A1 Refereed original research article in a scientific journal

Serum Insights: Leveraging the Power of miRNA Profiling as an Early Diagnostic Tool for Non-Small Cell Lung Cancer




AuthorsCharkiewicz Radoslaw, Sulewska Anetta, Mroz Robert, Charkiewicz Alicja, Naumnik Wojciech, Kraska Marcin, Gyenesei Attila, Galik Bence, Junttila Sini, Miskiewicz Borys, Stec Rafal, Karabowicz Piotr, Zawada Magdalena, Miltyk Wojciech, Niklinski Jacek

PublisherMDPI

Publication year2023

JournalCancers

Journal name in sourceCANCERS

Article number4910

Volume15

Issue20

eISSN2072-6694

DOIhttps://doi.org/10.3390/cancers15204910

Web address https://www.mdpi.com/2072-6694/15/20/4910

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/182031047


Abstract

Non-small cell lung cancer is the predominant form of lung cancer and is associated with a poor prognosis. MiRNAs implicated in cancer initiation and progression can be easily detected in liquid biopsy samples and have the potential to serve as non-invasive biomarkers. In this study, we employed next-generation sequencing to globally profile miRNAs in serum samples from 71 early-stage NSCLC patients and 47 non-cancerous pulmonary condition patients. Preliminary analysis of differentially expressed miRNAs revealed 28 upregulated miRNAs in NSCLC compared to the control group. Functional enrichment analyses unveiled their involvement in NSCLC signaling pathways. Subsequently, we developed a gradient-boosting decision tree classifier based on 2588 miRNAs, which demonstrated high accuracy (0.837), sensitivity (0.806), and specificity (0.859) in effectively distinguishing NSCLC from non-cancerous individuals. Shapley Additive exPlanations analysis improved the model metrics by identifying the top 15 miRNAs with the strongest discriminatory value, yielding an AUC of 0.96 ± 0.04, accuracy of 0.896, sensitivity of 0.884, and specificity of 0.903. Our study establishes the potential utility of a non-invasive serum miRNA signature as a supportive tool for early detection of NSCLC while also shedding light on dysregulated miRNAs in NSCLC biology. For enhanced credibility and understanding, further validation in an independent cohort of patients is warranted.


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Last updated on 2024-26-11 at 17:33