Zhang Junling, Jiang Yong, Zhu Jing, Wu Tao, Ma Ju, Du Chuang, Chen Shanwen, Li Tengyu, Han Jinsheng, Wang Xin
Department of General Surgery, Peking University First Hospital, Peking University, Beijing 100034, P.R. China.
Department of General Surgery, The People's Hospital of Hebei, Shijiazhuang, Hebei 050000, P.R. China.
Oncol Lett. 2017 Dec;14(6):6907-6914. doi: 10.3892/ol.2017.7049. Epub 2017 Sep 25.
The aim of the present study was to explore the clinicopathological and prognostic significance of long non-coding RNA (lncRNA) colon cancer-associated transcript 2 (CCAT2) expression in human colorectal cancer (CRC). Expression levels of lncRNA CCAT2 in CRC, adjacent non-tumor and healthy colon mucosa tissues were detected by quantitative polymerase chain reaction. The disease-free survival and overall survival rates were evaluated using the Kaplan-Meier method, and multivariate analysis was performed using Cox proportional hazard analysis. The expression level of lncRNA CCAT2 in CRC tissues was increased significantly compared with adjacent normal tissues or non-cancerous tissues. CCAT2 expression was observed to be progressively increased between tumor-node-metastasis (TNM) stages I and IV. A high level of CCAT2 expression was revealed to be associated with poor cell differentiation, deeper tumor infiltration, lymph node metastasis, distance metastasis, vascular invasion and advanced TNM stage. Compared with patients with low levels of CCAT2 expression, patients with high levels of CCAT2 expression had shorter disease-free survival and overall survival times. Multivariate analyses indicated that high CCAT2 expression was an independent poor prognostic factor. Therefore, increased lncRNA CCAT2 expression maybe a potential diagnostic biomarker for CRC, and an independent predictor of prognosis in patients with CRC.
本研究旨在探讨长链非编码RNA(lncRNA)结肠癌相关转录本2(CCAT2)在人类结直肠癌(CRC)中的临床病理特征及预后意义。采用定量聚合酶链反应检测CRC组织、癌旁非肿瘤组织及健康结肠黏膜组织中lncRNA CCAT2的表达水平。采用Kaplan-Meier法评估无病生存率和总生存率,并采用Cox比例风险分析进行多因素分析。与相邻正常组织或非癌组织相比,CRC组织中lncRNA CCAT2的表达水平显著升高。观察到CCAT2表达在肿瘤-淋巴结-转移(TNM)I期至IV期之间逐渐增加。高水平的CCAT2表达与细胞分化差、肿瘤浸润深、淋巴结转移、远处转移、血管侵犯及TNM分期晚有关。与CCAT2低表达患者相比,CCAT2高表达患者的无病生存期和总生存期较短。多因素分析表明,CCAT2高表达是独立的不良预后因素。因此,lncRNA CCAT2表达增加可能是CRC的潜在诊断生物标志物,也是CRC患者预后的独立预测指标。