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中国临床研究:2021,34(6):731-734,740
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microRNA-150在胃癌组织中的表达及其预后价值
(南京大学医学院附属鼓楼医院消化内科,江苏 南京 210008)
Expression of miroRNA-150 in gastric cancer and its prognostic value
(Department of Gastroenterology,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing,Jiangsu 210008)
摘要
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投稿时间:2020-11-21   网络发布日期:2021-06-20
中文摘要: 目的 探讨microRNA-150(miR-150)在胃癌组织中的表达及其预后价值。方法 选择2008年1月至2010年12月鼓楼医院外科手术治疗的108例病理确诊胃腺癌患者的癌组织和癌旁组织,采用RT-PCR检测其miR-150表达水平;利用χ2检验分析miR-150表达水平与临床病理特征之间的关联性,并通过Kaplan-Meier法和Cox回归分析其预后价值。结果 miR-150在胃癌组织中的相对表达量远高于其癌旁组织(P<0.01)。miR-150的表达量与肿瘤的浸润深度、TNM分期、淋巴结转移和远处转移有密切关联性(P<0.05),而与性别、年龄、肿瘤部位、肿瘤大小和分化程度无明显关联(P>0.05)。Kaplan-Meier生存分析显示,miR-150低表达胃癌患者总体生存率明显高于miR-150高表达患者(P<0.01)。多因素Cox回归分析表明,年龄大(HR=1.946,95%CI:1.269~2.984,P=0.002)、有淋巴结转移(HR=2.412,95%CI:1.094~5.319,P=0.029)和miR-150高表达(HR=1.869,95%CI:1.185~2.949,P=0.007)是影响胃癌预后的独立风险因素。结论 miR-150的高表达提示胃癌患者可能预后不良,miR-150可能成为预测胃癌预后新的生物标志物。
Abstract:Objective To investigate the expression of microRNA-150 (miR-150) in gastric cancer tissue and its prognostic value.Methods A total of 108 patients who were diagnosed as gastric cancer by pathology from January 2008 to December 2010 in Drum Tower Hospital were selected as research objects.RT-PCR was used to detect the expression of miR-150 of gastric cancer tissues and para-cancerous tissue.Chi-square test was used to detect and analyze the correlation between the expression level of miR-150 and clinicopathological features.The prognostic value was analyzed by Kaplan-Meier estimator and Cox regression.Results The relative expression of miR-150 in gastric cancer tissue was higher than that of its para-cancerous tissues (P<0.01).The expression of miR-150 was closely related to tumor invasion depth,TNM stage,lymph node metastasis and distant metastasis (P<0.05),but not with gender,age,tumor location,tumor size and differentiation (P>0.05).Kaplan-Meier survival analysis showed that the overall survival rate of patients with low expression of miR-150 was significantly higher than that of patients with high expression of miR-150 (P<0.01).Cox regression analysis showed that age≥60 years old (HR=1.946,95%CI:1.269-2.984,P=0.002),lymph node metastasis (HR=2.412,95%CI:1.094-5.319,P=0.029) and high expression of miR-150(HR=1.869,95% CI:1.185-2.949,P=0.007) were independent risk factors for the prognosis of gastric cancer.Conclusion The high expression of miR-150 may suggest that the bad prognosis of gastric cancer patients,and miR-150 could become a new biomarker to predict the prognosis of gastric cancer.
文章编号:     中图分类号:    文献标志码:A
基金项目:国家自然科学基金(81402337)
引用文本:
朱浩,唐德华,窦晓坛,周林.microRNA-150在胃癌组织中的表达及其预后价值[J].中国临床研究,2021,34(6):731-734,740.

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