Gastroenterology:MiRNA检测在巴雷特食管诊断中的应用

2018-06-13 zhangfan MedSci原创

研究发现,巴雷特食管患者存在特异的MiRNA过表达现象,是有效的巴雷特食管诊断方法,其中MIR194表达增加可能通过表观遗传机制参与疾病的发生

微小RNA(MiRNA)在生物样本中具有高度的稳定性,能提供组织特异性的信息,作为致癌生物标志物的潜力巨大。近日研究人员考察了MiRNA检测在巴雷特食管患者诊断中的应用前景。

研究人员对38名BE患者以及26名健康志愿者食管活检组织MiRNA表达情况进行了分析,使用实时聚合酶链反应(PCR)对BE患者和志愿者食管组织中的MiRNAs进行定量检测。经鉴别后,通过质粒表达相应的MiRNAs,并在正常食管鳞状细胞(NES)中表达反义寡核苷酸,分析其对细胞增殖和基因表达模式的影响。

研究发现,BE患者15中MiRNA的表达显著上升,其中11种(MIR215,MIR194,MIR 192,MIR196a, MIR199b,MIR10a,MIR145,MIR181a,MIR30a,MIR7和MIR199a)得到Cytosponge海绵验证。MIR196a,MIR192,MIR194以及 MIR215的表达增加最为显著,增加了7.9倍以上,曲线下面积(AUC)大于0.82。模型研究发现MIR7, MIR30a,MIR181a,MIR192,MIR196和MIR199a这6种miNRA表达增加人群的BE风险显著增加,其AUC为0.89,敏感性为86.2%,特异性为91.6%。上述MiRNA联合三叶因子3 (TFF3)检查后,对BE诊断的AUC上升至0.93,敏感性增加至93.1%,特异性增加至93.7%。研究人员在高度上调的MIR 192-194簇启动子区域观察到低甲基化现象。所以BE相关高表达MiRNAs在NES细胞中过度表达,通过GRHL 3和PTEN信号途径促进细胞的增殖。

研究发现,巴雷特食管患者存在特异的MiRNA过表达现象,是有效的巴雷特食管诊断方法,其中MIR194表达增加可能通过表观遗传机制参与疾病的发生。

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    2018-09-26 smallant2002
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    2018-08-09 许安
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  5. 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level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Wed Jun 13 09:51:01 CST 2018, time=2018-06-13, status=1, ipAttribution=)]
    2018-06-15 Homburg
  6. 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  7. 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    2018-06-15 zhouqu_8
  8. 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    2018-06-13 龙胆草

    学习谢谢分享

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