Tumor Biology

, Volume 36, Issue 7, pp 5305–5313 | Cite as

Serum microRNA-145 as a novel biomarker in human ovarian cancer

Research Article

Abstract

Ovarian cancer is one of the most threatening diseases among women in the world. Current detection methods are expensive and lack accuracy. Thus, a fast, non-invasive biomarker for detecting ovarian cancer is urgently needed. Compelling evidences have been demonstrated that microRNAs, a large family of single-stranded and non-protein-coding RNA molecules, can serve as useful biomarkers in cancer detection. In this study, the relative expressions of microRNA-145 (miR-145) in the serum of patients with ovarian cancer and healthy controls were investigated in an independent study. Subsequently, the diagnosis and prognosis value of miR-145 as a biomarker for ovarian cancer were examined. Furthermore, we performed a meta-analysis to summarize all the results from published studies and this study. Relative expressions of miR-145 were investigated in three independent groups (malignant ovarian cancer, benign ovarian tumor, and healthy controls), comprising a total of 270 participants. Receiver operating characteristic (ROC) curves and overall survival (OS) curves were conducted to compare miR-145 level and clinical characteristics among the three groups. The results showed that relative expressions of the serum miR-145 were significantly down-regulated in patients with malignant ovarian cancer and benign ovarian cancer, compared to healthy controls (P < 0.01). Serum miR-145 levels could discriminate patients with malignant ovarian cancer from healthy controls, with a power area under the curve (AUC) of 0.82 (95 % confidence interval (CI) = 0.77–0.88). Furthermore, patients with low serum levels of miR-145 had a significantly shorter median overall survival rate (hazard ratio (HR) = 1.81, 95 % CI = 1.03–3.17, P = 0.039). The meta-analysis yields good diagnostic performances of miR-145 in various cancers, with an AUC of 0.82 (95 % CI, 0.78–0.85). In conclusion, the present study suggested that miR-145 can potentially serve as an outstanding biomarker for ovarian and other human cancers detection.

Keywords

Ovarian cancer MicroRNA MicroRNA-145 Serum Biomarker Diagnosis Prognosis 

Notes

Acknowledgments

This work is supported by the “Mechanism of PTEN/P13K Signaling Pathway in Reconstruction of Ovary by In Situ Transplantation of Placental Mesenchymal Stem Cells” (Guangdong Health Bureau, A2013516) and “Mechanism of the Sensitizing Effect of CENP-H in Paclitaxel Chemotherapy for Breast Cancer” (National Natural Science Foundation, 81101682). The corresponding author had full access to all the data in the study and had final responsibility for the decision to submit for publication.

Conflicts of interest

None.

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Copyright information

© International Society of Oncology and BioMarkers (ISOBM) 2015

Authors and Affiliations

  • Huichao Liang
    • 1
  • Zhipeng Jiang
    • 2
  • Guie Xie
    • 3
  • Yan Lu
    • 4
  1. 1.Department of Gynecology Oncology, Guangzhou Women and Children’s Medical CenterGuangzhou Medical UniversityGuangzhouChina
  2. 2.Gastrointestinal Surgery, Sun Yat-Sen Memorial HospitalSun Yat-Sen UniversityGuangzhouChina
  3. 3.Institute of Perinatal Medicine, Guangzhou Women and Children’s Medical CenterGuangzhou Medical UniversityGuangzhouChina
  4. 4.Guangzhou Cord Blood Bank, Guangzhou Women and Children’s Medical CenterGuangzhou Medical UniversityGuangzhouChina

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