文章摘要
miR-485-5p和miR-942-5p在脑胶质瘤患者中的表达及其临床意义
Expression and clinical significance of miR-485-5p and miR-942-5p in patients with glioma
投稿时间:2025-06-03  
DOI:10.3969/j.issn.1000-0399.2026.08.014
中文关键词: 脑胶质瘤  微小核糖核酸-485-5p  微小核糖核酸-942-5p  临床意义  病理特征  预后
英文关键词: Glioma  miR-485-5p  miR-942-5p  Clinical significance  Pathological features  Prognosis
基金项目:
作者单位E-mail
于仁朝 252600 山东临清 聊城市第二人民医院神经外科二病区  
于洋 253299 山东德州 夏津县中医院神经内科  
陈清山 252600 山东临清 聊城市第二人民医院神经外科二病区  
夏凯 252600 山东临清 聊城市第二人民医院神经外科二病区  
刘昆 252600 山东临清 聊城市第二人民医院神经外科二病区 c57vub@163.com 
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中文摘要:
      目的 检测微小核糖核酸(miR)-485-5p和miR-942-5p在脑胶质瘤患者中的表达及其临床意义。方法 选取2020年1月至2021年6月聊城市第二人民医院收治的脑胶质瘤患者116例,配对取脑胶质瘤组织和癌旁组织各116例,根据患者是否死亡分为存活组(59例)和死亡组(57例)。利用实时荧光定量聚合酶链式反应(qRT-PCR)检测组织中的miR-485-5p、miR-942-5p相对表达量;收集脑胶质瘤患者的临床病理资料;采用Cox回归分析脑胶质瘤患者预后的影响因素;采用Kaplan-Meier分析miR-485-5p、miR-942-5p表达对脑胶质瘤患者预后的影响。结果 脑胶质瘤组织miR-485-5p表达低于癌旁组织,miR-942-5p表达高于癌旁组织(P<0.05)。miR-485-5p低表达患者中Ⅲ~Ⅳ级肿瘤、低分化以及浸润深度>1/2肿瘤所占比例高于miR-485-5p高表达患者;miR-942-5p高表达患者中Ⅲ~Ⅳ级肿瘤、低分化以及浸润深度>1/2肿瘤所占比例高于miR-942-5p低表达患者(P<0.05)。年龄≥60岁、Ⅲ~Ⅳ级肿瘤、浸润深度>1/2肿瘤、miR-485-5p低表达、miR-942-5p高表达影响患者预后(P<0.05)。年龄≥60岁、肿瘤分级Ⅲ~Ⅳ级、浸润深度>1/2、miR-485-5p低表达和miR-942-5p高表达是脑胶质瘤患者死亡的危险因素(P<0.05)。miR-485-5p低表达的3年生存率为39.68%(25/63),低于miR-485-5p高表达的3年生存率[64.15%(34/53),P<0.05];miR-942-5p高表达的3年生存率为35.82%(24/67),低于miR-942-5p低表达的3年生存率[71.43%(35/49),P<0.05]。结论 脑胶质瘤组织中miR-485-5p表达较低,miR-942-5p表达较高,二者的表达与脑胶质瘤患者的生存率相关。
英文摘要:
      Objective To detect the expression of miR-485-5p and miR-942-5p in patients with glioma and its clinical significance.Methods A total of 116 glioma patients admitted to the Second People's Hospital of Liaocheng City from January 2020 to June 2021 were selected. A total of 116 glioma tissues and 116 adjacent tissues were paired and collected. According to whether the patient died, they were grouped into a survival group(59 cases) and a death group(57 cases). QRT-PCR was applied to detect the relative expression levels of miR-485-5p and miR-942-5p in tissues. Clinical and pathological data of glioma patients were collected. Cox regression was applied to analyze the influencing factors of prognosis in patients with glioma. Kaplan-Meier was applied to analyze the impacts of miR-485-5p and miR-942-5p expression on the prognosis of glioma patients. Results The expression of miR-485-5p in glioma tissue was lower than that in adjacent tissues, and the expression of miR-942-5p was higher than that in adjacent tissues(P<0.05). The proportions of grade Ⅲ-Ⅳ tumors, poorly differentiated tumors, and tumors with infiltration depth>1/2 in patients with low expression of miR-485-5p were higher than those in patients with high expression of miR-485-5p; the proportions of age ≥ 60 years, grade Ⅲ-Ⅳ tumors, poorly differentiated tumors, and tumors with infiltration depth>1/2 in patients with high expression of miR-942-5p were higher than those in patients with low expression of miR-942-5p(P<0.05). Age ≥ 60 years, grade Ⅲ-Ⅳ tumors, tumors with infiltration depth>1/2, low expression of miR-485-5p, and high expression of miR-942-5p significantly affected patient prognosis(P<0.05). Age ≥ 60 years, tumor grade Ⅲ-Ⅳ, infiltration depth>1/2, low expression of miR-485-5p and high expression of miR-942-5p were risk factors for death in patients with glioma(P<0.05). The 3-year survival rate of patients with low expression of miR-485-5p was 39.68%(25/63), which was lower than that of patients with high expression of miR-485-5p, which was 64.15%(34/53)(P<0.05); the 3-year survival rate for patients with high expression of miR-942-5p was 35.82%(24/67), markedly lower than that of patients with low expression of miR-942-5p, which was 71.43%(35/49)(P<0.05). Conclusion In glioma tissues, miR-485-5p expression is low, while miR-942-5p expression is high. The expression of these two miRNAs is associated with the survival rate of glioma patients.
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