4.7 Article

Relation between Ku80 and microRNA-99a expression and late rectal bleeding after radiotherapy for prostate cancer

期刊

RADIOTHERAPY AND ONCOLOGY
卷 115, 期 2, 页码 235-239

出版社

ELSEVIER IRELAND LTD
DOI: 10.1016/j.radonc.2015.04.008

关键词

Prostate cancer, Radiotherapy; Late rectal toxicity; RNA array; Micro RNA

资金

  1. Ministry of Education, Culture, Sports, Science and Technology of Japan
  2. program for developing the support system for upgrading education and research in Sapporo Medical University
  3. Grants-in-Aid for Scientific Research [24591846, 25861114, 25430115, 24591845] Funding Source: KAKEN

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Background and purpose: Late rectal bleeding is one of the severe adverse events after radiotherapy for prostate cancer. New biomarkers are needed to allow a personalized treatment. Materials and methods: Four patients each with grade 0-1 or grade 2-3 rectal bleeding were randomly selected for miRNA array to examine miRNA expression in peripheral blood lymphocytes (PBLs). Based on results of miRNA array, 1 of 348 miRNAs was selected for microRNA assays. Then, expression of DNA-dependent protein kinase mRNA and miR-99a was analyzed in the PBLs of 97 patients. PBLs were exposed to 4 Gy of X-ray ex-vivo. Results: In the discovery cohort, grade 2-3 rectal bleeding was significantly higher in the Ku80 <1.09 expression group compared with >= 1.09 group (P = 0.011). In radiation-induced expression of miR-99a, grade 2-3 rectal bleeding was significantly higher in the miR-99a IR(+)/IR(-) >0.93 group compared with <= 0.93 group (P = 0.013). Most patients with grade 2-3 rectal bleeding were in the group with low Ku80 and high miR-99a expression. In the validation cohort, similar results were obtained. Conclusion: A combination of low Ku80 expression and highly-induced miR-99a expression could be a promising marker for predicting rectal bleeding after radiotherapy. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

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