miR-320a is an independent prognostic biomarker for invasive breast cancer.

miR-320a is an independent prognostic biomarker for invasive breast cancer.
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DOI:
10.3892/ol.2014.2298
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发表时间:
2014-09
期刊:
影响因子:
2.9
通讯作者:
Liu X
Liu X
中科院分区:
医学4区
文献类型:
--
作者:
Yang H;Yu J;Wang L;Ding D;Zhang L;Chu C;Chen Q;Xu Z;Zou Q;Liu X

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乳腺癌是全球最常见的恶性肿瘤之一,也是女性癌症相关死亡的第二大原因。miRNA是一类在人类癌症中异常表达的小的非编码RNA。由于它们的小尺寸和稳定性,miRNA具有成为有效临床靶标的潜力。microRNA-320 a(miR-320 a)在多种恶性肿瘤中表达异常。本研究检测了15例原位乳腺癌和130例浸润性乳腺癌组织中miR-320 a的表达水平,并评估其对乳腺癌患者预后的价值。显色原位杂交显示60/130(46%)浸润性乳腺癌组织显示miR-320 a高表达水平(染色指数评分≥4)。miR-320 a表达与肿瘤大小(P=0.046)、临床分期(P<0.001)、淋巴结转移(P<0.001)和远处转移(P=0.006)相关。此外,表现出低miR-320 a表达水平的患者具有较短的总生存时间(P<0.001)。单变量和多变量分析显示,miR-320 a是浸润性乳腺癌的独立预后生物标志物(风险比,0.221; 95%置信区间,0.050-0.979; P=0.047)。受试者操作特征曲线显示,与广泛使用的浸润性乳腺癌预后生物标志物(雌激素受体、孕激素受体和人表皮生长因子-2)相比,miR-320 a的预后价值增强。本研究的结果表明,miR-320 a是浸润性乳腺癌预后的潜在生物标志物,miR-320 a的失调可能参与浸润性乳腺癌的进展。
Breast cancer is one of the most common malignancies worldwide and is the second leading cause of cancer-related mortality among females. miRNAs are a class of small noncoding RNAs that are aberrantly expressed in human cancers. Due to their small size and stability, miRNAs have the potential to be efficacious clinical targets. MicroRNA-320a (miR-320a) has been shown to be dysregulated in multiple malignancies. In the present study, the expression levels of miR-320a were investigated in 15 paraffin-embedded in situ breast carcinoma and 130 invasive breast cancer tissues, and the prognostic value for breast cancer patients was assessed. Chromogenic in situ hybridization revealed that 60/130 (46%) invasive breast cancer tissues exhibited high expression levels of miR-320a (staining index score of ≥4). Furthermore, miR-320a staining was found to significantly correlate with tumor size (P=0.046), clinical stage (P<0.001), lymph node metastasis (P<0.001) and distant metastasis (P=0.006). In addition, patients exhibiting low miR-320a expression levels had shorter overall survival times (P<0.001). Univariate and multivariate analyses revealed that miR-320a was an independent prognostic biomarker for invasive breast cancer (hazard ratio, 0.221; 95% confidence interval, 0.050–0.979; P=0.047). Receiver operator characteristic curves revealed that the prognostic value of miR-320a was enhanced when compared with the widely used prognostic biomarkers (estrogen receptor, progesterone receptor and human epidermal growth factor-2) in invasive breast cancer. The results of the present study suggest that miR-320a presents a potential biomarker for the prognosis of invasive breast cancer, and dysregulation of miR-320a may be involved in invasive breast cancer progression.
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