血清miR-132及miR-183对胃癌的诊断价值

Value of serum miR-132 and miR-183 in diagnosis of gastric cancer

  • 摘要: 目的 探讨血清miR-132及miR-183在胃癌诊断中的价值。 方法 选取2014年1月-2017年3月海南西部中心医院收治的96例胃癌患者(胃癌组)和45例体检正常者(对照组),采用实时定量PCR法检测两组血清miR-132及miR-183表达水平,应用ROC曲线分析miR-132及miR-183对胃癌的诊断价值。 结果 胃癌组与对照组的性别(男/女:65/31 vs 28/17)、年龄(62.84±10.36)岁vs (60.46±9.72)岁差异均无统计学意义(P均> 0.05)。胃癌组血清miR-132(0.64±0.08 vs 0.12±0.03)及miR-183(5.13±0.34 vs 0.87±0.05)表达水平均明显高于对照组(t=11.834、t=15.627,P< 0.01)。ROC曲线分析显示,血清miR-132及miR-183联合诊断胃癌的AUC (95% CI)为0.958(0.892 ~ 0.996),明显优于miR-1320.864(0.805 ~0.926)(Z=7.638,P=0.000)和miR-1830.904(0.845 ~ 0.967)(Z=4.926,P=0.016),其敏感度和特异度为96.2%和87.4%。Pearson相关分析显示,胃癌患者血清miR-132与miR-183呈正相关(r=0.758,P< 0.01)。 结论 血清miR-132及miR-183在胃癌患者中明显上调,有望作为胃癌诊断的新型肿瘤标记物。

     

    Abstract: Objective To explore the diagnostic value of serum miR-132 and miR-183 in patients with gastric cancer. Methods Real time quantitative PCR was used to detect the expression of miR-132 and miR-183 in 96 cases with gastric cancer (gastric cancer group) and 45 cases of normal controls (control group) in our hospital from January 2014 to March 2017. The diagnostic value of miR-132 and miR-183 for gastric cancer was analyzed by ROC curve. Results There was no statistically significant difference in sex (male/female:65/31 vs 28/17) and age(62.84±10.36) years vs (60.46±9.72) years between two groups (all P > 0.05). The levels of serum miR-132 and miR-183 in gastric cancer group were significantly higher than those in control groupmiR-132:(5.13±0.34) vs (0.87±0.05), P=0.000; (0.64±0.08) vs (0.12±0.03), P=0.000. ROC curve analysis showed that AUC (95% CI) of the combination of serum miR-132 and miR-183 in diagnosis of gastric cancer was0.958 (0.892-0.996), which was superior to miR-1320.864 (0.805-0.926)(Z=7.638, P=0.000)and miR-1830.904 (0.845-0.967) (Z=4.926, P=0.016), and its sensitivity and specificity were 96.2% and 87.4%, respectively. Pearson correlation analysis showed that there was a positive correlation between serum miR-132 and miR-183 in patients with gastric cancer(r=0.758, P=0.000). Conclusion Serum miR-132 and miR-183 are obviously up-regulated in patients with gastric cancer, and are expected to be a novel tumor biomarker for the diagnosis of gastric cancer.

     

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