RT Journal Article T1 Novel Molecular Characterization of Colorectal Primary Tumors Based on miRNAs. A1 Moreno, Elisa Conde A1 Pascual, Alejandro A1 Prieto-Cuadra, Daniel A1 Laza, Val F A1 Molina-Cerrillo, Javier A1 Ramos-Muñoz, Miren Edurne A1 Rodríguez-Serrano, Esperanza Macarena A1 Soto, José Luis A1 Carrato, Alfredo A1 García-Bermejo, María Laura A1 Guillén-Ponce, Carmen K1 biomarkers K1 colorectal cancer K1 miRNAs K1 patient stratification AB microRNAs (miRNA) expression in colorectal (CR) primary tumours can facilitate a more precise molecular characterization. We identified and validated a miRNA profile associated with clinical and histopathological features that might be useful for patient stratification. In situ hybridization array using paraffin-embedded biopsies of CR primary tumours were used to screen 1436 miRNAs. 17 miRNAs were selected for validation by quantitative reverse transcription polymerase chain reaction (qRT-PCR) (n = 192) and were further correlated with clinical and histopathological data. We demonstrated that miRNAs associated to Colorectal Cancer (CRC) diagnosis age (over 50s and 60s) included miR-1-3p, miR-23b-3p, miR-27b-3p, miR-143-3p, miR-145-5p and miR-193b-5p. miR-23b-3p and miR-24-3p discriminated between Lynch Syndrome and sporadic CRC. miR-10a-5p, miR-20a-5p, miR-642b and Let-7a-5p were associated to stroma abundance. miR-642b and Let-7a-5p were associated with to peritumoral inflammation abundance. miR-1-3p, miR-143-3p and miR-145-5p correlated with mucinous component. miR-326 correlated with tumour location (right or left sided). miR-1-3p associated with tumour grade. miR-20a-5p, miR-193b-5p, miR-320a, miR-326 and miR-642b-3p associated to tumour stage and progression. Remarkably, we also demonstrated that miR-1-3p and miR-326 expression significantly associated with patient overall survival (OS). Hierarchical clustering and bioinformatics analysis indicated that selected miRNAs could re-classify the patients and work cooperatively, modulating common target genes involved in colorectal cancer key signalling pathways. In conclusion, molecular characterization of CR primary tumours based on miRNAs could lead to more accurate patient reclassification and may be useful for efficient patient management. SN 2072-6694 YR 2019 FD 2019-03-11 LK https://hdl.handle.net/10668/27055 UL https://hdl.handle.net/10668/27055 LA en DS RISalud RD Apr 8, 2025