长链非编码RNAH19在急性胰腺炎患者血清中的表达及意义

李保军; 黄来; 孙远新

doi:10.3969/j.issn.1001-5256.2017.03.019

长链非编码RNAH19在急性胰腺炎患者血清中的表达及意义

DOI: 10.3969/j.issn.1001-5256.2017.03.019

沈阳市急救中心急诊科

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- 出版日期: 2017-03-20

Expression of long non-coding RNA H19 in serum in patients with acute pancreatitis and its clinical significance

Emergency Department, Shenyang Emergency Center

摘要

摘要: 目的探讨急性胰腺炎患者血清中长链非编码RNA（lncRNA）H19的表达及临床意义。方法选取2013年1月-2015年12月在沈阳市急救中心急诊科及综合外科诊断为急性胰腺炎的患者82例以及健康者20例。采集急性胰腺炎患者及健康者的外周血,分离血清提取RNA,利用Real-time PCR检测lncRNA H19的表达水平,分析H19的表达与其他临床病理指标的关系。计量资料组间比较采用t检验,计数资料组间比较采用χ2检验;利用受试者工作特征曲线（ROC曲线）分析lncRNA H19对急性胰腺炎的诊断价值。结果急性胰腺炎患者急性期血清中的lncRNA H19表达水平明显高于健康对照组,差异有统计学意义（t=2.364,P=0.020）;重型急性胰腺炎组患者比轻型急性胰腺炎组lncRNA H19表达水平高（t=2.111,P=0.037）,Balthazar CT分级>C级患者的lncRNA H19表达水平高于CT分级≤C级的患者,且差异有统计学意义（t=2.312,P=0.022）。ROC曲线分析显示H19的检测可以帮助诊断急性胰腺炎（ROC曲线下面积为0.75...
- 胰腺炎 /
- RNA,未翻译 /
- 诊断
Abstract: Objective To investigate the expression of the long non-coding RNA (lncRNA) H19 in the serum of patients with acute pancreatitis and its clinical significance.Methods A total of 82 patients who were diagnosed with acute pancreatitis in Emergency Department and Department of General Surgery in Shenyang Emergency Center from January 2013 to December 2015 were enrolled, and 20 healthy subjects were enrolled as normal controls.Peripheral blood samples were collected from the patients with acute pancreatitis and healthy subjects, the serum was separated, and RNA was extracted.Real-time PCR was used to measure the expression of lncRNA H19, and the correlation between the expression of H19 and other clinical and pathological parameters was analyzed.The t-test was used for comparison of continuous data between groups, and the chi-square test was used for comparison of categorical data between groups.The receiver operating characteristic (ROC) curve was used to evaluate the value of lncRNA H19 in the diagnosis of acute pancreatitis.Results The acute pancreatitis group had a significantly higher H19 expression level in serum than the healthy control group (t=2.364, P=0.020) .The severe acute pancreatitis group had higher expression of lncRNA H19 than the mild acute pancreatitis group (t=2.111, P=0.037) , and the patients with a Balthazar CT grade above grade C had significantly higher relative expression of lncRNA H19 than those with CT grade ≤ C (t=2.312, P=0.022) .The ROC curve showed that H19 measurement helped with the diagnosis of acute pancreatitis with an area under the ROC curve of 0.752 (95% CI:0.636-0.867, P<0.01) .Conclusion Patients with acute pancreatitis have increased expression of lncRNA H19 in serum, and therefore, H19 has certain clinical significance in the diagnosis of acute pancreatitis and the evaluation of disease severity.
- pancreatitis /
- RNA, untranslated /
- diagnosis

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参考文献(20)

[1]GRAVANTE G, GARCEA G, ONG SL, et al.Prediction of mortality in acute pancreatitis:a systematic review of the published evidence[J].Pancreatology, 2009, 9 (5) :601-614.

[2]BANKS PA, FREEMAN ML, Practice Parameters Committee of the American College of Gastroenterology.Practice guidelines in acute pancreatitis[J].Am J Gastroenterol, 2006, 101 (10) :2379-2400.

[3]ZHOU HH, LIN LJ, ZHENG CQ, et al.Significance of BISAPcombined with coagulation parameters in predicting the severity of acute pancreatitis[J].World Chin J Dig, 2012, 20 (18) :1638-1643. (in Chinese) 周慧慧, 林连捷, 郑长青, 等.BISAP联合凝血指标对急性胰腺炎严重程度评估的意义[J].世界华人消化杂志, 2012, 20 (18) :1638-1643.

