Long non coding RNAs (lncRNAs) are dysregulated in Malignant Pleural Mesothelioma (MPM)

PLoS One. 2013 Aug 19;8(8):e70940. doi: 10.1371/journal.pone.0070940. eCollection 2013.

Abstract

Malignant Pleural Mesothelioma (MPM) is an aggressive cancer that is often diagnosed at an advanced stage and is characterized by a long latency period (20-40 years between initial exposure and diagnosis) and prior exposure to asbestos. Currently accurate diagnosis of MPM is difficult due to the lack of sensitive biomarkers and despite minor improvements in treatment, median survival rates do not exceed 12 months. Accumulating evidence suggests that aberrant expression of long non-coding RNAs (lncRNAs) play an important functional role in cancer biology. LncRNAs are a class of recently discovered non-protein coding RNAs >200 nucleotides in length with a role in regulating transcription. Here we used NCode long noncoding microarrays to identify differentially expressed lncRNAs potentially involved in MPM pathogenesis. High priority candidate lncRNAs were selected on the basis of statistical (P<0.05) and biological significance (>3-fold difference). Expression levels of 9 candidate lncRNAs were technically validated using RT-qPCR, and biologically validated in three independent test sets: (1) 57 archived MPM tissues obtained from extrapleural pneumonectomy patients, (2) 15 cryopreserved MPM and 3 benign pleura, and (3) an extended panel of 10 MPM cell lines. RT-qPCR analysis demonstrated consistent up-regulation of these lncRNAs in independent datasets. ROC curve analysis showed that two candidates were able to separate benign pleura and MPM with high sensitivity and specificity, and were associated with nodal metastases and survival following induction chemotherapy. These results suggest that lncRNAs have potential to serve as biomarkers in MPM.

MeSH terms

  • Adult
  • Aged
  • Case-Control Studies
  • Cell Line, Tumor
  • Female
  • Gene Expression Profiling
  • Humans
  • Lung Neoplasms / diagnosis
  • Lung Neoplasms / genetics*
  • Lung Neoplasms / mortality
  • Lung Neoplasms / pathology
  • Male
  • Mesothelioma / diagnosis
  • Mesothelioma / genetics*
  • Mesothelioma / mortality
  • Mesothelioma / pathology
  • Mesothelioma, Malignant
  • Middle Aged
  • Oligonucleotide Array Sequence Analysis
  • Pleural Neoplasms / diagnosis
  • Pleural Neoplasms / genetics*
  • Pleural Neoplasms / mortality
  • Pleural Neoplasms / pathology
  • RNA, Long Noncoding / genetics*
  • ROC Curve
  • Survival Analysis
  • Up-Regulation

Substances

  • RNA, Long Noncoding

Grants and funding

This work has been supported by a Biaggio Signorelli Fellowship. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript