Xinliang Gu's research while affiliated with Nanjing Medical University and other places

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Publications (16)


Transfer RNA-derived fragment tRF-23-Q99P9P9NDD promotes progression of gastric cancer by targeting ACADSB
  • Article

May 2024

Journal of Zhejiang University SCIENCE B

Yu Zhang

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Xinliang Gu

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Yang Li

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[...]

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Gastric cancer (GC) is one of the most common gastrointestinal tumors. As a newly discovered type of non-coding RNAs, transfer RNA (tRNA)-derived small RNAs (tsRNAs) play a dual biological role in cancer. Our previous studies have demonstrated the potential of tRF-23-Q99P9P9NDD as a diagnostic and prognostic biomarker for GC. In this work, we confirmed for the first time that tRF-23-Q99P9P9NDD can promote the proliferation, migration, and invasion of GC cells in vitro. The dual luciferase reporter gene assay confirmed that tRF-23-Q99P9P9NDD could bind to the 3′ untranslated region (UTR) site of acyl-coenzyme A dehydrogenase short/branched chain (ACADSB). In addition, ACADSB could rescue the effect of tRF-23-Q99P9P9NDD on GC cells. Next, we used Gene Ontology (GO), the Kyoto Encyclopedia of Genes and Genomes (KEGG), and Gene Set Enrichment Analysis (GSEA) to find that downregulated ACADSB in GC may promote lipid accumulation by inhibiting fatty acid catabolism and ferroptosis. Finally, we verified the correlation between ACADSB and 12 ferroptosis genes at the transcriptional level, as well as the changes in reactive oxygen species (ROS) levels by flow cytometry. In summary, this study proposes that tRF-23-Q99P9P9NDD may affect GC lipid metabolism and ferroptosis by targeting ACADSB, thereby promoting GC progression. It provides a theoretical basis for the diagnostic and prognostic monitoring value of GC and opens up new possibilities for treatment.

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Fig. 3 Methodological evaluation of 3′-tRF Arg . a, b Room temperature placement and repeated freeze-thaw experiments showed no signicant change in the expression level of 3′-tRF Arg ; c, d Gradient dilution assays demonstrated good linearity; e, f 3′-tRF Arg exhibited smooth amplication curves and single-peak melting curves, with the red line representing 3′-tRF Arg and the blue line representing RNU6B
Clinical pathological analysis of 3′-tRF Arg
Diagnostic performance of 3′-tRF Arg , CEA, CA199, and CA724 in distinguishing early-stage GC patients from
Diagnostic performance of 3′-tRF Arg , CEA, CA199, and CA724 in distinguishing GC patients from gastritis patients
Comprehensive Assessment of serum 3′-tRF Arg as a novel diagnostic biomarker for gastric cancer
  • Preprint
  • File available

April 2024

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23 Reads

Background: Gastric cancer (GC) is one of the malignant tumors with the highest mortality rates worldwide, yet there is a lack of diagnostic markers with high sensitivity in the clinic. tRNA-derived small RNAs (tsRNAs) are a novel type of non-coding small RNAs characterized by their abundance in body fluids and specific biological functions. In this study, we focused on the potential of tsRNAs as biomarkers for the diagnosis of GC. Methods: Differential expression of tsRNAs was screened by high-throughput sequencing, and Quantitative real-time PCR verified the expression of 3′-tRFArg in GC serum and tissues. The methodological evaluation of 3′-tRFArg was confirmed using Sanger sequencing and agarose gel electrophoresis. The correlation between the expression levels of 3′-tRFArg and clinical pathological parameters was analyzed using Chi-square tests. The diagnostic value was assessed through the receiver operating characteristic curve, and the impact of 3′-tRFArg expression on survival was evaluated using Kaplan–Meier survival analysis. Result: 3′-tRFArg was found underexpressed in GC tissues and serum with good stability. The differential expression of serum 3′-tRFArg could identify GC patients and show significant correlations with clinical pathological features. Furthermore, the receiver operating characteristic curve indicated that 3′-tRFArg possesses a higher diagnostic value than conventional biomarkers, particularly in the early diagnosis of GC. Conclusions: 3′-tRFArg is significantly underexpressed in the serum of GC patients and can serve as a biomarker of high sensitivity. It possesses superior diagnostic efficacy compared to traditional markers and is valuable for monitoring tumor development and prognosis.

