Plasma exosomal miR-1290 and miR-29c-3p as diagnostic biomarkers for lung cancer

Background: Enhancing the diagnostic efficacy of early-stage lung cancer is crucial for improving prognosis. The objective of this study was to ascertain dependable exosomal miRNAs as biomarkers for the diagnosis of lung cancer. Methods: Exosomal miRNA candidates were identified through miRNA sequen...

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Main Authors: Qian Zhang, Kaifu Zheng, Yongheng Gao, Shihong Zhao, Yabo Zhao, Wangping Li, Yandong Nan, Zhengping Li, Wei Liu, Xinxin Wang, Yanwei Chen, Gang Liu, Faguang Jin
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023082671
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author Qian Zhang
Kaifu Zheng
Yongheng Gao
Shihong Zhao
Yabo Zhao
Wangping Li
Yandong Nan
Zhengping Li
Wei Liu
Xinxin Wang
Yanwei Chen
Gang Liu
Faguang Jin
author_facet Qian Zhang
Kaifu Zheng
Yongheng Gao
Shihong Zhao
Yabo Zhao
Wangping Li
Yandong Nan
Zhengping Li
Wei Liu
Xinxin Wang
Yanwei Chen
Gang Liu
Faguang Jin
author_sort Qian Zhang
collection DOAJ
description Background: Enhancing the diagnostic efficacy of early-stage lung cancer is crucial for improving prognosis. The objective of this study was to ascertain dependable exosomal miRNAs as biomarkers for the diagnosis of lung cancer. Methods: Exosomal miRNA candidates were identified through miRNA sequencing and subsequently validated in various case-control sets using real-time quantitative reverse transcription-polymerase chain reaction (RT-qPCR). The correlation between the expression of exosomal miRNAs and the clinicopathological features of lung cancer was investigated. To assess the diagnostic efficacy of exosomal miRNAs for lung cancer, the receiver operating characteristic (ROC) curve analysis was conducted. The optimal cutoff value of exosomal miRNAs was determined in the testing cohort and subsequently confirmed in the validation cohort. Results: The results showed that the expression of exosomal miR-1290 was significantly elevated, while that of miR-29c-3p was significantly decreased in the plasma of lung cancer patients, especially in those with early-stage lung cancer, compared to individuals with benign lung conditions (P < 0.01). Exosomal miR-1290 and miR-29c-3p demonstrated superior diagnostic efficacy compared to conventional tumor biomarkers in distinguishing between lung cancer and benign lung diseases, as evidenced by their respective area under the curve (AUC) values of 0.934 and 0.868. Furthermore, exosomal miR-1290 and miR-29c-3p exhibited higher diagnostic efficiency in early-stage lung cancer than traditional tumor markers, with AUC values of 0.947 and 0.895, respectively. Notably, both exosomal miR-1290 and miR-29c-3p displayed substantial discriminatory capacity in distinguishing between non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC), as indicated by their respective AUC values of 0.810 and 0.842. Conclusions: The findings of this study provided evidence that exosomal miR-1290 and miR-29c-3p hold significant potential as biomarkers for the early detection of lung cancer, as well as for differentiating between NSCLC and SCLC.
