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血清中miR-93-5p/miR-18a表达改变对非小细胞肺癌的诊断价值

Altered miR-93-5p/miR-18a expression in serum for diagnosing non-small cell lung cancer.

作者信息

Shao Lili, Lu Xiaomin, Zhou Yan, Wang Yan, Wang Xiaoli, Zhuang Zhixiang, Gong Jun

机构信息

Department of Medical Oncology, The Second Affiliated Hospital of Soochow University Suzhou 215004, Jiangsu Province, China.

Department of Medical Oncology, Affiliated Tumor Hospital of Nantong University Nantong 226361, Jiangsu Province, China.

出版信息

Am J Transl Res. 2021 May 15;13(5):5073-5079. eCollection 2021.

Abstract

OBJECTIVE

This research aimed at probing into miR-93-5p and miR-18a's diagnostic and prognostic values in non-small cell lung cancer (NSCLC) patients.

METHODS

A total of 107 patients diagnosed with NSCLC in the Department of Oncology and Thoracic Surgery of our hospital from January 2015 to June 2016 were regarded as the research group (RG), and 42 healthy people were considered as the control group (CG). Serum samples were collected and miR-93-5p, miR-18a expression was detected via qPCR. The relationship between miR-93-5p, miR-18a and clinicopathological characteristics of NSCLC patients was assessed, and the diagnostic value of the two miRNAs was analyzed by ROC curve.

RESULTS

miR-93-5p and miR-18a were up-regulated in NSCLC. The higher the degree of tumor differentiation, the higher the TNM stage and the expression of the two miRNAs were. The high expression was tied to tumor differentiation degree, TNM stage, lymph node metastasis and lymph-vascular space invasion (LVSI). The survival rate of miR-93-5p and miR-18a high expression patients was worse than that of those with low expression. The AUC value of both of the mRNAs in NSCLC diagnosis was high (0.8905).

CONCLUSION

The expression of miR-93-5p and miR-18a is associated with NSCLC severity and prognosis, and both can be used as potential markers for diagnosis.

摘要

目的

本研究旨在探讨miR - 93 - 5p和miR - 18a在非小细胞肺癌(NSCLC)患者中的诊断及预后价值。

方法

将2015年1月至2016年6月在我院肿瘤内科和胸外科确诊为NSCLC的107例患者作为研究组(RG),42例健康人作为对照组(CG)。采集血清样本,通过qPCR检测miR - 93 - 5p、miR - 18a的表达。评估miR - 93 - 5p、miR - 18a与NSCLC患者临床病理特征的关系,并通过ROC曲线分析这两种微小RNA的诊断价值。

结果

NSCLC中miR - 93 - 5p和miR - 18a上调。肿瘤分化程度越高、TNM分期越高,这两种微小RNA的表达越高。高表达与肿瘤分化程度、TNM分期、淋巴结转移及脉管侵犯(LVSI)相关。miR - 93 - 5p和miR - 18a高表达患者的生存率低于低表达患者。两种mRNA在NSCLC诊断中的AUC值均较高(0.8905)。

结论

miR - 93 - 5p和miR - 18a的表达与NSCLC的严重程度及预后相关,二者均可作为潜在的诊断标志物。

相似文献

本文引用的文献

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Lung Cancer.肺癌。
Med Clin North Am. 2019 May;103(3):463-473. doi: 10.1016/j.mcna.2018.12.006.

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