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Serum tRF-27-FDXXE6XRK45 as a Promising Biomarker for the Clinical Diagnosis in Gastric Cancer

August 2023

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4 Reads

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1 Citation

International Journal of Medical Sciences

Objective: Gastric cancer (GC) has high morbidity and mortality due to inefficient early screening. Therefore, we are searching for more sensitive and specific diagnostic markers for GC. tRNA-derived small RNAs are novel non-coding small RNAs with good abundance and stable presence in body fluids, which may play multiple biological regulatory roles. In this study, we aimed to find a potential biomarker with high accuracy in tRNA-derived small RNAs that can help diagnose GC. Methods: tRF-27-FDXXE6XRK45 was screened as a target molecule by high-throughput sequencing in three pairs of GC tissues. RNA quantitative reverse transcription PCR was conducted to detect the expression levels of tRF-27-FDXXE6XRK45. Agarose gel electrophoresis, Sanger sequencing, cytoplasmic and nuclear RNA isolation assays, gradient dilution experiments, and room temperature and repeated freeze-thaw experiments were used to assess the detection performance of tRF-27-FDXXE6XRK45. Using the chi-square test to analyze the correlation between tRF-27-FDXXE6XRK45 expression levels and clinicopathological parameters. In addition, receiver operating characteristic curves were used to evaluate the diagnostic value of tRF-27-FDXXE6XRK45 in GC. Results: tRF-27-FDXXE6XRK45 expression levels, significantly upregulated in tissues and sera of GC patients and decreased after radical GC surgery, were correlated with the degree of differentiation, depth of tumor infiltration, TNM stage, lymph node metastasis, and nerve/vascular invasion. In comparison with current GC diagnostic markers, tRF-27-FDXXE6XRK45 displayed better efficacy. Conclusions: tRF-27-FDXXE6XRK45, with high diagnostic efficacy, can distinguish GC patients from gastritis patients and healthy donors, suggesting that tRF-27-FDXXE6XRK45 may be a promising candidate as a diagnostic marker for GC.


A comprehensive evaluation of serum tRF-29-R9J8909NF5JP as a novel diagnostic and prognostic biomarker for gastric cancer

June 2023

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6 Reads

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7 Citations

Molecular Carcinogenesis

Gastric cancer (GC) is a common malignant digestive system tumor. Since the early symptoms of GC are usually vague and the positive rate of common biomarkers of GC is low, it is of urgent need to find new biomarkers with good sensitivity and specificity to screen and diagnose GC patients. The tRNA-derived small RNAs (tsRNAs) are emerging small noncoding RNAs that play an essential role in cancer progression. In this study, we explored whether novel tsRNAs have the potential to serve as biomarkers for GC. Three tsRNAs significantly upregulated in GC were screened by the tsRFun database. The expression level of tRF-29-R9J8909NF5JP was detected by real-time fluorescence quantitative polymerase chain reaction. Agarose gel electrophoresis and Sanger sequencing were used to verify the characteristics of tRF-29-R9J8909NF5JP. The receiver operating characteristic (ROC) curve was used to evaluate the diagnostic efficacy of tRF-29-R9J8909NF5JP. The χ2 test was used to analyze the correlation between tRF-29-R9J8909NF5JP expression level and clinicopathological parameters. Kaplan-Meier survival curves were used to analyze the correlation between tRF-29-R9J8909NF5JP expression levels and survival time of GC patients. In this study, the expression level of tRF-29-R9J8909NF5JP was significantly increased in GC tissues. The expression level of tRF-29-R9J8909NF5JP was considerably higher in the serum of GC patients than in the serum of gastritis patients and in the serum of healthy donors, and the expression level of tRF-29-R9J8909NF5JP was significantly decreased in the serum of GC patients after surgery. In addition, the χ2 test showed that the expression level of tRF-29-R9J8909NF5JP in GC serum was correlated with differentiation grade, T-stage, lymph node metastasis, tumor node metastasis stage, and neurological/vascular invasion. The results of the survival curve showed that the high expression of serum tRF-29-R9J8909NF5JP was associated with a low survival rate. ROC analysis showed that serum tRF-29-R9J8909NF5JP had higher diagnostic efficiency than common GC biomarkers, and the diagnostic efficiency was further improved by combining them. At the end of the study, we predicted the downstream of tRF-29-R9J8909NF5JP. The expression level of tRF-29-R9J8909NF5JP in the serum of GC patients can effectively identify GC patients and has higher efficacy than conventional biomarkers. In addition, serum tRF-29-R9J8909NF5JP can monitor the postoperative condition of GC patients, suggesting that it has the potential to become a biomarker for GC.


