Key result
Elevated PCAT6 levels accurately differentiate non-small cell lung cancer from healthy controls with ~0.94 AUC.
Why the study?
The diagnostic significance of tissue and circulating long noncoding RNA PCAT6 in non-small cell lung cancer was not fully evaluated.
Does PCAT6 expression accurately diagnose non-small cell lung cancer compared to healthy controls?
Observational (n=163)
Yes
Does PCAT6 expression accurately diagnose non-small cell lung cancer compared to healthy controls?
Effect estimate: AUC 0.9213
p-value: p=<0.0001
Circulating and tissue PCAT6 levels are significantly elevated in NSCLC and demonstrate high diagnostic accuracy for distinguishing lung adenocarcinoma and squamous cell carcinoma from healthy controls.
Elevated PCAT6 may support noninvasive NSCLC diagnosis; leaves open clinical adoption pending prospective validation.
Aim: We have previously shown that the long noncoding RNA prostate cancer-associated transcript 6 (PCAT6) promoted the proliferation and invasion of lung adenocarcinoma (LUAD) cells. In this study, the diagnostic significance of tissue and serum PCAT6 was evaluated in non-small cell lung cancer (NSCLC). Materials and methods: Tissue expression of PCAT6 was systematically evaluated in five Gene Expression Omnibus datasets (GSE19804, GSE18842, GSE30219, GSE19188, and GSE27262). Circulating and tissue expressions of PCAT6 were detected by quantitative reverse-transcriptase polymerase chain reaction in NSCLC patients from Union Hospital. Results: PCAT6 was significantly increased in lung cancer tissues and could be used to distinguish LUAD from adjacent normal tissues with an area under the receiver operating characteristic curve (AUC) of 0.9210 ( p <0.0001; sensitivity, 98.82%; specificity, 78.57%) in GSE30219, 0.9333 ( p <0.0001; sensitivity, 86.67%; specificity, 90.77%) in GSE19188, 0.9584 ( p <0.0001; sensitivity, 92.00%; specificity, 96.00%) in GSE27262, and 0.9574 ( p <0.0001; sensitivity, 95.89%; specificity, 87.67%) in patients from Union Hospital. As for lung squamous cell carcinoma (LUSC), the AUC of PCAT6 was 0.9567 ( p <0.0001; sensitivity, 100%; specificity, 85.71%) in GSE30219, 0.9795 ( p <0.0001; sensitivity, 96.30%; specificity, 92.31%) in GSE19188, and 0.9942 ( p <0.0001; sensitivity, 100%; specificity, 98.04%) in patients from Union Hospital. We further noticed that the plasma levels of PCAT6 were significantly increased in 73 LUAD and 51 LUSC patients compared with 39 healthy controls ( p <0.0001). The AUC of circulating PCAT6 was 0.9213 ( p <0.0001; sensitivity, 87.67%; specificity, 97.44%) in LUAD and 0.9583 ( p <0.0001; sensitivity, 94.12%; specificity, 100%) in LUSC. Conclusion: Together with our previous findings, our results suggest that PCAT6 could be used as a potential diagnostic and prognostic biomarker in NSCLC.
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Wan et al. (2017) conducted an observational in Non-small cell lung cancer (NSCLC) (n=163). PCAT6 expression vs. Adjacent normal tissues or healthy controls was evaluated on Diagnostic accuracy (AUC) for distinguishing LUAD and LUSC from controls (AUC 0.9213, p=<0.0001). Circulating and tissue levels of PCAT6 accurately distinguished lung adenocarcinoma (plasma AUC 0.9213) and lung squamous cell carcinoma (plasma AUC 0.9583) from healthy controls (p<0.0001).
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