首页|Increased Expression of Long Non-coding RNA H19 is Associated With Colon Cancer Recurrence

Increased Expression of Long Non-coding RNA H19 is Associated With Colon Cancer Recurrence

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? 2021 Elsevier Inc.Background: Colon cancer is a leading cause of cancer-related death. Long non-coding (Lnc) RNAs are critical mediators of tumor biology. H19 is a well-characterized lncRNA involved in p53 regulation and cancer progression. A specific colon cancer data set was utilized to determine if tumor H19 expression is associated with recurrence-free and overall survival. Methods: Clinical patient data from The Cancer Genome Atlas colon adenocarcinoma data set was downloaded using FirebrowseR and normalized H19 expression from the associated RNA-seq data set downloaded using cBioportal. Univariable and multivariable Cox proportional regression analyses were used to identify an association between H19 expression in colon cancer tissue and recurrence-free, and overall survival. Results: Three hundred eight patients were studied. Median age was 68 years (interquartile range: 58-77 years) and 156 patients (51%) were men. Increased H19 expression was associated with KRAS mutation status (P= 0.016). There was no difference in overall survival between the low and high H19 expression groups (log rank = 0.481); however, increased H19 expression was associated with reduced recurrence-free survival (Log-Rank = 0.012). On multivariable regression analysis, increased H19 expression (Hazard ratio = 1.83, 95%CI: 1.02-3.27, P= 0.042), and stage III or IV disease (Hazard ratio = 2.39, 95%CI: 1.34-4.27, P= 0.003) were risk factors for reduced recurrence-free survival. Conclusions: Colon cancer H19 expression is associated with advanced stage of tumor disease and is a significant risk factor for reduced recurrence-free survival. Tumor expression of H19 may have potential for both prognostic and therapeutic uses in the future.

BiomarkerColon cancerH19lncRNARecurrence-free survival

Galandiuk S.、Rai S.N.、O'Brien S.J.、Scheurlen K.、Rochet A.、Fiechter C.、Paas M.、Pan J.

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Price Institute of Surgical Research Hiram C. Polk Jr. MD Department of Surgery University of

Biostatistics and Bioinformatics Facility Brown Cancer Center University of Louisville

2022

The Journal of surgical research.

The Journal of surgical research.

ISSN:0022-4804
年,卷(期):2022.269
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