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[miR-199a表达与肾细胞癌临床病理特征及预后的相关性]

[Association of miR-199a expression with clinicopathologic characteristics and prognosis of renal cell carcinoma].

作者信息

Si Tong, Liu Chunxiao, Xu Kai, Gui Yaoting

机构信息

Department of Urinary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2012 Nov;32(11):1568-71.

Abstract

OBJECTIVE

To investigate the association of miR-199a expression with the clinicopathologic characteristics and the survival of patients with renal cell carcinoma (RCC).

METHODS

Real-time quantitative RT-PCR was used to detect the expression of miR-199a in the tumor tissues and paired adjacent normal tissues from 67 patients with RCC. The correlations of miR-199a expression with the clinicopathologic characteristics and survival of RCC patients were analyzed.

RESULTS

Positive miR-199a expression was detected in both the RCC and adjacent normal tissues, but the tumor tissues showed a significantly lower expression level by a mean of 13.7 folds (P=0.003). The expression of miR-199a was negatively correlated with tumor recurrence in RCC patients in T stage (P<0.05), but showed no significant correlations with the patients age, histological type of the tumor, lymph node metastasis, distal metastasis, or Fuhrman grade (P>0.05). The patients with lowered miR-199a expression in the tumor tissue had a significantly shorter mean survival time than those without miR-199a down-regulation (P=0.017 by Log-rank test).

CONCLUSION

A decreased expression of miR-199a is significantly correlated with a higher tumor stage, a greater likeliness of tumor recurrence, and a poorer prognosis in RCC patients. miR-199a can serve as a promising prognostic factor of renal cell carcinoma.

摘要

目的

探讨miR-199a表达与肾细胞癌(RCC)患者临床病理特征及生存情况的相关性。

方法

采用实时定量逆转录聚合酶链反应(RT-PCR)检测67例RCC患者肿瘤组织及配对的癌旁正常组织中miR-199a的表达。分析miR-199a表达与RCC患者临床病理特征及生存情况的相关性。

结果

在RCC组织及癌旁正常组织中均检测到miR-199a阳性表达,但肿瘤组织中miR-199a表达水平显著降低,平均降低13.7倍(P=0.003)。miR-199a表达与RCC患者T分期的肿瘤复发呈负相关(P<0.05),但与患者年龄、肿瘤组织学类型、淋巴结转移、远处转移或Fuhrman分级无显著相关性(P>0.05)。肿瘤组织中miR-199a表达降低的患者平均生存时间显著短于miR-199a未下调的患者(Log-rank检验P=0.017)。

结论

miR-199a表达降低与RCC患者肿瘤分期较高、肿瘤复发可能性较大及预后较差显著相关。miR-199a可作为肾细胞癌有前景的预后指标。

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