长链非编码RNA SNHG3在神经胶质瘤中的表达及临床意义

Expression level and clinical significance of long non-coding RNA SNHG3 in glioma

  • 摘要: 目的 研究长链非编码RNA SNHG3在神经胶质瘤组织中的表达水平与胶质瘤患者临床病理因素之间的相关性及其预后预测价值。 方法 采集空军军医大学第二附属医院神经外科2008年6月- 2013年6月收治的70例脑胶质瘤患者的肿瘤组织以及同时期入院进行颅脑外科手术的30例病例的正常脑组织。应用RT-PCR法检测神经胶质瘤组织样本以及正常脑组织样本中SNHG3的表达水平,用Kaplan-Meier法分析患者生存率,并进行影响胶质瘤患者术后预后的单因素和多因素分析。 结果 SNHG3在神经胶质瘤组织中表达水平与正常脑组织相比明显上调(2.764±0.280 vs 1.000±0.297,P=0.001),并且SNHG3的表达水平还与肿瘤的病理级别呈正相关。此外,SNHG3的表达水平与组织学分级、KPS评分以及术后复发有密切关系,与胶质瘤患者的年龄、性别、肿瘤大小、肿瘤数目等无关。随访结果显示,SNHG3高表达组术后5年生存率明显低于SNHG3低表达组(31.4% vs 63.0%,P=0.012)。神经胶质瘤中SNHG3高表达、高组织学分级、KPS评分< 80分以及术后复发均为患者预后不良的危险因素(P< 0.05)。 结论 SNHG3在神经胶质瘤组织中表达水平明显上调,且高表达水平与胶质瘤患者不良临床预后密切相关。

     

    Abstract: Objective To detect the correlation between the expression level of long non-coding RNA SNHG3 in glioma tissues and the clinicopathological factors of glioma, and examine the prognostic value of SNHG3 in patients with glioma. Methods Both glioma brain tissues of 70 patients and normal brain tissues of 30 cases with craniocerebral surgery who admitted to the department of neurosurgery, the Second Affiliated Hospital of Air Force Military Medical University from June 2008 to June 2013 were collected.The expression level of SNHG3 in glioma tissue samples and normal brain tissue samples was detected by RT-PCR, the survival rate was analyzed by Kaplan-meier method, and the factors affecting the postoperative prognosis in patients with glioma were also analyzed by univariate and multivariate analysis. Results Compared with normal brain tissue, the expression level of SNHG3 in glioma tissue increased significantly (1.000±0.297 vs 2.764±0.280, P=0.001), and it was positively correlated with the WHO classification of tumor. Furthermore, it was also closely related to histological grading, KPS score and postoperative recurrence, but it was unrelated with age, sex, tumor size and tumor number of glioma patients. Follow-up results showed that the 5-year survival rate of SNHG3 high expression group was significantly lower than SNHG3 low expression group (31.4% vs 63.0%; P=0.012). The high expression of SNHG3, high histological grade, KPS score< 80 and postoperative recurrence were the risk factors for prognosis of patients with glioma (all P< 0.05). Conclusion The expression level of SNHG3 is significantly up-regulated in glioma tissues, and the high expression level of SNHG3 is closely related to the poor prognosis of glioma patients.

     

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