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结直肠癌组织中 miR-182 表达上调及其预后价值。

Up-regulation of miR-182 expression in colorectal cancer tissues and its prognostic value.

机构信息

Department of Clinical Laboratory, Qilu Hospital, Shandong University, 107 Wenhua West Road, Jinan, Shandong 250012, People's Republic of China.

出版信息

Int J Colorectal Dis. 2013 May;28(5):697-703. doi: 10.1007/s00384-013-1674-0. Epub 2013 Mar 10.

Abstract

PURPOSE

Accumulating evidences indicate that dysregulated microRNAs (miRNA) are involved in cancer tumorigenesis and progression. In the present study, we evaluated the expression of miR-182 in colorectal cancer and adjacent noncancerous tissues and explored its associations with clinicopathological characteristics and prognosis.

METHODS

Quantitative real-time PCR was used to analyze the expression of miR-182 in 148 pairs of colorectal cancer and adjacent noncancerous tissues. The relationship between miR-182 expression and clinicopathological characteristics in colorectal cancer tissues was estimated using Mann-Whitney U test or Kruskal-Wallis test, as appropriate. We calculated the survival curves and prognostic values of each variable by the Kaplan-Meier method and Cox proportional hazards regression analysis, respectively.

RESULTS

The expression of miR-182 was found up-regulated in colorectal cancer tissues compared with adjacent noncancerous tissues (p < 0.001), and its up-regulation was significantly correlated with large tumor size (p = 0.016), positive regional lymph node metastasis (p = 0.008), and advanced tumor-node-metastasis stage (p = 0.020). Furthermore, Kaplan-Meier analysis demonstrated that high miR-182 expression predicted poor survival (p = 0.001), and Cox proportional hazards risk analysis indicated that miR-182 was an independent prognostic factor for colorectal cancer.

CONCLUSIONS

MiR-182 was up-regulated in colorectal cancer tissues and correlated with adverse clinical characteristics and poor prognosis, indicating that miR-182 might be involved in colorectal cancer progression and could be used as a potential prognostic biomarker and therapeutic target in the management of colorectal cancer.

摘要

目的

越来越多的证据表明,失调的 microRNAs(miRNA)参与了癌症的发生和发展。本研究评估了 miR-182 在结直肠癌及相邻非癌组织中的表达,并探讨了其与临床病理特征和预后的关系。

方法

采用实时定量 PCR 分析 148 对结直肠癌及相邻非癌组织中 miR-182 的表达。采用 Mann-Whitney U 检验或 Kruskal-Wallis 检验,评估 miR-182 表达与结直肠癌组织临床病理特征的关系。采用 Kaplan-Meier 法和 Cox 比例风险回归分析分别计算各变量的生存曲线和预后价值。

结果

miR-182 在结直肠癌组织中的表达高于相邻非癌组织(p<0.001),且其上调与肿瘤较大(p=0.016)、区域淋巴结转移阳性(p=0.008)和肿瘤-淋巴结-转移分期较晚(p=0.020)显著相关。Kaplan-Meier 分析表明,高 miR-182 表达预示着不良的生存(p=0.001),Cox 比例风险回归分析表明,miR-182 是结直肠癌的独立预后因素。

结论

miR-182 在结直肠癌组织中上调,与不良的临床特征和不良预后相关,表明 miR-182 可能参与了结直肠癌的进展,可作为结直肠癌管理中潜在的预后生物标志物和治疗靶点。

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