BCL11A overexpression predicts survival and relapse in non-small cell lung cancer and is modulated by microRNA-30a and gene amplification.

BCL11A overexpression predicts survival and relapse in non-small cell lung cancer and is modulated by microRNA-30a and gene amplification.
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BCL11A 过表达可预测非小细胞肺癌的生存和复发,并受到 microRNA-30a 和基因扩增的调节

DOI:
10.1186/1476-4598-12-61
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发表时间:
2013-06-12
期刊:
影响因子:
37.3
通讯作者:
Wu YL
Wu YL
中科院分区:
医学1区
文献类型:
--
作者:
Jiang BY;Zhang XC;Su J;Meng W;Yang XN;Yang JJ;Zhou Q;Chen ZY;Chen ZH;Xie Z;Chen SL;Wu YL

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研究背景原癌基因B细胞淋巴瘤/白血病11A(BCL11A)的异常激活与白血病和淋巴瘤的发病机制有关。然而,BCL 11 A在非小细胞肺癌(NSCLC)的临床意义仍然unknown. ResultsWe研究BCL 11 A的表达在蛋白质和mRNA水平在一个队列(n = 114)的NSCLC患者和评估BCL 11 A的表达和临床病理参数之间的关系。整合基于阵列的比较基因组杂交(aCGH)和microRNA转染实验的数据,以探索NSCLC中异常BCL 11 A激活的潜在机制。与癌旁肺组织相比,NSCLC组织中BCL 11A的表达在mRNA和蛋白水平均显著上调(t = 9.81,P <0.001)。BCL 11A蛋白表达在鳞癌(χ 2 = 15.81,P = 0.001)、吸烟者(χ 2 = 8.92,P = 0.004)、无淋巴结转移者(χ 2 = 5.14,P = 0.029)和早期病变者(χ 2 = 3.91,P = 0.048)中均较高。多因素分析显示,BCL 11 A不仅是影响早期非小细胞肺癌(IA-Ⅱ B)患者无病生存期(HR = 0.24,95%CI 0.12-0.50,P <0.001)和总生存期(HR = 0.23,95%CI 0.09-0.61,P = 0.003)的独立预后因素。扩增组的BCL 11A平均表达水平明显高于未扩增组(t = 3.30,P = 0.023)。结论miR-30 a可诱导原癌基因BCL 11 A的激活和基因扩增,这可能是一种潜在的诊断和预后生物标志物,可用于有效治疗该病。
BackgroundAberrant activation of the proto-oncogene B-cell lymphoma/leukemia 11A (BCL11A) has been implicated in the pathogenesis of leukemia and lymphoma. However, the clinical significance of BCL11A in non-small cell lung cancer (NSCLC) remains unknown.ResultsWe examined BCL11A expression at the protein and mRNA levels in a cohort (n = 114) of NSCLC patients and assessed the relationship between BCL11A expression and clinicopathological parameters. Data from array-based Comparative Genomic Hybridization (aCGH) and microRNA transfection experiments were integrated to explore the potential mechanisms of abnormal BCL11A activation in NSCLC. Compared to adjacent non-cancerous lung tissues, BCL11A expression levels were specifically upregulated in NSCLC tissues at both the mRNA (t= 9.81,P <0.001) and protein levels. BCL11A protein levels were higher in patients with squamous histology (χ2= 15.81,P= 0.001), smokers (χ2= 8.92,P= 0.004), patients with no lymph node involvement (χ2= 5.14,P= 0.029), and patients with early stage disease (χ2= 3.91,P= 0.048). A multivariate analysis demonstrated that in early stage NSCLC (IA–IIB), BCL11A was not only an independent prognostic factor for disease-free survival (hazards ratio [HR] 0.24, 95% confidence interval [CI] 0.12-0.50,P< 0.001), but also for overall survival (HR = 0.23, 95% CI 0.09-0.61,P= 0.003). The average BCL11A expression level was much higher in SCC samples with amplifications than in those without amplifications (t= 3.30,P= 0.023). Assessing functionality via anin vitroluciferase reporter system and western blotting, we found that the BCL11A protein was a target of miR-30a.ConclusionsOur results demonstrated that proto-oncogeneBCL11Aactivation induced by miR-30a and gene amplification may be a potential diagnostic and prognostic biomarker for effective management of this disease.
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发表时间: 2005-05-01
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