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实时荧光定量逆转录聚合酶链反应定量检测前列腺癌组织中DD3 mRNA

[Quantitative detection of DD3 mRNA in prostate cancer tissues by real-time fluorescent quantitative reverse transcription polymerase chain reaction].

作者信息

Tao Zhi-hua, Mao Xiao-lu, Wang Cai-hong, Chen Xiao-dong, Yu Kai-yuan, Weng Zhi-liang, Hu Yuan-ping, Zhang Xiao-hua, Xie Hui, Wang Ou-chen, Song Qi-tong, Li Cheng-di, Chen Zhan-guo

机构信息

Department of Clinical Laboratory Medicine, First Affiliated Hospital of Wenzhou Medical College, Zhejiang, China.

出版信息

Zhonghua Nan Ke Xue. 2007 Feb;13(2):130-3.

Abstract

OBJECTIVE

To analyze the expression of DD3 mRNA in the prostate tissues.

METHODS

DD3 mRNA was detected by realtime fluorescent quantitative reverse transcription polymerase chain reaction (FQ-RT-PCR) based on the Taqman technique in the tissues of 27 patients with non-prostate cancer( NPCa), 21 prostate cancer( PCa), 39 benign prostatic hyperplasia (BPH) and 15 normal prostate (NP). The ROC curve was used to evaluate the diagnostic value of DD3 mRNA.

RESULTS

DD3 mRNA expression was not detected in the NPCa tissues. The median expressions of DD3 mRNA in PCa, BPH and NP tissues were 7. 2 x 10(6), 2. 5 x 10(4) and 1.5 x 10(4) copies/mg tissue, respectively. The DD3 mRNA expression levels were significantly different between nonmalignant and malignant tissues (P < 0.01). No significant differences in DD3 mRNA expression were detected between the NP and BPH tissues and no significant correlation was found between the DD3 mRNA expression and clinical pathological parameters. The AUC-ROC was 0.937 (95% CI: 0.879 - 0.995) at cutoff value 1.4 x 10(5) copies/mg tissue. The sensitivity, specificity, accuracy, positive predictive value, negative predictive value, positive likelihood ratio and negative likelihood ratio for DD3 were 90.5%, 85.0%, 86.7%, 76.0%, 94.3%, 6.03 and 0.11 respectively.

CONCLUSION

The DD3 mRNA expression is confined to prostate tissues and highly upregulated in PCa tissues. It has a potential application value in the early diagnosis of prostate cancer and the follow-up of the patient.

摘要

目的

分析DD3 mRNA在前列腺组织中的表达情况。

方法

采用基于Taqman技术的实时荧光定量逆转录聚合酶链反应(FQ-RT-PCR)检测27例非前列腺癌(NPCa)患者、21例前列腺癌(PCa)患者、39例良性前列腺增生(BPH)患者及15例正常前列腺(NP)组织中的DD3 mRNA。采用ROC曲线评估DD3 mRNA的诊断价值。

结果

NPCa组织中未检测到DD3 mRNA表达。PCa、BPH和NP组织中DD3 mRNA的中位表达量分别为7.2×10⁶、2.5×10⁴和1.5×10⁴拷贝/毫克组织。非恶性组织与恶性组织之间DD3 mRNA表达水平差异有统计学意义(P<0.01)。NP组织与BPH组织之间DD3 mRNA表达无显著差异,且DD3 mRNA表达与临床病理参数无显著相关性。在截断值为1.4×10⁵拷贝/毫克组织时,AUC-ROC为0.937(95%CI:0.879 - 0.995)。DD3的敏感性、特异性、准确性、阳性预测值、阴性预测值、阳性似然比和阴性似然比分别为90.5%、85.0%、86.7%、76.0%、94.3%、6.03和0.11。

结论

DD3 mRNA表达局限于前列腺组织,在PCa组织中高度上调。其在前列腺癌的早期诊断及患者随访中具有潜在应用价值。

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