ESCC is a major subtype of esophageal cancer in Asia, and its early symptoms are hidden. About 90% of patients have reached the advanced stage of the disease when they are diagnosed, and the prognosis is extremely poor. The five-year survival rate is 15–25%. At present, the pathogenic mechanism of ESCC is still unclear, and the early detection and treatment effect are still unsatisfactory. Surgery, chemoradiotherapy are still the main treatment methods, and targeted drug therapy and immunotherapy are recommended as the second-line treatment. More and more studies have shown that miRNA is an important molecular marker for early diagnosis and prognosis prediction of cancer, and is expected to become a key molecule for molecular targeted therapy.
In this study, we obtained 48 DEMSs, 1319 DEGs, and 400 co-differentially expressed genes by jointly analyzing the ESCC RNA-seq and miRNA-seq data in the TCGA database. There were 32 out of 66 common differential genes DEMs participating in the regulation of ESCC-related pathways, and the expression of 23 DEMs in ESCC tissues, cells or serum has been reported in the literature. The expression of the other nine DEMSs (HSA-miR-944, hsa-miR-205-3p, hsa-miR-4652-5p, hsa-miR-452-3p, hsa-miR-6499-3p, hsa-miR-767-5p, hsa-miR-215-5p, hsa-miR-194-3p, and hsa-miR-29b-2-5p) in the ESCC has not been reported.
Previous studies have found that hsa-miR-944 is abnormally expressed in more than 10 cancers, including esophageal adenocarcinoma, gastric cancer, colorectal cancer, breast cancer, oral cancer, lung cancer, cervical cancer, nasopharyngeal cancer, and liver cancer[38], which plays an important role in the process of tumor proliferation, invasion, migration, epithelial-mesenchymal transition, apoptosis, drug resistance, and provides an important clinical application value for the diagnosis, treatment and prognosis judgment of cancer. Low Expression of miR-944-5p in Tissue and Serum Samples from Patients with Esophageal Adenocarcinoma[39].However, its expression in ESCC has not been reported yet. The expression of miR-205-3p is up-regulated in non-small cell lung cancer tissues and cell lines, and the progression of the non-small cell lung cancer is promoted by regulating the expression of a target gene APBB2[40],and is significantly associated with poor prognosis in breast cancer patients[41]. miR-205-3p play a role in inhibiting canc in ovarian cancer and gastric cancer[42, 43]. MiR-4652-5p regulates cell adhesion by down-regulating RND1 expression and promotes the progression of lung squamous cell carcinoma[44], has the potential to be one of the key molecular diagnostic biomarkers for laryngeal squamous cell carcinoma and head and neck squamous cell carcinoma[45, 46]. MiR-452-3p is significantly up-regulated in liver cancer tissues and cells and promotes the proliferation and migration of liver cancer cells by targeting CPEB3[47]. Long-chain noncoding RNA ZFAS1 promotes the development of oral squamous cell carcinoma by regulating the miR-6499-3p/CCL5 axis[48]. As an oncogene, miR-767-5p promotes the progression of hepatocellular carcinoma by regulating the expression of downstream target gene PMP22[49], and the weighted gene co-expression network analysis shows that the miR-767-5p is significantly related to the prognosis of patients with liver cancer[50]. As one of the prognostic model molecules composed of 10 miRNAs, miR-767-5p can accurately predict tumor recurrence in patients with hepatocellular carcinoma after sexual surgery[51]. MiR-215-5p is reported as a tumor suppressor gene in a variety of human cancers, for example, by targeting RUNX1 to inhibit the proliferation of tumor cells in multiple myeloma[52], which can inhibit the proliferation and migration of tumor cells by regulating the expression of CRK in nephroblastoma[53], while inhibiting the progression of cancer in colorectal cancer by regulating the expression of target genes epiregulin and HOXB9[54], inhibiting tumor progression through the MDM2 -p53 signaling axis in malignant pleural mesothelioma[55], inhibiting the invasion of cancer cells by down-regulating the expression of the target gene Sox9 in breast cancer[56], down-regulates the expression of RAD54B and promotes the apoptosis of cancer cells[57]. The molecular tag consist of miR-215-5p, miR-190b-5p and miR-527 can be used as a serum biomarker of prostate canc[58]. MiR-194-3p inhibits proliferation, migration, invasion, and docetaxel resistance of colorectal cancer cells via KLK10[59, 60], and high expression of miR-194-3p is associated with early t-staging of cancer[61]. MiR-29b-2-5p inhibits the proliferation of pancreatic ductal adenocarcinoma cells by directly targeting Cbl-b[62], miR-29b-2-5p, as one of the most significant hinge genes of digestive system cancers including esophageal cancer, may be related to cancer prognosis[63].
In summary, the nine ESCC-related novel miRNA exert various degrees of cancer inhibition or carcinogenic effects in various cancers. It may participate in the occurrence and development of ESCC through cell cycle, proteoglycans in cancer, p53 signaling pathway, protein digestion and absorption, transcriptional dysregulation in cancer, and signaling pathway of oocyte meiosis. These results require further validation in clinical samples.