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    环状RNA circ_001988在结直肠癌中的表达及其临床意义

    expression of circ_001988 in colorectal cancer and its clinical significance

    • 摘要: 目的 本研究旨在探讨患者环状RNA circ_001988在结直肠癌患者中的表达,探讨其与临床病理特征及预后的关系。方法 实时荧光定量聚合酶链反应(qRT-PCR)法检测结直肠癌及其癌旁正常组织中环状RNA circ_001988的表达量。卡方检验(chi-square test)分析环状RNA circ_001988的表达差异与临床资料及病例特征的关系。生存曲线(Kaplan-Meier)分析环状RNA circ_001988的表达差异与临床预后的相关性。Cox比例风险回归模型进行单变量和多变量回归分析。结果 环状RNA circ_001988在结直肠癌组织中的相对表达水平低于癌旁肠正常组织(P<0.001)。环状RNA circ_001988低表达与与淋巴结转移(P= 0.032)、远处转移(P = 0.041)和TNM分期(P= 0.042)密切相关。生存曲线(Kaplan-Meier)分析显示,环状RNA circ_001988高表达患者与环状RNA circ_001988低表达患者相比,总体存活率显著较好(P=0.0035),单变量Cox比例风险回归模型分析环状RNA circ_001988表达水平淋巴结转移TNM分期与结肠癌患者的总生存率相关(均<0.05,)。

       

      Abstract: Objective This study aims to investigate circ_001988 expressions in colorectal cancer patients, and discuss its correlation with colorectal cancer clinicopathological features and prognosis. Methods qRT-PCR was performed to measure expression levels of circ_001988 in colorectal cancer tissues. The chi-square test was used to assess circ_001988 expression with respect to clinicopathological parameters. Kaplan-Meier analysis was performed to identify survival differences in colorectal cancer patients. Univariate and multivariate analysis were performed using the Cox proportional hazard analysis. Results circ_001988 was significantly down-regulated in colorectal cancer tissues compared to normal tissue samples (P<0.001), and a low expression of circ_001988 was found to be significantly associated with lymph node metastasis (P=0.032), distant metastasis (P =0.041) and TNM stage (P=0.042). Moreover, Kaplan-Meier survival analysis revealed that high circ_001988 expression predicted significantly better overall survival (P=0.0035). In addition, Univariate Cox proportional hazards regression model analysis indicated that relative circ_001988 expression level, lymph node metastasis, distant metastasis and TNM stage were correlated with an overall survival rate in colorectal cancer patients. Finally, Multivariate analysis results indicated that circ_001988 was an independent prognostic factor in colorectal cancer. Conclusions Our results indicated that reduced circ_001988 expression contributed to colorectal cancer metastasis and poor prognosis. Thus, circ_001988 might serve as a promising biomarker for prognosis of colorectal cancer.

       

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