PMID- 29516989 OWN - NLM STAT- MEDLINE DCOM- 20180830 LR - 20220330 IS - 1998-4138 (Electronic) IS - 1998-4138 (Linking) VI - 14 IP - 1 DP - 2018 Jan TI - Circulating microRNA-21 as a prognostic, biological marker in cholangiocarcinoma. PG - 220-225 LID - 10.4103/0973-1482.193125 [doi] AB - AIMS: The prognosis of cholangiocarcinoma (CCA) is generally poor because there is a lack of effective diagnostic tools including laboratory assessments and imageological examination. Therefore, a novel biological marker (biomarker) to effectively diagnose cancer is highly desirable in clinical. Previously, serum microRNAs as biomarkers of cancers have been reported. However, it was still unclear about the clinical significance of serum microRNA-21 (miR-21) expression levels for CCA. MATERIALS AND METHODS: The serum samples were separately collected from fifty patients of CCA, 15 patients of hepatolithiasis, and 15 healthy volunteers; quantitative real-time polymerase chain reaction was used for measuring miR-21 expression level in serum. The clinicopathological data were recorded before patients discharged. RESULTS: In the CCA serum, the expression level of miR-21 significantly upregulated (P < 0.05). With the tumor, node, and metastasis stage developed (Stage I vs. III and IV, P < 0.05), the serum miR-21 expression level increased, but there was no statistical difference between Stage I patients and hepatolithiasis patients or healthy control (P > 0.05 for both). Furthermore, the miR-21 level was significant difference between pre- and post-operative serum (P < 0.05) for the high miR-21 expression group. The serum miR-21 expression levels were defective in discriminating patients with CCA from healthy control subjects by receiver-operator curve analysis because the area under the curve (AUC) value was 0.871 which was not better than the conventional CCA markers-carbohydrate antigen 19-9 (AUC value = 0.96). However, in serum, high expression level miR-21 was significantly related to clinical stage, invasion depth, lymph vessel infiltration, metastasis status, differentiation status, whether to resection, and poor survival of CCA patients (P < 0.05 for all). CONCLUSIONS: This study suggested that serum miR-21 was a promising biomarker for diagnosing the late stage CCA and would have potential to be a useful prognostic biomarker of CCA. FAU - Liu, Chen-Hai AU - Liu CH AD - Shandong University, Jinan 250012, Shandong, China. FAU - Huang, Qiang AU - Huang Q AD - Department of General Surgery, Anhui Provincial Hospital, Anhui Key Laboratory of Hepatopancreatobiliary Surgery, Hefei 230001, Anhui, China. FAU - Jin, Zhi-Yuan AU - Jin ZY AD - Department of General Surgery, Anhui Provincial Hospital, Anhui Key Laboratory of Hepatopancreatobiliary Surgery, Hefei 230001, Anhui, China. FAU - Xie, Fang AU - Xie F AD - Department of General Surgery, Anhui Provincial Hospital, Anhui Key Laboratory of Hepatopancreatobiliary Surgery, Hefei 230001, Anhui, China. FAU - Zhu, Cheng-Lin AU - Zhu CL AD - Department of General Surgery, Anhui Provincial Hospital, Anhui Key Laboratory of Hepatopancreatobiliary Surgery, Hefei 230001, Anhui, China. FAU - Liu, Zhen AU - Liu Z AD - Department of General Surgery, Anhui Provincial Hospital, Anhui Key Laboratory of Hepatopancreatobiliary Surgery, Hefei 230001, Anhui, China. FAU - Wang, Chao AU - Wang C AD - Department of General Surgery, Anhui Provincial Hospital, Anhui Key Laboratory of Hepatopancreatobiliary Surgery, Hefei 230001, Anhui, China. LA - eng PT - Journal Article PL - India TA - J Cancer Res Ther JT - Journal of cancer research and therapeutics JID - 101249598 RN - 0 (Biomarkers, Tumor) RN - 0 (Circulating MicroRNA) RN - 0 (MIRN21 microRNA, human) RN - 0 (MicroRNAs) SB - IM MH - Adult MH - Aged MH - Bile Duct Neoplasms/blood/diagnosis/*genetics/*mortality MH - *Biomarkers, Tumor MH - Cholangiocarcinoma/blood/diagnosis/*genetics/*mortality MH - *Circulating MicroRNA MH - Female MH - Humans MH - Kaplan-Meier Estimate MH - Male MH - MicroRNAs/*genetics MH - Middle Aged MH - Neoplasm Grading MH - Neoplasm Metastasis MH - Neoplasm Staging MH - Prognosis OTO - NOTNLM OT - Biological markers OT - cholangiocarcinoma OT - microRNA-21 OT - serum COIS- There are no conflicts of interest. EDAT- 2018/03/09 06:00 MHDA- 2018/08/31 06:00 CRDT- 2018/03/09 06:00 PHST- 2018/03/09 06:00 [entrez] PHST- 2018/03/09 06:00 [pubmed] PHST- 2018/08/31 06:00 [medline] AID - JCanResTher_2018_14_1_220_193125 [pii] AID - 10.4103/0973-1482.193125 [doi] PST - ppublish SO - J Cancer Res Ther. 2018 Jan;14(1):220-225. doi: 10.4103/0973-1482.193125.