Zhang Wei, Wan Bo, Liu Bei, Wu Shiwen, Zhao Li
Central Laboratory, The First Hospital of Lanzhou University, Lanzhou, Gansu 730000, P.R. China.
Department of Rehabilitation Medicine, Lanzhou University Second Hospital, Lanzhou, Gansu 730000, P.R. China.
Oncol Lett. 2020 Aug;20(2):1938-1944. doi: 10.3892/ol.2020.11748. Epub 2020 Jun 17.
The present study aimed to explore the clinical significance of miR-372 and miR-495 in acute myeloid leukemia (AML). Eighty-one AML patients (research group) admitted to the First Hospital of Lanzhou University from March 2012 to January 2014 were selected, and 60 healthy persons (control group) were selected. The expression levels of miR-372 and miR-495 in the peripheral blood of the subjects were detected by reverse transcriptase quantitative PCR, and their diagnostic and prognostic values in AML were analyzed. The miR-372 expression level in the peripheral blood of patients in the research group was significantly higher than that in the control group (P<0.05), and the miR-495 level was significantly lower than that in the control group (P<0.05). The area under the curve (AUC), sensitivity, and specificity of miR-372 combined with miR-495 in the diagnosis of AML were 0.925, 86.43, and 93.33% respectively. The 5-year survival rate of patients with high expression of miR-372 was lower than that of those with low expression of miR-372 (P<0.05), and the 5-year survival rate of patients with high expression of miR-495 was higher than that of those with low expression of miR-495 (P<0.05). miR-372 and miR-495 were independent risk factors for the prognosis and survival of AML patients. miR-372 expression increased in AML, while miR-495 decreased. miR-372 and miR-495 are effective indicators for the early diagnosis and prognosis of AML.
本研究旨在探讨miR-372和miR-495在急性髓系白血病(AML)中的临床意义。选取2012年3月至2014年1月在兰州大学第一医院收治的81例AML患者(研究组),并选取60例健康人作为对照组。采用逆转录定量PCR检测受试者外周血中miR-372和miR-495的表达水平,并分析其在AML中的诊断和预后价值。研究组患者外周血中miR-372表达水平显著高于对照组(P<0.05),miR-495水平显著低于对照组(P<0.05)。miR-372联合miR-495诊断AML的曲线下面积(AUC)、灵敏度和特异度分别为0.925、86.43%和93.33%。miR-372高表达患者的5年生存率低于miR-372低表达患者(P<0.05),miR-495高表达患者的5年生存率高于miR-495低表达患者(P<0.05)。miR-372和miR-495是AML患者预后和生存的独立危险因素。AML中miR-372表达升高,而miR-495表达降低。miR-372和miR-495是AML早期诊断和预后的有效指标。