微小RNA-21作为生物标志物在结直肠癌各Dukes分期中的临床意义。
Clinical significance of microRNA-21 as a biomarker in each Dukes' stage of colorectal cancer.
作者信息
Fukushima Yoshihisa, Iinuma Hisae, Tsukamoto Mitsuo, Matsuda Keiji, Hashiguchi Yojiro
机构信息
Department of Surgery, Teikyo University School of Medicine, Itabashi-ku, Tokyo 173-0003, Japan.
出版信息
Oncol Rep. 2015 Feb;33(2):573-82. doi: 10.3892/or.2014.3614. Epub 2014 Nov 21.
The potential value of microRNAs (miRNAs) as prognostic biomarkers are of interest. It is known that microRNA-21 (miR-21) is implicated in the promotion, proliferation and progression of several types of human cancers. However, the prognostic significance of miR-21 in each tumor stage of colorectal cancer (CRC) remains elusive. The objective of this study was to clarify the prognostic value of miR-21 for CRC patients at each tumor stage. The expression levels of miR-21 in the tumor tissues and normal adjacent tumor tissues of 306 CRC patients were determined by TaqMan microRNA assays. In order to clarify the miRNA profile in CRC tissues, miRNA arrays were examined. In this analysis, miR-21, miR-224, miR-96, miR-31 and miR-155 showed marked upregulation, and miR-21 showed the highest level. Upon comparison of clinicopathological factors, miR-21 expression showed significant association with depth of invasion, lymphatic and venous invasion, liver metastasis and Dukes' stage. In the Kaplan-Meier survival curve analysis of all patients, overall survival (OS) and disease-free survival (DFS) rates of the patients with high miR-21 expression were significantly worse than these rates in patients with low miR-21 expression. In the Kaplan-Meier analysis of each tumor stage, the DFS of patients with high miR-21 expression was significantly worse than patients with low miR-21 levels in Dukes' stage A tumors. In Dukes' stage B and C, patients with high miR-21 expression showed a significantly worse OS and DFS than patients with low miR-21 expression. In Dukes' stage D, patients with high miR-21 expression showed a significantly worse OS than patients with low miR-21 expression. In the Cox multivariate analysis, it was shown that miR-21 expressions in CRC tissues is an independent prognostic factor in Dukes' stage B, C and D. In conclusion, miR-21 expression may be a valuable biomarker for prediction of poor prognosis in CRC patients with Dukes' stage B, C and D.
微小RNA(miRNA)作为预后生物标志物的潜在价值备受关注。已知微小RNA-21(miR-21)与多种类型人类癌症的发生、增殖和进展有关。然而,miR-21在结直肠癌(CRC)各肿瘤分期中的预后意义仍不明确。本研究的目的是阐明miR-21在CRC患者各肿瘤分期中的预后价值。采用TaqMan微小RNA检测法测定306例CRC患者肿瘤组织及癌旁正常组织中miR-21的表达水平。为明确CRC组织中的miRNA谱,检测了miRNA阵列。在该分析中,miR-21、miR-224、miR-96、miR-31和miR-155呈明显上调,且miR-21上调水平最高。比较临床病理因素发现,miR-21表达与浸润深度、淋巴和静脉浸润、肝转移及Dukes分期显著相关。在所有患者的Kaplan-Meier生存曲线分析中,miR-21高表达患者的总生存期(OS)和无病生存期(DFS)率显著低于miR-21低表达患者。在各肿瘤分期的Kaplan-Meier分析中,Dukes A期肿瘤中,miR-21高表达患者的DFS显著低于miR-21低表达患者。在Dukes B期和C期,miR-21高表达患者的OS和DFS显著低于miR-21低表达患者。在Dukes D期,miR-21高表达患者的OS显著低于miR-21低表达患者。Cox多因素分析显示,CRC组织中miR-21表达是Dukes B期、C期和D期的独立预后因素。总之,miR-21表达可能是预测Dukes B期、C期和D期CRC患者预后不良的有价值生物标志物。