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miR-490-3p 表达降低与幽门螺杆菌诱导的胃癌预后不良相关。

Reduced miR-490-3p expression is associated with poor prognosis of Helicobacter pylori induced gastric cancer.

机构信息

Department of Endoscopic Diagnosis, General Hospital of Daqing Oil Field, Daqing, Heilongjiang Province, China.

出版信息

Eur Rev Med Pharmacol Sci. 2017 Aug;21(15):3384-3388.

PMID:28829504
Abstract

OBJECTIVE

Helicobacter pylori (HP) infection has been demonstrated to be a risk factor accounting for the initiation and development of gastric cancer (GC). The aim of the present study was to investigate the clinical significance of miR-490-3p in HP associated GC.

PATIENTS AND METHODS

We measured the expression level of miR-490-3p in human GC tissues by quantitative Real-time PCR (qPCR). Then the association between miR-490-3p and clinical features of GC was further investigated.

RESULTS

Our results showed that miR-490-3p levels exhibited a progressive downregulation in gastritis, intestinal metaplasia, HP negative GC and HP positive GC. In addition, miR-490-3p expression was significantly correlated with various clinicopathological parameters such as lymph node metastasis and clinical stage in HP-positive GC. Moreover, GC patients with lower miR-490-3p had a shorter 5 years overall/disease free survival time in the HP positive cohort. Finally, multivariate analysis showed that low miR-490-3p was an independent risk factor for HP associated GC.

CONCLUSIONS

miR-490-3p is downregulated in HP-positive GC and associated with poor clinical outcome, indicating that miR-490-3p is a promising prognostic biomarker for HP positive GC.

摘要

目的

幽门螺杆菌(HP)感染已被证实是导致胃癌(GC)发生和发展的危险因素。本研究旨在探讨 miR-490-3p 在 HP 相关 GC 中的临床意义。

患者与方法

通过实时定量 PCR(qPCR)测量人 GC 组织中 miR-490-3p 的表达水平。然后进一步研究 miR-490-3p 与 GC 临床特征之间的关系。

结果

结果显示,miR-490-3p 水平在胃炎、肠上皮化生、HP 阴性 GC 和 HP 阳性 GC 中呈逐渐下调。此外,miR-490-3p 的表达与 HP 阳性 GC 中的各种临床病理参数如淋巴结转移和临床分期显著相关。此外,在 HP 阳性队列中,miR-490-3p 表达水平较低的 GC 患者的 5 年总生存率/无病生存率较短。最后,多因素分析表明,miR-490-3p 低表达是 HP 相关 GC 的独立危险因素。

结论

miR-490-3p 在 HP 阳性 GC 中下调,并与不良临床结局相关,表明 miR-490-3p 是 HP 阳性 GC 的有前途的预后生物标志物。

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