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miR-146a和miR-155的过表达可能是生物标志物,并预示着胃癌与幽门螺杆菌感染之间存在不良关系。

Overexpression of miR-146a and miR-155 are Potentially Biomarkers and Predict Unfavorable Relationship between Gastric Cancer and Helicobacter pylori Infection.

作者信息

Karimi Masoud, Mohammadnia Abdolreza, Amini Mohammad Amin, Shamekh Azar Ghavimi, Derakhshanfar Elahe, Hosseini Farzaneh

机构信息

Department of Medical Biotechnology, School of Sciences and Advanced Technologies, Hamadan University of Medical Sciences, Hamadan, Iran.

Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Chonnam Med J. 2023 Sep;59(3):167-173. doi: 10.4068/cmj.2023.59.3.167. Epub 2023 Sep 25.

Abstract

Gastric Cancer (GC) is one of the most dangerous malignancies in the world. This study aims to evaluate the relationship between miR-146a and miR-155 in patients with infections with GC compared to -infected patients and healthy subjects. Forty patients with and GC positive diagnoses and 40 patients with positive and GC negative diagnoses, and 40 healthy persons were selected. The expression of miR-146a and miR-155 genes in the whole blood was examined using qRT-PCR. Moreover, ROC curves were drawn to represent the sensitivity and specificity of miR-146a and miR-155 expression as biomarkers. The results showed the expression of miR-146a and miR-155 in the whole blood of patients with and GC positive diagnoses are significantly higher than in healthy individuals and are non-significantly enhanced compared to positive and GC negative. Also, the results stated miR-146a and miR-155 expression in the whole blood of patients who are positive and GC negative are significantly increased compared to healthy individuals. Furthermore, the ROC curve analysis of miR-146a and miR-155 RNA level demonstrated the two miRNAs have an appropriate sensitivity and specificity for diagnostic goals. In conclusion, infection may increase the expression of miR-146a and miR-155 in patients with and GC positive diagnoses, which can be effective in the curbing the progression of GC. For this reason, up-regulation of miR-146a and miR-155 along with infection might contribute to the pathogenesis of GC, and also can be suggested as biomarkers for GC diagnosis and treatment.

摘要

胃癌(GC)是世界上最危险的恶性肿瘤之一。本研究旨在评估与未感染患者和健康受试者相比,感染幽门螺杆菌(Hp)的胃癌患者中miR - 146a和miR - 155之间的关系。选取了40例Hp和GC诊断均为阳性的患者、40例Hp阳性但GC阴性的患者以及40名健康人。采用qRT - PCR检测全血中miR - 146a和miR - 155基因的表达。此外,绘制ROC曲线以表示miR - 146a和miR - 155表达作为生物标志物的敏感性和特异性。结果显示,Hp和GC诊断均为阳性的患者全血中miR - 146a和miR - 155的表达显著高于健康个体,与Hp阳性但GC阴性的患者相比虽有升高但无统计学意义。同时,结果表明Hp阳性但GC阴性的患者全血中miR - 146a和miR - 155的表达与健康个体相比显著增加。此外,miR - 146a和miR - 155 RNA水平的ROC曲线分析表明这两种微小RNA对诊断目标具有适当的敏感性和特异性。总之,Hp感染可能会增加Hp和GC诊断均为阳性的患者中miR - 146a和miR - 155的表达,这可能对抑制GC的进展有效。因此,miR - 146a和miR - 155的上调以及Hp感染可能参与GC的发病机制,也可作为GC诊断和治疗的生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b91/10570867/c030cf3d7f31/cmj-59-167-g001.jpg

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