首页|miR-204和SIRT1在结直肠癌中的表达情况及临床意义

miR-204和SIRT1在结直肠癌中的表达情况及临床意义

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目的 探讨miR-204 和沉默信息调节因子 1(silence information regulator 1,SIRT1)在结直肠癌组织中的表达情况及其临床价值.方法 收集 2018 年 5 月至 2020 年 6 月嘉兴大学附属医院胃肠外科诊治的 60 例结直肠癌患者的癌组织标本和癌旁组织标本为研究对象,采用实时荧光定量聚合酶链反应检测miR-204 及SIRT1 的基因表达情况,Pearson分析比较miR-204 与SIRT1 基因的表达相关性.采用免疫组织化学SABC法检测SIRT1 蛋白表达,并比较不同SIRT1 蛋白表达与临床病理特征的关系.Kaplan-Meier 法分析不同 SIRT1 蛋白表达的结直肠癌患者的生存差异.结果 癌组织中miR-204 基因mRNA表达显著低于癌旁组织(P<0.05),SIRT1 基因mRNA表达显著高于癌旁组织(P<0.05).癌组织中SIRT1 蛋白表达阳性率显著高于癌旁组织(P<0.05).Pearson相关分析显示miR-204 与SIRT1 基因mRNA在癌旁组织和癌组织中的表达均呈负相关(r=-0.647、-0.737,P<0.05).SIRT1 蛋白的表达与结直肠癌的分化水平、浸润层次、淋巴结转移与否及 TNM 分期相关(P<0.05),与患者的年龄、性别、肿瘤大小及肿瘤部位无关(P>0.05).Kaplan-Meier 分析显示癌组织中SIRT1 阳性表达患者的生存率显著低于SIRT1 阴性表达患者(χ2=5.001,P=0.025).结论 结直肠癌组织中miR-204 表达下调,SIRT1 表达上调,二者可能通过相互影响共同促进结直肠癌的转移、侵袭,并影响患者预后.
Expression of miR-204 and SIRT1 in colorectal cancer and their clinical significance
Objective To investigate the expression of miR-204 and silence information regulator 1(SIRT1)in colorectal cancer and their clinical value.Methods Cancer tissue specimens and paracancer tissue specimens of 60 patients with colorectal cancer treated in Department of Gastrointestinal Surgery of Affiliated Hospital of Jiaxing University from May 2018 to June 2020 were collected as study objects.Real time fluorogenic quantitative polymerase chain reaction was used to detect the gene expression of miR-204 and SIRT1,and the correlation between miR-204 and SIRT1 gene expression was compared by Pearson analysis.Immunohistochemical SABC method was used to detect SIRT1 protein expression,and relationship between different SIRT1 protein expression and clinicopathological features was compared.Kaplan-Meier method was used to analyze the survival difference of colorectal cancer patients with different SIRT1 protein expression.Results The mRNA expression of miR-204 gene in cancer tissues was significantly lower than that in paracancer tissues(P<0.05),and the mRNA expression of SIRT1 gene was significantly higher than that in paracancer tissues(P<0.05).Pearson correlation analysis showed that miR-204 was negatively correlated with SIRT1 mRNA expression in both paracancer tissues and cancer tissues(r=-0.647,-0.737,P<0.05).The expression of SIRT1 protein was correlated with the differentiation level,invasion level,lymph node metastasis and TNM stage of colorectal cancer(P<0.05),but not with patient age,gender,tumor size and tumor site(P>0.05).Kaplan-Meier analysis showed that the survival rate of patients with positive expression of SIRT1 in cancer tissues was significantly lower than that of patients with negative expression of SIRT1(χ2=5.001,P=0.025).Conclusion The expression of miR-204 is down-regulated and SIRT1 expression is up-regulated in colorectal cancer tissues,which may jointly promote the metastasis and invasion of colorectal cancer and affect the prognosis of patients through mutual influence.

Colorectal cancermiR-204Silence information regulator 1Gene expression

黄立勇、吴佳明、彭玉平、李进、陈治横

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嘉兴大学附属医院胃肠外科,浙江嘉兴 314000

结直肠癌 miR-204 沉默信息调节因子1 基因表达

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(22)
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