Department of Oncology, Daqing Oilfield General Hospital, Daqing, Heilongjiang, China.
Eur Rev Med Pharmacol Sci. 2018 Jan;22(2):456-460. doi: 10.26355/eurrev_201801_14195.
MicroRNAs (miRNAs) have been reported to play important roles in the progression of breast cancer (BC). In the present study, we aimed to explore the association between miR-597 expression level and prognosis of BC.
The expression levels of miR-597 were measured using quantitative Real-time polymerase chain reaction (qRT-PCR) analysis. The association between miR-597 expression and clinicopathological factors was analyzed. Differences in BC patient survival were determined using the Kaplan-Meier method and log-rank test. The prognostic value of miR-597 was further verified using the Cox proportional hazards regression model.
Our data indicated that miR-597 was lowly expressed in BC compared with adjacent non-malignant tissues (p<0.001). Low miR-597 expression was observed to be closely associated with positive lymph node metastasis (p=0.001), higher TNM stage (p = 0.003), and poorer pathological differentiation (p=0.006). Furthermore, patients with lower levels of miR-597 expression had a shorter overall survival time than patients with higher miR-597 expression levels (p=0.009). In addition, multivariate Cox proportional hazards model analysis confirmed that miR-597 was an independent prognostic indicator of overall survival (p=0.005; HR 2.273; CI 95%, 1.117-4.291).
We showed, for the first time, that decreased miR-597 expression suggested unfavorable prognosis for BC patients.
已有研究表明 microRNAs(miRNAs)在乳腺癌(BC)的进展中发挥着重要作用。本研究旨在探讨 miR-597 表达水平与 BC 患者预后的关系。
采用实时定量聚合酶链反应(qRT-PCR)分析检测 miR-597 的表达水平。分析 miR-597 表达与临床病理因素的关系。采用 Kaplan-Meier 法和对数秩检验比较 BC 患者的生存差异。进一步采用 Cox 比例风险回归模型验证 miR-597 的预后价值。
我们的数据表明,miR-597 在 BC 组织中的表达水平明显低于癌旁非恶性组织(p<0.001)。miR-597 低表达与阳性淋巴结转移(p=0.001)、较高的 TNM 分期(p=0.003)和较差的病理分化(p=0.006)密切相关。此外,miR-597 低表达患者的总生存期短于 miR-597 高表达患者(p=0.009)。多因素 Cox 比例风险模型分析证实,miR-597 是总生存期的独立预后指标(p=0.005;HR 2.273;95%CI 1.117-4.291)。
本研究首次表明,miR-597 表达降低提示 BC 患者预后不良。