首页|多发性骨髓瘤细胞表达miR-383-5p的研究及临床意义

多发性骨髓瘤细胞表达miR-383-5p的研究及临床意义

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目的:探讨miR-383-5p在初治多发性骨髓瘤(MM)中的表达及其与临床特征及预后的相关性.方法:回顾性收集2013年1月至2017年1月蚌埠医科大学第一附属医院血液科确诊及治疗的初治MM患者及非肿瘤对照者各115例,收集患者临床特征、病理资料及治疗反应,通过RT-qPCR检测miR-383-5p在MM患者及非肿瘤对照者中的表达情况,进一步分析miR-383-5p表达量与MM患者临床特征及预后的关系.结果:RT-qPCR结果显示,115例非肿瘤对照者骨髓组织与115例MM患者骨髓组织中miR-383-5p相对表达量分别为1.89±0.11与1.48±0.13,比较差异有统计学意义(P<0.05).卡方检验结果提示,miR-383-5p表达与骨损伤、β2-微球蛋白和球蛋白相关(均P<0.001),但与其他因素包括年龄、性别、血红蛋白和轻链不相关.单变量与多变量Cox回归分析表明,低表达miR-383-5p是MM患者OS不良的独立危险因素(P<0.001).结论:miR-383-5p在MM患者中表达下调,且低表达miR-383-5p是预后不良的危险因素,可作为新的预后生物标志物.
Expression and Clinical Significance of miR-383-5p in Multiple Myeloma Cells
Objective:To investigate the expression of miR-383-5p in newly diagnosed multiple myeloma (MM) and its correlation with clinical features and prognosis. Methods:115 MM patients diagnosed and treated in the Department of Hematology,the First Affiliated Hospital of Bengbu Medical University from January 2013 to January 2017 and 115 non-tumor controls were enrolled in this study. Clinical characteristics,pathological data and therapeutic responses of the patients were collected. The expression of miR-383-5p in MM patients and non-tumor controls was detected by RT-qPCR,and the relationship between the expression level of miR-383-5p and the clinical characteristics and prognosis of MM patients was further analyzed. Results:The results of RT-qPCR showed that the relative expression levels of miR-383-5p in bone marrow tissues of 115 non-tumor controls and 115 MM patients were 1.89±0.11 and 1.48±0.13,respectively,and the difference was statistically significant (P<0.05). Chi-square analysis showed that the expression of miR-383-5p was correlated with bone injury,β2-microglobulin and globulin (all P<0.001),but not with other factors including age,sex,hemoglobin and light chain. Univariate and multivariate Cox regression analysis indicated that low expression of miR-383-5p was an independent risk factor for poor OS in MM patients (P<0.001). Conclusion:The expression of miR-383-5p is down-regulated in MM patients,and low expression of miR-383-5p is a risk factor for poor prognosis and can be used as a new prognostic biomarker.

multiple myelomamiR-383-5pprognosis

刘林、杨艳丽、张凤、李佳佳

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蚌埠医科大学第一附属医院血液科,安徽蚌埠 233000

多发性骨髓瘤 miR-383-5p 预后

2024

中国实验血液学杂志
中国病理生理学会

中国实验血液学杂志

CSTPCD北大核心
影响因子:0.988
ISSN:1009-2137
年,卷(期):2024.32(6)