Abstract
Purpose
Parathyroid carcinoma (PCa) is a rare endocrine malignancy with poor prognosis and is often difficult to accurately diagnose both before and after surgery. Dysregulated microRNA (miRNA) levels have been identified in PCa using a limited number of samples. The aim of the present study was to verify a group of miRNA markers in a new series of samples to explore their potential significance in PCa diagnosis.
Methods
A total of 58 tissue samples, including 17 PCa lesions and 41 sporadic parathyroid adenomas (PAds), were obtained from 56 primary hyperparathyroidism (pHPT) patients. Candidate miRNAs (miR-139-5p, miR-155-5p, miR-222-3p, miR-26b-5p, miR-296-5p, miR-30b-5p, miR-372-3p, miR-503-5p, miR-517c-3p, miR-7-5p, and miR-126-5p) were quantified by TaqMan real-time quantitative PCR assays.
Results
Up-regulated miR-222 (p = 0.041) levels and down-regulated miR-139 (p = 0.003), miR-30b (p < 0.001), miR-517c (p = 0.038), and miR-126* (p = 0.002) levels were found in PCa relative to PAd. Binary logistic regression analysis showed that miR-139 and miR-30b were the best diagnostic markers. The combination of miR-139 and miR-30b yielded an area under the receiver operating characteristic curve of 0.888. Additionally, serum calcium (r s = −0.518, p < 0.001), intact parathyroid hormone (iPTH) (r s = −0.495, p < 0.001), and alkaline phosphatase (ALP) (r s = −0.523, p < 0.001) levels were negatively correlated with miR-30b levels.
Conclusions
miR-139, miR-222, miR-30b, miR-517c, and miR-126* were differentially expressed between PCa and PAd. The combined analysis of miR-139 and miR-30b may be used as a potential diagnostic strategy for distinguishing PCa from PAd.
Similar content being viewed by others
References
C. Marcocci, F. Saponaro, Epidemiology, pathogenesis of primary hyperparathyroidism: current data. Ann. Endocrinol. 76, 113–115 (2015). https://doi.org/10.1016/j.ando.2015.03.015
C. Verdelli, S. Corbetta, Epigenetic alterations in parathyroid cancers. Int. J. Mol. Sci. 18, pii: E310 (2017). https://doi.org/10.3390/ijms18020310
K.M. Schulte, N. Talat, Diagnosis and management of parathyroid cancer. Nat. Rev. Endocrinol. 8, 612–622 (2012). https://doi.org/10.1038/nrendo.2012.102
A. Agarwal, R. Pradhan, N. Kumari, N. Krishnani, P. Shukla, S.K. Gupta, G. Chand, A. Mishra, G. Agarwal, A.K. Verma, S.K. Mishra, Molecular characteristics of large parathyroid adenomas. World J. Surg. 40, 607–614 (2016). https://doi.org/10.1007/s00268-015-3380-2
G. Di Leva, M. Garofalo, C.M. Croce, MicroRNAs in cancer. Annu. Rev. Pathol. 9, 287–314 (2014). https://doi.org/10.1146/annurev-pathol-012513-104715
B. Smith, P. Agarwal, N.A. Bhowmick, MicroRNA applications for prostate, ovarian and breast cancer in the era of precision medicine. Endocr. Relat. Cancer 24, R157–R172 (2017). https://doi.org/10.1530/ERC-16-0525
