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论文摘要

血浆miR-1290表达水平对口腔鳞状细胞癌患者预后预测的价值

Prognostic value of plasma miR-1290 expression in patients with oral squamous cell carcinoma

作者:陈秀敏, 刘族志, 林建能

Author:Chen Xiumin, Liu Zuzhi, Lin Jianneng

收稿日期:2019-11-25          年卷(期)页码:2020,38(4):371-371-375

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:口腔鳞状细胞癌,miR-1290,预后预测,

Key words:oral squamous cell carcinoma,miR-1290,prognostic prediction,

基金项目:

中文摘要

目的 探讨血浆miR-1290表达水平对口腔鳞状细胞癌(OSCC)患者预后预测的价值。方法 选取2014年1月—2018年12月儋州市人民医院收治的OSCC患者70例,采用实时荧光定量聚合酶链反应检测OSCC患者血浆miR-1290表达水平。通过ROC曲线确定血浆miR-1290表达水平的最佳界值,并以此为标准将OSCC患者分为高miR-1290组(n=31)和低miR-1290组(n=39),对2组临床病理特征进行比较。应用Kaplan-Meier法绘制生存曲线,采用单因素及多因素COX回归模型分析影响OSCC患者预后不良的危险因素。结果 OSCC组血浆miR-1290表达水平(0.65±0.14)明显低于对照组(2.06±0.90),二者间差异有统计学意义(t=13.912,P<0.001)。血浆miR-1290低表达与OSCC患者的临床分期、分化程度、肿瘤直径及淋巴结转移有关(P<0.05)。生存分析显示,低miR-1290组患者总生存率和无进展生存率明显低于高miR-1290组(P<0.01)。多因素COX回归模型分析显示,临床分期、淋巴结转移及血浆miR-1290<1.14是影响OSCC患者预后不良的独立危险因素(P<0.05)。结论 OSCC患者血浆miR-1290表达水平明显降低,miR-1290低表达与OSCC患者生存期短有关,可能是预测OSCC预后不良的潜在标志物。

英文摘要

ObjectiveTo investigate the prognostic value of plasma miR-1290 in patients with oral squamous cell carcinoma (OSCC).MethodsSeventy patients with OSCC admitted to Danzhou People’s Hospital from January 2014 to December 2018 were included in this study. Real-time fluorescence quantitative polymerase chain reaction (PCR) was used to detect the expression of miR-1290 in these patients. The optimal cut-off value of plasma miR-1290 expression was determined by the ROC curve method, and patients with OSCC were divided into the high (n=31) and low (n=39) miR-1290-expressing groups. The clinicopathological features of the two groups were compared, and survival curves were drawn using the Kaplan-Meier method. Risk factors affecting the poor prognosis of patients were analyzed using univariate and multivariate COX regression models.ResultsThe expression level of plasma miR-1290 in the OSCC group was significantly lower than that in the control group (0.65±0.14 vs. 2.06±0.90;t=13.912,P<0 .001). the low expression of plasma mir-1290 appeared to be related to the clinical stage, differentiation degree, tumor diameter, and lymph node metastasis of oscc (P<0 .05). survival analysis showed that the overall survival rate and the progression-free survival rate of the low-mir-1290 group were significantly lower than that of the high-mir-1290 group (P<0 .01). multivariate cox regression analysis showed that clinical stage, lymph node metastasis, and plasma mir-1290<1.14 were independent risk factors for the poor prognosis of patients with oscc (P<0 .05).ConclusionThe expression level of plasma miR-1290 in patients with OSCC significantly decreased, and the low expression of miR-1290 is related to the short survival time of OSCC patients. Thus, miR-1290 may be a potential marker predicting the poor prognosis of OSCC.

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