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Table 2 Studies regarding circulating ncRNAs in blood as potential biomarkers for bladder cancer

From: Blood-based liquid biopsy: insights into early detection, prediction, and treatment monitoring of bladder cancer

ncRNA

Authors (year)

Sample type

Significant miRNA expression

Study design

Detection method and reference method

Clinically relevant findings

Refs.

miRNA

       
 

Feng et al. (2014)

Plasma

miR-99a↓

• 50 patients

• 50 controls

• RT-qPCR

• RNU6

Diagnostic marker: no information concerning diagnostic accuracy

[76]

 

Feng et al. (2014)

Plasma

• miR-19a↑

• 50 patients

• 50 controls

• RT-qPCR

• RNU6

Diagnostic marker: no information concerning diagnostic accuracy

[77]

 

Adam et al. (2013)

Plasma

• miR-200b↑

• miR-33b↓

• miR-92b↓

• 20 patients

• 18 controls

• RT-qPCR

• RNU6

• 89% accuracy for detecting BC • 92% accuracy for distinguishing invasive BC from other cases

• 100% accuracy for distinguishing MIBC from controls

• 79% accuracy for three-way classification between MIBC, NIMBC, and controls

[78]

 

Wang et al. (2019)

Serum

• miRNA‑373↑

• 55 patients

• 45 controls

• RT-qPCR

• RNU6

Diagnosis of BC (AUC = 0.847)

[79]

 

Motawi et al. (2016)

Plasma

• miR-92a↓

• miR-100↓

• miR-143↓

• 70 patients

• 62 controls

• RT-qPCR

• RNU6

• Diagnosis of BC with miR-92a (AUC = 0.940, DS = 97.1%, DSp = 76.7%)

• Diagnosis of BC with miR-100 (AUC = 0.820, DS = 90%, DSp = 66.7%)

• Diagnosis of BC with miR-143 (AUC = 0.915, DS = 78.6%, DSp = 93.3%)

[80]

 

Yang et al. (2015)

Serum

• miR-210↑

• 168 patients

• 104 controls

• RT-qPCR

• RNU6

• Diagnosis of BC (AUC = 0.898, DS = 97.6%, DSp = 69.2%)

• Prognostic marker: monitor tumor dynamics

[81]

 

Fang et al. (2016)

Plasma

• miR-205↑

• 89 patients

• 56 controls

• RT-qPCR

• RNU6

• Diagnosis of BC (AUC = 0.950, DS = 76.4%, DSp = 96.4%)

• Differentiation of NIMBC from MIBC (AUC = 0.668, DS = 57.1%, DSp = 77.0%)

[82]

 

Du et al. (2015)

Plasma

• miR-497↓

• miR-663b↑

• Discovery: pools of 10 patients and 10 controls

• Validation: training set with 56 patients and 60 controls, and test set with 109 patients and 115 controls

• Discovery: TaqMan array

• Validation: RT-qPCR

Diagnosis of cancer with the two combined miRNAs (AUC = 0.711, DS = 69.7%, DSp = 69.6%)

[83]

 

Lian et al. (2018)

Serum

• miR-409-3p↓

• Discovery: 140 patients, 139 healthy controls

• Validation: 140 patients, 139 controls

• Discovery: TaqMan array

• Validation: RT-qPCR

Diagnostic marker: no information concerning diagnostic accuracy

[84]

 

Jiang et al. (2015)

Serum

• miR-152↑

• miR-1486-3p↑

• miR-3187-3p↓

• miR-15b-5p↓

• miR-27a-3p↓

• miR-30a-5p ↓

• Discovery: pooled samples from 10 patients with NMIBC, 10 patients with MIBC, 10 healthy controls

• Validation: training set 120 patients and 120 controls, and validation set 110 patients and 110 controls

• Discovery: sequencing

• Validation: RT-qPCR

• Diagnosis of cancer with all miRNAs (AUC = 0.899, DS = 80%, DSp = 89%)

• Differentiation of NIMBC from MIBC (AUC = 0.841, DS = 90%, DSp: 66.4%)

• Prognostic marker set miR-152 and miR-3187-3p: recurrence-free survival for NIMBC, not for MIBC

[85]

 

Jiang et al. (2016)

Serum

• miR-422a-3p (↑ in NMIBC, ↓in MIBC)

• miR-486-3p↓

• miR-103a-3p (↑ in NMIBC, ↓in MIBC)