V. Shilo, I.Z. Ben-Dov, M. Nechama, J. Silver, T. Naveh-Many, Parathyroid-specific deletion of dicer-dependent microRNAs abrogates the response of the parathyroid to acute and chronic hypocalcemia and uremia. FASEB J. 29, 3964–3976 (2015). https://doi.org/10.1096/fj.15-274191
V. Vaira, C. Verdelli, I. Forno, S. Corbetta, MicroRNAs in parathyroid physiopathology. Mol. Cell. Endocrinol. 456, 9–15 (2017). https://doi.org/10.1016/j.mce.2016.10.035
S. Corbetta, V. Vaira, V. Guarnieri, A. Scillitani, C. Eller-Vainicher, S. Ferrero, L. Vicentini, I. Chiodini, M. Bisceglia, P. Beck-Peccoz, S. Bosari, A. Spada, Differential expression of microRNAs in human parathyroid carcinomas compared with normal parathyroid tissue. Endocr. Relat. Cancer 17, 135–146 (2010). https://doi.org/10.1677/ERC-09-0134
R. Rahbari, A.K. Holloway, M. He, E. Khanafshar, O.H. Clark, E. Kebebew, Identification of differentially expressed microRNA in parathyroid tumors. Ann. Surg. Oncol. 18, 1158–1165 (2011). https://doi.org/10.1245/s10434-010-1359-7
V. Vaira, F. Elli, I. Forno, V. Guarnieri, C. Verdelli, S. Ferrero, A. Scillitani, L. Vicentini, F. Cetani, G. Mantovani, A. Spada, S. Bosari, S. Corbetta, The microRNA cluster C19MC is deregulated in parathyroid tumours. J. Mol. Endocrinol. 49, 115–124 (2012). https://doi.org/10.1530/JME-11-0189
G. Westin, Molecular genetics and epigenetics of nonfamilial (sporadic) parathyroid tumours. J. Intern. Med. 280, 551–558 (2016). https://doi.org/10.1111/joim.12458
M.I. Rather, M.N. Nagashri, S.S. Swamy, K.S. Gopinath, A. Kumar, Oncogenic microRNA-155 down-regulates tumor suppressor CDC73 and promotes oral squamous cell carcinoma cell proliferation: implications for cancer therapeutics. J. Biol. Chem. 288, 608–618 (2013). https://doi.org/10.1074/jbc.M112.425736
Z.J. Zhao, J. Shen, Circular RNA participates in the carcinogenesis and the malignant behavior of cancer. RNA Biol. 14, 514–521 (2017). https://doi.org/10.1080/15476286.2015.1122162
R.V. Lloyd, R.Y. Osamura, G. Klöppel, J. Rosai, WHO/IARC Classification of Tumours (4th edn., Volume 10) WHO Classification of Tumours of Endocrine Organs. IARC, Lyon (2017)
T.D. Schmittgen, K.J. Livak, Analyzing real-time PCR data by the comparative C(t) method. Nat. Protoc. 3, 1101–1108 (2008). https://doi.org/10.1038/nprot.2008.73
D.W. Hosmer, N.L. Hjort, Goodness-of-fit processes for logistic regression: simulation results. Stat. Med. 21, 2723–2738 (2002). https://doi.org/10.1002/sim.1200
J.M. Sharretts, E. Kebebew, W.F. Simonds, Parathyroid cancer. Semin. Oncol. 37, 580–590 (2010). https://doi.org/10.1053/j.seminoncol.2010.10.013
C. Verdelli, I. Forno, V. Vaira, S. Corbetta, MicroRNA deregulation in parathyroid tumours suggests an embryonic signature. J. Endocrinol. Invest. 38, 383–388 (2015). https://doi.org/10.1007/s40618-014-0234-y
O. Wang, C. Wang, M. Nie, Q. Cui, H. Guan, Y. Jiang, M. Li, W. Xia, X. Meng, X. Xing, Novel HRPT2/CDC73 gene mutations and loss of expression of parafibromin in Chinese patients with clinically sporadic parathyroid carcinomas. PLoS ONE 7, e45567 (2012). https://doi.org/10.1371/journal.pone.0045567
