目的探讨微小RNA(miRNA)-221和miRNA-222表达与胶质瘤病理分级及胶质瘤患者预后的关系。方法收集手术切除的胶质瘤标本120例,病理学分级I级19例、Ⅱ级31例、Ⅲ级38例、Ⅳ级32例;采用实时聚合酶链反应(Real—timePCR)及荧光原位杂交(FISH)法检测miRNA-221和miRNA-222的表达。对进行标准治疗的胶质瘤患者进行4年随访。结果肿瘤病理级别随miRNA-221和miRNA-222表达的升高而增加,组间比较差异有统计学意义(x2=43.53,P〈0.01);生存时间随miRNA-221和miRNA-222表达升高而减少,各组间差异有统计学意义(x2=55.63,P〈0.01)。结论miRNA-221和miRNA-222的表达与胶质瘤的病理学分级及预后密切相关,可以作为独立的预后因素。
Objective To investigate the relationship between the expression of microRNA ( miR- NA)-221 and miRNA-222 and pathological grade of glioma and prognosis of patients with glioma. Methods The expression of miRNA-221 and miRNA-222 was detected by real-tiem polymerase chain reaction ( Real- time PCR) and FISH in 120 cases of glioma. Of the 120 cases, 19 cases were fallen into pathological grade Ⅰ , 31 into grade Ⅱ , 38 into grade Ⅲ, and 32 into grade IV. The patients with glioma under the standard treatment were followed up for 4 years. Results Pathological grade of glioma was increased with the in- creased expression of miRNA-221 and miRNA-222, and there were significant differences between the groups (X2 = 43.53, P 〈 0. 01 ). Survival time was decreased with the increased expression of miRNA-221 and miRNA-222, and there were significant differences between the groups (X2 = 55.63 ,P 〈 0. 01 ). Con- clusion The expression of miRNA-221 and miRNA-222 was related to pathological grade and the progno- sis of glioma, and can be considered as the independent prognostic factor.