MicroRNA signature in metastatic colorectal cancer patients treated with anti-EGFR monoclonal antibodies.

Cappuzzo, F; Sacconi, A; Landi, L; Ludovini, V; Biagioni, F; D'Incecco, A; Capodanno, A; Salvini, J; Corgna, E; Cupini, S; Barbara, C; Fontanini, Gabriella; Crinò, L; Blandino, G.

doi:10.1016/j.clcc.2013.11.006

Background To investigate whether microRNAs are predictive of sensitivity to anti-epidermal growth factor receptor (EGFR) monoclonal antibodies in patients with metastatic colorectal cancer (mCRC). Methods A total of 183 mCRC cases from 2 independent cohorts (cohort 1: 74 cases; validation cohort: 109 cases) treated with cetuximab or panitumumab were included in the study. MiRNA arrays were analyzed using Agilent's miRNA platform. Results The study identified the cluster Let-7c/miR-99a/miR-125b as a signature associated with an outcome different from that of anti-EGFR therapies. In the first cohort, patients with high-intensity signatures had a significantly longer progression-free survival (PFS) (6.1 vs. 2.3 mo; P =.02) and longer overall survival (OS) (29.8 vs. 7.0 mo, P =.08) than patients with low-intensity signatures. In the validation cohort, patients with high signature had significantly longer PFS and OS than individuals with low-intensity signatures (PFS 7.8 vs. 4.3 mo, P =.02; OS 12.8 vs. 7.5 mo, P =.02). In the KRAS wild-type population (n = 120), high-intensity signature patients had a significantly longer PFS (7.8 vs. 4.6 mo, P =.016) and longer OS (16.1 vs. 10.9 mo, P =.09) than low-signature individuals, with no difference in KRAS mutated patients. Conclusion The MiR-99a/Let-7c/miR-125b signature may improve the selection of patients with KRAS wild-type mCRC as good candidates for anti-EGFR therapy.

Autori interni:	Cappuzzo F Sacconi A Landi L Ludovini V Biagioni F D'Incecco A Capodanno A Salvini J Corgna E Cupini S Barbara C FONTANINI, GABRIELLA Crinò L Blandino G. mostra contributor esterni nascondi contributor esterni
Autori:	Cappuzzo, F; Sacconi, A; Landi, L; Ludovini, V; Biagioni, F; D'Incecco, A; Capodanno, A; Salvini, J; Corgna, E; Cupini, S; Barbara, C; Fontanini, Gabriella; Crinò, L; Blandino, G.
Titolo:	MicroRNA signature in metastatic colorectal cancer patients treated with anti-EGFR monoclonal antibodies.
Anno del prodotto:	2014
Digital Object Identifier (DOI):	10.1016/j.clcc.2013.11.006
Appare nelle tipologie:	1.1 Articolo in rivista

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