J.D. Carpten, C.M. Robbins, A. Villablanca, L. Forsberg, S. Presciuttini, J. Bailey-Wilson, W.F. Simonds, E.M. Gillanders, A.M. Kennedy, J.D. Chen, S.K. Agarwal, R. Sood, M.P. Jones, T.Y. Moses, C. Haven, D. Petillo, P.D. Leotlela, B. Harding, D. Cameron, A.A. Pannett, A. Höög, H. Heath, L.A. James-Newton, B. Robinson, R.J. Zarbo, B.M. Cavaco, W. Wassif, N.D. Perrier, I.B. Rosen, U. Kristoffersson, P.D. Turnpenny, L.O. Farnebo, G.M. Besser, C.E. Jackson, H. Morreau, J.M. Trent, R.V. Thakker, S.J. Marx, B.T. Teh, C. Larsson, HRPT2, encoding parafibromin, is mutated in hyperparathyroidism-jaw tumor syndrome. Nat. Genet. 32, 676–680 (2002). https://doi.org/10.1038/ng1048
F. Cetani, E. Pardi, C. Marcocci, Update on parathyroid carcinoma. J. Endocrinol. Invest. 39, 595–606 (2016). https://doi.org/10.1007/s40618-016-0447-3
C. Pandya, A.V. Uzilov, J. Bellizzi, C.Y. Lau, A.S. Moe, M. Strahl, W. Hamou, L.C. Newman, M.Y. Fink, Y. Antipin, W. Yu, M. Stevenson, B.M. Cavaco, B.T. Teh, R.V. Thakker, H. Morreau, E.E. Schadt, R. Sebra, S.D. Li, A. Arnold, R. Chen, Genomic profiling reveals mutational landscape in parathyroid carcinomas. JCI Insight 2, e92061 (2017). https://doi.org/10.1172/jci.insight.92061
F. Cetani, C. Banti, E. Pardi, S. Borsari, P. Viacava, P. Miccoli, L. Torregrossa, F. Basolo, M.R. Pelizzo, M. Rugge, G. Pennelli, G. Gasparri, M. Papotti, M. Volante, E. Vignali, F. Saponaro, C. Marcocci, CDC73 mutational status and loss of parafibromin in the outcome of parathyroid cancer. Endocr. Connect. 2, 186–195 (2013). https://doi.org/10.1530/EC-13-0046
M. Bacci, E. Giannoni, A. Fearns, R. Ribas, Q. Gao, M.L. Taddei, G. Pintus, M. Dowsett, C.M. Isacke, L.A. Martin, P. Chiarugi, A. Morandi, miR-155 drives metabolic reprogramming of ER+ breast cancer cells following long-term estrogen deprivation and predicts clinical response to aromatase inhibitors. Cancer Res. 76, 1615–1626 (2016). https://doi.org/10.1158/0008-5472.CAN-15-2038
C. Chen, F. Luo, X. Liu, L. Lu, H. Xu, Q. Yang, J. Xue, L. Shi, J. Li, A. Zhang, Q. Liu, NF-kB-regulated exosomal miR-155 promotes the inflammation associated with arsenite carcinogenesis. Cancer Lett. 388, 21–33 (2017). https://doi.org/10.1016/j.canlet.2016.11.027
X. Fu, H. Wen, L. Jing, Y. Yang, W. Wang, X. Liang, K. Nan, Y. Yao, T. Tian, MicroRNA-155-5p promotes hepatocellular carcinoma progression by suppressing PTEN through the PI3K/Akt pathway. Cancer Sci. 108, 620–631 (2017). https://doi.org/10.1111/cas.13177
X.F. Zhang, R. Tu, K. Li, P. Ye, X. Cui, Tumor suppressor PTPRJ is a target of miR-155 in colorectal cancer. J. Cell. Biochem. 118, 3391–3400 (2017). https://doi.org/10.1002/jcb.25995
D.N. Gu, Q. Huang, L. Tian, The molecular mechanisms and therapeutic potential of microRNA-7 in cancer. Expert Opin. Ther. Targets 19, 415–426 (2015). https://doi.org/10.1517/14728222.2014.988708
