Volume 109, Issue 7 pp. 676-683
Research Article

Role of miR-200 family members in survival of colorectal cancer patients treated with fluoropyrimidines

Tania Diaz PhD

Tania Diaz PhD

Molecular Oncology and Embryology Laboratory, Human Anatomy Unit, School of Medicine, University of Barcelona, IDIBAPS, Barcelona, Spain

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Rut Tejero MSc

Rut Tejero MSc

Molecular Oncology and Embryology Laboratory, Human Anatomy Unit, School of Medicine, University of Barcelona, IDIBAPS, Barcelona, Spain

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Isabel Moreno MD

Isabel Moreno MD

Department of Medical Oncology and Surgery, Hospital Municipal de Badalona, Badalona, Spain

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Gerardo Ferrer PhD

Gerardo Ferrer PhD

Laboratory of Translational Hematology, Hospital Clínic, IDIBAPS, Barcelona, Spain

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Anna Cordeiro MSc

Anna Cordeiro MSc

Molecular Oncology and Embryology Laboratory, Human Anatomy Unit, School of Medicine, University of Barcelona, IDIBAPS, Barcelona, Spain

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Rosa Artells PhD

Rosa Artells PhD

Molecular Oncology and Embryology Laboratory, Human Anatomy Unit, School of Medicine, University of Barcelona, IDIBAPS, Barcelona, Spain

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Alfons Navarro PhD

Alfons Navarro PhD

Molecular Oncology and Embryology Laboratory, Human Anatomy Unit, School of Medicine, University of Barcelona, IDIBAPS, Barcelona, Spain

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Raquel Hernandez MD

Raquel Hernandez MD

Department of Medical Oncology and Surgery, Hospital Municipal de Badalona, Badalona, Spain

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Gustavo Tapia MD

Gustavo Tapia MD

Department of Pathology, Hospital Germans Trias i Pujol, Badalona, Spain

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Mariano Monzo MD, PhD

Corresponding Author

Mariano Monzo MD, PhD

Molecular Oncology and Embryology Laboratory, Human Anatomy Unit, School of Medicine, University of Barcelona, IDIBAPS, Barcelona, Spain

Correspondence to: Mariano Monzo, MD, PhD, Department of Human Anatomy, Embryology School of Medicine, University of Barcelona, Casanovas 143 08036, Barcelona, Spain.

Fax: +34-934035263. E-mail: [email protected]

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First published: 10 February 2014
Citations: 53

Abstract

Background and Objectives

Surgery is the standard treatment for colorectal cancer (CRC), and adjuvant chemotherapy has been shown to be effective in stage III but less so in stage II. We have analyzed the expression of the miR-200 family in tissue samples from resected CRC patients and correlated our findings with survival to adjuvant treatment with fluoropyrimidines.

Methods

Tumor tissue samples were obtained from 127 surgically resected patients with stage I–III CRC. miRNA detection was performed using TaqMan MicroRNA assays.

Results

High levels of miR-200a and miR-200c were associated with longer overall survival, while high levels of miR-429 correlated with longer overall and disease-free survival (DFS). In the subgroup of 56 patients treated with fluoropyrimidines and in the smaller subgroup of 32 stage II patients treated with fluoropyrimidines, those with high levels of miR-200a, miR-200c, miR-141, or miR-429 had significantly longer overall and DFS. Low miR-429 levels were identified as an independent prognostic marker. High levels of miR-429 combined with 5-fluorouracil inhibited cell invasion in LOVO cells.

Conclusions

miR-200a, miR-200c, miR-141, and miR-429 expression levels may identify CRC patients, including those with stage II disease, who are most likely to benefit from adjuvant chemotherapy. J. Surg. Oncol 2014; 109:676–683. © 2014 Wiley Periodicals, Inc.

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