首页|宫颈癌患者组织中miR-182-5p、IGFBP3、FN1表达及临床意义

宫颈癌患者组织中miR-182-5p、IGFBP3、FN1表达及临床意义

扫码查看
目的 探究微小RNA-182-5p(miR-182-5p)、胰岛素样生长因子结合蛋白3(IGFBP3)、纤连蛋白1(FN1)在宫颈癌患者组织中的表达及其临床意义.方法 收集2019年3月至2021年3月在石家庄市人民医院进行手术治疗的104例宫颈癌患者术中切除的宫颈癌及癌旁组织标本,整理患者年龄、肿瘤直径、临床分期等临床病理特征.实时荧光定量法检测宫颈癌组织及癌旁组织miR-182-5p相对表达水平;免疫组织化学法检测IGFBP3和FN1阳性表达;比较宫颈癌组织与癌旁组织miR-182-5p、IGFBP3、FN1表达差异及miR-182-5p、IGFBP3、FN1表达与患者临床病理特征的关系;Kaplan-Meier法分析miR-182-5p、IGFBP3、FN1表达与患者预后的关系;Cox回归分析宫颈癌患者预后的影响因素.结果 与癌旁组织相比,宫颈癌组织中miR-182-5p表达水平明显升高、IGFBP3阳性表达率明显降低、FN1阳性表达率明显升高(P均<0.05).宫颈癌组织中miR-182-5p、IGFBP3、FN1表达与患者临床分期、病理类型和病理分级明显相关(P<0.05).miR-182-5p低表达患者3年生存率高于miR-182-5p高表达患者(P<0.05),IGFBP3阳性表达患者3年生存率略高于阴性表达患者,FN1阳性表达患者3年生存率低于阴性表达患者(P<0.05).临床分期、病理分级和宫颈癌组织中miR-182-5p、FN1表达是患者死亡的独立危险因素,IGFBP3表达是保护因素(P均<0.05).结论 宫颈癌患者癌组织中miR-182-5p相对表达水平升高、IGFBP3阳性表达率降低、FN1阳性表达率升高,检测其在组织中的表达水平可用于在临床上对宫颈癌患者预后的评估.
Expression and clinical significance of miR-182-5p,IGFBP3,and FN1 in tissues of cervical cancer patients
Objective To investigate the expression and clinical significance of microRNA-182-5p(miR-182-5p),insu-lin-like growth factor binding protein 3(IGFBP3),and fibronectin 1(FN1)in tissues of cervical cancer patients.Methods Cervi-cal cancer and adjacent tissue samples were collected from 104 cervical cancer patients who underwent surgical treatment in Shijiazhuang People's Hospital from March 2019 to March 2021,and the clinical pathological features such as patient age,tumor diameter,and clinical stage were organized.Real-time fluorescence quantification was applied to detect the relative expression levels of miR-182-5p in cervical cancer tissues and adjacent tissues.Immunohistochemistry was applied to detect the positive expression of IGFBP3 and FN1.The differences in the expression of miR-182-5p,IGFBP3,and FN1 between cervical cancer tissue and adjacent tissue,and the relationship between the expression of miR-182-5p,IGFBP3,and FN1 and the clinical and pathological features of patients were compared.Kaplan-Meier method was applied to analyze the relationship between miR-182-5p,IGFBP3,FN1 expression and prognosis.Cox regression was applied to analyze the factors influencing the prognosis of cervical cancer patients.Results Compared with adjacent tissues,the expression level of miR-182-5p was greatly higher,the positive expression rate of IGFBP3 was greatly lower,and the positive expression rate of FN1 was greatly higher in cervical cancer tissues(all P<0.05).The expression of miR-182-5p,IGFBP3,and FN1 in cervical cancer tissues was greatly correlated with clinical stage,pathological type,and pathological grading of patients(P<0.05).The 3-year survival rate of patients with low miR-182-5p expression was higher than that of patients with high miR-182-5p expression(P<0.05),the 3-year survival rate of patients with positive IGFBP3 expression was slightly higher than that of patients with negative ex-pression,and the 3-year survival rate of patients with positive FN1 expression was lower than that of patients with negative expression(P<0.05).Clinical staging,pathological grading,and miR-182-5p and FN1 expression in cervical cancer tissues were independent risk factors for death,while IGFBP3 expression was a protective factor(all P<0.05).Conclusion The rela-tive expression level of miR-182-5p is increased,the positive expression rate of IGFBP3 is decreased,and the positive ex-pression rate of FN1 is increased in the cancer tissue of cervical cancer patients.Detecting their expression levels in tissues can be used to evaluate the prognosis of cervical cancer patients in clinical practice.

cervical cancermicroRNA-182-5pinsulin like growth factor binding protein 3fibronectin 1

陆玉超、刘跃龙、梁赞赞、李振宁

展开 >

石家庄市人民医院妇科,河北石家庄 050000

石家庄市人民医院麻醉科,河北石家庄 050000

宫颈癌 微小RNA-182-5p 胰岛素样生长因子结合蛋白3 纤连蛋白1

2024

中国优生与遗传杂志
中国优生科学协会

中国优生与遗传杂志

CSTPCD
影响因子:0.527
ISSN:1006-9534
年,卷(期):2024.32(11)