[4]Group of Pancreas Surgery, Chinese Society of Surgery, Chinese Medical Association.Guidelines for the management of acute pancreatitis (2014) [J].J Clin Hepatol, 2015, 31 (1) :17-20. (in Chinese) 中华医学会外科学分会胰腺外科学组.急性胰腺炎诊治指南 (2014) [J].临床肝胆病杂志, 2015, 31 (1) :17-20.

[5]ZHAO Y, GUO Q, CHEN J, et al.Role of long non-coding RNAHULC in cell proliferation, apoptosis and tumor metastasis of gastric cancer:a clinical and in vitro investigation[J].Oncol Rep, 2014, 31 (1) :358-364.

[6]WU JY, JIN SM, WANG XY, et al.Research advances in microR-NA involved in acute pancreatitis[J].Int J Dig Dis, 2014, 34 (6) :386-388. (in Chinese) 吴金雁, 金士毛, 王小云, 等.急性胰腺炎相关microRNA研究进展[J].国际消化病杂志, 2014, 34 (6) :386-388.

[7]FU DY, HUANG YL, CHEN JH.Use of miRNA in diagnosis and assessment of the severity of acute pancreatitis[J].J Clin Exp Med, 2016, 15 (14) :1398-1401. (in Chinese) 傅冬阳, 黄元林, 陈建洪.miRNA在急性胰腺炎诊断和评估病情严重程度的作用[J].临床和实验医学杂志, 2016, 15 (14) :1398-1401.

[8]LENG F, YANG L, CHANG ZG, et al.Classification of acute pancreatitis-2012:revision of the Atlanta classification and definitions by international consensus[J].J Clin Hepatol, 2013, 29 (4) :Ⅰ-Ⅶ. (in Chinese) 冷芳, 杨力, 常志刚, 等.急性胰腺炎分类---2012:亚特兰大分类和定义修订的国际共识[J].临床肝胆病杂志, 2013, 29 (4) :Ⅰ-Ⅶ.

[9]NIU K, CHENG YJ.Non-pancreatitis abdominal pain with increased amylase:a clinical analysis of 36 cases[J].Shanxi Med J, 2011, 40 (4) :380-381. (in Chinese) 牛凯, 成宇晶.淀粉酶升高的非胰腺炎腹痛36例临床分析[J].山西医药杂志, 2011, 40 (4) :380-381.

[10]LANKISCH PG, BURCHARD-RECKERT S, LEHNICK D.Underestimation of acute pancreatitis:patients with only a small increase in amylase/lipase levels can also have or develop severe acute pancreatitis[J].Gut, 1999, 44 (4) :542-544.

[11]PONTING CP, OLIVER PL, REIK W.Evolution and functions of long noncoding RNAs[J].Cell, 2009, 136 (4) :629-641.

[12]LEE JT.Epigenetic regulation by long noncoding RNAs[J].Science, 2012, 338 (6113) :1435-1439.

[13]BEERMANN J, PICCOLI MT, VIERECK J, et al.Non-coding RNAs in development and disease:background, mechanisms, and therapeutic approaches[J].Physiol Rev, 2016, 96 (4) :1297-1325.

[14]LIU P, XIA L, ZHANG WL, et al.Identification of serum microR-NAs as diagnostic and prognostic biomarkers for acute pancreatitis[J].Pancreatology, 2014, 14 (3) :159-166.

[15]YANG G, LU X, YUAN L.LncRNA:a link between RNA and cancer[J].Biochim Biophys Acta, 2014, 1839 (11) :1097-1109.

[16]CAI X, CULLEN BR.The imprinted H19 noncoding RNA is a primary microRNA precursor[J].RNA, 2007, 13 (3) :313-316.

[17]JIA P, CAI H, LIU X, et al.Long non-coding RNA H19 regulates glioma angiogenesis and the biological behavior of glioma-associated endothelial cells by inhibiting microRNA-29a[J].Cancer Lett, 2016, 381 (2) :359-369.

[18]LEWIS A, LEE JY, DONALDSON AV, et al.Increased expression of H19/miR-675 is associated with a low fat-free mass index in patients with COPD[J].J Cachexia Sarcopenia Muscle, 2016, 7 (3) :330-344.

[19]ZHANG R, DENG JL, SUN H, et al.Research progress of long non-coding RNAs as regulators on tumor metastasis[J].Chin JClin Pharmacol Ther, 2016, 21 (9) :1061-1067. (in Chinese) 张蕊, 邓俊丽, 孙红, 等.长链非编码RNA对肿瘤转移调控的研究进展[J].中国临床药理学与治疗学, 2016, 21 (9) :1061-1067.

[20]CARROLL JK, HERRICK B, GIPSON T, et al.Acute pancreatitis:diagnosis, prognosis, and treatment[J].Am Fam Physician, 2007, 75 (10) :1513-1520.

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