RT Journal Article T1 A microRNA signature associated with early recurrence in breast cancer. A1 Pérez-Rivas, Luis G. A1 Jerez-Aragonés, José Manuel A1 Carmona, Rosario A1 De Luque, Vanessa A1 Vicioso-Recio, Luis Prudencio A1 Claros-Díaz, Manuel Gonzalo A1 Viguera-Mínguez, Enrique A1 Pajares, Bella A1 Sánchez-Muñoz, Alfonso A1 Ribelles, Nuria A1 Alba-Conejo, Emilio A1 Lozano-Castro, José K1 Acido ribonucleico mensajero K1 Mamas - Cáncer AB Recurrent breast cancer occurring after the initial treatment is associated with poor outcome. A bimodal relapse pattern after surgery for primary tumor has been described with peaks of early and late recurrence occurring at about 2 and 5 years, respectively. Although several clinical and pathological features have been used to discriminate between low- and high-risk patients, the identification of molecular biomarkers with prognostic value remains an unmet need in the current management of breast cancer. Using microarray-based technology, we have performed a microRNA expression analysis in 71 primary breast tumors from patients that either remained disease-free at 5 years post-surgery (group A) or developed early (group B) or late (group C) recurrence. Unsupervised hierarchical clustering of microRNA expression data segregated tumors in two groups, mainly corresponding to patients with early recurrence and those with no recurrence. Microarray data analysis and RT-qPCR validation led to the identification of a set of 5 microRNAs (the 5-miRNA signature) differentially expressed between these two groups: miR-149, miR-10a, miR-20b, miR-30a-3p and miR-342-5p. All five microRNAs were down-regulated in tumors from patients with early recurrence. We show here that the 5-miRNA signature defines a high-risk group of patients with shorter relapse-free survival and has predictive value to discriminate non-relapsing versus early-relapsing patients (AUC = 0.993, p-value<0.05). Network analysis based on miRNA-target interactions curated by public databases suggests that down-regulation of the 5-miRNA signature in the subset of early-relapsing tumors would result in an overall increased proliferative and angiogenic capacity. In summary, we have identified a set of recurrence-related microRNAs with potential prognostic value to identify patients who will likely develop metastasis early after primary breast surgery. PB PLOS YR 2014 FD 2014-03-14 LK https://hdl.handle.net/10630/31183 UL https://hdl.handle.net/10630/31183 LA eng NO Pérez-Rivas LG, Jerez JM, Carmona R, de Luque V, Vicioso L, Claros MG, Viguera E, Pajares B, Sánchez A, Ribelles N, Alba E, Lozano J. A microRNA signature associated with early recurrence in breast cancer. PLoS One. 2014 Mar 14;9(3):e91884. doi: 10.1371/journal.pone.0091884. PMID: 24632820; PMCID: PMC3954835. NO Este artículo ha sido publicado en la revista Plos One.Esta versión tiene Licencia Creative Commons CC-BY NO This work was supported by a grant from the Spanish Society of Medical Oncology (SEOM, to NR) and by grants from the Spanish Ministerio de Economía, (SAF2010-20203 to J.L and TIN2010-16556 to J.J) and from the Junta de Andalucía (TIN-4026, to JJ) DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 21 ene 2026