Exosomal miR-30b-3p and miR-99a-5p as potential biomarkers for distinguishing primary and metastatic colon cancer


Onat S., Kayim Z. Y., KARAMAN Ş., ÖZGÜR İ., PASİN Ö., Demirbas B. C., ...Daha Fazla

Turkish Journal of Biochemistry, 2026 (SCI-Expanded, Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1515/tjb-2026-0142
  • Dergi Adı: Turkish Journal of Biochemistry
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Applied Science & Technology Source, EMBASE, Food Science & Technology Abstracts, Directory of Open Access Journals, TR DİZİN (ULAKBİM)
  • Anahtar Kelimeler: colon cancer, diagnostic biomarker, exosomal miRNAs, liquid biopsy, miR-30b-3p
  • İstanbul Üniversitesi Adresli: Evet

Özet

Colon cancer (CC) remains one of the leading causes of cancer-related mortality worldwide, and reliable non-invasive biomarkers for disease staging and monitoring are still lacking. Exosomal microRNAs (miRNAs) have emerged as promising candidates for liquid biopsies due to their stability and tumor-specific expression profiles. This pilot study evaluated the diagnostic potential of four serum exosomal miRNAs, miR-30b-3p, miR-99a-5p, miR-769-5p, and miR-3937, in differentiating CC patients (n=28) from healthy controls (n=20), and primary (n=24) from metastatic tumors (n=4). Exosomal RNA was isolated and quantified using digital polymerase chain reaction (dPCR). miR-30b-3p and miR-3937 were upregulated in patients vs. controls, while miR-30b-3p showed a striking 67.8-fold higher expression in primary compared with metastatic tumors (AUC=0.771). Conversely, miR-99a-5p was elevated 5.4-fold in metastatic tumors. Combined miRNA panels improved performance, with the miR-30b-3p/miR-99a-5p/miR-3937 panel achieving an AUC of 0.932, suggesting synergistic diagnostic value. This study provides preliminary evidence supporting exosomal miR-30b-3p as a potential liquid biopsy biomarker for stage-specific detection of CC, warranting validation in larger cohorts.