首页|期刊导航|临床与实验病理学杂志|胃癌组织中miR-330-3p、IMP3表达水平与临床病理特征及预后的关系

胃癌组织中miR-330-3p、IMP3表达水平与临床病理特征及预后的关系OA

The relationship between the expression levels of miR-330-3p and IMP3 in gastric cancer tissues with clinicopathological features and prognosis

中文摘要英文摘要

目的 探究胃癌组织中miR-330-3p、胰岛素样生长因子Ⅱ mRNA结合蛋白-3(insulin-like growth factor ⅡmRNA-binding protein-3,IMP3)表达水平与患者临床病理特征及预后的相关性.方法 选取75例胃腺癌组织及相应的正常胃黏膜组织,分别为胃癌组及癌旁组.采用实时荧光定量-聚合酶链反应(qRT-PCR)法检测组织中miR-330-3p、IMP3的表达,分析其与患者临床病理特征的关系;采用Spearman法分析胃癌患者癌组织miR-330-3p与IMP3表达水平的相关性;将miR-330-3p抑制剂及对照NC inhibitor分别用LipofectamineTM3000转染至胃癌细胞系HGC27、AGS,通过qRT-PCR法检测质粒的转染效率及敲低miR-330-3p后相应IMP3的表达;采用Kaplan-Meier生存曲线分析胃癌患者癌组织miR-330-3p、IMP3表达水平与患者预后的关系;采用Cox回归模型分析胃癌患者预后不良的影响因素.结果 Spearman相关性分析结果显示,胃癌组织中miR-330-3p与IMP3表达水平呈现负相关(rs=-0.320,P<0.05).胃癌组织miR-330-3p表达水平显著低于癌旁组织,差异有统计学意义(t=23.97,P<0.001);胃癌组织IMP3水平显著高于癌旁组织,差异有统计学意义(t=16.91,P<0.001).T2-T4期、Ⅲ/Ⅳ期、发生淋巴结转移和远处转移的胃癌患者miR-330-3p低表达、IMP3高表达的比例明显高于T1期、Ⅰ/Ⅱ期、未发生淋巴结转移和远处转移的胃癌患者(P<0.05).Kaplan-Meier生存分析显示,胃癌组织miR-330-3p高表达患者 3 年预后良好率(75%)高于miR-330-3p低表达患者(5.6%),差异有统计学意义(χ2=29.759,P<0.001);IMP3高表达患者3年预后良好率(13.9%)低于IMP3低表达患者(65.6%),差异有统计学意义,χ2=16.220,P<0.001;胃癌组织miR-330-3p低表达且IMP3高表达患者3年预后良好率(0)远低于其余患者(60.5%),差异有统计学意义,χ2=26.905,P<0.001.临床分期Ⅲ/Ⅳ期、miR-330-3p低表达及IMP3高表达是胃癌患者预后不良的独立危险因素(P<0.05).结论 胃癌组织中miR-330-3p与IMP3的表达水平呈现负相关,且miR-330-3p低表达、IMP3高表达与胃癌患者恶性生物学行为进程及预后相关,可能成为治疗的靶点和预测胃癌预后的生物学指标.

Objective To investigate the correlation between the expression levels of miR-330-3p and insulin-like growth factor Ⅱ mRNA-binding protein-3(IMP3)in gastric cancer(GC)tissues with clinical pathological fea-tures and prognosis.Methods Seventy-five cases of gastric adenocarcinoma tissues and corresponding normal gastric mucosa tissues were selected and divided into GC group and paracancerous group.The expression levels of miR-330-3p and IMP3 in tissues were detected by quantitative real-time polymerase chain reaction(qRT-PCR),and the rela-tionship between their expression levels and the clinical pathological features of patients was analyzed.The Spearman rank correlation method was employed to evaluate the correlation between the expression levels of miR-330-3p and IMP3 in GC tissues.The miR-330-3p inhibitor and the miRNA-NC were transfected into the GC cell lines HGC27 and AGS using LipofectamineTM3000,respectively.The transfection efficiency of the plasmids and the expression level of IMP3 following miR-330-3p knockdown were assessed via qRT-PCR.Kaplan-Meier survival curve was used to analyze the relationship between the expression levels of miR-330-3p and IMP3 and the prognosis of GC patients.Cox regres-sion model was used to analyze the influencing factors of poor prognosis in GC patients.Results Spearman correla-tion analysis showed that the expression level of miR-330-3p was negatively correlated with IMP3 in GC tissues(rs=-0.320,P<0.05).The expression level of miR-330-3p in GC tissues was significantly lower than that in adjacent tis-sues,and the difference was statistically significant(t=23.97,P<0.001);while the level of IMP3 was significantly higher than that in adjacent tissues,and the difference was statistically significant(t=16.91,P<0.001).The pro-portion of low expression of miR-330-3p and high expression of IMP3 in GC patients with T2-T4 stage,Ⅲ/Ⅳ stage,lymph node metastasis and distant metastasis was significantly higher than that in GC patients with T1 stage,Ⅰ/Ⅱstage,no lymph node metastasis and distant metastasis(P<0.05).Kaplan-Meier survival analysis showed that the incidence of good prognosis in GC patients with a high expression of miR-330-3p(75%)was higher than that of pa-tients with a low expression of miR-330-3p(5.6%),and the difference was statistically significant(χ2=29.759,P<0.001).The incidence of good prognosis in patients with a high IMP3 expression(13.9%)was lower than that in pa-tients with a low IMP3 expression(65.6%),and the difference was statistically significant(χ2=16.220,P<0.001).The incidence of good prognosis in GC patients with low miR-330-3p expression and high IMP3 expression(0%)was significantly lower than that in the other patients(60.5%),and the difference was statistically significant(χ2=26.905,P<0.001).Clinical stage Ⅲ/Ⅳ,low expression of miR-330-3p and high expression of IMP3 were risk factors for poor prognosis of GC patients(P<0.05).Conclusions The expression level of miR-330-3p exhibits a negative correlation with IMP3 in GC tissues.Furthermore,the downregulation of miR-330-3p and the upregulation of IMP3 are associated with the progression of malignant biological behavior and poor prognosis in gastric cancer pa-tients.These findings suggest that miR-330-3p and IMP3 may serve as potential therapeutic targets and biomarkers for predicting the prognosis of gastric cancer.

刘路玉;刘亮;丁炜禄;梁钰亭;李晓燕;尔丽绵

河北医科大学第四医院 内镜科,石家庄 050000河北医科大学第四医院 肿瘤研究所,石家庄 050000河北医科大学第四医院 胸外科,石家庄 050000湖北省武汉市第五医院消化内科,武汉 430000河北医科大学第四医院 内镜科,石家庄 050000河北医科大学第四医院 内镜科,石家庄 050000

医药卫生

胃肿瘤微小RNA-330-3p胰岛素样生长因子Ⅱ mRNA结合蛋白-3临床病理特征

gastric neoplasmsmicrorna-330-3pinsulin-like growth factor Ⅱ mRNA binding protein-3clinico-pathological features

《临床与实验病理学杂志》 2026 (3)

334-341,8

河北省医学科学研究课题计划(20200111) Medical Science Research Project of Hebei(20200111)

10.13315/j.cnki.cjcep.2026.03.008

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