MicroRNAs as biomarkers for trastuzumab-based therapy in HER2-positive advanced oesophago-gastric cancer patients

Copyright © 2023 Lote, Mousoullou, Vlachogiannis, Lampis, Satchwell, Peckitt, Fong, Begum, Kidd, Cromarty, Gordon, Fribbens, Rao, Starling, Chau, Cunningham and Valeri..

Background: This study aimed to identify microRNAs (miRs) as circulating biomarkers of resistance to first-line trastuzumab-based therapy in advanced HER2-positive oesophago-gastric cancer patients.

Methods: A high-throughput 1015 Exiqon miRCURY LNA™ microRNA inhibitor library screen was performed in trastuzumab-treated HER2-positive NCI-N87 and HER2-negative FLO-1 oesophago-gastric cancer cell lines. NanoString nCounter® miR analysis was performed in NCI-N87, FLO-1, and MAGIC trial (ISRCTN93793971) formalin-fixed paraffin-embedded (FFPE) oesophago-gastric cancer patient samples. MiR-148a-3p copies in plasma samples were quantified using digital droplet polymerase chain reaction (ddPCR) from HER2-positive oesophago-gastric cancer patients treated with standard-of-care trastuzumab-based therapy within the FOrMAT (NCT02112357) and PLATFORM (NCT02678182) clinical trials. The primary endpoints were overall survival (OS) for plasma miR-148a-3p HIGH (>median) versus LOW (≤median). The secondary endpoints were progression-free survival (PFS) and 3-month progression-free rates (PFRs) miR-148a-3p HIGH versus LOW. PLATFORM sensitivity analysis normalised miR-148a-3p (NmiR-148a-3p).

Results: The inhibition of miR-148a-3p reduced NCI-N87 relative cell viability (<0.6) and expression was high (>242) in NCI-N87 and HER2-positive MAGIC trial patients (n=5). Normalised-miR-148a-3p (NmiR-148a-3p) LOW versus HIGH demonstrated a statistically significant difference in 3-month PFRs (n=23; OR, 0.11 [0.02-0.78]; p=0.027; aOR, 0.03 [0.001-0.71], p=0.029) but no difference in OS or PFS. There was no statistically significant relationship between miR-148-3p LOW versus HIGH for OS (PLATFORM, n=62; hazard ratio [HR], 0.98 [0.57-1.66]; p=0.933; FOrMAT, n=8; HR, 0.54 [0.13-2.31]; p=0.322), PFS (n=62; HR, 1.08 [0.65-1.81]; p=0.759; FOrMAT, n=8; HR, 1.26 [0.31-5.07]; p=0.714), or PFRs (PLATFORM, n=31; odds ratio [OR], 0.67 [0.2-2.8]; p=0.577).

Conclusion: Normalised miR-148a-3p may be a relevant biomarker for trastuzumab-based therapy in advanced HER2-positive oesophago-gastric cancer patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Frontiers in oncology - 13(2023) vom: 08., Seite 1258365

Sprache:

Englisch

Beteiligte Personen:

Lote, Hazel [VerfasserIn]
Mousoullou, Florentia [VerfasserIn]
Vlachogiannis, George [VerfasserIn]
Lampis, Andrea [VerfasserIn]
Satchwell, Laura [VerfasserIn]
Peckitt, Clare [VerfasserIn]
Fong, Caroline [VerfasserIn]
Begum, Ruwaida [VerfasserIn]
Kidd, Shannon [VerfasserIn]
Cromarty, Susan [VerfasserIn]
Gordon, Anderley [VerfasserIn]
Fribbens, Charlotte [VerfasserIn]
Rao, Sheela [VerfasserIn]
Starling, Naureen [VerfasserIn]
Chau, Ian [VerfasserIn]
Cunningham, David [VerfasserIn]
Valeri, Nicola [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers
Gastric cancer
HER2
Journal Article
MicroRNA
Oesophageal adenocarcinoma
Trastuzumab

Anmerkungen:

Date Revised 14.12.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.3389/fonc.2023.1258365

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365853089