临床肿瘤学杂志

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miRNA-29s在非小细胞肺癌组织中的表达及临床意义

陈加顺1,束永前2   

  1. 1 211400 江苏扬州 仪征市人民医院肿瘤科 2 210029 南京医科大学第一附属医院肿瘤科
  • 收稿日期:2016-09-23 修回日期:2016-10-29 出版日期:2016-12-31 发布日期:2016-12-31

Expression of miRNA-29s in nonsmall cell lung cancer and its clinical significance

CHEN Jiashun,SHU Yongqian   

  1. Department of Oncology,People's Hospital of Yizheng,Yizheng 211400,China
  • Received:2016-09-23 Revised:2016-10-29 Online:2016-12-31 Published:2016-12-31

摘要: 目的 探讨非小细胞肺癌(NSCLC)组织中微小RNA-29s(miR-29s)的表达水平及临床意义。方法 收集2012年1月至2015年12月收治的94例手术切除的NSCLC组织及71例癌旁正常组织,采用实时荧光定量PCR(QPCR)法检测上述组织中miR-29a、miR-29b和mi-29c的表达,比较NSCLC组织及癌旁正常组织中miR-29s的表达水平,Pearson相关分析NSCLC组织中miR-29a、miR-29b和miR-29c表达的相关性,分析NSCLC组织中miR-29s的表达与NSCLC临床病理特征(性别、年龄、TNM分期、组织学类型、分化程度、淋巴结转移及CEA水平)的关系,根据随访资料分析不同miR-29s表达水平与预后的关系。
结果 QPCR结果显示,NSCLC组织中miR-29a、miR-29b和miR-29c的表达水平依次为0.413±0.025、0.609±0.039和0.161±0.013,均低于癌旁正常组织,差异有统计学意义(P<0.05);NSCLC组织中miR-29a与miR-29b呈正相关(r=0.637,P=0.000),miR-29a与miR-29c呈正相关(r=0.775,P=0.000),miR-29b与miR-29c呈正相关(r=0.586,P=0.000);NSCLC组织中miR-29s表达均与TNM分期有关,miR-29a与肿瘤大小及分化程度有关,miR-29b与分化程度有关,miR-29c与肿瘤大小有关。miR-29a(≥0.354)、miR-29b(≥0.586)和miR-29c(≥0.118)高水平者的中位总生存时间依次为16.4、16.4和16.7个月,均高于低水平者的11.5、9.8和10.5个月,差异有统计学意义(P<0.05)。结论 miR-29s在NSCLC组织中表达降低,且均与TNM分期及预后有关,可能与NSCLC发生、发展有关,对NSCLC诊断及病情评估有一定价值。

Abstract: Objective To investigate the expression of miRNA-29s(miR-29s)and its clinical significance in non-small cell lung cancer(NSCLC). Methods From January 2012 to December 2015,94 cases of surgical resected NSCLC tissues and 71 cases of adjacent normal tissues were collected. The levels of miR-29a,miR-29b and miR-29c in the above tissues were detected by fluorescence real-time quantitative PCR(QPCR)method. The miR-29s levels in NSCLC tissues and adjacent normal tissues were compared. The correlation among miR-29a,miR-29b and miR-29c were analyzed by Pearson correlation analysis. The relationship between miR-29s level and NSCLC clinicopathological parameters(gender,age,TNM stage,histological type,differentiation degree,lymph node metastasis and CEA level)were also analyzed. The relationship between different miR29s levels and prognosis were compared according to follow-up data. Results The QPCR results showed that the levels of miR-29a,miR-29b and miR-29c in NSCLC tissues were 0.413±0.025,0.609±0.039 and 0.161±0.013,all lower than those in adjacent normal tissues with statistical significance(P<0.05). MiR-29a level of NSCLC was positively correlated with miR-29b (r=0.637,P=0.000),and miR-29a levels were positively correlated with miR-29c(r=0.775,P=0.000),and miR-29c levels were positively correlated with miR-29b(r=0.586,P=0.000). In NSCLC tissues,miR-29s levels were related to TNM stage. Additionally,miR-29a was related to tumor size and differentiation degree,miR-29b was related to the degree of differentiation,and miR-29c was related to tumor size. The median overall survival of NSCLC with higher levels of miR-29a(≥0.354),miR-29b(≥0.586)and miR-29c(≥0.118) were 16.4,16.4 and 16.7 months,better than 11.5,9.8 and 10.5 months of NSCLC with lower levels of miR-29a,miR-29b and miR-29c(P<0.05). Conclusion Decreased expression of miR-29s were observed in NSCLC tissue,and they were related to TNM staging and prognosis. They may be related to the occurrence and development of NSCLC,which have a certain value in the diagnosis and assessment of NSCLC.

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