Yin Jian, Hou Peng, Wu Zhiqiang, Wang Tao, Nie Yanxiao
Department of Gastroenterology, The First Affiliated to Chinese PLA General Hospital, 51 Fucheng Road, Beijing, 100048, China,
Tumour Biol. 2015 Jun;36(6):4501-7. doi: 10.1007/s13277-015-3092-0. Epub 2015 Jan 25.
Aiming to find novel non-invasive biomarkers with high accuracy for the detention of early-stage hepatocellular carcinoma (HCC), we examined the predictive power of two microRNAs (miR; miR-375 and miR-199a-3p) as potential biomarkers in early-stage HCC. A total of 234 serum samples (78 samples from HCC patients, 156 samples from healthy controls) were collected. We measured the levels of the two mature microRNAs (miRNAs) (miR-375 and miR-199a-3p) with probe-based stem-loop quantitative reverse-transcriptase PCR (RT-qPCR) in all subjects. In addition, the correlation between the expression levels of two miRs and clinicopathological factors was explored. Receiver operating characteristic curve (ROC) analyses revealed that the two serum miRs could be promising biomarkers for HCC, with relatively high area under the curve (AUC) values as follows: miR-375, 0. 637 with 95 % confidence interval (CI) of 0.560-0.741; miR-199a-3p, 0. 883 with 95 % CI of 0.827-0.938. Stratified analyses indicated that circulating miR-199a-3p showed better predictive value in patients with long-term drinking. Our data suggested that circulating miR-375 and miR-199a-3p could be a novel serum biomarker for HCC. Nevertheless, further validating and improving study with larger sample should be conducted to confirm our results.
为了寻找用于早期肝细胞癌(HCC)检测的高精度新型非侵入性生物标志物,我们检测了两种微小RNA(miR;miR - 375和miR - 199a - 3p)作为早期HCC潜在生物标志物的预测能力。共收集了234份血清样本(78份来自HCC患者,156份来自健康对照)。我们采用基于探针的茎环定量逆转录聚合酶链反应(RT - qPCR)测量了所有受试者中两种成熟微小RNA(miRNA)(miR - 375和miR - 199a - 3p)的水平。此外,还探讨了两种miR表达水平与临床病理因素之间的相关性。受试者工作特征曲线(ROC)分析显示,这两种血清miR可能是HCC的有前景的生物标志物,曲线下面积(AUC)值相对较高,如下:miR - 375,0.637,95%置信区间(CI)为0.560 - 0.741;miR - 199a - 3p,0.883,95%CI为0.827 - 0.938。分层分析表明,循环miR - 199a - 3p在长期饮酒患者中显示出更好的预测价值。我们的数据表明,循环miR - 375和miR - 199a - 3p可能是HCC的新型血清生物标志物。然而,应进行更大样本量的进一步验证和改进研究以证实我们的结果。