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spelling doaj.art-a0783a6ad0d646979b34ce6b1120f2f32023-10-30T06:08:15ZengElsevierHeliyon2405-84402023-10-01910e21059Plasma exosomal miR-1290 and miR-29c-3p as diagnostic biomarkers for lung cancerQian Zhang0Kaifu Zheng1Yongheng Gao2Shihong Zhao3Yabo Zhao4Wangping Li5Yandong Nan6Zhengping Li7Wei Liu8Xinxin Wang9Yanwei Chen10Gang Liu11Faguang Jin12Department of Respiratory and Critical Care Medicine, Tangdu Hospital, Air Force Military Medical University, Xi'an, 710038, China; Department of Respiration, Eastern Air Force Hospital, NanJing 210000, ChinaDepartment of General Surgery, the 991th Hospital of Joint Logistic Support Force of People's Liberation Army, Xiangyang 441000, ChinaDepartment of Respiratory and Critical Care Medicine, Tangdu Hospital, Air Force Military Medical University, Xi'an, 710038, ChinaDepartment of Respiratory and Critical Care Medicine, Tangdu Hospital, Air Force Military Medical University, Xi'an, 710038, ChinaDepartment of Thoracic surgery, Tangdu Hospital, Air Force Military Medical University, Xi'an, ChinaDepartment of Respiratory and Critical Care Medicine, Tangdu Hospital, Air Force Military Medical University, Xi'an, 710038, ChinaDepartment of Respiratory and Critical Care Medicine, Tangdu Hospital, Air Force Military Medical University, Xi'an, 710038, ChinaDepartment of General Surgery, the 991th Hospital of Joint Logistic Support Force of People's Liberation Army, Xiangyang 441000, ChinaDepartment of Respiratory and Critical Care Medicine, Tangdu Hospital, Air Force Military Medical University, Xi'an, 710038, ChinaDepartment of Respiratory and Critical Care Medicine, Tangdu Hospital, Air Force Military Medical University, Xi'an, 710038, ChinaDepartment of Respiratory and Critical Care Medicine, Tangdu Hospital, Air Force Military Medical University, Xi'an, 710038, China; Corresponding authorDepartment of Respiratory and Critical Care Medicine, Tangdu Hospital, Air Force Military Medical University, Xi'an, 710038, China; Corresponding authorDepartment of Respiratory and Critical Care Medicine, Tangdu Hospital, Air Force Military Medical University, Xi'an, 710038, China; Corresponding author.Background: Enhancing the diagnostic efficacy of early-stage lung cancer is crucial for improving prognosis. The objective of this study was to ascertain dependable exosomal miRNAs as biomarkers for the diagnosis of lung cancer. Methods: Exosomal miRNA candidates were identified through miRNA sequencing and subsequently validated in various case-control sets using real-time quantitative reverse transcription-polymerase chain reaction (RT-qPCR). The correlation between the expression of exosomal miRNAs and the clinicopathological features of lung cancer was investigated. To assess the diagnostic efficacy of exosomal miRNAs for lung cancer, the receiver operating characteristic (ROC) curve analysis was conducted. The optimal cutoff value of exosomal miRNAs was determined in the testing cohort and subsequently confirmed in the validation cohort. Results: The results showed that the expression of exosomal miR-1290 was significantly elevated, while that of miR-29c-3p was significantly decreased in the plasma of lung cancer patients, especially in those with early-stage lung cancer, compared to individuals with benign lung conditions (P < 0.01). Exosomal miR-1290 and miR-29c-3p demonstrated superior diagnostic efficacy compared to conventional tumor biomarkers in distinguishing between lung cancer and benign lung diseases, as evidenced by their respective area under the curve (AUC) values of 0.934 and 0.868. Furthermore, exosomal miR-1290 and miR-29c-3p exhibited higher diagnostic efficiency in early-stage lung cancer than traditional tumor markers, with AUC values of 0.947 and 0.895, respectively. Notably, both exosomal miR-1290 and miR-29c-3p displayed substantial discriminatory capacity in distinguishing between non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC), as indicated by their respective AUC values of 0.810 and 0.842. Conclusions: The findings of this study provided evidence that exosomal miR-1290 and miR-29c-3p hold significant potential as biomarkers for the early detection of lung cancer, as well as for differentiating between NSCLC and SCLC.http://www.sciencedirect.com/science/article/pii/S2405844023082671DiagnosisExosomeLung NeoplasmsMiR-1290MiR-29c-3p
spellingShingle Qian Zhang
Kaifu Zheng
Yongheng Gao
Shihong Zhao
Yabo Zhao
Wangping Li
Yandong Nan
Zhengping Li
Wei Liu
Xinxin Wang
Yanwei Chen
Gang Liu
Faguang Jin
Plasma exosomal miR-1290 and miR-29c-3p as diagnostic biomarkers for lung cancer
Heliyon
Diagnosis
Exosome
Lung Neoplasms
MiR-1290
MiR-29c-3p
title Plasma exosomal miR-1290 and miR-29c-3p as diagnostic biomarkers for lung cancer
title_full Plasma exosomal miR-1290 and miR-29c-3p as diagnostic biomarkers for lung cancer
title_fullStr Plasma exosomal miR-1290 and miR-29c-3p as diagnostic biomarkers for lung cancer
title_full_unstemmed Plasma exosomal miR-1290 and miR-29c-3p as diagnostic biomarkers for lung cancer
title_short Plasma exosomal miR-1290 and miR-29c-3p as diagnostic biomarkers for lung cancer
title_sort plasma exosomal mir 1290 and mir 29c 3p as diagnostic biomarkers for lung cancer
topic Diagnosis
Exosome
Lung Neoplasms
MiR-1290
MiR-29c-3p
url http://www.sciencedirect.com/science/article/pii/S2405844023082671
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