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甲状腺癌组织中C-kit、miR-193b-3p的表达及临床意义

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目的:探究甲状腺癌组织中C-kit、miR-193b-3p的表达及临床意义.方法:收集2020年1-7月首都医科大学附属北京积水潭医院甲状腺癌患者术中切除的甲状腺癌组织、癌旁组织标本103例.采用免疫组织化学法(IHC)检测C-kit蛋白表达,采用qRT-PCR法检测miR-193b-3p的相对表达水平;采用Spearman分析C-kit与miR-193b-3p在癌组织中表达相关性;采用Kaplan-Meier法分析C-kit和miR-193b-3p表达与患者预后之间的关系;采用多因素Cox分析影响患者预后的因素.结果:与癌旁组织相比,甲状腺癌组织中的miR-193b-3p的相对表达量及C-kit阳性表达率显著降低(P<0.05);且TNM分期、淋巴结转移以及分化程度不同的甲状腺癌患者的miR-193b-3p、C-kit表达差异均具有统计学意义(P<0.05);在癌组织中C-kit和miR-193b-3p表达呈正相关(P<0.05);甲状腺癌组织中miR-193b-3p高表达患者3年生存率(90.57%)高于低表达患者(70.00%);C-kit阳性表达患者3年生存率(93.1%)高于阴性表达患者(75.68%);且C-kit、miR-193b-3p为影响甲状腺癌患者预后不良的保护因素(P<0.05).结论:在甲状腺癌组织中,C-kit、miR-193b-3p表达降低,对甲状腺癌患者的预后具有敏感性,可作为诊断标志物应用.
Expression and clinical significance of C-kit and miR-193b-3p in thyroid cancer tissue
Objective:To investigate the expression and clinical significance of C-kit and miR-193b-3p in thyroid cancer tissue.Methods:A total of 103 specimens of thyroid cancer tissues and paracancerous tissues removed intraoperatively from thyroid cancer patients in Beijing Jishuitan Hospital,Capital Medical University were collected from January 2020 to July 2020.Immunohistochemistry(IHC)was applied to detect C-kit protein expression,the relative expression level of miR-193b-3p was de-tected using qRT-PCR method;Spearman correlation was applied to analyze the correlation between C-kit and miR-193b-3p expression in thyroid cancer tissue;Kaplan-Meier method was applied to ana-lyze the relationship between the expression of C-kit and miR-193b-3p in thyroid cancer tissue and prognosis;multivariate Cox analysis was applied to analyze factors that affected prognosis.Results:Compared with those in adjacent tissues,the relative expression level of miR-193b-3p and the positive expression rate of C-kit in thyroid cancer tissue were reduced(P<0.05).The expression of miR-193b-3p and C-kit in thyroid cancer patients with different TNM stages,lymph node metastasis,and differentiation levels showed significant differences(P<0.05).There was a positive correlation between C-kit and miR-193b-3p expression in thyroid cancer tissue(P<0.05).The 3-year survival rate(90.57%)of patients with high miR-193b-3p expression was higher than that of patients with low expression(70.00%);the 3-year survival rate(93.1%)of patients with C-kit positive expression was higher than that of patients with negative expression(75.68%);C-kit and miR-193b-3p were protec-tive factors for poor prognosis in thyroid cancer patients(P<0.05).Conclusion:The expression levels of miR-193b-3p and C-kit in thyroid cancer tissue are reduced.Both are sensitive to the progno-sis of thyroid cancer patients and can be used as diagnostic markers.

Thyroid CancermiR-193b-3pC-kitClinical Significance

谭屾、崔爱民、柏楠、卢帅、查晔军

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首都医科大学附属北京积水潭医院 北京 100000

甲状腺癌 miR-193b-3p C-kit 临床意义

北京市自然科学基金-海淀原始创新联合基金资助项目

L192049

2024

武汉大学学报(医学版)
武汉大学

武汉大学学报(医学版)

CSTPCD
影响因子:0.959
ISSN:1671-8852
年,卷(期):2024.45(8)
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