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胃癌组织LncRNANCK1-AS1、LncRNATP73-AS1表达与Wnt/β-catenin信号通路和预后的关系

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目的 研究胃癌组织长链非编码核糖核酸(LncRNA)NCK1-AS1、LncRNATP73-AS1 表达水平与Wnt/β-连环蛋白(β-catenin)信号通路和预后的关系.方法 选取 2019 年 2~10 月行胃癌根治术的 113 例胃癌患者,术中取其胃癌组织与癌旁组织.采用实时定量聚合酶链式反应(qRT-PCR)检测胃癌组织与癌旁组织LncRNANCK1-AS1、LncRNATP73-AS1 表达量及Wnt/β-catenin信号通路相关指标[Wnt3a、Wnt5a、β-catenin、细胞周期素D1(cyclin D1)、原癌基因(c-myc)]信使RNA(mRNA)表达量.采用Pearson相关性法分析LncRNANCK1-AS1、LncRNATP73-AS1 表达量与Wnt/β-catenin信号通路相关指标mRNA表达量的相关性.绘制Kaplan-Meier生存曲线分析胃癌患者术后 3 年生存情况.结果 胃癌组织LncRNA NCK1-AS1、LncRNATP73-AS1 表达量高于癌旁组织(P<0.05).胃癌组织Wnt/β-catenin信号通路中Wnt3a mRNA、Wnt5a mRNA、β-catenin mRNA、cyclin D1 mRNA、c-myc mRNA表达量均高于癌旁组织(P<0.05).Pearson法分析显示,Wnt/β-catenin信号通路中Wnt3a mRNA、Wnt5a mRNA、β-catenin mRNA、cyclin D1 mRNA、c-myc mRNA表达量与LncRNANCK1-AS1、LncRNATP73-AS1 表达量呈正相关(P<0.05).LncRNANCK1-AS1、LncRNATP73-AS1 表达量与胃癌患者的TNM分期、浸润深度、淋巴结转移有关(P<0.05).患者随访 3 年,随访中位时间为 27.90 个月.Kaplan-Meier生存曲线显示,LncRNANCK1-AS1 高表达组 3 年生存率 52.31%(34/65)低于LncRNANCK1-AS1 低表达组的 77.08%(37/48)(P<0.05),LncRNA TP73-AS1 高表达组 3 年生存率 52.78%(38/72)低于LncRNATP73-AS1 低表达组 80.49%(33/41)(P<0.05).结论 LncRNANCK1-AS1、LncRNATP73-AS1 在胃癌组织中表达上调,可能通过激活Wnt/β-catenin信号通路促进胃癌发生、发展,还可导致不良预后,有望作为辅助评估胃癌患者预后的生物标志物.
The correlation of expression levels of lncRNA NCK1-AS1 and lncRNA TP73-AS1 in gastric cancer tissues with the Wnt/β-catenin signaling pathway and prognosis
Objective To study the correlation of expression levels of long non-coding ribonucleic acid(lncRNA)NCK1-AS1 and lncRNA TP73-AS1 in gastric cancer tissues with the Wnt/β-catenin signaling pathway and prognosis.Methods A total of 113 gastric cancer patients who underwent radical gastrectomy from February 2019 to October 2019 were selected.Their gastric cancer tissues and paracancerous tissues were taken during the surgery.The mRNA levels of lncRNA NCK1-AS1,lncRNA TP73-AS1 and Wnt3a,Wnt5a,β-catenin,cyclin D1,and proto-oncogene(c-myc)involved in the Wnt/β-catenin signaling pathway in gastric cancer tissues and paracancerous tissues were detected by real-time quantitative polymerase chain reaction(qRT-PCR).The correlation of expression levels of lncRNA NCK1-AS1 and lncRNA TP73-AS1 with the mRNA levels of key genes in the Wnt/β-catenin signaling pathway was analyzed by the Pearson correlation.The 3-year survival in gastric cancer patients was analyzed by plotting the Kaplan-Meier survival curves.Results The expression levels of lncRNA NCK1-AS1 and lncRNA TP73-AS1 in gastric cancer tissues were significantly higher than those of paracancerous tissues(P<0.05).The mRNA levels of Wnt3a,Wnt5a,β-catenin,cyclin D1 and c-myc in gastric cancer tissues were significantly higher than those of paracancerous tissues(P<0.05).Pearson correlation analysis showed that the mRNA levels of Wnt3a,Wnt5a,β-catenin,cyclin D1 and c-myc in the Wnt/β-catenin signaling pathway were positively correlated with those of lncRNA NCK1-AS1 and lncRNA TP73-AS1(P<0.05).The expression levels of lncRNA NCK1-AS1 and lncRNA TP73-AS1 were significantly correlated with the tumor-node-metastasis(TNM)staging,infiltration depth,and lymph node metastasis in gastric cancer patients(P<0.05).Patients were followed up for 3 years,with the median follow-up time of 27.90 months.The Kaplan-Meier survival curves showed that the 3-year survival in gastric cancer patients expressing high levels of lncRNA NCK1-AS1 was significantly lower than those expressing low levels(52.31%[34/65]vs 77.08%[37/48],P<0.05).The 3-year survival in gastric cancer patients expressing high levels of lncRNA TP73-AS1 high expression group was significantly lower than those expressing low levels(52.78%[38/72]vs 80.49%[33/41],P<0.05).Conclusion LncRNA NCK1-AS1 and lncRNA TP73-AS1 are upregulated in gastric cancer tissues,which may promote the occurrence and development of gastric cancer by activating the Wnt/β-catenin signaling pathway and lead to poor prognosis.They are expected to serve as the biomarkers for evaluating the prognosis of gastric cancer.

gastric cancerlong non-coding ribonucleic acidNCK1-AS1TP73-AS1Wnt/β-catenin signaling pathwayprognosis

孟俊宏、高明悦、龚程、张小雅、朱悦、刘杜先

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210003 南京市,南京中医药大学附属南京医院(南京市第二医院)病理科

210003 南京市,南京中医药大学附属南京医院(南京市第二医院)消化病诊疗中心

胃癌 长链非编码核糖核酸 NCK1-AS1 TP73-AS1 Wnt/β-catenin信号通路 预后

江苏省省级自然科学基金

BK20193128

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(6)
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