Background MicroRNA expression profiles can be used to distinguishnormal B cells from malignant B cells in patients with chroniclymphocytic leukemia (CLL). We investigated whether microRNAprofiles are associated with known prognostic factors in CLL.
Methods We evaluated the microRNA expression profiles of 94samples of CLL cells for which the level of expression of 70-kDzeta-associated protein (ZAP-70), the mutational status of therearranged immunoglobulin heavy-chain variable-region (IgVH)gene, and the time from diagnosis to initial treatment wereknown. We also investigated the genomic sequence of 42 microRNAgenes to identify abnormalities.
Results A unique microRNA expression signature composed of 13genes (of 190 analyzed) differentiated cases of CLL with lowlevels of ZAP-70 expression from those with high levels andcases with unmutated IgVH from those with mutated IgVH. Thesame microRNA signature was also associated with the presenceor absence of disease progression. We also identified a germ-linemutation in the miR-16-1miR-15a primary precursor, whichcaused low levels of microRNA expression in vitro and in vivoand was associated with deletion of the normal allele. Germ-lineor somatic mutations were found in 5 of 42 sequenced microRNAsin 11 of 75 patients with CLL, but no such mutations were foundin 160 subjects without cancer (P<0.001).
Conclusions A unique microRNA signature is associated with prognosticfactors and disease progression in CLL. Mutations in microRNAtranscripts are common and may have functional importance.
Source Information
From the Department of Molecular Virology, Immunology, and Medical Genetics and Comprehensive Cancer Center, Ohio State University, Columbus (G.A.C., A.C., G.D.L., M.S., S.E.W., M.V.I., R.V., N.I.S., M.F., R.I., T.P., F.P., C.R., H.A., S.V., C.L., C.M.C.); the Department of Experimental and Diagnostic Medicine, Interdepartment Center for Cancer Research, University of Ferrara, Ferrara, Italy (M.F., M.N.); the Kimmel Cancer Center, Thomas Jefferson University, Philadelphia (R.G., C.S.); and the Department of Medicine, University of California, San Diego, La Jolla (L.R., T.J.K.).
Address reprint requests to Dr. Croce at Ohio State University, Comprehensive Cancer Center, Wiseman Hall, Rm. 385K, 400 12th Ave., Columbus, OH 43210, or at carlo.croce{at}osumc.edu.
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