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miR-1256 在结直肠癌中的临床病理及预后相关性:一项初步临床研究。

Clinicopathologic and prognostic relevance of miR-1256 in colorectal cancer: a preliminary clinical study.

机构信息

Department of Gastroenterological Surgery, Jining No.1 People's Hospital, Jining, Shandong, China.

出版信息

Eur Rev Med Pharmacol Sci. 2018 Nov;22(22):7704-7709. doi: 10.26355/eurrev_201811_16391.

Abstract

OBJECTIVE

MicroRNAs (miRNAs) as a new class of biomarkers have been explored in recent studies. We investigate whether miR-1256 could be considered as powerful biomarkers for predicting the prognosis of colorectal cancer (CRC).

PATIENTS AND METHODS

The expression of miR-1256 in CRC was compared with matched normal tissue and using qRT-PCR. The correlation of miR-1256 expression with clinicopathological factors was statistically analyzed. Survival rate was determined with Kaplan-Meier and statistically analyzed with the log-rank method between groups. Univariate and multivariate Cox regression analysis was used to identify the independent risk factors for CRC.

RESULTS

We found that miR-1256 level in CRC tissues is notably reduced compared to matched non-cancerous specimens (p < 0.01), and the expression of miR-1256 was significantly correlated with TNM stage (p = 0.000) and lymph node metastasis (p < 0.07). Kaplan-Meier analysis showed that CRC patients with low miR-1256 expression level had distinctly shorter overall survival (p = 0.004) and disease-free survival (p < 0.001) than patients with high miR-1256 expression level. Finally, Cox regression analyses showed that low miR-1256 expression might be an independent prognostic parameter to predict poor prognosis of CRC patients.

CONCLUSIONS

We firstly provided evidence that low miR-1256 expression was associated with the progression of CRC and could be used as a prognostic biomarker for breast cancer. Further studies are needed.

摘要

目的

微小 RNA(miRNAs)作为一类新的生物标志物,在最近的研究中得到了探索。我们研究 miR-1256 是否可以作为预测结直肠癌(CRC)预后的有力生物标志物。

患者与方法

采用 qRT-PCR 比较 CRC 中 miR-1256 的表达与配对正常组织。统计学分析 miR-1256 表达与临床病理因素的相关性。用 Kaplan-Meier 法确定生存率,并采用对数秩检验进行组间统计学分析。采用单因素和多因素 Cox 回归分析确定 CRC 的独立危险因素。

结果

我们发现 CRC 组织中 miR-1256 水平明显低于配对非癌标本(p < 0.01),miR-1256 的表达与 TNM 分期(p = 0.000)和淋巴结转移(p < 0.07)显著相关。Kaplan-Meier 分析显示,miR-1256 低表达的 CRC 患者总生存(p = 0.004)和无病生存(p < 0.001)明显短于 miR-1256 高表达的患者。最后,Cox 回归分析表明,miR-1256 低表达可能是预测 CRC 患者预后不良的独立预后参数。

结论

我们首次提供了证据表明,miR-1256 低表达与 CRC 的进展有关,可作为乳腺癌的预后生物标志物。需要进一步研究。

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