• miR-27a-3p↓

• Discovery: pooled samples from 6 patients with NMIBC, 6 patients with MIBC, 6 healthy controls

• Validation: training set 40 MIBC, 40 NMIBC, and 40 controls, and validation set 90 MIBC and 168 NMIBC

• Discovery: sequencing

• Validation: RT-qPCR

• Diagnosis of cancer with the four combined miRNAs (training set: AUC = 0.894, validation set: AUC = 0.880)

• Prognostic marker: miR-486-3p and miR-103a-3p were associated with OS of MIBC

[86]

 

Usuba et al. (2019)

Serum

• miR-6087↓

• miR-6724-5p↑

• miR-3960↓

• miR-1343-5p↓

• miR-1185–1-3p↑

• miR-6831-5p↑

• miR-4695-5p↓

• Discovery: 196 patients with BC, 50 controls, 240 other types of cancers

• Validation set: 196 patients with BC, 50 controls, 240 other types of cancers

• Discovery: TaqMan array

• Validation: RT-qPCR

Diagnosis of cancer with the seven combined miRNAs (AUC = 0.97, DS = 95%, DSp = 87%)

[87]

LncRNA

       
 

Duan et al. (2016)

Serum

• lncRNA-MEG↓

• lncRNA- SNHG16↑

• lncRNA-MALAT1↑

• Discovery: pooled samples from 80 patients with BC and 80 healthy controls

• Validation: training set 120 patients with BC, 68 patients with benign disease, 52 healthy controls, validation set 100 patients with BC, 52 patients with benign disease, 48 healthy controls

• RT-qPCR

• GAPDH

• Diagnosis of cancer with three miRNAs (AUC = 0.899, DS = 80%, DSp = 89%)

• Prognostic marker: low expression of MEG3 was associated with poor recurrence-free survival

[90]

 

Luo et al. (2019)

Plasma

• lncRNA CASC11↑

• 89 patients

• 62 controls

• RT-qPCR

• RNU6

Diagnosis of BC (AUC = 0.899)

[91]

 

Zhou et al. (2020)

Serum

• lncRNA LUCAT1↑

• 30 patients

• 30 controls

• RT-qPCR

• GAPDH

Diagnostic marker: no information concerning diagnostic accuracy

[92]

 

Li et al. (2019)

Plasma

• lncRNA TUC338↑

• 56 patients

• 56 controls

• RT-qPCR

• 18S

Diagnosis of BC (AUC = 0.924)

[93]

 

Zhang et al. (2020)

Serum

• lncRNA PCAT6↑

• 106 patients

• 106 controls

• RT-qPCR

• GAPDH

• Diagnosis of BC (AUC > 8.0)

• Prognostic marker: high expression of lncRNA PCAT6 was associated with poor OS and PFS

[94]

circRNA

       
 

Pan et al. (2019)

Serum

• circ-FARSA↑

• circ-SHKBP1↑

• circ-BANP↑

• 70 patients

• 70 controls

• RT-qPCR

• β-actin

• Diagnosis of cancer with combined lncRNA UCA1 and circSHKBP1 (AUC = 0.804)

• Combined circFARSA and circBANP distinguishing recurrent from non-recurrent patients (AUC = 0.737)

[95]

 

Chi et al. (2019)

Serum

• hsa_circ_0000285↓

• 197 patients

• 97 controls

• RT-qPCR

• β-actin

• Diagnostic marker: no information concerning diagnostic accuracy

• Treatment monitoring: low expression of hsa_circ_0000285 was associated with poor chemosensitivity

• Prognostic marker: low expression of hsa_circ_0000285 was associated with poor survival rate

[96]

 

Xu et al. (2018)

Blood

• circPTK2↑

• 40 patients

• 40 controls

• RT-qPCR

• GAPDH

Diagnostic marker: no information concerning diagnostic accuracy

[97]

  1. ncRNA non-coding RNA, miRNA microRNA, circRNA circular RNA, lncRNA long non-coding RNA, BC bladder cancer, MIBC muscle-invasive bladder cancer, NMIBC non-muscle-invasive bladder cancer, AUC area under the receiver operating characteristics curve, DS diagnostic sensitivity, DSp diagnostic specificity, RT-qPCR reverse-transcription quantitative polymerase chain reaction. ↑ upregulated, ↓ downregulated