首页|血浆miRNA在子宫内膜异位症中的诊断价值

血浆miRNA在子宫内膜异位症中的诊断价值

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目的 探讨血浆微小核糖核酸(micro RNA,miR)-451a、miR-3613-5p和miR-125b-5p在子宫内膜异位症(endometriosis,EMT)中的诊断价值.方法 选取2021年12月至2023年2月就诊于福建中医药大学附属人民医院妇科的子宫内膜异位症患者35例作为病例组,同期选取30名健康体检无异常的育龄女性作为对照组.采用实时荧光定量逆转录聚合酶链反应技术检测两组纳入者的miR-451a、miR-3613-5p和miR-125b-5p表达水平,并通过受试者操作特征曲线(receiver operating characteristic curve,ROC曲线)评价其在EMT诊断中的价值.结果 ①病例组患者血浆中miR-451a、miR-3613-5p和miR-125b-5p的表达水平均高于对照组,差异有统计学意义(P<0.05).②病例组中轻中度(Ⅱ~Ⅲ期)患者及重度(Ⅳ期)患者间miRNA表达水平比较差异无统计学意义(P>0.05),血浆中的糖类抗原125(carbohydrate antigen 125,CA125)表达水平差异有统计学意义(P<0.05).③通过ROC分析miRNA对EMT的诊断效能,miR-451a的敏感度为85.7%,特异性为40.0%;miR-3613-5p的敏感度为60.0%,特异性为90.0%;miR-125b-5p的敏感度为60.0%,特异性为76.7%;三者联合诊断的敏感度为48.6%,特异性为96.7%.结论 相较于健康女性,miR-451a、miR-3613-5p和miR-125b-5p在EMT患者血浆中表达水平升高,且不受临床分期影响,有望作为EMT无创诊断的候选标志物.
Diagnostic value of plasma miRNA in endometriosis
Objective To explore the diagnostic value of microRNA(miR)-451a,miR-3613-5p and miR-125b-5p in endometriosis(EMT).Methods A tatol of 35 patients with EMT in the Department of Gynecology,the Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine were selected as the case group from December 2021 to February 2023,30 healthy women of childbearing age were selected as the control group over the same period.The expression levels of miR-451a,miR-3613-5p and miR-125b-5p in the plasma of two groups were measured using real-time quantitative reverse transcription polymerase chain reaction,the diagnostic value of these miRNAs in EMT was evaluated by using receiver operating characteristic(ROC)curve.Results ①The expression levels of miR-451a,miR-3613-5p and miR-125b-5p in case group were higher than those in control group,the difference was statistically significant(P<0.05).②In case group,there was no significant difference in miRNA expression levels between mild-moderate patients(stage Ⅱ-Ⅲ)and severe patients(stage Ⅳ)(P>0.05).The expression levels of carbohydrate antigen 125(CA125)in plasma was significantly different(P<0.05).③The diagnostic efficacy of miRNA for EMT was evaluated through ROC analysis,with a sensitivity of 85.7%and specificity of 40.0%for miR-451a,a sensitivity of 60.0%and specificity of 90.0%for miR-3613-5p,and a sensitivity of 60.0%and specificity of 76.7%for miR-125b-5p.Combined with a sensitivity of 48.6%and specificity of 96.7%.Conclusion Compared to healthy women,the expression levels of miR-451a,miR-3613-5p and miR-125b-5p in plasma of EMT are increased,which are not affected by clinical stage,and are expected to be candidate markers for the non-invasive diagnosis of EMT,and are not affected by clinical staging,making them promising candidate biomarkers for non-invasive diagnosis of EMT.

EndometriosismiR-451amiR-3613-5pmiR-125b-5p

韩春龙、陈捷、彭子洁

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福建中医药大学附属人民医院妇科,福建福州 350004

子宫内膜异位症 微小核糖核酸-451a 微小核糖核酸-3613-5p 微小核糖核酸-125b-5p

福建省中青年教师教育科研项目(科技类)

JAT200186

2024

中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
年,卷(期):2024.62(21)
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