口腔鳞状细胞癌组织中miR-155-5p、miR-138及miR-381-3p的表达变化及临床意义  

Expression changes and clinical value of miR-155-5p, miR-138, miR-381-3p in oral squamous cell carcinoma

作　　者：王欣[1] 金城 崔焕焕 WANG Xin;JIN Cheng;CUI Huan-huan(Department of Stomatology,Ophthalmology Center,Beijing Youan Hospital,Capital Medical University,Beijing 100069;Department of Stomatology,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035;Department of Stomatology,Chinese Academy of Medical Sciences Plastic Surgery Hospital,Beijing 100041,China)

机构地区：[1]首都医科大学附属北京佑安医院五官中心口腔科,北京100069 [2]首都医科大学附属北京积水潭医院口腔科,北京100035 [3]中国医学科学院整形外科医院口腔科,北京100041

出　　处：《中国口腔颌面外科杂志》2025年第2期159-164,共6页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的:探讨口腔鳞状细胞癌(oral squamous cell carcinoma,OSCC)组织中微小核糖核酸-155-5p(miR-155-5p)、miR-138、miR-381-3p的表达变化及临床意义。方法:收集手术切除的72例OSCC患者的癌组织及癌旁正常组织。采用实时荧光定量PCR(qPCR)检测miR-155-5p、miR-138、miR-381-3p mRNA的表达,分析OSCC组织中miR-155-5p、miR-138、miR-381-3p表达与临床病理特征及预后的关系。采用SPSS 25.0软件包对数据进行统计学分析。结果:与癌旁正常组织相比,癌组织中miR-155-5p显著升高,miR-138、miR-381-3p表达显著降低(P<0.05)。肿瘤最大径≥3 cm、肿瘤浸润深度≥5 mm、临床Ⅲ~Ⅳ分期、颈淋巴结转移、中高分化患者癌组织中呈现miR-155-5p mRNA高表达及miR-138、miR-381-3p mRNA低表达(P<0.05)。随访2年,72例OSCC患者生存率为40.32%(25/72),与生存患者相比,死亡患者的miR-155-5p mRNA表达量更高,miR-138、miR-381-3p mRNA表达量更低。受试者工作特征(receiver operating characteristic,ROC)曲线分析显示,miR-155-5p、miR-138、miR-381-3p联合预测口腔鳞状细胞癌患者预后不良的曲线下面积为0.957,均高于单一指标检测(P<0.05)。结论:OSCC组织中miR-155-5p呈现高表达,miR-138、miR-381-3p呈低表达,三者表达情况与肿瘤的侵袭深度、临床分期、颈淋巴结转移、分化程度及预后有关,临床上可联合3项指标检测,评估患者预后。PURPOSE:To investigate the expression and clinical value of microRNA-155-5p(miR-155-5p),miR-138 and miR-381-3p in oral squamous cell carcinoma(OSCC).METHODS:Cancer tissues and adjacent normal tissues of 72 patients with OSCC were collected.Quantitative real-time PCR(RT-PCR)was used to detect the mRNA expressions of miR-155-5p,miR-138 and miR-381-3p,and to analyze the relationship between the expressions of miR-155-5p,miR-138 and miR-381-3p and clinicopathological characteristics and prognosis in OSCC.SPSS 25.0 software package was used for data analysis.RESULTS:Compared with adjacent normal tissues,the expression of miR-155-5p in cancer tissues was significantly increased,and the expression of miR-138 and miR-381-3p was significantly decreased(P<0.05).High expression of miR-155-5p mRNA and low expression of miR-138 and miR-381-3p mRNA were found in cancer tissues of patients with tumor maximum diameter≥3 cm,tumor invasion depth≥5 mm,clinical stage Ⅲ-Ⅳ,cervical lymph node metastasis and moderate to high differentiation(P<0.05).After 2 years of follow-up,the survival rate of 72 patients with OSCC was 40.32%(25/72).Compared with the survival patients,the expression of miR-155-5p mRNA in the dead patients was higher,and the expression of miR-138 and miR-381-3p mRNA was lower.Receiver operating charac teristic(ROC)analysis showed that the area under the curve(AUC)of miR-155-5p,miR-138 and miR-381-3p combined to predict poor prognosis in patients with OSCC was 0.957,which was significantly higher than that of single mRNA detection(P<0.05).CONCLUSIONS:The expression of miR-155-5p in OSCC tissues is high,while miR-138 and miR-381-3p expression are low.The expression of the three factors are related to the invasion depth,clinical stage,cervical lymph node metastasis,differentiation degree and prognosis of the tumor.Clinically,combined detection of the three indicators can be strengthened to evaluate the prognosis of patients.

关 键 词：口腔鳞状细胞癌 miR-155-5p miR-138 miR-381-3p 临床病理特征 预后 

分 类 号：R739.8[医药卫生—肿瘤]