Oligo- and Polymetastatic Progression in Lung Metastasis(es) Patients Is Associated with Specific MicroRNAs
Creators
- Lussier, Yves A.1
- Khodarev, Nikolai N.1
- Regan, Kelly2
- Corbin, Kimberly1
- Li, Haiquan2
- Ganai, Sabha1
- Khan, Sajid A.1
- Gnerlich, Jennifer1
- Darga, Thomas E.1
- Fan, Hanli2
- Karpenko, Oleksiy2
- Paty, Philip B.3
- Posner, Mitchell C.1
- Chmura, Steven J.1
- Hellman, Samuel1
- Ferguson, Mark K.1
- Weichselbaum, Ralph R.1
- 1. University of Chicago
- 2. University of Illinois at Chicago
- 3. Memorial Sloan-Kettering Cancer Center
Description
Rationale: Strategies to stage and treat cancer rely on a presumption of either localized or widespread metastatic disease. An intermediate state of metastasis termed oligometastasis(es) characterized by limited progression has been proposed. Oligometastases are amenable to treatment by surgical resection or radiotherapy.
Methods: We analyzed microRNA expression patterns from lung metastasis samples of patients with ≤5 initial metastases resected with curative intent.
Results: Patients were stratified into subgroups based on their rate of metastatic progression. We prioritized microRNAs between patients with the highest and lowest rates of recurrence. We designated these as high rate of progression (HRP) and low rate of progression (LRP); the latter group included patients with no recurrences. The prioritized microRNAs distinguished HRP from LRP and were associated with rate of metastatic progression and survival in an independent validation dataset.
Conclusion: Oligo- and poly- metastasis are distinct entities at the clinical and molecular level.
Files
journal.pone.0050141.pdf
Additional details
Identifiers
- DOI
- 10.1371/journal.pone.0050141
- Other
- oai:uchicago.tind.io:10515
Funding
- Ludwig Center for Metastasis
- Research Grant
- Center for Radiation Therapy
- Chicago Tumor Institute
- Ludwig Foundation for Cancer Research
- Mr. and Mrs. Vincent Foglia
- Foglia Foundation
- Lung Cancer Research Foundation
- Cancer Research Foundation
- National Institutes of Health
- K22 LM008308-04
- National Institutes of Health
- 5UL1RR024999- 04
- National Institutes of Health
- 5P30CA014599-35
- University of Illinois
- Cancer Center
- University of Illinois
- Center for Clinical and Translational Science