Wang Juan, Chen Hongtao, Liao Yifeng, Chen Nan, Liu Tianze, Zhang Huitao, Zhang Hongyu
Department of Medical Oncology, The Fifth Affiliated Hospital of Sun Yat-sen University, No.52, East Meihua Road, Zhuhai, Guangdong, People's Republic of China, 519000.
Department of Laboratory, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong, People's Republic of China, 519000.
Tumour Biol. 2015 Sep;36(9):6965-72. doi: 10.1007/s13277-015-3416-0. Epub 2015 Apr 10.
The aim of this study was to explore the expression and clinical significance of miR-494 and PTEN (phosphatase and tensin homologue deleted on chromosome ten) in non-small cell lung cancer (NSCLC). Immunohistochemistry for PTEN and in situ hybridization (ISH) for miR-494 were performed in 92 NSCLC tissues and 10 normal lung tissues to detect their expression, and correlation between their expression with clinical characteristics and prognosis was analyzed. The expression of miR-494 was significantly higher in NSCLC than in normal lung tissues (P = 0.004). The positive expression of PTEN protein in the lung carcinoma tissues was significantly lower than that in the normal lung tissues (P = 0.013), while the level of miR-494 expression was negatively correlated with PTEN expression (r = -0.577, P < 0.01). The high positive rate of miR-494 was positively correlated with pathological TNM (p-TNM) staging and lymph node metastasis. The expression of miR-494 was negatively correlated with grade of differentiation. However, the expression of PTEN was positively correlated with grade of differentiation. Patients with over-expression of miR-494 had a shorter overall survival (OS), while the negative group of PTEN was correlated with poor OS. MiR-494 over-expression and low PTEN expression are closely related to tumor p-TNM staging and lymph node metastasis, differentiation, and OS. Combined detection of PTEN and miR-494 can aid in determining malignancy degree and the prognosis of patients with NSCLC. MiR-494 may be served as a novel prognostic factor and may lead to new treatment strategies for NSCLC.
本研究旨在探讨miR-494和PTEN(第10号染色体缺失的磷酸酶及张力蛋白同源物)在非小细胞肺癌(NSCLC)中的表达及临床意义。对92例NSCLC组织和10例正常肺组织进行PTEN免疫组化及miR-494原位杂交(ISH)检测其表达情况,并分析其表达与临床特征及预后的相关性。NSCLC中miR-494的表达显著高于正常肺组织(P = 0.004)。肺癌组织中PTEN蛋白的阳性表达显著低于正常肺组织(P = 0.013),而miR-494的表达水平与PTEN表达呈负相关(r = -0.577,P < 0.01)。miR-494的高阳性率与病理TNM(p-TNM)分期及淋巴结转移呈正相关。miR-494的表达与分化程度呈负相关。然而,PTEN的表达与分化程度呈正相关。miR-494过表达的患者总生存期(OS)较短,而PTEN阴性组与较差的OS相关。miR-494过表达和PTEN低表达与肿瘤p-TNM分期、淋巴结转移、分化及OS密切相关。联合检测PTEN和miR-494有助于判断NSCLC患者的恶性程度及预后。miR-494可能作为一种新的预后因素,为NSCLC带来新的治疗策略。