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微小RNA-100在食管鳞状细胞癌中的预后价值

Prognostic value of microRNA-100 in esophageal squamous cell carcinoma.

作者信息

Zhou Shu, Yang Benqiang, Zhao Yanjuan, Xu Sen, Zhang Hongwei, Li Zhao

机构信息

Department of Radiodiagnosis, the General Hospital of Shenyang Military Region, Shenyang, China.

Department of Radiodiagnosis, the General Hospital of Shenyang Military Region, Shenyang, China.

出版信息

J Surg Res. 2014 Dec;192(2):515-20. doi: 10.1016/j.jss.2014.07.005. Epub 2014 Jul 6.

Abstract

BACKGROUND

MicroRNA-100 (miR-100) has been demonstrated to be implicated in tumorigenesis and tumor progression of human esophageal squamous cell carcinoma (ESCC). However, its expression patterns in ESCC are controversial and its prognostic value in this malignancy has not been fully elucidated. The aim of this study was to investigate the expression and clinical significance of miR-100 in ESCC.

MATERIALS AND METHODS

Real-time quantitative reverse transcription polymerase chain reaction (RT-PCR) was performed to detect expression levels of miR-100 in 120 self-paired specimens of ESCC and adjacent normal esophageal tissues. The associations of miR-100 expression with clinicopathologic features, locoregional progression-free survival (LPFS), distant progression-free survival (DPFS), and overall survival (OS) of patients with ESCC were statistically analyzed.

RESULTS

Compared with adjacent normal esophageal tissues, the expression levels of miR-100 in ESCC were significantly decreased (normal versus ESCC: 3.53 ± 1.22 versus 1.89 ± 0.38, P <0.001). Additionally, low miR-100 expression in ESCC tissues was significantly associated with the advanced clinical stage (P = 0.008), the presence of distant metastasis (P = 0.008), and the great depth of invasion (P = 0.02). Moreover, univariate analysis revealed that low miR-100 expression was associated with poor LPFS, DPFS, and OS. In multivariate analysis, miR-100 expression was identified as an independent prognostic factor for all LPFS, DPFS, and OS.

CONCLUSIONS

These findings show the reduced expression of miR-100 in human ESCC tissues and suggest a crucial role of its downregulation in ESCC progression and prognosis. More interestingly, the detection of miR-100 expression may be used to efficiently screen those ESCC patients who would benefit from radiotherapy.

摘要

背景

微小RNA-100(miR-100)已被证明与人类食管鳞状细胞癌(ESCC)的肿瘤发生和肿瘤进展有关。然而,其在ESCC中的表达模式存在争议,且其在这种恶性肿瘤中的预后价值尚未完全阐明。本研究的目的是探讨miR-100在ESCC中的表达及临床意义。

材料与方法

采用实时定量逆转录聚合酶链反应(RT-PCR)检测120例ESCC自配对标本及癌旁正常食管组织中miR-100的表达水平。对ESCC患者miR-100表达与临床病理特征、局部区域无进展生存期(LPFS)、远处无进展生存期(DPFS)和总生存期(OS)的相关性进行统计学分析。

结果

与癌旁正常食管组织相比,ESCC中miR-100的表达水平显著降低(正常组织与ESCC组织:3.53±1.22对1.89±0.38,P<0.001)。此外,ESCC组织中miR-100低表达与临床晚期(P=0.008)、远处转移(P=0.008)及浸润深度大(P=0.02)显著相关。而且,单因素分析显示miR-100低表达与LPFS、DPFS和OS不良相关。多因素分析中,miR-100表达被确定为所有LPFS、DPFS和OS的独立预后因素。

结论

这些发现表明miR-100在人类ESCC组织中表达降低,提示其下调在ESCC进展和预后中起关键作用。更有趣的是,检测miR-100表达可用于有效筛选那些将从放疗中获益的ESCC患者。

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