High expression of GPR176 predicts poor prognosis of gastric cancer patients and promotes the proliferation, migration, and invasion of gastric cancer cells

June 2023

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32 Reads

Scientific Reports

G-protein-coupled receptors (GPCRs) are the most prominent family of cell surface receptors, which can regulate various biological functions and play an essential role in many diseases. GPR176 is a member of the GPCRs family and has been rarely studied in cancer. We aim to investigate the diagnostic and prognostic value of GPR176 in gastric cancer (GC) and explore its potential mechanism. Through the TCGA database and real-time quantitative PCR, we found that the expression level of GPR176 was significantly increased in GC and had good value in the diagnosis and prognosis of GC. Vitro experiments revealed that GPR176 could promote the proliferation, migration, and invasion of GC cells and may be involved in regulating multiple tumors and immune-related signaling pathways. In addition, we found that GPR176 is associated with GC immune infiltration and may affect the immune efficacy of GC patients. In summary, the high GPR176 expression level was associated with poor prognosis, more robust immune infiltration, and worse immunotherapy efficacy in GC patients, suggesting that GPR176 may be an immune-related biomarker for GC that can promote the proliferation, migration, and invasion of GC cells.


Multiple regulatory roles of the transfer RNA-derived small RNAs in cancers

April 2023

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18 Reads

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5 Citations

Genes & Diseases

With the development of sequencing technology, transfer RNA (tRNA)-derived small RNAs (tsRNAs) have received extensive attention as a new type of small noncoding RNAs. Based on the differences in the cleavage sites of nucleases on tRNAs, tsRNAs can be divided into two categories, tRNA halves (tiRNAs) and tRNA-derived fragments (tRFs), each with specific subcellular localizations. Additionally, the biogenesis of tsRNAs is tissue-specific and can be regulated by tRNA modifications. In this review, we first elaborated on the classification and biogenesis of tsRNAs. After summarizing the latest mechanisms of tsRNAs, including transcriptional gene silencing, post-transcriptional gene silencing, nascent RNA silencing, translation regulation, rRNA regulation, and reverse transcription regulation, we explored the representative biological functions of tsRNAs in tumors. Furthermore, this review summarized the clinical value of tsRNAs in cancers, thus providing theoretical support for their potential as novel biomarkers and therapeutic targets.


Clinical application of liquid biopsy in gastric cancer (GC). Circulating tumor cells (CTCs), circulating free DNA (cfDNA), circulating tumor DNA (ctDNA), non-coding RNAs (ncRNAs), exosomes, and proteins in the blood of GC patients can be used as potential biomarkers for liquid biopsies and their expression levels can be measured to reflect the clinical status of GC. Created with BioRender.com
Techniques for detection of liquid biopsy biomarkers in gastric cancer (GC). Detection of CTCs (A), cfDNA/ctDNA (B), ncRNAs (C), and exosomes (D) in body fluids using different techniques can help in early diagnosis, prognosis prediction, treatment, and recurrence monitoring, and targeted therapy of GC. Created with BioRender.com
Table 3 (continued)
Clinical application of ncRNAs and exosomes in GC
Clinical application and detection techniques of liquid biopsy in gastric cancer

January 2023

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121 Reads

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43 Citations

Molecular Cancer

Gastric cancer (GC) is one of the most common tumors worldwide and the leading cause of tumor-related mortality. Endoscopy and serological tumor marker testing are currently the main methods of GC screening, and treatment relies on surgical resection or chemotherapy. However, traditional examination and treatment methods are more harmful to patients and less sensitive and accurate. A minimally invasive method to respond to GC early screening, prognosis monitoring, treatment efficacy, and drug resistance situations is urgently needed. As a result, liquid biopsy techniques have received much attention in the clinical application of GC. The non-invasive liquid biopsy technique requires fewer samples, is reproducible, and can guide individualized patient treatment by monitoring patients' molecular-level changes in real-time. In this review, we introduced the clinical applications of circulating tumor cells, circulating free DNA, circulating tumor DNA, non-coding RNAs, exosomes, and proteins, which are the primary markers in liquid biopsy technology in GC. We also discuss the current limitations and future trends of liquid biopsy technology as applied to early clinical biopsy technology.


