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Combination of miR-21 with Circulating Tumor Cells Markers Improve Diagnostic Specificity of Metastatic Breast Cancer.

Abstract
Circulating miR-21 is upregulated in breast cancer. However, correlation of miR-21 expression with clinic pathologic characteristics remains questionable. In this study, we investigate whether combination of circulation miR-21 with circulating tumor cells (CTCs) marker (EpCAM, MUS1, HER2) could improve diagnostic specificity of metastatic breast cancer. Total 223 breast cancer patients were included. 89 % patients were associated with upregulation of miR-21 compared with health control. 20 % patients were detected for CTCs marker positive. For higher specificity purpose, triple marker positive samples were selected as true CTCs positive, which only occupied 59.5 % of total metastatic breast cancer patients. Specificity of detection of CTCs was 96.7 %. Furthermore, 59.5 % metastatic breast cancer patients were shown both abnormal miR-21 and true CTCs positive according to distribution of true CTCs positive and abnormal miR-21; Combination of miR-21 and CTCs was increased specificity of metastatic detection to 100 %. Our findings suggested that combination of miR-21 with CTCs marker could be used for better diagnosis of metastatic breast cancer in the future.
AuthorsXingwang Yang, Xiaoming Wang, Hongyan Shen, Rong Deng, Kecheng Xue
JournalCell biochemistry and biophysics (Cell Biochem Biophys) Vol. 73 Issue 1 Pg. 87-91 (Sep 2015) ISSN: 1559-0283 [Electronic] United States
PMID25669446 (Publication Type: Journal Article)
Chemical References
  • Biomarkers, Tumor
  • EPCAM protein, human
  • Epithelial Cell Adhesion Molecule
  • MIRN21 microRNA, human
  • MUC1 protein, human
  • MicroRNAs
  • Mucin-1
  • ERBB2 protein, human
  • Receptor, ErbB-2
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers, Tumor (blood)
  • Breast Neoplasms (blood, pathology)
  • Case-Control Studies
  • Epithelial Cell Adhesion Molecule (blood)
  • Female
  • Humans
  • Male
  • MicroRNAs (blood)
  • Middle Aged
  • Mucin-1 (blood)
  • Neoplasm Metastasis
  • Neoplastic Cells, Circulating (metabolism)
  • Receptor, ErbB-2 (blood)
  • Sensitivity and Specificity

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