吕秀,雷明盛,贾凤玲,李赛,张楚红,胡甜,贺莎,严汉兴,胡云,陈荣如,谭贻兮,文美玲,左建宏.循环miR-4731-3p在肺癌患者血浆中的表达及临床意义.[J].中南医学科学杂志.,2017,(3):255-258.
循环miR-4731-3p在肺癌患者血浆中的表达及临床意义
Expression and clinical significance of miR-4731-3p inplasma of patients with lung cancer
投稿时间:2016-10-25  修订日期:2016-12-28
DOI:10.15972/j.cnki.43-1509/r.2017.03.010
中文关键词:  肺癌  微小RNA-4731-3p  诊断  预后
英文关键词:lung cancer  MiR-4731-3p  diagnosis  prognosis
基金项目:国家自然科学基金(81272960),湖南省科技厅项目(2013WK2010),人社部重点项目[2016]176号,省卫计委项目[B2014-171],张家界市科技局项目[2015GK1128]. 
作者单位
吕秀 南华大学附属南华医院肿瘤内科,湖南 衡阳 421001
南华大学医学院肿瘤研究所 
雷明盛 张家界市人民医院呼吸内科 
贾凤玲 南华大学医学院肿瘤研究所 
李赛 南华大学附属南华医院肿瘤内科,湖南 衡阳 421001 
张楚红 南华大学附属南华医院肿瘤内科,湖南 衡阳 421001 
胡甜 南华大学附属南华医院肿瘤内科,湖南 衡阳 421001 
贺莎 南华大学附属南华医院肿瘤内科,湖南 衡阳 421001 
严汉兴 南华大学附属南华医院肿瘤内科,湖南 衡阳 421001 
胡云 南华大学医学院肿瘤研究所 
陈荣如 南华大学附属南华医院肿瘤内科,湖南 衡阳 421001 
谭贻兮 南华大学附属南华医院肿瘤内科,湖南 衡阳 421001 
文美玲 南华大学附属南华医院肿瘤内科,湖南 衡阳 421001 
左建宏 南华大学附属南华医院肿瘤内科,湖南 衡阳 421001
南华大学医学院肿瘤研究所 
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中文摘要:
      目的 探讨microRNA-4731-3p(miR-4731-3p)在肺癌血浆中的表达及其临床意义。方法采用实时荧光定量PCR(qRT-PCR)方法检测40例肺癌患者和40例健康人(作为对照)血浆miR-4731-3p的表达水平,分析其与临床病理参数和预后的相关性。绘制受试者工作特征曲线(ROC),评价血浆miR-4731-3p表达水平对原发性肺癌的诊断价值。结果肺癌血浆中miR-4731-3p的表达水平(0.11±0.05)显著高于健康人(0.05±0.03)(P<0.001);miR-4731-3p表达水平与癌胚抗原(CEA)正相关(P<0.05),与患者性别、年龄、吸烟、病理类型、肿瘤大小、临床分期、远处转移均无明显相关性(P>0.05)。血浆miR-4731-3p在ROC曲线下面积(AUC)为0.835(95% CI =0.750~0.921)。当miR-4731-3p临界值取0.048时,对肺癌诊断的灵敏度为0.950,特异度为0.575。Kaplan-Meier分析显示肺癌血浆中miR-4731-3p低表达者生存时间明显高于高表达组(P<0.05)。结论血浆miR-4731-3p在肺癌血浆中表达上调,可作为肺癌诊断及预后判断的潜在分子标志物。`
英文摘要:
      Objective To investigate the expression of microRNA-4731-3p (miR-4731-3p) in the plasma of patients with lung cancer and to determine the correlation between miR-4731-3p level and clinical parameters.MethodsQuantitative real-time PCR (qRT-PCR) was used to examine the plasma level of miR-4731-3p in 40 patients with lung cancer and 40 healthy persons (control).The correlation between the plasma miR-4731-3p level and clinicopathological features and prognosis were investigated.Receiver operating characteristic (ROC) curve were drawn to evaluate the diagnosis value of miR-4731-3p expression in plasma for lung cancer.ResultsThe plasma miR-4731-3p was significantly up-regulated in patients with lung cancer as compared with healthy subjects.The expression of miR-4731-3p was associated with carcino-embryonic antigen (CEA) (P<0.05),while it was not associated with gender,age,smoking,pathology type,tumor size,clinical stage and distant metastasis (P>0.05).The area under the ROC curve (AUC) according to the miR-4731-3p expression in plasma was 0.835(95% CI =0.750~0.921),when the critical value was 0.048.The sensitivity for lung cancer diagnosis and specific degrees were 0.950 and 0.575 respectively.The expression of miR-4731-3p was correlated with overall survival of lung cancer (P<0.05).ConclusionThe expression of miR-4731-3p is up-regulated in tumor,and it may be a potential biomarker for the diagnosis and prognosis evaluation of lung cancer.
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