Fig. 2 Biological functions of tsRNAs. a tRF-3017A forms RICS with AGO to inhibit NELL2 expression. b i-tRFs decrease oncogenic transcript stability through competitive binding of YBX1. c tRF-3 inhibits HIV gene expression by binding to HIV-1 PBS with AGO2. d 5′ tsRNA inhibits the translation function of mRNAs of ribosomal proteins and translational factors through AGO2, which in turn affects global translation. e 5′ tiRNA assembles with eIF4E/G/A to form RG4 for translational inhibition. f tRF-3 enhances RPS28 mRNA translation by altering the secondary structure of mRNA. g 3′ tsRNA binding to Twi12 and Xrn2, Tan1 affects rRNA processing
Transfer RNA-derived small RNA: an emerging small non-coding RNA with key roles in cancer

December 2022

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83 Reads

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9 Citations

Experimental Hematology and Oncology

Transfer RNAs (tRNAs) promote protein translation by binding to the corresponding amino acids and transporting them to the ribosome, which is essential in protein translation. tRNA-derived small RNAs (tsRNAs) are derived fragments of tRNAs that are cleaved explicitly under certain conditions. An increasing amount of research has demonstrated that tsRNAs have biological functions rather than just being degradation products. tsRNAs can exert functions such as regulating gene expression to influence cancer progression. Their dysregulation is closely associated with various cancers and can serve as diagnostic and prognostic biomarkers for cancer. This review summarizes the generation, classification, and biological functions of tsRNAs, and highlights the roles of tsRNAs in different cancers and their applications as tumor markers.


Comprehensive Evaluation of Serum tRF-17-WS7K092 as a Promising Biomarker for the Diagnosis of Gastric Cancer

September 2022

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11 Reads

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7 Citations

Journal of Oncology

Background: Gastric cancer (GC) is a malignant tumor of the gastrointestinal system. Since the early symptoms of GC are not obvious and lack efficient diagnostic markers, it is urgent to find new diagnostic markers with good sensitivity and specificity. tRNA-derived small RNAs (tsRNAs) are an emerging class of small noncoding RNAs with good abundance in body fluids. We aim to find new tsRNAs as biomarkers for GC diagnosis. Methods: High-throughput sequencing was used to identify differentially expressed tsRNAs in GC tissues, and quantitative real-time PCR was used to detect the expression level of tRF-17-WS7K092. Agarose gel electrophoresis and Sanger sequencing were performed to verify the characteristics of tRF-17-WS7K092. The diagnostic efficacy of tRF-17-WS7K092 was analyzed by the receiver operating characteristic curve. Results: In this study, the expression levels of tRF-17-WS7K092 were significantly increased in GC tissues, cells, and serum. After GC surgery, the expression level of serum tRF-17-WS7K092 decreased, and its high expression was associated with low survival rates. In addition, the expression level of serum tRF-17-WS7K092 was correlated with the T stage, TNM stage, lymph node metastasis, and nerve/vascular invasion and could distinguish GC patients from gastritis patients and healthy donors as well. Conclusions: The expression of serum tRF-17-WS7K092 was significantly increased in GC and decreased after GC surgery, suggesting that serum tRF-17-WS7K092 may serve as a promising biomarker for the diagnostic and prognostic monitoring of GC.


Fig. 2 Methodological evaluation of tRF-23-Q99P9P9NDD. A, B Room temperature placements and repeated freeze-thaw experiments showed no significant changes in the expression level of tRF-23-Q99P9P9NDD. C Evaluation of RNA sample integrity by agarose gel electrophoresis. D Evaluation of RNA sample integrity by RIN evaluation. E The product of qRT-PCR was electrophoresed on 2% agarose gel, and a single band of about 80 bp was obtained. F Sanger sequencing of the qRT-PCR product confirmed that the product contained the full-length sequence of tRF-23-Q99P9P9NDD
Fig. 6 Prediction of tRF-23-Q99P9P9NDD downstream in GC cells. A Nuclear and Cytoplasmic RNA Separation Assay was performed on MKN-45, AGS, and GES-1 for the detection of tRF-23-Q99P9P9NDD. B Potential target genes of tRF-23-Q99P9P9NDD. C The expression levels of BCKDHB in GC cell lines. D The expression levels of DGKD in GC cell lines. E The expression levels of GNPDA2 in GC cell lines. F The expression levels of three target genes in GC cell lines after transfection of tRF-23-Q99P9P9NDD mimics and mimics NC
The intra-assay CV and the inter-assay CV of tRF-23- Q99P9P9NDD
Evaluation of serum tRF-23-Q99P9P9NDD as a potential biomarker for the clinical diagnosis of gastric cancer

