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Plasma micro-RNA al...
Plasma micro-RNA alterations appear late in pancreatic cancer
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- Franklin, Oskar (författare)
- Umeå universitet,Kirurgi
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- Jonsson, Pär (författare)
- Umeå universitet,Kemiska institutionen
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- Billing, Ola (författare)
- Umeå universitet,Kirurgi
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- Lundberg, Erik (författare)
- Umeå universitet,Kirurgi
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- Öhlund, Daniel (författare)
- Umeå universitet,Kirurgi
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- Nyström, Hanna (författare)
- Umeå universitet,Kirurgi
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- Lundin, Christina (författare)
- Umeå universitet,Kirurgi
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- Antti, Henrik (författare)
- Umeå universitet,Kemiska institutionen
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- Sund, Malin (författare)
- Umeå universitet,Kirurgi
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(creator_code:org_t)
- 2018
- 2018
- Engelska.
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Ingår i: Annals of Surgery. - 0003-4932 .- 1528-1140. ; 267:4, s. 775-781
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objectives: The aim of this research was to study whether plasma microRNAs (miRNA) can be used for early detection of pancreatic cancer (PC) by analyzing prediagnostic plasma samples collected before a PC diagnosis. Background: PC has a poor prognosis due to late presenting symptoms and early metastasis. Circulating miRNAs are altered in PC at diagnosis but have not been evaluated in a prediagnostic setting. Methods: We first performed an initial screen using a panel of 372 miRNAs in a retrospective case-control cohort that included early-stage PC patients and healthy controls. Significantly altered miRNAs at diagnosis were then measured in an early detection case-control cohort wherein plasma samples in the cases are collected before a PC diagnosis. Carbohydrate antigen 19–9 (Ca 19–9) levels were measured in all samples for comparison. Results: Our initial screen, including 23 stage I-II PC cases and 22 controls, revealed 15 candidate miRNAs that were differentially expressed in plasma samples at PC diagnosis. We combined all 15 miRNAs into a multivariate statistical model, which outperformed Ca 19–9 in receiver-operating characteristics analysis. However, none of the candidate miRNAs, individually or in combination, were significantly altered in prediagnostic plasma samples from 67 future PC patients compared with 132 matched controls. In comparison, Ca 19–9 levels were significantly higher in the cases at <5 years before diagnosis. Conclusion: Plasma miRNAs are altered in PC patients at diagnosis, but the candidate miRNAs found in this study appear late in the course of the disease and cannot be used for early detection of the disease.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Klinisk laboratoriemedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Clinical Laboratory Medicine (hsv//eng)
- NATURVETENSKAP -- Kemi (hsv//swe)
- NATURAL SCIENCES -- Chemical Sciences (hsv//eng)
Nyckelord
- blood samples
- early detection
- micro-RNA
- miRNA
- pancreatic cancer
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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