MicroRNAs (miRNAs) belong to a class of endogenously expressed non-coding small RNAs that function primarily as gene regulators. Growing evidence suggests that miRNAs play a significant role in tumor development, making them potential biomarkers for cancer diagnosis and prognosis. The miR-17-92 cluster has emerged as an important locus, being highly overexpressed in several cancers in association with cancer development and progression. The miR-17-92 miRNA cluster generates a single polycistronic primary transcript that yields six mature miRNAs: miR-17, miR-18a, miR-19a, miR-20a, miR-19b, and miR-92a. In colon cancer development, the pathophysiologic roles of these transcripts and their targets are largely unknown. In the present study, we performed copy number analyses of the six miRNAs transcribed from the miR-17-92 cluster in colon tumor tissues. We determined that miR-92a was transcribed at higher levels than the other five miRNAs in both adenomas and carcinoma. In addition, miR-92a directly targeted the anti-apoptotic molecule BCL-2-interacting mediator of cell death (BIM) in colon cancer tissues. An anti-miR-92a antagomir induced apoptosis of colon cancer-derived cell lines. These data indicate that miR-92a plays a pivotal role in the development of colorectal carcinoma. (Cancer Sci 2011; 102: 2264-2271 M icroRNAs (miRNAs) belong to a class of endogenously expressed non-coding small RNAs of approximately 22 nucleotides. These small RNAs influence gene regulation by pairing with mRNAs of protein-encoding genes to repress their expression via decreased translational efficiency and ⁄ or mRNA levels.(1) A growing body of evidence suggests that dysregulation of miRNA expression contributes to a wide variety of human diseases, including cancer. Almost 50% of known miRNAs are located within chromosomal regions frequently amplified or deleted in human cancers. (2) Colorectal cancer (CRC) is the second most common cause of cancer deaths in the Western world.(3) A heterogeneous disease, CRC develops from an accumulation of multiple genetic and epigenetic alterations that change global gene expression profiles; it is this genetic progression that contributes to the diverse phenotypes of CRC. A key step in the progression to cancer is genomic instability, which occurs in approximately 5% of adenomas through either microsatellite instability (MSI) or chromosomal instability (CIN). In CRC, CIN induces the development of aneuploid tumors, which exhibit a non-random pattern of chromosomal alterations that frequently include gains at 8q, 13q, and 20q and losses of 8p, 15q, 17p, and 18q.(4) The miR-17-92 cluster, located at 13q, encodes six miRNAs processed from a common precursor transcript. A role for miR-17-92 in the pathogenesis of human cancers has been implicated by the high incidence of amplification in multiple neoplasms, including diffuse large B cell lymphoma (5) and small cell lung cancer.(6,7)Furthermore, miR-92a derived from this cluster is highly expressed in leukemia (8) and hepatocellular carcinoma tissues....

Purpose: An invasive growth pattern is one of the hallmarks of pancreatic ductal carcinoma.Actinin-4 is an actin-binding protein associated with enhanced cell motility, invasive growth, and lymph node metastasis. Actinin-4 might play an important role in the development and progression of pancreatic cancer. Experimental Design: The expression of actinin-4 was examined immunohistochemically in 173 cases of invasive pancreatic ductal carcinoma. The copy number of the actinin-4 (ACTN4) gene was calculated by fluorescence in situ hybridization. The expression of actinin-4 was stably knocked down by short hairpin RNA, and tumorigenicity was evaluated by orthotopic implantation into mice with severe combined immunodeficiency. Results: The expression level of actinin-4 was increased in 109 (63.0%) of 173 cases of pancreatic cancer. Kaplan-Meier survival curves revealed that patients with increased expression of actinin-4 had a significantly poorer outcome (P = 0.00001, log-rank test). Multivariate analysis by the Cox proportional hazard model showed that high expression of actinin-4 was the most significant independent negative predictor of survival (hazard ratio, 2.33; P = 0.000009). Amplification (defined as more than four copies per interphase nucleus) of the ACTN4 gene was detected in 11 (37.9%) of 29 cases showing increased expression of actinin-4. Knockdown of actinin-4 expression inhibited the destructive growth of cancer cells in the pancreatic parenchyma. Conclusion: Recurrent amplification of chromosome 19q13.1-2 has been reported in pancreatic cancer, but the exact target gene has not been identified. Actinin-4 contributes to the invasive growth of pancreatic ductal carcinoma, and ACTN4 is one of the candidate oncogenes in this chromosome locus.Invasive ductal carcinoma of the pancreas is one of the most aggressive forms of human malignancy, with a 5-year survival rate of <5% to 10% and a median survival of <6 months (1, 2). As a result, pancreatic cancer is the fourth leading cause of cancer death in the United States, and is the fifth in Japan (3). Massive local invasion to adjacent organs and/or metastasis to regional lymph nodes and distal organs are detected in the majority of patients at the time of diagnosis. To improve the prognosis of patients with pancreatic cancer, it will be necessary to elucidate the molecular mechanisms causing invasion and metastasis.We have identified an actin-binding protein, actinin-4, as a biomarker of cancer invasion and metastasis (4). The expression of actinin-4 was closely associated with the invasive phenotype of breast cancer and was a prognostic indicator in patients with this disease (4). A microarray analysis revealed that actinin-4 was a significant prognostic indicator in patients with non -small cell lung cancer (5). The expression level of actinin-4 protein was increased in the majority of cases of colorectal cancer, and the increase in expression was most significant in dedifferentiated cancer cells infiltrating at the invasive front (6). In mouse mo...

