循环microRNA-193簇对乳腺癌的筛查价值
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南京市医学科技发展项目重点项目(ZKX18030);江苏省青年医学人才项目(QNRC2016066)


Circulation miR-193 cluster serves as a promising biomarker for diagnosis of breast cancer
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    摘要:目的:基于光激化学发光技术平台初步建立血清催乳素(PRL)的分析方法,并评估其性能指标。 方法:将发光纳米微球和生物素分别标记于一对人PRL单抗,两者与血清中待检PRL、链霉亲合素标记的感光微球(通用感光溶液)在均相条件下形成双抗体夹心的检测体系,对该检测体系的性能指标和相关性进行评价。 结果:本方法的批内变异系数和日间变异系数分别为4.60%和5.25%;功能灵敏度为2.48 μIU/mL,可报告范围为2.48~4 240 μIU/mL;回收试验加入浓度为42.2、424、4 240 μIU/mL PRL标准品时的回收率为96.25%~102.93%;胆红素<20 mg/dL、血红蛋白<200 mg/dL、三酰甘油<3 000 mg/dL、生物素<20 ng/mL时,均无干扰现象发生;该方法与贝克曼Unicel Dxi 800 Access 2增强化学发光酶免疫分析法具有良好的相关性。 结论:光激化学发光法检测血清PRL的方法具有良好的分析性能,可满足临床诊断需求。

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    Abstract: Objective: To evaluate circulating miR-193 cluster as a biomarker for diagnosis of breast cancer (BC). Methods: A total of 130 BC patients and 45 healthy controls (HCs) were enrolled. The level of miR-193 cluster was analyzed by using GEO database. RT-qPCR was used to evaluate the level of miR-193 cluster in serum of participants. Receivers operating characteristic (ROC) curve analysis was manipulated to investigate their diagnostic value for BC. Results: In the screening stage, the results of GEO database indicated the expression of miR-193a-5p and miR-193b were decreased in the serum of BC patients with prior diagnostic value, and the significant decreased expressions of miR-193 cluster members, miR-193a-3p, -5p and miR-193b-3p, were observed in serum of BC patients compared with those in healthy controls by the determination of RT-qPCR(all P <0.01). In the validation stage, the AUCROC of miR-193a-5p and miR-193b-5p were 0.888 (95% CI :0.808-0.969) and 0.954 (95% CI :0.902-1.000), respectively. In addition, the combined AUCROC of these two miRNAs was 0.982 (95% CI :0.966-0.999). Conclusion: miR-193a-5p and miR-193b-5p in serum could be served as diagnostic biomarker for screening of breast cancer, and the combined detections of the two miRNAs may exhibit more diagnostic efficiency and good clinical application potential.

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潘蓓,王旭宏,王书奎,何帮顺.循环microRNA-193簇对乳腺癌的筛查价值[J].临床检验杂志,2019,(8):574-578

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  • 收稿日期:2019-05-31
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  • 在线发布日期: 2019-10-12
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