血浆lncRNA-SNHG20和lncRNA-TCF7表达对非小细胞肺癌的诊断价值研究

The value of expression of lncRNA-SNHG20 and lncRNA-TCF7 in plasma for diagnosis of non-small cell lung cancer

  • 摘要:
    目的 研究血浆中长链非编码RNA小核仁RNA宿主基因20(lncRNA-SNHG20)和长链非编码RNA转录因子7(lncRNA-TCF7)表达对非小细胞肺癌(NSCLC)的临床诊断价值。
    方法 采用实时荧光定量聚合酶链反应(qRT-PCR)检测NSCLC患者及良性肺病患者血浆中lncRNA-SNHG20和lncRNA-TCF7的相对表达水平。采用受试者工作特征(ROC)曲线评估两者单独及联合诊断NSCLC的效能,并与常规的肿瘤标志物癌胚抗原(CEA)及细胞角蛋白19(Cyfra21-1)比较。
    结果 在NSCLC患者血浆中, lncRNA-TCF7的相对表达和lncRNA-SNHG20的相对表达高于良性肺病组,差异有统计学意义(P < 0.05)。lncRNA-TCF7、lncRNA-SNHG20相对表达与性别、年龄、吸烟史、组织病理分型、TNM分期无关(P>0.05)。ROC曲线分析显示,血浆中lncRNA-SNHG20的曲线下面积(AUC)大于CEA及Cyfra21-1, lncRNA-TCF7的AUC介于CEA及Cyfra21-1之间。lncRNA-SNHG20联合lncRNA-TCF7诊断的准确性高于单独检测。
    结论 lncRNA-SNHG20和lncRNA-TCF7表达在NSCLC患者及良性肺病患者血浆中存在显著差异,检测两者表达水平可能对NSCLC的诊断具有临床意义。

     

    Abstract:
    Objective  To study the clinical value of long non-coding RNA small nucleolar host gene 20 (lncRNA-SNHG20) and long non-coding RNA transcription factor 7 (lncRNA-TCF7) expression in plasma for diagnosis of non-small cell lung cancer (NSCLC).
    Methods  The relative expression levels of lncRNA-SNHG20 and lncRNA-TCF7 in plasma of patients with NSCLC and benign lung disease were detected by quantitative real-time polymerase chain reaction (qRT-PCR). Receiver operating characteristic (ROC) curves were used to evaluate the efficacy of detection alone and their combination in the diagnosis of NSCLC, and were compared with that of conventional tumor markers such as carcinoembryonic antigen (CEA) and Cyfra21-1.
    Results  In the plasma of NSCLC patients, the relative expression of lncRNA-TCF7 and lncRNA-SNHG20 were significantly higher than those of patients with benign lung disease (P < 0.05). The relative expressions of lncRNA-TCF7 and lncRNA-SNHG20 were not correlated with gender, age, smoking history, histopathological classification, or TNM stage (P>0.05). ROC curve analysis showed that the area under curve (AUC) of lncRNA-SNHG20 in plasma was larger than that of CEA and Cyfra21-1; the AUC of lncRNA-TCF7 was between CEA and Cyfra21-1. The diagnostic accuracy of lncRNA-SNHG20 combined with lncRNA-TCF7 was higher than that of single detection.
    Conclusion  The expression levels of lncRNA-SNHG20 and lncRNA-TCF7 are significantly different in the plasma of patients with NSCLC and benign lung disease. The detection of the expression levels of lncrNa-SnhG20 and lncrNa-TCF7 may have clinical significance for the diagnosis of NSCLC.

     

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