司怡然, 张海洋, 王艺, 邓婷, 白明, 宁涛, 张乐, 巴一. 胃癌患者血清miR-26a/b的表达水平及诊断价值[J]. 中国肿瘤临床, 2017, 44(24): 1242-1247. DOI: 10.3969/j.issn.1000-8179.2017.24.612
引用本文: 司怡然, 张海洋, 王艺, 邓婷, 白明, 宁涛, 张乐, 巴一. 胃癌患者血清miR-26a/b的表达水平及诊断价值[J]. 中国肿瘤临床, 2017, 44(24): 1242-1247. DOI: 10.3969/j.issn.1000-8179.2017.24.612
SI Yiran, ZHANG Haiyang, WANG Yi, DENG Ting, BAI Ming, NING Tao, ZHANG Le, BA Yi. Expression and diagnostic value of serum miR-26a/b in patients with gastric cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2017, 44(24): 1242-1247. DOI: 10.3969/j.issn.1000-8179.2017.24.612
Citation: SI Yiran, ZHANG Haiyang, WANG Yi, DENG Ting, BAI Ming, NING Tao, ZHANG Le, BA Yi. Expression and diagnostic value of serum miR-26a/b in patients with gastric cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2017, 44(24): 1242-1247. DOI: 10.3969/j.issn.1000-8179.2017.24.612

胃癌患者血清miR-26a/b的表达水平及诊断价值

Expression and diagnostic value of serum miR-26a/b in patients with gastric cancer

  • 摘要:
      目的  探讨胃癌患者血清miR-26a/b诊断胃癌的价值及其与临床病理特征的关系。
      方法  采用qRT-PCR法检测121例胃癌患者和116例正常人(对照组)血清miR-26a/b的表达量,分析miR-26a/b与胃癌临床病理特征的关系,构建受试者工作特征曲线(ROC),分析miR-26a/b诊断胃癌的价值。
      结果  胃癌患者血清miR-26a和miR-26b相对表达水平均低于对照组(1.60±1.02 vs.5.35±0.44;1.44±0.71 vs.5.35±0.71;P < 0.05),miR-26a/b的表达水平与患者TNM分期相关,且miR-26a的相对含量还与浸润深度、有无淋巴结转移相关(P < 0.05)、性别、分化程度、组织学类型等其他临床病理特征无显著相关(P>0.05);miR-26a的ROC曲线下面积为0.828(95% CI:0.776~0.881),灵敏度为73.3%,特异度为81.0%;miR-26b的ROC曲线下面积为0.853(95%CI:0.801~0.906),灵敏度为68.1%,特异度为99.2%。
      结论  miR-26a/b在胃癌患者血清中表达显著降低,并且其表达水平与胃癌的临床分期、浸润深度及有无淋巴结转移相关,有着较高的诊断价值。

     

    Abstract:
      Objective  To discuss the diagnostic value of miR-26a/b and relationship of this microRNA with clinicopathological features in patients with gastric cancer.
      Methods  The expression of serum miR-26a/b was detected in 121 patients with gastric cancer and 116 healthy controls using real-time quantitative reverse transcription polymerase chain reaction (qRT-PCR).The relationship of miR-26a/b and clinicopathological parameters of patients were analyzed.The receiver operating curve (ROC) was constructed to in vestigate the value of miR-26a/b in the diagnosis of gastric cancer.
      Results  The relative expression levels of serum miR-26a and miR-26b in patients with gastric cancer were lower than those in the control group (1.60±1.02 vs.5.35±0.44; 1.44±0.71 vs.5.35±0.71; P < 0.05).The relative expression level of miR-26a/b correlated with TNM stage, and the relative expression level of miR-26a also correlated with invasion depth and lymph node metastasis (P < 0.05), but not with sex, age, tumor size, or histological type (P>0.05).The area under the ROC curve of miR-26a was 0.828 (95% CI:0.776~0.881), with sensitivity of 73.3% and specificity of 81.0%, while the area under the ROC curve of miR-26b was 0.853 (95% CI:0.801~0.906), with sensitivity of 68.1% and specificity of 99.2%.
      Conclusion  The expression of miR-26a/b significantly reduced in patients with gastric cancer, and its expression level correlated with the clinical stage, invasion depth, and lymph node metastasis.MiR-26a/b has potential diagnostic value for gastric cancer.

     

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