Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Clinical Implications of Alu-Based Cell-Free Dna and Serum Onco-Pirna Monitoring in Colorectal Cancer Management Publisher



Taghizadehteymorloei M1 ; Jafarlou V2 ; Matin S3, 4 ; Raeisi M8 ; Roosta Y5 ; Mansouriderakhshani S6 ; Feizi AAH7 ; Karimi A1
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Molecular Medicine, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Golgasht St., East Azerbaijan, Tabriz, 5166614756, Iran
  2. 2. Cancer Institute of Imam Khomeini Hospital, Tehran University of Medical Science, Tehran, Iran
  3. 3. Lung Diseases Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
  4. 4. Digestive Disease Research Center, Ardabil University of Medical Sciences, Ardabil, Iran
  5. 5. Department of Internal Medicine, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
  6. 6. Department of Medical Genetics, Faculty of Medicine, Tabriz University of Medical Genetics, Tabriz, Iran
  7. 7. Hematology-Oncology Research Center, Tabriz University of Medical Sciences, Tabriz Children’s Hospital, Tabriz, Iran
  8. 8. Hematology and Oncology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

Source: Clinical and Translational Oncology Published:2025


Abstract

Background: Colorectal cancer (CRC) remains a significant global health challenge, characterized by high morbidity and mortality rates. This study explores the potential of Alu-based cell-free DNA (cfDNA) and specific PIWI-interacting RNAs (piRNAs) as innovative biomarkers for monitoring treatment responses in CRC patients. Methods: We analyzed plasma samples from 70 CRC patients, equally divided between those undergoing chemotherapy and surgical interventions. Results: Our findings reveal that certain piRNAs, particularly piRNA-823, piRNA-54265, and piRNA-1245, exhibit significant prognostic value, with notable expression changes observed in the chemotherapy group compared to the surgery group. Furthermore, the levels of ALU-based cfDNA fragments showed a marked decrease post-chemotherapy, suggesting their utility in assessing therapeutic efficacy. Conclusions: This research underscores the importance of integrating these molecular tools particularly piRNA-823 and ALU-based cfDNA into clinical practice, potentially enhancing the management strategies for CRC patients and improving their outcomes. © The Author(s), under exclusive licence to Federacion de Sociedades Espanolas de Oncologia (FESEO) 2025.