Open Access

Combination of circulating tumor cells, lncRNAs and DNA methylation for the diagnosis of endometrial carcinoma

  • Authors:
    • Hongmei Ding
    • Juan Wang
    • Xiaoyu Zhao
    • Shi Xiu
    • Honghong Cai
    • Jingjing Ma
    • Li Fu
    • Jinhua Zhou
    • Fangrong Shen
    • Hong Zhang
    • Youguo Chen
    • Bingyan Li
    • Jing Yan
  • View Affiliations

  • Published online on: September 11, 2024     https://doi.org/10.3892/ol.2024.14678
  • Article Number: 545
  • Copyright: © Ding et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Endometrial carcinoma (EC) is one of the most common gynecological malignant neoplasms, the prognosis of which is strongly related to the time of diagnosis, with an earlier diagnosis leading to a better prognosis. Therefore, effective diagnostic indicators and methods are needed to ensure early detection. The present study explored the following in EC: Circulating tumor cells (CTCs); the long noncoding RNAs (lncRNAs) RP4‑616B8.5, RP11‑389G6.3 and carboxy‑terminal domain (CTD)‑2377D24.6; and the methylation of cysteine dioxygenase type 1 (CDO1) and CUGBP Elav‑like family member 4 (CELF4). In total, 85 patients, including 71 with EC, and 14 without EC (NO‑EC) but with uterine fibroids or polyps, were included in the present study. In total, 46 patients with EC and 8 NO‑EC patients underwent CTC detection. In the evaluation of the EC vs. NO‑EC groups, the results showed that the CTC‑positive rate of the EC group was 80.43% and that the area under the curve (AUC) value of CTCs was 0.8872 (P=0.0098). A total of 35 patients with EC and 14 NO‑EC patients underwent detection of the RP4‑616B8.5, RP11‑389G6.3 and CTD‑2377D24.6 lncRNAs. When the levels of the three lncRNAs RP4‑616B8.5, RP11‑389G6.3 and CTD‑2377D24.6 were compared between the EC and NO‑EC groups, they were higher in the EC group; the P‑values were 0.0002, 0.0001 and <0.0001, respectively, and the AUC values were 0.8184, 0.8347 and 0.8265, respectively. In addition, a total of 35 patients with EC and 8 NO‑EC patients underwent CDO1 and CELF4 DNA methylation analysis. The positive rates of the methylated genes CDO1 and CELF4 were 20% (7/35) and 5.71% (2/35), and the P‑values of the comparisons between the EC and NO‑EC groups were 0.1748 and 0.5004, respectively; the AUC values were 0.6000 and 0.5286. Furthermore, the combination of CTCs, and lncRNAs RP4‑616B8.5, RP11‑389G6.3 and CTD‑2377D24.6 exhibited high performance in the detection of EC (AUC=0.9375).
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November-2024
Volume 28 Issue 5

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Spandidos Publications style
Ding H, Wang J, Zhao X, Xiu S, Cai H, Ma J, Fu L, Zhou J, Shen F, Zhang H, Zhang H, et al: Combination of circulating tumor cells, lncRNAs and DNA methylation for the diagnosis of endometrial carcinoma. Oncol Lett 28: 545, 2024.
APA
Ding, H., Wang, J., Zhao, X., Xiu, S., Cai, H., Ma, J. ... Yan, J. (2024). Combination of circulating tumor cells, lncRNAs and DNA methylation for the diagnosis of endometrial carcinoma. Oncology Letters, 28, 545. https://doi.org/10.3892/ol.2024.14678
MLA
Ding, H., Wang, J., Zhao, X., Xiu, S., Cai, H., Ma, J., Fu, L., Zhou, J., Shen, F., Zhang, H., Chen, Y., Li, B., Yan, J."Combination of circulating tumor cells, lncRNAs and DNA methylation for the diagnosis of endometrial carcinoma". Oncology Letters 28.5 (2024): 545.
Chicago
Ding, H., Wang, J., Zhao, X., Xiu, S., Cai, H., Ma, J., Fu, L., Zhou, J., Shen, F., Zhang, H., Chen, Y., Li, B., Yan, J."Combination of circulating tumor cells, lncRNAs and DNA methylation for the diagnosis of endometrial carcinoma". Oncology Letters 28, no. 5 (2024): 545. https://doi.org/10.3892/ol.2024.14678