metastases had a progression‐free survival (PFS) of 13.6 months versus 8.9 months in patients with low expression (N = 123; p = .024). In vitro migration of LIM2099 cells was reduced after miR‐18a knockdown and cell viability was significantly increased after miR‐18a knockdown and treatment with folinic acid or oxaliplatin. Subgroup analysis of PFS revealed significant benefits for patients with high miR‐18a expression receiving 5‐FU, folinic acid or oxaliplatin. Conclusions High expression of miR‐18a in colorectal liver metastases might have a protective effect after resection of metastases and FOLFOX treatment regarding PFS.https://doi.org/10.1002/cnr2.1899colorectal cancerFOLFOX protocolhepatectomyMicroRNAsneoplasm metastasis
spellingShingle Clemens Franz
Laila Jötten
Michael Wührl
Sibylle Hartmann
Fee Klupp
Thomas Schmidt
Martin Schneider
Protective effect of miR‐18a in resected liver metastases of colorectal cancer and FOLFOX treatment
Cancer Reports
colorectal cancer
FOLFOX protocol
hepatectomy
MicroRNAs
neoplasm metastasis
title Protective effect of miR‐18a in resected liver metastases of colorectal cancer and FOLFOX treatment
title_full Protective effect of miR‐18a in resected liver metastases of colorectal cancer and FOLFOX treatment
title_fullStr Protective effect of miR‐18a in resected liver metastases of colorectal cancer and FOLFOX treatment
title_full_unstemmed Protective effect of miR‐18a in resected liver metastases of colorectal cancer and FOLFOX treatment
title_short Protective effect of miR‐18a in resected liver metastases of colorectal cancer and FOLFOX treatment
title_sort protective effect of mir 18a in resected liver metastases of colorectal cancer and folfox treatment
topic colorectal cancer
FOLFOX protocol
hepatectomy
MicroRNAs
neoplasm metastasis
url https://doi.org/10.1002/cnr2.1899
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