Circulating microRNAs (miRNAs) are emerging as useful non-invasive markers of disease. The objective of this study was to use a mouse model of prostate cancer as a tool to discover serum miRNAs that could be assessed in a clinical setting. Global miRNA profiling identified 46 miRNAs at significantly altered levels (p 0.05) in the serum of TRansgenic Adenocarcinoma of Mouse Prostate (TRAMP) mice with advanced prostate cancer compared to healthy controls. A subset of these miRNAs with known human homologues were validated in an independent cohort of mice and then measured in serum from men with metastatic castration-resistant prostate cancer (mCRPC; n 5 25) or healthy men (n 5 25). Four miRNAs altered in mice, mmumiR-141, mmu-miR-298, mmu-miR-346 and mmu-miR-375, were also found to be at differential levels in the serum of men with mCRPC. Three of these (hsa-miR-141, hsa-miR-298 and hsa-miR-375) were upregulated in prostate tumors compared with normal prostate tissue, suggesting that they are released into the blood as disease progresses. Moreover, the intra-tumoral expression of hsa-miR-141 and hsa-miR-375 were predictors of biochemical relapse after surgery. This study is the first to demonstrate that specific serum miRNAs are common between human prostate cancer and a mouse model of the disease, highlighting the potential of such models for the discovery of novel biomarkers.Prostate cancer is the most commonly diagnosed non-skin malignancy in men in Western countries, constituting up to 25% of all male cancer diagnoses and 9% of cancer deaths among men in the USA and Europe. 1,2 The widespread use of serum prostate specific antigen (PSA) testing along with increasing public awareness of prostate cancer has resulted in a significant increase in the proportion of patients with clinically localized tumors at the time of diagnosis who likely will not die of the disease. 3 Localized prostate cancers exhibit high levels of genetic, biological and clinical heterogeneity, 4,5 and current prognostic tools (based upon clinicopathologic parameters) are imperfect predictors of disease course. New molecular markers are urgently required to better predict the likely outcome and behavior of individual cancers. microRNAs (miRNAs) are small RNA molecules of 21-23nt that bind with imperfect complementarity to sequences in specific mRNA targets and typically silence their expression by translational inhibition or mRNA decay. miRNAs are estimated to regulate the expression of greater than 60% of all protein-coding genes 6 and, as such, play vital roles in all aspects of normal physiology. Given their biological importance, it is not surprising that miRNA expression is frequently dysregulated in human cancer. 7 Accumulating evidence suggests that miRNAs can contribute to tumorigenesis either by directly modulating oncogenic or tumor suppressor pathways (oncomirs and tumor suppressor miRNAs, respectively) and/or being regulated by oncogenes or tumor suppressor genes. 8 Several characteristics of miRNAs make them ideal biomarkers for...