June 2022

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12 Reads

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21 Citations

Molecular Medicine

Background: Gastric cancer (GC) is one of the diseases that endanger human health with high morbidity and mortality. The positive rates of traditional biomarkers in the diagnosis of GC are low, so it is necessary to find biomarkers with high sensitivity to increase the detection rate. tRNA-derived small RNAs (tsRNAs) are novel small non-coding RNAs with specific biological functions and aberrant expression in cancer. In this study, we focused on the potential of tRNA-derived small RNAs as GC biomarkers. Methods: The differentially expressed tsRNAs in three pairs of GC tissues were screened with high-throughput sequencing and verified using the TCGA database and Quantitative real-time PCR. The methodological evaluation of tRF-23-Q99P9P9NDD was verified by agarose gel electrophoresis, RIN evaluation, and Sanger sequencing. The Chi-square test was used to evaluate the relationship between the tRF-23-Q99P9P9NDD expression and clinicopathological parameters. Kaplan-Meier survival analysis was used to evaluate the effect of the tRF-23-Q99P9P9NDD expression on survival. Additionally, the receiver operating characteristic curve (ROC) was used to evaluate the diagnostic efficacy of tRF-23-Q99P9P9NDD in GC. Results: Differential expression of serum tRF-23-Q99P9P9NDD could distinguish GC patients from gastritis patients and healthy donors. Chi-square test showed that high expression of tRF-23-Q99P9P9NDD was significantly associated with T stage, lymph node metastasis, TNM stage, and nerve/vascular invasion. Kaplan-Meier curve showed that patients with high expression of tRF-23-Q99P9P9NDD had a lower survival rate than patients with low expression of this biomarker. ROC analysis showed that, compared with conventional biomarkers, the efficacy of tRF-23-Q99P9P9NDD was higher, which was improved by the combination of biomarkers, and even in the early stages. Finally, we preliminarily predicted the downstream of tRF-23-Q99P9P9NDD in GC cells. Conclusions: The expression of tRF-23-Q99P9P9NDD in GC serum can identify GC patients, and it has higher efficacy than conventional biomarkers even in the early stages. Furthermore, tRF-23-Q99P9P9NDD can monitor the postoperative conditions of GC patients.


Citations (12)


... We found a link between reduced tRF-33 and poor clinicopathologic classification (Table 1), which motivated us to analyze its values in gastric cancer diagnosis and prognosis evaluation. Growing evidences confirmed the value of tsRNAs in cancer diagnosis and prognosis evaluation [29,30]. However, few research focused on the discriminability of a specific tsRNA in different gastric mucosal stage. ...

Reference:

tRF-33-P4R8YP9LON4VDP inhibits gastric cancer progression via modulating STAT3 signaling pathway in an AGO2-dependent manner
A comprehensive evaluation of serum tRF-29-R9J8909NF5JP as a novel diagnostic and prognostic biomarker for gastric cancer
  • Citing Article
  • June 2023

Molecular Carcinogenesis

... This process is predominantly facilitated by ANG under various stress conditions. Besides ANG, other enzymes such as the RNase T2 family, RNase L, Endonuclease V, RNase I, and Schlafen13/SFLN13 also contribute to tiRNA production across different organisms [15]. tiRNA-5 spans approximately 30-35 nucleotides, originating from the 5 end and extending towards the anticodon loop, while tiRNA-3 is longer, about 40-50 nucleotides, starting from the 3′ end and Fig. 1 The production mechanism and biological functions of HIF-1 in varied oxygen environments. ...

Multiple regulatory roles of the transfer RNA-derived small RNAs in cancers
  • Citing Article
  • April 2023

Genes & Diseases

... Indeed, there is a growing interest in the use of liquid biopsy in gastric cancer testing due to its advantages, such as non-invasiveness, inexpensiveness, and the ability to capture tumour heterogeneity and provide dynamic monitoring [86][87][88] . However, limitations, such as low sensitivity, lack of standardized operational procedures, and limited clinical validations must be addressed for liquid biopsy to be more widely used in clinical practice 89 . ...

