Upregulated Linc01836 in Serum Promisingly Serving as a Diagnostic and Prognostic Biomarker for Colorectal Cancer

Lei Shen; Wei Zong; Wei Feng; Erlin Chen; Shuo Ma; Jie Yuan; Guihua Wang; Xinliang Gu; Xianjuan Shen; Shaoqing Ju

doi:10.3389/fphar.2022.840391

Upregulated Linc01836 in Serum Promisingly Serving as a Diagnostic and Prognostic Biomarker for Colorectal Cancer

Front Pharmacol. 2022 Mar 18:13:840391. doi: 10.3389/fphar.2022.840391. eCollection 2022.

Authors

Lei Shen^{1

2

3}, Wei Zong¹, Wei Feng¹, Erlin Chen⁴, Shuo Ma^{1

2

3}, Jie Yuan^{1

2

3}, Guihua Wang¹, Xinliang Gu^{1

2

3}, Xianjuan Shen^{2

3}, Shaoqing Ju¹

Affiliations

¹ Department of Laboratory Medicine, Affiliated Hospital of Nantong University, Nantong, China.
² School of Medicine, Nantong University, Nantong, China.
³ Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Nantong, China.
⁴ Department of General Surgery, Affiliated Hospital of Nantong University, Nantong, China.

Abstract

Objectives: Colorectal cancer (CRC) is a common carcinoma of the gastrointestinal tract with high incidence and mortality worldwide. Studies have shown that long noncoding RNAs (lncRNAs) play important roles in CRC. Our purpose is to investigate the potential of serum Linc01836 as a diagnostic and prognostic marker in CRC. Methods: We evaluated the expression of Linc01836 via quantitative real-time polymerase chain reaction (qRT-PCR). The serum CEA, CA19-9, Cyfra21-1, and CA72-4 concentrations were measured by Architect I4000 SR. Receiver operating characteristic (ROC) curves were plotted to estimate the diagnostic value in CRC. Relationship between serum Linc01836 expression and clinicopathological characteristics of CRC cases was analyzed via chi-square test. The underlying mechanism of Linc01836 on the development and prognosis in CRC was predicted by bioinformatic analysis. Results: The method of qRT-PCR for Linc01836 detection was confirmed with high precision and specificity. Serum Linc01836 expression in CRC patients was significantly higher than that in healthy donors (p < 0.0001) and benign patients (p < 0.0001), and declined after resection (p < 0.01). High expression of Linc01836 was associated with histological stage (p = 0.002) and lymph node metastasis (p = 0.006). In addition, serum Linc01836 could effectively differentiate CRC patients from the healthy folks, with favorable area under the curve (AUC) of 0.809 (95% CI: 0.757-0.861, p < 0.001). What is more, the combination of serum Linc01836, CEA, and Cyfra21-1 could improve diagnostic sensitivity (92.0%). Linc01836 was averagely located in the nucleus and cytoplasm, suggesting that it might participate in CRC progression and prognosis through the crosstalk among lncRNAs, miRNAs, and mRNAs. Conclusion: Linc01836 may serve as a valuable noninvasive biomarker for population screening, early detection, and clinical surveillance of CRC.

Keywords: Linc01836; biomarker; colorectal cancer; diagnosis; long noncoding RNA.