Department of Surgical Oncology and General Surgery, First Hospital of China Medical University, Shenyang, China.
Department of Gastrointestinal Surgery, The Second Hospital of Jilin University, Changchun, China.
J Cell Mol Med. 2018 Jul;22(7):3605-3613. doi: 10.1111/jcmm.13640. Epub 2018 Apr 26.
Early detection is vital for prolonging 5-year survival for patients with gastric cancer (GC). Numerous studies indicate that circulating long non-coding RNAs (lncRNAs) can be used to diagnose malignant tumours. This study aimed to investigate the capacity of novel lncRNAs for diagnosing GC. A lncRNA microarray assay was used to screen differentially expressed lncRNAs between plasma of patients with GC and healthy controls. Plasma samples from 100 patients with healthy controls were used to construct a multiple-gene panel. An additional 50 pairs of GC patients with healthy controls were used to evaluate the diagnostic accuracy of the panel. Expression levels of lncRNAs were quantified through real-time polymerase chain reaction. The receiver operating characteristic curve and area under curve (AUC) were used to estimate the diagnostic capacity. We identified three lncRNAs, CTC-501O10.1, AC100830.4 and RP11-210K20.5 that were up-regulated in the plasma of GC patients with AUCs 0.724, 0.730 and 0.737, respectively (P < .01). Based on the logistic regression model, the combined AUC of the three lncRNAs was 0.764. The AUC of the panel was 0.700 in the validation cohort. These findings indicate that plasma lncRNAs can serve as potential biomarkers for detection of GC.
早期检测对于延长胃癌(GC)患者的 5 年生存率至关重要。许多研究表明,循环长链非编码 RNA(lncRNA)可用于诊断恶性肿瘤。本研究旨在探讨新型 lncRNA 诊断 GC 的能力。采用 lncRNA 微阵列分析筛选 GC 患者血浆与健康对照之间差异表达的 lncRNA。使用来自 100 名健康对照者的血浆样本构建多基因panel。另外 50 对 GC 患者和健康对照者的血浆样本用于评估 panel 的诊断准确性。通过实时聚合酶链反应定量 lncRNA 的表达水平。采用接收者操作特征曲线和曲线下面积(AUC)评估诊断能力。我们鉴定了三种在 GC 患者血浆中上调的 lncRNA,CTC-501O10.1、AC100830.4 和 RP11-210K20.5,其 AUC 分别为 0.724、0.730 和 0.737(P<.01)。基于逻辑回归模型,三种 lncRNA 的联合 AUC 为 0.764。验证队列中 panel 的 AUC 为 0.700。这些发现表明,血浆 lncRNA 可作为检测 GC 的潜在生物标志物。