AI Article Synopsis

  • The study investigated the level of plasma microRNA-21 (miR-21) in non-small cell lung cancer (NSCLC) patients and its link to chemotherapy response.
  • Plasma miR-21 levels were significantly higher in NSCLC patients compared to healthy controls and showed potential as a biomarker with a ROC curve area of 0.729, indicating good specificity and sensitivity.
  • The results indicated that lower plasma miR-21 levels were associated with a better response to chemotherapy, suggesting it could be used to predict treatment outcomes in NSCLC patients.

Article Abstract

Objective: To examine plasma microRNA-21 (miR-21) level in patients with non-small cell lung cancer (NSCLC) and its potential correlation with chemotherapeutic response.

Methods: 77 NSCLC patients and 36 age and sex-matched healthy controls were included. Plasma miR-21 concentration was examined using a quantitative real-time reverse transcription polymerase chain reaction assay (qRT-PCR). Potential correlation between plasma mir-21 concentrations with chemotherapeutic responses was analyzed in 35 patients with advanced NSCLC (stages IIIB and IV).

Results: Plasma miR-21 was significantly higher in NSCLC patients relative to the healthy controls (P<0.0001). As a biomarker, plasma mir-21 had a receiver operating characteristic (ROC) curve area of 0.729 with 61.04% sensitivity and 83.33% specificity. Chemotherapeutic response in the 35 patients with advanced NSCLC (stages IIIB and IV) included partial response (PR) (n=11), stable disease and progression disease (SD+PD) (n=24). The overall response rate (CR+PR) was 31.4%. Plasma miR-21 in patients who achieved PR was significantly lower than those who did not respond (SD+PD) (P=0.0487), and comparable to that of the healthy controls (P=0.2744).

Conclusion: Plasma miR-21 is a good biomarker for NSCLC, and could be used to predict responses to chemotherapy.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3587548PMC
http://dx.doi.org/10.1007/s11670-011-0123-2DOI Listing

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