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微小RNA-17、微小RNA-19b、微小RNA-146a、微小RNA-302d在肝母细胞瘤中的表达及临床意义。

MicroRNA-17, MicroRNA-19b, MicroRNA-146a, MicroRNA-302d Expressions in Hepatoblastoma and Clinical Importance.

作者信息

Ecevit Çiğdem Ö, Aktaş Safiye, Tosun Yildirim Hülya, Demirağ Bengü, Erbay Ayşe, Karaca İrfan, Çelik Ahmet, Demir Ayşe Banu, Erçetin Ayşe Pinar, Olgun Nur

机构信息

Departments of Pediatric Gastroenterology, Hepatology, and Nutrition.

Department of Basic Oncology, Dokuz Eylül University.

出版信息

J Pediatr Hematol Oncol. 2019 Jan;41(1):7-12. doi: 10.1097/MPH.0000000000001234.

Abstract

Hepatoblastoma (HB) is the most common liver malignancy in children. The prognosis changes according to the histologic subtypes of HB. In the present study, we aimed to characterize the expression level of selected microRNAs (miRNAs) in HB as well as in histologic subtypes, and to consider the association with the prognosis. A total of 22 HB tumor samples, subtyped as fetal (n=16) and embryonal (n=6), and 10 nontumorous surrounding liver samples were evaluated in this study. Expressions of miR-17, miR-146a, miR-302d, and miR-19b were analyzed in 22 HB tumor samples and 10 nontumorous surrounding liver samples by quantitative real-time polymerase chain reaction. Lower miRNA-17 expression levels were obtained in tumor samples in comparison with nontumorous surrounding liver samples (P=0.028). Lower miRNA-17 expression was significant for predicting prognosis in HB patients (area under receiver-operator characteristic curve=0.875, P=0.044). A higher-level of miR-19b was found in embryonal samples (P=0.008). Overall and event-free survival was not found to correlate with miRNA expression levels (P>0.05). This research finds miRNA-17 and miRNA-19b expression levels can provide important data on diagnosis and prognosis in HB showing different clinical behaviors.

摘要

肝母细胞瘤(HB)是儿童最常见的肝脏恶性肿瘤。其预后根据HB的组织学亚型而变化。在本研究中,我们旨在描述特定微小RNA(miRNA)在HB及其组织学亚型中的表达水平,并探讨其与预后的关系。本研究共评估了22例HB肿瘤样本(其中胎儿型16例,胚胎型6例)以及10例肿瘤周围的非肿瘤性肝脏样本。通过定量实时聚合酶链反应分析了22例HB肿瘤样本和10例肿瘤周围非肿瘤性肝脏样本中miR-17、miR-146a、miR-302d和miR-19b的表达。与肿瘤周围非肿瘤性肝脏样本相比,肿瘤样本中miRNA-17的表达水平较低(P = 0.028)。较低的miRNA-17表达对预测HB患者的预后具有显著意义(受试者工作特征曲线下面积= 0.875,P = 0.044)。在胚胎型样本中发现miR-19b水平较高(P = 0.008)。未发现总生存期和无事件生存期与miRNA表达水平相关(P>0.05)。本研究发现miRNA-17和miRNA-19b的表达水平可为表现出不同临床行为的HB的诊断和预后提供重要数据。

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