放射治疗后的外体非编码RNA和血液图用于预测宫癌患者的早期死亡
1Gynecologic Cancer Center, Department of Radiation Oncology, Ajou University School of Medicine, Suwon 16499, Republic of Korea.
International journal of molecular sciences
|January 11, 2024
概括
微RNA (miR)-574-3p和长跨基因非蛋白质编码 (LINC) 01003的血水平可以预测同时接受化疗放射治疗 (CCRT) 的宫癌患者的早期死亡. 这些非编码RNAs (ncRNAs) 与血细胞动态相结合,提供预后生物标志物,以改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 分子生物学分子生物学
- 生物标志物 生物标志物
背景情况:
- 同时的化疗-放射治疗 (CCRT) 可以矛盾地加速疾病进展和早期死亡 (ED) 在各种癌症.
- 在接受CCRT的宫癌患者中,ED的预测生物标志物对于个性化治疗策略至关重要.
研究的目的:
- 评估血外体非编码RNA (ncRNA) 水平和血细胞动态与在接受CCRT的宫癌患者的早期死亡 (ED) 预测之间的关联.
- 在这个患者队列中确定ED的新型预后生物标志物.
主要方法:
- 倾向性得分匹配用于比较370名接受CCRT治疗的患者的完整血液样本 (CBC).
- 在42名患者中,在CCRT前后分析了外体ncRNA和信使RNA (mRNA) 表达差异 (对数折叠变化,log2FC).
- 网络构建和多重回归确定了与CBC动态和ED相关的关键RNA.
主要成果:
- 在队列1 (120名患者) 中,绝对中性粒细胞计数 (ANC) 的增加与ED相关.
- 微RNA (miR) -574-3p和长跨基因非蛋白质编码 (LINC) 01003表达与ANC和血红蛋白相关,分别在队列2.
- 结合miR-574-3p-LINC01003-ACOT9 log2FC < 0的患者显示,30个月的疾病特异性存活率有所改善.
结论:
- 血中的miR-574-3p和LINC01003水平,与CBC动态相结合,是宫癌患者早期死亡的潜在预后生物标志物.
- 这些ncRNA可能有助于在CCRT期间对患者进行分层风险评估和治疗规划.
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