Abstract
Long Non-Coding RNAs (lncRNAs), with diagnostic and therapeutic applications in malignancies, are newly described tumour-related molecules. Here, we reported the importance of circulating DSCAM-AS1 as the biomarker to detect Estrogen Receptor (ER)-positive breast cancer (BC) cases. Moreover, the expression of a BC-associated lncRNAs, namely DSCAM-AS1, was measured in tumoural and Paired Adjacent Non-Tumoral (PANT) tissue, as well as plasma, using Real-Time Polymerase Chain Reaction (RT-PCR). Besides, the correlations between gene expression and the clinicopathological features were analyzed. The diagnostic power of circulating DSCAM-AS1 in BC was estimated using the Area Under the Curve (AUC) value. Furthermore, we studied the DSCAM-AS1 associated with the network of competitive endogenous RNA (ceRNA) in BC using the literature review and in silico analysis. We found a significant increase in the expression levels of lncRNA in the tumour (P < 0.001) and in plasma (P < 0.001) of ER-positive BC patients. The sensitivity and specificity of DSCAM-AS1 in plasma for detection of BC from healthy controls were 100 and 97%, respectively (AUC = 0.98, P < 0.001). Accordingly, we suggest an elevated level of circulating DSCAM-AS1 as a candidate biomarker of ER-positive BC patients. Moreover, perturbation of DSCAM-AS1, as a ceRNA, acts in the tumor progression and drug resistance by affecting different cell signaling.
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Abbreviations
- BC:
-
Breast cancer
- ceRNA:
-
Competing endogenous RNA
- DSCAM-AS1:
-
Down syndrome cell adhesion molecule anti-sense 1
- EMT:
-
Epidermal-mesenchymal transition
- ER:
-
Estrogen receptor
- lncRNAs:
-
Long noncoding RNAs
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Acknowledgements
We wish to show our appreciation to Dr. Sh. Mostafaei and Mr. E. Zereshki for their biostatistician consulting.
Funding
This study has been funded by Kermanshah University of Medical Sciences, Iran [Grant No. 95680].
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M-TM: Performed all experiments, analyzed the data and wrote the initial draft of the manuscript. HF: Contributed to bioinformatic analysis and revised the manuscript. ZR: Contributed to concept and design, financial support, and revised the manuscript. All authors read and approved the final manuscript.
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Moradi, MT., Fallahi, H. & Rahimi, Z. The clinical significance of circulating DSCAM-AS1 in patients with ER-positive breast cancer and construction of its competitive endogenous RNA network. Mol Biol Rep 47, 7685–7697 (2020). https://doi.org/10.1007/s11033-020-05841-5
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DOI: https://doi.org/10.1007/s11033-020-05841-5