首页|非小细胞肺癌患者血清LncRNA FAM138B、miR-105-5p表达与病理特征的关系

非小细胞肺癌患者血清LncRNA FAM138B、miR-105-5p表达与病理特征的关系

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目的 探讨非小细胞肺癌(NSCLC)患者血清长链非编码RNA 序列相似性家族 138 成员B(LncRNA FAM138B)、微小RNA-105-5p(miR-105-5p)表达与病理特征的预后的关系.方法 选取 2018 年 1 月至 2019 年 12 月收治的110 例NSCLC患者为NSCLC组,另选取同期60 例体检健康者为对照组,采用实时荧光定量聚合酶链式反应检测血清LncRNA FAM138B、miR-105-5p表达.分析血清LncRNA FAM138B、miR-105-5p表达与NSCLC患者病理特征的关系.StarBase数据库预测LncRNA FAM138B与miR-105-5p的关系.采用Pearson相关性分析NSCLC患者血清LncRNA FAM138B与miR-105-5p表达的相关性,多因素Cox回归分析NSCLC患者预后影响因素,受试者工作特征(ROC)曲线分析血清LncRNA FAM138B、miR-105-5p表达对NSCLC患者预后的预测价值.结果 与对照组比较,NSCLC组血清LncRNA FAM138B 表达降低,miR-105-5p 表达升高(P<0.05).经 StarBase 数据库预测,LncRNA FAM138B与miR-105-5p存在互补序列.Pearson相关性分析显示,NSCLC患者血清LncRNA FAM138B与miR-105-5p表达呈负相关(r=-0.770,P<0.001).不同分化程度、TNM分期、淋巴结转移NSCLC患者LncRNA FAM138B、miR-105-5p表达比较,差异有统计学意义(P<0.05).110 例NSCLC患者 3 年总生存率为 56.36%(62/110).K-M生存曲线分析显示,LncRNA FAM138B高表达组总生存率高于低表达组,miR-105-5p高表达组总生存率高于低表达组(P<0.05).多因素Cox回归分析显示,低分化、TNM分期Ⅲ~Ⅳ期、淋巴结转移和miR-105-5p≥1.494 为NSCLC患者死亡的独立危险因素,LncRNA FAM138B≥0.871 为独立保护因素(P<0.05).ROC 曲线分析显示,血清 LncRNA FAM138B、miR-105-5p表达单独与联合预测NSCLC患者预后的曲线下面积分别为 0.783、0.779、0.905,二项联合预测的曲线下面积最大(P<0.05).结论 NSCLC患者血清LncRNA FAM138B低表达,miR-105-5p高表达,与分化程度、TNM分期、淋巴结转移和预后有关,可能成为NSCLC患者预后的辅助预测指标.
Correlation of serum lncRNA FAM138B and miR-105-5p expressions with the pathological features and prognosis in patients with non-small cell lung cancer
Objective To investigate the correlation of serum long non-coding RNA family with sequence similarity 138 member B(lncRNA FAM138B)and microRNA-105-5p(miR-105-5p)expressions with the pathological features and prognosis in patients with non-small cell lung cancer(NSCLC).Methods A total of 110 NSCLC patients admitted to our hospital from January 2018 to December 2019 were selected as the NSCLC group,and 60 healthy individuals receiving physical examination during the same period were selected as the control group.Serum lncRNA FAM138B and miR-105-5p expressions were detected by quantitative real-time polymerase chain reaction(qRT-PCR).The correlation of serum lncRNA FAM138B and miR-105-5p expressions with the pathological characteristics of NSCLC patients was analyzed.The target binding relationship between lncRNA FAM138B and miR-105-5p was predicted in the StarBase database.The correlation between serum lncRNA FAM138B and miR-105-5p expressions in NSCLC patients was analyzed by the Pearson correlation.Risk factors for the prognosis of NSCLC patients were analyzed by the multivariate Cox regression.Receiver operating characteristic(ROC)curves ere plotted to analyze the predictive value of serum lncRNA FAM138B and miR-105-5p expressions in the prognosis of NSCLC patients.Results Compared with those of the control group,serum lncRNA FAM138B expression was significantly downregulated and miR-105-5p expression was upregulated in the NSCLC group(P<0.05).LncRNAFAM138Bwas predicted by the StarBase database to have a complementary sequence to the promoter region of miR-105-5p.Pearson correlation analysis showed that serum lncRNA FAM138B was negatively correlated with miR-105-5p expression in NSCLC patients(r=-0.770,P<0.001).LncRNA FAM138B and miR-105-5p expressions were significantly correlated with the differentiation,tumor-node-metastasis(TNM)staging and lymph node metastasis of NSCLC(P<0.05).The 3-year overall survival of the 110 NSCLC patients was 56.36%(62/110).Kaplan-Meier survival curve analysis showed that the overall survival of NSCLC patients expressing high levels of lncRNA FAM138B was significantly higher than those expressing low levels.The overall survival of NSCLC patients expressing high levels of miR-105-5p was significantly higher than those expressing low levels(P<0.05).Multivariate Cox regression analysis showed that low differentiation,TNM staging III-IV,lymph node metastasis and miR-105-5p≥1.494 were independent risk factors for death in NSCLC patients,and lncRNA FAM138B≥0.871 was an independent protective factor(P<0.05).ROC curve analysis showed that the area under the curve(AUC)of serum lncRNA FAM138B and miR-105-5p expression alone and their combination in predicting the prognosis of NSCLC patients was 0.783,0.779 and 0.905 respectively.AUC of the combination detection was significantly larger than that of the single detection(P<0.05).Conclusion Low expression of serum lncRNA FAM138B and high expression of miR-105-5p in NSCLC patients are associated with the degree of differentiation,TNM staging,lymph node metastasis and prognosis in NSCLC patients,which may become auxiliary prognostic markers.

non-small cell lung cancerlong non-coding RNA family with sequence similarity 138 member Bmicro ribonucleic acid-105-5ppathological featuresprognosis

崔本科、王岩、卢云凤

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110016 沈阳市,辽宁省人民医院呼吸与危重症科

辽宁省金秋医院心内科

非小细胞肺癌 长链非编码RNA序列相似性家族138成员B 微小RNA-105-5p 病理特征 预后

辽宁省卫生健康委科研项目

201901090

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(5)
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