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宫颈鳞癌患者血清miR-1246的表达及其临床意义

Expression of Serum miR-1246 in Patients with Cervical Squamous Cell Carcinoma and Its Clinical Significance

  • 摘要:
    目的 探讨miR-1246在宫颈鳞癌患者血清中的表达并分析其在宫颈鳞癌诊断、术后恢复及复发监测中的价值。
    方法 采用RT-qPCR法检测宫颈鳞癌、鳞状上皮内病变(CIN)患者以及健康体检妇女血清miR-1246的表达, 分析其与肿瘤临床病理特征的相关性。随访60例手术治疗的宫颈鳞癌患者及8例复发患者(复发组)血清miR-1246含量, 评估其作为术后恢复、术后复发监测的肿瘤标志物的意义。
    结果 宫颈鳞癌患者血清中miR-1246含量明显高于CIN患者与健康体检妇女(P < 0.001)。miR-1246的高表达与宫颈鳞癌患者的FIGO分期、肿瘤大小、淋巴结转移、脉管浸润密切相关(均P < 0.05)。宫颈鳞癌患者血清中miR-1246的表达水平, 从术后1周(0.60±0.46)到术后1月(0.42±0.28)逐渐下降(P < 0.001), 并于术后1月恢复到健康妇女水平;8例宫颈鳞癌术后复发患者, 血清中miR-1246的表达水平较健康体检妇女明显升高(P < 0.05)。
    结论 血清miR-1246有助于宫颈鳞癌早期诊断和术后恢复监测, 并可作为宫颈鳞癌术后复发的辅助判断指标。

     

    Abstract:
    Objective To investigate the expression of miR-1246 in the serum of patients with cervical squamous cell carcinoma, and to analyze the value of diagnosis, postoperative recovery and recurrence monitoring in the treatment of cervical squamous cell carcinoma.
    Methods The expression of serum miR-1246 were detected in cervical squamous cell carcinoma patients, cervical intraepithelial neoplasia(CIN) patients and healthy controls using RT-qPCR. And we analyzed the correlation between the expression of miR-1246 and clinicopathological features. We followed up 60 patients with cervical squamous cell carcinoma and 8 patients with recurrence of cervical squamous cell carcinoma and monitored the expression of serum miR-1246 levels. Serum miR-1246 was evaluated as a tumor marker for postoperative recovery and postoperative recurrence monitoring.
    Results Compared with CIN patients and healthy women, the expression level of serum miR-1246 was significantly increased in cervical squamous cell carcinoma patients (P < 0.001). The high expression level of miR-1246 was closely related to FIGO stage, tumor size, lymph node metastasis and vascular invasion in patients with cervical squamous cell carcinoma (all P < 0.05). That the expression level of miR-1246 in the serum of patients with cervical squamous cell carcinoma decreased gradually from one week (0.60±0.46) to one month after surgery (0.42±0.28) (P < 0.001). And one month after the operation, the serum miR-1246 level of the patients recovered to a healthy level. However, the expression level of serum miR-1246 in 8 patients with recurrent cervical squamous cell carcinoma was significantly higher than that in healthy women (P < 0.05).
    Conclusion Serum miR-1246 contributes to the early diagnosis and postoperative recovery monitoring of cervical squamous cell carcinoma and could be used as an auxiliary judgment indicator for postoperative recurrence of cervical squamous cell carcinoma.

     

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