微小RNA-1180在非小细胞肺癌中的表达及其临床意义

Expression of miR-1180 in non-small cell lung cancer and its clinical significance

  • 摘要:
      目的  探讨微小RNA-1180(miR-1180)在非小细胞肺癌(NSCLC)患者血清及组织中的表达情况,并分析其与临床病理特征的关系及对疾病诊断、预后评估的价值。
      方法  选取NSCLC患者72例,另选取同期接受治疗的良性肺部疾病患者50例为研究对象。收集NSCLC患者、良性肺部疾病患者的空腹静脉血,另收集NSCLC患者手术切除的癌组织和癌旁组织。采用实时荧光定量PCR(qRT-PCR)检测血清及组织中的miR-1180的相对表达量。所有NSCLC患者均进行为期5年的随访,并统计其生存情况。
      结果  NSCLC患者血清miR-1180的相对表达量高于良性肺部疾病患者,差异有统计学意义(P < 0.05); 癌组织中miR-1180的相对表达量高于癌旁组织,差异有统计学意义(P < 0.05)。NSCLC患者血清及组织中miR-1180的相对表达量与性别、年龄、吸烟史、病理类型无关(P > 0.05), 与肿瘤大小、TNM分期、淋巴结转移以及分化程度有关(P < 0.05)。血清miR-1180对NSCLC的辅助诊断价值较高,曲线下面积(AUC)为0.747, 95%CI为0.580~0.914, 准确度为0.754。miR-1180高表达患者的5年生存率低于miR-1180低表达患者,差异有统计学意义(P < 0.05)。
      结论  miR-1180在NSCLC的血清和癌组织中均呈异常高表达,且其表达水平与肿瘤的恶性进展密切相关。miR-1180可作为NSCLC疾病诊断和预后评估的新型生物标志物。

     

    Abstract:
      Objective  To investigate the expression of miR-1180 in serum and tissues of non-small cell lung cancer (NSCLC), and to analyze its relationship with clinicopathological characteristics and its value for disease diagnosis and prognostic evaluation.
      Methods  Seventy-two patients with NSCLC and 50 patients with benign lung disease who received treatment at the same period were selected as the study subjects. Fasting venous blood of NSCLC patients and those with benign lung diseases was collected, and the cancer tissues and adjacent tissues were collected from NSCLC patients. Quantitative real-time polymerase chain reaction(qRT-PCR)was used to detect the relative expression of miR-1180 in serum and tissues. All patients with NSCLC were followed up for 5 years, and their survival status was counted.
      Results  The relative expression levels of miR-1180 in serum of the NSCLC patients were significantly higher than those in patients with the benign lung diseases (P < 0.05); the relative expression of miR-1180 in the cancer tissues was significantly higher than that in the adjacent tissues (P < 0.05). The relative expression of miR-1180 in serum and tissues of NSCLC patients was not correlated with gender, age, smoking history and pathological type (P > 0.05), but was related to tumor size, TNM stage, lymph node metastasis and degree of differentiation (P < 0.05). Serum miR-1180 had a high value in the auxiliary diagnosis of NSCLC, the area under the curve (AUC) was 0.747, the 95%CI was 0.580~0.914, and the accuracy was 0.754. The 5-year survival rate of patients with miR-1180 high expression was significantly lower than that of patients with low expression of miR-1180 (P < 0.05).
      Conclusion  MiR-1180 is abnormally highly expressed in serum and cancer tissues of NSCLC, and its expression level is closely related to the malignant progression of tumors. MiR-1180 can be used as a new biomarker for diagnosis and prognostic evaluation of NSCLC.

     

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