1. 幽门螺旋杆菌阳性胃癌组织 microRNA-1290、microRNA-134 表达 与肿瘤增殖基因、侵袭基因和预后的关系分析.
- Author
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李 亮, 潘文琴, 孙雪峰, 张 美, and 王镇澜
- Subjects
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GENE expression , *PEARSON correlation (Statistics) , *STOMACH cancer , *LYMPHATIC metastasis , *POLYMERASE chain reaction , *HELICOBACTER pylori infections , *GASTRIC outlet obstruction - Abstract
Objective: To investigate the expression of microRNA-1290 (miR-1290) and miR-134 in helicobacter pylori (Hp) positive gastric cancer tissues and their relationship with tumor proliferation genes, invasion genes and prognosis. Methods: 126 patients with gastric cancer who were admitted to Three Gorges Hospital Affiliated to Chongqing University from January 2016 to January 2017 were selected as the study subjects. According to the Hp detection results, they were divided into Hp-positive gastric cancer group (n=84) and Hp-negative gastric cancer group (n=42), and 60 patients with chronic gastritis in the same period were taken as the control group. The expression of miR-1290, miR-134, proliferation genes [phosphatidylinositol 3 catalytic subunit A (PIK3CA), C-myc oncogene (c-myc)] and invasion genes [basic helix helix transcription factor (Twist), N cadherin (N-cad)] were detected by real-time fluorescence quantitative polymerase chain reaction. Pearson correlation analysis of the correlation between miR-1290, miR-134 and the expression of PIK3CA, c-myc and invasive genes Twist and N-cad in Hp-positive gastric cancer tissues. The expression differences of miR-1290 and miR-134 in patients with Hp positive gastric cancer with different clinicopathological characteristics were compared. Kaplan-Meier survival curve was used to evaluate the relationship between the expression of miR-1290 and miR-134 and the survival and prognosis of Hp-positive patients with gastric cancer. Results: The expression of miR-1290 in cancer tissues of the HP-positive gastric cancer group was higher than that of the HP-negative gastric cancer group and control group, while the expression of miR-134 was lower than that of the HP-negative gastric cancer group and control group, with statistical significance (P<0.05). The expression of miR-1290 of the HP-positive gastric cancer tissues were positively correlated with the expressions of proliferating genes PIK3CA and c-myc, invasion genes Twist and N-cad mRNA (r=0.620~0.725, all P<0.05), and miR-134 was negatively correlated with the expressions of proliferating genes PIK3CA and c-myc, and invasion genes Twist and N-cad mRNA (r=-0.670 ~-0.784, all P<0.05). There were statistically significant differences in the expression of miR-1290 and miR-134 in cancer tissues of patients with different TNM stages, depth of invasion and lymph node metastasis of HP-positive gastric cancer (all P<0.05). The 5-year overall survival rates of patients with HP-positive gastric cancer were 48.78% (20/41) and 75.61% (31/41) of the high-expression group and low-expression group of miR-1290, respectively. The cumulative survival of patients with miR-1290 high expression group was significantly lower than that of patients with miR-1290 low expression group (Log rank x²=6.366, P= 0.012). The 5-year overall survival rates were 42.86%(18/42) and 82.50% (33/40) in the low-expression group and high-expression group of miR-134, respectively. The cumulative survival of miR-134 low expression group was significantly lower than that of miR-134 high expression group (Log rank x² =10.640, P=0.001). Conclusion: The increased expression of miR-1290 and decreased expression of miR-134 in HP-positive gastric cancer tissues may lead to malignant progression and poor prognosis by promoting the expression of tumor proliferation and invasion genes. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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