首页|溶骨性骨代谢标志物血Ⅰ型CTP、miR-107及TRACP-5b检测在肺癌骨转移中的诊断价值

溶骨性骨代谢标志物血Ⅰ型CTP、miR-107及TRACP-5b检测在肺癌骨转移中的诊断价值

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目的 分析血Ⅰ型胶原交联羧基末端肽(ⅠCTP)、微小RNA-107(miR-107)、血抗酒石酸酸性磷酸酶5b(TRACP-5b)检测在肺癌骨转移中的诊断效果.方法 选取2020年10月至2022年12月于河南省人民医院医治的中晚期肺癌患者122例,根据是否发生骨转移分为骨转移组58例、非骨转移组64例.比较骨转移组、非骨转移组ⅠCTP、miR-107、TRACP-5b水平.比较骨转移组病灶不同分级ⅠCTP、miR-107、TRACP-5b水平.比较骨转移组不同骨转移累及数目ⅠCTP、miR-107、TRACP-5b水平.分析ⅠCTP、miR-107、TRACP-5b对肺癌骨转移的诊断效能.结果 骨转移组ⅠCTP、miR-107、TRACP-5b水平均高于非骨转移组,差异具有统计学意义(P<0.05).ⅠCTP、miR-107、TRACP-5b水平:Ⅲ~Ⅳ级>Ⅰ~Ⅱ级>0级,差异具有统计学意义(P<0.05).≥3处以上转移组ⅠCTP、miR-107、TRACP-5b水平高于≤2处转移组,差异具有统计学意义(P<0.05).ⅠCTP、miR-107、TRACP-5b联合诊断肺癌骨转移灵敏度为96.42%,特异度为93.93%,准确度为95.08%,均高于上述指标单一检查(P<0.05).结论 ⅠCTP、miR-107、TRACP-5b水平与肺癌骨转移发生具有紧密关联,其中TRACP-5b检测肺癌骨转移灵敏度、特异度及准确度最高,三者联合检测可有效提高肺癌骨转移诊断价值.
The diagnostic value of osteolytic bone metabolism markersⅠCTP,miR-107 and TRACP-5b detection in lung cancer bone metastasis
Objective To analyze the diagnostic value of serum type Ⅰ collagen cross-linked car-boxyl terminal peptide(ⅠCTP),miR-107 and tartrate-resistant acid phosphatase 5b(TRACP-5b)detection in bone metastasis of lung cancer. Methods A total of 122 patients with advanced lung cancer treated at Henan Provincial People's Hospital from October 2020 to December 2022 were divided into two groups:the bone metastasis group(58 cases)and the non-bone metastasis group(64 cases)based on the presence of bone metastasis. The study consisted of four parts:Comparison of CTP,miR-107,and TRACP-5b levels between the bone metastasis group and the non-bone metastasis group. Comparison of CTP,miR-107,and TRACP-5b levels within the bone metastasis group. Comparison of the number of different bone metastasis group and the levels of CTP,miR-107,and TRACP-5b were compared. Analysis of the diagnostic value of CTP,miR-107,and TRACP-5b in bone metastasis of lung cancer. Results The levels of CTP,miR-107,and TRACP-5b in the bone metastasis groupⅠwere higher than those in the non-bone metastasis group,and the differences were statistically significant(P<0.05). The levels ofⅠCTP,miR-107,and TRACP-5b:were higher in stages Ⅲ-Ⅳ compared to stages Ⅰ-Ⅱ and 0,and the difference was statistically significant(P<0.05). The levels of CTP, miR-107,and TRACP-5b were higher in the ≥ 3 metastasis groups compared to the ≤ 2 metastasis groups, and the difference was statistically significant(P<0.05). The sensitivity,specificity,and accuracy of ICTP, miR-107,and TRACP-5b in diagnosing bone metastasis of lung cancer were 96.42%,93.93% and 95.08% respectively,which were higher than those of the individual indercator,and the difference was statistically significant(P<0.05). Conclusion The levels of CTP,miR-107,and TRACP-5b are closely associated with the occurrence of lung cancer bone metastasis. TRACP-5b has the highest sensitivity,specificity,and accuracy in detecting lung cancer bone metastasis. The combined detection of the three can effectively improve the diagnos-tic value of lung cancer bone metastasis. collagen cross-linked car-boxyl terminal peptide(ⅠCTP),miR-107 and tartrate-resistant acid phosphatase 5b(TRACP-5b)detection in bone metastasis of lung cancer. Methods A total of 122 patients with advanced lung cancer treated at Henan Provincial People's Hospital from October 2020 to December 2022 were divided into two groups:the bone me-tastasis group(58 cases)and the non-bone metastasis group(64 cases)based on the presence of bone metasta-sis. The study consisted of four parts:Comparison of CTP,miR-107,and TRACP-5b levels between the bone metastasis group and the non-bone metastasis group. Comparison of CTP,miR-107,and TRACP-5b levels within the bone metastasis group. Comparison of the number of different bone metastasis group and the levels of CTP,miR-107,and TRACP-5b were compared. Analysis of the diagnostic value of CTP,miR-107,and TRACP-5b in bone metastasis of lung cancer. Results The levels of CTP,miR-107,and TRACP-5b in the bone metastasis groupⅠwere higher than those in the non-bone metastasis group,and the differences were statistically significant(P<0.05). The levels of ⅠCTP,miR-107,and TRACP-5b:were higher in stages Ⅲ-Ⅳ compared to stages Ⅰ-Ⅱ and 0,and the difference was statistically significant(P<0.05). The levels of CTP, miR-107,and TRACP-5b were higher in the ≥ 3 metastasis groups compared to the ≤ 2 metastasis groups, and the difference was statistically significant(P<0.05). The sensitivity,specificity,and accuracy of ICTP, miR-107,and TRACP-5b in diagnosing bone metastasis of lung cancer were 96.42%,93.93%and 95.08% respectively,which were higher than those of the individual indercator,and the difference was statistically significant(P<0.05). Conclusion The levels of CTP,miR-107,and TRACP-5b are closely associated with the occurrence of lung cancer bone metastasis. TRACP-5b has the highest sensitivity,specificity,and accuracy in detecting lung cancer bone metastasis. The combined detection of the three can effectively improve the diagnostic value of lung cancer bone metastasis.

ⅠCTPmiR-107TRACP-5bLung cancerBone metastases

康翠伟、闫利鹏、刘宁、贾向波

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河南省人民医院麻醉与围术期医学科,河南省护理医学重点实验室,郑州大学人民医院,河南,郑州 450000

河南省人民医院胸外科,河南,郑州 450000

Ⅰ型胶原交联羧基末端肽 微小RNA-107 抗酒石酸酸性磷酸酶5b 肺癌 骨转移

河南省科技发展计划

232102310044

2024

分子诊断与治疗杂志
中山大学

分子诊断与治疗杂志

CSTPCD
影响因子:0.65
ISSN:1674-6929
年,卷(期):2024.16(2)
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