Abstract
Background: Breast cancer accounts for 25% of all cancer cases and 15% of all cancer related deaths among women. Hypoxia-inducible factor-1alpha (HIF1A) is a crucial regulator of cellular responses to hypoxia. The aim of the study is to analyze the gene expression of different types of miRNAs (miR-143-5p and miR-744-5p) as a molecular tumor marker in relation with HIF1A gene.
Methods: The study included 100 newly diagnosed cases of BC who attended Oncology Center in Al-Anbar, Iraq from July 2024 to January 2025. After RNA extraction and cDNA creation, real-time PCR was used to quantitatively measure miRNAs expression levels for women with breast cancer (BC) and healthy control. .
Results: The results showed that miR-143-5p exhibited significantly higher expression levels in high grade after treatment (HAT) and low grade before treatment (LBT) samples compared to Control, high grade before treatment (HBT), and low grade after treatment (LAT) samples. In contrast, miR-744-5p did not show significant differences in expression across the different sample types. HIF1A shows no statistically significant correlations with any of the other measured molecules in either the control group (miR-143-5p: r = -0.25, p = 0.32; miR-744-5p: r = -0.32, p = 0.23, for any of the experimental groups (all p-values > 0.05). MiR-744-5p showing moderate potential (AUC 0.629). HIF-1α exhibited high diagnostic potential in the HBT with AUC value 0.774 and moderate diagnostic in the HAT with AUC value 0.647 indicate that HIF1A gene good diagnostic marker of Bc.
Conclusion: The findings suggest that miR-143-5p may serve as a potential biomarker for breast cancer.
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