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血清中三种失调的微小RNA作为胃癌筛查的新型生物标志物。

Three dysregulated microRNAs in serum as novel biomarkers for gastric cancer screening.

作者信息

Wang Hui, Wang Lei, Wu Zheng, Sun Rong, Jin Haifeng, Ma Jifeng, Liu Lili, Ling Rui, Yi Jun, Wang Ling, Bian Jiefang, Chen Jianghao, Li Nanlin, Yuan Shifang, Yun Jun

机构信息

Department of Vascular and Endocrine Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an, 710032, Shanxi Province, China.

出版信息

Med Oncol. 2014 Dec;31(12):298. doi: 10.1007/s12032-014-0298-8. Epub 2014 Nov 4.

Abstract

Gastric cancer (GC) is one of the most threatening diseases. The symptoms of GC are complex and hard to detect, which also contribute to the poor prognosis of GC. Besides, the current diagnosis for GC is expensive and invasive. Thus, a fast, noninvasive biomarker is urgently needed for GC screening. MicroRNAs (miRNAs) are small noncoding RNAs, which are involved in a great variety of pathological processes, particularly carcinogenesis. MiRNAs are stable in gastric juice, plasma as well as serum, which facilitate it to be a promising biomarker for cancer. In this study, we selected three novel miRNAs, i.e., miR-233, miR-16, and miR-100, to investigate their potential diagnostic value in GC screening. A total of 50 GC patients and 47 healthy controls were involved in this study. Blood serum samples were collected; RNAs were extracted and normalized with U6 snRNA as the internal control; qRT-PCR was performed for relative expression of target miRNAs. Levels of miRNAs expression were compared by Student's t test for the comparison between two groups, and one-way ANOVA was used for multiple comparisons. The expression of miR-223, miR-16, and miR-100 was all significantly higher in GC patients than controls (all P < 0.001). All the tested miRNAs were manifested to be valuable biomarkers for GC. Relative expression of these miRNAs was significantly correlated with clinical characteristics of GC patients, such as TNM stage (P = 0.036 for miR-223; P < 0.001 for miR-100), metastatic status (P = 0.045 for miR-223; P = 0.031 for miR-16; P = 0.006 for miR-100), tumor size (P = 0.042 for miR-223; P = 0.031 for miR-16; P < 0.001 for miR-100), and differentiation grade (P = 0.036 for miR-223; P = 0.030 for miR-16; P = 0.034 for miR-100). However, in T classification, which considered both tumor size and direct extent of primary tumor, the difference in target miRNAs expression was not significant. In summary, we confirmed the diagnostic value of serum miR-223, miR-16, and miR-100 in GC. Significantly elevated expression of the three miRNAs was also observed in advanced GC patients, which suggested their availability in cancer staging.

摘要

胃癌(GC)是最具威胁性的疾病之一。胃癌症状复杂且难以察觉,这也导致了胃癌预后较差。此外,目前胃癌的诊断成本高昂且具有侵入性。因此,迫切需要一种快速、非侵入性的生物标志物用于胃癌筛查。微小RNA(miRNA)是一类小的非编码RNA,参与多种病理过程,尤其是致癌过程。miRNA在胃液、血浆和血清中都很稳定,这使其成为一种很有前景的癌症生物标志物。在本研究中,我们选择了三种新型miRNA,即miR - 233、miR - 16和miR - 100,来研究它们在胃癌筛查中的潜在诊断价值。本研究共纳入50例胃癌患者和47例健康对照。采集血清样本;提取RNA并用U6小核仁RNA作为内参进行标准化;采用qRT - PCR检测目标miRNA的相对表达量。两组间比较采用Student's t检验比较miRNA表达水平,多组比较采用单因素方差分析。miR - 223、miR - 16和miR - 100在胃癌患者中的表达均显著高于对照组(均P < 0.001)。所有检测的miRNA均被证明是有价值的胃癌生物标志物。这些miRNA的相对表达与胃癌患者的临床特征显著相关,如TNM分期(miR - 223为P = 0.036;miR - 100为P < 0.001)、转移状态(miR - 223为P = 0.045;miR - 16为P = 0.031;miR - 100为P = 0.006)、肿瘤大小(miR - 223为P = 0.042;miR - 16为P = 0.031;miR - 100为P < 0.001)和分化程度(miR - 223为P = 0.036;miR - 16为P = 0.030;miR - 100为P = 0.034)。然而,在同时考虑肿瘤大小和原发肿瘤直接范围的T分类中,目标miRNA表达差异不显著。总之我们证实了血清miR - 223、miR - 16和miR - 100在胃癌中的诊断价值。在晚期胃癌患者中也观察到这三种miRNA表达显著升高,这表明它们在癌症分期中具有应用价值。

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