首页|子宫内膜癌组织中LncRNA GATA3-AS1、miR-362-3p表达与病理参数和预后的关系

子宫内膜癌组织中LncRNA GATA3-AS1、miR-362-3p表达与病理参数和预后的关系

Relationship between the expression of LncRNA GATA3-AS1 and miR-362-3p in endometrial carcinoma tissues and pathological parameters and prognosis

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目的 探讨子宫内膜癌组织中长链非编码核糖核酸GATA结合蛋白3反义RNA1(LncRNA GATA3-AS1)、微小核糖核酸-362-3p(miR-362-3p)表达与病理参数和预后的关系.方法 回顾性选取2018年1月—2021年12月安徽医科大学附属巢湖医院妇产科收治的子宫内膜癌患者101例为研究对象.采用实时荧光定量聚合酶链反应(qPCR)检测LncRNA GATA3-AS1、miR-362-3p mRNA表达水平;Pearson相关分析子宫内膜癌组织中LncRNA GATA3-AS1 与 miR-362-3p 的相关性;Kaplan-Meier 法分析 LncRNA GATA3-AS1、miR-362-3p 表达对子宫内膜癌患者生存预后的影响;多因素Cox回归分析子宫内膜癌患者预后的影响因素.结果 子宫内膜癌患者癌组织中LncRNA GATA3-AS1表达高于癌旁组织,miR-362-3p表达低于癌旁组织(t/P=17.642/<0.001、18.153/<0.001);子宫内膜癌组织中LncRNA GATA3-AS1表达与miR-362-3p表达呈负相关(r=-0.691,P<0.001);FIGO分期ⅢA期、肌层浸润深度>1/2、有淋巴结转移的子宫内膜癌组织中LncRNA GATA3-AS1表达高于FIGO分期Ⅰ~Ⅱ期、肌层浸润深度≤1/2、无淋巴结转移,而miR-362-3p表达低于FIGO分期Ⅰ~Ⅱ期、肌层浸润深度≤1/2、无淋巴结转移(LncRNA GATA3-AS1:t/P=16.168/<0.001、9.423/<0.001、20.066/<0.001;miR-362-3p:t/P=12.563/<0.001、8.139/<0.001、5.923/<0.001).LncRNA GATA3-AS1 高表达组 3 年总生存(OS)率为 63.46%(33/52),低于低表达组的80.85%(38/47)(Log-rank x2=4.431,P=0.032);miR-362-3p 低表达组 3 年 OS 率为 62.00%(31/50),低于高表达组的 81.63%(40/49)(Log-rank x2=5.240,P=0.022).FIGO 分期Ⅲ A 期、肌层浸润深度>1/2、淋巴结转移、LncRNA GATA3-AS1高是影响子宫内膜癌患者预后的独立危险因素[HR(95%CI)=1.637(1.135~2.362)、1.667(1.085~2.561)、1.881(1.169~3.029)、1.675(1.164~2.412)],miR-362-3p 高是独立保护因素[HR(95%CI)=0.649(0.495~0.851)].结论 子宫内膜癌组织中LncRNA GATA3-AS1表达上调,miR-362-3p表达下调,且与恶性病理参数以及不良预后有关.LncRNA GATA3-AS1可能通过负性调控miR-362-3p参与子宫内膜癌进展.
Objective To investigate the relationship between the expression of long non-coding ribonucleic acid GATA binding protein 3 antisense RNA1(LncRNA GATA3-AS1)and micromas 362-3p(miR-362-3p)and pathological pa-rameters and prognosis in endometrial carcinoma.Methods One hundred and one patients with endometrial cancer admit-ted to Department of Pathology and the Department of Obstetrics and Gynecology of Chaohu Hospital Affiliated to Anhui Medical University,Department of Pathology of the Eighth People's Hospital of Hefei from January 2018 to December 2021 were selected as the study objects.Real-time fluorescence quantitative polymerase chain reaction(qPCR)was used to detect the mRNA expression levels of LncRNA GATA3-AS1 and miR-362-3p.The correlation between LncRNA GATA3-AS1 and miR-362-3p in endometrial cancer tissues was analyzed by Pearson correlation.Kaplan-Meier method was used to analyze the effects of LncRNA GATA3-AS1 and miR-362-3p expression on survival and prognosis of patients with endometrial cancer.Multivariate Cox regression analysis of the prognostic factors in patients with endometrial cancer.Results The ex-pression of LncRNA GATA3-AS1 and miR-362-3p in cancer tissues was higher than that in para-cancer tissues(t/P=17.642/<0.001,18.153/<0.001).The expression of LncRNA GATA3-AS1 in endometrial carcinoma was negatively correlated with the expression of miR-362-3p(r=-0.691,P<0.001).LncRNA GATA3-AS1 expression in endometrial cancer tissues with FIGO stage ⅢA,myographic invasion depth>1/2 and lymph node metastasis was higher than that in FIGO stageⅠ~Ⅱ myographic invasion depth ≤1/2 and no lymph node metastasis.The expression of miR-362-3p was lower than that in FIGO stages Ⅰ to Ⅱ,the depth of myographic infiltration was ≤ 1/2,and no lymph node metastasis was found(t/P=16.168/<0.001,9.423/<0.001,20.066/<0.001,12.563/<0.001,8.139/<0.001,5.923/<0.001).The 3-year overall survival(OS)rate in the high expression group of LncRNA GATA3-AS1 was 63.46%(33/52),which was lower than that in the low ex-pression group of 80.85%(38/47)(Log-rank x2=4.431,P=0.032).The 3-year OS rate of miR-362-3p group was 62.00%(31/50),which was lower than that of Mir-362-3p group(81.63%(40/49)(Log-rank x2=5240,P=0.022).FIGO stage ⅢA,depth of myographic invasion>1/2,lymph node metastasis,and high LncRNA GATA3-AS1 were independent risk factors for prognosis of patients with endometrial cancer[HR(95%CI)=1.637(1.135-2.362),1.667(1.085-2.561),1.881(1.169-3.029),1.675(1.164-2.412)],miR-362-3p was an independent protective factor[HR(95%CI)=0.649(0.495-0.851)].Conclusion The expression of LncRNA GATA3-AS1 is up-regulated and the expression of miR-362-3p is down-regulated in endometrial carcinoma tissues,which is related to malignant pathological parameters and poor prognosis.LncRNA GATA3-AS1 may participate in the progression of endometrial cancer by negatively regulating miR-362-3p.

Endometrial cancerGATA binding protein 3 antisense RNA1MiR-362-3pPathological parametersPrognosis

王嵘嵘、程开芳、陈君墨、肖大树、朱楠

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238000 合肥,安徽医科大学附属巢湖医院病理科

238008 合肥市第八人民医院病理科

238000 合肥,安徽医科大学附属巢湖医院妇产科

子宫内膜癌 GATA结合蛋白3反义RNA1 微小核糖核酸-362-3p 病理参数 预后

安徽省卫生健康科研项目

AHWJ2022b030

2024

疑难病杂志
中国医师协会

疑难病杂志

CSTPCD
影响因子:1.171
ISSN:1671-6450
年,卷(期):2024.23(10)
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