Circulating serum exosomal miRNAs as potential biomarkers for esophageal adenocarcinoma

dc.contributor.authorChiam, K.
dc.contributor.authorWang, T.
dc.contributor.authorWatson, D.
dc.contributor.authorMayne, G.
dc.contributor.authorIrvine, T.
dc.contributor.authorBright, T.
dc.contributor.authorSmith, L.
dc.contributor.authorWhite, I.
dc.contributor.authorBowen, J.
dc.contributor.authorKeefe, D.
dc.contributor.authorThompson, S.
dc.contributor.authorJones, M.
dc.contributor.authorHussey, D.
dc.date.issued2015
dc.descriptionPublished online: 6 May 2015
dc.description.abstractBackground: The poor prognosis and rising incidence of esophageal adenocarcinoma highlight the need for improved detection methods. The potential for circulating microRNAs (miRNAs) as biomarkers in other cancers has been shown, but circulating miRNAs have not been well characterized in esophageal adenocarcinoma. We investigated whether circulating exosomal miRNAs have potential to discriminate individuals with esophageal adenocarcinoma from healthy controls and non-dysplastic Barrett’s esophagus. Methods: Seven hundred fifty-eight miRNAs were profiled in serum circulating exosomes from a cohort of 19 healthy controls, 10 individuals with Barrett’s esophagus, and 18 individuals with locally advanced esophageal adenocarcinoma. MiRNA expression was assessed using all possible permutations of miRNA ratios per individual. Four hundred eight miRNA ratios were differentially expressed in individuals with cancer compared to controls and Barrett’s esophagus (Mann-Whitney U test, P < 0.05). The 179/408 ratios discriminated esophageal adenocarcinoma from healthy controls and Barrett’s esophagus (linear regression, P < 0.05; area under receiver operating characteristic (ROC) > 0.7, P < 0.05). A multi-biomarker panel (RNU6-1/miR-16-5p, miR-25-3p/miR-320a, let-7e-5p/miR-15b-5p, miR-30a-5p/miR-324-5p, miR-17-5p/miR-194-5p) demonstrated enhanced specificity and sensitivity (area under ROC = 0.99, 95 % CI 0.96–1.0) over single miRNA ratios to distinguish esophageal adenocarcinoma from controls and Barrett’s esophagus. Conclusions: This study highlights the potential for serum exosomal miRNAs as biomarkers for the detection of esophageal adenocarcinoma.
dc.description.statementofresponsibilityKaren Chiam, Tingting Wang, David I. Watson, George C. Mayne, Tanya S. Irvine, Tim Bright, Lorelle Smith, Imogen A. White, Joanne M. Bowen, Dorothy Keefe, Sarah K. Thompson, Michael E. Jones, Damian J. Hussey
dc.identifier.citationJournal of Gastrointestinal Surgery, 2015; 19(7):1208-1215
dc.identifier.doi10.1007/s11605-015-2829-9
dc.identifier.issn1091-255X
dc.identifier.issn1873-4626
dc.identifier.orcidWhite, I. [0000-0002-9629-9064]
dc.identifier.orcidBowen, J. [0000-0003-0876-0031]
dc.identifier.orcidKeefe, D. [0000-0001-9377-431X]
dc.identifier.urihttp://hdl.handle.net/2440/99758
dc.language.isoen
dc.publisherSpringer US
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1022720
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1040947
dc.rights© 2015 The Society for Surgery of the Alimentary Tract
dc.source.urihttps://doi.org/10.1007/s11605-015-2829-9
dc.subjectEsophageal cancer; Barrett’s esophagus; Biomarkers; microRNAs; Exosomes; Serum
dc.titleCirculating serum exosomal miRNAs as potential biomarkers for esophageal adenocarcinoma
dc.typeJournal article
pubs.publication-statusPublished

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