96. Jahrestagung der Deutschen Gesellschaft für Pathologie e. V ...
96. Jahrestagung der Deutschen Gesellschaft für Pathologie e. V ...
96. Jahrestagung der Deutschen Gesellschaft für Pathologie e. V ...
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Abstracts<br />
FR-P-040<br />
MicroRNA expression profiling for prediction of resistance to<br />
neoadjuvant radiochemotherapy in squamous cell carcinoma of<br />
the oesophagus<br />
J . Slotta-Huspenina 1 , E . Drecoll 1 , M . Feith 2 , C . Wagner 3 , H . Höfler 1 , 4 ,<br />
K . Becker 1 , R . Langer 1<br />
1 Technical University of Munich, Institute of Pathology, München, 2 Technical<br />
University of Munich, Department of Surgery, 3 IMGM Laboratories GmbH,<br />
Martiensried, 4 Institute of Pathology, Helmholtz-Zentrum München, Oberschleissheim<br />
Aims. MicroRNA (miRNA) expression has been shown to play an important<br />
role in biology of malignant tumours, including sensitivity to<br />
chemotherapy and radiation. Neoadjuvant radiochemotherapy (RCTX)<br />
followed by surgery is a standard treatment strategy for locally advanced<br />
oesophageal squamous cell carcinoma (ESCC). However, a subset<br />
of patients does not respond to RCTX. In the present study we evaluated<br />
whether miRNA profiles can predict resistance to RCTX in ESCC.<br />
Methods. 31 patients with locally advanced ESCC (cT3-4, cN1-3, M0-1)<br />
un<strong>der</strong>went preoperative radiochemotherapy with cisplatin, 5-fluorouracil<br />
and 30-45 Gy, followed by resection of the oesophagus. Tumour response<br />
was evaluated by histopathological tumour regression. MiRNA<br />
profiling was done in pre-therapeutic formalin-fixed and paraffin embedded<br />
(FFPE) biopsies using the Agilent Human Microarray platform<br />
(Release 16.0), encompassing 1205 human miRNAs. Differential expression<br />
was identified in respon<strong>der</strong>s (n=15) and non-respon<strong>der</strong>s (n=16) by<br />
applying appropriate biostatistics to the data and validated by real-time<br />
quantitative PCR (qRT-PCR).<br />
Results. Even if the miRNA expression profiles of pre-therapeutic ESCC<br />
biopsies within and between non-respon<strong>der</strong>s (n=16) and respon<strong>der</strong>s<br />
(n=15) were highly similar (average correlation coefficients r=0.96, 0.94<br />
and 0.95), ten differentially expressed miRNAs could be identified by microarray<br />
analysis in non-respon<strong>der</strong>s and respon<strong>der</strong>s of ESCC (p