Circulating microRNAs as a Prognostic Tool to Determine Treatment Efficacy in Lung Cancer Patients Undergoing Pembrolizumab PD-1 Blockade Immunotherapy
2024

Using MicroRNAs to Predict Lung Cancer Treatment Success

Sample size: 38 publication 10 minutes Evidence: moderate

Author Information

Author(s): Mohamed Mansoor Mishfak A., Zhu Xiang, Ashiqueali Sarah Aslam, Alam Md Tanjim, Winiarska Hanna, Pazdrowski Pawel, Kaminski Filip, Copik Alicja, Masternak Michal M., Kuznar-Kaminska Barbara, Wong David

Primary Institution: Burnett School of Biomedical Sciences, College of Medicine, University of Central Florida, Orlando, FL, USA

Hypothesis

Can circulating microRNAs serve as prognostic tools to determine treatment efficacy in lung cancer patients undergoing pembrolizumab therapy?

Conclusion

The study found that circulating microRNAs can be used to evaluate treatment efficacy and predict lung cancer prognosis.

Supporting Evidence

  • 12 out of 13 tested microRNAs were downregulated after treatment with pembrolizumab.
  • Let-7a was positively associated with patient survival, while miR-217 was negatively associated.
  • Patients with PD-L1 expression greater than 50% had higher survival rates.

Takeaway

Doctors can check tiny molecules in the blood called microRNAs to see how well lung cancer treatment is working.

Methodology

The study evaluated miRNA levels in the blood of 38 lung cancer patients before and after three months of pembrolizumab treatment using qPCR analysis.

Potential Biases

The study's findings may be influenced by the small sample size and the fact that some patients could not complete the treatment.

Limitations

The study had a small cohort size and limited diversity in demographics, which may affect the generalizability of the findings.

Participant Demographics

The cohort included 38 patients with non-small-cell lung cancer, with a mean age of 68.1 years, consisting of 47.37% females and 52.63% males.

Statistical Information

P-Value

0.138

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/cancers16244202

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