Clinical application and detection techniques of liquid biopsy in gastric cancer

Molecular Cancer

... Several investigations have demonstrated that tsRNAs had a promising diagnostic potential for GC. Compared to patients with gastritis and healthy individuals, GC patients had considerably higher serum expression levels of tRF-23-Q99P9P9NDD [15] and tRF-17-WS7K092 [69]. Interestingly, the expression of them were significantly reduced in GC patients after surgery. ...

Comprehensive Evaluation of Serum tRF-17-WS7K092 as a Promising Biomarker for the Diagnosis of Gastric Cancer

Journal of Oncology

... Prognostic analysis suggested that tRF-27 may serve as an independent predictor of overall survival, indicating its potential value in the early diagnosis of GC.7 The plasma level of tDR-1:34-Gly-GCC-1(tRF-33-P4R8YP9LON4VDP) was markedly lower in GC patients than in healthy individuals. This significant decrease in expression suggested that tRF-33-P4R8YP9LON4VDP could serve as a tumor biomarker for GC.40,45 Furthermore, the upregulation of two tRFs, namely, tRF-31-U5YKFN8DYDZDD and tDR-1:23-Val-CAC-2 (tRF-23-Q99P9P9NDD), had been observed in GC.46,47 ...

Evaluation of serum tRF-23-Q99P9P9NDD as a potential biomarker for the clinical diagnosis of gastric cancer

Molecular Medicine

... Furthermore, other cancers have been studied, including urothelial bladder carcinoma (UBC) (33), lung cancer (34), gliomas (35), laryngeal squamous cell carcinoma (LSCC) (36,37), epithelial ovarian cancer (EOC) (38) and prostate cancer (PCa) (39). In these studies, the mechanisms by which tsRNAs regulate cancer are mainly characterized by cell apoptosis, invasion, proliferation and mediation of signaling pathways (40,41). ...

Transfer RNA-derived small RNA: an emerging small non-coding RNA with key roles in cancer

Experimental Hematology and Oncology

... 38 The serum level of EVs containing linc01836 expression was increased in cancer serum from CRC patients and declined after resection. 39 Additionally, high Linc01836 expression was associated with lymph node metastasis and histological stage. 39 At the same time, combined detection of Linc01836, Cyfra21-1, and CEA in serum used for diagnosis of CRC could potentially improve sensitivity. ...

Upregulated Linc01836 in Serum Promisingly Serving as a Diagnostic and Prognostic Biomarker for Colorectal Cancer
Frontiers in Pharmacology

Frontiers in Pharmacology

... To identify circRNAs differentially expressed in NSCLC, 3 pairs of cancer and paracancerous tissues were selected for high-throughput sequencing [13]. As a result, 2319 circRNA targets were discovered. ...

Comprehensive Assessment of Serum hsa_circ_0070354 as a Novel Diagnostic and Predictive Biomarker in Non-small Cell Lung Cancer

... The plates were air-dried, observed, and photographed. Edu experiments were conducted following the instructions of the Edu-488 Cell Proliferation Assay Kit (Bi Yun Tian, Shanghai) 26 , with all experiments performed in triplicate. ...

CircHAS2 promotes the proliferation, migration, and invasion of gastric cancer cells by regulating PPM1E mediated by hsa-miR-944

Cell Death and Disease

... Prognostic analysis suggested that tRF-27 may serve as an independent predictor of overall survival, indicating its potential value in the early diagnosis of GC.7 The plasma level of tDR-1:34-Gly-GCC-1(tRF-33-P4R8YP9LON4VDP) was markedly lower in GC patients than in healthy individuals. This significant decrease in expression suggested that tRF-33-P4R8YP9LON4VDP could serve as a tumor biomarker for GC.40,45 Furthermore, the upregulation of two tRFs, namely, tRF-31-U5YKFN8DYDZDD and tDR-1:23-Val-CAC-2 (tRF-23-Q99P9P9NDD), had been observed in GC.46,47 ...

Elucidating the Role of Serum tRF-31-U5YKFN8DYDZDD as a Novel Diagnostic Biomarker in Gastric Cancer (GC)