Significance of Plasma UCA1 for Predicting Colorectal Cancer and BRAF Mutation Status

Anticancer Res. 2021 Apr;41(4):1761-1769. doi: 10.21873/anticanres.14941.

Abstract

Background: Clinical significance of plasma urothelial carcinoma associated 1 (UCA1) in patients with colorectal cancer (CRC) remains unclear. This study investigated the usefulness of plasma UCA1 as a biomarker in patients with CRC.

Materials and methods: UCA1 levels were measured in the plasma and tissue from patients with CRC by quantitative polymerase chain reaction. Relationships between plasma UCA1 and clinicopathological features were examined.

Results: Plasma UCA1 levels were significantly lower in patients with CRC than in healthy volunteers. UCA1 expression in B-Raf proto-oncogene serine/threonine kinase (BRAF)-mutant CRC tissue was also lower than that in non-cancerous tissue, although it was higher in CRC with wild-type BRAF. In right-sided CRC, a lower plasma UCA1 level was associated with pT4 and BRAF mutation. In contrast, in left-sided CRC, higher plasma UCA1 was associated with pT4 and pStage 3b-4.

Conclusion: Plasma UCA1 is a useful biomarker for CRC detection and predicting clinicopathological features, particularly BRAF mutation.

Keywords: BRAF mutation; UCA1; colorectal cancer.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers, Tumor / blood
  • Biomarkers, Tumor / genetics*
  • Case-Control Studies
  • Cell-Free Nucleic Acids / blood
  • Cell-Free Nucleic Acids / genetics*
  • Colorectal Neoplasms / blood
  • Colorectal Neoplasms / genetics*
  • Colorectal Neoplasms / pathology
  • Female
  • Genetic Predisposition to Disease
  • Humans
  • Male
  • Middle Aged
  • Mutation*
  • Neoplasm Staging
  • Phenotype
  • Proto-Oncogene Mas
  • Proto-Oncogene Proteins B-raf / genetics*
  • RNA, Long Noncoding / blood
  • RNA, Long Noncoding / genetics*

Substances

  • Biomarkers, Tumor
  • Cell-Free Nucleic Acids
  • MAS1 protein, human
  • Proto-Oncogene Mas
  • RNA, Long Noncoding
  • UCA1 RNA, human
  • BRAF protein, human
  • Proto-Oncogene Proteins B-raf