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乳腺癌组织中miR-21的表达及意义
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摘要
目的:对乳腺癌组织及其相应癌旁组织中miR-21进行定量检测,分析其表达与临床病理特征的及意义。
     方法:采用茎环实时荧光逆转录聚合酶链反应(RT-PCR)检测60例乳腺癌及其对应癌旁组织中miR-21的表达量,分析其表达与肿瘤大小、TNM分期、组织学类型、淋巴结转移、雌激素受体(ER)、孕激素受体(PR)等临床病理特征的关系。
     结果:实时RT-PCR方法检测miR-21表达的敏感性和特异性良好。miR-21在乳腺癌组织中的表达明显高于癌旁组织(P < 0.001 );miR-21的高表达还与较高的TNM分期,淋巴结转移及PR的表达程度有关(各分组间P<0.01及< 0.05);miR-21的表达在“三阴性乳腺癌”(ER,PR,CerbB-2均为阴性)和“非三阴性乳腺癌”之间的表达存在统计学差异(P=0.029)。
     结论:miR-21在乳腺癌组织中高表达,其水平可能与乳腺癌的恶性程度有关。
Objective:To examine the level of expression of microRNA-21 in breast cancer and normal tissues more than 5 cm away from the tumor tissues , The association of miR-21 expression with the clinical pathological factors of breast cancer were analyzed .
     Methods:Specimens of breast cancer and normal tissues more than 5cm away from the tumor tissues were collected from 60 patients, The miR-21 expression was detected by Stem-loop real-time RT-PCR . Levels of miR-21 expression by tumor size, TNM clinical stage, histology, lymph node involvement, hormone receptor status were compared .
     Results:High sensitivity, specificity and precision of Stem-loop real-time RT-PCR allows for direct analysis of expression of miR-21 of breast cancer . With normal tissues, obvious high level of expression of miR-21 was detected (P < 0.001 ),Elevated miR-21 expression was also positively correlated with Advanced TNM stage, lymph node metastasis, and low PR levels(P =0.007,0.001,and 0.012 respectively), Moreover, We discover for first time ,levels of expression of miR-21 in triple-negative breast cancer(TNBC)is high than other types(P =0.029).
     Conclusion:High levels of expression of miR-21 are correlated with malignant degree of breast cancer.
引文
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