Expression of plasma miR-210, miR-378 and theirs clinical significance in renal clear cell carcinoma
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摘要: 目的:分析肾透明细胞癌患者和健康人群中循环miR-210和miR-378表达差异及其临床意义。方法:收集肾透明细胞癌患者和健康人群血液标本分别为22例和20例。采用实时荧光定量聚合酶链反应(Real-time PCR)检测miR-210 和miR-378在肾透明细胞癌患者和健康人群血浆的表达水平,分析其表达水平与临床病理特征的关系。结果:miR-210、miR-378在肾透明细胞癌患者血浆中表达值[(1.76±1.88)、(0.21±0.19)]显著高于其健康人群中的表达值[(0.55±0.79)、(0.04±0.05)],差异有统计学意义(P<0.05)。miR-210的表达水平与肿瘤的病理分期(TNM分期)有关 (P<0.05);而与患者性别和年龄、民族、肿瘤大小和病理核分级(Furman分级)无明显关系(P>0.05)。而miR-378的表达水平与患者性别和年龄、民族、肿瘤大小、病理分期和病理核分级无明显关系(P>0.05)。miR-210和miR-378在诊断肾透明细胞癌的AUC分别为0.803和0.802(P<0.05)。灵敏度分别为0.818和0.682,特异度分别为0.80和0.90。结论:血浆miR-210、miR-378与肾透明细胞癌的发生发展有关,可能成为肾透明细胞癌的筛查诊断的生物学指标。Abstract: Objective:To investigate the difference of plasma miR-210 and miR-378 expression between patients with renal clear cell carcinoma and healthy people, and evaluate the clinical significance.Method:We collected blood specimens from 22 renal clear cell carcinoma patients and 20 healthy people. The level of plasma miR-210 and miR-378 were quantified by real-time reverse transcriptase polymerase chain reaction (Real-time PCR), and the relationship between miR-210, miR-378 level and clinical and pathological factors was explored.Result:The expression of plasma miR-210 and miR-378 in renal clear cell carcinoma[(1.76±1.88), (0.21±0.19)] was significantly higher than that in the healthy people[(0.55±0.79), (0.04±0.05)]. The difference was statistically significant (P<0.05). The high expression of miR-210 was associated with pathological stage (TNM stage) (P<0.05). There was no statistical difference of the expression of miR-210 among different genders, ages, nations, tumor sizes and Furman grades by the statistical analysis (P>0.05). The high expression of miR-378 was not associated with gender, age, nation, tumor size, pathological stage and Furman grade by the statistical analysis (P>0.05). The study show that plasma miR-210 and miR-378 have significant diagnostic value for renal clear cell carcinoma. MiR-210 showed the areas under the ROC curve was 0.803 (P<0.05) with 81.8% in sensitivity and 80.0% in specificity, and miR-378 showed the areas under the ROC curve was 0.802 (P<0.05) with 68.2% in sensitivity and 90.0% in specificity.Conclusion:Plasma miR-210 and miR-378 play a role in the development and progression of renal clear cell carcinoma and may be potential biomarkers in the screening diagnosis of renal clear cell carcinoma.
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Key words:
- renal clear cell carcinoma /
- RT-PCR /
- miRNAs /
- plasma
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