南方医科大学学报 ›› 2015, Vol. 35 ›› Issue (05): 743-.

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鼻咽癌患者血浆miR-24异常表达的临床意义

王路,余伯龙,岑建华,彭新宇,刘友利,曾芳芳,刘雄   

  • 出版日期:2015-05-20 发布日期:2015-05-20

Clinical significance of plasma miR-24 dysregulation in nasopharyngeal carcinoma

  • Online:2015-05-20 Published:2015-05-20

摘要: 目的探讨miR-24在鼻咽癌患者血浆中的表达及临床意义。方法收集2007年12月~2011年6月在南方医院耳鼻喉科住
院的初诊鼻咽癌患者血浆217例,以同期住院的慢性化脓性中耳炎或慢性鼻窦炎患者血浆73例作为对照,利用荧光定量PCR的
方法进行miR-24 表达的检测并结合临床资料分析其临床意义。结果血浆miR-24 在鼻咽癌组的相对表达水平为对照组的
4.808倍,差异具有显著统计学意义(P<0.001);血浆miR-24在不同T分期之间有统计学差异(P=0.007),miR-24与N分期呈负
相关(P=0.028);鼻咽癌病人血浆EBV-DNA与血浆miR-24呈负相关(P=0.048);治疗后血浆miR-24含量较治疗前下降差异有
显著统计学意义(P=0.001)。结论血浆miR-24可作为肿瘤分子标志物用于鼻咽癌早期诊断及预后分析。

Abstract: Objective To examine the expression level of miR-24 in the plasma of nasopharyngeal carcinoma (NPC) patients and
investigate the clinical significance of miR-24 in NPC development. Methods Blood samples were from 217 NPC patients
admitted in our Department between December, 2007 and June, 2011, with those from 73 patients with chronic purulent otitis
media or chronic sinusitis as control. The follow-up data of all the patients were reviewed and the expression of miR-24 in the
plasma was examined by qRT-PCR. The correlation of miR-24 expression with clinical staging of NPC was analyzed, and
miR-24 levels before and after the treatment were compared. Results Compared with the control group, the NPC patients
showed significantly up-regulated level of miR-24 in the plasma (P<0.001). Plasma miR-24 level differed significantly among
patients with different T stages (P=0.007) and was negatively correlated with the N stages (P=0.028) and plasma EBV-DNA (P=
0.048). The expression levels of miR-24 were significantly reduced after treatment in the NPC patients and were significantly
lowered in patients without relapse or metastasis (P=0.001). Conclusion Plasma miR-24 may serve as a novel molecular
biomarker for early diagnosis and prognosis of NPC.