The Novel Biomarker of Germ Cell Tumours, Micro-RNA-371a-3p, Has a Very Rapid Decay in Patients with Clinical Stage 1

Urol Int. 2018;100(4):470-475. doi: 10.1159/000488771. Epub 2018 Apr 26.

Abstract

Background: Accumulating evidence suggests serum levels of microRNA (miR)-371a-3p to be a novel tumour marker of testicular germ cell tumours (GCTs). Presently, there is only limited information regarding the velocity of decline of serum levels in response to treatment.

Patients and methods: Twenty-four patients with testicular GCT (20 seminoma, 4 nonseminoma, median age 40 years) with clinical stage 1 had measurements of serum levels of miR-371a-3p preoperatively and repeatedly on the following 3 days. Three had additional tests done within 24 h after surgery. Measurement results were analysed using descriptive statistical methods.

Results: Serum levels dropped to 2.62, 1.27, and 0.47% of the preoperative level within 1, 2, and 3 days, respectively. The computed half-life amounts to 3.7-7 h. The velocity of decay is significantly associated with tumour size.

Conclusions: Serum-levels of miR-371a-3p have a short half-life of less than 12 h. The rapid decay after treatment represents a valuable feature confirming the usefulness of miR-371a-3p as a valuable serum biomarker of GCT.

Keywords: Germ cell tumour; MicroRNA-371a-3p; Nonseminoma; Seminoma; Serum biomarker.

MeSH terms

  • Adult
  • Biomarkers, Tumor / genetics*
  • Humans
  • Male
  • MicroRNAs / genetics*
  • Middle Aged
  • Neoplasms, Germ Cell and Embryonal / genetics*
  • Neoplasms, Germ Cell and Embryonal / metabolism
  • Orchiectomy
  • Seminoma / genetics*
  • Seminoma / metabolism
  • Testicular Neoplasms / genetics*
  • Testicular Neoplasms / metabolism
  • Testis / metabolism
  • Time Factors
  • Young Adult

Substances

  • Biomarkers, Tumor
  • MIRN371 microRNA, human
  • MicroRNAs

Supplementary concepts

  • Testicular Germ Cell Tumor