3个铁死亡相关LncRNA联合检测在HBV-HCC诊断中的临床应用价值
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国家自然科学基金(82303249);山东省自然科学基金(ZR2023QH144)


Clinical application value of combined detection of three kinds of ferroptosis-related LncRNAs in the diagnosis of hepatitis B virus-related hepatocellular carcinoma
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    摘要:

    摘要:目的分析铁死亡相关LnCRNA(SNHGI、GAS5、THUMPD3-ASI)在乙型肝炎病毒相关肝细胞癌(HBV-HCC)中的表达水平,并评估3个铁死亡相关LncRNA作为HBV-HCC诊断标志物组合的临床应用价值。方法从TCGA数据库下载HBV-HCC的转录组数据及其临床数据,通过差异分析筛选铁死亡相关LncRNA。选取2022年5月至2024年5月山东第一医科大学第一附属医院就诊的HBV-HCC患者50例作为肿瘤组,另选取慢性乙型肝炎(CHB)患者50例和体检健康人群50例分别作为疾病对照组和健康人对照组。利用定量逆转录聚合酶链反应(qRT-PCR)检测铁死亡相关的IncRNA(SNHGI、GAS5、THUMPD3-ASI)在各组研究对象血清及组织中的表达水平。利用ROC曲线评估SNHGI、GAS5及THUMPD3-ASI单独及联合检测对HBV-HCC的诊断效能。结果通过对转录组数据及其临床数据进行差异分析,筛选出3个铁死亡相关LncRNA(SNHGI、GAS5、THUMPD3-ASI),其在HBV-HCC患者癌组织中的表达水平显著高于癌旁组织,且在肿瘤组患者血清中的表达水平亦高于疾病对照组和健康人对照组,差异均有统计学意义(P<0.001)。ROC曲线分析显示,三者联合检测的ROC曲线下面积(AUC)高达O.993,且在HBV-HCC诊断中具有较高的准确性(98%)。结论铁死亡相关LncRNA(SNHGI、GAS5、THUMPD3-ASI)联合检测有望成为HBV-HCC临床诊断的潜在生物学标志物组合,为该疾病的诊断提供了实验依据。

    Abstract:

    Abstract: Objective To analyze the expression levels of ferroptosis-related IncRNAs, including SNHGl, GAS5, and THUMPD3-ASl, in hepatitis B virus-related hepatocellular carcinoma (HBV-HCC) and evaluate their clinical application value in the diagnosis of HBV-HCC. MethodsThe transcriptome and clinical data of HBV-HCC were downloaded from the TCGA database and ferroptosis-related LncRNAs were screened by differential analysis. Fifty HBV-HCC patients,5O patients with chronic hepatitis B (CHB),and 50 healthy individuals visited the First Affiliated Hospital of Shandong First Medical University from May 2022 to May 2024 were selected as the tumor group,disease control group,and healthy control group,respectively.The expression levels of three kinds of ferroptosis-related LncRNAs,including SNHGl,GAS5,and THUMPD3-ASl, in serum and tissue samples of each study group were detected using quantitative reverse transcription polymerase chain reaction(qRT-PCR).The diagnostic effcacy of SNHGl, GAS5,and THUMPD3-AS1 alone and in combination for HBV-HCC were evaluated by the receiver operating characteristics (ROC) curve. Re-sultsThree kinds of ferroptosis-related LncRNAs,including SNHGl,GAS5, and THUMPD3-ASl, were identified by the differential analysis of transcriptome and clinical data. Their expression levels in the tumor tissues of HBV-HCC patients were significantly higher than those in adjacent tissues(P

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王晓菲,王蕴秋,马建萍,王玉霞,石晓红,王春晴.3个铁死亡相关LncRNA联合检测在HBV-HCC诊断中的临床应用价值[J].临床检验杂志,2026,44(01):48-53

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  • 收稿日期:2025-06-02
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  • 在线发布日期: 2026-04-15
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