Abstract
Introduction
The current WHO classification and methylation status help predict meningioma recurrence and prognosis. However, up to date, there is no circulating biomarker showing clinical value in meningioma diagnosis or classification. Circulating miRNAs showed the potential to be used as cancer biomarkers in various tumours. This research evaluated specific miRNAs, miR-497 and miR-219, as convenient and efficient predictors of meningioma grades.
Methods
We studied serum and exosomal levels of miR-497 in 74 meningioma samples (WHO grade I = 25, WHO grade II = 25, and WHO grade III = 24) and 53 healthy controls. The serum level of miR-219 was studied in 56 meningioma samples WHO grade I = 22, WHO grade II = 14, and WHO grade III = 20). We used qPCR for miRNA quantification. We also tested two different normalisers, endogenous and external, and evaluated their impact on the diagnostic value of miR-497.
Results
The serum and exosomal levels of miR-497 distinguished meningioma from the control samples. Moreover, miR-497 was a suitable identifier for meningioma grade. When we combined miR-497 and miR-219, the efficacy of the combined biomarker was higher than miR-497 or miR-219 when used individually in meningioma classification. Both miR-497 and miR-219 showed a noticeable change with the methylation class of meningioma.
Conclusion
This study shows that serum miR-497 is an effective and easy-to-measure biomarker for meningioma diagnosis and classification. Moreover, when we combined miR-497 and miR-219, the combined biomarker showed enhanced accuracy in meningioma classification. Furthermore, this is the first study to evaluate the correlation between serum circulating miRNA and the methylation status in meningioma.
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Acknowledgements
Tissue and serum samples were obtained from Graz biobank and Lancashire Teaching Hospital NHS Foundation Trust, which is part of the UK Brain Archive Information Network (BRAIN UK), which is funded by the Medical Research Council. We thank Brain Tumour Research for supporting this work. Ahmed Abdelrahman was supported by MSCA-ITN-ETN-European Training Networks [An Integrated Platform for Developing Brain Cancer Diagnostic Techniques (AiPBAND) Project ID 764281]. The funders had no role in study design, data collection, data analysis and interpretation, writing of the manuscript, or decision to publish.
Funding
This research was funded by MSCA-ITN-ETN-European Training Networks [An Integrated Platform for Developing Brain Cancer Diagnostic Techniques (AiPBAND) project ID 764281] and Brain Tumour Research (Hanemann).
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Conceptualization, AA and COH; methodology, AA and CN; software, AA; validation, AA; formal analysis, AA; investigation, COH; resources, AA, MK, TUP and CLA; data curation, AA; writing—original draft preparation, AA and COH; writing—review and editing, CN, CLA, MK, CM, RV and COH; visualization, COH; supervision, CM, RV and COH.; project administration, COH; funding acquisition, CM, RV and COH. All authors have read and agreed to the published version of the manuscript.
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The study was conducted in accordance with the Declaration of Helsinki, and approved by the Institutional Review Board (or Ethics Committee) of UNIVERSITY OF PLYMOUTH (protocol code 17/18-837and 14/15-450) and date of approval 27/ January 2021 for studies involving humans.
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Abdelrahman, A., Negroni, C., Sahm, F. et al. miR-497 and 219 in blood aid meningioma classification. J Neurooncol 160, 137–147 (2022). https://doi.org/10.1007/s11060-022-04126-0
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DOI: https://doi.org/10.1007/s11060-022-04126-0