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Cancer Epidemiology, Biomarkers & Prevention
Cancer Epidemiology, Biomarkers & Prevention
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The Potential of Circular RNAs as Cancer Biomarkers

Jason R. Brown and Arul M. Chinnaiyan
Jason R. Brown
Rogel Cancer Center, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.
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Arul M. Chinnaiyan
Rogel Cancer Center, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.
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  • For correspondence: arul@med.umich.edu
DOI: 10.1158/1055-9965.EPI-20-0796 Published December 2020
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    Figure 1.

    Biogenesis and stability of circRNA. CircRNAs are formed from backsplicing the 5′ end of one exon to the 3′ end of another—in this figure, exon 5 onto 4 and exon 3 onto itself. Backspliced exons typically have longer flanking introns, as is the case between exon 3 and 4. The backspliced exons form covalently closed structures that may consist of one exon or multiple exons. Intronic DNA may be present as well. CircRNAs are resistant to degradation by exoribonucleases due to a lack of 3′ poly(A) tail. This enables them to be stable in plasma, urine, and saliva.

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    Figure 2.

    Proposed circRNA biologic functions. A, Function as competing endogenous RNA. CircRNA can bind miRNAs that negatively regulate mRNA to increase mRNA expression. Many circRNA/miRNA/mRNA axes have been reported with potential biologic significance. B, Function as protein scaffold. CircRNA can help form scaffolds to stabilize protein complexes, including those involving RBPs. C, Function as template for translation. Some circRNAs have internal ribosomal entry sites (IRES) and open-reading frames enabling translation. CircRNAs can also undergo multiple consecutive rounds of translation.

Tables

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  • Table 1.

    Summary of publicly available circRNA databases.

    DatabaseNumber of samplesTotal human circRNAHuman/cancer specific?Detection toolBrief descriptionRef.
    Circ2DiseaseN/A237Yes/NoN/ACircRNA associated with disease, reports interaction with miRNA(88)
    Circ2Traits41,953Yes/Nofind_circAssociate circRNA with disease and traits(89)
    circAtlas 2.0240421,501No/NoCIRI2, CIRCexplorer, DCC, MapSpliceDiversity and similarity among circRNA and expression from multiple species(80)
    circBank34140,790Yes/NoMultiple sourcesComprehensive database with predicted miRNA-binding sites(82)
    circBase2092,375No/NoMultiple sourcesDatabase of circRNA identified by RNA-seq on cell lines from multiple studies(79)
    CircFunBaseN/A3,799No/NoN/ACompendium of circRNA from various species with focus on reported functions(87)
    CircInteractome34140,790Yes/NoN/AInteraction between circRNA, miRNA, and potential transcripts(83)
    circNet464212,950Yes/Nofind_circCircRNA–miRNA–gene networks and reports circRNA expression(84)
    CIRCpedia v270183,493No/NoCIRCexplorer2, MapSpliceCircRNA across 6 different species(81)
    CircR2DiseaseN/A661Yes/NoN/ACircRNA with known association with disease(90)
    circRNADbN/A32,914Yes/NoMultiple sourcesReports circRNA and possible transcripts as well as protein-coding potential(85)
    exoRBase9258,330Yes/NoACFS, find_circCharacterize RNA (circRNA, lncRNA, mRNA) found in exosomes(94)
    TCSD601,184,752No/NoCIRI, circRNA_finder, find_circTissue-specific circRNA in adult and fetal human and mouse tissue(32)
    • Abbreviation: N/A, not applicable.

  • Table 2.

    Summary of publicly available cancer-specific circRNA databases.

    DatabaseNumber of samplesTotal human circRNACancer specific?Detection toolBrief descriptionRef.
    BBCancer7,184175,508YesCIRI, find_circBlood-based biomarkers, including circRNA in liver, colorectal, and pancreatic cancer(93)
    circPro12,036YesCIRI2Ribosome-associated circRNA with potential for translation into protein(86)
    CircRic93592,589YesCIRI2, CIRCexplorer2, circRNA_finder, find_circCircRNA among cancer cell lines with integrative analysis and potential drug response(92)
    CSCD2281,394,023YesCIRI2, find_circ, circRNA_finder, CIRCexplorerCancer-specific circRNA in cell lines and potential function(91)
    MiOncoCirc2,000+160,120YesCIRCexplorerCircRNA in human cancer tissues by exome capture sequencing(53)
  • Table 3.

    Sensitivity and specificity of reported differential circRNA expression in cancer plasma compared with normal patients for early cancer detection.

    Primary cancerCircRNASensitivitySpecificityAUCRef.
    LungcircYWHAZ (hsa_circ_0005962)77.8%72.2%0.81(222)
    circBNC2 (hsa_circ_0086414)
    LungcircFARSANot reportedNot reported0.71(70)
    LungcircACP6 (hsa_circ_0013958)75.5%79.6%0.815(69)
    BreastcircELP3 (hsa_circ_0001785)76.4%69.9%0.784(223)
    ColorectalcircFAM71F2 (hsa_circ_0082182)Not reportedNot reported0.835(224)
    circFLI1 (hsa_circ_0000370)
    circALDH1A2 (hsa_circ_0035445)
    ColorectalcircCCDC6664.4%85.2%0.780(225)
    circABCC1
    circSTIL
    GastriccircXPO1 (hsa_circ_0001017)84.7%96.6%0.912(75)
    circNRIP1 (hsa_circ_0061276)
    GastriccircLMO1 (hsa_circ_0021087)Not reportedNot reported0.773(226)
    circUBXN7 (hsa_circ_0005051)
    GastriccircRPL6Not reportedNot reported0.733(227)
    GastriccircCNIH4 (hsa_circ_0000190)41.4%87.5%0.60(228)
    GastriccircSPECC1 (hsa_circ_0000745)85.5%45.0%0.683(229)
    GastriccircTATDN3 (hsa_circ_0000181)99.0%20.6%0.582(230)
    PancreaticcircLDLRAD357.4%70.5%0.67(231)
    LivercircHPCAL1 (hsa_circ_0000976)87.5%84.0%0.858 (Set 1)(232)
    circRABGGTA (hsa_circ_0007750)85.5%89.5%0.875 (Set 2)
    circMTM1 (hsa_circ_0139897)
    LivercircSMARCA586.7%89.3%0.938(233)
    LivercircSMARCA5 (hsa_circ_0001445)71.2%94.2%0.862(234)
    Oral (saliva)circBICD2 (hsa_circ_0001874)92.7%77.8%0.922(236)
    circFAM126A (hsa_circ_0001971)
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Cancer Epidemiology Biomarkers & Prevention: 29 (12)
December 2020
Volume 29, Issue 12
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The Potential of Circular RNAs as Cancer Biomarkers
Jason R. Brown and Arul M. Chinnaiyan
Cancer Epidemiol Biomarkers Prev December 1 2020 (29) (12) 2541-2555; DOI: 10.1158/1055-9965.EPI-20-0796

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The Potential of Circular RNAs as Cancer Biomarkers
Jason R. Brown and Arul M. Chinnaiyan
Cancer Epidemiol Biomarkers Prev December 1 2020 (29) (12) 2541-2555; DOI: 10.1158/1055-9965.EPI-20-0796
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