首页|结直肠癌中医辨证分型与血清miR-29、TSGF、TGF-β1水平的相关性研究

结直肠癌中医辨证分型与血清miR-29、TSGF、TGF-β1水平的相关性研究

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目的:分析结直肠癌患者中医辨证分型与其血清微小RNA-29(miR-29)、肿瘤特异性生长因子(TSGF)及转化生长因子β1(TGF-β1)水平的相关性。方法:收集医院2021年9月~2023年9月收治的134例结直肠癌患者的临床资料进行回顾性分析,根据四诊资料对患者进行中医辨证分型,比较不同中医证型患者血清miR-29、TSGF及TGF-β1水平的差异,采用Logistic回归分析各中医证型与血清miR-29、TSGF、TGF-β1的相关性。结果:134例结直肠癌患者中医辨证分型由高至低分别为脾虚气滞证64例,占47。76%;湿热蕴结证39例,占29。10%;瘀毒内阻证31例,占23。13%;miR-29表达水平在不同组别中的比较为:瘀毒内阻组<湿热蕴结组<脾虚气滞组(P<0。05);TSGF及TGF-β1水平在不同组别中的比较均为:瘀毒内阻组>湿热蕴结组>脾虚气滞组(P<0。05);Logistic回归分析结果显示,瘀毒内阻症与miR-29呈负相关(P<0。05),与TGF-β1及TSFG呈正相关(P<0。05)。结论:结直肠癌患者的中医辨证分型与其血清miR-29、TSGF及TGF-β1具有一定相关性,可为中医辨证分型提供依据。
Study on the correlation between TCM syndrome differentiation of colorectal cancer and serum levels of miR-29,TS-GF and TGF-β1
Objective:To analyze the correlation between TCM syndrome differentiation and serum microRNA-29(miR-29),tumor specific growth factor(TSGF)and transforming growth factor-β1(TGF-β1)levels in patients with colorectal cancer.Meth-ods:The clinical data of 134patients with colorectal cancer admitted to our hospital from September 2021to September 2023were ret-rospectively analyzed.According to the four diagnostic data,the patients were divided into TCM syndromes.The differences of serum miR-29,TSGF and TGF-β1levels in patients with different TCM syndromes were compared.Logistic regression was used to analyze the correlation between TCM syndromes and serum miR-29,TSGF and TGF-β1.Results:134cases of colorectal cancer patients with TCM syndrome differentiation from high to low were 64cases of spleen deficiency and qi stagnation syndrome,accounting for 47.76%;39cases of damp-heat accumulation syndrome,accounting for 29.10%;there were 31cases of blood stasis syndrome,ac-counting for 23.13%.The expression level of miR-29in different groups was compared as follows:blood stasis and toxin internal re-sistance group<damp-heat accumulation group<spleen deficiency and qi stagnation group(P<0.05);the comparison of TSGF and TGF-β1levels in different groups was as follows:blood stasis and toxin obstruction group>damp-heat accumulation group>spleen deficiency and qi stagnation group(P<0.05);logistic regression analysis showed that internal obstruction of blood stasis and toxin was negatively correlated with miR-29(P<0.05),and positively correlated with TGF-β1 and TSFG(P<0.05).Conclusion:There is a certain correlation between TCM syndrome differentiation and serum miR-29,TSGF and TGF-β1 in patients with colorec-tal cancer,which can provide a basis for TCM syndrome differentiation.

Colorectal cancerTCM syndrome differentiationMicroRNA-29Tumor specific growth factorTransforming growth factor β1

李蕾、蒋文婷、高超

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徐州医科大学第一临床医学院,江苏徐州 221002

徐州医科大学附属医院肿瘤内科,江苏徐州 221004

结直肠癌 中医辨证分型 微小RNA-29 肿瘤特异性生长因子 转化生长因子β1

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(11)