Serum microRNA-16 as a potential biomarker for HCV-induced hepato-cellular carcinoma in Egyptian patients

The Egyptian Journal of Immunology
Volume 31 (2), April, 2024
Pages: 102 – 111.
www.Ejimmunology.org
https://doi.org/10.55133/eji.310211
Amr T. El Hawary1, Fedaa Nabil2, Ramy El Hendawy3, Haytham K. A. Mahrous4, Ghada A. AbdelHamid5, and Mahmoud Amer1
1Department of Internal Medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

2Department of Medical Microbiology & Immunology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

3Department of Tropical Medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

4Department of Clinical Pathology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

5Department of Radiology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Corresponding author:
Fedaa Nabil, Department of Medical Microbiology & Immunology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Email: fedanabil@yahoo.com

Abstract

Hepatocellular carcinoma (HCC) is one of the most prevalent cancers in the world. Two risk factors that cause 80–90% of HCC cases globally are chronic infection with hepatitis B virus (HBV) and hepatitis C virus (HCV). The diagnostic value of circulating microRNAs (miRNAs) in numerous tumors has been described. Our research assessed microRNA-16 (miR-16) as a novel biomarker in patients with HCV-induced HCC. The study included three groups. Group 1 included 55 individuals with cirrhosis caused by liver HCV infection in addition to HCC. Group 2 included 55 individuals with cirrhosis brought on by HCV infection. Group 3 included 55 normal control individuals. Expression of miR-16 in blood was assessed by real-time polymerase chain reaction (RT-PCR). The mean level of miR-16 was significantly different in the three groups, with group 1 having the greatest value (1.098 ± 0.647), followed by group 2 (1.1035 ± 0.8567) and group 3 (control subjects) having the lowest value (0.3842 ± 0.21485). The receiver operating characteristic (ROC) curve analysis showed that miR-16 had a higher diagnostic value at area under the curve (AUC) of 0.935 than alpha-feto protein (AUC of 0.859) to differentiate between HCC and control subjects. MiR-16 has a sensitivity of 81.82 % and a specificity of 69.09%, to distinguish between patients with liver cirrhosis and HCC patients. Our findings illustrated that circulating miR-16 can be proposed as a marker for detection of patients with HCV-induced HCC.

Keywords:
hepatocellular carcinoma, microRNA-16, biomarker, HCV

Date received:
23 June 2023; accepted: 22 March 2024

PMID:
38615267

 

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