MicroRNAs (miRNAs) belong to a class of the endogenously expressed non-coding small RNAs which primarily function as gene regulators. Growing evidence suggests that miRNAs have a significant role in tumor development and may constitute robust biomarkers for cancer diagnosis and prognosis. The miR-17-92 cluster especially is markedly overexpressed in several cancers, and is associated with the cancer development and progression. In this study, we have demonstrated that miR-92a is highly expressed in hepatocellular carcinoma (HCC). In addition, the proliferation of HCC-derived cell lines was enhanced by miR-92a and inhibited by the anti-miR-92a antagomir. On the other hand, we have found that the relative amount of miR-92a in the plasmas from HCC patients is decreased compared with that from the healthy donors. Interestingly, the amount of miR-92a was elevated after surgical treatment. Thus, although the physiological significance of the decrease of miR-92a in plasma is still unknown, deregulation of miR-92 expression in cells and plasma should be implicated in the development of HCC.

The survival rate of pancreatic cancer patients is the lowest among those with common solid tumors, and early detection is one of the most feasible means of improving outcomes. We compared plasma proteomes between pancreatic cancer patients and sex-and age-matched healthy controls using surface-enhanced laser desorption/ionization coupled with hybrid quadrupole time-of-flight mass spectrometry. Proteomic spectra were generated from a total of 245 plasma samples obtained from two institutes. A discriminating proteomic pattern was extracted from a training cohort (71 pancreatic cancer patients and 71 healthy controls) using a support vector machine learning algorithm and was applied to two validation cohorts. We recognized a set of four mass peaks at 8,766, 17,272, 28,080, and 14,779 m/z, whose mean intensities differed significantly (Mann-Whitney U test, P < 0.01), as most accurately discriminating cancer patients from healthy controls in the training cohort [sensitivity of 97.2% (69 of 71), specificity of 94.4% (67 of 71), and area under the curve value of 0.978]. This set discriminated cancer patients in the first validation cohort with a sensitivity of 90.9% (30 of 33) and a specificity of 91.1% (41 of 45), and its discriminating capacity was further validated in an independent cohort at a second institution. When combined with CA19-9, 100% (29 of 29 patients) of pancreatic cancers, including early-stage (stages I and II) tumors, were detected. Although a multi-institutional large-scale study will be necessary to confirm clinical significance, the biomarker set identified in this study may be applicable to using plasma samples to diagnose pancreatic cancer. (Cancer Res 2005; 65(22): 10613-22)

We recently reported that circulating apolipoprotein AII (apoAII) isoforms apoAII-ATQ/AT (C-terminal truncations of the apoAII homo-dimer) decline significantly in pancreatic cancer and thus might serve as plasma biomarkers for the early detection of this disease. We report here the development of novel enzyme-linked immunosorbent assays (ELISAs) for measurement of apoAII-ATQ/AT and their clinical applicability for early detection of pancreatic cancer. Plasma and serum concentrations of apoAII-ATQ/AT were measured in three independent cohorts, which comprised healthy control subjects and patients with pancreatic cancer and gastroenterologic diseases (n = 1156). These cohorts included 151 cases of stage I/II pancreatic cancer. ApoAII-ATQ/AT not only distinguished the early stages of pancreatic cancer from healthy controls but also identified patients at high risk for pancreatic malignancy. AUC values of apoAII-ATQ/AT to detect early stage pancreatic cancer were higher than those of CA19–9 in all independent cohorts. ApoAII-ATQ/AT is a potential biomarker for screening patients for the early stage of pancreatic cancer and identifying patients at risk for pancreatic malignancy (161 words).