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- Title
Serum miR-373-3p and miR-194-5p Are Associated with Early Tumor Progression during FOLFIRINOX Treatment in Pancreatic Cancer Patients: A Prospective Multicenter Study.
- Authors
van der Sijde, Fleur; Homs, Marjolein Y. V.; van Bekkum, Marlies L.; van den Bosch, Thierry P. P.; Bosscha, Koop; Besselink, Marc G.; Bonsing, Bert A.; de Groot, Jan Willem B.; Karsten, Thomas M.; Groot Koerkamp, Bas; Haberkorn, Brigitte C. M.; Luelmo, Saskia A. C.; Mekenkamp, Leonie J. M.; Mustafa, Dana A. M.; Wilmink, Johanna W.; van Eijck, Casper H. J.; Vietsch, Eveline E.
- Abstract
In this study, we explored the predictive value of serum microRNA (miRNA) expression for early tumor progression during FOLFIRINOX chemotherapy and its association with overall survival (OS) in patients with pancreatic ductal adenocarcinoma (PDAC). A total of 132 PDAC patients of all disease stages were included in this study, of whom 25% showed progressive disease during FOLFIRINOX according to the RECIST criteria. MiRNA expression was analyzed in serum collected before the start and after one cycle of chemotherapy. In the discovery cohort (n = 12), a 352-miRNA RT-qPCR panel was used. In the validation cohorts (total n = 120), miRNA expression was detected using individual RT-qPCR miRNA primers. Before the start of FOLFIRINOX, serum miR-373-3p expression was higher in patients with progressive disease compared to patients with disease control after FOLFIRINOX (Log2 fold difference (FD) 0.88, p = 0.006). MiR-194-5p expression after one cycle of FOLFIRINOX was lower in patients with progressive disease (Log2 FD −0.29, p = 0.044). Both miRNAs were predictors of early tumor progression in a multivariable model including disease stage and baseline CA19-9 level (miR-373-3p odds ratio (OR) 3.99, 95% CI 1.10–14.49; miR-194-5p OR 0.91, 95% CI 0.83–0.99). MiR-373-3p and miR-194-5p did not show an association with OS after adjustment for disease stage, baseline CA19-9, and chemotherapy response. In conclusion, high serum miR-373-3p before the start and low serum miR-194-5p after one cycle are associated with early tumor progression during FOLFIRINOX.
- Subjects
CANCER chemotherapy; CANCER invasiveness; PANCREATIC cancer; OVERALL survival; CANCER treatment
- Publication
International Journal of Molecular Sciences, 2021, Vol 22, Issue 20, p10902
- ISSN
1661-6596
- Publication type
Article
- DOI
10.3390/ijms222010902