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微小RNA-183-3p的上调是女性非吸烟肺腺癌的有力预后标志物。

Up-regulation of microRNA-183-3p is a potent prognostic marker for lung adenocarcinoma of female non-smokers.

作者信息

Xu F, Zhang H, Su Y, Kong J, Yu H, Qian B

机构信息

Department of Epidemiology and Biostatistics, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center of Cancer, Tianjin, 300060, People's Republic of China.

出版信息

Clin Transl Oncol. 2014 Nov;16(11):980-5. doi: 10.1007/s12094-014-1183-9. Epub 2014 May 8.

Abstract

BACKGROUND

Lung cancer in never smokers presents predominately as adenocarcinoma and in females. MicroRNA-183 (miR-183) has various expression patterns in types of human cancers. In the present study, we evaluated the expression of miR-183-3p in female lung adenocarcinoma and adjacent noncancerous tissues and explored its relationship with clinicopathological characteristics and prognosis.

METHODS

In the present study, a hundred female nonsmoking patients who were newly diagnosed and histologically confirmed as lung adenocarcinoma at Tianjin Medical University Cancer Hospital were included. miR-183-3p expression of surgically removed NSCLC tissues and their corresponding normal lung tissues was measured by qRT-PCR assay. Associations of miR-183-3p expression with clinicopathological features were determined using the Student's t test. Log-rank test, and Cox proportional hazards model were used for survival analysis.

RESULTS

At first, miR-183-3p was up-regulated in lung cancer tissues when compared with the corresponding noncancerous lung tissues. Moreover, the expression of miR-183-3p in tumor tissue was found to be associated with lymph node metastasis (P = 0.043), clinical stage (P = 0.015), and EGFR mutation (P = 0.003). At last, high miR-183-3p expression was also associated with both poor overall survival and progression-free survival of women with lung adenocarcinoma (P = 0.005 and P = 0.010, respectively).

CONCLUSION

This study suggested that miR-183-3p expression might be involved in lung cancer pathogenesis and progression, and could be used as a potential prognostic biomarker of female lung adenocarcinoma.

摘要

背景

从不吸烟的肺癌患者主要表现为腺癌,且多见于女性。微小RNA-183(miR-183)在多种人类癌症中具有不同的表达模式。在本研究中,我们评估了miR-183-3p在女性肺腺癌及癌旁非癌组织中的表达,并探讨其与临床病理特征及预后的关系。

方法

本研究纳入了天津医科大学肿瘤医院100例新诊断且经组织学确诊为肺腺癌的女性非吸烟患者。采用qRT-PCR法检测手术切除的非小细胞肺癌组织及其相应正常肺组织中miR-183-3p的表达。使用Student's t检验确定miR-183-3p表达与临床病理特征的相关性。采用对数秩检验和Cox比例风险模型进行生存分析。

结果

首先,与相应的非癌肺组织相比,miR-183-3p在肺癌组织中上调。此外,发现肿瘤组织中miR-183-3p的表达与淋巴结转移(P = 0.043)、临床分期(P = 0.015)和表皮生长因子受体(EGFR)突变(P = 0.003)相关。最后,miR-183-3p高表达还与肺腺癌女性患者的总生存期和无进展生存期较差相关(分别为P = 0.005和P = 0.

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