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miR-361-3p 表达水平的保存是宫颈癌患者预后良好的独立预测指标。

Preserved miR-361-3p Expression Is an Independent Prognostic Indicator of Favorable Survival in Cervical Cancer.

机构信息

Department of Obstetrics & Gynecology, Cangzhou Central Hospital, Hebei 061001, China.

出版信息

Dis Markers. 2018 Sep 23;2018:8949606. doi: 10.1155/2018/8949606. eCollection 2018.

Abstract

In this study, we aimed to assess the independent prognostic value of miR-361-3p in terms of overall survival (OS) and recurrence-free survival (RFS) in cervical cancer, as well as its possible regulative network. A retrospective analysis was performed by using data from the Cancer Genome Atlas-Cervical Cancer (TCGA-CESC). Results showed that decreased miR-361-3p expression was associated with lymphovascular invasion and poor responses to primary therapy. The patients with recurrence and the deceased cases had substantially lower miR-361-3p expression compared to their respective controls. By generating Kaplan-Meier curves of OS and RFS, we found that high miR-361-3p expression was associated with better survival outcome. More importantly, univariate and multivariate analysis confirmed that high miR-361-3p expression was an independent indicator of favorable OS (HR: 0.377, 95% CI: 0.233-0.608, < 0.001) and RFS (HR: 0.398, 95% CI: 0.192-0.825, = 0.013). By performing bioinformatic analysis, we identified 24 genes that were negatively correlated with miR-361-3p expression. Among the potential targeting genes, , , , and are involved in some important signaling pathways modulating cervical cancer cell invasion, migration, and drug sensitivity. Therefore, it is meaningful to verify the potential regulative effect of miR-361-3p on the expression of these genes in the future.

摘要

在这项研究中,我们旨在评估 miR-361-3p 在宫颈癌患者总生存(OS)和无复发生存(RFS)方面的独立预后价值,以及其可能的调控网络。我们通过使用癌症基因组图谱-宫颈癌(TCGA-CESC)的数据进行了回顾性分析。结果表明,miR-361-3p 表达降低与淋巴管侵犯和对初始治疗的不良反应有关。与各自的对照组相比,复发和死亡患者的 miR-361-3p 表达明显降低。通过生成 OS 和 RFS 的 Kaplan-Meier 曲线,我们发现高 miR-361-3p 表达与更好的生存结局相关。更重要的是,单因素和多因素分析证实高 miR-361-3p 表达是 OS(HR:0.377,95%CI:0.233-0.608,<0.001)和 RFS(HR:0.398,95%CI:0.192-0.825,=0.013)的独立预后指标。通过进行生物信息学分析,我们鉴定出 24 个与 miR-361-3p 表达呈负相关的基因。在这些潜在的靶基因中,、、、和 参与调节宫颈癌细胞侵袭、迁移和药物敏感性的一些重要信号通路。因此,未来验证 miR-361-3p 对这些基因表达的潜在调控作用是有意义的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/255c/6174793/e5c614f41161/DM2018-8949606.001.jpg

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