Lyuba Miteva1, Stoyan Nikolov2, Noyko Stanilov3, Petio Chilingirov4, Spaska Stanilova1
1Department of Molecular Biology, Immunology and Medical Genetics; Medical Faculty, Trakia University, Stara Zagora, Bulgaria.
2University Hospital, Department of Surgery, Stara Zagora, Bulgaria.
3Breast Oncoplastic Unit, University College London Hospital, London, United Kingdom.
4Medical Oncology Clinic, Complex Oncology Center, Stara Zagora, Bulgaria.
Summary
Purpose: This study aimed to investigate the local levels of microRNA (miR) miR-23b-5p, miR-301a-5p, and miR-21 in relation to T regulatory (Treg)/T helper 17 (Th17) related gene expression in paired tissue samples of breast cancer (BC) patients and their association with clinical characteristics of BC.
Methods: Fresh primary tumor samples and adjacent normal tissue specimens were collected for miRNA and total RNA isolation. cDNA synthesis was performed by reverse-transcription PCR, followed by quantitative PCR (qPCR) to determine the relative quantity of miR-21, miR-23b-5p, and miR-301a-5p, as well as eight Treg/Th17 related target genes. Relative quantification analysis was conducted using the comparative Ct (Cq) method.
Results: The study found that miR-21 expression was significantly upregulated by over 6-fold in tumor tissue compared to normal tissue (p=0.002). Additionally, the levels of miR-23b-5p and miR-301a-5p were significantly higher in larger tumors (T2) compared to smaller tumors (T1) (p=0.014 and p=0.009, respectively). MiR-301a-5p expression showed a strong inverse relationship with TGFBR2 (r=-0.6668; p=0.0035) and IL10 (r=-0.6356; p=0.0061). Conversely, miR-21 expression was positively correlated with TGFBR2 (r=0.592; p=0.01), TGFB1 (r=0.6308; p=0.0066), IL10, and FOXP3 with borderline significance. Furthermore, miR-21 expression was positively correlated with IL6 gene expression (r=0.5669; p=0.018), RORC (r=0.5024; p=0.039), and IL12B (r=0.8999; p=0.0374).
Conclusions: The study confirms the oncogenic role of miR-21 and suggests that its function may be counteracted by miR-301a-5p as part of negative feedback mechanisms contributing to Th17-like Treg cancer-associated inflammation in early-stage, luminal breast cancer.
Keywords: breast cancer, miR-21, microRNA, transforming growth factor beta receptor II.
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