首页|miRNA-182、miRNA-200c和胃蛋白酶原Ⅰ/胃蛋白酶原Ⅱ单独及联合检测对胃癌的诊断价值

miRNA-182、miRNA-200c和胃蛋白酶原Ⅰ/胃蛋白酶原Ⅱ单独及联合检测对胃癌的诊断价值

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目的 探讨miRNA-182、miRNA-200c和胃蛋白酶原Ⅰ(PG Ⅰ)/胃蛋白酶原Ⅱ(PGⅡ)单独及联合检测对胃癌的诊断价值.方法 选取65例胃癌患者和61例健康体检者,分别作为观察组和对照组,酶联免疫吸附试验检测两组受试者血清PGⅠ和PGⅡ水平,逆转录聚合酶链反应(RT-PCR)检测miRNA-182、miRNA-200c水平.绘制受试者工作特征(ROC)曲线,计算曲线下面积(AUC),评估miRNA-182、miRNA-200c、PG Ⅰ/PGⅡ单独及联合检测对胃癌的诊断价值.结果 观察组患者血清miRNA-182、miRNA-200c水平均明显高于对照组,差异均有统计学意义(P<0.01).观察组患者血清PGⅠ水平和PGⅠ/Ⅱ均低于对照组,PGⅡ水平高于对照组,差异均有统计学意义(P<0.05).ROC曲线显示,miRNA-182、miRNA-200c、PGⅠ/PG Ⅱ联合检测诊断胃癌的AUC为0.829(95%CI:0.633~0.859),高于各指标单独检测的0.650、0.722、0.818,此时的灵敏度为0.825,特异度为0.890.结论 miRNA-182、miRNA-200c、PG Ⅰ/PGⅡ联合检测对胃癌的诊断价值更高,或可作为胃癌诊断的有效指标.
Diagnostic value of miRNA-182,miRNA-200c,and pepsinogen Ⅰ/pepsinogen Ⅱ single and combined detection in gastric cancer
Objective To explore the diagnostic value of miRNA-182,miRNA-200c,and pepsinogen Ⅰ(PG Ⅰ)/pep-sinogen Ⅱ(PG Ⅱ)single and combined detection in gastric cancer.Method A total of 65 gastric cancer patients and 61 healthy subjects were selected as observation group and control group.Enzyme-linked immunosorbent assay(ELISA)was used to detect serum levels of PG Ⅰ and PG Ⅱ in both groups.Reverse transcription-polymerase chain reaction(RT-PCR)was used to detect levels of miRNA-182,miRNA-200c in both groups.The receiver operating characteristic(ROC)curve was drawn and the area under the curve(AUC)was calculated to evaluate the diagnostic value of miRNA-182,miRNA-200c,and PG Ⅰ/PG Ⅱ single and combined detection for gastric cancer.Result The serum levels of miRNA-182,miRNA-200c in the observation group were higher than those in the control group,and the differences were sta-tistically significant(P<0.01).The serum levels of PG Ⅰ and PG Ⅰ/PG Ⅱ in the observation group were lower than those in the control group,while the level of PG Ⅱ was higher than that in the control group,and the differences were statistical-ly significant(P<0.05).The ROC curve showed that the AUC for the combined detection of miRNA-182,miRNA-200c,and PG Ⅰ/PG Ⅱ in the diagnosis of gastric cancer was 0.829(95%CI:0.633-0.859),which was higher than the single detec-tion of 0.650,0.722,and 0.818 for each indicator.At this time,the sensitivity was 0.825,and the specificity was 0.890.Conclusion The combined detection of miRNA-182,miRNA-200c,and PG Ⅰ/PG Ⅱ has higher diagnostic value for gas-tric cancer,and may serve as an effective indicator for gastric cancer diagnosis.

gastric cancermiRNA-182miRNA-200cpepsinogendiagnostic value

屠俊标、魏萍萍、叶施雨、黄耀

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上海市静安区中心医院检验科,上海 200040

上海市静安区中心医院消化内科,上海 200040

胃癌 miRNA-182 miRNA-200c 胃蛋白酶原 诊断价值

上海市医学重点专科建设项目

ZK2019B24

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(2)