Non-invasive screening of a microRNA-based dysregulation signature in oral cancer and oral potentially malignant disorders.

Introduction: We have previously shown that oral swirls are a robust source of microRNA protected by extracellular vesicles, potentially useful to detect oral squamous cell carcinoma (OSCC)-associated molecular aberration.Objectives: To study a developed dysregulation score and risk classification a...

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Publicado en:Oral Oncology Vol. 96; pp. 113 - 121
Autores principales: Yap, T., Seers, C., Koo, K., Cheng, L., Vella, L.J., Hill, A.F., Reynolds, E., Nastri, A., Cirillo, N., McCullough, M.
Formato: research Journal Article
Publicado: Pergamon Press - An Imprint of Elsevier Science Sep2019
Acceso en línea:Ver este registro en EBSCOhost
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        13688375
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      jtl: Oral Oncology
      issn: 13688375
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      dt: Sep2019
      vid: 96
      pid: 2410
      pub: Pergamon Press - An Imprint of Elsevier Science
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        NLM31422202
        138101783
        10.1016/j.oraloncology.2019.07.013
        NLM31422202
        138101783
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        atl: Non-invasive screening of a microRNA-based dysregulation signature in oral cancer and oral potentially malignant disorders.
      aug:
        au:
          Yap, T.
          Seers, C.
          Koo, K.
          Cheng, L.
          Vella, L.J.
          Hill, A.F.
          Reynolds, E.
          Nastri, A.
          Cirillo, N.
          McCullough, M.
        affil: Melbourne Dental School, University of Melbourne, Victoria, Australia
      sug:
        subj:
          RNA
          Mouth Neoplasms
          Carcinoma, Squamous Cell
          Middle Age
          Male
          Carcinoma, Squamous Cell Pathology
          Human
          Female
          Mouth Neoplasms Pathology
          Early Detection of Cancer
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Middle Aged: 45-64 years
          Male
          Female
      ab: Introduction: We have previously shown that oral swirls are a robust source of microRNA protected by extracellular vesicles, potentially useful to detect oral squamous cell carcinoma (OSCC)-associated molecular aberration.Objectives: To study a developed dysregulation score and risk classification algorithm based upon a panel of OSCC-associated microRNA in oral swirls from individuals with OSCC and oral potentially malignant disorders (OPMDs).Materials and Methods: An OSCC-associated panel of 5 microRNAs (miR-24; miR-21; miR-99a; let-7c; miR-100;) was quantified by qPCR in 190 individuals with and without mucosal abnormalities, including OSCC (n = 53) and OPMDs (n = 74). Each sample was analyzed using a developed dysregulation score (dSCORE) and risk classification algorithm, allocating a LOW- or HIGH-RISK score. The influence of demographic, systemic, oral health and mucosal disease factors on the developed test was analyzed.Results: MicroRNA for analysis can be predictably isolated from oral swirls sourced from individuals with a range of demographic, systemic and oral health findings. Utilizing the presence of HIGH-RISK identified OSCC patients with 86.8% sensitivity and 81.5% specificity. Older age and female gender were associated with higher dSCOREs and higher proportions of HIGH-RISK classification amongst individuals with no mucosal abnormalities. The dSCOREs for all subgroups of OPMDs were significantly different from the OSCC group.Conclusion: This is the first comparison of microRNA sourced from oral swirls from individuals with OPMDs with individuals with and without OSCC. A HIGH-RISK dysregulation signature was found to be accurate in indicating the presence of OSCC and exampled to parallel malignant transformation.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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