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miR-206 下调是胃癌患者的一个强有力的预后标志物。

Downregulation of microRNA-206 is a potent prognostic marker for patients with gastric cancer.

机构信息

Department of Gastroenterology, Tangdu Hospital of Fourth Military Medical University, Xi'an, China.

出版信息

Eur J Gastroenterol Hepatol. 2013 Aug;25(8):953-7. doi: 10.1097/MEG.0b013e32835ed691.

Abstract

BACKGROUND

MicroRNA-206 (miR-206), as a homolog of miR-1, plays important roles in tumorigenesis and tumor progression of various human malignancies, including breast cancer, endometrial endometrioid carcinoma, rhabdomyosarcoma, glioma, lung cancer, and laryngeal cancer. However, its involvement in gastric cancer has remained unclear.

AIM

To examine the expression patterns and clinical implications of miR-206 in gastric cancer.

MATERIALS AND METHODS

Quantitative RT-PCR was performed to evaluate the expression levels of miR-206 in 98 pairs of gastric cancer and normal adjacent mucosa. In addition, the clinicopathologic significance and the prognostic value of miR-206 expression were further determined.

RESULTS

At first, miR-206 expression was significantly downregulated in gastric cancer tissues when compared with normal adjacent mucosa (P<0.001). Next, tumors with low miR-206 expression had a greater extent of lymph node metastasis (P=0.01), presence of venous invasion (P=0.008), and hematogenous recurrence (P=0.01), and were at a worse stage (P=0.03) than the tumors with a high miR-206 expression. Then, the gastric cancer patients with a low miR-206 expression had shorter overall survival than those with a high miR-206 expression (P=0.02). Furthermore, multivariate analysis showed that miR-206 expression was an independent prognostic factor for patients with gastric cancer.

CONCLUSION

Our results strongly suggest that the downregulation of miR-206 was significantly correlated with tumor progression and may be a potent prognostic marker of gastric cancer. miR-206 might serve as a promising therapeutic target for the treatment of this cancer.

摘要

背景

miR-206(微小 RNA-206)作为 miR-1 的同源物,在多种人类恶性肿瘤的发生和肿瘤进展中发挥重要作用,包括乳腺癌、子宫内膜样腺癌、横纹肌肉瘤、神经胶质瘤、肺癌和喉癌。然而,其在胃癌中的作用尚不清楚。

目的

检测 miR-206 在胃癌中的表达模式及其临床意义。

材料和方法

采用实时定量 RT-PCR 方法检测 98 对胃癌组织及其相应癌旁正常组织中 miR-206 的表达水平。进一步确定 miR-206 表达的临床病理意义和预后价值。

结果

首先,与癌旁正常组织相比,胃癌组织中 miR-206 的表达显著下调(P<0.001)。其次,miR-206 低表达的肿瘤具有更大程度的淋巴结转移(P=0.01)、静脉侵犯(P=0.008)和血行复发(P=0.01),且分期较差(P=0.03)。然后,miR-206 低表达的胃癌患者总生存期较 miR-206 高表达者短(P=0.02)。进一步的多因素分析表明,miR-206 表达是胃癌患者的独立预后因素。

结论

我们的研究结果强烈表明,miR-206 的下调与肿瘤进展显著相关,可能是胃癌的一个潜在预后标志物。miR-206 可能成为治疗这种癌症的有前途的治疗靶点。

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