Plasma microRNA Profile Differentiates Crohn's Colitis from Ulcerative Colitis

Uri Netz, Jane Carter, M. Robert Eichenberger, Kayla Feagins, Norman J. Galbraith, Gerald W. Dryden, Jianmin Pan, Shesh N. Rai, Susan Galandiuk

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Background: Inflammatory bowel disease (IBD) is commonly divided into 2 entities: Crohn's disease (CD) and ulcerative colitis (UC). Differentiating between these entities when dealing with IBD confined to the colon is important, especially when planning surgical treatment. Due to ambiguous histological or endoscopic findings, accurate diagnosis is not possible in up to 15% of cases. The aim of this study was to determine whether plasma microRNAs (miRNAs) can help differentiate Crohn's colitis (CC) from ulcerative colitis. Methods: Patients with isolated CC and with UC were enrolled in our study from January 2010 to May 2016. Peripheral blood was collected, and total RNA was isolated from plasma. Screening was performed for 380 common miRNAs. miRNAs that were differentially expressed between these 2 groups were chosen, and their differential expression was confirmed using single miRNA assays in a larger sample size. A predictive model was generated using these data. Significantly differentially expressed miRNAs were then validated utilizing the predictive model to assess blinded data from the single assays. Results: Screening was performed on 8 patients from each group. Seven differentially expressed miRNAs were chosen for single assay confirmation. Two miRNAs (miR-598, miR-642) were consistently different between the patient groups (P = 0.013, P = 0.005). Using blinded data, these 2 miRNAs were validated using the predictive model, achieving an overall accuracy of 75% (95% confidence interval, 40.7-92.9). Conclusions: We identified 2 plasma miRNAs that differentiated CC from UC. Our data indicate the promise and feasibility of a plasma miRNA-based assay to distinguish between these 2 conditions.

Original languageEnglish
Pages (from-to)159-165
Number of pages7
JournalInflammatory Bowel Diseases
Volume24
Issue number1
DOIs
StatePublished - 1 Jan 2018

Keywords

  • microRNA, Crohn's colitis
  • ulcerative colitis

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