Small RNA sequencing to differentiate lung squamous cell carcinomas from metastatic lung tumors from head and neck cancers

PLoS One. 2021 Mar 5;16(3):e0248206. doi: 10.1371/journal.pone.0248206. eCollection 2021.

Abstract

Distinguishing lung squamous cell carcinoma (LSQCC) from a solitary metastatic lung tumor (MSQCC) from head and neck squamous cell carcinoma (HNSQCC) presents a difficult diagnostic challenge even after detailed pathological assessment. Treatment options and estimated survival outcomes after pulmonary resection differ between patients with LSQCC and MSQCC. This study aimed to investigate whether microRNA (miRNA) profiling by RNA sequencing of HNSQCC, MSQCC, and LSQCC was useful for differential diagnosis of MSQCC and LSQCC. RNA sequencing was performed to identify bioinformatically significant miRNAs from a formalin-fixed paraffin-embedded (FFPE) block from a derivation set. MiRNA levels were confirmed by validation sets using FFPE samples and serum extracellular vesicles from patients. Step-wise discriminant analysis and canonical discriminant analysis identified 13 miRNAs by which the different expression patterns of LSQCC, MSQCC, and HNSQCC groups were demonstrated. Six miRNAs (miR-10a/28/141/320b/3120) were assessed in validation sets, and 4 miRNAs (miR-10a/28/141/3120) were significantly upregulated in LSQCCs compared with MSQCCs and HNSQCCs. Serum extracellular vesicles from LSQCC patients demonstrated significantly elevated miR-10a (p = .042), miR-28 (p = .041), and miR-3120 (p = .047) levels compared with those from MSQCC patients. RNA sequencing is useful for differential diagnosis of LSQCC and MSQCC, and the expression level of miR-10a, miR-28, and miR-3120 in serum extracellular vesicles are promising noninvasive tools for this purpose.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Circulating MicroRNA* / blood
  • Circulating MicroRNA* / genetics
  • Female
  • Head and Neck Neoplasms* / blood
  • Head and Neck Neoplasms* / classification
  • Head and Neck Neoplasms* / genetics
  • Humans
  • Lung Neoplasms* / blood
  • Lung Neoplasms* / classification
  • Lung Neoplasms* / genetics
  • Male
  • RNA, Neoplasm* / blood
  • RNA, Neoplasm* / genetics
  • RNA-Seq*
  • Squamous Cell Carcinoma of Head and Neck* / blood
  • Squamous Cell Carcinoma of Head and Neck* / classification
  • Squamous Cell Carcinoma of Head and Neck* / genetics

Substances

  • Circulating MicroRNA
  • RNA, Neoplasm

Grants and funding

This study was supported in part by a Grant-in-Aid for Cancer Research from the Ministry of Education, Culture, Sports, and Technology, Japan (#18K08799; Y. Shimada), and internal research funding from department of thoracic surgery, Tokyo Medical University. There was no additional external funding received for this study.