Method of predicting chemotherapy effectiveness in colon adenocarcinoma patients, using mir-21
a technology of chemotherapy effectiveness and patient, applied in the field of predicting chemotherapy effectiveness in colon adenocarcinoma patients, can solve the problems of colon adenocarcinoma being a major cause of cancer mortality worldwide, and achieve the effect of reducing the survival prognosis
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[0221]MicroRNA Expression Patterns are Altered in Colon Tumors
[0222]We compared microRNA profiles of 84 pairs of colon tumorous and adjacent nontumorous tissues using microRNA microarrays30. These 84 subjects were patients recruited from the greater Baltimore, Md. area with incident colon adenocarcinoma and are referred to as the Maryland test cohort (Table 1).
TABLE 1Characteristics of Population and TumorsMaryland TestHong KongCohortValidation CohortN = 84N = 113Recruitment areaBaltimore,Hong Kong,Maryland, USAChinaAge at enrollment - yrMean ± SD64.6 ± 10.755.8 ± 15Range32-8732-84Sex - no. (%)Male66 (79)56 (50)Female18 (21)57 (50)Race - no. (%)White52 (62)0 (0)Black32 (38)0 (0)Asian0 (0)113 (100)Tumor location - no. (%)Distal48 (59)90 (80)Proximal34 (41)23 (20)Adenocarcinoma Histology -no. (%)Adenocarcinoma75 (89)105 (93) Mucinous adenocarcinoma 8 (10)7 (6)Adenosquamous carcinoma1 (1)0 (0)Signet ring cell and mucinous0 (0)1 (1)Adjuvant Chemotherapy2 - no. (%)Received22 (37)40 (35)D...
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[0282]MiRNAs are Differentially Expressed in Colon Tumors
[0283]We analyzed miRNA profiles of 85 pairs of cancerous and adjacent non-cancerous colon tissues using miRNA microarrays. We found that miRNA expression profiles of tumors were quite different than normal tissues suggesting that miRNAs may play significant roles in colon carcinogenesis. Paired class comparison analysis identified 27 independent miRNAs that were differentially expressed in these tumors (Table 7).
[0284]Table 7-27 miRNAs are differentially expressed in colon tumors compared to paired, normal tissue. 27 miRNAs were found to be differentially expressed in tumors using paired class comparisons analysis in BRB array tools 3.4. A significance value of p<0.001 was used as the criteria for differentially expressed which resulted in an estimated false discovery rate of 0.08%.
[0285]Up refers to miRNAs that were expressed at higher levels in tumors while down indicates that miRNA levels were lower in tumor...
example 3
[0319]Methods, Reagents and Kits for Diagnosing, Staging, Prognosing, Monitoring and Treating Colon Cancer-Related Diseases.
[0320]In one embodiment, there is provided a diagnostic method of assessing whether a patient has a colon cancer-related disease or has higher than normal risk for developing a colon cancer-related disease, comprising the steps of comparing the level of expression of a marker in a patient sample and the normal level of expression of the marker in a control, e.g., a sample from a patient without a colon cancer-related disease. A significantly higher level of expression of the marker in the patient sample as compared to the normal level is an indication that the patient is afflicted with a colon cancer-related disease or has higher than normal risk for developing a colon cancer-related disease.
[0321]The markers are selected such that the positive predictive value of the methods is at least about 10%, and in certain non-limiting embodiments, about 25%, about 50% o...
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