邓君, 饶绍琴, 黄文芳. 两种方法检测myc基因表达水平在乳腺癌诊断中的应用[J]. 中国肿瘤临床, 2008, 35(21): 1233-1235.
引用本文: 邓君, 饶绍琴, 黄文芳. 两种方法检测myc基因表达水平在乳腺癌诊断中的应用[J]. 中国肿瘤临床, 2008, 35(21): 1233-1235.
DENG Jun, RAO Shao-qin, HUANG Wen-fang. Detection of myc mRNA Expression with Two Methods for Diagnosis of Breast Carcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2008, 35(21): 1233-1235.
Citation: DENG Jun, RAO Shao-qin, HUANG Wen-fang. Detection of myc mRNA Expression with Two Methods for Diagnosis of Breast Carcinoma[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2008, 35(21): 1233-1235.

两种方法检测myc基因表达水平在乳腺癌诊断中的应用

Detection of myc mRNA Expression with Two Methods for Diagnosis of Breast Carcinoma

  • 摘要: 目的: 比较荧光定量聚合酶链反应(FQ-PCR)和逆转录聚合酶链反应(RT-PCR)对乳腺癌相关基因-核内原癌基因(c-myc)的检测灵敏度和特异性,探讨其在乳腺癌诊断中的应用. 方法: 采用荧光定量聚合酶链反应,并以β2-微球蛋白为内对照,检测乳腺癌和良性乳腺疾病等不同病种患者139例及健康志愿者40例外周血中mycmRNA水平,同时采用逆转录聚合酶链反应进行对比研究. 结果: 若以myc/β2一微球蛋白高于正常对照组x-+2s为阳性,78例乳腺癌患者myc mRNA基因表达阳性数为32,阳性率41.0%,良性乳腺疾病组和其它肿瘤组阳性数为0.mycmRNA在乳腺癌组表达高于良性乳腺疾病组和其它病种组(P<0.01),在正常对照组和良性乳腺疾病组间差异无显著性意义(P>0.05).β2-微球蛋白在四组间差异无显著性意义(P>0.05).FQ-PCR对乳腺癌诊断的灵敏度和特异性为41.0%,82.2%,RT-PCR则分别为32.1%,75.2%,FQ-PCR均显著高于RT-PCR法. 结论: FQ-PCR检测myc对乳腺癌诊断灵敏度和特异性较高,具有高精确性、高效率和污染小等特点,而且标本来源容易,FQ-PCR对myc的检测可有效辅助诊断乳腺癌.

     

    Abstract: Objective : To compare the sensitivity and specificity betweem FQ-PCR and RT-PCR in detecting mycgene and to discuss clinical application of the two methods in the diagnosis of breast carcinoma. Methods : Weused FQ-PCR and RT-PCR to detect myc mRNA expression in tissue samples from 139 patients with benignbreast disease or carcinoma and 40 health women. β2-microprotein was used as the internal control. The re-sults were compared. Results : Using the standard that the expression of myc/β2-microprotein was higher thanx-+2s of normal controls, the positive ratio of breast carcinoma and benign disease were 41.0% and 0, respec-tively. Myc mRNA expression in the breast carcinoma group was higher than that in the benign breast diseasegroup (P<0.01). No significant difference was found in myc and myc/β2-microprotein expression between thenormal controls and the benign breast disease group (P>0.05). No statistical significance was found in β2-mi-croprotein expression among the three groups (P>0.05). The sensitivity and specificity of FQ-PCR for myc ex-pression were 41.0% and 82.2%, respectively. The sensitivity and specificity of RT-PCR for myc expressionwere 32.1% and 75.2%, respectively. Conclusion : The sensitivity and specificity of FQ-PCR for myc detectionwere higher than those of RT-PCR, with high precision and efficiency and low contamination. Gene expres-sion of myc can provide objective evidence for the diagnosis of breast carcinoma.

     

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