Endocrine oncology

Potential Utility of Circulating MicroRNA-483 as a Biomarker for IGF-II–Associated Non–Islet Cell Tumor Hypoglycemia

J Clin Endocrinol MetabPublished Diagnostic accuracy study

Authors' conclusion

Circulating miR-483-5p, derived from IGF-II-producing tumors, appears to be a more reliable biomarker for diagnosis and therapeutic outcome of NICTH than IGF-II or the IGF-II to IGF-I ratio. These findings highlight the clinical utility of miR-483-5p in the management of NICTH.

Study context

Population
Cases of suspected non-islet cell tumor hypoglycemia (NICTH); NICTH confirmed by detection of big IGF-II in serasuspected NICTH
Participants
145 cases
Comparison
Serum miR-483-5p vs serum IGF-II vs IGF-II to IGF-I ratio for diagnosis of NICTH
Outcome
Diagnostic ability for NICTH (ROC curve analysis)

Performance

As reported in the abstract

NICTH confirmed by big IGF-II in sera

100 out of 145 cases

Further findings

Serum miR-483-5p after surgical tumor resection · postoperative

Serum miR-483-5p decreased significantly with disappearance of big IGF-II after resection (25 surgical cases)

Tissue miR-483-5p and −3p expression, resected solitary fibrous tumors (SFTs) vs surgical margins

Significantly higher in resected SFT tissues than in surgical margins (11 surgical cases)

Original publication

Potential Utility of Circulating MicroRNA-483 as a Biomarker for IGF-II–Associated Non–Islet Cell Tumor Hypoglycemia. J Clin Endocrinol Metab. Published 17 December 2024. doi:10.1210/clinem/dgae879

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