首页|血清miR-155和miR-197及miR-183在肺癌诊断及病情评估中的临床价值

血清miR-155和miR-197及miR-183在肺癌诊断及病情评估中的临床价值

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目的 分析血清中miRNA-155(miR-155)、miR-197及miR-183在肺癌辅助诊断及病情评估中的价值。方法 将新乡市中心医院2019年3月至2023年6月收治的肺癌患者92例纳入观察组,同时将同期50例体检健康者纳入对照组,采用实时定量逆转录聚合酶联式反应测定血清miR-155、miR-197及miR-183水平。采用Pearson相关系数分析血清指标水平的相关性,采用受试者工作特征(receiver operating characteristic,ROC)曲线评估血清指标对肺癌的诊断效能。结果 对照组血清miR-155、miR-197及miR-183含量分别为(15。92±2。54)、(182。33±35。71)及(2。81±0。93);观察组患者血清 miR-155、miR-197 及 miR-183 含量分别为(20。59±3。82)、(386。37±50。46)及(4。88±1。35);与对照组相比,观察组患者血清miR-155、miR-197及miR-183水平均显著升高(P<0。05)。经Pearson相关性分析发现,肺癌患者血清miR-155、miR-197及miR-183水平两两之间均呈显著正相关(P<0。05)。血清miR-155、miR-197及miR-183联合诊断肺癌的曲线下面积为0。976(P<0。001),灵敏度为96。74%,特异性为92。00%,95%置信区间为0。9526~0。9996,优于任何一个单独指标的诊断效能。血清miR-155、miR-197及miR-183含量均随着分期的进展逐级递增。结论 血清miR-155、miR-197及miR-183对肺癌的辅助诊断及病情评估具有一定的临床价值,值得临床推广及应用。
Clinical value of serum miR-155,miR-197,and miR-183 in diagnosis and disease assessment of lung cancer
Objective To analyze the value of serum microRNA-155(miR-155),miR-197,and miR-183 in aux-iliary diagnosis and disease assessment of lung cancer.Methods Ninety-two patients with lung cancer admitted to Xinxiang Central Hospital from March 2019 to June 2023 were included in the observation group,and 50 healthy sub-jects were included in the control group during the same period.Serum levels of miR-155,miR-197,and miR-183 were determined by RT-qPCR.Pearson correlation coefficient was used to analyze the correlation of serum indicators,and receiver operating characteristic(ROC)curve was used to evaluate the diagnostic efficacy of serum indicators in lung cancer.Results The serum levels of miR-155,miR-197,and miR-183 in control group were(15.92±2.54),(182.33±35.71),and(2.81±0.93),respectively.The serum levels of miR-155,miR-197,and miR-183 in observation group were(20.59±3.82),(386.37±50.46),and(4.88±1.35),respectively.Compared with the control group,the serum levels of miR-155,miR-197,and miR-183 in observation group were significantly in-creased(P<0.05).By Pearson correlation analysis,there were significant positive correlations between serum miR-155,miR-197,and miR-183 levels in lung cancer patients(P<0.05).The area under curve of the combined diag-nosis of serum miR-155,miR-197,and miR-183 for lung cancer was 0.976(P<0.001),with the sensitivity of 96.74%and the specificity of 92.00%,and the 95%confidence interval was 0.9526-0.9996,which was better than any single index.Serum levels of miR-155,miR-197,and miR-183 increased step by step with the progression of stages.Conclusion Serum miR-155,miR-197,and miR-183 had certain clinical values in the auxiliary diagnosis and disease assessment of lung cancer,and were worthy of clinical promotion and application.

Lung cancermiR-155miR-197miR-183DiagnosisDisease assessment

祁娟

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新乡市中心医院,新乡医学院第四临床医院,河南新乡 453000

肺癌 miR-155 miR-197 miR-183 诊断 病情评估

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(24)