A.R. Glover, J.T. Zhao, A.J. Gill, J. Weiss, N. Mugridge, E. Kim, A.L. Feeney, J.C. Ip, G. Reid, S. Clarke, P.S. Soon, B.G. Robinson, H. Brahmbhatt, J.A. MacDiarmid, S.B. Sidhu, MicroRNA-7 as a tumor suppressor and novel therapeutic for adrenocortical carcinoma. Oncotarget 6, 36675–36688 (2015). https://doi.org/10.18632/oncotarget.5383
J.L. Horsham, C. Ganda, F.C. Kalinowski, R.A. Brown, M.R. Epis, P.J. Leedman, MicroRNA-7: a miRNA with expanding roles in development and disease. Int. J. Biochem. Cell Biol. 69, 215–224 (2015). https://doi.org/10.1016/j.biocel.2015.11.001
T.B. Hansen, J. Kjems, C.K. Damgaard, Circular RNA and miR-7 in cancer. Cancer Res. 73, 5609–5612 (2013). https://doi.org/10.1158/0008-5472.CAN-13-1568
A.M. Silva-Figueroa, N.D. Perrier, Epigenetic processes in sporadic parathyroid neoplasms. Mol. Cell. Endocrinol. (2017). https://doi.org/10.1016/j.mce.2017.04.007
W. Liu, H. Li, Y. Wang, X. Zhao, Y. Guo, J. Jin, R. Chi, MiR-30b-5p functions as a tumor suppressor in cell proliferation, metastasis and epithelial-to-mesenchymal transition by targeting G-protein subunit alpha-13 in renal cell carcinoma. Gene 626, 275–281 (2017). https://doi.org/10.1016/j.gene.2017.05.040
X. Qin, J. Chen, L. Wu, Z. Liu, MiR-30b-5p acts as a tumor suppressor, repressing cell proliferation and cell cycle in human hepatocellular carcinoma. Biomed. Pharmacother. 89, 742–750 (2017). https://doi.org/10.1016/j.biopha.2017.02.062
L. Qin, H.Y. Deng, S.J. Chen, W. Wei, Y.T. Zhang, miR-139 acts as a tumor suppressor in T-cell acute lymphoblastic leukemia by targeting CX chemokine receptor 4. Am. J. Transl. Res. 9, 4059–4070 (2017)
K. Wang, J. Jin, T. Ma, H. Zhai, MiR-139-5p inhibits the tumorigenesis and progression of oral squamous carcinoma cells by targeting HOXA9. J. Cell. Mol. Med. 21, 3730–3740 (2017). https://doi.org/10.1111/jcmm.13282
L. Ng, T.M. Wan, J.H. Man, A.K. Chow, D. Iyer, G. Chen, T.C. Yau, O.S. Lo, D.C. Foo, J.T. Poon, W.K. Leung, R.W. Pang, W.L. Law, Identification of serum miR-139-3p as a non-invasive biomarker for colorectal cancer. Oncotarget 8, 27393–27400 (2017). https://doi.org/10.18632/oncotarget.16171
H. Dai, D. Gallagher, S. Schmitt, Z.Y. Pessetto, F. Fan, A.K. Godwin, O. Tawfik, Role of miR-139 as a surrogate marker for tumor aggression in breast cancer. Hum. Pathol. 61, 68–77 (2017). https://doi.org/10.1016/j.humpath.2016.11.001
Funding
This work was supported by the Peking Union Medical College Innovative Team Development Program and the Chinese Academy of Medical Sciences (CAMS) Initiative for Innovative Medicine (CAMS-I2M) (2017-I2M-1-001).
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Electronic supplementary material
Rights and permissions
About this article
Cite this article
Hu, Y., Zhang, X., Cui, M. et al. Verification of candidate microRNA markers for parathyroid carcinoma. Endocrine 60, 246–254 (2018). https://doi.org/10.1007/s12020-018-1551-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12020-018-1551-2