山东大学学报 (医学版) ›› 2020, Vol. 58 ›› Issue (11): 71-75.doi: 10.6040/j.issn.1671-7554.0.2020.1127
刘小璟,夏西燕,肖珂,陈文丹,庄学伟
LIU Xiaojing, XIA Xiyan, XIAO Ke, CHEN Wendan, ZHUANG Xuewei
摘要: 目的 探讨长链非编码 RNA(lncRNA)OGFRP1 在非小细胞肺癌(NSCLC)血清外泌体中的表达及临床意义。 方法 分别对84例初诊为NSCLC的患者及84例正常健康者的血清进行外泌体提取鉴定、RNA提取及检测lncRNA表达。统计学分析血清外泌体lncRNA OGFRP1诊断NSCLC的灵敏度、特异度与准确性,分析 lncRNA OGFRP1 的表达与临床病理特征的关系。 结果 84例初诊为NSCLC的患者均经病理学证实为NSCLC。lncRNA OGFRP1 在NSCLC血清外泌体中显著高表达(χ2=96.459,P<0.001)。以病理诊断为金标准,lncRNA OGFRP1测值对NSCLC的辅助诊断的灵敏度、特异度和准确性分别为90.5%、86.9%和93.9%,高于癌胚抗原,差异有统计学意义(P<0.001)。血清外泌体lncRNA OGFRP1的相对表达量与NSCLC癌患者的淋巴结转移(P=0.034)以及T分期(P=0.030)差异有统计学意义。 结论 血清外泌体lncRNA OGFRP1 的检测对于诊断NSCLC具有较高的灵敏度、特异度和准确性,可作为NSCLC早期筛选、检测和分期的新型肿瘤标志物。
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