Wang Chongshan, Tian Shengping, Zhang Dongjiang, Deng Jinbiao, Cai Huage, Shi Chongjun, Yang Weizhong
Department of Urology, Huizhou Third People's Hospital, Guangzhou Medical University, Huizhou, Guangdong, China.
Medicine (Baltimore). 2020 May 29;99(22):e18432. doi: 10.1097/MD.0000000000018432.
MicroRNA-93 (miR-93) has been found to be up-regulated in multiple malignancies. miR-93 might promote the proliferation and invasion of prostate cancer cell. In the present study, we aimed to investigate the expression level of miR-93 in prostate cancer tissues and its clinical and prognostic value in patients with prostate cancer.A total of 103 paired prostate cancer tissues and adjacent normal tissues were obtained from male patients who underwent surgical treatment in the department of urology, Huizhou Third People's Hospital, Guangzhou Medical University between July 2014 and March 2018. The correlation between prostate cancer characteristics and miR-93 expression was examined by chi-square test. Patient survival was evaluated using the Kaplan-Meier method and compared using log-rank test. Univariate and multivariate Cox regression analyses were performed for survival data.Compared to noncancerous prostate tissues, the expression levels of miR-93 in prostate cancer tissues were significantly increased (P < .001). High level of miR-93 expression was significantly correlated with Gleason score (P = .018), lymph node involvement (P = .026), bone metastasis (P < .001), and Tumor Node Metastasis (TNM) stage (P < .001). The 5-year overall survival rate in the high expression group was lower than that in the low expression group (log-rank test, P = .031). Multivariate Cox regression analysis showed that miR-93 expression level (HR = 2.181, 95% CI: 1.092-6.829, P = .028) was an independent factor in predicting the overall survival of prostate cancer patients.The present study demonstrated that increased expression of miR-93 correlates with progression and prognosis of prostate cancer. These fndings suggest miR-93 may serve as a novel target for prostate cancer prognosis and therapy.
已发现微小RNA-93(miR-93)在多种恶性肿瘤中表达上调。miR-93可能促进前列腺癌细胞的增殖和侵袭。在本研究中,我们旨在调查miR-93在前列腺癌组织中的表达水平及其在前列腺癌患者中的临床和预后价值。
2014年7月至2018年3月期间,从广州医科大学附属惠州第三人民医院泌尿外科接受手术治疗的男性患者中获取了103对前列腺癌组织及相邻正常组织。采用卡方检验分析前列腺癌特征与miR-93表达之间的相关性。使用Kaplan-Meier法评估患者生存率,并采用对数秩检验进行比较。对生存数据进行单因素和多因素Cox回归分析。
与非癌性前列腺组织相比,前列腺癌组织中miR-93的表达水平显著升高(P<0.001)。miR-93高表达与Gleason评分(P=0.018)、淋巴结受累(P=0.026)、骨转移(P<0.001)及肿瘤淋巴结转移(TNM)分期(P<0.001)显著相关。高表达组的5年总生存率低于低表达组(对数秩检验,P=0.031)。多因素Cox回归分析显示,miR-93表达水平(HR=2.181,95%CI:1.092-6.829,P=0.028)是预测前列腺癌患者总生存的独立因素。
本研究表明miR-93表达增加与前列腺癌的进展和预后相关。这些发现提示miR-93可能成为前列腺癌预后和治疗的新靶点。